[Diabetes-talk] Need Tips for Lowering A1C

[Debbie Wunder]

Hello Mike, I would love to read this as well. Can you post it to the list?
----- Original Message ----- 
From: "d m gina" <dmgina at samobile.net>
To: <diabetes-talk at nfbnet.org>
Sent: Friday, June 17, 2011 7:32 AM
Subject: Re: [Diabetes-talk] Need Tips for Lowering A1C


> Hi Mike,
> When possible can you send me the article as well?
> Thanks,
>
> Original message:
>> Hi, Debby.
>
>> I have a PDF file of an article from the November, 2010 issue of 
>> "diabetes
>> Self-Management Quarterly" which describes an altermative to the 
>> orthodox,
>> strict approach of most diabetes experts that I think makes more sense 
>> that
>> your friends might find congenial and that I will send you -- and yes, 
>> it's
>> accessible. The article is entitled "Intuitive Eating" and involves an
>> approach advocated by a dietitian, Linda Bacon,, associated with the 
>> Health
>> At Every Size (HAES) movement that your friends might find easier to 
>> adjust
>> to than following the usual food-police regimen. But before describing 
>> this
>> approach, I think it's appropriate to mention the obvious: no one is 
>> going
>> to make healthier eating choices unless he/she *wants* to do so -- enough 
>> to
>> stick with it for more than a few weeks or months. Without such desire,
>> nothing will work in the long run.
>
>> That said, the Intuitive Eating Approach doesn't place *any* foods
>> off-limit. Rather, it assumes that those wishing to try this regimen are
>> intelligent, motivated and willing to put some effort into the approach. 
>> The
>> Intuitive Eating approach involves being extremely aware of *why* one 
>> eats
>> -- real hunger or to satisfy cravings or emotional needs. Intuitive 
>> eating
>> for the diabetic involves strict monitoring of bg levels before and, say, 
>> an
>> hour or two after eating, to determine the effects of particular foods on
>> blood glucose levels and also a willingness to experiment with healthier
>> choices as well as reducing quantities of yummy but overly-high-carb 
>> foods.
>
>> This approach is easier to handle on insulin but also works for those on
>> oral meds. For instance, your friends might start out by noting that 
>> after
>> breakfast, their bg is out of their desired target range so they might 
>> first
>> try eating *one* Egg McMuffin rather than two or taking a long walk after
>> eating the two Egg McMuffins. Or if one finds that eating a KFC meal with
>> mashed potatos and corn and biscuits drives bg through the roof, perhaps
>> cutting out the corn and biscuit might do it as well as perhaps 
>> substituting
>> a baked potato for the mashed potatos. In other words, one concentrates 
>> on
>> making choices and observing the consequences rather than on cutting back 
>> so
>> far that one feels deprived. Also, one learns to eat *only* when one is
>> hungry -- not when it is socially expected.
>
>> On the other hand, one doesn't beat oneself up for eating a slice of
>> birthday cake; one takes a long walk to burn off the excess bg.
>
>> I'll send you the article via private email and I'll send it to anyone 
>> else
>> who wants it. It's the sort of article that gives traditional CDE's and
>> diatitians indigestion but has a surprising amount of empirical data on 
>> its
>> side.
>
>> I'll say no more as this isn't the forum to conduct diet wars. But this
>> might be an approach that would ween your friends off high-carb foods
>> without them feeling like one lady's husband did when she was trying to 
>> get
>> him to eat more vegetables with dinner and he came home, saw what was on 
>> the
>> menu and remarked: "Hmmm ... seems like we're expecting *goats* as dinner
>> guests!"
>
>> Mike Freeman
>
>
>> -----Original Message-----
>> From: diabetes-talk-bounces at nfbnet.org
>> [mailto:diabetes-talk-bounces at nfbnet.org] On Behalf Of Debbie
>> Sent: Thursday, June 16, 2011 9:43 AM
>> To: Diabetes Talk for the Blind
>> Subject: [Diabetes-talk] Need Tips for Lowering A1C
>
>> A couple of friends of mine have extremely elevated a1C readings, well 
>> above
>> the preferred range.  How can they transition from a fast-food mentality 
>> to
>> healthy eating without feeling deprived?  One friend eats two
>> sausage-and-egg biscuits from a well-known restaurant every morning.
>
>> None of them are on insulin yet, and I want to do what I can to encourage
>> them to alter their eating habits.  I found one product called sunbutter, 
>> a
>> peanut butter substitute.
>
>> Please send comments either through the list or via personal email.
>
>> Debbie
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>
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