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Blood Sugar Control in Diabetes Getting Worse: Study – WebMD

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June 9, 2021 — Fewer adults with diabetes in the United States have well-controlled blood sugar or blood pressure now compared with 10 years ago, a trend that should be a “wake-up call,” say the authors of a new study published today in the New England Journal of Medicine
The researchers analyzed data from five large health and nutrition surveys of Americans in the past 20 years, called National Health and Nutrition Examination Surveys.
They aimed to find how many people with diabetes met the three recommended ABCs of good diabetes control:
From 1999 to 2010, diabetes control was improving, but since then progress has stalled.
In the most recent survey, done from 2015 to 2018, only 22% of people with diabetes had all three measures under good control.
“These trends are a wake-up call,” said the study’s lead author, Michael Fang, PhD, of the Johns Hopkins Bloomberg School of Public Health in Baltimore.
“They mean that millions of Americans with diabetes are at higher risk for major complications,” he said in a statement from the university.
Complications of poorly controlled diabetes include foot amputation, kidney disease, and heart attack.
The findings are “concerning,” agreed senior study author Elizabeth Selvin, PhD, a professor in the Bloomberg School’s Department of Epidemiology.
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“There has been a real decline in glycemic control from a decade ago, and overall, only a small proportion of people with diabetes are simultaneously meeting the key goals of glycemic control, blood pressure control, and control of high cholesterol,” she summarized.
Selvin suggests that two large clinical trials published in 2008 may partly explain these disturbing new trends.
The trials found that treating patients with diabetes medicines to reach very low blood sugar targets did not lower the risk of outcomes such as heart attacks and strokes.
And some people receiving this intensive treatment were more likely to develop dangerously low blood sugar levels (hypoglycemia).
“As a result of these trials, what we may be seeing is that doctors of people with diabetes may have backed off a bit on glycemic control, with potentially damaging results,” Selvin speculated.
However, many new, safer diabetes drugs have become available since those trials, she noted, although cost is still an issue.
The researchers analyzed data from 6,653 adults with diabetes who took part in national health surveys done from 1999-2002, 2003-2006, 2007-2010, 2011-2014, and 2015 -2018.
The percentage of people with good blood sugar control increased from 44% in the first survey to 57% in the 2007-2010 survey and then dropped to 51% by the final survey.
Importantly, the proportion of people with good control of all three measures of diabetes care rose from 9% in the first survey to 25% in survey three but then slipped to 22% in the final survey.
My son’s annual diabetes review was excellent. Average blood sugar was in the non-diabetic range which means he has great blood sugar control 👏🏻 proud of my baby
The use of other newer second-line medicines for blood sugar control (generally given after trying metformin, the first-line treatment for type 2 diabetes) has increased but is still low, the researchers note.
Many of these newer diabetes drugs will become generic and more affordable over the next several years, they expect, which might help stop this trend of worsening diabetes control.
In the meantime, they say, doctors should prescribe more of the drugs that guidelines recommend be used first to treat high levels of blood sugar, blood pressure, and bad cholesterol.
Only 56% to 60% of the patients with diabetes surveyed were receiving metformin, ACE inhibitors, or angiotensin receptor blockers (ARBs) for high blood pressure, or statins for high cholesterol.
New England Journal of Medicine: “Trends in Diabetes Treatment and Control
in U.S. Adults, 1999–2018.”
Michael Fang, PhD, postdoctoral fellow, Johns Hopkins Bloomberg School of Public Health, Baltimore.
Elizabeth Selvin, PhD, professor, Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health.
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WebMD does not provide medical advice, diagnosis or treatment.
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What Is Kefir? Types, Nutrition Facts, Health Benefits, Recipe – Everyday Health

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Sick of Greek yogurt? Then it’s time to give kefir a shot. The superfood (slash super drink) is a cross between yogurt and milk in terms of thickness. And just like its dairy-aisle relatives, it’s an excellent source of calcium.
But kefir has even more going for it. It’s a fermented beverage, which means it’s loaded with good-for-your-gut probiotics.
Here, learn more about kefir, its history, how it became a trendy item, and the health benefits it may offer.
Kefir is a fermented milk drink that can be made from any type of milk — goat, cow, coconut, rice, soy, sheep, you name it. It’s traditionally made by culturing milk with kefir grains, which are a mixture of bacteria and yeasts. (1) You’ll find kefir in the dairy aisle, likely near the yogurt, or maybe in the refrigerated portion of the natural foods section. In fact, it’s pretty similar to yogurt, but it’s not quite as thick. Think of kefir as a drinkable yogurt with a tangy, slightly acidic flavor.
You may have heard of kefir for the first time in recent years, but it’s not new. Kefir originated thousands of years ago in the Caucasus Mountains in Russia, and it has a long history in Eastern European countries. The word “kefir” comes from a Turkish word that means “good feeling.” (1,2) Kefir grains also have a history in Muslim culture and were considered gifts from Allah.
Kefir has become increasingly popular as researchers have studied the health benefits of the drink. It’s loaded with probiotics (and can have more than 50 different types!), which have been a buzzword in the nutrition world in recent years. (1,3)
Probiotics are bacteria that are added to existing bacteria in the gut. Oftentimes, kefir is enriched with vitamins and minerals that up its healthy quotient. (1) And good news if you’re lactose intolerant: A small study found that kefir improved the way people with lactose issues tolerated and digested lactose. In fact, because it’s fermented, kefir itself is about 99 percent lactose-free. (The good bacteria eat up the lactose, which is milk sugar.) So don’t consider it off-limits just because it’s considered a dairy product. (1)
The nutrition found in kefir can change based on the milk used to create it and if there are flavors added to it. Fat-free or low-fat kefir are the best options for boosting your health, as per the U.S. Department of Agriculture's MyPlate guidelines.
Here is the nutritional info for 1 cup of low-fat cow’s milk kefir with no added sugar, for example: (4)
Calcium is important for so much more than just bone health. Get a primer on the various health benefits of this essential nutrient — and find out whether it’s possible to get too much!
Kefir offers a number of possible health benefits.
Kefir grains, which are needed to make traditional versions of kefir, aren’t the type of grain you’re thinking of if wheat or oats have come to mind. Rather, kefir grains are a white or yellowish jellylike substance that looks like cauliflower or cottage cheese. They range in size from 0.3 to 3 centimeters in diameter, and they contain bacteria, yeast, milk proteins, and complex sugar. (2) The grains join with milk and ferment the milk to create kefir. (11,14)
There are many different versions of kefir. (11) There’s nonfat, low-fat, and full-fat kefir, as well as some varieties made from nondairy milk. You’ll also find flavored types of kefir, such as strawberry or chocolate.
You might hear kefir referred to as kefir milk or kefir yogurt, but kefir is neither milk nor yogurt — it’s somewhere in between.
There is, however, a beverage called water kefir. Like regular kefir, it starts with kefir grains (or a water kefir starter kit). But instead of milk, it’s mixed with water, sugar, and usually some type of flavoring.
Bacteria have a bad rap. Bacteria are actually crucial to keeping the body working the way it’s supposed to. There are many, many strains of good bacteria that occur naturally within the gut and make up the body’s microbiome. These bacteria help the body do things like digest food and produce vitamins. (15)
Not all strains of bacteria are good, though. The state of your gut health could change quickly, maybe even over the course of a day, mostly based on what you’re eating. Taking in probiotics from outside food sources can help keep the gut balanced. Oftentimes, the probiotics you find in probiotic-rich foods are the same good ones that already exist in the body.
The general idea is that probiotics help keep the gut bacteria happy by pushing out or minimizing the effect of bad bacteria and returning the intestines to a healthy place if things get out of balance. (15)
There’s a difference between yogurt and kefir in terms of consistency, but you can use the two in similar ways, such as in smoothies or mixed with fruit. They have very similar nutritional profiles, too, and pack a similar number of calories. Kefir beats out yogurt when it comes to probiotics, however. (16)
There are other ways to source probiotics through food, such as by eating sauerkraut, kimchi, kombucha, and miso. Kefir is generally considered one of the greatest source of probiotics, but it’s hard to say which one is best for you since taste and your body’s reaction should be considered. After all, the probiotics won’t do you much good if you find the food too hard to stomach!
While whole foods are a great source of probiotics, you can also promote good gut bacteria by reaching for probiotic pills and capsules. Here are five options to consider!
All in all, kefir seems to be a trendy superfood that’s worthy of the hype. It’s considered safe and healthy enough to consume every day.
There are some things to be cautious about, though. First, the calorie count can differ depending on the type of milk used, so keep that in mind if weight loss is a goal of yours. One cup of kefir made with fat-free milk may have slightly over 100 calories, while kefir made with whole milk could reach 200 calories. The whole-milk versions also contain higher amounts of saturated fat, which you should be careful not to get too much of, especially if you’re keeping an eye on your cholesterol or heart health. One serving of whole-milk kefir has 5 g of saturated fat, which is 25 percent of the maximum an average healthy person should take in in a day. (18)
Take a peek at the added sugars when you’re in the dairy aisle choosing which brand or variety of kefir is best. You’ll probably notice that the flavored varieties have significantly more added sugars, usually about 8 g of added sugars per serving. The best choice is a plain variety of kefir or one with a label that indicates there's no added sugar. Note that even plain kefir will contain some sugar from the naturally occurring lactose in milk.
Some people report experiencing some negative digestive side effects, such as gas, after drinking kefir. (15) These side effects will likely go away over time as your body gets used to it.
People with weakened immune systems, such as someone who has an autoimmune disease or has recently had surgery, should consult a doctor before loading up on probiotics because it’s possible that the probiotics will increase the risk of infection. (15)
Before choosing which kefir option is best for you, be sure to check the amount of added sugar. Some brands sneakily pack it in. And look for the words “live active cultures” or “live cultures” on the label, which refer to the probiotics in the product. To maintain freshness, always store kefir in your refrigerator.
You can also make kefir yourself. To get started, you’ll need to purchase a kefir grain starter kit, which you can buy once and then reuse forever. Like kefir you’d find at the store, kefir grains should also be kept in a cool, refrigerated environment.
Plenty of blogs and YouTube videos can guide you through the process of making kefir at home.
Here are the usual steps: (18)
You can reuse the kefir grains, which will expand by about 5 to 7 percent each time you make kefir. (2) Store the grains in the refrigerator or freezer until you’re ready to make your next drink. (2)
Because kefir is a perishable product, most of the Amazon best sellers are starter kits for kefir grains.
Here are the top five most popular products:
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Replacing butter or full-fat dairy with olive oil associated with reduced risk of death of many common diseases, according to new study.
New federal regulations concerning ‘bioengineered food’ are sparking confusion. Here’s what to know before you go grocery shopping.
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For the best shot at bettering your eating habits or managing a condition, turn to the real experts.
You don’t need booze to celebrate. Try one of these healthier — but still festive — alternatives.
Experts share their best advice for using mindfulness to build a healthier relationship with food this season.
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Healthy Snacking free-to-attend webinar – BakeryAndSnacks.com

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Related tags: webinar, healthy snacking, European Snacks Association, FMCG Gurus, Plamil Foods, better for you, functional claims
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Conscious snacking means meeting nutritional needs; adding functional benefits like increasing energy, controlling appetite and getting fortification from fibre, protein, vitamins, minerals and probiotics; but still providing guilt-free pleasure and indulgence. Can snacks really meet that criteria?
Moderated by BakeryandSnacks’ editor Gill Hyslop, the panellists include:
For 60 minutes on 5 October 2021, the panellists will delve into what they understand about the consumer’s heightened focus on better-for-you snacking and the impact this is having on products long perceived to be high in fat, sugar and salt.
What’s more, the webinar will explore the many technical challenges and whether it’s possible to reformulate treats to make them healthier, while keeping the ingredients list as simple as possible.


Attendees will also be able to put their burning questions to the panel by submitting them upon registration.
Register here for this free event,​ which is sponsored by ASR Group, Batory Foods, Cargill and Sweegen.
This is one not to be missed and take places on Tuesday, 5 October at 3pm GMT/4pm CET/9am CT. If you can’t make the live event, register anyway. The webinar will be made available to registrants after the broadcast date as an on-demand presentation.
Copyright – Unless otherwise stated all contents of this web site are © 2022 – William Reed Business Media Ltd – All Rights Reserved – Full details for the use of materials on this site can be found in the Terms & Conditions
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Botanical Farms CBD Gummies Reviews (Updated 2022) – Shocking Scam Risk, Fake Side Effects, Dragons Den & Buy US – Detroit Metro Times

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January 17, 2022 » Paid Content
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