Weight Management for Type II Diabetes
145 pages
English

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145 pages
English

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Description

Take control of your weight--and your diabetes. Managing your weight is critical when you have diabetes. In fact, losing as little as 10 to 20 pounds can improve diabetes control. With this innovative book, you can manage your weight and your diabetes by making gradual lifestyle changes you'll be able to live with for the rest of your life--like following a low-fat meal plan, becoming more active, and managing stress. Weight Management for Type II Diabetes will help you assess habits, teach you techniques of behavior change, and motivate you to find the support you need to manage both diabetes and your weight. This interactive guide takes you through the steps of developing a personalized plan that considers your lifestyle, personality, family situation, and wants and needs. Authors Jackie Labat, MS, RD, CDE, and Annette Maggi, MS, RD, will help you:
* Set reasonable goals
* Keep pace with an exercise program
* Design your own meal plan
* Handle special occasions
* Manage stress
* Learn to deal with lapses
The book also provides fat and calorie counts, grocery shopping tips, and a lesson in low-fat cooking.
Take Charge: Living with Type II Diabetes.

On Your Mark, Get Set, Go.

Designing Your Own Meal Plan.

Activate Your Health.

Monitoring Counts.

Setting Goals Within Reach.

Relinking the Behavior Chain.

Teaming Up for Support.

Keeping Pace with Exercise.

Nutrition Extras.

Making Sense of Food Labels.

Special Occasions Made Easy.

Lapse Does Not Equal Relapse.

Mind Over Matter.

A Lifetime of Health.

Appendices.

Resources.

Index.

Sujets

Informations

Publié par
Date de parution 21 avril 2008
Nombre de lectures 0
EAN13 9780470311554
Langue English

Informations légales : prix de location à la page 0,0800€. Cette information est donnée uniquement à titre indicatif conformément à la législation en vigueur.

Extrait

Weight Management for Type II Diabetes
An Action Plan
Jackie Labat, MS, RD, CDE Annette Maggi, MS, RD
This book is printed on acid-free paper.
Copyright 1997 by Jackie Labat and Annette Maggi. All rights reserved Published by John Wiley Sons. Inc.
Published simultaneously in Canada Previously published by Chronimed Publishing
No part of this publication may be reproduced, stored in a retrieval system or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, scanning or otherwise, except as permitted under Sections 107 or 108 of the 1976 United States Copyright Act, without either the prior written permission of the Publisher, or authorization through payment of the appropriate per-copy fee to the Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923, (978) 750-8400, fax (978) 750-4744. Requests to the Publisher for permission should be addressed to the Permissions Department, John Wiley Sons, Inc., 605 Third Avenue, New York, NY 10158-0012, (212) 850-6011, fax (212) 850-6008, E-Mail: permrf.q@wiley.com.
The information contained in this book is not intended to serve as a replacement for professional medical advice. Any use of the information in this book is at the reader s discretion. The author and the publisher specifically disclaim any and all liability arising directly or indirectly from the use or application of any information contained in this book. A health care professional should be consulted regarding your specific situation.
Library of Congress Cataloging-in-Publication Data:
ISBN 0-471-34750-7
Printed in the United States of America
10 9 8 7 6 5 4 3 2
Contents



Introduction
Chapter 1: Take Charge: Living With Type II Diabetes
Chapter 2: On Your Mark, Get Set, Go
Chapter 3: Designing Your Own Meal Plan
Chapter 4: Activate Your Health
Chapter 5: Monitoring Counts
Chapter 6: Setting Goals Within Reach
Chapter 7: Relinking the Behavior Chain
Chapter 8: Teaming Up for Support
Chapter 9: Keeping Pace With Exercise
Chapter 10: Nutrition Extras
Chapter 11: Making Sense of Food Labels
Chapter 12: Special Occasions Made Easy
Chapter 13: Lapse Does Not Equal Relapse
Chapter 14: Mind Over Matter
Chapter 15: A Lifetime of Health
Appendix A: Fat and Calorie Counts
Appendix B: The Enlightened Shopping Tour
Appendix C: The Low-Fat Cooking Lesson
Resources
Index
Introduction



Take action and you can make it happen-that s the motto of this book. No false promises. No guarantees. Just a simple message that puts you in charge of your weight and diabetes management. There are no pat answers when it comes to improving your health. But you can make a difference by taking action.
Weight Management for Type II Diabetes gives you the tools you need to take charge. It walks you through the steps of developing a personalized plan that considers your lifestyle, personality, family situation, and wants and needs. Not only does it factor in lessons for weight management, but it addresses the reason you re trying to lose weight-to improve control of Type II diabetes.
This book helps you assess habits, teaches you techniques of behavior change, and motivates you to find the support you need to manage both Type II diabetes and your weight. It makes sense to tackle both at once. Losing as little as 10 to 20 pounds can improve your control of diabetes.
Additionally, the health habits recommended for diabetes management are very similar to those suggested for weight control-following a low-fat meal plan, becoming more active, managing stress, and developing a support system. By making gradual changes in your habits that you can live with for the rest of your life, you can lose weight and gain better control of your diabetes all at once.
Diabetes control and weight management are a journey-a process continually being worked on-so treat this book as your health journal. Don t just read it cover to cover all in a weekend. Take it slowly and learn about your current habits, changes you need to make, and how to make them. And when you finish the final chapter, keep in mind that you re not really finished. You ll continually be taking action steps to manage your weight and diabetes. After all, as a wise person once said, Success is a journey, not a destination.
CHAPTER ONE
take charge living with Type II Diabetes
AN ACTION PLAN
You begin by always expecting good things to happen. Tom Hopkins
Can you think of times in your life when you looked forward to an event or prepared for something to happen? Take your first day at a new job, for instance, anticipating new faces and different ways of doing things and wondering what the work will be like. Will I get the hang of it quickly enough? What will my coworkers expect? These are just a few of the questions you might have asked yourself. But once you started, your anticipation subsided, the learning and work began, and the unexpected became the expected-making your new routine a normal part of daily living.
The same anticipation applies to your diabetes and weight management action plan. Whether you were just diagnosed with diabetes or have had it for a long time, you probably have expectations about living with diabetes and the changes in your life you ll have to make. But as you take time to learn the facts, ask questions, and gradually start changing your lifestyle, living with diabetes will seem more doable.
The key is learning what you need to know to help make the unexpected become the expected, in this chapter you ll gain the knowledge you need to understand what Type II diabetes is, who gets it, how you treat it, and the impact of weight loss on overall management of this disease. You ll also learn the steps you can take to create your personal action plan for better health.
Defining Type II Diabetes
Simply put, diabetes mellitus is a chronic disease in which your body can t properly use the food you eat. Normally, when a person who doesn t have diabetes eats, the digestive system changes most of the food into glucose-the body s preferred energy source. Once the food is digested, glucose enters your bloodstream, causing blood glucose levels to rise. Glucose is carried in the blood to cells throughout the body. However, in order for glucose to enter the cells to be used as fuel, insulin needs to be available. Insulin is a hormone made by your pancreas, a gland near your stomach. In response to the rising blood glucose level, the pancreas releases insulin into the bloodstream, causing the glucose to enter the cells and returning blood glucose levels to normal.
Because you have diabetes, however, your body doesn t work as it should. After you eat, your body does break down food into glucose and send it out into your bloodstream, but there are problems with how much insulin your pancreas makes and how well your cells respond to that insulin. The cells in your body don t respond as well to the insulin that s available. They ve become insulin resistant. As a result, the glucose can t get into your cells to provide energy, and your blood glucose levels remain high. Eventually, because your body isn t getting the fuel it needs, you start to feel tired and hungry. This process occurs gradually over time. In fact, you may have had diabetes for quite a while without even knowing it.
What causes diabetes? If you re like most people, you may think that eating too much sugar caused your diabetes. Although no one knows the exact cause, it s likely that your genetic blueprint determined whether you would develop Type II diabetes. Your age, extra weight, and inactivity can contribute to the inability of your body to use the insulin it makes, eventually causing you to develop Type II diabetes. People of color-African Americans, Mexican Americans, Asians, Hispanics, and American Indians-are at higher risk for getting diabetes because of genetics, higher rates of obesity, and lifestyle habits.

NO QUESTION IS SILLY
Can I get diabetes from eating too much sugar?
The exact cause of diabetes is unknown. Diabetes isn t caused by eating sugar. Rather, diabetes is the inability of your body to use sugar (glucose) for energy correctly due to a lack of insulin.
Understanding Your Symptoms and Diagnosis
Because the development of diabetes is a gradual process, you may have had diabetes for quite some time before your health care provider diagnosed it. For some people, the initial symptoms are obvious, but for most, they aren t. Diabetes is commonly diagnosed by chance during routine physical exams. At the time of this writing, diabetes is diagnosed when you have one or more of the following symptoms:

Weakness, fatigue, excessive hunger, extreme thirst, frequent urination, changes in vision, or persistent infections

Blood glucose levels at 200 milligrams per deciliter (mg./dl.) or higher when checked throughout the day

Morning blood glucose levels (before you ate) at 140 mg./dl. or higher on at least two separate clinic visits
Knowing the normal blood glucose range for people who don t have diabetes helps put these levels into perspective. When your body produces and uses insulin as it should, your blood glucose levels before eating meals or after fasting should range from 70 to 115 mg./dl. One to 2 hours after a meal, your blood glucose levels should be less than 140 mg./dl.
Managing Type II Diabetes
The overall goal of diabetes management is to keep blood glucose levels within the normal range to prevent or delay long-term complications (for example, heart disease). To do this, the first steps are to change your eating and activity habits. Weight loss, which can result from eating and activity changes, also helps because it improves your blood glucose levels, lowers your blood fats (lipids), and decreases your blood pressure. You ll learn more about monitoring these health parameters in chapter 5 .
If your glucose levels don t normalize after you ve made lifestyle cha

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