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DMV has proposed to increase the point value for certain violations such as passing a stopped school bus. METRO photo

By A. Craig Purcell, Esq.

A. Craig Purcell

Back in September of 2023, the New York State Department of Motor Vehicles (DMV) issued a press release to announce proposals to strengthen regulations “to get dangerous drivers off the road.” These proposed amendments would bolster the state’s ability to remove drivers who engage in risky behavior and make it “more difficult for persistent violators to restore driving privileges.” 

These changes in regulations are part of a multifaceted strategy to combat reckless driving, which endangers everyone. 

Commissioner of the New York State Department of Motor Vehicles and Chair of the Governor’s Traffic Safety Committee, Mark J.F. Schroeder, stated that “the message is simple: If your actions behind the wheel put others in danger, you don’t belong in the driver’s seat. That’s why we are proposing significant and aggressive actions to protect other drivers, motorcyclists, bicyclists, pedestrians and children. Everyone deserves to feel safe regardless of how they choose to commute or enjoy our roads.” The amendments will: 

1. Increase the number of points associated with dangerous driving. 

The long-established Driver Violation Point System gives the NYS DMV a way to identify and act against high-risk drivers. The DMV assigns points for certain traffic violations. DMV is proposing to add point values to violations that presently have none. These violations include alcohol or drug-related convictions, driving without a license, and any violation involving speeding in a work zone, leaving the scene of a personal injury crash, or striking a bridge. DMV has also proposed to increase the point value for certain violations such as passing a stopped school bus.

2. Decrease the threshold at which dangerous drivers are disqualified from holding a license. 

Currently, if a licensed driver accumulates 11 points in 18 months, his or her driver’s license may be suspended. The DMV is proposing to amend that regulation to keep more habitual offenders from driving. The proposed amendment will increase the time frame that administrative action can be taken against a persistent violator from 18 months to 24 months. DMV is also proposing changes to the point system used to evaluate requests for re-licensure after drivers have been convicted of multiple reckless driving and similar violations. 

These changes will make it more difficult for drivers with many convictions to regain their driving privileges. During that evaluation process, DMV is also proposing a change that will allow the agency to consider an applicant’s driving history going back four years from the date they applied for re-licensure. DMV previously looked at a driver’s record going back three years.

3. Lower the bar for permanent license forfeiture for reckless drivers who continue to drive under the influence of drugs or alcohol. 

DMV is also proposing to reduce the number of alcohol- or drug-related driving convictions or incidents that would result in a permanent denial of a driver’s license application. Currently, where regulations stipulate that an application for re-licensure be denied if a driver has five or more alcohol or drug-related driving convictions, the DMV is proposing to lower that number to four or more alcohol or drug-related convictions. 

The DMV is also proposing to change regulations to allow for permanent license revocation after three alcohol- or drug-related driving convictions plus one or more other serious driving offenses. 

Other proposed changes will empower the DMV to deny an application for re-licensure for two years if the applicant has three alcohol- or drug-related driving convictions and no serious driving offense. Other applicants who meet the same criteria but have a current license revocation for an alcohol or drug-related conviction will face a five-year revocation.

We will keep the public informed on the progress of these proposals in the New York State Legislature.

A. Craig Purcell, Esq. is a partner at the law firm of Glynn Mercep Purcell and Morrison LLP in Setauket and is a former President of the Suffolk County Bar Association and Vice President of the New York State Bar Association.

Cinnamon Pecan French Toast Casserole

By Heidi Sutton

On a cool, crisp morning, it’s hard to beat an exciting twist on a breakfast classic. 

These two versions of French Toast Casserole are crisp on top while soft and moist in the middle, coming fresh out of the oven with the aroma of cinnamon that will have the whole house eager for a bite. Prepare the night before so all you have to do is add the toppings in the morning.

Cinnamon Pecan French Toast Casserole

Recipe courtesy Culinary.net

Cinnamon Pecan
French Toast Casserole

YIELD: Makes 10 servings

INGREDIENTS:

1 loaf French bread (about 1 1/2 pounds), cut into 1-inch cubes

5 large eggs

1 1/2 cups unsweetened milk

2 tablespoons brown sugar

2 teaspoons vanilla extract

1 teaspoon cinnamon

1/4 teaspoon nutmeg

1/4 teaspoon sea salt

 maple syrup, for serving

Topping:

2 tablespoons unsalted butter, melted

2 tablespoons brown sugar

1/2 cup chopped pecans

1 cup frozen strawberries

1cup frozen blueberries

 confectioners’ sugar, for dusting

DIRECTIONS: 

Grease 9-by-13-inch baking dish. Place bread cubes in baking dish. In large bowl, whisk eggs, milk, brown sugar, vanilla, cinnamon, nutmeg and salt. Pour mixture evenly over bread cubes. Cover baking dish and refrigerate overnight. 

Preheat oven to 350 F. 

To make topping: Drizzle casserole with melted butter and sprinkle with brown sugar and pecans. Top with strawberries and blueberries. Cover and bake 35 minutes then uncover and bake 10-20 minutes, or until topping is browned and egg mixture has mostly set. 

Remove from oven, cover loosely with foil and let stand 10 minutes. Dust with confectioners’ sugar. Serve with maple syrup.

Apple Cinnamon French Toast Casserole

Recipe courtesy of Culinary,net

Apple Cinnamon
French Toast Casserole

YIELD: Makes 12 servings

INGREDIENTS:

Nonstick cooking spray

1 package (20 ounces) French bread, cubed, divided

1 can (20 ounces) apple pie filling

9 eggs

1 cup half-and-half

2 teaspoons ground cinnamon

1 cup powdered sugar, plus additional

2 tablespoons milk, plus additional

Spray 8-by-8-inch glass baking dish with nonstick cooking spray.

DIRECTIONS: 

In baking dish, add 10 ounces cubed French bread in bottom of dish. Pour apple filling over bread. Top with remaining cubed French bread. Set aside. In medium bowl, whisk eggs, half-and-half and cinnamon. Pour evenly over bread. Cover with aluminum foil and chill overnight.

Heat oven to 325 F. Remove foil and bake 50-60 minutes. Let cool 10-15 minutes.

In small bowl, whisk powdered sugar and milk. Add additional, if needed, until pourable glaze is reached. Drizzle over casserole before serving.

METRO photo

This past Monday we celebrated Presidents Day. We should remember it’s not merely a day off from work or an excuse for a long weekend getaway. It’s a time to reflect on the impact of historical figures and the importance of leadership, both nationally and within our community.

Originally established to honor George Washington’s birthday, Presidents Day has evolved into a day of recognition for all U.S. presidents. It’s a day to celebrate the individuals who have held our nation’s highest office and led us through triumphs and challenges, shaping the course of history with their decisions and actions.

One of the primary reasons that Presidents Day holds such significance is because it serves as a reminder of the democratic principles upon which our nation was founded. The peaceful transition of power from one president to the next is a hallmark of our democracy, underscoring the importance of leadership in ensuring the continuity and stability of our government.

While Presidents Day traditionally celebrates the contributions of past presidents to the nation as a whole, it also offers us an opportunity to reflect on the importance of local leadership and its direct influence on our daily lives.

In our community, local leaders play a vital role in shaping the policies, programs and initiatives that directly impact our neighborhoods, schools, businesses and quality of life. From town council members to school board trustees, mayors to county legislators, these individuals make decisions that affect everything from local taxes and infrastructure to education and public safety.

This federal holiday serves as a reminder of the significance of civic engagement and the power of community involvement. It’s a time to recognize the dedication and hard work of our local leaders who devote themselves to serving our community and addressing the needs of its residents.

Moreover, Presidents Day encourages us to reflect on the values and principles guiding our community and consider how we can contribute to its betterment. Whether it’s through volunteering, participating in local government or simply being a responsible and engaged citizen, each of us has a role to play in shaping the future of our community.

Presidents Day provides an opportunity to celebrate the diversity and inclusivity of our community. Just as our nation is comprised of individuals from various backgrounds and walks of life, so too is our local community. Presidents Day reminds us of the importance of unity and collaboration in overcoming challenges and achieving common goals.

Each year as we observe Presidents Day, we should take a moment to express gratitude for the local leaders who work to improve our community. Let us also reaffirm our commitment to active citizenship and civic engagement, recognizing that positive change begins at the grassroots level.

MEET ROSEMARY!

This week’s featured shelter pet is Rosemary, a two-year-old female brown tabby cat who arrived at the Smithtown Animal Shelter on Jan. 23. 

Little Rosemary was found as a stray begging for food. She can be a little shy/hesitant at first, but loves to have her head and face petted. She chirps at you for food and is learning to trust more people. She would do best in a quiet home with a little patience. Rosemary will reward that patience with love. 

If you are interested in meeting Rosemary, please call ahead to schedule an hour to properly interact with her in a domestic setting.

The Town of Smithtown Animal & Adoption Shelter is located at 410 Middle Country Road, Smithtown. Visitor hours are Monday to Saturday from 10 a.m. to 3 p.m. (Sundays and Wednesday evenings by appointment only). For more information, call 631-360-7575 or visit www.townofsmithtownanimalshelter.com.

Bill Murray and Angela Paton in a scene from 'Groundhog Day.'

By Daniel Dunaief

Daniel Dunaief

Yes, I borrowed the headline from the movie “Groundhog Day,” as Bill Murray’s Phil Connors, discusses the weather with Angela Paton’s Mrs. Lancaster in his hotel in the morning.

Weather has always been a potential safe and easy topic when bumping into a neighbor we don’t know well, meeting the parents of a boyfriend or girlfriend, or breaking uncomfortable silences in, say, the office of the school principal or the boss.

These days, however, weather discussions seem to have changed.

Some of that, whether you believe in or are concerned about global warming or not, reflects the reality of several consecutive mild winters.

We have become so accustomed to milder conditions that a sudden drop in temperature or the forecast for a few inches of snow becomes conspicuous, causing us to reach for our heaviest coats, gloves and hats, and to urge others to “stay warm,” even as newscasts often lead their programs with predictions of “as much as four inches of snow.” Heaven forbid!

Back in the day — okay, I wrote it and those words are like nails on a chalkboard (teenagers may need to look up what a chalkboard is) to the younger version of myself — we had long stretches of time when the temperature fell below freezing, or even below 20. We also had real snow days and not these virtual classes amid storms. Not a fan! Let the kids make snowmen and sled down the hills.

Sure, we get periodic bouts of colder weather, but they don’t seem to last as long.

This has lowered the bar and our tolerance for temperatures that threaten to dry out our skin, make our hands numb and freeze our exposed earlobes.

Even, however, when the weather remains mild for long periods of time and we don’t need to talk about something to fill awkward silences, weather has remained a topic of conversation. Why, for example, does a place like San Diego, which has relatively stable weather day after day, need a weather report? They could just run the same graphic each day, with an occasional break to signal a change. 

Weather, however, reminds us that we’re alive and we get to experience some of the conditions of today. Each day’s weather brings a unique backdrop against which we face possibilities, opportunities, and challenges. Two straight days of weather with the same temperature, dew point, humidity and barometric pressure challenge us to find unique parts of the day, as the changing cloud cover or a slight wind acts like unique whirls in the fingerprints of a day. We might be walking down the street when a subtle shift in the weather helps our brain consider a problem from a new perspective. And, even when the weather doesn’t lend a hand, it helps define the moment.

The way the soft early morning light casts a glow on the bare branches at the top of a tree, while the bottom of the tree awaits in flatter light, allows us to celebrate the gift of our senses.

Movie directors use weather not only to create a backdrop or to establish a man-versus-nature themed challenge, but also to reflect the mood of the moment. 

As a main character grapples with the worst of his shortcomings, he may trudge through a rainstorm. When the clouds slowly part, he can reach an epiphany that helps him become a better version of himself.

The weather, with its unpredictable elements and the effect they have on everything in their path, helps us experience the same trees, the same grass, the same car across the street in a different way. A column of light beaming through clouds can offer ephemeral inspiration.

The weather can be an antagonist or a companion, an enabler or a disruptor, and a headwind or a tailwind in our lives.

Then again, it’s also a safe topic when our potential future father-in-law asks us one of many possible questions we’d rather not answer truthfully, if at all. 

At that point, weather becomes a safe topic for chitchat.

METRO photo

By Leah S. Dunaief

Leah Dunaief,
Publisher

Women’s History Month is almost upon us. What is it all about? Named in 1978 by the schools of Sonoma County, California, “as a way of examining women’s history, issues and contributions,” according to the Encyclopedia Britannica on the internet, the celebration is throughout the month of March. Originally championed by the National Women’s History Alliance, “a variety of agencies, schools and organizations observe the month by focusing on the ‘consistently overlooked and undervalued’ role of American women in history.”

So do we.

On our podcast this week, we will have as special guest, Nancy Burner, who is a longtime local Elder Law attorney and who just expanded her practice by partnering with former judge, Gail Prudenti. We hope you will tune in, as we summarize the local news every week, to “the Pressroom Afterhour” and listen to what Ms Burner has to say about women in the law.

Hers will be the first of local female success stories that we plan to bring you throughout the month. 

You can hear us on our website, tbrnewsmedia.com and click on “Listen Now” at the top of the home page. Or you can catch up with the Times Beacon Record podcast on Spotify. There is a fresh one every Friday afternoon, and we archive the past ones for your listening pleasure.

There are some different stories on how the Women’s History Month came to be. One dates to a rally in New York City on March 8, 1857, of female garment workers demanding better working conditions and more pay. Although the police were said to break up the demonstration, several years later the women formed their own union.

Whether true or not, in 1908 a branch of the New York City Social Democratic Women’s Society declared the last Sunday in February to be National Women’s Day. The first was held on February 23, 1909. 

In 1911, International Women Day was observed on March 19, a creation of the International Socialist Women’s Conference, “to focus on the struggles of working women,” as opposed to a similar movement by the feminist “bourgeoisie.”

But the March 8 day from the mid-19th century, became the official date in 1921. Then in 1978, the Sonoma schools took it from there, naming it March Women’s History Week. The idea went to the United States Congress in 1981, where it eventually became Women’s History Month to be observed since 1987, snd further caught on in other countries.

Nancy Burner, Esq.

Nancy Burner graduated Magna Cum Laude in 1985 with a Bachelor of Arts from Stony Brook University and in the top 2 percent of her class with distinction from Hofstra University School of Law with her Juris Doctor in 1988. She created Hofstra”s first law school course in Elder Law in 2011 as an Adjunct Professor there. She has won numerous awards and distinctions over the years, including selection by her peers in Best Lawyers in America for Elder Law. She has also served as President of the Suffolk County Women’s Bar Association and was inducted into the Hofstra University Law Inaugural Hall of Fame, one of only 50 such inductees.

We invite you to join us for the next Pressroom Afterhour podcast for a summary of some of this past week’s local news and the kick off to Women’s History Month. If, after listening, you have questions or comments, we want to hear them Email us at [email protected]  or call at 631-751-7744. 

We encourage feedback and thoughts about local issues.

Brookhaven landfill sign. Photo by Samantha Ruth

The Town of Brookhaven landfill, a titan of our local landscape, casts a long shadow over our future. While the initial plan promised its closure by 2024, the recent extension for incinerator ash disposal leaves us in a state of uncertainty. This reprieve begs a crucial question: What is the actual plan for the landfill, and where will our garbage go?

Residents deserve clarity. We’ve been told the landfill, nearing capacity, would soon reach its final chapter. Now, faced with a year or two extension, we’re left wondering: Is this a temporary fix or a signpost to a longer life for the landfill?

Beyond the timeline, the elephant in the room is ash disposal. Accepting Covanta’s waste may solve its immediate problem, but at what cost? Have the potential environmental impacts been thoroughly assessed? Are we simply swapping one set of concerns for another?

Perhaps most importantly, where is the long-term vision for waste management? Is this extension just a stopgap measure, or is there a concrete plan for a sustainable future beyond the landfill’s life span? We haven’t heard much about exploring alternatives like recycling, composting or waste-to-fuel technologies. Shouldn’t these be at the forefront of the conversation?

The Town Board owes it to residents to provide a comprehensive plan, not just piecemeal extensions. We need to know how the extension fits into the bigger picture, what alternatives are being explored and when  we can expect a clear roadmap for the future.

This isn’t just about the landfill’s closure date, it’s about responsible waste management for generations to come. While there has been a lot of discussion, this postponement raises doubts about a future course. Residents seek transparency, clear communication and a commitment to solutions that prioritize both environmental health and responsible waste disposal. Until then, we’ll remain in limbo, watching the shadow of the landfill grow longer – and wondering where our waste will ultimately end up.

The banning of DDT in the United States in 1972 helped the bald eagle population rebound. Photo by John Dielman

By John L. Turner

John Turner

If ecologists have revealed anything from the thousands of studies of nature and its countless components, relationships, and interactions, it is the extent to which life is interconnected, with the fate of so many living things interwoven with the fate of others. Many of these studies have shown how species are tied together in many unforeseen ways, built on complex webs and relationships. 

John Muir, the founder of the Sierra Club, knew this truism when he wrote about the “intricate tapestry of the natural world” and perhaps best reflected by his famous comment “When one tugs at a single thing in nature, he finds it attached to the rest of the world.” 

Aldo Leopold, perhaps the most impactful conservationist this country has produced, understood this too, expressing it in a slightly different way: “To keep every cog and wheel is the first precaution of intelligent tinkering.” Leopold recognized that adversely affecting one species in a natural community can trigger a set of undesirable ecological actions that  ripples throughout the community. 

There are many straightforward examples illustrating the ecological “ties that bind.” 

One basic concept involves food chains, constructs that help us to understand the connection of one species with another in “eat and be eaten” relationships and the pesticide DDT, banned long-ago, illustrates how species along a food chain can be connected.  DDT was once widely used throughout the United States (and still is used in other parts of the world) and commonly applied on Long Island in the 1950’s and 60’s in an effort to control mosquitoes, especially salt marsh species. 

The DDT in water was assimilated into algae and other phytoplankton, that were fed upon by zooplankton, and many species of zooplankton were, in turn, eaten by small fish who were consumed by larger fish. The larger fish were consumed by fish-eating birds like ospreys, bald eagles, pelicans, and cormorants. 

DDT is fat soluble and not easily excreted so it increased in concentration in the animals higher on the food chain, to the point that in birds it interfered with their ability to lay viable eggs. A loss of viable eggs meant declines in the abundance of these species.  DDT served as an unfortunate illustration of how food chains and webs worked, connecting phytoplankton and zooplankton (species lower on a food chain) to fish and ultimately to birds (higher on the food chain). 

In reality, the world is a much more complicated place and an ecosystem can have numerous food chains that interconnect in a larger and more comprehensive food web, resulting in “cause and effect” relationships that might not be apparent at first. 

As an example, let’s take Yellowstone National Park. For much of the twentieth century the National Park Service had a wrongheaded and myopic  policy of eradicating timber wolves within park boundaries, resulting in burgeoning populations of elk and deer that, in turn, increased browsing and grazing of the Park’s small trees, shrubs and grasses.  

The reintroduction of wolves in Yellowstone Park restored the park’s ecosystem. Photo from Pixabay

Wolves were reintroduced into the Park in 1995 and almost immediately created a cascade of effects that rippled throughout Yellowstone. Wolves disrupted elk herds, their primary prey, allowing for their preferred habitat — riverbanks of willows and aspens — to recover. This new growth provided breeding habitat for a variety of songbirds and the shade the trees created helped fish populations. Beaver increased (there was but one beaver colony when the wolves were brought back; now there are nine) responding to the new, fresh tree growth. Their constructed dams created impoundments for aquatic invertebrates and fish and freshwater marshes where moose and mink occurred. 

Coyotes declined due to wolf predation which allowed for foxes to increase and wolf introduction also benefited grizzly bears who had more berries to eat due to lessened browsing by elk. Prey carcasses also sustained a number of other species like lynx, wolverines, eagles, raven and magpies, grizzly bears just emerging from hibernation, and even beetle species. Ecologists have documented changes down to the diversity of microbes in the soil as a result of wolves reestablishment!   

Closer to home we have the case of the diamondback terrapin. A beautiful reptile with strongholds in the bays and harbors of Long Island’s north shore, it plays an important role in maintaining the health of salt marsh environments in which it lives. With very strong jaws, hard food objects are fair game and terrapins routinely eat several snail species, helping to keep them in check. A good thing because some of the snails feed on marsh grass (Spartina) and if their populations were not controlled it could result in the loss of marshes and the numerous attendant benefits salt marshes provide in the form of food production, attenuating coastal flooding, softening the impacts of coastal storms, and providing habitat for so many plant and animal species.  

A last example underscores how a species can help knit together two distant places with ramifications on human health — in this case India and East Africa. There’s a dragonfly known as the wandering glider and remarkably millions migrate across the Indian Ocean each year, leaving the rice patties and other wetlands where they were born and overwintering in East Africa. Here, they are voracious predators of mosquitoes, many of which carry malaria, an affliction which can be fatal if untreated. Scientists noted an increase in malaria cases in East Africa and tied it back to a reduction in dragonflies caused by pesticide use in Indian wetland pools.   

As these examples illustrate the natural world is an exceptionally complex interwoven tapestry of life with many unforeseen connections. You can understand why Frank Edwin Egler, an American botanist, observed “Nature is not more complicated than you think, it is more complicated than you CAN think.” 

A resident of Setauket, author John Turner is conservation chair of the Four Harbors Audubon Society, author of “Exploring the Other Island: A Seasonal Nature Guide to Long Island” and president of Alula Birding & Natural History Tours.

Kai

MEET KAI

This week’s featured shelter pet is Kai, a 2-year-old grey and white bully/poodle/terrier mix available for adoption at the Smithtown Animal Shelter.

This uniquely looking boy is all love and fun all of the time. He knows no commands and is not yet fully house trained, but he is so eager to please. He was denied proper training and socializing and needs a patient family that will show him love and give him the time he’s been denied. To meet him is to fall in love!

If you are interested in meeting Kai, please call ahead to schedule an hour to properly interact with him in a domestic setting, which includes a Meet and Greet Room, the dog runs, and a dog walk trail.

The Town of Smithtown Animal & Adoption Shelter is located at 410 Middle Country Road, Smithtown. Visitor hours are Monday to Saturday from 10 a.m. to 3 p.m. (Sundays and Wednesday evenings by appointment only). For more information, call 631-360-7575 or visit www.townofsmithtownanimalshelter.com.

Blueberries have been known to lower blood pressure. METRO photo
Over 77 percent of hypertension is uncontrolled.

By David Dunaief, M.D.

Dr. David Dunaief

You would think that, with all the attention we place on hypertension and all the medications in the market that focus on reducing it, we would be doing better in the U.S., statistically.

According to the latest data, almost 120 million U.S. adults, or 48.1 percent of the population, suffer from hypertension (1). Of these, only 22.5 percent have their blood pressure controlled to less than 130/80 mmHg.

For the remaining 92.9 million affected, their risk of complications, such as cardiovascular events and mortality, is significantly higher.

What has the greatest impact on your risk of developing hypertension?

In an observational study involving 2,763 participants, results showed that the top three influencers on the risk of developing high blood pressure were eating a poor diet, with 2.19 times increased risk; being at least modestly overweight, with 1.87 times increased risk; and cigarette smoking, which increased risk 1.83 times (2).

What increases our risk of hypertension complications?

Being significantly overweight or obese, smoking, poor diet, lack of exercise, family history, age, increased sodium, depression, diabetes, low vitamin D, and too much alcohol are some of the factors that increase our risk (3). The good news is that you can take an active role in improving your risk profile (4).

Who is at greater risk of complications, men or women?

One of the most feared complications of hypertension is cardiovascular disease. A study found that isolated systolic (top number) hypertension increased the risk of cardiovascular disease and death in both young and middle-aged men and women between 18 and 49 years old, compared to those who had optimal blood pressure (5). The effect was greatest in women, with a 55 percent increased risk of cardiovascular disease and 112 percent increased risk of heart disease death. 

High blood pressure complications were not affected by onset age. Though this study was observational, it was very large and had a 31-year duration.

When is the best time to measure blood pressure?

Measuring blood pressure in the clinic can be useful. However, in a meta-analysis of nine studies, results showed that high blood pressure measured at nighttime was potentially a better predictor of myocardial infarctions (heart attacks) and strokes, compared to daytime and clinic readings (5).

For every 10 mmHg rise in nighttime systolic blood pressure, there was a corresponding 25 percent increase in cardiovascular events.

Does this mean that nighttime readings are superior in predicting risk? Not necessarily, but the results are interesting. The nighttime readings were made using 24-hour ambulatory blood pressure measurements (ABPM).

Masked uncontrolled hypertension (MUCH) is a factor that may increase the risk of cardiovascular events in the nighttime. MUCH occurs in those who are well-controlled during clinic readings for blood pressure; however, their nocturnal blood pressure is uncontrolled. In the Spanish Society of Hypertension ABPM Registry, MUCH was most seen during nocturnal hours (6). 

The authors suggest that ABPM may be a better way to monitor those with higher risk factors for MUCH, such as those whose pressure is borderline in the clinic and those who are smokers, obese or have diabetes.

A previous study of patients with chronic kidney disease (CKD) and hypertension suggested that taking at least one antihypertensive medication at night may be more effective than taking them all in the morning (7). Those who took one or more blood pressure medications at night saw a two-thirds reduction in cardiovascular event risk. This could help explain those results.

Do berries help control blood pressure?

Diet plays an important role in controlling high blood pressure. Of course, lowering sodium is important, but what about adding berries?

In a study, 22 grams of blueberry powder consumed daily, equivalent to one cup of fresh blueberries, reduced systolic blood pressure by a respectable 7 mmHg and diastolic blood pressure by 5 mmHg over 2 months (8).

This modest amount of fruit had a significant impact in a small, preliminary, double-blind, placebo-controlled randomized trial. Blueberries increase nitric oxide, which helps blood vessels relax and reduces blood pressure. While the study used powder, it’s possible that an equivalent amount of real fruit could lead to an even greater reduction.

In conclusion, high blood pressure and resulting cardiovascular complications can be scary, but lifestyle modifications, such as making dietary changes and taking antihypertensive medications at night, can have a big impact in reducing your risks.

References:

(1) millionhearts.hhs.gov. (2) BMC Fam Pract 2015;16(26). (3) uptodate.com. (4) Diabetes Care 2011;34 Suppl 2:S308-312. (5) J Am Coll Cardiol 2015;65(4):327-335. (6) Eur Heart J 2015;35(46):3304-3312. (7) J Am Soc Nephrol 2011 Dec;22(12):2313-2321. (8) J Acad Nutr Diet 2015;115(3):369-377.

Dr. David Dunaief is a speaker, author and local lifestyle medicine physician focusing on the integration of medicine, nutrition, fitness and stress management. For further information, visit www.medicalcompassmd.com or consult your personal physician.