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Most diabetics falling short on healthy eating

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Most diabetics falling short on healthy eating

Diabetes mellitus is a disease characterized by persistent hyperglycemia (high blood sugar levels), resulting either from inadequate secretion of the hormone insulin, an inadequate response of target cells to insulin, or a combination of these factors. Diabetes is a metabolic disease requiring medical diagnosis, treatment and lifestyle changes.

There are many causes and forms of diabetes known. The three most common patterns of diabetes have been recognized over the last thirty years as type 1, type 2 and gestational diabetes (or type 3)[1], although these three “types” of diabetes are more accurately considered patterns of pancreatic failure rather than single diseases. Each type can be produced by a variety of identifiable or yet-to-be-identified causes. There are some patients whose diabetes cannot be easily fit into one of these types, and some who display characteristics of more than one type at the same time.

Most Americans with diabetes are eating too much fat and sodium, and not enough fruits, vegetables, grains and low-fat dairy, a new study suggests.

The results, say researchers, indicate that many people with diabetes may need more education about the importance of nutrition in managing their condition.

Excess weight is one of the major risk factors for type 2 diabetes, a disorder in which the body can no longer properly use the blood sugar-regulating hormone insulin. Diet, exercise and weight loss are key to managing the disorder, and in some cases, weight loss can reverse the condition.

Yet in the new study, researchers found that of nearly 2,800 middle- aged and older U.S. adults with type 2 diabetes, nearly all were exceeding the daily recommended fat intake. When it came to artery-clogging saturated fat, 85 percent were consuming too much.

Similarly, 92 percent of study participants were consuming too much sodium, which can raise blood pressure and contribute to diabetics’ already elevated risks of heart disease and kidney disease. (See related Reuters Health story today.)

The researchers used a number of nutritional yardsticks, including the Food Guide Pyramid and recommendations by the Institute of Medicine. For example, experts recommend that adults get no more than 20 percent to 35 percent of their daily calories from fat, with less than 10 percent coming from saturated fat.

And if most study participants were getting too much of those nutrients, many were also not getting enough of certain healthy foods, the researchers report in the Journal of the American Dietetic Association.

Less than half were getting the minimum recommended servings of fruits, vegetables, dairy and grains each day.

“I thought we were going to find people who, because they have a chronic disease, were more educated about and more motivated than the average American to eat healthy, but that’s not the case,” lead researcher Dr. Mara C. Vitolins, of Wake-Forest University School of Medicine in Winston-Salem, North Carolina, said in a written statement.

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Healthy Eating

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Healthy Eating

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Healthy Eating makes you feel better and look better. This video by syndicated columnist Rita Heikenfeld shows you recipes, cooking tips and is a guide to healthy eating.

For an overall eating plan, consider the DASH eating plan. “DASH” stands for “Dietary Approaches to Stop Hypertension,” a clinical study that tested the effects of nutrients in food on blood pressure. Study results indicated that elevated blood pressures were reduced by an eating plan that emphasizes fruits, vegetables, and lowfat dairy foods and is low in saturated fat, total fat, and cholesterol. The DASH eating plan includes whole grains, poultry, fish, and nuts and has reduced amounts of fats, red meats, sweets, and sugared beverages.

A second clinical study, called “DASH-Sodium,” looked at the effect of a reduced dietary sodium intake on blood pressure as people followed either the DASH eating plan or a typical American diet. Results showed that reducing dietary sodium lowered blood pressure for both the DASH eating plan and the typical American diet. The biggest blood pressure-lowering benefits were for those eating the DASH eating plan at the lowest sodium level (1,500 milligrams per day).

The DASH-Sodium study shows the importance of lowering sodium intake whatever your diet. But for a true winning combination, follow the DASH eating plan and lower your intake of salt and sodium.

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Healthier U.S. school meals boost costs: study

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Healthier U.S. school meals boost costs: study

Improving nutritional value of U.S. school food programs by increasing servings of fruits, vegetables and whole grains could increase the cost of breakfast by as much as 25 percent and lunch by 9 percent, according to a report released on Tuesday.

A report from the Institute of Medicine, an arm of the National Academies, proposed updating school meal programs to meet nutritional needs and foster better eating habits, but recognized healthier, fresher ingredients would boost costs, especially at breakfast where fruit servings would increase.

“It will cost a little more,” Virginia Stallings, a professor at The Children’s Hospital of Philadelphia and chair of the group that conducted the study, said in an interview.

“But this will be a very wise investment in children’s health,” she added.

Most school food providers would need more government money to help pay for food, training and equipment, the report said.

The Institute of Medicine conducted the review of the country’s school breakfast and lunch programs at the request of the U.S. Agriculture Department, which oversees them. School meal programs provide 40 million meals daily and more than half of students’ food and nutrient intake during the school day.

Child nutrition programs, which cost about $21 billion a year, are due for reauthorization this year but Congress is not expected to approve an overhaul for some time.

Officials at the USDA are updating the nutrition and meal requirements used for school breakfast and lunch programs, and looked for recommendations from the Institute of Medicine. The framework, last updated in 1995, sets food and nutrient standards that must be met by school programs to qualify for cash reimbursements and food from the government.

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