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The Cheesecake Factory is just one of the many casual dining chains that are struggling as a result of the pandemic.

In fact, according to Business Insider, restaurants like The Cheesecake Factory are currently in a state of limbo due to the pandemic.

Keep reading for more details!

These Face Masks Are Stylish, Safe And On Sale!

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Casual dining chain restaurants are being hit hard during the pandemic. These chains are currently working with limited dining capacity, and most lack drive-thru windows.

As a result, the article explains, "Casual dining brands are struggling far more than fast-food chains."

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Some chains have started closing locations as well. The article continues, "Some chains are being forced to close locations, with TGI Friday's planning to shutter up to 20% of its US locations and Ruby Tuesday quietly closing more than 150 restaurants since January."

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The Cheesecake Factory has made its own set of changes.

The chain announced their restaurant updates through their website, emphasizing that "the health and wellbeing of our staff members and guests is our top priority, and we are approaching the reopening of our restaurants dining rooms with that as our guiding principle."

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To do so, they have implemented several changes to their restaurants. Some measures include: "reconfiguring seating in the dining room, patio and bar to meet social distancing guidelines, using floor decals to remind guests in our lobby and bakery areas to keep to social distancing protocols, [and] having dedicated staff through every meal period solely."

Customers also can pay for their food with contactless mobile payment.

Read more:
This Huge Secret About The Cheesecake Factory Just Got OutWHAT Is Happening - SheFinds

With August being National Breastfeeding Month, HSHS St. Anthonys Memorial Hospital is reminding new and expectant mothers about the importance of breastfeeding, even in this time of coronavirus (COVID-19).

The World Health Organization (WHO) says that breastfeeding is supposed to work almost like a newborns first vaccine, providing vital antibodies and an immunity boost through the mothers milk. According the U.S. Surgeon General, 75% of mothers breastfeed their newborns, but the number of infants who are still breastfed exclusively drops to 13% by the time they are six months old. Studies show that babies who are not breastfed exclusively for the first six months are more likely to develop allergies, childhood obesity, colds, flus, ear infections and more.

Mothers understandably may have concerns about breastfeeding in this time of COVID-19. According to the Centers for Disease Control and Prevention (CDC), while we cant be certain at this time whether mothers with COVID-19 can transmit the virus via breast milk, the limited data available suggest this is not likely. The CDC recommends that whether and how to start or continue breastfeeding should be determined by the mother in coordination with her family and health care providers.

If you are breastfeeding and have symptoms of or confirmed COVID-19, the CDC recommends taking the following steps to avoid spreading the virus to your baby:

Wash your hands before touching your baby.

Wear a cloth face covering, if possible, while feeding at the breast or pumping.

Wash your hands before touching pump or bottle parts and clean all parts after each use.

The WHO agrees with the CDC that following infection prevention and control measures is essential to prevent contact transmission between COVID-19 suspected or confirmed mothers and their newborns and young infants. In a recent scientific brief, the WHO recommends that mothers with suspected or confirmed COVID-19 should be encouraged to initiate or continue to breastfeed. Their study outlines that the risk of COVID-19 infection is low in infants, the infection is typically mild or asymptomatic, while the consequences of not breastfeeding and separation between mother and child can be significant. Per their study, at this point it appears that COVID-19 in infants and children represents a much lower threat to survival and health than other infections that breastfeeding is protective against. The WHO also recommends that a mother with confirmed COVID-19 should be counseled to take precautions to avoid spreading the virus to her infant, including handwashing and wearing a cloth face covering.

Whether breastfeeding by the breast or pumping breast milk, breastfeeding is so important to an infant by providing protection against many illnesses, while also encouraging bonding between mother and baby, said Ashley Davis, RN, certified lactation consultant (CLC) and nurse navigator. If mothers are concerned about COVID but still want to breastfeed, we encourage them to follow the CDC guidelines to wash their hands and wear a mask while their baby is breastfeeding but want them to know it is very safe.

The normal and natural food for a newborn baby is breast milk. Their need for breast milk continues as they grow. The following are a few benefits of breastfeeding:

Breast milk is liquid gold. Colostrum, known as liquid gold, is the thick yellow breast milk that mothers make during pregnancy and just after birth. This milk is very rich in nutrients and antibodies to protect your baby. Although your baby only gets a small amount of colostrum at each feeding, it matches the amount his or her stomach can hold.

Breast milk changes as your baby grows. Colostrum changes into what is called mature milk. By the third to fifth day after birth, this mature breast milk has just the right amount of fat, sugar, water, and protein to help your baby continue to grow. It is a thinner type of milk than colostrum, but it provides all the nutrients and antibodies your baby needs.

Breast milk is easier to digest. For most babies, especially premature babies, breast milk is easier to digest than formula. The proteins in formula are made from cows milk and it takes time for babies stomachs to adjust to digesting them.

Breast milk fights disease. The cells, hormones, and antibodies in breast milk protect babies from illness. In fact, among formula-fed babies, ear infections and diarrhea are more common. Formula-fed babies also have higher risks of lower respiratory infections, asthma obesity, and type 2 diabetes

Breastfeeding is beneficial to mothers as well. Mothers who breastfeed tend to lose their post-pregnancy weight faster, recover from childbirth faster, and are at a lower risk for developing breast and ovarian cancer.

Breastfeeding Support For mothers needing additional support to be successful in their breastfeeding journey, HSHS St. Anthonys Women's Wellness Center has a lactation consultant to answer your questions or concerns. For more information, call 217-347-1638.

For more information about breastfeeding, visit cdc.gov/breastfeeding.

We are making critical coverage of the coronavirus available for free. Please consider subscribing so we can continue to bring you the latest news and information on this developing story.

Excerpt from:
Hospital reminds mothers about benefits of breastfeeding | Community - Effingham Daily News

When you realise your extra fat weighs the same as your three-year-old, you know somethings got to change. I had that revelation two years ago, standing on a set of scales at my parents house on a sunny Saturday. I knew how heavy my child felt to lift, and realising I was carrying that weight around was the kick-start I needed. I started on a personal uphill climb, which will be familiar to anyone our Prime Minister included who has tried to lose weight.

If this story was a movie, the next scene would be a montage. Our hero, resolute, ties his laces and goes for a run, sweating and jiggling in his new sportswear fast cut to a boxing ring, a gym, chin-ups on a bar, maybe even some sunrise tai chi before finally a slimmed-down character runs up some steps and pumps his fists in triumph.

Well, thanks Rocky, but we all know it doesnt really work like that.

My own weight loss started well counting calories and eating healthily did the trick for a bit, and the pounds started to fall off. Then life happened. Or rather, illness, stress and upheaval, coupled with the daily pressures of a busy job and life with kids. A few months became a year and the needle started to creep back up, but eventually I managed to hop back on the wagon. The montage restarts. The protagonist, with renewed focus, tries again until he gets hit in the face by Christmas. Just a little break turns into a further few months hiatus and then a pandemic sweeps the globe and normal life stops.

I was ready to give up on the whole thing. People were dying, the economy was imploding, and working from home meant the fridge was only ever a few paces away. The elusive target was still in the distance, but I was lighter than I started. Couldnt I just count that as a win and move on?

Then an unusual thing happened. Like Londoners across the city, I found myself with time on my hands. A three-hour daily commute became three hours at home with the family. I was able to do more around the house and play with the children. We achieved a little more balance in our lives. It gave us an opportunity make some positive decisions about what we ate.

Boris Johnson and his personal trainer, hired to help him lose weight (Evening Standard / eyevine)

Technology helped us stay connected to family, friends and colleagues through the past six months, and technology helped me stay on track with weight loss. I had the encouragement of strangers on Reddit forums (hi, r/loseit!) and the MyFitnessPal app which helps to track your nutrition.

I took up running. It was comforting to see equally out-of-shape neighbours puffing in the park, and dawn jogs were far preferable to grinding away on treadmills at lunchtime, which I had been doing.

Being isolated from others meant the journey became entirely private, and social temptations were eliminated. No work snacks, no restaurants, and no after-work beers. I missed all those things, but being forced to go without sure saved me some calories. I lost two and a half stone.

Losing weight is a long slog. The gains happen so slowly you dont notice them, and the frustration is real. After six months of isolation, though, any change in others becomes more striking so it was gratifying to return to work and receive positive comments from surprised colleagues, and even more so to realise how much better I felt about myself after losing the weight. I guess lockdown gave me my own little movie montage, after all.

Go here to see the original:
Dear Boris, if you want to shape up and finally lose some weight, here are a few tips from me... - Evening Standard

THIS Morning viewers raged at a professor who for giving "damaging" advice about how to lose weight.

Tim Spector claimed breakfast makes you gain weight and told viewers they should fast for 14 hours and avoid healthy snacks.

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He's written a book called Why everything you know about dieting is wrong to "correct the falsehoods" that have been pushed onto people for years.

Tim told viewers: "It's important people know the truth about what we're eating and correct the myths that face us every day when we go to the supermarket.

"I love breakfast, but for many people it actually makes them put on weight.

"About half the population would probably do very well if they skipped breakfast.

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"It's been told it's the most important meal of the day for the last 100 years by breakfast manufactorers. It simply isn't true.

"If you have the same amount of food broken down into two meals, not three, most people will be better off and healthier."

It enfuriated viewers, with one asking: "STOP WITH UNHEALTHY DAMAGING PIECES ABOUT FOOD. Please. Restrictive eating = breakfast is bad should not be glorified on television. Stop it."

Another said: "Utter rubbish. Send children to school hungry? It depends WHAT you eat for breakfast (as well as other meals)."

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Someone else said: "Hi @thismorning, me again. You've currently got an apparently qualified doctor on your show saying that "half the nation could do with skipping breakfast to lose some weight".

"Do you know how dangerous this advice is? Please stop broadcasting this harmful rubbish #ThisMorning."

Tim also discussed the idea of "restrictive time eating" to "give your gut a rest".

He encouraged people not to eat for 14 hours.

"This goes against what the food companies want," said Tim.

"They want us to eat all of the time, but the scientific evidence shows the opposite it true.

"We should be compressing our eating time, so starting later and finishing earlier."

Tim went on to describe calorie counting as "the biggest oversell in history".

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"No calorie-controlled diets have ever worked long-term," he claimed.

"You can't measure it accurately.

"Calories in doesn't equal calories out. It doesn't add up."

Ruth Langsford argued that the less calories consumed will help to lose weight.

Tim added: "The idea that women only have 2,000 calories is complete nonsense. Everyone is different and unique.

"Chips have more calories than spinach, but choosing different foods because of calories is nonsense.

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"If we eat better and at the right time then we can all be much healthier and lose weight."

Tim added that there are more obese people now because of "continual snacking", adding: "You should wait, like in southern Europe, for main meals and eat those properly."

Another viewer said: "So what do you expect us to eat dust."

Spoiler

CAUGHT OUTGeoff's hidden camera finally exposed in Corrie as Tim tells Sally about it

REAL REASONWhy did Todd leave Coronation Street and go on the run?

Spoiler

LIGHT-BULB MOMENTCorrie's Tim Metcalfe finally realises his dad Geoff is an evil abuser

eerie ruinsI'm A Celebrity confirm 'haunted' Gwrych Castle in Wales will be new location

EXCITING TIMESEmmerdale's Max Parker reveals fans will see 'more fire' from Luke Posner

Spoiler

FAMILY BETRAYALEmmerdale's Belle thrown out of the family after moving in with Jamie

One added: "If you listened to every expert on food, you just wouldnt eat anything at all because it all seems wrong/poisonous/fattening."

Someone else said: "Sorry, but this man is talking utter nonsense. Consuming too many calories lead to fat gain.

"Consuming fewer calories lead to fat loss. It is very much to do with calories in vs calories out. Yes, fat loss is that simple. #ThisMorning."

Excerpt from:
This Morning viewers furious at professor who says breakfast makes you gain weight, fast for 14 hours and - The Sun

People struggle with the issues of weight gain and loss. Both processes are complicated in their way. Most people want to lose weight because obesity is a widespread issue these days. But gaining weight after one has become skinny is also a complicated process. It cannot be done in days just by eating more and more. A person has to take proper measures that can ensure weight gain.

For weight gain, people often look for supplements such as artificially prepared proteins in protein powder. Some people also take injections for this purpose. People also join different gyms and also tend to change their whole diet plans. Gaining weight can be as demanding as losing it because one has to be mindful of gaining weight, which is even a very distressing condition.

Dried fruits are the fruits that have almost all of their water content removed. That is why they are small condensed fruits that are heaped with energy. They are energy-rich food, which is why it can be used for weight gain purposes. Some of them are also high in calories compared to fresh fruits, which are needed to gain weight. Besides weight gain, dry fruits can also help increase essential nutrients for your body working and maintenance. Here are some dried fruits that can be consumed for weight gain purposes.

Dates are small in size. They can vary in size, but they are fully packed with nutrients. They are also commonly used in the diet. They are used to open fast because of their quick energy providing property. That is why they are typically sold dried in many countries.

In this way, they can give you all the needed calories. They can also help you with maintaining weight during your pregnancy.

Prunes are dried plums that are packed with high nutrition.Prunes can help you effortlessly gain weight. They are delicious and can be added to meals for weight gain purposes. Prunes are readily available in the market. Prune also has fibers that can help to soothe your constipation.

A 1-ounce (28-gram) serving of prunes provides the following nutrients

They are another kind of meal which can help with weight gain issues. They are small-sized, and they are rich in fiber content, which very essential for providing energy to the body. They will help you prevent extra fat by keeping your calories in balance. They are also essential for the eyes. They have the following number of calories and fats. One ounce contains

They help in maintaining a balanced amount of calories. Dried apricots also help in relieving liver issues, thus preventing weight loss due to those issues.

Cashew nuts are tasty and are very rich in calories, so they can help you to gain weight fast. The dietary fiber in the nuts makes your digestive system function properly. High-calorie content and high fiber content help you a lot in weight balancing. You would barely find any better source of protein, fiber, and good fats. All of them are necessary for increasing body weight. The fiber in cashews is vital for digestion, thus helping in the absorption of fats and nutrients. They also prevent the reasons for weight loss. They have the following nutritional value

Besides having proteins and vitamins, almonds also contain monosaturated fat compounds. You will need an intake to an ounce to get all the nutrients and add calories to your weight. Almonds also have minerals in them. They contain 576 calories per 100 grams. Almonds are also well known for the proper functioning of the brain and eyes. They make your brain functioning strong, helping you with mental issues, which are also a factor in weight loss. Almonds provide you with the following nutrition.

They are the type of dried grapes that are available in different sizes. It has large varieties. Raisins are rich in carbs and sugars, thus serving your body with an instant boost of energy and a significant addition in your weight. They are also well-known for eye health. You can use them in different ways according to your liking. Raisins serve following nutritional purposes

Pistachios are high in calories. So they provide you with weight and at the same time energy. They are a kind of storehouse for essential nutrients. They have fiber, monosaturated fatty acids, and carotenoids. All of them help in the management of weight, and at the same time, they act as antioxidants, thus delay aging. Those who are into gaining weight should opt for these. They have the following nutritional value

Walnuts are a bit bitter. That is why they are least preferred. They are also rich in nutrients that are essential for weight gains, such as fiber and fats, thus helping you with weight gain. Their continuous use for months can have a significant addition to the health and weight of the body. They are also known for a healthy brain as they enhance brain capacity.

They have the following nutritional values

In conclusion, we can say that dried fruits are proper food. They not only help with weight gain but also help to prevent various diseases. They are easy to use in every way. They also have a very delicious taste. Whether you are using them for gaining weight or use them for losing weight, they will help you without doing any bad for your nutrition. They help in the maintenance of the body as well as mind. So, they can help to fight in mental diseases which are very common these days. One should include them in the diet daily. Proper and adequate use will always show the desired results. Yummway.com is always thinking about your health.

More:
Gain Weight by Eating these Dried Fruits - Foreign Policy 2018

Tia Mowry is sharing some seriously sage advice for new moms out there!

In a new Instagram post on Tuesday, the Sister, Sister actress revealed shes lost an impressive 68 pounds since giving birth to her daughter Cairo in May 2018, and now, shes ready to tell us all exactly how she lost the extra baby weight. Even if youre just trying to lose the dreaded quarantine 15, this is definitely worth taking notes on!

Related: Ciara Shares Fitness Inspiration To New Moms After Welcoming Baby Number 3!

Opening up about her postpartum transformation alongside the mirror selfie (above), Tia wrote:

Ive lost to date 68 pounds since giving birth to my daughter. Im very proud that I did it my way and in my time. I didnt feel rushed to snap back. I enjoyed breast feeding and spending quality time with #cairo and my son #cree. To all the women who are feeling pressured after birth. Do YOU! Do what makes YOU proud and do it in YOUR time. Not anyone elses.

Loving the positive and patient mindset here, Perezcious readers! Theres an unbelievable amount of pressure for mommas to snap back to their pre-pregnancy size and if you ask us, we agree that people shouldnt be so focused on numbers on a scale when someones body literally just experienced the miracle of life.

It might be easier for some to immediately shed the weight, but that isnt the case for most. Remember, it takes at least 9 months to get to that point, so you cant exactly expect magic overnight. Take time to work on yourself and care for the baby because parenthood is all about balance, right? The point is to FEEL good while youre working on those fitness goals, too.

But its not to say we cant acknowledge Mowrys efforts and how stunning she looks in the shot. Gurl is absolutely working those cut-off shorts, and we love to see it! Stars like Vanessa Bryant and legendary WNBA player Candace Parker were among thousands who hopped in the comments section to show love on the 42-year-olds pic.

Related: Pink Catches Waves & Celebrates Her Thunder Thighs Yas Queen!

The proud momma of two, who also shares 9-year-old son Cree with husband Cory Hardrict, previously opened up about maintaining a healthy outlook on her second pregnancy journey with E! News back in 2018. She shared at the time:

Its not about trying to look great. Its about trying to feel great. And if that takes five to six months to a year to feel like myself, then so be it.

She added:

Im just really taking my time, and I really want to be an example out there for women. Its OK if you dont lose weight fast or rather quickly. Its OK if you still have a belly bump. Thats what happens. Its natural. Its normal. You dont have to kill yourself trying to get to some place that takes time. Im about focusing on my babies and enjoying her growth.

We hope her message brought comfort to anyone who needed to hear it!

[Image via Tia Mowry/Instagram]

Read the rest here:
Tia Mowry Flaunts Impressive 68 LB Weight Loss Secret With A Brilliant Message To New Moms! - POP TIMES UK

People with diabetes may wish to fast for dietary, medical, or religious reasons. Advance planning with a health care professional may reduce complications.

When Martin M. Grajower, MD, encountered patients with diabetes through his clinical practice who were committed to fasting for religious and other reasons, he was inspired to support them in finding ways to fast safely. Here, he discusses strategies that can help people with diabetes avoid health complications while fasting.

Q: What is a fast?

A: A fast is any defined period of time in which someone chooses not to eat. That could be six hours, eight hours, or 24 hours or more. A fast can mean no intake of food, or it can mean nothing at all by mouth, including no liquids.

Q: Why do people with diabetes fast?

A: People with diabetes fast for a variety of reasons, just like people without diabetes do. Most commonly today, people fast for dietary reasons. They want to lose weight, and so they may engage in calorie restriction by means of intermittent fasting.

People also fast for spiritual or religious reasons. For example, various religious practices call for fasting over a 24-hour period, over a certain number of hours per day for an entire month, or for one day a month throughout the year, or on some other schedule.

People may also fast because they have been told to do so before going into surgery. For example, sometimes people are told to eat nothing after midnight, but their surgery may not be until 3 oclock in the afternoon the next day, so thats a 15-hour fast. Some people going in for procedures, such as a bowel procedure, may be told to consume only liquids for 24 hours, which is also a form of fasting.

Q: What are the risks from fasting for people with diabetes?

A: Hypoglycemia is the number one risk. Hyperglycemia can also become an issue because people will cut back on their diabetes medicine, especially if theyre on insulin, to avoid hypoglycemia. But if they cut back too much, then their blood glucose will go too high and theyre at risk of hyperglycemia, and even potentially diabetic ketoacidosis.

Dehydration is another risk and depends on the nature of the fast. If its a complete fast where the person fasting cant take in liquids or has been instructed not to take anything orally to prepare for surgery, then dehydration becomes a major risk. The dehydration could be due to not drinking or because some diabetes medicines, such as the SGLT-2 inhibitors and diuretic medicines, induce diuresis. Furthermore, hyperglycemia induces diuresis.

Q: How do the different types of diabetes affect fasting risks?

A: People with type 1 diabetes are at greater risk when fasting compared to people with type 2 diabetes, because they are on insulin. The amount of insulin they take when fasting needs to be adjusted. If they dont cut back enough, they risk hypoglycemia, but if it is cut back too much, they can develop hyperglycemia. People with type 1 diabetes also face increased risk of dehydration and diabetic ketoacidosis, compared to people with type 2 diabetes. However, there are more people with type 2 diabetes, so at the population level there are more people at risk when fasting.

For women with gestational diabetes, if theyre not on medicine, especially if theyre not on insulin, fasting is the best insulin sensitizer that we have. So, I never hesitate to let women with gestational diabetes restrict calories for a short period. Pregnant women do have to factor in the risk of dehydration, taking into consideration their blood pressure and any edema.For women with gestational diabetes who wish to partake in the longer fasting regimen of certain religious practices, thats a separate discussion.

Q: What challenges does intermittent fasting pose for people with diabetes?

A: There are two types of intermittent fasting. Theres the type that you do every dayfor example, every day you eat for only eight hours during the day. I don't necessarily recommend it, but I have no problem with a person with diabetes following this eating pattern, because they're doing the same thing every day and you can just adjust their medications accordingly. The intermittent fasting where you fast two days a week or every other day is more problematic because it can become very complicated to adjust the medication. It can be done, but it requires the time and the expertise of the physician and it requires the compliance of the patient. So, I don't recommend patients do it on their own, but it can be done safely under medical supervision.

Q: What is your approach with patients who wish to fast for religious or spiritual reasons?

A: I became interested in this subject because of a couple of patients. A member of my religious community went to the rabbi and said, Last year my doctor said anyone with diabetes shouldnt fast, but I did anyway, on my own, and my sugar dropped low. So, what do I do this year? The rabbi called me up and asked what I should tell him. I found out that the only medicine this person was taking was a sulfonylurea, so I told him to stop taking his medicine 36 hours before Yom Kippur, and he did fine.

I also had an elderly Orthodox Jewish woman as my patient. I said to her, I dont think you should fast on Yom Kippur because youre elderly, youre on heart medicines, and youre on a complicated insulin regimen of three shots a day. She looked me straight in the eye and said, Doctor, I fasted on Yom Kippur in the concentration camps, so dont tell me not to fast now. Im going to fast with or without your help, but Im going to fast.

This was a powerful lesson. The determination to fast is found not just in the Jewish religion, but also in the Muslim faith. People hold Ramadan to be a very holy time, and theyre going to fast either with or without their doctors help. People of other faiths or who adhere to other spiritual or meditative traditions fast as well. Thats why I've become a very big proponent of allowing people with diabetes to fast, but under medical supervision.

Its our obligation as health care professionals to adapt diabetes to our patients religious beliefs. I did my fellowship under Dr. Harold Rifkin, who co-wrote the first textbook on diabetes. He taught me that you need to adjust the management of diabetes to the patients lifestyle, not the other way around.

I really think nurse practitioners and nutritionists could take the lead on this, because doctors unfortunately dont always have the time. If you have patients who are Jewish, Muslim, or a member of the Church of the Latter-day Saints, you can ask, Do you fast for religious reasons? And if they do, talk with them about how theyre going to manage it. Because if you dont ask the question, patients will do it on their own, and thats when theyre going to run into problems.

Q: What are the concerns when people must fast prior to surgery?

A: The major concerns are hypoglycemia and dehydration, both of which can be avoided by adjustment of medication and scheduling the surgery, for early in the day when possible.

Q: How do you help manage the patient who wants to fast?

A: Health care professionals need to consider the pharmacodynamics (mechanism of action) and pharmacokinetics (the onset and duration of action) of the diabetes medicine a patient is on. How long does the medicine work? How long does it stay in the system? Does the medicine increase hypoglycemia risk or is its action glucose dependent?

Sulfonylureas, the short-acting meglitinides, and insulin, are associated with hypoglycemia. The sulfonylureas have a 24- or 36-hour duration of action, so those need to be stopped at least 24 and preferably 36 hours before the patient is going to fast. Meglitinide and Nateglinide generally are taken three times a day before each meal because it has a duration of action of only 4-6 hours. Patients should not take a glinide medicine if theyre not eating or if theyre not going to eat carbohydrates.

Insulin requires a major adjustment, so the health care professional should understand the duration of action for the kind of insulin that the patient is on. For example, certain long-acting insulins are taken every day and have a duration of action of 36 to 42 hours. If a patient takes insulin on Monday, the effect is going to last until Wednesday. If I have a patient with this kind of insulin going in for a medical procedure on Tuesday, I advise him or her to reduce their dose of insulin on Sunday, two days prior, as well as on Monday, one day prior. I provide detailed instructions on how much to reduce the dosage, as described in the article on medication adjustment referenced below.

The older NPH (isophane) insulin has a duration of action of about 12 to 16 hours, and other forms of long-acting insulins have a duration of between 16 and 24 hours. For these medicines, you would have to help the patient adjust dosages mostly the day before the procedure.

Metformin, pioglitazone, and DPP-4 inhibitors rarely cause hypoglycemia, so health care professionals dont have to adjust them. But the patient should not take it on the day of fasting if its a 24-hour fast. With patients doing intermittent fasting, where they are eating during 8 hours of the day and going on a 16-hour fast, I dont tell them to stop taking the medicine, because they rarely cause hypoglycemia, and the medicine should be in their system for those 6 or 8 hours while they are eating to prevent hyperglycemia.

Q: What about dehydration concerns?

A: As far as dehydration goes, it really depends on the kind of fast. With intermittent fasting, fluid intake is never restricted; just calories are restricted. So, people with diabetes can drink water, diet soda, tea, or black coffee without hesitating, and dehydration should generally not be an issue. However, patients who normally get a lot of their liquids from foods like soups, shakes, jello, and yogurt may not realize that three-quarters of their fluid intake is really coming through food. Even if they drink as much while fasting as they do at other times, they will not be consuming enough liquid and they could run into a problem with dehydration.

Health care professionals also need to keep in mind that the SGLT-2s, besides lowering blood sugar, have a diuretic effect. Both aspects of the medicine must be considered when adjusting the dosages. I generally will stop the SGLT-2 two days before a patient begins a fast because of the dehydration aspect.

Health care professionals should also consider other medicines the patient is on, especially diuretics. These may also require adjusting. We also keep in mind the patients other medical conditions. A patient who has had a heart attack or a stroke within the last three months is at increased risk from dehydration and the resultant drop in blood pressure. If the patient becomes hypotensive from dehydration, this could lead to another heart attack or another stroke.

If A1C is not controlled, the patient is also at increased risk for dehydration, because glucose in the urine acts as a diuretic. If a patient has an A1C of 9 or greater, I will strongly discourage fasting due to the risk of dehydration from the high blood sugar or, if the patient has type 1 diabetes, the risk of going into diabetic ketoacidosis.

A patient who is running any fever in the last week or so should not be fasting, again because of the risk of dehydration resulting from fluid loss due to sweating. Health care professionals need to be conscious of these other issues before going ahead and giving a blanket recommendation regarding fasting.

Q: How do you advise patients regarding glucose monitoring during a fast?

A: Patients who are on insulin and fasting should do even more frequent glucose monitoring than usual until they get a sense of the safety of their revised insulin regimen. For example, the patient on a long-acting insulin who decides to intermittently fast two days a week, with the help of a health care professional, should adjust the insulin the day before the start of the fast. Then over the first two or three fasting periods, the patient should check glucose levels even more frequently than normal, until it can be established that the lower dose of insulin is correct. Subsequently, the normal frequency of testing can be resumed.

Someone whos not on a sulfonylurea or insulin doesnt have to test any more frequently than normal because the risk of hypoglycemia is extremely low.

Note: For detailed guidelines on medication adjustment and other considerations while fasting with diabetes, see the articles listed at the end of this interview.

Q: Do you have any other tips for helping patients with diabetes manage fasting?

A: At the time of a patients pre-fast visit, I write down all my instructions. I hand the patient a copy (to avoid misunderstandings), and I keep a copy in the patients chart. In the instructions, I put down medication adjustments, how often to check blood glucose readings, and what to do if the blood glucose reading goes above or below a certain specific number (individualized for the patient depending on age, the presence of hypoglycemia unawareness, and comorbid conditions). Soon after the fast, either at the next visit or via a follow-up telephone call, I ask the patient how he or she did. I make a note of that in the chart. The next time the fasting observance comes around, I look back at my previous note in the chart. If the patient did well, I simply make a photocopy and say, Here are your instructions. And for me, instead of spending 10 minutes, now it takes only 30 seconds.

Also, on the occasion when Ive told patients that I dont think they should be fasting, I ask permission to discuss it with their clergy. Youd be surprised how often a patient will let me do that. And then when their religious advisor tells them not to fast, they feel much more comfortable about it.

Guidance on fasting with diabetes by Dr. Grajower and others:

How do you address the subject of fasting with your patients who have diabetes?

Read more from the original source:
Fasting Safely with Diabetes | NIDDK - National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Express News Service

BENGALURU : Being fit is being functional. Lets start this column with the absolute basics of the human bodys functionality. Our body is designed to move. If it were designed to be placed on a chair all day, it would be designed differently. Our ancestors sat down only to eat and sleep. The rest of the time they were active and on the move. Today, we sit as much as they moved.We need to walk more through the day to

Not walking enough on a daily basis will simply rust the joints and muscles, making them stiff and prone to injuries. It can cause obesity, high cholesterol, high blood pressure and more inflammation in the body, while also slowing down metabolism, which could lead to weight gain.

Start slow, but start moving more often wherever you are, at home or at work. If you have a wearable fitness tracker, check your steps every day. If you dont, use some app on the phone as you carry the phone everywhere. You would be doing around 3,000 steps a day. This needs to gradually go up and you can keep a target of 10,000 steps a day. This can be achieved through the day by getting off your chair every two hours (to get some water, to go to the washroom, to take a call, etc).

Walking is also a natural fat burner. If your goal is fat loss (weight loss), do a 30-45 minute brisk walk. Brisk walk would mean you walk fast enough to get your heart rate to around 70 per cent of your maximum heart rate. This means you will be panting a little, but can have a conversation with your walking partner. For weight loss or to simply be healthy, walking should be incorporated by every human being as it is what your body is naturallyable to do. So do not take away the natural or normal functionality of the body due to lifestyle and modernisation.

Walking is one of the best ways to start your fitness journey. Good health and fitness do not have to be intimidating or time consuming. It can be a part of what you do every day because your body is designed to move and you ought to maintain its basic functionality.So now that you have read this column, start the journey with me to make health easy and be better every day.(The author is a fitness expert with Cure.Fit)

Make walking a routine

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Walks the good word - The New Indian Express

Not a few people skip breakfast and do not eat until noon. However, this decision has consequences on your body and mind that you should know.

The experts recommend having breakfast and doing it with fresh, varied and nutritious foods, disdaining industrial or processed pastries and betting on a combination of the main macronutrients. Healthy fats like avocado, olive oil, and nuts, complex carbohydrates, or protein like tofu, eggs, or oatmeal are great ideas to start the day off on the right foot.

However, there are many people who, due to lack of time, habit or closed stomach, skip this meal. Many do it to lose weight or reduce the number of calories per day, in a rush or stress. However, various studies indicate what consequences it has for our body not eating breakfastr, something essential in a healthy lifestyle. And they are not exactly few.

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Increased risk of heart problems: A Harvard University study found that men who skipped breakfast had a 27 percent higher risk of heart attack or heart disease. Although they have not identified a direct cause, the researchers They suspect that fasting for longer is stressful and makes the body work harder, causing metabolic changes which lead to plaque buildup in the arteries.More ballots of suffering from diabetesAnother study, also from Harvard, found that women who regularly skipped breakfast they had a 20% higher risk of developing type 2 diabetes. Skipping meals is associated with impaired glucose tolerance, a phenomenon associated with the development of prediabetes and diabetes. The irregular spikes in blood sugar that occur when you fast and then eat a lot put pressure on the body, leading to insulin resistance.You can get fatAlthough research is mixed on whether breakfast has a direct effect on weight loss, several studies point to the link between skipping breakfast and gaining weight. One theory indicates that people who eat breakfast have more ballots to practice a lifestyle and another indicates that those who skip breakfast they tend to overeat at subsequent meals, consuming the majority of calories during the most sedentary hours of the day. In fact, many people eat more calories in one sitting than in three planned meals.Metabolism slows down: If you skip meals frequently, the body stops working so fast and reduces basal metabolic rate to compensate for calorie restriction or in other words, save fuel. Prolonged fasting will further reduce the bodys willingness to burn calories and impact the amount of fat tissue that is lost. Other research showed that more calories were burned during morning exercise if participants ate breakfast.Mental slowness: The drop in blood sugar from a prolonged fasting state can affect cognitive function. Keep in mind that your body has not incorporated nutrients for many hours, so it is essential to provide it with food. Several studies have shown that schoolchildren do better on tests when they eat breakfast. Bad mood: Your mood can be altered by the absence of breakfast. This can be explained: the drop in blood sugar caused by skipping a meal causes irritability, along with fatigue and headache that can worsen the mood even more. Too There is a link between food intake and the balance of neurotransmitters produced by the brain, such as serotonin and dopamine. Low energy: According to information from the University of Wisconsin, breakfast should provide you with 25% of your daily energy, including high fiber and protein content for fuel. If not, you are likely to feel tired and less willing to play sports during the day.Your breath stinks: From USNews and World Report explain whatEating breakfast stimulates saliva production and helps rid your tongue of bacteria, which can make your morning breath more tolerable. Skipping breakfast makes the stinky odor triggered by bacteria flourish in your mouth. Fresh fruit and a glass of water are effective solutions.Stress and more stress: A 2014 study by researchers at the University of California revealed that lwomen who skipped breakfast had higher cortisol levels relative to those that did, as well as higher blood pressure readings. Researchers believe that Combination of skipping breakfast and experiencing chronic stress could increase the risk of cardiometabolic syndrome.More chances of chronic inflammation: In a small study from 2017, researchers at the University of Hohenheim in Germany took three-day blood samples from 17 healthy adults. One day, they skipped breakfast; in another, they skipped dinner; and in another, they ate three normal meals. After comparing the samples, the researchers found that people who skipped breakfast They had higher glucose concentrations and higher fat oxidation, which means their bodies break down more stored fat. Because of this, the study suggests that people who skip breakfast can develop metabolic inflexibility, or what is the same, that their body encounters complications to change its fuel source from glucose to fat, and vice versa. In the long run, this could cause chronic inflammation and potentially increase your risk for type 2 diabetes and obesity.Worse periods: A 2009 study by Japanese researchers analyzed the eating habits of 315 college students. The students who did not eat breakfast they had poor general health, cramps in painful periods, and higher incidents of irregular periods.

This article was published on TICbeat by Andrea Nez-Torrrn Stock.

Original post:
11 consequences you suffer from not having breakfast | Life - Explica

Effingham, IL -(Effingham Radio)-With August being National Breastfeeding Month, HSHSSt. Anthonys Memorial Hospitalis reminding new and expectant mothers about the importance of breastfeeding, even in this time of coronavirus (COVID-19).

The World Health Organization (WHO) says that breastfeeding is supposed to work almost like a newborns first vaccine, providing vital antibodies and an immunity boost through the mothers milk. According the U.S. Surgeon General, 75% of mothers breastfeed their newborns, but the number of infants who are still breastfed exclusively drops to 13% by the time they are six months old. Studies show that babies who are not breastfed exclusively for the first six months are more likely to develop allergies, childhood obesity, colds, flus, ear infections and more.

Breastfeeding and COVID-19

Mothers understandably may have concerns about breastfeeding in this time of COVID-19. According to the Centers for Disease Control and Prevention (CDC), while we cant be certain at this time whether mothers with COVID-19 can transmit the virus via breast milk, the limited data available suggest this is not likely. The CDC recommends that whether and how to start or continue breastfeeding should be determined by the mother in coordination with her family and health care providers.

If you are breastfeeding and have symptoms of or confirmed COVID-19, the CDC recommends taking the following steps to avoid spreading the virus to your baby:

The WHO agrees with the CDC that following infection prevention and control measures is essential to prevent contact transmission between COVID-19 suspected or confirmed mothers and their newborns and young infants. In a recentscientific brief, the WHO recommends that mothers with suspected or confirmed COVID-19 should be encouraged to initiate or continue to breastfeed. Their study outlines that the risk of COVID-19 infection is low in infants, the infection is typically mild or asymptomatic, while the consequences of not breastfeeding and separation between mother and child can be significant. Per their study, at this point it appears that COVID-19 in infants and children represents a much lower threat to survival and health than other infections that breastfeeding is protective against.The WHO also recommends thata mother with confirmed COVID-19 should be counseled to take precautions to avoid spreading the virus to her infant, including handwashing and wearing a cloth face covering.

Whether breastfeeding by the breast or pumping breast milk, breastfeeding is so important to an infant by providing protection against many illnesses, while also encouraging bonding between mother and baby, said Ashley Davis, RN, certified lactation consultant (CLC) and nurse navigator. If mothers are concerned about COVID but still want to breastfeed, we encourage them to follow the CDC guidelines to wash their hands and wear a mask while their baby is breastfeeding but want them to know it is very safe.

Breastfeeding Benefits

The normal and natural food for a newborn baby is breast milk. Their need for breast milk continues as they grow. The following are a few benefits of breastfeeding:

Breastfeeding SupportFor mothers needing additional support to be successful in their breastfeeding journey, HSHS St. Anthonys Womens Wellness Center has a lactation consultant to answer your questions or concerns. For more information, call 217-347-1638.

For more information about breastfeeding, please visithttp://www.cdc.gov/breastfeeding/.

About Hospital Sisters Health System

Hospital Sisters Health Systems (HSHS) mission is to reveal and embody Christs healing love for all people through our high quality, Franciscan health care ministry. HSHS provides state-of-the-art health care to our patients and is dedicated to serving all people, especially the most vulnerable, at each of our 15 Local Systems and physician practices in Illinois (Breese, Decatur, Effingham, Greenville, Highland, Litchfield, OFallon, Shelbyville, and Springfield) and Wisconsin (Chippewa Falls, Eau Claire, Oconto Falls, Sheboygan, and two in Green Bay). HSHS is sponsored by Hospital Sisters Ministries, andHospital Sisters of St. Francisis the founding institute. For more information about HSHS, visitwww.hshs.org. For more information about Hospital Sisters of St. Francis, visitwww.hospitalsisters.org.

Read more here:
HSHS St. Anthony's Memorial Hospital Reminds Mothers About The Benefits Of Breastfeeding - Samantha Laturno

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