You’re standing in the cereal aisle and faced with a difficult question – do you pick the package touting whole grains or the one with the “Sensible Solution” banner?  The one suggesting it’s a “Smart Choice” or displaying a “Smart Spot?”

Recently it seems that in an effort to make grocery shopping easier, a few too many cooks got into the kitchen and made a royal mess of it all.  The tricky part is that each of the aforementioned nutrition labeling systems, along with many others, has its own set of criteria.  They’re similar, yes, but none are perfect and they can certainly be a confusing eye-sore for those trying to get in and out of the store quickly. 

There is some good news.  The Food and Drug Administration, which regulates nutrition labeling, is working to update the famous (infamous for some) black and white Nutrition Facts Panel found on the majority of items in the grocery store.  Better yet, the FDA is planning to come down hard on the food companies that make their products look healthier than they actually are.  The FDA’s ultimate goal is to create a uniform labeling system and establish industry wide standards for  nutrition claims.  In the meantime, we’ll take a look at what’s out there today.

Nutrition labeling systems have actually been around since the mid-90s when the American Heart Association launched the Heart Check label to promote heart healthier food products.  PepsiCo and Kraft Foods followed about a decade later with their Smart Spot and Sensible Solution products respectively, which indicate “better for you” items.  Other large corporations followed suit with their own versions, and recently supermarket chains have launched their own campaigns, with their own criteria, with their own objectives of highlighting the best of the best when it comes to more waistline-friendly products.

The trouble is, we’re not comparing apples to orange, but rather Cocoa Krispies to…Fruit Loops.  

In an already overwhelming supermarket, the plethora of nutrition labeling separate from the FDA regulated Nutrition Facts Panel only makes matters worse.  So what should you do?  Keep in mind that each labeling system has its own standards for determining which products get stars or flags or thumbs up or what have you; each system also has slightly different priorities– heart healthy vs. low carb vs. low calorie vs. MUST SELL THIS.  Regardless of the standards used (some are published, but most are not) you need to keep the bigger picture in mind.  

For example, when shopping for cereal go with what you know -  a good source of fiber without lots of added sugars, and avoid the word “cookie or cocoa” in the title.  If you’re shopping for soda go with diet, if you want pasta look for whole grain, if you want something sweet focus more on portions sizes than anything else.  Get the chocolate cake if you crave it, but only eat a small slice or buy pre-portioned “diet” desserts if you don’t trust your will power. 

Most importantly, go in with a list, and come out with what was on your list.  Plan meals ahead to save money, time and calories.  Whenever possible, avoid the middle aisles.  Focus on the perimeter– dairy, meat, deli, and produce.  And when in doubt, keep Michael Pollan’s mantra in your head: “Eat food.  Not too much.  Mostly plants.”

Stay tuned next week for Part II where we’ll take an even closer look at label claims and % Daily Value. 

Tanya Zuckerbrot, MS, RD is a nutritionist and founder of www.Skinnyandthecity.com.    She is also the creator of The F-Factor Diet™, an innovative nutritional program she has used for more than ten years to provide hundreds of her clients with all the tools they need to achieve easy weight loss and maintenance, improved health and well-being.  For more information log onto www.FFactorDiet.com.

There have been a number of published reports this year about staff several VA hospitals using unsterilized equipment and exposing their patients to infectious diseases.

To hear of such negligent acts coming from a VA hospital is totally unconscionable and should never be tolerated. In the past couple of years, we have heard about malicious health care personnel who ― for some reason or another ― have purposely infected patients or administered medication inappropriately, but a case where a health care facility and/or health care personnel fails to have good infection control, the potential to harm hundreds of innocent victims is overwhelming.

If nothing else, what medical history has taught us, is that hospitals infections are on the rise. For the last five years, massive education coming from federal health agencies have mandated that doctors, nurses, and technical personnel that work in a hospital understand and follow good infection control policies so that patients will not be exposed to dangerous diseases.

Many hospitals are doing a good job, but clearly, from what we can learn of these recent reports – a lot of work needs to be done.

It is particularly upsetting to me because VA hospitals should represent the best health care available – especially because their purpose is to provide services to our men and women in uniform who have sacrificed so much.

So let us hope that this is a wake-up call to the Obama administration to beef up the quality and the prestige of our federally-funded health services.

Now, let me give you some tips on how you can protect yourself from becoming a victim of poor infection control in the hospital:

1. Demand that all health care personnel wash their hands in front of you before they render any physical service;
2. Demand that all health care personnel wear NEW gloves before drawing any blood;
3. Make sure your health care provider opens new needles from new packaging in your presence;
4. If any injectable medication is to be administered, it must come from a new bottle; 
5. If you do not feel comfortable in your current setting, ask to speak to the infection control officer at your health facility. It is your right. 

Like I always say: It’s my hope that some day all health care facilities will provide the best care available, but it seems that in the meantime, we all need to be on the alert.

At least 15 military service members or their relatives are believed to have been infected with hepatitis by a nurse suspected of stealing their painkillers during surgery.

The nurse, retired Army captain Jon Dale Jones, was arrested this month in Miami on federal charges of assaulting three of those patients and possession of a controlled substance by fraud.