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Managing Diabetes Through Good Nutrition

Having diabetes means thinking differently about food and nutrition. This can seem challenging sometimes, but it becomes a bit more manageable once you learn the facts. Here is some information that may help.

According to the American Diabetes Association (ADA), healthy eating can make it easier to stay within your blood-sugar target range. It also may delay and help manage the complications of diabetes.

To help you create a healthy eating plan, following are some key tips from diabetes experts. It’s also a good idea to see a registered dietitian who can help you with a food plan that’s right for you. Keep in mind that regular physical activity is important in managing your diabetes as well.

Smart carbohydrate choices

Carbohydrates are your body’s main energy source. Experts recommend that about half of your daily calories should come from carbohydrates. Tracking how many carbohydrates you eat—along with setting a maximum each day—will help you keep your blood sugar within the target range.

Here’s a quick look at the 3 types of carbohydrates and the best food sources for them:

Starch: Good sources of starch include vegetables such as potatoes, green peas, and corn. Grains such as oats, barley, and rice also are high in starch. These foods tend to be high in vitamins and minerals.

Fiber: To get the fiber you need, aim for foods such as beans, nuts, fruits, vegetables, and whole-grain products. Fiber can help slow the rise of blood sugar, making it easier to stay within your blood-glucose target range. Soluble fiber, the kind found in foods such as oats, apples, and citrus fruits, also may help lower cholesterol.

Sweets: The occasional sweet treat may be fine for special occasions, but in general you should keep these to a minimum. Sweets often have fewer vitamins and minerals than more healthful foods. A tip: Taking a brisk walk after eating a sweet snack may be a good idea.

Fat findings

Some fat in the diet is essential, but it’s best to go for the “healthy” unsaturated fats found in nuts, vegetable oils, olives, and avocados. Nonfried fish such as salmon, mackerel, and albacore tuna is another good source. It contains healthy omega-3 fat.

Then there are the unhealthy fats—saturated and trans fat. Experts recommend that less than 7% of your total calorie intake should come from saturated fats. They are found in full-fat dairy products such as ice cream, sour cream, and cheese, as well as meats, chicken skin, and bacon.

Trans fats are present in margarine, shortening, and many processed packaged goods such as crackers and chips. A food-label tip: In packaged goods, trans fats can be listed as “hydrogenated” or “partially hydrogenated” fat, so look for those words when you’re reading the label.

Protein in moderation

People with diabetes generally should try to get the same amount of protein in their diet as those in the general population, which is 15% to 20% of total calories.

High-protein diets have been in the news a lot lately. But there’s no evidence they result in weight loss in the long term for people with diabetes or anyone else. Also, the long-term effects of a high-protein diet on kidney function in people with diabetes is unknown.

A word on alcohol

Alcohol is a source of extra calories with few nutrients. It’s best to get the OK from your health care professional on this. If adults with diabetes choose to drink alcohol, daily intake should be moderate. Moderate means 1 drink per day or less for women and 2 drinks per day or less for men.

Try this method at mealtimes

You can try a simple strategy for healthy nutrition from the ADA called “Create Your Plate.” This will help you figure out which foods to eat and how much—2 good things when it comes to managing diabetes and losing some weight. Here’s how it works.

  1. Using a dinner plate, draw an imaginary line down the middle of your plate, then divide the left side of your plate once more into 2 equal sections. Now you have 3 sections on your plate—2 small and 1 large.

  2. For every meal, try to fill the largest section with nonstarchy vegetables such as spinach, carrots, lettuce, greens, green beans, broccoli, cauliflower, tomatoes, or cucumbers.
  3. In 1 of the small sections, place starchy foods such as whole-grain breads, rice, pasta, tortillas, peas, potatoes, corn, lima beans, low-fat crackers or chips, or pretzels.
  4. In the other small section, put your low-fat meat such as a deck-of-cards-size piece of chicken, tuna, salmon, cod, lean beef, or pork; or go with high-protein meat substitutes such as tofu, eggs, or low-fat cheese.
  5. Add a low-fat drink and a piece of fruit for dessert.

Getting in the habit of organizing your meals this way can help make healthful eating a little easier, which can make a real difference when it comes to managing your diabetes.

Further Resources

About.com

Allergy & Asthma Network Mothers of Asthmatics

American Academy of Allergy, Asthma, and Immunology

American Academy of Pediatrics

American College of Allergy, Asthma & Immunology

Asthma and Allergy Foundation of America

The Cleveland Clinic health information

eMedicineHealth.com

KidsHealth.org

Mayo Clinic

Pollen.com

WebMD


Further Resources

Allergy and Asthma Network - Mothers of Asthmatics, Inc.

American Academy of Allergy, Asthma, and Immunology

American Lung Association

CDC: asthma's impact on children and adolescents

CDC: how to quit

EPA: asthma and indoor environments

NIH: asthma and physical activity in the school

NIH: National Heart, Lung, and Blood Institute


Further Resources

American Diabetes Association

Diabetes Action Research and Education Foundation

Diabetic Exercise and Sports Association

International Diabetes Federation

NIH: NIDDK diabetes health information

NIH: NIDDK nutrition information

NIH: National Diabetes Education Program

National Institute of Diabetes and Digestive and Kidney Diseases

The Juvenile Diabetes Foundation


Further Resources

American Council for Headache Education

American Headache Society

National Headache Foundation

New England Center for Headache


Further Resources

American Dietetic Association

Dietary guidelines for americans

Food and nutrition information center

NIH: nutrition information

NIH: weight loss and control

NIH: weight control


Always check with the health care professional before beginning any activity plan or increasing activity. It's also important to ask him or her about target heart rate to help determine appropriate exercise intensity.

Always check with your health care professional before beginning any activity plan or increasing your activity. It's also important to ask him or her what your target heart rate is to help determine what exercise intensity is appropriate for you.

Always be sure to check with your health care professional before beginning any activity plan or increasing your activity.

It always helps to ask:

  • What activities are right for me?
  • How much should I do each day?
  • How many days a week?

It's also important to ask him or her what your target heart rate is to help determine what exercise intensity is appropriate for you.

This information is provided by an independent source. Merck is not responsible for this content. Please discuss any and all treatment options with your healthcare professional. The manufacturer of a product generally has the most complete information about that product.

This information is provided by an independent source. Merck is not responsible for this content. Please discuss any and all treatment options with your healthcare professional. The manufacturer of a product generally has the most complete information about that product.

This information is provided by an independent source. Merck is not responsible for this content. Please discuss any and all treatment options with your healthcare professional. The manufacturer of a product generally has the most complete information about that product.

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Health Coach Call

Listen to an example of what a call might sound like.

PlayNutrition call (7:16)
PlayActivity call (7:22)

Here are some important things to know about your Health Coach Call:

Our Coaches are employed by a subsidiary of Merck & Co., Inc., a pharmaceutical company. The information provided is based on generally available nutrition and physical activity guidelines and information applicable to most people. Health Coaches are not licensed dietitians or health and fitness professionals, and they are not in a position to assess your individual nutrition or activity needs. This information is not appropriate if you are pregnant, and it may not be appropriate if you have specialized dietary needs or limitations on the level of activity or exercise you can safely undertake due to your medical conditions. Consult your health care professional regarding your specific needs, limitations, and health conditions. Health Coaches can educate and coach you on nutritional and physical activity recommendations for the typical person. Health Coaches are not health care professionals and cannot offer medical advice, diagnosis, or treatment. Please consult your health care professional because he or she knows you best. If you have a chronic health condition, check with your health care professional to find out if physical activity is safe before you start. If during your call you have concerns about any condition, special dietary needs, limitations on the level of activity or exercise, any treatments, side effects, or adverse experiences, your Health Coach will refer you to your health care professional.

Activity Points Explained

This Planner uses Activity Points as a way to help you stay motivated and focused on your activity goals. Points are assigned to each activity in the Planner. You'll earn more points when you increase the duration of the activity.

For example, when you bicycle for 15 minutes at a moderate pace (12 to 14 mph), you earn 120 Activity Points. To earn the same number of Activity Points while cycling at a very easy pace (less than 10 mph), you would need to bike for 30 minutes.

If you are currently inactive or get very little activity during the week, a good goal to work toward is 500 Activity Points each week. This is equal to 30 minutes of moderate–intensity aerobic exercise on 5 days a week.

If you are moderately or highly active (more than 150 minutes of moderate-intensity activity each week), you may want to aim for up to 1,000 Activity Points each week. This is equivalent to 1 hour of activity on 5 days a week.

What you'll gain

At 500 Activity Points per week: Once you consistently reach this level (ie, 150 minutes of moderate–intensity aerobic activity per week), you may gain substantial health benefits. These benefits include lower risk of coronary heart disease, stroke, high blood pressure, type 2 diabetes, and depression.

At 1,000 Activity Points per week: When you consistently reach this level (ie, 300 minutes of moderate–intensity aerobic activity per week), you may gain even more health benefits. These benefits include a decreased risk of colon and breast cancer and an even lower risk of heart disease and diabetes.