Category: Food & Nutrition

  • To Snack, or Not to Snack?

    To Snack, or Not to Snack?

    With social distancing and mandates to stay at home, many people are having to get creative with eating and cooking more meals at home. When you’re cooped up inside with easy access to the kitchen, it’s easy to start grazing all day and lose the structure of planned meals. How can you enjoy snacks and still keep it healthy?

    Related: Tips and Recipes for Staying Healthy While Staying Home

    To snack, or not to snack?

    In the past, typical meal plans for type 2 diabetes often called for two or three between-meal snacks each day. It was believed that snacks were necessary to help stabilize blood glucose levels.

    Now we know that not everyone with diabetes (particularly type 2 diabetes) routinely needs between-meal snacks, especially if three regular meals are part of the day.

    Listen to your body and watch your blood glucose patterns; let them be your guide when it comes to snacking. Here are three questions to ask yourself when considering a snack:

    1. Are you truly hungry? Keep in mind that snacks add extra calories. So if weight loss is one of your goals, plan for those extra snack calories by trimming calories elsewhere in the day.
    2. Do you need extra fuel for physical activity?
    3. Do you need extra carbohydrate to keep blood glucose levels in range?

    If the answer is “yes” to any of these questions, then it may be time for a snack.

    What to snack on?

    When hunger hits, select snacks with 3 simple things in mind: 

    • First – and this is especially important if you or a family member has diabetes – select snacks that promote keeping blood glucose in range.
    • Second, I think snacks are a great opportunity to fit in a non-starchy vegetable or fruit.
    • And lastly, snacks should be easy to prepare, satisfying, and tasty! 

    So, what to snack on? Here are 10 ideas to get you started. The carbohydrate content of these snack ideas varies, so you may need to adjust amounts to what works best for you.  

    1. Air-popped or light microwave popcorn. Did you know you can pop plain popcorn kernels in a small brown paper sack? Pump up flavor with a sprinkle of black pepper and parmesan cheese. 3 cups will have about 15 g carbohydrate. This is a simple, tasty whole grain snack. 

    2. Fruit + Protein. Apple or pear slices with reduced-fat cheddar cheese or a nut butter is another way to fit in a fruit with a little protein to make it more filling. 

    3. Bean dip + Veggies. Hummus or other bean-based dip with fresh veggies is a great option for a high fiber snack. My favorites veggies for dipping in hummus are broccoli florets, colorful pepper strips or grape tomatoes. 

    4. Hardboiled eggs. I keep a bowl with a few in the fridge (with shells still on). It’s a snack that’s easy, inexpensive, portion-controlled and gives a protein boost. And fun for kids to peel and eat. 

    5. Olives. Olives make a great low-carb, Mediterranean-style snack that will satisfy your cravings for something salty. They’re packed with healthy fats, but the calories can add up quickly, so watch your portion size.  

    6. Avocado. Another favorite Mediterranean-style snack is a sliced avocado drizzled with olive oil and balsamic, a dash or garlic powder, or even a splash of hot sauce. Add chopped tomatoes for a mini avocado salad.

    7. Tuna or salmon. You may find foil packs or mini cans of water-packed tuna or salmon or your pantry shelves. They make a great high protein, low carb snack that’s packed with heart-healthy omega-3 fats. Eat it by itself, or use it to top whole-wheat crackers or sliced fresh veggies like cucumbers or tomatoes. 

    8. Fruit and Yogurt Parfait. Layer plain yogurt with fresh, unsweetened frozen, or canned fruit (canned in juice or water) for a sweet treat with no added sugar. Greek and Icelandic yogurts are lower in carbohydrate and richer in protein, so go for that if it’s an option. I like to layer on any blueberries, sliced strawberries, and mandarin oranges that were canned in juice. 

    9. Vegetable juice. It doesn’t get any easier to fit in a vegetable serving than with a can of low-sodium tomato or vegetable juice. 

    10. Toast + nut butter. Top a slice of whole wheat or sprouted grain bread, or a whole-grain toaster waffle, with almond butter or peanut butter. You get a whole grain and a little protein and healthy fat from the nut butter. 

    Looking for more? Read 25 Simple Snack Ideas here

    Watch portion sizes!

    Snacks are meant to be snack-sized! One tried and true strategy for managing portions is to purchase snacks in single servings if possible. Things like individual cups of yogurt or cottage cheese, mozzarella cheese sticks, or natural applesauce cups or cups of fruit packed in juice or water. 

    And if you think about it, many fresh fruits are perfectly portioned – a small apple, tangerine, a plum, or a small pear are a few examples. 

    A second strategy is to portion snacks yourself at home in zip-top bags or individual serving containers. Or, portion out one serving of a snack before eating. Eating straight out of the container can lead to mindless overeating. 

    More snack recipes 

    Tami Ross is a registered dietitian, certified diabetes educator, and nationally recognized speaker, consultant, and health and nutrition writer. She is author of the best-selling book, What Do I Eat Now?. You can follow Tami on Twitter @tamirossrd or visit her website, www.tamirossrd.com

  • Tips and Recipes to Stay Healthy While Staying Home

    Tips and Recipes to Stay Healthy While Staying Home

    COVID-19 is causing closures, quarantine, and “social distancing” protocols across the nation. For many, this means eating more meals at home, and possibly limited access to grocery stores. Eating healthy in this situation can be challenging, but it is possible! We’ve got tips on what to buy at the grocery store, and easy recipes that you can prepare with low cost groceries that you may already have in your pantry.

    We’ll be updating this article with more tips and recipes over the coming days, so please check back often. You can also visit the ADA’s primary COVID-19 information page here to see FAQs, sick-day tips, and diabetes-related updates.

    In this article:

    What to buy?

    Going to the grocery store increases your risk of exposure to the coronavirus. Consider getting groceries delivered if possible, or having a friend or family shop you for you if you are at high risk. If you must go the store, buy enough to last a week or two so that you don’t have to go as often.

    There are also many precautions you can take to stay safe. Read our article on safe grocery shopping to learn more.

    When shopping, stock up on shelf-stable foods. Versatility is also important—look for foods that can be used in a wide variety of recipes, or make a quick and easy snack on their own.

    As you’re looking for recipes and making your shopping list, write down alternates or substitutions in case you can’t find certain things at the store.  

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    Frozen Foods

    • Stock up on your favorite frozen vegetables! Good choices are: broccoli, spinach, cauliflower, edamame, green beans, etc.
    • Frozen fruits—great for smoothies or adding to yogurt or oatmeal
    • If you’re having trouble finding frozen foods due to shortages, buy fresh and freeze it yourself (see below)

    How to Freeze Fresh Foods

    Vegetables:

    • Dice onions, bell peppers, carrots, etc; portion in freezer-safe bags and pop them straight in the freezer.
    • For vegetables like broccoli and spinach: cook in boiling water for 1-2 minutes, then drop in ice water. Drain thoroughly and freeze.
    • To keep things from clumping together, lay chopped veggies out on a baking sheet and freeze for at least a couple of hours, then transfer to a freezer-safe bag.

    Fresh herbs: chop and store in ice cube trays submerged in water or oil. Once they are frozen solid, you can transfer them to a freezer-safe bag.

    Fresh fruit that freezes well: berries, pineapple, bananas, mango, peaches, plums, apricots.

    Meat, fish, poultry: wrap in plastic wrap and aluminum foil to protect from freezer burn, or store in airtight, freezer bag (remove as much air as possible before sealing).

    • Thaw before using: the safest method for thawing raw meat is in the refrigerator (it can take one or more days to completely thaw). If you need to thaw faster, you can thaw under cold, running water in the sink, or in the microwave. Do NOT thaw raw meat on the counter.

    Dairy: milk, yogurt, cheese, and butter all freeze well. For milk and other liquids, leave space in the container—liquids expand when they freeze.

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    Fresh Produce

    Buy fresh produce with a longer shelf life.

    • Longest shelf life (store on counter or in pantry): onions, potatoes, sweet potatoes, garlic, winter squash, and melons.
    • Medium shelf life (store in fridge): cabbage, bagged greens such as kale and collards, summer squash, brussels sprouts, cauliflower, broccoli, carrots, beets (remove greens if attached), apples, and citrus fruit.
       
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    Canned/Jarred Foods

    • Canned protein like tuna, salmon, chicken, sardines, anchovies—look for options packed in water instead of oil.
    • Canned vegetables—look for low sodium or no-salt-added if possible.
    • Canned tomatoes—buy some large cans of tomatoes (diced, crushed, or whole)—they’re a good base for any number of soups, stews, chilis, and sauces.
    • Canned fruit—look for fruit packed in water or 100% juice (not heavy syrup).
    • Applesauce—look for no sugar added.
    • Premade sauces like spaghetti sauce, pesto, etc. Check the international aisle for things like curry sauces—these can make for quick, easy, and flavorful meals.
    • Broth (chicken, beef, vegetable)—look for low sodium if possible. Use as a starting point for soups and stews.
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    Dry goods

    • Whole grains like brown rice, quinoa, oatmeal, popcorn (great for snacking!), bulgur, barley, farro, etc.
    • Dry beans—if you have an Instant Pot or other multi-cooker, now’s the time to test out cooking dry beans in it!
    • Lentils—these cook much faster than other dry beans.
    • Pasta—look for whole grain. Try out legume-based pastas like lentil or chickpea (garbanzo bean) pasta for more protein and fiber.
    • Cereal/granola—look for low sugar varieties.
    • Nuts and nut butters—these are a good source of protein and healthy fats.
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    Pantry Staples

    • Oils, herbs and spices, vinegars, and baking supplies will last a very long time and are essentials for most recipes.
    • Condiments like soy sauce, mustard, hot sauce, salsa, ketchup, mayonnaise, reduced fat sour cream, and light cream cheese.
    • Instant meals—instant soups, boxed mac and cheese, hamburger helper, rice-a-roni—all work in a pinch, though there are some things to keep in mind with these:
      • Look for lower sodium varieties if possible. If it comes with a separate flavor/seasoning packet, use half to cut sodium and add your own spices to taste.
      • Give them a nutrition boost by adding some fresh, frozen, or canned vegetables.
      • Make them more filling by adding protein—canned tuna or chicken, eggs, leftover cooked meat, or beans.

    What to cook?

    Find flexible recipes where you can easily sub in different vegetables, proteins, and grains, depending on what you have on hand. Things like stir-fry, soups, stews, frittatas, and meatloaf are versatile dishes that can use almost any combination of vegetables, protein, and grains.
     
    When putting together a meal, use the Diabetes Plate Method to build balanced meals with appropriate portion sizes.

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    Filling half your plate with vegetables will provide fiber, vitamins, and minerals you need to stay healthy. A small portion of protein in one quarter of your plate is all you need to stay full and satisfied.

    Finish off your meal by filling one quarter of your plate with a carb-rich food like whole grains, beans, starchy vegetables like potatoes or corn, or fruit. Limiting carb foods to one quarter of your plate helps keep portions in check to prevent spikes in blood glucose.

    You can use this same formula when putting together mixed dishes like soup or casserole—it should be made up of mostly vegetables, one quarter protein, and one quarter carb foods.

    COVID-19: What Can I Eat? from American Diabetes Association on Vimeo.

    If you’re working at home for the first time, you’re probably having to get used to a new lunch routine. Read this article for more advice on preparing healthy, work-from-home lunches

    Recipes

    Here are some flexible recipe options that use mostly low-cost, shelf-stable ingredients. You can easily adapt these recipes to whatever you have in your pantry, fridge, or freezer. Sub out fresh vegetables for canned or frozen if needed. If you’re missing any spices or seasonings, swap them out for whatever you do have, or just leave it out.

    Don’t overthink things and don’t be afraid to get creative! Let these recipes inspire you to develop your own version using what you have. For more ideas, check out this article for some “non-recipe” ideas for snacks and meals with just a few ingredients

    Browse Easy Pantry Recipes

    Chili

    You can make a great pot of chili almost entirely out of canned and frozen foods. Use canned beans like black beans, kidney beans, or pinto beans. (You could even use dried lentils—they’ll cook through while everything simmers together). Add canned tomatoes and corn. For extra spice and flavor, add canned green chilies and chipotles in adobo. You could keep it vegetarian or add lean ground beef, turkey, or chicken. Try one of these recipes:

    Stir Fry

    You can use an endless combination of protein and vegetables to make a quick and easy stir fry with whatever you have on hand. You can use fresh or frozen vegetables, and pretty much any protein—chicken, steak, pork, shrimp, tofu, or beans. Or use eggs and rice for a veggie fried rice. There are almost endless possibilities. Pair it with a grain like brown rice or quinoa, or cauliflower “rice” or zucchini “noodles” for a low-carb, veggie-packed meal.

    Meatloaf

    Budget-friendly and super easy to prepare. You can use lean ground beef, turkey, or chicken. Add vegetables like diced bell pepper, onion, garlic. Bind it together with chopped oats instead of bread crumbs for a little extra fiber. Try one of these recipes:

    Eggs

    Eggs have a long shelf-life, are inexpensive, and are extremely versatile.

    Hard boiled eggs are a quick and easy high protein, low carb snack. They’re also great to add to a salad for extra protein, or chop them up and make an egg salad.

    Frittata sounds a little fancy, but is a flexible dish that’s easy to whip up for breakfast, lunch, or dinner. Use whatever vegetables you have on have on hand. Cook it all in a skillet, or divide it in a muffin tin for individual egg “muffins.”

    Have you heard of shakshuka? This north African dish has been popping up on brunch menus, but it’s also incredibly easy to make at home, and with ingredients you probably already have on hand. Our recipe adds ingredients to boost the flavor, but the dish is essentially just eggs cooked in a rich tomato sauce. Get creative with seasonings and add in other vegetables that you have on hand. 

    Soups

    You can basically follow a formula to make any soup out of whatever ingredients you have on hand. It’s a simple combination of a protein (could be meat, poultry, seafood, beans, or tofu), vegetables (could be fresh, frozen, or canned), and liquid (beef, vegetable, or chicken broth, or even just water). Add grains like brown rice, quinoa, barley, or pasta for something heartier. Here are some budget-friendly recipes to try:

    Healthy Snacking

    With social distancing in place and many of you with kids, and even the entire family at home, do you find yourself wondering, “How can we enjoy snacks and keep it healthy?”

    When hunger hits, select snacks with 3 simple things in mind:

    • First – and this is especially important if you or a family member has diabetes – select snacks that promote keeping blood glucose in range.
    • Second,  snacks are a great opportunity to fit in a non-starchy vegetable or fruit.
    • And lastly, snacks should be easy to prepare, satisfying, and tasty!

    When it comes to managing portion sizes of your snacks… 

    One tried and true strategy is to purchase snacks in single servings if possible. Things like individual cups of yogurt or cottage cheese, mozzarella cheese sticks, or natural applesauce cups or cups of fruit packed in juice or water. And if you think about it, many fresh fruits are perfectly portioned – a small apple, tangerine, a plum, or a small pear are a few examples. 

    A second strategy is to portion snacks yourself at home in zip-top bags or individual serving containers, so no thinking required when it’s time for a snack. This can work for things like small portions of nuts. Choose heart-healthy almonds, walnuts, pistachios, or peanuts.  

    Here are some simple snack ideas with things you may already have on hand: 

    • Air-popped or light microwave popcorn. Did you know you can pop plain popcorn kernels in a small brown paper sack? Pump up flavor with a sprinkle of black pepper and parmesan cheese. 3 cups will have about 15 g carbohydrate. This is a simple, tasty whole grain snack. Many don’t realize that popcorn is a healthy whole grain. It’s plant-based too if you’re trying to eat more plant-based foods. 
    • Single serving tuna salad. You may find foil packs or mini cans of water-packed tuna or salmon or your pantry shelves. This is a great snack packed with heart-healthy omega-3 fats. Add a spoonful of light mayonnaise or plain yogurt for a creamy tuna salad. Eat it by it self, or with whole-grain crackers or veggies like sliced cucumber or bell pepper strips.
    • Top a slice of whole wheat or sprouted grain bread, or a whole-grain toaster waffle, with almond butter or peanut butter. You get a whole grain and a little protein and healthy fat from the nut butter. If you have room to fit in a few more carbs, slice on half a banana. (about 30 carbs) 
    • Get creative with a yogurt parfait. Choose plain yogurt to avoid added sugars. Greek and Icelandic yogurts are lower in carbohydrate and richer in protein, so go for that if an option. Layer yogurt with any combination of fresh, frozen, or canned fruits. This snack fits in dairy and fruit for around 30 carbs.

    Click here for more tips on healthy snacking

    Snack recipes

  • ADA’s Statement on COVID-19

    ADA’s Statement on COVID-19

    In general people with diabetes face greater risks of complications when dealing with viral infections like flu, and that is likely to be true with COVID-19.

    Here’s what you should know. | Read more.

  • Why diets don’t work for everyone (and what to do instead)

    Why diets don’t work for everyone (and what to do instead)

    When you’re diagnosed with type 2 diabetes or prediabetes, it’s easy to start imagining all the foods you’ll “never” be able to eat again. After all, you’ve heard that diet and weight loss are important for managing type 2 diabetes, so it’s natural to assume that means people with diabetes have to follow a strict diet.

    It’s true that lifestyle changes like eating behaviors can help manage or prevent type 2 diabetes, but more and more research shows that “dieting” may not be the best strategy.

    Why “Diets” Don’t Work

    First of all, what do we mean by “diet”? Technically, a “diet” is just the foods that you typically eat every day. But most people think of a diet as a structured eating program that restricts certain foods or nutrients. And often when people “go on a diet” it’s considered a temporary change, usually with the goal of losing weight quickly.

    Most people assume that dieting is the best way to lose weight. You probably know someone (maybe yourself) who “successfully” lost a lot of weight by going on a diet. But did the weight stay off?

    Probably not—research shows that 95-98% of dieters regain that weight and up to two thirds regain even more. So it seems like dieting may not be the best strategy for long-term weight loss for most people.

    Even worse, chronic dieting can cause stress and anxiety around eating, and even lead to disordered eating behaviors. People with diabetes may be uniquely at risk—research shows that “disordered eating behaviors may affect up to 40% of patients with type 2 diabetes mellitus.”

    Getting out of the “diet mindset”

    The “diet mindset” is believing in external rules about what you should and shouldn’t eat. It can create feelings of shame, guilt, anxiety, and deprivation, and make it harder to listen to your body’s internal signals of hunger, fullness, and satisfaction.

    Try some of these strategies for getting out of the “diet mindset”:

    Instead of classifying foods as “good” and “bad”: Think of foods as neutral. Eating a certain way does not make you a better or worse person, and there is no reason to feel shame or guilt for eating foods that you enjoy.

    Instead of following rules about what you “can” and “can’t” eat: Learn how your body responds to different foods, and understand why you’re better off avoiding certain foods. Instead of telling yourself “I can’t eat this,” think “my blood glucose doesn’t respond as well to this food.”

    Instead of counting calories: Let your body’s hunger and fullness cues guide how much you eat. Eat slowly and savor your food. Pause mid-meal to check your hunger level. Eat until you are comfortably satisfied, not until you are uncomfortably full.

    Instead of measuring success based on numbers, such as body weight or A1C: Look for other victories like better mood, increased energy, better mobility, and improved sleep. Celebrate positive behavior changes.

    Instead of letting eating feel like a burden: Practice mindful eating techniques such as eating slowly and savoring the taste, texture and aroma of the foods you are eating. This will allow you to regain the pleasure of food and have full satisfaction in your meals.

    Instead of denying your cravings: Understand your cravings. Check your blood glucose when cravings hit: if it’s low, this may be a “physiological craving”—your body is telling you that it needs food. If is normal or high, it may be an “emotional craving.” Learn what triggers emotional cravings and develop strategies to manage them.

    Instead of exercising to burn calories: Find ways to be active that feel good and that you genuinely enjoy. Think of physical activity as a celebration of the things your body can do, instead of punishment for the things it can’t do.

    Takeaway

    • Most people struggle to maintain a healthy weight through dieting, and the “diet mindset” can cause anxiety around food, depression, and low self-esteem.
    • If you struggle with yo-yo dieting and food anxiety, Intuitive Eating and mindful eating practices may help you overcome this anxiety and adapt healthier behaviors.

    Bonnie R. Giller is a Registered Dietitian Nutritionist, Certified Diabetes Educator and Certified Intuitive Eating Counselor. Learn more about Bonnie at BRGHealth.com. Find more Intuitive Eating tips on her blog.

  • What is the Best Diet for Diabetes?

    What is the Best Diet for Diabetes?

    If diet is so important for managing diabetes, surely there is one perfect diet that everyone with diabetes should follow, right? The media, the internet, your Facebook feed, and even your Aunt Judy all have opinions about the correct diet for diabetes. So, what’s the answer? Every year, U.S. News surveys popular diets and eating patterns—including keto, Mediterranean, vegan, DASH, and others—and then reviews the scientific evidence to compile their annual list of best diets for diabetes. This year’s results may just surprise you.

    Every year, U.S. News gathers a panel of experts to review and rank the best “diets” for overall health, weight loss, heart health, diabetes, and other categories.

    The panel reviews the most up-to-date research and evidence on each diet and its claimed health benefits. They also consider how easy the diet is for people to follow and stick to, and if health benefits, such as weight loss, last in the long term.

    Topping the list of “Best Diets for Diabetes” is the Mediterranean diet (this diet was also ranked #1 in “Best Overall”). Next is a four-way tie for second place between DASH, Flexitarian, Mayo Clinic, and Vegan diets.

    What do the top-ranked diets have in common?

    1. They’re not really “diets.”
    At least not in the modern sense. These diets are not considered temporary regimens to “detox,” “reset,” or reach a certain goal quickly. They’re more like eating patterns that are intended to be permanent.

    With the exception of vegan, none of the top-ranked diets cut out certain foods or nutrients, or have strict rules to follow. And none of them require you to count calories or carbs.

    2. They focus on plant foods.
    All of these patterns encourage eating more plant foods like vegetables, fruits, whole grains, beans, and legumes (the vegan diet goes even further by only allowing plant-based foods—it eliminates all animal products, including meat, poultry, fish, eggs, and dairy foods).

    Research overwhelmingly supports the benefits of eating more plant-based foods. Plant foods are packed with vitamins, minerals, and antioxidants that are important for general health. They’re also the best source for fiber, which helps manage blood glucose.

    Essentially, plants are nutrient-dense and low in calories, giving you a lot of bang for your buck!

    3. They don’t focus on restricting carbs.
    You may notice that the list does not include any diets focused on restricting carbs like keto or Atkins. While research shows that reducing carb intake can help manage blood glucose, there’s not enough evidence to say that people with diabetes need to cut out all carbs.

    The bigger issue is that very low carb diets can also be hard to stick with in the long run. It may be easier to start by focusing on the quality of carbs, monitoring your portions, and following a flexible healthy eating pattern for long-term benefits.

    4. They’re not “fads.”
    The most successful patterns have all been around for a long time. The Mediterranean diet may seem like a new fad, but it’s based on the way people in the Mediterranean region have been eating for centuries.

    The “Flexitarian diet” may also sound fancy and new, but many people already eat this way, whether they’re trying to or not.

    Veganism has also been around for a long time, and some people choose to eat this way for ethical or environmental reasons as well as health reasons.

    5. They’re backed by science.
    All of the top-ranked diets have been extensively researched and have a mountain of scientific evidence backing them up. DASH and Mayo clinic diets were developed by respected, evidence-based institutions.

    Mediterranean, vegan, and “flexitarian” eating patterns have been around for a long time, but they are getting trendier as more and more research shows their health benefits.

    Which should you choose?

    It’s important to note that none of these eating patterns are particularly “better” than the others. With a four-way tie for second place, and a three-way tie for third place, there are eight “Top 3” diets!

    All of these eating patterns include basic principles of healthy eating, so any one of them can help you manage or prevent type 2 diabetes.

    The best diet for you is going to be the one that fits best with your lifestyle and preferences, and that you’re most likely to stick with long-term.

    BOTTOM LINE

    You don’t have to follow a certain “diet” to manage diabetes. Work towards a healthy eating pattern that fits your lifestyle and preferences. Here are some tips to help you get started:

    • Eat plenty of vegetables (especially nonstarchy vegetables that are low in calories and carbs).
    • Choose whole foods over processed foods. One way to do this is by preparing more meals at home.
    • Reduce added sugar. Limit sugary foods like sodas, candies, and sweets. Check nutrition facts labels for added sugar in packaged foods.
    • ​Choose proper portion sizes. The Diabetes Plate Method is a quick and easy way to build balanced meals with proper portions.

    Remember, any time that you’re making changes to your medication, eating, or exercise be sure to have a conversation with your health care team. A Registered Dietitian Nutritionist (RDN), or a Certified Diabetes Care and Education Specialist (CDE or CDCES) can help you develop a healthy eating plan that fits your needs.
     

  • Tips for Managing Diabetes and Heart Health

    Tips for Managing Diabetes and Heart Health

    Diabetes is a condition that affects the way the body processes blood glucose. High blood glucose levels (also known as hyperglycemia) can damage your body in different ways and make you more likely to develop heart disease or stroke. The good news is that you can help manage both—your cardiovascular risk and your diabetes—by eating smart and making healthy lifestyle choices.

    Eat Smart

    If you have diabetes or prediabetes, you may be wondering what, when, and how much you should eat. It may surprise you that there is no “diabetes diet” or perfect amount of nutrients (protein, fat, or even carbohydrates) that’s right for every person with diabetes.
     
    Your eating plan—what, when, and how much you eat—should be personalized to meet your needs. A Registered Dietitian Nutritionist (RDN) or Certified Diabetes Educator (CDE) can help you create an eating plan that fits your lifestyle, eating preferences, health goals, and budget. Ask your primary health care provider if you need a referral.
     
    You don’t need to follow a specific diet to manage diabetes and reduce your risk of heart disease. But there are several basic recommendations to keep in mind as you make your daily food choices:

    • Eat a variety of vegetables. Nonstarchy vegetables (such as broccoli, cauliflower, spinach, and green beans) are low in calories and carbohydrates, and high in fiber, vitamins, and minerals that are essential to good health. Aim to fill half your plate with nonstarchy vegetables at meals.

    • Choose fiber-rich whole grains, such as brown rice, oats, quinoa, barley, and breads and pastas made with 100% whole wheat. Try to eat fewer foods made with refined grains, such as white bread, white pastas, and many baked goods.

    • Choose lean proteins, such as poultry without the skin and extra-lean cuts of meat. Look for healthy ways to prepare protein options, such as broiling, baking, grilling, roasting, and searing.

    • Eat fish twice a week, preferably those high in omega-3 fatty acids, such as salmon, lake trout, albacore tuna, sardines, and herring.

    • Include beans, legumes, nuts, and seeds. These foods are high in fiber and a good source of plant proteins and heart-healthy fats.

    • Eat a variety of fruit. Choose fresh, frozen, or canned fruit. Whole fruits are preferred over fruit juices because they are higher in fiber and are more filling.

    • Choose low-fat or fat-free dairy products, such as skim or 1% milk, non-fat yogurts, low-fat cream cheese or sour cream, and reduced fat cheeses.

    • Limit added sugars. Added sugars are sweeteners—such as sugar, corn syrup, brown sugar, honey, and maple syrup—that are added to foods during processing. Check the nutrition facts label to see how much added sugar is included in a food product.

    • Choose foods with less sodium by using whole foods and looking for products that are lower in sodium (check the nutrition facts panel). Use little or no salt when preparing foods, and don’t add salt to food at the table.

    Choose a healthy lifestyle

    Not only is it important to eat smart, you should also maintain a healthy lifestyle to best manage your diabetes and heart health.

    • Move more, sit less. Aim for 150 minutes each week of mild cardio exercise like walking, or 75 minutes of intense cardio exercise like jogging or biking (or a combination of both). Break up long bouts of sitting by getting up every hour and walking around for a few minutes.

    • Maintain a healthy weight. Talk to your health care provider about what a healthy weight is for you. You can work to create an individualized plan to achieve or maintain your healthy weight.

    • Live tobacco and vape free. Don’t smoke, vape, or use tobacco or nicotine products. Avoid secondhand smoke or vapor.

    • Drink alcohol in moderation—or not at all. If you drink, do so in moderation. That means no more than one drink per day for women, and no more than 2 drinks per day for men.

    • Be well. Beyond eating smart and being active, staying healthy includes getting enough sleep, managing stress, keeping your mind and boy fit, and connecting socially.

    • Schedule regular medical checkups. Make an appointment with your health care provider to discuss your personal risk for heart disease and stroke.

    For more information and resources on diabetes and heart disease, visit www.KnowDiabetesByHeart.org.

  • Better than Resolutions: 6 Steps to Success in 2020

    Better than Resolutions: 6 Steps to Success in 2020

    A lot of New Year’s resolutions sound like great ideas. They seem like the solutions to so many problems. That strict diet that you start on January 1st or next Monday will better your blood glucose, slim you down, control your cholesterol, get you off blood pressure medications and so much more. And your new gym membership will do the same.

    Unfortunately, resolutions rarely last very long or give us that huge impact we’re after. Resolutions tend to be grandiose and eventually feel like punishment. If you want to make changes this year, skip the resolutions and commit to a few small behavioral goals.

    Why Small Goals?

    Small behavioral goals are likely to become habits. A small goal such as eating 3 servings of non-starchy vegetables is much more realistic than overhauling your diet completely. By planning your steps to eat your vegetable servings day after day, you’ll soon have a good habit to rely on.

    They spur us on to bigger things. Success motivates us to pursue more success. Start small to get the jumpstart that leads to bigger goals and bigger results.

    They aren’t so black and white. Once those big resolutions are broken, that’s usually the end of them. But small goals aren’t simply a function of our resolve to do something difficult. Small goals allow you to focus on the process of meeting your goal even more than the outcome of meeting it.

    Using the example of eating 3 servings of vegetables every day, you’ll learn what it takes to prepare them, schedule time to shop for them, pair them with other foods and so many more skills that you can use for other, bigger goals.

    6 Steps to Goal Success

    1. Know what motivates you

    If getting regular exercise is your goal, ask yourself why. Write down a list of whys. Is it a path to better blood glucose management? Better sleep, more energy, greater heart health, more confidence? Pick a goal that you want very badly. Avoid picking one just because you should want it.

    2. Know the negatives

    Every tough change has at least one negative associated with it. Otherwise, you would have already done it. Does meeting your exercise goal mean that you have to wake up earlier, pay for childcare or eat dinner at a different hour?

    3. Write clear-cut goals

    Use the following to write a more detailed plan:

    • Specific. Write your goal so it passes the stranger test. Will strangers know exactly what you plan to do if they see your goal written? They won’t if you say that you’re going exercise more, but they will if you write what you will do, how you will do it and where you will do it.
    • Measurable. Words, like more, less and better are too vague to measure. You should be able to say that you met your goal with 100% success or 66% success or any other number.
    • Action-oriented. You are in control of your actions or your behaviors, but sadly, you don’t have 100% control over your blood glucose measurements or body weight, as examples. Write your goals as behaviors.
    • Realistic. Make sure your goal is attainable with the resources (money, time, energy) that you have available.
    • Timely. Identify when you will engage in the desired behavior and when you will assess your results. For example, you will walk outside or dance in the living room 5 mornings after breakfast for at least 10 minutes. And you plan to assess your results in 1 week.

    4. List your steps to success

    This is easy to ignore, but critical to do. It’s not enough to say that you’ll exercise 5 mornings this week. You also need to identify what it will take to be successful. Do you need buy new walking shoes, get out of bed a few minutes earlier, arrange for your spouse to look after the kids?

    5. Ask for help

    There are very few difficult tasks that we can accomplish entirely on our own. It’s okay to ask someone to watch your kids, unload the dishwasher, run an errand or do something else to free you up to take a walk or try out some new recipes.

    6. Give yourself due credit.

    Not being 100% successful doesn’t mean that you were 100% unsuccessful. Take pleasure in what you did accomplish. And look critically at your efforts and outcomes. What worked out well and what didn’t go so well? What did you learn? What part did you like? Use that information to tweak your goal and your plan to meet it next week.

    Cheers to a happy, healthy 2020!

    Jill Weisenberger, MS, RDN, CDE, CHWC, FAND is the author Prediabetes: A Complete Guide and Diabetes Weight Loss – Week by Week. Find more food and nutrition advice from Jill at jillweisenberger.com/blog
     

  • A Clean & Simple Meal Plan for the New Year

    A Clean & Simple Meal Plan for the New Year

    Do you have a resolution to eat healthier this new year? Cooking more meals at home is a great way to start, but it can be challenging to plan, shop, and prepare meals every week. To help, we’ve come up with a clean and simple meal plan of recipes featuring natural, healthy, whole foods. This meal plan is low in sodium, has no added sugar, and provides balanced meals loaded with vegetables, lean protein, and whole grains.

    You can fit these recipes into your weekly meal plan in whatever way works best for you. Use the interactive Meal Planner on Diabetes Food Hub to plan out your week. Once you have created your free account, you can save recipes, then drag-and-drop them into your meal plan.

    Click here for more tips on how to use Diabetes Food Hub

    Dinner

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    Herbs de Provence Chicken with Easy Middle Easter Green Beans

    Make this dinner early in the week and make extra chicken for leftovers (you can easily double the recipe). You could also add a whole grain to this meal, like brown rice or Cilantro Lime Quinoa.
     

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    Seasonal Baked Whitefish Pouches with Sweet Potato Masala

    The sweet potatoes and the fish pouches cook at the same temperature, so you can bake everything at once. Start by preparing the Sweet Potato Masala; you can prepare and bake the fish and vegetable pouches while the sweet potatoes are roasting.

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    Sheet Pan Zucchini, Red Pepper & Tofu “Stir-Fry” with Cilantro Lime Quinoa

    This “stir-fry” is cooked in a sheet pan for an even easier “hands-off” dinner. This calls for zucchini and red pepper, but you could use any nonstarchy vegetables, fresh or frozen.
     

    Lunch

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    “Love Your Leftovers” BBQ Bowls

    To make this bowl, you can use leftover chicken, quinoa, and vegetables from any of the dinner meals. Bring it all together with greens and a drizzle of homemade Fruit-Sweetened BBQ Sauce.

     

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    Powerhouse Salad

    This filling salad is a meal all on its own! If you have more chicken left over, you could add it to this salad for more protein (or instead of the hard-boiled egg).  

     

    Breakfast

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    Peachy Yogurt & Granola Jars

    Instead of store-bought yogurt containers that are loaded with added sugar, try this homemade parfait! Plain yogurt is sweetened with a fruit-based jam and fresh or frozen peach slices. You can prepare the jars ahead of time, but add the Homemade Fruit-Sweetened Granola just before eating.
     

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    Egg & Avocado Toasts

    This recipe boasts whole grains, healthy fats, and protein that will keep you full until lunch. You can poach the eggs in the microwave for a simple, yet perfectly cooked egg, or top the toast with a sliced hard-boiled egg that was made ahead of time.

     

    Bonus

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    Snack: BBQ Popcorn

    Instead of piling on salt and butter, this popcorn is flavored with Fruit-Sweetened BBQ Sauce and smoked paprika. If you don’t have avocado or sunflower oil, you could use canola oil. Or, if you have an air popper, you can pop the corn without any oil.

     

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    Dessert: Peppermint Chocolate “Nice Cream”

    Frozen bananas provide a creamy texture and sweet flavor in this dairy-free “nice cream.” Cacao nibs add a nice crunch, but it you can’t find them in the store, you could use chocolate chips, or just leave them out.

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    Like these recipes? Find more clean and simple recipes in our new cookbook, The Clean & Simple Diabetes Cookbook by Jackie Newgent, RDN, CDN. Designed with simplicity in mind, each recipe in this book uses no more than 7 ingredients and needs only 15 minutes or less of prep time. 

    Shopping Tips

    Download the grocery list here

    • Check your pantry before you go to the grocery to see what you already have on hand, particularly the “pantry items” section. The grocery list includes the quantity you need of each item, so you can tell if you have enough or need to buy more.

    • You’ll need about 3–4 lbs total of nonstarchy vegetables for the Seasonal Baked Whitefish Pouch and Leftover BBQ Bowl. You can use whatever is in season or on sale, or your favorite non-starchy vegetables. Frozen vegetables are also an option.

    Meal Prep Tips

    To make things easier during mealtime, there are several things in this meal plan that you can make and do ahead of time:

    Make the Fruit-Sweetened BBQ Sauce: This sauce takes just 5 minutes to prepare and is a healthier option than store-bought sauce. Prepare it ahead of time and store it in the fridge for up to one week. You’ll use this sauce on the Leftover BBQ Bowl and the BBQ Popcorn.

    Make the Homemade Granola: You’ll use this granola in the Peachy Yogurt & Granola Jars. Store in an airtight container in your cabinet for up to one week.

    Make the Cilantro Lime Quinoa: If you have time over the weekend, go ahead and prepare the cilantro lime quinoa. Simply reheat in the microwave to serve with the Sheet Pan Stir Fry. Use leftover quinoa for the Leftovers BBQ Bowl. You could also make a double batch and serve this quinoa with the Herbs de Provence Chicken.

    Prepare the Powerhouse Salad: You can easily prepare this salad ahead of time, just store the dressing separately. Combine the vinegar, oil, capers, oregano, and salt in a small sealed container. Shake vigorously and drizzle over the salad just before eating. This recipe makes one serving, but you could easily prepare more than one—just make sure you buy enough greens!

    Make hard-boiled eggs: The Powerhouse Salad calls for 1 hard-boiled egg. Make more if you plan to make more than one salad for the week, or make extra for a quick, protein-packed snack. You could also use hard-boiled eggs instead of poached eggs in the Egg & Avocado Toasts for an even quicker breakfast.

    Prepare Peachy Yogurt & Granola Jars: The recipe makes two jars, but you could prepare as many as you want ahead of time for a grab-and-go breakfast. If you’re preparing ahead of time, don’t add the granola; store it separately and add just before eating so it stays crunchy.

  • What is Intuitive Eating?

    What is Intuitive Eating?

    It seems every year there’s a new fad diet that everyone is talking about. But recently non-diet approaches like “Intuitive Eating” or “Mindful Eating” have gained in popularity. What do these terms mean, and how do they work?

    What is Intuitive Eating?

    Intuitive Eating is a “non-diet” approach to changing eating behaviors. It focuses on tuning into your body’s internal signals of hunger, fullness, and satisfaction as your guide to eating, instead of following external rules and restrictions on what, when, and how much to eat. This is different than Mindful Eating, which is more about the “how” of eating and being present at the table in a non-judgmental way.

    Intuitive Eating is not a weight loss plan. Goals of Intuitive Eating may focus on mental health, emotional well-being, and other markers of physical health, but not on weight and body mass index (BMI).

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    Ultimately, Intuitive Eating aims to help you rebuild trust in yourself and your body and enjoy a new relationship with food.

    Who is Intuitive Eating for?

    Intuitive Eating can be helpful for “chronic dieters”—people who go on and off restrictive diets—or people who struggle with anxiety, guilt, or other negative feelings about food and eating.

    That said, anyone can practice the principles of Intuitive Eating, even those with diabetes or other medical conditions. While some medical conditions, like allergies, may require restricting or eliminating certain foods or nutrients, some of the principles of Intuitive Eating can still be used in these situations to reduce food anxiety, keep eating pleasurable, and improve body image and self-esteem.  

    As always, talk with your health care team about your personalized nutrition plan.

    What are the benefits?

    Research on Intuitive Eating is still growing. Studies so far have associated Intuitive Eating with lower triglycerides, higher HDL cholesterol, lower blood glucose levels, and a lower BMI.

    Research in people with diabetes is limited, but some early studies suggest that Intuitive Eating could help with blood glucose management as well.  

    The biggest benefits of Intuitive Eating may be related to mental health and wellbeing, especially for women. By removing the stress of following strict diets, Intuitive Eating can lead to higher self-esteem, less anxiety, depression and emotional eating, and improved body image.

    What are the Challenges?

    Intuitive Eating removes food restrictions and allows you to be in the “driver’s seat” about your food choices. For some people, this may be freeing and relieve the pressure to follow certain rules. But others may feel lost without the guidance of a more structured eating plan. 

    Intuitive Eating may be somewhat controversial since it goes against conventional ideas of diet and weight loss as keys to improving health. You may need to find a Certified Intuitive Eating Counselor or other mental health care provider for additional support.

    Intuitive Eating and diabetes management

    With diabetes, it’s still important to be aware of what you’re eating and monitor how different foods impact blood glucose.

    But Intuitive Eating can help reduce anxiety and guilt around food choices by monitoring blood glucose and adjusting eating behaviors in a non-judgmental way. For example, instead of thinking “I can’t eat this,” an intuitive eater will think “my blood glucose doesn’t respond as well to this food” and adjust food choices as needed.

    BOTTOM LINE

    • Intuitive Eating is a strategy to change eating habits by paying attention to your internal signals of hunger, fullness, and satisfaction instead of following external rules and restrictions.
    • It has been shown to improve mental health and wellbeing and may be helpful for people who struggle with anxiety, guilt, or other negative feelings about food and eating.
    • Principles of Intuitive Eating can be applied to diabetes management and may help lower blood glucose and reduce stress and anxiety.

    Like any lifestyle change, Intuitive Eating takes practice, commitment, and support. If you think Intuitive Eating may be right for you, consider seeing a Certified Intuitive Eating Counselor and Registered Dietitian Nutritionist. Search the Counselor Directory here.

    Bonnie R. Giller is a Registered Dietitian Nutritionist, Certified Diabetes Educator and Certified Intuitive Eating Counselor. Learn more about Bonnie at BRGHealth.com. Find more Intuitive Eating tips on her blog.

  • Instant Pot Contest Winners!

    Instant Pot Contest Winners!

    To celebrate the release of our new cookbook, The Instant Pot Diabetes Cookbook, we held a recipe contest to “instant-pot-ize” your favorite family recipes and make them diabetes- and instant-pot friendly! Cookbook author Nancy S. Hughes tested dozens of recipes, and ultimately chose one lucky winner and four runners up. Read on to see the winning recipes!

    To make the recipes more diabetes friendly, Hughes added extra vegetables, chose lean proteins, and kept the sodium in check by using low sodium ingredients. Instead of relying on salt for flavor, she added lots of herbs and spices to create tasty, healthy dishes. 

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    Looking for more diabetes-friendly Instant Pot recipes? Check out The Instant Pot Diabetes Cookbook and our Instant Pot recipe round up!

    And the winner is…

    Hearty Chicken Italian Soup with Artichokes

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    This winning soup boasts a wide variety of colorful vegetables. It’s super easy to prepare in the Instant Pot, and budget-friendly, too! It makes a large batch, but leftovers can be frozen in individual serving containers for a quick lunch or dinner throughout the busy holiday season.

    Honorable Mention:

    Pumpkin-Spiced Turkey Chili

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    That classic fall spice blend of cinnamon, cloves, and nutmeg turn ordinary chili into your new favorite recipe for fall!

    Spiced Pork Roast with Butternut Squash

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    This pork roast is a celebration of winter with pecans, cranberries, citrus, and spice. Make it the star of your Christmas dinner!

    Cajun Chicken and Andouille Rice

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    This Cajun classic gets a healthy upgrade with a mix of brown rice and quinoa and loads of extra vegetables. 

    Black and White Turkey Chili Soup

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    The Instant Pot is perfect for chilis and stews and picking just one chili for the contest was too hard. So here is another go-to cold-weather recipe! This dish gets its name from the combination of black beans and white beans, which each add their own flavor and texture.