Guest guest Posted April 22, 2011 Report Share Posted April 22, 2011 Sounds like the accutane deal. A depressed, sad, challenged senators kid takes his own life and it's the medicines fault (and never the parents-but then do politicians ever do anything wrong?) and while all meds have their risks, accutane at least seems to work so well in horrible acne that it may just be one of the life changing meds for people in a good way. But let congress get a hold of something and ruin it. I have Blue Cross Blue shield. A dietitian was covered as soon as I tested glucose intolerant (175 on the 2 hour test). I was officially diagnosed pre-diabetic. I called them and found out that I could have my Endo refer me to a dietitian based on the prediabetic official diagnoses. It is worth calling your insurance about. > > > Isn't it easier just to look at ways of cooking that don't use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can > be so challenging. You just don't add it. > > > > Virtually > > > > >> anything can be zero salt if you cook from scratch - casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes. Really the only thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything else in your diet is so low on salt, that shouldn't put you over the totals. > > > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > > > > H > > > > --- In > > > > >> > > > > > >> > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 22, 2011 Report Share Posted April 22, 2011 And if you paid out of your pocket you might be even more motivated. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension It's the cost. If one is not diabetic there is likely no chance of seeing a nutritionist or getting insurance to cover it. Like all medical professionals whether holistic or not they don't come cheap - at least a good one doesn't. Same with personal trainer. Though I sure agree that if we can, having someone to help motivate us (should say keep us on track) in the the right direction can only help.Subject: Re: Good food with low salt and new sodium questionTo: hyperaldosteronism Date: Friday, April 22, 2011, 4:43 PM Most important thing to keep in mind. I went to a dietitian recommended by my Endocrinologist at the time. I had regular check ups and the dietitian could have changed carb and calorie intake if things were not working. My insurance covered the dietitian because it was a referral from the Endo. I highly recommend getting a trained professional to help determine the right amount of calories and the right mix of targets (carbs, K, sodium, protein, fat, etc). The right diet can vary quite a bit depending on current conditions and health history. For example, the dietitian had me eat a certain mix of protein and fat to promote higher testosterone. It was actually necessary for me to up my fat % to increase testosterone. I found healthy ways to do this by including almonds, walnuts, pistaccios. Oddly enough, we also found that consuming raw onions on salad and burgers helped get my testosterone back on track. That was a tip from the dietitian. It worked. The dietitian most importantly gave me accountability. I tracked my food on myfooddiary.com and gave my dietitian my log in info. I knew she could check in on me, so I logged my food and ate better than I would have on my own. > > > Isn't it easier just to look at ways of cooking that don't use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can be so challenging. You just don't add it. > > Virtually > > >> anything can be zero salt if you cook from scratch - casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes. Really the only thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything else in your diet is so low on salt, that shouldn't put you over the totals. > > > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > > > > H > > > > --- In > > >> > > > >> > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 22, 2011 Report Share Posted April 22, 2011 Cause you were eating enough. Give someone 1000 calories a day of rice they will feel hungry and lose WT even though all carbs. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension The body doesn't like to not have energy. Your brain needs carbs. You need carbs to work out and have energy to stay active. Everything started to kick into high gear. The carbs also help you not to get as hungry. If you balance your carbs throughout the day it can help avoid sugar spikes or crashes which caused me to feel like I was starving and eat like a competitive eater. Once I balanced carbs to around even each meal, I started to not feel as hungry. > > > Isn't it easier just to look at ways of cooking that don't use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can be > so challenging. You just don't add it. > >> Virtually > >> >> anything can be zero salt if you cook from scratch - casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes. Really the only thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything else in your diet is so low on salt, that shouldn't put you over the totals. > > > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > > > > H > > > > --- In > >> >> > > >> >> > >> > > >> > > >> > > >> > > >> > > >> > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 23, 2011 Report Share Posted April 23, 2011 In my opinion, the best medicine was being active. As I started to eat healthy, I was able to walk faster and for longer periods of time. The first month walking I must have looked pretty out of shape. It took me the entire 45 minutes to walk a 2 mile track I picked out in my neighborhood. Everyday I got a little faster. The most important thing in my opinion was walking the 2 mile track every single day. The days it rained or was too cold I went to the mall and walked for 45 minutes (free as long as you don't buy a pretzel/snacks). The calories helped, but eating balanced carbs helped me to eat balanced calories throughout the day as well. Most of my meals averaged 400-500 calories. The snacks were between 100-300 calories. Before I started I would overeat many meals. The other advantage of limiting carbs to 60g per meal is that it limits salt by default. Most fast food meals have a lot of sodium. They also have a lot of carbs. To stay under 60g per meal, I simply avoided fast food. > > > Isn't it easier just to look at ways of cooking that don't use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can be so challenging. You just don't add it. > > > Virtually > > > >> anything can be zero salt if you cook from scratch - casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes. Really the only thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything else in your diet is so low on salt, that shouldn't put you over the totals. > > > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > > > > H > > > > --- In > > > >> > > > > >> > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 23, 2011 Report Share Posted April 23, 2011 HI , I see lots of comments about HCTZ (dyazide) which I was on for five years. I am wondering if that is a common link for some of us. Kellie  BP is one thing but what about your potassium? HCTZ for many of us threw the K down so far it was getting dangerous at times. And I say this speaking from my situation, and I realize we're all different, but now that I look back over the past few years it was, in my humble opinion, my potassium that was the big link in how I was immediately feeling. Tired, cramps, leg pain, headaches, brain fog and on and on with the symptoms. Unfortunately my potassium always being low just never put the red flag up for anyone. But now that it is near normal I feel so much better. A better diet and energy to exercise is helping, but if the potassium drops so do I. I bet the potassium being low in many of us - whatever the cause - often gets skipped over or not taken seriously and while we are looking for some other autoimmune disorder or answer for our symptoms the low K seems to be too simple a cause for us the patient and the provider to think it is the "why" we are feeling like we do. Just a thought and caution. Looks like my wife subscribes to your ideas Hester. Very seldom does she make things that need to rise, she said we were too fat anyway! Most meals are from scratch and she never adds salt. Salt shakers are in the cupboard and never come out unless we have company. For fun I asked her where the box was and she didn't know! I found it way in the back of the pantry. It was a box my daughter brought home when she moved out of her 1st appartment when she was in college (2005 I think). It was absolutely full! At some point we bought a Mediterranean Salt Mill and then my wife found out that salt is salt - it is half full and has an exp. date of 08/24/08! By the way the Mrs. Dash's exp date is 04/10 and it is half full! We raised 3 children and they ate what we ate, they just learned to eat low salt and appear to practice it now. Thinking about that makes me wonder if my low salt is why my BP responded so well when I started Spiro. I say I'm not DASHING but maybe I should look into it, I might be closer than I think! > > > Isn't it easier just to look at ways of cooking that don't use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can be so challenging. You just don't add it. Virtually anything can be zero salt if you cook from scratch - casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes. Really the only thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything else in your diet is so low on salt, that shouldn't put you over the totals. > > > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > > > > H > > > > --- In Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 23, 2011 Report Share Posted April 23, 2011 I was on it for 5 or 6 years. I think it's one of the first HTN meds prescribed because it's cheap and generally recognized as safe. It made my K tank to dangerously low levels, and caused my cholesterol, triglycerides, and blood sugar to rise - not good for the PA or for the insulin resistance! -msmith1928 45, female, 5'3 " , 120 lbs, 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, cyclobenzaprine 5-10mg when needed; low sodium, fructose- and grain-free diet >> > Isn't it easier just to look at > >>>> ways of cooking that don't use salt at all > >>>> rather than trying to find substitutes for > >>>> old favourites? So use potatoes and rice as > >>>> carbs instead of pasta or bread (or make > >>>> your own). Then if you start with straight > >>>> meat or fish and veg or fruit, I don't get > >>>> how zero salt can be so challenging. You > >>>> just don't add it. Virtually anything can > >>>> be zero salt if you cook from scratch - > >>>> casseroles, pies, meat with veg (and > >>>> sauce), same for fish, veggie dishes. > >>>> Really the only thing that is hard to make > >>>> without sodium is things that need to rise > >>>> (dough, cakes) and if everything else in > >>>> your diet is so low on salt, that shouldn't > >>>> put you over the totals. > >> > Clearly > >>>> this isn't complete dashing because then > >>>> you have to boost the potassium part too > >>>> but low sodium alone is really not hard > >>>> unless I've missed a trick. > >> > H > >> > > >>>> --- In > >>> > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 23, 2011 Report Share Posted April 23, 2011 HCTZ comes up alot on here, most likely because it is the first recommendation for controlling HTN by the powers that be so it is given frequently, and also yes, many on here have the same story about using it and K goes bye bye. I tried it here and there when they asked me to - I got accused of trying to doctor myself all the time so I played the game like a good patient and did as they asked - not knowing of course what my issue was for certain at the time and everytime it shot my K down to the point where I ended up in the hospital. Looks like my wife subscribes to your ideas Hester. Very seldom does she make things that need to rise, she said we were too fat anyway! Most meals are from scratch and she never adds salt. Salt shakers are in the cupboard and never come out unless we have company. For fun I asked her where the box was and she didn't know! I found it way in the back of the pantry. It was a box my daughter brought home when she moved out of her 1st appartment when she was in college (2005 I think). It was absolutely full! At some point we bought a Mediterranean Salt Mill and then my wife found out that salt is salt - it is half full and has an exp. date of 08/24/08! By the way the Mrs. Dash's exp date is 04/10 and it is half full! We raised 3 children and they ate what we ate, they just learned to eat low salt and appear to practice it now. Thinking about that makes me wonder if my low salt is why my BP responded so well when I started Spiro. I say I'm not DASHING but maybe I should look into it, I might be closer than I think! > > > Isn't it easier just to look at ways of cooking that don't use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can be so challenging. You just don't add it. Virtually anything can be zero salt if you cook from scratch - casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes. Really the only thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything else in your diet is so low on salt, that shouldn't put you over the totals. > > > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > > > > H > > > > --- In Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 23, 2011 Report Share Posted April 23, 2011 And any good medical student would make the dx by now. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension I was on it for 5 or 6 years. I think it's one of the first HTN meds prescribed because it's cheap and generally recognized as safe. It made my K tank to dangerously low levels, and caused my cholesterol, triglycerides, and blood sugar to rise - not good for the PA or for the insulin resistance! -msmith1928 45, female, 5'3", 120 lbs, 1cm left adrenal nodule, supine aldosterone 28.5/renin 0.2, potassium <2.9 (when not taking supplements); 25mg spiro caused gynecomastia; no HTN meds; current meds are 20MEQ K 2x/day, singulair 10mg, norethindrone .35mg, cyclobenzaprine 5-10mg when needed; low sodium, fructose- and grain-free diet >> > Isn't it easier just to look at > >>>> ways of cooking that don't use salt at all > >>>> rather than trying to find substitutes for > >>>> old favourites? So use potatoes and rice as > >>>> carbs instead of pasta or bread (or make > >>>> your own). Then if you start with straight > >>>> meat or fish and veg or fruit, I don't get > >>>> how zero salt can be so challenging. You > >>>> just don't add it. Virtually anything can > >>>> be zero salt if you cook from scratch - > >>>> casseroles, pies, meat with veg (and > >>>> sauce), same for fish, veggie dishes. > >>>> Really the only thing that is hard to make > >>>> without sodium is things that need to rise > >>>> (dough, cakes) and if everything else in > >>>> your diet is so low on salt, that shouldn't > >>>> put you over the totals. > >> > Clearly > >>>> this isn't complete dashing because then > >>>> you have to boost the potassium part too > >>>> but low sodium alone is really not hard > >>>> unless I've missed a trick. > >> > H > >> > > >>>> --- In > >>> > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 23, 2011 Report Share Posted April 23, 2011 Yes one of the classical clues to dx of PA as first noted by Dr Conn is a fall in K on diuretics. Every HTN guideline ever published notes this and often on medical certification tests. Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension HI , I see lots of comments about HCTZ (dyazide) which I was on for five years. I am wondering if that is a common link for some of us. Kellie BP is one thing but what about your potassium? HCTZ for many of us threw the K down so far it was getting dangerous at times. And I say this speaking from my situation, and I realize we're all different, but now that I look back over the past few years it was, in my humble opinion, my potassium that was the big link in how I was immediately feeling. Tired, cramps, leg pain, headaches, brain fog and on and on with the symptoms. Unfortunately my potassium always being low just never put the red flag up for anyone. But now that it is near normal I feel so much better. A better diet and energy to exercise is helping, but if the potassium drops so do I. I bet the potassium being low in many of us - whatever the cause - often gets skipped over or not taken seriously and while we are looking for some other autoimmune disorder or answer for our symptoms the low K seems to be too simple a cause for us the patient and the provider to think it is the "why" we are feeling like we do. Just a thought and caution. Looks like my wife subscribes to your ideas Hester. Very seldom does she make things that need to rise, she said we were too fat anyway! Most meals are from scratch and she never adds salt. Salt shakers are in the cupboard and never come out unless we have company. For fun I asked her where the box was and she didn't know! I found it way in the back of the pantry. It was a box my daughter brought home when she moved out of her 1st appartment when she was in college (2005 I think). It was absolutely full! At some point we bought a Mediterranean Salt Mill and then my wife found out that salt is salt - it is half full and has an exp. date of 08/24/08! By the way the Mrs. Dash's exp date is 04/10 and it is half full! We raised 3 children and they ate what we ate, they just learned to eat low salt and appear to practice it now. Thinking about that makes me wonder if my low salt is why my BP responded so well when I started Spiro. I say I'm not DASHING but maybe I should look into it, I might be closer than I think! > > > Isn't it easier just to look at ways of cooking that don't use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can be so challenging. You just don't add it. Virtually anything can be zero salt if you cook from scratch - casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes. Really the only thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything else in your diet is so low on salt, that shouldn't put you over the totals. > > > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > > > > H > > > > --- In Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 23, 2011 Report Share Posted April 23, 2011 Yes it is a classic tipoff that you have PA Tiped sad Send form miiPhone ;-)May your pressure be low!CE Grim MDSpecializing in DifficultHypertension HI , I see lots of comments about HCTZ (dyazide) which I was on for five years. I am wondering if that is a common link for some of us. Kellie BP is one thing but what about your potassium? HCTZ for many of us threw the K down so far it was getting dangerous at times. And I say this speaking from my situation, and I realize we're all different, but now that I look back over the past few years it was, in my humble opinion, my potassium that was the big link in how I was immediately feeling. Tired, cramps, leg pain, headaches, brain fog and on and on with the symptoms. Unfortunately my potassium always being low just never put the red flag up for anyone. But now that it is near normal I feel so much better. A better diet and energy to exercise is helping, but if the potassium drops so do I. I bet the potassium being low in many of us - whatever the cause - often gets skipped over or not taken seriously and while we are looking for some other autoimmune disorder or answer for our symptoms the low K seems to be too simple a cause for us the patient and the provider to think it is the "why" we are feeling like we do. Just a thought and caution. Looks like my wife subscribes to your ideas Hester. Very seldom does she make things that need to rise, she said we were too fat anyway! Most meals are from scratch and she never adds salt. Salt shakers are in the cupboard and never come out unless we have company. For fun I asked her where the box was and she didn't know! I found it way in the back of the pantry. It was a box my daughter brought home when she moved out of her 1st appartment when she was in college (2005 I think). It was absolutely full! At some point we bought a Mediterranean Salt Mill and then my wife found out that salt is salt - it is half full and has an exp. date of 08/24/08! By the way the Mrs. Dash's exp date is 04/10 and it is half full! We raised 3 children and they ate what we ate, they just learned to eat low salt and appear to practice it now. Thinking about that makes me wonder if my low salt is why my BP responded so well when I started Spiro. I say I'm not DASHING but maybe I should look into it, I might be closer than I think! > > > Isn't it easier just to look at ways of cooking that don't use salt at all rather than trying to find substitutes for old favourites? So use potatoes and rice as carbs instead of pasta or bread (or make your own). Then if you start with straight meat or fish and veg or fruit, I don't get how zero salt can be so challenging. You just don't add it. Virtually anything can be zero salt if you cook from scratch - casseroles, pies, meat with veg (and sauce), same for fish, veggie dishes. Really the only thing that is hard to make without sodium is things that need to rise (dough, cakes) and if everything else in your diet is so low on salt, that shouldn't put you over the totals. > > > > Clearly this isn't complete dashing because then you have to boost the potassium part too but low sodium alone is really not hard unless I've missed a trick. > > > > H > > > > --- In Quote Link to comment Share on other sites More sharing options...
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