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. 

 
November 16, 2012

Out Raising Awareness During American Diabetes Month

The diabetes stats are downright staggering! Nearly 19 million people are diagnosed with diabetes in the U.S. and another 6 million are estimated to have diabetes but don’t yet know it. Add to this number, another 79 million people with prediabetes yet barely 10 percent of these throngs of people know they have it. 

Unfortunately people continue to think of type 2 diabetes as a ho-hum disease and tend not treat it early and aggressively. Yet we know early and aggressive care of type 2 is exactly what keeps people healthier longer. And we know early awareness and action with prediabetes can prevent/delay the progression to type 2 diabetes.

So, to honor American Diabetes Month, I’ve grabbed every opportunity which has come my way to raise awareness, educate and promote action. Check out links to these guest blogs, videos, and interviews:

 

Warshaw Quoted in Ladies Home Journal, Sept '12 - Diabetes, Me?

Warshaw is quoted in article titled Diabetes, Me? in the September 2012 issue of Ladies Home Journal. The article focuses on raising women's awareness of and concern about prediabetes. Warshaw promotes early, agressive management of prediabetes to prevent progression to type 2. In the article she suggests to women that cutting back on sweetened drinks is a number one strategy to put into action.

Warshaw quoted in "The Tan Sheet" (food Industry newsletter) on ConAgra's Qualified Health Claim Whole Grains and Diabetes Prevention

Warshaw is quoted as diabetes nutrition expert in article titled, ConAgra's Petition for Whole Grain/Diabetes Claim Draws Opposition, published in "The Tan Sheet", a food industry newsletter. The article focuses on ConAgra's recently filed petition for a Qualified Health Claim (QHC) for whole grains in the prevention of type 2 diabetes.

June 14, 2012

Parents: Time to Take a Seat AS Head of the Table

ADA 72nd Sci SesI’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.

 
April 22, 2012

Lose Weight Online? You Bet You Can!

vtrim logoI’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.

 

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