GET WELL, STAY WELL NEWSLETTER YOUR GUIDE TO HEALTHY LIVING November is Diabetes Awareness Month. Diabetes is a condition where people have higher than normal blood sugar. Nearly 30 million Americans have diabetes. Diabetes has serious complications when it is not managed well. However, diabetes may be prevented or managed with diet changes and regular exercise. Regular screening exams are helpful in catching high blood sugar levels as early as possible, and for watching trends in your sugar control. Most adults develop “prediabetes” first, a condition where sugar numbers are high, but not high enough to qualify as diabetic. Prediabetes usually lasts for a few years, before the actual disease develops. Early treatment is crucial when aiming to prevent diabetes or complications from diabetes. Some people have physical symptoms when they develop diabetes but many do not, so it is important to have your sugar levels checked regularly. This is especially important if you have a family history of diabetes or have been told you have prediabetes in the past. What are potential complications related to diabetes? Diabetes is the leading cause of blindness and kidney failure in adults. 60-70% of people with diabetes suffer from mild to severe forms of nerve damage — like problems with pain, numbness or “pins and needles” feelings in their hands and feet. Living with diabetes doubles the risk of having a heart attack or stroke. Diabetes is responsible for more than half of all adult lower limb amputations. In America, diabetes leads to more deaths per year than AIDS and breast cancer combined. What are the best ways to prevent and manage diabetes? Exercise, a healthy diet and managing your weight will all help reduce the risk of developing blood sugar issues. 30 minutes of daily exercise has been shown to reduce the chance of developing diabetes and improve other aspects of health as well. If possible, people should get a combination of both strength training and aerobic exercise throughout the week for optimal health. How does strength training help control blood sugar levels? Regular strength training builds muscle mass and helps our bodies remain sensitive to the insulin we produce. Insulin is the chemical our pancreas secretes to help keep our blood sugar levels down by moving from the blood into muscle. The more muscle we have, the more effectively we can control our blood sugar. Frequently Asked Questions about Strength Training What is strength training? Strength training simply means moving your body with or against a resistance, for the purpose of gaining strength. This can include any form of resistance, such as your own bodyweight, exercise bands, dumbbells, barbells or machines. How much resistance should I be using? This will be trial and error to start. Generally, you should use the amount of weight that allows you to perform the required repetitions without losing proper form, but also challenges you, especially during the last two or three repetitions. Will strength training make me sore? Like any new form of exercise, you will likely have some general soreness. This is simply your body’s way of adapting to the stress that was placed on it. This should not be of concern unless the soreness becomes extreme or lasts more than 2-3 days. How can I fit strength training into my day? Make it part of your daily routine. Pack your gym bag the night before and go straight from work to the gym. If you are a morning person, go first thing in the morning before work. Most importantly, plan ahead and schedule which days you will work out each week. If a plan is in place, you will be much more likely to follow through. Remember, strength training does not require a trip to the gym — you can even do reps during commercials while watching TV. Should I eat more protein if I strength train? Although protein intake may need to be increased with vigorous strength training, most people already eat enough protein in their normal diets. As a result, protein supplements are usually unnecessary. Eating 20-30 grams of high-quality protein from food, along with carbohydrates and fluid after a workout, will help your body fully recover. Leftover Turkey Quesadillas with Cranberry Salsa Recipe from http://www.myrecipes.com/recipe/jack-quesadillas-with-cranberry-salsa Ingredients Directions Salsa: 1 cup whole-berry cranberry sauce 1. To prepare salsa, combine first 7 ingredients. Cover and chill. 2. To prepare quesadillas, heat a large nonstick skillet over medium-high heat. Coat pan with cooking spray. 3. Add 1/4 cup sliced onions to pan. Saute 3 minutes or until cooked tender. Remove onions from pan. Reduce heat to medium. 4. Sprinkle 2 tablespoons of cheese over 4 tortillas. 5. Top each cheese covered tortilla with one-fourth of onions, 1/2 cup turkey, 2 tablespoons cheese, and 1 tortilla. 6. Recoat pan with cooking spray. 7. Add 1 quesadilla to pan. Cook 2 minutes on each side or until lightly browned and cheese melts. Repeat with remaining quesadillas. 8. Cut each quesadilla into 6 wedges. Serve with cranberry salsa and Greek yogurt. 1/4 cup chopped fresh cilantro 1/4 cup (2-inch thick) sliced green onions 2 tbsp. chopped green onion 1 tbsp. fresh lime juice 1/2 tsp. ground cumin 1 pear, cored and finely diced 1 jalapeno pepper, seeded and minced Quesadillas: Cooking spray 1 cup shredded reduced fat Monterey Jack Cheese 8 (8-inch) whole grain tortillas 2 cups chopped cooked turkey 1/2 cup fat-free, plain Greek yogurt Nutrition Facts Per Serving: 1 quesadilla with topping Calories: 294 / Total Fat: 16.3g / Saturated Fat: 3g / Sodium: 263mg / Carbs: 42g / Fiber: 4.5g / Protein: 19g For more information, contact Be Well Solutions at (888) 935-7378 or visit diabetes.org. ©Copyright Be Well Solutions, 2015 ® 11.2015 November is American Diabetes Month. How Diabetes Affects Heart Health VA N CE Diabetes is now regarded as the leading risk for heart disease. Water Works Water exercise is among the most enjoyable ways to improve your health. And it improves cardiorespiratory health, muscular strength and endurance, flexibility and, when done regularly, reduces body fat. Pool workouts provide a diversion from jogging, hiking, biking, tennis and other land exercises, especially when you want to avoid jarring weight-bearing actions. The buoyancy of water supports your body, taking the strain off tender joints and creating a calming effect. Yet, the resistance of water is perfect for strength building. As you continually pull and push away the water, you can exercise more strenuously than it seems. Besides solo lap swimming, you’ll find group exercise designed for shallow or deepwater aerobics and muscle workouts using various devices. You can avoid dunking your head with workouts that involve jogging, kicking, lunges and other movements. Or slow the pace with routines inspired by yoga or tai chi for flexibility and balance. Check out aquatic classes at your health club or YMCA; visit 1 or 2 in session to see if they suit your fitness level. Once you’ve learned the basics from a certified instructor, you may advance to more challenging aquatic routines. Keeping Kids Tobacco Free Young girls and boys are more likely to use tobacco if they: O BS ER The link is stronger than many people realize: Cardiovascular disease claims the lives of about two-thirds of diabetes patients. Most people with diabetes have type 2, in which the body doesn’t use insulin properly. Type 2 is marked by high blood sugar. It also triggers an immune response that causes chronic inflammation. Both conditions injure the artery walls, allowing the buildup of cholesterol-laden plaque in the blood vessels, which hinders blood flow and raises the risk for heart attack or stroke. High blood sugar levels can also lower the body’s production of nitric oxide, a chemical that helps keep the blood vessels open. The result is reduced blood flow that can lead to blood clots, kidney failure, nerve pain, foot infections, amputation and blindness. If you’ve been diagnosed with type 2 diabetes, work with your health care provider to keep your blood sugar levels as close to normal as possible. Tight control of blood sugar can help delay or prevent heart disease and other serious complications, including eye, kidney and nerve damage. “Looking after my health today gives me a better hope for tomorrow.” – Anne Wilson Schaef • Have parents who use tobacco. • Have access to smoking areas and tobacco products O BS ER VA N CE The Great American – especially low-cost or free tobacco. Smokeout is • Have friends or siblings who use tobacco. November 19. • Watch movies that have smoking in them. • Aren’t engaged in school or extracurricular activities. • Aren’t doing well in school or have friends who aren’t doing well in school. • Use other substances, such as alcohol or marijuana. >>Continued on other side. 5 Ways to Stop Winter Weight Gain Gaining a few extra pounds during winter is easy to do. You may exercise less in cold weather. Or you eat more when lack of sunshine gets you down. Then come the holidays and all those treats. Here’s how to avoid added pounds. 1. Exercise. Winter weight gain largely results from increased eating and moving too little. Plan for extra physical activity every day and schedule it in your calendar to offset those food splurges. 2. Cook at home more. Choose whole vegetables and fruits, as well as whole grains and lean protein, without the excess fat, salt or sugar of heavier restaurant foods. Type 2 Diabetes: Diet Does Matter Type 2 diabetes is a health condition that’s strongly linked to what you eat. Making balanced and healthy food choices every day can help you control your blood sugar levels. Preventing rapid swings in blood sugar is crucial to preventing complications from diabetes, which can include heart disease, eye problems and nerve damage. What should I eat? Your eating plan is based on individual factors such as gender, weight, blood sugar level, medications and physical activity level. A variety of different dietary patterns have been shown to benefit people with diabetes. Consider working with a registered dietitian who can provide a plan based on your needs. If you’re just getting started, here are some tips to remember until you see your dietitian: > Eat 3 meals per day at regular times, > Enjoy whole grains such as quinoa, barley, spaced no more than 4 to 6 hours apart. You may need a small snack in-between meals. > Replace sugary beverages (soft drinks, juice, iced tea, etc.) with water. oats and brown rice instead of refined grains such as white flour and white rice. > Include high-fiber foods in your meals and snacks, such as whole grains, legumes, nuts, seeds, vegetables and fruits. > Limit sugars and sweets such as desserts, candies, jam and honey. Taking control of your eating habits and your weight can significantly lower your risk of future complications from diabetes. 3. Avoid alcohol and By Cara Rosenbloom, RD other empty calories. An abundance of festive meals, drinks and extra treats can quickly lead to extra weight. Sample, but practice self-control. Stock up on nutritious snacks, such as unsalted nuts and plain, air-popped popcorn. 4. Weigh yourself weekly. Those who do often control their weight better. 5. Choose more whole foods: fresh vegetables, fruit, legumes, nuts, seeds, whole grains and lean protein. Choose fewer processed and refined foods that are high in sugar, white flour and trans fat. Eat moderate servings until you are just full, and avoid that over-stuffed, too-full feeling. Keeping Kids Tobacco Free >>Continued from other side. Numbers affected: Tobacco use begins primarily during adolescence. Each day in the U.S., an additional 2,100 youth and young adults become daily cigarette smokers. However, between 2011 and 2014, the American Cancer Society reported a decline in smoking among: • Middle school students – from 4.3% to 2.5%. • High school students – from 15.8% to 9.2%. Despite this progress, reducing overall tobacco use remains a significant challenge. For example, other national surveys show increases in hookah and e-cigarette use since 2011. As a parent, you’re the biggest influence – keep telling your kids how dangerous and addictive all tobacco products are. Get help at teen.smokefree.gov. Smart Moves toolkit is at www.personalbest.com/extras/15V11tools. 11.2015 TopHealth® is published to provide readers with the information and the motivation needed to achieve and maintain a healthier lifestyle. The content herein is in no way intended to serve as a substitute for professional advice. Executive Editor: Susan Cottman. Medical Editor: Zorba Paster, M.D. Sources available on request. © 2015 Ebix Inc. All rights reserved. Unauthorized reproduction in any form of any part of this publication is a violation of federal copyright law and is strictly prohibited. Personal Best® ... A Learning Solution powered by Oakstone®. 2700 Corporate Drive, Suite 100, Birmingham, AL 35242 • 800-871-9525 • fax 205-437-3084 • e-mail: editor@personalbest.com • website: www.personalbest.com.