Question of the Week | May 21st, 2019
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The Question of the Week – May 21st, 2019
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[yikes-mailchimp form=”1″]Nutrition Recommendations in Bite Size Pieces
| Registered Dietitians are rock stars. MNT interventions provided by RDs, dramatically lower A1cs. The results say it all. Within 3-6 months of meeting with an RD, people with diabetes can expect an: A1c drop of up to 2.0% with Type 2 Diabetes A1c drop of up to 1.9% with Type 1 Diabetes |
Fiber is a BIG deal
Regular fiber intake decreases the risk of death in people with diabetes.
Yet most Americans don’t get enough roughage in their daily diet. Recommended daily intake of fiber is 14 grams per 1000 calories or about 28 grams per day.
Encourage half of fiber intake to come from whole intact grains. Whole grains still have all three of these parts intact: the bran (the nutritious outer layer), the germ (the seed’s nutrient-rich embryo) and the endosperm (the germ’s food supply, which is high in starchy carbs). They’re typically high in iron, magnesium, manganese, phosphorus, selenium, B vitamins and dietary fiber.
50 percent of fiber from whole grains. Examples per 100gm include:
- Barley (hulled) 17.3 grams /per 100gm
- Brown rice (medium grain) 3.4 gms
- Bulgur 12.5 gms
- Corn (yellow) 7.3 gms
- Oats 10.6 gms
- Rye 15.1 gms
- Sorghum (white) 6.7 gms
- Wheat (hard, white) 12.2 gms
- Wild rice 6.2 gms
50% of fiber from foods naturally high in fiber. Here are a few examples.
- 1 large pear with skin (7 grams)
- 1 cup fresh raspberries (8 grams)
- ½ medium avocado (5 grams)
- 1-ounce almonds (3.5 grams)
- ½ cup cooked black beans (7.5 grams)
- 3 cups air-popped popcorn (3.6 grams)
- 1 cup cooked pearled barley (6 grams)
When it comes to finding foods with fiber, the packaging can be misleading. Food labels provide the most accurate information. Foods that are a good source of fiber have 3 grams per serving and foods that are an excellent source of fiber contain 5 grams per serving.
More weight loss improves outcomes
Prediabetes – For overweight people with prediabetes, new evidence supports losing 7-10% of current weight to reduce diabetes incident by 79%. Adding regular physical activity, including both aerobic and resistance exercise, also contributes to the prevention of type 2 diabetes.
Diabetes – If a person is overweight or obese with diabetes, the most effective weight loss target is 15% or greater to improve outcomes. The previous recommendations of a weight loss of 5-7% are based on the threshold for therapeutic effects. When it comes to weight loss, the greater the weight loss, the greater the benefits.
Eating Patterns – What is best?
There is not enough evidence to support one best approach, but for people with diabetes the research supports the following strategies:
- Emphasize eating more non-starchy vegetables
- Minimize added sugars and refined grains
- Choose whole foods over processed foods
Read the Complete Nutrition Therapy for Adults with Diabetes or Prediabetes – A Consensus Report here.
Women Leaders in Diabetes Conference Big Success
“What you do makes a difference, and you have to decide what kind of difference you want to make.” – Jane Goodall
The energy and synergy were palpable. Over 160 attendees sharing a moment and a growing movement.
We learned, we shared and we re-fueled. The women leaders pushed us to create, to believe, to plan, to do and to work it.
Thank you to everyone who made this possible, including our attendees, our speakers, our volunteers and our amazing staff!
Each day this week we will post a summary of the keynote speakers presentation. You are in for a real treat!
“Why are so many Latino children developing fatty liver disease?”
Recent studies have shown that 1 in 4 people living within the United States has fatty liver disease. However, the rate among Latinos is considerably higher at around 45%. Scientists are examining the effects of fatty liver disease and why certain communities are at higher risk than others.
A person is diagnosed with fatty liver disease if more than 5% of their liver weight consists of fat. However, ” it can progress to a more severe condition called nonalcoholic steatohepatitis, or NASH, which is linked to cirrhosis, liver cancer and liver failure. This progressive form of fatty liver disease is the fastest-growing cause of liver transplants in young adults.”
A surprising new research finding, is that the sugar in sweetened beverages can be passed from mother to child via breast feeding. When a mother consumes a beverage sweetened with high fructose corn syrup, the fructose level increases in the breast milk and stays elevated for hours. This can contribute to infant obesity and the development of a fatty liver, according to Michael Goran, the director of the Diabetes and Obesity program at University of Southern California and Children’s Hospital Los Angeles (CHLA).
Goran leads a program called HEROES or Healthy Eating Through Reduction of Excess Sugar. The program helps young people avoid unhealthy habits to help reduce obesity and prevent fatty liver disease.
Many lawmakers are now attempting to decrease the consumption of sugar laden drinks, whether it is through a soda tax or added warning labels. However, many believe this is not enough. Public health agencies need to be more involved in raising awareness and discouraging marketing of sugary drinks to children and adults alike.
A concerning aspect is the amount of Latinos affected by fatty liver disease. A study revealed that a gene called PNPLA3 increases the risk of fatty liver and about 1/2 of the Latino population studied had the gene and a quarter has two copies of the gene.
“Medical researchers consider fatty liver disease a manifestation of metabolic syndrome — a cluster of conditions that include excess visceral adiposity, elevated blood pressure, blood sugar and cholesterol levels that increase the risk of heart disease, stroke and diabetes.”
Low-income neighborhoods, often struggle with lack of resources combined with increased availability of unhealthy and cheaper fast food options, which can be a barrier to healthy eating. In an effort to improve health in these areas, HEROES has implemented farmers markets, community gardens and turned corner stores into markets with healthier options.
Providers and educators are urging people to decrease sugar intake and cut back on refined, low-fiber, carbohydrates to avoid health risks in the future. Let’s help get the word out eating less sugar and increasing fiber and whole food intake.
To learn more: Why are so many Latino children developing fatty liver disease? – PBS
Learn more about sugar intake, ways to avoid sugar and how to spot hidden high sugar offenders with our “The Joy of Six” resource page.
Download the Sugar Rush app from Fooducate to see how much sugar has been added to your food. Just scan the bar-code of any product and instantly see a breakdown of naturally occurring and added sugar.
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[yikes-mailchimp form=”1″]May Newsletter | Genes determine appetite?
May Newsletter now available!
by Coach Beverly Thomassian RN, MPH, CDCES, BC-ADM
For this newsletter, we highlight some key finding in the newly released consensus report, “Nutrition Therapy for Adults with Diabetes or PreDiabetes.” We also explore the rising incidence of fatty liver disease in youth and provide encouragement to keep active with the “Don’t Sit, Get Fit Campaign.” Nurse Appreciation Week kicks off May 6th. Let’s take a moment to shout out and recognize the contributions of our amazing nursing colleagues.
- Nutrition recommendations in bite-size pieces
- This mutation makes people feel full – All the time
- Why are so many Latino children developing fatty liver disease?
Click here to read our newsletter!
Mindful Monday | National Nurses Week – May 6th – 12th!
We want to celebrate, recognize and appreciate the incredible nurses who do so much for our community.
National Nurses Week is celebrated annually, starting with National Nurses Day on May 6th, through Florence Nightingale’s birthday, on May 12th!
Florence Nightingale is the founder of modern nursing and a champion of left a revolutionary mark on sanitation, healthcare, and even statistics.
“It would not be possible to praises nurses too highly.”
– Stephen Ambrose
“Nurses dispense comfort, compassion, and caring without even a prescription.”
– Val Saintsbury
“Nurses—one of the few blessings of being ill.”
– Sara Moss-Wolfe
The American Nurses Association has put together materials to help you promote and celebrate National Nurses Week 2019!
“From large banners that let you scream your nurse pride to individual resources like thank-you cards and certificates, use this free toolkit to celebrate National Nurses Week in your hospital, practice, or organization. Give your nurses the recognition they deserve.”
Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE! Sign up below!
[yikes-mailchimp form=”1″]Free Resource Friday | Preparing for the BC-ADM Webinar – May 29th!
Preparing for the BC-ADM Exam – What you need to know
May 29th @ 11:30 am – 12:40 pm PST
May 29th, 2019 – 11:30 a.m. – 12:40 p.m. PST
Preparing for the BC-ADM Exam – What you need to know
Join us for this live webinar
Becoming BC-ADM is a great achievement for diabetes educators with an advanced degree in their field and a professional license as an advanced practice nurse, registered dietitian, or registered pharmacist. The scope of advanced diabetes practice includes patient management skills such as medication adjustment, medical nutrition therapy, exercise planning, counseling for behavior management and psychosocial issues.
Attaining optimal metabolic control in the diabetic client may include treatment and monitoring of acute and chronic complications. This webinar will review changes in requirements for 2019, exam eligibility and test format, strategies to succeed along with a review of study tips and test-taking tactics. We will review sample test questions and the reasoning behind choosing the right answers. We hope you can join us for this webinar. Click here for a bunch of free resources, a reading list and to register for FREE Webinar.
Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE! Sign up below!
[yikes-mailchimp form=”1″]Consuming energy drinks may impact mental health
Energy drinks have grown in popularity over the past few decades. New research suggests a correlation between consuming energy drinks and mental health issues.
“A study, conducted by psychologists at the Walter Reed Army Institute of Research, followed more than 600 combat soldiers in their first seven months home after deployment.”
Adler’s research team asked soldiers about energy drink consumption and presence of mental health issues like post-traumatic stress, fatigue, aggression and sleep deprivation.
The survey results were startling: the soldiers drinking two energy drinks or more per day were more likely to have mental health issues than those who didn’t consume energy drinks.
Dr. Amy Adler and team set out to investigate the mental health of soldiers returning home. Adler sent out a questionnaire to 600 deployed soldiers, and discovered that 75% of soldiers surveyed drank energy drinks everyday. She quickly noticed that the prevalence of energy drink consumption was associated with increased risk of mental health issues.
“Depression and sleep problems, increased aggression, anxiety, substance abuse, things like that. All of those are risk factors were associated with drinking excessive amounts of energy drinks.”
Senior Psychologist Dr. Amy Adler, hopes that their research will shed light on how energy drinks can affect mental health not only in soldiers but civilians as well. Adler did not state that the energy drinks cause mental health issues, but it is a factor to consider when the soldiers return. Something they can control to help themselves feel better.
“There may be other high-risk groups out there like police, firefighters, emergency responders, or other groups this may apply to – or not,” Dr. Adler explains. “These groups are groups we want to pay attention to because there might be a way to mitigate the mental health problems out there.”
Energy drink consumption in the Iraq war is being compared to tobacco use during the Vietnam war.
“They (energy drinks) were rampant,” Greg Gebhardt, an Iraq veteran living in Raleigh, recalls to ABC11. “It was almost like a lifestyle. The soldiers used to joke as long as we have armed forces in the United States, the tobacco industry and energy drink industry will be just fine.”
Gebhardt managed the dining facilities at a base in Baghdad. He said energy drinks were very popular, not for taste but for caffeine-related effects.
“I think it served a purpose to give it that extra boost, to push them a little further, to keep their cognitive functions about them for that 16th or 18th hour of a long day in 120-degree heat,” said Gebhardt.
The consumption of energy drinks is widely common in the U.S. particularly with teenagers or adults who work long hours.
“The National Center for Complementary and Integrative Health, a division of the U.S. Department of Health and Human Services, reports men between the ages of 18 and 34 years to consume the most energy drinks, and almost one-third of teens between 12 and 17 years drink them regularly.”
Dr. Branson Page, a physician at WakeMed’s Emergency Department believe that people often overlook the risks of consuming too much caffeine. Most people are unaware that too much caffeine can cause health issues.
Caffeine stimulates the central nervous system which increases heart rate and blood flow. If consumed in access, can cause anxiety, heart palpitations, agitation, and other physical symptoms.
Dr. Page believes there are many healthy alternatives if you are looking to be more awake and aware during your day. Exercise and restful sleep are extremely beneficial to mental awareness and overall positive mental health.
To learn more: Research raises concerns about use of energy drinks in military – ABC11
Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE! Sign up below!
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