Diabetes: Prevention and Maintenance

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Presented by Diabetes: Prevention and Maintenance Dirker Chiropractic 909 S. Taylor Dr. 920-451-7000 10/7/2013

Eating, Exercise, Energy & Metabolism Food is fuel for energy, vitality and health The glycemic index for balancing blood sugar and insulin Physical activity for weight management and optimal health Nutritional supplements to enhance metabolic balance 920-451-7000 2

Food is Your Fuel for Energy Food provides energy for performing activities of daily living 920-451-7000 3

Food Provides Energy The energy in food is contained within the macronutrients MACRONUTRIENTS = ENERGY FOOD 920-451-7000 4

The Macronutrients Protein Carbohydrate Fat 920-451-7000 5

Macronutrients Macro means large and is measured in grams Micronutrients are smaller nutrients like vitamins and minerals and are measured in milligrams (1000 th of a gram) 920-451-7000 6

Energy is Measured in Calories Calories are the energy currency of the body 920-451-7000 7

Protein Protein provides 4 calories/gram Egg white contains 4 grams of protein and has 16 calories 4 grams x 4 calories each = 16 calories 920-451-7000 8

Carbohydrate Carbohydrate provides 4 calories/gram An apple contains 21 grams of carbohydrate and has 84 calories 21 grams x 4 calories = 84 calories 920-451-7000 9

Fat Fat provides 9 calories/gram 1 tbsp. oil has 14 grams of fat and provides 126 calories 14 grams x 9 calories = 126 calories 920-451-7000 10

Food is a Mixture Food is a mixture of protein, carbohydrate and fat Protein Fat Carbohydrate 920-451-7000 11

Macronutrients in Food Fruits and vegetables are mostly carbohydrate Dairy foods, chicken, beef, and fish are good protein sources with widely varying amounts of fat Beans have protein and carbohydrate and very little fat Oil and butter are pure fat 920-451-7000 12

From High Carb to Low Carb Pendulum swing from high carb diets in the 70s, 80s and early 90s Switch from high carb/low fat to lower carb/higher protein and higher fat 920-451-7000 13

Quality Versus Quantity For carbohydrate foods the quality matters as well as the quantity for optimal metabolic balance QUANTITY QUALITY CARBOHYDRATES Metabolic Balance 920-451-7000 14

Metabolic Balance Metabolic balance or glycemic balance means keeping blood sugar and insulin levels in proper balance Eating quality carbohydrate foods in balance with protein and fat promotes metabolic balance 920-451-7000 15

Metabolic Imbalance Insulin Resistance Syndrome Insulin Resistance Syndrome is common in many chronic conditions: Heart disease Diabetes Hypertension Obesity Sarcopenia Polycystic Ovary Syndrome (PCOS) DANGER INSULIN RESISTANCE 920-451-7000 16

Metabolic Balance Consuming the optimal amount of calories is essential for metabolic balance Continually eating highly refined or simple carbohydrates may contribute to insulin resistance Substituting fiber-rich carbohydrates in moderate amounts will help maintain metabolic balance 920-451-7000 17

The Glycemic Index of Foods Some foods cause rapid increases in blood sugar: high glycemic foods Emphasizing foods low on the glycemic index in conjunction with an optimal calorie level promotes metabolic balance GLYCEMIC INDEX METABOLIC BALANCE 920-451-7000 18

Blood Sugar and Insulin The more rapidly the food is absorbed into the blood stream, the higher the blood sugar The more rapid the blood sugar increase, the more rapid the insulin release from the pancreas 920-451-7000 19

Using the Glycemic Index for Metabolic Balance Choosing foods lower on the glycemic index at each meal will result in: Controlled blood sugar Controlled insulin release Better overall metabolic balance BLOOD SUGAR LOWER GI FOODS INSULIN RELEASE Metabolic Balance 920-451-7000 20

Low GI Meals and Snacks Breakfast Low GI cereal, nuts or breakfast shake Snack Apple, pear slices Lunch Split pea soup and mixed green salad, seeds Snack Shake Dinner Halibut, barley pilaf, Asparagus, fresh fruit 920-451-7000 21

Balancing Your Plate Divide your plate into 3 sections: 50% is vegetables, salad 25% is mixed whole grains or starch 25% is protein source poultry, fish, beans, soy products Veggies Whole grains Protein 920-451-7000 22

Activity and Exercise Regular physical activity is essential for metabolic balance Exercise reduces blood sugar Exercise promotes healthy weight by burning excess calories and fat for fuel Exercise at least 30-60 minutes most days of the week 920-451-7000 23

Nutritional Supplements for Metabolic Balance Chromium EPA/DHA Lipoic acid CHROMIUM EPA/DHA LIPOIC ACID Metabolic Balance 920-451-7000 24

Chromium Helps insulin transport glucose into body cells Helps the body convert glucose into energy fuel for muscles Eating refined foods increases the need for chromium 50 200 ug per day recommended CHROMIUM 920-451-7000 25

EPA/DHA Essential fatty acids needed for healthy cells Improves the way a cell functions lowers insulin resistance and improves metabolic balance 2 4 grams/day recommended EPA/DHA 920-451-7000 26

Lipoic Acid Antioxidant that helps the body reduce free radicals Improves insulin sensitivity, reduces insulin resistance Talk to health provider about dosage LIPOIC ACID 920-451-7000 27

Strategies for Optimal Metabolic Balance Eat balanced amounts of protein, carbohydrate and fat Maximize high quality foods low on the glycemic index Get regular physical activity Choose high quality dietary supplements 920-451-7000 28

Benefits of Metabolic Balance Prevent chronic conditions, and therefore, the need for medications More energy and vitality, less fatigue Improved quality of life Better weight control 920-451-7000 29