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 FailureToday’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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