Michelle Routhenstein, MS, RD, CDCES, CDN’s Post

This statistic is actually why I decided to niche down into cardiovascular disease management and prevention. If we can prevent this, why aren’t we? Most people do not know they are at risk and unfortunately wait until something happens! ⚠️ Heart disease can happen at any age, any body shape, size, and any athletic ability. 👉🏼 Everyone must be proactive as early as possible to optimize all of their risk factors in order to prevent heart disease! 👉🏼 Since you don’t feel heart disease until the later stages, it is imperative that you know your numbers and optimize ALL of them. Many people will compare themselves to other people when they look at their diet, “I am the healthiest eater out of all my friends,” “I eat clean,” “I am not overweight I don’t understand how this could happen,” etc. This comparison game can actually be detrimental to your heart disease prevention goals. 
👉🏼 We all have different genetic make-ups and what could be healthy or clean for the general population may not be applicable to those who have a strong family history or genetic components that accelerates plaque formation and vascular issues. 
❤️ A heart healthy diet is really focused on optimizing blood vessel health, blood flow, and reducing cardiometabolic risk factors that damage the blood vessel lining, promote plaque in the arteries, and overburden the heart muscle. This includes high blood pressure, high blood sugar levels, high cholesterol levels (particularly apoB, triglycerides, non-HDL cholesterol), elevated waist circumference, insulin resistance, and inflammation. 💪 Let’s change this statistic together and optimize your heart health through science based nutrition! ❤️ Join me in my next 6 week heart optimization group program where I teach you science based nutrition strategies to improve your heart health to prevent the progression of atherosclerosis and heart failure. 👉🏼 My next cohort begins on May 10th and enrollment is on a first come first serve basis. I have limited spots available and I would love to welcome you! To secure your spot, enroll now: https://lnkd.in/e5eigZgA #highcholesterol #highbloodpressure #highcalciumscore #lowercholesterol #lowerbloodpressure #heartdiseaseprevention #cholesteroldiet #hearthealthydiet #cardiacdiet #cholesteroltips #lowerbloodpressurenaturally #heartattackrecovery #cardiacbypasssurgery #cardiacrehab #heartdiseaseawareness #heartattacksurvivor #atherosclerosis #lowcholesterol #foodovermedicine #cardiacbypasss #hearthealth #hearthealthy #antiinflammatory #antiinflammatorydiet #coronaryarterydisesae #heartdiseasesupport #cardiacsurgery #heartsurgerysurvivor #heartattackprevention #heartdisease

𝟭𝟬 𝗘𝗮𝗿𝗹𝘆 𝗪𝗮𝗿𝗻𝗶𝗻𝗴 𝗦𝗶𝗴𝗻𝘀 𝗼𝗳 𝗗𝗶𝗮𝗯𝗲𝘁𝗲𝘀 𝗬𝗼𝘂 𝗦𝗵𝗼𝘂𝗹𝗱 𝗡𝗼𝘁𝗲 (𝗖𝗼𝗻𝘁𝗶𝗻𝘂𝗮𝘁𝗶𝗼𝗻) Today, we will learn part B of the 5 early warning signs of Diabetes If you missed Part A, click here to read 👉🏾 https://lnkd.in/dm46rbCU Take a glass of water😄 because this information is valuable. And remember to like and share this post to your friends.🤝🏾 𝗘𝗮𝗿𝗹𝘆 𝗪𝗮𝗿𝗻𝗶𝗻𝗴 𝗦𝗶𝗴𝗻𝘀 𝗼𝗳 𝗗𝗶𝗮𝗯𝗲𝘁𝗲𝘀 (Part B) 6. Headaches You may think headache is a normal occurrence, but do you know it can also be a symptom of diabetes? When there isn't enough insulin in the body, the body produces excess blood acids (ketones). This condition is known as Diabetic Ketoacidosis, a serious complication of diabetes and it can cause several symptoms such as headache, nausea, vomiting, confusion, and rapid breathing. 7. Numbness or tingling in the hands and feet Having high blood sugar levels can damage the nerves in the hands and feet, leading to numbness and tingling. 8. Urinary tract infections Bacteria may breed near the reproductive organs because of high sugar levels within the urine. Urinary tract infections (UTIs) come with itching, burning and discharge. People with diabetes are twice as likely to suffer from UTIs. 9. Yeast infections People with diabetes are more likely to develop yeast infections, such as vaginal yeast infections and thrush. 10. Slow-healing sores and cuts High blood sugar levels can reduce blood circulation and make it difficult for sores and cuts to heal. 𝗪𝗵𝗮𝘁 𝗮𝗯𝗼𝘂𝘁 𝗚𝗲𝗻𝗲𝘁𝗶𝗰𝘀? A big YES. If you know you have a family history of diabetes, start tackling diabetes as early as possible. Treating Diabetes early can prevent serious complications, such as amputations, heart disease, stroke, kidney failure, and blindness. And now that you have the information, you need to take action. 𝐇𝐨𝐰 𝐭𝐨 𝐑𝐞𝐯𝐞𝐫𝐬𝐞 𝐃𝐢𝐚𝐛𝐞𝐭𝐞𝐬 𝐄𝐚𝐫𝐥𝐲? With 6 packs of Green Veggies Detox treatment plan, you can completely reverse Diabetes within 3 months. In 2 weeks, your high blood sugar will begin to significantly reduce. For more information on how to start the 3-month treatment plan, call us at 08163420920. Stay healthy! #diabetes #diabetesawareness #curediabetes #wellness

In this prospective cohort study of 5,452 individuals, selenium deficiency in non-smokers was associated with a 65% increased risk of new-onset atrial fibrillation (Afib).⁠ ⁠ Why may this be?⁠ ⁠ 1️⃣ Selenium is crucial for heart cell function, affecting how mitochondria work and reducing oxidative stress, which are linked to Afib.⁠ ⁠ 2️⃣ Selenium plays a crucial role in the regulation of thyroid hormones, and disturbances in thyroid hormone balance can contribute to the development of AFib.⁠ ⁠ 3️⃣ Research shows severe selenium deficiency is associated with Keshan disease, a heart condition causing arrhythmias, and also raises the risk of atrial fibrillation after surgery, reflecting selenium's role in protecting heart cells from damage.⁠ ⁠ ⭐️ The recommended daily allowance of selenium is 55mcg per day. ⁠ ⁠ ⭐️ Selenium is found in 1-2 Brazil nuts, chicken breast, shiitake mushrooms, tofu and seafood.⁠ ⁠ ⚠️ Selenium toxicity can happen with excess intake and/or supplementation so it is best to focus on food first and in adequate levels (not too little and not too much). Selenium toxicity presents with symptoms such as gastrointestinal distress, neurological abnormalities, hair and nail changes, skin issues, respiratory problems, garlic breath odor, and bone and joint pain.⁠ ⁠ ❤️ Hi, my name is Michelle Routhenstein and I am a Registered Dietitian Nutritionist who specializes in heart disease prevention and management through personalized, science based nutrition. I focus on ADDIng in essential nutrients in the right balance for your body and heart to function at it's best, while also optimizing all your cardiometabolic risk factors.⁠ ⁠ 👉🏼 Sign up to my email list for more heart disease prevention tips! ⁠ https://lnkd.in/eAEbtf_E ⁠ 💫 Share with a friend who may benefit!⁠ ⁠ Study reference: https://lnkd.in/em5UYee9 #afibdiett #afib #tachycardia #cardiacablationrecovery #afibawareness #cardiacablation #cardiaccathlab #atrialfibrillationawareness #atrialfibrillationablation #cardiovasculardisease #hearthealth #ablation #heartdisease #hearthealthydiet #cardiacdiet #atrialfibrillation #afibsucks #arrhythmia #cardioversion#hearthealthy #hearthealthyfoods #strokeprevention #cardiacsurgery #afibablation #highbloodpressure #afibawarenessmonth #highcholesterol #heartattackprevention #heartattacksurvivor #heartdiseaseawareness

There are many modifiable risk factors for Afib and heart arrhythmias - meaning we can improve the outcomes and the ability to prevent Afib/put it into remission, if we address many of the causes for Afib and heart arrhythmias. ⁠ ⁠ Most often, the causes are multifactorial and we want to make sure we are addressing all potential things that can influence your heart beat regularity.⁠ ⁠ ⭐️ This includes nutrients your heart needs to maintain rhythm through a nutrient sufficient diet.⁠ ⁠ ⭐️ Reducing weight, especially waist circumference, which is metabolically active and increases inflammatory markers. Being overweight is a risk factor for Afib because it increases the pressure inside the main pumping chamber of the heart which can cause abnormal relaxation and potential enlargement of the left atrium.⁠ ⁠ ⭐️ Addressing acid reflux effectively helps prevent the stimulation of the autonomic nerve due to mechanical compression and reduces the risk of local inflammation near the left atrium and lower esophagus, thereby lowering the likelihood of developing atrial fibrillation (AFib).⁠ ⁠ ⭐️ Other modifiable risk factors that need to be optimized well to help prevent Afib are addressing blood pressure (ideal 110/70mmHg), coronary artery disease and cholesterol levels, as well as insulin resistance. ⁠ 
High blood pressure can make the heart muscle thicker and stiff overtime which makes it harder for electrical signals to move through the heart, which can lead to Afib.⁠ ⁠ Elevated levels of apoB, LDL, inflammation, and insulin resistance promote the formation of arterial plaques and increase the likelihood of blood clotting, thereby heightening the risk of complications related to AFib.⁠ ⁠ 👉🏼 All of these are addressed on a truly science based heart healthy diet.⁠ ⁠ 
❤️ If you are looking for personalized support on your heart health journey, schedule a 15 minute complimentary discovery call to discuss further. ⁠(https://lnkd.in/eNspAByQ) ⁠ 💫 To receive more complimentary heart disease prevention tips, sign up to my email list here: https://lnkd.in/eAEbtf_E #afibdiett #afib #tachycardia #cardiacablationrecovery #afibawareness #cardiacablation #cardiaccathlab #atrialfibrillationawareness #atrialfibrillationablation #cardiovasculardisease #hearthealth #ablation #heartdisease #hearthealthydiet #cardiacdiet #atrialfibrillation #afibsucks #arrhythmia #cardioversion#hearthealthy #hearthealthyfoods #strokeprevention #cardiacsurgery #afibablation #highbloodpressure #afibawarenessmonth #highcholesterol #heartattackprevention #heartattacksurvivor #heartdiseaseawareness

November is Diabetes Awareness Month and I wanted to take the time to bring awareness about the connection between diabetes and heart disease. ⁠ ⁠ Type 2 diabetes is an independent risk factor for heart disease. Type 2 diabetes increases the risk of diabetic cardiomyopathy, atherosclerotic cardiovascular disease, heart attacks, strokes, and heart failure.⁠ ⁠ Why may this be? ⁠ ⁠ Diabetes and heart disease have many shared risk factors such as insulin resistance, abnormal cholesterol and triglyceride levels, inflammation and blood clot formation. And when blood sugars are persistently elevated they can damage blood vessels leading to endothelial dysfunction, heart disease and failure. ⁠ ⁠ What can we do about it?⁠ ⁠ ⭐️Type 2 diabetes and heart disease have epigenetic and lifestyle factors that can be optimally managed to reduce the risk of health complications. Implementing a nutrient sufficient heart healthy diet, adding in both aerobic and resistance training in your regular regimen, improving your sleep, and managing your stress are some of these important aspects in their management. If you need help achieving optimal cardio-metabolic health, work with a qualified health care professional who can help guide you!⁠ ⁠ 👋🏼 Hi, my name is Michelle Routhenstein, I am a Registered Dietitian and Certified Diabetes Care and Education Specialist, who specializes in heart disease management and prevention through science based nutrition. We must address all aspects of heart disease in order to truly reduce your risk of heart attacks and strokes - and this includes insulin and blood sugar management.⁠ ⁠ ❤️Join my email list to get more science based nutrition and heart disease prevention tips! You can easily join via my link here (https://lnkd.in/eAEbtf_E) or via my website at www.entirelynourished.com.  ⁠ ⁠ Study reference: https://lnkd.in/eVrVAVQX⁠ #diabetes #diabetesawareness #diabetestype2 #diabetesdiet #diabeteslife #diabetescommunity #diabetes2 #diabetesmellitus #diabetesmanagement #diabetescare #diabetesproblems #diabetessupport #prediabetes #insulinresistance #diabetic #diabeticlife #insulindependent #strokeawarenessmonth #strokeprevention #strokeawareness #preventandreverseheartdisease #stroke #heartdisease #highbloodpressure #highcholesterol #heartsurgery #hearthealth #healthyheart #heartattacksurvivor #heartdiseaseprevention

Peripheral artery disease (PAD) is underdiagnosed and undertreated, which is a big disservice to preventive heart attack risk reduction. PAD is a vascular disease that leads to narrowing and potential blockage of the arteries outside of the heart and brain, particularly in the abdominal aorta, iliac, and lower extremity arteries. Plaque buildup, atherosclerosis, in these arteries, is the most common cause of PAD.  When the lower extremity arteries are narrowed due to having too much artery clogging cholesterol in the blood vessels, it can lead to leg pain called claudication. Claudication typically presents as leg pain, discomfort, tightness, cramping when walking, or burning in the calf, thigh, hip or buttocks that happens at a similar level of walking day to day, disappears when standing for several minutes ,and happens again when walking resumes. Many times people notice it when they see a change in their inability to walk as fast or as long as usual. If you have symptoms of PAD, please ask your doctor for further assessment. Untreated PAD can also lead to limb amputation. Some MODIFIABLE risk factors include: smoking (4x increased risk), diabetes (1.5-4x increased risk), high cholesterol (2x increased risk), high blood pressure (2.5-4x increased risk), metabolic syndrome, and high inflammatory markers. ⭐️In order to PREVENT and properly manage peripheral artery disease, we must take a PROACTIVE approach to optimize your cardiometabolic risk factors and take care of your blood vessel health. ❤️ A science based heart healthy nutrition and lifestyle plan is imperative to optimize blood flow and arterial stiffness to manage cardiovascular disease. It includes addressing these above cardiometabolic risk factors and implementing a diet that addresses inflammation through ADDING in foods.  💫 In my 6 week heart optimization group program, we discuss a truly heart healthy diet that improves heart and blood vessel health - no matter where you are in your heart journey - to help you live a long and healthy life without health complications. 👉🏼 My next program begins on July 12th and spots are limited! Secure your spot today: https://lnkd.in/e5eigZgA #coronaryarterydisease #coronaryheartdisease #peripheralarterydisease #coronarycalciumscore #heartattack #heartattacksurvivor #heartattackprevention #heartattackrecovery #hearthealth #hearthealthy #hearthealthydiet #hearthealthawareness #hearthealthyliving #highcalciumscore #hearthealthyrecipes #heartdisease #heartdiseaseawareness #heartdiseaseprevention #peripheralarterydiseaseawareness #peripheralarterydiseasetreatment #heartdiseasesupport #highcholesterol #cardiacbypasssurgery #cardiacrehab #cardiacsurgery #cardiacdiet #heartfailureawareness #heartfailure #heartfailuresurvivor #heartfailurediet

# What is Inflammation? Inflammation is the body's natural response to injury, infection, or harmful stimuli, acting as a protective mechanism to aid healing and defense. It comes in two types: acute (short-term) and chronic (long-term). # Types of Inflammation: 1. Acute Inflammation: - Duration: Short-term, usually lasting a few days. - Causes: Injuries, infections, or exposure to harmful substances. - Symptoms: Redness, heat, swelling, pain, and loss of function. - Purpose: Eliminate the cause of cell injury, clear out damaged cells, and start the repair process. 2. Chronic Inflammation: - Duration: Long-term, lasting from months to years. - Causes: Persistent infections, long-term exposure to irritants, or autoimmune diseases. - Symptoms: Subtle but ongoing pain, fatigue, and stiffness. - Risks: Can contribute to diseases like arthritis, heart disease, diabetes, and cancer. # Signs and Symptoms of Inflammation: 1. Redness (Rubor): Caused by increased blood flow. 2. Heat (Calor): Due to increased blood flow and cell activity. 3. Swelling (Tumor): From fluid and immune cell accumulation. 4. Pain (Dolor): Due to chemicals that stimulate nerve endings. 5. Loss of Function: From pain and swelling limiting movement. # Causes of Inflammation: 1. Infections: Bacteria, viruses, fungi, and parasites. 2. Injuries: Physical damage like cuts, burns, or fractures. 3. Autoimmune Reactions: Immune system attacks healthy tissues. 4. Chronic Diseases: Conditions like rheumatoid arthritis and psoriasis. 5. Environmental Factors: Pollutants, allergens, and irritants. # How Inflammation Works: 1. Initial Response: Chemicals like histamines increase blood flow to the injured area. 2. Recruitment of Immune Cells: White blood cells (leukocytes) destroy pathogens or debris. 3. Repair and Healing: New cells replace damaged ones, and inflammation subsides. # Treatment and Management: 1. Medications: - Anti-inflammatory Drugs: Ibuprofen and aspirin reduce inflammation and pain. - Corticosteroids: Used for severe inflammation. 2. Lifestyle Changes: - Diet: Anti-inflammatory foods like fruits, vegetables, whole grains, and omega-3 fatty acids. - Exercise: Regular physical activity reduces chronic inflammation. - Stress Management: Techniques like meditation, yoga, and deep breathing. 3. Natural Remedies: - Herbs and Supplements:Turmeric, ginger, and green tea. - Cold and Heat Therapy: Ice or heat packs reduce inflammation and pain. 4. Naturopathic Approaches: - Focus on a holistic approach, including dietary adjustments, stress reduction, and natural supplements. Conclusion Inflammation is a vital part of the body's defense mechanism. However, chronic inflammation can lead to serious health issues. Understanding the causes, symptoms, and treatments of inflammation helps manage it effectively and promote overall health.

The American Heart Association released a report last week that more than 6 in 10 U.S. adults will have some type of cardiovascular disease by 2050.⁠ ⁠ It is important to understand that cardiovascular disease is an umbrella term for many conditions, including coronary heart disease (including heart attack), arrhythmias (including atrial fibrillation), valvular disease, congenital heart disease, heart failure, stroke, and hypertension.⁠ ⁠ What is important to note is there is a suspected decline in high cholesterol, the other risk factors are expected to increase, particularly:⁠ a) High blood pressure from 51.2% in 2020 to 61% in 2025.⁠ b) Obesity from 43.1% to 60.6%⁠ c) Diabetes from 16.3% to 26.8%⁠ ⁠ ⭐️ Research shows that 80-90% of heart disease is preventable through science based nutrition! ⁠ ⁠ ⭐️ We CAN and NEED to address these all risk factors through science based nutrition!⁠ ⁠ ⭐️ Join me in changing these projected statistics and take action NOW to avoid cardiovascular disease and/or its complications in the future. ⁠ ⁠ ❤️ I created my 6 week heart optimization group program to help you protect your heart from all of these conditions. ⁠ ⁠ In this program, I give you the tools and strategies to optimize your heart health and function, and reduce your risk of heart disease and its complications. We discuss in detail what is happening in the arteries and how we can mitigate the underlying causes of heart disease - from inflammation, insulin resistance, endothelial dysfunction, oxidative stress, lipid optimization, etc. - through science based nutrition.⁠ ⁠ ❤️ If you are looking for support on your heart health journey, join my next group program that starts on July 12th! ⁠ ⁠ Enrollment is open, and is filled on a first come, first serve basis.⁠ Enroll here: https://lnkd.in/e5eigZgA If you haven't joined my email list, be sure to here: https://lnkd.in/eAEbtf_E #highcholesterol #highbloodpressure #highcalciumscore #lowercholesterol #lowerbloodpressure #heartdiseaseprevention #cholesteroldiet #hearthealthydiet #cardiacdiet #cholesteroltips #lowerbloodpressurenaturally #heartattackrecovery #cardiacbypasssurgery #cardiacrehab #heartdiseaseawareness #heartattacksurvivor #atherosclerosis #lowcholesterol #foodovermedicine #cardiacbypasss #hearthealth #hearthealthy #antiinflammatory #antiinflammatorydiet #coronaryarterydisesae #heartdiseasesupport #cardiacsurgery #heartsurgerysurvivor #heartattackprevention #heartdisease

Diabetes is a chronic, metabolic disease characterized by elevated levels of blood glucose (or blood sugar). i.The chronic hyperglycemia of diabetes is associated with long-term damage, dysfunction, and failure of different organs, especially the eyes, kidneys, nerves, heart, and blood vessels. iv. There are many types of Diabetes mellitus such as Type 1 (insulin sensitivity) , Type 2 (insulin resistance) , monogenic , iatrogenic , infectious , gestational , endocrine syndromes diabetes , from genetic syndromes and other types. After checking up and getting diagnosed at early stage with prediabetes, following a healthy and balanced diet and regular physical activity can reverse the appearance of type 2 diabetes. A condition in which high glucose levels are observed, but not high enough to diagnose diabetes. Prediabetes is a condition in which high glucose levels are observed blood, but not high enough to diagnose diabetes. ii. Diagnostic criteria for Diabetes Mellitus: o Fasting plasma glucose ≥126 mg/dL o 2-h plasma glucose ≥200 mg/dL during Oral Glucose Tolerance Test o HbA1C ≥6.5%  Prediabetes criteria: o Fasting glucose 100 - 125 mg/dl o 2-h plasma glucose during Oral Glucose Tolerance Test : 140 - 199 mg/dL o HbA1C values: 5.7–6.4% ↑ risk of DM ii,iii. Exactly a year ago today , I found out the reason behind my daily fatigue , dizziness after a more sugary or full of carbohydrates meal , the feeling of weakness at the gym,while hiking, running, working,being in stressful situations etc. For the following months after putting more whole grains ,fibers into my diet ,reducing saturated fats , sugar and spreading carbs throughout the day ,the results are clearly noticeable. The abnormalities in my blood sugar are milder and almost non-existent at the moment. Raising awareness has a significant role in prevention and treatment of a disease as well as nutrition does. So my first patient is myself <3. Cheers to raising awareness day #Raising_awareness_day #diabetesawareness #worlddiabetesday i) World Health Organization (WHO) https://lnkd.in/dEsWgZsj ii)ADA, Diabetes Care 2022;45(1):S17–S38 iii)a) ADA, Diabetes Care 2010;33(1):S62–S69 iv) ADA ,Diabetes Care 2013; 36( 1): S67–S74

We often look at chronic diseases in isolation, which can cause other health complications. For example, many of my clients will come to me initially saying they found out they were prediabetic so they gave up carbohydrates and then their next test showed high cholesterol levels and high blood pressure. We have to ensure we are implementing a diet that addresses all cardiometabolic risk factors so that blood sugar, cholesterol, uric acid, liver enzymes, kidney health, bone health, etc are all optimized to truly reduce your risk of cardiovascular disease and its complications.⁠ ⁠ Having unmanaged diabetes doubles the risk of heart disease due to many factors that damages blood vessels and negatively impacts heart health. It causes havoc in the blood vessels that lead to blood vessel dysfunction that can accelerate plaque formation in the arteries and lead to blood clotting complications. ⁠ ⁠ In order to reduce your risk of cardiovascular events like heart attacks, strokes, atherosclerosis, etc. we must manage insulin resistance, optimize your lipids, blood sugar and triglyceride levels, reduce inflammation and halt oxidative stress, so we can protect your blood vessel health and avoid blood clot formation.⁠ ⁠ 👋🏼 Hi, my name is Michelle Routhenstein, I am a Registered Dietitian and Certified Diabetes Care and Education Specialist, who specializes in heart disease management and prevention through science based nutrition. We must address all aspects of heart disease in order to truly reduce your risk of heart attacks and strokes - and this includes these 6 factors that are present in many individuals who are at an increased risk of heart disease complications.⁠ ⁠ ❤️ I address all of these factors in my 6 week heart optimization group program. My next group starts in the beginning of February 2024 and the waitlist for this cohort is currently open. Join the waitlist here: https://lnkd.in/eyC78TBW #diabetes #diabetesawareness #diabetestype2 #diabetesdiet #diabeteslife #diabetescommunity #diabetes2 #diabetesmellitus #diabetesmanagement #diabetescare #diabetesproblems #diabetessupport #prediabetes #insulinresistance #diabetic #diabeticlife #insulindependent #strokeawarenessmonth #strokeprevention #strokeawareness #preventandreverseheartdisease #stroke #heartdisease #highbloodpressure #highcholesterol #heartsurgery #hearthealth #healthyheart #heartattacksurvivor #heartdiseaseprevention