Tag: food

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Diagnosis of diabetes and its precursor, metabolic syndrome

Before getting to the testing stage we can get some very useful clues from a combination of the clinical picture together with commonly done routine tests. However, if you eat what is generally considered a ‘normal, healthy, balanced diet’ (ho! ho!) based on the intellectually risible food pyramid, then it is likely that you have carbohydrate addiction and are on the way to metabolic syndrome and diabetes.

In order of priority and ease, the diagnosis can be made from:

  • The contents of the supermarket trolley
  • Diet
  • Snacking
  • Tendency to go for other addictions
  • Obesity
  • The clinical picture

The contents of the supermarket trolley

  • Bread, biscuits, cake, pasta, cereals, sugar, waffles, bagels, dough nuts and other such
  • Fruit juice, pop, alcohol, “energy” drinks and general junk drinks
  • Fruit basket with tropical sweet fruits such as pineapple, melon, bananas, grapes. Apples and pears
  • Sweet dried fruits – sultanas, raisins, dates
  • Snack foods – cereal bars, ‘energy bars’
  • Sweets, toffees, fudges
  • Honey, fructose, syrups
  • Jams, marmalades, choc spreads
  • Artificial sweeteners
  • Ice creams and puddings, like cheesecakes and trifles
  • Low cocoa-percentage chocolate
  • Crisps, corn snacks, popcorn…you get the idea – we call it junk food!

Such a supermarket trolley is very indicative of a diagnosis of carbohydrate addiction, metabolic syndrome and/or diabetes.

“Indeed, I have just returned from a trip to the supermarket. The man in front was placing his purchases at the check-out. I felt myself sighing as the packets of chocolate biscuits, crisps, white bread and sweet drinks piled up. But what moved me to an intense desire to shout out were the final three items – paracetamol, ibuprofen and a box of antacids. He was poisoning himself with the carbs, then symptom-suppressing with the drugs. Addiction has blinded him to the obvious.”

Diet

Breakfast gives the game away. This is because no food has been consumed overnight and with carbohydrate addiction, blood sugar levels are low in the morning. The need for a carbohydrate-based breakfast indicates metabolic syndrome – typically with consumption of fruit, fruit juice, sweetened tea or coffee, cereals, toast, bread or croissants. ‘Oh, but surely porridge and muesli are OK?’ so many cry. Often they are not OK – the only way to really find out is to measure blood sugar levels.

“Even now my daughters can hear me groaning when the adverts on the telly for breakfast cereals come on. I really cannot stop myself. The Telegraph recently reported that, ‘Children’s breakfast cereals can contain as much as three teaspoons of sugar – the equivalent of two and a half chocolate biscuits,’ and so there are also ‘hidden’ dangers.”

Snacking

The need for a carbohydrate snack or sweet drink is often triggered by falling blood sugar. Many people comment that when they go on holiday and treat themselves to a fry-up for breakfast, they no longer feel hungry before lunch. Snacking is a disaster – it feeds the fermenting mouth and gut, prevents the glycogen sponges squeezing dry, spikes insulin and prevents fat burning.

Carbohydrates with every meal

The symptom of ‘not being satisfied’ with meat and vegetables is particularly indicative of carbohydrate addiction, with the need for a sweet pudding to ‘hit the spot’.

Tendency to go for other addictions

Also highly indicative of carbohydrate addiction is the tendency to have other addictions … such as alcohol, smoking, coffee, chocolate, prescription drugs (yes – many of these are addictive), and ‘legal’ and illegal highs.

Obesity

Obesity is not the cause of metabolic syndrome and diabetes, but may be a symptom of both. Many people with type 2 diabetes have metabolic syndrome and normal weight and vice versa – obese people may have no signs of metabolic syndrome. It is the constant sugar spikes in the portal vein, the effect of which eventually spills over into the systemic (whole body) circulation, when the liver is overwhelmed, this characterises metabolic syndrome and diabetes. We cannot measure these spikes because the portal vein is buried deep in the abdomen and links the gut to the liver. Interestingly, it is the fatty liver which is highly correlated with metabolic syndrome and diabetes – not the fatty rest of the body. Fat in the liver can be measured with MRI scans, but this is an expensive test not routinely available.

The ability to gain and lose weight is an essential survival ploy for all mammals. Think of the hibernating female brown bear who has to survive months of intense cold, pregnancy and breast feeding with no food intake. She achieves this on autumn fat together with the ability to switch into fat burning. She remains completely healthy throughout.

Share your story for Diabetes Week by using the hashtag #knowdiabetes.

This blog was originally published in Prevent and Cure Diabetes: Delicious diets, not dangerous drugs by Dr Sarah Myhill and Craig Robinson.

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Eat to beat depression

Eat to beat depression for World Health Day

Tackling depression naturally for World Health Day

Nutrition-related health issues seem to take an age to become part of accepted medical practice. The medical establishment requires comprehensive scientific evaluation, randomised trials and peer review before a new drug can be licensed, for instance. The pharmaceutical company has to weigh up the costs of research and development versus the potential profit to be made from launching a successful product that can earn a good return on their investment. (When you add in the factor that 80 per cent of their budget goes on marketing, it is clear the stakes are high indeed.) As real food is simply real food and can’t be licensed, branded or patented, there is little impetus for the medical community to fund costly research.

Medical research over the last couple of decades has, nevertheless, highlighted how an unhealthy gut can contribute to many physical diseases and these findings are becoming more accepted in mainstream medicine. Clinicians increasingly agree that the gut-brain axis also plays a crucial part in emotional wellbeing, including the development of conditions as diverse as chronic fatigue syndrome, depression and autism.

The Gut-Brain Axis

The gut-brain axis is a way of describing the interrelationship between gut health and brain health. The various aspects of digestion are controlled via the vagus nerves by a complex set of neurons embedded in the oesophagus, stomach, intestines, colon and rectum. The brain sends messages to all the nerves in your body, including the neurons that control digestion. All work efficiently enough until a person is anxious or stressed on an ongoing basis. You perhaps know for yourself that if you are feeling nervous your stomach can feel upset and queasy. The reason for this is that strong negative emotions, stress and anxiety increase cortisol and adrenaline, which then stimulate the sympathetic nervous system and shut down the parasympathetic system, which includes control of the gut. This causes a physical chain reaction:

* Reduction in pancreatic enzyme production

* Reduction in gall bladder function

* Reduction in the production of stomach acid

* Slowing down of peristalsis – the involuntary muscle movements essential for moving food efficiently through intestines for the absorption of nutrients

* Reduction in blood flow to the intestines

* Suppression of the intestinal immune system

In the short term, this allows the body to focus its resources on ‘fight or flight’ – a good survival mechanism. However, with ongoing stress and anxiety, this cumulative slowing down and suppression of the digestive process can, over a prolonged period, lead to a condition called ‘small intestinal bacterial overgrowth’ (SIBO). As the digestive process is compromised by stress and anxiety, the lack of stomach acid allows the stomach and small intestine – which should both be pretty much microbe free – to be colonised by unhealthy bacteria, and yeasts, causing foods to be fermented rather than digested. In addition to gas and bloating, compromised digestion leads to declining absorption of nutrients, which contributes to the loss of the co-factors needed for good digestion, and consequently further gut problems.

Now consider this situation lasting for extended periods of time. The integrity of the gut lining may be compromised, contributing to gut permeability (‘leaky gut’) that may be sufficient to produce chronic low-grade inflammation.

Chronic Inflammation

The inflammatory process includes the production of cytokines, chemical signals of inflammation that are carried by the blood to the brain. The cytokines can activate cells – so that the inflammation originating in the gut thereby causes widespread inflammation in the rest of the body, including the brain.

The impact of brain inflammation is that the brain has reduced nerve conductance which – guess what – shows up as depression, anxiety and stress.

This vicious circle can self-perpetuate and requires long-term changes to heal the gut, which in turn will help to heal the brain. This is done through changes in behaviour and improving levels of nutrition through changes to food choices. To improve your natural resilience to stress it is important to increase the amount of healthy polyunsaturated omega-3 oils in your diet, so look for oily fish, grass-fed meats and butter made from the milk of grass-fed dairy herds. Good plant sources include hemp seeds, linseeds, chia and some nuts and nut oils (macadamia, almond).

If you consider yourself to be depressed it will be helpful for your recovery to manage your stress levels, improve your sleep patterns and add nutritious and gut-healing foods into your regular eating plan.

Do bear in mind, however, that you may also need professional help if you have been suffering from this debilitating psychological disorder for some time. Please make sure you are accessing all the medical and psychological support you need. Try hard not to add isolation to an already challenging situation.

This blog has been taken from How to Feel Differently About Food by Sally Baker & Liz Hogon.

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Super Fruity Flapjack Recipe

Fruit is a great cleanser of the liver and blood and provides many essential nutrients, such as Vitamin C, which is required on a daily basis. Fresh or home-juiced fruit will aid in weight loss and improve metabolism and the immune system. Juicing one lemon and consuming the juice throughout the day in teas, on fish and salads and in drinks will give the system an enormous cleansing boost. Berries are also highly nutritious. Cherries are anti-inflammatory so can provide pain relief.

Most fruits are diuretic and have antibacterial, antifungal and antiviral properties so can relieve many ailments. They will also clean the blood, kidneys and liver, protect the heart, lungs and eyes, and clear the skin. Tangerines and raspberries possess properties which metabolise fat so can help with losing weight. Pineapple rehydrates the system so is good to consume after sweating or during fever. Try to eat at least three fruits of different colours every day.

Dried Fruit

This is an important part of the diet as it provides a concentrated form of fresh fruit’s nutrient and mineral content. Dried fruit can help avert cancerous tumours and aid digestion. One tablespoon of powdered maqui berry, from a reliable source, per day can help protect against cancer as it is very high in antioxidants. All dried fruits replenish energy and should be added to breakfasts, meals or eaten as snacks throughout the day instead of unhealthy, processed, sugary food bars. Making flapjacks with oats, honey, coconut, nuts, seeds and dried fruit can provide a way to stop hunger and revitalise the body instantly during the day. Consume a small handful of different dried fruits or a mix of them once or twice a day.

Healthy Heart Flapjacks

Flapjacks are a great way to gain the fibre and nutrients required throughout the day and this version also helps lower cholesterol, improve the digestive and immune system and nourishes and protects the bones, brain, eyes and heart. Because flapjacks take time to be digested, they will also stop hunger for a long time after consumption. They make a great breakfast, mid-morning or evening snack. Ingredients do not need to be measured exactly. Experiment and mix and match fruit, nuts and seed ingredients for personal taste and availability.

Ingredients

  • 500g porridge oats (other grains can also be added if required)
  • One table spoon of honey
  • One tablespoon of rapeseed oil
  • Juice of half a lemon
  • Quarter of a teaspoon of cinnamon
  • Quarter of a teaspoon of nutmeg
  • One tablespoon of maqui berry powder
  • Pinch of ground unrefined sea salt
  • Five stoned and chopped dates
  • One handful dried chopped apricots
  • One medium peeled mashed banana
  • One small handful of raisins
  • One tablespoon of dried goji berries
  • One small handful of chopped nuts (almonds, hazelnuts, walnuts etc.)
  • One small handful of mixed seeds (flaxseeds, hempseeds, poppy, pumpkin, sesame, sunflower and watermelon)
  • One tablespoon desiccated coconut

Any or all of the following but add more oats to the mixture so it is not too wet

  • One handful of stoned cherries
  • One handful of raspberries
  • One handful of cranberries or blueberries

Method

  • Preheat the oven to 350°F 180°C/160°C fan, Gas 4
  • Place all ingredients (except berries and cherries) into a food processor and mix to a very stiff paste-like consistency
  • If too dry add a little water and mix further
  • If too wet add more oats
  • Then add the cherries and berries gently folding them into the mixture
  • Press the mixture into a non-stick (rapeseed oil greased) shallow baking tin or tray
  • Bake for 30 to 45 minutes until set with a brown crispy top. Use a skewer to test the middle. It may take longer if fresh fruit has been added
  • Take out of the oven and cool slightly before cutting into portion sizes then leave to get cold in the tray. Store in a sealed container in the refrigerator.

Nutrients and Benefits of The Flapjack Ingredients

  • Apricots (protects the heart and eyes)
  • Bananas (adds fibre and potassium)
  • Cherries (adds anti-inflammatory pain relief especially sour cherries)
  • Coconuts (adds lots more fibre and has antimicrobial, antifungal, antivirus and rehydrating properties)
  • Cranberries and blueberries (protects the eyes, liver and the whole body against arthritis, cancer and urinary tract infection)
  • Dates (protects against heart and eye diseases)
  • Lemon (adds vitamin C, cleanses the liver, pancreas and intestines and helps with weight loss)
  • Raisins (protects against heart disease and arthritis)
  • Raspberries (increases metabolism of fats)

This recipe and blog is taken from Nature Cures: The A to Z of Ailments and Natural Foods by Nat H Hawes. For more natural nutrition and home remedies from Nat visit Nature Cures.