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Nutrition and Fitness Lifestyle Change Program
DiAMC - Diabetes Assessment and Management Center of Shreveport, LLC http://www.diamc.com | Phone: (318) 212-1194
Page 56
Week 4: Eat More Plants for Better Health
Purpose The purpose of this chapter is to teach you why eating more fruits and vegetables can significantly improve your health as a person with diabetes or prediabetes. Research shows that the root condition of diabetes (insulin resistance) can be minimized and even reversed by eating a diet low in fat. Eating fruits and vegetables can help you in that process, and help you control your blood sugar very effectively.
Learning Objectives This chapter will teach you the following:
Why fruits and vegetables are healthy for you
Why fiber is an essential component of your diet
How many fruits and vegetables to eat per day throughout this program
Ways to increase fruits and vegetables in your diet
Ways to replace meat in your diet
Ways to replace dairy in your diet
Tips for reducing fast foods in your diet
Nutrition and Fitness Lifestyle Change Program
DiAMC - Diabetes Assessment and Management Center of Shreveport, LLC http://www.diamc.com | Phone: (318) 212-1194
Page 57
In this program, you will learn how to incorporate more fruits and vegetables into your diet for increased health. Eating more fruits and vegetables is a simple and very effective way to improve your blood sugar control, reduce insulin resistance, improve your long‐term health, reduce your long‐term disease risk, and increase your overall sense of well‐being.
Top 10 Reasons to Eat More Fruits and Vegetables
Fruits and vegetables contain antioxidants. Antioxidants are natural compounds that protect cells from damage caused by free radicals.
Fruits and vegetables contain large amounts of fiber which helps keep you full and provides nutrients for bacteria in your large intestine.
Eating fruits and vegetables is convenient. They can be eaten in many forms, including fresh, frozen, canned and dried.
Fruits and vegetables are naturally low in calories which is great for losing weight and achieving your optimal body weight.
Fruits and vegetables may help reduce your risk for many chronic diseases, including heart disease, high blood pressure, diabetes and some forms of cancer.
Fruits and vegetables are rich in vitamins and minerals that promote tissue function and keep you energized.
Fruits and vegetables come in many shapes, textures and colors and can be eaten throughout the year.
Nutrition and Fitness Lifestyle Change Program
DiAMC - Diabetes Assessment and Management Center of Shreveport, LLC http://www.diamc.com | Phone: (318) 212-1194
Page 58
Fruits and vegetables are portable and can be taken as a snack on the go.
Fruits and vegetables can be grown in your own backyard by adding generous amounts of sunlight and water.
Fruits and vegetables are both nutritious and delicious.
Fiber is an Important Component of Your Diet
You may have heard that fiber is good for you, but did you know why? Fiber is an indigestible component of plant cell walls that helps regulate digestive function, intestinal health and appetite. Here are a few facts about fiber which you may find helpful:
Nutrition and Fitness Lifestyle Change Program
DiAMC - Diabetes Assessment and Management Center of Shreveport, LLC http://www.diamc.com | Phone: (318) 212-1194
Page 59
Fiber is filling and contains almost no calories.
Fiber keeps you feeling full longer. Every 15 grams of fiber that you add to your diet can help you cut your calorie intake by almost 10%.
Aim to eat 30-40 grams of fiber per day. Try to eat a minimum of 30 grams of fiber per day for best results. Eat at least one serving of fiber at every meal in order to meet your minimum requirement per day.
Fiber may also help lower cholesterol levels.
The main sources of fiber are beans, vegetables, fruits and whole grains.
Nutrition and Fitness Lifestyle Change Program
DiAMC - Diabetes Assessment and Management Center of Shreveport, LLC http://www.diamc.com | Phone: (318) 212-1194
Page 60
How Many Fruits and Vegetables Should You Eat? In the first phase of the program, your goal is to increase your vegetable intake while keeping your fruit intake low in order to start losing weight without causing blood sugar spikes.
In the second phase of the program, we will increase your fruit intake slightly.
In the final phase of the program, we will increase your vegetable intake once again.
Take a look at the following pages to see how you can increase your intake of fruits
and vegetables over the next 12 weeks.
Vegetables Fruits Legumes
Weeks 3-5 5-8 1-4 1-2
Weeks 6-8 7-10 2-6 2-3
Weeks 9-12 8-12 2-6 2-3
Weeks 12+ 8-12 2-6 2-3
Sample for Week 3-5:
Breakfast: 1 serving fruit
Snack: 1 serving fruit
Lunch: 1 serving fruit + 2 servings vegetables + ½ c. beans
Snack: Vegetable
Dinner: 1 serving fruit + 2 servings vegetables + ½ c. beans
Nutrition and Fitness Lifestyle Change Program
DiAMC - Diabetes Assessment and Management Center of Shreveport, LLC http://www.diamc.com | Phone: (318) 212-1194
Page 61
Ways to Increase Fruits and Vegetables in Your Diet
Increasing fruits and vegetables in your diet is actually quite easy to do. Here are some tips for how you can achieve your fruit and vegetable goals:
Eat 1 piece of fruit at the beginning of each meal.
Make fruits and vegetables at least ½ of your plate.
Eat raw vegetables for a snack.
Eat a piece of fruit as your mid-morning snack.
Eat the rainbow every day. Eat at least one fruit or vegetable per day that is red, orange, yellow, green, blue and purple.
Nutrition and Fitness Lifestyle Change Program
DiAMC - Diabetes Assessment and Management Center of Shreveport, LLC http://www.diamc.com | Phone: (318) 212-1194
Page 62
Ways to Replace Meat in Your Diet
Replacing meat in your diet is actually not very difficult. If you are accustomed to eating meat, try these meat alternatives:
Cooked beans (any variety)
Cooked lentils (any variety)
Tofu
Tempeh
Seitan
Gardenburgers or tofu burgers
Portobello mushrooms
Nutrition and Fitness Lifestyle Change Program
DiAMC - Diabetes Assessment and Management Center of Shreveport, LLC http://www.diamc.com | Phone: (318) 212-1194
Page 63
Ways to Replace Dairy in Your Diet
Consider replacing dairy products in order to reduce your intake of saturated fats, which can help you lose weight and improve blood sugar control. When thinking of alternatives for dairy products, use the following:
¼ cup blended silken tofu
1 teaspoon of flax plus ¼ cup of water, blended together
1 tbsp. cornstarch plus 2 tbsp. water (for baked products)
Soymilk, rice milk and almond milk
Vegetable broth (when cooking)
Cheese alternatives include:
o Baked tofu
Nutrition and Fitness Lifestyle Change Program
DiAMC - Diabetes Assessment and Management Center of Shreveport, LLC http://www.diamc.com | Phone: (318) 212-1194
Page 64
o Nutritional yeast (parmesan cheese substitute)
Tips for Managing Fast Foods in Your Diet
It is important to recognize that eating fast food frequently can become an addiction, just like drinking alcohol or smoking cigarettes. Fast food is cheap and convenient, however, frequent consumption of fast food can cause significant damage to your overall health.
Here are some tips to help you replace fast food in your diet:
Avoid Supersized and Value-sized Items
Keep serving size of all hamburgers and sandwiches to the size of the back of your fist.
Eat Grilled or Roasted Lean Meats and Avoid Fried Meats
Nutrition and Fitness Lifestyle Change Program
DiAMC - Diabetes Assessment and Management Center of Shreveport, LLC http://www.diamc.com | Phone: (318) 212-1194
Page 65
Watch out for the words deep-fried, pan-fried, batter-dipped, breaded, scalloped, crispy, and creamy.
Avoid Fried and Breaded Items
Avoid things like crispy chicken sandwiches and breaded fish fillets. Choose turkey, lean chicken and lean roast beef instead.
Order Chicken without the Skin
Opt for skinless chicken breast and thighs.
Special Order from the Menu
Don’t be afraid to special order to make your meal healthier.
Request a wheat bun instead of a white bun.
Request the dressing on the side.
Request to have sauces and condiments served on the side.
Eat Condiments and Dressings Sparingly
Often fast food sauces and condiments are the highest calorie parts of your entire meal.
Ask that all condiments be served on the side. Keep your intake of condiments to 1-2 tbsp. for the entire meal.
Nutrition and Fitness Lifestyle Change Program
DiAMC - Diabetes Assessment and Management Center of Shreveport, LLC http://www.diamc.com | Phone: (318) 212-1194
Page 66
Watch out for oil-based salad dressings, mayonnaise, ketchup, barbeque sauce and sour cream.
Skip the Bacon
Bacon is one of the most calorie dense meats and is very high in fat.
When ordering a sandwich or hamburger containing bacon, ask to have it removed.
Pass on the French Fries
French fries are tasty, but they are fried and very high in calories.
Instead, request a healthier alternative such as: o A baked potato o A serving of fruit o A side salad with the dressing on the side o A fresh fruit cup o Corn on the cob
Nutrition and Fitness Lifestyle Change Program
DiAMC - Diabetes Assessment and Management Center of Shreveport, LLC http://www.diamc.com | Phone: (318) 212-1194
Page 67
Your Homework for Next Week Take a few minutes to fill out the following table so that you have a plan for increasing your fruit and vegetable intake in substitution for high fat foods.
List Your Favorites Here
Healthy Low-Fat Alternatives
Dairy Products
Meat Products
Fish and Shellfish
Fast Foods