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Stop Diabetes Before It Stops You
Stop Diabetes Before It Stops YouThe Natural solution to managing Diabetes
www.LivingDiabetesFree.com
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 1
Stop Diabetes Before It Stops You
Table of Contents
1.) The Onset of Diabetes 3
2,) Why Should We Want Good Health 14
3,) Insulin and the Cause of Diabetes 25
4,) The Standard American Diet 36
5,) Choosing What to Eat With Diabetes 47
6,) Complex Carbohydrates 58
7,) Recipes for Our Plant Based Diet 69
8,) Exercise for Good Health 85
9,) Preparing for Success 94
10,) The Plan to Stop Diabetes 100
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 2
Stop Diabetes Before It Stops You
Chapter 1 The Onset of Diabetes
America - The Land of Chronic Disease
Many serious consequences occur to our health due to the counterproductive
lifestyle choices that we make. In this chapter, we will discuss how diabetes, obesity,
and several other chronic diseases have occurred because our bodies are trying to adapt
to the evolving society in which we live. We will learn valuable information that we
will use to overcome cultural, physiological, and psychological habits that tend to make
us unhealthy. The knowledge that we will receive will assist us in the journey we are
about to begin and save our lives.
Diabetes and many other chronic disorders have become so common in the
United States today, that they are reaching epidemic proportions. There are currently
more than 21 million people in the United
States with diabetes, which equates to 7
percent of the total population. Even
more have prediabetes, an estimated 41
million, and full-blown diabetes will
likely occur in these cases within five
years. Diabetes has grown into such a
crisis in America, that 1 in 3 children born
in the year 2000 will have diabetes at
some point in their life. Even though this
is a grim outlook on a disease with so many complications, if we eat the right kinds of
foods, become active, and learn to think the right way about our habits, we will be able
to overcome diabetes and use much less medication in the process.
The United States is unfortunately a location where these debilitating disorders
are a common occurrence. These illnesses rapidly emerged after westernization
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 3
Stop Diabetes Before It Stops You occurred as the culture of abundance began. In the past, diabetes would only occur in
kings, as they were the only ones who could afford lavish lifestyles with high fat and
high calorie foods. Nomadic cultures were prevalent where people would have to hunt
for their food and sometimes they would go for many days without eating. Once
westernization occurred and towns grew around food production areas, everyone began
to consume more calories from meats and processed foods than ever before. Many
diseases began as a direct link to over abundance in westernized cities.
We have seen that in poor nations across the globe, the diseases of which we
suffer from in America are very rare. While the people in these developing countries
may suffer from diseases caused by poverty and the lack of proper nutrition, they have
very few cases of diabetes and heart disease. We have recently found that a society’s
diabetes and cancer rates are directly proportional to their geographical or cultural
proximity to the western world. Even though we are advanced in technology which
allows us to get our food quickly instead of hiking for miles to find something for lunch,
we are not doing ourselves any good as we continue to gain weight and develop chronic
illnesses.
Why Do We Make These Choices?
There are several reasons for the
counterproductive lifestyle choices that we make
everyday. Highly processed foods with many
calories are also unhealthy and very cheap to buy.
Instead of using natural ingredients and making our
own foods, we tend to purchase ready-made meals
with tons of fats and preservatives added. We eat
too little natural foods like vegetables, fruits, and
whole-grains because we eat too much meat, dairy,
sugar, and processed foods instead. Many diseases
that are now common in the United States are essentially mutated versions of diseases
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 4
Stop Diabetes Before It Stops You prevalent in domesticated animals that we consume. Fast foods have become a huge
trend in our daily meals because it is easy to access, so we overindulge in high calorie,
high animal fat and protein, added sugar, and processed foods with many carbohydrates.
Although we hear about the poor health conditions caused by fast food everyday, we
like it because our bodies think they need to eat extra fat and calories to survive times of
famine that never happen anymore.
Nature or Nurture?
There is always much debate over whether a disease like diabetes develops as a
process of nature or nurture. It turns out that both play a factor in the process, but
nurture can certainly outweigh nature in this instance. Diabetes is our body’s adaptive
response to the environment, and in this case, the disease shows us that our bodies are
working but they can only work extra hard for so long before failure occurs. Even
though there is a genetic factor in whether we are at a higher risk for developing a
disease, the cultural forces that surround us work to sabotage our health. The
advertising that we see to everyday makes it difficult to stop the habits of the western
world.
Stress – Is It Harmful?
When it comes to the development of diabetes, stress does more harm than
good, but constant advertising causes unneeded stress on our bodies. We are usually
unable to avoid advertisements focused on soft drinks, fast food restaurants, candy, and
other processed foods. Studies have shown that stress is capable of causing diabetes as
well as make it worse. When our bodies are under stress, blood sugar levels increase
whether we have diabetes or not. This is an adaptive response from the days of fight or
flight when we needed sugar for energy to fight off the object causing us stress.
Unfortunately, stress that we have now causes us to eat more, decreases our physical
activity, and makes us feel exhausted and depressed. In addition, our bodies release
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 5
Stop Diabetes Before It Stops You cortisol during times of stress; an excess build up can cause brain damage, increases
abdominal fat, and suppresses our immune systems.
The Real Truth About Diabetes
Many of us are unaware of the actual truths associated with diabetes as we have
been hearing many lies for the past several years. It turns out that lifestyle choices have
a huge effect on how we view a diagnosis of diabetes. We have always felt that diabetes
is a death sentence waiting to happen, but if we change a few of our behaviors right
away, we can essentially live longer than many of those without diabetes. When we
make changes in our lifestyles, we are not only enabling ourselves to live longer, but we
can also reduce or eliminate the awful complications that are always associated with
diabetes.
Even though genetics do play some part in our diabetes diagnoses, our unhealthy
habits substantially increase the chances
that we will ever have the disorder. If our
parents have diabetes and they live the
lifestyle of unhealthy eating and no
physical activity, we will increase our
chances of eventually having diabetes as
well if we follow the same routine.
Because we have finally realized that our
choices control our health, we have an
understanding that diabetes is not an
illness that we catch like the flu.
It is also true that advertisements for medications make it seem like we will need
large doses of medications for the rest of our lives if we have diabetes. This advertising
is usually the reason that medications are over prescribed and often unnecessary as well.
Our doctors tend to prescribe more medication when our blood sugar levels increase;
however, this usually creates more problems that lead to more medications. We often
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 6
Stop Diabetes Before It Stops You need to lose weight when we have diabetes, but our medications keep us gaining. Then
we feel sluggish, we are less active, we have high cholesterol and high blood pressure
which all lead to more medications. It is not until insulin comes into play that we feel
hopeless because we do not know what we need to do to fix our problems and we have
very little understanding of what is happening. Once we learn to live a healthy lifestyle,
we can reduce or even eliminate the medications prescribed for diabetes as well as all of
the other associated disorders in just a short time.
Many of us have previously placed our doctors in complete charge of our
diabetes management and that does not usually work so
well. We need to work with our doctors to make joint
decisions and eliminate the burden of diabetes. Since
many doctors tend to mismanage diabetes, we need to
become educated patients in order to control the disease
appropriately. Instead of giving setting optimal health
goals for us to achieve, doctors tend to set goals for us that considered normal. These
goals are usually only as high as our doctor’s believe we can attain. Optimal goals
should be set so that we can strive to live as healthy as possible. For these reasons, we
believe that diabetes is uncontrollable and that it is just something we have to put up
with for the rest of our lives. When we change our lifestyles and habits, we can
completely control type-2 diabetes and make type-1 diabetes much easier to live with
every day.
How This Program Began
Several lifestyle physicians developed the recommendations in this program in
order to help millions of people across the United States in their quest for diabetes
control. By examining different lifestyle treatments, including diet and exercise, they
were able to find changes that we can make in our daily lives that would do what
prescription drugs have failed to do. Instead of reversing or eliminating the disease,
most doctors only manage the problems. This is mostly due to the acceptance of using
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 7
Stop Diabetes Before It Stops You only medication as treatment, which increases to keep up with the progression of the
disease. Most traditional doctors have ignored the idea that there is something that is
more effective than medication in controlling diabetes. Although the program discussed
treats diabetes, it can essentially reverse obesity, coronary artery disease, hypertension,
elevated blood lipids. It can relieve arthritis, osteoporosis, constipation, hemorrhoids,
and can prevent the majority of cancers prevalent in the United States.
Can We Call It A Cure?
Before we begin this program which can both heal us and cure us of our
diseases, we need to understand the difference between the two, as they are not
equivalent concepts. When we are talking about a cure, we are essentially the passive
recipient to a physician’s care, which means we must be patient as our doctors attempt
to alleviate our pain. Healing is very different in that we are required to use a physical,
mental, emotional, social, and spiritual process in an attempt to alleviate symptoms of a
disease. Doctors are unable to heal us because it is something that must come from
within each of us. The recommendations in the program are going to use both healing
and curing to reverse the symptoms of diabetes.
Choosing a Helpful Doctor
Upon our decision to start the necessary changes, we must first decide if our
doctors are helping or hindering our well-being. Finding a coach who can work with us
is vital to controlling our diabetes. First, we must consider how well our doctor’s advice
is working. Are things still the same as they were a year ago even though we are
following all of the recommendations given to us? It seems silly to keep doing the same
things that are not working, while expecting things to get better. By asking the
following questions, we will determine if we can work with the doctors we already have
or if we should look for someone else before starting this program.
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 8
Stop Diabetes Before It Stops You Is my need for medications increasing or are they decreasing?
Is it getting easier or harder to manage my
blood sugar levels?
Is weight loss or weight gain occurring?
Is my energy level increasing or decreasing?
Is my pain level increasing or decreasing?
Is my health getting better or worse?
Is my disease in charge or am I?
Top Ten Reasons Why This Program Works
The program that we are about to start is completely different from the treatment
we have received in the past. There are many reasons why this program works, but the
following reasons are the most important. The recommendations provided actually
work. This program has worked for thousands of people and hundreds of different
studies show the proof. The program is all-inclusive, made especially for those of us
with diabetes. Most recommendations on diet and exercise usually do not work for
diabetics, as they do not incorporate the issues that are important to the disease. The
recommendations we are about to discuss include accurate information about all aspects
of a healthy lifestyle. We will be able to make significant changes because we will learn
about lifestyle changes that we can make to control our health. In addition, we will
understand the entire truth about our disorder and we will act on the information
provided.
Many of the patients who have previously followed these recommendations have
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 9
Stop Diabetes Before It Stops You been able to decrease or even eliminate their need for medications, including insulin in
just a few weeks. We will learn that medication is not the primary treatment for
controlling diabetes. We will begin to enjoy a plant-
based diet that is filling, low in fat, high in good-quality
proteins, and high in complex carbohydrates. We will
see that a physically active lifestyle is full of health
benefits. This program uses techniques that work
without causing any pain. We will receive tons of advice
on how to incorporate all of the program foundations
into our daily lives. Within thirty days, we will improve
nearly all aspects of our lives including our diabetes, by significantly reducing our risk
of having any other chronic diseases. At the end of the program, we will be able to
answer the important questions of, “Good health – for what?”
Once we start following the recommendations that we discuss in the coming
chapters, we will increase our quality of life substantially. After 15 days of following
these guidelines, we will see some of the following changes to our health.
• 20% drop in triglyceride levels
• 16% reduction in cholesterol levels
• 22% decrease in low density lipoprotein (LDL)
• 17% reduction in fasting glucose level
• 4.6% reduction of total body weight
• 3% decrease in waist circumference
• 8.7% drop in fructosamine levels
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 10
Stop Diabetes Before It Stops You
• 5% reduction in resting heart rate
• 12% improvement in one mile walk test
• 6% drop in systolic blood pressure
• 4% drop in diastolic blood pressure
• 18% increase in flexibility
Understanding Our Diseases
We must understand several things before we can start to change our lifestyle to
improve our health. First, the diseases that we may have, especially diabetes, do not
determine our fate. Even though we may have felt like we received a death sentence
when we first were aware of our diagnoses, it does not mean that will suffer until we
die. Many changes will occur with these recommendations to make sure that we will
not suffer due to any complications. In order to do this, we will need the help of a good
lifestyle coach, but we need to understand that our doctors are not entirely in charge of
our healthcare. We need to develop a positive attitude and realize that we can change
our ways if we are determined to do so.
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 11
Stop Diabetes Before It Stops You
The large amount of calories that we consume is a major factor in the onset of
diabetes. We must begin to take charge of what we eat and how much we eat to
decrease the risk. Just because someone may offer us unhealthy foods, does not mean
that we must eat it all. The buffet table does not determine how much food we should
eat. We are going to learn that the simple changes we will make will do much more for
us than the medications that our doctors prescribe. Many of us believe that the newest
wonder drug on the market will solve our problems, but essentially, our behaviors can
be a better solution.
Working To Change Our Habits
Changing a habit that we may have had for several years may be difficult but we
need to make the change. We generally have a fear of changing things so we tell
ourselves that we cannot or will not be able to change our behaviors. We must
understand that this fear is not in control of our behaviors before we can begin. It turns
out that unhealthy habits can change and it will always do more good than harm. We
need to start taking responsibility for our way of thinking, our behaviors, and the
consequences that follow.
Due to our family and friends unknowingly trying to sabotage our strategies, it is
unfortunate that we will be on our own for the entire process of changing our habits. The idea
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 12
Stop Diabetes Before It Stops You of a plant-based diet is absurd to many and others will not understand how we expect to lose
any weight by the types of exercises that this program recommends. However, it is essential
that we follow every bit of advice laid out in the program in order to achieve our goals. We will
face temptations frequently whether it is at home with our families or when we attend a party or
a buffet with plenty of unhealthy foods available. We may even lapse sometime, but we must
not stop the program entirely just because one time we did not stick to the plan. If we fail to
achieve a goal, we must start over again and keep trying.
There have been several articles and books
published that give us a horrible outlook on the future of
diabetes. We hear that our children will be
overwhelmed with diseases and health care troubles,
with overcrowded hospitals and the public health
system becoming overwhelmed. We hear many horror
stories about complications such as blindness, kidney
failure, amputations, and never damage. Even though
these give us a grim outlook on the future of our nation,
Type-2 diabetes is preventable and reversible. Diabetes
is a disease brought on by our culture and it comes only
after we make several unhealthy choices.
Our health, well being, and attitude are all under our control and we can make
the changes necessary if we are determined to do so. We are in charge of how we think
about things, the way we react to things, and the way we talk to others and ourselves
about things. In order to remain true to ourselves, we must understand cognitive
behavior therapy, practice it, and use it to sharpen our expertise.
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 13
Stop Diabetes Before It Stops You
Chapter 2 Why Should We Want Good Health
Six Concepts for Healthy Living
Knowledge is vital to our existence and can help keep us alive and well.
However, it is not just knowledge that is important in our desires to change our habits
into those that can keep us healthy. The decision to live a healthy lifestyle as well as
commitment to follow through come from the knowledge we receive about our health
concerns, but also from the concepts we will discuss in this chapter. We must consider
why we want to feel better in order to be successful with making lifestyle changes to
improve our health. The recommendations given will tell us how to make these changes
by providing us information on the correct foods to eat, the correct forms of physical
activities we need, and the right mindset we need to have, but we must answer the
question of why. The main determinant of our success on this program is the search we
make to answer that question. We must consider the following concepts as we start our
new lifestyle.
GoalsSetting goals is the first step to any successful health plan. If we follow the
recommendations exactly as they are given we will receive optimal results, but this may
be too difficult for many of us because there are so many changes to make right away.
Instead of doing everything all at once, we should focus on the main priorities first and
tackle them head on. We must set both long-term and short-term goals in order to
achieve a healthy lifestyle. Before starting the recommendations, we will set realistic
goals that are mostly attainable in the immediate future. Once we achieve these goals,
we will set more and work on those as well. The following guidelines will help us to
create goals that are beneficial to our health and well-being.
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 14
Stop Diabetes Before It Stops You • We should be clear about our goals. If we know where we are going, we will
stay focused on going in the right direction. These goals may include decrease
after breakfast blood sugar, switch from cow’s milk to soymilk, or stop eating
processed foods.
• We need to quantify our goals using the following parameters. Objective
measure is ideal for goals that are easy to identify with a number such as weight,
cholesterol, and blood pressure. Objective acknowledgement is ideal for goals
that involve and activity that we will do or not do such as stop eating sugar or eat
more vegetables. We should list the activities that we are doing and then rate
ourselves on how we are doing. Subjective measure is ideal for goals that are
hard to measure such as boosting our mood or energy level. We should evaluate
ourselves from day to day on how well things are going. Some of these specific
goals may include decrease body weight by 2 pounds per week, lower HbA1C to
6.0%, or lower after lunch blood sugar to 140.
• Setting specific target behaviors that will allow us to achieve our goals is
important so that we know exactly what we need to do in order to succeed.
These behaviors may include taking a stroll after a meal, increasing our fiber
intake, stop eating junk food, or get plenty of physical activity.
• We should set a timetable for our goals so that we are aware of when we should
have a specific goal completed.
• Making the time to reach the goals is vital to the entire program. We must put
ourselves first and put our health at the top of our priorities list.
ChangeMaking changes to our daily habits is essential to achieving our goals. Benefits
come from change, but in our current society, change happens too fast for our bodies to
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 15
Stop Diabetes Before It Stops You notice the effect. Many times, we stay in our comfort zones and resist changes because
we imagine we will be in distress. Unless we make changes to our lifestyles, there will
never be a positive result with our diabetes control. It is often that change is necessary
usually for health reasons. Once we incorporate the changes in our lives, it only takes
three weeks for the changes to become permanent parts of our daily routines. Changes
that lead to a new routine will lead us to enjoy better healthier lives.
Many of us may not want to change and even though it is necessary to extend
our lives, we are still resistant. In order to break the
unhealthy habits, we must determine what is
causing our resistance. Looking at some common
causes for resistance to change will enable us to find
our own reasons. We may still be distressed from
learning that we have a chronic disease that we are
only able to think about how unfair it is that we are
in the situation. This tells us that we have not yet
accepted our diagnosis. Many times, we are fearful
of our diagnosis and we prevent ourselves from
taking the necessary actions. Once we are ready to
make the changes, we need to get as must
information as possible. We need to understand what changes need to happen and how
we will make the changes to better our health.
CourageThe driving force behind our choices of change is courage. Courage is not only
a character trait that our actions express, but it is also the main reason behind our
success in living a healthy lifestyle due to the changes that we have to make. It is not
our circumstances, our culture, or our heredity that allows us to change, but instead it is
our belief that we are a matter of our own fate. We must use our courage to decide to
become healthy and have control over our disorders.
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 16
Stop Diabetes Before It Stops You Hope
We need to veer away from what we think our limitations are that prevent us
from becoming healthy. Hope allows us to do this as well as to find meaning in our
lives and efforts, which helps us to experience fulfillment. By using this program when
we are at our last hope for saving our lives, our hope is highly rewarded. It is essential
that we have hope because it helps to boost our immune systems. Studies have shown
that optimism is associated with decreased mortality rates as pessimistic individuals
have weaker immune systems.
OptimismBecause most of us have had diabetes for so long, we
may find it very difficult to be optimistic, especially if our blood
sugars are uncontrolled and our weight keeps increasing. It is
our ability to choose that separates us from other life forms. The
freedom of choice is our optimism in action. The use of humor
is also showing our optimistic attitude. Studies have shown that
those who appreciate humor are much more likely to live longer than those who do not
and survival is particularly high for patients with cancer.
EnduranceOnce we have created our personal goals and we have found the courage to
change, we also need endurance. When we discover that
we need to find good health, it requires a complete lifestyle
change, not just a change of diet. We are tolerant of diets
only until we achieve a particular short-term goal, but then
we end up going back to what we want to do instead.
Endurance allows us to make changes stick to accomplish long-term goals as well. In
order to have a more fulfilling life, we need to strive to endure until the end. This
requires much discipline over our own believes, our values, and our mission. We should
trust ourselves and think seriously about our health, what matters to us, and what we can
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 17
Stop Diabetes Before It Stops You sacrifice to achieve our goals.
Ask Why to Define Our Course of Action
Our commitment to follow a health improvement plant will never last long if we
do not see good results from our time and effort. Committing to a new routine is usually
easiest right after we go through a time of crisis, but it is between crises that we allow
ourselves to rationalize
our inaction with excuses.
In order to stick with this
program and drastically
improve our lives, we
need to find our own
personal answers to the
question of why. Why do
we want to live? Why do
we want to have good
health and vigor? Why do we want to be out of pain? We will use the following ideas
in our attempt to find the answers in which we are searching.
HappinessWe must consider what we would do if finding good health brought happiness
and a desire to do things that we are not doing right now. Whether it is playing with our
children, running a marathon, writing a book, or taking a trip to Paris, we need to
discover, through personal exploration, what we would truly like to be doing in our
lives. Consider happiness in the sense of fulfillment, the feeling of joy we have in life,
and our overall satisfaction.
Happiness requires that we understand the difference between the things we can
control and the things we cannot. If we are not where we want to be or headed where
we want to go, we must consciously change our actions and thoughts to match our
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 18
Stop Diabetes Before It Stops You desires. We need to become self-helping and only rate our acts, our feelings, and our
thoughts instead of our being, our essence, or ourselves. If we need something to
change our counterproductive habits into healthy ones, it is required that we will not be
okay if we do not have what we need.
ServiceWhen our lives are lived to do service for others, we receive more than what
money can pay. In order to discover the meaning of our lives and find happiness and
longevity, we need to find our own way to serve. We can volunteer and serve our
families, our communities, our country, or our religious organizations. Many of us
might think that the process of making ourselves healthier will be selfish, but there is a
balance worth seeking that keeps us from being self-absorbed. Sharing, getting
involved by volunteering creates that balance and this will give us a reason to have good
health.
LegacyMost of us will think about how we would like others to remember us, but it
usually does not happen until we are at the point where it is too late to make any
changes. We should think about this now and start living the way we want our family
and friends to remember us right away. We need to put an end to any unfinished
business and mend emotional fences. This is a great place to start and we should
continue living this way, as we never know how much more time we have. When we
extend our lives by starting a new healthy lifestyle, we will give ourselves more time to
create the legacy we would like to leave behind.
CommitmentWe need to make a commitment to gain control over diabetes and our lives so we
can get back what we put into life by living healthy. By making small promises and
sharing them with someone we trust, we will be able to commit to changing our
lifestyles. We can make commitments to many things, like god or our houses of
worship. Studies have shown that those of us who have religious beliefs will cause us to
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 19
Stop Diabetes Before It Stops You be physically healthier, lead healthier lives, and require fewer health services. It turns
out that this type of commitment can be as beneficial as quitting smoking as it can add
up to 14 years to our lives.
Rational Emotional Behavior Therapy
It is important to understand
that the way we think controls our
lives. Depression and other
emotional troubles associated with
diabetes need to be a topic of
discussion with our doctors and
treated quickly. Rational Emotional
Behavior Therapy helps us to change our thinking and our behavior to alleviate our
mental concerns. It includes the way we think, the way we feel, the way we act, and the
way we heal ourselves to get better. For this type of therapy to work, we have to make
our most important goal the desire to get over our misery. We should consider the
following thoughts to change the way we think about our conditions and ourselves.
When we believe that we should succeed to win the approval of others, we
include buts and alternative solutions. When we do not fulfill our preferences, we feel
healthily sorry, disappointed, and frustrated instead of feeling unhealthily panicked,
depressed, and self-hating. When we strongly believe that because we want to succeed
and with the approval of others, we absolutely under all conditions must do so, we
create anxiety and severe depression. We need to stop setting ourselves up for failure so
it will be impossible to upset ourselves emotionally about anything.
The Motivational Triad
A lot of our success in living with and controlling diabetes takes place in our
brain. We must learn to deal with the emotional, spiritual, and cognitive aspects of
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 20
Stop Diabetes Before It Stops You healing ourselves when we have diabetes. We must consider many valuable questions.
We will be able to find answers to these questions even though they may be painful to
ask ourselves.
Why do we do the things we do?
Why do we eat unhealthy foods?
Why do we not get enough physical activity?
Why do we want magical cures to our problems?
Why do ignore our serious health problems?
The answers to these questions can change our lives substantially even though they
are actually simple and practical. By using the motivational triad, we can answer these
questions right now. The motivational triad is the concept behind human behavior and
emotions that can help us live with diabetes. This concept helps us to understand why
we do what we do.
We look for pleasure.
We stay away from pain.
We limit our energy usage.
The motivation for everything we want and do not want comes from these three
factors and it works for every question for anything that we do. When we go to work,
we believe that more money will give us everything we want to have a more pleasurable
life and help us avoid the pain of being poor. When we try to be healthy, we do not want
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 21
Stop Diabetes Before It Stops You to suffer from chronic illnesses. Instead, we want to feel good and live for many years,
which would bring us pleasure and help us avoid pain. When we get married, we want
to have the pleasure of companionship and avoid the pain of being alone. When we go
on a diet, we want to get more pleasure out of life and avoid the pain of not looking or
feeling well.
This theory makes sense in the natural world because things that feel good
usually bring in good results. Addictive substances, however, do not follow the
motivational triad properly. Things such as caffeine, alcohol, and drugs give us
pleasure, help us avoid pain, and provide benefits with very little effort. We fool our
brains when we obtain pleasure quickly and we tend to seek out more of what caused
the pleasure. Unfortunately, these good feelings disrupt our normal behaviors of
seeking pleasure, which causes things that once made us happy to no longer work.
Because of this, we must not trust our instincts when it comes to things that we want and
things that we think we need.
We will be able to use the motivational triad to achieve long-term success once
we understand the three factors behind our motivation. Looking for immediate
gratification is a hard-wired trait and our desire to use little energy tries to take over all
other motivators. We can also learn to delay gratification to avoid pain in the future. In
order to enjoy the correct form of pleasure, we need to stick with just a few beneficial
behaviors for a time long enough to experience it and soon we will want no other
alternative.
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 22
Stop Diabetes Before It Stops You
Chapter 3 Insulin and The Cause of Diabetes
When trying to understand our diabetes diagnosis, we must first understand what
happens when our bodies work properly. To keep us alive and healthy, all of the systems
in our bodies typically work together. When one system has a problem, this system
affects all of the other systems in our bodies. If we do not correct the problem as soon as
we can, it will eventually lead to a chronic disease. Both internal and external processes
can harm us. There are processes within our bodies that can harm us, for instance, if an
order secretes too much or too little of a particular hormone. Processes that occur
outside of our body can cause harm as well, for instance, diet and pollution. When we
develop diabetes, both internal and external factors are the cause.
The Normal Functions
Our bodies are made of many cells and each has a job to do that requires energy.
This energy comes from the carbohydrates n the foods we eat after they digest. The
process of how food becomes an energy source is simple. Our brains begin by signaling
our salivary glands to produce saliva. After we eat the food, it goes through our
esophagus, to the stomach where enzymes break the nutrients into smaller components.
Our bodies channel the nutrients into the intestines where they are absorbed into the
bloodstream and used for various purposes such as supplying the cells with energy.
The pancreas is also a key
component in our digestive system. It
has two main functions, to make
digestive enzymes and important
hormones to help our bodies use the
energy. The most widely known
hormone produced by our pancreas is
insulin, which lets our cells know how
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 23
Stop Diabetes Before It Stops You much energy, is readily available. The surface of each cell contains a specific receptor
where insulin locks into place. When insulin attaches to our cells, it will allow the
transfer of glucose to take place. Our pancreas will only secrete a small amount of
insulin if there is only a little glucose in our blood, but if there is a substantial amount of
energy available, then a lot of insulin released. Cells that are busy and need energy, will
allow the energy transfer so they have enough energy to do their jobs. To let the proper
amount of glucose into our cells, our pancreas will secrete the correct amount of insulin
by monitoring how much glucose is in the bloodstream.
The Onset of Type-1 and Type-2 Diabetes
Diabetes occurs when there are fundamental problems with the normal digestive
process. Type-1 and type-2 are the two main types of diabetes. Type-2 occurs in 95
percent of the patients diagnosed with the disease. These two types are a result of
metabolic malfunctions and patients with both have blood sugars that go up and down
frequently. Although these are both considered diabetes, they are actually opposite types
of disease that affect very different people. When our diagnosis is type-1 diabetes, this
means that our pancreas is no longer secreting any insulin. When our diagnosis is type-2
diabetes, this means that our cells are no longer accepting insulin even though our
pancreas is making more than enough.
Insulin Resistance
No organ or system in our bodies controls the amount of energy we consume.
We tend to eat for many reasons besides the need for energy sources. Everything we eat
digests in the same manner and not even our pancreas controls the energy delivery. Each
cell in our bodies decides how much energy it needs and adjusts the transfer accordingly.
Every cell also has both insulin sensitivity and insulin resistance. If our cells are
swimming in excess glucose that is floating in our bloodstream, they will begin to ignore
the insulin our pancreas secretes. Once we increase our physical activity level, lower
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Stop Diabetes Before It Stops You our weight, and eat the right types of foods, the insulin resistance will begin to lower.
We need to manage our energy metabolism by controlling our intake and processing.
Not Enough Physical Activity for Our Cells
When we are not getting enough physical
activity, we do not decrease our consumption of
calories. In fact, it usually is quite the opposite where
we tend to eat more calories when we are not
physically active. The main cause of type-2 diabetes
and obesity is that we take in too much energy and we
use very little. When we consume food and a lot of
energy is in the bloodstream, there is a lot of insulin
also in bloodstream that is frantically trying to get our
cells to use the energy. However, when we are lazy,
the cells reject both the insulin and the energy. Our
pancreas will keep releasing more insulin to match the
available energy, and when most of our cells do not
want it, the whole body begins to acquire insulin resistance. This resistance causes
many serious
A Lot of Insulin with Very High Blood Sugars
Two components of the type-2 diabetes process are high insulin levels and high
blood sugars. Our pancreas will reach its maximum insulin output after a lot of insulin
accumulates in the bloodstream when the cells do not accept the hormone. If this
process continues for an extended period, the pancreas will start to tire. It turns out that
our pancreas ceases to work by complex chemical processes, but it is easier to look at it
as burning out when overused. When this happens, our average blood sugar levels begin
to rise. Because of this, a lot of sugar in the blood filters out through our kidneys and
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 25
Stop Diabetes Before It Stops You into our urine. Although many doctors do not realize this, high insulin levels are
actually the first sign of type-2 diabetes.
Several complications are associated with high blood sugar levels and we must
understand these conditions. Small blood vessel disease happens when too much sugar
clogs the blood vessels by different methods. First, the method is when our cells’ energy
management process clogs and creates more free radicals, which are sugars attached to
the proteins, and other damaging compounds. This happens because the lining of the
blood vessels are unable to say no to the glucose that is in the bloodstream. When
damage of the small blood vessels occurs, it can lead to blindness, kidney failure, and
neuropathy. This can also damage the circulation of our extremities.
High insulin levels on the other hand can lead to large blood vessel disease
because insulin is a growth hormone. Strokes and heart attacks are more common due to
excess insulin in our bodies. When there is more insulin available, we are more likely to
gain weight, which causes insulin resistance, inactive cells, and worsening diabetes.
Insulin also inhibits the breakdown of fat, protein, and glycogen, which is responsible
for storing energy and building tissue. The pliability of our blood vessels are also
effected by insulin, which causes high blood pressure, and allows the kidneys to hold on
to excess sodium. This also causes our total cholesterol and low-density lipoprotein
levels to increase and our high-density lipoprotein to decrease. Unfortunately, our
doctors tend to make the mistake of ignoring the negative side effects of high insulin
while only focusing on treating our blood sugar levels.
The Diabetes Diagnosis
Most of the time, a diabetes diagnosis is determined using a fasting blood sugar
test. However, when this test result becomes elevated, diabetes is already in full force,
and has already developed five years ago. When this number is higher than 125 mg/dL,
this shows that our pancreas cannot keep up with the energy input even when we do not
consume any food for twelve hours. Instead of using the fasting blood glucose results to
make a diagnosis, physicians should be using high insulin levels present in our bodies to
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 26
Stop Diabetes Before It Stops You diagnose type-2 diabetes. This test will show diabetes at the earliest stage a doctor can
clinically make the diagnosis. It is unfortunate that our insulin levels are rarely checked
and our doctors usually rely on weight gain, high cholesterol, and blood pressure, but
many doctors do not even make that association. At the point when most of us receive
our diagnosis, we have already begun to experience many complications of the disease.
We can use a few tests of our own to identify the symptoms of diabetes. By
checking our blood sugar at home two hours after the start of a normal sized meal, we
can determine if there is a good chance that we will develop diabetes within the next five
years. Test results that are elevated, show that our pancreas has already maximized the
production of insulin and it still is unable to handle the energy consumption, a sign of
insulin resistance. If the result is over 140 mg/dL, we need to make some lifestyle
changes to reduce our risk. We should also have a fasting serum insulin level checked to
see if there is a higher than normal level in our blood. If this result is greater than 6 μIU/
mL, we may already have diabetes.
The Onset of Type-1 Diabetes
If our diagnosis is type-1 diabetes, this means that the beta cells in our pancreas
have stopped producing insulin. This type of failure usually begins with an autoimmune
response. The immune system in our bodies has attacked the beta cells based on our
body’s natural defense to infection. This can occur when a viral infection, usually the
coxsackievirus, establishes in our pancreas and the beta cells are mistake for the viral
cells due to similar proteins. Other sources of this autoimmune response can be
pancreatic trauma from an accident, tumors, or pancreatitis, as well as some drugs and
chemicals. Another theory is that this auto immune response is the result of antibodies
against the proteins in cow’s milk. Some studies suggest that infants given cow’s milk
too early in life have a 50 percent higher risk for developing type-1 diabetes. This early
introduction to cow’s milk is harmful to our beta cells. A vitamin D deficiency is
another theory on whey type-1 diabetes develops. Another study shows that giving a
high dose of vitamin D to children in the first year of their lives had a lower risk of
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 27
Stop Diabetes Before It Stops You developing type-1 diabetes by 80 percent. In any case, the development of type-1
diabetes is due to a genetic predisposition that activates by an external factor.
A normal pancreas secretes up to 30 units of insulin per day and if we inject any
more than that, it will lead to insulin resistance. Since there is a lack of natural insulin in
those of us with type-1 diabetes, we have very little fat stores in the cells because they
cannot take in the energy in our bloodstream. For this reason, those of us with type-1
diabetes are usually thin. However, if our diet is not controlled, our blood sugars rise.
We usually control this with more insulin, but that can lead to weight gain and insulin
resistance. It is better that those of us taking insulin maintain our calorie intake of low
glycemic foods so that we can take less insulin and still maintain good blood sugar
control. However, it is often that those in the medical community advise us to eat six
meals a day to prevent hypoglycemia. This will cause us to use more insulin to allow
our cells to use the energy and then we need to eat to stop hypoglycemia. When we start
on this trend, we can seem to have both type-1 and type-2 diabetes at one time.
This process of insulin resistance in type-1 diabetes is important to understand.
In order to treat type-1 diabetes effectively, it is crucial to understand that a little insulin
is adequate to control our blood sugar levels. There are many problems associated with
chronically high insulin levels when taken by those of us with type-1, which we
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Stop Diabetes Before It Stops You discussed earlier. The level of insulin resistance and sensitivity in our bodies will
determine how well we metabolize the energy we consume.
Four Vital Test Results
There are four tests that our doctors should recommend that would determine if
we have diabetes or are likely to get it in the future. It is important to know that getting
only one test done does not tell the whole story. We should have multiple tests to
determine the statistical average. Many of the number results are a determination done
by medical scientists, changing with time, and are not optimal results. We will discuss
these four tests and their optimal results below.
We need to test our blood sugar level 2 hours after the start of a normal
sized meal. The result of this test should be no higher than 140 mg/dL. If
the result is higher, there is a good chance that we will develop diabetes
in the next 5 years.
We must receive a fasting blood sugar test with the results being no
higher than 125 mg/dL. If the results are higher, we have diabetes now.
If the results are higher than 100 mg/dL and preferably lower than 90 mg/
dL, we have impaired fasting glucose and insulin resistance resulting in a
diagnosis of prediabetes.
We also need a glucose tolerance test. After 2 hours, our glucose level
should be no higher than 200 and optimally a lot lower.
The final test is a fasting serum insulin test that is vital to know in
combination with the fasting plasma glucose test. These two tests can
help calculate how much insulin resistance is present and how well our
beta cells are functioning. This test is the most important because it can
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 29
Stop Diabetes Before It Stops You tell us if we have prediabetes at its earliest stages.
Blood Sugar Testing
It is crucial that we test our blood sugar levels consistently, several times a day in
order to find patterns of what is happening after we eat, are active, or take medications.
We should strive to test six to eight times a day, as we cannot make our best decisions
without knowing these numbers. This program recommends that we test before each
meal, two hours after the start of each meal, before bed, and upon waking up.
Medication Adjustments
Several medications that each one of us may be taking will need adjusting once
we begin to make our lifestyle changes. If we are already taking medications for
lifestyle related diseases, then we may be taking too much medication when we start the
program. We will list some commonly prescribed medications and discuss some
common adjustments that we need to make. It is important that we understand that we
should only make these changes under direct supervision of our doctor. The given
recommendations may help assist our doctors, but we should rely entirely on our
doctors’ judgment on the issue. We will discuss some medications usually prescribed in
the treatment of diabetes, high blood pressure, and high cholesterol.
Diabetes Pills
• Sulfonylureas – These include Tolinase, Orinase, Glucotrol, Glynase, and
Amaryl. These pills lower our blood sugar levels by stimulating our pancreas to
secrete more insulin. This can help to force more glucose into our cells, but it
does not address the cause of the problem, this being that we consume too much
energy and do little activity to use the energy. It is common that we will need to
stop these pills completely on the first or second day to prevent hypoglycemia.
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Stop Diabetes Before It Stops You
• Meglitinides – These include Starlix, and
Prandin. These pills stimulate the
pancreas to secrete more insulin. It is
common that we will need to stop this
medication on the first or second day.
We should be able to stop it for good if
we lose weight and increase our activity
level, which will decrease our insulin
resistance. We may need to start the
medication again if we still have high
blood sugar levels after meals, as our
pancreas may not be able to keep up.
• Biguanide – Glucophage or Metformin is the only medication of this type. This
pill increases the insulin sensitivity in the liver and prevents the liver from
releasing blood sugar when our bodies do not need it. This pill does not cause
hypoglycemia because it does not improve insulin sensitivity of the muscle or fat
cells. It is common that we will need to continue the use of this medication until
we lose weight and become more active, causing our insulin resistance to stop.
• Thiazolidinediones – These include Actos and Avandia. These pills increase the
insulin sensitivity of our muscle and fat cells. Because this can cause
hypoglycemia, we can stop the use of these medications on the first day.
• Dipeptidyl Peptidase 4 Inhibitors – Januvia is the only medication of this type
available. This pill increases the efficiency of incretins in the intestines, which
increases insulin and decreases glucagon released by the pancreas. The use of
this medication often continues because it does not cause weight gain and low
blood sugar levels. Once we lose weight and increase our physical activity, the
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Stop Diabetes Before It Stops You use of this medication can stop.
Insulin
By making the lifestyle recommendations we are discussing, most of us with
type-2 diabetes that are not already on insulin,
will never have to start. For those of us who
are already on insulin, our dosage will need to
decrease or discontinue quickly in order to
prevent hypoglycemia. When our doctors
prescribe very high doses of insulin in an
attempt to control our blood sugar levels, it
tends to make matters worse. This is because
the real problem lies not within the
progression of the disease, but from a lack of
proper nutrition and activity. When insulin
doses increase, weight gain, insulin resistance,
high blood pressure, high cholesterol, and high triglycerides all intensify. High blood
sugar levels are also frequent even though we are injecting large amounts of insulin.
Insulin doses need to change right away upon starting this program. It is
common that we will need to reduce our dose down to 50 percent in the first 24 hours.
We will be able to determine if this is still an acceptable dose of insulin by checking our
blood sugar levels frequently. In the next 2 to 3 days, we may be able to reduce our dose
by another 50 percent. By the end of the first week, those of us with type-2 diabetes
may be able to stop taking insulin, although this is only a general guideline.
Those of us with type-1 diabetes and some of us with type-2 may not be able to
stop using insulin. This is because our pancreas may no longer have a sufficient amount
of beta cells left to produce enough insulin to control our blood sugar levels. Even
though we may still need insulin, with the lifestyle changes we are going to make, we
will only be taking the lowest dose of insulin necessary, generally the same amount a
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Stop Diabetes Before It Stops You normal pancreas would secrete. However, we must fully discuss our insulin
requirements with our doctors before making the necessary changes.
Injected Diabetes Medications
Byetta – Those of us with type-2 diabetes use this medication. When we
inject this medication, it helps control our blood sugar levels by
mimicking the effect of incretins in our bodies. We will usually need to
continue this medication until after we decrease our insulin resistance.
Symlin - Those of us with type-1 diabetes use this medication. When we
inject this medication, it helps stop the secretion of glucagon, which
increases the livers production of glucose, by acting like the pancreatic
hormone, amylin. We will usually need to continue this medication until
we can stop taking insulin or decrease the dose.
High Blood Pressure Medications
Throughout this program, we should frequently monitor our blood pressure.
Once we start to make these lifestyle changes, our blood pressures may start to drop too
low. This will require us to adjust our medication doses to a lower dose starting at about
seven days into making changes. Many of these blood pressure changes will continue to
occur months after beginning the program and we may need to keep making changes. It
is even possible that we will need to stop this medication completely.
Cholesterol Medications
Once we make the necessary changes to our lifestyles, we will need to reduce or
even stop cholesterol-reducing medications. Within the first two weeks after beginning
this program, we will most likely see our triglyceride levels drop 20 percent and our
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Stop Diabetes Before It Stops You cholesterol levels drop 15 percent. We should have our lipid profiles checked routinely
after we change our diet and activity. It is also possible that we will be able to stop
taking this medication once our cholesterol levels decrease.
Too Many Pills
Many doctors believe that medications are the best way to treat any disease and
are usually the only option they consider. Unfortunately, we often end up with a
prescription instead of recommendations to change our diet and exercise regimen. It
turns out that diet and exercise alone is usually enough to control many diseases,
especially type-2 diabetes.
Doctors often prescribe drugs for problems that are a direct result of having
diabetes. However, many of these drugs also have several side effects such as weight
gain, swelling of the hands and feet, dizziness, muscle soreness, blurred vision, dry
mouth, trouble concentrating, and skin sores. Many of the side effects will also affect
our ability to control our blood sugars. Unfortunately, many of these drugs are supposed
to treat symptoms of uncontrolled diabetes, but they contribute to the cause of diabetes
and often mimic the symptoms of uncontrolled diabetes as well. In addition, if we tell
our doctors about any of these side effects, they will usually prescribe another drug to
relieve the new symptoms, which causes a never-ending cycle.
Although some drugs do work perfectly fine and help the problems for which
doctors prescribe them, they should not be the primary treatment of any disease. These
drugs are usually very expensive. They are usually chasing some sort of test result
number. Doctors often do not prescribe these medications until after our disorder has
grown enough to cause the symptoms. Medications also do not usually address the
cause of the disease. In addition, many of these drugs may actually be worsening the
disease for which we take them.
We should only use the drugs that we may be taking for blood pressure, diabetes,
obesity, and heart disease in addition to proper diet and exercise. As we previously
mentioned, lifestyle changes are the way to good health. Even with medications that we
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Stop Diabetes Before It Stops You may need to stay alive, such as insulin for those of us with type-1 diabetes, we need to
take them in the lowest dosage possible along with significant lifestyle changes.
copyright©2009 LivingDiabetesFree.com. All Rights Reserved Worldwide. 35
Stop Diabetes Before It Stops You
Chapter 4 The Standard American Diet
Although there are many causes of death that are not under our control, obesity,
which is completely under our control, is the second leading cause of death in North
America. In the year 2000, it became apparent that there are as many of us overweight
as there are malnourished, for the first time in history. Obesity causes many problems
including increasing our risk to the highest level for type-2 diabetes. Although the
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Stop Diabetes Before It Stops You power of choice is at play, the standard American diet is the biggest culprit. Our diets
have become overloaded with animal fat, animal protein, calories, sugar, and refined
carbohydrates and it is making us sick. It turns out that diet, along with a lack of
exercise is the main cause of diabetes and many other chronic illnesses.
It is true that we may have a genetic makeup that causes us to be at a higher risk
for developing type-2 diabetes, but our lifestyle choices can ultimately change the
expression of those genes. There is no genetic theory available to date that allows for
such a quick and dramatic genetic change worldwide. Our genetic makeup is not
causing these chronic illnesses to spread so quickly. The main cause of the diabetes
trend is diet. We consume too many calories, too much fat, too many fined
carbohydrates, and too much protein.
Too Many Calories
It is essential that we consume enough calories for our bodies to function
properly. Although calories are our energy source, we eat entirely too many every day.
If we do enough physical activity, it is possible to burn through these excess calories
without a problem. It is when we live a sedentary lifestyle that excess calories cause a
major health crisis. When we consume too many calories in one day, the excess
calories become fat in storage. The only proven method to lose weight and keep it off
is to eat fewer calories and get plenty of exercise.
Our calorie intake is much too large for modern day America. A very active
adult woman should consume no more than 1600 to 2000 calories daily and a very
active adult man should consume no more than 2200 to 2500 calories daily. Those of
us who are overweight should strive for a slightly different caloric intake. Women
looking to lose weight should consume no more than 1300 calories daily and men
should consume no more than 1700 calories daily. Although these calorie
recommendations are the first step, it is also a requirement that we are regularly
physically active. In order to lose one pound, we must eliminate 3500 calories from
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Stop Diabetes Before It Stops You our diet. We may think it will be difficult to cut our calorie by such a substantial
amount, however when we being to eat high fiber, low fat, low calorie plant based
foods, we will reduce our calories without even knowing.
Too Much Fat
We tend to consume too much fat, which is causing an alarming rate of obesity
in this country. It is essential that we understand the differences between saturated,
unsaturated and trans-fats. All fats come from a mixture of both saturated and
unsaturated fatty acids. There are a maximum number of hydrogen atoms in saturated
fatty acids and a low number of hydrogen atoms in unsaturated fatty acids. Saturated
fats naturally come from animal sources. These fats are detrimental to our health
because they raise triglycerides, total cholesterol, low-density lipoproteins, and they
increase our risk of a heart attack and several other vascular diseases. Unsaturated fats
are natural in plant-based foods. We should strive to consume more unsaturated fats as
they lower our total cholesterol and low-density lipoproteins, and lower our risk of
artery blockages. Trans-fats are fats that manufacturers unnaturally create that tend to
behave like saturated fats. We should avoid these fats as much as possible because
they raise our triglyceride levels, total cholesterol, and low-density lipoproteins, while
lowering our high-density lipoproteins. These fats increase our risk of developing
type-2 diabetes. Because trans-fats are a product of hydrogenation, they allow foods to
resist spoiling and they change their texture. It is vital that we not exceed 2 grams of
trans-fat per day. We should read all food labels as they may refer to trans-fats as
interesterified, fully hydrogenated, or partially hydrogenated fats.
There is more than twice the amount of calories in a gram of fat than there is in
a gram of carbohydrates or a gram of protein. When we consume low fat foods, we
improve our sensitivity to insulin, we lose weight, and we lower our risk for diabetes
and heart disease. However, by eating processed foods that are low in fat, we are
essentially eating more sugar and more calories as these become additives when the
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Stop Diabetes Before It Stops You removal of fat takes place. It is necessary to avoid all saturated fats, which typically
come from animal-based foods. We also need to stay away from both fatty and highly
processed foods in order to begin a healthy routine.
As adults, we should eat no more than 20 to 35 percent of our total
caloric intake from fat. This equates to a maximum of 40 grams of fat on a 2000-
calorie diet and this should come from unsaturated fats in plant-based foods. We must
pay attention to portion sizes or we are bound to consume too much.
Too Much Sugar
We consume too much sugar in our diets, which creates another risk of
developing a chronic disease. A third of our sugar consumption comes from soft
drinks. From soft drinks alone,
we add an extra 150 pounds of
sugar to our diets in a year.
Drinking six specialty drinks a
week ads 52 pounds of sugar in
a year. Even juice is not safe to
drink when it is 100% juice.
There are 80 grams of sugar in a
15 ounce serving of grape juice.
High fructose corn syrup is a major ingredient in most of our diets. This type of
sugar is high glycemic and it is a main cause of central abdominal obesity as well as a
risk factor for insulin resistance, diabetes, and heart disease. For optimal health, we
should not consume any sugar, as it may be one major cause of type-2 diabetes. Some
of us may be hesitant to stop using sugar completely, so we should use the following
recommendations.
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Stop Diabetes Before It Stops You • Use cognitive behavior therapy to reduce our desire for sugar.
• Use less than 1 teaspoon of sugar per day
• Do not use refined sugars, as they have no nutritional value and drain our
bodies of other nutrients during metabolism.
• Use only low glycemic sweeteners. These include 100 percent floral honey,
pure fructose, barley malt syrup, and agave nectar.
• Avoid all of the following, as they are all alternative names for sugar.
• Beet sugar
• Black-strap
• Brown sugar
• Carob
• Chocolate
• Confectioner’s sugar
• Corn sweetener
• Corn syrup
• Date sugar
• Dextrin
• Dextrose
• Fructose
• Fruit juice concentrate
• Fruit sugar
• Glucose
• Golden syrup
• Malt syrup
• Maltodextrin
• Maltose
• Mannose
• Maple sugar
• Milk sugar
• Molasses
• Powdered sugar
• Raw sugar
• Refiner’s sugar
• Saccharose
• Sorbitol
• Sorghum syrup
• Sucanat
• Sucrose
• Sugar
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Stop Diabetes Before It Stops You • Grape sugar
• High-fructose corn
syrup
• Honey
• Honey maple syrup
• Invert sugar
• Lactose
• Levulose
• Sugar cane syrup
• Syrup
• Table sugar
• Treacle
• Turbinado
• Xylitol
• Xylose
Many Carbohydrates
It is important that we check for carbohydrates on all food labels. Some
carbohydrates are good for us and some are very bad. The good carbohydrates are
natural and unprocessed, such as those that come from fruits and vegetables. The
carbohydrates that we should avoid are processed and refined, such as those that come
from candy and white bread. Although it may sound like a lot, we should eat a diet
containing 60 percent of our dietary intake in carbohydrates. These should be the good
kind of carbohydrates being natural, unprocessed, and unrefined with a lot of fiber.
Too Many Sugar Free Foods
Often times the products that are marked as sugar free may have no sugar
additives, but they are made of 100 percent carbohydrates. Most often, these
carbohydrates come from processed white flour that will dramatically raise our blood
sugar levels.
The process of refining both flour and sugar is detrimental to our diets. When
food manufacturers refine flour, they remove the whole grain’s germ and bran layers to
make foods softer. They remove most of the fiber from the wheat, the B vitamins, and
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Stop Diabetes Before It Stops You the crucial nutrients, which creates a food with empty calories. When making sugar
free foods, the manufacturers usually increase the saturated fat and trans-fat content to
extend the products shelf life and improve the texture. It turns out that in foods with
lower amounts of sugar, they usually have higher amounts of fat.
Too Many Artificial Sweeteners
Artificial sweeteners are highly processed and non-nutritive chemicals. They
do not fit into any optimal diet and therefore are not necessary. We need to stop using
sweeteners altogether. Just giving into the craving for something sweet, even if it is a
no-calorie low glycemic sweetener, will make us gain weight. When we use artificial
sweeteners, our appetite is affected and our desire to eat more grows. Our bodies think
that they ate sugar, but when no calories arrive as an energy source, we tend to crave
calories from other foods causing us to overeat. Studies have shown that by drinking
two diet sodas a day over eight years makes us 65 percent more likely to become obese
over regular soda.
Too Much Protein
Although it is a necessary part of our diet, we tend to
consume too much protein in America. Because most of
the protein we consume comes from animal sources, we
tend to have higher cholesterol levels and a higher risk for
hardening of the arteries, cancer, osteoporosis,
Alzheimer’s, and kidney disease. We should start to eat only 15 percent of our daily
caloric intake from plant-based food proteins. Good sources of these proteins include
beans, nuts, tofu, and several fruits and vegetables. All plant-based foods contain some
amount of protein, which is more than adequate. When we eat a variety of plant-based
foods during each meal, we will consume all of the amino acids that our bodies require
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Stop Diabetes Before It Stops You to make proteins needed for optimal health.
Lies in Advertising
Advertisers tend to tell us lies about more and better when it comes to food.
When we understand these lies, we will be able to overcome our poor lifestyle choices.
The following are the three basic lies advertisers tell us about more and better.
You can have it all! – We cannot have it all because if we spend so much
time trying to get it all, we will not have the time to enjoy the stuff we
already have. The biggest thing we have is our health and we usually
end up putting that last.
You can do it all! – We must learn how to balance where we put our
time, which is actually very limited. It is essential that we put our time
into what we value and this should be our health, although usually it
tends to be other things that we allocate most of our time.
You deserve it all! – We do not deserve anything more than anyone else
does.
Emotional Eating
We tend to confuse the food we eat with our feelings, good or bad. This is
because we allow our brain and our emotions to be our dinner companions. The
standard American diet, full of sugars, fats, and calories, will give us pleasure
immediately, but there no long lasting satisfaction. We end up looking for snacks
between meals and overeating junk foods to keep the cycle continuing. This process is
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Stop Diabetes Before It Stops You identical to the cravings a drug addicts faces, constantly looking for more to get
another high. Once we begin to change our diet, we will notice that we have a high
level of satisfaction and we are less hungry. This is due to the lack of highs and lows in
our blood sugar control and we will not need to snack between meals. This change
occurs because we are no longer eating refined sugars, starches, and junk food, and
eating a lot of fiber instead.
Too Much Meat and Milk
We seem to develop a higher risk of diabetes, heart diseases, high blood
pressure, osteoporosis, and some forms of
cancer because of our diets that are high in
animal proteins, saturated fats, and
cholesterol. Unfortunately, there is a high
risk of obtaining a disease just from the foods
we eat. These diseases come from food
poisoning. There are 76 million cases of
illness reported each year that are due to the
food we eat. Hundreds of thousands of us
will be in the hospital and 5,000 of us will die
annually because of eating unsafe food.
The bacteria that are causing these
tremendous numbers of illness live in the digestive tract of animals. Bacteria
contaminate the meat during the butchering process and before anyone knows, we
consume the meat. Bacteria also contaminate our milk and egg supplies. Raw food is
especially likely to have bacteria present. Contamination also comes from food
processing plants. At any given time, an estimate of 83 percent of chicken we purchase
nationwide contains food poisoning bacteria.
Although bacteria is more likely to be in animal-based foods, it can occur,
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Stop Diabetes Before It Stops You The purpose of the recommendations is to improve our health, not for
ethical, political, or social reasons.
We are referring to the evidence behind the benefits of eating a plant-
based diet in fighting diabetes. It is up to us to decide how far we would
like to take the advice.
A New Way of Thinking
As our discussion informs us, the standard American diet that we consume
every day is slowly killing us. We seem to be willing to die for food that looks good,
smells good, and tastes good. All of the major chronic diseases that exist today and
mostly likely those that will exist tomorrow are a direct result of our diet. We must
make changes to what we eat to end our risk of developing a serious illness.
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Stop Diabetes Before It Stops You
Chapter 5 Choosing What to Eat
Making something to eat is one very frustrating aspect that we have when living
with diabetes. Because eating is a very enjoyable activity, we have an even harder time
choosing something that will keep our blood sugar levels stable. This is especially
difficult if there are unhealthy foods readily available. It is important that we do not
mindlessly eat in order to keep a healthy lifestyle routine. We must consider the
following three goals when planning our diets.
We need to eat to keep our blood sugar levels low and as tightly
controlled as possible. If we continue to have high blood sugar levels
most of the time, this is responsible for many long-term complications
that we may currently have. Chronically high glucose levels are
destructive to our eyes, kidneys, and nerves. When we maintain tight
blood sugar control, we will be able to delay and possibly reverse any
complications. For those us that have type-2 diabetes, if we keep our
HbA1C within an optimal range, we will reduce our risk of a heart attack
by 16 percent, eye damage by 21 percent, and kidney disease by 34
percent. If we keep our blood sugar levels in an optimal target range
with type-1 diabetes, we will reduce our risk of kidney disease by 56
percent, nerve damage by 60 percent and eye damage by 76 percent.
We should keep our overall fat and calorie consumption as low as
possible. Because weight gain and diabetes tend to link together, it is
important that we keep our weight at an optimal level.
We should attempt to eat the same amounts and types of food at each
meal and try to eat each meal at about the same time every day. This is
essential so that we do not eat mindlessly. We should instead be aware of
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Stop Diabetes Before It Stops You what we are eating and when we are eating so that we do not
inadvertently add excess calories to our diets.
Most of us with type-2 diabetes, after sticking to a plant-based diet, we will be able
to stay completely off any oral diabetes medication and insulin for the long-term. For
those of us with type-1 diabetes, we will be able to reduce our insulin intake
significantly. When we work on the source of our diabetes by adjusting our diet to
combat diabetes and metabolic disorders, our blood sugar levels will be stable.
The Benefits of Eating a Plant-Based Diet
There are six protective health factors that we must consider when switching to a
plant-based diet. It is important to understand that vegetarians are among the healthiest
and longer-lived people in America. We will discuss the six factors below that will
show us how a plant-based diet is a healthier option that an animal-based diet.
A plant-based diet contains a substantial amount of fiber.
A diet that is high in fiber from many whole grain sources helps those of us with
diabetes by stabilizing our blood sugar
levels, which lowers our insulin
requirement. The only foods that have
fiber in them are plant-based foods.
There are two different type of
fiber, soluble and insoluble. Soluble
fiber dissolves in water and comes from
fruits, vegetables, oats, barley, and
legumes. This type of fiber requires
that we drink plenty of water. The purpose of this type of fiber is to bind to toxic
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Stop Diabetes Before It Stops You substances in our bodies so that they do not get absorbed into our bloodstream.
Insoluble fiber does not dissolve, but instead it absorbs water and expands in volume to
add bulk to our intestines and colon. This type of fiber keeps our waste products
moving out of our digestive system. Most foods with fiber have a combination of both
soluble and insoluble fiber.
. Fiber is essential to everyone, but especially to those of us with diabetes for
the following four reasons.
• Fiber does not cause an increase in blood sugar levels because we cannot digest
it. We do not have the necessary enzymes that are required to free the glucose
molecules so it is not absorbed into our bloodstream.
• Digestion takes longer with a diet high in fiber. Soluble fiber increases the
thickness of the food in our stomach and small intestines. This allows the
remainder of the glucose in the food we eat to absorb slowly into our blood,
which increases insulin sensitivity.
• The total number of carbohydrates in our food is lower when there is a lot of
fiber.
• Fiber is not a digestible substance and does not provide calories in the foods we
eat. We will have a sense of fullness for a longer period when we eat foods high
in fiber.
We should make sure that we are eating at least 35 grams of fiber everyday from
whole-grain sources. These whole grains will reduce our risk for diabetes as well as
reverse the diabetes symptoms that we may already have. We should avoid the
following terms to make sure that we are eating 100 percent whole grains.
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Stop Diabetes Before It Stops You • 100 percent wheat
• Stone-ground
• Multigrain
• Enriched
• Hearty grain
• Bromated flour
• Degermed, milled, or refined
A plant-based diet is low in fat.
A diet that has low total fat, low saturated fat, and generally no trans-fat has
remarkable effects on those of us with diabetes, as it will improve our insulin sensitivity
very quickly. Fat affects blood sugar in ways of which we may not be aware. Fats are
able to access our cells without any hormone to guide the way. This causes our
metabolism to decrease because our cells clog with fat and glucose cannot enter. Our
blood sugar levels become elevated when we are consuming too much fat. When we
are eating foods with high complex carbohydrates, in amounts as high as 75 percent of
our total calories, we are eating less fat.
A plant-based diet has no cholesterol.
It is vital that we do have some cholesterol in our bodies, but we need not
consume any from the foods we eat as our liver manufactures all the cholesterol we
need. The low-density lipoprotein cholesterol should be low because it creates
blockages in our arteries after it deposits on the artery wall. The high-density
lipoprotein should be high because it carries cholesterol out of our bloodstream for the
liver to excrete. We should consider the ratio between our total cholesterol and our
HDL. An athlete normally has a ratio of 3.4, vegetarians have a ratio of 2.8, but those
of us with coronary artery disease have a ratio of 5.5. The plant-based diet will reduce
this ratio by 15 percent in 2 weeks.
A plant-based diet has plenty of protein
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Stop Diabetes Before It Stops You
It is vital that we consume proteins for growth and repair of most of our body
structures. It is also essential for muscle function, hormone synthesis, and enzyme
production. Some of us may wonder how we will obtain adequate protein from a plant-
based diet. However, nonvegetarians generally consume too much protein from less
healthful animal sources. In this case, the concentrated proteins come with high fat,
cholesterol, trans-fat, high calories, and no fiber.
We only need to consume 26 grams of protein per day at 5 to 6 percent of our
total calories. For most of us, we are generally consuming 70 to 100 grams of protein
daily, which is detrimental to our
health. We should be aware that
too much protein is problematic to
us when we have diabetes as it can
cause kidney damage. Our kidneys
filter out the impurities in our
blood, but when we have diabetes,
the extra sugar in the blood can
damage the small blood vessels
that do the filtering. This type of
kidney malfunction is occurring
when we have protein in our urine.
When the filters get leaky, they
tend to let protein molecules
though which are too large to pass
directly through the filters. By eating a diet that has adequate protein, but not in
excessive quantities, we are protecting our kidneys.
The quality of the proteins we eat is important to discuss. Some proteins have a
greater quantity of the essential amino acids that are necessary for our survival. The
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Stop Diabetes Before It Stops You quality is greater when we have a high amount of each of the eight essential amino acids
in a 100-gram food source. On a plant-based diet, it is essential that we eat a wide
variety of food sources so we have adequate amino acids. If a food is of lower protein
quality, we should eat more of that food so that we still have the correct amount of
protein. High quality and low quality protein lists are not necessary because only
portion size and variety matters.
Well known diets can be deadly.
Low carbohydrate diets cannot provide us with good health as no long-term
study has ever shown. These types of diets are generally a cause of complications such
as cancer, high cholesterol, osteoporosis, kidney stones, and sudden death.
A plant-based diet has substantial levels of antioxidants.
Antioxidants are very powerful because they prevent some chronic diseases
resulting from an imbalance that weakens our bodies. These imbalances make our
bodies susceptible to germs and other environmental factors. Antioxidants come into
play when electrons in our bodies are unpaired. These electrons are highly unstable free
radicals that look to bond and cause other electrons to become unpaired. The chain
reaction of oxidation can damage our bodies unless antioxidants disrupt the process.
Some oxidation in our bodies is normal, but the excess is controllable with foods
containing beta-carotene, vitamin C, vitamin E, and melatonin. The free radicals
outside of our bodies’ normal process result in over 50 diseases. There are several
antioxidants but the following are most relevant to those of us with diabetes.
Alpha lipoic acid – This antioxidant improves the insulin sensitivity and
glucose disposal in those of us with type-2 diabetes. It helps alleviate the
pain from neuropathy and prevents kidney damage. We process this
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Stop Diabetes Before It Stops You antioxidant in our bodies but it is also substantial in spinach and broccoli.
Vitamin E – This antioxidant prevents vascular disease, eye damage, and
kidney damage. It also slows the aging of our tissues. The main sources
of vitamin E are wheat germ, nuts, seeds, and dark green leafy
vegetables.
Coenzyme Q10 – This antioxidant is similar to vitamin E. It also
improves heart health, blood sugar control, blood pressure, and
cholesterol levels. The primary source of Coenzyme Q10 is whole
grains.
Beta-Carotene – This antioxidant converts to vitamin A and then
maintains good vision, prevents heart disease, and prevents cancer.
Good sources of beta-carotene are carrots and green leafy vegetables.
Vitamin C – This antioxidant lowers cholesterol, boosts our immune
system, and prevents vascular damage. Vitamin C comes from citrus
fruits, red and green peppers, strawberries, kiwi, melons and many other
fruits and vegetables.
Zinc – This antioxidant helps in the absorption of other vitamins, and
helps in the production and storage of insulin. Deficiencies are common
to those of us with diabetes. Zinc comes from beans, whole grains,
pumpkin seeds, and sunflower seeds.
A plant-based diet contains many phytochemicals.
Phytochemicals are nutrients that are essential to our health in that they prevent
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Stop Diabetes Before It Stops You diseases of deficiency. They are the substances that are within plants that create the
color, flavor, and aroma as well as protect the plants against environmental diseases.
This nutrient is existent only in plant-based foods such as, whole grains, fruits,
vegetables, legumes, seeds, and nuts. We should eat phytochemicals in a natural state,
in a large abundance, and in combination with each other.
Flavonoids are a type of phytochemical that is abundant in berries, apples,
onions, green beans, and grapes. They help to reduce the risk of stroke and heart attack.
Vitamin D is Essential
Some nutrients, such as vitamin D, are unavailable in a plant-based diet. We can
manufacture vitamin D if we receive adequate sunlight exposure. Vitamin D is
important to those of us with diabetes because we need it for optimal insulin production
and effectiveness.
Those of us with type-2 diabetes have many risk factors for a vitamin D
deficiency because we tend to be obese and
do not get enough outdoor activity. We
should request that our doctors measure our
serum levels of 25-hydroxy vitamin D. It
must be this test and not the more commonly
prescribed test of 1,25-dihydroxy vitamin D.
The minimum result should be 20 ng/mL or
higher for optimal health benefits. This level
of vitamin D will provide us with protection
against infections, cancers, osteoporosis,
rheumatoid arthritis, lupus, Hashimoto’s
thyroiditis, and type-1 diabetes.
We must make sure that we do not exceed the level of 150 ng/mL or vitamin D
will become a toxic substance in our bodies. In areas that do not have adequate
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Stop Diabetes Before It Stops You sunlight, especially in the winter months, we should take a vitamin D supplement of
1000 IU per day.
Eliminate Caffeine
Caffeine can cause certain types of cancer, miscarriages, low birth weight
babies, depression, anxiety, fatigue, high blood pressure, heart palpitations, heart
disease, bone loss, osteoporosis, and frontal lobe disorders. Caffeine also affects
diabetes control as it raises blood sugar levels, reduces insulin sensitivity, and impairs
our tolerance of glucose. Stress hormone levels also increase after consuming caffeine,
which is a major risk factor for diabetes.
We should gradually wean ourselves off caffeine to prevent unhealthy side
effects, like depression, anxiety, and fatigue. After 2 weeks, we should be able to stop
the use of caffeine completely.
Eliminate Alcohol
Our bodies treat alcohol as toxic substance. When we drink alcohol, our liver
converts it to other less dangerous substances. Part of the alcohol changes to fat then
remains in storage in a local area, such as the abdomen. It is high in calories, which
inhibits our weight loss efforts. Alcohol can seriously affect our blood sugar levels
making us hypoglycemic very quickly and with our judgment impaired, we tend to
ignore that this is happening. We should try to eliminate alcohol or if we choose, use it
in moderation.
Recommendations for a Plant-Based Diet
Several chronic diseases are now developing in association with our lifestyle
factors such as the standard American diet. This type of diet challenges our immune
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Stop Diabetes Before It Stops You systems as our bodies are constantly trying to fight off threats from our environment
while trying to balance damaging external stimuli with a need for equilibrium. The
diseases that are a direct result of our lifestyle choices and the symptoms that occur are
a sign of our bodies doing maintenance work. A plant-based diet that is high in complex
carbohydrates, high in fiber and low in fat from whole grains is a great place to start our
lifestyle changes
We should use the following recommendations to help control our cholesterol,
triglycerides, blood sugar levels, and weight.
Achieve our ideal body weight.
Get physically active five to six days a week.
Eat a plant-based diet of whole grains, vegetables, fruits, beans, and a limited
number of nuts and seeds.
Limit our intake of saturated fats.
Avoid trans-fats by eliminating animal-based foods.
Limit our total fat intake.
Increase our intake of legumes.
Increase our intake of green leafy vegetables.
Increase our intake of fiber.
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Stop Diabetes Before It Stops You Avoid drinking caffeinated drinks.
Avoid consuming processed, refined white flour products.
Avoid eating sweets.
Avoid drinking alcohol.
If we smoke, quit smoking.
Once we make these changes, we should see the following results.
Improvements of blood glucose control up to 27 percent
Delay in glucose absorption
Lowering of insulin requirements by 40 percent
Increase peripheral tissue insulin sensitivity
Decrease serum cholesterol and triglycerides values by 32 percent
Weight control
Lowering of blood pressure levels
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Stop Diabetes Before It Stops You
Chapter 6 Complex Carbohydrates
Contrary to popular belief, it is essential that most of our calories come from
carbohydrates. These should be plant-based carbohydrates in their natural state and not
refined or processed. We will further discuss the function and process of carbohydrate
breakdown in our bodies, showing that not all carbohydrates are equal in terms of the
digestion process. We should learn how to calculate our carbohydrate intake and be
able to predict how different foods will affect our blood sugar levels by using the
glycemic index. It is important to keep our blood sugars low while still eating the foods
we enjoy, but we do not always know what to eat and what to avoid.
An Easy Meal Plan
Using a meal plan that is easy to understand and easy to follow is the most
important aspect of controlling diabetes. There are three essential parts to the plan.
Carbohydrate Counting
Glycemic Control
Blood Sugar Monitoring
Learning About Carbohydrates
Although we may have felt differently about carbohydrates in the past, it is a fact
that not all carbohydrates are bad. In fact, we need carbohydrates in order to survive.
Our brains use at least 130 grams of carbohydrates per day in order to work properly.
This is twice the amount that the other cells in our bodies use. The glucose in
carbohydrates is the only fuel source our cells use and is a nutrient that is critical to life.
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Stop Diabetes Before It Stops You Diets that are low in carbohydrates, such as the Atkins diet, have been a cause of
impaired mental ability.
We consume more carbohydrates in this world than any other substance other
than water. As it is, there are only a few locations in the world where there is a strong
enough economic basis to support the consumption of animal-based foods. The
American culture for instance, contains the bulk of the diet in highly processed
carbohydrates, but we should not eat them this way. It is essential that we learn to eat
the right quantities of carbohydrates and learn how to differentiate between the best and
worst quality carbohydrates.
Types of Carbohydrates in our Diet
The three main types of carbohydrates are sugar, starch, and fiber, which we will
discuss.
Sugar
We usually refer to sugar as a simple carbohydrate because its chemical structure
is very simple compared to starch and fiber. Sugar is a single molecule that we find in
several different forms in nature. The most familiar sugar is glucose, which we also
know as blood sugar. The cells in our bodies use glucose as fuel and we need it for
energy production. Two glucose molecules can link together to form a more complex
sugar, such as sucrose. This type of sugar must be broken down into single glucose
molecules before it absorbs into our bloodstream.
Starch
We usually refer to starch as a complex carbohydrate because it consists of long
chains of glucose molecules. Starches are the storage form of energy that plants use.
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Stop Diabetes Before It Stops You Our bodies must break down the bonds between the glucose molecules before the single
molecules absorb into our bloodstream. This type of carbohydrate does not cause a
large spike in our blood sugar levels because it takes longer to digest. The closer a food
is to a simple glucose molecule, the faster it absorbs into our bloodstream, and the faster
it raises our blood sugar levels.
Fiber
We usually refer to fiber as a complex carbohydrate as well. This type of
carbohydrate is one that our bodies cannot digest so it adds no calories to our diet.
When we eat fiber that is extra filling, we tend to eat less junk food. We also do not
need to snack between meals and we do not end up with hypoglycemia.
The Difference Between Fiber and High Fructose Corn Syrup
Most of us Americans tend to consume more carbohydrates that what we may
have in the past. Unfortunately, these carbohydrates are in the form of high fructose
corn syrup, which is a major cause of obesity. If our diets are full of this type of
carbohydrate that is rapidly absorbed into our bloodstream, we are at a much higher risk
for developing type-2 diabetes. In order to prevent this from happening, we should
always choose natural foods that are high in fiber because they raise our blood sugar
levels gradually over time causing them to remain stable at all times. When we make
this change to our dietary guidelines, we will increase our glycemic control and control
our diabetes without medication.
Counting Carbohydrates
It is important that we consider both the amount and type of carbohydrates that
we are eating. We need to learn how to count how many carbohydrates we are eating as
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Stop Diabetes Before It Stops You well as how to keep it reasonable and consistent from meal to meal every day. The
following are reasons why we need to learn carbohydrate counting.
Counting carbohydrates is practical and simple. Once we learn the basic principles of
what a carbohydrate choice is, there is very little math involved.
Counting carbohydrates is effective. We will soon have optimal blood sugar levels by
using natural methods with no medication. We will also reduce our insulin resistance.
Counting carbohydrates is flexible. We will be able to calculate our carbohydrate
intake from all types of foods.
There are only four concepts that we need to learn to mater the basics of
counting carbohydrates. What foods contain carbohydrates? What is a carbohydrate
choice? How many carbohydrate choices per meal should I be eating? What portion
size equals a carbohydrate choice?
What foods contain carbohydrates?
We find carbohydrates in all plant-based foods, but some foods have more than
others have. Vegetables that we find above ground have fewer carbohydrates than
grains and those vegetables that we find below ground. We can eat more above ground
vegetable will less of a spike in blood sugar level while we need to watch our portion
sizes of below ground vegetables.
The total number of carbohydrates in a food equals the sugar, starch, and fiber
contents. We only need to worry about the net carbohydrates witch includes the
available glucose from sugar and starch during digestion. Fiber is an indigestible
carbohydrate so it does not count in the net carbohydrate content. To determine the total
grams of net carbohydrates in a food, we subtract the fiber total from the total
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Stop Diabetes Before It Stops You carbohydrates.
What is a carbohydrate choice?
A carbohydrate choice is 15 grams of net carbohydrates.
How many carbohydrate choices per meal should I be eating?
For those of us with type-1 or type-2 diabetes, it is a suggestion that we eat 3 to
5 carbohydrate choices for breakfast, 3 to 5 carbohydrate choices for lunch, and 0 to 3
carbohydrate choices for dinner. When we eat a range of 9 to 13 carbohydrate choices
per day, we will have the best blood sugar control, weight loss, and decease in diabetes
complications. By keeping the
choices low at dinner, we will
stabilize our overnight and
morning blood sugar levels. We
should remember to count our
carbohydrate choices per meal,
rather than per day so we do not
save up all of the choices for one
meal. However, if we are
planning a meal with more
carbohydrate choices, we can eat
a lower number of carbohydrates
for the pervious or following meal. If a food has less than 5 grams of carbohydrates, we
can consider it a free food, but we must watch our portion sizes. The kinds of
carbohydrates are important so we must not use carbohydrate counting as the only tool
available. We should also look at the glycemic index.
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Stop Diabetes Before It Stops You What portion size equals a carbohydrate choice?
There is not shortcut for determining portion sizes. However, the more we count
carbohydrates, the easier it will become. We must take the time to learn what the
portion sizes look like and we will know how much we should eat. We should modify
our behaviors and learn to read labels to determine the correct portion size for the food
we are eating.
Factoring in the Glycemic Index
It is important that we understand that not all carbohydrates are equal. When eat
carbohydrates, they are broken down into
single glucose molecules before they absorb
into our bloodstream. Some foods, those
with a high glycemic index, create a large
amount of sugar to go into our bloodstream
after we eat because the carbohydrates
digest at a fast rate. This causes a large
amount of glucose into our blood quickly.
Foods that are low glycemic digest slowly
which causes a gradual release of sugar into
our bloodstream. Our blood sugar levels
remain steady over a longer period and a
spike does not occur.
We need to look at the physiological process of the digestion of certain foods.
We will then understand how different carbohydrates affect our blood sugar levels also
known as the glycemic index. This is a measure of how high and how quick our blood
sugar levels will increase when we consume a specific food. We should limit our
consumption of high glycemic foods because they can lead to the development of
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Stop Diabetes Before It Stops You diabetes and metabolic syndrome whereas low glycemic foods will alleviate insulin
resistance and reverse the symptoms of diabetes.
The Glycemic Index
It is essential that we keep our blood sugar levels after meals as low as possible
to prevent complications from diabetes. Because different foods affect our bodies in
different ways, we must consider the glycemic index. The glycemic index is a measure
of the quality of carbohydrates in specific foods. It is a comparison of the carbohydrates
effects of certain foods with a standard amount of reference food, pure glucose, which
has a predictable pattern of elevating blood sugar levels fast and high.
In order to calculate the quality of a carbohydrate, we conduct studies by giving
individuals who have been fasting, two different foods of a standard amount. We check
their blood sugar levels at regular intervals and we give the food a number from zero to
100 based on the results. Foods that contain carbohydrates that digest quickly have a
higher glycemic index rating because they spike our blood sugar levels the quickest.
Foods that we consider low glycemic will help with our immediate blood sugar levels
and can reverse any complications that we may have from diabetes long-term.
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Stop Diabetes Before It Stops You
There are a few stipulations concerning the glycemic index that we need to
discuss.
The glycemic index is by no means the only tool we should use to determine the
healthfulness of our foods. We must also consider saturated fat, trans-fat,
calories, processing, and so on. If there are large amounts of fat and protein in a
food, it will slow the rate at which that food leaves our stomach and will
therefore have a low glycemic index. However, the fat content in the food will
have a negative effect on the health of our heart and the diabetes process. This
of course outweighs the short-term blood sugar effect.
Some healthy foods actually have a high glycemic index.
Some foods that we consider to have a low glycemic index or an intermediate
glycemic index may actually be high glycemic for some of us. We should
experiment with different foods to see how they affect us.
We do not know the glycemic index of every food because they have not all
been tested yet. In order to know how these foods will affect us, we can do an
informal test on the foods we enjoy.
It is essential that we watch portion sizes so that we do not eat too much of the
high glycemic foods.
If we eat many foods with a high glycemic index, we will end up eating more
and can easily gain weight.
Eating a Low Glycemic Index Plant-Based Diet
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Stop Diabetes Before It Stops You
• We must choose foods that have a low glycemic index, below 55.
• We must only occasionally choose foods that have an intermediate glycemic
index, 56 to 69.
• We must eliminate or greatly reduce foods that have a high glycemic index,
above 70.
• We should replace foods with a high glycemic index for those with a low
glycemic index.
• If we choice to eat a food with a high glycemic index, we should eat a smaller
portion size. We must also add foods with a low glycemic index to the meal to
lower the glycemic load. We can also include an acidic food with the meal to
slow down the rate at which our stomach empties. This will allow a slow rate of
digestion with will slow the rate at which the glucose enters our bloodstream.
• We should use cornstarch instead of refined white flour to thicken foods.
• We must also remember that the glycemic index value is not the only criteria we
should use for identifying healthy foods.
Blood Sugar Testing
We need to test our blood sugar regularly in order to gain optimal control over
our diabetes. It is the ignorance that some of us may have of our blood sugar levels that
can usually mean the difference between having substantial complications and doing
everything we want to do in life. It is essential that we use our blood glucose meters to
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Stop Diabetes Before It Stops You test our blood sugar levels six to eight times a day. Testing at the following times will
give us the best idea of how our lifestyle changes are working.
Upon waking up in the morning (fasting blood sugar)
Before every meal (pre-prandial)
Two hours after the start of every meal (postprandial)
Right before going to bed
Once in the middle of the night especially when changing diet and exercise
levels to prevent severe hypoglycemia
Routine blood sugar testing along with eating substantial amounts of fiber,
counting carbohydrates, and using the glycemic index are what will make the difference
in our diabetes control. We will feel satisfied while preventing a blood sugar spike after
eating. How we control our diabetes will become much easier and our diabetes will be
better by eating whole grain, high fiber carbohydrates that will increase our sensitivity
to insulin and help us to lose weight.
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Stop Diabetes Before It Stops You
Chapter 7 Recipes for Our Plant Based Diet
Food Pantry List
The following list will give you all of the ingredients you need to have on hand in orderto make the recipes for a seven-day plant-based menu.
Breads: Ezekiel 4:9 – bread, pita bread, and buns
Beans: Canned:Black BeansCannelliniChick PeasGreat NorthernKidney BeansPinto BeansRe-fried BeansSmall White Beans
Dried:Split PeasSoy BeansGreen LentilsRed LentilsFrench Lentils
Dairy-free Items: Soy Milk – UnsweetenedAlmond Milk - UnsweetenedVegan Parmesan AlternativeTofutti Better Than Cream CheeseNasoya NayonaiseToffuti Better Than Sour Cream
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Stop Diabetes Before It Stops You Fruits and Juices: Fresh:
ApplesPearsBlueberriesRaspberriesDark CherriesPeachesLemonsStrawberries
Dried:Cranberries
Frozen:StrawberriesCherriesBlackberriesBlueberries
Juices:Lemon JuiceFrozen White Grape Raspberry
Whole Grains: Brown RiceBuckwheat GroatsPearled BarleyWild Rice
Oat Bran CerealOld Fashioned OatmealSteal Cut OatsArrowhead Mills 7-Grain Cereal
Margarines: Smart Balance Light
Miscellaneous: Arrowhead Graham Pie CrustBaked Corn ChipsGarden of Eatin Tortilla ChipsMt. Olive Sweet Pickle RelishUnsweetened Coconut
Nuts: Butter:Almond, Peanut, or SoyTahini
Raw:AlmondsPecansWalnuts
Oils: Canola Oil – Liquid and SprayOlive Oil – Cold Pressed Extra Virgin
Pastas: Whole Wheat Macaroni
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Stop Diabetes Before It Stops You Salad Dressings: Annie’s Naturals
Newman’s Own Lighten UpOlde Cape CodSeeds of ChangeSouth Beach Diet ItalianUp Country OrganicsNasoya Vegi Dressing Thousand IslandWishbone Salad Spritzers Italian Vinaigrette365 Organic Whole Foods Brand
Sauces: Tomato SauceTomato PasteLite Soy Sauce
MustardLow Carb Ketchup
Seasonings: Bay LeavesBill’s Best Beef StyleCayenne PepperChili PowderCinnamonCorianderCurry PowderItalian Dressing MixGarlic PowderGranulated OnionLiquid SmokeMaple FlavoringMcCormick’s Garlic andHerbOnion PowderOreganoSaltThymeVanilla
BasilBragg’s Liquid AminosCelery SaltChivesCitric AcidCuminCilantroGarlicGranulated GarlicItalian SeasoningMarjoramMcKay’s Beef and ChickenNutritional Yeast FlakesParsleyPaprikaSeasoned SaltTurmeric Powder
Seeds: Flax Seed
Sugars: Fructose Honey
Thickeners: Cornstarch Thicken UP
Tofu: Water Pack Mori-nu Silken
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Stop Diabetes Before It Stops You
Vege Meats: Vegan Burger Crumbles Boca Burgers
Vegetables: Canned:Black OlivesFire-Roasted PeppersGreen BeansMild Green ChiliesPimentosTomatoes
Fresh:TomatoesYamsSummer SquashZucchini
Frozen:Green Beans
Fresh:AsparagusAvocadoBaby CarrotsBell PepperBroccoliCauliflowerCeleryCucumberEggplantGreen BeansJalapenoKaleLettuceMushroomsRed PotatoesSpinachSweet Potatoes
Whole Grain Flours: Whole Wheat PastryWhole Wheat
Garbanzo Flour
Recipes
We can use the following recipes for our meal plan. The carbohydrate choice count isavailable and we can substitute any of these recipes for the ones found on the meal planwith the same number carbohydrate choices. We should try to stay within 3 to 5carbohydrate choices for breakfast, 3 to 5 carbohydrate choices for lunch, and 0 to 3carbohydrate choices for dinner.
Boiled Rolled Oats4 cups water 2 cups old-fashioned rolled oats¼ tsp salt
Bring the water and salt to a boil in a medium saucepan. Add the oats and stir. Coverand reduce heat. Simmer until the water is absorbed, about 20 minutes. Do not over stir
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Stop Diabetes Before It Stops You while cooking or oats may become gummy.
Nutritional Analysis for 1 cup: Calories: 156, Fat: 3 g, Total Carbohydrates: 27 g,Protein: 6 g, Fiber: 4 g, Net Carbohydrates: 23 g, Number of Carb Choices: 1½
Low-GI White Bean Soup1 cup chopped onion 1 minced garlic clove1 Tbsp olive oil 6 cups water2 cups sliced carrots ¾ cup sliced celery2 cup chopped kale ⅛ tsp garlic powder1 Tbsp seasoned salt ⅛ tsp thyme2 bay leaves ½ tsp rosemary2 cups diced canned tomatoes 2 Tbsp parsley2 cups canned, white beans, drained and rinsedIn the oil, sauté garlic and onion for 3 minutes until tender. Add the water, carrots,celery, kale, and seasonings and cook for 15 minutes until vegetables are tender. Addthe remaining ingredients and simmer for 10 minutes. Remove bay leaf before serving.
Nutritional Analysis for 1 cup: Calories: 96, Fat: 2 g, Total Carbohydrates: 17g, Protein:5 g, Fiber: 4 g, Net Carbohydrates: 13 g, Total Carb Choices: 1
Low-GI Apple Oats1 ½ cup chopped apple 3 cups old fashioned rolled oats5 cups unsweetened soymilk 1 tsp vanilla extract¾ tsp salt 2 Tbsp shredded coconut½ cup chopped walnuts ½ tsp cinnamon
Place the apples in a 9 x 13 inch baking dish. Place oats evenly over apples. Quicklyblend soymilk, vanilla, and salt in a bowl and pour slowly over the apples and oats.Sprinkle with coconut, cinnamon, and walnuts. Bake for 45 minutes in a preheated350° oven.
Nutritional Analysis for 1 serving: Calories: 136, Fat: 5 g, Total Carbohydrates: 18 g,Protein: 6 g, Fiber: 3 g, Net Carbohydrates: 15 g, Total Carb Choices: 1
Vegetable KabobsKabob Marinade* 2 large carrots, cut into wedges1 large onion, cut into cubes 1 large green pepper, diced
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Stop Diabetes Before It Stops You 12 medium button mushrooms 1 large red pepper, diced3 tomatoes, quartered 1 large zucchini sliced1 large yam, peeled and cut into cubes 1 package tofu, cut into cubes16 skewers
Assemble kabobs by adding one piece of each item on a skewer and place in a bakingdish. Pour the marinade over, cover, and let marinate overnight in the refrigerator.Place kabobs on a baking sheet and bake in a preheated 400° oven for 12 to 15 minutesuntil heated through. Can be grilled instead. Serve immediately.
Nutritional Analysis for 2 kabobs: Calories: 202, Fat, 9 g, Total Carbohydrates: 25 g,Protein: 10 g, Fiber: 6 g, Net Carbohydrates: 19 g, Total Carb Choices: 1
Kabob Marinade3 cups chopped onions ½ cup Bragg’s Liquid Aminos1 cup lemon juice 1 Tbsp basil¾ cup canola oil 1 tsp salt
Liquefy onion in a blender. Add remaining ingredients and blend until smooth.
Nutritional Analysis for 1 Tbsp: Calories: 25, Fat: 2 g, Total Carbohydrates: 1 g,Protein: 1 g, Fiber: 0 g, Net Carbohydrates: 1 g, Total Carb Choices: Free
Spinach Salad with Strawberries15 Roasted Garlic Cloves* ¼ cup Toasted Pecans*⅓ cup Raspberry Dressing* 12½ cups baby leaf spinach, raw½ cup sliced red onion 1½ cup sliced strawberries
Mix all of the ingredients together and serve immediately.
Nutritional Analysis for 1 cup: Calories: 91, Fat: 7 g, Total Carbohydrates: 8 g, Protein:2 g, Fiber: 3 g, Net Carbohydrates: 5 g, Total Carb Choices: ⅓
Roasted Garlic ClovesGarlic Cloves Cooking SpraySalt
Spray garlic cloves with vegetable cooking spray for 3 seconds and place in an
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Stop Diabetes Before It Stops You aluminum foil pouch. Bake in a 300° preheated oven for 10 to 12 minutes.
Toasted Pecans1 cup chopped pecans
Spread pecans on baking sheet and toast in a 275° preheated oven for 10 minutes. Storein covered container.
Raspberry Dressing3 packages dry Italian dressing mix ½ cup plus 1 Tbsp lemon juice2 cups water 6 Tbsp white grape raspberry juiceconcentrate⅓ cup Thicken Up
Place all ingredients into a blender and blend until smooth, about 20 seconds. Chill in acovered container.
Nutritional Analysis for 2 Tbsp: Calories: 21, Fat: 0 g, Total Carbohydrates: 5 g,Protein: 0 g, Fiber: 0 g, Net Carbohydrates: 5 g, Total Carb Choices: ⅓
Low-Carb Red Pepper Bisque2 ½ cups water 1 tsp McKay’s vegan beef styleseasoning1 tsp McKay’s vegan chicken style seasoning 1 cup peeled and diced red potatoes1 cup chopped onion ½ cup chopped celery2 ½ cup fire-roasted red peppers 2 Tbsp cornstarch2 cups soymilk ¼ tsp marjoram1 ½ Tbsp soy sauce ¾ tsp saltPinch of cayenne pepper
Mix water, beef, and chicken seasonings in a large saucepan and bring to a boil. Addpotatoes, onion, and celery and simmer for 15 minutes. Add the red pepper and cookfor 15 minutes. Place mixture and cornstarch in a food processor and pulse untilsmooth. Place mixture back into saucepan and add the remaining ingredients. Simmeruntil soup has thickened. Serve immediately.
Nutritional Analysis for 1 cup: Calories: 89, Fat: 1 g, Total Carbohydrates: 17 g,
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Stop Diabetes Before It Stops You Protein: 4 g, Fiber: 3 g, Net Carbohydrates: 14 g, Total Carb Choices: 1
Low-GI Oats and Groats2 ½ cups water ½ cup dry buckwheat groats½ cup dry steel-cut oats ¼ tsp salt
Combine all ingredients in a medium saucepan and bring to a boil. Reduce heat to lowimmediately. Cover and simmer for about 20 minutes until the water is absorbed.
Nutritional Analysis for ½ cup: Calories: 113, Fat: 1 g, Total Carbohydrates: 22 g,Protein: 4 g, Fiber: 3 g, Net Carbohydrates: 19 g, Total Carb Choices: 1 Lentil and Tomato Soup1 cup dry red lentils 5 cups water1 crushed garlic clove 1 Tbsp olive oil1 cup diced onion ½ cup sliced celery1 cup sliced carrots 1 ½ cups canned chunky tomatoes1 ½ Tbsp tomato paste 1 bay leaf⅛ tsp chili powder 1 ½ tsp salt½ cup parsley
In a soup pot, add the lentils, water, garlic, oil, onion, celery, and carrots and bring to aboil. Cover, reduce heat and simmer for 2 hours. Add tomatoes, tomato paste, bay leaf,chili powder, and salt and simmer for a few minutes. Add parsley and remove bay leafbefore serving.
Nutritional Analysis for 1 cup: Calories: 120, Fat: 2 g, Total Carbohydrates: 20 g,Protein: 7 g, Fiber: 7 g, Net Carbohydrates: 13 g, Total Carb Choices: 1
Maple-Honey Soybean Waffles1 cup soaked soybeans 1 ⅔ cups water1 Tbsp floral honey 2 tsp canola oil1 tsp maple flavoring ½ tsp salt1 ⅓ cups old-fashioned rolled oats
Blend all ingredients in a blender until smooth, about 1 to 2 minutes. Pour ¾ cup ofbatter into medium-high preheated waffle iron and bake for 4 to 5 minutes.
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Stop Diabetes Before It Stops You Nutritional Analysis for ½ waffle: Calories: 109, Fat: 4 g, Total Carbohydrates: 13 g,Protein: 6 g, Fiber: 3 g, Net Carbohydrates: 10 g, Total Carb Choices: ⅔
Mixed Berry Topping1 cup sliced strawberries ½ cup blueberries½ cup blackberries ½ cup sweet cherries2 tsp floral honey
Blend ½ cup of strawberries in blender until creamy. Pour into a bowl and stir togetherwith remaining ingredients. Serve over waffles.
Nutritional Analysis for ½ cup: Calories: 44, Fat: 0 g, Total Carbohydrates: 11 g,Protein: 1 g, Fiber: 2 g, Net Carbohydrates: 9 g, Total Carb Choices: ½
7 Grain Hot Cereal3 cups water ½ tsp salt1 cup dry Arrowhead Mills 7 Grain Hot Cereal 3 Tbsp whole flaxseed
Bring water and salt to a boil in a medium saucepan. Add the cereal and flaxseed andstir briefly. Cover and reduce heat. Cook until thickened, about 12 to 15 minutes.
Nutritional Analysis for ½ cup: Calories: 91, Fat: 2 g, Total Carbohydrates: 15 g,Protein: 4 g, Fiber: 4 g, Net Carbohydrates: 11 g, Total Carb Choices: ⅔
Low-GI FalafelsVegetable Cooking Spray 4 cups canned drained chickpeas2 cups extra-firm tofu 3 minced garlic cloves½ cup chopped onions 2 Tbsp parsley2 Tbsp cilantro ⅓ cup Bragg’s Liquid Aminos2 tsp ground cumin ½ tsp ground coriander1 slice Ezekiel 4:9 sprouted grain bread Ezekiel 4:9 Pocket BreadGarlic Tahini Sauce*
Mash chickpeas and transfer to mixing bowl. Mash tofu and add to chickpeas alongwith garlic, onions, parsley, liquid aminos, and seasoning. Mix well. Break the breadinto 4 pieces, blend to make crumbs in a blender. Transfer to small bowl. Form ballsusing 2 Tbsp of chickpea mixture. Roll each ball in breadcrumbs and place on cookiesheet prepared with cooking spray. Bake until gold brown, about 25 minutes. Place 2
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Stop Diabetes Before It Stops You balls into half of pita pocket and top with Garlic Tahini Sauce.
Nutritional Analysis for 2 balls: Calories: 154, Fat: 5 g, Total Carbohydrates: 20 g,Protein: 11 g, Fiber: 5 g, Net Carbohydrates: 15 g, Total Carb Choices: 1
Garlic Tahini Sauce3 minced garlic cloves ½ sesame seed butter¼ cup lemon juice 2 Tbsp light soy sauce
Stir together all ingredients in a small bowl. Keep refrigerated in a covered container.
Nutritional Analysis for 1 Tbsp: Calories: 63, Fat: 5 g, Total Carbohydrates: 3 g,Protein: 2 g, Fiber: 1 g, Net Carbohydrates: 2 g, Total Carb Choices: Free
Low-Carb Lentils and Onions2 cups dry brown lentils 4 cups water1 cup chopped yellow onion ½ tsp salt1 Tbsp McKay’s Vegan Beef Seasoning½ tsp liquid smoke2 cups sliced onions 1 ½ tsp canola oil
In a medium pot, cook lentils in water for 30 minutes until tender. Add chopped onionsand seasonings and continue to cook. Sauté sliced onions in oil for about 8 minutes.Top cooked lentils with caramelized onions.
Nutritional Analysis for ½ cup: Calories: 130, Fat: 1 g, Total Carbohydrates: 23 g,Protein: 9 g, Fiber: 8 g, Net Carbohydrates: 15 g, Total Carb Choices: 1
Sautéed Onions, Kale, and Red Pepper8 cups kale 5 cups water1 tsp garlic powder ½ cup sliced onions¼ cup sliced red bell pepper 1 tsp McKay’s Vegan ChickenSeasoning1 ½ tsp yeast flakes ½ tsp olive oil
Cut kale into 1-inch strips. Boil kale in water until it turns a bright green color andshrinks. Sauté garlic, onions, pepper, yeast flakes, and seasonings in olive oil in asaucepan for 4 to 5 minutes until clear. Add kale and sauté another 5 to 10 minutes.
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Stop Diabetes Before It Stops You
Nutritional Analysis for 1 cup: Calories: 127, Fat: 3 g, Total Carbohydrates: 21 g,Protein: 10 g, Fiber: 7 g, Net Carbohydrates: 14 g, Total Carb Choices: 1
Healthy and Hearty Vegetable Soup6 cups water 2 cups diced red potatoes1 ½ cups sliced zucchini 1 ½ cups sliced yellow squash1 cup chopped tomatoes 1 cup sliced celery2 cups sliced carrots 1 cup chopped onion½ cup green beans ½ cup spinach1 bay leaf ¾ tsp garlic powder1 ½ tsp savory ½ tsp thyme1 Tbsp yeast flakes ½ tsp salt½ cup peas 2 Tbsp parsley
Place all ingredients, except for peas and parsley, in large pot and bring to a boil. Cover,reduce heat, and simmer until vegetable are tender. Add peas and parsley when soup isready. Cook for several more minutes before serving.
Nutritional Analysis for 1 cup: Calories: 55, Fat: 0 g, Total Carbohydrates: 12 g,Protein: 2 g, Fiber: 3 g, Net Carbohydrates: 9 g, Total Carb Choices: ⅔
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Stop Diabetes Before It Stops You
Chapter 8 Exercise for Good HealthChapter 8Exercise for Good Health
In order to achieve optimal weight loss, insulin sensitivity, and blood sugar
control, it is essential that we start a physical activity program. With a proper exercise
routine and a plant-based diet, those of us with diabetes will be able to maximize our
health. We will discuss the following four aspects of activity in this program.
Strolling
Stretching
Strength Training
Intermittent Training
Strolling after we eat is important to help control our blood sugar levels and
decrease our insulin resistance. We should stretch to increase our flexibility, our
balance, and our range of motion. Intermittent training is important to helps get
aerobically fit and increase our endurance. We will become more physically active at
home, we will have more fun with exercise, and we will be able to sustain our routine.
With just a 5 to 10 percent weight loss, we will have better glycemic control, improved
insulin sensitivity, and lower risk for cardiovascular disease in those of use with type-2
diabetes. For those of us with type-1 diabetes, we will eliminate our insulin resistance,
which will cause us to loose weight and use less insulin.
The Importance of Physical Activity
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Stop Diabetes Before It Stops You
When we have diabetes, physical activity is the most important thing we can do
to battle our disease. A good exercise routine is just as important as a healthy diet.
Once we start the program, we will see the following benefits.
We will have improvements in blood sugar control by natural methods.
Increasing our activity levels will allows our busy cells that are in need
of energy to use more glucose. This causes a decreased need for insulin
and lowers our blood sugar levels.
Our sensitivity to insulin will improve and we will need less medication
to control our diabetes. With regular activity, the long-term effect is
improving how well our bodies can metabolize sugar in our blood. The
most important part of this process is the storage form of sugar,
glycogen. By increasing our activity levels, we are slowing the rate our
bodies secrete insulin which causes our liver and our muscles to use
glycogen to maintain the balance of glucose in our bloodstream.
Because these the glycogen needs to replenish, which can take 24 to 48
hours, our cells will absorb more glucose.
Our body fat levels will start to decrease when we increase our activity
levels. The most effective way to loose weight is with a moderate caloric
intake with an activity plan. We will also increase our sensitivity to
insulin and reduce our dependence on medication.
We will also decrease our risk for cardiovascular disease by improving
our strength, controlling hypertension, reducing total cholesterol, low-
density lipoprotein, and triglycerides, while raising our high-density
lipoprotein.
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Stop Diabetes Before It Stops You
Our stress levels will drop substantially. Stress disrupts the diabetes
process by increasing adrenaline, ketones, free fatty acids, and urine
output. Stress also increases our risk of a heart attack, high blood
pressure, obesity, and hardening of our arteries.
Physical activity also helps us to overcome symptoms of depression. It
will also improve our mood, our time management skills, and our
productivity.
There are many more benefits we will see including:
A boost in our immune system
A decrease in osteoporosis symptoms
A reduced risk of bone fracture
A decrease in arthritis pain
A decrease in insomnia
An improvement in oral health
An improvement in memory and prevention or Alzheimer’s Disease
A reduced risk of some forms of cancer
Determining if We Are OverweightWe will need to find our body mass index so that we can determine the rate at which we
are improving our health and overcoming obesity. The body mass index assesses our
weight in relation to our height, how fat we are. A range is between 19 and 25 is
healthy, 25 to 30 is overweight, 30 and above is obese. Health problems generally occur
in those of us with a Body Mass Index above 25. We need to use the following formula
to determine our Body Mass Index.
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Stop Diabetes Before It Stops You
WEIGHT (lbs) BMI = --------------------- x 703
HEIGHT (in) x HEIGHT (in)
Cautions to Consider When Getting Active
Ask our doctors before starting an exercise program.
Test our blood sugar levels often.
We should not start the program if our blood sugar levels are under 70 or
above 250. We should start on the plant-based diet first.
We should remain patient as it may take some time to see results.
If we are in pain, we are overdoing the activity.
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Stop Diabetes Before It Stops You
We must drink plenty of fluids to stay hydrated.
Keeping track of our efforts will help us see the results.
We should watch where we are giving our rapid acting insulin injections
and be sure not to exercise that area too much to avoid hypoglycemia.
We need to time our activity so that we are exercising only within 1 hour
after taking our medication to avoid hypoglycemia.
Watching out for side effects of our medications is important. Beta-
blockers and alcohol make it difficult to tell when we are hypoglycemic.
We need to make sure we eat an extra 15 grams of carbohydrates prior to
or after exercising for one hour.
Treat any low blood sugar levels quickly.
Keep our identification handy and exercise with a friend.
Understand that we need to see a doctor if we experience any pains in
our chests, heart palpitations, or severe shortness of breath.
Practice good foot care.
Be careful of the sun and avoid sunburn and extreme heat.
We need to concentrate on our health goals instead of our activity goals
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Stop Diabetes Before It Stops You so that we do not over train.
Strolling
If we take a light stroll after we eat a meal, we can help our digestive system by
speeding up the blood circulation in our bodies. We must make sure that we do not
participate in any strenuous activity after a meal because our bodies must devote energy
to the digestion process, but a light stroll is important. This simple activity will keep
our blood sugar levels down and lower our postprandial glucose level.
Taking a light stroll is also helpful in burning off some of the calories that we
consume prior to the activity. This creates a beneficial cycle, where we will be lowering
our caloric intake, loosing weight, and lessening our symptoms of diabetes, which will
help us lose even more weight.
It is important to walk even if we cannot get outdoors to do so. We can buy a
treadmill or walk through the mall instead. Another good way to stroll is to park as far
away as possible from the entrance of any stores when we go shopping.
Stretching
It is important that we stretch because it nurtures our body and eases our mind.
Regular stretching provides us with the following benefits.
Stretching reduces tension in our muscles, alleviates stress, and helps us
to relax.
Our coordination increases because it enables us to have freer movement.
Our range of motion increases.
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Stop Diabetes Before It Stops You We will have better balance.
We will prevent injuries to our muscles.
Stretching prepares our body for more brisk exercise to follow.
Our flexibility increases and our posture will be better.
Circulation increases, which relieves our pain and neuropathy.
Anxiety and fatigue will decrease.
We will be more aware of our bodies.
Stretching makes it easier to get active.
We will reduce daily stomachs, headaches, nausea, as well as obesity,
diabetes, and cardiovascular disease.
We will be able to learn better and be more efficient and productive.
There is no optimal time that we should plan to stretch, as it is beneficial whenever we
are able. We can stretch while doing other activities if we choose such as on the way to
work, at our desks, when we are feeling stiff, in front of the television, or any other time
we have available.
The following are the top ten tips on how to stretch.
Stretch daily for optimal benefits.
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Stop Diabetes Before It Stops You
Stretch all major muscle groups 6 days a week.
Spend extra time on areas that tend to be less flexible.
Stretch muscles when they are already warm. First, take a brisk walk for
5 minutes and then stretch.
Hold each stretch for 10 to 30 seconds.
Stretching should be static, not bouncy.
We should not stretch if it hurts. Overstretching can cause injuries.
Cool down after a workout before stretching.
Breathe deeply while stretching.
Relax and enjoy it.
Strength Training
There are two different types of muscle development that we must consider, strength
training and bulk building. Strength training will give us the most benefits for good
health because it works by the overload principle. By overloading our muscles with
more weight than they usually lift, we increase our muscle fibers size and number. We
will increase the contraction ability of our muscles, as they get bigger and stronger.
Developing muscles strength will improve our stamina and energy level. By starting a
simple strength-training program, we will improve our glycemic control and protect us
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Stop Diabetes Before It Stops You against metabolic syndrome.
We should start a simple strength-training plan in order to start on a path of good
health. We can use household weights, like soup cans, dumbbells, or resistance tubes in
our simple strength-training plan. The following are recommendations we should use to
begin this type of activity.
We should prepare our muscles for
strength training with a warm-up exercise,
such as a brisk walk for 5 minutes.
We should test the resistance that we can
comfortably lift one time without hurting ourselves. We should then use
50 to 70 percent of the weight for our strength training routine.
A good place to start with each activity is with 10 reps of one set. The
last two reps should be comfortably hard and not agonizing. We will
need to adjust our weight if we cannot get through all 10 reps or if we
feel we can do much more.
We should add sets as we progress through our ability to workout.
It is essential that we lift the weights with a full range of motion.
It is how we lift that is important because faster is not better. We should
isolate the muscle group so that we can receive the full benefit.
Between reps, we should rest our muscles for 30 to 60 seconds.
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Stop Diabetes Before It Stops You We should begin our exercise routine with the largest muscle groups.
Brief and infrequent training times work best for optimal results. We
should strength train 2 to 3 times per week and not exceed 30 minutes
each time.
We must allow our muscles to recuperate after training and strength train
with 48 hours and no more than 96 hours between each routine.
It is better that we plan to strength train every other day.
Focusing our attention on the muscle doing the work will allow us to lift
more weight and be aware of our bodies.
Correct breathing is vital. We should breathe out during the effort
portion and breathe in during the portion where we return to the starting
position.
We should cool down after strength training by walking slowly for 5
minutes and stretching our muscles after our workout.
In order to properly strength train, we need to consider the following recommendations.
For less strain on our backs, we should keep the weight close to our
bodies.
Lifting with our legs is essential. We need to keep our backs straight and
our head level when picking up our weights from the ground.
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Stop Diabetes Before It Stops You We should not twist our bodies when lifting,
We should lift the weight smoothly.
We should allow plenty of time between lifts.
We should not lift beyond the limits of our own strength to prevent
injury.
Before starting, we should adjust the weight machine to our own bodies.
Stretching both before and after we strength train will give us optimal
results.
Intermittent Training
Intermittent training is the best way to make our hearts stronger since they are
muscles. This method of physical activity is the main component of increasing the
activity levels among sedimentary Americans.
Intermittent training is an activity that has an
active-rest period for a part of every minute of
exercise. We start this type of exercise by
exerting our heartbeat to 5 above our personal
target heart rate and then we rest until we are at
5 heartbeats below our target heart rate. Active
rest, however, does not mean that we stop
moving completely, only enough to slow our
heart rate to the appropriate level. The many
benefits of intermittent training are greater
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Stop Diabetes Before It Stops You weight loss, greater body fat loss, and an exercise plan that is easier to maintain.
Energy in our bodies comes from two basic metabolic sources, oxygen (aerobic)
metabolism, and muscle (anaerobic) metabolism. Anaerobic metabolism requires us to
have bursts of energy in a very short time. During this time, the workout intensity
exceeds the ability of our heart and lungs to get oxygen to our muscles. We are building
strength when we are allowing anaerobic metabolism to take place, but aerobic
metabolism that creates good health. Intermittent training keeps our bodies from
entering the anaerobic metabolism stage making it easier to walk with less pain and a
plan that is easier to stick with.
Anaerobic metabolism uses the stored form of sugar in our muscles cells, glycogen. By
using the glycogen, our bodies are creating lactic acid, which is what causes the burning
sensation in our muscles during moderate activity. This type of metabolism actually
decreases the rate of fat metabolism and causes a lack of motivation. If we are doing
too intense of a workout, our bodies tend to bypass the aerobic metabolism stage and
instead of burning fat, we burn glycogen. Because we will burn less fat, we will have a
lower weight loss.
It is essential that we determine our target heart rate zones before starting an intermittent
training routine using the following guidelines.
Step – 1: Learning to Take Our Pulse
By having the desire to find our personal target heart rate zone, we are
taking a positive step in becoming active in our own healthcare. The
slower our pulse rate is during complete rest, the healthier we are. It is
essential that we count our pulse at regular intervals to determine the
intensity of our activity. We must find our pulse quickly and count for 10
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Stop Diabetes Before It Stops You seconds. We will then multiply this number by 6 to determine our pulse
rate. When counting, we need to remember that the first beat is zero and
is a reference beat.
There are two common places that we will be able to take our pulse.
Wrist – The pulse is at the base of each thumb and is best felt by two
or three fingers of the opposite hand. We must remember to only
press gently so we do not cut off the pulse.
Neck – The pulse is on both sides of the windpipe and is best felt
with our index and middle fingers just to the side of the windpipe.
We must not press too hard or press both sides at the same time.
Another method is to use a heart rate monitor watch.
Step – 2: Finding our Target Heart Rate
We can determine our target heart rate by
subtracting our age in years from 220 and
multiplying by 0.65. The intermittent training zone
is 5 beats higher to 5 beats lower. We must
remember that this is a simple method for
determining our target heart rate and it may not work for all of us.
Rate of Perceived Exertion
We can also determine how hard we are working by using a scale from 0
to 10. We will rate how we feel about our total physical stress, effort,
and fatigue. This correlates to our actual heart rate, rate of oxygen
consumption, and lactic acid accumulation. We should work within a
zone of 5 (strong) to 3 (moderate.)
Intermittent training is for use with aerobic activities that are repetitive and rhythmic.
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Stop Diabetes Before It Stops You We should use our large muscle groups by doing activities like walking, jogging,
running, swimming, rowing, stair stepping, and so on. It is necessary to warm up for a
few minutes and begin by building up to our target heart rate zones. We will increase
the intensity of our activity to 5 beats above our target heart rate and then slow down
until we are 5 beats below our target heart rate. It should take 30 to 60 seconds to get
our heart rates up to the highest level and we must not let it decrease quicker than that
same rate. If we perform intermittent training 5 to 6 days a week for up toe 60 minutes
at a time, we will receive optimal results.
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Stop Diabetes Before It Stops You
Chapter 9 Preparing for Success
The rate of symptoms of depression is double for those of us with diabetes in
comparison to those that do not have the disease. With the simple tools we will discuss,
we will maximize our potential for sticking with our lifestyle changes. We will also
achieve good health and overcome our mental obstacles. We need to understand that we
have choices and there are consequences that result from these choices. We will learn to
understand different strategies for reducing our anxiety, anger, fear, and fatigue, which
will allow us to have better control of our diabetes.
The Influence of Stress
We tend to develop physiological stress on our bodies from our reactions to our
daily lives. This stress can cause the onset of many chronic diseases, including
diabetes. Chronic burnout alone causes a
substantial increase in the risk of our
development of diabetes. We experience a lot
of emotional stress and stress from work,
which often has a negative affect on our
bodies.
Stress causes the risk of diabetes for
several reasons. We overproduce cortisol
with an increase in stress, which counteracts
the effect of insulin, resulting in increasing
blood sugar levels. The processing of fat and
protein in our bodies start to slow and our
sensitivity to insulin decreases. The increase in cortisol also makes it harder for the
glucose in our blood stream to enter our cells. We also see an increase in abdominal fat.
Those of us with diabetes tend to have additional stress from coping with the
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Stop Diabetes Before It Stops You disease. Daily stress interferes with our diabetes management, so it is important that we
understand how to manage our stress. The following are simple ideas that we can use to
relieve our stress.
We must breathe deeply, hold our breath, and then slowly release.
We should listen to classical music to calm us down.
Walking our dogs will help with our stress level.
We can take a walk outside.
Reading a book will alleviate the stress.
We can pray or meditate.
We need to tell ourselves positive affirmations, repeat them, visualize
them, and really believe them.
We should participate in Intermittent Training.
We must avoid substances that alter our moods like alcohol, caffeine, and
sugar.
As soon as we begin to feel stress, we should gently, but firmly, say
“Stop.” Then we need to focus on the part of our body causing the stress
and try to release that stress.
It is important that we find own ways to bring ourselves peace, balance,
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Stop Diabetes Before It Stops You and we should take the time to practice them often.
When we focus on bettering our health and well being, we will begin to
feel better when we have an improvement in our health.
The Link Between Diabetes and Depression
There is a link between depression and diabetes and one tends to worsen the
other. When we experience unstable blood sugars, we often experience depression,
mood swings, irritability, weariness, and fear as well. When we experience the
symptoms of depression, we can also have worse glycemic control, higher rates of
chronic complications, increasing risk of a heart attack, and even subsequent
development of diabetes.
We now know that when we have diabetes, our risk of depression is double that
of someone without the disease. We may think that depression causes us to ignore our
diets, activity, and medicine regimen, but it is actually a more complex process.
Depression directly influences specific physiological body processes that can make our
diabetes worse because it causes changes in our immune response, inflammation, and
insulin resistance. The following are symptoms of depression. If experience at least
five of these symptoms, more days that not for at least two weeks, we need to seek an
evaluation for depression.
• Persistent sadness or feelings of emptiness
• Feelings of hopelessness
• Feelings of guilt, worthlessness, or helplessness
• Loss of interest in activities we once enjoyed
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Stop Diabetes Before It Stops You
• Decrease in energy
• Difficulty concentrating and making decisions
• Insomnia or oversleeping
• Changes in weight or appetite
• Irritability or restlessness
• Thoughts of death or suicide
Principles of Successful ThinkingIt is All in Our Heads
It is important to understand that our past disappointments as well as our specific
sources of our current depression do not matter. What
really matters is how we think about things and how we
respond. We have choices in how we judge situations
and how we act. In order to change our negative
thoughts, we should consider whether our thinking is
helping us to achieve our goals or it is causing us to
suffer. It is up to us as we can choose to feel like a victim or we can accept the reality of
the circumstance and move on with our lives.
A positive attitude can have a dramatic affect on our health, such as strengthen
our immune systems and help fight disease, but when we use it alone, it does have some
limitations. When dealing with unpleasant situations we must have serenity. We are
capable of changing our responses because we are responsible for what goes on in our
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Stop Diabetes Before It Stops You heads.
Utilize the Gap
We must remember that we are not feeling bad due to the people or tragedies in
our lives. It is a tendency to think that our environment causes us to respond in a
specific way, but this is incorrect. There is a gap between the stimulus and our
response. Because humans can think and choose, we have the ability to select how we
will respond. Choosing always takes place in this gap and we must use this time to our
advantage. When we think about our response before we act, we will prevent ourselves
from reacting mindlessly.
Activation, Belief, and Consequences
We now know that we must choose how we will react to a difficult situation, but
this choosing in the gap between the stimulus and the response has to do with what we
believe and what we say to ourselves. Every situation has the following three parts.
The activating event is the stressor or the unpleasant situation.
Our belief system is what we tell ourselves how we should judge the
activating event.
The consequences are our emotional and behavioral responses to the
activating event.
When the gap between the stimulus and the response happens, we are causing
the feelings in which we are acting. The first step in successful thinking is to focus on
the messages we are giving ourselves that fuel our emotions instead of our actual
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Stop Diabetes Before It Stops You feelings and emotions. We need to start saying nice things to ourselves to make the
change. Even if this type of behavior does not feel natural, we should do so anyway to
motivate ourselves to take constructive action.
Accepting Ourselves Unconditionally
We need to be critical of our own behaviors and make the necessary changes
instead of judging our whole selves. This behavior will gradually change with time and
practice and will become easier along the way. It is critical that we change our
personalities and our tendencies to upset ourselves.
Recognizing our Irrational Beliefs
During the gap between the stimulus and the response, we must be conscious of
what we are saying to ourselves. It is common for us to repeat negative self-talk over
and over, but this tends to cause unhealthy beliefs and bad feelings. We should listen to
our minds and try to hear what we saying to determine what is causing the negative
thoughts because some are rational and others are irrational.
Irrational beliefs keep us from achieving our goals, fuel unhealthy emotions,
lead to harmful behaviors and tend to distort reality. We can look for exaggerations and
distortions in our destructive self-talk and see the impossible demands we are placing on
others and ourselves.
I am a pound heavier today now my whole day is ruined.
If I eat one serving of ice cream, I know I will not be able to stop.
I need to eat only salad for lunch or else I will gain weight.
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Stop Diabetes Before It Stops You
If I go to the gym, others will stare and laugh at my body.
That girl is thinner than I am. I have to lose weight.
I should not have eaten that cookie. Now, I’m off my diet. I might as
well eat the whole box and start over again tomorrow
Swap Out Irrational Beliefs for Rational Beliefs
It is important that we understand that we are fully capable of replacing our irrational
beliefs with rational healthy ways of thinking. We can seek out and destroy should,
ought, and must in our thinking. For this new behavior to take hold, we need to practice
it many times a day. If we have trouble putting things in perspective, we can use a
catastrophe scale. Once we slow down, breathe, and utilize the gap, we will begin to
think rationally.
Can we stand the situation? Yes, we can and we are even capable of a lot
worse if we have to. It seems as though the worse things get, the better
we are able to cope.
Is it the absolute worst thing that ever could have happened? No, there
are worse things that could happen. Everything we must go through is
just an unpleasant situation. We can endure the stress.
Is it unbearable? No, there are worse circumstances that others deal with
every day.
Preferences and Demands
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Stop Diabetes Before It Stops You
There are bound to be truly challenging stimuli that come our way, and we do
not have to ignore the strong appropriate consequences. Some situations, such as a
complication of diabetes, that are not the end of the world, but cannot be tossed aside
either. It is essential that we still experience natural responses to these types difficulties,
but we should not blow them our or proportion. We need to choose the way we will
respond and change our negative self-talk.
Certain types of situations may cause use to say we prefer something else, but
we must not be caught in an irrational belief that things need to be a certain way. This
will keep us centered and strong willed. Keeping our desires as preferences without
turning those into absolute demands is vital. When something violates our preferences
we experience appropriate and constructive negative emotions, but if something violates
our demands, we experience unhealthy and destructive, negative emotions. We should
forcefully challenge our demands until they become preferences instead.
Plant Based Diet
The plant-based diet that this program recommends will work to fight depression
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Stop Diabetes Before It Stops You for the following three reasons, which we will discuss.
Plant-based diets are high in tryptophan, which is an essential amino acid
that our bodies require for the production of serotonin, a neurotransmitter
in the brain that is associated with depression. For those of us with
depression, our serotonin levels must increase. We can increase our
levels by eating tofu, ground flaxseed, roasted pumpkin seeds, and gluten
flour. The effect that serotonin levels have on depression is rapid and
profound.
Plant-based diets are high in omega-3 fatty acids, which is an essential
fat that we cannot manufacture in our own bodies. This type of fat is
necessary for the proper function of our brains and comes from the
healthful plant fat, alpha linolenic acid. The best sources of omega-3 are
flaxseed oil, English walnuts, canola oil, black walnuts, wheat germ oil,
soybean oil, and dark green leafy vegetables. If we consume any level of
trans-fat in our diets, the alpha linolenic acid will not efficiently convert
to omega-3 fatty acid in our bodies.
Plant-based diets are high in folic acid, which can cause depression if we
do not have an adequate supply. The best sources of folic acid are
chickpeas, black-eyed peas, lentils, red kidney beans, okra pods, navy
beans, spinach, and mustard greens.
Other Lifestyle Treatments
It is essential that we get adequate sun exposure for vitamin D
production. We produce vitamin D in our skin when ultraviolet light is
available. We tend to have low levels in the winter months, which
require a vitamin D supplement. Vitamin D works to increase the
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Stop Diabetes Before It Stops You serotonin levels in our brains, which alleviates the feelings of depression.
We should receive indirect light exposure to our eyes and morning
sunlight is the best source.
We need to receive adequate sleep because insomnia increases our risk of
depression. This is because our melatonin levels decrease when we
receive bright light instead of sleep. Serotonin is a building block for
melatonin so if melatonin decreases, so does serotonin.
If we all give up smoking, we will also reduce depression. This is
because smoking tends to cause the following health conditions.
o A much shorter lifespan – up to 21 years lower
o More heart attacks
o More cancers
o Reduction in bone strength and more fractures
o Risk of back pain and injury
o Hormonal abnormalities
o Rapid loss of agility, balance, and endurance
o Acceleration of skin wrinkling, hair loss, and graying
o Acceleration of vision loss
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Stop Diabetes Before It Stops You
o Difficulty sleeping
o Heartburn
o Stomach ulcers
Among those of us with diabetes, 25 percent of us are smokers. Smoking has a
negative effect on our metabolic control and causes an increase in diabetes related
complications. For those of us without diabetes, if we smoke, we have a high risk of
developing type-2 because it can negatively influence insulin sensitivity, worsening
glucose metabolism, worsening insulin resistance, and causes our pancreas to secrete
too much insulin. For those of us with type-1 diabetes, smoking causes higher blood
sugar levels.
Believe in Something
It turns out that those of us who are religious tend to get over depression much
quicker, have better mental health and are able to adapt to stress much better. Our
beliefs do not have to be religious based; we can believe in other things and still have
the same effect. We can make getting over our misery the most important goal in our
lives and we can believe in ourselves that we can achieve our goal.
Successful Lifestyle Change
• We must be clear about our goals. Those of us who will be successful know
where we are going and we focus on going in the right direction. We master the
incremental steps that lead to our goals.
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Stop Diabetes Before It Stops You
• We must set specific target behaviors that will help us achieve our goals.
• We must make the time to reach our goals. We should establish time and
prepare to devote resources on our target behaviors. It is essential that we put
ourselves first.
If We Break the Rules
• Simply do the very best we can do today then start again tomorrow. Do not let a
lapse turn into a relapse.
• Accept the consequences of our behaviors and move on. Let our goals be our
guide.
• Know thyself, the myth of moderation has been the bane of many people who
attempt change
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Stop Diabetes Before It Stops You
Chapter 10 The Plan to Stop Diabetes
By simply changing our normal American lifestyle, from one that involves an
animal-based diet and a lack of physical activity, to a habit of plant-based foods and
regular activity, we can begin to reverse the risk factors for diabetes, heart disease,
obesity, cancer, and many other ailments. This program combines many
recommendations and guidelines that we will use to improve our blood glucose levels
and our overall health. We usually start on a
diet with the attitude that we will feel
restricted which eventually leads us down the
path of failure. Once we set specific,
attainable goals, we can overcome those
habitual behaviors that get in our way.
Attitude is the key and if we take it just one
meal at a time, the lifestyle changes we are
about to make will not seem like such a big
deal. Once we stay on the program for 30
days, things will get easier and we will be
much more likely to stick with our lifestyle changes.
The main factor that can keep us from achieving our long-term goal of diabetes
management is changing to a plant-based diet. Since we have been addicted to
unhealthy food for so long, we may become distressed when trying to change our habits.
We will use the following seven tips for minimal distress when beginning this program.
We must avoid all addictive foods completely to help our cravings
disappear.
Our taste buds will adjust and begin to enjoy eating healthy after
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Stop Diabetes Before It Stops You approximately 2 to 3 weeks on a plant-based diet.
When we are reluctant to change our habits, we must write down any
reasons for our reluctance so that we can deal with them and find
solutions.
If we create a safe house at home and fill our homes with only
healthy foods, we will not be tempted to go back to our old habits.
We must eat foods the exact way that they are when we find them in
nature. Processing foods degrade them substantially.
The varieties of foods we can eat with a plant-based diet are endless.
We need to try a new food every week to see all of the options that
are available.
Too many times, we eat dinner while being entertained. When we do
this, we usually eat too much. We need to start eating slowly so that
we can savor the tastes of many foods we may never have tried
before.
The following are the changes we need to make to our lifestyles to control our
cholesterol, triglycerides, blood sugar, and weight.
Achieve our ideal body weight.
Get physically active at least 5 times a week.
Eat a plant-based diet of whole grains, vegetables, fruits, beans, and
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Stop Diabetes Before It Stops You limited amounts of seeds and nuts.
Limit our intake of saturated fat.
Avoid trans-fat.
Limit our intake of total fat.
Increase our intake of legumes.
Increase our intake of dark green leafy vegetables.’
Increase our intake of fiber.
Avoid drinking beverages containing caffeine.
Avoid refined, processed, flour products.
Avoid sweets.
Avoid drinking alcohol.
Do not smoke.
Learning what types of food that we should eat and how we should eat them will
greatly improve our success rate. We must stop eating any animal-based products
because they contain too many fats and calories. If we eat a total plant-based diet, with
beans in place of meats, we will be able to maintain a healthy weight while keeping our
health in check. We will use the following 15 guidelines for eating a healthy plant-
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Stop Diabetes Before It Stops You based diet every day.
Breakfast should be our biggest meal of day while dinner should be
very small or not eaten at all.
We should eat a sensible breakfast and lunch with no snacking in
between meals. These meals should be at regularly scheduled times
so we can keep our blood sugar level stable.
We need to eat at least eight servings of fruits and vegetables per day.
Vegetables should be mostly above ground and dark green leafy, and
strong smelling varieties because they tend to be low glycemic and
most nutritious. Eating mostly northern hemisphere fruits is essential
because they also tend to be low glycemic. Instead of drinking fruit
juices, we should consume whole fruits in their purest form.
We should try to eat 2 to 3 servings of different varieties of beans per
day.
We need to limit ground grains and flour because these are high
glycemic. Whole grains in their natural state are vital at 6 to 9
servings per day.
It is desirable that we consume 1 ounce of unsalted tree nuts per day.
We need to pay attention to serving sizes closely as they contain
many calories.
To obtain substantial amounts of omega-3 fatty acid, we should eat 1
tablespoon of ground flaxseed daily.
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Stop Diabetes Before It Stops You
Because a plant-based diet is low in vitamin B12, we should take 1000
micrograms of a vitamin B12 supplement daily.
We should stick to plant-based fats, like olive oil and canola oil. We
will avoid all saturated and trans-fats or any product that uses the
word hydrogenated, ineresterified, margarine, or shortening on the
ingredient label.
Avoid all refined and processed foods. We should try to consume
foods that show only one ingredient on the food label.
We need to limit our salt intake to a maximum of 1000 milligrams
per day.
Training our taste buds to enjoy naturally sweetened food is essential
so that we can stop consuming foods and drinks that contain sugar or
artificial sweeteners.
Because caffeine causes dehydration, affects blood sugar control,
causes increased blood pressure, and decreases the ability for blood
to flow to the heart, we must eliminate it from our diets.
We must eliminate alcohol as well due to causing dehydration and
severe hypoglycemia in diabetic patients.
Water is vital to our existence so we need to drink at least 8 to 10
glasses of water per day for proper hydration. We will begin our day
by drinking 24 ounces of room temperature water. For proper
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Stop Diabetes Before It Stops You digestion, we will stop drinking one half hour before meals and not
resume until one hour after meals.
Caffeinated beverages as well as alcohol can be detrimental to our health and
well-being, especially for those of us with diabetes. The following information shows
us why we must avoid these substances.
Caffeine causes higher rates of certain cancers, miscarriages, low
birth weight babies, worsening depression, anxiety, fatigue, elevated
blood pressure, heart palpitations, heart disease, bone loss,
osteoporosis, and frontal lobe disorders.
After consuming caffeine, we can experience higher blood sugar
levels, decreases in insulin sensitivity, and impairment of glucose
tolerance.
Caffeine raises stress hormones, a risk fact for diabetes.
In very large doses, caffeine is lethal.
Caffeine increases dopamine levels, the same as cocaine and
heroin.
Our bodies perceive alcohol to be toxic. Our liver works to
detoxify the alcohol and turn it into less harmful substances. Part of
the alcohol gets converted to fat which is deposited locally.
Alcohol is a high calorie beverage.
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Stop Diabetes Before It Stops You The intoxicating effect of alcohol impairs our judgment,
including the judgment to determine if we are hypoglycemic and to
stop eating.
Alcohol can drastically affect our blood sugar levels.
Diet alone cannot control weight loss and blood sugar levels. In order to reduce
insulin and medication requirements, physical activity must be part of our daily routine.
Exercise lowers our insulin resistance, which in turn leads to weight loss and less
dependence on insulin in type-1 diabetics. When we follow the nine recommendations
listed below, we will get adequate exercise to maintain a healthy lifestyle. The only
equipment that is required is a good pair of walking shoes, a heart rate monitor, and a
set of resistance tubes.
Stretching increases our flexibility, balance, and range of motion. We
need to stretch for 30 minutes in the morning, 6 days a week. It is
also important that we stretch before strength training and
intermittent training.
We must be physically active for an accumulated total of 60 minutes,
5 to 6 days a week. This will allow us to burn off substantial calories
and increase our weight loss.
Intermittent training increases our endurance and allows us to be
aerobically fit. When we practice intermittent training, we should
increase the intensity by five beats per minute every 2 weeks until we
are at 75 percent intensity. When we do intermittent training
correctly, we should feel no muscle burn.
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Stop Diabetes Before It Stops You Strolling after each meal will help us to control our blood sugar and
increase insulin sensitivity. We should stroll for 20 minutes after
both breakfast and lunch.
It is easy to get the needed physical activity if we make it enjoyable.
We can pick an activity that we enjoy, such as walking, and we can
set a goal such as working up to walking 10,000 steps per day.
Staying within a target heart rate is important to obtain the maximum
benefit from physical activity. We will use a heart monitor to make
sure we remain in that target zone.
Vigorous activity right after a meal can inhibit the digestion process
and cause pain. We should avoid any vigorous activity for 1 to 2
hours after eating.
Strength training increases our metabolism, and builds and
strengthens bones and muscles. We will strength train 3 times a
week, with at least a day between each time, for maximum results.
When we strength train, muscle pain may occur but joint pain should
not.
Getting outdoors in the sun when physically active is important for us
to have a good attitude, enjoy the activity, and increase vitamin D
absorption.
Sunlight and rest are just as important to our healthy lifestyle as diet and
exercise. Some studies have shown that a lack of vitamin D or regular sun exposure
plays a role in the development of diabetes. Since we have become a society where we
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Stop Diabetes Before It Stops You eat dinner in front of the TV and physical activity is at an all time low, we have been
getting very little sun exposure. Instead of remaining indoors most of the time as we do
now, we need to make a habit of going outside everyday, even when it is cloudy. The
following recommendations will ensure that we receive an adequate amount of sun
exposure and rest to overcome many health troubles that we may have.
In order for us to get the optimal rest and rejuvenation that we need
to live a healthy lifestyle, we should get 30 minutes of early morning
light exposure every day. We also need to get 15 minutes of sunlight
between 10 am and 3 pm, 4 times a week for adequate vitamin D
absorption.
Because we are less likely to be out in the sun during the winter
months, we should take a vitamin D supplement of 1000 units per
day.
To aid digestion and metabolism, we should avoid lying down for 2
hours after eating a meal.
We must keep our bedrooms neat and clean so that we can receive
peaceful sleep at night.
We will sleep for 7 to 9 hours at night, with 2 to 3 hours being before
midnight, in a dark cool room for optimal rejuvenation.
Finding a doctor that will work with us to achieve our goals is not only
important but can be a difficult task as well. Since we need to see a doctor frequently
when embarking on this program, we should find one who can be our lifestyle coach.
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Stop Diabetes Before It Stops You We need to use the following guidelines when looking for a doctor that will be of help
to us when we try to change our habits and become healthy once again.
Our doctors should prescribe lifestyle changes before medication.
This is important because medication often leads to side effects that a
doctor may just treat with more medications causing a domino effect.
Many times a simple lifestyle change can take away all of the
symptoms of a particular disorder.
Our doctors should explain thing
so that we can understand them.
Too many times, doctors leave us
in the dark because they talk to us
using only terms that a doctor will
understand. We then have no clue
on the actual causes of our
concerns.
Our doctors should take their time
with us and listen to our concerns.
Our doctors tend to rush through
our appointments because they
have several other patients waiting to see them. Because of this, we
will have many concerns that we cannot take care of right away.
Our doctors should treat the causes of our problems and not just the
symptoms. Our doctors will usually prescribe medications to take
care of our symptoms, when the cause of the symptom should be the
concern instead.
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Stop Diabetes Before It Stops You
Our doctors should look healthy and live a healthy lifestyle. We
always say that people should practice what they preach. If our
doctors do not live healthy lifestyles, then they should not expect us
to do so either.
Our doctors should have a respectful attitude. Many times our
doctors are condescending. Without using a respectful attitude
towards us, we are less likely to follow any recommendations that are
given.
Our doctors should communicate with the other members of our
healthcare team. It is essential that everyone our healthcare team
knows about any troubles we may have and any medications that we
are taking.
Our doctors should consider our entire body when treating us, not
just the medications, symptoms, diagnosis, and numbers. Many
times the numbers of our laboratory tests and our symptoms do not
tell the whole story. Our doctors must look at everything as a whole
to give proper treatment.
It is important to know that it is up to us, not just our doctors, to control our
health. We need to set both short term and long term goals and work with our doctors to
achieve them all. Frequent medical visits will be necessary and we must make it a
priority to see our doctors twice per week for the first two weeks and then weekly until
our health is stable. Because many changes will be required after we change our habits,
we need to discuss the following things with our doctors before starting this program.
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Stop Diabetes Before It Stops You We need to have the following laboratory tests before starting these
changes and again at three month: Fasting chemistry panel, lipid
profile, fasting insulin levels, and HgA1c.
Our insulin requirements will be lower soon after we make these
changes. Diabetes pills requirements will also lower or unneeded.
Blood pressure pill requirements will be lower after 2 weeks.
Cholesterol medication requirements are usually lower or unneeded
after the 3-month laboratory test results.
Although the focus of these recommendations is helping those of us who are
diabetic, the program is actually a restoration program for those of us who have a
number of disorders. Using the same recommendations can prevent and treat heart
disease, cancer, stroke, and hypertension, as well as high cholesterol, autoimmune
disorders, osteoporosis, constipation, and hemorrhoids.
30-Day Diabetes Prescription
Attitude
Set attainable short and long-term goals.
Find new behaviors that will help us achieve our goals.
Devote time to achieve our goals.
Start over if we fail to attain a goal.
Nutrition and Water
Follow the recommended plant-based diet.
Eat ten servings of colorful fruits and vegetables, nine servings of whole grain, three
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Stop Diabetes Before It Stops You servings of beans, and one ounce of nuts and seeds per day.
Drink ten glasses of water per day.
Activity
Stretch for 30 minutes each morning.
Stroll for 20 minutes after each meal.
Perform intermittent training for 60 minutes, 5 days a week.
Perform strength training for 30 minutes, 3 days a week.
Rest
Get 8 hours of sleep every night.
Get up early and go to bed early.
Sunlight
Get 30 minutes of early morning light exposure every day.
Get 20 minutes of afternoon light exposure 4 times a week.
Medical
Take 1,000 μg of vitamin B12 daily.
Check blood sugar levels 8 times per day.
Check blood pressure levels 3 times per day.
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