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Weight loss: Burn hundreds of calories and burn fat by drinking this tea twice a day – Express

Posted: April 30, 2020 at 3:41 pm

Weight loss can be hard, especially with so many confusing diet plans and methods to chose from. An easy method has been revealed to speed up weight loss by burning up to 100 extra calories a day.

Green tea has been drunk for centuries for its health benefits including improving brain function, improving fat burning and including antioxidants.

Medical nutritionist Dr Naomi Beianart told theExpress.co.uk: If youre trying to slim down, green tea could also be your new best friend.

Research has found that green tea in particular may be helpful for supporting metabolism and weight management.

A recent study carried out with 35 obese men and women, found that those who drank green tea daily for two months lost significantly more weight than those who consumed a placebo.

READ MORE:Healthy breakfast ideas that help boost weight loss and keep you fuller for longer

Another study revealed that drinking green tea twice a day can burn up to 100 extra calories a day.

How it works

Green tea is packed with caffeine and a type of flavonoid called catechin, which is an antioxidant.

Research suggests that both of these compounds can speed up metabolism.

Catechin combined with caffeine increases the amount of energy the body uses.

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Speeding up the metabolism will help burn more calories at rest and during activity.

How much to drink

In order to burn more calories, green tea should be consumed around two to three times daily.

When making a green tea, it is suggested to bring the water to boil and then leave it to cool for around 10 minutes.

This is because the boiling water will kill the teas catechin, the chemical which can drive weight loss and other nutrients.

According to Heathline, green tea is one of the healthiest beverages on the planet.

While there is no solid evidence that drinking green tea reduces appetite, many people who have consumed the tea daily have explained that they feel less hungry throughout the day.

Green tea has repeatedly been linked to increased fat during, especially during exercise.

Exercise is also a very important aspect to losing weight and a daily exercise of around one hour is recommended to boost weight loss results.

Dr Beianart added: In fact, green tea may support weight loss in several ways: increasing thermogenesis (calorie burning), increasing fat oxidation (burning of fat for energy), reducing fat absorption, and even reducing appetite!

Along with drinking green tea, there are other ways to boost the metabolism and increase weight loss.

Green tea benefits extend beyond weight loss. It is very healthy to consume for many other reasons too.

Having a healthy breakfast in the morning will help you stay fuller for longer and jump start your metabolism.

According to the NHS, research suggests people who eat breakfast are slimmer because they tend to eat less during the day.

A healthy breakfast contributes to proper immune function, lowers cholesterol, and reduces the risk of heart disease and diabetes. If you skip breakfast, you are more likely to snack more, consuming more calories by consuming less nutritious foods.

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Weight loss: Burn hundreds of calories and burn fat by drinking this tea twice a day - Express

Man who went through weight loss is trying to maintain it in lockdown – Metro.co.uk

Posted: April 30, 2020 at 3:41 pm

Francis lost 300lbs (Picture: Francis Marcell / SWNS.COM)

Francis Marcell, 38, used to eat 7,000 calories a day.

The mental health professional from South Carolina was about 550lbs at his heaviest and admits to consuming a whole chicken in the car on the way to work.

In 2016, Francis felt too embarrassed to go to his brothers wedding because of his size, which along with a diagnosis of diabetes inspired him to make a change.

Soon he hit the gyms, working out as much as he could, and lost 300lbs.

His routine involved working out twice a day but now under lockdown he is unable to go to the gym.

Francis is adjusting to strange circumstances by swapping gym workouts for circuit training in his garage.

Franciss eating habits have also changed dramatically as he now consumes under 1,600 calories a day.

This is a dramatic change from his prior diet.

Id eat breakfast, lunch, and dinner at fast food restaurants, said Francis.

Id eat fourth and fifth meals there too.

If I ever missed a meal, Id have a huge one later. Sometimes Id pick up a whole cooked chicken and eat it on the way to work.

Francis became morbidly obese and could barely walk.

He added: I would be eating in my car. Id open the day with two chicken biscuits and two hash browns with a frappe from McDonalds.

Maybe three hours later Id have a double cheeseburger.

Id eat every three hours. Id go to the vending machine at work and get candy and sodas throughout the day as well.

Other days, Id go eat a whole pizza pie. It took a lot to gain that weight.

It was missing his brothers wedding due to insecurities around his body that served as a wakeup call.

It hit me hard that I couldnt be at the wedding, says Francis. I hadnt seen some of the relatives there in ten to fifteen years, and I didnt want to go because I was embarrassed.

I had family members call me up and say that they were concerned with me. I had diabetes and knew I had to make a change.

From there, Francis quickly lost close to 100lbs.

I got down to 430lbs in 2018 and then I was stagnant for a while, he said.

About a year later, his commitment took a more concrete shape.

Now I get my meals from this health food restaurant and its all portion controlled. I consume under 1,600 calories a day.

I eat a lot of rice and a lot of meat. I also eat a lot of gluten-free stuff.

About a year ago, I started real hard with the portion control meals and working out.

All I drink now is water and black coffee.

His workout routine is similarly disciplined.

I work out twice a day, but because of coronavirus, weve shut down gyms, Francis explains. Right now I do a lot of pushups and I do step running. I do stomach twists. I have a speed bag and a body bag. I jump rope.

Ive lost 230lbs since 2019. I weigh just under 200 pounds now and Im under a 38-inch waist.

Everyone in my family seems very happy about it. Theyre all really positive about it.

I dont date yet. Im still trying to achieve my goals and put on more muscle and stuff like that.

Do you have a story to share? Get in touch by emailing MetroLifestyleTeam@Metro.co.uk.

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Man who went through weight loss is trying to maintain it in lockdown - Metro.co.uk

Here’s How Many Miles You’d Need to Walk to Lose Weight, and Warning: It Seems Like a Lot – msnNOW

Posted: April 30, 2020 at 3:41 pm

Unsplash / Luke Chesser Here's How Many Miles You'd Need to Walk to Lose Weight, and Warning: It Seems Like a Lot

While everyone's body is different, there is a simple formula for kick-starting weight loss: eat less, move more. Still, if you've wondered just how much more you'd need to walk to start shedding pounds, let's dig into the specifics.

The average person walks about 2,000 steps in a mile, which burns roughly 100 calories, according to Courtney Meadows, an NASM-certified personal trainer and fitness coach. "One pound of fat equals 3,500 calories," she told POPSUGAR. So, in order to lose one pound a week - a healthy goal, according to experts - you'd need to burn 500 calories a day. "That means you should aim for about 10,000 steps a day, which is the equivalent of five miles."

If that number seems intimidating, remember that it includes everything you do during the day, like walking around your house or the store.

Variety is key to keeping your body in weight-loss mode, so create a workout plan that will help you switch up your walk each day and avoid hitting a plateau. Courtney suggests adding weights, throwing in lunges, or increasing your distance to take it up a notch.

Video: Why this wont help you lose weight (Provided by Buzz60)

UP NEXT

"You can even play around with intervals, which will maximize cardiorespiratory benefits," Courtney said. Try walking for 30 seconds at a pace at which you would still be able to hold a conversation, and then for the next minute, walk fast enough that you're breathing heavily.

Here's an interval walking workout to try on the treadmill and a 30-minute walking and bodyweight glute routine you can do indoors or outside! Ten-thousand steps a day? You've got this.

Slideshow: Healthy and inexpensive ways you can de-stress at home (Provided by PopSugar)

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Here's How Many Miles You'd Need to Walk to Lose Weight, and Warning: It Seems Like a Lot - msnNOW

Worried about ‘quarantine 15’? Now’s not the time to stress about the scale – Yahoo Lifestyle

Posted: April 30, 2020 at 3:41 pm

With quarantine baking and comfort eating on the rise, and with gyms and fitness studios still mostly closed due to the coronavirus crisis, its no wonder that worries about the so-called "quarantine 15" (think: "freshman 15") are surfacing.

Weight concerns are deeply rooted in our culture, but the truth is, you have a lot to worry about right now, from staying healthy and homeschooling your kids to finances and shopping for groceries. Worrying about gaining a few pounds during a pandemic only adds to your stress. Heres why you should stress less about quarantine weight gain.

Even if you have a solid grocery game plan in place, pictures of empty shelves and reports of hard-to-come-by delivery spots tell a story: You might not be able to get all the fresh, frozen and canned produce or other ingredients you usually buy to create well-balanced meals. This is an unprecedented time and it calls for a lot of compassion and grace. Be proud of yourself that youre doing the best you can.

Dont sweat it if youre not doing hard core HIIT workouts in your living room. The reality is that exercise isnt that helpful when it comes to losing weight. Studies suggest that when you participate in a sweat session, you unknowingly compensate for the extra work by either eating a little more (because youre hungrier) or moving a little less (because your body worked hard enough) throughout the day. Plus, even if you go out for a 30-minute run, the average woman burns about 260 calories not that much more than the typical protein bar that you might snack on afterward. Exercise has far-reaching health benefits, but dont expect exercise alone to nudge the scale much.

If you listen, your body will tell you when its hungry, when its thirsty, when your mind needs some entertainment, when your nerves need calming and when you need sleep. The trouble is that we often ignore these signals. If you open up the lines of communication, you might discover that as your activity levels slow down, so does your appetite, or you might find that an emotional need is driving your hunger, in which case, you might be better served by turning to a non-food alternative.

Story continues

In one study, monitoring food intake was linked with an increase in stress levels and cutting calories was linked with an increase in the stress hormone, cortisol. While this may not be true for everyone, its good evidence that worrying about your weight can make you more miserable during an already difficult time.

News of the coronavirus reminds us daily that those who are most vulnerable include people with chronic conditions, like diabetes and heart disease, that are related to diet and lifestyle factors. So while you shouldnt worry about your weight, its still a good idea to live as healthfully as possible. Here are some ways you can do that.

Give up grazing. When youre constantly picking at food, youre undermining your own hunger and fullness cues because youre never allowing yourself to become moderately hungry or comfortably full.

Pay more attention to your hunger and fullness levels. Begin to gauge your hunger. Can you find the zone where you feel somewhat hungry rather than unpleasantly hangry? Or how it feels to be reasonably full rather than uncomfortably so?

Develop skills to deal with emotional hunger. Food can certainly be a source of comfort, and its natural and 100 percent healthy to eat for reasons other than hunger sometimes, but once you learn to listen to what your body is telling you, you can answer the call with what it really needs. For example, when youre tired, go to bed a little earlier and when youre feeling restless, find a change in scenery, whether thats heading to a different room or heading outside.

Try a new recipe. Start to tailor your taste toward nutritious meals by exploring new recipes. Do a recipe search by listing the ingredients you have available into the search field.

Get some movement in your day. You dont have to be drenched in sweat to get the health- and mood-boosting benefits of exercise. And remember, some beats none!

Create helpful routines. Set up your work-from-home station in a room other than the kitchen or bedroom, if possible. Your kitchen is a zone for eating and your bedroom a zone for sleeping, so find another zone for working.

Health & Wellness

Do a social media diet. Studies suggest that spending a lot of time on social media is linked with anxiety and depression and body image concerns. If youre constantly checking your social feeds for likes or if the feeds you follow lead you to feel like you should lose weight or use your quarantine time to get ultra-fit, find the mute or unfollow buttons and use them. That goes for accounts that make offensive COVID-weight gain jokes, too.

Learn to appreciate your body. Your health isnt just about the nutritious foods youre eating or the ways that youre staying active its also about how you talk to and about yourself. To tap into more appreciation, try positive affirmations. Studies suggest this practice may help boost your self-esteem and enable you to buffer stress better.

Excerpt from:
Worried about 'quarantine 15'? Now's not the time to stress about the scale - Yahoo Lifestyle

How Jets Mekhi Becton transformed his overweight body in 16 months and why 6,000 calories a day is now par – NJ.com

Posted: April 30, 2020 at 3:41 pm

Eight times a day every day, without fail Mike Sirignano received a text message with a photo from Mekhi Becton, who sent pictures of his breakfast, lunch, and dinner and all the protein bars and shakes he downed in between.

Every day, Becton received a bag of those protein snacks from Louisville team dietitian Emily Artner. Sirignano wanted to know exactly when Becton ate them a nutrient timing plan he and Artner mapped out.

This was the start of a 16-month, life-changing makeover for Becton, a prodigious, 6-foot-7 offensive tackle who had let his weight balloon to 389 pounds by the time Sirignano started working with him in January of 2019, as Louisvilles new strength and conditioning coach.

At each meal, Artner walked Becton through the football facilitys buffet line, approving his choices, monitoring his fat and carbohydrate intake. In the weight room, Becton cranked out an hour and a half of strength work, plus 45 minutes of cardio every day.

These were standard requirements for the 20-some players in Louisvilles weight-loss program the texted photos, the cardio work. If a player neglected either, he had to do 25 up-downs as punishment. Every player slipped up that offseason except Becton.

Always too big to hide anyway, Becton understood what this meant, with a lucrative NFL future at stake. So he attacked it just like hed attack a pre-draft training plan that forced him to slam 6,000 calories per day, starting at 5:30 a.m.

As Becton knows, being an elite athlete this enormous is a process, forever a process. If Becton sticks to that process, he could become a generational NFL left tackle. If not, hell likely torpedo his career.

By the time Louisvilles training camp started last August, he had dropped 35 pounds, to 354. He thrived last season while playing in the mid-360s, then stunned the NFL Scouting Combine by running a 40-yard dash in 5.1 seconds at 364 pounds.

Now, the Jets, who drafted him 11th overall, hope he can become their long-term left tackle. Becton just turned 21, and has played only five seasons of high-level football, between high school and college.

But even as questions linger about whether Becton can control his weight as a pro, Sirignano has higher expectations the Hall of Fame.

He should be talked about with the Jonathan Ogdens and Orlando Paces one day, Sirignano said.

***

Becton ducked and dodged, but Loren Johnson kept pelting him.

By the end of the day, Becton was covered in splotches. Playing paintball against your high school coach isnt easy when youre this huge.

I always was the biggest kid, Becton said. I was always standing over everybody in pictures. So this is something Im used to.

Becton was 6-3 and 220 pounds as an eighth grader when he met Johnson, the coach at Highland Springs, near Richmond, Va. By sophomore year, he was 6-6. Between junior and senior year, he gained 50 pounds of mostly muscle. Like that, he was 6-7 and 350 pounds.

He just was growing faster than any of our eyes could catch up with him, Johnson said. It was almost like youd blink your eyes, and the next week hes an inch taller.

Johnson had to pull his other players aside and tell them, You guys can never get upset when Mekhi walks out of here with 30 scholarship offers.

Why? theyd say. Mekhis not that good right now.

Well, Mekhi is 6-6 and hes 15 years old.

He liked to eat, sure. And he filled out his towering body. But he never binged on junk food. Bectons mom, Semone, runs a catering business, which helped expand his palette. Becton even helped plan Highland Springs pregame meals, which his mom cooked. No pizza or sub sandwiches. Just hearty, sustaining food like baked chicken, greens, and potatoes.

Becton didnt stop moving in high school, staying as lean and nimble as he could. Football season dovetailed into basketball and then into spring football. One night senior year, Louisville offensive line coach Mike Summers showed up to see Becton play.

Hey, watch tonight, coach, Becton said. Im going to get a dunk for you.

Sure enough, Becton caught the ball on a fast break, burst toward the hoop, and slammed the ball with every ounce of his 350 pounds. The rim shook. The gym went crazy. And Summers was sold on Bectons potential.

We thought he was a first-round pick when we recruited him, Summers said.

***

Becton was talented enough to start from the get-go at Louisville in 2017. But as the Cardinals 2018 season spiraled, coach Bobby Petrino got fired in mid-November. Sirignano said many players totally shut down then. With no bowl game, linemen like Becton packed on weight.

Summers had initially pushed Becton to play at 350 pounds, but realized he could still move swiftly in the mid-360s. But 389? No chance. So Sirignano met with Becton last January and laid out the weight-loss plan.

Do you have any issues with that? he asked Becton.

No, Becton said, and he dove right in.

Sirignano had to prod most heavy players to do their daily 45 minutes on the elliptical or treadmill. But not Becton. He shed the weight quickly and kept it off. Near the end of last season, Becton measured 17 percent body fat compared to 20-26 percent for most offensive linemen with 315 pounds of lean muscle mass.

Which is more muscle than most Division I offensive linemen weigh and NFL players, Sirignano said.

Can he keep the weight off and avoid ballooning again?

Sirignano has no doubt because Becton jumping to 389 was a one-time occurrence caused by inactivity late in 2018, and he was able to drop the weight fast in 2019.

We havent had an issue with it [since], Sirignano said. He doesnt fluctuate like people would think with someone that size. I dont ever see that being a problem.

***

So why gobble 6,000 calories a day, as Becton does now while training?

Its a numbers game.

Since December, Becton has trained under offensive line specialist Duke Manyweather in the Dallas area. Manyweather worked with Bryan McCall, who runs pre-draft programs at nearby Michael Johnson Performance, and placed a sensor on Becton for a week.

The results of the study: Becton consumed 2,800 to 3,000 calories per day, with three meals. But when he did a speed/agility workout, he burned 1,200 calories. He burned 1,100 during a weightlifting or position technique session. Manyweather typically combines two of those three workouts per day 2,200 to 2,300 burned calories. Becton wasnt eating enough to recover, to perform, and to lean out his body, Manyweather said.

Manyweather upped Bectons intake to 5,500 to 6,000 calories daily, with two gallons of water. Becton starts consuming at 5:30 a.m. and doesnt eat after 8 p.m. He gets five to six meals daily, with an emphasis on avocado oil, olive oil, pink salt, carbs only around workouts, and most importantly a rotation of proteins. That is critical, to avoid muscle inflammation.

Eat too much of one protein, and the body develops an intolerance, leading to inflammation. So Becton has a different type of protein with all five to six meals steak, fish, chicken, shrimp, eggs. He can eat as many green vegetables as he wants. He gets a daily carb allotment.

Thats what it takes, Manyweather said. Hes so metabolically efficient that he wasnt getting enough calories in.

Becton weighed 375 when he started working with Manyweather. He got to 364 for the combine and is 363 now. He wants to play in the 350-355 range.

Once I started to eat more, the weight started to fall off, Becton said.

He never wants to see 389 again. He hopes to be remembered not as a space-hogging lineman, but as a dominant tackle who can finish the guy in front of him every play.

I think my demeanor is real nasty, he said. I like to see the man on the ground stay on the ground.

So he abides by his weight-management process, as he has since last January. He cant let up. He knows his career depends on it.

His parents came to Dallas to watch the draft with him. The food spread at their party included pizza and wings. But Becton opted for fish, crab legs, and a cup of rice and didnt overeat. Manyweather loved seeing it.

He makes the Ogden and Pace comparisons, too. But Manyweather said Becton is more athletic, similar to the Eagles Lane Johnson. So Manyweather thinks the Jets dont need to force Becton to play at 330 or 340 pounds. He can handle himself just fine in the 350s or 360s.

He is something new, Manyweather said. That does not come around often at all. It really is generational.

Last Thursday night, Manyweather soaked in the celebration after the Jets drafted Becton. He planned to give Becton a day off Friday from working out.

Before he could, Becton asked him a question: What time are we in tomorrow?

Thank you for relying on us to provide the journalism you can trust. Please consider supporting NJ.com with a voluntary subscription.

Darryl Slater may be reached at dslater@njadvancemedia.com.

Originally posted here:
How Jets Mekhi Becton transformed his overweight body in 16 months and why 6,000 calories a day is now par - NJ.com

Excerpt: Fix it With Food; Superfoods to become Superhealthy by Kavita Devgan – Hindustan Times

Posted: April 29, 2020 at 6:46 am

There has to be something right with mangoes for they have been a part of the diet in India for more than 4,000 years. Like most people I know, I too love my mango and eat them with abandon. I actually eat them straight off the peel, no dainty, pretty-looking cubes for me. Thats how I have eaten mangoes as a child and continue to do so as an adult. And now I know that eating mangoes like this pays rich dividends as the concentration of the anti-cancer and anti-inflammatory antioxidants that mango is rich in is maximum just below the skin. So, eating it the old-fashioned way (my way!) is actually the best way to score maximum health benefits.

Mango is a perfect comfort food: Just tasting one makes you feel good. It does effectively chase away the blues. It has many advantages over other fruits. For starters, it has minimal fat and sodium, and zero cholesterol. It is not very steep in calories (about 120 calories for a medium-sized fruit), so it makes a perfect in-between snack or/and a delicious dessert.

256pp, Rs 295; Rupa

Gut-happy Food

Ever noticed how your constipation simply clears up during the mango season? Thats because mango delivers lots of fibre (3 gm), and works like a natural laxative. Its in fact a brilliant gut food.

Also, it is an alkaline food that helps keep the pH of the body alkaline. An acidic body is a seat for disease, and eating mangoes can help check that effectively.

Antioxidants Loaded Mangoes are loaded with more beta-carotene than most other fruits about 2164 IU in 200 gm. Beta-carotene gets converted into vitamin A in the body, which is needed for good eyesight, healthy lungs, bones and skin. Also, these powerful antioxidants are good for a healthy immune system and help repair cell damage.

Mango is also a great source of vitamin C, which again helps boost our immune system. It is rich in glutamine acid, a protein that improves our concentration and memory.

Ripe mangoes possess loads of phenolics (antioxidants), which have anti-cancer and anti-inflammatory properties.

You score loads of potassium too and our body needs potassium to help regulate blood pressure (thus keeping hypertension away).

Did You Know?Even though mangoes are a rich source of fructose (a type of fruit sugar), they neednt be forbidden from a diabetics diet. Just incorporate them safely and responsibly. Its safe as its glycemic load (a useful measure of the ability of a food to spike blood sugar and insulin levels) is low-medium. So, diabetics need not be scared of this fruit.

Fattening Finally, it is time to really bury the myth that mangoes can be fattening. Eating a mango has been shown to reduce the level of leptin hormone in the body, which affects our appetite. So, in effect, mangoes may help control blood sugar and cholesterol and also reduce body fat. Mango peel extracts are also known to inhibit fat cell formation, very similar to the action of resveratrol (the antioxidant found in red wine, grapes and peanuts).

All this from that tasty, juicy fruit? Not a bad deal at all!

So, whether or not you are on a weight-loss diet, Id say one mango a day while it is in season is mandatory for everyone. There are enough reasons to enjoy this fruit, and the joy they give is just one of those!

Author Kavita Devgan(Courtesy Rupa )

Easy Tips to Eat Mangoes You can just bite in, of course. And I suggest you eat it the traditional way with the peel so that when you suck on the flesh, you can absorb some antioxidants from the skin as well.

Make mango lassi in a blender by combining 1 mango, 1 cup yoghurt, 1 tbsp honey, 2 dates and ice. Blend until smooth. Then pour into glasses and serve.

To make mango salsa, mix together mangoes, cucumber, finely chopped white onion, lime juice, orange juice, roughly chopped mint leaves, salt and pepper. It goes perfectly with nachos.

Also try this for breakfast some day: Put milk, chia seeds and honey in a jar and refrigerate it overnight. Add fresh mango puree or chopped mangoes to it the next morning and enjoy a healthy breakfast.

At a Glance The benefits of eating mangoes include,

Providing energy

Delivering potassium to keep your blood sugar under control

Providing fibre to keep your constipation away

Sharpening concentration and memory

Boosting immunity

Read more:Excerpt: Ultimate Grandmother Hacks by Kavita Devgan

Fun Fact Mangoes were first grown in India over 5,000 years ago. It is believed that Lord Buddha meditated under the cool shade of a mango tree.

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Excerpt: Fix it With Food; Superfoods to become Superhealthy by Kavita Devgan - Hindustan Times

Diabetes and Ramadan: Frequently asked questions – Greater Kashmir

Posted: April 29, 2020 at 6:46 am

Introduction:

Fastingduring the holy month of Ramadhan is ordained for all healthy Muslim adults.People who are exempted includes children, pregnant or breastfeeding women, theelderly and anyone who might get themselves ill by fasting. Often people askwhether a diabetic patient can observe fasting. In fact, most of them canobserve fasting safely during Ramadhan, No wonder about 80 percent of 120million Muslims with diabetes all over the world undertake fasting duringRamadhan.

What happens to sugars during Fasting: During a fast, at about eight hours after your last meal, your body starts to use energy stores to keep your blood glucose (sugar) levels normal. For most people this is not harmful, but if you have diabetes, your body cannot use the glucose as well as it should. With diabetes especially if you take certain tablets or insulin you are at risk of hypoglycemia (low blood glucose levels). Ramadhan fasting not only alters the timings of meals but it may also disturb sleeping patterns and hormonal rhythms, all of which can affect a persons metabolic state.

What are the benefits of fasting: Fasting during Ramadhan can also be beneficial. It may provide an opportunity to reduce caloric intake, facilitate weight loss, and smoking cessation. It may help to strengthen the therapeutic alliance between patient and physician, and provide an opportunity to improve diabetes management, with a focus on self-care and the regulation of medication and meal timing.

What are the challenges of Fasting: In people with complicated diabetes it may cause hypoglycemia (decrease in blood glucose level), hyperglycemia (increase in blood glucose levels), dehydration and diabetes ketoacidosis. During fasting time, patients may suffer from hypoglycemia due to lack of glucose while after evening people might encounter increased glucose levels due to excessive intake of food.

What is Pre-Ramadhan counselling: Many people with diabetes can safely keep fast during Ramadhan after discussion with their doctor. However this decision may vary from person to person based upon his/her physical condition, HbA1c, concurrent complications, age, and type of antidiabetic medications etc. It is always advisable to consult your physician well in advance (at least 2-3 months before Ramadhan) to discuss a plan about lifestyle modification, diet and medication accordingly. This is called Pre-Ramadhan counselling which unfortunately is unheard of in our setting.

Which diabetic patients should avoid fasting: People with type 1 diabetes mellitus (T1DM). There is some evidence to suggest that, as long as they are otherwise stable and healthy, they can do so safely. However, strict medical supervision and focused education is essential. Pregnant women with diabetes (especially those on insulin) are stratified as very high risk and are advised not to fast. Fasting is also not advisable to patients with following issues e.g. Frequent low and high sugars (so called brittle diabetes); hypoglycemia unawareness (patient does not perceive symptoms of low sugars; history of diabetic ketoacidosis or severe hypoglycemic episode during the past three months; Hospital admission for very high blood or low blood glucose during the past three months; Very poor control of diabetes (high HbA1c) or presence of complications of diabetes such as problems with kidneys, heart and eyes; Chronic kidney disease patients especially those on dialysis .Lastly any acute illness during this period prevents a person to fast.

Which diabetic patients can undertake fasting: Well controlled type 2 diabetic patients on diet therapy or on any of these drug classes viz; metformin, second generation sulphonylureas, Incretin mimetics, glitazones, SGLT2 inhibitors and on single dose insulin can undergo fasting safely.

What dietary alterations can I make: Keep sensible portions in mind and follow the same guidelines for healthy eating that you do the rest of the year with an emphasis on whole grains, lean sources of meat, fish and poultry, small amounts of heart healthy fats and limit added sugars. The meals should be varied and should not consist of only dates, sweet drinks and fried rice.Meals should include extra fiber, which is found in whole grains, legumes, vegetables, salads, and fruits. Fiber helps to avoid constipation. There should be low intake of salt especially with pickles and salted sauces. Suhoor meal should contain a balance of whole grains, apple, nuts, legumes (complex carbohydrates) as well as some protein (lean meat) to help slow the digestion and help the feeling of fullness last as long as possible into the day. Try to take Suhoor meal a little late. (of course within stipulated time) to spread out you energy intake more evenly.

Traditionallythe fast is ended (Iftaar) with the eating of dates and drinking water. Limitintake of dates to 1-2 each evening. Simple carbohydrates like bread cereals,rice or pasta can be taken. Chose water as your main drink. and take plenty ofwater and sugar free beverages throughout the evening, While I agree that theIftaar meal is a celebration time, but aim is not to overeat.

Avoidcaffeine beverages as they can be dehydrating. Limit the amount of ladoos,jalebi and barfi. Avoid energy dense foods like samosas, pakodas, parantas,purees, ghee, margarines and butter. Limit the amount of oil in cooking to 2tablespoons for a four-person dish. Here is an example of a healthy Ramadhanplate eg 1 cup of vegetables, 2 cups of whole grain rice, a cup ofbeans/lentils/peas, a small portion (4 oz) of lean protein. Add one small sliceof watermelon, 2 dates and one glass of low fat milk.

Can I go for exercise during fasting: Avoid moderate to highly vigorous exercise However, patients can continue with their routine morning walks and time spent during Taraweeh prayers should be counted as part of exercise activity.

What about alterations in anti-diabetic medications: Individualization of anti diabetic treatment options is the proper approach .Consult your doctor for changes in medications schedule and alteration in insulin regimes. In fact your previous years successful Ramadhan experience is a useful guide for changes in drug regimens. Oral drugs that are safe include Metformin, Glipizide, Gliclazide, Glitazones, DPP4 inhibitors, Incretin mimetics, SGLT2 inhibitors, Rapid acting insulin analogues are preferred due to less chances of low sugar and minimal post meal sugar spikes. Premixed insulin [50/50} is a good option in patients who are on two doses of insulin.

Can I do fingerprick sugar tests during fasting: Self monitoring of sugars can be done at home. It does not amount to breaking a fast, Ideally it should be done multiple times a day, However you can do it Pre-Suhoor and Pre-Iftaar and whenever symptoms of low sugar are felt.

At what level of sugars I may have to break my fast: A fast will have to be ended if glucose levels fall too low (usually less than70mg/dl ) or if it shoots up to more than 300mg/dl . For low sugars about 15 grams of carbohydrate can be taken to raise glucose levels to normal. Carbohydrates can be taken in the form of 4 glucose tablets, or fruit juice or candy. Wait for 15 minutes and recheck sugar level again and adjust the medications accordingly. For high sugars apart from increasing the doses of medications, a doctors consultation is a must before one continues with fasting. Remember high sugars can lead to dehydration and changes in mental status.

Do I need to go for a Post Ramadhan follow up: A follow up meeting with your doctor is advisable to assess how you handled fasting and to discuss medication readjustments. Lastly remember Eid- ul Fitr is not the time of overindulgence. May the blessings of Ramadhan be on all of us and may Allah grant our prayers and fasts, Ramadhan Kareem!

Dr Mohammad Hayat Bhat is Consultant Endocrinologist at Govt Superspeciality Hospital, GMC, Srinagar

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Diabetes and Ramadan: Frequently asked questions - Greater Kashmir

Coronavirus: Zimbabwe rated as one of the world’s top global food crises in new United Nations report – Africanews English

Posted: April 29, 2020 at 6:46 am

Zimbabwe remains in the grip of severe food insecurity, with millions of people already requiring humanitarian assistance due to prolonged drought, climate-related shocks, economic deterioration and the situation set to worsen as the COVID-19 pandemic spreads, according to the new Global Food Crisis Report Forecast (GFCRF).

Thejoint report, released by the European Union, FAO, OCHA, UNICEF, USAID and WFP anticipates a worsening food insecurity situation in 2020 with an estimated 4.3 million rural Zimbabweans, including children, are in need of urgent action. On top of environmental factors, this is mainly due to the current economic crisis including hyperinflation, shortage of currency, fuel and prolonged power shortages; widespread poverty; high levels of HIV/AIDS; and low agricultural output as drivers of the crisis.

Millions of Zimbabweans are already struggling to put food on the table, having faced prolonged drought and economic hardship for some time. It is imperative that we unite, to fight the COVID-19 pandemic in Zimbabwe and provide urgent food assistance safely to prevent an already vulnerable population from slipping deeper into this hunger crisis, said WFP Country Director and Representative Eddie Rowe.

More than half of the children experiencing malnutrition are living in countries affected by the food crisis. The GFCRF estimates that 75 million children worldwide are stunted and 17 million are wasted.

Zimbabwe is also one of 10 countries where fewer than 20% of children between 6-23 months received a minimally adequate diet further compromising their lifelong quality of life, according to the new report. In addition,Zimbabwes Multi Indicator Cluster Survey (MICS) 2019, revealed about 1 in 4 children, under 5 were stunted and at risk of impaired physical and cognitive growth.

Food crises have a major impact on the quality, frequency and diversity of childrens diets and this is compounded by the inability for families across the country to provide adequate childcare during these increasingly challenging times, said UNICEF Representative, Laylee Moshiri. During this COVID-19 pandemic we must act decisively to continue essential nutrition and health services for all children.

FAO Representative Jocelyn Brown Hall said, Measures to curb the further spread of COVID-19 have the potential to impact negatively on the food system in Zimbabwe, such as through restricted access to markets by both farmers and consumers, and a glut of perishable nutritious foods like fruits and vegetables. Deliberate measures are needed to prevent and mitigate against these.

Globally the report states that in 2019, 135 million people across 55 countries and territories experienced acute food insecurity. These same countries food systems are highly vulnerable to the effects of the COVID-19 pandemic which will result in compromised health due to hunger which can increase the risks of exposure to the virus. The World Food Programmes Executive Director, David Beasley, who interacted with communities throughout Zimbabwe during an August 2019 visit, told the UN Security Council last week that the world was on the verge of a hunger pandemic caused by the Coronavirus. If we don't act now, we could be facing multiple famines of biblical proportions within a few short months, Beasley said.

The COVID-19 pandemic is affecting all countries across the globe, including the OECD countries and other high-income countries. This is making it increasingly difficult to prioritise the needs of populations typically affected by food crises. This has put an increased challenge on the attainment of Sustainable Development Goal (SDG) 2, towards the eradication of hunger and malnutrition.

The Global Report on Food Crises is the flagship publication of the The Global Network Against Food Crises, an alliance of humanitarian and development actors united by the commitment to tackle the root causes of food crises and promote sustainable solutions through shared analysis and knowledge, strengthened coordination in evidence-based responses and collective efforts across the Humanitarian, Development and Peace (HDP) nexus.

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Africanews provides content from APO Group as a service to its readers, but does not edit the articles it publishes.

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Coronavirus: Zimbabwe rated as one of the world's top global food crises in new United Nations report - Africanews English

Let the Sunshine In – The New York Times

Posted: April 29, 2020 at 6:46 am

Deciding whether to head outdoors or to stay at home has never before felt so fraught, as many of us continue the weigh the benefits of getting some fresh air versus the risks of getting sick. For many, however, the enticements of a spring day are too powerful to resist.

Yesterday it was raining and we felt kind of sorry for ourselves, but its hard to feel sorry for yourself on a sunny day like today, said Nancy Penman, a resident of Manhattans Upper West Side.

Ms. Penman was one of many who were maintaining a safe distance between themselves and others while they walked in Riverside Park on a recent afternoon. I hope they dont close the parks, she said. We need our sun. Ive heard it boosts the immune system.

Ms. Penman may have a point. There is now limited but convincing evidence that moderate sunlight exposure is capable of modulating the immune system and improving health, said Daniel Gonzlez Maglio, a professor at the University of Buenos Aires and researcher in the growing field of photo-immunology.

A daily dose of sunlight wont fend off or cure coronavirus, though researchers continue to explore the effects that warmer weather and ultraviolet rays might have on the virus. But scientists are finding that exposure to the sun has numerous other benefits that may be especially important now including helping to elevate mood, to improve the quality of our sleep and to strengthen the bodys innate defenses against a variety of pathogens.

The impact of sunlight on human health would not have been news for our ancestors, said the British researcher Richard Hobday, author of The Healing Sun: Sunlight and Health in the 21st Century.

Hippocrates, the father of medicine, said that if you have a city that is properly oriented toward the sun you dont have so many diseases in it, Dr. Hobday noted. Throughout history and all over the world, sunlight has been worshiped for its health-giving properties and used as a medicine.

These ancient beliefs received scientific validation in the early 20th century, when sunlight was employed to kill tuberculosis bacteria and to treat the deficiency disease, rickets. Inspired by sun advocates like the pioneering nurse Florence Nightingale, hospitals and sanitariums were designed with large east-facing windows and skylights to maximize sun exposure for their patients.

During the Spanish flu pandemic of 1918-19, patients who were treated in overflow tent hospitals and regularly taken out in the sun when they were in recovery had lower death rates than those who were left indoors in dark and poorly ventilated wards, Dr. Hobday reported in a study published in the American Journal of Public Health.

Enthusiasm for sunlight as medicine waned after antibiotics began to be widely used during the 1930s, but it has recently revived, as evidence mounts for the complex role that vitamin D sometimes called the sunshine vitamin, because the skin creates it when exposed to sunlight plays in human biology.

Over half of Americans do not produce enough vitamin D, a result of spending some 90 percent of our time indoors, according to Dr. Michael Holick, a professor of medicine at Boston University. And thats a problem, he says, because too little vitamin D can weaken our bodys ability to fight off infections.

Dr. Holick recommends to many of his patients that they take supplements of vitamin D. Overweight people, he says, may need extra high doses. But consult your doctor before doing so, since high doses can cause kidney problems and other complications.

Dr. JoAnn Manson, the chief of preventive medicine at Brigham and Womens Hospital in Boston and a Harvard professor, says that the jury is still out on optimal levels of vitamin D, though some people might benefit from supplements to hedge their bets.

The best approach is to have a heart-healthy diet and get the nutrients from foods, Dr. Manson said, and to spend time outdoors in the fresh air and sunlight. Being physically active outdoors helps people to maintain proper weight, reduces the risk of diabetes and heart disease, benefits bone health, lowers stress and improves emotional well-being. The list of benefits from physical activity is extensive. Moreover, sun exposure enables the skin to create nitric oxide, which lowers blood pressure and improves cardiovascular health, Dr. Manson said.

But the fact that a little sunlight is good for health does not mean that a lot is better. Too much exposure suppresses the ability of the human immune system to efficiently detect and attack malignant cells, which can increase the risk of skin cancer, Dr. Maglio cautioned.

To gauge how long one can safely remain in the sun at different latitudes, seasons and times of day, Dr. Holick helped develop a free app called D Minder Pro that tracks the amount of vitamin D that your body is getting from exposure to the sun and warns you when you are staying outdoors too long.

Exposure to daylight is also critical for accurately setting our internal circadian clock, which in turn regulates sleep and waking, said Mariana Figueiro, the director of the Lighting Research Center at Rensselaer Polytechnic Institute in Troy, N.Y.

Without adequate light, we can go into a kind of permanent jet lag, Dr. Figueiro explained, where we get more easily irritated and depressed, our immune function is suppressed and our overall health may deteriorate.

Not everyone will be able to get outside now, or feel safe doing so. Those who remain indoors may have to take some extra steps to be exposed to the light that they need to remain healthy.

If possible, work facing a window, especially in the morning hours, and avoid working in your basement, Dr. Figueiro advised. If you have one table lamp in the living room, you might want to increase that number to get the amount of light you need to stimulate the circadian system. You dont need special bulbs, she says, since ordinary incandescent lighting emits the wavelengths of light that we need to help set our biological clocks.

While exposure to morning light helps us to get a good nights sleep later on, in the evening it has the opposite effect. Turn off and dim your lights two hours prior to bedtime, because that is when your body starts producing melatonin, which is telling your body that it is night and time to go to sleep, Dr. Figueiro said.

She also recommends taking a daily 15 to 45 minute walk when possible, while being careful to maintain adequate social distance between yourself and others, since outdoor light, even on a cloudy day, is far brighter and more biologically potent than indoor light.

Scientists also continue to explore whether sunlight might fight the coronavirus directly, as it does for other viruses. Paul Dabisch, an aerobiology specialist with the Department of Homeland Security, together with several colleagues, published a paper in November that found that flu viruses are rapidly inactivated when exposed to the UV radiation in sunlight.

This is the first study to show that simulated sunlight will greatly decrease the infectivity of influenza virus contained in aerosol particles, he said.

These results might partly explain why flu transmission is lower during the summer, when people spend more time outdoors in the sun. It may be due to a combination of the fact that sunlight actually degrades the virus, and also that vitamin D has been shown to be effective in fending off infections, Dr. Dabisch said. His team and others are currently conducting research to determine whether sunlight also destroys the Covid-19 virus, or mitigates its effects.

While few scientists believe that the sun will prove to be a magic bullet against the pandemic, medical research already amply demonstrates that exposure to sunlight can help to make us happier and healthier at a time when we are in need of both.

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Let the Sunshine In - The New York Times

NJ business survey: Reopening and surviving aren’t the same thing – wobm.com

Posted: April 29, 2020 at 6:46 am

If New Jersey businesses were given the green light to open their doors and operate under social distancing guidelines, most owners in the state believe they could follow the rules but making enough money to survive is another story.

In a New Jersey Business & Industry Association survey of its members, more than 50% of the 1,359 respondents said they would need at least 75% of their typical customer/client base in order to break even in a given month.

If a partial reopening 50%, the NJBIA survey assumes of a restaurant or shop were granted permission to open once again to the public, 21% of businesses believe they'd never be able to generate a profit. On the other hand, 50% of businesses believe their revenues can reach pre-COVID-19 profits within a year.

The survey didn't specifically ask businesses whether or not they would open the doors if granted permission by the state, but 70% of owners said they're able to operate safely under CDC social distancing guidelines customers remaining 6 feet away from others, for example.

"Reopening is one thing, sustainability is another," said NJBIA President and CEO Michele Siekerka. "I think it's safe to say that there will be a numerous businesses, that if they can't open to a certain capacity, they're not going to be able to open."

Opening to the public in a way that accommodates rules meant to stem the spread of COVID-19, Siekerka noted, could mean capital improvements for certain businesses, such as added barriers or changes to the way customers enter and exit. A reopening will likely also include the need for employees to wear personal protective equipment, which is an added expense. Businesses will be "doubling down" on sanitizing efforts as well, she added.

"They want to present an environment that is going to be viewed and observed as being a safe place to be, so that they garner the credibility for people to come back," Siekerka said.

NJBIA's Business Recovery Survey was conducted between April 23 and 28. At that time, 74% of surveyed employers had applied for the federal Paycheck Protection Program. Of that group, 65% said they had not yet received their funding that helps pay for payroll costs, rent and other business-related expenses.

Meanwhile, 78% percent of businesses who applied for a Small Business Emergency grant or loan from the New Jersey Economic Development Authority had not received their funds.

"Meeting payroll costs" was sited among employers as the top struggle for their businesses, followed by "paying the rent," "ensuring worker safety," and "repaying existing loans on time."

Siekerka said the NJBIA continues to advocate for more flexibility within the PPP to assist businesses not only during their closure or slowdown, but in their recovery mode as well.

When asked what percentage of their typical in-person workforce is needed in order to operate productively, 27% of employers said they'd need 100% of their workers. Another 15% said they'd need at least 75% of their workforce to get the job done.

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NJ business survey: Reopening and surviving aren't the same thing - wobm.com


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