Showing posts with label diabetes. Show all posts
Showing posts with label diabetes. Show all posts

Wednesday, March 26, 2025

Almond flour pie crusts and other recipies

 Easy Low Carb Diabetic Almond Flour Crust - The Naked Diabetic

"Extra Fine Ground Almond Flour – This type of almond flour works best for recipes calling for sifting. When you want a more packed crust, always choose the finest grind available. Extra Finely ground almond flour is ideal for pie crusts and crusts that you want to cover the sides of a pie plate. The finest grinds also work better in cake and bar recipes,."


20 Best Low Carb Almond flour recipes for diabetics

"Living with diabetes doesn’t mean giving up delicious foods. With the right ingredients and recipes, you can still enjoy mouthwatering meals while managing your blood sugar levels. Almond flour is one such diabetic-friendly ingredient. In this article, we’ll explore 20 of my favourite almond flour recipes all crafted with diabetes management in mind. . . 

Almond flour or almond meal and ground almonds, is rich in healthy fats, protein, essential nutrients and fibre. Unlike refined white all purpose flour, almond flour has a lower glycemic index, meaning it doesn’t cause spikes in blood sugar levels. Making almond flour a great option for those watching their carbohydrate intake."

Wednesday, August 28, 2024

Robert F. Kennedy Jr,'s speech to support Trump

You may have missed Robert F. Kennedy, Jr.'s speech last week where he endorsed President Donald Trump for a second term. The major media outlets working with the DNC have completely censored him and refused to cover his campaign. The DNC tried to bankrupt him, just as they (i.e. Democrats) did Trump by bringing frivolous lawsuits. I probably don't agree with him on most issues, especially abortion, but he and Trump have shown the complete hypocrisy and illegal behavior of the Democrat party that screams "threat to democracy" every chance they get while doubling down on election interference. He's still on the ballot in some states. It's a good speech on many levels. Mainly it shows the complete corruption of the party in power in the White House, but if you watched how they crowned their current candidate with no input from the voters, you know that.
RFK jr aligns with Trump on many issues like ending the wars, protecting the border, protecting children from chronic diseases; they disagree on many others. Team of Rivals. (Abraham Lincoln). His biggest concern seems to be the health of children, and the rise on chronic health conditions.  He often refers to "when my uncle was President" which is about 1960, and an easy figure to remember. 
He condemns ultra processed food as the culprit in the shocking statistics on chronic diseases in children. Toxic chemicals he names as the second culprit--hormone disrupters cause girls to reach puberty earlier. Mass poisoning, he says. $4 trillion now on chronic diseases, whereas in 1960 it was zero. 70% of school lunches are processed food--poor have a high burden of chronic diseases. 74% of Americans are obese, he says. Imagine if they all needed Wegovy or Ozempic. A boon for Big Pharma. Or for less money give organic fruits and vegetables to every family. Make Americans Healthy Again.

 Of course, I want to save children too, but in the womb. They have to be born before Kennedy can improve their diet.

Sunday, August 04, 2024

Semaglutide and weight loss for diabetes or obesity

I recently saw a photo (mid-2023) of Oprah on Dr. Peter Attia's web site (promotes health, longevity, exercise, etc.) and noticed how thin she was. I heard she'd been on one of the GLP-1 drugs (semaglutide[Ozempic, Wegovy]) and had stopped the "healthy" diet promotions. That article was a "members only" read, but here's what she told People magazine.

“The fact that there’s a medically approved prescription for managing weight and staying healthier, in my lifetime, feels like relief, like redemption, like a gift, and not something to hide behind and once again be ridiculed for,” Winfrey stated. “I’m absolutely done with the shaming from other people and particularly myself.”

I wonder if the thin Oprah will be as popular as the fluffy Oprah?

Some researchers question the safety, and others who are not researchers (me) think it's too expensive.

Because it also lowers the risk of some other dangerous health conditions, how much should the taxpayers be chipping in? Ozempic is FDA approved for type 2 diabetes and Wegovy is FDA approved for weight loss with or without diabetes. This matters for insurance, but there is a cost either way. Someone pays. Someone makes a profit.
 
Remembering how Hormone Replacement Therapy drugs were called a "miracle" about 30 years ago to prevent heart attack, stroke, dementia etc. as well as hot flashes, then were dropped in 2022, I'd be a bit cautious. That's a personal opinion.

Here's a video, useful for its recency with a voice over to help with pronunciation.

Sunday, July 16, 2023

A touching love story--guest blogger, my nephew Brandon

"I think we should get…HIM.” Katie said, pointing to one of the smaller poodles of the litter.
 
He looked like a blur of beige fur, like the head on a mop. I was still looking at the largest, shyest one, trying to convince myself that I’m right.

It's May 18th, 2013. Less than a month since we've successfully been married and honeymoon-ed. We're in Zebulon, Georgia, of all places, in what seems to be a puppy-mill in training. Katie is fixated on the one rambunctious pup that continues to do low-flying circles in the grass and dirt. He ends up being the only puppy of the ones present that seem eager to meet us.

As with most things -- Katie was right.

We named that little guy Amos, inspired by one of my favorite singer/songwriters, Amos Lee.

In the ten years since Amos and I became inseparable, Katie would be quick to remind me: One, I didn't want a small dog and two, Amos was not my first choice.

Again, she was right. It wasn't that I didn't want Amos. Growing up, we really only had large dogs (aside from Droopy). The only small dogs I was familiar with, were small, yippy, nipping dogs that were full of energy, hard to control and had Napoleon complexes. Amos was Katie's first real pet and dog, and she had her heart set on a toy poodle. I said: "Just so long as he doesn't have a poodle haircut." At that time, I thought talking her into getting a dog would be much much harder. Are you seeing a pattern here? I am wrong a lot. It’s a gift.

Not only was getting a dog her idea, but it turns out her first and only pick that day would steal our hearts.

Amos quickly became the center of our family. He was the star of Christmas cards, and the center of attention when friends would come over. He and I wrote songs together. He rode in a basket on Katie’s bike. Two years in, he would have to contend with the first born, Gibson and before that a new house. Then four years into his tenure, our second son, Nash Corbett. He kept a watchful eye over both of them as they grew.

He was the same, happy go lucky little guy for seven years. But in April of 2020, we knew something wasn't right with him. A week long stay at the vet would result in Amos' diabetes diagnosis. I was heartbroken. I was afraid this was the end. Our veterinarian explained that with care and routine, Amos could still live a full and virtually uninterrupted life. All that was required was a regimented routine of regularly spaced feedings and me becoming an insulin injection specialist.

Three years into Operation: Dog Diabetes yielded Amos’ next brush with pancreatitis. Thankfully, he recovered and with the help of our vet, he was back to being himself. Katie discovered that most dogs don't live much longer than a few years after their diagnosis. "Not Amos," I thought. By all accounts, he was the model patient and I the model caregiver. With Katie's nearly perfect record in the back of my mind — I shuttered to admit that we might not have much longer with our boy.

Dogs are the perfect companions. They love us unconditionally, and require very little of us. A head scratch, some treats, a walk here or there, a place to lay their head. Popcorn. Maybe a piece of bacon. Why not? While their love comes unconditionally, what we really trade is a little piece of ourselves. They accept us as we are. Deeply flawed, and hard to understand. And in return for that piece, they give us everything they have. Trusting us to protect and care for them.

Dogs are a little bit of us, and uniquely their own. They become a part of us. A piece of us and yet a beast that is untamable. They aren't people but they fill all of the gaps in our hearts that people can't. We leave, we come home late, we spend our days at the office, we send them to the vet to board for a week — and yet they are as happy to see us as ever. They sit with us in our quiet moments — while we repeat things to them, asking them questions in a language that they only feign to understand. Do you want to see the boys? Mommy's home. Do you want a treat? Do you want to go for a ride?

You have the photos, videos and key memories of them. What you can never duplicate are the quiet moments between you. You check on your kids, dog asleep at their feet. You come home late at night, he greets you at the door, loud enough to wake the entire house. A yelp, a bark in the middle of the day, as the mail truck passes. The sound of the doggie door. The quiet push of your office door, as he checks to make sure you're still there. The expectation that any time you try to sit down, or take a nap, your stationary legs make an excellent bed.

The decision to say goodbye to our Amos was the toughest decision we’ve had to make as a family. I have doubts. I have the regret that his last days were spent in a vet kennel and not at home. I I tried everything I could to hold on to him. I didn’t want to let him go. I would've done anything in my power to keep him with me — with us. But after these ten years, and everything he gave to us -- I couldn't let him suffer anymore.

In his last days, in addition to not eating and stomach issues, we found out that his heart had grown in size. Not only from our love, but from the beginnings of congenital heart failure. I looked into his little black eyes — cloudy with cataracts as a result of the diabetes. I no longer saw the young, bouncy, lively pup that we had known all these years. I saw eyes that were suffering — tired but could not sleep. His knees were worn from years of compensating on moveable knees caps. Knees sore from chasing the boys, jumping on couches, beds and up and down stairs. My heart, my head and my guts were all screaming that it was time. Please. Can’t I be wrong this time? Just one more time.

Before the doctors came in, he desperately tried to crawl to me, and lay his head against me. His breaths — pained, rapid and shallow. I haven't cried like that in my entire adult life. I held him close in his last moments and told him everything would be ok. That I would miss him and that I loved him.

Scott Van Pelt, in his 2022 tribute to his dog Otis, said this: "Nothing we do could earn what dogs give away to us for free." And: "If this hurt is the cost of the transaction, for being on the receiving of a mighty love that I got to know — I'd pay it again with enormous gratitude.” I couldn’t say it any better than that.

It is with the deepest hurt in my heart that I write this now. I can't begin to quantify in gratitude, and in love what I owe to our sweet Amos. I would gladly pay again and again, with the piece of me I gave, and the pieces now of my broken heart, just to have his head rest against my chest one last time.
If our lives are but a blink in the span of time, a dog's life for us is a blazing, beautiful shooting star. A shooting star where simultaneously a wish is made and a wish is granted. It is one of life’s cruelest truths — that we get to love them, caring for them and them us so deeply but that they live such a seemingly short amount of time.

It bears repeating. Katie couldn’t have been more right — about everything and especially Amos. I've never been more glad to admit that I was wrong.

Amos -- we love you always. The boys miss you. Katie misses you and said you can share her blanket. There’s not a moment that I don’t miss you. Thank you for sharing your brief, but beautiful life with us. I’ll hold on to your memory forever.

Tuesday, June 08, 2021

Health equity?

Demands for "health equity" for racial and ethnic groups is a push for more government control. The CDC reported in 2014 that the 5 top causes of death were diseases primarily of personal behavior, 1) diseases of the heart, 2) cancer, 3) chronic lower respiratory diseases, 4) cerebrovascular diseases (stroke), and 5) unintentional injuries. These are most often a result of obesity, smoking, drinking, drugs, lack of exercise and other risky behavior. HIV rates are still very high among young black men who have sex with men, and CDC says risk factors are poverty, high rates of unemployment, and cultural stigmas. Doesn't mention risky sex. I'm no doctor or researcher, but any poor, unemployed man who doesn't have sex with men will not be at risk for HIV.  The costs of unintentional injuries are huge--motor vehicle, drugs, suicide,  work, falls. The burden on employers and society in general runs in the billions of dollars annually. . . $1,097.9 billion 

Thursday, July 25, 2019

Happy Birthday, Carol

Happy 82nd birthday to my sister Carol who died in 1996 at 58. We still miss you. Photo is 1989 with her daughter and son. Last year we got to meet her great granddaughter who visited us at Lakeside with her grandparents. What a treat. Carol was the only one of my family with any fashion flair, and loved beautiful clothes, bright colors, stylish purses, shoes and jewelry. As an enterprising teen, she sold Avon products, and was one of the "number please" voices back when our home phone was 59-L. Although her primary career was in nursing with a degree from Goshen College, she did own a dress shop in Bradenton, FL, for large size women.
image 
Never a snowflake, after high school graduation in 1955 Carol went into Brethren Volunteer Service and did incredible tasks for one so young, like doing church plant surveys in Denver, helping with clean up after flooding in Pennsylvania, teaching Sunday School and leading worship in Kentucky where she road horseback to services because there were no passable roads, and being a "healthy volunteer patient" aka guinea pig at NIH in Maryland. I wonder if she is one of the results cited in this article.  https://clinicalcenter.nih.gov/about/news/newsletter/2007/oct07/newsletter.html  
She was a survivor of childhood bulbar polio in 1949 and struggled with many health issues, but cared for many as a home health nurse in her last years.

Saturday, November 11, 2017

The Jardiance Commercial



Have you seen the Jardiance Commercial called “Big News?” It’s actually quite engaging and I would give it a prize in the ad world (whatever that is). I’d seen it several times in the morning using my exercycle, and finally looked it up.  It begins with a camera crew of 4 strolling in a park, and the 40-something, fashionably gray interviewer with glasses (Jordan Murphy), asking people questions and showing them the ad on his i-pad (which we then also see as though we are there looking over his shoulder). Everyone he interviews is overweight and dressed in oversized clothing—jeans, sweats, slouch caps, sweaters, just the sort of stuff you wear in a park, or to hide the extra pounds. All seemed to be in the 50-60 age range.  The TV ad staff—young black woman assistant and two young white cameraman and sound assistant-- are not overweight and in their 20s.

The ad (on the i-pad) did not say a word about weight.  But it’s all over the ad.  Subtle.  Well played.

Thursday, March 09, 2017

U.S. spending on diabetes

 

When I saw the figure in "US spending on personal health care and public health, 1996-2013"  JAMA 2016;316(24:2627-2645, I was surprised.  Diabetes was listed as the highest health care spending in 2013 with an estimated $101.4 billion.  If you look at other sources, it is sometimes listed as 6th or 7th.  I've never seen it as number one.

But most articles agree.  For a huge part of the population it is self inflicted and preventable.
Keeping a healthy weight is important. The Diabetes Prevention Program found that weight loss and increased physical activity reduced the chance of prediabetes turning into type 2 diabetes by 58 percent. For people 60 years or older, the reduction was 71 percent. For overweight people, losing five to seven percent of body weight through exercise and healthy eating could prevent the onset of type 2 diabetes. http://www.healthline.com/health/type-2-diabetes/statistics#4

Healthy diet, regular physical activity, maintaining a normal body weight and avoiding tobacco use are ways to prevent or delay the onset of type 2 diabetes.  Diabetes can be treated and its consequences avoided or delayed with diet, physical activity, medication and regular screening and treatment for complications.   World Health Organization fact sheet.


Other key findings from the paper include:   
This article on line is easier to read, provides a summary.
  • Women ages 85 and older spent the most per person in 2013, at more than $31,000 per person. More than half of this spending (58%) occurred in nursing facilities, while 40% was expended on cardiovascular diseases, Alzheimer’s disease, and falls.
  • Men ages 85 and older spent $24,000 per person in 2013, with only 37% on nursing facilities, largely because women live longer and men more often have a spouse at home to provide care.
  • Less than 10% of personal health care spending is on nursing care facilities, and less than 5% of spending is on emergency department care. The conditions leading to the most spending in nursing care facilities are Alzheimer’s and stroke, while the condition leading to the most spending in emergency departments is falls.