Get Up and Get Moving

Get Up and Get Moving

According to the experts, it doesn't really matter what you chose to do, just do it. Sitting is killing us.

Get Up and Get Moving

D. S. Mitchell

 

Getting Fatter

We hear it every day, our society is becoming more sedentary and with that comes obesity. Many of us spend hours behind a desk at our jobs.  We drive our cars to the fast food drive thru, then the bank drive thru, and the pharmacy drive thru, we never even have to get out of our cars.  We use our computers to shop, (I love Amazon), without ever leaving the house.  With decreased activity people are increasingly complaining of multiple issues including aches and pains, bad knees, obesity, depression, anxiety, and low self-esteem.

Too Much 

Just like we enjoy eating and drinking too much, we enjoy sitting too much. We are surrounded by cars, snacks, elevators, sugary drinks and fast foods. The problem has become serious enough that the World Health Organization has a new agenda focused on encouraging physical activity. Things are serious when WHO recognizes the problem as a world wide health issue.

Improving Mental Health

A “Black Dog Institute” of Australia study found that 1-2 hours of exercise per week can prevent depression. In addition to improved mental health multiple world-wide studies have shown that vigorous movement can stave off heart disease, stroke, high blood pressure, fatigue, diabetes, and even cancer. That should be a hell of a motivator, but sadly it doesn’t seem to be. There could be many reasons for that; but to combat the sitting disease it is necessary to drop all the excuses, find your tennis shoes and go for a walk, sign up for Pickleball at the local park, take a water aerobics class.  This exercise thing can be a fun thing.

Sitting Addiction

Our country, and most of the industrialized economies are suffering from a “sitting addiction” which leads in turn to “sitting disease”.  Physical inactivity is one of  the top 10 causes of disease and disability according to a recent UK government study. That study attributed 1 in 6 deaths to “sitting” which is equal to smoking in that country.

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Diagnosis: Diabetes

Diagnosis: Diabetes

A diagnosis of diabetes can be a scary thing, but with life-style changes the condition can be improved, or even reversed. Patients do not need to face years of fear, guilt, and drugs.

Diabetes is a scary diagnosis. Make some life style changes and change the prognosis.

Diagnosis: Diabetes

By D.S. Mitchell

A Public Health Emergency

One in ten Americans is living with Type 2 diabetes; that’s approximately 38 millions people. Some might call that a public health emergency. With diabetes comes other life altering diseases; cardio-vascular disease, kidney failure (dialysis), stroke, neuropathy, blindness, and lower limb amputation.

Medical Treatment

Many diagnosed diabetics are on high doses of injectable insulin and multiple oral anti-diabetic medications. Insulin is a hormone that transports sugar out of the blood and into the body’s cells. With diabetes the body can’t manufacture the hormone (Type 1-sometimes called childhood diabetes) or the more common Type 2 diabetes, where the body becomes resistant to insulin’s effects. In both cases, insulin injections are the standard fallback treatment.

Change Your Tactics

It doesn’t have to be this way. Instead of accepting the “inevitable” some patients decide to implement strategic behavioral tactics that have shown to improve the condition and even reverse it. Said more simply, if you’ve been diagnosed with diabetes, you can turn it around. What follows are seven behaviors that can make a difference in your life and your battle with diabetes.

  1. Lose Weight: Do not under estimate the impact of gaining, (or losing), even a few pounds. The physiology of diabetes causes the body to ineffectively regulate blood sugar levels because at the heart of diabetes is “insulin resistance.” With insulin resistance the pancreas is forced to manufacture more and more insulin in an effort to transport sugar from the blood to the cells. What is often misunderstood is that insulin whether manufactured in the body or taken as a medication promotes fat storage and weight gain. It becomes a vicious circle, gain a few pounds and the weight gain will force the body to produce more insulin which in turn causes more weight gain-and so it goes. The good news, however, is that even a 10% weight loss can improve insulin sensitivity by 60%.
  2. Keep Up Your Fluid Intake: Hydration is a pretty big deal, don’t ignore it. With dehydration comes a concentration of sugar in the blood.  Studies show that patients who drink less than a half liter of water per day increased their risk of elevated blood sugar compared with those who drank more. Water, milk, herbal tea all work. Caution for coffee lovers; caffeine is dehydrating, limit the intake to a maximum of three cups per day.
  3. Stay Vaccinated: Many believe that COVID is behind us. Well, for folks with immune suppression, over the age of sixty, obesity, and diabetes the threat remains serious. In fact, studies indicate that COVID damages the pancreas and causes system wide inflammation, which in turn increases insulin resistance. New studies link COVID to new cases of diabetes. If you are in one of the high risk groups get vaccinated and stay boosted. Vaccinations lead to milder cases of the disease which should indirectly result in decreased COVID impact on pre-existing diabetics.
  4. Increase Protein Intake: Protein at every meal, not just dinner. Protein maintains muscle and contributes to blood sugar regulation. Fill your plate with fish, white meat chicken, lean cuts of beef and plant based protein sources such as beans, nuts, quinoa.
  5. Bite-sized Bits of Activity: “Exercise snacking” means spreading short bursts of activity throughout the day. A fifteen minute walk, two or three times per day, may do more to help control blood sugar than one long workout. Remember the 10,000 steps recommendation? In that study there was a link between exercise and improved diabetes control. The goal is to mix various types of exercise. Schedule exercise periods for yourself each day. You might start the day with a fifteen minutes block of strength training, using weights, resistance bands and body-weight moves. Mid-morning do fifteen minutes of aerobic activity such as fast walking, swimming, jogging, or tennis. After lunch try fifteen minutes of stretching which improves joint flexibility, balance, and reduces chances of injury.
  6. Read Labels: Do not focus on sugars, but rather read labels for the “Total Carbohydrate.” This term incorporates both naturally occurring sugars and those added. Women should aim for 30-45 grams of total carbs per meal, and men 60 to 75. A typical reaction after hearing a diabetes diagnosis is to eliminate sugar and carbs. Such behavior can result in nutritional deficiencies, fatigue, and dangerously low blood sugars. Consider talking to a Registered Dietitian and setting up a realistic eating plan. Many insurance plans pay for such training. Ignorance is not helpful, your quality of life depends on understanding how you can best help yourself.
  7. Finally: Losing weight, changing eating patterns, and exercising, are things that a newly diagnosed diabetic, or a long time diagnosed diabetic can do to reverse the disease. However, even with all those interventions, there may still be times when insulin and other diabetic medications have a role to play. Pregnancy is such a situation. Pregnancy frequently elevates the expectant mom’s typical blood sugars, just proving insulin has a secure place in the treatment of diabetes.

 

3 Gremlins Facing Health Care In The U.S.

3 Gremlins Facing Health Care In The U.S.

Americans are taking too many prescription meds

3 Gremlins Facing Health Care In The U.S.

By D. S. Mitchell

On The Front Line

Writing for www.CalamityPolitics.com allows me a grass root platform to discuss health care, and every other area of our political spectrum, for that matter. It does not give me the right to say anything I want about the issues. With that said, I have ground level experience in health care. Because of that experience and exposure to trench warfare in hospital health care I have strong opinions. Client care and results need to be discussed and evaluated for effectiveness. I have a passionate interest in health care, and in this area, I believe my street level experience gives me the right to discuss the issues. Bringing common sense thinking to health care should always be welcomed. I am an RN, and have worked for 38 years in hospitals in Oregon, Washington, California and Nevada.

The Sickest

My two primary areas of specialty are Crisis Psychiatry and Cardiac Intensive Care. Whether the issues are mental, behavioral, or cardiac emergency, many of the issues facing the caregiver, and the client are the same. Despite the obvious differences in the front line needs of the clients, both of these populations are often the sickest in the hospital. One thing I know, is that the health of the American citizen should not be decided by a politician in Washington, D.C. Sadly, that’s where this battle always shows its ugly underbelly.

Gremlin 1: Big Pharma

Suitcases Of Medications

For the first twenty-five years of my career, when I admitted a patient that came to the unit with a suitcase of medications, I believed it was because they were incredibly ill. Like physicians I had been trained to believe in  pharmaceuticals.  Once I was an old nurse, my thinking transformed into, the patient is sick because they are taking so many prescribed medications. I can hear the protests from the audience now. Don’t believe me, just read the labels. These are chemicals and they are toxic and poisonous.

Side Effects

Truthfully, every pill has the potential to cause side effects, some known and some unknown.   When a person complains to his doctor that he is uncomfortable due to the side effects of the medication he is taking, his doctor writes him another prescription to help deal with the side effects.  The patient has pain so his doctor writes him a prescription for an analgesic. When he complains that the pain medication makes him constipated, he is given a prescription.  You can see where this is headed, right?

Advertising Medications

In America, television is the best friend of the pharmaceutical industry.  Constant television marketing has convinced viewers that there is a pill that will fix anything and everything. Unfortunately, many Americans now believe that there is a pill that will make everything in their life better.  Health care policy makers need to take this issue very seriously. I realize drug manufacturers want to make a profit, but I also believe constant repetition creates a need that previously did not exist.

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Body Fat and the Health Risks

Body Fat and the Health Risks

Obesity in the US is growing. For folks over 60 years of age 42% are considered obese. Startling numbers.

Body Fat and the Health Risks

Studies repeatedly indicate, without a doubt, obesity is dangerous to our health. As we grow older our bodies accumulate fat and then deposit most of the accumulated fat around our waistlines. At the same time we are losing muscle mass. The combination of those factors are a pathway to health problems; most particularly Type 2 diabetes, high blood pressure, sleep apnea, elevated cholesterol, and overall mental decline.

By D. S. Mitchell

 

Body Fat

Mention body fat and a lot of us start to get anxious. It’s not that the bathroom scale tells the whole story, but it does tell how much body fat we are carrying. We mostly choose not to think about it until our pants won’t zip up or when we pass a full length mirror. More and more information shows that there are serious health risks in carrying extra body fat. Experts tell us that the accumulated body fat begins to act as an endocrine organ. The endocrine system is a complicated network of organs and glands that uses hormones to control multiple body functions. Most specifically, body fat is involved in the metabolism of sex hormones, blood clotting, blood pressure, and insulin sensitivity.

Measuring the BMI

Physicians use the BMI to measure body fat, and diagnose whether the client is underweight, healthy weight, overweight, obese, or morbidly obese.  A BMI of less than 18.5 is underweight, 18.5-24.9 is healthy weight, 25-29.9 is overweight, and 30 plus is obese, 40 or more is morbid (severe) obesity. Where an individual carries their extra pounds seems important. The visceral fat; that’s fat that is carried in the belly means higher risk of heart disease, stroke, and Type 2 diabetes. In fact, many doctors now suggest patients regularly monitor weight, BMI and waist measurement just as we currently monitor blood sugar, blood pressure, and cholesterol. In a 10 year study with 190,672 participants, obesity tripled the risk for heart attack, stroke, and heart failure.

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Sugar Is Killing Us

Sugar Is Killing Us

Sugar is killing us.

Sugar Is Killing Us

By D. S. Mitchell

When I started writing this article, my intention was to write a quick easy read, nothing in-depth, certainly nothing scientific. Something along the lines of, “Ten Reasons To Kick The Sugar Habit”. That plan was quickly dashed as I read one scary article after another explaining the dangers of sugar consumption. If you are suffering from any of the diseases highlighted in this article, remember, you are not alone. If you want a better, longer life, it is time to take a look at your relationship with sugar in all of its malevolent forms. 

**This article first appeared in CalamityNewsandPolitics.com on 04/03/2020

THE DANGERS OF SUGAR: PART ONE

Sixty-Five Pounds Annually

The average American consumes 65 pounds of sugar annually without even being aware of it. That information alone should be a heart stopper. The American Heart Association recommends that men consume no more than 9 teaspoons (36 grams) of added sugar per day and women no more than 6 teaspoons (24 grams). On average each of us ingests 19.5 teaspoons or 78 grams a day. Research on the dangers of sugar on health are ongoing, and new information is being constantly being uncovered.

Dangerous And Addictive

If there was ever any doubt about the dangers of sugar they are being put to rest by a series of scientific studies. Research is proving sugar is both dangerous and extremely addictive. A person who drinks one 20 oz sugary beverage every day will cut their life expectancy by nearly five years. That is,  comparable to being a regular smoker. If that fact doesn’t get your attention, read on, it gets worse, a whole lot worse.

Just As Bad

Sugar does a lot of damage to our bodies.  With all the negative news about sugar is there an alternative?  Some people say, “just use a sugar replacement.” Whoa.  Evidence is mounting that sucralose, saccharin and aspartame are just as dangerous as sugar.  Research shows that sugar replacements injure and destroy the essential microbiome in the gut.  Microbiome are the millions of microorganisms inside our bodies that help us stay alive.  These microbes protect us against germs, they also break down food to release energy, and produce vitamins.

Find A Garbage Can

To make it clear, sugar substitutes are just as bad as the real thing.  In addition to the physical damage products like sucralose do, they are also associated with weight gain and glucose intolerence-the very things people use them to prevent.  Those folks trying to cut down on sugar may be drawn to advertised benefits such as “maple syrup’s antioxidant benefits” or “honey’s healing power”.  Forget such misinformation.  Sugar is sugar, no matter what form it takes. I suggest that no one consume them.  Keep them out of the house.  If you have any of these sugar substitutes in your cupboard toss them in the closest garbage can.

Highs And Lows

The body’s reaction to sugar is like taking a roller coaster ride; an unending ride to extreme highs, followed by extreme lows, sending the body into a spiral of endless cravings. People report being “hungry all the time”. Descriptions include “being obsessed with food”, and literally feeling “addicted” to food. It makes perfect sense, because everything they eat and drink is loaded with sugar.

Addictive Cycle

High sugar intake sends the body into a crazy, roller coaster ride of ups and downs.

The danger of sugar is easy to describe, it is addictive, sharing all the highs and lows of  any other addictive drug.

The danger of sugar is easy to describe.  As the addictive cycle begins, say after you eat a piece of cake, a predictable pattern begins.  Blood glucose begins to rise.  Then, Dopamine, a neurotransmitter that helps control the brain’s reward and pleasure centers is released, messaging that everything is “great”.  Meanwhile, if you are not a diabetic, your pancreas is busy releasing insulin into your blood stream to help lower the threat of rising blood sugar.  High insulin levels signal the body to store fat throughout the body, including the liver.  With the release of insulin, blood glucose drops.

Another Piece Of Cake

As the sugar high subsides, your brain begins sending signals that you are ‘hungry’.  The ‘false hunger’ signals kick cravings into high gear, demanding another piece of cake. Predictably, as you consume that second piece or cake, or cookie, the sugar driven roller coaster takes the body on another crazy, dizzying ride.

Mood Swings

The ups and downs of unstable blood sugar will cause a person to experience mood swings, fatigue, and headaches.  As described in the “addictive cycle” unstable blood glucose contributes to cravings, which begins the cycle of “false hunger”.  When the body is under stress, it immediately kicks into fight-or-flight mode, releasing large amounts of stimulating hormones.  Interestingly, the body has the same chemical response when it detects low blood sugar, created by the insulin response.  After eating a sweet snack, stress hormones begin to compensate for the crash, by raising your blood sugar.  Unexplained anxiousness, irritability, and even tremors often result.  By contrast, those who avoid sugar have fewer cravings, and feel emotionally balanced and energized.

Sleeplessness

Can’t sleep?  Thirty percent of Americans complain of insomnia, or interrupted sleep.  Sugar may be keeping you up at night.  Researchers have found that eating more sugar, along with less fiber and more saturated fat, is associated with lighter, more disrupted and less restorative sleep.  Insomnia has been connected to diabetes, obesity and heart disease.  This deadly trio of health conditions, is now being directly tied to sugar consumption.

Sugar And Mental Health

Consuming high-sugar products like cookies, candy and sugary drinks, are associated with a higher risk of depression.  Researchers believe that blood sugar swings, neurotransmitter dysfunction, and inflammation may all be reasons for sugar’s detrimental impact on mental health.  Sugar in fact, could be making you sad and depressed.  Capping off a bad day with a comforting sugar laden snack may make you feel worse in the long run.

Increased Depression

A recent Columbia University study found that post-menopausal women whose diets were high in added sugar and refined grains were at a high risk for depression. Study participants, that ate more dietary fiber, whole grains, vegetables, and unprocessed fruits had a decreased risk of depression. In another study, men who consumed 67 grams or more of sugar per day were 23% more likely to develop depression than men who ate less than 40 grams per day.

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The Dangers Of Sugar

The Dangers Of Sugar

The dangers of sugar are not obvious. The danger comes with the amount and daily intake

The dangers of sugar are compounded by repeated use. Sugar works slowly, its devastating results often taking years to manifest themselves in measurable ways, such as diabetes.

The Dangers Of Sugar

By D. S. Mitchell

When I started writing this article, my intention was to write a quick easy read, nothing in-depth, certainly nothing scientific. Something along the lines of, “Ten Reasons To Kick The Sugar Habit”. That plan was quickly dashed as I read one scary article after another explaining the dangers of sugar consumption. If you are suffering from any of the diseases highlighted in this article, remember, you are not alone. If you want a better, longer life, it is time to take a look at your relationship with sugar in all of its malevolent forms. 

THE DANGERS OF SUGAR: PART ONE

Sixty-Five Pounds Annually

The average American consumes 65 pounds of sugar annually without even being aware of it. That information alone should be a heart stopper. The American Heart Association recommends that men consume no more than 9 teaspoons (36 grams) of added sugar per day and women no more than 6 teaspoons (24 grams). On average each of us ingests 19.5 teaspoons or 78 grams a day. Research on the dangers of sugar on health are ongoing, and new information is being constantly being uncovered.

Dangerous And Addictive

If there was ever any doubt about the dangers of sugar they are being put to rest by a series of scientific studies. Research is proving sugar is both dangerous and extremely addictive. A person who drinks one 20 oz sugary beverage every day will cut their life expectancy by nearly five years. That is,  comparable to being a regular smoker. If that fact doesn’t get your attention, read on, it gets worse, a whole lot worse.

Just As Bad

Sugar does a lot of damage to our bodies.  With all the negative news about sugar is there an alternative?  Some people say, “just use a sugar replacement.” Whoa.  Evidence is mounting that sucralose, saccharin and aspartame are just as dangerous as sugar.  Research shows that sugar replacements injure and destroy the essential microbiome in the gut.  Microbiome are the millions of microorganisms inside our bodies that help us stay alive.  These microbes protect us against germs, they also break down food to release energy, and produce vitamins.

Find A Garbage Can

To make it clear, sugar substitutes are just as bad as the real thing.  In addition to the physical damage products like sucralose do, they are also associated with weight gain and glucose intolerence-the very things people use them to prevent.  Those folks trying to cut down on sugar may be drawn to advertised benefits such as “maple syrup’s antioxidant benefits” or “honey’s healing power”.  Forget such misinformation.  Sugar is sugar, no matter what form it takes. I suggest that no one consume them.  Keep them out of the house.  If you have any of these sugar substitutes in your cupboard toss them in the closest garbage can.

Highs And Lows

The body’s reaction to sugar is like taking a roller coaster ride; an unending ride to extreme highs, followed by extreme lows, sending the body into a spiral of endless cravings. People report being “hungry all the time”. Descriptions include “being obsessed with food”, and literally feeling “addicted” to food. It makes perfect sense, because everything they eat and drink is loaded with sugar.

Addictive Cycle

High sugar intake sends the body into a crazy, roller coaster ride of ups and downs.

The danger of sugar is easy to describe, it is addictive, sharing all the highs and lows of  any other addictive drug.

The danger of sugar is easy to describe.  As the addictive cycle begins, say after you eat a piece of cake, a predictable pattern begins.  Blood glucose begins to rise.  Then, Dopamine, a neurotransmitter that helps control the brain’s reward and pleasure centers is released, messaging that everything is “great”.  Meanwhile, if you are not a diabetic, your pancreas is busy releasing insulin into your blood stream to help lower the threat of rising blood sugar.  High insulin levels signal the body to store fat throughout the body, including the liver.  With the release of insulin, blood glucose drops.

Another Piece Of Cake

As the sugar high subsides, your brain begins sending signals that you are ‘hungry’.  The ‘false hunger’ signals kick cravings into high gear, demanding another piece of cake. Predictably, as you consume that second piece or cake, or cookie, the sugar driven roller coaster takes the body on another crazy, dizzying ride.

Mood Swings

The ups and downs of unstable blood sugar will cause a person to experience mood swings, fatigue, and headaches.  As described in the “addictive cycle” unstable blood glucose contributes to cravings, which begins the cycle of “false hunger”.  When the body is under stress, it immediately kicks into fight-or-flight mode, releasing large amounts of stimulating hormones.  Interestingly, the body has the same chemical response when it detects low blood sugar, created by the insulin response.  After eating a sweet snack, stress hormones begin to compensate for the crash, by raising your blood sugar.  Unexplained anxiousness, irritability, and even tremors often result.  By contrast, those who avoid sugar have fewer cravings, and feel emotionally balanced and energized.

Sleeplessness

Can’t sleep?  Thirty percent of Americans complain of insomnia, or interrupted sleep.  Sugar may be keeping you up at night.  Researchers have found that eating more sugar, along with less fiber and more saturated fat, is associated with lighter, more disrupted and less restorative sleep.  Insomnia has been connected to diabetes, obesity and heart disease.  This deadly trio of health conditions, is now being directly tied to sugar consumption.

Sugar And Mental Health

Consuming high-sugar products like cookies, candy and sugary drinks, are associated with a higher risk of depression.  Researchers believe that blood sugar swings, neurotransmitter dysfunction, and inflammation may all be reasons for sugar’s detrimental impact on mental health.  Sugar in fact, could be making you sad and depressed.  Capping off a bad day with a comforting sugar laden snack may make you feel worse in the long run.

Increased Depression

A recent Columbia University study found that post-menopausal women whose diets were high in added sugar and refined grains were at a high risk for depression. Study participants, that ate more dietary fiber, whole grains, vegetables, and unprocessed fruits had a decreased risk of depression. In another study, men who consumed 67 grams or more of sugar per day were 23% more likely to develop depression than men who ate less than 40 grams per day.

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