Salts without sodium (and with little “salt shaker”): for hypertensive?

Image result for salt On many occasions hypertension or increased risk is related to the consumption of a significant amount of sodium in the diet. However, on the role of sodium in hypertension, many controversies about the quantification are related. A priori, it seems that there are people whose hypertension is more “sodium dependent” than in others . In the former, a reduction of this element in the diet could provide a considerable benefit, however, in the others, not so much. There is no lack of data to support this possibility, stating that only a third of hypertensive patients could benefit from a low sodium diet, compared to the remaining two thirds who would not see this hypertension modified by the aforementioned sodium reduction. In fact, current perspectives point more towards a balance between excess sodium and potassium deficit , both together , as a situation of increased risk, rather than the excess of sodium itself .

Be that as it may, most of the most recent consensus concludes that in our current dietary pattern we end up introducing a considerably high amount of sodium in our diet and that without a drastic restriction being necessary, it is advisable to reduce their consumption , as I say, our current habits.

The Problem

Image result for cannot controlMuch of the problem, I already told you in this post , is that to some extent the dietary sources of sodium in our diet are beyond our direct control . This is so due to the (bad) food choices that characterize the current pattern of food consumption , curdled in excess of processed foods that in turn incorporate a high amount of sodium from its ingredients.

However, another of the typical points to control the amount of sodium in the diet is found in the hands of the consumer when he prepares or ingests food , using the salt shaker. For them, not long ago there are a series of “substitutes” or “substitutes” of table salt in which the amount of sodium has been reduced more or less considerable.

The most common presentation consists in replacing part of the sodium chloride (a compound that characterizes 99% of 99% of most typical salts regardless of their name) by potassium chloride … another “salt” that substitutes sodium for potassium. Honey on flakes that would say that … remove sodium and put potassium, the first low and the second goes up. In fact, some studies have shown a decrease in mortality caused by cardiovascular diseases when common table salt was replaced by potassium-enriched salt … was that not? Yes, but no.

It is a “yes” with three nuances to consider

  • On the one hand, potassium chloride does not “room” so much food in the sense that the diner is waiting for it to do so, or at least not as much as sodium chloride (the salt of all life). Thus, most of the preparations sold as “salt substitutesreplace a more or less significant amount of sodium chloride with potassium chloride (or other salts … of calcium, magnesium, etc.). Part of the problem is that these salts do not salt as much as the table salt itself and therefore, for the same amount, for the same gesture (that of shaking the salt shaker on the plate) the result is not the same. Thus, the user tends to throw more of this substitute than from the table salt itself until it obtains a result similar to the palate. A kind of “for this trip did not need panniers.”
  • On the other hand, there is the question of its use in the kitchen, rather than in the table itself, knowing that the use of potassium chloride leaves an important bitter aftertaste when heated … a fact that accompanies most culinary preparations.
  • And finally, it is necessary to take into account each case in particular when it comes to significantly increase potassium in the diet from these types of strategies. There are patients who, due to their particular physiopathology , or because of the type of drugs they use, must pay special attention to the amount of potassium they incorporate with their diet. Thus, being essential to consult with the doctor, when making such decisions, should pay special attention to those with diabetes , those with some type of renal impairment , those who suffer obstruction or difficulty in the urinary flow , as well as users of diuretics (which promote potassium retention) or angiotensin converting enzyme inhibitors .

In summary

Image result for summaryAlthough the use of substitutes for table salt could be useful for certain people, its use should be limited to adequate prior advice by a qualified health professional : always taking into account the patient’s possible circumstances; the possible influence of a pharmacological treatment … and especially not before having managed a change in the dietary patterns in which less processed foods predominate, more “natural” compared to the most processed ones, with a special presence of those of fresh vegetable origin .

If you liked this post, you may be interested in consulting

  • Basic guide to reduce the intake of sodium (salt) and alternatives
  • Most of the salt you drink has been put there by someone other than you
  • More concrete purposes, easier to fulfill purposes
  • Three key elements in processed foods: Sugar, sodium and fat

CyL agrees to talk about debt relief, but for all the CCAA and not only "for those who have spent without having"

 
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VALLADOLID, 30 (EUROPA PRESS)

The spokesperson of the Junta de Castilla y León, Milagros Marcos, has admitted the possibility that it should be and can talk about the indebtedness of the autonomous communities for the negotiation of the future financing model but has been blunt to warn that The possible removals have to be “for everyone” and not only for the territories that have needed help from the State when they can not access the markets.

“If it is opened and the withdrawal is proposed for the autonomous communities that needed the State’s support because they could not finance themselves, because they had debt problems beyond what others had, it does not seem reasonable to rely more on those who do not has fulfilled and who has spent more without having, than who has not done it “, has sentenced to remember that communities that did not choose the FLA as Castilla y León managed to solve problems to the State.

In this way the spokesperson has spoken to journalists’ questions at the press conference after the Governing Council on the proposal of the leader of the Catalan Socialists, Miquel Iceta, to forgive part of the debt to Catalonia or other communities.

“You have to be serious and stop improvising every day with a question,” Marcos warned for whom the necessary thing at this time is to talk about the whole autonomic financing model without different approaches by each of the communities. In this sense, he has demanded that a negotiation table be opened in which rigorous work is being carried out to seek balance in the financing and sustainability of services in each territory with its different characteristics, as Castilla y León has always claimed.

On the other hand, the spokeswoman of the Board has considered “reasonable” that local financing is negotiated in parallel with the model of regional financing although it has admitted that it is not yet known on what terms since the process has just begun. “We must give agility but also depth and normality to the issue,” Marcos has defended for whom the CPFF should be the one that advances in both directions.

Marcos has also considered “reasonable” that local entities can have their own funds, in reference to the investment of the surplus of the municipalities, but recalled immediately that it is not a matter of the Board. That said, he has advocated seeking a balance between the necessary payment of debt with the activation of the economy and spending.

As for the Basque quota, the spokesperson has once again claimed the same funding weighted per person for Castilla y León as for the Basque Country since all citizens have the same rights to insist on the doubts already raised by the president of the Board, Juan Vicente Herrera, regarding whether or not the differences have increased with respect to the initial imbalance in which it was started to also remember that a reduction of the Tax on Companies in the Basque Country has already been announced.

“It seems that equality is not going when Castilla y León does not have any capacity on this tax”, lamented the spokesperson who has predicted “clear competitive advantages” in Álava, for example, than in any other province of other bordering communities.

Marcos has also moved the “loyalty” of the Board that also understands the difficulties of the Government of the nation to move forward the budgets of 2018 for those who do not have the support of the main opposition party, in reference to the PSOE.

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Milagros Marcos has ensured that the Junta will “always” defend the interests of Castilla y León “with all the mechanisms” at its disposal without intending to harm the inhabitants of the Basque Country but to defend the Castilian-Leonians.

Finally, the spokeswoman explained that the Junta de Castilla y León still does not know the calculations of the new Basque quota approved in the Congress of Deputies only with the vote against Citizens and Commitments and the abstention of EH-Bildu to request that it be You can meet at the table about the regional financing model within the CPFF.

“That’s where we should see the differences and know the details of the information,” concluded the spokeswoman who does not know if the deputies who voted in favor of the revision of the quota, including representatives of the PP, knew the details of that calculation. “We understand that if they voted in favor they would not be voting against the interests of Castilla y León and they would have their motive in each case,” said the spokesperson, who has refused to speak for any third party.

Clara Ferrando: "We are kidnapped financially by the State"

We are kidnapped financially by the State

Clara Ferrando (València, 1973) knows very well the risks of not having a healthy account. Because the current autonomous finance secretary, has spent many years in private banking managing and studying the sustainability of financial projects. Now, Clara Ferrando, who is a member of Compromís, fights, along with socialist conseller Vicent Soler, to ensure that the Valencian Community abandons its financial asphyxia, conditioned by two factors: a huge debt that makes the credibility necessary to go to the financial markets impossible private, and bad regional financing that makes it difficult to maintain the quality of public services. In this interview, she explains what conditions are necessary to overcome what she calls “financial kidnapping” of the State.

The barons of the PP say that the finance minister, Cristobal Montoro does not want to forgive the debt to the autonomies, and Montoro himself talks about restructuring it without specifying how. How do you perceive this message from the Conselleria?

Our perception is of absolute concern. Our country without an orderly restructuring or without a solution to the public debt that we have historically accumulated, which also contemplates a remission or compensation of part of the debt that has not been generated by an increase in expenditure but by underfunding, will be in a very complicated situation. This restructuring, which could go through different partial solutions, should contemplate a main one that is a forgiveness of that debt generated, precisely, by an unjust and unbalanced financing model with Valencians.

Restructuring, forgiveness, compensation, are terms that are spoken but not specified. What is really needed? What should the formula be?

There are many ways to restructure the debt. One would be to increase the terms to pay that debt. We are clear and assume budgetary stability and obviously that the debt has to be paid with its corresponding interests. But the debt that corresponds to us, which has been caused by political management in the past, well or badly done, because there are also the extra costs, corruption, and so on. But not the one that is caused by underfunding. The restructuring could come to extend terms, increase or return to have periods of cadence or reduction of interest rates, without that supposed a condoning. But that will not be enough for the Valencian Country. Necessarily there would be a fourth or main one that is the cancellation or compensation.

The truth is that we are very concerned about the conceptual definition of alternative mechanisms. These should be from their origin, as their name suggests, alternative. And not a necessity before the fact that resources do not reach you, because they should have arrived naturally in a good system of regional financing. It is then when they force you to commit yourself, to make use of those loans, not because we have spent more than the rest, because we have not done it; simply because you can not cover the needs of coverage of minimum public services and quality, which are also services required by law. It is, in short, a kidnapping, because it is to obtain resources that you do not have through loans with the Ministry of Finance, with their respective interests. What we should receive is just a financing, not a loan, and that does not force us to return with interest. In addition, they make the ball of debt bigger and bigger.

Clear. Any company does not use only one bank, the diversification of credit is fundamental, because it is also a risk diversification, and I know it well because I come from the banking sector. We do not have the option of going to the private sector, because of the debt we have. We can only ask for credit from the State, which is in the end a financial kidnapping. We do not want only the restructuring of the debt, what we want is to be able to return to financial markets and without that financial unsustainability, because now we are unsustainable, we can not go. What the State should do is not to gather their barons to say to say they do not want to forgive the debt, what the State should do is look at the territorial problems and look for a solution. Our debt would translate into a rating so low that for people who had to invest we should pay coupons to more than 8% or more. So we are an autonomous community not second, but third.

Do you think that de facto the Valencian is an autonomy intervened because of the debt

Do you think that de facto the Valencian is an autonomy intervened because of the debt

The truth is that yes, because with a simple closing of the tap we have a serious problem. We ask you each year since we are in the government for an income scheduling, to know when they will arrive; is that we can not plan anything, we ask in a letter from the minister to the minister, to know when the ordinary FLA or the extraordinary FLA will arrive. That is coming to you from May when they want and how they want, and it is a total hijacking of financial autonomy, and thus there can be no political autonomy.

In the Valencian Country does not fit any other restructuring that does not go through a condonation, because the State has to find a solution to our financial unsustainability. Not because it touches us, because it has already been done in other autonomies such as Andalusia or Extremadura; and not only because of underfunding, but because the State is the one that must be the first to seek a solution.

 

Do you trust that there will be a proposal for a new financing model in 2018?

Do you trust that there will be a proposal for a new financing model in 2018?

We had the hope that in 2017 the commitment launched by President Mariano Rajoy to the conference of presidents would be fulfilled, and it was a pity that there is no institutional loyalty to the need for financial sufficiency. Hope is the last thing that is lost, because otherwise it would be a mockery, an insult to intelligence, and a lack of respect and a word to Valencians.

The PP warns that to change the model needs the support of the PSOE. Do you trust that socialists are sensitive to the Valencian reality?

I trust and I do not doubt that the PSPV totally agrees with us, but of course that is the difference with Compromís, that we must not render accounts to a state party with a presence in Madrid. I have no doubt that the PSPV wants to assert its defense of what this land needs, as President Ximo Puig defends; and I hope that it does not have problems so that it is successful within the PSOE.

Are you worried that in the end with financing a two-speed Spain will be consolidated, with well-financed autonomies such as the Basque Country or Galicia and others such as Valencia?

Until now, I have not seen the will of the representatives of the Government of Spain. We have an expired system, there have been opportunities to open the debate, the words have been broken, and of course I am concerned that there are autonomies at different speeds. Because it also seems that there is no desire to solve it. The solution must be proposed by the Government of Spain and it does not.

“I am concerned about the consolidation of a two-speed Spain, between good and badly financed autonomies.”

In all this debate, what does seem is that the social and political unity is being broken around the demand for better financing.

From the moment that Mrs. Isabel Bonig does not comply with the agreement of the Valencian Courts and that they no longer remember their commitments to ask for the historical debt, it is difficult to achieve union. But Botanic’s government is committed to its goal, and we will not stop explaining the situation to Valencians every day.