June 29, 2014

Why Should Diabetes Advocates Enter This Food Fight?

What’s wrong with these two conflicting realities? And, why should diabetes advocates care (and take action)?

Reality 1: A food fight is raging on Capitol Hill because some members of the House of Representatives want to put the brakes on several requirements for school foods and meals which went into effect with the implementation of the Healthy and Hunger Free Kids Act of 2010 (12/13/10). (Read more background below.).

Reality 2: The Centers for Disease Control and Prevention (CDC) recently announced updated figures for diabetes in the U.S. Top line: there’s been yet another uptick. Now more than 29 million American are estimated to have diabetes, up from 26 million in 2010. Another 86 million adults – more than one in three U.S. adults – have prediabetes (for more on prediabetes). Fifteen to 30 percent of people with prediabetes will develop type 2 within five years. To stats on the related childhood obesity: one out of every three American children is overweight or obese. Many children, who eat half their calories at school, consume a diet too high in saturated fat, sodium, and sugars, and too low in fruits, vegetables, and whole grains.

 
March 23, 2014

Diabetes Alert Day 2014 - Help Me Sound the Alarm Louder

Tuesday March 25, 2014 is the American Diabetes Association's Diabetes Alert Day. Though the statistics about the prediabetes and type 2 diabetes epidemics are alarming enough to sound the alarm 365 days a year, Diabetes Alert Day is THE day each year that the American Diabetes Association sets aside to encourage people to TAKE the Risk Test and if need be, TAKE ACTION to diagnose and care for prediabetes or type 2 diabetes NOW. I fully support this effort!

Yes, the stats are downright scary and clearly show the dent diabetes is and will continue to make in our health care system, let alone peoples’ individual lives and livelihood!

 
January 26, 2014

Book Review: I Hate to Exercise Book for People with Diabetes

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 and these books can be found in my amazon a-store. This book is also available from American Diabetes Association's book store. Please check out these books and consider a purchase.

Let’s face it: we know exercise is important, especially in managing diabetes. But sometimes it’s just hard to put exercise into practice nearly every day (as you’ve been told it should be done). Plenty of people have gotten the exercise bug and it’s ingrained in their daily lives. Other people, and you may be one, just plain hate to exercise.

In the 3rd edition of The “I Hate to Exercise” Book for People with Diabetes, authored by registered dietitian, certified diabetes educator and exercise specialist, Charlotte Hayes, MMSc, MS, RD, CDE, exercise detesters get an ADA published and approved resource to turn to for sneaky ways to move more.

 

Warshaw’s November Washington Post Nutrition Q&A: I Have Prediabetes. What Should I Eat?

Warshaw's November Washington Post Nutrition Q&A column focused on the increasingly common question of what to eat as a person with prediabetes.

Warshaw dispels diabetes myths in Today’s Dietitian magazine

In an article titled Set the Record Straight- Experts Dispel the Top Five Myths About the Diabetes DietWarshaw corrected the common misconception that weight loss cures type 2 diabetes.

September 9, 2013

Welcomed ‘Call for End to the Diet Debate’

Just before I departed for a week’s vacation and last blast of summer I spotted an intriguing tweet about the article A Call for an End to the Diet Debate in the August 21, 2013 issue of Journal of the American Medical Association (JAMA).  I clicked to the recap in the tweet and was further intrigued. I recognized the name of the first author, Sherry Pagoto, PhD. Ah yes, I follow her on Twitter (@drsherrypagoto).

After arriving at our first home away from home in Asheville North Carolina and enjoying a yummy and healthy dinner of sushi, I sat down to digest the article...and sushi. 

It warmed my heart. Thank you Drs Pagoto and Appelhans! I applaud your efforts and absolutely concur with your sentiments. They echo those I penned over a year ago in a blog titled How Much Carb, Protein or Fat? Does it Really Matter for Weight Loss or Keeping Pounds Off? and continue to speak about.   

 
March 14, 2013

New Diabetes Numbers – Sound the Alert LOUDER

While we were experiencing a much ado about nothing “snow storm” in Washington, DC on March 6, 2013, hundreds of diabetes advocates were storming Capitol Hill for a cause we should be doing much about.

To kick off their advocacy day the American Diabetes Association’s (ADA) released findings from a report they commissioned, Economic Costs of Diabetes in the U.S. in 2012, at a press conference. Joining ADA leaders at the press event were Ann Albright, PhD, RD, director of CDC’s Division of Diabetes Translation, Judith Fradkin, MD, director of the National Institutes of Health’s division which encompasses diabetes (NIDDK) and several key members of the Congressional Diabetes Caucus, Senator Susan Collins (R-ME) and Senator Jean Shaheen (D-NH) (who has a granddaughter with type 1 diabetes I learned at AADE's advocacy day in 2012).

The stats presented by ADA are downright scary! It is, without a doubt, time to sound the alert about our prediabetes and type 2 diabetes epidemics louder and louder.

Check out a few key stats.* Read through these slowly and repeatedly, it takes a few readings to absorb their impact!

 
November 29, 2012

Book Review: Behavioral Approaches to Treating Obesity: Helping Your Patients Make Changes That Last

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 and the books can be found in my amazon a-store.  Please check them out and consider a purchase. 

Note: This book is geared to healthcare providers who help people make behavior changes. I’ve recently reviewed a similar book for healthcare providers Inspiring and Supporting Behavior Change: A Food and Nutrition Professional’s Counseling Guide

Behavior Change_ArnoldNo longer is it unusual to hear the term ‘obesity’ in our culture. While studies and books abound on the topic, Behavioral Approaches to Treating Obesity, Helping Your Patients Make Changes That Last, by experts Brigitta Adolfsson, PhD and Marilynn S. Arnold, MS, RD, have created an all-in-one resource and reference guide for healthcare providers (HCPs). 

Behavioral Approaches to Treating Obesity begins with an in depth overview of the dismal statistics about obesity in America. The authors proceed to cover the multi-factorial nature of weight gain. They also discuss the possible ‘solutions’ for obesity which include bariatric surgery, obesity medications and/or healthy lifestyle changes. 

Adolfsson and Arnold invite HCPs to view obesity from a different perspective…being open to every and all treatment modalities. In utilizing behavior change techniques for healthy lifestyle changes people make the decisions while the HCP interacts in a manner that supports the person’s well-being. 

 
November 29, 2012

Book Review: Inspiring and Supporting Behavior Change: A Food and Nutrition Professional’s Counseling Guide

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 and the books can be found in my amazon a-store. Please check them out and consider a purchase. 

Note: This book is geared to healthcare providers who help people make behavior changes. I’ve recently reviewed a similar book for healthcare providers Behavioral Approaches to Treating Obesity: Helping Your Patients Make Changes That Last

Changing behaviors is a difficult process, period! When it comes to changing behaviors to impact health outcomes, frustrations can multiply for the person managing the condition and the healthcare providers (HCPs) encouraging the person to make changes.

Inspiring and Supporting Behavior Change: A Food and Nutrition Professional’s Counseling Guide, written by Ann Constance and Cecilia Sauter, both dietitians and Certified Diabetes Educators with years of expertise counseling people with diabetes, is a handbook designed to help HCPs learn to more successfully and effectively inspire people to make critically important behavior changes. 

 
November 20, 2012

Insulin Resistance, Weight Gain and Type 2 Diabetes: Connect the Dots

apple vs. pear shape

Have you heard the terms insulin resistance, insulin sensitivity and metabolic syndrome in the same breath as prediabetes and type 2 diabetes? Do you wonder how these terms are intertwined with prediabetes and type 2 diabetes?

Learn the terms and gather action steps put them in reverse or at least slow their progression over time.  

What Is Insulin Resistance?

Insulin resistance most often occurs in people who are overweight. People who carry their extra weight around their middle – the abdomen or waist line - are at increased risk. The medical term for that apple shape is central adiposity. 

 
 
 
Hope Warshaw