Dietary Guidelines for Americans

Dietary Guidelines for Americans -2015-2020

Guideline 1. Follow a Healthy Eating Pattern Across the Lifespan

Guideline 2. Focus on Variety, Nutrient Density, and Amount

Guideline 3. Limit Calories from Added Sugars & Saturated Fats and Reduce Sodium Intake

Guideline 4. Shift to Healthier Food and Beverage Choices

Guideline 5. Support Healthy Eating Patterns for All

For detail information follow the link below

https://health.gov/sites/default/files/2019-10/DGA_Recommendations-At-A-Glance.pdf

Presentation1

 

Lesson during the Pandemic

Life Lesson during the Pandemic 

This is a story from the Bodh katha and the message delivered

applies to today’s situation as well- 

Dates back to ancient India- when lord Krishna with his elder brother Balaram and dear friend Sudama were living in the ashram of guru Sandipani.

One day when lord Krishna, Balaram and Sudama had gone to a nearby village and on their way back they had to cross across a forest. As it was getting dark and the villagers had warned them against one demon who becomes active at night and fighting him is impossible, they decided to spend the night on a tree top until day break.

As night fall the three of them settled themselves on a tree top and feel asleep. Late in the night Sudama heard loud noises and woke up. Seeing the other two fast asleep he decided to keep a night watch. Suddenly, he saw a demon approaching them. Sudama got down from the tree and decided to fight him. To his surprise the more he fought the demon the bigger he grew in his size. Unable to keep up Sudama ran away and climbed up the tree.

After a little while Krishna’s older brother Balaram got up hearing all the noise. Balaram is known for his strength and valore. He too was unable to keep up with the demon because the more Balaram tried to beat him up the stronger and bigger the demon became.

Lord krishna who had been sleeping all this time woke up and saw the chaos happening. He jumped from the tree and requested his older brother Balaram to take some rest and allow Krishna to deal with the demon.

Krishna too like the other two started fighting with full strength with the demon. However, he soon realized that instead of fighting, if he just hid himself  then the demon is losing its strength as it is no longer growing bigger. Krishna stood behind a tree and watched the demon become smaller and smaller until eventually it was so miniscule and then vanished completely in thin air. The world was free of the demon !

This story in today’s situation applies with the same meaning, if we stay inside we are going to weaken the virus. Research published shows that staying at home and social distancing has positive effect on reducing the number of  positive cases. So let us all take a wise step of staying at home and social distancing as much possible to debilitate the virus !

nature forest trees park

 

Keeping a Healthy Weight in Elderly Population

Keeping a Healthy Weight in Older Adults 

Some changes that occur as part of normal aging and affect body weight include-

  • Muscle Loss
  • Bone Loss
  • Loss of teeth
  • Changes in digestion and absorption of nutrients
  • Decrease vision, hearing, smell and taste
  • Change in calorie intake and output

Good News- we can slow down these changes and reduce the negative effects of aging through a healthy lifestyle.

What can we do..

  • Continue- to eat a healthy diet full of fruits and vegetables, whole grains, low fat meats and dairy foods and healthy fats.
  • Strive- to maintain your current weight, unless your doctor wants you to lose weight for medical reasons.
  • Participate- in daily exercise you enjoy. Daily strength exercise will help increase muscle mass and reduce fat mass. Exercise can be 10 min done 3 times a day.
  • Enjoy- dine with friends and family to consume healthier meals.
References:
Desirable Body Weight In Older Adults: An Analysis of the Evidence. Synthesis 2014: 3(9).  NIDDK. Niddk.nih.gov/
National Institute of Aging. Nia.nih.gov/health
Senior Nutrition. Agweb.ag.utk.edu/
Prepared by: Dipti Namjoshi, MS, DTR
Sodexo Dietetic Intern                         

Diabetes Guidelines -2019

Diabetes Guidelines -2019 Follow the link below for current diabetes guidelines for 2019Diabetes Guidelines

Click to access 11.full.pdf

 

The Plate Method – 

Easy way to manage portions: Fill half the plate with greens, in the other half one quarter will be starches and other quarter will be proteins.

rate-your-plate

My Plate Method

 

Pre-Diabetes and Doctor Questions

I was recently diagnosed with pre-diabetes.  Could you tell me what questions I should be asking my doctor in order for me to be successful in the prevention of type 2 diabetes?

 Answer: The most important thing to discuss with your doctor would be about diet and lifestyle changes you will be making to prevent type 2 diabetes.

Some questions to ask would be :

1. If you have a weight issue getting on a diet plan would be beneficial. Ask your doctor about refering you to a dietitian or a diabetes educator.

Watching your carbohydrate intake and understanding portion sizes for every meal is very essential something that a dietitian would be able to help you with.

2. Talk about cooking habits, do you enjoy cooking or do you eat outside? Get information about various cook books for diabetes and options for eating outside.

3. Along with diet comes exercise, plan on a good exercise regimen with your doctor. If you have any other health issues that prevent you from exercising, talk to your doctor about them.

4. Talk to your doctor about your lifestyle, are you extremely busy, or at home and how you can gradually make changes.

5. Discuss how often will you be checking your blood glucose, if you need any medications and how often will you be following with your health care providers.

6. Find information about various community programs and support groups you can join for additional guidance.

6. Discuss about payments and insurance options.

It is not easy to accept that you can be at a risk of developing diabetes and family support becomes very important during this time. I would advice you to take a family member or a friend along. Doesn’t hurt to have an extra pair of listening ears for all the instructions.

Increasing Access and Affordability of Produce Improves Perceived Consumption of Vegetables in Low-Income Seniors

To access this article, please choose the option below:

Increasing Access and Affordability of Produce Improves Perceived Consumption of Vegetables in Low-Income Seniors.

 

Pre-Diabetes and Doctor Questions

Q) I was recently diagnosed with pre-diabetes.  Could you tell me what questions I should be asking my doctor in order for me to be successful in the prevention of type 2 diabetes?

 Answer: The most important thing to discuss with your doctor would be about diet and lifestyle changes you will be making to prevent type 2 diabetes.

Some questions to ask would be :

1. If you have a weight issue getting on a diet plan would be beneficial. Ask your doctor about refering you to a dietitian or a diabetes educator.

Watching your carbohydrate intake and understanding portion sizes for every meal is very essential something that a dietitian would be able to help you with.

2. Talk about cooking habits, do you enjoy cooking or do you eat outside? Get information about various cook books for diabetes and options for eating outside.

3. Along with diet comes exercise, plan on a good exercise regimen with your doctor. If you have any other health issues that prevent you from exercising, talk to your doctor about them.

4. Talk to your doctor about your lifestyle, are you extremely busy, or at home and how you can gradually make changes.

5. Discuss how often will you be checking your blood glucose, if you need any medications and how often will you be following with your health care providers.

6. Find information about various community programs and support groups you can join for additional guidance.

6. Discuss about payments and insurance options.

It is not easy to accept that you can be at a risk of developing diabetes and family support becomes very important during this time. I would advice you to take a family member or a friend along. Doesn’t hurt to have an extra pair of listening ears for all the instructions.

Exercise Ideas?

I have pre-diabetes and have been doing a pretty good job of exercising outdoors during the spring and summer months.  Now that the weather is starting to cool down, I am trying to determine what I can do for physical activity in the colder months.  Suggestions?

Answer: Since the weather will be restricting your outdoor activities, unless you are a peron who can once in a while brave the cold and go out for a walk. You can always experiment with something you have never tried before for physical activity:

  • Walking on the trade mill or using the exercise bike
  • If you enjoy dancing and music really gets you excited then you can always try taking a dance class or something like aerobics or zumba
  • If you enjoy relaxed activities you can try joining a yoga class
  • You can take up some light sports like swimming or badminton
  • If you enjoy window shopping you can go for a walk inside the mall. Use stairs whenever possible instead of an elevator or escalator

While it is challenging to stay active in winter, it is important to remember that any light activity within the house can also contribute towards being physically active for example:

  • Increase standing activity by cleaning the house, ironing, cooking, getting up to take the remote or switching off the television

Hope these help you keep going!!

Diabetes & Healthy Tailgating?

Q) My husband has diabetes and this time of year we attend a lot of football games.  Before the game we often will meet up with friends for tailgating parties.  Can you give me some healthy ideas of what we can eat during the tailgate?

 Here are some ideas for healthy tailgating:

v    As tailgate parties involve a lot of grilling, choose lean meat like chicken without the skin, turkey, meatless burger which are usually made of soybeans or veggie burgers.

v    Go for whole wheat buns instead of regular buns.

v    Use mustard or horseradish sauce (if you like that zing!!).

v    Add a couple tomato slices, cucumber and some shredded lettuce, to make it tasty. You can also grill the vegetables before adding them on the burger.

v    If you have the option of chipping in a few food items than you can get- whole grain chips, pita chips, a bean dip instead of fattening dips. You can also carry a tray of fruit or vegetable kebabs.

v    If you are just attending it fill up your plate ones and savor the food by eating it slowly.

v    Invest more time talking to friends.

v    Stay away from the serving table.

v    Drink water, squeeze in a lemon for taste. Stay away from soft drinks and colas as much as possible.

 

Type 2 Diabetes Symptoms

Diabetes runs in my family and I think this puts me at risk.  Could you tell me what are the symptoms of type 2 diabetes?

Type 2 diabetes is a condition marked with high blood sugar in the blood. In type 2 diabetes the body does not respond well to insulin, so the blood sugar does not enter the cell to be stored as energy causing hyperglycemia (excess blood sugar). As a result the pancreas produces more and more insulin but it is not enough to keep up with the body’s demand.

  • Hyperglycemia is first observed in postprandial blood glucose level due to insulin resistance followed by elevation in the fasting blood glucose level.
  • Risk factors for type 2 diabetes include:
    • Family history of diabetes (parents or siblings)
    • Obesity particularly intra-abdominal obesity
    • Are overweight with a body mass index (BMI) >25 kg/m2
    • Physical inactivity
    • Intake of excessive calories
    • Hypertension (blood pressure > 140/90 mm Hg)
    • Have a low High Density Lipoprotein (HDL) ≤ 35mg/dl and triglyceride > 250 mg/dl
    •  Had impaired glucose tolerance or impaired fasting glucose (pre-diabetes)
  • Symptoms can vary from person to person and include:
    • Hyperglycemia
    • Excessive thirst
    • Excessive urination
    • Unexplained weight loss
  • Proper lifestyle changes include:

The goal is to manage the blood glucose level to normal.

  • Regular exercise of moderate intensity for 30 min for days of the week
  • Making the right food choices- include whole grains, fruits and vegetables, low fat food choices
  • Losing weight ~ 1-2 lbs /week, can help maintain blood sugar levels
  • Reducing total calorie intake

Below is a table to refer to the recommended blood glucose goals for diabetes by the American Diabetes Association (ADA) and the American Association of Clinical Endrocrinologists (AACE):

Goal ADA AACE
Pre-prandial (before eating) 90-130 mg/dl 110 mg/dl
Post-prandial (1-2 hours after beginning to eat) < 180 mg/dl 140 mg/dl

 

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