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Posts tagged ‘diabetes’


by Logan

Health Tip – How often should you see the Eye Doctor?

Our schedules are so busy and so many things are going on that I bet it has been ages since you’ve seen the eye doctor.

The exceptions, of course, are those who have serious eye changes. But I bet, even the majority of you have waited too long to set up an appointment with your Optometrist.

The eyes are very complex organ system and can be the first signs that a serious medical issue is happening. If you’ve experience a loss of vision, change in vision, double vision, eye pain, serious eye redness, and a host of other eye related symptoms. It is probably time that you bite the bullet and schedule an appointment with your eye doctor.

Diseases such as glaucoma, diabetes, Multiple sclerosis, retinal detachment, and several other diseases can be seen as changes in the eye.

Factors that Determine how often you should see an Eye Doctor

1.)     Symptoms that alarm you or your family

2.)     Age – the older you get, the more often you need to be seen

3.)     Eye Health – If you are often getting infections, vision changes, or a change to your prescription – you should be seen more often.

4.)     Family history – If your family has a history of some of the more serious eye medical issues or diabetes – you should be seen more often.

When should Children see the Eye Doctor?

Children should have some sort of eye exam early in their lives. This will often be done by your primary care physician. They may be looking at a wall evaluation piece with shapes and such. If obvious vision changes are noted – then a referral to an eye doctor may be in order.

Beginning at age 3 – children should be checked every one to two years by their pediatricians.

If younger, school aged children start to develop eye changes – they need to be seen quickly. Development  and educational advancement is lost quickly when a child is unable to see the board quickly.

I first went to the Eye doctor in 1st grade and got my first pair of glasses. I had complained about not seeing things on the board. It happened x 3 weeks in and it took me another 3 months to catch up with the rest of the students.

Adolescents

They should be seen every two years unless they wear glasses or contacts or if an Eye Doctor specifically wants to see them sooner.

Many eye injuries occur at this age. Even if the symptoms improve – it may, in some cases, be helpful to visit the eye doctor after serious eye injuries.

Adults – Ages 20 to 40

If you wear eyeglass or contact lenses – you need to be seen yearly.

If normal vision continues with an adult who doesn’t wear corrective lenses – they can usually wait two to three years in-between visits.

If a change occurs to the vision, an appointment should be made quickly following the change.

If you have normal vision but have diabetes – you should be checked yearly.  This may also be the case for other medical issues.

Adults – Over the age of 40

At age 40 – most adults should have a eye screening. Things such as cataracts, glaucoma, macular degeneration and many other eye conditions should be evaluated. Age causes several eye changes and/or damage.

If you have no corrective lenses and a normal Age 40 check. You can be seen every two years.

If there are problems or you wear corrective lenses – you still must be checked yearly.

Another age check should be done around age 60-65.  From that point – depending on what is already been happening for the last several decades, specialized or specific guidelines will be given.

It is safe to say that yearly checks are recommended for some.

Overall

Eye examinations are vital and important to maintaining a good eye health and really a good overall health. Losing your eyesight when it could have been preventable is a devastating problem. Simple eye examinations can really be beneficial.

Don’t lose sight of the need to be checked for something, even if you are healthy. A slight modification early can really prevent a serious problem down the road.


by Logan

What exactly is Dialysis? – An inside look – Part II

This is the second of two parts that are looking at Dialysis. In the first part, we really dissected dialysis.  We also took a close look at the organ that fails leading to dialysis, namely the kidney.  In this part we will look at the two main types of Dialysis and even some symptoms and reasons to start Dialysis.

Two main types of Dialysis

1.)     Hemodialysis

2.)     Peritoneal Dialysis

Hemodialysis

–          This is a process that removes water and waste by essentially pulling out your blood and running it through a filter.
–          The filter is within a machine and it is very thin.
–          A second fluid called a Dialysate is used to help the process.
–          The Dialysate combines with the filtered fluid to allow a complete filtering event.
–          The fluid on the other side, after it is filtered or Dialysized then is returned to the body
–          Urea and Creatinine is removed from the body.
–          Several liters of fluid takes typically 3-5 hours to complete.
–          Typically it is done 3 times per week.
–          But recent studies show that a certain percentage of patients are receiving more than three treatments per week.

Peritoneal Dialysis

–           This is a process that removes water and waste by essentially using the body to remove the waste.
–           It is less often used
–           They use the peritoneal membrane of the peritoneum to filter the fluid.
–           The peritoneal membrane or the perineal membrane covers a certain area of the body.
–           A sterile solution with glucose is placed in the abdominal cavity/
–           It is left in that area for a certain amount of time.
–           While there it absorbs the waste products
–           It is subsequently drained from the area and discarded.
–           This cycle is repeated 4-5 times during the day.

Other less common types of Dialysis

–           Hemofiltration

This is slightly similar to Hemodialysis.   It does make use of a different principle or theory. In this case the Dialysate is not used.  Pressure is important in this case, which pulls out the intended molecules.

–          Hemodiafiltartion

This is the combination of Hemodialysis and Hemofiltration.

–          Intestinal Dialysis

This is a diet supplement that increases the overall amount of nitrogen in the colon.  The supplement is ingested by bacteria in the colon.

Symptoms or Reasons to Start Dialysis

1.)     Acute Kidney Injury

2.)     Symptomatic renal failure

3.)     Very low glomerular filtration rate (GFR)  –  less than 10-15 mls/min

4.)     If diabetic and low glomerular filtration rate – start sooner.

5.)     Excess Uremia complications such as pericarditis, encephalopathy, or gastrointestenial bleeding associated with acute kidney injury.

6.)     Difficulty controlling fluid overload

7.)     Difficulty controlling serum potassium and/or serum phorphorus when GFR is low.

 

Dialysis is a serious thing and should be looked at when no other options are available. Dialysis is usually a long term commitment. Everyone who starts dialysis thinks that they will only be on it for short period of time. But they feel so much better after the dialysis has occurred and so horrible before it.  Soon they understand the need for this simple yet complicated process.  It took years to come up with the right formula to get dialysis right.


by Logan

The word is out! A single soda a day is unhealthy

What is your drink of choice?  This is becoming more and more of a vital question especially as it relates to your health. Some choose water alone, though this is becoming less and less frequent. Other choices are fruit juices, cool-aid, soda’s, milk, energy drinks, and others.  However, it has become increasingly concerning the amount of consumption of sodas are being seen and their affects on our health.

Depending on where you look, on average, Americans drink over 250 to 500 sodas per year. And some are drinking far more than this. Many people though, on average, drink a soda a day. Usually you tend to be either a heavy drinker of soda or a light one.  But, the real problem is that drink a soda a day may considerably affect your health.

Soda is a broad term, most people look at them as having caffeine or not. But really, soda is a high-fructose drink that includes kids drinks, diet drinks, and regular soda.

First and foremost, drinking soda will increase your weight. Attempts at diet sodas may help avoid the increasing weight, but the concern of cardiac concerns is still present. Weight gain can cause cardiac, diabetes, liver, lipid, and several other issues.

There is a substantial risk for cardiac issues with both diet and regular sodas. This has been seen in both men and women. They are pushing it so far to add Soda as a single risk factor for cardiac diseases.

The risk has been calculated at a 20% risk. This is a significant number when looking at risk factors.

 

What is Soda?

Is a non-alcoholic beverage that contains water, a sweetener, and a flavoring agent.   Others describe it as a high-fructose drink.   But other options are sugar or sugar substitutes.

A soda may contain caffeine or fruit juices but not all fruit juices are sodas.

They are also called Soft drinks [Soft] in contrast to alcoholic beverages.  The fizzle of many sodas deals with the action of carbonation of the soda.

Energy drinks to classify as sodas, but for advertising purpose, it appears that they will stay under the category of Energy drinks

 

Health Affects of Soda

1.)    Increased Risk for Diabetes

–          As mentioned before, increased weight can lead to diabetes

–          Sugar is largely what is affected in diabetes

 

2.)    Dental cavities

–           Having sugar more often sitting in your mouth will lead to dental infections

–          Sugar sweetened, high fructose drinks, and many other drinks cause a weakening of the enamel in the mouth

–          Bacteria then feed on the sugar and cause dental cavities

–          Using a straw or brushing teeth directly after drinking pay prevent some of the affects of soda

 

3.)    Lower Nutrient levels

–          It has been suggested that low potassium may occur with extreme drinking of sodas

–          Bone density due to calcium lost, phosphoric acid may lead to a weakening of bones in both young adolescents, adults, and elderly associated with soda drink.

 

Soda in Schools

Debates began years ago, especially in high school and junior highs, where students wanted soda while parents and local governments pushed against it. Vending machines inside school areas are at the center of debate. It is much more likely for students to drink soda, the easier it is accessible.  Parents, who don’t allow soda in the home, are finding that students are easily getting them at schools.

It may seem like a dumb argument, but many argue that schools spend thousands of dollars to bring forth a well nutritional lunch, then lose that to sodas. It is believed that the schools have been given this charge from the government and even from parents.

 

I personally love to drink sodas. It is one of my serious weakness. I love them when I need to work, stay awake, and especially when I am sick. The recommendations coming from this new information is to keep this in mind. Limit sodas to once every other day or every third and your risk will drop substantially. Many people completely avoid soda and they are probably better off for it. But, for the rest of us, we need keep the health risk factors in our minds and limit our consumption. If we do this, we will be far better off.


by Logan

Gestational Diabetes – Part Two

This is the second part of Gestational Diabetes.  In the first blog post, we learned that Gestational Diabetes is a form of diabetes that occurs during pregnancy alone.  It is usually treated by dietary changes or insulin. Look back at part one to look at the risk factors of getting Gestational Diabetes and the future risks for Diabetes.

Now let’s take a look at some interesting facts of Gestational Diabetes:

How Gestational Diabetes Resolves?

The most amazing aspect of Gestational Diabetes is that more often than not, it resolves once the baby is born.  It also rarely occurs on the first pregnancy and usually occurs on the second pregnancy.  But, it can occur in any pregnancy. The cause of getting Gestational Diabetes is still relatively unknown.  Some believe it is normal in a certain number of pregnancies.  Others believe that it is the weight gain that primarily affects the change in a glucose-insulin relationship.  And others believe that pregnancy causes a change in the pancreas as if it doesn’t need to work as it has before.

Once on a treatment plan, you will be given a Glucometer, a small machine that checks the glucose level in the body.  You can do this at home and is easy to use.

Risks for those Treated for Gestational Diabetes

When a mother is diagnosed with Gestational Diabetes and is treated, additional changes or findings are seen in the child that is born. Again, this is for the baby whose mother is treated for Gestational Diabetes. These babies often have a low birth weight, can be born prematurely.

Often for the mother, the pregnancy should go more smoothly, but at time of birth, there is a increased risk for a premature birth and a need for Labour to be induced.

Possible Symptoms

For those who do have symptoms they are as followed:

1.)    Blurred vision
2.)    Fatigue
3.)    Nausea
4.)    Vomiting
5.)    Frequent bladder infections
6.)    Increased thirst
7.)    Increased urination

As is obvious by this list, pregnancy alone can account for several of these symptoms and often it isn’t until after diagnosis that one will look back and see that these symptoms were present.

How to Diagnosis Gestational Diabetes

The diagnoses of most diseases are done according to matching symptoms and a disease. But since Gestational Diabetes doesn’t have a lot of symptoms, diagnosis is done through a screening tool.  As most pregnant woman knows, this tool is the glucose tolerance test. This is an orange drink you take while fasting and then you measure your body’s response and how much glucose remains in the blood after time.

This test should be administered between weeks twenty four and twenty eight.  (24-28)

Insulin

Insulin is a hormone secreted and even produced in the pancreas.  The Pancreas is an organ that sits just behind the stomach.  Insulin that floats in the blood, finds glucose and together they combine and are eaten up, in a sense, by cells throughout the body.  The body regulates insulin in sort of a supply vs demand balance.  When glucose levels are high in the blood, the pancreas kicks out a boat load of insulin.  When the supply of glucose is low, so is the insulin level.

Fake insulin is the insulin that is used as medication. In diabetes, low insulin is often the key.  This is the same when speaking about Gestational Diabetes. This insulin type is very similar to that of human insulin. Pig insulin is almost a perfect match to human, and cow is very close as well.  Even insulin from some fish are somewhat close to that of human.

The first fake insulin used as medicine was taken from a pig.  Quickly thereafter, recombinant analogues became available and is used today.

 

Gestational Diabetes is a very interesting condition.  In itself, it often resolves on its own.  How many conditions can say this? It can be scary to learn that you have this condition.  But now, hopefully you’ll be more in tune and knowledgeable about diagnoses, symptoms and treatment.


by Logan

Gestational Diabetes – Part One

What does Diabetes when pregnant really mean?

This is the first of two blog posts about Gestational Diabetes and what it is. Tune in for the second post to talk more about insulin and what it is along with how to diagnose this condition.

Gestational Diabetes is the medical term of acquiring Diabetes while pregnant. This can be a very alarming condition that arises when pregnant. It’s usually a shock when diagnosed but over time, a realization and understanding take over.

This type of condition means that you did not have a problem, related to Diabetes, before your pregnancy and then wham…..your doctor tells you that you have Gestational Diabetes.

Diabetes and Gestational Diabetes means you have a high blood glucose level. Glucose is a sugar molecule that is what normal food is broken down into, as it passes through the blood stream.  Glucose combines with insulin and together, they enter a cell and are used as energy.  Gestational Diabetes usually starts halfway through the pregnancy.

Therefore, Gestational Diabetes is when not enough insulin is produced because you are pregnant.  There are a few problems that should be mentioned.  The first is that often there are relatively few symptoms to begin with. Because of this, almost all women, who are pregnant are screened at some time during their pregnancy.  On average, 5% of all women may have gestational diabetes.

The second big problem is that the babies born to mothers with Gestational Diabetes have their own risks.  They are often larger in size, can have a condition called jaundice, and may actually have low blood sugar after birth.  Another risk is that of newborn death or stillbirth.

Jaundice is when a baby is unable to get rid of certain molecules in the body, such as bilirubin. Though, not all babies with jaundice can point to Gestational Diabetes as the cause.  Jaundice means that baby’s can be yellow in color and have a tendency to cry more often. Treatment is a Bili light for a few weeks after birth. In very small cases, a brain-damaging condition can occur without treatment.

 

Who is at risk?

1.)     If you’ve had a previous birth with gestational diabetes – this may be a risk.
2.)    If you are overweight – this increases your risk
3.)    As age increases, especially over age 35, so does the risk
4.)    Family history of Diabetes
5.)    Ethnicity – higher risk for Caribbean history, Hispanics, Pacific Islanders, Native Americans, and African-Americans.
6.)    Pregnant – this alone is a risk, and therefore, all women should be screened.

 

Future Risks and Treatment

For women who become diabetic while pregnant, they risk a future development of Diabetes Mellitus Type 2.  Type 2 is a mostly permanent condition of elevated blood glucose.   Treatment of Type 2 is almost always oral medications and in serious cases, treatment with insulin. But since Gestational Diabetes resolves once the baby is born, the risk of getting Diabetes is therefore for years or months after the birth, when the mother is no longer pregnant.

For women who are pregnant and have Gestational Diabetes, the treatment is often essential to control blood sugar.  In simple cases, monitoring foods and avoiding sugars, especially simple sugars are essential.  Folic acid supplements may help improve and ensure good pregnancy outcomes.  But in some cases, dietary changes are the only thing required.

In many cases, the mother may be required to be treated with insulin.  Insulin is an anti-diabetic drug that replaces the insulin that is typically secreted from the pancreas.  Again, once the baby is delivered, insulin is stopped.  But, if you’ve had Gestational diabetes, and require insulin, there is a 1 out of 2 chance that you’ll develop diabetes within the next five years.

In some more recent research and trials for medications to help with Gestational Diabetes, oral medications may be a helpful solution.  Metformin and Glyburide have been looked at and they show some promise.  But remember, a medication must be safe for the baby as well, not just the mother.  And so far, they are pretty safe.

Today, we’ve talked about what Gestational Diabetes is, Risk Factors, future risks of diabetes, and treatment of this condition. In the next installment, Part II, we will look at How Gestational Diabetes resolves, how to diagnose this condition, and what exactly insulin is.  Tune in for Part II.


by Logan

Gastric Bypass Surgery – Part One:

The Who and Why of Gastric Bypass Surgery

Many people report that losing weight is all about motivation. This sounds very reasonable and appropriate. Motivation is a great place to start. Motivated to eat better and increase your exercise must be at the core of weight loss. There doesn’t seem to be anything wrong with this statement and it is true for most people. Making a goal and following through is the way to go.

But what happens when you have the motivation, are eating better, and exercising and still not losing the weight?

Depression, frustration and anger can all develop because of a lack of weight loss.  Not to mention, these feelings were probably already lingering in the back of your mind. In some cases, gastric bypass surgery may be your only solution.

Gastric Bypass Surgery is a group of procedures that essentially reduces the size of your stomach. But, the surgery must also realign the intestines to match the newly formed stomach. It is a relatively safe procedure and there has been a good success rate.  But as with any surgery there are complications.

This type of surgery isn’t typical for the slightly overweight. It isn’t something that will be approved by your Physician or by the Surgeon, except for the right patient and the right medical conditions. Often, people look at Gastric bypass surgery as treating one condition and one condition alone…OBESITY.  That is just not the case. Obesity is the main issue but being overweight can cause many other potentially life threatening diseases.

Therefore Gastric Bypass Surgery also helps with other concerning medical conditions such as: Type 2 Diabetes, Sleep Apnea, Elevated Blood Pressure [Hypertension], and many other conditions closely related to obesity.

A BMI, or body mass index, is a measurement of weight and fat according to weight vs. height. It is not measuring a percentage of fat, which can be done in other studies. The BMI gives a range of not only overweight; but it also identifies Obese, Normal and Underweight.

A normal BMI is a number from 18.5 to 25.  Overweight is 25 to 30.  And Obese is above 30.

BMI plays a role in determining of someone is a candidate for Gastric Bypass Surgery. Typically people that are approved are found in one of two categories.

1.)  They have a BMI above 40.

2.)  They have a BMI above 35 and concerning medical conditions such as elevated blood pressure or diabetes and others.

This recommendation was given by the National Institute of Health (NIH).  It also identified a need for a multidisciplinary approach. This entails bringing together Physicians, Nutritionists, Physical Therapists, and others to help transition a patient through the process of surgery and afterwards.

There are several different types of surgeries, each affecting a different area of the stomach and especially the intestines. Some are done as open procedures where a large incision is done in the abdomen. But a larger number of procedures are considered Laparoscopic. This means that smaller incisions are done, and the use of a camera is helpful in the procedure.

The decision of having a Gastric Bypass Procedure should be one done only in special cases. It can be difficult yet fulfilling procedure. The decision should be made after several consults with your Physician or a specialist. The reward of having this procedure is amazing and in many cases, life-altering.  This procedure isn’t for everyone.

A smart move also would be to have a cheap health insurance bypass surgery. All you have to do is enter your zip-code at the top of the page and start comparing health insurance quotes.


by Christel Swasey

Is Your High-Sugar Diet Really Dangerous for Your Health?

“All I want for Christmas is some diabetes, some heart disease, and some cancer cells.  Gee, if I could only have my heart clogged up, then I could wish you Merry Christmas.”

How bad does that sound?  Is your high-sugar diet really so dangerous?

It is a bad situation.  What we are doing when we gift our loved ones with way, way too much of the high-sugar, high-fat, high-cholesterol chocolates, cookies, gravies and home-baked treats that we see as signs of love around the holidays is not very merry.

What many of us are doing to ourselves and our families, at Christmas, Valentine’s Day, the Fourth of July, and birthdays, is giving a gift that often amounts to poison, in the long run.

Excess sugar, cholesterol and fat have led some to call the way we eat in North America the S.A.D. diet, (The Standard American Diet) because we have almost completely eliminated the wholesome things from our diets, (“What are leafy greens?”  “What is a legume?” ) –while consuming massive amounts of unhealthful, low-nutrient, artery clogging sludge  (“Pass the cholesterol, please”).

An almost terrifying university researcher and Professor of Pediatrics at UCSF, Robert Lustig, MD, has an interesting –and passionate–  lecture about sugar (that is now available on YouTube at  http://youtu.be/dBnniua6-oM.)

His lecture, “Sugar:  The Bitter Truth,” explains that the bad news about sugar has “has nothing to do with calories; it’s poison.”  He makes no distinction between high fructose corn syrup and sugar.  And yes, he uses the word poison repeatedly.

Dr. Lustig explains that while the Atkins Diet and the Japanese Diet look very different (one virtually eliminates carbohydrates, the other virtually eliminates proteins)  they have something in common:  they both eliminate sugar.

His lecture’s main theme is that sugar consumption, not overeating in general, is the cause of American obesity today.  He cites the following statistics:

Natural consumption of unrefined fruits and vegetables would be about 15 gm. per day.  Before the modern time of refining sugars had become our norm, that’s all people would consume: 15 gm.  When corn syrup hit the market in the 1970’s, Lustig says, sugar consumption  rose to 37 gm. per day.  That’s  about 8% of a person’s caloric intake.

By 1994, we were up to 55 gm. per day.   Today, adolescents consume 73 gm. per day, roughly 12% of the daily caloric intake!

Dr. Lustig also calls corn syrup an economic evil, so cheap that it’s found its way into even hamburger buns, and into almost every processed food we buy.

And what can we do about these frightening facts?  Eat less sugar.  Watch out for it, in the factory-made foods we so readily  –and unwisely–  ingest.

Don’t eat those refined, processed foods.  Don’t mistake corn syrup, sucrose, dextrose, cane juice, or anything else for a healthy alternative to white sugar.  It’s all the same, says Lustig– excess calories without nutritional benefits.

And make heart-healthy, anti-diabetic recipes the norm, rather than the exception, in your home.

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by Christel Swasey

Are Twinkies Healthier Than Popular Children’s Cereals?

Nutrition news flash:  it’s smart to switch from Honey Nut Cheerios to Chips Ahoy, for breakfast.

The kids will be ecstatic!

I read a study yesterday that was done on 84 popular children’s cereals, by a group called Environmental Working Group (EWG).  The group did what we all should be doing.  They actually read the nutrition information on the back of the package, and thought about what it really meant.

The study found that many cereals fail to meet the federal governments “proposed voluntary guidelines” on sugar content, by a long shot.  These cereals are more sugary than most desserts— literally.  There’s more sugar in a Twinkie than in a cup of Kellogg’s Honey Smacks.  There’s more sugar in a cup of Honey Nut Cheerios than in three Chips Ahoy chocolate chip cookies.

Who would have guessed such a thing?  I’ll be letting the kids know that we’ll be serving twinkies from now on, rather than Honey Smacks (or its generic store brand twin).

Seriously, this is breakfast.  Do we not fear sugar addiction, dental disasters, diabetes or other diseases in our children –or in ourselves?

The very worst cereal in the study was Honey Smacks.  You know the one– it’s puffed wheat, which seems healthy.  It features a cute frog on the Kellogg’s packaging.  But it’s the worst offender for sugar– worse than Froot Loops or  Cap’n Crunch.

Honey Smacks is 56% sugar.  That means that when we eat this “puffed wheat,” we are actually eating mostly sugar, not mostly wheat.  Gross.

The EWG suggested serving cereals that not only contain less sugar, but also contain no artificial sweeteners (like sucralose or aspartame) and also no artificial colors and flavors.

BEST CHOICES

The best choices are usually lesser-known brands that not all stores carry, but if consumers ask our grocers to carry them, they usually will.  (Examples:  Laughing Giraffe, Nature’s Path Organic, Kaia, Go Raw, Ambrosial Granola) The EWG also gave out a list of better choices for big-name cereals, but with a caution that these big name cereals on the list, while lower in sugar and free of artificial colors, flavors, and sweeteners, may not be pesticide-free.  (Examples:  original Cheerios, Kellogg’s mini-wheats, Post Grape Nuts Flakes,  Post Shredded Wheat)

Many nutritionists suggest looking for cereals that feature a short ingredient list,  have a high fiber content (this means the factory hasn’t removed most of the healthy portions of the grains), and contain few sugars, including corn sweeteners, sucrose, lactose, glucose, high- fructose corn syrup and malt syrup, honey, molasses, fruit juice concentrate, and brown sugar.

Oddly, cereals that are healthier are usually found on the top shelves of the cereal aisles, where they are not at kids’ or even adults’ eye level.

WORST CHOICES

Top cereals to avoid, unless you are serving them for dessert:

1 Kellogg’s Honey Smacks 55.6%
2 Post Golden Crisp 51.9%
3 Kellogg’s Froot Loops Marshmallow 48.3%
4 Quaker Oats Cap’n Crunch’s OOPS! All Berries 46.9%
5 Quaker Oats Cap’n Crunch Original 44.4%
6 Quaker Oats Oh!s 44.4%
7 Kellogg’s Smorz 43.3%
8 Kellogg’s Apple Jacks 42.9%
9 Quaker Oats Cap’n Crunch’s Crunch Berries 42.3%
10 Kellogg’s Froot Loops Original 41.4%