Acanthosis what?

Being that weight management is a very real issue to a large number of Americans, we should not only to lose the weight but also to “get to the root of it” and treat things in a preventative measure. Given that 28% of people living with diabetes are undiagnosed, the sooner we know this the less likely they will face more difficult treatments. (CDC 2014) I thought diabetes was a hidden disease, but I was kind of amazed to know there is an INDICATOR or insulin resistance that could lead to Type II diabetes.

 

 

Unknown-1.jpegAcanthosis Nigricans (AN) can be present in people that have developed insulin resistance. Resistance in the long run causes your cells to not be able to take up glucose, leading to type II diabetes. AN is a condition that in multiple studies is shown to be an indicator of diabetes risk-factors. This shows as a dark, “dirty” looking spot along the folds of the back of the neck, armpits and groin. (Koh 2016)(Bahadursingh 2014) (Kong 2010) (Harding 2006)

Diabetes is a common chronic condition that can affect every vessel of your body. The sooner we know that someone is DIABETIC or PREDIABETIC the sooner we can start treatment. The best way to screen for Type II diabetes in my opinion is the A1C test, although there are other ways. It takes the average blood glucose count of your red blood cells for the past 100-120 days you compare it to a chart that informs you where you fall in the diabetic spectrum. (Click here on some more information about the test)

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There are other causes for AN including genetic, endocrine and rare types of cancers. Acanthosis Nigricans is NOT a definite sign to diabetes, rather it raises the question of when your last A1C or average blood glucose level count was. And if you’re like lolwut then get it checked!

Victory Gardens

Started during times of rationing for the world wars, victory gardens rose up as a way of making produce locally available in communities. Tomatoes, potatoes, eggplants, squash, onions, and just about any other herbs that can easily be grown was. And what a beautiful thing it was! organic_victory_gardens

In todays food-driven society it is crazy how prevalent food scarcity is. According to World Hunger Education Services 12.7% of people in the US face food insecurity, and we are slowly trying to get to pre-2007 levels of 11%. WH Education Services (2015) Food deserts have risen in low-income neighborhoods of urban cities, where accessibility to fresh produce and accessibility to a car is low. Food deserts take a large toll on the local community’s health, not only are the people living in these areas showing higher rates of obesity and diabetes.  American College of Cardiology (2011)

Amongst other things, LIMITED ACCESS TO HEALTHY FOODS and lack of access to care are some of the main reasons for these low health outcomes, but looking at the greater spectrum I believe these “food deserts” help drive up the cost of health-care due to increase in hospital visits in populations prone to chronic diseases, and increased length of hospital and increased difficulty of treatment if it is started too late.

The craziest thing to me though is how close they can be to home. In the interactive map provided by the US Department of Agriculture (2015) you can find food deserts in your area. Masashi et al (2017) talk about the benefits of gardening and how they are globally seen in communities and cultures through the world and I want people to be aware of the hunger issue in our country. To see how close it is to home, and to understand that we need to come together as a society to address food insecurity.

So what can you do?

I’d love for you to start your own project. A garden or sunny balcony and pick a few plants and try it out. Growing your vegetables can be a wonderful learning experience for your children, and they can learn to love to eat the veggies they grew. You can also try reaching out to the community and see if THEY want to build a garden. Inspired by my previous blog article on Vitamin D Juan Camilo Rivera (2017) and its effects of Calcium absorption I went to an elderly home in Orlando for just that! And 2 days later they called me interested in having this garden made for them!

I am so excited to help my local community, and improving public health for the elderly population of Orlando and would LOVE to be able to expand this to other elderly communities. Making fresh produce available to them, and reducing the size of the food deserts afflicting our community.

Vitamin D, calcium and the sun

This is the post excerpt.

We all know it is important to meet your daily needs for all of the vitamins and minerals, and whenever possible these should be rated from foods rather than supplementation (pills and powders.) Calcium, amongst many other minerals is key to prevention of bone loss and osteoporosis as a person ages.

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Calcium is key as bones and teeth are made of the substance, and eating calcium early on is key to a long and healthy bone-life. Good sources of calcium are dairy products, but you can also eat collard greens, turnip, arugula, kale, spinach, okra, mustard greens, or any other DARK LEAFY green. Fortified orange juice will also be a good source of Calcium. Sardines are an excellent source of Calcium, however you must be careful to eat sardines WITH BONES. The bones in the sardines are small enough you won’t notice them, and it can easily lacinato-kale-horizontalaccount for 20% of your daily recommended value of Calcium.

Want to keep your bones strong?

Drink your milk every morning (30% of daily value) or eat plenty of  dark leafy greens or sardines. Find your favorite source of calcium and find ways to incorporate it in your diet! But along with what you gardeningeat, the SUN can have tremendous impacts on how your body absorbs calcium. According to a report from Harvard Medical School, 5-30 min walk twice a week is enough for your body to make Vitamin D from skin exposure. However they do warn of prolonged exposure to the sun as a cause for skin cancer. Harvard Health

It’s interesting to note that about 95% of Vitamin D production is halted when SPF 15< sunscreen is applied before exposure, so what I would suggest is being outside for 10-15 mins, and if you’re staying out in the sun even longer whip out the sunscreen.