Oct 21 2010

Dietary Fiber for the Diabetic Food List

Category: ExplanationJimR @ 1:31 am

When higher than normal blood sugars circulate in the body over a long enough period of time, it is very likely that type-2 diabetes will develop, a condition that is often associated with an inability of the cells of the body to absorb the circulating sugar molecules. For an explanation of why high blood sugars are dangerous check Dangerous to Health.

The cells of the human body require sugar, in the form of glucose, to use as fuel to enable them to perform their various and constant metabolic activities that sustain life. But when diabetes develops, the body system that aids the usual entry of sugar into the cells from the bloodstream become impaired. The result being that the glucose continues to circulate in the blood where it may damage other organs. An explanation of the process can be found at About Diabetes, a Simple Explanation.

The Diabetic Food List
The objective of a personalized diabetic diet plan and food list is to compile a list of appropriate food items that aid in the control over the higher than normal blood sugar levels that have caused diabetes. The diabetic food list will also incorporate the food preferences and tastes of the individual diabetic person to enable the choice of favored items for any particular diabetic menu.

Dietary fiber has also been shown to lower the risks of heart disease
Long-lasting studies in which tens of thousands of health-care workers participated over several years, were able to show that a high dietary fiber diet was involved in a 40 percent lower risk of coronary heart disease in comparison to a diet lower in dietary fiber. Heart disease is the primary cause of death in people with diabetes.

How much dietary fiber is needed for the diabetic food list?
At this time, scientists are not in full agreement regarding the amount of fiber necessary for optimum health

In publications of the American Diabetes Association, 20 to 35 grams of dietary fiber daily is recommended for all adults. For type-2 diabetes, clinical studies suggest that 50 grams of fiber daily leads to an improvement in blood sugar levels. Dietary fiber also helps lower cholesterol levels

In the United States, the Institute of Medicine recommends dietary fiber intakes based on age and gender as follows:

♦ 25 grams daily for women and 38 grams daily for men up to age 50.

♦ 21 grams daily for women and 30 grams for men who are over 51 years of age and older,

Recommendations from other nutritional sources state that dietary fiber intake should be referenced to the body weight of the individual with the following weights in pounds and amounts in grams specified:

♦ 125 pounds 25 to 30 grams
♦ 150 pounds 30 to 35 grams
♦ 175 pounds 35 to 40 grams
♦ 200 pounds 40 to 45 grams

But do not add too much fiber to the diabetic diet because excessive amounts can result in other problems. When adding fiber to the diabetic diet, water intake should be increased.

To convert grams to ounces and pounds to kilos use the following:
A gram is equal to about 28.4 grams.
A pound is a slightly less than half a kilogram, approximately 0.45 of a kilogram.

The source of dietary fiber
Dietary fiber has always been readily available and part of the American diet. But the problem in current times is that the amount of dietary fiber consumed by most people is not sufficient to provide optimum health benefits.

Fruits, vegetables, beans, grains, cereals, nuts and seeds, and whole-wheat breads, are ideal sources from which to obtain fiber and those foods have much more to recommend them than just fiber. Plant foods contain a lot of essential vitamins, minerals, and phytonutrients that are thought to provide additional health benefits. That is one of the reasons that vitamin pills, as effective as they may be in supplying certain vitamins, do not provide as many of the nutritional and health-giving substances that are found in plant foods.

There are also manufactured fiber supplements available in pharmacies and health food stores, psyllium for example.

In conclusion
There is no single diabetic diet or diabetic meal plan that suits every person with diabetes but quality nutritious natural foods that can help control blood sugar levels are always to be favored.

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Sep 23 2010

ALMONDS in the control of Diabetes and High Cholesterol

Category: Foods,UncategorizedJimR @ 7:26 pm

“Nature” provides many foods to combat disease

To name a few at random that could be added to the diabetic food list: Almonds, walnuts and other nuts, oatmeal, oatbran, fish and omega-3 fatty acids, olive oil, fruits and berries and the many other plant foods that provide vitamins, minerals, fiber and phytonutrients.

But here we will deal with almonds, for which there is plenty of reliable published information — and almonds, and other nuts, are a frequently recommended food supplement for several reasons, including their apparent affect on blood cholesterol.

People with diabetes are being urged to watch their cholesterol and blood pressure levels as well as their blood glucose levels

Results of a study from Denmark’s called the “Steno – 2” clinical trials, were published in 2008 and showed that, in addition to maintaining good blood-glucose control, it is also beneficial for diabetes sufferers to aggressively combat high blood pressure, high cholesterol, and high triglyceride levels. A report of this study from the Steno Diabetes Center can be found at:

Almonds and Walnuts significantly reduce blood cholesterol levels
That’s according to a 2008 Mayo Clinic news release that listed the top 5 foods that help to lower cholesterol numbers. When included in a cholesterol lowering diet, almonds and walnuts were found to have a “marked improvement within just four weeks, and they may reduce LDL cholesterol (the “bad” one) by as much as 12 percent”.

The Mayo Clinic comments do not specify the amount of almonds eaten daily but frequently suggested in other references is about one ounce, roughly 20 to 25 almonds and these I believe should be in the unsalted, raw uncooked, or dry roasted, state. For myself, I found that 20 or 25 is too many to eat at one time, a few at each of several times was better, and the motivation being the potential cholesterol lowering effects. Elsewhere I have seen a suggested amount of 2-1/2 ounces – that sounds a lot to me but the point is to have them available and to make a conscious effort to include them for snacks or whatever to gain the benefits they provide.

Soaking almonds for maximum beneficial nutrition
Something that I suspect most people do not know. Shelled almonds have a substance in their brown skins called phytate, an anti-enzyme that can sometimes be difficult to digest. There are recommendations that, to help digestion and to gain the most nutrition from almonds by allowing their nutrients to be released, they should be soaked in water for about 12 hours and then dried out completely, possibly with heat not to exceed much above 100 degrees Fahrenheit, after which they can be stored as required.

It should also be noted that all nuts are high in calories, for almonds about 170 calories per ounce (28 grams) and this is because they are rich in monounsaturated fats. But these are the healthier fats. At the same time, almonds are low in the unhealthy saturated fat and they do contain many other essential minerals and other nutrients, including calcium, magnesium, manganese, phosphorus, and vitamin E — in the form of alpha-tocopherol. All of those and compounds called phytochemicals, which, their advocates claim, may help protect against cardiovascular disease and possibly other disease conditions.

There have been many reliably conducted studies done that have reported convincingly that when almonds are included in a person’s diet they help lower cholesterol levels and also provide many other health benefits that should not be ignored. A reference to a few of these reports is added at the end of this piece. After reading some of the articles relating to almonds I have to conclude that these nuts are just too good not to be part of a daily diet even if you are not diabetic. The right course of action might be, as I have seen suggested “To lower your risk of cardiovascular and coronary disease, enjoy a handful of almonds at least four times a week”.

Brazil Nuts, Walnuts, and other nuts
Probably the benefits of other nuts, such as Brazil nuts and walnuts, should also be reviewed. I believe a few Brazil nuts provide a daily requirement of selenium, another mineral that apparently can be deficient in diabetics. Joseph Guliano, M.D., a diabetic himself, in his book The Diabetic Male’s Essential Guide to Living Well, has much to say about minerals and states his opinion that diabetics should supplement all the essential minerals such as selenium, zinc, copper, manganese.

Another comment of interest on nuts in general is posted on the WebMD website, for which the web address is given at the end of this piece, in which Frank Hu, MD, PhD, associate professor of nutrition and epidemiology at the Harvard School of Public Health, tells WebMD that “Our epidemiological studies have shown eating about one ounce of nuts every day will reduce the risk of heart disease in the long run by 30%.”

Caution regarding nut allergies
I do realize that some people are allergic to nuts, especially children and for that reason I raise a caution flag here. Some nut allergies can be life threatening and fatalities have occurred. I personally recall an incident of a child who had unknowingly eaten nut-containing substances when away from normal home-supervision when at a summer-camp, the situation ending in the tragic death of the unsuspecting child. Two of my own children are allergic to nuts and my wife and I were always watchful. Neither my wife or myself have nut allergies and neither does a younger child of ours.

Almonds, Magnesium and Manganese
Almonds are a very good source of magnesium and manganese, minerals in which diabetics tend to be deficient, according to many reports. That is the opinion expressed in a 2001 website article “How Diabetes Works” by Craig Freudenrich, PH.D.

Similarly those views are shared by Michael T. Murray, N.D., as mentioned in his book  Diabetes and Hypoglycemia. Dr. Murray suggests that, in addition to eating foods rich in magnesium, such as almonds, an additional magnesium supplement of 300 to 500 mg daily should be taken by diabetics, preferably in a highly absorbable form such as magnesium aspartate or citrate, together with 50 milligrams of vitamin B6. For manganese he recommends that a good daily dose for a diabetic is 30 milligrams.

[Another B vitamin that I have found helps with my feet problems is B-12, described in this article: Diabetic Neuropathy and B-12.]

Caution: Please note, anyone reading this article should obtain their own confirmations and opinions for themselves from healthcare professionals regarding the appropriateness of amounts and individual minerals and supplements mentioned here.

The United States DRI’s (Dietary Reference Intakes, published by the Food and Nutrition Board) recommends a magnesium intake of 420 mg per day for males aged 31 and older and 320 mg per day for females aged 31 and older. A quarter of a cup of almonds provides nearly 100 mg of magnesium, that’s almost a quarter of the recommended daily intake of magnesium for males and a little less than one third for females, but for me, I think that would be too many almonds in one day.

Magnesium is one of several important electrolytes, minerals in the human body that carry an electric charge and that have an essential role in maintaining balance in much of the body’s chemistry relating to muscles, nerves, heart function, fluid retention and other activities. Many doctors, often those who, as well as being medical practitioners, are also advocates of nutrition and complementary methods of treatment, claim that most adults, even non diabetics, do not obtain sufficient dietary magnesium for good health. Food sources of magnesium are leafy green vegetables, nuts, seeds, whole grains, beans, lentils, and peanuts.

Mineral amounts in 1oz. of raw unsalted almonds

Mineral Amount % RDI
Potassium 206 mg 0.059
Phosphorus 134 mg 0.134
Calcium 70 mg 0.070
Magnesium 77 mg 0.22
Selenium 1.2 mcg 0.034
Iron 1.2 mg 0.08
Zinc 0.95 mg 0.063
Manganese 0.7 mg 0.14

Values courtesy  Dr. R.D. Decuypere

I suspect that most doctors who treat diabetic patients are unlikely to be recommending food supplements such as almonds and minerals or vitamins and would probably not requisition blood tests that could indicate whether there are any deficiencies in some of those vitamin and mineral substances.

Regarding minerals, my own doctor usually tests only for potassium, and sometimes for sodium and chloride levels, all three of which are also electrolytes. Those tests are monitored together with the many standard diabetic tests for other things such as creatinine, eGFR, ALT, TSH, cholesterols, triglycerides.

Beyond those usual essential tests, I sometimes wonder whether it would make sense, at least perhaps annually, to test for a much wider range of vitamins, minerals and other nutrients in addition to the above standards that follow the conventional diabetic protocols.

NOTE: In July 2003, the FDA approved qualified heart health claim for almonds, hazelnuts, peanuts, pecans, some pine nuts, pistachios and walnuts, these nuts contain less than 4g of saturated fats per 50g. Packages of nut products that meet the FDA’s requirements will now be able to carry the following claim: “Scientific evidence suggests but does not prove that eating 1.5 ounces per day of most nuts, as part of a diet low in saturated fat and cholesterol, may reduce the risk of heart disease.”

For your further reference, many other individual food items, suitable for the diabetic menu, are discussed at out companion site Diabetic Food List. And more general diabetes topics can be found at Normal Blood Sugars and Diabetes.

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Feb 22 2010

Hemp Seeds, Power Food for a Diabetic Food List

Category: Food ListJimR @ 9:48 pm


By: HR January 31, 2010

Hemp Seeds

This article is one of a series describing particular supplementary food items that are thought to be effective in lowering blood glucose as well as providing other health and nutrition related benefits.

Diabetes is a deadly disease. Diabetes claims more lives yearly than AIDS and breast cancer combined. People diagnosed with diabetes should eat a balanced diet, with decreased sugar and salt consumption, and low in saturated and trans fat. If you are currently following a diabetes-friendly diet but still need an extra boost when it comes to controlling your blood sugar, then you should look into incorporating hemp seed into your meals.

What is Hemp Seed?

Hemp seed is a little-known power food that can benefit everyone, especially people who are diagnosed with diabetes. Studies show that the consumption of Omega 3, and Omega 6 essential fatty acids can be helpful in treating diabetes. Hemp seeds are a great way to incorporate Omega 3 and Omega 6 into your diet. Hemp seeds are a great source of pure digestible protein (33%) without the worry of consuming unnecessary fats.

The nature of diabetes is such that the symptoms can cause an essential fatty acid deficiency in the body. A person may even experience numbness or tingling in the lower extremities because of this deficiency. Studies show that consuming the equivalent of three tablespoons of hemp seed oil can help alleviate those symptoms.

How to Add Hemp Seeds to Your Diet

Many foods on grocery store shelves already contain hemp seed. Salad dressings, nutrition bars, breads, cookies, granola, and even some frozen desserts can contain this super-food. Natural food stores sell hemp oil and flour and seeds that you can incorporate into many of the foods you already eat. It is recommended that you consume three to four teaspoons per day to reap the full benefit of hemp seeds.

You can blend hemp seeds with fruit and ice for a natural smoothie or bake it in homemade breads. Hemp seeds are a great alternative to pine nuts in stir-fry’s and have a similar flavor. You can use hemp seed flour as a substitute in baking or use the natural oil to toss a salad.

All foods that are currently on your diabetic food list can be improved nutritionally by the addition of hemp seeds. You can make your own diabetes foods from healthful recipes. There is no need to buy overpriced products or packaged foods labeled “dietetic.” These foods may still raise blood sugar levels and in many cases can have a laxative effect.

When you hear the word hemp it is understandable that it might bring to mind thoughts of pot smokers and such but the hemp seeds used as a food item are from a related plant to cannabis but definitely not the same plant. So there is no reason to worry about psychotropic effects from consuming hemp seeds. Hemp seeds, or products made from them, do not contain THC, which is the substance in the cannabis plant itself. Hemp seed is considered safe but be sure to check with your doctor before adding them to your treatment plan.

Hemp seeds are rich in an easily digestible form of all of the amino acids and fatty acids essential to the human body and are considered to be an excellent substitute for meat protein in the meat free meals of vegetarians or for those on a diet.

Because evidence suggests that an insufficient intake of Omega 3 can contribute to the development of diabetes, everyone should be mindful of what they eat and make sure to incorporate plenty of Omega 3 fatty acids. Adding hemp seeds to your diet is a good way to add Omega 3s to your diet.

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