Metamucil and the south beach diet
Type 2 Diabetes Type 2 diabetes is the most common form of diabetes, accounting for 90 - 95% of cases. Of special note, nuts (such as almonds, macadamia, and walnuts) may be highly heart protective, independent of their fiber content. This daily value is based on 2,000 calories, which is often higher than what most patients with diabetes should have, and the serving sizes may not be equivalent to those on diabetic exchange lists. For example, a patient with type 2 diabetes who is overweight and insulin-resistant may need to have a different carbohydrate-protein balance than a thin patient with type 1 diabetes in danger of kidney disease. UM Marlene and Stewart Greenebaum Comprehensive Cancer Center. Limit trans-fats (such as hydrogenated fat found in snack foods, fried foods, and commercially baked goods) to less than 1% of total calories. Low-Carb and Low-Fat Diets The ADA notes that weight loss plans that restrict carbohydrate or fat intake can help reduce weight in the short term (up to 1 year). The blood glucose levels are then referred to as fasting blood glucose concentrations. Soluble fiber supplements, such as those that contain psyllium or glucomannan, may be beneficial. Every year thousands of new foods are introduced, many of them advertised as nutritionally beneficial. Patients whose blood glucose levels are higher than normal, but not yet high enough to be classified as diabetes, are considered to have pre-diabetes. I suggest making sure that you exercise and that you get plenty of fluids. Q: I started the diet and on the 8th day I showed symptoms of hypoglycemia. Aspartame is generally considered safe, but people with phenylketonuria (PKU), a rare genetic condition, should not use it. Getting Started on the South Beach Diet - Questions Answered. In type 2 diabetes, the body does not respond normally to insulin, a condition known as insulin resistance. The ADA has found that both low-carb and low-fat diets work equally well, and patients may have a personal preference for one plan or the other. People with diabetes should avoid products listing more than 5 grams of sugar per serving, and some doctors recommend limiting fruit intake. Pay attention to ingredients in food labels that indicate the presence of added sugars. Often, adding salt to your food is helpful in this stage to insure adequate fluid volume and make sure you are eating plenty of low glycemic carbs. Skipping meals can upset the balance between food intake and insulin and also can lead to low blood sugar and even weight gain if the patient eats extra food to offset hunger and low blood sugar levels. Many of these foods are also high in fiber and so have heart benefits as well. An experienced dietician can provide valuable advice and help create an individualized diet plan. The American Diabetes Association (ADA) encourages consumption of healthy fiber-rich foods including fruits, vegetables, whole grains, and legumes. Agatston: Yes, the latest evidence is that eggs are good for us--even the yolk, which actually has Vitamin E and other important nutrients. However, because these diets tend to include more fat and protein, the ADA recommends that people on these diet plans have their blood lipids, including cholesterol and triglycerides, regularly monitored. Sucralose has no bitter aftertaste and works well in baking, unlike other artificial sweeteners. Weighing and measuring food is extremely important to get the correct number of daily calories. Q: Reading your book, I realized I have spent my whole life eating the wrong foods (white bread, pasta, chocolate) and since I began the diet without sweets I have been feeling pretty down. The Atkins diet also can cause excessive calcium excretion in urine, which increases the risk for kidney stones and osteoporosis. Periodic urine tests for microalbuminuria and blood tests for creatinine can indicate a future risk for serious kidney disease. New Medical Center Ad Focuses on Groundbreaking Discoveries and Innovations. Even moderate weight loss can help reduce diabetes risk. Over time, some patients also run out of insulin. Patients on peritoneal dialysis may have fewer restrictions on salt, potassium, and phosphorus than those on hemodialysis. It is our experience that once the body adjusts, energy levels increase. For people who have diabetes, the treatment goals for a diabetes diet are: Achieve near normal blood glucose levels. As blood glucose levels reach their peak, the pancreas reduces the production of insulin. Whole grains may even lower the risk for type 2 diabetes in the first place. It is simply an indication of how the metabolism will respond to certain carbohydrates. It is only used as a general-purpose sweetener in commercial food products such as baked goods and soft drinks. Special Considerations for People with Kidney Failure Diabetes can lead to kidney disease and failure. Most people will need to recalculate the grams and calories listed on food labels to fit their own serving sizes and calorie needs. It is made from real sugar by replacing hydroxyl atoms with chlorine atoms. The basic goal is to balance insulin with the amount of carbohydrates eaten in order to control blood glucose levels after a meal. Choose nonfat or low-fat dairy instead of whole milk products. Protect the heart and aim for healthy lipid (cholesterol and triglyceride) levels and control of blood pressure. Sugar alcohols can slightly increase blood sugar levels. Within 10 minutes after a meal insulin rises to its peak level. Once the patient learns how to count carbohydrates and adjust insulin doses to their meals, many find it more flexible, more accurate in predicting blood sugar increases, and easier to plan meals than other systems. Current food labels show the number of calories from fat, the amount of nutrients that are potentially harmful (fat, cholesterol, sodium, and sugars) as well as useful nutrients (fiber, carbohydrates, protein, and vitamins). After measuring all foods for a week or so, most people can make fairly accurate estimates by eye or by holding food without having to measure everything every time they eat. Patients with diabetes should not skip meals, particularly if they are taking insulin. A third sugar, lactose, is a naturally occurring sugar found in dairy products including yogurt and cheese. In addition, avoid processed foods with added sugars of any kind. One easy way to improve glycemic index is to simply replace starches and sugars with whole grains and legumes (dried peas, beans, and lentils). Other tests are needed periodically to determine potential complications of diabetes, such as high blood pressure, unhealthy cholesterol levels, and kidney problems. In general, 1 gram of carbohydrates raises blood sugar by 3 points in people who weigh 200 pounds, 4 points for people who weigh 150 pounds, and 5 points for 100 pounds. With regular exercise and diet modification programs, many people with type 2 diabetes can minimize or even avoid medications. In studies of patients with type 2 diabetes, a low-carb version of the diet (restricting carbohydrates to less than 50% of total calories) worked better than a low-fat diet in promoting weight loss, reducing A1C levels, and improving insulin sensitivity and glycemic control. Low-carb diets such as South Beach, The Zone, and Sugar Busters rely on the glycemic index. Soluble fiber (found in dried beans, oat bran, barley, apples, and citrus fruits) has important benefits for the heart, particularly for achieving healthy cholesterol levels and possibly reducing blood pressure as well. General Dietary Guidelines Lifestyle changes of diet and exercise are extremely important for people who have pre-diabetes, or who are at high risk of developing type 2 diabetes. This ratio determines the number of carbohydrate grams that a patient needs to cover the daily pre-meal insulin needs. Fat and carbohydrate intake may need to be increased to help maintain weight and muscle tissue. Patients who are diagnosed with diabetes need to be aware of their heart health nutrition and, in particular, controlling high blood pressure and cholesterol levels. Complex carbohydrates are broken down more slowly by the body than simple carbohydrates. General dietary guidelines for diabetes recommend: Carbohydrates should provide 45 - 65% of total daily calories. Some people plan their carbohydrate intake using a system called carbohydrate counting. Even modest weight loss can improve insulin resistance (the basic problem in type 2 diabetes) in people with pre-diabetes or diabetes who are overweight or obese. Agatston: Symptoms of hypoglycemia are fairly common during the South Beach Diet Phase 1. Click the icon to see an image of the liver. Patients with type 1 diabetes need to take insulin. The type and amount of carbohydrate are both important. The index uses a set of numbers for specific foods that reflect greatest to least delay in producing an increase in blood sugar after a meal. An in-depth report on how people with diabetes can eat healthy diets and manage their blood glucose. The diet restricts protein, potassium, phosphorus, and salt intake. The glycemic index helps determine which carbohydrate-containing foods raise blood glucose levels more or less quickly after a meal. It is important to get enough good carbohydrates and enough fluids to help prevent the symptoms. Carbohydrates have the greatest impact on blood sugar. Overweight patients with type 2 diabetes who are not taking medication should aim for a diet that controls both weight and glucose. If you have a history of a cholesterol problem and are consuming a great deal of eggs you should recheck your cholesterol. Patients with diabetes should monitor their carbohydrate intake either through carbohydrate counting or meal planning exchange lists. Type 1 Diabetes In type 1 diabetes, the pancreas does not produce insulin. Whole grain foods provide more nutritional value than pasta, white bread, and white potatoes. Such tests may also indicate whether current diet plans are helping the patient and whether changes should be made. About 2 - 4 hours after a meal both blood glucose and insulin are at low levels, with insulin being slightly higher. The current general recommendation is that carbohydrates should provide between 45 - 65% of the daily caloric intake. The Mediterranean Diet is a heart-healthy diet that is rich in vegetables, fruits, and whole grains as well as healthy monounsaturated fats such as olive oil. Insulin Both type 1 and type 2 diabetes share one central feature: elevated blood sugar ( glucose ) levels due to absolute or relative insufficiencies of insulin, a hormone produced by the pancreas. A reasonable weight is usually defined as what is achievable and sustainable, and helps achieve normal blood glucose levels. It is based on two premises: All carbohydrates (either from sugars or starches) will raise blood sugar to a similar degree, although the rate at which blood sugar rises depends on the type of carbohydrate. It is important, therefore, to monitor blood glucose levels carefully. Click the icon to see an image of the islets of Langerhans. The lower the index number, the better the impact on glucose levels. A Member of the University of Maryland Medical System. It is important for everyone, most especially people with diabetes, to be able to differentiate advertised claims from truth. It is very important that people with pre-diabetes control their weight to stop or delay the progression to diabetes. It restricts saturated fat proteins like red meat. Low carb diets generally restrict the amount of carbohydrates but do not restrict protein sources.
Patients should meet with a professional dietitian to plan an individualized diet within the general guidelines that takes into consideration their own health needs. Brown rice is a better choice than white rice. There is no such thing as a single diabetes diet. It is found only in plant foods such as vegetables, fruits, whole grains, nuts, and legumes (dried beans, peanuts, and peas). Popular low-carb diet plans include Atkins, South Beach, The Zone, and Sugar Busters. No reproduction, transmission or display is permitted without the written permissions of Rodale Inc. The timing of meals is particularly important for people taking insulin: Patients should coordinate insulin administration with calorie intake. Some doctors recommend a fast acting insulin (insulin lispro) before each meal and a longer (basal) insulin at night. Whole Grains, Nuts, and Fiber-Rich Foods Fiber is an important component of many complex carbohydrates. Lifestyle interventions can be very effective in preventing or postponing the progression to diabetes. Substituting low- for high-glycemic index foods may also help with weight control. In type 2 diabetes, the initial effect is usually an abnormal rise in blood sugar right after a meal (called postprandial hyperglycemia). Artificial sweeteners approved by the FDA include: Aspartame (Nutra-Sweet, Equal). Soluble fiber requires water to help dissolve, so people who increase their levels of soluble fiber should drink more water. Insulin then enables glucose to enter cells in the body, particularly muscle and liver cells. People who have late-stage kidney disease usually need dialysis. However, there are many factors that affect the glycemic index of foods, and maintaining a diet with low glycemic load is not straightforward. Fat Substitutes and Artificial Sweeteners Replacing fats and sugars with substitutes may help some people who have trouble maintaining weight. Foods on the lowest end of the index take longer to digest. These food groups may add excessive calories and saturated fats. Limit saturated fat (red meat, butter) to less than 7% of daily calories. ) Acesulfame Potassium, also known as Acesulfame-K (Sweet One, Sunette). ) The rise in blood glucose levels signals important cells in the pancreas, called beta cells, to secrete insulin, which pours into the bloodstream. Fats should provide 25 - 35% of daily calories. Eggs usually increase the good cholesterol out of proportion to the bad. Unlike other artificial sweeteners, neotame is not available as a table sweetener. Q: I work out a lot and find that the South Beach Diet Phase 1 has given me NO energy for workouts. Eventually, patients can learn to adjust their insulin doses to their meals. For those on blood pressure lowering meds it may be necessary to decrease the dose or stop them completely. Patients who have kidney problems need to be careful about protein consumption, as high-protein diets can worsen this condition. The South Beach Diet doctor answers common questions about Phase 1 and beyond. Patients must still follow basic healthy dietary principles. The information presented on this website is not intended as specific medical advice and is not a substitute for professional medical treatment or diagnosis. The primary dietary goal for overweight type 2 patients is weight loss and maintenance. (Glucose levels after a meal are called postprandial levels. In other words, the amount of carbohydrates eaten (rather than fats or proteins) will determine how high blood sugar levels will rise. I would also advise continuing South Beach Diet Phase 1 because usually hypoglycemia or fluid loss resolves itself. Highlights General Recommendations for Diabetes Diet Patients with pre-diabetes or diabetes should consult a registered dietician who is knowledgeable about diabetes nutrition. In general, they should eat three meals each day at regular intervals. Agatston: In South Beach Diet Phase 1, it is possible to lose fluid and have some dehydration as well as some hypoglycemia. Best choices are vegetables, fruits, beans, and whole grains. Olestra (Olean) passes through the body without leaving behind any calories from fat. Foods high on the glycemic index include bread, white potatoes, and pasta while low-glycemic foods include whole grains, fruit, lentils, and soybeans. Fat substitutes include: Plant substances known as sterols, and their derivatives called stanols, reduce cholesterol by blocking its absorption in the intestinal tract. Obesity is common in patients with type 2 diabetes, and this condition appears to be related to insulin resistance. Dietary control in type 1 diabetes is very important and focuses on balancing food intake with insulin intake and energy expenditure from physical exertion. Patients who choose this approach must still be aware of protein and fat content in foods. Several good dietary methods are available to meet the goals described above. These products do not contain calories and do not affect blood sugar. People with early-stage kidney failure need to follow a special diet that slows the build-up of wastes in the bloodstream. Consuming whole grains on a regular basis appears to provide many important benefits, especially for people with type 2 diabetes. The Atkins diet restricts complex carbohydrates in vegetables and fruits that are known to protect against heart disease. Vegetables, fruits, whole grains, and beans are good sources of carbohydrates. Agatston: In the first two weeks, try a low-fat cottage cheese, lean meat, or other low-fat cheeses. High intake of fiber, especially from whole grain cereals and breads, can help reduce type 2 diabetes risk. Rebiana (Truvia, PureVia) is an extract derived from stevia, a South American plant. People with type 1 diabetes and people with type 2 diabetes who are taking insulin or oral medication must coordinate calorie intake with medication or insulin administration, exercise, and other variables to control blood glucose levels. Patients with kidney disease should limit protein intake to less than 10% of calories. Fructose is metabolized differently than other sugars and can significantly raise triglycerides. These interventions are especially important for overweight people. Psyllium is taken from the husk of a seed. Because regulating diabetes is an individual situation, everyone with this condition should get help from a dietary professional in selecting the diet best for them. Artificial sweeteners use chemicals to mimic the sweetness of sugar. According to the ADA, the most important component of a weight loss plan is not its dietary composition, but whether or not a person can stick with it. It is found in laxatives (Metamucil), breakfast cereals (Bran Buds), and other products. Both low blood sugar (hypoglycemia) and high blood sugar (hyperglycemia) are of concern for patients who take insulin. You can limit your fructose intake by consuming fruits that are relatively lower in fructose (cantaloupe, grapefruit, strawberries, peaches, bananas) and avoiding added sugars such as those in sugar-sweetened beverages. Lose weight if body mass index (BMI) is 25 - 29 (overweight) or higher (obese). Although early studies in rats indicated a potential risk for cancer, subsequent research has shown that saccharin does not cause cancer. No one should use the glycemic index as a complete dietary guide, since it does not provide nutritional guidelines for all foods. It normally works in the following way: During and immediately after a meal, digestion breaks carbohydrates down into sugar molecules (of which glucose is one) and proteins into amino acids. Fish, soy, and poultry are better protein choices than red meat. These numbers are general values, but they may vary widely depending on other factors, including if and how they are cooked and foods they are combined with. Fat substitutes added to commercial foods or used in baking, deliver some of the desirable qualities of fat but do not add as many calories. Children, pregnant women, and people recovering from illness should be sure to maintain adequate calories for health. Once patients are on dialysis, they need more protein in their diet. Except for dietary fiber, which is not digestible, carbohydrates are eventually broken down by the body into glucose. Type 1 diabetes is considered an autoimmune disorder. Both rely on collaboration with a doctor, dietitian, or both. They are more likely to provide other nutritional components and fiber. Major Food Components Carbohydrates Compared to fats and protein, carbohydrates have the greatest impact on blood sugar (glucose). The American Diabetes Association recommends that people at high risk for type 2 diabetes eat high-fiber (14g fiber for every 1,000 calories) and whole-grain foods. Patients must still be very careful about restricting salt, potassium, phosphorus, and fluids. Sucrose (table sugar) is the source of most dietary sugar, found in sugar cane, honey, and corn syrup. The glycemic index, which measures how quickly a carbohydrate-containing food raises blood sugar levels, may be a helpful addition to carbohydrate counting. Timing. But it is also important to monitor carbohydrate intake through carbohydrate counting, exchanges, or estimation. (Stevia is also sold in health food stores as a dietary supplement. When insulin levels are high, the liver stops producing glucose and stores it in other forms until the body needs it again. Choosing foods with low glycemic index scores often has a significant effect on controlling the surge in blood sugar after meals. For most people with well-controlled diabetes, A1C levels should be at around 7%. The Harvard School of Public Health has done studies showing seven eggs a week are fine. Right after the meal, glucose and amino acids are absorbed directly into the bloodstream, and blood glucose levels rise sharply. Instead, it passes through the intestines, drawing water with it, and is eliminated as part of feces content. While fingerprick self-testing provides information on blood glucose for that day, the A1C test shows how well blood sugar has been controlled over the period of several months. Hemoglobin A1C (also called HbA1c or HA1c) is measured periodically every 2 - 3 months, or at least twice a year, to determine the average blood-sugar level over the lifespan of the red blood cell. In Partnership with the University of Maryland School of Medicine. There are two options for counting carbohydrates: advanced and simple. Here, insulin and other hormones direct whether glucose will be burned for energy or stored for future use. According to the American Diabetes Association (ADA), low-carb diets may help reduce weight in the short term (up to 1 year). The following are specific advantages from high-fiber diets (up to 50 grams a day): Insoluble fiber (found in wheat bran, whole grains, seeds, nuts, legumes, and fruit and vegetable peels) may help achieve weight loss. Carbohydrate types are either complex (as in starches) or simple (as in fruits and sugars).
