Joslin’s New Nutrition Guidelines For Diabetes And Pre-diabetes
40-30-30 formula and 3 hours of activity a week + 50Gms Fiber can equal a modest weight loss of one pound every one to two weeks. As Americans’ waistlines continue to expand, contributing to a burgeoning epidemic of type 2 diabetes, the scientific jury is in and the verdict is clear: weight loss and increased physical activity is directly related to improved diabetes control. To help Americans fight the dramatic increase in type 2 diabetes, Joslin diabetes Center has crafted new nutrition and physical activity guidelines for overweight and obese individuals with type 2 diabetes and those at risk for developing diabetes (pre- diabetes). "Since obesity doesn’t seem to be slowing down and the complications of diabetes are so serious, we were especially alarmed about the health of the American public. We felt the best way to impact the largest number of people was to strengthen our nutrition guidelines," said James L. Rosenzweig, M.D, head of Joslin’s clinical guidelines committee. The team of physicians, dietitians, exercise physiologists and educators spent months reviewing the scientific literature to draw up new guidelines. "The search was on for guidelines that would improve insulin sensitivity, cardiovascular health and reduce body fat. And most importantly, we wanted to deliver a plan that makes clear what people need to do to achieve their goals," said Dr. Rosenzweig, who also is Director of Joslin’s Disease Management Program and Assistant Professor of Medicine at Harvard Medical School. The new guidelines recommend approximately 40 percent of a person’s daily calories come from carbohydrates; 20 to 30 percent from protein (unless the person has kidney disease); 30-35 percent come from fat, (mostly mono- and polyunsaturated fats); and at least 20-35 grams Continue reading >>
Diet And Diabetes: Why Saturated Fats Are The Real Enemy
Diet and Diabetes: Why Saturated Fats Are the Real Enemy This is the seventh article in our Controversies series and the third piece focusing on the subject of fats. Today, we are going to explore the very important relationship between saturated fat intake and the onset of diabetes. As we mentioned in The Ultimate Guide to Saturated Fats , Once we control for weight, alcohol, smoking, exercise and family history, the incidence of diabetes is significantly associated with the proportion of saturated fat in our blood. Today we will take a deep dive to fully understand why there is such a strong link between diabetes and saturated fat consumption. We will also discuss how a plant-based diet may protect you from (or even reverse!) the disease. Insulin resistance is a hallmark of both prediabetes and type 2 diabetes. So what is insulin resistance exactly (and why is it important)? Insulin is what permits glucose (sugar) in the blood to enter our (muscle) cells. In essence, insulin unlocks the door, allowing the glucose to come in. If there is no insulin at all (the case of type 1 diabetes), the blood sugar hangs out in the bloodstream because it cannot get inside. That causes the blood sugar levels to rise. But what happens if the insulin is there but is simply not working properly? In that case, the lock to the cell door is blocked. This is what is called insulin resistance. So what causes insulin resistance in the first place? Fat build-up inside (muscle) cells creates toxic fatty breakdown products and free radicals that block the insulin-signaling process, close the glucose gate, and make blood sugar levels rise. In fact, insulin resistance can occur in 180 short minutes (just 3 hours!) after the consumption of fat. The process of insulin resistance, caused by the buil Continue reading >>
Treatment Of Diabetes: The Diabetic Diet
The mainstays of diabetes treatment are: Working towards obtaining ideal body weight Following a diabetic diet Regular exercise Diabetic medication if needed Note: Type 1 diabetes must be treated with insulin; if you have type 2 diabetes, you may not need to take insulin. This involves injecting insulin under the skin for it to work. Insulin cannot be taken as a pill because the digestive juices in the stomach would destroy the insulin before it could work. Scientists are looking for new ways to give insulin. But today, shots are the only method. There are, however, new methods to give the shots. Insulin pumps are now being widely used and many people are having great results. In this Article Working towards obtaining ideal body weight An estimate of ideal body weight can be calculated using this formula: For women: Start with 100 pounds for 5 feet tall. Add 5 pounds for every inch over 5 feet. If you are under 5 feet, subtract 5 pounds for each inch under 5 feet. This will give you your ideal weight. If you have a large frame, add 10%. If you have a small frame, subtract 10%. A good way to decide your frame size is to look at your wrist size compared to other women's. Example: A woman who is 5' 4" tall and has a large frame 100 pounds + 20 pounds (4 inches times 5 pounds per inch) = 120 pounds. Add 10% for large frame (in this case 10% of 120 pounds is 12 pounds). 120 pounds + 12 pounds = 132 pounds ideal body weight. For men: Start with 106 pounds for a height of 5 foot. Add 6 pounds for every inch above 5 foot. For a large frame, add 10%. For a small frame, subtract 10%. (See above for further details.) Learn More about Treating Type 2 Diabetes The Diabetic Diet Diet is very important in diabetes. There are differing philosophies on what is the best diet but below is Continue reading >>
- Relative effectiveness of insulin pump treatment over multiple daily injections and structured education during flexible intensive insulin treatment for type 1 diabetes: cluster randomised trial (REPOSE)
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Fat Is The Cause Of Type 2 Diabetes
ron: I’m glad you asked this question, because it gets at a common issue that many people share. Due to science education in schools and the way media reports on scientific news, the general public is under the impression that each new study sort of wipes out any study that came before. Say that yesterday there was a study or article in favor of say butter, then you would see those headlines and think that the latest and greatest WORD from science is that butter is healthy. And then tomorrow, when another study comes out showing that butter is indeed unhealthy, there is another headline and people think that the latest “word” is that butter is now unhealthy. Another problem is that because people think the latest study is the latest word and since studies are not all going to agree, people think that the science keeps flip flopping and get frustrated with that. The media makes this worse by only reporting studies that they can make appear to be a “flip flop” as the media makes money off of eye catching headlines. . But that’s not how science actually works. When done in good faith, science is about hitting a subject from a whole bunch of different angles and attempting to replicate results multiple times. Understanding that life is messy and it’s extremely difficult (impossible?) to create perfect studies for subjects as complex as nutrition on long term health, we *expect* that not all the studies will agree with each other. However, over time, if we do our job, we can also expect that the *body of scientific evidence* will paint a fairly clear picture. I say all the time, “It’s not about any one study. It’s about the body of evidence.” . Did you know that there are over 100 studies showing that smoking is either neutral or health-promoting? But t Continue reading >>
What Should I Eat?
People with diabetes should follow the Australian Dietary Guidelines. Eating the recommended amount of food from the five food groups will provide you with the nutrients you need to be healthy and prevent chronic diseases such as obesity and heart disease. Australian Dietary Guidelines: To help manage your diabetes: Eat regular meals and spread them evenly throughout the day Eat a diet lower in fat, particularly saturated fat If you take insulin or diabetes tablets, you may need to have between meal snacks It is important to recognise that everyone’s needs are different. All people with diabetes should see an Accredited Practising Dietitian in conjunction with their diabetes team for individualised advice. Read our position statement 'One Diet Does Not Fit All'. Matching the amount of food you eat with the amount of energy you burn through activity and exercise is important. Putting too much fuel in your body can lead to weight gain. Being overweight or obese can make it difficult to manage your diabetes and can increase the risk of heart disease, stroke and cancer. Limit foods high in energy such as take away foods, sweet biscuits, cakes, sugar sweetened drinks and fruit juice, lollies, chocolate and savoury snacks. Some people have a healthy diet but eat too much. Reducing your portion size is one way to decrease the amount of energy you eat. Being active has many benefits. Along with healthy eating, regular physical activity can help you to manage your blood glucose levels, reduce your blood fats (cholesterol and triglycerides) and maintain a healthy weight. Learn more about exercise and maintaining a healthy weight. Fats have the highest energy (kilojoule or calorie) content of all foods. Eating too much fat can make you put on weight, which may make it more diffi Continue reading >>
Nutritional Recommendations For Individuals With Diabetes
Go to: INTRODUCTION This chapter will summarize current information on nutritional recommendations for persons with diabetes for health care practitioners who treat them. The key take home message is that the 1800 calorie ADA diet is dead! The modern diet for the individual with diabetes is based on concepts from clinical research, portion control, and individualized lifestyle changes. It cannot simply be delivered by giving a patient a diet sheet in a one-size-fits-all approach. The lifestyle modification guidance and support needed requires a team effort, best led by an expert in this area; a registered dietitian (RD), or a referral to a diabetes self-management education (DSME) program that includes instruction on nutrition therapy. Dietary recommendations need to be individualized for and accepted by the given patient. It’s important to note that the nutrition goals for diabetes are similar to those that healthy individuals should strive to incorporate into their lifestyle. Leading authorities and professional organizations have concluded that proper nutrition is an important part of the foundation for the treatment of diabetes. However, appropriate nutritional treatment, implementation, and ultimate compliance with the plan remain some of the most vexing problems in diabetic management for three major reasons: First, there are some differences in the dietary structure to consider, depending on the type of diabetes. Second, a plethora of dietary information is available from many sources to the patient and healthcare provider. Nutritional science is constantly evolving, so that what may be considered true today may be outdated in the near future. Different types of diabetes require some specialized nutritional intervention; however, many of the basic dietary princ Continue reading >>
- A Novel Intervention Including Individualized Nutritional Recommendations Reduces Hemoglobin A1c Level, Medication Use, and Weight in Type 2 Diabetes
- A Novel Intervention Including Individualized Nutritional Recommendations Reduces Hemoglobin A1c Level, Medication Use, and Weight in Type 2 Diabetes
- American Diabetes Association® Releases 2018 Standards of Medical Care in Diabetes, with Notable New Recommendations for People with Cardiovascular Disease and Diabetes
Fats And Diabetes
Fat is very high in calories with each gram of fat providing more than twice as many calories compared to protein and carbohydrate. Eating too much fat can lead to you taking in more calories than your body needs which causes weight gain which can affect your diabetes control and overall health. The type of fat is important too. Having too much saturated fat in your diet can cause high levels of what’s known as ‘bad cholesterol’ (low-density lipoprotein or LDL), which increases the risk of cardiovascular disease (CVD). People with diabetes are at increased risk of CVD, so it’s even more important to make healthier food choices. In this section Should I avoid fat completely? Fat plays a very important role in the body, so you need to include a small amount of it in your diet. Fat in our body fulfils a wide range of functions, which include: supplying energy for cells providing essential fatty acids that your body can't make transporting fat-soluble vitamins (A, D, E and K) providing a protective layer around vital organs being necessary in the production of hormones. However, fats are high in calories, so it’s important to limit the amount you use – especially if you’re trying to manage your weight. Next time you’re cooking or shopping, have a look at the nutritional label to see what types of fats are in the product you’re buying. The main types of fat found in our food are saturated and unsaturated, and most foods will have a combination of these. All of us need to cut saturated fat and use unsaturated fats and oils, such as rapeseed or olive oil, as these types are better for your heart. Saturated fats Saturated fat is present in higher amounts in animal products, such as: butter cream cheese meat meat products and poultry processed foods like pastri Continue reading >>
How Much Saturated Fat Can I Eat Per Day If I Have Diabetes?
How much saturated fat can I eat per day if I have diabetes? If you have diabetes, try to stick to less than 7% of your calories as saturated fat. If you know how many calories you eat, you can use the information on labels to help you stick to your total amount of saturated fat for the day. 1200 calories -- 9 grams of saturated fat 1500 calories -- 11 grams of saturated fat 1800 calories -- 14 grams of saturated fat 2000 calories -- 15 grams of saturated fat Diabetes mellitus (MEL-ih-tus), often referred to as diabetes, is characterized by high blood glucose (sugar) levels that result from the bodys inability to produce enough insulin and/or effectively utilize the insulin. Diabetes ... is a serious, life-long condition and the sixth leading cause of death in the United States. Diabetes is a disorder of metabolism (the body's way of digesting food and converting it into energy). There are three forms of diabetes. Type 1 diabetes is an autoimmune disease that accounts for five- to 10-percent of all diagnosed cases of diabetes. Type 2 diabetes may account for 90- to 95-percent of all diagnosed cases. The third type of diabetes occurs in pregnancy and is referred to as gestational diabetes. Left untreated, gestational diabetes can cause health issues for pregnant women and their babies. People with diabetes can take preventive steps to control this disease and decrease the risk of further complications. Chemical Toxins Relationship Abuse Diabetes Complications Body Contouring Your Lifestyle The Five Senses Stages Of Colon Cancer Patient Education For Improving Rx Drug Adherence Your Mind Male Reproductive System Parts Parenting Teens Morning Sickness & Pregnancy Mental Health Therapies Sharecare Bladder Cancer Obsessive Compulsive Disorder Digestive Diseases Schizophreni Continue reading >>
Saturated Fat Helps Avoid Diabetes
The saturated fat heptadecanoic acid was most beneficial for metabolism in a study of dolphins Dolphins with the highest levels of this saturated fat in their blood had lower insulin and triglyceride levels When dolphins with low heptadecanoic acid levels were fed fish high in the saturated fat, their markers of metabolic syndrome, including elevated insulin, glucose, and triglycerides, normalized Heptadecanoic acid is found in certain fish as well as whole milk, whole milk yogurt, and, especially, butter By Dr. Mercola About one in three Americans now has diabetes or pre-diabetes. That's nearly 80 million people, the majority of whom suffer from type 2 diabetes – a preventable and, often, reversible condition. The problem is that many Americans are unaware that the foods they're eating could be setting them up for a dietary disaster, and this isn't their fault. Public health guidelines condemn healthy fats from foods like butter and full-fat dairy and recommend whole grains and cereals – the opposite of what a person with diabetes, or any person really, needs to stay healthy. For the last 50 years, Americans have been told to eat a high complex carbohydrate, low saturated fat diet. Even diabetics have been told to eat 50 to 60 percent of their daily calories in the form of processed carbs! Research, including a new study involving dolphins, again suggests that this movement away from traditional full-fat foods is contributing to the rising rates of diabetes and metabolic syndrome across the globe. Dolphin Study Suggests Saturated Fats Are Beneficial for Diabetes Researchers from the National Marine Mammal Foundation (NMMF) discovered that dolphins are able to switch in and out of a diabetes-like state, as well as develop metabolic syndrome, a cluster of symptoms th Continue reading >>
The Ratio Of Fats, Carbohydrates & Protein For Diabetics
If you have been diagnosed with diabetes, then you understand the importance of eating a healthy diet. Diabetes is a condition where your body does not produce or use insulin correctly. Without proper insulin function your body is not able to regulate your blood sugar levels, leading to serious problems with your nerves, kidneys and heart. A proper diabetes diet is balanced and based on healthy foods. The diet uses portion control and scheduling to help manage glucose levels throughout the day. Video of the Day Generally speaking you should limit your daily fat intake to about 20 to 35 percent of your total calories, according to MedlinePlus. The three types of fats include saturated fat, trans fat and unsaturated fat. If you have diabetes avoid foods that contain a lot of saturated or trans fat. This includes meat and other animal products, as well as processed foods like margarine. It is recommended that you avoid trans fat all together and in order to do so, you will need to read the nutrition labels on food to find out which foods contain trans fat. Unsaturated fats are healthy forms of fat and you should include them in your diet. According to the Harvard School of Public Health, strict guidelines have not been published regarding the amount of unsaturated fat that you should eat, instead it recommends that a good rule of thumb is to choose unsaturated fats over saturated whenever possible. Good sources of healthy forms of fat include fish, nuts, vegetable oils, lean meats and beans. Protein is an essential nutrient for health. According to the Harvard School of Public Health, adults get about 15 percent of their calories from protein. It further states that the American Diabetes Association recommends limiting protein intake to around 10 percent of daily caloric i Continue reading >>
Balancing Carbs, Protein, And Fat
Three nutrients carbohydrate, protein, and fat contain calories that your body uses for energy. Here's how to balance these nutrients in a healthy diet. Carbohydrate has 4 calories per gram. About 50 to 60 percent of your total daily calories should come from carbohydrate. Carbohydrate contains the most glucose and gives the quickest form of energy. Your body changes 100 percent of carbohydrate into glucose. Besides giving your body energy that it uses right away, your body can store carbohydrate in your liver. Your liver stores extra carbohydrate as glycogen and releases it later, when your body needs it. However, there's a limit to the amount of glycogen your liver can store. Once your liver has reached that limit, your body turns the extra carbohydrate into fat. There are two types of carbohydrate: healthy and not-so-healthy. Healthy carbs: Also called complex or slower-acting carbs. Includes multigrain bread, brown rice, lentils, and beans. This type of carbohydrate raises blood sugar slowly and lasts longer. This helps keep you from feeling hungry for a longer time and helps to keep blood sugar levels closer to normal. Not-so-healthy carbs: Also known as simple or fast-acting carbs. Includes candy, cookies, cake, soda, juice, and sweetened beverages. This type of carbohydrate raises blood sugar levels very quickly, but doesn't last very long. That's why these carbs work well to correct low-blood sugar but don't satisfy hunger as well as healthy carbs. Protein also has 4 calories per gram. In a healthy diet, about 12 to 20 percent of your total daily calories should come from protein. Your body needs protein for growth, maintenance, and energy. Protein can also be stored and is used mostly by your muscles. Your body changes about 60 percent of protein into glucose. Continue reading >>
5 Common Food Myths For People With Diabetes Debunked
There are many misconceptions that people with diabetes must follow a strict diet, when in reality they can eat anything a person without diabetes eats. Amy Campbell, MS, RD, LDN, CDE, nutritionist at Joslin Diabetes Center and co-author of 16 Myths of a "Diabetic Diet," debunks some common food myths for people with diabetes. 1. People with diabetes have to eat different foods from the rest of the family. People with diabetes can eat the same foods as the rest of their family. Current nutrition guidelines for diabetes are very flexible and offer many choices, allowing people with diabetes to fit in favorite or special-occasion foods. Everyone, whether they have diabetes or not, should eat a healthful diet that consists of fruits, vegetables, whole grains, lean protein foods, and heart-healthy fats. So, if you have diabetes, there's no need to cook separately from your family. 2. People with diabetes should never give in to food cravings. Almost everyone has food cravings at some point, and people with diabetes are no exception. It's not uncommon for people with diabetes to cut out all sweets or even cut way back on food portions in order to lose weight. In turn, your body often responds to these drastic changes by creating cravings. Nine times out of ten, your food choices in these situations tend to be high in fat and/or sugar, too. The best way to deal with food cravings is to try to prevent them by following a healthy eating plan that lets you occasionally fit sweets into your diabetes meal plan. If a craving does occur, let yourself have a small taste of whatever it is you want. By doing so, you can enjoy the flavor and avoid overeating later on. 3. People with diabetes shouldn't eat too many starchy foods, even if they contain fiber, because starch raises your blo Continue reading >>
Carbohydrate Restriction
An Option for Diabetes Management As diabetes becomes more prevalent, there are also an increasing number of books and websites devoted to diets that claim to control it. Typing “eating for diabetes” into the “Books” section of Amazon’s search engine will retrieve more than 1,000 results. Just as there is more than one way to lose weight, there are multiple eating plans to manage diabetes. Of the many options, low-carbohydrate diets have been around the longest, and over the years considerable research has demonstrated their effectiveness in controlling blood glucose levels. However, they are still controversial. Before the discovery of insulin in 1921, doctors tried numerous types of diets, including diets with less than 10 grams of carbohydrate per day, to try to manage blood glucose levels in their patients with diabetes. For people with milder diabetes (the terms Type 1 and Type 2 were not yet used), a diet that was very low in carbohydrate and high in fat and calories could result in reasonably good health, sometimes for many years. But this diet was not helpful for people (particularly children) with severe diabetes. For them, it was found that cutting back severely on all food kept them alive longer, but their quality of life was low due to constant hunger and emaciation. Once injectable insulin was available, carbohydrate — and food generally — could be consumed in greater amounts. Over the years, recommendations from various health organizations have called for consuming a larger percentage of daily intake from carbohydrate based on research suggesting that high intakes of dietary cholesterol and saturated fat may lead to heart disease. Since people with diabetes are at increased risk for cardiovascular disease, many dietitians and doctors began r Continue reading >>
Daily Nutrition For Diabetics
Overview If you have diabetes, you can exert considerable control over your disease by eating properly. Eating well with diabetes means concentrating on natural, healthy sources of nutrition rather than processed foods, avoiding refined sugar and unhealthy fats and keeping your weight within normal limits. While eating healthy benefits people without diabetes, for diabetics, keeping your blood glucose levels under control can prevent many of the complications of this condition, such as nerve damage, diabetic retinopathy, kidney damage and skin problems. Helpful Supplements for Diabetics Around 38 percent of Americans take dietary supplements; diabetics are 1.6 times more likely to take supplements than non-diabetics, according to a January 2010 article in "Clinical Diabetes." Commonly used supplements among diabetics include alpha lipoic acid, an antioxidant which might help lower blood glucose levels and could also help prevent peripheral neuropathy, or nerve damage, a common problem among diabetics. Bitter melon might help cells remove glucose from the bloodstream to use for energy. Chromium, cinnamon, fenugreek and gymnema all have potentially beneficial effects of insulin release and effectiveness. Talk to your doctor before taking supplements. Necessary Amount of Protein for Diabetics If you have diabetes, between 15 and 20 percent of your daily calories should come from protein, according to the Colorado State University Extension. Eating more than 20 percent of your calories in protein form could worsen kidney disease, a common disorder among people with diabetes. If you consume an average 2,000-calorie-per day diet, 300 to 400 calories should come from protein. This equals between 75 and 100 grams of protein per day, since 1 gram of protein supplies 4 calories. Continue reading >>
Diabetes And Fat Intake
If you have diabetes, you know that you need to count carbohydrates carefully to keep blood sugar stable. Here's what’s equally important when it comes to your diabetes diet and diabetes management in general — controlling fat intake. That's because diabetes already puts you at an increased risk for heart disease — diabetes slowly damages the arteries in the body unless blood sugar is very tightly controlled. If you don't eat wisely by following a diabetes diet that reduces fat intake, you’re likely to further increase your risk for heart attack and stroke. Need some convincing? Three out of four people with diabetes die of some type of heart disease, and U.S. government figures estimate that the risk of stroke is two to four times greater in adults with diabetes than in those who don't have this condition. Diabetes Management: Types of Diabetes The increased risk of cardiovascular disease exists no matter which of the three types of diabetes you have: Type 1 diabetes. With this type, your body cannot produce insulin, the hormone that helps process glucose. You must eat carefully at all times to lower the risk of complications such as heart disease. Type 2 diabetes. Type 2 diabetics produce insulin, but their cells have developed a resistance to it, often because they are overweight or obese. Watching your fat intake is a necessary part of losing weight and keeping diabetes under control. Gestational diabetes. If you develop diabetes during pregnancy, you need to watch your fat intake to keep from gaining too much weight as well as to prevent additional stress on your body that could harm you or your unborn baby. Bad Fats, Good Fats Not all fats are bad for you, but it's important to learn the difference. Saturated fats and trans fats. These are considered bad f Continue reading >>
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