June 26, 2017

Can People with Diabetes Safely Eat Popcorn?



Yes, popcorn can be a healthful snack for most people, depending on how it is prepared.  With its fairly low calorie and high-fiber content, air popped popcorn is often a go-to snack for dieters.

However, people with diabetes have more to worry about than their waistlines when snacking on popcorn.  People with diabetes can eat popcorn but need to choose carefully the type of popcorn, how it is cooked, and how much they eat, due to popcorn's high carb content.

Air-popped popcorn offers very few calories per cup.  In addition, a cup of air-popped popcorn contains a little over 1 gram (g) in fiber.  It also contains about 1 g of protein and about 6 g of carbohydrate.  Additionally, popcorn contains zero cholesterol and is almost fat-free, far less than 0.5 g per cup.  The total calories in a 5-cup serving are between 100-150.

Popcorn qualifies as a whole-grain food.  One serving can provide about 70 percent of the recommended daily intake of whole grain.  Popcorn is full of vitamins and minerals.  A single serving of popcorn contains a number of vitamins and minerals, including:

Popcorn is a whole-grain, low-calorie snack, including vitamin A, vitamin E, vitamin B6, pantothenic acid, folate, thiamin, niacin, and riboflavin.

A serving of popcorn also contains iron and trace amounts of manganese, calcium, phosphorus, copper, magnesium, potassium, and zinc.  The popcorn's hull or shell is the source of much of its nutritional value.  The shell contains beta-carotene, lutein, and zeaxanthin, which are important for maintaining eye health.  The shell also contains polyphenols with antioxidant and anti-inflammatory properties, which may protect against cancer and cardiovascular disease.

Researchers have stated that popcorn contains up to 300 milligrams of polyphenols per serving.  This high amount of polyphenols is more than 60 percent of the amount provided by fruits and vegetables in the average American diet.

However, popcorn's benefits are greatest when the popcorn is air-popped. Similar to salads and potatoes, these health benefits are often reduced by adding too much salt, butter, oil, and other condiments or toppings.

Like any food, popcorn comes with recommended serving sizes and should not be enjoyed in excess.  Additionally, the choice of toppings has a serious impact on how much a person can or should eat per serving.

As mentioned above, a serving size of popcorn of roughly 5 cups popped, offers a number of nutrients.  This equates to a small bowl of popcorn.

Nutritional yeast is packed with vitamin B12. Its cheesy flavor makes it a great topping for popcorn.

For people on a restricted diet, such as people with diabetes, it is best to avoid adding large amounts of other add-ons to popcorn.  Air-popped popcorn is the best option to get the most benefit with minimal extras.

I admit that I will only eat popcorn loaded with butter which seems to run contrary to this article.  But I still insist that I need the butter for the fat in my diet.

For people who want some additional flavor, oil-popped popcorn does not add many calories and adds a bit of flavor.  Other suggestions include small amounts of grated cheese, nutritional yeast, a bit of olive oil, and spices such as chili powder, garlic powder, or even cinnamon.

For people with diabetes, the glycemic index (GI) is an important number to know when considering what food to buy and eat.  GI is a scale from 1 to 100 and refers to how much the body's blood sugar increases after eating carbohydrate-filled foods.  The higher the value, the more the blood sugar will rise.

In general, foods with a higher GI are rapidly digested, leading to quick absorption.  As a result, they produce marked changes in blood sugar levels.

By comparison, low-GI foods are much slower to digest and are absorbed at a slower rate.  In turn, they produce gradual rises in blood sugar and insulin levels.

Low-GI diets have some proven health benefits, including:
  • improving both glucose and lipid levels in those with type 1 or type 2 diabetes
  • weight control, as the slow absorption helps control appetite and delay hunger

Air-popped popcorn has a GI of 55, which is at the upper end of low-GI foods but much better than other salty snacks.

Please read the full article here to help your decision and not way I eat popcorn. 

June 24, 2017

Discussion on Dawn Phenomenon



As a person with type 2 diabetes, the following does affect me, but most of the time I have avoided it with adjustments to my insulin.  The biggest aid has been splitting my long acting insulin into two doses per the doctors instructions.
 
The dawn phenomenon is a normal, natural rise in blood sugar that occurs in the early morning hours, between roughly 4 and 8 a.m. The shift in blood sugar levels happens as a result of hormonal changes in the body.
 
All people experience the dawn phenomenon to one level or another, which can vary day by day. People without diabetes may never notice it happening, as a normal body's insulin response adjusts for the rise without intervention.
 
A person with diabetes is more likely to experience symptoms from the rise in blood sugar levels, however.
 
How does it affect people with diabetes?
Dawn phenomenon is a normal rise in blood sugar released by the liver. The release happens as the person's body is preparing to wake for the day.
 
The rise in blood sugar is normally handled with insulin. For people with diabetes, insulin is not produced in high enough quantities, or the body is unable to use the insulin properly.
 
As a result, a person with diabetes will feel the effects of having high sugar levels in the blood.
 
These effects can include: faintness, nausea, vomiting, weakness, disorientation, feeling tired, and extreme thirst.
 
Managing the dawn phenomenon
Managing blood sugar levels is nothing new to most people with diabetes. A combination of diet, exercise, and medication often help keep the symptoms and problems under control.
 
In the case of dawn phenomenon, there are some additional changes that may help prevent issues caused by the spike in blood sugar.
 
Some steps people with diabetes can take to manage the dawn phenomenon include:
•   changing medication entirely or making adjustments with a doctor on existing medication
•   avoiding skipping meals or medication doses
•   avoiding carbohydrates around bedtime
•   taking medication closer to bedtime and not at dinner time

Other steps include eating dinner earlier in the evening. After dinner, some light physical activity, such as going for a walk, jogging, or yoga, is encouraged.

It is likely that a person with diabetes will experience high morning blood sugar levels from time to time. Occasional, mild issues from dawn phenomenon are not too worrisome. However, if the frequency becomes much more regular, then it's time to call a doctor.

Complications
If blood sugar levels spike too high as a result of dawn phenomenon, the effects can range from mild to a life-threatening medical emergency.

Some complications that a person with diabetes may experience as a result of dawn phenomenon include:
•   nerve damage
•   damage to blood vessels
•   organ damage
•   ketoacidosis, an extremely dangerous buildup of acid in the bloodstream

People who experience repeated high blood sugar levels due to dawn phenomenon should see a doctor to prevent these consequences.

Do options differ between type 1 and type 2 diabetes?

Differences in dealing with dawn phenomenon depends more on the individual person than what type of diabetes they have or what their treatment plan is.

A person with type 1 diabetes may adjust the dosage or type of insulin to account for any changes overnight. In other cases where the person wears an insulin pump, they may adjust the pump to deliver extra insulin in the morning.

June 23, 2017

Statins May Not Be Effective As We Thought



Statins, the popular cholesterol-fighting medication, might not be as effective as previously believed in protecting seniors with no history of heart disease, according to a study published Monday.

NYU Langone Medical Center researchers looked at 2,867 healthy older adults who were taking statins and found no evidence to suggest they were living any longer as a result.

This was published in JAMA Internal Medicine.

Statins are sold under the generic name Pravastatin and under brand names such as Lipitor, Crestor and Zocor.

“Our study argues that the benefits of initiating statins in older patients, particularly those over 75, may not outweigh the risks,” said lead author Dr. Benjamin Han.

Potential side effects of statins include muscle pain, liver damage and increased risk of Type 2 diabetes, according to the Mayo Clinic.

“As the number of older adults in the United States is rapidly increasing, it is more important than ever that we improve our understanding of preventative interventions in aging patients, and the possible side effects and risks that accompany them,” Han said.

Reps for the makers of Lipitor and Zocor could not be immediately reached for comment on Monday.

A spokeswoman for Crestor’s maker AstraZeneca said: “The safety and efficiency of Crestor has been well established in more than 120 ongoing or completed clinical trials involving more than 67,000 patients worldwide over the past 13 years.”