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by author Joey Shulman, DC, RNCP To gain all the benefits of eating carbohydrates while avoiding excess insulin secretion, it is important for diabetics to stick to carbohydrates ranked low to medium on the glycemic index. For the most part, all vegetables (with the exception of white potatoes), most fruits (with the exception of dates, raisins, and lychee fruit), whole grains, and beans are ranked fairly low on the glycemic index. Processed foods such as white bread, white flour, cereals, pretzels, muffins, candy, soft drinks, and breakfast bars are ranked higher. The glycemic load shows how much sugar is in the food, rather than just how high it raises blood sugar levels. In other words, it considers a food’s glycemic index as well as the amount of carbohydrates per serving. The calculation of the glycemic load (GL) is the glycemic index divided by 100 and multiplied by its available carbohydrate content. In summary, the values are:
Let’s take the example of carrots–a highly nutritional food choice. Unfortunately, carrots have received some undeserved bad press due to their high glycemic index rating of 71. Yet, a carrot has only has 4 grams of carbohydrates in total. To determine the glycemic load, the calculation is 71 x 0.04 = 2.84 GL. Carrots, therefore, have a low glycemic load rating and will not over-secrete the hormone insulin. Now let’s take the example of one cup of cooked, white pasta that also has a glycemic index rating of 71, but contains 40 grams of carbohydrate. The calculation is 71 x 0.40 = 28.7 GL. As you can see, pasta has a high glycemic load because it is so dense in carbohydrates. Take Charge of Your Health! Of all the steps necessary to achieve proper blood sugar control, achieving a healthy body weight is the most important. Instead of following a fad or “crash” diet to lose weight quickly, healthy and gradual weight loss (two to four pounds per week in the first three weeks and one to two pounds per week after that) is the best way to lose and maintain your ideal weight. In addition to weight loss, the following nutritional and lifestyle approaches are key steps for diabetics to take back control of their health. Eat a sufficient amount of lean protein, essential fat, and fibre. Protein, fat, and fibre act as “brakes” slowing down the entry of glucose derived from carbohydrates into the bloodstream. Remember, the slower the entry of a carbohydrate into the bloodstream, the smaller the amount of insulin that is secreted in response. Incorporate proteins such as yogourt, egg whites, fish, chicken, protein powder, and tofu and healthy fats such as flaxseed oil, fish oils, nuts, seeds, and avocados into the diet. Healthy fibre options include psyllium, ground flaxseeds, beans, vegetables, fruits with skins, and whole grain breads. Avoid processed and packaged foods that are loaded with sugars and refined flours. These foods likely have a higher glycemic index and load rating, causing blood sugar levels to bounce around and weight gain to occur. Consider supplements that can help monitor blood sugar control, such as chromium, fish oils, vitamin C, and magnesium. Speak to your primary healthcare practitioner about which ones are right for you. Avoid foods that are high in saturated fat, such as red meat, full fat dairy products, and deep fried foods. These foods can worsen glucose tolerance and increase the risk of type 2 diabetes. In fact, diabetics have been shown to do extremely well on a vegetarian diet. Start exercising as a part of your daily routine, and you will lose weight, feel great, and maintain proper blood sugar control. Choose exercise activities that you think are fun, rather than those you think are good for you. Be sure to consult your healthcare provider before embarking on any new physical activities. Wield Your Power In terms of health care, knowledge is power. This statement is especially true when it comes to type 2 diabetes. If you or someone you love has type 2 diabetes, do not consider it a life-long sentence. By becoming educated on how to use the proper tools, making smart nutritional choices, and exercising regularly, you can regain control of your blood sugar levels, your weight, and your health! PDF Chart of High and Low Glycemic Index Foods Type 2 Diabetes is Caused by a Number of Lifestyle Factors Which Include:
Fasting Sugar Readings are as Follows:
Dr. Joey Shulman, DC, RNCP, is author of Winning the Food Fight (Wiley 2003) and The Natural Makeover Diet (in stores Jan. 2006). For more information, visit www.drjoey.com. Source: alive #277, November 2005 |
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