New York Bariatric Group's July 2016 Newsletter
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New Guidelines Call for Metabolic Surgery as Treatment for Diabetes
45 Groups Including American Diabetes Association, International Diabetes Federation and American Society for Metabolic and
Bariatric Surgery Endorse Recommendations

For the first time, metabolic surgery is included as a standard treatment option in clinical practice guidelines for people with diabetes, even for those who have mild obesity. According to the new guidelines, metabolic surgery should be recommended to treat type 2 diabetes in patients with Class III obesity (BMI greater than or equal to 40), as well as in those with Class II obesity (BMI between 35 and 39.9) if hyperglycemia is inadequately controlled.

The conclusions found in the new guidelines and recommendations are based on a large body of evidence including 11 randomized clinical trials showing that in most cases, surgery can either reduce blood sugar levels below diabetic thresholds (“diabetes remission”) or maintain adequate glycemic control despite major reduction in medication usage.

The guidelines come just as the Centers for Disease Control and Prevention (CDC), announced that rates of obesity in America are continuing to rise, particularly among women. For the first time, more than 40 percent of women have obesity, compared to 35 percent of men. Overall, about 38 percent of all adults have obesity, which is linked to a whole host of other diseases and conditions including diabetes. The ADA reports that in 2012, 29.1 million Americans, or 9.3 percent of the population, had diabetes, and 1.4 million Americans are diagnosed with diabetes every year.
Source: 2016 American Society for Metabolic and Bariatric Surgery

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Ways to Stay Healthy This July

Sunshine! Fireworks! Who doesn’t love a good Independence celebration? To many of us it’s not just about celebrating our great nation but it’s also about spending time with family and friends, being outdoors and seeing the fireworks! A big get-together is the perfect way to get outside and organize a group fitness activity. So this year make your Independence Day celebrations so much more:
Wear Sunscreen:  Although being outside in the sun is a great way to absorb some healthy Vitamin D, make sure to use sun protection from harmful UVA and UVB rays. 

Eat Light:  No one wants to eat a heavy filling meal when you’re outside in the heat. So make salads and sides the main course. Grill your meal. 

Stay Hydrated with Water:  No matter where you are in America, July is hot! Be sure to drink plenty of water and keep your body from overheating, and stay away from caffeinated and sugary drinks that dehydrate you.

Start an Active Tradition:  Be it an annual family kickball tournament, neighborhood volleyball game or a pre-dinner hike, an annual activity will be a welcome event to any July celebration.

Make Sure you’re Using a Clean Grill: A dirty grill can be a breeding ground for germs and bacteria. After you are done grilling, do a quick clean up of any visible debris and food, then turn up the heat and let the grill burn off a bit.

Keep Hot food Hot and Cold food Cold: Be sure you cook all of your food to the recommended temperature to destroy any harmful bacteria and keep things that should be refrigerated in a cooler over ice.

Play Lawn Games:  Encourage your party guests to bring their favorite lawn game instead of yet another dessert. It encourages everyone to be active and fit!
Read it Now!

Cilantro-Lime Chicken with Avocado Salsa

Yield: 4 servings (serving size: 1 chicken breast half and about 1/4 cup salsa)
Nutritional Information
Calories 289
Fat 13.2 g
Satfat 2.4 g
Protein 35.6 g
Carbohydrate 6.6 g
Fiber 3.6 g
Cholesterol 94 mg
Sodium 383 mg
Calcium 29 mg
2 tablespoons minced fresh cilantro
2 1/2 tablespoons fresh lime juice
1 1/2 tablespoons olive oil
4 (6-ounce) skinless, boneless chicken breast halves
1/4 teaspoon salt
Cooking spray
1 cup chopped plum tomato (about 2)
2 tablespoons finely chopped onion
2 teaspoons fresh lime juice
1/4 teaspoon salt
1/8 teaspoon freshly ground black pepper
1 avocado, peeled and finely chopped
1. To prepare chicken, combine first 4 ingredients in a large bowl; toss and let stand 3 minutes. Remove chicken from marinade; discard marinade. Sprinkle chicken evenly with 1/4 teaspoon salt. Heat a grill pan over medium-high heat. Coat pan with cooking spray. Add chicken to pan; cook 6 minutes on each side or until done.
2. To prepare salsa, combine tomato and next 4 ingredients (through pepper) in a medium bowl. Add avocado; stir gently to combine. Serve salsa over chicken.


Free Informational Seminars

Online Seminar
July 12, 2016, 6:30 pm-7:00 pm

Nassau County Seminar - Roslyn Heights
July 14, 2016, 6:30 pm-7:30 pm

Port Jefferson Seminar - St. Charles Hospital
July 20, 2016, 6:30 pm-7:00 pm

Online Seminar
July 21, 2016, 6:30 pm-7:30 pm

Westchester Seminar
July 26, 2016, 6:00 pm-7:00 pm

Manhattan Seminar
July 27, 2016, 6:30 pm-7:30 pm




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