Life - Health

Ten tips to help you lose weight in 2008

 By Maj. Karen E. Fauber, DeCA dietitian

             FORT LEE, Va. – The new year is here and you are off and running with your resolution to lose weight. Tennis shoes in one hand and water bottle in the other, you are going to lose those five, 10 or more pounds this time, right? Well, to help you reach your individual weight loss goal try these tips and the pounds will melt away:

  1. Be real. Set a realistic goal for weight loss and write it down. Losing two to no more than three pounds a week is generally recommended by the experts. Remember how long it took to gain the weight? Give yourself time to lose it gradually and you are more likely to keep it off as you change your lifestyle habits.
  1. Feel the burn. Calories in, calories out or what you eat is what you get. This means be active. Go walking, swimming, jogging, bicycling and dancing to burn those calories. The key is to make physical activity a part of your everyday life.
  1. Go small. Use the small plate and small bowl at meals instead of the large ones. It is too easy to eat too much when you use a big dinner plate or a large bowl, especially for that nighttime ice cream.
  1. Eat fiber. Aim for 25 to 35 grams of fiber a day. Fiber fills you up and helps you feel full for a long time between meals. Easy ways to get more fiber include eating cereal for breakfast that has 10 or more grams per serving, eat a pear or an apple for a snack, add beans to your meals, soups, and salads, and add a few nuts as a snack or on a salad.
  1. Got protein? Do not skimp on protein; this includes chicken, fish, turkey, lean beef and pork. It also includes dairy foods like skim milk, yogurt, low fat cheeses, beans and nuts, all found in your commissary at savings of 30 percent or more. The average person needs .8 grams protein per kilogram body weight, about 60 to 90 grams protein a day. 
  1. Is that plate big enough? Portion control, portion control, portion control. A serving that is bigger than your fist is probably too much to eat – unless it’s vegetables.
  1. Mama said, “Eat your veggies!” And, mama was right. Eat vegetables at lunch and dinner. Portions are not so important here. In fact, eating vegetables is a good place to cheat if you need to. Make sure to fill up half your plate at meals with vegetables. The fiber, water content and nutrients in vegetables helps the body lose weight. Fresh, canned, or frozen veggies are all great choices. Avoid the sauces, though, as they add many extra calories.
  1. Don’t forget the fruit. Fresh, canned or frozen: they all make great snacks and a nice desert. Dried fruit is OK, too, as long as you control the portion sizes. 
  1. “I get by with a little help from my friends.” Get support to stay on track with your weight loss from your family and friends. How about creating your own biggest losers contest and invite others to join? Support goes along way with weight loss.
  1. Celebrate your progress. Give yourself a pat on the back and more as you continue to lose weight. It’s no easy task. As you reach a weight loss goal how about something special to reward yourself? Make it something that you really can enjoy like a new outfit, season tickets for your favorite sport, a special vacation. You decide what it is and write it down with your goal. 

       See you in the commissary!

       For more information on weight loss or other nutrition topics, go to the DeCA Dietitian Web page at www.commissaries.com.

Manage pre-diabetes to help delay or prevent diabetes

          FORT LEE , Va. – Diabetes affects nearly 21 million Americans with its many health risks and complications. One in every four Americans has diabetes or is at risk for developing it. Before people develop Type 2 diabetes, they almost always have pre-diabetes, according to the American Diabetes Association. During American Diabetes Month in November, remember to talk with your health care provider about diabetes testing, prevention and treatment.

            Pre-diabetes is very similar to diabetes. Blood glucose levels are higher than normal but not yet high enough to be diagnosed as diabetes. Research has shown that some body organs, including the heart and blood vessels, may already be damaged during pre-diabetes. Research also shows that if you manage your blood sugar when you have pre-diabetes, you might be able to prevent developing diabetes.

            Diabetes is more common among blacks, Latinos, American Indians, Asian Americans, and Pacific Islanders. There is also an alarming trend in children and teenagers developing diabetes. This has been linked to the increase of overweight children and an overall lack of physical activity in young people today.

 How to manage pre-diabetes

            One way to help prevent or delay diabetes is to get tested early. You can get a blood test, the fasting plasma glucose test, or an oral test, the oral glucose tolerance test, through your doctor. These tests are also used to identify diabetes.

            Nutrition plays a key role in warding off diabetes. Eat a healthy diet with the foods you buy at your local commissary and follow these guidelines:

·                                 ● Eat lots of fruits and vegetables every day

·                                 ● Control portion sizes

·                                 ● Eat fish two to three times each week

·                                 ● Eat whole grain breads and foods

·                                 ● Eat beans with meals

·                                 ● Eat less high-calorie snack foods like ice cream

·                                 ● Drink calorie-free drinks and water

            Regular physical activity including strenuous exercise also can help lower blood sugar and reduce weight, two chronic issues with diabetes. Break out your walking shoes and walk every day for 30 to 60 minutes. Add other physical activities to help prevent or delay diabetes.

            See you in the commissary!

            For more information on diabetes or other nutrition topics, visit www.commissaries.com, post your questions on the “DeCA Dietitian Forum” and be sure to look for other useful information in the “Dietitian’s Voice” archive.


  Bush Introduces Commission to Review Military Health Care

     In order to ensure that troops get the best care, Bush introduced a new bipartisan presidential commission that will review servicemembers’ health care. “This review will examine their treatment from the time they leave the battlefield through their return to civilian life as veterans, so we can ensure that we’re meeting the physical and mental health needs involved,” Bush said. The commission, headed by former Sen. Bob Dole and former Health and Human Services Secretary Donna E. Shalala, currently president of the University of Miami, will conduct a comprehensive review of military medical care. Meanwhile, a separate task force will assess short-term needs, Bush announced. Story


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Tricare Information Now Housed Under One Internet Roof

American Forces Press Service

WASHINGTON, Nov.  2006 – Tricare beneficiaries will get a pleasant surprise the next time they visit Tricare Online. The Web site has a new name, a new look and a new home. It’s now part of Tricare.mil, the official Web site for all Tricare information.

“We reorganized the Web site with our beneficiaries in mind,” said Army Maj. Gen. Elder Granger, deputy director, Tricare Management Activity. “Now they can go to one site to look up benefit information, schedule an appointment or track claims. Everything’s in one place, making the site easier to use.”

Tricare.mil comprises five main content areas:

-- My Health (Tricare Online) -- personal health information and online appointment scheduling for Tricare Prime enrollees;

-- My Benefit -- Tricare benefit information;

-- MHS Staff -- resources for Military Health System staff members;

-- Tricare Providers -- information for Tricare network providers; and

-- Pressroom -- the latest news about Tricare and the military health system.

In the next phase of Web site improvements, beneficiaries will be able to enter their profile and receive benefit information tailored to them. Tricare expects this feature to be available in winter of 2007.

Related Sites:
Tricare

Newest Vets Receive Priority for VA Medical Care

By Donna Miles
American Forces Press Service

WASHINGTON, Nov.  2005 The estimated 120,000 veterans of operations in Iraq and Afghanistan receiving medical care through the Department of Veterans Affairs are getting top priority as they access some of the world's best-quality medical treatment, the secretary of Veterans Affairs said.

R. James Nicholson spoke to American Forces Press Service and the Pentagon Channel in anticipation of National Veterans Awareness Week, which began Nov. 6 and continues through Nov. 12.

Although the wounded veterans of Operation Iraqi Freedom represent just 2 percent of the VA's total patient load, "it's a very important 2 percent because these are young people who have come back from the combat zone," Nicholson said.

As a result, the VA is "giving them priority and making sure we are taking care of their physical and mental needs" so they can continue to enjoy productive lives, he said.

Seeing the nation's young people return home from combat reinforces the message that freedom comes at a high cost, Nicholson said. "Freedom is not free, and they are paying the ultimate price," Nicholson said. "And so, they will be taken care of and given whatever (health care and related assistance) they need ... for the rest of their lives."

It's gratifying to watch the recovery these wounded veterans make, particularly when hearing many of them say they want nothing more than to return to duty with their units, Nicholson said.

But for those unable to do that, Nicholson said, the VA's responsibility is to help them see beyond their wounds and recognize that they can continue to live productive lives. "That's part of our mission, to show them all the things they still can do and not have them focus on the things they can no longer do," he said.

While the nation gives special consideration of its veterans this week, the VA continues its longstanding commitment to the nation's veterans year-round, Nicholson said. For the past 75 years, the VA has provided health services and other benefits to veterans, living up to the promise made by President Abraham Lincoln during his second inaugural speech: "To care for him who has borne the battle, and for his widow and his orphan."

Over its history, the VA has created the world's most comprehensive system of assistance for veterans, including what Nicholson described as "world-class health care." Some 237,000 VA professionals provide health care to more than 5 million veterans through 187 medical centers and 860 outpatient clinics.

A computerized medical record system -- one Nicholson said he hopes will serve as a model for the Defense Department and other organizations -- helps eliminate hospital mix-ups and ensures more thorough patient care, he said. In addition, VA remains a leader in medical research, from studies involving Parkinson's disease to a recent breakthrough in immunizations for shingles, he said.

Nicholson said Congress and the Bush administration have demonstrated through increased funding for VA health care that they remain committed to ensuring veterans receive the top-quality services they deserve. VA funding has increased more than 50 percent since 2001, he noted.

"Veterans of every era can rest easy knowing that access to what has been described as the finest integrated health care system in the country will remain undiminished -- especially for low-income veterans, those with service-connected disabilities (or) special needs or who have recently returned from combat," Nicholson said.

Biography:
R. James Nicholson

Related Site:
Department of Veterans Affairs


DoD Begins Tricare Retail Pharmacy Program June 1

       The Department of Defense announced today that tthe new Tricare Retail Pharmacy (TRRx) contract takes effect for Tricare beneficiaries located in the 50 United States, the District of Columbia, Puerto Rico, the U.S. Virgin Islands and Guam.  The contract, awarded last year to Express Scripts Inc. of Maryland Heights, Mo., has approximately 53,000 civilian pharmacies in the nationwide network. 

      In the past, the Tricare regional managed care support contractors provided retail pharmacy services and most beneficiaries should not notice the change in services with the new contract.  To use the new retail pharmacy program, as with all other DoD health programs, beneficiaries must be eligible and enrolled in the Defense Enrollment Eligibility Reporting System or DEERS. 

        “The new single contract integrates the previous regional contracts into one uniform retail pharmacy benefit across all Tricare regions,” said Army Col. William Davies, director, DoD pharmacy programs. 

       The TRRx program has many new enhancements.  Pharmacy claims processing is now centralized and beneficiaries no longer have to mail pharmacy claims to multiple sites for processing or call various telephone numbers to get assistance filling a prescription when using the retail network.  Patient safety has also been enhanced by use of the Pharmacy Data Transaction Service to process all pharmacy claims, including paper claims. 

        For a single co-payment of $3 for generic or $9 for a brand-name prescription, eligible TRRx beneficiaries may continue to receive a 30-day supply of their prescription medication from the new network of retail pharmacies.  To use this benefit, a written pharmacy prescription and a uniformed services identification card are required.  Tricare beneficiaries who used a retail pharmacy last year will receive, by mail, a pharmacy identification card, a TRRx benefit guide and a letter listing the twelve network pharmacies close to their home. 

        The TRRx benefit is now portable.  Beneficiaries traveling outside of their designated Tricare region who need to fill a prescription are no longer required to pay the full prescription price, or file a Tricare claim to get reimbursed for their out-of-pocket expenses when they use a Tricare retail network pharmacy.  Pharmacy co-payments are the same in every location where the TRRx is available.  

         To locate a network pharmacy, beneficiaries may use the Tricare pharmacy locator service available on the Express Scripts Web site at http://www.express-scripts.com/TRICARE, or they may call (866) 363-8779 or, using the letters on the telephone keypad, spell (866) “DoD-TRRx.” 

        For eligible beneficiaries with other health insurance (OHI), Tricare pays after all other insurance plans have paid.  To use Tricare as the secondary payer or to obtain reimbursement for their out-of pocket pharmacy expenses, beneficiaries will need to submit a Tricare claim form (DD Form 2642) and a receipt for their prescription medication to Express Scripts for processing.  If the medication under the beneficiary’s OHI is not a covered benefit or if the beneficiary’s prescription coverage has ended for the year, Tricare will pay as the primary insurance payer.

        The TRRx benefit is not available for beneficiaries who reside or travel outside the U.S. or its territories.  These beneficiaries are encouraged to use a military treatment facility, if available, or the Tricare Mail Order Pharmacy program to fill their prescription medications.  Express Scripts can mail prescription medications to any U.S. postal address or to an APO/FPO address.  However, Express Scripts cannot send prescriptions to a private, foreign address.  Prescriptions mailed to beneficiaries in overseas locations must be prescribed by providers who are licensed to practice in the United States.

        A downloadable Tricare claim form is available on the Express Scripts Web site at http://www.express-scripts.com/TRICARE or on the Tricare Web site at http://www.tricare.osd.mil/claims.  Pharmacy claims filed with Express Scripts should be mailed to:  Express Scripts, P. O. Box 66518, St. Louis, Mo., 63166-6518.

       Beneficiaries residing in overseas locations, other than Puerto Rico, Guam and the U.S. Virgin Island, do not have access to Tricare retail pharmacy networks.  Therefore, they must pay for their prescription medications upfront and submit a claim with Tricare overseas claims processor to be reimbursed.  For reimbursement rates or assistance processing a non-network overseas retail pharmacy claim, beneficiaries may contact the overseas Tricare Service Center at http://www.tricare.osd.mil/overseas/index.cfm .

 

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