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Bariatric Surgery Procedures Are Not Just About Weight Loss Anymore

Two recently released studies, published by the New England Journal of Medicine, produced data that will change the conversation about bariatric surgery, also commonly known as weight loss surgery.  It’s no longer just about weight loss.  Bariatric surgery proved far more effective than medication in controlling blood sugar in obese individuals with Type 2 diabetes.

In these studies,  surgical procedures were compared head to head with traditional medical treatment of diabetes.  The results show that inidividuals with Type 2 diabetes undergoing one of three different versions of bariatric surgery (gastric bypass, sleeve gastrectomy, or biliopancreatic diversion)  were significally more likely to lower blood sugar to normal levels than when treated with medication and diet and exercise counseling.

Researchers estimate that 80% of the 23 million adult Americans who have Type 2 diabetes are either overweight or obese.  With the prevalence of diabetes in the U.S. surging in tandem with the obesity rate, this becomes a very important study.

Some of the key findings:

  • The surgery patients lost five times as much weight on average than those in the medical-therapy group.
  • 75 – 95% of  patients had complete remission of diabetes two years after their procedures, and some were off of diabetes medication before being discharged from the hospital.
  • In addition to lower blood sugar and weight loss, significant improvements were also seen in cholesterol and blood pressure.

Not every patient with Type 2 diabetes is a candidate for bariatric surgery, but at least now the door is open for conversations to occur individually on the best treatment options for diabetes management.

Quinoa Salad with Tomatoes, Zucchini & Feta

April 2011: Spring Salads
Quinoa, a perfect protein, is one healthy item that will please the whole family. Mix it with black beans & corn for a southwest kick or edamame & teriyaki for asian cuisine. A versatile base that completes any dinner, below is one of our favorite quinoa combinations:

Quinoa Salad with Tomatoes, Zucchini & Feta

  • 1/2 cup quinoa
  • 1 cup water
  • 2 tsp freshly squeezed lemon juice
  • 2 tsp extra virgin olive oil
  • Kosher salt and fresh ground black pepper, to taste
  • 1-2 tsp fresh mint leaves
  • 1 cup chopped ripe tomatoes
  • 1 cup chopped cucumber
  • 1/2 cup crumbled feta

In a small sauce pan, bring the water to boil. Add quinoa, reduce heat to summer, cover the pan, and cook 15 minutes or until the liquid is absorbed. Remove from heat and set aside, covered, for 10 minutes. In a small glass jar, combine lemon juice, olive oil, salt and pepper, and shake until the dressing is emulsified.

Combine quinoa, mint, tomatoes and cucumber in a large mixing bowl. Pout in the dressing, and toss gently to combine. Transfer to a serving bowl, top with feta, and serve at room temperature.

National Nutrition Month: Eat Right With Color

March is National Nutrition Month; where we help return the focus to the basics of healthy eating. Today, we want to talk about how you can include a colorful variety of fruits, vegetables, whole grains, lean proteins and dairy on their plates every day.  Even though Spring may still be more than a month away, there are plenty of colorful, seasonal foods to fill your plate.  A rainbow of color creates a palette of nutrients.  Healthy eating involves more than just calorie counting.  In fact, most children do not get all of the essential nutrients needed for their growth and development.  If you are a busy working Mom with a household of picky eaters – how can you make sure your family has enough color in their diet?

 

Green – produce in shades of green contain antioxidants and may help reduce cancer and promote healthy vision.

            Fruits – Avocado, grapes, honeydew, kiwi

Vegetables – Artichoke, asparagus, broccoli, green beans, green peppers and leafy greens such as                                spinach

 

Orange/Deep Yellow – contain nutrients to protect the immune system, protect vision and reduce the risk of cancer.

            Fruits – Apricot, mango, cantaloupe, peach and pineapple

            Vegetables – Carrots, orange or yellow pepper, corn and sweet potato

 

Purple/Blue – have antioxidant and anti-aging benefits and may help with memory, urinary tract health and reduce the risk of cancer.

            Fruits – Blueberries, blackberries, plums or raisins

            Vegetables – Eggplant or purple cabbage

 

Red – can help to maintain a healthy heart, immune system and reduce cancer risk.

            Fruits – Cherries, cranberries, pomegranate, red/pink grapefruit and watermelon

            Vegetables – Beets, red peppers and tomatoes

 

White/Tan/Brown – contain nutrients that may promote heart health and reduce cancer risk.

            Fruits – Banana, pears, dates and white peaches

            Vegetables – Cauliflower, mushrooms, onion, parsnips, turnips and potatoes

 

Aim for at least 3 different colors on your plate.  Rather than grilled chicken and a baked potato; top the chicken with salsa, add mashed sweet potatoes and a spinach salad with strawberry slices.  The more colorful your plate, the more visually appealing it is, the more flavor it has and the more nutrients it contains.

 

Have your children help you plan meals that contain at least 3 colors and have them help prepare part of the meal.  The more involved children are with the meal planning and preparation, the more likely they will be to eat or at least taste the different colors and foods.  Remember, it can take up to 20 times for a child to try a food until they don’t hate it!  Don’t give up, offer healthy options along with foods they are familiar with.  Also, we are the greatest role models for our children, when they see mom and dad eating healthy and being physically active, they are more likely to follow in our footsteps.

Visit www.eatright.org for more National Nutrition Month tips.

{image via here}

Singing a New Tune: Robert Parish’s Life After Weight Loss Surgery

Robert is a nursing supervisor at St. David’s Rehab Hospital.  Along with his expertise as a care provider, he is also a very talented actor, musician, and songwriter.  Feeling his health deteriorating from excess weight, he made the decision to have bariatric surgery, or weight loss surgery.  It has been 2 years since Robert’s gastric bypass surgery and I recently had an opportunity to sit down and talk to him about his life after surgery.

Q:  The first thing I notice about you is how healthy you look.

A:  I feel healthy and I am healthy.  Losing 135 pounds made a huge difference in my health.

Q:  What type of health issues were you dealing with?

A:  My blood pressure skyrocketing and I had a severe case of sleep apnea.  I found that as I grew older, not only was my health becoming worse, but my ability to lose the excess weight was becoming more difficult.

Q:  What made you look at surgical options for weight management?

A:  My primary care doctor looked at me one day when I was there for an appointment and asked, “When are you going to stop battling this weight?”  It was the spark that I needed to prompt me to look for a solution.  And I didn’t have to look far.  I was caring for postop bariatric surgery patients at the time and I saw what a difference it was making in their lives.

Q: And what difference has weight loss surgery made in your life?

A:  My blood pressure is normal and my sleep apnea is gone.  I’m wearing clothes that haven’t seen the light of day in at least 10 years.  But, most profound is the sense of relief that I experience every day – the relief that  don’t have to be constantly at war with myself and my issue with food.  I feel like I’ve gotten my life back.

Interested in seeing if weight loss surgery is right for you?  Visit our web site at stdavidsweightloss.com or give us a call at St. David’s Bariatric Center – 512-544-LIFE (5433)

Making Your 2012 Health Resolutions Stick

It’s an all too familiar story:  making the resolution to a more healthy lifestyle on January 1 and giving up on said resolution before the end of the month.  How do we stay motivated and dedicated to achieving our health goals?  Try these tips:

1.  Eliminate “all or none” thinking.  Realize that we are going to slip up and just because we do does not mean that the day/month/year is shot.  Do not give up on your healthy aspirations just because you ate a cookie (or several!), or abandoned your exercise plan for a few days.  Like the song says, pick yourself up, dust yourself off, and start all over again!

2.  Take baby steps.  I’m not sure what you do, but my plans always end up very complex and elaborate.  I think that I can go from a relatively sedentary activity level to climbing mountains in a matter of a month…and liking it!  Not a realistic, achievable, or enjoyable goal.  When planning out your health resolutions, think incrementally.  If a daily 2 mile walk is your goal, go for a quarter of that distance three days a week, and gradually add more distance and more days as time goes by. Baby steps will help you to make your goal achievable and a permanent part of your daily routine.

3.  Make new habits.  Old habits die hard, and it seems like giving birth to new ones is equally difficult.  The key is to set yourself up for success with the development of a routine.  I don’t remember a time when brushing my teeth was not a part of my bedtime routine.  I’m sure it was an activity that was reinforced by my parents over and over again.  Now, not brushing my teeth before bed would just seem strange.  It has become a habit by repetition through the years.  We all have various means for reminding ourselves to do something that is not a part of our daily routine:  iphone calendar reminder, notes stuck to the refrigerator door, a phone message that you leave for yourself.  Think about ways that you can prompt yourself to adapt your new resolutions as part of your daily routine.  Once that habit forms, it will be almost as effortless as brushing your teeth!

 

 

‘Tis the Season: 3 Steps to Control Holiday Eating

The holiday season is a time for merry making, which is usually associated with delicious food and drink.  Maintaining healthy eating and exercise habits during this time of year is a challenge for even the most dedicated!  Follow these simple steps to help control holiday eating:

1.  Plan what you will eat.  When you arrive at a party, scope out all the food choices and make a deliberate decision about what you put on your plate.  Following a plan that includes some healhy choices of fruit, lean protein, and vegtables will help you sample foods you enjoy without abandoning healthy habits.

2.  Tastes, pinches, and bites DO count!  Make your food selection and then walk away from the table and enjoy your meal.  Close proximity to those tempting morsels can lead to continued eating, even if you are no longer hungry.

3.  Avoid alcohol and save your calories for the main meal.  Alcohol provides many calories and essentially no nutrients.  Do your waist line and your friends a favor this year and be the designated driver.

Remember that the holiday season is a time for friends and family.  Make sure the time you spend with your loved ones is your priority.  Happy Holidays from all of us here at St. David’s Bariatric Center!

 

Walk for Health, Walk for Hope

As it turns out, an excellent way to get in shape is an equally excellent way to get involved.  Sometimes it takes the gentle nudging of a cause greater than ourselves to propel us into action.  The  Komen Austin Race for the Cure will be held on Sunday, November 13th, and I plan on participating in this annual event in the fight against breast cancer.  The race is 5K (or 3.1 miles), or you have the option of  a 1 mile family walk.  Not only will your participation provide physicial activity for yourself, but you will be among many who are making a difference in the lives of women everywhere.

Here are a few FAQs about Race for the Cure.

Q:  Is this something in which occasional exercisers can participate?

A:  Of course!  You can choose to participate in the timed race, or the untimed walk which is a pet friendy, family friendly walk of a little over 3 miles, or you can choose the 1 mile family walk.

Q:  What if I begin to feel too tired during the walk?

A:  You should slow down if you are getting too tired, and you can always stop and rest.  Water stations will be available for you along the walk as well.

Q:  Do you have to be a member of a team to participate?

A:  It’s not required that you join a team, but you are certainly welcome to join one.

Q:  Is there a fee to join Race for the Cure?

A:  Yes.  The fee is $30 online, or $40 on the day of the race at the registration tent.

Q:  How is the money that is raised by this event used?

A: 75% of net funds raised locally is used locally.  The Komen Austin provides funding to local non-profit healthcare organizations for breast health services for the  underserved men and women in Travis, Bastrop, Hays, Williamson and Caldwell Counties. The remaining 25 percent funds the national Susan G. Komen for the Cure® Grants Program, which funds groundbreaking breast cancer research.

So, let’s get out there and make a difference!  Let’s choose to walk for health, walk for hope.  To find out more information, register, or locate a team please visit www.komenaustin.org.

 

 

It’s Time for a Candid Conversation

A recent survey found that the majority of patients (86%) who had a weight loss surgery procedure wish they’d had it sooner, and physicians echo this sentiment, wishing they had suggested it sooner to some of their patients. With the rising obesity rates across the US, it’s time for us to have a candid conversation with our doctor about weight management options and get on the path to lasting weight loss…our health depends on it!

If you are struggling with your weight and have concerns about the impact on your health, then weight loss surgery may be right for you. We invite you to attend a free seminar where you will hear honest and reliable about weight loss surgery from one of our bariatric surgeons.

Click here to register for the seminar.

 

4 Common Misconceptions about Weight Loss Surgery

In making an informed decision about Weight Loss Surgery, you need to have truthful and complete information. There are some misunderstandings about weight loss surgery that seem to be fairly common.

I would like to address those for you:

  1. The procedures are not covered by insurance companies – Not true. Many insurance plans, including Medicare and Medicaid, cover weight loss surgery. If you have questions about whether this would be covered by your policy, please click here for suggestions on the type of questions you should address with your insurance company.
  2. Your diet and exercise days are over! – Not true. Weight loss surgery is a very powerful tool that assists with weight loss. However, it does not eliminate your responsibility to make wise, healthy food choices, and engage in regular exercise. Food choices and regular exercise will always be at the heart of any successful weight management plan.
  3. The things you eat will be severely restricted after Weight Loss Surgery – Not true. While the amount you eat is limited by the formation of a new, much smaller stomach pouch, the types of food you eat, after you have progressed and recovered from the surgery, are unchanged. You will receive education on making the right food choices to ensure lasting success, but your diet is certainly not limited.
  4. Having Weight Loss Surgery is too risky – Every treatment option carries a risk. So does staying where you are, especially if you have already been diagnosed with obesity related illnesses, such as hypertension, diabetes, hypercholesterolemia, sleep apnea, gastric reflux, and arthritis among others. What are your risks of suffering health related consequences by staying at your current weight? Please discuss this with your doctor, and do some investigation on the actual risks associated with Weight Loss Surgery.

Learn the facts about Weight Loss Surgery and make the best decision for you! Please register for our free seminar to hear a bariatric surgeon discuss Weight Loss Surgery.

~ Rebecca