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Illinois Extension offers educational programs, assistance & materials to all without regard to race, color, national origin, age, sex, or disability. August-September, 2014 Diabetes - the Medical Perspective Diabetes and Food Recipes to Try Menu Suggestions Diabetes - the Medical Perspective Want to cure your diabetes? If you are overweight, losing weight may “cure” your diabetes. At least, your blood glucose can become normal without you using medication. This possibility occurs more frequently in the early stages of diabetes. Another way that type 2 diabetes may be “cured” is with bariatric surgery. Severe calorie reduction, change in gut hormones and weight loss contribute to the “cure”, that is, blood glucose becoming normal. Bariatric surgery has some risk such as infection or bleeding related to the surgery. More long-term concerns may be abdominal cramping, diarrhea and nutritional deficiencies. When are you “cured” or in remission? There is little scientific evidence to establish guidelines defining when remission of diabetes starts or how long an individual must maintain normal blood glucose levels to be considered in remission. Without scientific evidence we can rely on expert consensus which suggest partial diabetes remission is achieved when AIC (3 month average glucose) and fasting glucose fall to the level indicative of prediabetes for at least 1 year. When AIC and fasting glucose are in the normal range for at least 1 year complete diabetes remission is suggested. These new glucose levels must be maintained without the help of diabetes medications or ongoing bariatric procedures. How do you preserve the normal blood glucose? Keep the extra pounds off. All the factors that contributed to developing diabetes in the first place such as being overweight, not getting regular physical activity and having a family history of diabetes can cause it to reappear. Eating healthy and getting regular physical activity is especially important to maintain normal glucose since diabetes risk increases with age. Most experts use the term remission rather than “cure” because it is common for diabetes symptoms to return. Even short periods of remission can be helpful in preventing some of the complications of diabetes. Continued glucose monitoring and regular medical check-ups are necessary to make sure blood glucose remains in the normal range.

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Page 1: Recipes to Try Menu Suggestions Diabetes - the Medical ... · be individualized but the following tips are a good place to start with a healthy eating plan: 1. Fill half your plate

Illinois  Extension  offers  educational  programs,  assistance  &  materials  to  all  without  regard  to  race,  color,  national  origin,  age,  sex,  or  disability.  

 

August-September, 2014 • Diabetes - the Medical Perspective • Diabetes and Food • Recipes to Try • Menu Suggestions Diabetes - the Medical Perspective

Want to cure your diabetes? If you are overweight, losing weight may “cure” your diabetes. At least, your blood glucose can become normal without you using medication. This possibility occurs more frequently in the early stages of diabetes.

Another way that type 2 diabetes may be “cured” is with bariatric surgery. Severe calorie reduction, change in gut hormones and weight loss contribute to the “cure”, that is, blood glucose becoming normal. Bariatric surgery has some risk such as infection or bleeding related to the surgery. More long-term concerns may be abdominal cramping, diarrhea and nutritional deficiencies.

When are you “cured” or in remission? There is little scientific evidence to establish guidelines defining when remission of diabetes starts or how long an individual must maintain normal blood glucose levels to be considered in remission. Without scientific evidence we can rely on expert consensus which suggest partial diabetes remission is

achieved when AIC (3 month average glucose) and fasting glucose fall to the level indicative of prediabetes for at least 1 year. When AIC and fasting glucose are in the normal range for at least 1 year complete diabetes remission is suggested. These new glucose levels must be maintained without the help of diabetes medications or ongoing bariatric procedures.

How do you preserve the normal blood glucose? Keep the extra pounds off. All the factors that contributed to developing diabetes in the first place such as being overweight, not getting regular physical activity and having a family history of diabetes can cause it to reappear. Eating healthy and getting regular physical activity is especially important to maintain normal glucose since diabetes risk increases with age.

Most experts use the term remission rather than “cure” because it is common for diabetes symptoms to return. Even short periods of remission can be helpful in preventing some of the complications of diabetes. Continued glucose monitoring and regular medical check-ups are necessary to make sure blood glucose remains in the normal range.

Page 2: Recipes to Try Menu Suggestions Diabetes - the Medical ... · be individualized but the following tips are a good place to start with a healthy eating plan: 1. Fill half your plate

Illinois  Extension  offers  educational  programs,  assistance  &  materials  to  all  without  regard  to  race,  color,  national  origin,  age,  sex,  or  disability.  

 

Diabetes and Food

One of the most important steps in reversing insulin resistance and restoring normal glucose levels is reducing calories enough to produce a modest and lasting weight loss. There is no “one size fits all” when it comes to losing weight or controlling carbohydrate intake. Long-term weight loss is more realistic when a healthy eating plan is adopted as a lifestyle rather than following a “diet” that may be difficult to endure over time. Adding more non-starchy vegetables to meals and snacks is a good way to keep calories and carbohydrates in check without feeling deprived. Non-starchy vegetables are good sources of dietary fiber and eating 3 servings throughout the day or at any meal only equals 15 grams of carbohydrate. 15 Grams of Carbohydrate = 1 Serving of Carbohydrate = 1 Carbohydrate Choice 1 cup of raw vegetables or ½ cup of cooked non-starchy vegetables equals only 5 grams of carbohydrate and 25 calories. Starchy vegetables provide 15 grams of carbohydrate and about 80 calories per serving. These include corn, potatoes, pumpkin, winter squash

and succotash. Beans peas and lentils are also starches and higher in carbohydrate content. All other vegetables are non-starchy. A complete list of non-starchy vegetables is available from the American Diabetes Association’s My Food Advisor at http://tracker.diabetes.org/explore/browse/non-starchy-vegetable/ Calorie and carbohydrate needs should be individualized but the following tips are a good place to start with a healthy eating plan: 1. Fill half your plate with non-starchy

vegetables 2. Choose more lean proteins - fish,

skinless poultry 3. Choose low-fat dairy products 4. Choose healthy carbohydrates such

as whole-grain breads, cereals, pasta, and brown rice

5. Choose healthy fats such as olive, canola, peanut oil and nuts

6. Portion control leads to calorie reduction which is necessary for weight loss

7. Avoid sweetened beverages 8. Match your plate to the plate method

of healthy eating

Page 3: Recipes to Try Menu Suggestions Diabetes - the Medical ... · be individualized but the following tips are a good place to start with a healthy eating plan: 1. Fill half your plate

Illinois  Extension  offers  educational  programs,  assistance  &  materials  to  all  without  regard  to  race,  color,  national  origin,  age,  sex,  or  disability.  

 

Oven Poached Fish 4 servings

Ingredients

1 pound fresh or frozen fish fillets ½ cup skim milk ¼ cup seasoned bread crumbs Black pepper 1 tablespoon grated Parmesan cheese Cooking spray Directions 1. Preheat oven to 400°. 2. Rinse fish fillets and pat dry. Spray baking dish lightly with nonstick

spray. Put fish in single layer in baking dish. 3. Pour skim milk over fish fillets. Sprinkle bread crumbs on the tops of the

fillets and season with black pepper. 4. Sprinkle Parmesan cheese on tops of the fillets. Spray quickly with

nonstick spray. 5. Bake at 400° for 15 minutes, or until fish is white and hot to the touch in

the thickest part of the fillet.

Page 4: Recipes to Try Menu Suggestions Diabetes - the Medical ... · be individualized but the following tips are a good place to start with a healthy eating plan: 1. Fill half your plate

Illinois  Extension  offers  educational  programs,  assistance  &  materials  to  all  without  regard  to  race,  color,  national  origin,  age,  sex,  or  disability.  

 

Note: Baking time depends on thickness of fillets. Any firm, white skinless fish fillets will work very well in this recipe. Had dock, flounder, sole, orange roughy, and catfish are good choices.

Nutrition Facts per serving

Calories 164 Fat 2 gram Protein 27 gram Calories from fat 10 Carbohydrate 8 grams Cholesterol 58 mg Fiber 0 gram Sodium 338 mg

This and other recipes available at http://urbanext.illinois.edu/diabetesrecipes/intro.cfm

Carrot Cucumber Salad 4 ½ cup servings

Ingredients 1 cucumber 2 cups grated carrots ½ cup non-fat plain yogurt 1 teaspoon dill weed 1 teaspoon lemon juice

Directions 1. Peel cucumber, leaving stripes of peel on it if more crunchiness is desired. Slice lengthwise in fourths. Gently scrape seeds out. Thinly slice each cucumber fourth. 2. Mix yogurt, dill weed, and lemon juice. 3. Add cucumber and carrots. Gently toss to coat vegetables.

Nutrition facts per serving

Calories 34 Fat 0 grams Protein 2 grams Calories from fat 0 Carbohydrate 7 grams Cholesterol 0 mg

Fiber 2 gram Sodium 30 mg

This and other recipes available at http://urbanext.illinois.edu/diabetesrecipes/intro.cfm

Page 5: Recipes to Try Menu Suggestions Diabetes - the Medical ... · be individualized but the following tips are a good place to start with a healthy eating plan: 1. Fill half your plate

Illinois  Extension  offers  educational  programs,  assistance  &  materials  to  all  without  regard  to  race,  color,  national  origin,  age,  sex,  or  disability.  

 

Sample Menu BREAKFAST Amount/ Portion

Hard- boiled egg 1 egg Whole wheat toast 1 slice (15 grams carbohydrate) Margarine, whipped 1 teaspoon Non-fat vanilla Greek yogurt 4 ounces (6 grams carbohydrate) Fresh sliced strawberries 1 ¼ cups (15 grams carbohydrate) Chopped almonds 1 ounce (5 grams carbohydrate) Skim milk 4 ounces (6 grams carbohydrate) 549 Calories; 47 grams Carbohydrates; 3 Carbohydrate Choices LUNCH Shrimp tacos 3 tacos (15 grams carbohydrate) Red bean salad 1 cup (29 grams carbohydrate) Garden salad 1 cup (5 grams carbohydrate) * Herbed vinaigrette 2 tablespoons Skim milk 8 ounces (12 grams carbohydrate) 552 Calories; 61 grams Carbohydrates; 4 Carbohydrate Choices DINNER Grilled chicken breast 3 ounces Brown rice 2/3 cup (30 grams carbohydrate) Steamed fresh green beans 1 cup (10 grams carbohydrate)* Margarine, whipped 2 teaspoons Sliced cubed cantaloupe 1 cup ( 15 grams carbohydrate) Skim milk 1 cup (12 grams carbohydrate) 710 Calories; 67 grams Carbohydrates; 4.5 Carbohydrate Choices

Total: 1811 Calories, 175 grams Carbohydrates, 11.5 Carbohydrate Choices *If 3 or more cups of raw vegetables or 1.5 cups of cooked vegetables are eaten in a meal it should

be counted as 1 carbohydrate choice. † Recipes from Recipes for Diabetes at

http://urbanext.illinois.edu/diabetesrecipes/  or  this  newsletter