by kelsey | Mar 30, 2016 | Diet, Food

Last night’s STRIVE’s treats were once again delicious thanks to our friends at County Fair Foods! Be sure to give these a try!!
Avocado, Cucumber, Tomato Salad (pictured above)
1 English Cucumber
4 Roma Tomatoes
3 Ripe Avocados
1/2 Red Onion
1/4 c Cilantro
Juice of 1 Lemon
Salt and Pepper to taste
2 Tbsp Extra Virgin Olive Oil
Directions: placed sliced cucumber, tomatoes, avocados, onion, and cilantro in a large bowl. Toss with olive oil, lemon juice, salt, and pepper. Enjoy plain or with baked, whole grain chips.

Raspberry Banana Muffins
2 Bananas
4 Eggs
Raspberries
Directions: Mash bananas and then add 4 eggs and mix well. Grease muffin tins. Place some raspberries in each tin. Divide batter up between 6 muffins. Shake to level each batter in each tin. Bake at 200F for 12 minutes. Dust with powdered sugar. Enjoy!
-Kelsey
by Dan | Mar 27, 2016 | Exercise, Goals, Motivation, Weather, Wellness/Health

Do you have Fortitude, that firmness of spirit, a steadiness of will in doing good in spite of difficulties faced in the performance of one’s duty? In achieving one’s goals? We all face challenges when it comes to exercise, and the biggest factor is the continuation of an exercise plan. We all get busy, we all face challenges, and we are have those days when exercise is not really what we want to do. These are the times when we need fortitude more than any other time. That strength of mind to keep going, especially when we know the benefit can be very high.

We need to push ourselves, especially when our mind tells us otherwise. If we can convince our minds, we can make it. Our bodies can take a lot more than we think. Here Sarah is pushing it towards the finish line of one of the 5k races we did. It does not mean that she did not have to work for it though.

When we push it, we know it! We will recover, but in the end we know that we gave it our all. That goes for all of it. As stated many other times, unless we are able to push past our comfort zones, we will never know how far we can actually go, or how much we can actually achieve! You would be surprised as to how much you can amaze yourselves as well.
But, in South Dakota, we also get to face the weather conditions as well. This in and of itself can be a huge challenge! A challenge that tests us physically, but even more so, mentally! Our bodies can take it if our minds are willing to take it on.

Here Sarah and I are coming across the finish line of the Turkey Day Race on Thanksgiving. At this time of year, the temperature can be very cold, and can be tough to convince yourselves to get out and just do it! When it is a race like this, it is always helpful when there are more people involved. It helps motivate you to keep going, and to go out and exercise, whether running or walking. Otherwise, when it is cold, or snowing, it is very easy to say “forget it, not today!”. Been there, done that. It makes you stronger overall when you still exercise in conditions like this. Life is always throwing curve balls, and the saying “adversity makes you stronger” comes even more into play. You feel like you can handle anything that life throws at you when you can go exercise in conditions that are far from ideal.

Regardless of the conditions, you can do it. If you wait for conditions to be perfect, you will never get anywhere. It is very rarely perfect. But boy when they are, it makes it even more worthwhile!

Have the courage to face that adversity, and potentially poor conditions, and see what you are capable of doing…just like life in general. The daily grind of everyday life can take its toll as well, and it is easy to feel frustrated by it. Stick to that strength of mind, that firmness of spirit…that Fortitude!

Here Steve, one of our run club members, and friend, sums it up well with his shirt…run forever! That can translate to exercise forever, walk forever…keep moving forever! Use it or lose it. You need to have the fortitude to continue at those times of adversity in order to make us stronger in general.

Keep moving everybody!
Dr. Dan
Consecutive Exercise Day #: 3103
by kelsey | Mar 24, 2016 | Cooking Tips, Holidays

With the Easter Holiday and Celebration just a few days away, many of you have your eggs hard boiled and ready to be painted…or many of you already have them painted! As Sunday comes and goes, you may wonder what to do with those eggs. Here are some tips for you to practice proper egg safety:
- Not sure how to boil an egg? Place the eggs in a saucepan and cover with water. Bring to a boil with the lid on, then turn off the heat. Let the eggs sit in water for 15 min. Remove eggs and place in a bowl of ice cold water to cool.
- Eggs should be used within 3 weeks of the sell by date. Be sure to store them in the fridge at a temp less than 40 degrees F.
- Hard boiled eggs spoil faster than fresh eggs as the protective coating is washed away, making them more susceptible to bacteria. Hard boiled eggs must be refrigerated within 2 hours of cooking.
- If you want to eat the hard boiled eggs after the holiday, you must store them in the refrigerator. Throw away any eggs that are cracked, dirty, or have been out of the fridge for more than 2 hours. If you are going to use the leftover cooked eggs, it is recommended to use them within one week to prevent food poisoning. To help you do this, you could make two batches- one to display and one for eating.
- Ever wonder what the green ring on a hard boiled yolk is? It’s a result of overcooking the eggs and is caused by sulfur and iron compounds in the egg reacting to the surface of the yolk. The green color may also be a result of a large amount of iron in the water used to cook with. It may look funny, but it is safe to eat.
Happy Easter!
-Kelsey
by kelsey | Mar 23, 2016 | Etc.

Do you have your Easter baskets all ready for the little (or big) kids in your life? Easter baskets are usually filled with all kinds of goodies and I like to think of them being just as exciting as getting your Christmas stocking! My family has all kinds of funny stories about the big search for finding our Easter baskets and of course what we find inside is even more exciting! The candy aisles at the store are filled with all kinds of goodies, but let us not forget that there are plenty of other non-junk food options to fill your Easter baskets with. Here are some ideas for you:
- Sidewalk chalk
- Color Dotz by Crayola (color your bath water with them!)
- Books
- Coloring books
- Stuffed animals
- Sunglasses
- Shoes
- Socks
- Hair accessories for girls
- Mini cars or planes for boys
- Nail polish
- Gift certificate to the movies or iTunes
- Magazine subscription
- Jump rope
- Yo-yo
- Pencils, crayons, markers
It’s ok to enjoy a little candy, but be sure to include some of these other goodies to help make your Easter baskets a bit healthier! And more importantly, remember the real meaning of celebrating Easter!
-Kelsey
by kelsey | Mar 22, 2016 | Diabetes, Diet, Food, Weight Management, Wellness/Health

One of the most frequent questions I get from patients is what the real truth is about artificial sugars. You hear all kinds of good and bad things about them, so how do you know what to believe?! Well….here’s the facts:
Artificial sweeteners or sugar substitutes refer to substances that have little to no calories or other nutrients and are added to foods and beverages to provide a taste that is similar to table sugar (sucrose). Because artificial sweeteners are many times sweeter than table sugar, smaller amounts are needed to create the same level of sweetness.
There are five artificial sweeteners that have been tested and approved by the U.S. Food and Drug Administration (FDA):
Acesulfame-K is 200 times sweeter than sugar and it is heat stable, making it great for cooking or baking. The FDA approved acesulfame-K in 1998. Brand names include Sunett and Sweet One.
Aspartame is 200 times sweeter than table sugar and is one of the most commonly used sweeteners today. Aspartame was approved by the FDA in 1981 and is used in a variety of foods. Brand names include NutraSweet and Equal.
Saccharin is about 300 times sweeter than sugar and is used as tabletop sweetener, in baked goods, jams, chewing gum, canned fruit, candy, dessert toppings and salad dressings. The FDA approved saccharin in 1981, along with a warning label stating it was ‘reasonably anticipated to be a human carcinogen’. This warning label was lifted in 2000, after numerous studies cited there is no evidence that saccharin is associated with an incidence of cancer. Brand names include Sweet ‘N Low, Sweet Twin and Sugar Twin.
Sucralose is about 600 times sweeter than table sugar and approved by the FDA in 1999. Sucralose is not absorbed by the body and is eliminated through the urine and feces resulting in zero calories. Sucralose is also heat stable so it can be used for cooking or baking. The brand name for sucralose is Splenda.
Neotame is 7,000-13,000 times sweeter than sugar. Neotame is approved for use in beverages, dairy products, frozen desserts, baked goods and gums. Neotame is not available for consumer purchase at this time.
Stevia has become a popular sweetener in recent years and is extracted from the leaves of the Stevia Rebaudiana Bertoni bush. Two forms can be extracted: Reb A and stevioside. Both are 200-300 times sweeter than table sugar and are calorie free. In 2008, Reb A was generally recognized as safe by the FDA for use as a tabletop sweetener and in prepared foods. Brand names include A Sweet Leaf, Sun Crystals, Stevia, Truvia, and PureVia.
There is a lot of confusion about artificial sugars due to the mixed messages consumers hear about their risks, but when you really look at the studies and evidence, there are are in fact little concerns. According the the FDA, National Cancer Institute, and several other health agencies, there is no sound evidence that these artificial sugars approved cause cancer or serious health problems. Acceptable Daily Intake levels have been set by the FDA to help you determine how much you can consume and still be safe. The ADIs are set at 100x less than the smallest amount that may be harmful. So in order to actually come close to being at risk for side effects it would mean the average person would have to consume around 20 cans of diet pop/day to experience adverse effects. Please see the charts below:
Acceptable Daily Intake for Various Levels: Note the ADI is based on kg of body weight. Take your weight in pounds divided by 2.2 to get your weight in kg.
|
ADI (mg/kg body weight)
|
Average (mg) amount in 12oz can soda
|
Amount (mg) in a packet of sweetener
|
| Acesulfame-K |
15
|
40**
|
50
|
| Aspartame |
50
|
200
|
35
|
| Saccharin |
5
|
140
|
40
|
| Sucralose |
5
|
70
|
5
|
| Sweetener |
Number of 12oz cans diet soda to reach the ADI |
Number of artificial sweetener packets to reach the ADI |
| Acesulfame-K |
25.6
|
20.4
|
| Aspartame |
17
|
97.4
|
| Saccharin |
2.4
|
8.6
|
| Sucralose |
4.8
|
68.2
|
| Stevia/Reb A |
Product info not available. Sodas containing stevia are not widely available |
30
|
There are also newer studies suggesting that the use of artificial sweeteners tricks our body as it’s not real sugar and in turn we eat more. These studies are inconclusive and not reliable.
The Bottom Line:
Adults may be able to better manage weight when sugary foods and beverages are replaced with artificial sweeteners as these artificial sweeteners are sugar free, calorie free. Studies have also shown that artificial sweeteners do not increase appetite or food intake in adults, adolescents or children. The American Academy of Nutrition & Dietetics states that, “based on studies reviewed, artificial sweeteners are safe for use in the general population.” Special populations, such as pregnant women, should limit the use of sugar substitutes and avoid saccharin, since the fetus may not be able to clear the substance quickly enough. Individuals with PKU should avoid aspartame since phenylalanine is found in aspartame. However, individuals with this genetic predisposition can use neotame. So all in all, I recommend them for those wanting to manage their weight and control their blood sugars, however moderation and portion control are key!!
Source:ADA Evidence Analysis Library (2011).The Truth about Artificial Sweeteners or Sugar Substitutes: How Much Is Too Much?.Retrieved May 1, 2012 from the American Dietetic Association. Website: http://www.adaevidencelibrary.com/files/Docs/NNSResourceDraft3.pdf
-Kelsey