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CYCLING PERFORMANCE TIPS

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Dietitian for Cardiovascular Health Grand Island NE

Local resource for dietitian for cardiovascular health in Grand Island. Includes detailed information on diet tips that help with cardiovascular health, such as intake of fresh fruit and vegetables, whole grains, olive oil, omega 3 fatty acids, nuts, beans and more. Read on for more advice and content on the Mediterranean diet and cardiovascular health.

William J Landis
(308) 382-1100
2444 W Faidley Ave
Grand Island, NE
Specialty
Cardiology, Internal Medicine

Data Provided By:
Robin Yue, MD
(308) 381-8636
2116 W Faidley Ave Ste 200
Grand Island, NE
Specialties
Cardiology
Gender
Male
Education
Medical School: Zhejiiang Med Univ, Hangzhou, Zhejiang, China
Graduation Year: 1985

Data Provided By:
Erich Richard Fruehling
(308) 381-8636
3515 Richmond Cir
Grand Island, NE
Specialty
Internal Medicine, Cardiovascular Disease

Data Provided By:
Derek A Helderman, RD
(573) 275-0091
1400 Amberwood Drive
Norfolk, NE
 
Max Nutrition
(402) 727-4337
1821 N Bell St
Fremont, NE
Services
Diabetes Education, Nutrition Counseling, Weight Management, Diet Plan, Sports Nutrition, First Consultation, Weight Loss
Hours
Sunday:Closed
Monday:9:00 AM - 5:00 PM
Tuesday:9:00 AM - 5:00 PM
Wednesday:9:00 AM - 5:00 PM
Thursday:9:00 AM - 5:00 PM
Friday:9:00 AM - 5:00 PM
Saturday:Closed

Himanshu Agarwal, MD
(308) 379-7686
3020 Colonial Ln
Grand Island, NE
Specialties
Cardiology
Gender
Male
Education
Medical School: Kgs Med Coll, Univ Of Lucknow, Lucknow, Up, India
Graduation Year: 1990

Data Provided By:
David R Colan
(308) 382-9266
729 N Custer Ave
Grand Island, NE
Specialty
Cardiology, Internal Medicine

Data Provided By:
Robbyn D Nelson
(402) 489-4244
7151 Stacy Ln
Lincoln, NE
Services
Diabetes Education, Nutrition Counseling, Weight Management, Diet Plan, Sports Nutrition, First Consultation, Weight Loss
Hours
Sunday:Closed
Monday:9:00 AM - 5:00 PM
Tuesday:9:00 AM - 5:00 PM
Wednesday:9:00 AM - 5:00 PM
Thursday:9:00 AM - 5:00 PM
Friday:9:00 AM - 5:00 PM
Saturday:Closed

Rebecca G Guittar
(402) 467-5505
1601 N 84th St
Lincoln, NE
Services
Diabetes Education, Nutrition Counseling, Weight Management, Diet Plan, Sports Nutrition, First Consultation, Weight Loss
Hours
Sunday:Closed
Monday:9:00 AM - 5:00 PM
Tuesday:9:00 AM - 5:00 PM
Wednesday:9:00 AM - 5:00 PM
Thursday:9:00 AM - 5:00 PM
Friday:9:00 AM - 5:00 PM
Saturday:Closed

Nancy L Bertolino
(402) 384-9072
8809 W Center Rd
Omaha, NE
Services
Diabetes Education, Nutrition Counseling, Weight Management, Diet Plan, Sports Nutrition, First Consultation, Weight Loss
Hours
Sunday:Closed
Monday:9:00 AM - 5:00 PM
Tuesday:9:00 AM - 5:00 PM
Wednesday:9:00 AM - 5:00 PM
Thursday:9:00 AM - 5:00 PM
Friday:9:00 AM - 5:00 PM
Saturday:Closed

Data Provided By:

BASICS OF A HEALTHY DIET

 



I recently attended an interesting conference on the effects of diet on cardiovascular risk facotrs. I was impressed with both the benefits of diet on vascular disease risk factors as well as the data that demonstrated diet to be even more effective than many "high powered" prescription medications in reversing the metabolic changes of abnormal glucose and lipid metabolism. I thought it would be fun to summarize a few of the ideas and then to speculate on what lifestyle changes one might easily make to keep themselves healthy. But before we go further, I want to stress again that this is about a baseline healthy lifestyle - and all evidence continues to point towards carbohydrates alone as the underpinning for the energy needs of the cyclist on their bike.

Abnormal lipids, probably as a result of abnormal glucose metabolism (insulin resistance or pre diabetes) are a significant factor in the development of cardiovascular disease. There are proven dietary and life style strategies that are proven to help pts with severe vascular disease (prior MI, stroke, etc.), so it would seem safe to speculate that the same strategies would be beneficial for everyone (but especially if they had undiagnosed insulin resistance). The current presumption is that this "prediabetic" condition can be present for years before full fledged diabetes with an elevated blood sugar is diagnosed - and the entire time blood vessel damage is ongoing.

Here is another way to look at this. There are multiple risk factors:

  • Aging
  • Obesity
  • Genetics
  • Sedentary lifestyle which are factors in aggravating insulin resistance. And the more severe the insulin resistance the greater the odds of
    • Dyslipidemia (decreased HDL, increased LDL and triglycerides)
    • Hypertension
    • Atherosclerosis Improve any of the multiple risk factors and the odds of developing blood vessel disease decreases.

      In reviewing the literature, it is extremely common to note that certain dietary changes improve both the risk of DM and risk of heart disease in the same direction and by the same relative amount. Again, strong suggestive evidence that it is insulin resistance that is the common factor for both development of overt diabetes mellitus and cardiovascular disease. In fact, I heard one lecturere say that if one followed all the dietary and life style recommendations that follow, the chances of developing diabetes type 2 were almost nil.

      The dyslipidemia CV risk factors include

      • an increase in the LDL (or bad cholesterol) levels
      • a decrease in HDL - HDL functions to clear cholesterol from the periphery and transport it back to the liver. (a 1 mg/100ml increase in HDL = 2-4% lower risk of a cardiac event)
      • and an increase in triglycerides. Focusing on changing the balance of these three is the goal. Statin drugs will lower the LDL, but have no effect on the other two. Dietary changes will affect the balance in a way that is actually more effective than statins alone, an...

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