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Our Spring Edition is all about love, life long commitments, forgiveness and how to take the best care of our temples. Dr. Sandy Mitchell talks candidly about why she chooses to forgive herself and those who wronged her in the past. Through God's grace, her love for Jesus Christ and the power of forgiveness; she reveals how she overcame rape, domestic abuse, living with sickle cell disease, thoughts of suicide and much more! Special Offer: Purchase our Annual Issue and send your daughter to Dr. Mitchell's E.S.T.E.E.M Summer Butterfly Camp @ $5/week Discounted Rate. June 4 - August 3, 2018 -- Orlando, FL

Mishell Ellis, MSN,

Mishell Ellis, MSN, APRN, FNP-BC Owner: Trinity Exevia O timal Health Watch I t is not unusual nowadays to turn on the television and learn about a new medication for the treatment of a medical condition that goes over all the benefits of taking the drug, but then discloses warnings and potential side effects that may develop over time. In contrast, a commercial may come on discussing how delightfully refreshing a sugary dessert is, but fails to disclose the long-term effects of its consumption unless of course you look at the nutrition label before purchasing it. However, the label does not say how certain ingredients may have proinflammatory markers that can contribute to increasing your risk for heart disease and diabetes. It does not tell you that excess sugar will lead to increased fat storage; therefore, contributing to obesity. You likely already know that these so-called lifestyle diseases are due to unhealthy food choices and before excess sugar leads to increased fat storage we throw down the gene card, please keep in mind that modify your food choices genetic predisposition is responsible for about 10-20% of cases. So, what if commercials promoting sugary foods and beverages also included the long-term effects on the body? Would you as a consumer be inclined to minimize or avoid it altogether much like the feeling you get when you watch the medication commercial? After reading this article, the hope is that you will consider modifying your food choices as it relates to sugar consumption and consider healthier alternatives. The American Heart Association sugar guidelines recommend that most American women consume no more than 100 calories per day from added sugar and for men, 150 calories per day. Added sugars are listed by such names as table sugar, simple sugar, honey, and high fructose corn syrup. The major sources in the American diet include soft drinks, cakes, cookies and pies. The empty calories provided in these food items will displace needed nutrients and minerals when consumed in amounts higher than what is recommended. 12

THE LONG-TERM EFFECTS OF SUGAR ON OUR BODIES consider healthier alternatives What about fruit? Fruit contains sugar, but it is naturally occurring and nutrient dense. All sweets are not created Equal (no pun intended, sugar substitute!). Take for instance honey and an orange. They both have about the same amount of carbohydrate, but the orange has essential nutrients such as vitamin C, fiber and folate. When it comes to honey and nutrient density, a 1 ½ tbsp. has about 22 mg of potassium, but 1 ¼ cup section of oranges has about 408 calories of potassium. The orange is a good example of nutrient density, but the honey is an example of an empty calorie food that supplies negligible nutrients. response to sugar spikes in the blood stream and moves the sugar into the body cells for storage. However, if the excess insulin is not able to get the circulating glucose into the cell blood sugars stay high and an individual may develop insulin resistant (type 2 diabetes). The symptoms that develop because of elevated levels of glucose or sugar in the blood stream include extreme thirst, hunger and frequent urination as sugar spills into the urine (osmotic effect) due to the threshold of the THE EFFECTS OF SUGAR ON THE BODY The liver is responsible for storing glucose (sugar) in the form of glycogen in the body cells until needed for energy. Any excess is stored as fat which of course leads to weight gain. It is no surprise then that fructose added to beverages and certain foods in the form of table sugar and high fructose corn syrup can lead to liver toxicity and even increase one's risk for nonalcoholic fatty liver disease (NAFLD). Diabetes is another condition which is not so much a sugar problem, but a pancreas problem. The pancreas releases insulin in elevated levels of glucose give rise to extreme thirst, hunger and frequent urination kidney as it relates to glucose levels being around 180 mg /dl. So if blood sugar levels meet or exceed that, sugar will spill into the urine and cause extreme thirst as dehydration will eventual ensue. and in a lot of cases sudden weight loss as fat is broken down for energy because of not having any s t o re d g l u c o s e av a i l a b l e . W h e n undiagnosed diabetes goes uncontrolled for so long it can lead to coma and/or death. 13

Optimal Living Magazine 2017 Winter Issue