myfitnesspal.com for calorie and fitness logging.

For free, myfitnesspal.com enables the user to log in the number of calories they are eating. It can be used for weight loss and you can print out your results and review them with your health care professional

I have had several people bring me their results, and we are able to fine tune their eating habits and make recommendations based on their printouts.

You can also log in your activity and water.

Summaries include, calories from carbohydrates, protein, fat and amount of sodium in the diet.

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Signs you may become diabetic

A patient of mine who is over 100 pounds overweight for her height had a few blood tests abnormalities that suggest the progression to diabetes may be occurring. Her fasting blood sugar was above 100 ( hers was 150).

Fasting insulin level was 36 ( normal is less than 24). This means her body is pumping out more insulin due to resistance to insulin from overweight. This is also reflected in the high fasting blood sugar. The body is not able to metabolize the sugar in the diet

The treatment for this is to lose weight and make better food choices. High fiber in the diet will help slow down the absorption of sugar into the blood and may help decrease the blood sugar after a meal

Less processed foods is important, since they convert to blood sugar rapidly and are low in fiber as well.

The third abnormality that is seen in patients who have trouble with insulin and blood sugar is elevated liver enzymes since the body converts sugar into fat in the liver. The fat surrounds the liver, and causes inflammation around the liver as well. It can be corrected with weight loss and the good choices mentioned above

Eating fresh fruits and vegetables, and whole grains are a great way to get more fiber into the diet. Try to stick to the number of calories a day that is recommended for weight control or 500 calories less a day if you want to lose weight

500 calories less a day can be achieved by decreasing intake of sugary foods, processed foods such as buns, breads, sweet desserts.

Diabetic at 37

This week I saw a new onset of type one Diabetes in a 37 year old otherwise healthy for height and weight male. His sister also became diabetic at the same age. I felt bad for him, having to count carbs and give himself shots of insulin.

Kudos for him, thanks to apps, and his diligence, he is documenting all he eats, and how much insulin he takes and his blood sugars. He is doing a wonderful job and off to a good start. Thats an example of technology to our advantage

I was able to tell him how many calories he needed in a day and to break them down into 30% protein, 30% fat and 40% as carbs with emphasis on complex carbs and high fiber instead of simple sugars

High fiber slows down the absorption of glucose and helps regulate blood sugar better. It may decrease his need for insulin in the long run.

Divorce, buffets, and weight gain

My two patients age 15 and 13 who are overweight reported today that since mom and dad are separated, dad takes them out to the Chinese buffet. At buffets, portion control is especially difficult. Yet, I’m proud to report that each child lost at least two pounds in the last month, despite the buffet. This shows that even one day a week of excess, can still result in weight loss

No weight plan is perfect, and we must allow for slight indulgences, however, they should be treats and not everyday occurences.

I will report further when they come back for month two of weight and nutritional rehab.

Gluten cross reactivity with other foods

A patient of mine who is gluten sensitive has been gluten free for three years. She came with a concern of bloating after eating. Her diet revealed other foods that components of gluten might cross react with that are found in milk, corn, and even rice.

Off dairy products, her bloating has improved dramatically. She was able to monitor it by cooking for herself. When eating out in restaurants it becomes more difficult to tell what ingredients are added to prepared foods and what kind of cross contamination may occur.

Next stop is to help her with her constipation.

Dairy has become the Food to avoid

Certain Milk products promote insulin resistance ( and diabetes) . The milk sugar lactose acts like a soft drink and can spike insulin levels and contribute to prediabetes

Studies at Harvard’s school of public health found that children who drink three servings of milk a day ( even skim or 1%) were more prone to overweight than those who drank fewer servings a day. Possibly this was due to the higher relative content of lactose lower fat milk

Dairy creates acne – Those who drink more milk as teenagers had higher rates of severe teenage acne than those who rank less according to a Nurses Health study. Besides lactose, researchers surmise the presence of hormones in milk might have been the cause.

Cows milk may be responsible for eliciting autoimmune response that leads to diabetes in children. Bovine serum albumin may lead to the destruction of the beta cells of the pancreas.

Celiac enzymes may enable patients to eat wheat

Currently, a gluten free diet is the only way to manage celiac disease. But new drugs in clinical trials with humans, as well as more in the pre-clinical phase, may one day allow people with the disorder to enjoy gluten again.

These options are still years from commercial availability, but early results have been encouraging, according to a review of the drug pipeline in Gastroenterology Report.

“Based on data on ClinicalTrials.gov, there are two investigational products we are aware of which may enter large confirmatory trials in the not too distant future,” said lead author Dr. Klaus Gottlieb, senior medical director of the immunology and internal medicine department for Quintiles, a company that provides bio-pharmaceutical development services and consulting in Durham, North Carolina.

One of them is an enzyme that splits the molecule in wheat that causes celiac disease, gluten, into smaller harmless products and another one promises to make the gut less leaky and thus prevent potentially toxic substances (from) reaching deeper layers where they may cause inflammation,

For one potential oral therapy, patients take a mixture of two enzymes that split the gluten molecule into smaller harmless products. In a trial of adults with celiac disease, those taking this drug had no change in their intestinal biopsies after eating gluten, while those taking a placebo did have evidence of injury to the intestinal lining.