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Carbs and Heart Disease

Ask 10 random people on the street what nutrients to watch for heart health, and you’ll get 10 variations on “saturated fat and cholesterol.”

In fact, there’s no real evidence saturated fat and/or cholesterol from whole foods causes heart disease. But did you know about the connection between some types of carbohydrates and heart disease? It’s not as simple as “carbs cause heart disease,” but there is a connection for certain types of carbohydrates, especially highly refined carbs. Basically, the problem is that sugar and refined carbs damage the lining of your blood vessels, technically called the vascular endothelium.

Meet Your Endothelium

The endothelium is a layer of cells on the inner surface of your blood vessels. A healthy endothelium prevents blood clotting, keeps inflammation under control, regulates the formation of new blood vessels, and controls blood pressure by constricting or dilating your blood vessels. Basically, if you want a healthy cardiovascular system, you need a healthy endothelium.

Poor endothelial function is one of the first signs of heart disease. It can cause high blood pressure (aka: hypertension) by constricting blood vessels too much. If the anti-clotting function of the endothelium fails, then you’ll be more prone to developing clots.

Blood Sugar Levels and Endothelial Function

This review goes over the relationship between carb quantity, carb quality, and endothelial function.

High blood sugar (hyperglycemia) changes the behavior of the endothelium and damages the endothelial lining of the blood vessels. This is called endothelial dysfunction. In endothelial dysfunction, the endothelium doesn’t dilate easily, even when it’s supposed to. When the endothelium stays constricted all the time, it causes high blood pressure because the same volume of blood is being forced through the constricted blood vessel.

The technical term for this is flow-mediated dilation (abbreviated FMD). If someone has normal FMD, they don’t have any endothelial dysfunction and their blood vessels can dilate as normal to prevent high blood pressure. If someone has reduced FMD, they’re in trouble – endothelial dysfunction, high blood pressure, the whole shebang.

High blood sugar also increases inflammation in the endothelium. If you really want to get technical and nerdy about it, high blood sugar increases the formation of advanced glycation end products (AGEs) in the blood vessels and impairs anti-inflammatory action in the endothelium.

But keep in mind, endothelial dysfunction is a problem caused by high blood sugar, not necessarily just eating carbs. Different amounts and types of carbs affect different people’s blood sugar in different ways. Some people can eat quite a high-carb diet and have 0 blood sugar problems. Other people start having blood sugar swings if they look sideways at a potato.

Luckily, there have been quite a few studies on what kind of carbs are linked to endothelial dysfunction.

Carb Quantity and Carb Quality and Endothelial Function

According to the review, researchers first noticed the carb-endothelium connection during oral glucose tolerance tests (OGTTs). Glucose is a type of simple sugar and the fastest type of carbohydrate to digest. In an OGTT, the doctor gives you a pure glucose drink and measures how well your body can cope with the glucose load. The whole point is to make your blood sugar spike and then see how fast your body can bring blood sugar levels back down.

Researchers started noticing that OGTTs caused relatively significant endothelial damage. That was the first sign that blood sugar spikes could cause endothelial problems. On the other hand, they could prevent problems by giving patients vitamin C (an antioxidant) or a statin (statins are anti-inflammatory). This makes sense, since endothelial damage is an inflammatory type of oxidative stress.

An OGTT is an artificial situation that doesn’t really imitate the effect of a normal meal on blood sugar. But on the other hand, an OGTT is basically a super-concentrated sugar dump, and it’s not that much different from, say, eating a huge amount of candy or drinking a big glass of Coke. And lots of people eat a lot of highly refined sugar in the form of candy and Coke. So the review went on to examine carb quantity and carb quality as they affect endothelial function.

  • Carb quantity is very simple: how many grams of carbohydrate in a given meal or day of eating?
  • Carb quality can be measured in all kinds of ways, but for the purposes of this study they looked at glycemic index (GI). This takes little bit of explanation. The glycemic index is basically a measure of how high a food spikes blood sugar when eaten in isolation. If you’re talking about one food at a time, it makes no sense to divide “good carbs” from “bad carbs” based only on the glycemic index. But if you’re looking at overall dietary patterns, diets with a high GI tend to be high in junk food and refined carbs, so it’s a pretty reasonable measurement of how much white bread and Coke someone is eating.

When the researchers looked at carb quantity, they actually found that low-carbohydrate diets were associated with poorer vascular health and more endothelial damage, but noted that the effects of increasing fat and protein to compensate naturally obscured any relationship between carb quantity and endothelial health. So they moved on to carb quality.

Carb quality was easier to study. In a couple different human intervention studies, low-GI (read: low-junk) diet were pretty effective for improving endothelial health. This is backed up by various different association studies, which the authors also cited. Carb quantity may or may not be important, but the ability of those carbs to cause blood sugar issues (which will obviously vary from person to person) definitely seems to be. Here's how to break your sugar habit

The Long Term: Insulin Resistance and Endothelial Health

Insulin resistance is a measure of long-term blood sugar problems. Looking at people with insulin resistance can give you an idea of how blood sugar problems affect endothelial health in the long term.

This study looked at subjects who started out as either insulin sensitive or insulin resistant. In people with insulin resistance, their endothelial health (measured by flow-mediated dilation) was worse all the time, when they were just walking around. Then it got even worse after a meal, especially a high-carb meal. Unfortunately, the researchers in this study didn’t test carb quality at all, only the total number of carbs in the meal.

Also, remember the OGTT results from above? People with diabetes got even worse endothelial problems from an OGTT than healthy people. That’s another sign that baseline insulin issues exacerbate the damage of blood sugar spikes.

Insulin resistance, which is a sign of long-term issues with blood sugar regulation, is pretty clearly linked to chronic endothelial damage.

Summing It Up: Carb Quality Counts for Heart Health

Even healthy people will have a transient decrease in endothelial function after a sugar overload like an oral glucose tolerance test. But the real problem here is the long term because diets full of refined carbs (high GI) tend to cause chronic endothelial dysfunction. Unsurprisingly, people with insulin resistance have higher levels of endothelial dysfunction. Blood sugar spikes and other blood sugar regulation problems damage the endothelial lining and if that keeps going on, it causes long-term problems.

Endothelial dysfunction is the very first step towards heart disease. It makes people more vulnerable to blood clots and raises blood pressure.

Carb quality and blood sugar management matters for heart health. If you want to keep your ticker going strong, maybe forget about the saturated fat and cholesterol and start focusing on sugar!

Article courtesy of Paleo Leap

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6 Diabetic Superfoods

Adopting and implementing these simple dietary strategies will really help tame that “inflammation tiger.”

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Smart Superfoods for Diabetics

Ever see the top 10 superfoods lists? November is Diabetes Month and November 14th is World Diabetes Day, so today’s superfoods list is for those with diabetes! These foods are packed with nutrition, and many of them help control blood sugar levels and reduce the risk of heart disease. As with all foods, you need to work the diabetes superfoods into your individualized meal plan in appropriate portions.

Ginger

Ginger may improve long-term blood sugar control in people with type 2 diabetes. Research shows ginger works by increasing uptake of glucose into muscle cells without using insulin, which is great for managing high blood sugar levels. It’s also worth noting ginger has a very low glycemic index.                                                                          

Salmon or any Fish High in Omega-3 Fatty Acids

Salmon is an excellent choice for people with diabetes. This high protein food is low in saturated fat, which you want to avoid for heart reasons, and doesn’t contain carbohydrates so it won’t affect blood sugar levels. Those omega-3 fats are important for your heart and overall health. Your goal is 6-9 ounces of fish per week.

Hemp Seeds

Hemp is definitely on the hot list these days. Like seeds in general, hemp seeds have many health advantages including heart healthy fats (they have a good amount of omega-3), protein, fiber, minerals and antioxidants. They’re also rich in Vitamin E, and are mild and tasty, too. Hemp reduces inflammation and benefit those with arthritis, cardiovascular disease, and psoriasis. By improving circulation and reducing inflammation, hemp products may be particularly beneficial for diabetics. But for those who are wondering, although they come from the same plant as marijuana, no, they do not get you high.

Cinnamon

I love cinnamon, and like chia seeds, I seem to add it to many things I make, such as plain Greek yogurt, smoothies, oatmeal, fruit, and chili. Cinnamon is not only flavorful but has also been shown to decrease levels of fasting glucose, total and “bad” cholesterol, and triglyceride levels. I can also increase “good” cholesterol levels.  

Almonds

Almonds will help diabetics in two ways: slower digestion and prevent heart disease. Almonds are one of the most nutrient-dense nuts, and are especially high in vitamin E which slows plaque development that leads to atherosclerosis. But don’t feel like you need to limit yourself to just almonds—diabetics can eat any kind of nuts. When nuts are combined with high-glycemic index foods, such as pasta, they can potentially slow their absorption, stabilizing blood glucose levels. The fiber and plant sterols found naturally in nuts helps lower “bad” cholesterol and increases “good” cholesterol.  

Eat an ounce a day to provide key healthy fats and decrease your hunger: 22 almonds, 49 pistachios, or 18 cashews.

Goji Berries

Goji berries are extremely high in antioxidants and important phytonutrients like beta-carotene and zeaxanthin, both which are critical for eye health. It’s thought goji berries could protect the eyes from diabetic retinopathy. They’re also a great source of iron and vitamins C and A.                                                                                                              

One ounce of goji berries provides 20 grams of carb, 3g protein, and 1g fiber. Add them to your diet by sprinkling them on salad, plain Greek yogurt, cooked vegetables, and in soup. Goji berries interact with certain blood pressure and diabetes drugs, so check with your physician.

Chia Seeds

Chia seeds are a total protein, which many plants are not. They’re also high in fiber, rich in healthy omega-3s, and high in calcium and antioxidants. These little chia’s benefit diabetics by helping control blood glucose, reducing blood pressure, and lowering C-reactive protein, a major marker of heart disease risk. This study was published in Diabetes Care

You can add chia seeds to almost anything. I love them in Greek yogurt, smoothies, oatmeal and stew.  

Vinegar

Having two Tablespoons of vinegar before a meal can reduce the spike in blood concentrations of both insulin and glucose after the meal. This is particularly beneficial to those with pre-diabetic symptoms when blood sugar control is crucial. Start your meal with a salad in a vinegar-based dressing to get the benefits, and also consider other ways to use vinegar in recipes, such as a zesty marinade for chicken or pork. If you’re hardcore, some people swear by drinking vinegar solo!     

Give us your feedback!

What do you think of our diabetes superfoods list? Do you regularly eat many of these? Do you avoid any? Are we missing any on our list?

In Health and Happiness,

Kelly Harrington, MS, RDN

Registered Dietitian Nutritionist for Healthy Goods  

 

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The Surprising Dangers of Skipping Breakfast

We’ve all heard breakfast is the most important meal of the day, but if you’re still skipping breakfast, here are five reasons to eat within an hour of waking up.

1. People who skip breakfast have a higher risk of obesity. Eating a healthy breakfast is a simple way to improve appetite control and help you stay satisfied for longer. This also makes you less prone to snacking or having late night cravings.

2. People who skip breakfast are at a 27% higher risk of a heart attack compared to those who eat breakfast. It can cause high blood pressure and high cholesterol.

3. People who leave the house without eating breakfast are at a 20% increased risk of type 2 diabetes. Skipping breakfast can cause insulin resistance, a condition in which a person requires more insulin to bring their blood sugar into a normal range.

4. Your body’s metabolism naturally slows down while sleeping, so not eating first thing in the morning doesn’t do much for boosting your metabolism. This means your body burns less calories throughout the day, which can ultimately lead to weight gain. Not to mention the sluggishness and brain fog you might feel going through your morning without any fuel. Skipping breakfast may also cause you to overeat at the end of the day because you’re extra hungry.

5. It fuels your brain, which improves mental performance. Studies show children do better in class when they eat first thing in the morning.

What does a healthy breakfast look like?

The ideal breakfast contains a lean protein source. I recommend about 20 grams of protein at breakfast, which is approximately 2 eggs with cheese, 1 cup plain Greek yogurt, or ½ cup cottage cheese with an egg.

It also contains vegetables (ie: in an omelet), and a carbohydrate source such as fruit or a whole grain.

Including a healthy fat is also a good choice because fat makes food taste better and fat adds a lot of satiety and keeps you feeling fuller for longer. Good fat choices include avocado, nut butter, almonds, walnuts, sunflower seeds (ie: on oatmeal or in yogurt), and cooking with olive, avocado, or macadamia nut oil.

"Break the Fast" and lose any mentality that skipping breakfast will help you lose weight because it isn’t true.

In Health and Happiness,

Kelly Harrington, MS, RDN

Registered Dietitian Nutritionist for Healthy Goods

 

References:

Mekary RA et al. Eating patterns and type 2 diabetes risk in men: breakfast omission, eating frequency, and snacking. Am J Clin Nutr. March 28, 2012. http://ajcn.nutrition.org/content/early/2012/03/27/ajcn.111.028209.abstract

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Lost Sleep Linked To Weight Gain

It has been known for quite some time that a lack of sleep effects your health in general and can also cause weight gain. But it was never known how much sleep someone would need to be deprived of for it to affect health.

Only 30 Minutes?!

A new study suggests missing just 30 minutes of shuteye a day during weeknights could boost your weight, effect insulin resistance, and disrupt your metabolism. Thirty minutes! That’s nothing!

Many people skimp on sleep during the week and try to make up for it on the weekend, but weekday sleep debt may lead to long-term metabolic disruption, which may promote or exacerbate type 2 diabetes.

Sleep and Weight Loss

The study’s findings suggest avoiding sleep debt could have positive benefits for waistlines and metabolism. If you're a practitioner working with clients who want to lose weight, incorporating sleep into a person’s lifestyle interventions for weight loss and diabetes might improve their success.

Detail About the Study

The researchers studied 522 patients with newly diagnosed type 2 diabetes and randomly assigned them to usual care, added exercise, or diet and exercise.

"At the study's start, those who didn't get enough sleep during the week were 72% more likely to be obese than those with sufficient sleep."

Six months later, the researchers said those same participants were more likely to be obese and have blood sugar problems.

Just a half hour of missed sleep during weekdays was enough to cause problems, the researchers found.

The study found, after one year, for every 30 minutes of weekday sleep debt at baseline, the risk of obesity and insulin resistance -- an indicator of diabetes -- was increased by 17% and 39%, respectively.

Sleep is not something to take lightly. Turn off your electronics, grab a book and read yourself to sleep the old-fashioned way.

In Health and Happiness,

Kelly Harrington, MS, RDN

Registered Dietitian Nutritionist for Healthy Goods

Reference:

Shahrad Taheri, MBBS, PhD. Losing 30 Minutes of Sleep per Day May Promote Weight Gain and Adversely Affect Blood Sugar Control. Endocrine Society, March 5, 2015.

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Almonds Are Versatile and Great For Diabetics

Almonds are not only delicious, they’re also effective for managing blood sugar levels for Type 2 diabetics.

Almonds Benefit Type 2 Diabetics

A meta-review of 12 similar studies showed a daily intake of about ½ cup (2 ounces) of tree nuts over an eight week time period significantly reduces HemoglobinA1c and fasting glucose in individuals with type 2 diabetes. Tree nuts include almonds, Brazil nuts, walnuts, hazelnuts, macadamia nuts, pistachios, pecans, and cashews. This is not only great news for diabetics, but also non-diabetics since blood sugar spikes aren’t healthy for anyone.

A Few Reasons Tree Nuts Benefit Type 2 Diabetics

Tree nuts may be effective at helping diabetics for a few reasons.

First, the nuts replace simple carbohydrate choices which are known to spike your blood sugar.

Second, tree nuts are digested and absorbed more slowly due to their fat, fiber, and protein content. This slower absorption in turn slows down the conversion to blood glucose. This is a good thing! Go here to learn more about the disadvantage of the blood sugar rollercoaster

Third, the fiber, protein and fat content in almonds means it only takes a handful to keep you feeling full and satisfied so you won't have the urge to overeat. Maintaining a healthy weight or losing weight is critical for diabetics. When someone has Type 2 diabetes, even a little weight loss can lead to huge improvements in blood sugar control.

Nutritional Benefits of Almonds

Almonds pack a big punch nutritionally speaking as well. They’re rich in vitamin E, calcium, magnesium and potassium. Additionally, almonds are a significant source of protein and fiber, while being naturally low in sugar. They’re packed with healthy unsaturated fat without any cholesterol. Of all tree nuts, almonds rank highest in protein, fiber, calcium, vitamin E, riboflavin and niacin content by weight. There are 160 calories in 23 almonds, with the majority of these calories coming from healthy fat.

The Union Square Cafe’s Bar Nuts

There are numerous ways to include almonds on a daily basis. You can simply eat raw almonds or try this mixed nut variety mix. This mix sounds very addicting so enjoy and don’t forget to monitor your portion sizes.

Ingredients

2 ¼ cups (18 ounces) assorted unsalted raw tree nuts, including cashewsalmondsBrazil nutshazelnutswalnuts, and pecans

2 Tablespoons coarsely chopped fresh rosemary leaves

½ teaspoon cayenne pepper

2 teaspoons dark brown sugar

2 teaspoons sea salt

1 Tablespoon unsalted butter, melted

Directions

1. Preheat the oven to 350 degrees F.

2. Toss the nuts in a large bowl to combine and spread them out on a baking sheet. Toast in the oven until light golden brown, about 10 minutes.

3. In a large bowl, combine the rosemary, cayenne, sugar, salt and melted butter.

4. Thoroughly toss the toasted nuts in the spiced butter and serve warm.

Enjoy your almonds and nut mix!

In Health and Happiness,

Kelly Harrington, MS, RDN

Registered Dietitian Nutritionist for Healthy Goods

Reference:

1. Viguiliouk E, Kendall CW, Blanco Mejia S. Cozma AI, Ha V, Mirrahimi A, Jayalath VH, Augustin LS, Chiavaroli L, Leiter LA, de Souza RJ, Jenkinds DJ, Sievenpiper JL. Effect of Tree Nuts on Glycemic Control in Diabetes: A Systematic Review adn Meta-Analysis of Randomized Controlled Dietary Trials. PLoS One. 2014 Jul 30;9(7).  

2. Recipe courtesy of Nigella Lawson

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Almonds Are Versatile and Great For Diabetics

Almonds are not only delicious, they’re also effective for managing blood sugar levels for Type 2 diabetics.

Almonds Benefit Type 2 Diabetics

A meta-review of 12 similar studies showed a daily intake of about ½ cup (2 ounces) of tree nuts over an eight week time period significantly reduces HemoglobinA1c and fasting glucose in individuals with type 2 diabetes. Tree nuts include almonds, Brazil nuts, walnuts, hazelnuts, macadamia nuts, pistachios, pecans, and cashews. This is not only great news for diabetics, but also non-diabetics since blood sugar spikes aren’t healthy for anyone.

A Few Reasons Tree Nuts Benefit Type 2 Diabetics

Tree nuts may be effective at helping diabetics for a few reasons.

First, the nuts replace simple carbohydrate choices which are known to spike your blood sugar.

Second, tree nuts are digested and absorbed more slowly due to their fat, fiber, and protein content. This slower absorption in turn slows down the conversion to blood glucose. This is a good thing! Go here to learn more about the disadvantage of the blood sugar rollercoaster

Third, the fiber, protein and fat content in almonds means it only takes a handful to keep you feeling full and satisfied so you won't have the urge to overeat. Maintaining a healthy weight or losing weight is critical for diabetics. When someone has Type 2 diabetes, even a little weight loss can lead to huge improvements in blood sugar control.

Nutritional Benefits of Almonds

Almonds pack a big punch nutritionally speaking as well. They’re rich in vitamin E, calcium, magnesium and potassium. Additionally, almonds are a significant source of protein and fiber, while being naturally low in sugar. They’re packed with healthy unsaturated fat without any cholesterol. Of all tree nuts, almonds rank highest in protein, fiber, calcium, vitamin E, riboflavin and niacin content by weight. There are 160 calories in 23 almonds, with the majority of these calories coming from healthy fat.

A fun, vegan option for almonds is to make almond milk. Don’t let the length of this recipe fool you because making almond milk is actually fairly easy.

How to Make Your Own Almond Milk

Ingredients

1½ cups whole, raw almonds

4 cups filtered water

1 whole vanilla bean, chopped (or 1 teaspoon vanilla extract)

2-4 pitted dates, to taste (or 1½ Tablespoon maple syrup or honey)

¼ teaspoon cinnamon

Small pinch of sea salt, to enhance the flavor

Instructions

1. Soak 1 cup of raw almonds at least 4 hours or overnight. Make sure all the almonds are covered with water. Take a look at this blog about Soaking Nuts to get a better idea of how to soak nuts. Soaking softens them and makes them much easier to blend. Many claim soaked almost taste and digest better too. 

2. Once the almonds are soft, rinse and strain the almonds and pop them into your blender. Add 1½ cups of filtered water. This will create a really smooth paste.

3. Blend for 1-2 minutes. You may need to stop the blender a couple times to stir the mixture with a spatula.

4. Once you have a beautiful, smooth puree, add your flavors—vanilla (beans or extract), dates, and cinnamon. You might find a pinch of sea salt brings out the other flavors in the milk.  

5. Add the remaining 2½ cups of filtered water. Blend for several minutes on the highest speed until it’s completely smooth and frothy. Blend Taste the milk and adjust the vanilla, cinnamon, and other additions to taste.

6. Now it’s time to strain the almond solids out of the liquid for a smoother, creamier product. This can be done using cheesecloth or a nut milk bag.

7. If using cheesecloth, place 3 or 4 layers over a metal strainer set over a bowl. Pour the almond milk through the strainer into the bowl. You might have to do this part in batches, depending on the size of your strainer and bowl. Use a spoon or spatula to press down on the strainer and move the solids around, to help the almond milk through the cheesecloth.

8. Once most of the milk has passed through the strainer, gather up the cheesecloth and gently squeeze it to remove excess liquid. You’ll be left with really fine almond meal inside the cheesecloth.

9. You can discard the leftover almond meal, or dry it out in a dehydrator and use it in place of almond flour in baking recipes.

Enjoy your almonds and your almond milk!

In Health and Happiness,

Kelly Harrington, MS, RDN

Registered Dietitian Nutritionist for Live Superfoods

Reference:

1. Viguiliouk E, Kendall CW, Blanco Mejia S. Cozma AI, Ha V, Mirrahimi A, Jayalath VH, Augustin LS, Chiavaroli L, Leiter LA, de Souza RJ, Jenkinds DJ, Sievenpiper JL. Effect of Tree Nuts on Glycemic Control in Diabetes: A Systematic Review adn Meta-Analysis of Randomized Controlled Dietary Trials. PLoS One. 2014 Jul 30;9(7).  

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7 Tips to Maintain Healthy Blood Sugar Levels

Maintaining stable, healthy blood sugar levels can help reduce the risk of a number of health concerns, including weight gain, insulin resistance, diabetes, high blood pressure, stroke, and heart disease.

Glucose (sugar) is the main source of energy in your cells and bodily tissues. When you eat carbohydrates, such as sugars and starches, your body breaks them down, and the sugar enters your bloodstream. From there, sugar enters individual cells to provide energy. Extra sugar is stored in your liver and muscles in a form called glycogen.

Your pancreas produces two hormones to help regulate the levels of blood sugar. Insulin moves sugar from your blood into your cells when your blood sugar level is high. Glucagon helps release the sugar stored in your liver when your blood sugar is low. This process naturally keeps your body fueled and ensures healthy balanced blood sugar levels. We disrupt this natural balance when we consume foods that cause our blood sugar and insulin levels to stay high, or to spike up and then fall rapidly.

Seven Tips to Maintain Healthy Blood Sugar Levels

1. Include Dairy

Scientists at the Harvard School of Public Health (HSPH) examined the data from a 20 year long study and found that a fatty acid in milk, cheese, yogurt, and butter substantially reduced the risk of type-2 diabetes. This compound, trans-palmitoleic acid, is found in dairy fat. To get the benefits of trans-palmitoleic acid, avoid non-fat or skim versions of dairy, and aim for 2 servings of dairy per day.

2. Move Those Muscles

Another study conducted by HSPH found muscle strengthening and conditioning activities reduced the risk of type-2 diabetes. This study followed over 100,000 women over an 8 year span, and found women who did an average of 30 minutes per day of activities such as resistance exercise, yoga, stretching, and toning, had a 40% lower risk of developing diabetes. In addition, combining muscle strengthening with aerobic exercise reduced this risk even further.

3. Replace Fruit Juice with Whole Fruit

Feeling a craving for citrus or berries? Reach for the whole fruit, instead of the juice version. A study found eating more whole fruits was associated with a lower risk for type-2 diabetes, while consumption of fruit juices was associated with a higher risk. Eating at least two servings per week of certain whole fruits reduced this risk by as much as 23%, while one or more servings of fruit juice per day increased the risk of developing diabetes by as much as 21%. Fruit juice passes much more quickly through the digestive system than fiber-rich whole fruits, which may explain the increased risk. This study identified blueberries, grapes, and apples as particularly helpful in reducing the risk of diabetes.

4. Get More Magnesium

High levels of magnesium have been associated with a 32% lower risk of diabetes. Including magnesium rich foods such as raw spinach, pumpkin seeds, avocados, dried figs, and raw cacao can help reduce your chances of impaired glucose tolerance and hyperinsulinemia that can lead to diabetes.

5. Eat Less, More Often

Most people are accustomed to eating 3 (or less) large meals a day, and many wil skip meals throughout the day. When you skip a meal or wait too long between meals, your blood glucose levels plummit. You may experience headaches and shakiness, but internally, your system is being flooded with glucose, and your pancreas is forced to release more insulin. A dangerous cycle has begun. Instead, maintain a steady level of blood glucose by decreasing the amount of food you eat at each meal, and by eating every few hours.

6. Go Nuts

Walnuts are a great source of healthy mononsaturated fat, which won't raise your blood sugar levels like many other foods do. Researchers who swapped out monounsaturated fats for saturated fats found that a diet high in saturated fats significantly impaired insulin sensitivity in healthy men and women. Sprinkle walnuts onto a spinach salad and you will get a good dose of magnesium, as well!

 7. Try Traditional Herbs

Certain herbs and spices have been used for centuries to control blood sugar, and scientific studies can confirm that both cinnamon and Gynostemma can be effective tools at regulating blood sugar and insulin levels.

Researchers in Pakistan asked volunteers with type-2 diabetes to take cinnamon or a placebo for 40 days. Those who consumed cinnamon daily saw their blood-glucose levels drop by between 18% and 29%, depending on the dose (1g, 3g, or 6g). Reap the blood-sugar lowering benefits of sugar by sprinkling it over yogurt (and add some walnuts for meal that is sure to sustain blood sugar levels).

Gynostemma is an herb that has been used in traditional Chinese medicine for centuries. A recent study evaulated the effectiveness of this traditional herb on insulin sensitivity in type-2 diabetic patients. For 4 weeks they received either a Gynostemma tea or a placebo tea daily. The results of the study showed that those who received the Gynostemma tea had improved insulin sensitivity over the placebo group. Gynostemma can be found in tea or herbal supplement form.

Melissa Zimmerman, Healthy Goods


References:

http://www.mayoclinic.org/glycemic-index-diet/art-20048478

http://news.harvard.edu/gazette/story/2010/12/dairy-diabetes/

http://news.harvard.edu/gazette/story/newsplus/muscle-training-linked-with-lowered-risk-of-type-2-diabetes/

http://news.harvard.edu/gazette/story/2013/08/reduce-type-2-diabetes-risk/

http://care.diabetesjournals.org/content/37/2/419.abstract

http://www.ncbi.nlm.nih.gov/pubmed/11317662

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