Tag Archives: nutrition

Beware Of Ants In Your Toilet!

by on May 5, 2015

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A patient left a message for me which caught my attention. He wanted a blood sugar test for diabetes because there were ants in his toilet. When I spoke to him, he denied having some of the more typical signs of diabetes. His only concern was that there were ants in his toilet. I decided to order the test.

According to the CDC, 29 million people in the U.S. have diabetes, and at least one-quarter of them don’t know it. An additional 86 million people (1 in 3 adults) have pre-diabetes. Without change in lifestyle, 15-30% of pre-diabetics will develop type 2 diabetes in five years.

Diabetes Basics
There are three main types of diabetes. Type 1 diabetes is when your body does not produce enough insulin. Type 2 diabetes is the most common type (90-95% of diabetics), and this is when your body does not use insulin properly. Gestational diabetes occurs in 4% of pregnancies, and these women are at increased risk of developing type 2 diabetes after pregnancy.

Symptoms
The typical symptoms of diabetes include feeling thirsty, frequent urination, fatigue, blurry vision, cuts or bruises that heal slowly, and tingling or numbness in the hands and feet. Many people with diabetes have no symptoms or mild ones that go unnoticed. The American Diabetes Association (ADA) does not list ants in the toilet as a warning sign.

Complications of Diabetes
The biggest risks of having diabetes are strokes and heart attacks, which with proper medication can be prevented. Uncontrolled diabetes leads to damage of many organs in the body, particularly the eyes, nerves, and kidneys. Last year I saw a young man for a check-up because his dentist noticed a severe gum problem which was going to require extraction of most of his teeth. I ordered a blood test which revealed he had diabetes. He had not realized that diabetes was the root cause of his dental woes.

Diabetes is associated with an increased risk of certain cancers, specifically cancer of liver, pancreas, endometrium, colon, breast, and bladder. The explanation for this is unclear. It could be due to shared risk factors such as obesity, diet, and inactivity, or because of something intrinsic about diabetes such as elevated insulin or blood sugar levels.

Diabetes and pre-diabetes are risk factors for Alzheimer’s dementia and other types of dementia.

The Numbers
The normal fasting glucose is less than 100 mg/dL. Pre-diabetes is defined by fasting sugar between 100-125 mg/dL. Diabetes is defined by fasting sugars of 126 mg/dL measured on two different days. Another way of diagnosing diabetes is the A1C test which measures the average glucose in your body over the past 2-3 months. A1C of 6.5% or higher indicates diabetes. Normal A1C is usually less than 5.7%, and 5.7 – 6.4 is considered pre-diabetes depending on the lab reference range.

Treatment
The mainstays of most type 2 diabetics are diet and exercise, but because it is so hard to change one’s habits, pharmaceutical companies are reaping enormous profits from a multitude of diabetic drugs. There are medicines which work on the pancreas, liver, gut hormones, and kidneys to lower sugar, and there is even inhaled insulin now. It takes more effort for people to make personal changes, but an Asian diabetic patient of mine was especially determined to rid herself of diabetes. Her blood sugar was so high when she was diagnosed that she needed to take insulin at least twice a day to keep her diabetes controlled. She decided to give up her routine of eating rice at every meal, the main staple of her diet. She went from minimal exercise to exercising three hours a day. When I saw her back in clinic two months later, she had been successfully able to discontinue her insulin entirely. (Warning: don’t attempt to stop your diabetic meds on your own without doctor’s supervision.) Most people cannot make these dramatic life style changes, but she serves as an example of what healthy lifestyle change can achieve.

Screening for Diabetes
The ADA recommends adults get screened for diabetes every three years. You should get tested more often if you are overweight and have other risks such as family history of diabetes, sedentary lifestyle, history of gestational diabetes, polycystic ovary syndrome, or a racial background of African-American, Hispanic-American, Native-American, Asian-American, or Pacific Islander ancestry.

Conclusion
My patient who I mentioned in the beginning did not have any particular risk factor for diabetes, but I tested him anyway because normally there should not be any urinary sugar in the toilet to attract ants. The bad news was that his blood test did reveal he had diabetes. The good news was that he did not have to hire an exterminator since once his diabetes was controlled the ants had to find a different location to host their picnic. Hopefully early detection will prevent him from having any future complications or further ant invasions.

For further information about diabetes, visit the American Diabetes Association.

Jerry Saliman, MD is a volunteer internist at Samaritan House Medical Clinic in San Mateo. He retired from Kaiser South San Francisco after working there more than 30 years. While at Kaiser SSF, Dr. Saliman was also Chief of Patient Education. He received the 2012 “Lifetime Achievement Award” given by the Kaiser SSF Medical Staff.

Editing acknowledgement: Ellen Saliman

Neither the PJCC or our guest columnists provide medical advice, diagnosis, or treatment. Please make your health care decisions in partnership with your health care provider.

Book Review – Jerusalem: A Cookbook

by on April 30, 2015

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Food in Israel is unique and full of exciting flavors that have come together into a melting pot of centuries of influence from surrounding lands. Bringing the complexity of Jerusalem life to the dinner table, Sami Tamimi and Yotam Ottolenghi’s Jerusalem: A Cookbook is as much a social studies lesson as it is a culinary delight.

Though both men were born in Jerusalem in the same year, they come from opposite sides of the city. Tamimi is from the Muslim East Jerusalem and Ottolenghi from Jewish West Jerusalem. Both independently moved to London years ago and that’s where they met, working in the restaurant business. In this gorgeous cookbook, the two return to the roots of their Jerusalem childhoods and let us tag along. From their unique perspectives, they bring to the pages the food of the diverse people who live and cook there, allowing us an inside peek of this volatile world.

The book’s 120 mouth watering recipes, are both traditional and modern, savory and sweet, and simple and complex. All are bursting with middle-eastern ingredients and flavors. Along side dishes such as Baby Spinach Salad with Dates and Almonds, Turkey and Zucchini Burgers, Couscous with Tomato and Onions is stunning photo essay exposing the complex and compelling world that is Jerusalem. This combination not only makes for a one-of-a-kind cookbook over flowing with recipes, but also opens up a world of conversation. One of the key take aways from the book is that no matter what our religious background, food is a common-ground. We all eat to live and food is life.

 

If you’d like to learn more about the recipes from this book…
Cooking Demo

May 12, 2015  at 10:00 am
Join PJCC Nutrition & Wellness Coach Jeannie Solomon for a  cookiing demo as we spend time discussing and cooking from the award-winning ‘Jerusalem: A Cookbook‘ by Yotam Ottolenghi and Sami Tamimi. The class will include conversation, recipe exchange, cooking demonstrations and samples.  Registration required >>

Wellness Coaching. What’s In It For Me?

by on January 6, 2015

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As a wellness coach, I am asked this question on a regular basis. I like to respond by relating the coaching I do to that of any other coach: A coach is someone who can help you make specific improvements to your technique which will add value to your overall game.  A good coach does this by shining a new perspective on an activity or simply holding their pupil accountable to their goals. You use a running coach to improve your running skills and timing. And if you want Continue reading

Strategies For Reinventing Your Resolutions

by on December 31, 2014

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Making, and then breaking, the same promises every year can be exhausting. Jeannie   Solomon, PJCC Wellness Coach, uses helpful strategies to help clients stay on track. Here, she shares her “tools of the trade” to help you reinvent your resolutions and—ultimately—yourself.

Define Your Wellness
Relationships, sleep, exercise, work, and spirituality (to name a few) are all forces that can cause great joy as well as great stress, feeding our energy and vitality. To achieve long-term wellness, Continue reading

Olive Tapenade: Easy to Make & Delicious

by on December 17, 2014

OLIVE TAPENADE RECIPE

Ingredients

1/2 pound pitted mixed olives
1 small clove garlic, minced
2 Tbl. capers
2-3 fresh basil leaves
1 Tbl. freshly squeezed lemon juice
2 Tbl. extra-virgin olive oil

Directions

  • Thoroughly rinse the olives in cool water.
  • Place all ingredients in the bowl of a food processor.
  • Process to combine, stopping to scrape down the sides of the bowl, until mixture becomes a coarse paste, approximately 1-2 minutes total.
  • Transfer to a bowl and serve!

Bon Appetit

 

For more on Olive Oil, listen to our Podcast with the California Olive Oil Council.

Olive Oil 411

by on November 13, 2014

Did you know that different oils have different heat thresholds? Are you unclear on the benefits of olive oil and other cooking oils?  This video will give you a brief info session on oils!

Interested in more information on Olive Oil? Join us November 20, 2014 for A World of Olive Oil: From the Middle East to Your Backyard at the PJCC with California Olive Oil Council educator, Nancy Ash to learn about olive oil and enjoy a tasting.

Homemade Honey & Oats Granola Bars

by on September 12, 2014

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Healthy, Tasty, Portable.  What’s not to like?

Finding a snack that will provide you with energy and is easy to pack and carry isn’t always easy.  Granola Bars fit the bill but can be pricey. This recipe for homemade granola bars will be satisfying and easy on the pocket book!

And, an added bonus, oats are known to lower cholesterol levels, provide fiber in your diet, Continue reading

Guilt-Free Edamame “Guacamole” Recipe

by on June 27, 2014

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Summertime barbeques, Superbowl parties, and taco tuesdays are all great excuses to serve some guacamole.  But, lets face it, we’ve all struggled with a little guilt over how many calories we are consuming chip by chip.  This Edamame “Guacamole” recipe is about half the calories of avocado guacamole and is higher in protein too. Delicious and healthy! You don’t need an excuse to serve this any day.

Edamame “Guacamole”
Half the calories and 3 times the amount of protein of guacamole made with avocados – 86.7 cal., 6.7 g protein Continue reading

How Do You Like Them Apps?

by on April 25, 2014

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Compliment Your Fitness Routine With Online Apps

The marriage between technology and fitness isn’t new. Professional athletes have been using computer programs and data for decades to get into the best physical shape for their particular sport. It is only in the last decade or so that the rest of the population has been able to tap into some technologies that make it easier to get and stay fit!

Today even fitness novices like me can access some pretty incredible information with a simple application (app) download. You can tap into just about every type of fitness activity that you can think of from your smartphone or tablet. Continue reading

Flourless Chocolate Almond Cake

by on April 3, 2014

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This amazing dark chocolate cake has ground almonds in the batter and toasted almonds sprinkled on top, making rich in plant-based Omegas.

INGREDIENTS:

3 Tablespoons dark chocolate cocoa powder – 65% or higher
½ cup raw almonds
2 Tablespoons sugar
¾ cup date or maple crystal sugar (or regular sugar)
3 oz. dark chocolate, – 65:% or higher – coarsely chopped
½ cup Greek Yogurt
2 egg yolks, at room temperature
1 Tablespoons coconut oil
1 teaspoon vanilla extract
¼ teaspoon almond extract (optional)
5 egg whites, at room temperature
¼ teaspoon salt
1 Tablespoon toasted slivered almonds (optional)

Continue reading