Life - Health
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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:
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- “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.
- 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
Tricare
Information Now Housed Under One
Internet Roof
American
Forces Press Service
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| 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.
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Related Sites:
Tricare
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Newest
Vets Receive Priority for VA Medical Care
By Donna Miles
American Forces Press Service
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| 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.
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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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