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Grilling season is here! With summer comes many get-togethers with friends and family for summer holidays, graduation parties, and other outdoor celebrations. Barbecues can be loaded with not so healthy choices of hot dogs, burgers, and desserts. Signature barbecue foods tend to be processed and fatty meat products. Research has found that a higher consumption of processed meats is linked with high risk of heart disease. Other research has found that a high consumption of charred or well-done grilled meats may also increase risk of some cancers.  Have no fear! We have your top ten tips to hosting a healthy barbecue this summer! 1. Choose your protein - One of the biggest contributor to heart disease is that high saturated, fatty meat. Choose leaner proteins such as turkey burgers or chicken. We also love grilled fish like salmon or tilapia, which are full of heart healthy fats. Additionally, beans and legumes offer a great source of plant-based protein. Try out making your own black bean burgers like these here! 2. Aim for whole grain - When choosing buns for burgers or whipping up quick side dishes, opt for whole grain alternatives. Whole grains are a great source of fiber, which can help slow rises in blood sugar, keep you full longer, and promote digestive health. Make sure your whole grain breads and buns have the first word “whole” in the ingredient list on the back of the package. For more on whole grains, check out our blog article! 3. Grill up those seasonal vegetables - Grilling can be an excellent way to prepare seasonal vegetables. Most veggies can be tossed in some olive oil with a pinch of salt and thrown on some foil onto the grill. Try out some Missouri summer vegetables!
4. Pack a side salad - If you aren’t hosting the event, offer to bring a healthy salad or fruit salad so that you know you have an option for a healthy side. Greens are in season in the summer months in Missouri, making salads a perfect option. Chop up any mix of vegetables (and/or fruits) and bring a quick homemade dressing! 5. Prep fresh fruit - Fruit is a delicious and refreshing side for summer! We love making a fruit salad, grilling fresh fruit, or making a fruit based dessert. When grilling fruit, the natural sugars caramelize, giving them an extra, natural sweetness. 6. DIY Dry Rub - Rubs and seasonings can be extremely high in sodium. Many Americans consume too much salt through convenience foods, cured meats, and pre-made seasonings. Lower your sodium intake by making your own homemade rubs and seasonings. We recommend buying bulk seasonings and mixing different combinations into jars that you can have on hand. We love these combinations below from Cook Smarts.  7. Hydrate with H2O - Many barbecues tend to be accompanied by lemonade, sweet tea, sodas, or alcoholic beverages. These beverages add empty calories and do not offer many other health benefits. Stay hydrated in the summer months with good old water! Take a look at our creative tips to make water a bit more exciting. 8. Use the MyPlate Method - The MyPlate method focuses on ½ of your plate fruits and non-starchy vegetables, ¼ of your plate whole grains or starches, and ¼ of your plate lean proteins and nonfat or low-fat dairy. Build your plate with a whole grain bun, lean protein burger or fish, grilled vegetables or salad, and grilled fruit dessert! 9. Upgrade your Side Dishes - Try to health-ify your side dishes! Make coleslaw with a vinegar base instead of mayonnaise, add veggies to your pasta salad, bring guacamole or hummus with cut-up vegetables, or use plain Greek yogurt in your go-to potato salad recipe. 10. Indulge! Finally, don’t get so caught up in trying to be healthy that you don’t allow yourself to indulge. Choose indulgences mindfully. Pick foods that you truly enjoy; don’t just eat desserts you aren’t excited about just because they are available. Balance your indulgence by eating all of those delicious veggies and still giving yourself permission to eat those foods you love!  This summer, try out some of these tips for those upcoming barbecues! Choose vegetables where you can but also choose the foods you love in moderation! What tips do you plan on trying out this summer? Let us know in the comments below!
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With summer weather and the Missouri heat, it is extremely vital to stay hydrated. We often hear people struggling to keep up with the recommended water intake. But, why is that? For one, we hear that water is boring. Hands up if you agree? With soda and sugar-sweetened beverages at every turn, water can definitely be less appealing. In this article, we’re arguing in the name of water. We’ll discuss the benefits of drinking more H2O and some creative ways to get in that wet stuff so that drinking water doesn’t have to feel so boring!  Why does it matter? Water has so many important roles in the body. It provides a medium for our cells to carry out the necessary functions such as nutrient metabolism or other enzymatic reactions. For one, it helps to maintain a healthy body temperature. It also lubricates and cushions joints, protects your tissues and spine, and helps get rid of toxins through urine, sweat, and other bodily functions. It filters through the kidneys, respiratory system, and digestive system to eliminate waste and ensure proper digestion. Drinking enough water can even ease constipation and prevent kidney stones. It can help you to feel full after a meal, keep you alert and awake throughout the day, and keep you hydrated during physical activity. How much do I need? The amount of water you need in a day can vary from day to day based on different circumstances. Your hydration status is impacted by weather, if you are sick or running a fever, if you exercise, if you have medical conditions that may require more or less water, and even if you are pregnant or breastfeeding. For most people, an average recommendation remains about 64 oz. per day. This is where that 8 cups of water a day rule of thumb comes from. Aim for eight, 8 oz. glasses of water or hydrating substances daily. Keep in mind that foods can contribute to overall fluid intake too! We’ll talk about that a bit more below. Be sure to discuss hydration with your dietitian or physician for more specific recommendations based on various conditions.  How Can We Hype Up Hydration? Now for the fun part. Take a look at our top four tips to get more creative in getting enough fluid in.
 St. Louis is known for its hot and humid summers. Be sure to beat the heat this summer with these hydrating tips. We’re planning on making a fruit-infused mocktail for a refreshing pool-side afternoon! How are you staying hydrated this summer?
Be sure to check out one of our own SLU RD’s talking about hydration this week on KMOV!  This year we are celebrating the 5th Annual Flash Mob! Have you joined Let’s Move! STL for the flash mob? If you love to dance and move your body, then this event is for you! Saint Louis Public School District (SLPS) students in elementary and middle grade levels continue to take steps to improve their health and combat obesity. The fifth annual Let’s Move! STL Move Your Body Flash Mob will take place to help them along their journey. The entire metropolitan community is invited to join in the Move Your Body fun on Friday May 3, 2019, at the Ford Plaza in Busch Stadium, home of the St. Louis Cardinals! Students at all SLPS elementary schools and select middle schools will join together for a synchronized dance routine. The event is sponsored by Let's Move! STL, the Healthy Schools Healthy Communities initiative, in partnership with SLPS, the City of St. Louis Department of Health, BJC School Outreach and Youth Development, COCA, -Center of Creative Arts, Aetna, a CVS business , and Saint Louis University’s Department of Nutrition and Dietetics. Last year’s flash mob was a huge success, with approximately 52,000 students, teachers, and community partners statewide spending the morning engaged in fun and physical activity. Students have been dusting off their dancing shoes from the four previous years and are ready to perform not one, not two, but three dance routines. They will perform Beyonce’s “Move Your Body” routine, the “Gimme 5” dance to Kidz Bop’s “Uptown Funk,” and the newly choreographed “Can’t Stop the Feeling!” routine, choreographed by advanced students from COCA. “Programs like Let's Move! STL and AIM for Fitness continue to help SLPS tackle the issue of childhood obesity with a focus on nutrition, physical activity and teaching students about the importance of embracing a healthy, active lifestyle. Each year brings exciting new ideas and fresh opportunities, as we continue to make progress and encourage healthy behavior change,” said Leanne White, project director for Saint Louis Public Schools. “The partnerships and collaborations that are budding out of these health-minded programs are very beneficial. Not only are they sustainable, but the collaborations are allowing for engagement of individuals from all levels, from those who are directly impacted by the programs to those who make the policies and final decisions about the programs. I truly feel it is a holistic approach,” said Erica Oliver, a community health partner with BJC School Outreach and Youth Development. Additionally, “Let’s Move! STL enjoys being a part of the growing interest for health and physical activity in the Saint Louis Public Schools,” said Lauren Landfried, the Let’s Move! STL Flash Mob coordinator for the City of St. Louis Department of Health. “The partnerships that have been created from this annual event continue to prove essential to making the St. Louis community healthier.”  For more information about the flash mob on May 3, 2019, the Healthy Schools Healthy Communities initiative or Let’s Move! STL, please contact:
M. Leanne White, Project Director – Saint Louis Public Schools Margaret.White@slps.org 314-345-4403 Lauren Landfried, Let’s Move! STL Flash Mob Coordinator – City of St. Louis Department of Health landfriedl@stlouis-mo.gov 314-657-1549 Erica Oliver, Community Health Partner – BJC School Outreach and Youth Development Erica.Oliver@bjc.org 314-286-0539 About Healthy Schools Healthy Communities Healthy Schools Healthy Communities (HSHC) empowers communities to build a healthier future for children and families across Missouri. An initiative of Missouri Foundation for Health, HSHC brings together schools, community organizations, businesses, parents, and residents to identify and push for changes that increase access to healthy food and physical activity where our kids live, learn and play. Saint Louis Public Schools and BJC School Outreach and Youth Development are co-leading the HSHC initiative in the City of St. Louis, currently targeting the Carr Square, Carondelet, Greater Ville, Forest Park Southeast, Shaw, Fountain Park, and Bevo Mill communities. About Let’s Move! STL Let’s Move! STL is a comprehensive initiative to combat and solve the challenge of obesity and diseases related to poor diet and fitness by leveraging community resources, coordinating partnerships and engaging the community towards the goal of zero obesity by 2020. The City of St. Louis Department of Health is the lead coordinating agency for Let’s Move! STL. About Saint Louis Public Schools (SLPS) Saint Louis Public Schools has been preparing students for a bright future since 1838. The District serves approximately 22,000 children in pre-kindergarten through grade 12. With nearly 70 schools and programs, including Magnet and Choice schools, SLPS has a school to fit every child’s needs. For more information about SLPS, visit the District’s website at www.slps.org or follow the District on Twitter, Instagram, Pinterest or Facebook. About BJC School Outreach and Youth Development BJC School Outreach and Youth Development, a division of BJC HealthCare, provides health prevention education and career exploration opportunities for students. It offers programs to equip young people with the information and skills they need to become health literate, increase academic performance and reduce high-risk behavior.  Ever wonder what the keys to unlocking a long life of happiness and good health are? Think blue. Blues Zones, studied by Dan Buettner and his team, are areas where people live the longest, healthiest, and some of the happiest lives in the world, unlike the American society that we live in today plagued by chronic disease. Many of these illnesses result from unhealthy lifestyles, and the American way of life and ideology often contribute to these diseases. We tend to value productivity and focus just on work, rather than on healthy behaviors and taking care of our bodies. Americans would benefit from taking the necessary time to relax and enjoy life. Relaxation leads to lower stress levels, stronger immune systems, and improves mental health status. Research conducted on other nations has found that not all populations are facing the high rates of chronic disease like the United States is. Dan Buettner teamed with National Geographic and the National Institute on Aging to identify the locations and lifestyle behaviors that seem to ensure the longest lives in the world. They found that people who live in Blue Zones reach the age of 100 at rates 10 times greater than in the United States. Buettner discovered 9 lifestyle characteristics, called the Power 9, that these areas have in common that lead to longer lives.  Sardinia, Italy is one of the first discovered Blue Zones. They still harvest much of their food, hunt, and fish. They eat a mostly plant-based diet, consisting of whole grains, beans, fruits and vegetables, while enjoying red wine daily. Cannonau wine is the staple drink of the Sardinians that has 2-3 times the amount of flavonoids than other wines. Flavonoids are rich antioxidants found in foods such as wine, grapes, apples, blueberries, and many other plant foods. They also drink goat’s milk regularly. Aside from diet, other behaviors include walking five or more miles a day, laughing with friends, and valuing elders and family. Across the globe, in Okinawa, Japan, centenarians are actively roaming the island while enjoying sunshine, gardening, and walking. The area is one of the poorest, however it has with some of the happiest and healthiest people in the world. The citizens of Ikaria, Greece exercise by gardening and walking. They nap every afternoon, drink plenty of goat’s milk, eat a Mediterrian style diet, and value time with family and friends. In Loma Linda, California, people meditate, walk daily, eat plenty of nuts and seeds, practice moderation, and focus on giving back to the community. In Nicoya, Costa Rica, they keep a sense of purpose throughout each day, focus on family life, work hard, relish sunshine, and value traditions.  So what is it that each of these locations have in common? The Power 9 points out the intersecting behaviors in every zone.
Try incorporating the Power 9 into your everyday life. Here’s some tips: drink wine (in moderation), take a nap, spend time with family, learn to relax, and go for a walk. How great does that sound? The keys to living a longer and healthier life lie within some of the most enjoyable activities. Check out Dan Buettner’s work at https://www.bluezones.com/ or his TED talk here. Happy March! As dietitians this is one of our favorite months because it is finally National Nutrition Month! We are thrilled to have an entire month devoted to nutrition, food, and healthy eating. As an added bonus, we also have RDN Day which is on March 13! In light of National Nutrition Month and RDN Day coming up, we want to talk about what it is that dietitians do, what the difference between a dietitian and nutritionist is, and why dietitians truly are the nutrition experts. When working in the community or with clients, we have found that there is so much confusion on what a dietitian actually does or who is a dietitian.  So what is a registered dietitian or registered dietitian nutritionist (or RD/RDN for short)? A registered dietitian must complete a bachelor’s degree in nutrition and dietetics. A bachelor’s degree focuses on areas of food service, food service management, food science, chemistry, biochemistry, medical nutrition therapy, anatomy, and physiology. Once the undergraduate is completed, students must complete a dietetic internship. Dietetic internships might be found within a university, healthcare facility, or food service management company. The internship is a comprehensive program, requiring 1200 hours of supervised practice in community, clinical, and food service areas. After the dietetic internship has been completed, students must then sit for the national exam though the Commission on Dietetic Registration. After passing the exam, the professional is then deemed a dietitian and must hold a license in their practicing state. A dietitian is then required to complete continuing education appropriate to their professional areas. Where do registered dietitian nutritionists work? A registered dietitian nutritionist can work in many different areas. You might find an RDN in:
What’s the difference between a registered dietitian or registered dietitian nutritionist and a nutritionist? This is one of the most commonly asked questions. It can be a confusing concept, but to simplify it: all dietitians are nutritionists, but not all nutritionists are dietitians. Why is that? A nutritionist is not a legally protected title. This means that there is no consistency in education or background in order to become a nutritionist. In some cases, nutritionists may not have any nutrition background at all. Whereas, registered dietitian is a legally protected title. Therefore, in order to practice as a registered dietitian or registered dietitian nutritionist, a professional must complete rigorous school work, dietetic internship, pass a registration exam, and hold an active license in the practicing state. Dietitians are the only people who can practice medical nutrition therapy.  Why does it matter?
Dietitians are the experts in nutrition and dietetics because they have a thorough background in the physiology of nutrition and the chemical interactions foods have in the body. This background allows them to weed out fact from fiction and help you to navigate your health considering a wide array of considerations. They are trained to consider your food preferences, health conditions, budgets, schedule, culture, lifestyle, and many other things to help you make the best nutrition choices for your life. This graphic above is an excellent representation of all the components dietitians are trained to think about when evaluating nutrition and health habits! How do I find a dietitian? To find a registered dietitian near you, you can go to this website to locate an RDN in your area. You can also ask your doctor if they have a dietitian that they can refer you to as well. If you just have questions for a dietitian, Let’s Move! STL is a team of five registered dietitians ready to answer your nutrition related questions. To ask a question, click here! This month, find an RDN and wish them a happy National Nutrition Month! Sign up for our monthly newsletter here to stay up to date with our NNM events and other blogs and recipes we share on the site!  In honor of American Heart Month, we’re talking heart health. Many of you may be affected by heart disease or know someone who has. This month, we wanted to give you information that could help you and your loved ones adopt healthy choices in the hopes of preventing this life-threatening disease.
Did you know that about 610,000 people die of heart disease in the United States every year, which is about 1 in every 4 deaths. Smoking, eating an unhealthy diet, and being physically inactive all put you at a higher risk of developing heart disease. But there are some simple changes to your diet and lifestyle to help reduce your risk of heart disease! For starters, eating a healthy and balanced diet can begin to reduce your risk of chronic diseases, including heart disease. We like to focus on the MyPlate method to ensure you’re eating balanced meals. Eat Balanced Meals The MyPlate method focuses on ½ of your plate fruits and non starchy vegetables, ¼ of your plate whole grains or starches, and ¼ of your plate lean proteins and nonfat or low-fat dairy. Whole grains can be found in whole wheat bread, brown rice, whole grain pasta, oatmeal, quinoa, farro, and many other grains. Starchy vegetables like corn, peas, and potatoes also fall into this section of the plate. When choosing lean proteins, look for foods like chicken, fish, beans, nut butters, eggs, lean ground meat, or loin or round cuts of meat. Aim to make your plate look like MyPlate for most of your meals in the day. Eat the Right Fats Fat is a macronutrient needed by the body. Fat provides structure to cells and cushions membranes to prevent damage. Oils and fats are also needed to absorb fat-soluble vitamins like vitamin A, a micronutrient important for healthy eyes and lungs. But too much unhealthy fat can contribute to your risk of heart disease. There are four major types of fat:
Saturated & Trans Fats Both increase LDL (or “bad” cholesterol) and are linked to an increased risk of cardiovascular diseases. Trans fats also lower HDL (or the “good” cholesterol). Aim to limit saturated fats by replacing them with healthier sources of fat like mono- and polyunsaturated fats. Avoid trans fats whenever possible. Saturated fats are often found in:
Trans fats are often found in:
Monounsaturated & Polyunsaturated Fats Unsaturated fats like monounsaturated fats and polyunsaturated fats have been shown to improve brain function, lower cholesterol levels, and decrease risk of heart disease. These are the healthy fats that we want to include into our diet regularly. Monounsaturated fats are often found in:
Polyunsaturated fats are often found in:
Including a range of healthy fats in your diet can have health protective benefits. Try cooking with olive oil, having a handful of nuts as a snack, or incorporating seafood during the week. Limit Salt High blood pressure can also contribute to higher risk of heart disease because it increases pressure and stress on your heart. To decrease your blood pressure, be sure to limit your sodium or salt intake to 2300 mg per day. Aim to base the majority of your meals around foods naturally low in sodium like fresh or frozen fruits and vegetables and unseasoned whole grains.For more information on sodium, take a look here. High Sodium Foods Include:
To limit some of your salt consumption, opt for low sodium or no salt added versions of foods. For canned beans or vegetables, drain and rinse two times to remove some of that salt. Maintain a Healthy Lifestyle Practicing an overall healthy lifestyle reduces your risk even further. Make sure to exercise, get enough sleep, drink enough H2O, and live a smoke-free life. Find movement you enjoy such as walking, dancing, yoga, cycling, weight lifting, you name it! This month, choose one of these tips to focus on. Create a SMART goal and take it as a challenge to reduce your risk and protect that loving heart. Work on filling out this handout here to determine a SMART goal for you! What goals are you going to work on this month? Leave a comment and let us know!  Hands up if you make a New Year’s resolution each year? This time of year is filled with cleanses, detoxes, and fad diets that are typically expensive, not evidence based, and unsustainable. How many of you have tried one of these fads once the New Year rolled in? How many of you kept that habit throughout the whole year? Often, New Year’s resolutions are created with great intentions, but fall flat by the end of January. Have you taken time to reflect on why those goals don’t last? Have you ever wondered why this is? It could be that you took on too much too soon or worked hard toward goals that weren't really designed with your health and well-being in mind. This year, we want to challenge you to build healthy lifestyle habits that are sustainable and realistic for your life and your body. And we’ve got just the program for you! Small Changes for Health is a program crafted by registered dietitians that covers a range of topics to help you achieve the healthiest life based on your individual needs! We’ll start the program by teaching you how to make SMART goals that will last for years to come.  So, what is Small Changes for Health? A FREE, 10-week program designed to help you build healthy habits one week at a time. The program focuses on physical activity, healthy eating, sleep, and other self-care strategies designed to improve well-being. The theme for 2019 is “An Ounce of Prevention”. Whether you’d like to do what you can to minimize your risk for chronic disease, or prevent the progression of an existing disease, the habits you build will support either goal. How does it work? Each week you receive an email with a small change in physical activity and a healthy habit challenge for you to complete We will also share tips and resources to help you meet the goals. What are the changes? For the physical activity change, you may be asked to do an activity for a specified length of time and number of days during the week. The goal is to move more often so you feel your best! What are the challenges? The healthy habit challenge encourages you to do a healthy activity like eating balanced meals, sleeping more, and adding to your support network. With practice, the activities become healthy habits designed to improve mental and physical well-being. What are the prizes? Small Changes for Health is offering up prizes and grand prizes that you could win by participating:
What will I need to participate? Access to a computer, tablet or smartphone to access the information and tips and good walking/running shoes are the basics. When does it begin? The program starts the week of January 14th, 2019 and runs through the end of March. Sign up today! https://www.smallchangesforhealth.com/ Follow Let’s Move! STL on Twitter and Facebook for the latest info and be sure to register for more information on www.letsmovestlouis.com!   This time of year can be as stressful as it is joyful. The holidays are a great time of gathering and celebrating. However, for many people, the holidays bring anxiety over food choices and overindulgence. Do you fear diving into holiday foods? In this month’s blog, we’re addressing the holiday food fears and giving you the tools you need to maintain your health goals all through this hectic month. MyPlate One of the best parts of a standard holiday meal is that it can be easily converted into MyPlate. We love using MyPlate as a simple checklist for creating healthy, balanced meals. Aim to make ½ of your plate fruits or non-starchy vegetables, ¼ whole grains or starchy vegetables, and ¼ a lean protein. You also want to ensure that you’re incorporating healthy fats at each meal to also keep you full. At least 3 of your meals per day should contain 3 or more different food groups. Don’t Skip So often, people skip meals during the holidays in order to “save” for larger meals. Skipping meals leads to bingeing later on, increased cravings, drops in blood sugar, fatigue, and irritability. Stay happy this holiday season by eating regularly throughout the day. Start the day with a healthy, balanced breakfast to get you off on the right foot. Aim for MyPlate based meals, complete with fiber, protein, whole grains, and healthy fats to keep you full.  Bring Your Own If you’re attending parties or family gatherings, offer to bring a healthy side dish. Take on the salad-making responsibilities or try out that roasted veggie dish you’ve been waiting to try. When you bring your own veggies, you can rely on having at least one healthy option on hand. Be Mindful A healthy and balanced diet includes all foods. They all have a place, even those cookies and cakes. The key to enjoying these treats is practicing mindfulness. Be intuitive about your food choices. Choose foods that you truly enjoy, not just the store-bought cake that someone shoved in your hand. Evaluate which foods really do bring that sense of satisfaction and joy to your life. Choose those. Don’t just eat the candy that doesn’t do much for you because it’s around. Aim for wholesome and deliciousness and take the time to savor that treat slowly.  Get Active
Physical activity doesn’t have to go out the window because you allowed yourself to enjoy indulgences. Make a point to go on a family walk after dinner or play an active game with friends. Embrace the cold and go for a morning hike before festivities begin or do a yoga video in your downtime. Activity does not need to be strenuous, but you’ll feel much better when you get that blood flowing! This holiday season, ditch the stress and guilt associated with food. Refocus your holiday to be about spending quality time with friends, family, or giving back to the community. The holiday season is about celebrating the ones you love, rather than the food itself. Work on incorporating foods you love with mindfulness and intention, and experience the liberation from food rules. Check out more ideas on our holiday Pinterest board here! Happy holidays from Let’s Move! STL! November marks the start of National Diabetes Awareness Month. We want to help spread awareness about managing diabetes with the ABCs of diabetes and tips on eating with diabetes. So What is Diabetes? When you have diabetes, you either make no insulin or not enough, which makes it difficult or impossible for your body to utilize carbohydrates. After you eat carbohydrate-containing foods (starchy vegetables, grains and baked items, fruit, and dairy foods), your body breaks the carbohydrates down into a sugar called glucose. Once the carbohydrates are broken down, the glucose produced gets absorbed into the blood. Glucose is used as fuel for your cells. In order for your cells to use the glucose, it needs to move from the blood into the cells. This is where insulin plays a role. Insulin is a hormone that acts like a key that unlocks the cell and allows glucose to enter.  There are Two Types of Diabetes: Type 1 diabetes: The body does not make insulin in this form of diabetes. People with type 1 diabetes need to take insulin every day. Type 1 is an autoimmune condition that typically appears earlier in life. Type 2 diabetes: The body does not make insulin or use insulin well. People with type 2 diabetes may need to take pills or insulin. Type 2 diabetes is the most common form of diabetes. ABCs of Diabetes The American Diabetes Association and the American College of Cardiology have teamed up to raise public awareness of the “ABCs of diabetes”. Managing your ABCs will help lower your chances of having a heart attack, stroke, kidney disease, or other diabetic complications. A is for the A1c test: This test shows your average blood glucose levels over the last 3 months. The A1c goal for most people is below 7%. B is for blood pressure: The blood pressure goal for most people is 120/80. A goal of 140/80 is appropriate for most people with diabetes. High blood pressure can put too much stress on your organs. It can cause heart attack, stroke, or kidney disease. C is for cholesterol: Cholesterol measures the amount of fat in your blood. The goal for most people is a value below 200 mg/dL for total cholesterol, less than 100 mg/dL for low-density lipoprotein cholesterol (LDL), and above 40 mg/dL (men) and 50 mg/dL (women) for high-density lipoprotein (HDL) cholesterol. LDL cholesterol can build up and clog your blood vessels. HDL cholesterol helps remove cholesterol from your blood vessels. Higher total cholesterol values put you at risk for a heart attack or a stroke. D is for daily exercise: Stay physically active every day. Aim for 30 minutes of physical activity per day or 150 minutes per week. Exercise can also help keep your blood sugar, cholesterol levels, and blood pressure in check. E is for eating well: Control your portion sizes, and stay on a regular meal schedule. Aim for the appropriate amount of carbohydrate calculated by your doctor or registered dietitian at each meal. F is for foot care: Check your feet for sores, blisters, or injuries every day. Diabetes can make you more prone to infections. Always wear well-padded shoes and try not to walk around barefoot. Eating with Diabetes Good diabetes self-care means following your meal plan and keeping track of what you eat and drink. Eat a variety of foods in the right amounts, check labels for calories, total carbohydrate, total fat, and sodium amounts, and eat regularly. Avoid foods that are too high in calories, cholesterol, saturated fat, trans fat, and sodium. Eating regularly throughout the day (every 3-4 hours), can also help to regulate blood sugar levels throughout the day. MyPlate is a great way to balance out your meals and control your carbohydrate intake. MyPlate focuses on filling half of your plate with non-starchy vegetables, ¼ of your plate with a carbohydrate source or starchy vegetable, and ¼ of your plate with a lean protein.  Healthy Food Choices Include:
Tips for Dining Out:
Bottom Line: At the end of the day, living an active life with a balanced diet can help manage your diabetes. Always make sure you check with your doctor or registered dietitian for methods to manage your condition. Other Resources American Diabetes Association: www.diabetes.org CDC: www.cdc.gov/diabetes/home Joslin Diabetes Center: www.joslin.org Academy of Nutrition and Dietetics: www.eatright.org MyPlate: www.choosemyplate.gov Written By: Katie Gallagher, MA, RDN, LD  These days there seems to be extra focus around the amount of added sugars in the standard American diet. This month, we’re focusing on added sugars in our diets and the many different effects that too much sugar can have on our health.
What are added sugars? All sugar is a form of carbohydrates that give you energy and raises blood sugar levels. There are two different types of sugar: natural sugar and added sugar. Natural sugars are those already present in foods such as fruit, dairy, and even some vegetables. Foods that contain natural sugars also provide important vitamins and minerals and other nutrients that help our bodies function. Added sugar is sugar or sugar products, such as syrups, that are added into foods when they have been processed or added in baking or cooking. The downfall of added sugar is that it contains little to no other beneficial nutrients like vitamins or minerals. So what are the health effects of too much added sugar? Too much added sugar can contribute to many different health effects. Added sugar can contribute to heart disease, raise triglyceride levels, increase blood sugars, and promote tooth decay. It can increase the risk for type 2 diabetes, weight gain, and other chronic diseases, which is why it’s important we limit our intake. Additionally, added sugars digest very quickly. This quick digestion may lead to a short burst of energy that might feel jittery, shaky, or unfocused. The quick energy burst then also leads to a fast energy drop, that might feel like fatigue, less focus, and even make you feel hungry. When we limit added sugars throughout the day, we might be able to notice the positive benefits to satiety and focus in the moment. So how much is too much? According to the Centers for Disease Control and Prevention, Americans should limit their consumption of added sugars to less than 10% of their total daily calories. According to the American Heart Association, women should limit added sugar to 25 grams per day and men should limit their added sugar intake to 36 grams per day. This is equal to 6 teaspoons in women and children, 9 teaspoons in men. To put that in perspective, one 16 oz. bottle of soda typically contains about 52 grams of sugar, or 13 teaspoons. That’s almost double what we should have in one day! How you can decrease added sugar? Added sugar is often hidden in many foods. The highest sources of added sugars can be found in juices, soda or soft drinks, baked goods, candy, sugary cereals, flavored yogurt, and ice cream. To begin reducing added sugar in your diet, you must know how much added sugar you are consuming. Reading the nutrition facts panel is the best way to find out how much sugar is in certain items. Check out this list of common names for added sugar here that you can find in the ingredient list on the nutrition facts label. One of the simplest way to decrease your added sugar intake is to avoid sodas and other sugar-sweetened beverages. Try drinking water flavored with fresh fruit or herbs. Sparkling water can be another excellent way to switch up your water intake. Other ways to reduce sugar in your diet, is to find alternative foods to satisfy your sweet tooth. If you find yourself reaching for sugary treats late at night, try to find healthier options to still get in something sweet. Other options might be:
Added sugar is hidden in a lot of the foods that we eat. Too much of this sugar can contribute to many different chronic diseases. As a part of a healthy lifestyle, work on your relationship with these sugary foods. You don’t need to completely eliminate them, but rather save them for special occasions and enjoy them as a part of a healthy, balanced diet. Resources: http://www.heart.org/en/healthy-living/healthy-eating/eat-smart/sugar/added-sugarshttps://www.choosemyplate.gov/what-are-added-sugars https://www.cdc.gov/nutrition/data-statistics/know-your-limit-for-added-sugars.html https://www.eatright.org/food/nutrition/dietary-guidelines-and-myplate/looking-to-reduce-your-familys-added-sugar-intake-heres-how By: Katie Gallagher, MA, RDN, LD |
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July 2019
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