jueves, 27 de octubre de 2011

Dive In! The Water's Nice (and Healthy)

Diabetes Newsletter
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Dive In! The Water's Nice (and Healthy)

Ahhh, there's a chill in the air. That means it's time for a swim—indoors, of course. Join a gym or YMCA with a pool, especially if you're just starting an exercise plan, because swimming is an ultra-low-impact way to get in shape.

If you're overweight, or if you have joint or balance problems, foot pain from nerve damage, or other physical limitations—all of which are common among people who have diabetes—the swimming pool is a great place to get active. Because your weight is "reduced" by 90 percent in the water, swimming lets you swim longer and allows for greater flexibility. It's excellent aerobic exercise with an added benefit over walking: It exercises both the upper and lower body. Now, dive into some swimming know-how.

Splash in class. A water aerobics class may be the best way to get a full-body workout in the pool—and you don't even need to know how to swim. If there's upbeat music playing and you're with a nice group of people, you may even feel a little bit like you're at a party. Want to get competitive? Your pool might have a recreational water volleyball team, so call and inquire.

Get a leg up with a kickboard. Your buoyancy in the water is already protecting your joints from impact, but if you need even more lift, a kickboard will help. It's also handy if you're not confident of your swimming ability and want extra help in staying afloat. People who just want to exercise their legs can hold onto a kickboard and propel themselves through the water with leg power.

Work up to a 30-minute swim. Swim one pool length , and then rest for 30 seconds. Or for more of a challenge, alternate swimming for 5 minutes and resting for 1 minute. At each swim session, add gradually to your distance, resting as needed, until you reach 30 minutes of total swim time. To improve your aerobic fitness, swim three times a week.

Protect wounds while in the water. Swimming when you have an open wound isn't a good idea because it increases your risk of infection. Rather than skipping your aqua-workout, ask your doctor whether a waterproof bandage or another skin barrier is appropriate for your situation. Be sure to clear the bandage with the pool's lifeguard or manager before you jump in.

Be extra-alert for low blood-sugar symptoms. It may harder when you're in a pool to tell if you're sweating or feeling weak so be vigilant, and get out of the pool as soon as you suspect a problem.

Keep food handy. If your blood sugar drops while you're in the water, you may not have time to get out and get your snack. So keep a high-carb snack in a ziplock bag poolside while you swim. If the pool has rules against keeping food near the water, talk to the lifeguard, pool manager, or your water aerobics instructor and explain your needs.

Take waterproofing precautions with a pump. Some insulin pumps are advertised as being "waterproof" (sometimes with the use of inserts to plug the vent holes), but read the instructions carefully about the limits of this protection. The waterproofing may only apply to near-the-surface use and may not apply if you're diving underwater. If you find that the tape on your infusion set keeps coming loose in the water, buy a lightweight wetsuit T-shirt to wear over the infusion set. It will prevent water from peeling up the edges of the tape.

Shower immediately after swimming. Otherwise, the chlorine from the pool water will dry out your skin and might cause it to crack, which will make you more vulnerable to infection.

Protect your feet. People with diabetes are prone to slower healing, and serious infections of their feet. Wearing water shoes or aqua socks when you're swimming, even in an indoor pool will help prevent injuries. Concrete floors of some pools are abrasive.


Diabetes Recipes

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Diabetes Recipes

RecipePumpkin Custards
These custards are the best part of a pumpkin pie, and they are significantly lower in calories and much easier to make. The filling has a generous amount of cinnamon, which makes it taste good and helps with blood-sugar control. If you don't have vanilla soy milk on hand, use low-fat (1%) milk and increase the vanilla to one teaspoon.

Makes 6 custards

Ingredients:
2 large eggs
2 large egg whites
2/3 cup sugar
3/4 cup canned unseasoned pumpkin puree
1 1/2 teaspoons cinnamon
1/2 teaspoon ground nutmeg
1/4 teaspoon salt
1/2 teaspoon vanilla extract
1 1/2 cups vanilla soy milk
3 tablespoons whipped cream or low-calorie whipped topping

Preparation:
1 Preheat the oven to 325°F. Line a roasting pan with a folded kitchen towel (this prevents the custard cups from sliding around). Put a kettle of water on to boil for the water bath.
2 Whisk the eggs, egg whites, and sugar in a large bowl until smooth. Add the pumpkin puree, cinnamon, nutmeg, salt, and vanilla. Whisk until blended. Gently whisk in the soy milk.
3 Divide the mixture among six 6-ounce (3/4-cup) custard cups. Skim foam from the surface of the custards. Set the custard cups over the towel in the roasting pan. Pour enough boiling water into the roasting pan to come halfway up sides of the custard cups. Place the roasting pan in the oven and bake, uncovered, until custards are set, 50 to 55 minutes. Transfer the custard cups to a rack and let cool. Cover the custards and refrigerate until chilled, at least 1 hour. Top each custard with a dollop of whipped cream.

Per custard: 166 cal, 4 g fat (1 g sat), 28 g carbs, 5 g protein, 1 g fiber, 75 mg chol, 165 mg sodium


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Tip of the Week

20 Ways to Eat More Cinnamon

Recent headlines have touted cinnamon as a sort of new superfood, especially for those with diabetes. With good reason: Cinnamon can lower blood sugar and cholesterol and increase glucose metabolism—the process that turns sugar to energy—by a whopping 20 times. All you need is one-half teaspoon of ground cinnamon a day to start reaping the benefits. Here are 20 tasty ways to add this healing spice to your diet.
1. Tea
2. Coffee
3. Fruit juices
4. Fresh fruit slices (such as apples, peaches, pears)
5. Yogurt
6. Oatmeal
7. Cereal
8. Toast
9. Popcorn
10. Salad dressings
11. Sautéed vegetables (such as chard, spinach, broccoli)
12. Sweet potatoes
13. Squash
14. Stews
15. Chili
16. Roasted chicken
17. Roast beef
18. Spaghetti sauce
19. Pork chops
20. Hot cider on chilly evenings


Until next issue, here's to good health!
Neil Wertheimer
Editor in Chief, Reverse Diabetes



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This weekly newsletter is from Reverse Diabetes, a multimedia resource from Reader's Digest to help people with diabetes take control of their health. Look for Reverse Diabetes magazines at newsstands everywhere; Reverse Diabetes books wherever books are sold; and daily tips and conversation at www.Facebook.com/ReverseDiabetes.

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