Archive for March, 2017

The Cornerstone of All Treatment for Pre-diabetes and Diabetes is Lifestyle Modifications

At the top of any diabetes care guideline sheet your health care provider uses to help determine the best treatment for elevated blood sugars, is some variation of the following statement:

Counsel on lifestyle modifications, such as consuming a healthy diet, weight loss and the importance of exercising.

Research shows that lifestyle modifications work best for stopping the progression of your pre-diabetes or diabetes type 2, so that is why it is the cornerstone of any treatment regime. Lifestyle and diet modifications should be used as the first line of defense for pre-diabetes and in addition to any medications or insulin your healthcare provider may prescribe for you for diabetes type 2.

There are 29.1 million people in the United States that have diabetes and 8.1 million are undiagnosed. The CDC estimates that 1 in 3 adult Americans will have diabetes by 2050.

Pre-diabetes or diabetes type 2 is when the pancreas is producing insulin, but the amount is not adequate, or the insulin is not effective in lowering blood glucose because the cells are resistant.  Being overweight plays a role in many cases. With insulin resistance, the pancreas produces more insulin than usual, but the cells are unable to use the insulin because there are fewer receptors. Diabetes type 2 onset is possible at any age, but is more commonly diagnosed after age 30.

The treatment for diabetes type 2 is done in phases or stages; nutrition therapy and exercise, and oral medications and/or insulin.

Research shows that once a person with pre-diabetes or diabetes type 2 starts exercising, reduces their carbohydrate intake and loses some weight, it can take up to a year to see a significant difference in blood sugar levels! People need to be reinforced that they will see many good changes right away, but that they will need to hang in there to see all the changes they need. It is not easy but worth it!

I tell my clients that “I need to keep them accountable” by having them come in every 1-2 weeks in the beginning for reinforcement, further education and weigh-ins. We track their progress on a professional grade scale and software program and even measure them so that they can see that the combination of diet and lifestyle changes does work if they hang in there.   We have one-on-one personal diet and fitness training to keep them motivated.

Finding out your individualized carb number for weight loss and better blood sugar control (15 grams of carb can raise your blood sugars 30-40 points), replacing trans-fats with good fats such as olive oil, avocado, raw nuts, fish (all anti-inflammatory) and finding an exercise program that is individualized for you (walking 30 minutes can lower your blood sugars 30-40 points) is the way to go.

Choice Center for Nutrition & Choice Center for Diabetes & Weight Loss, Integrated Optimal Health, has been an AADE Accredited Diabetes Center since September 2014.  Most insurance accepted. Locations in New Hampshire at 30 Pleasant Street, Conway, NH & in Maine.

Marie Veselsky, MS, RD, LD, CDE, BC-ADM is the owner and coordinator of Choice Center for Nutrition and the accredited diabetes center, Integrated Optimal Health, Choice Center for Diabetes.

Call “Choice Center for Diabetes and Weight Loss” at 603-770-4856/1-888-444-1204 or on-line www.choicecenterfordiabetes.com

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Functional Foods.

Marie L. Veselsky, Licensed Registered Dietitian, Certified Diabetes Educator; Dustin Forrest, MSN, RN, Nurse Practitioner.

Functional Foods are foods that have a potentially positive effect on health beyond basic nutrition.

National nutrition guidelines stress the importance of consuming a wide variety of food.  Good old fashion oatmeal is an example of a functional food because it naturally contains soluble fiber that can help lower cholesterol levels. Spices are examples of functional foods. Spices have been used for centuries, not only to give food flavor, but also for their health benefits.  The spice Turmeric is a functional food because research shows it is naturally anti-inflammatory and a slight blood thinner.

Here are 12 Functional Foods that Boost Immunity!

  1. Yogurt – live active cultures found in yogurt help keep the GI tract free of disease causing germs.
  2. Oats and Barley – these grains contain beta-glucan, a type of fiber with antimicrobial and antioxidant capabilities.
  3. Garlic – this potent onion relative contains the active ingredient allicin which fights infection and bacteria.
  4. Shellfish – selenium, plentiful in shellfish such as oysters, lobsters, crabs and clams, helps white blood cells produce cytokines – proteins that help clear flu viruses out of the body. Salmon, mackerel, and herring are rich in Omega-3 fats which reduce inflammation.
  5. Chicken Soup – home made – can help you get over a cold sooner – the amino acid cysteine, released from chicken during cooking, may explain the results.
  6. Tea – people who drank 5 cups a day of black tea for 2 weeks had 10 times more virus-fighting interferon in their blood than others who drank a placebo hot drink in a Harvard study.
  7. Beef – zinc deficiency is one of the most common nutritional shortfalls among American adults, especially vegetarians. Zinc in your diet is very important for the development of white blood cells.
  8. Sweet Potatoes – for your skin to stay strong and healthy, your skin needs Vitamin A which sweet potatoes are known for.
  9. Mushrooms – our earliest ancestors ate a lot of mushrooms. For centuries people around the world have turned to mushrooms for a healthy immune system. Shiitake, Maitake, and Reishi mushrooms appear to pack the biggest immunity punch!
  10. Turmeric – a spice that has been found to be anti-inflammatory in general and is a slight blood thinner.
  11. Cinnamon – has anti-inflammatory and blood thinning properties. In one study 1/2 teaspoon of cinnamon a day was found to lower blood pressure, blood sugar and cholesterol.
  12. Ginger – ginger’s most well-known medicinal use is as a digestive-aid to relieve stomach pain, nausea and diarrhea, but just like cinnamon and turmeric, it is also an anti-inflammatory.

And guess what?  All the above are food and are considered safe. As always if you are on any prescription medication check with your MD before adding anything new into your diet.  There can be food/drug, herb/drug interactions.

Integrated Optimal Health’s Choice Center for Nutrition and Choice Center for Diabetes & Weight Loss approach the patient as a whole for diabetes, weight loss and other chronic illnesses. We provide education on options, advocate healthier choices and provide access to programs needed to help each person better manage their own disease state and reach their optimal health.

Call 603-770-4856 in NH and 888-444-1204 in Maine!

 

 

 

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