Category Archives: water

Peanut Butter Blossoms & the tumbler that cured my dehydration

I am ashamed to admit that until 2 weeks ago, I was chronically dehydrated. I would have my coffee in the morning (8 ounces), maybe 16 ounces of water throughout the day (including any water with my lunch), and possibly some water or Crystal Light with dinner (max, 8-10 ounces). On days I workout, I drink more water, but otherwise, I was consuming no more than 35 ounces of fluid a day. Eep! 😦

I attribute a lot of my low fluid intake to giving up diet soda. When I stopped drinking diet soda a year or so ago, I never replaced it with anything…and I had a 2-3 can-a-day habit. Besides, drinking water has never “tasted” good to me. It’s inconvenient to be well-hydrated with the frequent potty breaks, and I would always forget to bring water to work or elsewhere. Most importantly, I never got thirsty. I have no idea why, but I didn’t get thirsty.

The answer to my dehydration was in the form of a plastic tumbler with a straw…a pink straw 🙂 It was cute, I bought it…and I’ve used it. A lot! I happily drink 80+ ounces of water a day now 😀 ! I love that the tumbler is eco-friendly, cheap, practical (it keeps things cold a LONG time!), and super cute, too 😉 I fill it up with ice in the morning (7am) and the ice doesn’t melt until about 1pm. We have a water cooler at work that I’ve been using at least 3x a day, and I refill my tumbler again at least once in the evening, and 2-4 times if I workout.

At 20 ounces per fill, 6 fills gets me to 80 ounce a day, and most days are closer to 100-120 ounces. This may not be a big deal to people who are good water-drinkers, but this is huge for me. I even held off on blogging about my new found love for water and hydration because I wanted to be sure it would last. I am proud to report that I now get thirsty, I feel better, I exercise better, and my bathroom visits are slowly decreasing in frequency!

I purchased one of these tumblers for several people for Christmas and I hope they enjoy it as much as I am. If you’re looking for a last minute gift, or a practical stocking stuffer, I recommend one of these!

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And for the LAST cookie recipe for this Christmas season, a rendition of a peanut butter cookie my Grannie always made. Classic, delicious, and perfect for the peanut butter AND chocolate lover!

Peanut Butter Blossoms as seen on Hezzi-D’s Books and Cooks, adapted from Betty Crocker

¾ cup sugar
¾ cup packed brown sugar
½ cup unsalted butter, softened
½ cup unsweetened applesauce
1 cup creamy peanut butter
1 egg
1 egg white
3 cups all-purpose flour
1 tsp baking soda
1 tsp baking powder
½ tsp salt
¼ cup sugar
~65 Hershey’s Kisses

Directions:

Preheat the oven to 350° F.

In a large bowl cream the butter, peanut butter, and the applesauce. Add in the sugars and mix well. Beat in the egg and egg white until well combined.

In a small bowl mix the flour, baking soda, baking powder, and salt. Slowly add the flour mixture to the peanut butter mixture, stirring until it’s mixed well.

Pour the extra sugar into a shallow dish. Roll the dough into 1 inch balls. Roll in the sugar, place on an ungreased cookie sheet, and flatten slightly.

Bake for 10-12 minutes or until the edges and bottom begins to brown. Take the cookies out of the oven and immediately push a Hershey’s kiss into the center of the cookie. Remove cookies and set on a wire rack to cool. Yield: 4 dozen cookies.

Nutrition Information (per cookie): 101 calories; 5 g. fat; 5 mg. cholesterol; 66 mg. sodium; 12.6 g. carbohydrate; 0.4 g. fiber; 8.1 g. sugar; 1.9 g. protein

Result: These are a classic Christmas cookie (version of) in our house. Always have been, and they really are perfect for the person who loves both peanut butter and chocolate. Plus, they’re really cute 🙂 Who doesn’t love kisses?!

Question: Do you drink enough water? If so, what helps you get in enough water each day? If you don’t drink enough, how can you help ensure you get enough fluids each day?

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Filed under dessert, exercise, recipe, Uncategorized, water

Tis better to give than to receive…

Waffle taste test day #1 went so well! I wanted to take pictures, but obviously HIPPA wouldn’t be down with that. And while the patients loved the waffles (staff, too!)…the waffles were not the highlight of my day.

With the upcoming Thanksgiving holiday we used a turkey giveaway reward to encourage patients to have their albumin and phosphorus labs at goal for October and November and not to miss any dialysis treatments during that time. Eight patients of our 97 at the clinic met the challenge and their names were posted on fliers around the clinic congratulating them.

One of the turkey winners came up to me during the taste test and asked that his turkey be given to a patient who does not always have money for food, much less healthy food. I tried to keep from tearing up and was happy to grant the patient’s wish. A little earlier than most years, the holiday bug bit me right then and there. It truly is better to give than it is to receive.

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Tortilla Soup from An Edible Mosaic

1 Tbsp canola oil
2 medium onions, diced
2 cloves garlic, minced
1 2 jalapeno pepper, seeded and minced
1 1/2 tsp chili powder
1 1/2 3 tsp cumin
1 tsp dried oregano
1/2 tsp crushed red pepper flakes
1 bay leaf
1 chicken bouillon cube
3 oz tomato paste
1 (28 oz) can petit diced tomatoes (with juices)
1 cup corn (frozen is fine)
3-4 cup cooked, shredded chicken or turkey (about 1 1/2 lbs)
1 (15 oz) can black beans, drained and rinsed
3 Tbsp cornstarch mixed with 3 Tbsp cold water (called a cornstarch slurry)
1/2 cup to 1 cup minced fresh cilantro (more or less to taste)
Salt and pepper

Crispy Tortilla Strips:
3 small (about 6-inch) soft corn tortillas, thinly sliced
1 Tbsp canola oil

Directions:

For the soup: In a 5-quart pot with a lid, heat the oil on medium heat; add the onion and sauté until starting to soften (about 5-7 minutes), stirring occasionally.  Add the garlic and jalapeno pepper and cook until fragrant (about 1 minute), stirring constantly.  Add the chili powder, cumin, oregano, red pepper flakes, and bay leaf and cook 30 seconds, stirring constantly.  Add 5 cups water along with the bouillon cube, tomato paste, and diced tomatoes.  Bring the soup up to a boil, then add the corn, cover the pot, and simmer 15 minutes (stirring occasionally).

Preheat the oven to 425° F.  Toss the tortilla strips with the oil, arrange them in a single layer on a baking sheet and bake until golden (about 5-7 minutes), giving them a stir every couple minutes so they don’t burn.

To the soup, add the cooked chicken or turkey and the beans and cook 3 minutes.  Add the cornstarch slurry, bring it up to a boil, and let it boil for 2 minutes.  Turn off the heat, add the cilantro, and season with salt and pepper.  Serve garnished with toppings of your choice (lime, scallions, Greek yogurt, tortilla chips, cheese, avocado, etc.). Serves 8.

Nutrition Information (per serving): 272 calories; 5.3 g. fat; 41 mg. cholesterol; 377 mg. sodium; 36.6 g. carbohydrate; 5.9 g. fiber; 26.4 g. protein

Result: Simple and delicious…and super duper healthy! The ingredient list looks long, but it’s all ingredients most cooks have on hand. The only change I would make would be using low-sodium chicken broth in place of the 5 cups of water + 1 bouillon cube. The sodium content is nice and low, but I think a bit more flavor would help the base of the soup. Another jalapeno, too…we like spicy! I did add a bit more cumin…I just couldn’t stop at 1 1/2 teaspoons, cumin is a favorite spice of mine and it’s hard to use too much. Enjoy! 😀

Question: Do you like pecan pie? Or do you prefer pumpkin?

I am a pecan pie girl, which Cooking Light reminded me is one of the least healthy holiday pie selections. Oh well, Thanksgiving only comes once a year!

Tis the season,

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Filed under carb-controlled, challenge, Cooking Light, dialysis & kidney disease, dinner, fiber, fruits and vegetables, garlic, healthy cooking, herbs, holiday, low-carb, recipe, sodium, Uncategorized, water, work

motivated by money

I talked a little bit about what I’ll be doing as a renal dietitian, but I didn’t mention that I am responsible for improving very poor lab values in my patients. In dialysis, dietitians most closely monitor albumin, potassium, phosphorus, calcium, and parathyroid hormone (PTH). And most importantly, low albumin levels correlate with increased risk of mortality and morbidity. Not good. I walked into a rather bleak situation and it’s 100% on me to turn this around. Pressssure!!

Because everyone loves “free” money and winning, I created a little competition for our patients. Every month, after labs are drawn, patients can earn chances to win Kroger gift cards that they can use on medications, food, or gas. Patients get 1 entry for every criteria they meet: albumin within range, potassium within range, phosphorus within range, and NO missed treatments. If they are able to meet all 4 criteria, they get 2 extra entries.

And in order to increase long-term compliance with medications and diet, this competition will be on going each month, with 4 winners each month. I hope it works! Or at least helps 🙂

I’ve also requested the clinic to purchase protein supplements for our patients who need the added nutrition. Most of the malnourished patients find protein supplements to either be too expensive or not palatable. And because of strict potassium, phosphorus, and fluid restrictions, not just any protein supplement is appropriate. After doing some research and speaking with drug reps, I chose LiquaCel for my patients. This is a product previously unfamiliar to me, but it is gaining popularity quickly among the protein malnourished populations. After tasting samples I can confirm that this stuff is DELICIOUS! And just 1 ounce provides 16 grams of protein — perfect!

Quesiton: What’s the last challenging situation you were in at school, work, or otherwise? Do you like to be challenged or does it push you out of your comfort zone?

I have to admit, I’m a bit out of my comfort zone on this one. Especially since I have to stand before a committee next Wednesday and give evidence as to what steps I’m taking in order to remedy our patient’s poor nutrition statuses. 😦

Or on a lighter note…anything fun planned for the weekend?? 😀

I am meeting Gina tonight for dinner and drinks! We got together back in June, and I’ve been anxious to hangout again! And now that we’re in Columbus for good, that will be much more doable 😉 We both have new jobs and I’m sure we’ll gab on and on about dietetics…especially since we’re leaving the guys at home! 😉

TGIF,

23 Comments

Filed under dialysis & kidney disease, dietitians, dining out, friends, protein, supplements, volumetrics, water, work

My New Job: End Stage Renal Disease

My new job is in renal dietetics and I will be working as a dietitian in dialysis facilities caring for those with End Stage Renal (Kidney) Disease (ESRD). Chronic Kidney Disease (CKD) is the declining function of the kidneys and affects more than 26 million Americans, or 1 out of ever 9 adults. As kidney function declines, CKD progresses and when the kidneys perform at about 10% capacity, a patients is considered to have ESRD, which requires transplantation or dialysis to stay alive.

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What is dialysis?

There are two types of dialysis: hemodialysis and peritoneal dialysis. I will be working in hemodialysis and will expand on that type, but you can read all about peritoneal dialysis. Hemodialysis is traditionally performed in a dialysis clinic where patients come 3x a week (either Monday, Wednesday, Friday or Tuesday, Thursday, Saturday) and are dialyzied (blood filtered) for 3-4 hours through an access site, typically on their arm.

What do the kidneys do?

The kidneys perform a lot of vital functions of the body including filtering the blood to remove waste (e.g. urine) and the release of hormones which regulate blood pressure and bone health. When the kidneys lose filtering capacity, vitamins and minerals build-up in the blood at toxic levels. Micronutrients such as potassium, sodium, phosphorous, and calcium can cause fatalities in renal patients if not controlled in the diet. The diet is hugely important to follow for renal patients.

Why do the kidneys fail?

Chronic uncontrolled blood pressure, chronic uncontrolled diabetes, glomerular disease, and other complications such as polycystic kidney disease, drug abuse (prescription and illicit), poisons, and trauma. The rate of ESRD is increasing due to the increase of obesity and associated co-morbidities such as diabetes and hypertension.

What diet do dialysis patients have to follow?

Foods that are commonly omitted or limited from the renal diet include: beans, peanut butter, nuts, many cereals and grains, all dairy products, colas, processed meats, orange juice, oranges, bananas, tomatoes, tomato products, kiwi, pears, melon, dried fruits, potatoes, squash, avocado, mushrooms, pumpkin, chocolate, and WATER and all other fluids.

However, the renal diet is highly personalized to a patient’s needs based on their labs and may be changed on a frequent basis.

Renal diets need to be very high in protein — about 95 grams (for a 150 pound adult) or 140 grams (for a 220 pound adult). And because processed meats, beans, and nuts are discouraged in the renal population, fresh meat and eggs are the only sources of high biological value protein (HBV). A renal patient requires significant amounts of protein due to protein loss during dialysis, as well as a decline in the body’s ability to make amino acids (protein in the body) due to CKD.

What if a patient doesn’t eat enough protein?

Albumin is a protein made by the liver. This lab value has the strongest correlation to morbidity (illness) and mortality (death) in the renal population. In addition to drug therapies, the diet is the best way to elevate albumin levels.

This is a perfect example of why I support all food groups. A vegetarian/vegan would not fare well on dialysis based on their food preferences. Simply, there are NO methods available to achieve neither adequate intake, nor intake from high biological value proteins.

I hope this gives an idea of what my new job entails. Today I meet the entire patient care team: nephrologist, charge nurse, social worker, and me, the dietitian. We have rounds starting…soon! Better jet! 😀

But first a quick Lily picture. On our way to the dog park yesterday…

Question: Knowing what a renal diet aims to limit or eliminate, what would you have the most trouble omitting?

I think limiting fluids, tomato products, and bananas would be the hardest for me!

P.S. I am a writer for the Examiner in Columbus! I cover cooking! It’s been a slow start simply because I haven’t had time or Internet, but I look to put out a lot more articles soon! 😀

Happy Monday,

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Filed under chronic disease, diabetes, diet, dietitians, Examiner, fruits and vegetables, hormones, hypertension, meat consumption, obesity epidemic, physicians, protein, sodium, vegan, water, work

Are you a germaphobe?

I didn’t think I was a germaphobe until yesterday.

I was playing hockey yesterday morning and I look next to me on the bench and see a teammate pick-up my water bottle (the one pictures above with “Girls” and a female hockey player on it…) and squeeze water into his mouth. And then he closed the lid of my water bottle with his teeth. I didn’t say anything (besides…awkward!). It was the 3rd period with 7 minutes to go…I could make it without water.

I go out, skate a shift, and return to the bench. Another fellow teammate picks up my water bottle and squeezes water into his mouth. Hm. Gross. Not that that water bottle wasn’t going into the dishwasher anyways, but c’mon people! MY WATER BOTTLE. And um, for how many MONTHS now have people been helping themselves (and their teeth) to MY water bottle!? No wonder I had a cold ALL of last week!!! It’s not that I’m not a good sharer, because I am (and because sharing is caring, right?). Maybe it’s because I witness on a weekly basis these men spitting loogies and snot-rocketing green deposits onto the ground of the rink and onto the ice…and smell their stench of never washed nor left-out-to-dry equipment. Hockey is a not a pleasant-smelling, cleanly sport….but at least I air my equipment out between games?

…And I don’t use other people’s water bottles. ESPECIALLY WITH MY TEETH. Or without asking.

“How rude!” -Michelle Tanner

Regardless of my germ freak out, it was a fun day of hockey. 🙂

And I came home from hockey game #2 to prepare a meal I was very excited about…Coconut Almond Crusted Tilapia, Coconut Lime Rice, and Grilled Pineapple Rings. SOOOO GOOD!

Coconut Almond Crusted Tilapia from Family Fresh Cooking

1 lb of tilapia filets
1/4 cup unsalted almonds
1/4 cup unsweetened dried coconut flake
pinch of salt & pepper
spray olive oil
fresh or dried Italian parsley
garlic salt, to taste

Directions:

Pre-heat oven to 375˚F

Line a baking sheet. Combine almonds, coconut and salt & pepper. Pulse in food processor until well combined. It should be the texture of breadcrumbs. Lay tilapia on baking sheet. Sprinkle with garlic salt. Sprinkle nut/coconut mixture on top of each filet. Spray tops of each filet with olive oil.

Bake for about 20 minutes, until top is lightly browned and tilapia is cooked through & flakey. Yield: 4 4-ounce portions.

Nutrition Information (per serving): 175 calories; 8 g. fat; 0 mg. cholesterol; 430 mg. sodium; 2.5 g. carbohydrate; 2.8 g. fiber; 25 g. protein

Result: What a fun way to eat tilapia! The almond taste is more distinct than the coconut, but the combination is delightful! I loved the fish, and especially loved how easy it was! 🙂 Thanks, Marla!

Coconut Lime Rice from Southern Living

1 cup light coconut milk
1/2 tsp salt
1 1/2 cups uncooked jasmine rice
1 tsp lime zest
1 1/2 Tbsp fresh lime juice

Directions:

Bring coconut milk, salt, and 2 cups water to a boil in a saucepan over medium heat. Stir in rice; cover, reduce heat to low, and simmer, stirring occasionally, 20 to 25 minutes or until liquid is absorbed and rice is tender. Stir in lime zest and juice. Yield: 6 servings.

Nutrition Information (per serving): 104 calories; 2 g. fat; 0 mg. cholesterol; 204 mg. sodium; 19.8 g. carbohydrate; 0.3 g. fiber; 2 g. protein

Result: What a fun side dish to pair with Coconut Almond Crusted Tilapia, no? 😉 This was a subtly sweet coconut-lime rice that would pair well with just about anything. And again, very easy to make! Yum!!

Question: Are you a germaphobe? What food or beverage sharing are you not okay with?

Request: If you have a Q&A question, please send it to me at PreventionRD@gmail.com. It’s been a while, but if you have a question, I will get you an answer!

Lily and I are flying solo this week as Mr. Prevention is in Ohio for work. Wish me luck…being a single mommy is hard work 😉 But at least I got to eat my coconutty meal without a complaining coconut-hating husband! 😉

P.S. Faith is giving away a bunch of neat bamboo loot! Check it out!

Have a wonderful week,

41 Comments

Filed under dinner, exercise, healthy cooking, hockey, physical activity, recipe, Uncategorized, water

Best recipe ever. Literally!

So I experienced time standing still. I made muffins (but not just any muffins), put them in the oven for 10 minutes, and BAM! The world stopped rotating on its axis. Thankfully, after a near eternity of sitting on my kitchen floor staring into the oven window while drooling…the buzzer finally went off.

Slightly dramatic, but not a far stretch from my morning’s reality.

You see, I saw said muffins on Jessica’s blog yesterday and immediately sent the recipe to myself like I do with so many bloggie recipes each day. Because I’m worthless at the end of my work week and it takes everything in my power to keep my eyelids open on my 32-mile trek home, I knew I had no intention of swinging by the grocery store yesterday. But then this morning, lightening, thunder, rain and all, there I was jet skiing out to the grocery store for figs and buttermilk in order to make said muffins.

P.S. You can ask anyone who knows me — I hate rain. Not like oh-I-wish-I-hadn’t-just-stepped-in-that-puddle-oh-well hate, but rather I’m-not-leaving the-house-if-its-drizzling hate. But there I was, hoodie hood up and sweatpants rolled, running from the grocery store with my muffin makings in hand.

Once home, I whipped those babies up! And then the waiting game I already whined about began.

Ends up, I can’t follow directions. I forgot to add the olive oil. HOWEVER, the muffins were still THE BEST THING I’VE EVER MADE! Literally. No lie.

Immediately after savoring one and talking myself out of eating the remaining 11 at that very second, I let Jessica know that I loved them. I love when people love the recipes I love, so I sent a little love her way (I just used the word “love” 4 times in one sentence, ha!). And then I sat down to write this dramatic post simply because you truly NEED to know that these are a MUST MAKE! Not a “yumm, I need to make those muffins!” comment…but ACTION! ASAP! You’ll thank me later for my persistence in this matter, I assure you.

[looks can be deceiving..don’t judge a recipe on my photo!]

Goat Cheese and Honey-Stuffed Fig Muffins slightly adapted from How Sweet It Is

3/4 cup (6 ounces) soft goat cheese
2 tablespoons honey
1 teaspoon freshly grated lemon zest
1/4 teaspoon cinnamon
1 1/4 teaspoons vanilla extract, divided
2 cups whole-wheat pastry flour
1 1/2 teaspoons baking powder
1/2 teaspoon baking soda
1/4 teaspoon salt
2 large eggs
1 large egg white
3/4 cup light brown sugar
1 cup low-fat buttermilk
1/3 cup extra-virgin olive oil (I omitted…on accident)
1 1/4 cups chopped dried figs
3 2 tablespoons turbinado sugar

Directions:

Preheat oven to 425º F.

Combine goat cheese, honey, 1/4 teaspoon vanilla, and and lemon zest until thoroughly mixed.

Combine dry ingredients in one bowl. In a separate bowl, whisk eggs, then add brown sugar and vanilla. Stir in buttermilk.

Add wet ingredients to dry. Don’t over mix. Fold in figs.

Grease muffin tins or use liners. Fill each muffin tin halfway. Top with a teaspoon of the goat cheese mixture. Add more batter on top. Sprinkle with sugar.

Bake for 10-12 minutes, or until golden brown. Yield: 12 large muffins

Nutrition Information (per muffin): 234 calories; 4.5 g. fat; 47 mg. cholesterol; 155 mg. sodium; 43.3 g. carbohydrate; 3.7 g. fiber; 5.1 g. protein

And then I realized that in my Tootsie Roll Lady post, I forgot to ask for good luck vibes on my 1/2 marathon tomorrow morning!!!! That is, if it’s not rained out. 😦 *fingers crossed* For all 2 of you who probably watch the news (I certainly don’t), the Tulsa area has been getting pummeled with tornados and insane thunderstorms. I don’t know that I’ll ever enjoy the spring in tornado alley! But for now, just hoping the race is on for tomorrow! 😀

Question: Do you like goat cheese? What’s your favorite variety of cheese?

Lots of Goat Cheese and Honey-Stuffed Fig Muffin love,


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Filed under blog, breakfast, grocery store, racing, recipe, Uncategorized, water

Q&A + garden + renal failure

Gooooooooood morning, Friday!

I have a 7am hair appointment (weird time, I agree) and then I’m off to Houston to see my BFF for the weekend! I’m really excited! I don’t know that we have anything in particular planned other than a day trip to Galvelston. I will bring my beloved laptop and try to check in at some point!! But if you don’t hear from me, I’m enjoying the Houston sun! 😀

But not before a Q&A…!

Heather of Get Healthy with Heather: I used to have big issues with lactose but now it seems to only happen with non fat dairy products. Do you know why that could be?

Prevention RD: Okay, I’m making a deduction here. RD’s chime in if you have any ideas on this! When fat is taken out of products – sugar is put in. For example, whole milk has less “sugar” (carbohydrate) than fat-free milk. This sugar is in the form of lactose in dairy products. All products are going to vary based on the brand, so start checking out the carbohydrate content on your whole fat versus low-fat versus fat-free dairy products. I’ll bet this is the issue! While only a small change, chances are your body has its “happy zone” for lactose tolerance. GREAT question…got me thinkin’! 😉

Bridget: I just discovered your site recently, and I have a topic request: my husband (who had not had a physical for nearly 10 years) and I got back our annual physical results today. It turns out that he has a shockingly high triglycerides count: 574! Our doctor is going to start him on nicotinic acid medication to get his triglycerides down, since she says that it could cause pancreas damage at its current level. She wants to check his blood again in 6 weeks. Obviously I don’t want him to be on medication forever, so I am going to research what we can do from a dietary standpoint. She says to decrease sugar intake in his diet–do you have any other info on what might help him?

Prevention RD: So glad you found me! While 574 is a high value and he does risk pancreatitis with such high levels, I have seen much worse! Like…5,000+!! Crazy, huh? More like scary, really. Triglycerides are largely influenced by the diet because the value represents the lipid (fat) found in the blood. Weight loss, lower calorie intake, limited alcohol intake, and reduced carbohydrate (simple carbohydrates – i.e. sugar, white flour, sodas, juices, sweets, etc.) intake help lower triglycerides. A low saturated and trans fat diet should be implemented and healthy fats (mono and polyunsaturated fats) should be increased (e.g. nuts, seeds, natural nut butters, avocados, canola oil, olive oil, etc.). Additionally, I recommend 3,000 milligrams of omega-3/fish oil supplementation a day. Omega 3’s work beautifully to lower triglycerides. Good luck to your hubby! Great question!

Kenya: Does water maintain its health benefits if I add one of those sugar free sweeteners like Crystal Light or does it really just become more like a ‘kool-aid’ type of drink?

Prevention RD: I am not opposed to these beverages because they encourage calorie-free, caffeine-free beverage choices. Is it preferred to water? Nah (because of the artificial sweeteners and preservatives). But I think it’s WAY better to consume those products to help stay properly hydrated versus not consuming enough liquids each day. I think a good rule of thumb is to have at least half of your water needs each day coming from water and the rest from caffeine-free, calorie-free beverages (i.e. flavored waters, Crystal Light, Fit and Active, etc.), if needed. Good question!!

John of Challenges 2010: I came across something where it’s said green tea can block testosterone and that black tea would be better for males. What do you think?

Prevention RD: I checked with the ADA, MayoClinic, and WebMD which report nothing of the like. I’ve never heard of this before so I also ran it past our medical providers. None of them batted an eye in recognition of this as an issue. A Google search turned up nothing but body building and supplement sites. Sketch! I’m going to suggest an “everything in moderation” approach. 🙂

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GARDEN UPDATE!!!

I have some growth!!! 4 days later and we’re in gardening business!!! 😀

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Today’s NNM Topic: Renal Failure

Today’s topic is renal failure because so much of the renal failure in the US is secondary to uncontrolled diabetes, yesterday’s topic. Elevated blood glucose can cause scarring to the delicate and intricate renal nephrons which comprise the kidneys. During the beginning stages of renal failure, protein, sodium, potassium, and phosphorus may be limited to help preserve kidney function. These electrolytes are closely monitored to ensure proper fluid and pH balance, among other things.

According to the National Kidney Foundation, 30% of type 1 diabetics and 10-40% of type 2 diabetics develop kidney disease. Once the kidneys fail transplant or dialysis are required to live. When the kidneys can no longer clean the blood of waste and fluid, dialysis must be initiated. Dialysis sessions typically last 3-4 hours and must be completed several times a week.

Kidney failure due to uncontrolled diabetes is a very scary reality.

Question: Where was the last vacation or getaway you took? Any fun weekend plans?

Enjoy the weekend!!

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Filed under artificial sweeteners, aspartame, blog topic request, blood glucose, diabetes, diet, dietitians, doctors, fish oil/omega-3's, friends, garden, minerals, MUFAs and PUFAs, physicians, protein, saturated fat, sodium, sugar substitutes, supplements, trans fat, travel, vitamins, water, weight loss, work