RSSCategory: Diabetes Info

Mar

19

Ketoacidosis In Diabetics, Know The Warning Signs.

Ketoacidosis In Diabetics, Know The Warning Signs.As a type 1 diabetic I am quite familiar (unfortunately) with the signs and symptoms of diabetic ketoacidosis.  Diabetic ketoacidosis (DKA) results from lack of insulin associated with high blood levels and your body starts to produce high levels of blood acids called ketones.  Diabetic ketoacidosis is associated with significant disturbances of the body’s chemistry, which resolve with proper therapy.

This usually occurs in people with type 1 diabetes, but DKA can develop in any person with diabetes.  Since type 1 diabetes typically starts before the age of 25, diabetic ketoacidosis is most common for this age group, but it may occur at any age with both males and females are equally affected. So is DKA something that we should be worried about? Lets take a closer look!

What Causes Ketoacidosis ?

So what’s the deal when our results come back showing ketones in urine? Circumstances arise for people with type 1 diabetes when the individual does not have enough insulin, a hormone the body uses to break down sugar (glucose) in the blood for energy. When glucose is not available to feed our cells due to high blood sugars, fat is broken down and used as fuel vs glucose and this is particularly not a good thing.  As fats are broken down, acids called ketones build up in the blood and urine.  In high levels, ketones are extremely poisonous.  This condition is known as ketoacidosis.

Blood glucose levels rise (usually higher than 300 mg/dL) because the liver makes glucose to try to combat the problem.  However, the cells cannot pull in that glucose without insulin.

DKA is often the first sign of type 1 diabetes in people who do not yet have other symptoms.  It can also occur in someone who has already been diagnosed with type 1 diabetes.  Infection, injury, a serious illness, missing doses of insulin, or surgery can lead to diabetic ketoacidosis in people with type 1 diabetes.

Although not common, people with type 2 diabetes can also develop DKA, but it is rare and typically triggered by a severe illness.

What Are The Warning Signs Of DKA?

DKA usually develops slowly. But when vomiting occurs, this life-threatening condition can develop in a few hours. Early symptoms per the American Diabetes Association include the following:

  • Thirst or a very dry mouth
  • Frequent urination
  • High blood glucose (blood sugar) levels
  • High levels of ketones in the urine

Then, other symptoms appear:

  • Constantly feeling tired
  • Dry or flushed skin
  • Nausea, vomiting, or abdominal pain
    (Vomiting can be caused by many illnesses, not just ketoacidosis. If vomiting continues for more than 2 hours, contact your health care provider.)
  • Difficulty breathing
  • Fruity odor on breath
  • A hard time paying attention, or confusion

Any of these symptoms should immediately be discussed with your doctor and they will let you know the next course of action, including treatment options or better yet, a trip to the ER may be in order especially if you can flush them from your system.  Speaking of treatment options, what can you expect?  Lets take a closer look.

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Feb

26

The Glycemic Load And How It Helps Manage Your Blood Sugars.

What Is The Glycemic Load?Ok, so I was researching some information the other day when it came to certain foods and I came across a term that was unfamiliar to me.  As diabetics we are so use to hearing about the glycemic index (that’s all that was preached to me upon my T1D diagnoses 11 years ago) and why we need to make sure our foods are on the lower end of this scale to make sure our blood sugars remain more stable and do not skyrocket, but as I was researching these particular foods, I came across something I’ve haven’t really heard much about…the glycemic load

What is this glycemic load?  Is it the same as the glycemic index?  Will it have a direct impact on my blood sugars?All great questions so lets take a closer look! 

Difference Between Glycemic Index And Load?

Just to quickly review,  the glycemic index  is a relative ranking of carbohydrate in foods according to how they affect blood glucose levels. Carbohydrates with a low GI value (55 or less) are more slowly digested, absorbed and metabolized and cause a lower and slower rise in blood glucose and are categorized into 3 categories.  

The categories are as follows:

Low = GI value 55 or less

Medium = GI value of 56 – 69 inclusive

High = GI 70 or more

Lower glycemic index foods, unlike high GI, will not cause your blood glucose levels to spike and crash, meaning you get sustained energy from the foods you eat.   So now that we’ve reviewed that tid bit of info, how does the glycemic load compare?

How About The Glycemic Load?

The glycemic load of food is a number (just like the glycemic index) that estimates how much the food will raise a person’s blood glucose level after eating it. One unit of the glycemic load approximates the effect of consuming one gram of glucose, but the difference is that the glycemic load accounts for how much carbohydrate is in a particular food and how much each gram of that particular carbohydrate will raise ones blood glucose levels (now you can see my peaked curiosity).

Foods with a low glycemic load keep blood sugar levels much more consistent, meaning that you avoid experiencing those quick spikes and dramatic lows that we can become accustomed to. The reason being is that you are accounting for that particular carbohydrate with it comes to bolusing for your meals.

By watching the glycemic load of the foods you ingest you can dramatically impact your overall health in many ways.  A diet focused on foods  with a low glycemic load can:

  • Make it easier to lose weight and avoid the dreaded diet plateau
  • Avoid the roller coaster effect and maintain stable blood sugar levels (yes, please!)
  • Help you burn more calories
  • Help with insulin resistance 
  • Lower your risk for heart disease

How Do I Calculate The Glycemic Load?

Ok, so this is probably the most important question.  The glycemic load (GL) is a measure of both the quality (the GI value) and quantity (grams per serving) of a carbohydrate in a particular food. A food’s glycemic load is determined by multiplying its glycemic index by the amount of carbohydrate the food contains in each serving, then dividing that by 100.  Confused a bit, lets take a look at this example of an apple.

So the Glycemic Load = GI x Carbohydrate (g) content per portion ÷ 100.

Using a small apple as an example: GI value = 38.  Carbohydrate per serving = 15g

GL = 38 (glycemic index) x 15 (grams of carb)
                                     100

So the glycemic load of a typical apple is 6.  Great, now your probably asking yourself, what do you do with this information?

Well, similar to the glycemic index, the glycemic load of a food can be classified as low, medium, or high reflecting on how quickly they will raise your blood sugars:

  • Low: 10 or less
  • Medium: 11 – 19
  • High: 20 or more

For optimal health, it is recommended to keep your daily glycemic load under 100. However, the simplest way to use the GL is to choose foods with the lowest GI within a food group or category and to be mindful of your serving sizes.
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Feb

7

Health Benefits & Side Effects Of Kombucha!

Health Benefits & Side Effects Of Kombucha!I was chatting with a friend the other day, and she had asked me if I was a fan on Kombucha.  Honestly, I think its absolutely fantastic! Kombucha tea is made from the fermentation of a mixture of sweetened tea and SCOBY, which is a symbiotic colony of bacteria and yeast. It is known to be effective in reducing the risks of certain health problems and promoting overall health so lets take a closer look!

Kombucha And Energy:

Kombucha’s ability to invigorate people has been credited to the formation of iron that is released from the black tea during the fermentation process.  It also contains some caffeine and b-vitamins, which can energize the body.

Through a special process known as chelation, the iron released helps to boost blood hemoglobin, improving oxygen supply to tissues and stimulating the energy producing process at the cellular level. In other words, by helping the body create more energy (ATP), the ancient tea can help those who regularly drink stay energized for extended periods of time.

Kombucha And Weight Loss:

Since Kombucha is high in acetic acid, there is reason to believe that Kombucha can improve ones metabolism and limit fat accumulation.  Though more studies need to be done, it makes sense that Kombucha tea supports weight loss since it’s high in acetic acid and polyphenols which have in other studies been proven to increase weight loss.  You can take a look at that study right here

Kombucha And Diabetes:

As we are all familiar with, metabolic problems and kidney dysfunction are frequent side effects of diabetes. Good news, the antioxidants created by kombucha fermentation may help support liver and kidney function as it’s a fantastic detox for the body. Shown to suppress glucose levels and increase HDL cholesterol levels in animal trials, researchers have indicated kombucha may be a good health support option for those with diabetes.

A comparative study involving black tea and kombucha has revealed that kombucha has better inhibiting properties as compared to the black tea and aids in preventing elevated blood glucose levels.

Per the study:

Kombucha tea has a healing action on the pancreas of the diabetic individuals and helps in guarding their liver and kidney functions by reducing the concentration of urea and other unfavorable activities occurring in the plasma membrane.

Definitely an interesting study that I will be following up on but in the meantime, I will be sticking to my Humalog as a type 1, LOL.

On the other side of the coin though, take a peek at the side effects listed below, especially as some relate to the effects on blood sugars.
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Feb

1

What Is A Diabetic Seizure, Warning Signs And Symptoms:

What Is A Diabetic Seizure?As diabetics we should all be very familiar with hypoglycemia but for those who are not, what is hypoglycemia and how can it effect us?

Hypoglycemia is the clinical syndrome that results from low blood sugar. The symptoms of hypoglycemia can vary from person to person, as can the severity as I’ve personally dealt with in the past when my severe low was accompanied with a seizure.

This was the first time this as ever happened to me since being diagnosed as a type 1 diabetic over 11 years ago now.  While I don’t remember the seizure itself, lets just say we made it a memorable experience for the community as it happened at my sons fall soccer tournament.  So what is a hypoglycemic seizure and what are the warning signs of having a seizure?  Lets take a closer look!

What Is A Hypoglycemic Seizure:

So what causes a seizure? A hypoglycemic seizure may be triggered by injecting too much insulin, or failing to eat soon enough after using a fast acting insulin (exactly what happened to me); excessive use of alcohol, skipping meals,or exercising vigorously without adjusting insulin dosages or eating properly.

A seizure may also be triggered by oral diabetes medications that cause the pancreas to produce more insulin. Whatever the cause of the seizure, it needs to be treated as a medical emergency. To identify the onset of ahypoglycemic seizure,look for the following warning signs of seizures and symptoms:

  • Sweating
  • Confusion
  • Feeling faint or too sleepy
  • Shakiness
  • Feeling cold or clammy
  • Hallucinations
  • Unexplained emotional behaviors
  • Uncontrollable crying
  • Unaware of surroundings
  • Changes in vision
  • Loss of ability to speak clearly
  • Loss of muscle control
  • Muscle weakness
  • Anxiety 

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Jan

29

Health Benefits Of The Paleo Diet For Diabetics

Health Benefits Of The Paleo DietSo what does eating paleo mean, what is the definition of paleo? I have several friends that keep throwing out the words paleo diet and swearing by it, especially when it comes to helping stabilize their blood sugars. Honestly I’m not a huge fan of “diets” in general but after doing a little research on paleo, I can certainly understand why they are so giddy over living paleo!

The Paleo diet is certainly not a new idea. Coming to popular attention with the publication of a book on the subject by Walter Voegtlin in 1975, its central concept is to mimic the diet of humans that lived 25 to 50 thousand years ago, during the Paleolithic Age. Voegtlin claimed distinct benefits are associated with what he claims was the high protein and low carbohydrate die of the ancients. His plan is occasionally called the caveman diet, the Stone Age diet and the hunter-gatherer diet. Proponents of the Paleo diet continue to practice it, and it has been somewhat validated by the emergence of other similar low-carb diets.

Health Benefits Of The Paleo Diet:

For most people the fact the Paleo diet delivers the best results is enough. Improved blood lipids, weight loss and reduced pain from autoimmunity is proof enough. Many people however are not satisfied with blindly following any particular form of eating, aka “a diet”. Fortunately, the Paleo diet has stood not only the test of time, but also the rigors of scientific scrutiny.

With a very simple shift the paleo diet not only removes the foods that are at odds with our health (grains, legumes, and dairy) but we also increase our intake of vitamins, minerals, and antioxidants and brings us back to the way our ancestors ate…eating unprocessed foods like meat, vegetables, fruits, nuts as well as seeds.

Paleo Diet For Diabetics:

There are a number of studies investigating the effects of Paleo diets on type 1 and type 2 diabetics and results are impressive. A study published in July 2009 in “Cardiovascular Diabetology” compared the Paleo diet to the Mediterranean diet in subjects with type 2 diabetes over a period of three months. The researchers found that the Paleo diet reduced fasting blood sugar levels, hemoglobin A1C, plasma insulin levels and insulin resistance significantly compared to the Mediterranean diet, indicating potential benefits of the Paleo diet for people with type 2 diabetes.  Here are 5 more studies and how they help stabilize blood sugars, feel free to check them out.

Pro’s Of The Diet:

Right off the start you can see how well this diet is going to control blood sugar levels. In a world where many of us experience roller coaster-like blood sugar fluctuations, this aspect alone proves to be an extremely beneficial aspect of the set-up.

As most of us know, the more stabilized our blood sugar levels are, the less likely you’re going to be to experience food cravings, to battle ongoing fatigue, and to be at the potential risk of developing diabetes down the road.

Since the paleo diet is also chalk full of healthy fats from all the seeds and nuts that are being consumed while also being low in saturated fat due to the restriction of dairy and high fat meat sources, this is also going to work to improve your cholesterol profile and help to reduce the risk of heart disease.

When using the paleo diet you shouldn’t find you have any issue getting enough protein in either, which is something that’s critical for both the fat loss and muscle building process as you’ll be including lean meat sources with each meal. By choosing to incorporate a wide spectrum of fruits and vegetables in your menu, you’re also going to help to keep calorie intake on the lower side, so this will be beneficial from a fat loss point of view.

If you are someone who happens to actively looking to build muscle and thus require that higher calorie surplus, you can simply add larger doses of nuts and seeds into the plan to help boost your calorie and healthy fat intake up higher.
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Jan

24

Blood Glucose Control and Exercise, Get Moving!

Blood Glucose Control and Exercise, Get Moving!Most of you already know that I love to exercise.  My day starts out at 4am, early yes, but its the only time that I get to myself during the day.  As a stay at home dad of 4, I consider this a small sacrifice for my sanity as well as to benefit my bottom line as a type 1 diabetic, my health!  

What makes exercise so important?  Well I think we all know the answer to that question as there are so many benefits including better control of our overall blood sugars.  There is a list of exercises you can do, but lets take a closer look at how you can exercise safely for better control!

Diabetes And Exercise:

Whether you have type 1 or type 2 diabetes, diabetes and exercise should go hand in hand, at least when it comes to the management aspect of the disease. Not only can exercise can help you improve your blood sugar control, boost your overall fitness, it can reduce your risk of heart disease, stroke, provide more stable blood sugar readings, and help lower blood pressure ~ all risk factors that we face.

While exercise is great for us and the benefits are well documented, as diabetics it also poses some unique challenges. To exercise safely, it’s crucial to track your blood sugar before, during and after physical activity. You’ll learn how your body responds to exercise, which can help you prevent potentially dangerous blood sugar fluctuations.

Exercise And High Blood Sugars?

This was one of the biggest hurdles for me when I was first diagnosed.  My numbers would skyrocket after a workout or even during a gym session.  The issue is that exercise triggers the body to release stress hormones, like adrenaline. Adrenaline tells the liver to release glucose, or cortisol which makes you more resistant to insulin, and since strenuous activity triggers an increase in these stress hormones,  chances are (even temporarily) your blood sugars are often increased.

That being said different exercises affect us differently and we also know that we’re all very unique, and lets face it, type 1 diabetes effects everyone differently and no situations are ever the same. Our blood sugar response to exercise will also depend on our level of physical fitness and personal exertion. Generally speaking, 30-40 minutes of high intensity interval training will bring different results than an hour of running, doing the stair climber or even walking the dog so it will be important to closely monitor your blood sugars during exercise and see how these activity levels effect you.

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Jan

18

Celiac Disease And Type 1 Diabetes, Is There A Connection?

Celiac Disease And Type 1 Diabetes, Is There A Connection?So the other day I fielded a question about celiac disease and if there is a direct correlation between having celiac and type 1 diabetes.  A great question as more type 1 diabetics seem to be diagnosed with celiac disease after their type 1 diagnosis.  So what’s the deal with celiac disease?  What is it exactly and what can be done to help alleviate the symptoms?  Lets take a closer look!

 

What Is Celiac Disease:

Celiac disease is a digestive illness that occurs due to the ingestion of gluten. If you have celiac disease, your intestines cannot tolerate the presence of gliadin, which is a component of gluten. Gluten is present in wheat, barley, and rye. When a person with celiac disease eats foods with gluten, such as bread or cereal, their immune system inappropriately reacts to the ingested gluten and causes inflammation and injury to the small intestine. This results in symptoms such as diarrhea, bloating, and weight loss, as well as an inability to absorb important food nutrients.

Celiac Disease And Type 1 Diabetes:

So what’s the deal when it comes to type 1 diabetes and a celiac disease diagnosis?  While there doesn’t appear to be a direct link between type 2 diabetes and celiac that’s not necessarily the case when it comes to type 1. 

Per the celiac disease foundation:

“The link between type 1 diabetes mellitus and celiac disease was first established in the 1960s. The estimated prevalence of celiac disease in patients with type 1 diabetes is approximately 8%, and about 1% in the general population. Most patients with both conditions have asymptomatic celiac disease, or symptoms that may be confused for symptoms of their diabetes. For this reason, and the significantly higher prevalence rate of celiac disease in diabetes patients, many doctors recommend getting screened for celiac disease after a diagnosis of type 1 diabetes, as well as celiac patients getting screened for type 1 diabetes.

A recent study in 2013, contributed to by Dr. Peter Green, a member of Celiac Disease Foundation’s Medical Advisory Board found that there were no standard uniform practices for screening type 1 diabetes patients for celiac disease. Of the facilities in the study that did screen for celiac disease, 60% of them only did so if there were symptoms present. The authors of the study suggested that a uniform protocol for screening should be in place, as well as a need for further education on the gluten-free diet in patients with type 1 diabetes for dietitians.”(1)

The unfortunate part of this is that once you are diagnosed with an autoimmune disease, such as type 1 diabetes, you become prone to developing others.  As for the signs, symptoms and treatment options, lets take a look.

Symptoms Of Celiac Disease:

Celiac disease symptoms typically involve the intestines and digestive system. They can also affect other parts of the body and children as well as adults tend to have a different set of symptoms.  Those symptoms are as follows:

Celiac Disease Symptoms in Children:

Children with celiac disease can feel tired and irritable. They may also be smaller than normal and have delayed puberty. Other common symptoms include:

      • weight loss
      • vomiting
      • abdominal bloating
      • abdominal pain
      • persistent diarrhea or constipation
      • pale, fatty, foul-smelling stools

How To Diagnose Celiac Disease In Adults

Adults with celiac disease may experience digestive symptoms. In most cases, however, symptoms also affect other areas of the body. These symptoms may include:

      • iron-deficiency anemia
      • joint pain and stiffness
      • weak, brittle bones
      • fatigue
      • seizures
      • skin disorders
      • numbness and tingling in the hands and feet
      • tooth discoloration or loss of enamel
      • pale sores inside the mouth
      • irregular menstrual periods
      • infertility and miscarriage

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Jan

16

Looking For Some Added Protein? Health Benefits Of Chia Seeds!

Looking For Some Added Protein? Health Benefits Of Chia Seeds!I’ve been fielding a lot of questions lately in regards to the health benefits of chia seeds and more importantly what are chia seeds?  Well, if your looking for a great way to boost your energy and add some protein to your diet, or boost your omega 3 intake, look no further.

Chia seeds come from the desert plant Salvia hispanica, a member of the mint family. Salvia hispanica seed is often sold under its common name “chia” as well as several trademarked names.

Its origin is believed to be in Central America where the seed was a staple in the ancient Aztec diet. The seeds of a related plant, Salvia columbariae (golden chia), were used primarily by Native Americans in the southwestern United States.  These gems are fantastic in so many ways, what makes chia seeds so powerful?  Lets take a closer look!

Skip The Coffee And Boost Energy:

Don’t want to feel like taking an afternoon nap? Your energy levels have a lot to do with what you eat. Chia is one of nature’s highest plant-based sources of complete protein. Usually protein from items like peanut butter and some beans are incomplete, meaning you have to combine them with other foods to get the full benefit. Not Chia though, it’s protein is complete to raise your energy levels. The combination of complete protein, vitamins, minerals and blood-sugar balancing gel all work together to make sure you have steady, never jittery energy.

Chia Seeds And Weight Loss:

Chia seeds contain both soluble and insoluble fiber. The soluble fiber in chia absorbs water and expands to form a gel that fills you up faster, so you consume fewer calories, hence weight loss. Fiber and protein slow the digestive process so hunger isn’t triggered as quickly as with sugars, starches and other simple carbohydrates. The insoluble fiber, which does not digest, aids in preventing constipation and digestive disorders by cleaning the colon.
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Jan

10

Health Benefits Of Vitamin D3, Is There A Type 1 Connection?

Health Benefits Of Vitamin D3While you’re catching some rays this up coming summer, think about vitamin D. Sometimes its called the “sunshine vitamin” because it’s produced in your skin in response to sunlight, but what about vitamin D3? Is it as simple as getting out into the sun and voila, vitamin D3!  I mean, what is vitamin D3 anyway? How much vitamin D3 should I take?

Did you know that the human skin makes vitamin D3 when exposed to ultraviolet rays of the sun? According to the National Institute of Health, some of the best food source for vitamin D3 are fish products, such as: cod liver oil, salmon, tuna, and sardines.  With that being said, lets take a closer look at how vitamin D3 can benefit you.

Vitamin D3 Benefits:

Vitamin D3 promotes calcium’s absorption and functions for teen’s and children’s healthy teeth and bones, prevents loss of bone mass, and treats bone disorders.

It protects against adult and elderly muscle weakness and immune system issues, and lowers the risk of colon, breast, and prostate cancers. Rheumatoid arthritis and psoriasis is improved with vitamin D3.

Vitamin D3 has been show to prevent/treat rickets, post menopausal osteoporosis. The vitamin also been show to help treat multiple sclerosis.  Something that I found extremely interesting is that they are still conducting studies (more research is definitely needed) seeing if there is a connection between lack of Vitamin D3 and the development of Type 1 diabetes.

Benefits of D3 in the elderly and fractures are still under investigation. An analysis, reported in August 2007 by the University of Ottawa Evidence-based Practice Center, showed higher doses of vitamin D3 of between 700-800 IU’s per day combined with calcium help prevent hip fractures for institutionalized elderly. The study did not include elderly living independently in the community.

Vitamin D3 And Your Immune System:

Cells of the immune system, such as macrophages, which hunt the body for dangerous pathogens such as viruses, bacteria and cancer cells, have receptor sites for vitamin D3. Research suggest that D3 may play a role in stimulating these cells to be more active in their hunt for disease-causing microbes and act as an immunity booster especially during the winter months when sunlight is more scarce. 

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Jan

8

Flaxseed Health Benefits, Can Flaxseed Help Your Blood Sugars?

Flaxseed Health BenefitsI just love flaxseed, and one I supplement with daily.  Flaxseed has an amazing amount of benefits to help promote overall health. In saying that, how can one find flaxseed? What actual benefits does organic flaxseed provide? Can it help prevent your blood sugars from spiking? For that and much, much more, continue reading!

Flaxseed oil is an excellent supplement that supports the body’s vital systems. It is rich in the omega-3 essential fatty acid alpha-linolenic acid, or ALA. Although omega-3s are crucial to human health, they are not manufactured by the body, so it’s important to get a steady supply through dietary sources and supplements.

There are two types of essential fatty acids, omega-3 and omega-6. Most Americans get enough omega-6 fatty acids from dietary sources such as meat, eggs and dairy. Omega-3s are necessary for growth, heart health and brain function, but many of us do not get enough of them from dietary sources. MayoClinic.com reports that multiple studies have shown that omega-3 supplements may lower the risk of cardiovascular disease.

These supplements have also been studied as a treatment for depression and other mental illnesses, Alzheimer’s disease, diabetes, rheumatoid arthritis, PMS, ADHD, osteoporosis, and even cancer prevention.

Benefits Of Flaxseed:

Flaxseed oil offers a wide range of health benefits. There are some studies showing that flaxseed oil can reduce total cholesterol and LDL (low density lipoprotien also known as bad cholesterol). This, however, is dependent on how well the alpha-linolenic acid is broken down into EPA and DHA. Flaxseed oil is likely to make platelets less sticky, which could help to reduce the risk of heart attack.

Flaxseed may also lower blood pressure and triglyceride levels (fat in the blood). Flaxseed oil has anti-inflammatory properties and has been shown to regulate the heartbeat, further supporting good cardiovascular health. In addition, the flax seed contains compounds called lignans. Studies show that patients taking lignans had a 75% reduction in atherosclerotic plaque buildup.

Flaxseed itself is recommended for those who suffer from Crohns disease or irritable bowel syndrome because it is thought to be able to heal the lining of the stomach and reduce inflammation.

The ALA found in flaxseed inhibited tumor growth and incidence in animal studies. In addition, the lignans in flaxseed are thought to bind to estrogen receptors, reducing the risk of estrogen driven breast cancer.

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