Central Florida Health News November 2022

tude of excited Jollibee patrons waiting to get their hands on their Jollibee favorites, but also first-timers waiting to have their own Jollibee experience," said Jose Miñana, Jollibee Foods Corporation's Group President for North America. "There's no greater joy for us than serving the needs and tastes of Jollibee fans in the community. At Jollibee, we aim to bring families together for happy moments over great tasting food with superior value, served with warm and friendly service –our own brand of joy." The brand has become a symbol of nostalgia and warm childhood memories for many overseas Filipinos in the U.S. To many, Jollibee is the go-to restaurant of Filipinos for both special

volume 12 | issue 8 | november 2022 FREE — TAKE ONE!

ENDORSED PUBLICATION OF THE POLK COUNTY MEDICAL ASSOCIATION

get to try Jollibee's signature menu items such as the world famous Chickenjoy. This dish is delicately breaded to be crispylicious on the outside and juicylicious inside. The well-loved Jolly Spaghetti is a favorite of both kids and kids-at-heart because of its signature sweetstyle sauce, loaded with chunky slices of savory ham, ground meat, and hotdog. Other classic menufavorites include the juicy and cheesy Jolly Hotdog, and the Peach Mango Pie, which is made with real Philippine sweet mangoes and a flaky golden brown crust.

largest Asian restaurant company, is now open in Jacksonville. This is the 36th store in the US, as well as the first in the state and Southeast US. It opened to the public on March 18, 2017. Jacksonville is the most populous city in the Sunshine State, as well as home to the largest FilipinoAmerican community in Florida. The longawaited arrival of Jollibee in the city has

See JOLLIBEE

Meet Your Providers…

K.S. Chandrasekhar, MD,

FCC

…established his clinic over 20 years ago. He is well known in the community and trusted for his accurate diagnosis and compassionate care.

• Board certified in Cardiovascular Disease and Internal Medicine

• Executive Director the Heart Function Clinic, Low Risk Chest Pain Center and the Cardiac Rehabilitation Program for BayCare Winter Haven Hospital

• President of Medical Staff for BayCare Winter Haven Hospital

• Chairman of Cardiology for Lake Wales Medical Center

• Clinical Associate Professor, FSU College of Medicine

Ritu Aparajita, MD, RPVI

A Vascular and Endovascular Surgeon who earned her MBBS at University of Delhi, India. She then completed a research fellowship at Columbia University Medical Center and a residency in general surgery at Staten Island University Hospital in New York, she completed her fellowship training in Vascular Surgery at Newark Beth Israel Medical Center and St. Barnabas Medical Center in New Jersey. She’s co-authored more than two dozen journal articles. She was recently nominated for the American Medical Association Inspiration Award that recognizes physicians who have contributed to the achievements of women in the medical profession.

Roan Cadavona, ARNP, FNP-C

…brings a high level of education and experience in Cardiac Catheterization, Electrophysiology and working in the Cardiovascular Progressive Care unit. He serves a vital role in providing patients with optimal cardiovascular care through counselling and screening, as well as disease prevention and management strategies.

• Board certified Family Nurse Practitioner

• Member of Staff for BayCare Winter Haven Hospital

On the Cover

choice of sides. Moreover, new menu categories (such as flatbreads) and service elements freshen the concept. About the Report 2017 Forecast:

Pop Quiz!

the traditional steak dinners ordered daily, there are restaurants nationwide pushing the concept the all-American steakhouse to new culinary heights, according

market research firm Packaged Facts in the brand new report 2017 Forecast: Culinary Trend Tracking Series. "The steakhouse

Series

outlook on the culinary trends—the foods, dishes, ingre-

flavors—that Packaged

grow popularity in 2017.

JOLLIBEE page 15 and sustainable sourcing, local and seasonal produce, and global flavors and forms, all done within the steakhouse format showcasing cuts of meat as entrées with

When Weston Watson learned he has type 1 diabetes, he and his family were taken by surprise. But the 11-year-old isn’t one to sit on the sidelines. With the help of his diabetic-alert dog, Snitch, he holds tight to his dreams of becoming a professional athlete. Learn more about Weston and Snitch on page 10.

back and will capture our attention in 2017. Not that the classic restaurant style ever disappeared, but renewal of the model taking place in response to new sources of beef and new flavorful expressions of the concept that get chefs and diners excited," says David Sprinkle, research director, Packaged Facts. Today's steakhouse menus increasingly feature grass-fed cattle, locally raised animals, heritage varieties, meat butchered and dry aged in-house, and dishes that stem from the whole animal, not just the premium cuts. And that's just the meat. Creative side dishes in lieu of old

Jollibee fans in the community. Jollibee, we aim bring families together for happy moments over great tasting food with superior value, served with warm and friendly service our own brand of joy." The brand has become symbol of nostalgia and warm childhood memories for many overseas Filipinos in the U.S. To many, Jollibee the go-to restaurant of Filipinos for both special been the talk the town since 2016. With the opening, Floridians will get to try Jollibee's signature menu items such as the world famous Chickenjoy. This dish

delicately breaded to be crispylicious on the outside and juicylicious inside. The well-loved Jolly Spaghetti is favorite of both kids and kids-at-heart because of its signature sweetstyle sauce, loaded with chunky slices savory ham, ground meat, and hotdog. Other classic menufavorites include the juicy and cheesy Jolly Hotdog, and the Peach Mango Pie, which is made with real Philippine sweet mangoes and flaky golden brown crust.

Culinary Trend standards, global and seasonal flavors, and wider menu selection also distinguish these new school operations. Chefs and consumers both want their meat to taste delicious and to feel good about its’ consumption, too. This new breed steakhouse broadcasts its mission to support local ranchers, factor in sustainability and animal welfare, and create dining experience that showcases culinary flair, not just grill master's skill at cooking steak to the requested doneness. These operations are also designed to be more inclusive, more of great place for all kinds of people dine well, not just traditionminded men on expense accounts. As result, the modern steakhouse increasingly similar to other modern restaurants with a focus distinctive 2017 forecast: Steakhouses beef up menus with new twists on American classics STEAKHOUSE page 11 Diabetes NUTRITION EDITION FIGHT THE TEMPTATION Dietician Shares Advice for Healthier Holiday Fare Don’t Miss Our Exclusive Photos From the Central Florida Health Expo! POP QUIZ!Immune System Hack or Hogwash? NUTRITION 101 Diet and Health Tips for Diabetics

The news has been filled with information concerning the immune system, especially with the Covid-19 pandemic and the start of cold and flu season. It is possible to “boost” your immune system, or to help it to better protect you from illness, but there are a lot of myths floating around on ways to boost your immune system that are not backed by science. Take our quiz to find out the truth behind giving your immune system a “shot in the arm.”

Expert Shares Top Nutrition Tips for Diabetics

Whether you’ve been recently diagnosed with diabetes or have been living with it for years, managing your diet can be a challenge. With so many options available at every grocery store and eatery, it’s easy to become overwhelmed, but dietary diligence is still one of the most important things you can do for your health. Registered Dietitian Nutritionist Ron Lund with Central Florida Health Care shares some pointers for anyone struggling to make sense of their nutritional needs as a diabetic.

Fight the Temptation

The holiday season can be a danger zone for diabetics, but it doesn’t have to be. BayCare Medical Group Dietician Jennifer Crain offers some words of wisdom for indulging without overdoing it.

For more photos from this edition, follow us on Facebook. Scan the QR code here with your smart device.

Access the 2022 Central Florida Physicians Directory online!

Kollagunta Chandrasekhar, MD, FACC Cardiologist

Ritu Aparajita, Vascular Surgeon MD RPVI

Roan Cadavona, ARNP FNP-C Nurse Practitioner

Jollibee Foods Corporation's Group President for North America. "There's greater joy for us than serving the needs and tastes

Help Is a Phone Call Away

NELSON KIRKLAND, PUBLISHER nelson@centralfloridamediagroup.com

Chances are good that if you’re a resident of Florida, you or someone you know suffered a pretty serious blow from the recent hurricane.

I’ve said it a million times: The stress of hurricane season is the price we pay for living in a veritable paradise. This year, that stress was intensified by not just the threat of a storm, but the landfall of an incredibly powerful Category 4 storm. Hurricane Ian kept us on the edge of our seats as it stalked the state of Florida and kept residents guessing if and where it would make landfall. For many people, that uncertainty alone is stressful.

So when the storm does make landfall and carve a path of destruction like Ian did, the stress of losing your home and belongings, having to manage without power and water, and having to make costly repairs can take a toll on the psyche.

The Substance Abuse and Mental Health Services Administration has tools to help if you are experiencing emotional distress related to natural or human-caused disasters. The Disaster Distress Helpline was specifically created to help people during these trying times. It helps people in need of counseling get on the path to recovery, and it offers support before, during, and after disasters. The helpline is staffed by counselors from crisis call centers across the nation, and they can help with everything from counseling to tips for coping and referrals to local resources for follow-up care. You can even remain anonymous.

If there is one thing you remember as we recover from the storm, make it this number: 1-800-985-5990. You can text or call, and help is available in more than 100 languages.

In addition, the Florida Department of Health and DCF have partnered to offer three months of free online therapy to those impacted by Hurricane Ian. To learn more, go to betterhelp. com/voucher and use the code: HurricaneIan.

Florida will recover and rebuild. You owe it to yourself to do the same. HN

PUBLISHER

Nelson Kirkland

MANAGING EDITOR

Jessica McDonald

PROJECT MANAGER

David Kiessling

ACCOUNT EXECUTIVES

Juanita Halter, Cinda Shelby

CONTRIBUTING WRITERS

Erika Aldrich, Mary Joye, LMHC , Teresa Schiffer, Carol Corley, Dr. Joy Jackson, Kristen Guevara

CONTRIBUTING COLUMNISTS

Ritu Aparajita, MD; Alex Kennon, MD; Terrance Hafner, OD

CONTRIBUTING PHOTOGRAPHER

Tyler DiGiovine

CONTRIBUTING ARTIST

Dawn Lewandowski DELIVERY DLS Distribution Published

POLK COUNTY MEDICAL ASSOCIATION

4315 Highland Park Blvd, Suite B

Lakeland, Florida 33813

863-644-4051

2022 OFFICERS

JAMES J. BOOKER, MD President

GEORGE LYLE, MD Secretary

STUART PATTERSON, MD Treasurer

BOARD OF TRUSTEES

RALPH NOBO, JR., MD, Chair

GEORGE LYLE, MD

STUART PATTERSON, MD

GARY SCHEMMER, MD

SERGIO SEOANE, MD

ARVIND SONI, MD

JACKIE COURTNEY

Executive Director

4315 Highland Park Blvd Suite B

Lakeland, Florida 33813

As we approach the holidays, there are bound to be visions of sugar plums dancing in our heads. Whether intentional or not, the holiday season has become synonymous with piles of sweet desserts and spreads of rich, savory foods. In a nation where an estimated 37 million people have diabetes, including roughly 8 million as-yet undiagnosed, that means the holidays can turn into a stressful time of tough decisions and pitfalls. Since November is National Diabetes Month, we spoke with Jennifer Crain, an Administrative Registered Dietitian with BayCare Medical Group. Cain shares with us some of her favorite tips for keeping carbs and calories in check as well as some popular substitutions that could help diabetics and non-diabetics alike.

In this edition, we also introduce you to 11-year-old Weston Watson, an energetic and independent Lake Wales boy who isn’t letting his type 1 diabetes diagnosis keep him from his dream of becoming a professional athlete.

Plus, we visited with Central Florida Health Care’s Registered Dietician Nutritionist Ron Lund, who counsels diabetic patients to help them create a nutrition plan that suits their lifestyle, budget, and activity level.

November also marks the start of flu season, so we thought we’d shed some light on some common immune system myths in our Pop Quiz. Do you know facts from fiction?

The Polk County Medical Association is grateful for our patients, families, and neighbors this holiday season.

Some of the benefits of a PCMA membership include the following:

✱ Physician referrals

✱ Medical malpractice discounts with The Doctors Company

✱ Ongoing relevant communication

✱ Access to CME Programs

✱ Workers compensation insurance benefits

✱ Complimentary Socials/ dinners

✱ Strong PCMA physician representation in Central Florida Health News and Central Florida Doctor publications

✱ Listing advantages in the annual Central Florida Physicians Directory & Medical Providers Guide

✱ Physician and medicine advocacy at all legislative levels.

Sincerely,

James J. Booker, MD

James J. Booker, MD Obstetrician and Gynecologist, Winter Haven President, Polk County Medical Association

If you’d like more information about becoming a PCMA member or need to check your membership status for renewal, contact our Executive Director Jackie Courtney at (863) 644-4051 or email director@ polkcountydoctors.com.

November 2022 | CALENDAR

RECURRING ONLINE EVENTS

AdventHealth Brain Health Music Therapy Program

Join board-certified music therapists every Tuesday at 11 a.m. The Maturing Minds Music Therapy group uses neurologic music therapy techniques to boost brain and behavior functions, such as memory, communication, attention, and movement. The meetings are taking place online using Zoom. The link for the recurring meeting is https://us02web.zoom.us/j/5044155114. Please email ORL.MDC@AdventHealth.com if you have any questions.

AdventHealth Maturing Minds Fit Minds Program

Every second and fourth Thursday at 1 p.m. seniors can participate in a program designed to improve their quality of life through stimulation therapy combined with meaningful social interaction and a sophisticated cognitive improvement program. This is a virtual meeting accessible through Zoom at https://us02web.zoom.us/j/3876883694#success. For more information, please email orl. mdc@adventhealth.com.

AdventHealth Maturing Minds Functionally Fit Program – Virtual Exercise

During this online class, participants are guided through a series of functional strength training exercises to improve cardiovascular fitness, mobility, motor control, and balance. Caregivers are encouraged to join in on the exercises. This workshop is delivered through Zoom teleconferencing platform and takes place every 3rd Thursday of the month at 11 a.m. The link to join is https:// us02web.zoom.us/j/3876883694. For more information, please email ORL.MDC@AdventHealth. com.

AdventHealth Maturing Minds Program Virtual Caregiver Support Group – Weekly

This group meets every Monday at 11 a.m. to discuss caregiver concerns and provide fellowship and support for one another. Meetings are currently taking place online using the Zoom platform. You can join the recurring meeting using this link: https://us02web.zoom.us/j/3876883694, or email ORL.MDC@AdventHealth.com for more information.

COVID Testing

From 8 a.m. – 6 p.m., 7 days a week, COVID-19 testing is available at the RP Funding Center, located at 701 W Lime St in Lakeland for individuals ages 1 year and older. There is no out-of-pocket cost, but if you have insurance, please provide that information at the time of testing. No symptoms are necessary to be tested. PCR and Swab Rapid Antigen tests are available. For more information, please go to www.nomihealth.com/covid-test-locations/.

Diabetes Support Group Virtual

On the second Monday of each month, BayCare Health System hosts a virtual support group for diabetics from 12 – 1 p.m., led by a certified diabetes care and education specialist. Educational information is provided, followed by an open discussion. Access to a microphone and camera is required to attend this free online meeting. For more information, please call 855-269-4777 or go to www.baycare.org/events.

Get Active Walking Group

A weekly walking group sponsored by Lakeland Regional Health that meets every Thursday at 8 a.m. at Lake Hollingsworth in Lakeland. Walkers meet up next to the bleachers that are adjacent to the parking lot. Get active and improve your health by committing to a weekly walk!

Restorative Yoga Cancer Program Virtual

This is a stress reduction yoga program designed to help cancer patients cope with their treatments and improve their quality of life. Learn techniques such as regulated breathing, visual imagery, meditation, and various stretching poses to improve balance, flexibility, and strength. The class is taught by a registered yoga teacher and exercise specialist. Microphone and camera access is encouraged but not required. The free lessons will take place from 7:30 – 8:15 a.m. every Wednesday. Register online at www.baycare.org/events or call 855-269-4777 for more information.

compiled by TERESA SCHIFFER

EVENTS AND FUNDRAISERS

November 1 – Breastfeeding Support Group Virtual

From 10 – 11 a.m. breastfeeding mothers can get together online to support each other and talk with certified breastfeeding consultants for free. Sponsored by St. Joseph’s Women’s Hospital. For more information, please call 855-269-4777 or visit www.baycare. org/events.

November 1 – Ribbon Cutting for Lakeland Oaks Dental

Welcome the specialists in cosmetic, restorative, implant, and family dentistry at a ribbon cutting that will take place from 4 – 4:30 p.m. at 3516 S Florida Ave Suite 850 in Lakeland. If you have any questions, please contact Brenda Jarrell at brenda.jarrell@divedental.com.

November 1 – Maternity Center Orientation Virtual

Prepare for delivery at BayCare by attending a virtual tour of the Maternity Center. This is a free class for expectant mothers. One support person may also attend. The class will take place from 5:30 – 7 p.m. and is sponsored by St. Joseph’s Women’s Hospital. For more information, please visit www.baycare.org/events or call 855269-4777.

November 3 – Total Joint Replacement

This free class is for patients who have a total joint replacement surgery scheduled, plus one guest per patient. All attendees must wear a face mask over their nose and mouth at all times while inside the building. The class will be held from 10:30 – 11:30 a.m. at Winter Haven Hospital – Wellness Conference Room, 200 Ave F NE in Winter Haven. For more information, please call 855-269-4777, or go online to register at www.baycare.org/events.

November 5 – 2022 Polk County Heart Walk

Walk for your own heart health and be part of a relentless force for a world of longer, healthier lives for everyone. The American Heart Association Heart Walk is a great way to boost physical and emotional health while making an impact in your community and saving lives. Check-in begins at 8 a.m. at Publix Field at Joker Marchant Stadium, located at 2301 Lakeland Hills Blvd in Lakeland, for a 9 a.m. start time. Learn more by going to https://www2.heart.org.

November 5 –

ACS Polk County Cattle Baron’s Bootlegger’s Ball

This annual gala is a one-of-a-kind event supporting the American Cancer Society that will feature great food, dancing, a spectacular auction, and so much more. Tickets are $100 each. The event will be held from 6 – 10 p.m. at beautiful Bunch Ranch, located at 4641 Hancock Ave SE in Lakeland. For more information or to purchase tickets, please contact Jessica.combs@cancer.org or visit www. polkcattlebaronsball.org.

November 7 – Pregnancy and Beyond: Hypertension and Preeclampsia – Virtual

This is a free virtual class only for expectant mothers. One support person may also attend. Learn about preeclampsia and its signs and symptoms, plus how to adopt a heart-healthy lifestyle for reduced risk of heart disease and high blood pressure later in life. A microphone and camera is not required, but is encouraged. The class will take place from 7 – 8:30 p.m. For more information, please call 855-269-4777, or go online to register at www.baycare.org/events.

November 10 – Prediabetes Education Workshop Virtual

A free class for individuals diagnosed with prediabetes, participants will learn strategies for lowering their risk of developing type 2 diabetes from a BayCare diabetes educator. The class will be held from 5:30 – 7 p.m. For more information, please call 855-269-4777 or go to www.baycare.org/events to register.

November 12 – Central Florida Heroes 5K & Health Fair

Honor Central Florida’s veterans, fire fighters, law enforcement, and health care professionals while taking part in a family-friendly, healthy event. The run/walk will begin at 7:30 a.m. in the parking lot of the Tom Fellows Community Center, located at 207 North Blvd W in Davenport. After the run/walk race, visit over 30 booths at a Health Fair presented by Orlando Health. For more information or to sign up to participate, please visit www.RunSignUp.com/Race/ FL/Davenport/CentralFloridaHeroes5k.

November 17 – Breast Health Cooking Demo Virtual

A talented executive chef and an expert dietitian will discuss how a plant-forward diet can impact breast cancer prevention and survivorship. They will demonstrate how to prepare a delicious, savory dish, and talk about food equity. It is a free event sponsored by St. Joseph’s Hospital and will take place from 12 – 1 p.m. You can learn more by calling 855-269-4777 or visiting www.baycare.org/events.

November 17 – Gift of Good Health Luncheon

LVIM (Lakeland Volunteers in Medicine) invites you to this unique opportunity to learn about the organization’s past successes, present challenges, and future vision. CEO Alice Koehler will present one patient’s inspiring story, and other keynote speakers will include two recipients of the Sargent Shriver Award for Distinguished Humanitarian Service, Dr. Kevin Fiori and Jennifer Schechter, MSW. The luncheon will take place from 11:30 a.m. – 1 p.m. at Bonnet Springs Park – Event Center, located at 400 Bonnet Springs Blvd in Lakeland. Tickets are $75 each. For more information on attending this event, please go to www.lvim.net/join-us-gift-of-goodhealth-luncheon.

November 19 – Boot Camp for New Dads Virtual

BayCare Health Systems is offering a virtual class just for expectant fathers, taught by a certified facilitator. Access to a camera and microphone is encouraged but not required. The $25 course will cover fatherhood, life changes, relationship changes, and handson experience. Previous participants will be involved with their own infants to offer their personal wisdom. You will receive course materials by mail before the class. This class will be held from 10 –11:30 a.m. You can get more information by calling 855-269-4777, or go to www.baycare.org/events to register online.

POP QUIZ!

Are You Really Boosting Your Immune System?

The news has been filled with information concerning the immune system, especially with the Covid-19 pandemic and the start of cold and flu season. The body’s immune system is a complex network of organs, white blood cells, proteins called antibodies, and chemicals that work together to protect you from things like bacteria, viruses, parasites, and fungi that cause infection, illnesses, and disease. It is possible to “boost” your immune system, or to help it to better protect you from illness, but there are a lot of myths floating around on ways to boost your immune system that are not backed by science. Take our quiz to find out the truth behind giving your immune system a “shot in the arm.”

compiled by ERIKA ALDRICH

1. True or false? Stress has a huge impact on your immune system, either through the stress hormone cortisol impacting the effectiveness of your immune system by altering the way your white blood cells react to infections and other threats or through increasing risky behaviors for dealing with stress, such as drinking, smoking, poor eating habits, and drug abuse.

2. True or false? Taking high doses of a Vitamin C supplement will prevent or shorten the duration of a cold.

3. True or false? Taking a zinc supplement—about 13 mg every two to three hours—can shorten the duration of a cold by up to three days.

4. True or false? When fighting a cold or infection, you should take generous doses of vitamins because “more is better.”

5. True or false? Getting enough sleep and rest is vital for recovering from an illness and for preventing illnesses in the first place!

11. True.

10. False. No clinical studies have found that dairy products increase mucus secretions.

9. False. While it is true that excess body fat increases inflammation and weakens the immune system, intense diet and exercise can actually also weaken your immune system due to causing a lack of proper nutrition and stressing the body with intense exercise. Moderate exercise that increases slowly in intensity is the best option for your immune system and overall health.

8. False. Scientific studies have not shown that honey helps in any way to alleviate allergy symptoms.

7. True. Research suggests that probiotics likely activate immune cells that combat viruses, reduce inflammation, and kick out “bad” bacteria in your GI system that make you more susceptible to illness, though our understanding of the exact role probiotics and the microbiome play in wellness is incomplete.

6. True or false? The older you get, the more your immune system declines due to immunosenescence. This is because you have fewer circulating immune cells, and your cells react slower than before.

7. True or false? Probiotics—or “good” gut bacteria—help your immune system to work at optimal levels and better protect you from illness and disease.

8. True or false? Eating honey will cure your allergies, such as seasonal allergies due to pollen.

9. True or false? Intense diet and exercise are the fastest ways to boost your immune system.

10. True or false? You should avoid milk and other dairy products when you are sick because they will make you more congested.

11. True or false? The best way to boost your immune system is to get seven to nine hours of sleep a night, eat a healthy diet, exercise frequently, manage stress, avoid alcohol and smoking, rest when ill, avoid contact with sick people, and wash your hands frequently.

6 True. Studies have shown that those 65 and older are more vulnerable to severe illness from viral and bacterial infections.

5. True. Getting an adequate amount of sleep and rest is one of the best boosts for your immune system there is.

4. False. While the body needs vitamins to perform at optimal levels, it is possible to overdose and experience undesirable side effects from taking vitamins above the daily recommended dosage.

3. True. Studies have shown that taking zinc (in the form of a lozenge) can shorten the duration of a cold.

2. False. While Vitamin C is needed by your immune system, studies have not shown any link between taking high doses of Vitamin C and preventing or shortening a cold; eating foods rich in Vitamin C is the best option.

1. True. Stress can lower your immune system’s ability to fight viruses, bacteria, illnesses, and diseases.

ANSWERS:

Expert Shares Top Nutrition Tips for Diabetics

by TERESA SCHIFFER sponsored by Central Florida Health Care

Whether you’ve been recently diagnosed with diabetes or have been living with it for years, managing your diet can be a challenge. With so many options available at every grocery store and eatery, it’s easy to become overwhelmed, but dietary diligence is still one of the most important things you can do for your health.

Ron Lund is a Registered Dietitian Nutritionist with Central Florida Health Care who works closely with many diabetic patients to help them manage their diet and health. He shared some pointers for anyone struggling to make sense of their nutritional needs as a diabetic.

“For those who are overweight or obese, any type of weight loss is helpful, especially if it’s 5 percent or more. Reducing the extra weight that a person is carrying in the form of fat tissue helps to improve the ability of the system to better manage the blood sugar,” Lund says. “When it comes to weight loss, there’s really no evidence that anything over the counter is effective, so I recommend just saving your money.”

Regular visits with a dietitian are recommended. Lund counsels diabetics who come to the Central Florida Health Care clinic for 30 to 60 minutes per visit to assess their level of motivation, dietary preferences, how their culture affects their diet, what their access to healthy food is like, budget, and other factors,

all with the goal of helping the patient to create an eating plan that is both practical and beneficial for their health.

If food insecurity is identified as an issue for a patient, Central Florida Health Care is able to refer individuals to local food pantries for assistance.

There are some weight loss options available through a physician for patients who are severely overweight or morbidly obese, including prescription medication and bariatric surgery. These options should be discussed thoroughly with a doctor.

“Following a heart-healthy diet is important, too, because of the increased risk of heart disease with both type 1 and type 2 diabetes,” Lund says.

“A balanced meal with vegetables, fruits, grains – try to make half of those grains whole grains like whole wheat bread, brown rice, quinoa. Selecting proteins as part of a healthy balanced diet include lean beef and pork, skinless chicken, fish, eggs, and nuts and seeds, which are all considered healthier protein options.”

There are quite a number of other options available for protein, including dry beans, which are very inexpensive, and chickpeas, split peas, lentils, and other plant-based sources like tofu. Eating proteins along with non-starchy vegetables helps to slow down the body’s

process of converting starch/carbohydrates into blood sugar/glucose that then enters the bloodstream. Sugary beverages are especially quick to enter the bloodstream, especially if consumed on an empty stomach.

Low-fat dairy products, including milk, Greek yogurt, and cheese, are good choices as part of a healthy, balanced diet. If you are sensitive to lactose, there are non-dairy options available, such as soy milk and Lact-Aid milk, just be sure to check the label to ensure that these options are fortified with necessary vitamins and minerals.

Fried foods, fatty foods, and sweets are okay to eat sometimes, but they should be carefully limited. Lund suggests saving these indulgent treats for special occasions.

Sugar substitutes can be useful for helping a patient transition from a high-sugar diet to one lower in sugar, but Lund recommends using sugar substitutes with caution, as there is some research that indicates that these substances may lead to increased insulin resistance. However, more studies are needed to conclude there actually is a risk.

If you would like further guidance when it comes to managing diabetes, Central Florida Health Care offers comprehensive diabetes education in clinics throughout Polk County.

T1D DETERMINATION

Boy Takes Control of Diagnosis to Dream Big

story by KRISTEN GUEVARA

photos by TYLER DIGIOVINE

Atypical 11-year-old likely doesn’t prefer the company of a snitch, but for one Lake Wales boy in particular — it’s exactly what he wants.

In 2018, Weston Watson was diagnosed with type 1 diabetes — commonly referred to as T1D — at just 7 years old. But sitting on the sidelines is not how he intends to live his life. Active in multiple sports, including Gracie jiu jitsu and soccer, Weston is determined to maintain his athletic lifestyle regardless of his diagnosis.

Weston’s parents, Chris and Bianca Watson, say they first noticed something was wrong when their energetic son began showing troubling symptoms. They began to notice bed-wetting, weight loss, excessive thirst, frequent urination, chronic fatigue, and excessive agitation. Simply put: Their son was not himself.

During a trip to Disney, Weston’s parents noticed their typically active son was exhausted and spent most of his time lying in a lounge chair beside the pool. That fatigue is what prompted them to take him to a doctor.

At the pediatrician’s office, Weston’s urine glucose levels were in the 300s. Normal blood sugar levels vary between about 60 and 140 mg/dl. Concerned about this spike, his pediatrician sent him directly to the emergency room at Johns Hopkins All Children’s Hospital in St. Petersburg.

By the time Weston arrived at the ER, his glucose levels had spiked to the 700s. The doctors immediately started him on an insulin drip to lower his blood sugar and admitted him to the ICU, where he stayed for three days. Although slightly lethargic, Weston remained calm and collected throughout the process of his diagnosis and hospital stay. “He never fussed once,” his mother said.

“When I got my energy back, all I wanted to do was go to the hospital game room and play games like bingo,” Weston remembers.

The T1D diagnosis left the family in shock. With no family history of autoimmune disorders or diabetes, they were blindly thrust into a world of unknowns. The intake nurse, who was also diabetic, inspired the family and gave them hope that Weston could still go on to live a normal, vibrant life.

Before leaving the hospital, Weston was given a unique gift — a stuffed animal he still treasures named Rufus. Rufus was equipped with hard paws and puncture points so Weston could practice finger pricks and insulin injections.

For the first six months after his diagnosis, Weston had to prick his finger to check his blood sugar after every meal and when he wasn’t feeling well. He had to take an insulin shot every time he ate to balance his glucose levels. He also took

a daily shot that provided long-lasting insulin. After six months, Weston was able to get a Dexcom device, which continuously tracks his glucose levels, as well as an Omnipod, which automatically delivers insulin directly into his body. These disposable devices, currently worn on his calves, are entirely free of tubes, so they don’t interfere with any of his daily activities. Weston has bravely taken full responsibility for changing his Dexcom every 10 days, and his Omnipod every few days.

Weston’s parents say he can maintain his regular diet as long as he keeps a record of his carb intake so he can get the correct amount of insulin to make up for it.

Weston says taking charge of the tracking and calculations has sharpened his math skills. “Math is my favorite subject,” he remarks.

As advanced as these devices are, they are still about 15 minutes behind in alerting Weston of a dangerous blood-sugar fluctuation.

That’s where the snitch comes in. Snitch, an appropriately named 6-month-old diabetesalert dog in training, was purchased with the help of fundraising from the Polk County Sheriff’s Office. The yellow lab can detect dangerous swings in blood sugar roughly 15 minutes before they occur.

“When I get busy playing my video games and forget to pay attention to my blood sugar, Snitch nudges me,” Weston says.

Once Snitch’s training is complete, he will accompany Weston everywhere, including school. This will provide an added layer of protection for Weston and further peace of mind for his family.

Now fully versed in T1D and his medical

needs, Weston doesn’t let anything get in the way of the sports he loves.

“I am almost a gray belt,” he says excitedly of his jiu jitsu training. “I want to play football, too.”

Weston is inspired by athletes who also deal with T1D, and he dreams of one day becoming a professional soccer player.

“I got to meet Jordan Morris, a professional soccer player who is also a T1D!” he brags.

Weston sends a strong message to his peers: “Continue to be you. Don’t change; continue your dreams.”

Chris Watson is proud of how his son has stepped up and become a mentor for peers who also have T1D.

“Since day one, he’s taken an active role in his diabetes,” he says, “and he shepherds others who are young and dealing with this.”

When talking with others, Chris Watson openly discusses the first symptoms he saw in his son to raise awareness in recognizing the disease.

“I encourage parents to look out for the warning signs in their children or children around them,” he says.

Bianca Watson says it’s important for new T1D parents to be mindful of how they approach the diagnosis.

“It’s about mind over matter,” she says. “How you respond to things is how your child will respond to things as well. It is scary, but you’ll get through it.” HN

Weston and his father, Chris Watson, practice armbars

Snitch and Weston

Diabetic Eye Disease

DR. TERRANCE HAFNER

Diabetes is the leading cause of blindness in the United States in adults. November is Diabetic Eye Disease Awareness Month. Over the past several years, the incidence of diabetes has grown as well as the rate of vision loss due to the disease. Diabetes can cause many eye problems. Here are three important things every diabetic should know to help preserve their vision.

1. Know your A1C. Unfortunately, not many of our diabetic patients know this number. Your hemoglobin A1C is a blood test that measures the average blood sugar over a two to three-month period. This blood test is typically performed every six months and allows your doctor to measure the stability of your blood sugar levels. According to the American Diabetes Association, most people with Type 2 diabetes should keep their A1C levels below 7.0. If this number is higher than 7.0, it typically indicates a need for treatment modifications. A high A1C also indicates an increased chance of complications from diabetes, including an increased risk of vision fluctuations and diabetic eye disease.

2. All diabetics should have a dilated comprehensive eye examination EVERY YEAR to monitor for changes in their eyes related to diabetes, such as cataracts and glaucoma. Dilation is especially important as this allows your doctor to view the internal structures of the eye that are subject to diabetic eye disease. This eye disease is caused by changes in the blood vessels of the retina. In some people, retinal blood vessels may swell and leak fluid, while in other cases abnormal blood vessels grow on the surface of the retina. These changes may result in vision loss or blindness.

3. According to the National Institute of Health, 90% of blindness from diabetes can be prevented with timely treatment of blood sugar, blood pressure, and cholesterol issues along with routine monitoring. It is important for diabetics to realize that with proper treatment and follow-up with both your primary care physician and your eye doctor, you can significantly reduce your risk of blindness. The doctors and staff at Eye Specialists of Mid-Florida are trained to perform diabetic eye exams and any treatment that may be required. We report our findings to your primary care physicians to keep them informed of the health of your eyes. We believe that good communication between your eye doctor and your primary care physician is important for the overall health and well-being of our patients and their eyes.

It is important for you or a family member who has diabetes to schedule an appointment for an eye examination. The doctors at Eye Specialists of Mid-Florida assist patients with diabetic eye needs every day. Please call us at 800-282-3937 to schedule an appointment. You can learn more about our company on our webpage at EYESFL.COM.

FIGHT THE TEMPTATION

Dietician Shares Tips to Help Diabetics Safely Enjoy Holiday Fare

by TERESA SCHIFFER

The holidays are approaching and with them the annual battle of the carbs at the dinner table. So much fantastic food – hearty casseroles, decadent desserts, and festive beverages … so many hidden calories and carbohydrates lurking on the table that can send a diabetic’s blood sugar level soaring. How should one handle these perilous parties without risking one’s health?

Jennifer Crain is an Administrative Registered Dietitian at Winter Haven Hospital/BayCare Health System. Over the 16 years of her career as a dietician, Crain has gained some insight into which strategies can be most effective when it comes to controlling caloric and carbohydrate intake throughout the tempting soirees and family dinners that will take place over the next couple of months.

There’s generally an abundance of high-calorie, high-sugar foods at holiday parties, so how can you participate and indulge without causing your blood sugar to skyrocket?

“First and foremost,” Crain advises, “plan ahead of time. You want to continue to eat regular meals on the party days. You don’t want to skip a meal to try to make room for what might be coming at the party. In fact, it’s a better idea to have a snack before the party – specifically protein or low-carb vegetables that have fiber to help make you feel full before you get there. That’s going to help you avoid overeating.”

For the tech-savvy folks, Crain recommends using all the tools that are available now.

“There are a lot of apps out there right now: Noom, Klinio, mySugr — those are diabetes-specific applications that can help you track your carb intake.” Apps like these allow the user to input what foods are being consumed, then they calculate the carbohydrate values for that specific person.

CONTINUED ON PAGE 20

This column is sponsored by Eye Specialists of Mid-Florida, and the opinions expressed herein may not reflect those of CFHN or of its advertisers.

Bio: Dr. Terrance Hafner received his B.S. and his Doctor of Optometry Degrees from Ferris State University. He is Board Certified in the State of Florida. Dr. Hafner practices at the Auburndale location for Eye Specialists of Mid-Florida and is accepting new patients.

THE GALA

Presented by: Anonymous

Save the Dates:

Online Silent Auction:

OCTOBER 28 - NOVEMBER 3, 2022

The Gala:

THURSDAY, NOVEMBER 3, 2022

All proceeds will be utilized locally to establish an American Psychological Association accredited training program for Doctoral level clinical Psychologists in Winter Haven.

Please join us at Polk County’s premier fundraising event, the Winter Haven Hospital Foundation Gala. This year’s Gala event will feature live music by Atlanta-based “Rhythm Nation”, four-course gourmet dinner, exquisite wines and open bar, and exciting live auction filled with incredible trips and experiences.

For more information: (863) 292-4138 or whhfoundation@baycare.org

Zooming in on health in your community.

Central Florida Health Expo

October 14, 2022

International Market World, Auburndale

photos by TYLER DIGIOVINE AND JESS MCDONALD

CarePlus

$145 back every month on your Medicare Part B premium –that’s $1,740 a year back in your pocket!

$0 copay for primary care physician office visits and $20 copay for specialist office visits

$0 copay for prescription drugs (Tier 1 and 2)1 – even during the gap

$125 daily copay for hospital stay days 1 to 4

$0 copay for for routine dental coverage, including dentures2

PLUS

1From a preferred cost-share retail or mail-order pharmacy. 2One set of complete or partial dentures every five years. Hillsborough, Pasco, and Pinellas counties. CarePlus is an HMO plan with a Medicare contract. Enrollment in CarePlus depends on contract renewal. Referrals and/or authorization may be required for certain specialists. Every year, Medicare evaluates plans based on a 5-star rating system. CarePlus Health Plans, Inc. complies with applicable Federal Civil Rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender, gender identity, ancestry, marital status, or religion in their programs and activities, including in admission or access to, or treatment or employment in, their programs and activities. Any inquiries regarding CarePlus’ non-discrimination policies and/or to file a complaint, also known as a grievance, please contact Member Services at 1-800-794-5907 (TTY: 711). From October 1 – March 31, we are open 7 days a week, 8 a.m. to 8 p.m. From April 1 – September 30, we are open Monday - Friday, 8 a.m. to 8 p.m. You may always leave a voicemail after hours, Saturdays, Sundays, and holidays and we will return your call within one business day. Espanol (Spanish): Esta información está disponible de forma gratuita en otros idiomas. Favor de llamar a Servicios para Afiliados al número que aparece anteriormente. Kreyol Ayisyen (French Creole): Enfomasyon sa a disponib gratis nan lot lang. Tanpri rele nimewo Sevis pou Manm nou yo ki nan lis anwo an. H1019_MKBNDMFNPRtampa1040022022_M

Tasty Options for a Healthier Thanksgiving

by CAROL CORLEY

When we think of Turkey Day, we visualize a meal that is so large that we can’t believe all our choices will fit on our plates — and when dinner is finished we almost can’t get up from the table.

We think of a time when extended families gather at large, formal dining room tables, with the kids seated at card tables nearby. Of course, good behavior is expected. The host would prepare the bird, and aunts would bring side dishes and desserts, like pie hidden under a pile of whipped cream.

Thanksgiving dinner doesn’t have to be about quantity, and it doesn’t have to be unhealthy. We can create a delicious meal that we can still be proud to serve family and friends. The trick is to cut back on calories and fats and replace them with flavorings. For example, herbs like thyme, sage, parsley, and rosemary can make the turkey tastier. Even onion, apples, celery, fennel, ginger, or basting with beer can provide flavors that enhance the turkey. You can put the flavorings in the cavity instead of bread stuffing. Avoiding all that butter in mashed potatoes and the stuffing helps keep the dinner healthier.

As for dessert, pumpkin pie reigns as the healthiest choice, as long as you don’t overload it with whipped cream. It is rich in nutrients and antioxidants and is lower in calories, according to healthline.com.

So in looking for a healthy Thanksgiving Dinner, let’s start with the star of the show — the turkey.

Herb-Roasted Turkey Breast

(Adapted from foodnetwork.com)

Ingredients:

Turkey breast, bone-in, about 6 pounds

Olive oil, 1-3/4 tablespoons Lemon juice, 1 tablespoon freshly squeezed Thyme, sage, and rosemary leaves, 1 tablespoon each fresh chopped Garlic, 3 cloves minced Dry mustard, 1 teaspoon White wine, 1-1/2 cup dry Salt and pepper to taste

Directions:

Mix together garlic, mustard, herbs, salt, pepper, lemon juice, and olive oil, making a paste. Loosen the skin gently from the turkey breast and spread half the paste directly on the meat and the rest evenly on the skin. Place the turkey on a rack in a roasting pan and pour the wine into the bottom of the pan. Roast the bird for about 2 hours in an oven preheated to 325F, until the skin is golden brown and a meat thermometer registers 165F in the thickest part of the breast. You can cover the turkey with foil if the skin is getting too brown before the meat is done. Cover after cooking is completed and allow the turkey to rest for about 15 minutes at room temperature. Then slice and serve, pouring pan juices over the meat.

Meet Our Doctor

Cauliflower Mashed Potatoes

(Adapted from Mayo Clinic recipe)

Ingredients:

Cauliflower, 1 head

Leek, white only, cut into 4 pieces

Garlic, 1 clove

Butter, 1 teaspoon

Olive oil, 2 teaspoons

Salt and pepper to taste

Apple Salad with Figs and Almonds

(Adapted from Mayo Clinic recipe)

Ingredients:

Red apples, 4 cups cored and diced

Figs, 1 cup dried, chopped

Celery diced, 2 cups

Carrots, 1 cup peeled and grated

Slivered almonds, 2-1/2 tablespoons

Lemon yogurt, 1/2 cup, can be fat-free

Directions:

Combine apples, figs, carrots, and celery, add yogurt and mix thoroughly. Top with slivered almonds

Pumpkin Pie

(Adapted from food.com)

Ingredients:

Premade pie crust of choice

Pumpkin, 1 15-oz can

Sweetened condensed milk, 1 14-oz can

Eggs, 2

Ground cinnamon, ginger, and nutmeg, 1/2 teaspoon each

Salt, 1/4 teaspoon

Directions:

Directions:

First, break up the cauliflower head and steam the pieces with garlic and leeks in a saucepan for about 25 minutes, until tender. Then puree small portions in a food processor or blender to the consistency of mashed potatoes. Stir in butter, olive oil, and salt and pepper to taste. The benefit is lower carbs and fewer calories. If you really love potatoes, you can do half and half with cauliflower.

Mix pumpkin, condensed milk, eggs, salt, and spices. Pour into ready-made crust and bake for 15 minutes in the oven preheated to 425F, then drop the oven temperature to 350F and bake for another 35 minutes. A knife inserted in the center should come out clean. Cool prior to serving.

Dr. Aparajita is a fellowship-trained vascular surgeon and has been serving the Polk County community for the past 1 year. She earned her Bachelor of Medicine and Bachelor of Surgery (MBBS) degree at University of Delhi, India. She then completed a research fellowship in vascular surgery at Columbia University Medical Center in New York and a residency in General Surgery at Staten Island University Hospital in New York, she completed her fellowship training in Vascular Surgery at Newark Beth Israel Medical Center and St. Barnabas Medical Center in New Jersey.

A Closer Look at the Diagnosis and Treatment Of Lymphedema

Dr. Aparajita is also a Member of the Royal College of Surgeons of Edinburgh, UK (MRCS Ed) and completed her Basic Surgical Training in England soon after her medical school.

Dr. Aparajita is the co-author of more than two dozen journal articles, publications and oral presentations, including topics such as endovascular treatment for thrombosis, aortic aneurysm repair, stroke, peripheral artery disease and other vascular conditions.

Additional posts and volunteer work include a teaching position at Hofstra Northwell School of Medicine and as a Member of the Public and Professional Outreach Committee as well as the International Relations Committee at the Society for Vascular Surgery (SVS).

Dr. Aparajita was recently nominated for the American Medical Association (AMA) Inspiration Award that recognizes physicians who have contributed to the achievements of women in the medical profession.

Lymphedema is largely a clinical diagnosis. When you see a vascular surgeon for the first time with this condition, they will order tests to make sure no underlying coexisting diseases are present. For example, they will order tests to rule out peripheral arterial disease (blockages in the arterial circulation), chronic venous insufficiency (vein blockages or incompetent valves in the veins due to which blood cannot go back into the heart), etc.

RITU APARAJITA, MD, MRCS (Ed), MBBS

Specialty: Vascular & Endovascular Surgery

Joining KSC Cardiology November 9, 2020

Once these conditions are ruled out, the rest of the management focuses on making sure that the condition does not progress and worsen. For example, meticulous skin care is of ultimate importance so that wounds or ulcers do not occur in the leg.

If either peripheral arterial disease or chronic venous insufficiency is identified, the vascular surgeon will treat these conditions by doing procedures that will help open blockages in your arteries. The treatment of chronic venous insufficiency largely depends on the identification of reflux in the superficial or deep veins in your lower extremities.

The treatment of chronic venous insufficiency involves providing medical-grade compression therapy to the lower extremity by wearing compression stockings all the time. If this does not adequately take care of the symptoms, there are several procedures a vascular surgeon can discuss with you. Other medical treatments for chronic venous insufficiency include weight loss, decreased salt intake, increased protein intake, elevation of the legs, and regular walking to strengthen the calf muscles and help with the return of lymphatic fluid.

The mainstay of lymphedema treatment is manual lymphatic decompression. This involves a specialized physical therapist massaging the leg to drain the lymph fluid that has leaked out of the lymphatic channels back toward the heart. Manual lymphatic decompression is carried out at specialized centers only where the physical therapist is trained for it.

Patients who are obese need to lose weight as that is the most important underlying factor responsible for lymph leakage. There are some patients who may need a referral to a bariatric surgeon who specializes in weight loss surgery. Surgical treatment of lymphedema is very rarely done but is available at specialized centers in the U.S.

This column is sponsored by KSC Cardiology, and the opinions expressed herein may not reflect those of CFHN or of its advertisers.

BIO: Dr. Aparajita is a fellowship-trained vascular and endovascular surgeon. She is a co-author of 20+ journal articles and publications and was recently nominated for an Inspiration Award by the American Medical Association (AMA).

RITU APARAJITA, MD, RPVI KSC Cardiology

When Do You Visit the Doctor for Hives?

ALEX W. KENNON, MD, FAAD

Hives are itchy patches of skin that turn into swollen, itchy welts. They can vary in size. Chronic hives are defined as hives that last for more than six weeks and return over the course of months or years. The cause of chronic hives is often unknown.

These welts are caused by some reaction that irritates the skin, with the welts fading and reappearing as the reaction runs its course. They’re itchy and can be extremely uncomfortable, hindering daily activities and making it difficult to sleep. Many patients see results by taking an antihistamine (anti-itch medication).

Symptoms of hives include batches of welts that can appear anywhere on the body, fade at random, and have variations in color, shape, and size. They can also be accompanied by swelling under the eyes and in the face, which causes discomfort but should not cause difficulty breathing.

Hives can be caused by pet dander, pollen, or food allergies; however, triggers for chronic hives can be harder to determine since the hives come and go over the course of a long period of time. Some common causes of chronic hives can be heat, stress, or exercise. It’s time to see a dermatologist if you have severe hives or hives that have lasted for several days without going away and have not been previously diagnosed.

While hives could accompany an allergic reaction, chronic hives do not cause anaphylaxis. Therefore, if you’re experiencing difficulty breathing, you should immediately seek emergency medical care. At that point, hives are a symptom and not the cause. This would be the case in a severe reaction to a bee sting.

To avoid hives, try to determine your triggers and avoid them. Wear loose-fitting clothing and protect your skin from the sun. For temporary treatment, try antihistamines or apply a cool compress on the affected area for itch relief. Depending on the severity of symptoms, your dermatologist might recommend other medications for treatment, like a corticosteroid or an immune system suppressant.

Fighting the Urge

CONTINUED FROM PAGE 14

So, you’ve had your high-protein or high-fiber snack and downloaded an app to help you monitor your carb intake, and you feel ready to face those mouth-watering temptations head-on. But you’re not out of the woods yet!

“Another tip for a party,” continues Crain, “would be portion control. So if they have an appetizer or a dessert plate that is smaller than the giant dinner plate, maybe go for a smaller plate so you aren’t tempted to fill that entire large platter.”

Many social events use a buffet-style meal, which can easily make anyone’s eyes suddenly become much larger than their stomach.

“It’s a good idea to survey the buffet before you start so you don’t think that you’re going to eat these few things at the beginning of the buffet and then you get to the end and think, ‘Oh, well I can’t pass these up,’ and you end up with far more on your plate than you intended. So survey the buffet and make a game plan for what you’re going to have before you start.”

When it comes to deciding what to put on your plate, Crain has some recommendations on that, too. She compared two different meals comprising dishes one might typically encounter as holiday fare.

“A 4-ounce portion of turkey with dark meat and skin, mashed potatoes with gravy, stuffing, candied yams, cornbread, and pumpkin pie,” was the first option Crain plugged into an app, “That’s approximately 1,422 calories, 176 grams of carbs, and that’s just for a half to one-cup serving of everything.”

If this sounds like more than you should be consuming in one sitting, consider Crain’s second option.

“If you alter that and go with a white meat turkey, a 4 -ounce portion with no skin, or smoked ham – again, a 4-ounce portion – a baked sweet potato with one teaspoon of margarine, some cooked carrots, fresh green beans, even one slice of fresh French bread, and a sugar-free pumpkin mousse, it’s 630 calories and 56 grams of carbohydrates.”

“Going for more fresh vegetables instead of heavy casseroles — green beans instead of the green bean casserole — will save significant calories and carbohydrates while still ending up with a large amount of food on your plate that will keep you satisfied,” Crain explains. So what do you wash everything down with? Before you head to the punch bowl, Crain has some thoughts to share on drink selections. “Beverages are a big, sometimes significant source of calories and carbs. Sodas, punches, and a lot of alcoholic drinks tend to be quite sugary and can definitely spike that blood sugar and add a bunch of carbs and sugar that people don’t even think about. Obviously, I’d say water is the best, but going for sugar-free, low fat, skim milk versus whole milk, a sugar-free hot chocolate instead of a sugary one is best, but really water is going to be the best.”

Moderation is key to healthy eating, at any time of year. Enjoy the holidays with a realistic plan for keeping your sugar in check. HN

This column is sponsored by Lakeside Dermatology, and the opinions expressed herein may not reflect those of CFHN or of its advertisers.

Dr. Alex W. Kennon, MD, FAAD, is a board-certified dermatologist who is fellowship-trained in Mohs micrographic surgery. He received his undergraduate and medical degrees from Florida State University and completed his dermatology residency at Medical College of Georgia at Augusta University. Lakeside Dermatology has offices in Sebring and Winter Haven.

Diabetes Affects More Than 37 Million Americans by DR. JOY JACKSON

What is Diabetes?

You or someone you know probably lives with diabetes. It is a chronic disease that affects how the body turns food into fuel. The most common form of diabetes is type 2 diabetes, where there is excess sugar in the blood. High blood sugar can, in turn, lead to health issues such as heart disease, vision loss, and kidney disease. Diabetes is a serious health problem as shown by the statistics: it’s a chronic disease shared by more than 37 million Americans, and it’s the seventhleading cause of death in the United States. While there is no cure yet, it is quite possible to manage as well as prevent type 2 diabetes.

Prevention & Management of Diabetes

There are risk factors for diabetes that are unavoidable due to genetics and family history. However, there are lifestyle changes that are in your control such as physical activity and healthy eating. Managing blood sugar is crucial. Lifestyle choices such as having a healthy diet and regular physical activity more than three times a week can help lower blood sugar.

Diet and Nutrition

In particular, your diet is an important cornerstone in the fight against diabetes. The foods you eat and how much you eat are vital in the management of blood sugar. A fad diet might work in the short term, but evidence shows it is an unsuccessful strategy in the long term. Instead, you should eat healthy, balanced foods that you like and that you can keep eating in the long term. To avoid boredom, your diet should be varied. You should choose foods lower in fat, calories, salt, and sugar over foods that are highly processed carbs and refined grains. More fruits, vegetables, whole grains, and lean proteins should become a pillar of your diet. You should drink more water and skip the sugary drinks. It’s also important to be aware that carbohydrates often cause the biggest impact on your blood sugar levels. In addition to eating varied healthy foods, you should manage portion size as it’s easy to eat more food than you realize.

Once you start with a guide for the healthy foods that can help with the prevention and management of diabetes, you can tailor it to your personal preferences.

To learn more about how you can prevent and manage diabetes, you can visit cdc.gov/diabetes/index.html HN

WE’D LIKE TO WELCOME THESE NEW EVENT EXHIBITORS

Central Florida Media Group offers professional content marketing, niche advertising, website development, SEO, social media management, publicity, blogs, videography and more.

See You at the Next Expo!

JESSICA McDONALD, EDITOR jessica@centralfloridamediagroup.com

We kicked off the fall series of the Central Florida Health Expo’s ninth season at International Market World in Auburndale on Friday, October 14. The Expo is the area’s premier event for health-conscious adults. The weather was gorgeous and the flea market was starting to come back to life only two short weeks after Hurricane Ian. This meant the public was able to take advantage of all the information and services offered by the vendors.

Dave Bryant and Donna Kay Dinkins from Saladmaster were on hand to teach people how to cook healthy, low-sodium, low-fat meals. Marie Biringer with Young Living Essential Oils brought a wide array of diffusers and other products and shared how they helped her regain her health. Community Medical Group offered blood pressure and blood glucose screenings, and many other vendors brought teams to discuss their businesses. Most even offered drawings and swag/goodie bags.

The event gave the public the opportunity to explore what each group offers and ask any questions they had.

We tried something new during this Expo that we plan to continue at subsequent events. As the event started, we took brief introductory videos of each exhibitor and shared them on the Central Florida Health News and Central Florida Media Group social media channels to boost exposure for our participants and draw more people to the event.

We have two more Health Expos on the book this year: November 11 and December 9. You can learn more at centralfloridamediagroup.com/central-florida-health-expo/ or by calling Cinda Shelby at 863-248-7537 extension 4. We look forward to seeing you at the next event! HN

BODY, MIND & SPIRIT

Sugar Can Drive Highs and Lows in Mood

by MARY JOYE, LMHC

Whenever you give way to temptation and have anything loaded with sugar, have you noticed the immediate feeling of energy only to be followed later by physical symptoms such as nausea, headaches, or extreme fatigue? You probably have. If not, then watch any child who has had anything sugary and wait about 30 minutes and prepare for tantrums, irritability, or the need for a time-out. Sugar profoundly affects mood at any age. Whether you are diabetic or not, sugar or other carbohydrates can cause rush and crash feelings that are chemically created by your body.

You really are what you eat, so it’s important to watch what you eat and when you eat it. Since the brain runs mostly on glucose and moods are created there as well, rushes and crashes make sense. A late-night bowl of ice cream may seem like a great idea in a moment of instant gratification, but it may keep you up later or feeling awful in the morning. There is hidden sugar in other foods that can cause you to be moody, particularly if you have diabetes.

One study in “Diabetes Technology and Therapeutics” looked at how glycemic variability affects people of different ages and genders. (S. Penckofer et al., 2012).

Anxiety and depression occur more often in women with diabetes than men with diabetes…anxiety and depression may impact diabetes self-care behaviors and quality of life, and glycemic variability may be a factor.

Depression affects about 25% of people with diabetes and they are more susceptible to blood sugar highs and lows. High glucose (hyperglycemia) has been shown to make people angrier or depressed, and low blood sugar (hypoglycemia) is associated with anxiety. We have all heard of being “hangry,” which means you have not eaten in so long you become irritable and maybe even volatile or violent. Diabetic rages occur when people are not paying attention to their glucose levels.

Stress levels also affect blood sugar, so it is important to reduce things that upset you as much as possible whether you are diabetic or not. Cortisol, the stress hormone, also has a large impact on anxiety and irritability. Glycemic levels and many other factors make it imperative to be sure to reduce sugar intake when under great stress. Counterintuitively, sugar cravings increase under stress. Our bodies can sabotage our well-being if we are unaware of how to recognize when sugar rushes or crashes are the culprits.

Simple dietary changes to reduce sugar can help you feel better, and everyone around you may thank you for it, too. Decreasing sugar in our diets increases a sweeter disposition. You will be better able to enjoy a sweeter life, which is something we all crave. HN

Introducing Our New Surgeons

BayCare Medical Group welcomes two new doctors to the Bartow community.

Conditions treated and procedures offered:

n Breast surgery

n Colorectal cancer

n Gallbladder disease

n Hernia repair

n Minimally invasive surgical techniques

n Robotic surgical techniques

n Skin cancer and soft tissue repair

Our surgeons are here to address any of your medical concerns. Many procedures can be done on an outpatient basis.

Now accepting new patients age 18 and older. Most major insurance plans are accepted.

Schedule a consultation: (863) 280-6062

2000 Osprey Blvd., Suite 205 | Bartow

Sahand Bamarni, MD General Surgery

Ryan Enders, DO General Surgery