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Question: How do I get all of my fruits and veggies in for the day?
Maybe you like some fruits and some vegetables, but you can't eat the same thing all day. Maybe you're still searching for fruits and vegetables that you like. Changing what you eat can be hard, but don't get discouraged. Dr. Erinn Rhodes, Director of the Type 2 Diabetes Program at Children's Hospital Boston, reminds you that there are lots of fruits and vegetables to choose from and many ways to prepare them. Have a fruit or vegetable with every meal. Use them in recipes, and keep trying new fruits and vegetables to see what you like. Check out this website for recipe ideas and other tips.
Question: My doctor says that I should eat breakfast everyday. Who has time for that?
"Breakfast is an important way to start the day. It gives your brain and your body the fuel that it needs to get going, and it will keep you from being too hungry by lunchtime," says Dr. Rhodes. Breakfast doesn't have to be a long sit-down meal. Why not make a sandwich the night before? Or have a reduced fat yogurt or breakfast/sports bar before running out the door. Look for bars with 4 or more grams of fiber per serving. Then take a piece of fruit with you to eat on the way to school. Dr. Rhodes wants you to "Remember that if you are taking medication for your diabetes but you are not eating breakfast then you may be at risk for low blood sugars or other side effects from your medication. Be sure to talk with your doctor if you are having any side effects from your medication."
Question: My doctor tells me that I have to control my portions, how do I know what the right serving size is?
Many people have this question. You are not alone! A good way to start learning about serving sizes is to read nutrition labels on the foods that you eat. Dr. Rhodes recommends that when you put food on your dinner plate, try this: fill half the plate with non-starchy vegetables, legumes, and fruit; one-quarter with whole grains like brown rice, barley or whole wheat pasta; and the remaining quarter with lean protein like chicken, fish, eggs, cheese or yogurt. Also, she wants you to listen to your body: "Eat when you are hungry and don't "starve" yourself. Stop eating when you feel satisfied, so you don't get too full." See this link to learn more about portions and servings.
Question: I was recently diagnosed with pre-diabetes. Will a healthy diet prevent me from developing type 2 diabetes?
"Pre-diabetes refers to a category of blood sugars that is not normal but does not yet meet the criteria for diabetes. People who have been diagnosed with pre-diabetes are at high risk for developing type 2 diabetes and cardiovascular disease. However, having pre-diabetes does not necessarily mean that you will develop type 2 diabetes," according to Dr. Rhodes. She explains that a healthy diet and physical activity are key components to reducing the risk of diabetes. Dr. Rhodes further explains that in adults and sometimes in adolescents, the medical team may also consider a medication along with healthy lifestyle changes to help reduce the risk of developing diabetes.
Question: I'm confused by how to read nutrition labels. My doctor says I need fiber. How do I know if I'm getting enough?
Fiber is an important part of your diet. According to Dr. Rhodes, fiber in the diet helps sugars to be absorbed more slowly, can help lower cholesterol and supports a healthy digestive system. She says that a general guideline for daily fiber intake for children and teens is to take your age in years and then add 5. For example, if you're 15 years old, then you should aim for 15 + 5 = 20 grams of fiber per day. Fiber can be found in fruits (e.g., apples), vegetables (eg, broccoli), beans, nuts, and whole grain breads and cereals. Dr. Rhodes says, A high fiber food should have at least 5 grams of fiber per serving. She recommends reading the nutrition labels of breads and cereals with extra care and looking for the serving size. Fiber is listed under total carbohydrates. To learn more about fiber and reading food labels, check out http://kidshealth.org/teen/food_fitness/nutrition/fiber.html.
Question: How do I know the difference between good fats and bad fats?
It's important to read nutrition labels to find out what types of fats are in the foods that you are eating. Most nutrition labels list total fat and break fat down into different categories. "In general, you want to stay away from saturated fat as you might find in red meat and trans fats like partially hydrogenated vegetable oil. These can increase your risk of cardiovascular disease," says Dr. Rhodes. Healthier fats are monounsaturated and polyunsaturated fats. Dr. Rhodes notes that olive oil and avocado are good sources of monounsaturated fats while polyunsaturated fats can be found in some vegetable oils like sunflower oil.
Question: My doctor told me to eat fruits and vegetables, but in my neighborhood, there are only fast food restaurants. Where can I go out to eat?
No doubt about it, eating at a fast food restaurant can be difficult if you are trying to manage your diabetes. The next time you find yourself in a fast food restaurant, you may want to choose some of the healthier options like grilled chicken or salad. Dr. Rhodes, also suggests choosing the smaller portions and avoiding fried foods, condiments with extra fat and calories like mayonnaise, and sugar-sweetened beverages. She also recommends having fruits and vegetables (fresh, frozen, or canned without sauces or added sugar) available at home. That way, you can have fruits and vegetables whenever you eat at home. Be sure to speak with your nutritionist or other members of your diabetes team about other ideas for healthier local options for eating out. They can help you plan wisely.
Question: I'm at college, and the dining hall is loaded with all the stuff I'm not supposed to eat. I'm getting really bored with vegetables. What can I do?
College can be a challenge when it comes to eating. There are so many "all you can eat" temptations around you in the dining halls. Dr. Rhodes recommends that you plan ahead. Think of this like a holiday dinner and use the same strategies to balance your choices. Go ahead and get creative with your school's dining hall offerings. For example, fruit and yogurt; cold cuts or tunafish on top of a salad; tomato sauce on top of vegetables. Be sure to talk to the dining hall staff as well. They want you to be healthy and to like the food they prepare.
Question: I don't like water and my doctor wants me to drink more of it instead of soda or juice. How do I get used to the taste of water?
Why not try adding a slice of lemon or orange to give your water a fruity taste? If you don't have citrus fruit handy, Dr. Rhodes suggests drinking non-sugar sweetened beverages like flavored waters or any beverages with 10 calories or less per serving. If you miss the fizziness of soda, try seltzer water, either flavored or plain. Also, remember that milk is a great choice as part of a healthy snack or meal, as it has protein, calcium and vitamin D.
Question: I'm trying to watch what I eat and I feel hungry all the time. I heard that you can confuse thirst for hunger. Is this true?
"A variety of different emotions and sensations can be mistaken for hunger, such as boredom or thirst. Whenever you think that you are hungry, always ask yourself whether you might actually just be bored or thirsty," says Dr. Rhodes. She recommends that if you think you may actually be thirsty rather than hungry when it is not a regular meal time, try drinking water (or a non-sugar sweetened beverage) and wait a little while before you eat.
Question: What do I do when I crave cookies or pie or other stuff with high sugar? Especially during the holidays this is hard for me.
Holiday meals and parties can be hard for everyone. Thanksgiving is all about eating starchy foods and sweet treats. Dr. Rhodes says, "When it comes to food, managing type 2 diabetes is about balance and planning." She explains that "foods that are higher in sugar are not off limits. However, they need to be eaten in small portions and not every day." To help you balance, try using a smaller plate (like a salad plate). To help you plan, think in advance about whether you want more of the mashed potatoes or a smaller helping and a small piece of pie. Thinking about portions and planning your treats in advance will help reduce the holiday stress.
Question: Hi all , I have been put on a low dose of Levemir 5 cc's PM per day - I am having major problems matching my carb intake to the Levmir. Does anyone have some hints for me?
We told Dr. Rhodes about your question. She said: "Starting a new medication can be hard. If you are having major problems with this Levemir dose, you should speak to your diabetes doctor or diabetes nurse educator. They can give you the best advice about what to do as they will know the details of your situation and also what other medications or health issues might be affecting your diabetes control.
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7 Comments
my type two said i should put this is on here!!!when my fiance was deployed i sent him and his buddies a package.in that package were some homemade choc chip cookies.how i made them was i bought the nestles choc.chips in a bag and followed the recipe on the bag with one difference.i used splenda.both the white and brown splenda.he had no idea until i finaly told him awhile later.he got such a kick out of it.so did his buddies overseas.
Kimberly, thanks for sharing your great story! Hope you enjoy the site, and tell others about Living with MyType2.
Hi Doreese,
I’m impressed, keep up the good work, I’ll keep checking out your site, maybe I can get some insight from you.
Keep up the good work, I know you have tried so very hard.
Love Missy
Missy, thanks for posting on the site. If you want to comment on Doreese’s page I’m sure she’d love to see it!
super helpful tips! but why sweet potato?
Nutrition Coach Kimberly uses sweet potato as an example of a trade-off. A smart balance of foods is important for every meal, and thinking ahead is extra-important during the holiday season. Thanks for visiting the site!
Sweet potatoes are higher in fiber than regular potatoes. More fiber means that they metabolize more slowly and have a more even effect on blood sugar. Regular potatoes can spike your blood sugar to a much greater degree.
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