Category Archives: Nutrition

American Diabetes Association Publishes New Nutrition Guidelines

Posted on: November 19, 2014

Healthful Eating

By Jill Ashbey-Pejoves

Earlier this year, the American Diabetes Association published new nutrition guidelines for people with diabetes. The ADA reviewed the available research on nutrition in diabetes and found that, when it comes to diet and diabetes, one size does not fit all.

According to the guidelines, the goals of nutrition therapy for adults with diabetes are “to promote and support healthful eating patterns, emphasizing a variety of nutrient dense foods in ap-propriate portion sizes in order to improve overall health.” Here are some highlights of changes to the ADA guidelines:

1. For good health, carbohydrate intake should come from vegetables, fruits, whole grains, legumes and low-fat dairy products, rather than carbohydrate sources containing added fats, sugars or sodium.
2. There is no minimum amount of carbohydrate necessary, the amount of carbohydrate, protein and fat in the diet should be based on the nutritional, metabolic and weight con-siderations of the individual.
3. Sugar (sucrose) consumption should be kept to a minimum in order to allow for more nu-tritious foods.
4. Sugar-sweetened beverages should be avoided all together, and may be replaced with diet beverages if desired.
5. People with diabetes should follow the same recommendations for intake of saturated fat, cholesterol, trans fat, and sodium as the general public:

Saturated fat <10% of total calories
Cholesterol <300mg per day
Avoid trans fat
Sodium <2300mg per day

6. Individuals who are overweight or obese should aim for modest weight loss (greater than or equal to 7% of their starting weight).
7. Nutrition counseling, preferably provided by a Registered Dietitian familiar with the com-ponents of diabetes nutrition therapy, is an important tool to help people with diabetes achieve their treatment goals.

The needs of the individual and the importance of honoring personal tastes and cultural prefer-ences are influential in encouraging people with diabetes to follow a healthful diet and lifestyle.

Try these healthy, delicious recipes:

Mini Crab Cakes with Dill Mayonnaise
Courtesy of Weight Watchers Simply Delicious

Ingredients
1 pound cooked jumbo lump crabmeat
1/4 c. plain dry bread crumbs
1/2 c. reduced-calorie mayonnaise
1/4 c. grated onion
4 tsp Dijon mustard
1 egg white
4 drops hot pepper sauce
1/2 c. cornflake crumbs
1/4 c. sweet pickle relish
2 Tbsp chopped dill
1 Tbsp canola oil

Method
1. Combine the crabmeat, bread crumbs, 1/4 cup of the mayonnaise, onion, 3 teaspoons of mustard, egg white, and hot pepper sauce in a bowl. Form into 14 patties.
2. Place the cornflake crumbs on wax paper. Dredge the patties in the crumbs, transfer to a plate, and refrigerate, covered, for 30 minutes
3. Combine remaining 1/4 cup mayonnaise, relish, dill and mustard in small bowl.
4. Heat oil in a large nonstick skillet. Add the patties a few at a time; cook until crisp and golden, about 3 minutes. Flip and cook 2-3 minutes more. Serve with the mayonnaise mixture.

Calories: 94; Fat: 5g; Sat Fat: 1g; Sodium: 252mg; Carbohydrate: 6g; Protein: 7g

Ginger-Spiced Pumpkin Pie
Courtesy of Diabetes Self-Management Magazine

Ingredients
1 c. finely crushed gingersnap cookies
1/4 c. margarine or butter, melted
2 large egg whites
3/4 c. packed light brown sugar
1 can (15 ounces) solid-pack pumpkin
1 c. canned evaporated skimmed milk
1 tsp vanilla
1 tsp ground ginger
1 tsp ground cinnamon
1/2 tsp salt

Method
1. Combine crushed cookies and margarine/butter in medium bowl; mix well. Press onto bot-tom and up sides of a 9-inch, deep-dish pie plate. Refrigerate 30 minutes.
2. Preheat oven to 350 degrees F. Beat egg whites and brown sugar in large bowl. Add pump-kin, milk, vanilla, cinnamon, ginger and salt; mix well. Pour into crust.
3. Bake 60-70 minutes or until center is set. Transfer pie to wire rack; cool 30 minutes. Serve warm or at room temperature.

Serves 8
Calories: 230, Fat: 7g, Sat Fat: 1g, Sodium: 355mg; Carbohydrate: 38g; Protein: 5g.

Editor’s Note: Jill Ashbey-Pejoves RD, CDE, CDN is a Registered Dietitian at Northern Westchester Hospital.

The Center for Diabetes at Northern Westchester Hospital is dedicated to providing a wide range of services and programs for people with diabetes. In addition to supporting the needs of inpatients, the Center offers a comprehensive outpatient education program that focuses on meeting the individual needs of persons living with diabetes and their families. The Center also sponsors a monthly diabetes support group for adult patients. For more information on any of our Diabetes programs, call 914.666.1861.

The National Diabetes Education Program (NDEP) and its partners want you to know that if you have diabetes, you are at greater risk for heart disease. Lower that risk by managing the diabetes ABCs: the A1C test, Blood Pressure, Cholesterol and Stop Smoking. Learn how to control the ABCs of Diabetes.

 

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Use by date, Sell by date, Food safety

Posted on: November 14, 2014

The Sniff Test

by Amy Rosenfeld

How often do you take something from the refrigerator, smell it, and then promptly turn to the nearest unsuspecting family member and say, “How does this smell to you?” Foods can develop an off odor, flavor or appearance related to bacteria, and while the “sniff test” has become a way of life for most of us, there are certainly safer ways of determining if something in your fridge is still edible? Continue reading

Health Benefits of Yogurt

Posted on: October 24, 2014

Deciphering the Yogurt Aisle: Get cultured!

By Elisa Bremner & Amy Rosenfeld

Yogurt ParfaitIt’s official!  Governor Andrew Cuomo named yogurt New York’s official state snack on October 15.  The Governor expects to raise public awareness of the health benefits of yogurt and economic benefits of supporting local yogurt industry. New York has become the nation’s top yogurt producer (making 741 million pounds of the dairy product last year), and health-conscious New Yorkers are literally eating it up.  Here are some of the great health benefits of consuming (the right kind of) yogurt. Continue reading

Safe Satisfying Seafood

Posted on: September 18, 2014

Savory and Satisfying Seafood

by Kimberly Stein, RD, CDN

There are plenty of fish (and shellfish) in the sea, but sometimes it’s difficult to know which are the best choices. Seafood is a delicious protein source that is rich in omega-3 fatty acids that boost heart and brain health. The current recommendation from the 2010 Dietary Guidelines is to consume seafood about 2 to 3 times per week. A recent hot topic is sustainable seafood. There are many environmental groups that identify which fish are the safest for consumption, and for the environment. The Monterey Bay Aquarium is one of those groups. To make their list, seafood must contain low levels of contaminants (such as mercury), high levels of omega-3 fats, and be sourced from a sustainable fishery.
Here are some simple tips to ensure you are getting safe, fresh, and nutritious seafood! Continue reading

Study Shows Exercise Lowers Risk of Breast Cancer and Recurrence

Posted on: September 4, 2014

Take a Walk and Reduce Your Risk

A recent study found that postmenopausal women, who in the past four years had undertaken regular physical activity equivalent to at least four hours of walking per week, had a lower risk for invasive breast cancer compared with women who exercised less during those four years, according to data published in Cancer Epidemiology, Biomarkers & Prevention, a journal of the American Association for Cancer Research.

At the Breast Institute at Northern Westchester Hospital, we encourage the entire health and wellness of our patients, whether it is prior to diagnosis, all the way through survivorship of breast cancer.

As part of the care we provide, we discuss prevention with our patients, as well as prevention of recurrence of breast cancer.  A sedentary lifestyle can impact a patient’s risk for developing breast cancer, so we encourage all of our patients to add exercise such as walking or bicycling to their regular routines if they are not already doing so.

A combination of exercise and a healthy diet will also help manage weight, another risk factor tied to developing breast cancer.  The following tips could help reduce developing breast cancer, as well as work to prevent developing a recurrence in our survivor population:

•    Regular exercise (walking, bicycling);
•    Weight reduction, if applicable;
•    Stop smoking.

This is good advice for all people, and it certainly applies to lowering one’s risk of developing breast cancer or a recurrence.

It is important that you have access to a full spectrum of experts skilled in the latest advancements in breast health.  Our team of dedicated professionals includes geneticists, radiologists, oncologists, cancer and reconstructive surgeons, integrative medicine practitioners and oncology nurses, each with experience and expertise in restoring women to their best possible health.

Editor’s Note: Dr. Philip Bonanno is Director of The Breast Institute at Northern Westchester Hospital