You hear nutrition experts, or those who tout their nutrition bonafides, set forth a wide range of rules on THE WAY to succeed at weight loss. You’ll hear: eat no more than 40% of calories as carbohydrate, eat plenty of protein or get at least 50% of your calories as carbohydrate and limit fat to under 25% of calories, etc., or should I say ad nauseam.
Research and reality show there’s no ONE RIGHT formula for EVERYONE. Plus, in reality, the debate about the ideal mix of macronutrients (that’s carbohydrate, protein and fat) to eat comes down to a debate about where should 5 to 10% of your calories come from – carbohydrate, protein or fat?
As a dietitian and diabetes educator I know the critical importance of weight control as part of disease prevention and/or control and healthy living. I also know how challenging it is to keep pounds lost ….well, lost forever. It takes inner strength, fortitude, perseverance and much more. Compared to taking the pounds off, keeping the pounds off is THE hard work and it goes on endlessly. Good news is experts say it gets easier over time.
In this blog I’m dialoging with Bob Wilson, a dietetic technician in his day job. Bob was a morbidly obese teenager. He weighed 400 pounds in the 8th grade. He lost 250 pounds over 2 years when he hit 21. He has now kept his weight between 155 and 160 for 39 years. He’s been on a remarkable journey. Through his struggle to manage his weight Bob has amassed many learnings and skills and shares these at his website: balancedweightmanagement.com and in his book "Lighter and Free from the Inside Out". Bob wants millions of others to win “The Biggest Maintainer of Weight Lost” award. He graciously agreed to share.
HW Q: You discuss 12 Essential Skills for long term weight loss/control. Can you list the top 5 and briefly state why they’re most important to long term success?
BW: A: My overarching message: for lasting success discover skill power, not willpower!
I’m just back from the American Diabetes Association’s 72nd Annual Scientific Sessions and I'm even more concerned about our diabetes epidemic. Prior to 10 year ago you never heard about type 2 diabetes in children or prediabetes. Not so today! Stats show 1 in 3 children born in 2000 or beyond will develop type 2 diabetes. Today nearly 80 million Americans (that’s over a quarter of our population!!) have prediabetes. The TODAY multicenter NIH trial, recently in the news and headliner at ADA, is downright scary! It showed that type 2 diabetes in youngsters progresses more quickly requiring more rapid progression through oral blood glucose lowering medications and on to insulin. A major concern with type 2 in youth is that with rapid disease progression and less than ideal control, these people may develop heart, kidney and eye disease just a couple of decades later. That's the prime of these childrens' lives.
A take away message from the 2012 ADA meeting is we’ve got to continue to beat the drum about preventing overweight BEFORE type 2 diabetes. The most cost effective approach is to encourage healthy eating from the start. I believe it’s absolutely critical for parents to take a seat AS the head of the table and serve up tough love when it comes to healthy eating.
This is one in a series of book reviews I've posted. You may find these books beneficial if you: manage your prediabetes or diabetes, follow a diabetes meal plan and/or are trying to eat healthy to live well. These book reviews also appear on amazon.com and the books can be found in my Amazon a-store. Please check them out and consider a purchase.
Nearly half a million Americans will die of heart disease this year. If you could make lifestyle changes to reduce your risk of heart disease by up to 70%, wouldn’t you start today?
Dietitian Janet Brill helps you and your loved ones keep a first heart attack from ever happening or prevent a second heart attack...in her book Prevent a Second Heart Attack: 8 Foods, 8 Weeks to Reverse Heart Disease. This book pairs the Mediterranean way of eating with physical activity.
We’re being urged via health messages and big marketing campaigns to eat more dietary fiber and simultaneously to chow down on more whole grains. Beyond the messages to achieve these goals ringing in our ears, a plethora of new foods greet us in the supermarket aisles. They tout, for example “5 grams of whole grains per serving,” “47% of dietary fiber per serving” or proudly focus your attention on the Whole Grains Stamp.
I’ve just got to share the sheer joy and reward I’ve recently experienced facilitating yet another chat-based online weight loss group for the program called vtrimonline.com.
Picture this: It’s Tuesday evening at 7pm ET. Somewhere between 10 to 20 people who range in age, health concerns and pounds to shed; log on to the vtrimonline website for one of our 12 weekly chats. No phones, no cauliflower ears or hoarse voices. Just our fingers!
During the hour I, as the registered dietitian facilitator, get group members to share their weeks’ weight loss wows and woes (with no mention of pounds lost). I deliver key content to help arm people with nutrition, fitness and psychological expertise to lose weight and (hopefully) keep it off. Topics range from how to get moving more each day, to tactics to deal with emotional eating, to healthy choices when eating out, and much more.
Yes, it’s Diabetes Alert Day, but who are all these red flags aimed at and to do what?
Around the world the who to alert on Diabetes Alert Day is hundreds of millions of people. The International Diabetes Federation offers tons of global facts and stats. Suffice to say there’s a type 2 diabetes tsunami already well on it’s way!
In the U.S. the Centers for Disease Control and Prevention’s (CDC) National Diabetes Fact Sheet tells us exactly who Diabetes Alert Day is targeted to:
7 million of the 26 million people with diabetes WHO do not yet know they have diabetes. If any of these 7 million people were tested today, they could be diagnosed with diabetes. For most of these people, it’s type 2 diabetes. (26 million people with diabetes represents over 8% of our population.)
70+ million people WHO could be diagnosed with prediabetes today. (Yes, you read this number correctly. Of the estimated 79 million Americans with prediabetes (that’s 35% of American adults), only 8% (and that’s being generous) know they have prediabetes and research shows not even half of these individuals (or their healthcare providers) are taking preventive efforts to slow it’s progression (Learn more in my blog Prediabetes, But Nearly No One Knows It.)
This is one in a series of book reviews. You may find these books beneficial if you: manage prediabetes or diabetes, follow a diabetes meal plan and/or try to eat healthy to live well. These book reviews also appear on amazon.com. The books I’ve reviewed here can be found in my amazon a-store . Please check them out and consider a purchase. This book is available as an e-book and see my review.
Are you aware of how you learn best? Many times our best learnings stem from a series of "experiments." Your Diabetes Science Experiment: Live Your Life with Diabetes, Instead of Letting Diabetes Live your Life by Ginger Vieira, is based on the premise that trial and error scenarios paired with data tracking can help you eliminate the guessing game of diabetes care.
This is one in a series of book reviews. You may find these books beneficial if you: manage prediabetes or diabetes, follow a diabetes meal plan and/or try to eat healthy to live well. These book reviews also appear on amazon.com. The books can be found in my amazon a-store. Please check them out and consider a purchase.
I was excited to get my hot off the press copy of the new and improved (2nd edition) of Think Like a Pancreas: A Practical Guide to Managing Diabetes with Insulin written by, in my humble opinion, one of the go to experts today for people with diabetes who take insulin, Gary Scheiner, MS, CDE. What I love about Gary (yes, I'm a member of his fan club), is that he is tremendously knowledgeable and at the same time extremely practical. In his down-to-earth approach he offers a plethora of innovative out-of-the-box tips for taking care of the everyday, literal and figurative, ups and downs of diabetes using insulin.
A big plus of Think Like a Pancreas is Gary’s writing style. It’s easy-to-read in part because he dovetails his dry wit and fun-loving personality to make, what’s dry as a bone material, into a page turner.
As a diabetes educator/healthcare provider (DHCP) I’m observing that the rapidly growing world of the Diabetes Online Community, known as the DOC, for short and diabetes social networks is helping people with diabetes (PWD) find support and feel supported. People are connecting, building relationships and feeling more positive about the challenges of managing their diabetes. I’m delighted to see this trend!
As a DHCP I’ve long realized that I can’t walk a mile in a PWD shoes. I can’t know what it is like day in, day out to deal with this challenging and relentless disease. But, what I do know is that we can learn from each other to change the dialog between providers and PWD to be more positive, more supportive.
In my Dialoging about Diabetes blogs I interview diabetes activists and social networkers with the goal of gathering ways DHCPs can change better support PWDs diabetes care efforts and make living your real life…just a bit easier.