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diabetes

Eat Out, Eat Well – The Guide to Eating Healthy in Any Restaurant – An Interview with Author Hope Warshaw

Greetings! We’re back for another Neily on Nutrition book series post together with Kristine James, featuring a book authored by my colleague Hope Warshaw, MMSc, RD, CDE, Eat Out, Eat Well – The Guide to Eating Healthy in Any Restaurant.

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Hope has authored many books including Diabetes Meal Planning Made Easy, Complete Guide to Carb Counting: How to Take the Mystery Out of Carb Counting and Improve Your Blood Glucose Control, as well as a few books for her colleagues including Practical Carbohydrate Counting: A How-to-Teach Guide for Health Professionals.
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What’s the difference between type 1 and type 2 diabetes? Interview with Hope Warshaw, MMSc, RD, CDE

Hope Warshaw

Part 3 with diabetes expert Hope Warshawthe difference between type 1 and type 2

Hope Warshaw is a registered dietitian and diabetes educator. This is our 3rd of 3 interviews about diabetes. Hope is the author of many diabetes books available at www.amazon.com and on her website—www.HopeWarshaw.com. (To watch video scroll to bottom or click here.)

Neily: Hope Warshaw is a registered dietitian, diabetes educator and author of several books. One of them is Diabetes Meal Planning Made Easy. Let’s just talk about type 1 and type 2 and explain to people that might not know the prevalence of the and how much more common type 2 is.
Hope: Ok. So, we’ll just talk about the United States. Today it is estimated by the CDC (Centers for Disease Control) and other organizations around the country that there are roughly 26 million people with diabetes and only 18 million of those actually know they have it. Because there is this other 6 million people who actually have diabetes today but have not yet been diagnosed.So, of those 18 million, about 90 – 95% of that population have type 2 diabetes. And about 5 – 10% have type 1.Let’s tackle type 1 diabetes first.
Neily: Which used to be called “juvenile onset” or “insulin-dependent” diabetes.
Hope: Right. And today the names are just type 1 diabetes. That’s because it can really develop at any time during life. It is an auto-immune disease. Its absolute origins are still not known. But basically, the body sort of attacks the beta cells. And kills off the insulin-producing cells in the pancreas. So people over time no longer are making insulin and therefore dependent on an outside source of insulin. They take shots or they use an insulin pump and they have to be careful about what they eat. Exercise also plays an important role there.And then we have this huge type 2 population. You have to have a genetic set-up, a genetic pre-disposition to develop type 2 diabetes. Family history is more important and plays a bigger role than in type 1 diabetes. Basically, it’s family history and then with all these people who are overweight, excess weight sort of pulls the trigger on pushing people over the edge. We know because so many people are overweight and people are developing type 2 diabetes at a younger age. We have this epidemic of type 2 diabetes.
Neily: That used to be “adult-onset” or “non-insulin dependent diabetes.”
Hope: So, we have had this whole cross-over. I have been involved in this for over 35 years and I’ve seen such incredible change. We have adults who are developing what is called latent auto-immune diabetes in adults, which is ostensibly type 1. We have adolescents and kids who are developing type 2.
Neily: Because of…
Hope: The obesity. And it’s much higher in African-American and Hispanic Americans.So, type 2 is much more at the core all-around insulin resistance. If you need to take insulin—and 40% of people with type 2 diabetes need insulin. People need to not feel guilty about that.Type 2 diabetes is a progressive disease. The time for action is at diagnosis. In the previous video, we talked about pre-diabetes and I would like more people to know and be diagnosed with pre-diabetes because there is more action you can take.The most critical thing for people with type 2 diabetes—in terms of their long term health and preventing complications—is to keep glucose in control, keep blood pressure in control and keep blood lipids in control—triglycerides, HDL, LDL—and if you need medication to treat, then take them. There are wonderful medications we have.
Neily: But it is also often that people rely (on medications) or physicians don’t talk prevention…
Hope: And not talk lifestyle.
Neily: A lot of people say just give me the medications; I don’t want to think about lifestyle. But lifestyle can play such an important part.
Hope: An absolute huge part. So, I’m trying to make the point that there is balance.
Neily: And a great place to go is the American Diabetes Association, www.diabetes.org, and Hopewarshaw.com. You have got fabulous information on your site.
Hope: Lots of blogs..
Neily: Great. Good information. Thanks Hope. Thanks for watching Neily on Nutrition!

Practical advice from diabetes expert Jill Weisenberger on setting a goal weight

Diabetes Wt Loss week by week - jill pic of book

How should you set a goal weight? RD and diabetes educator Jill Weisenberger explains

Jill Weisenberger, registered dietitian and diabetes educator and author of the book Diabetes Weight Loss: Week by Week: A Safe, Effective Method for Losing Weight and Improving Your Health
and I talk about setting a goal weight. (To watch the video, scroll to the bottom or click here.)

Neily: So Jill, A lot of people who have type 2 diabetes are often overweight. I imagine you must deal with individuals for weight loss.
Jill: Right. I do. Whether they have diabetes or not, there are a lot of people interested in weight loss now.
Neily: Exactly. So talking about setting goals, for weight loss, what would you…..
Jill: Like a weight loss goal, like how much to lose….
Neily: Yes.
Jill: That’s a question I get a lot actually, how much weight should I lose? And I don’t like to answer that question because it’s a very personal thing. I can throw out a number but is that something that is meaningful to that person who wants to lose weight? So I try not to answer that question, but I can recommend. One of the things that I tell people is that any amount of weight loss matters even if just a couple of pounds.
Neily: Exactly.
Jill: So we can start with just a few pounds or we might look at about 10 percent of the body weight. So someone who weighs 200 pounds, 10 percent would be 20 pounds. That’s not such a huge goal that it seems unattainable but it’s enough that they have to really work at it—change their eating habits, develop new habits and the benefit is huge. For somebody who is in the early stages of insulin resistance or early stages of type 2 diabetes, that amount of weight loss can help. So maybe they can get by with less medication. Or maybe do not need an increase in medication for several more years. It reduces the risk of cancer and high   blood pressure, it lowers cholesterol level. So it’s just a small amount—I   suggest people just start with 10 percent.
Neily: Yes. Even 5 percent is helpful. And it’s better to lose some weight and keep it off than…
Jill: Putting it back on…
Neily: Exactly
Jill: It’s not a race. The winner is the one that keeps it off—not the one that loses it.
Neily: There you go. Fantastic. Thanks for watching Neily on Nutrition. Jill can be reached at www.JillWeisenberger.com

Diagnosed with type 2 diabetes? Very simple steps to start

Jill Weisenberger, MS, RD,CDE

Jill Weisenberger, MS, RD,CDE

Diagnosed with type 2 diabetes? Simple steps to start

Jill Weisenberger, registered dietitian, certified diabetes educator, author of Diabetes Weight Loss: Week by Week: A Safe, Effective Method for Losing Weight and Improving Your Health and I sat down and talked about several diabetes-related topics. This was one in the series – a short interview on very simple things a person newly diagnosed with diabetes can do. To see the interview on video scroll to the bottom. To see all diabetes-related interviews, watch the Diabetes Playlist.

Neily Someone is diagnosed with diabetes but their appointment with the registered dietitian is a few weeks away. What would you recommend?
Jill We’re talking about someone with type 2 diabetes. I think you should just start with what you know to be a healthy plate. So, a lot of vegetables, not a lot of fatty foods, not a lot of sweets, spread your food throughout the day, don’t skips meals. And that – for someone newly diagnosed with type 2 diabetes – is probably enough until their appointment.
Neily Ok.
Jill For someone who is overweight with type 2 diabetes, I would do all of that but add in a little bit more of portion control.
Neily Excellent. So people often despair,  but it’s just really that eating a healthy diet till you get to that appointment with the dietitian who can personalize it.
Jill And a dietitian is not going to take away your favorite foods.
Neily Of course..
Jill I always tell people you can eat any food you want but you cannot eat everything you want. You have to make choices. If you want the bread, don’t have the pasta. Or you don’t have the chocolate cake or the chocolate kisses. You have to make choices. It’s just like money. You have the money to go buy something but you don’t have money to buy everything.
Neily Great…wonderful!  Again, Jill Weisenberger, author of Diabetes Weight Loss: Week by Week: A Safe, Effective Method for Losing Weight and Improving Your Health.

 

Tips on keeping motivation high – Interview with Jill Weisenberger, MS, RD, CDE

Diabetes Wt Loss week by week - jill pic of book

Jill Weisenberger – author of  Diabetes Weight Loss: Week by Week: A Safe, Effective Method for Losing Weight and Improving Your Health in conjunction with the American Diabetes Association – talks to Neily on Nutrition about keeping motivation with diabetes and/or weight management. Jill is a registered dietitian and a certified diabetes educator. (To watch interview on YouTube, scroll to the bottom.)

Neily: So, what are some of the challenges? There is a lot of great information in the book (Diabetes Weight Loss Week by Week) but what are the take home messages that you would like people to know?
Jill: Diabetes Weight loss Week by Week’ is a very practical book. It is not a prescriptive diet so it will work with anybody using strategies: skills, strategies, planning – not will power. Will power never works for more than a short period of time. One of the things that I have right at the outset of the book is for preparing to be successful.  So you know how people when they start on a plan are very very motivated? Motivation is up there but it doesn’t stay. Very normal for motivation to wax and wane.So, one of the things I suggest is while you are very motivated, gather what I call a motivation kit. Get a box or notebook and put everything in there that motivates you. Because when your motivation is high, you put things in there and when your motivation is down, you can go back to it. So maybe it is magazine articles, maybe it is photographs, affirmations, a list of the reasons that you want to lose weight, a list of the benefits that you will get by losing weight and controlling blood glucose. All those things, keep them all in one spot where it is easy to reach because you want to add to it often and you want to go and get motivation from it often.
Neily: Great idea! A motivation box. Excellent. That’s a great idea not just for anyone with diabetes but for weight loss in general!
Jill: Yes
Neily: Thanks. This is Neily on Nutrition and Jill’s book Diabetes Weight Loss: Week by Week: A Safe, Effective Method for Losing Weight and Improving Your Health.

Diabetes Weight Loss: Week by Week. An interview with author Jill Weisenberger, MS, RD, CDE

Diabetes Wt Loss week by week - jill pic of book

Interview with RD Jill Weisenberger author of Diabetes Weight Loss: Week by Week

I was so fortunate to catch my friend and peer, Jill Weisenberger, for some interviews during a long layover in Dallas. She is a certified diabetes educator and registered dietitian AND now author of Diabetes Weight Loss: Week by Week: A Safe, Effective Method for Losing Weight and Improving Your Health. (To watch video scroll to bottom or click here.)

Neily: Congratulations Jill! Where can we get the book?
Jill: Thank you. You can get it on Amazon, Barnes and Noble online, the publishers—the American Diabetes Association (www.diabetes.org). If it’s not in the bookstore yet, it will be there any day. (NOTE: Jill’s book IS now available in bookstores.)
Neily: Wonderful. So, someone who is diagnosed with diabetes. What would be the first words you would say to them?
Jill: Well, often the first thing I SEE in people, is a down look, they’re feeling very upset with this diagnosis. And I can understand that because this is a life-changing diagnosis. But my first bit of advice is not to despair and get some education. There are so many resources out there. We just need to ask our physicians for referrals and we can get what we need. Really and truly all   the resources are out there. So the first thing would be to get a referral for diabetes self-management education classes. That is usually about 9 hours and it could be over several days or over several weeks. And then I would also ask for a referral to a registered dietitian for medical nutrition therapy. Somebody can help you plan the diet that is right for you, right for   your diabetes, along with your medication, your lifestyle, your food preferences. Doesn’t mean you do not have to make changes because you do, but things can be tailored for you. So, it is a very time intensive illness but it can be managed. It starts with education and a good attitude and a willingness to take on new things.
Neily: Excellent. So, there is no ‘diabetic diet’ per se. A registered dietitian is going to help you to plan specifically for you.
Jill: Right. What we often hear about the ‘diabetic diet’ but nothing like that really exists. So there are many ways to a healthy plate. And a registered dietitian can help that person who is newly diagnosed with diabetes find his or her own healthy path to eat right.
Neily: Great. And to help you out, Diabetes Weight Loss: Week by Week: A Safe, Effective Method for Losing Weight and Improving Your Health by Jill Weisenberger. Available now. Thanks so much Jill—great to see you! And thanks for watching Neily on Nutrition and we’ll see you in the next video.
  (Make sure to read and/or watch all 5 interviews with Jill!)

 

Registered dietitians want to help Paula Deen

Big news in the media last week – at least in the world of nutrition and healthcare – Paula Deen made public that she was diagnosed with type 2 diabetes three years ago.  Numerous people have blogged about it and rendered their opinions.  My colleague Angela Lemond, RD, CSP, LD and I had a chat about it. Tune in!

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