by Sheila Wolf, RDH

A glazed doughnut or a wedge of apple pie might be what we choose for a mid-morning munch. Unfortunately, these snacks contain refined sugar that is not only bad for your teeth and gums, but also for your pregnancy. Sugar, sometimes disguised as sucrose, dextrose, or glucose, provides empty calories, adds weight, and can lead to diabetes, heart disease, and arthritis.

We Americans eat entirely too much sugar — almost 7 tablespoons per person per day. Depending on who’s doing the research, that could be anywhere from 64 to 150 pounds per year. These “empty” spoonfuls contribute no nutrition or fiber and crowd out nutritious fare from your diet. In the presence of certain bacteria in the mouth, sugar leads to the production of toxic bacterial byproducts that are very acidic. These toxins, if allowed to sit on the enamel of your teeth, cause caries (cavities). If not removed properly from along the gum line and in between the teeth, they irritate the gums and will ultimately erode the supporting bone that anchors the teeth in the mouth. A mother-to-be is more susceptible to dental problems due to the excessive hormones circulating in her system. According to the Surgeon General’s report in 2000, “toxins or other products generated by periodontal (around the teeth) bacteria in the mother may reach the general circulation, cross the placenta, and harm the fetus.” Pregnant women with severe gum infections are seven times more prone to having a baby that is premature. Prevention and early diagnosis of dental decay and gingivitis (swollen, tender gums) are important for your health as well as your baby’s. So, what can you do about assuring good nutrition and oral health during pregnancy? Here are three tips from my book, Pregnancy and Oral Health that will make a difference right away:

Healthy Snack Alternatives

Here is a list of healthy snack ideas to replace those quick, convenient, sugary ones that contribute to dental decay:

• Yogurt with fresh fruit
• Unprocessed cheese
• Brown Rice, whole grain bagels, whole wheat toast, or bran muffins with cream cheese, peanut butter, or fruit spread
• Homemade frozen popsicles, using one 6oz. can frozen concentrated juice mixed with a small container (6-8 oz) of plain yogurt. I used to give these to my son when he was teething. They were yummy for both of us!
• Baked apples or other baked or stewed fruit
• Fresh fruit (Choose from a range of colors to ensure variety of nutrients and vitamins)
• Fruit smoothies, homemade, using yogurt and banana as your base. Add other fruit and flavorings with ice to make a delicious drink
• Unsweetened whole grain cereals with yogurt and fresh fruit.
• Nuts and seeds.
• Celery with peanut butter (my personal favorite).
• Raw carrot sticks, cucumber slices, green pepper wedges — or any fresh vegetables, for that matter. Serve with a dip made from ground garbanzo beans (hummus), yogurt, sour cream, or cottage cheese with herbs.

When you indulge:

When you do indulge in a sugary treat, it is better to do it all in one sitting rather than to sip on a soda or take tiny bites of sweet things all day long. (One soda has on the average of 12 teaspoons of sugar). Eating tiny bursts of sweets throughout your day is more injurious to your oral health since every time you introduce sugar into your mouth, the bacteria are nourished for about 20 minutes.

Brushing or swishing:

Brush as quickly as possible after eating or drinking anything with a high content of sugar. If that is not possible, I recommend taking a swig of water, swishing it around your mouth and swallowing. By keeping these residues at a very low level, you reduce the nutrients that many plaque-forming bacteria depend on for their growth and survival.

About the Author
Sheila Wolf, affectionately known to her patients and colleagues as Mama Gums, has been a dental hygienist for 32 years, educating and motivating people on both coasts to take control of their oral health. You can read more about the critical link between a healthy mouth and a healthy baby at her website, www.mamagums.com and in her book, Pregnancy and Oral Health: The Critical Connection Between Your Mouth and Your Baby, available through bookstores in June 2004 and on www.Amazon.com. Sheila invites questions and can be reached at 866 MAMA-GUMs or through her website.

It isn’t very common, but many women are concerned about gestational diabetes in pregnancy. In reality, gestational diabetes only affects about 135,000 women, or 4% of pregnancies a year. What is it? Should you be concerned if your doctor or midwife tells you that you have it?

To start, during the second trimester, normally around your 23rd week of pregnancy your doctor will give you a blood test to determine your blood glucose level. This number is what tells the doctor if you have gestational diabetes or not. Gestational diabetes is caused by your body not being able to create and use all the insulin it needs for the pregnancy. Without insulin, glucose can not leave the body and it builds up to high levels. This is called hyperglycemia.

The risk to your baby from gestational diabetes is not as severe as the risk to your baby if you have diabetes prior to getting pregnant. Because your baby is done forming by the time gestational diabetes begins, birth defects are not probable, but there are other problems that may occur. As glucose can go through the placenta to the baby it gives an excess energy supply to your baby. Since your baby doesn’t need the extra energy, the energy from the glucose is changed into fat, which results in a large birth weight for your baby. Having an overweight baby at birth can lead to problems when it travels down the birth canal, including possible shoulder injuries, and breathing problems. It can also lead to overweight children, and children who develop type 2 diabetes as adults.

If your doctor tells you that you have gestational diabetes you should start treatment immediately. Treatment includes a special diet and meal plans designed to keep the sugar levels down. It also includes exercise and physical activity. Treatment helps you to avoid a c-section because of a too-large baby, while it also gives you a chance for a healthy pregnancy and birth, and a healthy baby.

Happily, gestational diabetes appears during pregnancy and normally goes away after you deliver your baby. However, once you develop gestational diabetes, you have a very good chance of getting it again in subsequent pregnancies. Having gestational diabetes can also lead to the possibility of your having type 2 diabetes later in life. There are certain things you may be able to do to help avoid either of these conditions.

• Lose weight
• Get Regular exercise
• Maintain a healthy nutrition

If your doctor tells you that you have gestational diabetes, don’t panic! With early diagnosis, you’ll be able to make changes to your diet and lifestyle, and properly take care of yourself and your unborn baby.

by Patti Teel

Food has a huge impact on a child’s well-being. It can energize, increase hyperactivity or induce fatigue. Just as a lack of sleep can jumble a child’s thinking or cause learning problems, so can an inadequate diet. Each child is a unique individual, and it’s unreasonable to think that “one size fits all” diet advice is realistic.

Children seem to be born not only with an emotional temperament but with a food temperament. For instance, my son has always had a particular suspicion and aversion to any food that is green; however, he doesn’t care much for sweets. In direct contrast, my youngest daughter has always loved vegetables and from the time she was a toddler, her favorite food was broccoli. Unfortunately, she also inherited my sweet tooth.

Diet is critical for children’s health and everything that we eat affects us. However, it affects each of us a little differently, depending on our individual makeup and metabolism. For instance, some children are highly sensitive to sugar and any form of sweets in their diet. For them, sugar consumption can aggravate many problems such as hyperactivity, anxiety, nervousness, irritability, and poor concentration—all of which can lead to sleep difficulties.

We all know that children are healthier and sleep better if they eat a healthy diet containing a variety of foods from all the food groups. Unfortunately, some children can be incredibly picky. I don’t think it’s a good idea to cater to a child’s every whim or to battle over food. Fill your house with healthy foods and snacks and don’t get in the habit of buying junk food. That way, when your children are hungry, they will have no choice but to eat healthy and nutritious foods.

In addition, children are much more likely to be interested in eating meals that they have helped plan and prepare. Buy a healthy children’s cookbook and have fun planning and preparing nutritious meals and snacks together.

Healthy Tips:

By Patti Teel

More children than ever before are being diagnosed with special needs “neurobiological disorders” such as ADHD, clinical depression, sensory integration dysfunction, autism and Asperger’s syndrome. Children with these disorders are very likely to have sleep difficulties. In addition, the problems that characterize the disorders will be greatly exacerbated by a lack of sleep.

I cannot stress enough the importance of good sleep hygiene and relaxation skills. Children with neurobiological disorders are often stressed—as they struggle to control their behavior, “fit in,” and try to keep up with their schoolwork. They may also suffer from sleep-related side effects of medications that they are taking. Medications to treat mood disorders, stimulant medications used to treat attention deficit/hyperactivity disorder and some of the medications used to treat tics in Tourette’s syndrome can all contribute to sleep problems.

If sleep problems continue to plague your child, work with your physician. Consider alternative therapies such as nutritional and dietary supplements, biofeedback and Chinese medicine. This is likely to be an adjunct to the care provided by your child’s primary-care physician. To ensure maximum benefits and avoid any negative interactions between traditional medication and alternative remedies, be sure that all of your child’s health-care providers work together. When you find the right healing modality for your child, you are likely to see a big improvement.

All children do best with healthy sleep habits. However, everything needs to be “buttoned down” if your child has special needs. For instance, while many children would have some difficulty settling down after a stimulating evening, it might cause a child with a neurobiological disorder to be up half the night. And while a consistent bedtime is always recommended, a child with autism is likely to feel very unsafe and unsettled if his bedtime routine is disrupted. For many children, it’s as if their reactions have been cranked up to full throttle. Of course, each child is different and you will know best what sets off a problem in your own child. However, in general, the same rules apply—only more so.

Tips for a Good Night’s Sleep

by Connie Bennett

Quite often, wanna-be Sugar Kickers ask me: “How can I curb my carb cravings to keep myself from tasting and then inevitably gobbling handfuls of cookies or crackers?” One of the most powerful and potent strategies is so simple that you’ll wonder why you never tried it in the first place. Simply hold off before doing anything – especially something that you’ll later regret. After all, if you mindlessly shove those fast-acting, Much-Like-Sugar Carbs™ in your mouth, you might later feel wiped out, spaced out, moody and depressed because the numbers on your scale continue to climb. Think about it: Just about all of us are good at delaying in the first place. You know how you keep putting off cleaning the house, giving your boss that proposal or even throwing out the garbage?  More to the point, many of us are pretty darn good at procrastinating, right? I know I am. While I’m certainly not proud of this dubious skill, delaying, I’ve found, is a fun, clever way to give procrastination a positive spin! I hit upon this incredible strategy back in 1998 when I kicked sweets and simple carbs on doctor’s orders. To this day, I’m struck by how easy, effortless, and darn effective it is to just delay! Everyone of any age—unless you’re maybe a tot—can cultivate this tactic. All you have to do is promise yourself to hold off for a brief period of time. Then, you can delay over and over again, even for hours. Just think: The next morning you’ll be relieved and proud of yourself that you didn’t cave into your cravings. Here are 7 ways delaying can be your remarkable ally to help you pull the plug on your unwanted sugar habit. (It’s one of “6 D’s” strategies that I’ve developed to help both myself and other “Sugar Kickers.”)

1. Delaying (first 5 minutes, then 10 minutes, 1 hour, 2 hours, etc.) before eating that brownie, cookie, or candy bar gives you a golden opportunity to break away from your impulses so that you can easily detach from them.
2. Delaying for 10 minutes, then 15 minutes, etc. allows your cravings to readily subside while you get involved with other things.
3. Delaying lets you take positive, health-promoting action by simple inaction. Yes, doing absolutely nothing can be pivotal when kicking or cutting back on sweets and quickie carbs.
4. Delaying turns procrastinating into an effective art form and proactive gesture. 
5. Delaying allows you to zero in on what foods—if any—you’re really craving. Does your body really need cookies, cake, and pretzels? I highly doubt it!! Or would your amazing body rather have water, fresh vegetables and fruits, high-quality protein or healthy fats?
6. Delaying gives you a chance to get in touch with your true feelings. What the heck is really going on that makes these quickie carbs so tantalizing to you?
7. Delaying permits you to take pride in yourself that you put off a short-lived, self-defeating immediate gratification in favor of a long-term positive outcome. (Isn’t it far preferable to lose weight, have more energy and concentrate better than giving in during one moment of weakness and then suffering the consequences?)

In short, simple delaying is truly one of the most effective tools a successful Sugar Kicker can use.Pro-Active Action To Cut Your Cravings
I encourage you to become a delaying artist now. Of course, as you know, “practice makes perfect.”

• Next time you have a hankering for something sweet (that’s processed), begin by delaying. Look at your watch or a clock and now wait for 5 minutes before putting any refined sweets in your mouth—you can easily do that!
• Now, step outside your obsessive sugary thoughts and wait 10 minutes. It can help if you do something else in the meantime.
• Then hold off another 20 minutes. Be creative with your delaying time. Some people find doing the dishes or putting clothes away is a way to pull the plug on your food thoughts.
• Then really challenge yourself! Wait an hour, then 2 hours, or maybe even the whole evening. You can do it!
• Finally, write about your experience in a journal or notebook.

By delaying, you could learn a lot about yourself and the power of a focused mind.To this day, I thank Ms. Delay for helping me to learn that Life is Sweeter Without Refined Sweets™.

About the Author
Connie Bennett is an ex “sugar addict” and “Sugar Shrew No More!,” who helps folks worldwide stomp out their sugar habit. She is author of SUGAR SHOCK! (Jan. 2007); founder of The 21-Day, Kick-Sugar Countdown Diet™; creator of the  SUGAR SHOCK! Blog; a holistic health counselor; and a journalist, who’s contributed to The Los Angeles Times, The New York Times, The Chicago Tribune, TV Guide, The Fort Worth Star-Telegram, Living Fit, US, InStyle and cbs.com. To get tips and learn about Connie’s tele-seminars with experts, sign up for the free Stop SUGAR SHOCK! ezine. Copyright © 2006, Stop SUGAR SHOCK™