As the month of January rolls by, New Year’s dieting promises tend to fizzle out. Many people who’ve resolved to follow the latest fad diet, such as keto, paleo and flexitarian regimes, find themselves back where they started by the time February arrives.

Studies show that for a majority of people, the weight piles back on in the long term. The reason? The restrictions of one particular diet are too difficult to stick to.

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DON’T offer unsolicited advice about my eating or other aspects of diabetes.

You may mean well, but giving advice about someone’s personal habits, especially when it is not requested isn’t very nice. Besides, many of the popularly help beliefs about diabetes (“You should stop eating sugar”) are out of date or don’t apply to type 1 diabetes.

DON’T tell me horror stories about your grandmother or other people with diabetes you have heard about.

Diabetes is scary enough, and stories like these are not reassuring! Beside, we now know that with good management, odds are good you can live a long, healthy and happy life with type 1 diabetes.

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Get 6 tips for how to eat healthy in a restaurant.

If you’ve been counting calories, the prospect of eating out might be a little scary. But with a few simple strategies, you can stay on track while eating out.

-Dr. Jean Harvey-Berino, Ph.D., R.D., and Joyce Hendley

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Meal-prepping your week of lunches in advance can help you stay on course with healthy eating habits and save you time and money in the process. Making your meals in advance means you’re in full control of what you eat and how much you eat-no need for expensive, high-calorie take-out meals when your lunch is already made! And while meal-prepping does take some commitment, the time you spend up front prepping is less than what you’d collectively spend prepping meals before or after busy workdays.

The high-protein lunches in this meal-prep plan are easy options for anyone looking for healthy lunch ideas and are particularly helpful if you’re trying to lose weight.Because protein increases satiety, a high-protein lunch can help prevent that afternoon “energy crash” that leaves you feeling wiped and craving high-calorie foods. A salad or grain bowl topped with protein (think chicken or an egg) will help keep you full all afternoon. A lunch win! Plus, in combination with exercise, eating a balanced diet with protein-rich foods can help build and maintain muscle. The more muscle you have, the more calories you burn over the course of the day.

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On Nutrition

Next week is Weight Stigma Awareness Week (Sept. 28 to Oct. 2), and if there was ever a year to be aware of the physical and mental health impacts of weight stigma, it’s 2020. There’s so much hand-wringing about the association between “obesity” and elevated COVID-19 risk, despite the fact that there’s no magic wand we can wave to make everyone — including thin people with underlying health conditions — have “average” risk. We need more mask-wearing, less fat-shaming.

When you have prejudiced attitudes and beliefs about weight, and direct them against someone based on their weight, that’s weight stigma. There’s this pervasive idea in our society that if you shame someone enough about their weight, they’ll “do something about it.” But fat cells don’t feel stigma, people do — and shame is not an effective motivator for positive change. Research confirms this.

Instead, weight stigma, especially when someone internalizes that stigmaand fat-shames themselves, can harm both physical and mental health. Not only does weight stigma increase the risk of depression and anxiety, but it can cause chronic stress. This stress contributes to higher levels of inflammation and oxidative stress, along with disordered eating behaviors — including comfort eating, yo-yo dieting and possibly eating disorders. People who experience weight stigma often avoid exercise in an attempt to hide their bodies and avoid further stigma. Given what we know about the importance of physical activity in maintaining and improving health for people of all sizes, this is adding insult to injury — all this stress, disordered eating and exercise avoidance increases risk for heart disease and Type 2 diabetes.

Lest you think these health effects are due to weight, not weight stigma, think again. Study after study finds that the negative health effects of weight stigma are over and above any effects that weight itself could have on health, and they happen regardless of actual body size. Someone in the “normal” range on the body mass index (BMI) charts can internalize weight stigma, hating their body because you think it should be smaller and living in fear of gaining weight.

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  • There are different types of insulin depending on how quickly they work, when they peak, and how long they last.
  • Insulin is available in different strengths; the most common is U-100.
  • All insulin available in the United States is manufactured in a laboratory, but animal insulin can still be imported for personal use.

Inside the pancreas, the hormone insulin is made in the beta cells, which are part of the Islets of Langerhans. These islets also have alpha cells, which make glucagon, as well as delta cells. With each meal, beta cells release insulin to help the body use or store the blood sugar it gets from food.

In the beta cells, insulin is created first as a big molecule called “proinsulin.” Proinsulin is broken into two pieces: insulin and C-peptide. C-peptide is important especially when determining treatment because it can be used to measure how much insulin a person is making. The more C-peptide a person has, the more insulin they are making. This can help a provider determine how much insulin to prescribe.

In people with type 1 diabetes, the pancreas no longer makes insulin. The beta cells have been destroyed and they need insulin shots to use glucose from meals.

People with type 2 diabetes make insulin, but their bodies don’t respond well to it. Some people with type 2 diabetes need diabetes pills or insulin shots to help their bodies use glucose for energy.

Insulin cannot be taken as a pill because it would be broken down during digestion just like the protein in food. It must be injected into the fat under your skin for it to get into your blood. In some rare cases insulin can lead to an allergic reaction at the injection site. Talk to your doctor if you believe you may be experiencing a reaction.

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A recent randomized clinical trial published in July in the Journal of Endocrine Society found that 500mg #cinnamon supplementation (300mg cinnamon extract + 200mg Cinnamomum burmannii powder), 3x per day, for 12 weeks improved glucose control in a small sample of adults with pre-diabetes. From a similar baseline of fasting plasma glucose (FPG), FPG rose after 12 weeks with placebo but remained stable with cinnamon supplementation, leading to a statistically significant mean between-group difference of 5 mg/dL.

Cinnamon supplementation was also found to improve glucose tolerance and safely tolerated by study participants.

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#RCT

Diabetes affects the body’s ability to make or properly use insulin. This leads to high blood glucose (sugar) in the blood. Maintaining a healthy blood sugar level is key to managing diabetes. Choosing nutritious foods and watching portion sizes can help you control blood sugar levels. And, a registered dietitian nutritionist, or RDN, can help you learn how to get the nutrients you need.

What Is Medical Nutrition Therapy?

RDNs treat diabetes with medical nutrition therapy, called MNT. MNT includes a nutrition diagnosis as well as therapeutic and counseling services to help you manage diabetes. Many insurance plans cover these services. Medicare Part B covers MNT for diabetes and kidney disease. If you have private insurance, check with your individual plan for specific coverage details. An RDN who meets certain requirements can provide these services.

An RDN can discuss a variety of nutrition approaches to help you manage diabetes. For example, carbohydrate counting, simplified meal plans, healthy food choices, exchange lists and behavior strategies. One study found that three to six months after MNT, HgA1c was reduced. Plus, research shows that meeting regularly with an RDN helps manage weight, improves cholesterol levels, decreases the need for medicines and reduces risk for other diseases.

Why a Registered Dietitian Nutritionist?

RDNs are the food and nutrition experts. They have completed multiple levels of training established by the Accreditation Council for Education in Nutrition and Dietetics. Some RDNs are generalists — they have knowledge about a variety of nutrition subjects. Others have a specialty interest or an advanced credential. An RDN who is a Certified Diabetes Educator, or CDE, educates people with diabetes on how to manage their condition and improve their health outcomes.

How Do RDNs Help?

An RDN figures out what therapy is best for you and works with you on short- and long-term plans. People with diabetes need to understand how foods and nutrition affect their bodies to successfully manage the disease. RDNs provide detailed information about how to eat and practical tips for addressing daily challenges. A dietitian can put together a daily meal plan that considers your individual food preferences, level of physical activity and lifestyle choices.

What Should I Expect?

The length of a visit with an RDN may vary. Learning to manage diabetes is complicated so you may need four to five visits across three to six months. Also, yearly follow-ups are recommended. At these visits you learn new information about diabetes and nutrition.

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Fragrant, fuzzy peaches. Juicy watermelon. Tart berries. There’s nothing like fresh-picked fruits available at a farmers market or produce stand near you.

If you have diabetes, you might be a little wary of nature’s candy. “But don’t be scared of fruit,” says dietitian Kim Pierce, RD.

Here are 10 things to know about making fruit part of a diabetes-friendly diet.

Fruit is healthy

Yes, it’s a carbohydrate. And yes, the body processes carbs into sugars. But you need healthy carbs to fuel your brain and red blood cells, Pierce says.

Plus, fruit is packed with vitamins, minerals, fiber and antioxidants. “Fruit contains nutrients that can lower your risk of cancer and heart disease,” she adds. “You should eat some every day.”

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People with diabetes reported identifying and treating “low” and “hypo” at relatively high blood glucose levels, and that symptoms of hypoglycemia changed over time, according to survey results.

“Compared to published hypoglycemia categories, people living with diabetes who responded to our survey reported they treat, feel and worry about hypoglycemia at higher levels, and they don’t use the same terminology to describe or talk about hypoglycemia,” Jane K. Dickinson, RN, PhD, CDCES, program director and lecturer at Teachers College Columbia University, told Healio.

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