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Oct 5

It’s never too late to lose weight – The Times and Democrat

DEAR READERS: Many of you responded about the mature woman who felt like giving up because she was overweight. This particular letter has details that may inspire those of you who need a little push.

DEAR HARRIETTE: I'd like to add to your response to Overweight. She didn't state her age, but lamented it could be too late in life to lose weight. I'd like to challenge that idea. I gained 70 pounds with my pregnancy at 33 and lost only 10 to 15 pounds giving birth and nursing. I'm 5 feet, 2 inches tall and got up to 186 pounds, which I carried for years, well into my 50s. About 15 years ago, I had a bad ankle break that required surgery. In the hospital they tested my A1C and said I was at risk for Type 2 diabetes, which terrified me. I was at least 55 at this point.

While still bedridden, I massively altered my eating, adding more complex carbs (such as a small amount of rice and beans twice a day) and eating four smaller meals per day. I was still getting no exercise, as I couldn't put any weight on that ankle. This was enough to improve my A1C, but at 160 pounds, I was still obese. I kept that weight off for five years or so, but I didn't lose any more.

At this point, I rejoined a gym and got regular exercise back into my life. Over the next year to 18 months, I lost the rest of the weight, another 30-plus pounds, and I now maintain a weight of 130 to 135 pounds -- in my 60s.

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It's never too late to lose weight - The Times and Democrat


Oct 5

Weight Loss: Try This Sustainable, Traditional, and Healthy Plant-Based Diet to Lose Weight – India.com

Weight Loss: Every year, millions of Indians try to shed those extra kilos. Its a no-brainer that exercises and diet play an important role to promote weight loss. But sadly, not all diets are created equal, which makes it difficult for reducing weight. Finding a diet that is safe, sustainable as well as effective is a daunting task. Also Read - Ghee, The India Superfood: Read Why Its Beneficial For You and Your Health

But what if we tell you that you dont need to look further and try the Mediterranean or a dash or a keto diet to lose weight. A traditional Indian diet should be your go-to diet plan. Well, a traditional plant-based Indian diet aims at fresh, whole ingredients which are good for your health too. Also Read - Dangers of Keto Diet: Actor Mishti Mukherjee Dies of Kidney Failure - Why Keto Diet is Not Advisable in Kidney Ailments

It has a number of health benefits. As reported by Healthline, a plant-based diet can protect your heart, lower risk of diabetes, and can also save you from certain types of cancers including breast and colon. Also Read - Guess the Price of Disha Patani's Prettiest Yellow Floral Dress

The traditional Indian diet is rich in plant foods including vegetables, lentils, fruits, healthy fats, nutrients, and dairy.

What to eat and include in your diet:

If you can incorporate these ingredients into your diet, you will be on your path to good health and weight loss.

-Vegetables including spinach, tomatoes, onions, okra, cauliflower, mushrooms, and cabbage.

Fruits including papaya, oranges, tamarind, apples, melons, and bananas.

Nuts including almonds, pistachio, peanuts, pumpkin seeds, flaxseeds, and more.

Herbs including turmeric, coriander, cumin, garlic, pepper, fenugreek, cardamom, etc.

Proteins including paneer, tofu

In fact, celebrity nutritionist Rujuta Diwekar who has star clients including actors Kareena Kapoor Khan, Saif Ali Khan, and Alia Bhatt, a few days ago also shared that a home-cooked traditional Indian diet is the most sustainable diet plan. Check out her video to know more.

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Follow diets which are sustainable. 1. Unsustainable diets In short term, you lose weight, but at the cost of health. In long term, the weight comes back, and this time with many more health issues. Focus on carbs/ proteins/ carbs/ calories Deprivation of food groups or calories Always comes with a name Keto, LCHF, Paleo, IF, Atkins, etc. 2. Sustainable diets In short term, you might not see a weight loss, but health starts to improve. In long term, weight reduces and health improves consistently and irreversibly. Focus on local/ seasonal/ traditional No deprivation, intuitive eating Examples home cooked food, seasonal specialties, traditional cooking methods.

A post shared by Rujuta Diwekar (@rujuta.diwekar) on Sep 18, 2020 at 9:47pm PDT

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Weight Loss: Try This Sustainable, Traditional, and Healthy Plant-Based Diet to Lose Weight - India.com


Oct 5

This Is The Worst Diet for Weight Loss, According to a Dietitian – Yahoo Lifestyle

When it comes to choosing a diet to follow, there are a lot of options out there. And while anyone can pick a diet that works well for their lifestyle, Rachel Paul, PhD, RD from CollegeNutritionist.com, says that there's one diet, in particular, that would be considered the worst diet for weight loss. She says a diet focused on low-protein, low-fat, and high-carb generally doesn't work well for people.

"Weight loss comes from being in a calorie deficit, and since higher fat and protein diets are more physically filling than low-fat diets, a person on a calorie-restricted, high carb diet will be more likely to be very hungry," says Paul.

Paul does recognize that different ways of eating certainly work for different people. But when looking at a high-carb diet that is low in protein and fat, she says it generally won't work for peopleparticularly when looking at satiety levels.

"When a person is losing weight, and then maintaining that lost weight, it's much easier to continue on with a way of eating if they're physically satiated," says Paul.

Here's a deeper look at why a diet focused on only carbs won't work, and what you should focus on instead. And for more healthy eating tips, be sure to check out our list of 21 Best Healthy Cooking Hacks of All Time.

First, it's important to note the types of carbs that are consumed. Even though low-carb and keto diets have become popular over the past few years, it's not bad for your body to have carbs. In fact, complex carbohydrateslike oats and beansare some of the best ways to get dietary fiber in your diet, which is incredibly important for overall weight loss.

However, if a high-carb diet was filled up with simple, refined carbs, it would be harder for the dieter to lose weight long term. A diet that is full of carbohydrates that have been stripped of their natural dietary fiber won't leave you feeling full, and will cause you to be even hungrier. Especially if you're not mixing in protein and healthy fats.

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While there are a lot of studies and books that show you why a focus on a low-carb diet works for weight loss, diets focused on high-protein, high-fat, and low-carb generally don't have enough fiber in it. And fiber is important for digestion, warding off autoimmune disease, and weight loss in general.

Even though carbohydrates are not considered an "essential" food, according to Healthline, there are a lot of foods with carbohydrates that are full of good nutrients for your bodylike fruits and vegetables.

Now that we've debunked this myth, here are 15 Carbs Myths That Are Totally Bogus.

Time-and-time again, a diet that focuses on the combination of all the macronutrients works well for weight loss. So if a high-carb diet is the worst diet for weight loss, then a medium-carb, medium-protein, and medium-fat diet would be the bestsimilar to how you would follow the best overall diet for weight loss.

Having all three macronutrients in your diet is key for overall satiety from your meals, so without them, your body is less likely to feel full with just carbohydrates. Especially if those carbohydrates are refined and processed.

Having protein in your diet helps to reduce the hunger hormone ghrelin.

Foods that are high in fat are the last to leave your digest tract, so by having a good amount of healthy fats in your dietlike avocadosyou'll feel full for longer periods of time.

And lastly, carbohydrates that are high in dietary fiber will release leptin, which is the hunger hormone that turns on your body's fullness switch. Plus, fiber also moves slowly in your digestive tract.

So if you're enjoying a smashed avocado on a slice of whole-grain toast, you're going to feel full for hours. Add a fried egg on top and you have yourself the perfect meal. And for more healthy carbs to add to your diet, bookmark our list of 28 Carbs That Won't Make You Fat.

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This Is The Worst Diet for Weight Loss, According to a Dietitian - Yahoo Lifestyle


Oct 5

Weight loss: Why counting calories might not be a good idea to shed kilos – Times of India

We know that to lose weight, creating a calorie deficit is crucial. One has to eat fewer calories and burn more to lose a considerable amount of weight in a week. For this, counting calories is vital. You have to divide your daily calorie intake into equal parts and keep counting the calorie content of the foods you eat to maintain the number. But some scientists believe that doing this might not be an ideal way to lose weight. Why counting calories might not be good Scientists are stressing on the importance of eating healthy and nutritious food, rather than counting calories to avoid obesity and the risk of developing other chronic diseases like diabetes and heart-related complications. Cutting down the calories might lead to nutrient deficiencies and muscle loss, which can be severe as the base for several health-related issues. Besides, it may also lead to malnutrition. Eating a nutrient-rich, well-balanced diet is always better than counting calories. Evidence supporting the claim As per a study carried out by the researchers at Stanford University, no significant change in the weight was found between a healthy low-fat diet and a healthy low-carbohydrate diet.In a 12-month long weight loss study, carried out on 609 individuals, it was found that having whole and unprocessed food items without worrying about the calorie intake resulted in similar weight loss for people following both diets.Should you stop counting caloriesCreating a calorie deficit is essential for weight loss. There is no other way around it. But the study says to focus on what you eat is more important than how much you eat. For healthy weight loss, one needs to focus on getting a sufficient amount of carbs, protein and fat instead of just counting calories. Like for breakfast, if you grab a protein bar that will help you maintain your calorie intake but will also deprive you of other nutrients, which will slow down your metabolism and will make you weak. Eating nutrient-rich food will keep your energy and will help you burn fat. Remember that your goal should be to lose weight, without compromising your health.

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Weight loss: Why counting calories might not be a good idea to shed kilos - Times of India


Oct 5

Gemma Collins looks sensational after 3st weight loss as she shimmers in gold outfit saying Im feeling mys – The Sun

GEMMA Collins dazzled in gold yesterday as she showed off her three stone weight loss in a metallic outfit.

The 39-year-old went for a fancy meal at seafood restaurant Smith's in Ongar and she certainly looked the part.

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Glam Gem wore her blonde hair in tight waves and went with heavy eyeliner for the night out.

She struck a sultry pose on a wooden staircase to show off her whole ensemble.

The GC posted on Instagram: "Hello WEEKEND Im not gonna lie Im ready to go out from 6pm these days I used to go out at 10/11 feeling myself in my LUNA designed by ME online now thank you@smithsofongarfor making the evening so special as always x ."

Her look garnered plenty of praise with one supporter writing: "Looking absolutely stunning."

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Another said: "Love love love not going to lie! ."

As a third gushed: "the outfit rocks!!!"

Gemma's incredible transformation hasn't been easy.

She turned to brutal diets, controversial "skinny jabs" and even a 5,000-a-week juice camp in a bid to shed the pounds.

Though the reality diva - one of The Only Way Is Essex's best-loved stars - has always exuded confidence and body positivity no matter what her size, she's made no secret of her "nightmare" battle with food.

She has also courageously opened up about her struggle with polycystic ovary syndrome (PCOS), a hormonal condition that made it difficult for her to lose weight after her "very slim" twenties.

In June, The GC admitted to her two million Instagram followers that bullies have "taunted" her over the years, while companies have callously said she was "too fat to promote my brand".

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In 2011, Gemma joined The Only Way Is Essex after Julie Childs, mother of Gemma's school friend and Towie co-star Amy Childs, told producers about the then-used car saleswoman.

She was first introduced to viewers as a potential love interest for castmate Mick Norcross, but she quickly became a leading lady.

Keen to feel as confident as possible on the show at the time, she shed three stone at a weight loss bootcamp that same year, sticking solely to healthy foods and a very strict exercise regime, before showing off her slimmer figure (and dramatic brunette hair transformation) on the show.

However, that year she once more turned to food and, at her heaviest, tipped the scales at 21st.

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Ive done every diet out there, theres nothing I havent done," she previously told Good Morning Britain.

I was obsessed with food. And life revolved around food and eating. There was no brain space in my head for me not to think about food, it was a living nightmare.

Gemma also entered a 5,000-a-week juice camp in Portugal.

The star lived on fruit drinks during a month-long stint at a special retreat, and was weaned off her "addiction" to fatty foods.

That same year Gemma tried hypnotherapy to shed more weight and revealed she had been hypnotised into believing she had a gastric band in a bid to stay slim.

According toCloser, she told Now! Magazine at the time: "I've gone from a size 22 to an 18. I had a bit of 3D lipo and saw a hypnotist called Robert Hisee, who put a hypno gastric band in me!

"Now I have four mouthfuls of food and I can't eat any more. I feel like I can't breathe I'm so full."

She could have opted for a gastric band but ruled it out.

Speaking to The Sun, Gemma said: Im not saying Ill get to a size 10 but I do need to lose weight.For my health I wouldnt be bigger than I am now. I refuse to have a gastric band as easy as it would be.

Last year,Sun Online revealed the star was on a new weight loss plan with 'skinny jabs', which are injections that act as an appetite suppressant.

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Although Gemma has already shifted a few stone, her weight loss journey might not be over yet - as her sights are set on shedding more.

She said: "I'd be really happy if I lost six stone as that would bring me down to 12 stone and a size 16."

But for the moment, The GC is feeling healthier than ever. And as she recently told her fans: "Your health is your wealth."

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Gemma Collins looks sensational after 3st weight loss as she shimmers in gold outfit saying Im feeling mys - The Sun


Oct 5

Charlamagne Clowns 6ix9ine Weight Loss And Album Sales – O4L Online Network

After being hospitalized for an overdose on a weight loss pill, The Breakfast Club decided to cover their first story on 6ix9ine since his release from prison. With that came Charlamagnes opportunity to clown the rapper about the overdose and recent album sales.

Earlier in the month, 6ix9ine was rushed to the hospital for overdosing on weight loss pills and caffeine. Speaking with The Shade Room, Tekashi explained the reason behind the overdose. Instead of taking the recommended daily dose of Hydroxycut pills, Tekashi took two pills and a cup of coffee. The result was a higher heart rate as he began to sweat excessively right after.

Since his release from prison 6ix9ine has gained weight and was scaled at over 200 pounds. When hearing the news about the weight loss and overdose, Charlamagne seized the opportunity to poke fun at the rapper. Just leave the country and go get your body done just like all the other chicks, Charlamagne suggested during the Rumor Report segment. Whats wrong with you 6ix9ine? You aint on probation no more. I guess its cause you cant travel.

By the way he went quite after his album flopped, Charlamagne added. Ill tell 6ix9ine one thing, if he dont sell no records hes gonna lose about 600 pounds, cause all of them security guards gon be gone. You aint gonna be able to feed them.

After releasing his first album since coming home from prison, 6ix9ine was projected to sell 150K in his first week with TattleTales. Apparently earlier then expected, Billboard implemented their no-bundles album sales rule which officially gave 6ix9ine the number four spot on the Billboard 200 chart with 53K album-equivalent units sold.

If you wanna lose weight face, keep doing what you doing not selling no records. That security is gonna be gone. Thats about 600 pounds immediately lost, said Charlamagne on The Breakfast Club.

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Charlamagne Clowns 6ix9ine Weight Loss And Album Sales - O4L Online Network


Oct 5

Watching out for eating disorders in kids and teens – Contemporary Pediatrics

Eating may become disordered for some pediatric patients. A presentation at the virtual 2020 American Academy of Pediatrics National Conference & Exhibition gives guidance on how to identify and manage eating disorders in pediatrics.

For many children, eating is merely a way to power the body for all of the activities of life. However, for other children, eating can be a disordered habit than can lead to significant negative health outcomes if left untreated. In his presentation Identifying and treating disorders in children and adolescents, Neville H. Golden, MD, chief of the division of adolescent medicine at Lucile Packard Childrens Hospital in Palo Alto, California, shared some guidance with attendees of the virtual 2020 American Academy of Pediatrics National Conference & Exhibition. Initially, he spoke about the shifting epidemiology of eating disorders, sharing that it was becoming more prevalent in younger children, males, and minorities. He also spoke about the sex differences that are noted in eating disorder prevalence, stating that the 9:1 ratio of girls to boys only seems to apply to teenagers and young adults. In children aged 9 to 10, the ratio is 1:1.

Golden then discussed the eating disorders that pediatricians may find in patients. He covered the 2 most well-known: anorexia nervosa and bulimia nervosa. Anorexia is characterized by an intense fear of gaining weight and restricting energy intake and bulimia is characterized by recurrent binge eating and recurrent inappropriate compensatory behavior to mitigate the binge eating. However, those eating disorders made up 48.7% of eating disorders. Other disordered eating included avoidantrestrictive food intake disorder, which has no fear of weight gain or body image distortion, but is characterized by avoiding foods for sensory reasons and worry about choking or vomiting.

The medical complications related to eating disorders are myriad and can include:

He also discussed when hospitalization for eating disorders would be indicated. Patients should be hospitalized if there is failure of outpatient treatment; physiologic instability; severe malnutrition; dehydration or electrolyte abnormalities; and electrocardiogram abnormalities. When working on weight restoration in hospitalized patients, clinicians need to be vigilant for refeeding syndrome, which can occur during aggressive nutritional restoration. Recent studies have found that higher caloric intake than recommended by some guidelines can reduce the length of stay, without increasing the rate of refeeding syndrome.

The presentation concluded with a discussion on managing obesity and being careful to avoid messaging that could trigger an eating disorder. When counseling patients on obesity, clinicians should not encourage dieting, skipping meals, or using diet pills. The focus of the counseling should be on healthy habits that can be sustained for a lifetime and should encourage frequent family meals. Clinicians should also closely monitor weight loss in patients who need to lose weight to ensure that the patient does not develop an eating disorder. Patients who arent properly monitored could develop anorexia nervosa, which would not present the same way as the stereotypical case.

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Watching out for eating disorders in kids and teens - Contemporary Pediatrics


Oct 5

All For Nothing? Top 4 Reasons Why You’re Not Losing Any Weight – Be Global Fashion Network

If youre like most people, your efforts to lose weight probably consist of adhering to a healthy eating regimen and workout schedule. But sometimes in your efforts, you fail to see results. This can be frustrating and make you want to give up, especially if youve been on your weight loss journey for a while. When this happens, its time to give your fitness plan a once-over.

From dieting fads to water consumption, there are some things YOU could be doing that are hindering your own weight loss journey and not even know it. Take a look at some of the biggest reasons youre not losing weight.

Water can impact your weight in many ways. Did you know that water is an appetite suppressor? In fact, our bodies tend to confuse hunger with dehydration. So one easy way to tell if youre actually hungry or just dehydrated is to drink a full glass of water before a meal to identify where your hunger pains are actually stemming from. In doing this, youll find that you dont require as much food to satisfy your hunger.

Consuming water also flushes your kidneys, rids your body of wastes, and contributes to the overall functioning of your organs, which in turn, aids in weight loss.

Some people like vegetables and some people dont, but more people like unhealthy, fatty foods than vegetables and thats a fact!

One thing people like to do is reward themselves when theyve done good with their workouts. The only problem with these rewards is that people feel like they need to reward themselves every time they complete a workout, and thats just not how it works.

One of the driving factors to weight loss is your calorie intake, and your rewards are more than likely high in calorie count. You have to keep your eye on the prize and focus less on treats and more on your vegetable intake.

If you like vegetables, how are you preparing them? Are you drenching them in butter, frying them, or cooking them in fatty meats? The way you prepare your vegetables can completely deplete their nutritional value.

If you seriously want to see a change in your vegetable intake, consider a weight loss juice cleanse. This is going to give you the necessary vegetable intake you need, its packed with vitamins and minerals, and it has a great taste. This is perfect for those who arent fans of veggies but still want the benefits of consuming them.

Getting adequate sleep plays a major role in the impact of your weight loss efforts, especially in terms of your appetite. The average adult is supposed to get seven to nine hours of sleep, but most people dont get near as much sleep as this Most people get between five to six hours, and this amount is the very thing putting you at risk of having greater body fat. It even impacts how effectively you lose weight on a controlled caloric meal plan.

According to sciencealert.com, sleep influences two appetite hormones known as leptin (the hormone that decreases your appetite) and ghrelin (the hormone that stimulates your appetite). When your leptin levels are high, you usually feel fuller, when your ghrelin levels are high, you feel hungry. Sleep deprivation increases your ghrelin levels, making you eat more.

If youre eating healthy meals and still not losing any weight, it may be time to look at how much food youre eating, ie, practice portion control. Our bodies and minds tend to work together and sometimes play tricks on us. We think we need a certain amount of food to feel full but we actually dont need that much.

Take a look at how much food youre putting on your plate. You dont want to eat until you feel stuffed. You want to eat until you feel content. As you start to eat smaller portions, your stomach will shrink and conform to the smaller portions, leaving you feeling fuller with less food.

Once you lose weight and get to your goal size, the trick is how to keep the weight off, right? For some people, this is harder than trying to lose the weight in the first place.

But ultimately, you want to just continue on the path that youve been on. Continue to make exercise a regular part of your daily routine, keep drinking water, and minimize your consumption of bad foods.

True enough, youre going to want to reward yourself for all the hard work youve put in to reach your goal, but just remember to keep an eye on those rewards If youre not careful, youll look up and regain all the weight you just lost.

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All For Nothing? Top 4 Reasons Why You're Not Losing Any Weight - Be Global Fashion Network


Oct 1

Achieving Type 2 Diabetes Remission through Weight Loss | NIDDK – National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

Studies have shown that significant weight loss, through either metabolic (also known as bariatric) surgery or calorie restriction, may lead to remission in some people who have type 2 diabetes.

William T. Cefalu, MD, director of the NIDDKs Division of Diabetes, Endocrinology, and Metabolic Diseases, discusses type 2 diabetes remission, including recent research into strategies and mechanisms by which people who have diabetes can achieve remission.

Q: What is remission of type 2 diabetes? How do health care professionals define remission and know when a patient has achieved it?

A: People with type 2 diabetes who do not have adequate glycemic control have an increased risk for diabetes complications. Glycemic control is monitored by measuring both blood glucose and blood markers assessing antecedent glycemia such as hemoglobin A1C, which reflects average glucose over the previous months. We define type 2 diabetes remission as having the condition revert to a nondiabetic range as assessed with blood glucose levels or blood glucose markers and staying in that range for at least 6 months when a person isnt taking any diabetes medications.

Its important for both health care professionals and people who have type 2 diabetes to realize that significant weight loss either from lifestyle intervention (i.e., diet and exercise) or from certain procedures can result in blood glucose levels decreasing into the nondiabetic range, and that achieving remission can minimize or prevent future complications.

Q: Why do health care professionals use the term remission rather than cure when discussing type 2 diabetes? What happens to a persons diabetes when he or she relapses?

A: We don't use the word cure when we refer to blood glucose levels reverting back to levels below the threshold used for diagnosis, as you could argue cure means completely alleviating the condition. For example, an acute condition seen with infectious diseases such as bronchitis may be considered to be cured with antibiotics. However, in type 2 diabetes, because blood glucose levels are on a continuum and are significantly associated with weight, it is observed that when weight regain occurs, the glucose levels may increase back to the range associated with diabetes diagnosis. So, the correct term is remission.

Type 2 diabetes is a progressive disorder, and, at one time, we didnt think that weight loss or other interventions could allow people with type 2 diabetes to lower their blood glucose levels into the nondiabetic range and to stay there for an extended period of time without medication. However, we now understand that people with type 2 diabetes who lose significant weight and improve other factors related to diabetes can achieve remission.

With sustained weight loss, people may stay in remission for quite some time. However, if they begin to put on weight, their blood glucose levels can increase and return to the diabetic range. They may need diabetes medications or even insulin with weight regain depending on the severity of their type 2 diabetes and their glucose control.

Q: What strategies can lead to remission of type 2 diabetes?

A: The most important factor in achieving remission is weight loss, and two techniquesmetabolic surgery and lifestyle changes that restrict calories on a daily basis to achieve weight losshave been shown to induce remission.

Some studies, dating back many years, have observed that metabolic surgery leads to high rates of type 2 diabetes remission. Recently, the Diabetes Remission Clinical Trial (DiRECT), conducted in primary care practices in the United Kingdom, examined type 2 diabetes remission rates in participants who lost weight, starting with a very low-calorie diet and sustaining the weight loss over time. DiRECT found high rates of type 2 diabetes remission among people who lost a significant amount of weightmore than 10 kg (about 22 pounds)and sustained the weight loss over 12 to 24 months.

Q: What research is being conducted on remission of type 2 diabetes?

A: Studies have sought to understand the mechanisms of remission. A lot of current research focuses on not only total fat in the body, but also where the fat may be located, referred to as ectopic fat (e.g., fat in the liver and pancreas) that may affect normal physiologic function. This research has led to some very interesting observations about potential mechanisms. Weight loss may improve pancreas function, with better insulin secretion and type 2 diabetes remission.

Q: Are some people with type 2 diabetes more likely to achieve remission than others?

A: Three factors that seem to predict success in achieving remission are significant weight loss, baseline pancreatic function, and diabetes duration.

Significant and sustained weight lossfor example, in the range of 10 kg (about 22 pounds) as shown in some studiesis the most important factor. Studies in which participants lost small amounts of weight have shown lower rates of type 2 diabetes remission. However, studies in which participants lost a significant amount of weightsuch as DiRECT or studies of metabolic surgeryhave shown higher remission rates.

Studies of weight loss through restricting calories or metabolic surgery have found that people with type 2 diabetes who start with greater pancreatic function at baseline, prior to the intervention, are more likely to undergo remission. People who have had shorter diabetes duration are also more likely to undergo remission. Type 2 diabetes is a progressive disease, and, after a long time with diabetes, pancreatic function may decline over time. Thus, observations suggest that after having diabetes for a long period of time, significantly improving pancreatic function and achieving remission may prove to be more difficult, compared to achieving remission early in the natural history of the disease.

Q: How and when should health care professionals talk with patients who have type 2 diabetes about remission? How can health care professionals help patients achieve remission and sustain it over time?

A: First and foremost, you should emphasize the importance of managing blood glucose levels to minimize the complications of type 2 diabetes whether the patient is or is not on medications. Glycemic control is incredibly important in reducing the risk of complications, and you need to discuss glycemic control and a goal with the patient. In most cases, this means advising patients to keep their A1C level at 7 percent or below to prevent eye, kidney, and nerve complications. While we have very effective medications to lower blood glucose levels, lifestyle interventions (nutrition and exercise) are a cornerstone of managing diabetes. A balanced diet that achieves weight loss not only improves blood glucose levels but also may reduce cardiovascular risk factors.

Patients should also know that obesity contributes to increased blood glucose levels due to insulin resistance and that the more weight patients put on, that may mean they need more medication. It is important that they know if they lose weight and improve their bodys efficiency, they may require less medication. Let your patients know that if they lose enough weight, particularly during the early phases of type 2 diabetes, they will significantly lower their blood glucose, have less risk for diabetes complications, and may be able to achieve remission.

Overall, with significant weight loss through restricting calories or other strategies, patients have a high likelihood of achieving remission, particularly if they have a greater baseline pancreatic function and have had diabetes for a shorter time.

How do you talk with patients about type 2 diabetes remission? Tell us below in the comments.

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Achieving Type 2 Diabetes Remission through Weight Loss | NIDDK - National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)


Oct 1

7 Best Foods to Add to Your Weight-Loss Diet This Fall – LIVESTRONG.COM

Sweet potatoes and pomegranates are two healthy and delicious fall foods to add to your weight-loss diet.

Ah, fall the season of apple cider doughnuts, pumpkin spice lattes and hearty casseroles. Throw in the start of the holiday season (hello, Halloween candy!) and it may not seem like the best time of year to buckle down on your weight-loss efforts.

There's good news, though: Autumn is also bursting with nutritious foods that easily fit into a healthy lifestyle. So yes, you can enjoy the flavors of the season and see progress on the scale.

Here are seven of the best fall foods for weight loss and tips for how to enjoy them.

Did you know that keeping a food diary is one of the most effective ways to manage your weight? Download the MyPlate app to easily track calories, stay focused and achieve your goals!

It's fall and that means the store shelves are exploding with all things pumpkin. The sight of this orange gourd may send you spiraling into thoughts of high-sugar coffee drinks, but in its whole form, it's actually an extremely healthy food. Pumpkin is high in beta carotene, which is converted into vitamin A in the body a powerful antioxidant.

A half cup of pumpkin also provides 3.6 grams of fiber, which is pretty impressive. The fiber in your diet may be a good indicator of how successful you will be with your weight loss. An October 2019 study published in The Journal of Nutrition concluded that fiber intake helped more individuals stick with their diet plan and that eating more fiber promoted weight loss.

Try adding canned pumpkin to your morning smoothie to get that extra burst of fiber and vitamin A in your day. This Fall Pumpkin Smoothie has 9 grams of fiber and 30 grams of protein a win for crushing morning hunger.

If your fall apple picking outing leaves you swimming in the round fruit, that's a good thing. Like pumpkins, apples are full of fiber (one medium fruit has 4.4 grams), and they're also high in water and phytonutrients, which make them an ideal weight-loss food.

In fact, it might be worth adding an apple a day to your diet. A September 2015 Harvard study published in PLOS Medicine found that individuals who ate certain fruits (apples being one of them) lost weight without making significant changes to their diet. The researchers concluded that high-fiber fruits have a positive effect on weight loss.

Since apples contain fiber on both the flesh and the peel, you want to make sure you are eating both. Try baking your apples and adding in even more fiber with oats and nuts, like these Healthy Stuffed Baked Apples by Kelli Shallal, RD. These are perfect for a weekend breakfast and a great way to jumpstart your fiber intake for the day.

It's no wonder pomegranate arils are often called rubies. Their deep red color shows immediately that they are bursting with nutrients. Indeed, pomegranates have been studied for their antioxidant and anti-inflammatory effects.

There is no conclusive research to show that pomegranate arils or juice can directly help you lose weight, but they do have an impact on your gut health, and getting your gut healthy can definitely help with your ability to lose weight.

Pomegranates have been shown to increase the growth of Bifidobacterium and Lactobacillus, two important bacteria in the gut, according to February 2020 research published in Foods.

Try sprinkling pomegranate arils on your morning oatmeal and in smoothie bowls, savory casseroles and salads. Toby Amidor, RD, gives you a burst of fall flavors in her Turkey, Walnut, and Pomegranate Salad, which is sure to become a lunchtime favorite.

Go easy on calorie-heavy toppings like cheese and sour cream to help make chili a weight loss-friendly meal.

Image Credit: OksanaKiian/iStock/GettyImages

Chili the quintessential fall food. While you might not be tailgating this year, this football game staple tells you cooler temps are here. Chili may not be the obvious choice for a food that can help you with your weight-loss goals, but it just might be your secret weapon.

When loaded with vegetables, beans and lean meat, it is the complete package for a balanced dinner with complex carbohydrates and protein, both of which help keep you fuller longer (aka less likely to reach into the cookie jar).

When the air is crisp, try this Vegetarian Chili with Red Lentils from Marie Dittmer, RD. This spicy chili is loaded with vegetables, beans and lentils for a fiber- and nutrient-filled dinner, perfect to keep you on track.

Brussels sprouts are in a family of vegetables called cruciferous vegetables. This family also includes broccoli, cauliflower, kale and cabbage.

Cruciferous veggies may help you lower the inflammation in your body, according to a May 2014 study published in the Journal of the Academy of Nutrition and Dietetics. The research indicates that women, in particular, who had higher intakes of cruciferous vegetables had lower markers of inflammation.

If you have chronic inflammation the kind that stays around for a while you may find it harder to lose weight. There is a clear link between weight gain and inflammation, according to Harvard Health Publishing, so lowering inflammation with anti-inflammatory green vegetables like Brussels spouts is a good start.

If you've been hesitant to jump on the Brussels sprouts train, there are a multitude of ways for you to enjoy them. Gone are the days of simply boiling these tiny cabbages. Now, roasting is the way to go. Sharon Palmer, RDN, pairs delicious and warm fall flavors perfect for any weight-loss plan in her recipe for Maple and Balsamic Roasted Brussels Sprouts.

Sweet potatoes are often thought of as a good substitute for the white potato. The truth is, they are both starchy vegetables and both have impressive nutrient profiles. The sweet potato is much less abused when it comes to processing, though (looking at you, french fries and potato chips).

Sweet potatoes are low in calories (103 for a medium size) and have an impressive 15 percent of your daily value of fiber per serving. What makes sweet potatoes an ideal food for weight loss is the water content they're anywhere from 62 to 75 percent water, per a June 2019 review in Food Science & Nutrition. This means they are a satisfying option for meals and you are less likely to overindulge.

Sweet potatoes are a favorite for fall menus, but they don't have to be drenched in butter or slathered in marshmallows to be delicious. There are healthier ways to eat them, such as roasted, mashed or added to your favorite soups.

Sweet potatoes are also delicious stuffed yes, you heard that right. Take the time to bake your sweet potatoes and stuff them with veggie chili, broccoli or try a recipe from Chrissy Carroll, RD, for BBQ Ground Beef Stuffed Sweet Potatoes.

A warm breakfast is always a good idea when the temperatures drop, and oatmeal is an excellent option when you're working to lose weight. It has a special type of fiber called beta-glucan. While beta-glucan may not directly help you lose weight remember it's all about overall diet quality it can help.

Beta glucan is known to help regulate blood sugar and keep you fuller for longer periods of time. This makes it a great addition to all types of diets.

It doesn't matter if you prefer old-fashioned, steel cut or quick-cooking oats, you still get the same nutritional benefit. You can also blend up oats into flour and add them to any recipe that calls for all-purpose flour and doesn't require the gluten for texture, like meatballs or the topping to your apple crumble.

If you choose to buy instant oatmeal packets in the store, opt for the lower sugar choice to control the amount of added sugar in your diet. And keep in mind that making your own flavored oatmeal is so easy and affordable, and it helps you control what exactly goes in your oatmeal.

If you are really wanting to kick fall into high gear, chai flavors will have you curling up under your favorite throw and reaching for your fuzzy slippers. This Chai Spiced Pumpkin Seed Almond Muesli by E. A. Stewart, RD, will make you happy that sweater weather has arrived.

Read the rest here:
7 Best Foods to Add to Your Weight-Loss Diet This Fall - LIVESTRONG.COM



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