Valuable Coupon Inside! See page 31.

Transcription

1 Valuable Coupon Inside! See page 31.

2 Valuable Coupon Inside! See page 31. Valuable Coupon Inside! See page 31.

3 Valuable Coupon Inside! See page 31. Valuable Coupon Inside! See page 31.

4 Introduction Now You Take Control. Introduction If you, or someone you love, has just been diagnosed with diabetes, you are undoubtedly experiencing a range of emotions and have many questions. At this point it s important to understand the best way to deal with diabetes is to control it, and the best way to control it is by controlling your lifestyle. This booklet will touch on three key components of diabetes management: diet, exercise, and monitoring blood glucose (sugar) levels. It will provide you with tips and resources to help you make the adjustments in your lifestyle that will keep you on top of your condition. Working with your health care professional, you will learn what to expect, what works, and what to avoid. DIABETES FOR PEOPLE WITH 2 3

5 Introduction Controlling diabetes means making important lifestyle changes. Getting regular exercise, eating sensibly, and monitoring your blood glucose are three important factors that will help you keep your blood glucose levels within an ideal range. Keeping these levels within the right range over a long period of time can help you protect your heart, eyes, kidneys, and nerves from damage due to diabetes complications. 1 Diabetes Either you control it or it controls you. Find useful resources for helping you control your diabetes at DiabetesControlForLife.com Enter promo code: PSK Introduction Use this booklet to start planning your lifestyle changes and be sure to consult a health care professional, such as a Certified Diabetes Educator (CDE) or Registered Dietitian (RD). He/She can help you plan and revise your goals, meal plans, and medications every step of the way. DIABETES FOR PEOPLE WITH 4 5

6 Diabetes Control for Life Managing Your Diabetes Doesn t Have to Control Your Life Setting a routine you can stick to is not always easy. It s a step-by-step process that takes time and effort. That s why the makers of Glucerna developed the Diabetes Control for Life Program. This FREE online resource lets you design a diabetes- and weight-management program that s right for you. DiabetesControlForLife.com features: A 24-week plan for gradual weight loss, if that is your goal Daily meal plans and recipes Fitness and exercise plans Progress tracking and monitoring Personal support with dietitians via and instant messaging Exclusive articles and information Money-saving coupons Clinical studies have shown that programs like Diabetes Control for Life help people with type 2 diabetes lose weight and improve blood glucose control. 2,3 * And when you take control of your weight, you help take control of your diabetes. Just a 5% weight loss can help control blood glucose naturally. For someone 200 lb, that s just 10 lb! Visit DiabetesControlForLife.com and sign up for a free personalized assessment and a customized plan that will help you take control. Enter promo code: PSK * Some of the products in the clinical studies differ from those commercially available and studies were clinic- rather than Internet-based. Diabetes Control for Life 6 7

7 Healthy Eating Eating Right Helps You Take Control Making good food choices and careful meal planning are important factors in diabetes management. Careful meal planning can help you better control your weight, avoid impulsive food choices, and help control blood glucose spikes. By consistently making smart food choices, you can help control how your blood glucose levels change. Visit DiabetesControlForLife.com for free meal planning tools, recipes, comprehensive nutrition information, and more. Enter promo code: PSK A healthy meal plan has lots of variety and includes a balance of carbohydrate, protein, and fat. Eating foods from all food groups ensures you ll get the right balance of nutrients and makes mealtimes more interesting. A good meal plan should fit in with your own schedule and eating habits, and can help you improve your blood glucose, blood pressure, and cholesterol numbers, and also help keep your weight on track. Because every person is different, you and your health care professional should develop an individual meal plan that s right for you. Healthy Eating 8 9

8 Meal Planning Meal Planning Methods There are two common methods for diabetes meal planning: Carbohydrate Counting (Carb Choice Method) and the Exchange Method. Use the chart below to guide you in using the Carb Choice Method. The chart shows the grams of carbohydrate per carb choice. Carb Choice Grams of Carb do not count 0 5 ½ ½ Use this chart to guide you in using the Exchange Method. The chart shows the amount of nutrients in a serving for each exchange. Exchange Serving Size Carbs Protein Fat Calories (Grams) (Grams) (Grams) (Grams) Starch ½ cup cooked cereal, grain, or pasta; 1 slice bread, ½ bun 15 3 Trace 80 Vegetable ½ cup cooked; 1 cup raw; ½ cup juice Fruit 1 small fresh fruit; ½ cup canned or fresh fruit; ½ cup unsweetened juice Fat free/ low-fat milk 1 cup skim milk; 6 oz fat free yogurt Lean meat 1 oz lean meat, fish, poultry, or cheese; ½ cup beans, peas, or lentils Fat 1 tsp vegetable oil; 1 Tbsp salad dressing Meal Planning 2 ½ ½

9 Meal Planning Meal Plans These pages provide meal plans for three calorie levels and are based on the Exchange and Carb Choice Methods. Your Certified Diabetes Educator or Registered Dietitian can help you choose a planning method and calorie level that s right for you Calories Carb Choices BREAKFAST ¾ cup Glucerna Cereal with 1 cup skim milk 3 1 fruit SNACK 1 Glucerna Mini-Snack Bar ½ LUNCH 1 Glucerna Shake 1 fruit 3 1 vegetable 1 fat SNACK 2 starch 2 1 vegetable DINNER 4 lean meats 2 starch 2 ½ 2 vegetables 2 fats SNACK 1 starch 2 1 nonfat milk Exchange Lists for Meal Planning, American Diabetes Assn, Inc. & American Dietetic Assn, Calories Carb Choices BREAKFAST 1 cup Glucerna Cereal with 1 cup skim milk 1 fruit 3 ½ SNACK 1 Glucerna Snack Shake 1 LUNCH 2 starch 2 lean meats 1 fruit 2 vegetables 2 fats 3 ½ SNACK 2 starch 1 vegetable 2 DINNER 5 lean meats 2 starch 2 vegetables 2 fats 2 ½ SNACK Glucerna Snack Bar 1 nonfat milk 2 Product nutrient information may differ per flavor. Use Glucerna products under medical supervision as part of your diabetes management plan. Meal Planning 12 13

10 Meal Planning 2100 Calories Carb Choices BREAKFAST 1 Glucerna Meal Bar 1 cup skim milk 4 1 fruit SNACK 1 Glucerna Snack Shake 1 LUNCH 3 starch 2 lean meats 1 fruit 4 ½ 2 vegetables 2 fats SNACK 2 starch 2 1 vegetable DINNER 5 lean meats 2 starch 2 ½ 2 vegetables 3 fats SNACK 1 cup Glucerna Cereal with 1 cup skim milk 2 ½ Tools for Healthy Eating It takes time and effort to choose and eat nutritious meals and snacks. But if you plan ahead and shop regularly, you ll naturally begin to eat better. Diabetes Control for Life features convenient, customizable tools that help increase your odds for success: Delicious recipes, meal suggestions, and grocery lists designed to help with your specific needs and personal tastes Nutrition logs to calculate your daily and weekly nutritional intake and compare your actual intake to your goals Meal Planning Visit DiabetesControlForLife.com for more meal plans. Enter promo code: PSK 14 15

11 Portion Control Size Up Your Portions Along with proper meal planning, it s important for people with diabetes to practice portion control. The fact is, how much you eat is as important as what you eat. Learning to determine portion size is one of the most important and long-lasting skills one can learn in helping control diabetes. We often underestimate the amount of food on our plates, which can result in extra calories and carbohydrates. Always try to follow the suggested serving size within your meal plan. Weighing and measuring foods at home will help train your eyes to estimate portions and serving size when eating out. Here are several easy ways to estimate portions: One fist is approximately 8 fl oz of cold and hot beverages, or 1 cup of broccoli or mashed potatoes. One hand cupped is about 1/2 cup of pasta, rice, polenta, hot cereal, grits, fruit salad, beans, okra, tofu, or cottage cheese, or 1 ounce of nuts. Two hands cupped is about 1 cup of cold cereal, soup, salad, and mixed dishes like casseroles. = = = 1oz Two thumbs together is about 1 Tbsp of peanut butter, salad dressing, sour cream, mayonnaise, or dip. = Portion Control A medium apple or other fruit is about the size of a tennis ball A deck of cards is about 3 ounces of cooked meat, such as hamburger patty, chicken breast, or fish filet = = 16 17

12 Basic Nutrition Tips Tips for Healthy Eating There will be times when you may find that it s difficult to stick to your meal plan. Here are some basic tips to help you fit healthy eating into your busy lifestyle: Use sugar substitutes instead of regular table sugar Reach for diet soda instead of regular soda, and watch for added sugar in juice and powdered drinks Grab a piece of fruit as a tasty and sweet alternative to cookies, candies, and cakes Choose low-fat dairy and meat products Stop eating when you re satisfied, not stuffed Incorporate portion-controlled foods, like Glucerna Shakes, Cereal, and Bars, into your meal plan Keep in mind that eating healthy doesn t just happen. It takes time and effort. But you can do it! Importance of Physical Activity Getting enough exercise is another important factor in diabetes management. Physical activity is key to obtaining many health benefits, including better blood glucose control, weight loss, and prevention or delay of diabetes complications. Along with improved strength and endurance and a greater enjoyment of life, here are some other benefits of becoming more physically active: Lowered risk of heart disease, stroke, and cancer Prevention of bone and muscle loss Lowered blood pressure Reduced stress Active Living 18 19

13 Active Living It may seem daunting to take that first step toward an exercise program but you don t have to change your entire lifestyle in one day. Building up gradually to improve your fitness level is a way to ease into activity. Here are some general exercise tips: Start slowly don t push yourself too hard. The activities you do should make you feel energized, not exhausted. Just 30 minutes of physical activity a day can make a difference. Your physical activity plan doesn t have to be high-tech or complex. Except for investing in a good pair of shoes, walking is free, takes no special skill or equipment, and can be adapted to your level of fitness and lifestyle more easily than other kinds of physical activity. Active Living Set modest short-term goals that will help keep you moving and motivated. These smaller successes can spur you to your ultimate success such as getting to your goal weight. Drink plenty of water and have a carbohydrate snack handy, like a Glucerna Snack or Meal Bar. Keep in mind that individual blood glucose response to exercise varies. Checking your blood glucose levels before and after physical activity can help you determine how to prevent low or high blood glucose levels, as well as showing you the advantages of exercise. Before beginning, or making any significant changes to, any exercise plan, consult with your health care professional. Think of what will motivate you to get on your feet and become more active. Your health care professional and the Glucerna Diabetes Control for Life Program will support and advise you, but you are in control

14 Active Living Tools for Active Living Whether you re planning to do an aerobic workout or a strengthening activity, DiabetesControlForLife.com allows you to choose from a variety of exercises and record what you did in your workout. Diebetes Control for Life has customizable activity plans allowing you to: Pick and choose activities that are right for you, to personalize your routine Read articles structured around your chosen Activity Plan, with messages about starting slowly, setting goals, tracking daily s teps, and gradually increasing activity levels Calculate how many calories you burn when participating in your favorite activities Monitoring Blood Glucose to Keep Tight Control For people with diabetes, it is very important to keep tight control of blood glucose levels, which means keeping the levels as close to normal as possible. Keeping tight control protects you against the beginning of diabetes complications, such as eye, kidney, heart, and nerve damage, and is one way to slow the rate of progression of these conditions. 1 Remember, monitoring also allows you to better gauge how certain foods affect your blood sugar levels. The primary goals of a diabetes care plan are to: Keep blood glucose readings at target levels: 90 to 130 mg/dl before meals Less than 180 mg/dl two hours after meals Maintain your hemoglobin A1C levels at 7% or less Monitoring Consult your health care professional before beginning any exercise program

15 Monitoring When to Check While each person s blood glucose testing schedule is slightly different based on his or her medications and lifestyle, many people test at common points during the day. Here are some examples of when people are advised to test: Fasting blood glucose testing: Test in the morning upon waking, before eating, drinking, exercising or taking any medications Pre-meal testing: Test just before eating, especially if using insulin or oral medications to help control glucose Postprandial (after-meal) testing: Commonly tested one to two hours after a meal Bedtime testing: Work with your health care professional to determine the best time for this test Tools for Monitoring Blood Glucose Levels The free monitoring tools at DiabetesControlForLife.com make it easy for you to track information about your glucose monitoring online. These printable logbooks can paint a picture of how food, exercise, medication, and/or insulin affect your glucose results, and help your health care professional determine if your diabetes care plan is working. Monitoring 24 25

16 Glucerna Products Glucerna Products: Smart Nutrition Glucerna products are specially made for people with diabetes. Their unique blends of slowly digested carbohydrates are clinically designed to help manage blood glucose levels. Incorporating Glucerna products into your diabetes management plan can help you take control of your blood glucose levels and your overall health. Glucerna Shakes Recommended #1 by doctors and nutritionists ƒ New, convenient reclosable bottle Excellent source of plant-based Omega-3s (400 mg per serving) to help support circulatory and heart health" Contains chromium picolinate to help your body s own insulin work better Excellent source of 27 essential vitamins and minerals for complete, balanced nutrition Available flavors: Creamy Chocolate Delight, Homemade Vanilla, Strawberries n Cream, and Butter Pecan Glucerna Cereals Glucerna Products Enjoy scrumptious Glucerna Shakes, Cereal, and Bars. They ve received the ChefsBest Award for Best Taste, which is awarded to the brand rated highest overall among leading brands by independent professional chefs. Contains chromium picolinate to help your body s own insulin work better Excellent source of fiber and 5 grams of whole grains Available flavors: Crunchy Flakes n Raisins, Crunchy Flakes n Strawberries, and Crunchy Flakes n Almonds 26 Find Glucerna products in the Diabetes section of your local pharmacy Available at most food, drug, and mass retailers Use Glucerna products under medical supervision as part of your diabetes management plan. ƒ Among doctors and nutritionists who recommend nutritional beverages to their patients with diabetes. " 400 mg of plant-based Omega-3 fatty acid ALA (25% of the 1.6 g DV). Glucerna Snack Shakes Good source of protein and fiber Contains 26 essential vitamins and minerals Enjoy as part of a meal or as an in-between snack Lactose- and gluten-free Available flavors: Vanilla and Chocolate 27

17 Glucerna Products Glucerna Mini-Snack Bars A great choice for satisfying cravings for something sweet Lactose-free Available flavors: Chocolate Peanut and Oatmeal Raisin Glucerna Meal Bars An alternative to high-carbohydrate, high-calorie junk food Contains 2 or 3 grams of fiber (depending on flavor) to help support digestive tract health Available flavors: Oatmeal Raisin, Chocolate Peanut, and Chocolate Chunk Nutritional Information Glucerna Shake ( Creamy Chocolate Delight) Glucerna Cereal ( Crunchy Flakes n Raisins) Glucerna Snack Shake ( Creamy Chocolate Delight) Glucerna Mini-Snack Bar (Chocolate Peanut) Glucerna Meal Bar ( Chocolate Peanut) Glucerna Snack Bar ( Chocolate Caramel) Portion Size 8 fl oz ¾ cup (30 g) 8 fl oz 1 bar (20 g) 1 bar (58 g) 1 bar (40 g) Calories Protein (g) Fat (g) Saturated fat (g) Trans fat (g) 7 ½ 5 2 ½ 7 4 ½ 0 ½ 1 3 ½ Glucerna Products Carbohydrates (g) Glucerna Snack Bars Dietary fiber (g) <1 2 1 Carb choices ½ 2 1 Perfect as an on-the-go snack between meals Available flavors: Chewy Chocolate Caramel, Chewy Caramel Nut, and Crispy Fudge Graham Incorporating Glucerna products into your meal plan can help you manage of your blood sugar levels and your overall health. Exchanges How to use 1 starch, 1 low fat milk, and ½ fat snack, part of meal 1 ½ starch 1 starch and 1 fat meal replacement, part of meal ½ starch and ½ fat See product labels for additional information. Nutrition information varies per flavor. Carb choices and exchanges are adjusted for sugar alcohols. Calculated using Exchange Lists for Meal Planning, American Diabetes Assn, Inc & American Dietetic Assn, starch, ½ lean meat, and 1 fat snack snack meal replacement 1 starch and 1 fat snack, dessert 28 29

18 Glucerna Products Visit DiabetesControlForLife.com and sign up for a free personalized assessment and a customized plan that will help you lose weight and better manage your blood glucose. Tear out this coupon and redeem at any food, drug, discount, or other retail store. MANUFACTURER S COUPON EXPIRATION DATE 12/31/08 Save $ 2.00 Use this coupon and save $2.00 on any Glucerna Cereal, or any multipack of Glucerna Shakes, Snack Shakes, Meal Bars, Snack Bars, or Mini-Snack Bars. Use under medical supervision as part of your diabetes management plan. Enter promo code: PSK To order Glucerna products, visit Glucerna.com or call Glucerna References: 1. Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes (UKPDS 33). The Lancet. 1998;352: Garvey WT et al: A diabetes management program using diabetes-specific meal replacements and snack bars improves weight loss, metabolic parameters, and quality of life. Diabetes 2006;55(suppl 1):A Data on file, Study BJ19, Effect of an energy-deficient diet with a disease-specific formula or an energy-deficient diet alone on weight loss and glycemic control in subjects with type 2 diabetes, July Ross Products Division, Abbott Laboratories, Columbus, Ohio. Glucerna Smart nutrition for people with diabetes. 30

19 MANUFACTURER S COUPON EXPIRATION DATE 12/31/08 Save $ 2.00 Redeem at any food, drug, discount, or other retail store. When You Purchase Any Multipack of Great-Tasting Glucerna Products LIMIT 1 COUPON PER TRANSACTION. Coupon void if altered, copied, sold, purchased, transferred, exchanged, taxed, restricted or prohibited by law. Good only in the USA, its territories, and possessions. Cash value 1/100. Retailer: Ross/ Abbott will reimburse you for the face value of this coupon plus 8 handling when submitted in compliance with Abbott s redemption policy (copy available upon request). Retailers and authorized clearinghouses send to CMS Dept 70074, ROSS/ ABBOTT LABORATORIES INC., 1 Fawcett Drive, Del Rio, TX Attention Pharmacists and Retailers: Coupon not valid for product reimbursed, in whole or in part, under Medicare, Medicaid or similar government programs. In Massachusetts, coupon not valid for product reimbursed, in whole or in part, by any third party payer. Find Glucerna products in the Diabetes section of your local pharmacy Available at most food, drug, and mass retailers 2007 Abbott Laboratories Inc A/70468 MARCH 2007 LITHO IN USA