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Another View: Choosing the right diet to combat diabetes

   In October 2015, I was in Dr Keith Smith’s chiropractic office for an adjustment. One of his comely daughters ushered me into Room 2 while he was working on a patient in Room 1.
   Usually, when Keith comes through the door, he’s all smiles and says something like, “Boy, am I glad to see you! I’ve got a kink in my neck, and I thought I was going to have to beg you to come down off the mountain to trade adjustments.”
   But this time Keith was subdued and a bit gloomy. Small wonder: He was on two diabetes drugs, Metformin and Glucophage, was strictly following the American Diabetes Association diet, his blood sugar was continuing to climb, and the latest measurement was 135. Since normal is around 90, that was seriously bad news. It meant he was tracking to die about 10 years early, just like his father had.
   Usually, people don’t actually die of diabetes, but diabetes causes heart attacks, cancer and kidney failure, all of which are frequently fatal. Keith’s father had died in his sleep of a heart attack at 69; not a bad way to go, but not nearly as good as living another 10 years.
   I mentally took a deep breath, as I often do in situations like this, and told him that the American Diabetes Association exercise and weight control advice was good, but the ADA diet was wrong. Avoiding carbohydrate foods and eating high fat and protein, so as not to overwhelm his body’s very weak ability to process the carbs that the body turns into blood sugar, makes logical sense and generally works in the short run. But in the long run the ADA diet often makes diabetes worse.
   I explained that when insulin in the blood locks into the insulin receptors on the cell membranes, the insulin recep
tors send messages to the glucose receptors, telling them to open up and let the glucose sugar come in out of the blood. But fat dissolved in the cellular fluid impedes the insulin receptors’ messages from getting through to the glucose receptors. Since the amount of fat dissolved in the cellular fluid mirrors the amount of fat in the diet, a high-fat diet like the ADA recommends prevents the sugar from coming into the cell, so the sugar stays in the blood and keeps going higher, damaging the heart and  kidneys, and feeding cancer.
   The ADA diet sometimes works for seriously overweight people who get lean and exercise a lot. But Keith was only slightly over ideal weight. He’s active but not an exercise addict, and the ADA program obviously wasn’t working for him.
   So I told Keith: “Look, just get a copy of Dr. Neal Barnard’s  ‘Program for Reversing Diabetes,’ follow his advice, and you’ll be fine. He explains it better than I do, he has a whole bunch of tasty recipes in the back, and he’s the world authority on the subject.”
   People often don’t follow my advice, and I’ve just learned to get used to that fact.
   Why would Keith listen to me, a chiropractor, on a medical problem, when the American Diabetic Association is telling him that Metformin, Glucophage and the ADA diet are the best way to treat diabetes? So I just gave Keith my advice and mentally washed my hands of the outcome.
   However, Keith, being a chiropractor, has had first-hand experience with how willing the medical establishment is to mislead the public on issues — like using chiropractors —where large amounts of drug company money are at risk. So my advice may have weighed a bit more than usual with Keith.
   Nevertheless, I was surprised four months later when Keith thanked me for recommending Barnard’s book, and told me he had been able to quit taking Glucophage, his blood sugar was down to 110, he had his energy back, and he was recommending Barnard’s book to his diabetic patients.
   A year later, 16 months after starting Barnard’s program, his blood sugar was in the 90s and he wasn’t taking any diabetic drugs. Keith still has the genetic weakness, so he has to stay on Dr. Barnard’s diet and exercise plan for the rest of his life. But he no longer has diabetes and now has a full and vigorous life span ahead of him.
   Dr. Barnard’s diet consists of eating only whole foods, avoiding all animal products, and avoiding fatty plant products like nuts, avocados and olives. Many people would say that they would rather die than give up their steaks and swordfish and Swiss cheese, but really, it isn’t all that bad. I eat that way by choice a lot of the time. One of my favorite quick meals is to lay a banana on a slice of whole grain bread, sprinkle on some raisins, roll it up like a taco, and start at one end.
   It just gets down to how much you love life. Do you live to eat or eat to live? If you truly love life, you will do what it takes to stay healthy so you can continue enjoying being here.

   Dr. Gordon Ainsleigh is a graduate of University of Western States, College of Chiropractic in Portland, Oregon, and has postgraduate certification in clinical nutrition.
 

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LR care-home operator faces fraud charges

The operator of a state-certified home for elderly and disabled adults, which was closed in April, was arrested Wednesday on charges related to abuses of the state’s Medicaid program.

Shavita Wilson, 46, of Little Rock surrendered to authorities at Pulaski County District Court on three outstanding arrest warrants, alleging that she turned in false statements when applying for $14,899 in Medicaid payments, according to an arrest affidavit. She pleaded innocent.

The Arkansas Department of Human Services shut down Wilson’s Adult Foster Care Home, at 5 Sunny Circle in Little Rock, after Wilson refused to let state inspectors inside April 7.

Inspectors finally entered with the help of police after three hours. Inside, they made observations that “gave rise to suspicion of Medicaid fraud, exploitation of adults and possible neglect,” the arrest affidavit said.

The Arkansas attorney general’s Medicaid Fraud Control Unit began a criminal investigation into Wilson’s home after unit chief Lloyd Warford read about the incident at Wilson’s home in the Arkansas Democrat-Gazette a week later.

The incident raised broader questions about loopholes in Arkansas’ Adult Family Home program — a Medicaid waiver program designed to give elderly and disabled adults a less-institutionalized long-term care alternative, especially in rural areas.

In the wake of the Wilson home closure, the Department of Human Services began looking at another home in North Little Rock with connections to Wilson, but that home surrendered its license before inspectors could get there. However, Adult Protective Services did remove residents from the North Little Rock home.

The adult family home program was rolled out in 2011, and over its first five years, five providers participated in the state-supervised program, according to a document obtained under the Arkansas Freedom of Information Act. Only one home, in Earle, remains open.

Advocates fear that some adult family homes remain functional without any oversight. While homes accepting Medicaid must go through an extensive approval process as part of the program, the Human Services Department doesn’t have the authority to monitor homes that don’t accept Medicaid and house fewer than three residents. The agency can inspect those homes only if it receives a complaint.

Craig Cloud, the director of the department’s Aging and Adult Services Division, said the agency is rethinking its approach to adult family homes and trying to identify any functioning homes across the state. Ultimately, Cloud said, there likely will need to be new legislation passed to give the department statutory authority to oversee all group homes, not just those accepting Medicaid.

Cloud also is leading the creation of new a division at the department, Provider Services and Quality Assurance, which he will direct.

“It’s a priority; it’s high on the list,” Cloud said of expanding the department’s authority to monitor non-Medicaid homes.

The investigation of Wilson’s home showed problems can arise even under state supervision.

When inspectors entered Wilson’s home in April, the only food they found was cans of Vienna sausages, potted meat, pudding cups, protein drinks, cream of wheat and half-gallon containers of juice, the arrest affidavit stated.

Wilson provided a seven-day menu that included a fresher, more nutritious diet plan, but inspectors also found contradictory handwritten notes, instructing workers to give the women at the home “3 waters and 1 protein shake before 11:30 a.m. every morning 7 days a week.”

Another note said the women must be given five Vienna sausages or a full can of potted meat per patient plus refried beans, mashed potatoes, pudding and a sweet roll, the affidavit said. A final note suggested that one resident was being fed a liquid-only diet.

Wilson told inspectors that those instructions were simply for snacks.

“These instructions were, however, consistent with the only food observed in the house,” an attorney general investigator wrote in the affidavit. “The evidence indicates these residents were being fed a low cost, high calorie diet that is grossly inconsistent with program [rules], unhealthy for any person and dangerous for the senior adults in Wilson’s care.”

Investigators also used bank records, a personal calender and a ticket stub to verify that Wilson billed Medicaid for services provided while she was on a cruise for nine days in June 2016.

Authorities suspect Wilson has employed other individuals to care for the residents at the group home, but those caretakers were never approved by the Human Services Department, a violation of state regulations. Indeed, those workers would not have been approved because all four identified by the attorney general’s office were convicted felons, and three had extensive criminal backgrounds, including violent crimes, the affidavit stated.

Wilson also failed to keep adequate records, according to court documents.

She was charged with two counts of Medicaid fraud and one count of failure to maintain Medicaid records. If convicted on all three counts, she could face up to 36 years in prison and a $35,000 fine.

Metro on 08/10/2017

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Modius: Could This Wearable Wellness Gadget Really Help You …

Neurovalens

The Modius headset being worn.

Are you looking for a magic bullet? A pill that will restore your hair, perhaps? Or a gadget that zaps wrinkles perfectly? Or a device that makes the body fat dwindle?

In which case, you might like to know about Modius, a headset which you wear for 45 minutes a day. That, the makers claim, will be enough for the wearer to lose weight and reduce body fat.

It launched an IndieGoGo campaign to raise $50,000 yesterday (August 8).

The headset is a lightweight, plastic U-shape that slips on to your head and feels comfortable enough. You then stick two electrodes your mastoids. No, I didn’t know either. It’s the hard, bony area behind your ears.

The Modius then sends an electrical signal to the vestibular nerve, stimulating it. This activates the hypothalamus, an almond-sized part of the brain which, Wikipedia tells me, is responsible for the regulation of certain metabolic processes and other activities of the autonomic nervous system.

Neurovalens

The Modius headset – the electrodes stick to the head just behind the ears.

The idea is that the device sending this signal means the hypothalamus reduces fat storage in the body.

Dr. Jason McKeown is a neuroscientist who’s the CEO of Neurovalens, makers of the Modius headset. He says, ‘Weight gain and weight loss are controlled by your brain, which controls your appetite, your hormones, your metabolic rate, how much fat you store, and more. Modius resolves this issue by stimulating the vestibular nerve and activating the epicenter of it all, your hypothalamus. Through advanced technological and neurological research, we’ve discovered the vestibular system has a strong effect on people’s ability to lose and maintain weight.’

Vestibular stimulation, apparently, is science that has been around for a long time. Neurovalens claims that ‘Modius uses low-power electrical pulses to stimulate the vestibular nerve which runs into the brain from just behind the ear. The stimulation is interpreted by the brain as the body being more physically active, triggering the brain/hypothalamus to reduce fat storage. It does this using several mechanisms which include increasing fat-burning, decreasing appetite, and activating metabolic hormones.’

McKeown goes on, ‘By stimulating the brain for 45 minutes per day, Modius can change a person’s overall metabolism and desire for the body to store fat. The headset is a safe, non-invasive, general wellness device that has the potential to help millions of people reach their goals of a leaner, healthy body. There is a hormonal response when using MODIUS. It switches on your metabolism, so you burn fat, but without the hunger-pangs, you might usually feel when the metabolism is fired-up.’

Neurovalens has tested Modius, which is categorized by the FDA as a general wellness device on users over a 16-week period and the reduction in central body fat ranged between 2 per cent and 16 per cent – the study was conducted without the subjects changing their diet or exercise.

Neurovalens

Dr. Jason McKeown showing before and after weight, which he puts down to Modius.

Dr. McKeown has been using the Modius himself and his before and after images are certainly striking.

I’ve been testing the headset for the last couple of days, so way too soon to judge how well it works, if at all or is just some kind of digital snake oil. But it’s not uncomfortable to wear. I wear spectacles and it was possible to wear them with the device, though more comfortable without. I’ll report back when I’ve tried it for longer.

You need to sit or lie down when wearing it. I wouldn’t be seen dead in public with it on. Though to be fair, that’s not the purpose of it.

The electrical impulse is a sharp little pulse. It’s not painful, though I certainly noticed it, especially when I turned it up beyond level 3, say. That said, after a minute or two, you stop really noticing it until you crank the level up a notch. An hour of the pulsing, by the way, was quite enough.

This setting, which goes up to level 10, is adjustable from the companion smartphone app which also tells you when your time is up.

The Modius headset is estimated to arrive from next month and various packages are available, with prices starting at $349 for the headset and carry case. This is the Indiegogo link.

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Why the Mediterranean Diet Only Works for the Rich

For years, doctors have been telling patients with high cholesterol and a risk of developing heart disease to follow a Mediterranean diet, which favors fish and poultry over red meat and includes fruits, vegetables, whole grains, nuts and olive oil. However, according to a recent Italian study published in the International Journal of Epidemiology:

The study looked at 18,000 subjects and found a reduction in cardiovascular risk only in people with higher educational levels or a greater household income — or both. Those who were not as rich or as smart? The less advantaged groups showed no actual benefits from the Mediterranean diet.

People with higher incomes and education levels were more likely to report eating a diet comprising more whole grain or organic foods and a greater variety of fruits and vegetables, providing a wider range of vitamins and antioxidants, the study found. “Other factors beyond quantity and frequency appear to influence future health outcomes, and one of them may be quality of foods,” Marialaura Bonaccio, lead author of the study and a researcher at IRCCS Istituto Neurologico Mediterraneo Neuromed, an Italian clinical research institute, said in an email. “This is an extremely novel concept that will surely improve our knowledge on the complex balance between diet and health.”

A doctor who tells a low-income patient to follow a certain diet also needs to address how to make it doable on a budget.

The challenge with a Mediterranean diet is that it calls for high-quality and expensive foods — such as wild-caught fish and extra virgin olive oil — making it difficult for a low-income family to follow, says Jackie Arnett Elnahar, a registered dietitian based in the New York City area and CEO and co-founder of TelaDietitian. For example, whole grain bread is pricier than white bread and wild-caught salmon from Alaska is more expensive than farm-raised salmon from China, which is more likely to contain fish coloring and pollutants, she says. And low-income families are less likely to spend extra money on organic produce or try a new fruit or vegetable, she notes.

Similarly, the study found that a €2 bottle of extra virgin olive oil is unlikely to have the same nutritional properties as a €10 bottle. The hypothesis: “Differences in the price may yield differences in healthy components and future health outcomes,” Bonaccio said.

The key takeaway of the study: A doctor who tells a low-income patient to follow a certain diet also needs to address how to make it doable on a budget, Elnahar explains. Patients on a Mediterranean diet could be encouraged to eat sardines and anchovies, which provide omega-3 fatty acids but are cheaper and easier to purchase than wild-caught salmon. Fresh fruits and vegetables can be supplemented with frozen, which are less expensive and basically provide the same nutrients, Elnahar says. If kale is too pricey, red and green leaf lettuce are good substitutes.

Bonaccio agrees that patients need to be given more information about diet and its relationship to health. Everyone knows that eating fruits and vegetables is good for us, but few may know that variety is as important as quantity.

Laura Bourdeanu, a nurse practitioner who has followed a Mediterranean diet most of her life, says the underlying message from this study is that if you’re concerned about your health, it may be worth it to spend a few extra dollars on higher-quality foods. If you can’t afford organic fruits and vegetables, focus on increasing your intake of fish and nuts, she says.

Some food for thought … and the heart.

Charlotte Crosby slammed for ‘one size fits all’ social media diet plan …

Charlotte Crosby has been criticised online after promoting a one-week diet plan on social media.

The 27-year-old star advised her 3.17million fans on Twitter to follow her plan, which involves eating three meals and a snack a day, as chosen by Charlotte.

In addition, dieters are to accompany this new eating regime with one of her workout DVDs five out of the seven days.

Charlotte stays in touch with everyone on the eating plan via Twitter and Snapchat, and even shares shopping lists and snacks they’re allowed.

One user shared images of the kinds of food eaten on the diet, which Charlotte re-shared on her Snapchat account.

The list for food that day includes;

Breakfast: (Three eggs) scrambled with almond milk, two rashers of turkey bacon, asparagus and tomato

Lunch: One large stuffed pepper (mince meat or quorn) some sprinkled cheese on top

Dinner: One sweet potato jacket with tuna and a side salad

Snack: One skinny popcorn

The list also included a reminder to drink lots of water – 2-3 litres.

While some have jumped at the chance, with one user saying: ‘Getting ready for the challenge #FOF got my ingredients gonna weigh myself at 5pm’ and another adding ‘Workout one done! Dying off and ready for some food #FOF’, others have criticised the approach.

One user, Kelly Lou Coleman, commented saying ‘Sad to see the amount of girls influenced by people like Charlotte Crosbys basically rabbit food crash diet.’

In addition, Twitter user Emma said: ‘The food plan Charlotte Crosby is getting people to do is ridiculous, not to mention potentially dangerous for some people’

Charlotte has also been criticised by personal trainers, who have labelled the food diary ‘awful’ and ‘ridiculous’. Fitness expert Lauren Tickner confronted Charlotte online for her ‘one size fits all’ approach.

What brings you joy? …Spending time with your friends? Working? Training…? ⠀⠀⠀⠀⠀⠀⠀⠀⠀ Be reflective – do MORE of what you love to do, and try to eliminate doing the things which you don’t enjoy so much. Of course in your early stages of doing whatever it is, it is unlikely that you’ll be able to do this (bills gotta be paid, yo), but often we get caught up in the motions of life without stopping and thinking… “is this really benefiting my life in any way?” ⠀⠀⠀⠀⠀⠀⠀⠀⠀ I used to often find myself doing things just because I have felt like I had to. Recently, however, I have realised how important it is to truly pursue what you love. ⠀⠀⠀⠀⠀⠀⠀⠀⠀ I don’t know how I ended up doing this whole fitness/social media thing… But I guess it is because I put my all into doing what I enjoy doing. I absolutely LOVE helping people, making videos and writing these captions! And meeting you is just the icing on the cake. 😭💖 💖 Today was incredible. Spending time with everyone has made me realise how fortunate I am to have created this life for myself – I appreciate the friendships I have SO incredibly much. It’s insane how people can make you feel when you connect on such a deep level. Tag a friend who makes you feel like that (doing dis will make them feel good and I think making others feel good is SO important 🙌ðŸ�¼) #Blessed #StrengthFeed – PHOTO CREDZ: @kashwhiteley – P.S I uploaded a new YouTube video this morning! The link is in my bio @laurenfitness – 30% off @PEScience: LAUREN (cotton candy high volume is in ma shaker cos it’s ma lyf #PREWORKOUT)

A post shared by Lauren Tickner #StrengthFeed (@laurenfitness) on Jul 29, 2017 at 1:09pm PDT

Lauren, who is a qualified personal trainer, says she came across the plan on Twitter.

Speaking to BBC Newsbeat, Lauren says that food plans should be suited to people’s individual needs. ‘This isn’t good for everyone. If I was to consume this I would feel absolutely awful.

‘I don’t think these meals sound very big and she hasn’t specified how much of everything to eat – so people will interpret this in different ways. It says one sweet potato – how big is that supposed to be?

‘Each and every person is so different and has different calorie requirements, even identical twins.

‘The body is complicated and everyone has different levels of activity.’

Charlotte’s management team told BBC Newsbeat: ‘Charlotte has mixed and matched her activities this week using her DVDs, her book and her personal experience from working extensively with professionals across the fitness world.’

What do you think of Charlotte’s social media eating plan, would you try it? Let us know in the comments box below.

Same Seattle Seahawks players, new Seahawks look

As the Canadian smoke cleared Lake Washington, the 12s viewed a physical, high-paced practice with Seahawks veterans displaying their football prowess. These athletes, whom we have grown to cherish, are going to look a little different on Sunday and it does not have to do with their diet program.

Same Seattle Seahawks, New Look

With attention growing around Chronic Traumatic Encephalopathy or CTE, I believe a few Seahawks players are trying to prevent the disease from happening to them.

The sport always has the intent of making the game safer for their coveted athletes. Therefore, a new style of helmet is out and the face of the Seahawks organization made the transition.

Over the last two seasons, quarterback Russell Wilson wore a Riddel Revo Speed helmet to protect his noggin.

This season, the All-Pro is switching to a newer VICIS ZERO1 helmet. Wilson, who has had at least one concussion during his career with the Seahawks may be trying to stay ahead of this disease, which affects so many of his peers, past and present.

During his first couple of seasons, Doug Baldwin wore a Schutt Air XP, but is now wearing a VICIS ZER01, the same as Wilson. Furthermore, the Pro Bowl receiver will continue to keep his vision secret, while he utilizes a black visor.

The VICIS ZERO1 helmet is a new addition to football products and will be debuted by other players in the wake of the newest study on CTE disease.

A New Trend?

When one player changes their style, a few may notice.  But, when a position group changes their style, everyone notices. At training camp, I could not help but notice Wilson’s new appearance and that a majority of the receivers were wearing black visors.

Until this upcoming fall, only a few players wore a black visor. A majority of these players were on defense.

Now, the entire group of Seahawks wide receivers were wearing black visors. This may pay dividends throughout the sequences of a game. When a pass is thrown, many cornerbacks do not, initially, look up for the ball, as they are tracking the receiver.

As the ball projects down, a receiver’s eyes can tell where the football is in flight. A black visor will eliminate the possibility of a cornerback reading someone’s eyes, like Doug Baldwin, during his route.

Wide receivers Baldwin, Jermaine Kearse, Tanner McEvoy and running back C.J. Prosise have all transitioned to a black visor.

Highlight from Sunday’s Training Camp

On a field full of superior athletes, it can be hard to be noticed. Rookie safety Tedric Thompson moved like he was shot out of a cannon and disrupted a pass intended for a wide receiver. There was a player, who is known to 12s, but has a different number.

Running back J.D. McKissic wore number 30 last year, but made a change to 14 for this fall. While lining up in the shotgun, McKissic ran a wheel route down the right sideline. A wheel route is a quick out to the sideline, which gradually extends up field. The pitch and catch gained a clap from the faithful in attendance.

(Moments captured by Tony Macias.)

 

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