Monday, June 30, 2014

Be Safe in the Sun

Written by: Renee Gosselin, MS MBA RD
Nutrition Instructor

Most of us are enjoying this hot summer weather; however, we do have to be careful while outside for many reasons! Dehydration and the sun itself can cause many problems that need to be kept in mine. 

Dehydration can occur very quickly. Make sure to stay hydrated before you even go outside to start your summer day adventures. Drink plenty of water and fluids throughout the day. Some signs of dehydration can include thirst, weakness, confusion and fainting.

There are even very cute backpacks that you can buy now that hold water to help hydrate you throughout the day. Make sure to eat foods that are filled with water content: cantaloupe, grapefruit, strawberries and of course watermelon – that one even says it in its name! Coconut water could also be consumed for additional hydration. 

Sun screen is very important in the sun as well for overall health. The sun can cause major damage immediately causing burns and longterm possibly causing skin cancer in many individuals. SPF is the barrier measure of the ability to protect the skin from ultraviolet radiation rays from the sun. There are many things to keep in mind with sunscreen: how much to apply, what SPF to choose, and re-application is necessary many times. 

Overall, we all want to enjoy the time that we can outside especially in cities that have long winters. Just make sure to protect yourself while doing so and hindering dehydration and skin burning.
Saturday, June 28, 2014

Type 1.5 Diabetes or LADA

 Renee Gosselin, MS MBA RD
Nutrition Instructor 
In healthcare, we mostly hear about Type 1 Diabetes (insulin dependent), Type 2 Diabetes (insulin resistant) and Gestational Diabetes (pregnancy related). However, there is another type that is normally not addressed or not even acknowledged, Type 1.5 (pronounced Type 1 and a half) or Latent autoimmune diabetes of adults (LADA). Latent autoimmune diabetes of adults is often mistaken for Type 2 Diabetes. This normally progresses in adults and can take months to years to develop.  With LADA, there are autoantibodies present meaning there is an autoimmune response occurring and normally insulin dependence occurs within 6 months.  There is no prevention of LADA; however, having a healthy lifestyle with exercise and following a carbohydrate exchange list meal plan or diet is optimal.Individuals with LADA can experience insulin resistance as well. 


Why is this important for individuals interested in health and wellness to be aware of? If an individual is not responding well to medications and possibly diet changes, this could be the cause. It is not very common but it is something to be aware of. Individuals may have a diagnosis with Type 2 Diabetes due to this occurring in adulthood. This actually did occur in a case of one of my coworkers and she was misdiagnosed. It took 3 years of poor blood glucose control and finally a professional found the antiantibodies within in her bloodwork results. 
Nutritionist, healthcare professionals, and friends/family members of an individual should pay special attention to this diagnosis due to carbohydrate counting and specific diabetic teaching that occur. Diagnosis of LADA could provide a long-term wellness plan for the individual to receive the best care possible.


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Kaplan Center for Health and Wellness
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