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A1c Test & Pre-Diabetes

7 Mar

Here is a question I recently received from Foodpicker.org

I was recently told by my doctor I have pre-diabetes and that I need to lose weight, eat right, and get my sugar levels down.  On a 12 hour fast, my glucose level was 73 yet my A1C was 6.1%.  If my glucose is low, why is my A1c still high?  What can I do?

Answer:  The A1c test is a great measure for blood sugar control over the last 120 days.  If you need advice on how to eat healthy, contact a registered dietitian.   Incorporate a daily walk or go jogging for at least 20 minutes to day to get your cardiovascular system moving. Join the local YMCA if you feel like getting your body muscles activated and stronger.  Building muscle will help keep your blood sugar levels stable, along with burning more calories at rest. It is important to take care of both factors, eating healthy and exercising. Getting your sugar levels down will reverse your pre-diabetes diagnoses and make you feel more vibrant. Check your A1c levels in four months after integrating these lifestyle changes and see the difference you made for yourself. You will feel great!

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How to Help Pre-Diabetes

14 Feb

Here is a question I recently received from Foodpicker.org

I found out I have pre-diabetes. I’m very confused and don’t know what I should do to treat it. My friend told me to avoid all fruits. Could you help me with how to treat my new diagnosis and if it’s ok to eat fruit?

Answer:  Whenever accepting medical or nutritional advice, make sure it is from a professional with a degree and the right type of certification to back up their knowledge. It is great to get advice from friends when it comes to smaller matters, but not when it puts your health on the line. Remember, fruits are an essential part of the diet. They provide you with several nutrients, phytochemicals, antioxidants, and glucose all needed to maintain a healthy living. It is definitely okay to eat fruit, in fact, it is a necessity. If you are pre-diabetic, reducing your blood sugar levels is one of the most important matters at hand. Here are a few alternatives for reducing blood sugar levels.

  • Do you drink soda? A can of soda is approximately 12 oz., 150 calories, and 70 grams of sugar.  If you drink regular soda, try the diet version for a while, and then try moving to flavored iced tea or water. You will start to feel less bloated, more energetic, and the calories can be up to 10x less than a regular soda.
  • Do you eat fast food? One fast food meal can come out to approximately 2,100 calories, 87 g fat, and 5,100 mg of sodium. That one meal can total your actual calorie intake needs for the day. But, most of us eat more than one meal. So, think about the excessive amount of calories, fat, and sodium you are putting into your body. All of these may contribute to pre-diabetes, cardiovascular disease, atherosclerosis, and many more health associated illnesses.
  • If you find yourself on the go, with no time to make a healthy meal at home, and you pop up at the fast food restaurant you typically go to, try ordering a salad. Take the dressing on the side and top it with 3-4 oz. of chicken breast, nuts, and whatever else is pleasing to your taste buds. Just remember that calories add up, so take care of your portion sizes.
  • If you trying to lose weight, why not try a piece of fruit or fruit salad? A piece of fruit is approximately 50 calories and the natural sugars in fruit help keep your blood sugar levels stable. In addition, fruit is delicious!

These are suggestions that take a while to get used to, but are well worth the wait. If none of these suggestions help you and you are still feeling confused, I highly recommend making an appointment with a Registered Dietitian or Medical Professional.

Checking Glucose Levels

24 Jan

Here is a question I recently received from Foodpicker.org

How often should I check my glucose if I have type 2 diabetes?

Answer:  Taking charge of your health is of the utmost importance when you have diabetes. Each individual is different when it comes to checking their own glucose.  Checking with your doctor is your best bet to get the right answer. What I can say is that if you are managing your diabetes with insulin, you probably need to check your glucose more often, than if you are managing your diabetes with exercise and diet.

An important fact about checking your glucose is that if you become sick, you need to definitely check your glucose more often than usual.  The reason being is that when the body becomes sick, it releases extra hormones to fight infection.  Every so often these hormones have the potential to decrease insulin effectiveness in the body and may increase blood sugar levels. This is important to note if you have diabetes because you don’t want your body to become dehydrated due to insulin deficiency.  So, please check with your doctor to plan for diabetes. Stay hydrated, eat healthy, and exercise daily to keep your levels stable.

Blood Sugar Levels & Prediabetes

10 Jan


Here is a question I recently received from Foodpicker.org

My A1c test result is 6.4% and my fasting blood sugar level is 113.  Do these numbers sound like diabetes and if so what do I do now?

Answer:   According to the American Diabetic Association, individuals that test in the range in which you did are usually prediabetic.  I recommend talking to your doctor about your results and consulting a registered dietitian. Physical activity is a central feature of managing blood sugar levels. Talk to your doctor about what kind of exercise regimen will work for you and make sure to get screened for problems that may be worsened by certain activities.

There are dietary strategies that you will need to understand, such as carbohydrate counting and exchange lists for meal planning.  These are dietary strategies that individuals with diabetes use to keep their blood sugar levels stabilized.  Understanding these ways of eating are also a good way to lose weight for individuals that are prediabetic.  A registered dietitian can educate you on how to lower your blood glucose levels and if need be, help you lose weight.   Remember to consult your physician before beginning any strenuous exercise regimen and see a registered dietitian to help you get back to normal blood glucose levels.

Sweet Potatoes & Diabetes

3 Jan

Here is a question that I received from Foodpicker.org

I was recently diagnosed with Pre-Diabetes and I’m trying to follow a low fat diet.  I have a question I hope that you can answer.  Are sweet potatoes considered a vegetable and are they ok to eat in my diet?

Sweet potatoes are considered starchy vegetables. According to the Mayo Clinic, 4 ounces or ½ of a sweet potato is approximately one starchy vegetable on the exchange list.  Sweet potatoes are definitely okay to include in your diet.

Reasons to Eat Sweet Potatoes:

  • Fat free, which will make following a low fat diet easier
  • Great source of fiber, which will help keep you fully satisfied and may also help lower your blood cholesterol
  • Great source of potassium, and vitamin B6, which helps with improvement of  energy metabolism to  improving cognitive performance
  • Great source of beta carotene, which is a precursor to vitamin A and helps the immune system’s response to sickness and disease
  • Great source of vitamin C, which is a great antioxidant that protects tissues from oxidative stress

Sweet potatoes are definitely my favorite complex carbohydrate.  You can include them as your pre-workout snack, a side dish to your favorite protein and veggies, or as a dessert.  Desserts tend to be the hardest thing for me to avoid when I start a low-fat diet.  I have found that trading in cheesecake for sweet potatoes is a great way to satisfy my sweet tooth with much fewer calories.

A slice of cheesecake can be filled with 500-600 calories and up to 40 grams of fat.  One half of a sweet potato is filled with approximately 125 calories and is non-fat.  A great dessert idea for sweet potatoes is to peel them, dice them up, throw them in a Ziploc steamer bag or boil them, and then mash them up.  Add a few sprinkles of cinnamon, because it will help stabilize your blood sugar levels.  Mix in 1-2 tablespoons of crushed walnuts or pecans, because they are filled with just enough healthy fats. Top it off with one tablespoon of Fat-Free or Sugar-Free Cool Whip, because it’s a delicious topping.  Voila, you have a guilt-free delicious sweet dessert that fills you up and helps you lose weight!

Don’t Let a Sweet Indulgence be a Delicious Disaster

20 Dec

Here is a question that I received from Foodpicker.org

I have diabetes and this time of year is the toughest for me.  It seems holiday treats/sweets are everywhere tempting me!  Is it ok to indulge a little?  If not, how can I build up enough will power to avoid holiday sweets?

The sweet candied smell of the holidays is difficult to avoid around the holiday season. Those tempting treats don’t have to be avoided, but you must be careful to keep your carbohydrate count stable and under control.  Here are a few tips to help you over the holiday season.

1.      Know how to count carbs!  The more grams of carbohydrate ingested, the greater the glycemic response in your body.  Food labels will always provide you with an accurate count of carbohydrate grams, but remember to always check that serving size.  If you know that you are bound to eat a cookie or two, substitute sweets into your meal plan for other carbohydrate. Try not to do this too often though because a sweet indulgence may become a sweet disaster.

2.       Do not forget that holiday sweets like cookies, ice cream, cakes, and candy often count as ‘empty calorie’ carbohydrate foods.  There is no nutritional value to these sugary, carbohydrate filled villains.  Instead of reaching for a cookie, try making yourself a delicious dessert with fruit.  One of my favorite desserts is ‘Sweet Poached Pear Dessert’.  Google is a no fail search engine when you are looking for ways to eat healthier sweets during the holidays.

3.      Include exercise in your daily routine.  Studies show that integrating 20 minutes of moderate exercise will increase your endorphin levels and make you feel happier. The happier you feel, the healthier you feel.  In my experience, the healthier I feel, the less likely I am to reach for an ‘empty calorie’ carbohydrate food.  Another great benefit of exercise is that it keeps your blood glucose levels steady and improves insulin sensitivity.  Exercise in itself is a great building block to that thing inside all of us that we call ‘Willpower’.  If you tend to overindulge in sweets, get on your running shoes and do a few laps around the neighborhood.

So, when those alluring holiday sweets are calling your name and you start to feel yourself inch toward that starchy, sugary-coated treat, shake your head and ask yourself this question, “Is it a nice day for a run?”

 

Pack A Punch With Lunch

1 Nov

Here is a question that I received from Foodpicker.org

I have diabetes and work long hours.  I usually eat lunch at my desk while working.  I’m struggling with what I can have for lunch.  Could you give me some tips on what to pack for lunch at work?

Packing a lunch is essential to keep your diet rid of processed and sugary foods.  It is important to eat every 2 to 3 hours in order to keep your blood sugar levels stable and having the right types of food will help you keep your diabetes in check. I often pack my lunches for the week on Sunday because of the convenience.  If you plan on packing daily lunches, set 10 to 15 minutes aside during the evening to take care of your meals and snacks for the next day. If you find it difficult to do this, just think of the time you sit on the couch watching commercials. Usually that time adds up to about 10 to 15 minutes, so why not use it wisely.  You will be thankful the next day when your tummy starts to rumble.

When planning your meals for the work week, make sure you begin with the right amount of food for your body type. Incorporating food items that are to your food preference will keep your appetite satisfied. Purchase an igloo for your food items and keep them fresh with a freeze pack. Don’t forget your utensils and napkins.

LUNCH & SNACK IDEAS

Beverages: Water is essential to keep the body hydrated and keeps your electrolytes balanced. If plain water bores you, add a few slices of lemon, lime, or orange for added sweetness.

Healthy Salad: Try packing a salad with non-starchy vegetables, fruit, healthy protein, and healthy fat.  A mix of dark greens, spinach, cherry tomatoes, and a few slices of bell pepper taste delicious when paired with a few sliced strawberries, 1 to 2 ounces of low-fat seasoned tofu, and a vinaigrette dressing. For your dressing, try a Sesame Soy Vinaigrette or Miso Ginger Vinaigrette.  Whole Foods and Trader Joes carry these types of dressings. For your healthy fats, try adding *¼ ounce raw, unsalted almonds. If you prefer a typical ranch salad, just make sure you use the dressing sparingly.

*¼ ounce of almonds=6 whole almonds

Healthy Sandwich: Always make sure that you incorporate a whole grain into your lunch. Try Oroweat Double Fiber bread for your sandwich making. It provides 6 grams of fiber per slice along with several vitamins and minerals essential to your diet.  Use low-sodium turkey slices or skinless chicken breast. For your healthy fats, try adding 1 to 2 tablespoons of avocado instead of mayonnaise with some honey mustard. Make sure to add plenty of veggies in your sandwich and remember the *rule of thumb when it comes to portions of fat in your diet.

*Rule of thumb: Your thumb is about the same size and volume as 1 tablespoon of salad dressing, mayonnaise, or oil.

Variety of Snacks: Add in an apple or orange for that extra fiber and vitamin C.   Pack a low-fat or non-fat plain yogurt for your calcium and protein needs. Remember that flavored yogurt has added sugar in it and it will elevate your blood sugar levels much more than compared to the plain type of yogurt. If you are not used to plain yogurt try adjusting your taste buds by adding in natural sugars like fruit.  Add ¼ cup of blueberries or a few strawberries to your yogurt to pleasure your taste buds.  I prefer Greek plain non-fat yogurt because it is thicker and creamier than regular yogurt. Another great snack option is 1 ounce of almonds with 1 tablespoon of raisins.  It will fill your tummy up and may help increase your HDL (good) cholesterol levels.

Healthy Soups: During the winter months, you may prefer soups over other foods.  Healthy soups for diabetics include broth based soups with vegetables and lentils. Soups can provide a good amount of fiber and are low in calories compared to other foods.  Add in some bok choy, bean sprouts, and tofu for an Asian inspired soup preference.  Bok choy is another non-starchy vegetable that will help fight free radicals. Always keep your sodium intake at bay with low-sodium soups and make sure to stay hydrated with water to keep your electrolytes balanced.

So, take care of your diabetes and get your igloo ready for the week. Be consistent with your lunch packing, and before you know it, it will become second nature.