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Whole Grain Benefits

The Importance of a Seizure Action Plan

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In 2015, an estimated 3.4 million people in the United States had epilepsy, a brain disease that causes seizures. These include 470,000 children with epilepsy and 3 million adults.

There are many types of epilepsy, ranging from mild to severe. Some people can go through a year without seizures, while others have multiple seizures a day. Some seizures last only a few seconds, others several minutes or longer.

A seizure can happen at any time – and learning how to manage a seizure can save lives.

To help community members manage a seizure, experts encourage people with epilepsy to develop and share a seizure action plan.

“A seizure action plan is a document that provides an outline of how to respond during a seizure,” Mary Anne Meskis, executive director of the Dravet Syndrome Foundation (DSF), told Healthline. “There are guidelines to help the layperson recognize that a seizure is occurring and what steps to take to protect the person who is having the seizure.”

DSF is a non-profit that raises funds and raises awareness of Dravet syndrome, a type of severe epilepsy that causes frequent and often persistent seizures.

Healthline also reached out to the mother of a child with Dravet Syndrome to learn the difference a seizure action plan can make in the lives of people with epilepsy.

Jenny Gallo’s daughter Lena was only 8 1/2 months old when she had her first seizure. When she was 2 years old, she was diagnosed with Dravet Syndrome.

Gallo has since worked hard to educate members of her family and the wider community about Lena’s condition and treatment needs.

“Everyone knew she was having seizures,” Gallo said, but the family did not have a written seizure action plan for years.

That changed when Lena was 11 years old. A new nurse at her school asked Gallo for a written plan.

“The school never told me they needed one,” recalls Gallo. “The doctor never told me I should have one. I didn’t even know there was such a thing. “

The nurse sent Gallo a one-page form to fill out that outlined Lena’s emergency protocol for a seizure. Gallo worked with her daughter’s doctor to fill out this form and later added a second page to her daughter’s seizure action plan to help facilitate day-to-day management of her child’s condition at school.

A seizure action plan can help family members, school staff, and other caregivers learn when and how to give emergency medication that can help stop a prolonged seizure or seizure buildup. This reduces the risk of potentially life-threatening complications.

Knowing that a seizure action plan is in place can also give caregivers some peace of mind.

“Having clear written instructions will help parents calm down,” said Gallo. “As long as people follow these instructions, you know your child is in good hands.”

DSF encourages parents of children with epilepsy to distribute a copy of their Seizure Action Plan to all caregivers their child spends time with. This contains:

  • family members
  • baby-sitter
  • School staff

“Every time someone has a seizure there is a lot of stress – especially if this is the first time the person intervening has a seizure,” Meskis said.

“The beauty of a seizure action plan is that everyone knows what to do in a seizure emergency. It describes everything very neatly and succinctly for them to help them make the right decisions to keep the patient safe, ”she continued.

Even parents can benefit from having a seizure action plan in front of them when handling a seizure emergency. And sharing the plan with others can help keep your child safe when they are not there to manage the seizure themselves.

“You can’t always be there,” said Gallo, “and when your child gets older and you learn to live with this disease, you let go of your vigilance a little more, you let it do it a little more, you let them go longer to school – so it is really important that everyone has this plan. “

Even emergency responders and other health professionals can benefit from having a person’s seizure action plan when dealing with a seizure.

“This plan should travel with the person to the emergency room in an emergency,” Meskis said. “We want to make sure that the emergency services have everything they need quickly to be able to react to the situation.”

Gallo has learned from experience the usefulness of having a seizure action plan or other written notes about a child’s epileptic illness, even when surrounded by medical experts.

“I’ve been to the emergency room many times and my daughter is packing and a team of doctors asks, ‘What medication is she taking? What’s this? What is that? ‘”Said Gallo.

“And I just got out a piece of paper with all the stuff written on it. I can give you all the information you need, ”she continued.

An anti-epileptic drug that works well in one person with epilepsy may not work well in another. In some cases, it can even make the seizure worse or cause other serious side effects.

A seizure action plan can help healthcare professionals decide which medications to give or avoid during a seizure when the person’s own doctor is not there to guide their response.

“The neurologist you love won’t always be there in an emergency, so it’s like dropping your doctor’s letters and saying, ‘Here!'” Gallo said.

Whether you or your child were recently diagnosed with epilepsy or have lived with the condition for years, devising a seizure action plan can help you manage it.

To raise awareness of seizure action plans and provide resources to help families develop them, DSF has partnered with the Lennox Gastaut Syndrome Foundation and the Tuberous Sclerosis Complex Alliance to create the Coalition for the Seizure Action Plan form.

“We almost wanted a one-stop shop where families can learn what a seizure action plan is, what it should contain, examples of the plans, and other resources and educational information to help them develop one,” Meskis said.

The Coalition of Seizure Action Plan has several seizure action plans available for download on its website.

Each plan includes a concise emergency protocol that can be tailored to a person’s specific condition and treatment needs. You or your loved one’s doctor or caregiver can fill out the plan.

DSF encourages people with epilepsy or their caregivers to periodically review their plan and update it as necessary, even if changes are made to their prescribed treatment plan.

“We encourage families to review their plans at least annually to see if any updates are needed,” Meskis said. “We often say pick a date, be it the child’s birthday or back to school – something to remind them to take a quick look at.”

Seizure action plans are just part of a larger strategy that people with epilepsy and their caregivers can use to educate others about their condition.

“If your child has epilepsy, make sure you have appropriate literature to share with your staff so that they understand a little more about the disease in addition to the seizure action plan,” said Meskis.

Parents of children with epilepsy can also work with their child’s doctor and school to develop a broader management or placement plan to ensure their child’s needs are met.

These needs often go beyond emergency treatment for seizures and include daily management of their condition and need for psychosocial support.

“Most parents in the Dravet community know we have to be advocates,” said Gallo.

A seizure action plan can help people with epilepsy get the care they need during a seizure – not only promoting their safety, but also peace of mind for them and their caregivers.

“I think a seizure action plan is really taking off a bit,” said Gallo.

Meskis encourages parents of children with epilepsy and other community members to make seizure plans part of their strategy for treating the condition.

“Make sure you really understand the role of the seizure action plan in your child’s medical care – and make sure you spread the word so that it is understood outside of the epilepsy community,” Meskis said .

“Perhaps from your child’s seizure schedule they are learning some proactive steps they can take to protect your child or someone else who is having a seizure,” she added.

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Whole Grain Benefits

Safety, other foods, and more

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People with diabetes can enjoy dill pickles as a snack or as part of their favorite dishes. You should be careful with sweet cucumbers, however, and those at risk for heart disease should consider the effects of the added sodium on their health.

Pickled and fermented foods can offer some benefits. People with diabetes who want to include in their diets could try putting vegetables and fruits at home where they can control how much sodium or sugar they are using.

The following article describes everything a person with type 2 diabetes needs to know about cucumber. It also provides information about other fermented foods, what to include in a diet and what to avoid.

A person with type 2 diabetes can eat cucumber as a snack or as part of their meal. There are some exceptions to this rule, and people still need to eat them in moderation.

Dill pickles are generally the best option as they contain less than 2 grams (g) of carbohydrates in a 100 g serving. The low sugar and carbohydrate content should help prevent blood sugar from rising after a meal or snack.

People with type 2 diabetes may also get other health benefits from dill pickles because of the vinegar they often bring with them. According to a 2018 systematic review, several studies have observed that consuming vinegar can help lower levels of A1C in the blood, which is beneficial in treating diabetes.

In another preliminary study from 2013, researchers found similar results. They found that healthy adults who ate vinegar with meals had better fasting glucose levels during the 12-week study.

However, dill pickles have one drawback. They are extremely high in sodium, at 808 milligrams (mg) in a 100 g serving. Since a person with diabetes is already at a higher risk of heart disease and high blood pressure, they should only eat dill pickles in moderation to avoid too much sodium in their diet.

Sweet pickles are not that suitable for diabetics. They contain about 18.3 g of sugar in a 100 g serving. To prevent blood sugar spikes, a person should consider eating protein like chicken and healthy fat like olive oil when ingesting a sweet cucumber.

Sweet cucumbers also contain around 457 mg of sodium in the same serving.

To be clear, sweet pickles include “bread and butter” and other sweeter pickles.

Pickles have relatively no nutritional value. Although they are often low in calories, they don’t provide many vitamins or minerals other than sodium, which can be harmful to a person’s health.

A person living with type 2 diabetes may find that adding pickled or fermented foods to their diet is beneficial.

Fermented foods can have health benefits, such as the provision of antioxidants. Numerous studies show that consuming antioxidants can help reduce the number of free radicals or harmful particles circulating through the body.

However, the American Diabetes Association lists pickled foods as high in sodium and says people should eat them in moderation.

Some pickled foods that a person can add to their diet in moderation are:

  • Olives
  • Beets
  • radish
  • Carrots
  • sauerkraut

A person can also pickle vegetables and fruits at home, which means they can pickle almost any vegetable they want. Home pickling has some nutritional benefits as a person can control how much sodium or sugar they use in making the pickled foods.

If home pickling is not an option, a person should look for pickled foods that:

  • low in sodium
  • little sugar
  • fermented

People with diabetes should speak to their doctor about the best diet change based on their situation. The Centers for Disease Control and Prevention (CDC) recommend that a person follow a nutrition plan based on the following criteria:

  • individual taste
  • Gates
  • lifestyle
  • Medication

Although a eating plan can vary, they recommend a person eat the following:

  • mostly whole foods like vegetables, fruits, lean proteins, and whole grains
  • starch-free vegetables like broccoli, spinach, zucchini, mushrooms, green beans, and other leafy greens
  • less sugar and refined grains like white bread, pasta, baked goods and candy

Find out more about the best foods for people with diabetes here.

People with diabetes should aim to limit foods high in sugar and processed carbohydrates. These foods can quickly raise a person’s blood sugar levels and are generally not beneficial for anyone’s health.

Some foods that you should avoid include:

  • Energy drinks
  • flavored milk
  • Sports drinks
  • sweetened tea
  • lemonade
  • fruit juice
  • normal lemonade

In addition, a person should limit the following foods:

  • Candy
  • crisps
  • cake
  • ice cream
  • cracker
  • white pasta, white bread, and other processed carbohydrates
  • cake

A person with type 2 diabetes can consume cucumbers in moderation as part of their diet. You may find that the cucumber vinegar helps control your blood sugar levels.

A person should look for low-sodium and sugar-free varieties to reduce their sodium intake and prevent blood sugar spikes.

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Whole Grain Benefits

From sweet to savory, bagel flavor options are on the rise

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KANSAS CITY – Kansas City, Missouri, Baker and owner of Meshuggah Bagels, Pete Linde grew up in Woodcliff Lake, NJ, enjoying the simple joys of snacking on a New York-style bagel every day after school.

A gifted student, he earned an engineering degree from Columbia, New York City, and pursued a career in automotive engineering. Years ago, Linde moved to the Claycomo plant in Kansas City, and that’s when it hit him.

“Moving to a place without New York bagels is like a little hole in your life,” he said.

His wife Janna, who runs Meshuggah Bagels’ four retail stores, recalls the number of times she took an empty 27-inch suitcase on her trips to New York to bring as many bagels as it would fit. She is from Kansas City and met Pete over a decade ago. He often said that Kansas City was a “bagel desert” and how he wanted to make his own. So Pete started doing research on how to make the best bagels. He consulted with a bakery machine dealer and a family friend who ran a bagel shop in Maryland. Because of his childhood memories, he knew the taste he wanted. He would take his time and do it right.

“We do it the old-fashioned way,” he said, “just we burn natural gas and they burned wood 150 years ago.”

One notable thing, however, is different. Like a growing number of bagel manufacturers, Meshuggah Bagels now produces chocolate chip bagels in addition to the traditional garlic, onions, salt, rye and of course bialys. Bialys differ from bagels in three ways: they have a depression in the middle, not a hole; they are only baked, not boiled and baked; and they are not usually found outside of New York City.

National chains are enthusiastic about bagels and bagel-like products, like Einstein Bros. a year ago with the introduction of the Chocolate Birthday Cake Party Bagel and the Churro Party Bagel. The new churro starts with a donut, sliced ​​and braised in the middle with a sweet cream cheese buttercream frosting and covered with cinnamon sugar on top. The chocolate birthday cake starts with a donut, sliced ​​and coated in the middle with chocolate buttercream frosting, glazed with chocolate frosting and topped with confetti sprinkles.

“We wanted to bring some fun to the breakfast table,” says Chad Thompson, director of culinary innovation at Einstein Bros. Bagels. “Party bagels are a sweet treat, just like Einstein Bros. bagels. I like to say that when bagels have a family reunion, the funny cousin just showed up. “

“We do it the old-fashioned way, only we burn natural gas and they burned wood 150 years ago.”

Pete Linde, baker and owner of Meshuggah Bagels in Kansas City, Missouri.

Faithful to baker’s roots

Nearly 100 years ago, three brothers took out a $ 300 mortgage on their mother’s house to open a bakery in a cabin in southern Illinois. Amos, Armold, and Jack Lewis’ breads were delivered daily by Ford Model T Trucks to nearby homes. In the 1950s, the family business had grown into a large regional bakery, thanks in part to the creation of a brand that is now synonymous with freshly baked bread in Midwestern households, Bunny Bread.

Available in Martin’s Super Markets and other in-store bakeries, the Lewis Bake Shop family offers a real opportunity to bring variety and good taste to the table. From soft, chewy bagels to wholesome English muffins, these specialties will delight you.

There are five bakery locations: Evansville, Ind .; LaPort, Ind .; Ft. Wayne, Ind .; Vincennes, Ind .; and Murfreesboro, Tenn. Lewis Bakeries, headquartered in Evansville, is the state’s largest wholesale bakery and one of the few remaining independent bakeries in the Midwest.

Customers can go online at www.martinsgroceriestogo.com to order Martin’s private label six-pack bagels in a variety of options, including blueberry and cinnamon raisins. Other bagel choices include Bantam Bagels and Lewis Bake Shop.

Filled bagels

More than 500 Starbucks locations in the northeast offer cream cheese-filled bagel balls, according to several published reports. The bagel balls are each US $ 1.75 or US $ 2.95 for two and are simply filled with regular cream cheese or French toast with maple cream cheese. According to the bakery that makes the bagel balls, Bantam Bagels from New York City, the product is available in most stores in Philadelphia, Indianapolis, and New York City.

Bantam Bagels co-owners Nick and Elyse Oleksak, Columbia University graduates who spent years in their fast-paced Wall Street jobs, originally didn’t think a bagel company would be their next move. In fact, Nick got the idea for Mini Bagel Balls in a dream. After the couple made hundreds of test batches in their Brooklyn apartment, the couple found the perfect recipe and the mini bagel ball was born.

Excited to start their own business, Elyse and Nick swapped their small apartment kitchen for their own shop on Bleecker Street. Not only did New York City bagel critics accept their new take on the bagel, but after less than a year, Bantam Bagels was voted one of the top three bagels by the New York Daily News, according to the company.

As the demand for their mini filled bagel balls increased outside of New York City, Elyse and Nick began making plans to share their mini bagel balls with everyone from coast to coast. But that’s not all, Bantam Bagels won the seal of approval from Oprah Winfrey, who added Bantam Bagels to her list of “Favorite Things” in 2014. Bantam Bagels can now be shipped nationwide through their website www.bantambagels. com. Nick and Elyse struck a successful deal after appearing on ABC’s hit television show Shark Tank, in which major investors agreed to fund promising ideas.

Germinated grains

Bakeries like to throw around terms that make their bread appear healthy. For example, “stone bottom” or “multigrain” bread might or might not be a cut above your average loaf, as these terms are often loosely defined, if they are defined at all.

But at Alvarado Street Bakery, the company isn’t just throwing out fancy words; You want customers to know what’s really in the bread and what makes them special. For Alvarado Street, making healthy bagels, breads, and buns revolves around the use of sprouted grains.

Sprouted grains are whole grain seeds that have started to sprout. So while all germinated grains are whole grains, not all whole grains are germinated. To induce germination, Alvarado Street Bakery soaks the seeds at just the right temperature and humidity. Once the sprouts have emerged from the germ of the grain, they take the sprouts, mash them into a batter, and bake them in a variety of amazing breads and bagels.

According to the company, sprouted grains have many health benefits. The germination process breaks down the starch in the grain, increasing the relative levels of vitamins and nutrients. Folate, fiber, vitamin C, zinc, magnesium, and vitamin B are higher in sprouted grains than in conventional grains. Sprouted grains also contain essential amino acids like lysine, which you don’t often find in common breads. And sprouting breaks down phytate, a form of phytic acid that decreases the absorption of vitamins and minerals in the body. Finally, the germination process makes the grain easier to digest.

On the way

Panera Bread, Caribou Coffee and Einstein Bros. Bagels are proud to announce the creation of Panera Brands, a new powerhouse platform in fast casual, the fastest growing segment in the industry. Panera Brands brings together three iconic fast casual brands: Panera Bread, the pioneer and market leader in fast casual, Caribou Coffee, a popular regional coffee house, and Einstein Bros. Bagels, the industry leader in bagels and bagel sandwiches.

With almost 4,000 locations and 110,000 employees in 10 countries, Panera Brands is one of the largest and most dynamic fast-casual companies in the world.

Anchored in Panera Bread’s distinctive competencies, including broad omnichannel retail network, strong digital infrastructure, industry-leading loyalty program, robust food innovation pipeline, world-class supply chain and access to extremely well-capitalized franchise owners, Panera Brands becomes one Be unique position to turbocharged the growth of Caribou Coffee and Einstein Bros. Bagels in addition to Panera Bread.

With more than 2,100 bakery-cafés, Panera Bread is a pioneer and market leader in the field of fast casual with a leadership position in the quality of its clean, transparent and sustainable ingredients and in omnichannel access, digital convenience (45% of sales are e-commerce) and Engagement.

As the leader in bagels and bagel sandwiches, Einstein Bros. Bagels operates 1,005 stores, including Einstein Bros. Bagels, Bruegger’s Bagels, Noah’s New York Bagels and Manhattan Bagels.

“Our relentless focus on bringing our guests the most desirable breakfast experience and our efforts to transform the business in 2020 have enabled us to emerge from the pandemic as a stronger, more profitable and agile company.”

José Alberto Dueñas, CEO of Einstein Bros. Bagels

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Whole Grain Benefits

Gluten sensitivity: Does it exist?

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Gluten is perhaps one of the most controversial and misunderstood food ingredients. Although gluten is often thought of as a single protein, it is made up of a number of proteins called prolamins.

Prolamines are found in wheat, rye, barley, and a cross between wheat and rye known as triticale.

Although there are many prolamins in these grains, gliadin and glutenin are the main prolamins in wheat.

These proteins are resistant to complete digestion by digestive enzymes located in the gastrointestinal tract (GI).

This is because enzymes that the pancreas, stomach, and brush border of the intestinal tract produce cannot completely break down proteins that are high in proline residues. Proline is an amino acid – the building block of protein – found in gluten.

Incomplete digestion of these proteins allows large units of amino acids called peptides to cross the wall of the small intestine.

These fragments cross the intestinal barrier and migrate to other parts of the body, where they can trigger an inflammatory immune response in susceptible individuals.

It’s important to note that gluten proteins are exceptionally resistant to digestion in all people, not just people with celiac disease, an autoimmune disease.

“Gluten intolerance” is an umbrella term that refers to three main types of gluten-related diseases. In the following we will look at each one in turn.

Celiac disease

Celiac disease is perhaps the most well-known gluten-related disease. It is an autoimmune disease in which the immune system reacts to gluten proteins.

When people with celiac disease eat gluten, it damages the small intestine and causes a variety of symptoms, including diarrhea, abdominal pain, and gas.

Prolonged gluten exposure in people with celiac disease can lead to decreased bone mineral density, significant weight loss, iron deficiency anemia, seizures, muscle weakness, and other serious symptoms.

The prevalence varies around the world, with some countries having higher rates than others.

Experts estimate that the condition currently affects approximately 1-2% of the population in the United States and is more common in women.

Celiac disease is also more common in people with other autoimmune diseases, including type 1 diabetes.

Experts believe that the disease is due to both genetic and environmental factors. Doctors usually recommend people with celiac disease follow a strict gluten-free diet.

Wheat allergy

According to research, people with a wheat allergy are allergic to proteins contained in wheat. This type of allergy is much more common in children, although it can affect adults as well.

Wheat allergy can cause severe symptoms, including anaphylaxis, an allergic reaction that can be life-threatening.

Although both celiac disease and wheat allergy are serious diseases, the mechanisms involved in both are different.

In contrast to celiac disease, wheat allergy can, for example, be mediated by immunoglobulin E (IgE). This means that wheat-specific IgE antibodies bind to wheat and thereby trigger the release of inflammatory substances, including histamine.

IgE-mediated immune responses are immediate and can be life-threatening. A reaction can also come from inhaling wheat – for example, when baking with wheat flour.

NCGS

Some people react to gluten even though they don’t have celiac disease or a wheat allergy. Experts refer to this type of gluten intolerance as NCGS.

According to a 2019 review, NCGS is much more common than celiac disease and can affect up to 13% of the population.

Like celiac disease, NCGS is more common in women.

People with NCGS have gastrointestinal symptoms, which include gas, gas, and diarrhea, as well as non-GI symptoms, such as fatigue, anxiety, and headache. These symptoms often improve with a gluten-free diet.

Experts believe there is a link between NCGS symptoms and an immune response, although the exact cause is still controversial. NCGS is more common in people with autoimmune diseases.

Some scientists suggest that other components of wheat, not just gluten, may cause or contribute to NCGS. There is still much to learn about NCGS, and scientists continue efforts to better understand this condition.

If a person experiences the symptoms listed above after consuming gluten, a doctor must rule out celiac disease and a wheat allergy before they can diagnose NCGS.

There are currently no tests that can help diagnose NCGS, so the condition remains a diagnosis of exclusion.

Following an NCGS diagnosis, a person should avoid gluten by following a gluten-free diet.

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