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Livingwell
a-z
HEALTHCARE NEWS YOU CAN USE FOR YOUR WHOLE FAMILY
JUNE 2015
IN THIS ISSUE | 2 Men’s nutrition | 3 Midwives | 4-5 Top events and support groups | 6 High fructose corn syrup
Valley Fever
MEN’S WELLNESS
DEFINED TO A ‘T’
‘Arizona’s illness’ can be extremely debilitating By Debra Gelbart
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Understanding the complexity of testosterone’s impact on men’s health STORY BY D E B R A G E L B A R T | PHOTOS BY R I C K D ’ E L I A
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ow T — a clinically low level of the hormone testosterone — is a medical condition that is misunderstood by many men. Testosterone is a vital part of a man’s health said Harmeet Singh Narula, M.D., an endocrinologist at Banner Health Center in Sun City West. Testosterone, produced by the testicles, “promotes normal development from a boy to a man. It’s responsible for muscle mass, virility, testicular function and libido,” he said. Thinkstock
Testosterone replacement “The Endocrine Society recommends testosterone replacement therapy (TRT) only if biochemical testosterone levels are unequivocally low and the man exhibits the clinical symptoms of Low T (also known as “hypogonadism”) including low energy, low libido, erectile dysfunction or a decrease in lean body mass,” said Shawn Blick, M.D., a urologist with Abrazo Community Health Network. Estrogen, in a form called estradiol, is normally present in men, too, but in low levels. If a physician finds that a man’s estradiol level is too high, it may be because he is obese and his fat cells are converting testosterone to estradiol, causing Low T, Blick explained. Instead of a TRT prescription, the solution may be a medication called an aromatase inhibitor that prevents the conversion to estradiol and brings testosterone levels back in balance. To be accurate, blood testing for testosterone levels should be performed between 7 a.m. and 10 a.m. when the patient has been fasting for at least eight hours. “When testosterone levels are determined at other times of the day, they can be inaccurately low,” Blick said. That could lead to unnecessary treatment, said Gil Brito, M.D., a urologist affiliated with HonorHealth in Scottsdale. In fact, up to 25 percent of men currently receiving testosterone replacement therapy never had their testosterone level checked, Brito said. “Low T is a true condition in men, but replacement therapy is not indicated for men who have low-normal testosterone levels but want them to be high-normal.” Men with low-normal levels and without clinical symptoms of Low T shouldn’t be in treatment, he said. The medication carries warning labels about the risk of stroke and heart attack from using it. TESTOSTERONE, continued on page 5
alley Fever ultimately affects many people who live in Arizona. Indeed, the majority of sufferers in the U.S. live at least part of the year here in the Grand Canyon State. The course of the illness and its prognosis can vary substantially, with health effects ranging from almost non-existent to extremely debilitating. Scientifically known as Coccidioidomycosis — “Cocci” — Valley Fever is caused by a fungus whose spores are inhaled from soil or when dust becomes airborne. The vast majority of Arizona cases are confined to Maricopa, Pinal and Pima counties, said infectious disease specialist John Galgiani, M.D., a professor with The University of Arizona College of Medicine and director of the Valley Fever Center for Excellence in Tucson and Phoenix.
“[Having Valley Fever] was the worst four months of my life medically.” —Lisa Stinchcomb
While two-thirds of the estimated 90,000 Arizona patients who contract Valley Fever every year aren’t sick enough to go to the doctor, for the 30,000 patients who do require medical attention, it can be a nightmare.
Unable to work, think
Gil Brito, M.D., talks with patient Ray Schwann about recent success in treatments, while also checking indicators during a follow-up visit to the urologist’s Scottsdale office.
Lisa Stinchcomb, a pharmaceutical representative who lives in Phoenix, was stricken with severe upper back pain in December of last year. A healthy and active mother of two, she was initially wrongly diagnosed with pleurisy, but three days later she was correctly diagnosed with pneumonia. “I felt like I was dying,” she said. For nearly three weeks, she slept almost all day. Although her back and chest felt better after resting so much, her brain was still foggy. “I felt robbed of any ability to make any important decisions,” she said. She finally was diagnosed with Valley Fever by an internal medicine physician but continued to feel unwell. She made an appointment to see Galgiani, who placed her on medical leave. “He told me my job was to sleep and let my body attack this fungus,” Stinchcomb said. She started to feel better and finally, after another three VALLEY FEVER, continued on page 5
YO U R H E A LT H HEAD TO TOE
Harmeet Singh Narula, M.D., said that testosterone is a vital part of a man’s health. Produced by the testicles, testosterone promotes normal development from a boy to a man and is responsible for muscle mass, virility, testicular function and libido.
WE HONOR
Watch for upcoming articles on the following topics as we provide information on your health — from head to toe. JULY: Colon AUGUST: Ovaries SEPTEMBER: Prostate OCTOBER: Circulatory NOVEMBER: Feet DECEMBER: Skin
Scottsdale Healthcare and John C. Lincoln Health Network are now HonorHealth. HonorHealth.com
Your commitment to wellness. Your unique health needs. Your busy schedule. Your questions and concerns. Your right to feel empowered about healthcare. Making healthcare easier to navigate.
We are making healthy personal.
2 | Livingwell a-z | Wednesday, June 3, 2015
Tofu and pumpkin seeds, guys? It’s never too late to start eating right to be healthy, avoid prostate issues By Gremlyn Bradley-Waddell
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he differences between men and women? Sure, there are plenty, but the truth is that in terms of what’s nutritionally beneficial for each, the sexes have more in common than one might think. crackers, pasta, white flour and table sugar. Indeed, these foods also may lead to a health problem exclusive to men — prostate growth over time — especially if metabolic syndrome or insulin resistance are present, he said. While he noted that it’s important to always check with a healthcare provider (and if possible, a nutritionist) before starting any new diet or healthcare regimen, Kiefer typically will advise male patients in good overall health to focus on their intake of the following to promote good prostate health:
In fact, David Kiefer, M.D., a boardcertified physician and an assistant clinical professor of medicine at the Arizona Center for Integrative Medicine at The University of Arizona, makes “very little differentiation” between the genders’ nutritional needs — the exception to that rule being made for women who are pregnant or breast-feeding. An advocate of patients obtaining as many nutrients as possible from their food — as opposed to vitamins or other supplements — Kiefer said both men and women should restrict their consumption of so-called “whitecolored foods,” meaning processed, carbohydrate-laden fare like bread,
SELENIUM AND ZINC: Zinc especially “correlates with good prostate health,” he said, and high-zinc foods like pumpkin seeds are easy to add into one’s diet. “The fat, protein and fiber content in pumpkin seeds is favorable,” he said, and zinc also probably has “some influence on testosterone production and metabolism.” Good sources of zinc include beef, liver, turkey and spinach. The effect of selenium on prostate health has been mixed in studies, but the form of selenium might make a difference. Foods high in selenium include fish, grains, eggs and garlic. LYCOPENE: A phytochemical that gets released from tomato cells during the process of mild cooking, lycopene may help protect against prostate cancer, Kiefer said. Tomato paste and tomato juice are good sources, but fresh tomatoes or ones that have been boiled or cooked for a long time don’t provide the benefit. And while ketchup has lycopene, he resists urging too much consumption, as the condiment tends to be high in sugar and/or corn syrup. Other good sources of lycopene include watermelon, red cabbage and carrots. SOY: This food has complicated compounds and is known as a phytoestrogen — and that term alone can be daunting for some men. “Whenever men hear ‘estrogen,’ they freak out,” Kiefer said. “But nevertheless, studies do show that small amounts of soy foods — not processed soy or powders — are linked to reducing the risk for prostate cancer.” Men should not ingest large doses of concentrated soy extracts, but should opt for occasionally eating soy foods like tofu, miso and edamame.
Livingwella-z
June 2015 | Vol. 5, No. 6
Living Well A-Z publishes on the first Wednesday of the month. From A to Z, we tackle a broad range of health issues and offer resources to find more specific information. For questions concerning content in this publication, please contact Editor Paula Hubbs Cohen.
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Mom was right! Aside from prostate issues, there are other nutrient-related concerns that guys should keep tabs on, added Carol Johnston, Ph.D., R.D., professor and director of the nutrition program at the School of Nutrition and Health Promotion at Arizona State University’s downtown Phoenix campus. She said that based on national survey data, young to middleage men may not consume enough fruits and vegetables and run the risk of taking in too little Vitamin C, which increases the risk for colds and may lead to general malaise and poor mood states.
A division of The Arizona Republic, 200 E. Van Buren St., Phoenix, AZ 85004. For general advertising inquiries, contact Republic Media at 602-444-8000. General Manager: CAMI KAISER ckaiser@republicmedia.com Creative Development Director: ISAAC MOYA imoya@republicmedia.com
Editor: PAULA HUBBS COHEN paula.cohen@cox.net; 602-444-8658 Contributing Editor: JIM WILLIAMS jlwilliams@republicmedia.com
CATARACT & REFRACTIVE SURGERY Scott A. Perkins, MD
AR-0008366203-01
As a nationally recognized ophthalmologist with Barnet Dulaney Perkins Eye Center, Dr. Perkins has performed over 50,000 cataract surgeries and over 10,000 vision correction procedures. As an innovator in the field of ophthalmology, he has participated in over 25 clinical trials for both pharmaceutical and ophthalmic devices. BARNET DULANEY PERKINS EYE CENTER Locations throughout Arizona 800-966-7000 www.GoodEyes.com
INTERNAL MEDICINE Greta Brown, MD
AR-0008398889-02
A graduate of University of Ghana Medical School in Accra, Dr. Greta Brown completed her residency at St. Vincent’s Medical Center in Bridgeport, CT and a fellowship in infectious disease at Tulane University in New Orleans, LA. Dr. Brown is Board Certified and specializes in internal medicine. Banner Health Center 14416 W. Meeker Blvd., Building C, Suites 200 and 300, Sun City West 623-583-5271 www.BannerHealth.com/HealthCenterNWPrimaryCare
PEDIATRIC CARDIOTHORACIC SURGERY Randall Fortuna, MD
AR-0008398889-01
A graduate of the University of Utah School of Medicine in Salt Lake City, Dr. Randall Fortuna is fellowship-trained and Board Certified. He specializes in neonatal and infant cardiac surgery, single ventricle congenital heart disease, all forms of congenital heart disease affecting children, cardiac critical care as well as the use of extracorporeal membrane oxygenation to support acute cardiac and/or respiratory failure. Banner Children’s Specialists 1400 S. Dobson Road, 2nd Floor, Mesa 480-412-6336 www.BannerChildrens.com/ClinicMesaCardio
PEDIATRIC ENDOCRINOLOGY Joel Hahnke, MD A graduate of the Medical College of Wisconsin in Milwaukee, Dr. Joel Hahnke completed his pediatric residency and a pediatric endocrinology fellowship at Phoenix Children’s Hospital. Dr. Hahnke is Board Certified and specializes in pediatric diabetes, thyroid conditions, growth disorders, adrenal dysfunction, puberty disorders and other common endocrine-related conditions that arise in childhood. AR-0008398889-03
“It is important to stress the importance of eating fresh fruits and vegetables daily,” Johnston said. “Vitamin C-rich items include citrus — although juice is not always a good source since Vitamin C is lost as it sits on the refrigerator shelf — and peppers, strawberries and cantaloupe.” She said other male-centric nutritional concerns include the following: • Antacid use greatly reduces absorption of Vitamin B12, so “Many experts recommend supplementation of B12 for middle-aged and older men,” Johnston said. • Iron levels may be elevated in older men, unless they donate blood regularly. “Higher iron stores have been implicated in poor health outcomes,” she said. • High dietary sodium, which is present in fast food and processed foods, may be associated with high blood pressure, particularly in African-American men. “If one has high blood pressure, reducing sodium intake is often effective at lowering blood pressure, particularly if potassium intake is increased,” Johnston said. Reach for fruits and vegetables, most of which are rich in potassium; bananas are a great start. Also, read food labels to see what contains sodium. The upside is it’s never too late to start eating more healthfully, Kiefer and Johnston agreed. “The sooner we all get on board, the better,” Kiefer said.
Banner Children’s Specialists 8840 E. Chaparral Road, Suite 210, Scottsdale 480-827-5370 www.BannerChildrens.com/ClinicAZEndo AR-0008397852-01
AR-0008366149-01
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Wednesday, June 3, 2015 | Livingwella-z | 3
Midwives: Partners in pregnancy and delivery High-touch, personalized care By Susan Lynne Fuchs
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Naturopathic Doctor Midwife (ND midwife)
ertified nurse midwives (CNMs), naturopathic doctor midwives (ND midwives) and licensed professional midwives (LPMs) offer alternatives to traditional care from physicians who specialize as obstetricians (OBs) or perinatologists. Perinatologists are OBs who have completed advanced fellowship training in maternal/fetal care.
Ginny Canepari (left) talks with Keli Amparan, nurse midwife at Banner Ironwood Medical Center, as she prepares to take home her daughter, Kinley.
Farra Swan is a naturopathic doctor midwife and professor of obstetrics at the Southwest College of Naturopathic Medicine, Tempe. “As naturopathic midwives, we are licensed physicians who have additional training in midwifery,” Swan said. “We study the same basic sciences that other physicians study in four years of medical school, go through advanced training and are licensed by the Naturopathic Physicians Medical Board. We follow naturopathic principles, teaching our patients how to be healthy first, with good nutrition and lifestyles.” Swan delivers her patients’ babies in their homes, “which many of our patients find more compatible with their preferences than hospitals,” she said. “They have more freedom to walk around, do what they want and be with whom they want." However, Swan emphasized that it’s important for the ND midwife to have a relationship with a hospital so that if an emergency happens, the patient can quickly be transferred to receive advanced care.
Hospital deliveries
Licensed Professional Midwife (LPM)
Like most hospital-based midwifery programs in the Valley, the midwives at Banner Ironwood Medical Center in San Tan Valley only deliver in the hospital, said Amy Yates, CNM, director of women and infants services at Banner Ironwood.
LPMs are a third type of midwife in Arizona. Most deliver babies in their patients’ homes, but some deliver in birthing centers. LPMs are not required to have nursing or advanced medical degrees. However, in order to be licensed by the Arizona Department of Health Services Bureau of Special Licensing/Midwife Licensing Program, they are required to participate in academic education delineated by the North American Registry of Midwives, to complete an apprenticeship with a preceptor and to take specified continuing education classes. LPMs are limited in the types of patients they can serve; they can provide maternal and childbirth care for healthy women who do not have high-risk health factors. If an LPM’s patient develops any conditions or diseases specified by the state Midwife Licensing Program, the patient’s care must be transferred to a medical practitioner or medical setting.
High-touch, low-tech Midwives are licensed providers who are specialists in pregnancy, childbirth, postpartum and well-woman healthcare. They are trained to recognize variations in the normal progress of pregnancy and labor and, if necessary, to get a higher level of care for their patient. Some consider their approach to patient care to be different from that of some of their physician colleagues. “Doctors are trained to identify and treat medical conditions,” said Lucy Hosmer, DNP, CNM, director of midwifery at Maricopa Integrated Health System (MIHS), Phoenix. “Their patient goals in pregnancy are for both mother and baby to have a safe outcome. Midwives have similar goals, but our care is often considered high-touch, low-tech, while physician care is often high-tech, low-touch. We want to avoid unnecessary interventions when the evidence shows it doesn’t improve outcomes in a low-risk population.”
Fundamental beliefs Midwives start with the fundamental belief that most often, birth is a physiological process (versus an illness), said Stacey Piccinati, CNM, with Dignity Health St. Joseph’s Hospital and Medical Center, Phoenix. “For midwives, the focus is on health promotion through good nutrition, applying integrative (medicine) techniques and intensified awareness of our patients’ social, emotional, spiritual and cultural factors that make a difference in birth outcomes.” Amy Yates, CNM, director of women and infants services at Banner Ironwood Medical Center in San Tan Valley, added that midwifery is also about options and creating a positive birthing experience. Although most midwives provide similar services, there are different modes of
Banner Health
“We offer our patients many options to aid their comfort through natural childbirth,” Yates said. “This includes birthing stools that can be taken into a shower or birthing tubs for hydrotherapy. If a woman prefers to lie down, or if she desires an epidural, we have peanut balls to improve comfort and hold the pelvis open.” Banner Ironwood, Yates noted, offers private rooms where a woman can have her birthing coach, or doula, plus any family or friends with her that she wants while she’s in labor. “It’s all designed to provide the best experience,” Yates said. education and training and different types of midwives may provide care in different childbirth venues. Here is a brief overview of some of the midwife options available to expecting mothers.
Certified Nurse Midwife (CNM) CNMs are registered nurses with at least a Master’s degree in midwifery; some have doctoral midwifery degrees. Accredited by the National Accreditation Commission for Midwifery Education and certified by the
American Midwifery Certification Board, they practice in clinics, hospitals and birthing centers. Some also attend home births, while others work in academic institutions and assist with resident physician training. CNMs work in collaboration with OBs or perinatologists so when unexpected complications arise, transition to a higher level of care can be seamless. That’s important, Piccinati said, because "when things go wrong, you need to be sure advanced medical intervention is readily available."
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4 | Livingwell a-z | Wednesday, June 3, 2015
JUNE Take advantage of opportunities to meet others with similar issues and learn more about various aspects of your health – from A to Z. All groups and events are believed, but not guaranteed, to be free unless otherwise stated. Every effort has Been made to verify accuracy, but please call before attending to confirm details.
GRIEF SUPPORT Various dates & times Dignity Health St. Joseph’s 350 W. Thomas Rd., Phoenix 602-406-3275
WELLNESS
GRIEF SUPPORT Various dates, times & locations By Hospice of the Valley hov.org/grief-support-groups; 602-530-6970
Call to schedule a personal meeting St. Luke’s, 1800 E. Van Buren St., Phoenix Tempe St. Luke’s, 1500 S. Mill Ave., Tempe Register: 877-351-WELL (9355) WALKING GROUP Various dates & locations By Humana; 480-325-4707 MEN’S HEALTH SEMINAR June 10, 10:30–11:30 a.m. Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707 CPR & FIRST AID CLASS June 13, 9 a.m.–3:30 p.m. Pima Medical Institute 2160 S. Power Rd., Mesa 480-898-9898; Pima.edu ADULT HEARING SCREENINGS June 15, 16 & 17, 8 a.m.–4 p.m. HonorHealth Saguaro 18404 N. Tatum Blvd., Phoenix Register: 602-494-6237; HonorHealth.com STRESS RELIEF June 17, 7–8 p.m. By HonorHealth at Barnes & Noble 10500 N. 90th St., Scottsdale 480-882-4636; HonorHealth.com MEN’S NUTRITION SEMINAR June 24, 10:30–11:30 a.m. Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707 SUPER FOODS June 24, noon–1 p.m. By Tempe St. Luke’s Hospital at Tempe Public Library 3500 S. Rural Rd., Tempe Register: 877-351-WELL (9355)
CAREGIVERS CAREGIVERS SUPPORT Various dates, times & locations By Duet; 602-274-5022; DuetAZ.org CAREGIVERS SUPPORT June 8 (for time: 602-406-6688) St. Joseph’s Outpatient Rehab 114 W. Thomas Rd., Phoenix CAREGIVERS SUPPORT June 10, 2:30 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355) CAREGIVERS SUPPORT June 19, 9–11 a.m. Birt’s Bistro; 623-584-4999 16752 N. Greasewood St., Surprise LEWY BODY DEMENTIA CAREGIVERS SUPPORT June 25, 1–2:30 p.m. Arbor Rose Senior Living 6063 E. Arbor Ave., Mesa 480-641-2531 CAREGIVERS SUPPORT OPTIONS June 25, 1:30–3 p.m. Benevilla; 623-584-4999 16752 N. Greasewood St., Surprise
GRIEF SUPPORT GRIEF SUPPORT GROUPS Various dates, times & locations By Banner Hospice Rev. Cindy Darby, cindy.darby@ BannerHealth.com BannerHospice.com; 480-657-1167
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BREAST CANCER
a-z T O P E V E N T S
BOSOM BUDDIES SUPPORT GROUPS Various dates, times & locations Ahwatukee/Chandler: 602-739-8822; 602-318-8462 East Valley: 480-358-0198; 480-969-4119 West Valley: 602-531-9123; 623-979-4279 Banner Boswell, Sun City: 623-547-2206; 623-236-6616
Please call to confirm reservations and cost (if any).
JUNE 4 CANNABIS & CANCER WHAT: Learn the pros and cons of using cannabis in treating pain, nausea and loss of appetite. WHERE: 360 E. Palm Lane, Phoenix WHEN: 6–7:30 p.m. PRESENTED BY: Cancer Support Community Arizona COST: Free INFO/REGISTER: 602-712-1006; rsvp@cscaz.org
GRIEF BEFORE LOSS June 3, 10, 17 & 24, 2–3 p.m. Benevilla; 623-584-4999 16752 N. Greasewood St., Surprise PREGNANCY & INFANT LOSS June 4, 6–8 p.m. Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-3878; HonorHealth.com
CIRCLE OF HELP ADVANCED BREAST CANCER Meets as needed. Info: Becky Chase, 623-236-6616 Teresa Hill, AdvancedBreastCancer@gmail.com
JUNE 6
CHILD LOSS SUPPORT June 15, 6–8 p.m. Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-3878; HonorHealth.com
SURVIVORS CELEBRATION WHAT: Celebrate National Cancer Survivorship Day with cooking demos, music, refreshments and more. WHERE: 10460 N. 92nd St., Scottsdale WHEN: 1–3 p.m. PRESENTED BY: Virginia G. Piper Cancer Center COST: Free INFO/REGISTER: 480-882-4636; HonorHealth.com/events
PAIN
JUNE 8, 10, 12, 15, 17 & 19
INTRO TO FIBROMYALGIA June 3, 10, 17 & 24, 5:30–6:30 p.m. Fibromyalgia Wellness Center 8300 N. Hayden Rd., Scottsdale 480-948-4955; FibroWellnessCenter.com
KID SUPPORT™ KAMP WHAT: Teaches coping skills and offers age-appropriate information about cancer. For kids ages 7 to 12 with cancer or cancer in the family. Lunch is provided. WHERE: 360 E. Palm Lane, Phoenix WHEN: 10 a.m.–noon PRESENTED BY: Cancer Support Community Arizona COST: Free INFO/REGISTER: 602-712-1006; rsvp@cscaz.org
GRIEF SUPPORT June 9 & 23, 3–4:30 p.m. By Hospice of the Valley at Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-1321; HonorHealth.com
HEART/STROKE STROKE CHECK Various dates, times & locations 480-882-4636; HonorHealth.com STROKE SUPPORT June 4, noon Abrazo Scottsdale Campus (Previously Paradise Valley Hospital) 3805 E. Bell Rd., Phoenix 602-923-5546; SRitchie@AbrazoHealth.com MENDED HEARTS SUPPORT June 4, 6:30–8 p.m. John C. Lincoln 9202 N. Second St., Phoenix 602-87-6368; HonorHealth.com STROKE CHECK June 5, 8–11 a.m. Dignity Health St. Joseph’s 350 W. Thomas Rd., Phoenix Register: 877-602-4111; DignityHealth.org STROKE SURVIVOR SUPPORT June 11, 2:30–4 p.m. Dignity Health Chandler Regional 1955 W. Frye Rd., Chandler 480-728-5414 STROKE SUPPORT June 17, 1 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)
JUNE 10 LEGAL CONSIDERATION FOR LONG-TERM CARE WHAT: Presentation covering capacity vs competency; when the agent under power-ofattorney has the right to “jump in”; legal tools needed to make the process smoother. WHERE: Banner Sun Health Research Institute, 10515 W. Santa Fe Dr., Sun City WHEN: 2–3:30 p.m. PRESENTED BY: Banner Sun Health Research Institute COST: Free; registration required INFO/REGISTER: 623-832-3248
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Banner Alzheimer’s Institute hosts a monthly Dementia Dialogue Webinar. The topic this month is Men as Caregivers. The webinar will be from noon–1 p.m., Wednesday, June 17 online at BannerSHRI.org. More info below.
JUNE 11 EATING HEALTHY WHAT: Tips on how to pack healthy lunches and prepare easy dinners. WHERE: Cigna Medical Group Paradise Valley, 3805 E. Bell Rd., Phoenix WHEN: 4–6 p.m. PRESENTED BY: Cigna Medical Group COST: Free INFO/REGISTER: 602-404-5237; CignaMedicalGroup.com
JUNE 13 SUMMER SAFETY EVENT WHAT: Summer safety tips. WHERE: Cigna Medical Group Red Mountain, 5735 E. McKellips Rd., Mesa WHEN: 9 a.m.–noon PRESENTED BY: Cigna Medical Group COST: Free INFO/REGISTER: 480-718-6450; CignaMedicalGroup.com
JUNE 17 DEMENTIA DIALOGUE WEBINAR WHAT: Experts in dementia care offer this monthly online seminar. Topic: Men as caregivers. WHERE: Online; BannerSHRI.org WHEN: noon–1 p.m. PRESENTED BY: Banner Alzheimer’s Institute COST: Free; registration required INFO/REGISTER: 623-832-3248; BannerHealth.com/ ResearchOnlineEdu
JUNE 18 SENIOR EDUCATION CONNECTION WHAT: Seminar focusing on not-forprofit senior living communities as well as services in Arizona that help seniors with housing, programs and more.
DIABETES SUPPORT June 8, 3 p.m. Mountain Vista Medical Center 1301 S. Crismon Rd., Mesa Register: 877-924-WELL (9355)
STROKE CAREGIVER SUPPORT June 25, 2:30–3:30 p.m. Dignity Health Mercy Gilbert 3555 S. Val Vista Dr., Gilbert 480-728-5414
ARTHRITIS & ORTHOPEDICSRELATED
WOMEN SPINAL CORD INJURY SUPPORT June 17, 5:30–7 p.m. Disability Empowerment Center 5025 E. Washington St., Phoenix 602-507-4209; AZSpinal.org MULTIPLE SCLEROSIS June 27, 10 a.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 480-829-6563
JOINT REPLACEMENT SEMINAR June 11, 6–7:30 p.m. Abrazo Scottsdale Campus (Previously Paradise Valley Hospital) 3929 E. Bell Rd., Phoenix Register: 888-322-7296 OSTEOPOROSIS SUPPORT June 17, 9–10 a.m. Scottsdale Shea Medical Center 9003 E. Shea Blvd., Scottsdale 480-882-4636; HonorHealth.com
DIABETES MANAGING DIABETES Various dates, times & topics Dignity Health Center for Diabetes Management 1760 E. Pecos Rd., Gilbert 480-728-3535
ALZHEIMER’S/DEMENTIA ALZHEIMER’S & MEMORY SUPPORT June 5, 9–11 a.m. By Benevilla; Birt’s Bistro 16752 N. Greasewood St., Surprise 623-584-4999 ALZHEIMER’S FACTS June 5, noon–1 p.m. By St. Luke’s Medical Center at Burton Barr Library 1221 N. Central Ave., Phoenix Register: 877-351-WELL (9355) PLANNING AHEAD FOR CAREGIVERS June 9, 10 a.m.–noon Banner Alzheimer’s Institute 901 E. Willetta St., Phoenix Register: 602-839-6850 ALZHEIMER’S & MEMORY SUPPORT June 9, 16, 23 & 30, 10 a.m.–noon By Benevilla at Faith Presbyterian Church 16000 N. Del Webb Blvd., Sun City 623-584-4999
WHERE: Fellowship Square Historic Mesa, 35 W. Brown, Mesa WHEN: 1–2 p.m. PRESENTED BY: Fellowship Square Historic Mesa COST: Free INFO: 480-290-7025; AZFS.org
JUNE 18 KEEPING CANCER GONE WHAT: Role of genetics, environment and nutrition in preventing and healing cancer. WHERE: Donovan’s, 3101 E. Camelback Rd., Phoenix WHEN: 6–8:30 p.m. PRESENTED BY: Cancer Support Group COST: Free; registration required INFO/REGISTER: 602-527-3776
JUNE 19 SOLUTIONS FOR DEMENTIA BEHAVIORS WHAT: Experts present strategies to minimize behavior problems. WHERE: Musical Instrument Museum, 4275 E. Mayo Blvd., Phoenix WHEN: noon–1 p.m. PRESENTED BY: Banner Alzheimer’s Institute; Banner Sun Health Research Institute COST: Free; reservations required INFO/REGISTER: 602-230-CARE (2273); BannerAlz.org
JUNE 26 LIFE ENRICHMENT & RESPITE WHAT: Learn about life enrichment programs and the importance of respite care. WHERE: Banner Sun Health Research Institute, 10515 W. Santa Fe Dr., Sun City WHEN: 2–3:30 p.m. PRESENTED BY: Banner Sun Health Research Institute COST: Free; registration required INFO/REGISTER: 623-832-3248 ALZHEIMER’S CAREGIVER SUPPORT June 15, 1:30–3 p.m. By Tempe St. Luke’s Hospital at Pyle Adult Recreation Center 655 E. Southern Ave., Tempe Register: 877-351-WELL (9355) OCCUPYING DEMENTIA PATIENTS June 16, 10–11:30 a.m. By Banner Health at Red Mountain Mesa Library 635 N. Power Rd., Mesa Register: 602-839-6850 CAREGIVER SUPPORT June 16, 12:30–2 p.m. Duet, 555 W. Glendale Ave., Phoenix 602-274-5022; DuetAZ.org ALZHEIMER’S SUPPORT June 20, 11 a.m.–12:30 p.m. Dignity Health Huger Mercy Center 2345 W. Orangewood Ave., Phoenix Lunch provided; 602-406-5600
BREAST CANCER SUPPORT June 13, 10 a.m.–noon Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-1321; HonorHealth.com BREAST BUDS SUPPORT June 20, 11 a.m.–1 p.m. MidFirst Bank Conference Room 6508 W. Bell Rd., Glendale 480-657-0500; BreastBuds.org
CANCER SUPPORT GROUPS CANCER SUPPORT COMMUNITY SUPPORT GROUPS 360 E. Palm Lane, Phoenix Info: 602-712-1006; rsvp@cscaz.org • CANCER SUPPORT Various dates & times • MULTIPLE MYELOMA June 4, 10–noon • NEWLY DIAGNOSED June 9, 6–7:30 p.m. • TEEN CANCER June 9, 6–7:30 p.m. • PROSTATE CANCER June 11, 6–7:30 p.m. • LYMPHOMA June 13, 10–11:30 a.m. • PANCREATIC CANCER June 13, 10–11:30 a.m. • CARCINOID June 13, 1–2:30 p.m. • LUNG CANCER June 13, 1–2:30 p.m. • COLORECTAL CANCER June 20, 10–11:30 a.m. • OVARIAN CANCER June 20, 10–11:30 a.m. IRONWOOD CANCER & RESEARCH CENTERS SUPPORT GROUPS 685 S. Dobson Rd., Chandler Info: 480-340-4013; IronwoodCRC.com • BREAST CANCER June 8, 2–4 p.m. • PROSTATE CANCER June 8, 7–9 p.m. • HEAD & NECK CANCER June 15, 2–4:30 p.m. • CAREGIVERS June 20, 10 a.m.–noon • METASTATIC CANCER June 24, 3–4:30 p.m. LOOK GOOD FEEL BETTER By the American Cancer Society Various dates, times & locations 800-ACS-2345; LookGoodFeelBetter.org LOOK GOOD FEEL BETTER By Ironwood Cancer & Research Centers Various dates, times & locations 480-855-2224; IronwoodCRC.com CANCER SURVIVORS SUPPORT June 3, 5:30–6:30 p.m. Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-1321; HonorHealth.com CAREGIVER SUPPORT GROUP June 6, 10 a.m.–noon Ironwood Cancer & Research Centers 8880 E. Desert Cove Ave., Scottsdale Register: 480-340-4013; IronwoodCRC.com
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Wednesday, June 3, 2015 | Livingwella-z | 5
a-z I N F O R M AT I O N O N L I N E CANCER SURVIVORS DAY June 6, 1–3 p.m. Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-882-4236; HonorHealth.com LUNG CANCER SUPPORT June 8, 2–4 p.m. Ironwood Cancer Centers 5810 W. Beverly Lane, Glendale Register: 602-588-4367; IronwoodCRC.com LIVING WITH LOSS June 9 & 23, 1–2:30 p.m. By Cancer Support Community 360 E. Palm Lane, Phoenix Register: 602-712-1006; rsvp@cscaz.org SURVIVING & THRIVING June 9 & 23, 1–2:30 p.m. By Cancer Support Community 360 E. Palm Lane, Phoenix Register: 602-712-1006; rsvp@cscaz.org PANCREATIC CANCER SUPPORT June 9, 4–5:30 p.m. Virginia G. Piper Cancer Center 10510 N. 92nd St., Scottsdale 480-323-1321; HonorHealth.com NON-HODGKIN’S LYMPHOMA SUPPORT June 11, 6–8 p.m. Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-1321; HonorHealth.com CAREGIVER & FAMILY SUPPORT June 17, 6:30–8 p.m. Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-1321; HonorHealth.com ORAL, HEAD & NECK CANCER June 18, 6:30–8:30 p.m. Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-1321; HonorHealth.com CANCER SURVIVORSHIP June 23, noon–1 p.m. Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-882-4636; HonorHealth.com LYMPHEDEMA SUPPORT June 29, 6–8 p.m. Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-1321; HonorHealth.com
PARKINSON’S PARKINSON’S EDUCATION, EXERCISE & SUPPORT GROUPS Various dates, times & locations By Muhammad Ali Parkinson Center 602-406-3840; 602-406-4921 CAREGIVER SUPPORT June 10, 1:30–3 p.m. Duet, 555 W. Glendale Ave., Phoenix 602-274-5022; DuetAZ.org PARKINSON’S SUPPORT June 16, 3–4 p.m. Shepherd Hills Methodist Church 13658 West Meeker Blvd., Sun City West 623-584-4999
GASTROINTESTINAL OSTOMY SUPPORT June 4, 2 p.m. Banner Boswell 13180 N. 103 Dr., Sun City 602-678-4441 OSTOMY SUPPORT June 9, 6 p.m. Elite Home Healthcare Services 2140 W. Greenway Rd., Phoenix 602-246-8221 OSTOMY SUPPORT June 18, 12:30 p.m. La Casa de Cristo Church 6300 E. Bell Rd., Scottsdale 623-580-4120
ABRAZO HEALTH CARE: AbrazoHealth.com; 602-674-1400; Arizona Heart Hospital, Arizona Heart Institute and Arrowhead, Maryvale, Paradise Valley, Phoenix Baptist and West Valley hospitals BANNER CHILDREN’S-CARDON CHILDREN’S: BannerChildrens.com; 480-412-KIDS (5437) BANNER HEALTH: BannerHealth.com; 602-747-4000; Numerous hospitals and medical centers BANNER POISON AND DRUG INFO CENTER HOTLINE: 800-222-1222 BARROW NEUROLOGICAL INSTITUTE: TheBarrow.org; 877-602-4111 DIGNITY HEALTH CHANDLER REGIONAL MEDICAL CENTER: DignityHealth.org/chandlerregional; 877-728-5414 DIGNITY HEALTH MERCY GILBERT MEDICAL CENTER: DignityHealth.org/mercygilbert; 877-728-5414 DIGNITY HEALTH ST. JOSEPH’S HOSPITAL AND MEDICAL CENTER: DignityHealth.org/stjosephs; 877-602-4111 DIGNITY HEALTH ST. JOSEPH’S WESTGATE MEDICAL CENTER: DignityHealth.org/westgate; 877-602-4111 HONORHEALTH (formerly Scottsdale Healthcare): HonorHealth.com; 623-580-5800; HonorHealth Scottsdale Shea; HonorHealth Scottsdale Thompson Peak; HonorHealth Scottsdale Osborn HONORHEALTH DEER VALLEY MEDICAL CENTER: HonorHealth.com; 623-580-5800 HONORHEALTH JOHN C. LINCOLN MEDICAL CENTER: HonorHealth.com; 623-580-5800 MARICOPA INTEGRATED HEALTH SYSTEM: MIHS.org; 602-344-5011 MAYO CLINIC: MayoClinic.org; 800-446-2279 MOUNTAIN VISTA MEDICAL CENTER: MVMedicalCenter.com; 480-358-6100 MUHAMMAD ALI PARKINSON CENTER: TheBarrow.org; 602-406-6262 PHOENIX CHILDREN’S HOSPITAL: PhoenixChildrens.org; 602-933-1000 ST. LUKE’S MEDICAL CENTER: StLukesMedCenter.com; 602-251-8100 TEMPE ST. LUKE’S HOSPITAL: TempeStLukesHospital.com; 480-784-5500 VALLEY FEVER CENTER FOR EXCELLENCE: vfce.arizona.edu; 602-406-8253
RESPIRATORY BETTER BREATHERS/ COPD SUPPORT Various dates, times & locations By the American Lung Association 602-429-0005; BreatheEasyAZ.info GET PAST ASTHMA June 11, 6:30–8 p.m. Deer Valley Medical Center 19841 N. 27th Ave., Phoenix 623-879-5452; HonorHealth.com
BRAIN/NEUROLOGICAL YOUNG ADULT BRAIN INJURY June 10, 6–7:30 p.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 602-996-1396; 602-406-6688 HUNTINGTON’S SUPPORT June 13, 1:30–3:30 p.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 602-402-1774 PROGRESSIVE SUPRANUCLEAR PALSY SUPPORT June 13, 1:30–3:30 p.m. Pyle Adult Recreation Center 655 E. Southern Ave., Tempe 480-966-3391; aludwig@asu.edu BRAIN ANEURYSM SUPPORT June 17, 6–8 p.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix Kimberly@JoeNiekroFoundation.org 760-333-7658 BRAIN TUMOR SUPPORT June 24, 6–8 p.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 623-205-6446 BRAIN INJURY SUPPORT June 25, 6–7:30 p.m. St. Joseph’s Barrow 350 W. Thomas Rd., Phoenix 602-508-8024; 602-406-6688
SPINAL
MOMS ON THE MOVE By HonorHealth Various dates, times & locations 480-323-3878; HonorHealth.com WATER SAFETY BEACH PARTY By Cigna; Various dates & locations 602-534-6587 phoenix.gov/parks/pools POSTPARTUM DEPRESSION SUPPORT June 3, 10, 17 & 24, 1–2:30 p.m. Dignity Health Mercy Gilbert 1760 E. Pecos Rd., Gilbert 480-728-5414 T.E.E.N.S. 4 TEENS SUPPORT June 4, 11, 18 & 25, 6–7 p.m. Dignity Health Chandler Regional 1875 W. Frye Rd., Chandler 480-728-5414 POSTPARTUM DEPRESSION SUPPORT June 5, 9:30–11:30 a.m. Virginia G. Piper Cancer Center 10460 N. 92nd St., Scottsdale 480-323-3878; HonorHealth.com MOTHER-TO-MOTHER SUPPORT June 5 & 26, 10–11:30 a.m. St. Joseph’s; 877-602-4111 350 W. Thomas Rd., Phoenix INFANT BRAIN DEVELOPMENT CLASS June 13, 9 a.m.–1 p.m. Tempe St. Luke’s Hospital 1500 S. Mill Ave., Tempe Register: 480-784-5588 E-CIGARETTES & NICOTINE WEBINAR June 24, noon–12:30 p.m. DrugFreeAZKids.org/webinars
SENIORS SENIOR MEN’S HEALTH June 16, noon Mountain Vista Medical Center 1301 S. Crimson Rd., Mesa Register: 877-924-WELL (9355)
CROSS DISABILITIES SUPPORT June 12, 2–4:30 p.m. Granite Reef Senior Center 1700 N. Granite Reef Rd., Scottsdale 480-628-3028; plstaples@msn.com MENS DISABILITY SUPPORT June 18, 6–7:30 p.m. Disability Empowerment Center 5025 E. Washington St., Phoenix 602-980-3232; AZSpinal.org
SENIOR SAFETY SEMINAR June 17, 10:30–11:30 a.m. Humana Guidance Center 5943 E. McKellips Rd., Mesa 480-325-4707
PARENTING
HONORHEALTH BariatricSurgeryAZ.com; 480-882-4636
BARIATRIC SURGERY SEMINARS BANNER HEALTH BannerHealth.com; 480-543-2606
BREASTFEEDING SUPPORT Various dates, times & locations By Dignity Health ST. LUKE’S MEDICAL CENTER 480-728-5414; 602-406-4954 BridgesAZ.com; 800-248-5553 GRANDPARENTS RAISING GRANDCHILDREN Various dates, times & locations By Benevilla; 623-207-6016; Benevilla.org By Duet; 602-274-5022; DuetAZ.org
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Valley Fever
continued from the cover
months, the infection cleared from her system. “It was the worst four months of my life medically.”
Chronic Valley Fever Sun City West resident Pat Curley White’s Valley Fever illness has been ongoing for nearly a decade. Diagnosed in March of 2006, her strain of Valley Fever will never go away. “Ten percent of patients will have the chronic or disseminated (affecting other organs besides the lungs) form of Valley Fever and never get well,” said White, who founded Arizona Victims of Valley Fever, Inc., a nonprofit, all-volunteer educational and support organization. “Think of Valley Fever like cancer,” she said. “There is no cure. It can come out of remission whenever it wants.”
Stay vigilant Galgiani said there is no way to prevent becoming infected with Valley Fever if you live in Arizona. The risk per year is
1 in 30, he said, “so the longer you live here, the likelier it is that you will become infected.” But it’s important to remember, he said, that two out of three patients infected will not experience any symptoms from the disease. Efforts to develop and test a vaccine for Valley Fever have been thwarted by a lack of funding for clinical trials, he said. So until a vaccine is marketed, Arizonans especially have to be mindful of the symptoms and seek medical attention sooner rather than later. Symptoms include chest pain, shortness of breath, cough, night sweats and fatigue, he said. “If these symptoms appear, ask your doctor to test you for Valley Fever,” Galgiani said. “The sooner you get the correct diagnosis, the sooner you can get the correct treatment. This often means stopping antibacterial antibiotics and sometimes includes starting the antifungal fluconazole.”
More info Valley Fever Center for Excellence VFCE.arizona.edu; 602-406-8253 Arizona Victims of Valley Fever ArizonaVictimsOfValleyFever.org
Testosterone continued from the cover But “when TRT is medically indicated, testosterone replacement therapy is safe and improves quality of life and overall health,” Blick said. “It improves lean body mass and bone density, improves heart health, boosts energy and concentration and stabilizes mood.” Although TRT is often prescribed for a lifetime, Narula said it doesn’t have to be. “It is a misconception to think of TRT as a lifetime prescription,” he said. “Just like hormone therapy for women was initially thought to be lifelong until we realized it had risks, it is important for men to regularly discuss the risks and benefits of ongoing testosterone therapy with their doctors.”
What’s normal? The challenge is that “normal” testosterone levels are age-dependent, Narula said. “We don’t have good normative data or normal ranges for healthy men who are middle-aged and older,” he said. “Different labs report different normal ranges. One big commercial lab, for example, reports a reference range for total testosterone based on a reference population of lean, healthy young men, age 19 to 40, but reports the same reference range for a 70-year-old obese man, which is inappropriate. ‘Free’ or ‘bioavailable’ testosterone levels are more helpful.”
Side effects It’s also important to keep in mind that testosterone replacement can have unwanted side effects, including some that can be quite worrisome. “For example, there is concern that testosterone replacement can be associated with blood clots, heart attacks and strokes, especially where there is a history of heart disease,” Narula said. And while TRT doesn’t raise the risk of getting prostate cancer, it can advance what may already be present, Brito explained. That’s why it’s critical to have a blood test to determine a man’s prostate-specific antigen (PSA) level before beginning testosterone therapy to rule out prostate cancer. Then, three months after beginning the therapy, the PSA must be evaluated again to make sure it’s stable, Brito said.
“If you’re told you snore and you experience daytime sleepiness and a blood test shows low testosterone, you may want to strongly consider a sleep study instead of testosterone replacement therapy. Sleep apnea can lower testosterone levels and TRT can make untreated sleep apnea worse.” —Harmeet Singh Narula, M.D.
TRT lowers a man’s sperm count, and long-term, can cause sterility, Blick said. And, contrary to what some men may think, TRT doesn’t necessarily improve erectile function. “Erectile dysfunction (ED) may or may not improve with testosterone therapy,” Narula said. “That’s because ED often is caused by vascular (blood flow) issues.” Other side effects can include a drop in HDL (“good”) cholesterol and an increase in hemoglobin (red blood cell) count, Narula said.
Overtreatment issues The younger a man is when he develops symptoms of Low T, the more important it is for him to be evaluated, Narula said. For middle-aged men, overtreatment remains an issue. TRT is being dispensed markedly more today than just a few years ago, Brito said, pointing out that in 2009, 1.3 million prescriptions for testosterone therapy were written, while in 2013, 2.3 million TRT prescriptions were filled. “The most important thing to remember is that lower testosterone levels are a normal part of aging,” he said. “Low-normal numbers are usually just fine.”
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6 | Livingwell a-z | Wednesday, June 3, 2015
Not so sweet High-fructose corn syrup can negatively impact health By Debra Gelbart
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Different than table sugar High-fructose corn syrup contains a higher percentage of fructose than table sugar. Table sugar is about 50 percent fructose and 50 percent glucose, Little said, while HFCS is about 55 percent fructose and 45 percent glucose. That difference matters because of the way the body processes fructose. Glucose, Little said, is easily converted into energy by the digestive system, while Berman said that HFCS is absorbed from the intestines into the bloodstream, used as energy and then filtered through the liver. “But the actual mechanism of how it is metabolized and what the liver does with it hasn’t been determined,” she said. In addition, Berman said that consuming large amounts of HFCS may lead to elevated triglycerides (a type of fat found in the blood), making it important to be aware of how many foods contain HFCS because of the cumulative effect on triglycerides and body weight.
“Large amounts of fructose also can lead to insulin resistance, a risk factor for Type 2 diabetes.” —Janet Little, Sprouts Farmers Market
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ince the 1970s, high-fructose corn syrup (HFCS) — an inexpensive sweetener — has been added to more and more packaged and processed foods. Most people know it’s in soda, many store-bought sweets, some canned fruits and numerous condiments. It also can be found in bread, spaghetti sauce, canned baked beans, salad dressings, shelf-stable salad mixes and sauces, said Michelle Berman, RDN, a registered dietitian nutritionist and founder of The Nutrition Professionals, a company that provides nutrition counseling. “It’s becoming more and more difficult to avoid it in packaged products,” said Janet Little, a certified nutritionist and director of nutrition for Sprouts Farmers Market. Regular corn syrup, like you might use in a dessert recipe, has a different chemical composition, Little said, and is not as concerning as HFCS.
Types of sugars FRUCTOSE: A sugar that occurs naturally in fruits and honey. GLUCOSE: One of the simplest forms of sugar. LACTOSE: A sugar found in milk and milk products. The small intestine produces an enzyme called lactase which breaks down lactose into two simpler forms of sugar: glucose and galactose. HIGH-FRUCTOSE CORN SYRUP (HFCS): Derived from corn starch; starch itself is a chain of glucose molecules joined together. When corn starch is broken down into individual glucose molecules, the end product is corn syrup which is essentially 100 percent glucose. To make HFCS, enzymes are added to corn syrup in order to convert some of the glucose to fructose, which is also called “fruit sugar” because it occurs naturally in fruits and berries. HFCS is ‘high’ in fructose compared to the pure glucose that is in corn syrup. Sources: American Diabetes Association: diabetes.org; Food and Drug Administration: FDA.gov; National Institute of Diabetes and Digestive and Kidney Diseases: niddk.nih.gov
Recommendations A small or even a moderate amount of HFCS (the equivalent of four teaspoons in a day, or about 16 grams) can be converted by the body into energy, Little explained. Nutrition professionals recommend no
more than about six teaspoons of all added sugars each day, she said, though the U.S. Department of Agriculture’s guidelines suggest a limit of 10 teaspoons, or 40 grams of added sugars daily, as part of a 2,000-calorie daily diet.
Little said too many Americans consume the equivalent of 20 teaspoons or more per day. A 12-ounce can of soda typically has 33 grams of sugar (8.25 teaspoons), according to the Agriculture Department. Little said soft drink consumption has increased 300 percent in the last 20 years. “Today, up to 85 percent of kids consume at least one soft drink daily,” she said.
Reducing consumption Little advises consumers to carefully read nutrition labels and aim for added sugars to be no more than 5 percent of total calories — or about 100 calories out of 2,000 daily, keeping in mind that one gram of sugar equals four calories. Berman said one of the simplest ways to decrease intake of HFCS is to cut down on consumption of processed foods. “Instead of using jarred spaghetti sauce, make your own,” she suggested. “And drink less soda.”
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