Fight Diabetes
With Food –
Class 4
Vanita Jain Rahman, MD
Deitra Dennis, RN, NBC-HWC
Caroline Trapp, DNP, ANP-BC, CDCES,
DipACLM, FAANP
What to expect:
•
•
•
Class slides and recordings are available on demand for
registrants at PCRM.org/DiabetesResources.
A new class series will restart every eight weeks, so you
always have a place to keep learning and get support on
your journey.
You can invite others to join you anytime! No need to wait
until the next series begins.
1. A Nutritional Approach for Diabetes
2. How to Get Started With a Powerful Menu
3. Grocery Shopping and Recipes for Success
Eight-week
class itinerary:
4. How to Manage Medications and Navigate Social Situations
• The 21-Day Challenge Begins!
5. Getting the Nutrients You Need
6. Healthy Options When Traveling or Dining Out
7. Maintaining a Healthy Heart, Eyes, Nerves, and Kidneys
8. Keeping Up Success in the Long Run: Virtual Potluck
Class Four Outline
1. Welcome/check-in
2. Today’s presentation
3. Myth bust: Is soy safe?
4. Guest panel discussion
5. Closing announcements and
sweepstakes winner reveal!
Tips for Making Oil-Free Salad Dressings
1
2
3
Use silken tofu, hummus, or
other pureed beans to make it
creamy.
Experiment with different
combinations of spices, herbs,
citrus juice, and vinegars.
Remember dressing is not the
only flavorful component!
Make sure to also include
flavor-rich salad ingredients
(roasted vegetables, green
chiles, grilled mushrooms or
onions, corn off the cob, whole
grains, etc.)
PCRM.ORG/RECIPES | SEARCH – SALAD DRESSING
Creamy Poppy Seed Dressing
Balsamic Vinaigrette
Mustard Vinaigrette
Poll:
Poll:
Did you try a plant-based dinner since last
class?
 Yes, but not daily
 Yes, every day
 Not yet
Share what you tried in the chat!
Poll:
What challenges did you have in trying a
plant-based dinner?
 Time constraints
 Not sure where to find recipes
 My blood sugar went too high after eating
 Other (tell us in the chat box)
 No major challenges this time
 I haven’t had a plant-based dinner
Poll:
Did you sign up for the 21-Day Vegan
Kickstart online or download the app?
 Yes
 Not yet, but I plan to this week
 No, I plan to use other recipes and meal
plans during this class series
 I wasn’t in class last week and/or I don’t
know about this app yet
A Quick Review of Key Concepts and
Managing Medications
What is
diabetes?
Insulin, Blood Sugar, & Diabetes
Not
Enough
Insulin
Insulin
Doesn't
Work
Blood
Sugar
Rises
Physicians Committee for Responsible Medicine
13
Prediabetes vs. Diabetes
Fasting Blood
Sugar
(mg/dL)
A1C (%)
Physicians Committee for Responsible Medicine
Normal
Prediabetes
Diabetes
< 100
100-125
126 or more
< 5.7
5.7 – 6.4
6.5 or more
14
Glucose
Insulin
Glucose
Insulin
Phew!
Medications and Diet Change
Examples of changes that may reduce medication needs for some people:
•
Improvements in blood glucose pattern
•
Reductions in blood pressure
•
Reductions in cholesterol
Diet can reduce the need for insulin and sulfonylurea medications very quickly
(within days).
•
Physicians Committee for Responsible Medicine
18
How to Avoid Dangerously,
LOW Blood Sugars
As you adjust your diet…
•
Inform your provider of your diet change.
•
Monitor blood glucose for numbers trending down.
•
Know your targets.
•
Check with your provider for any recommended medication
adjustments.
• Physicians Committee for Responsible Medicine
19
Please Note
B12 supplement – 100+ mcg daily
Diabetes medication – watch for hypoglycemia and check
blood sugar daily
High Blood Pressure medication – watch for low blood
pressure and check it daily
Medications – work with your physician
Navigating Social Situations
Adult and
childhood
obesity is
rising
Physician’s Committee for Responsible Medicine
NCHS Data Brief No. 288 October 2017
Anyone getting
pushback?
(Share you experience
in the chat box)
Physicians Committee for Responsible Medicine
With Children
1. ”Plant-based diets are kinder for the animals…”
2. “Plant-based diets can slow climate change…“
3. “Plant-based diets can improve athletic
performance…”
Physicians Committee for Responsible Medicine
24
Tips for Children
•Recognize division of
responsibility
•Your job: prepare and serve
food
•Child’s job: eat (if anything)
•Avoid being a short-order cook
•Have a back-up meal (oatmeal
with fruits)
•Bribes and threats backfire
•Avoid power struggles
•Lead by example
•Keep trying
Physicians Committee for Responsible Medicine
How to Build Support?
With adults: share your health reasons
1. “I am trying to lose weight, and I have read that a plant-based diet can
help…”
2. “There is diabetes in my family, and I have learned that a plant-based diet
can lower my risk…. “
3. “I am trying to lower my cholesterol, and I heard that plant-based diets can
help.”
4. “I understand that a plant-based diet can decrease my joint pain.”
Physicians Committee for Responsible Medicine
27
Helpful Tips with Adults
•
Ask for support…”I am trying to eat
better to improve my health, will you
support me?”
•
Engage the whole family in meal
planning, shopping, cooking and cleanup
•
Avoid telling them what to do
•
Avoid confrontational statements
Physicians Committee for Responsible Medicine
Pizza
What
would you
add to
your
pizza?










Tomato sauce
Mushrooms
Roasted garlic
Sautéed onions
Nutritional yeast
Roasted peppers
Pineapple
Olives
Jalapeños
Other (share in chat)
Spaghetti
What
would you
add to
your
pasta?










Tomato sauce
Mushrooms
Lentils
Sautéed onions
Nutritional yeast
Basil
Artichoke
Olives
Spinach
Other (share in chat)
Sushi
What
would you
put in your
sushi?








Cucumber
Asparagus
Sweet potato
Avocado
Carrots
Pickled radish
Tofu
Other (share in chat)
Tacos
What
would you
put on
your
tacos?
❑ Beans – any variety
❑ Cilantro
❑ Salsa
❑ Avocado
❑ Tomato
❑ Jalapeños
❑ Lettuce
❑ Other (share in chat)
Is Soy Safe?
• Does soy increase the risk of
breast cancer?
• Will soy cause breast
development in men?
• Is soy safe with thyroid
medication?
Is Soy Safe?
• Does soy increase the risk of
breast cancer? NO
• Will soy cause breast
development in men?
• Is soy safe with thyroid
medication?
Is Soy Safe?
• Does soy increase the risk of
breast cancer? NO
• Will soy cause breast
development in men? NO
• Is soy safe with thyroid
medication?
Is Soy Safe?
• Does soy increase the risk of breast
cancer? NO
• Will soy cause breast development in
men? NO
• Is soy safe with thyroid medication?
Yes, but not within 4 hours of thyroid
medication
Is Soy Safe? Yes, and it’s nutritious!
• Enjoy minimally processed forms of soy
– Soybeans
– Edamame
– Soy milk
– Tofu
– Tempeh
– Miso
***Avoid these if you have a soy allergy
Introducing our guests!
Rohit Moghe, PharmD,
MSPH, CDCES, RYT
Meryl Fury, MS, RN
Plant Based Nutrition Movement
Gerardo Lazaro, PhD, CHI
#Planteate
•
Virtual cooking classes are available at PCRM.org/FFL
Take a Food for Life class with Gerardo!
Cancer Project, 5-part series
• Saturdays at 6:30 pm ET
• Oct. 16 - Nov. 13 on Zoom
• In English and Spanish
Register at PCRM.org/FFL
or at Planteate1.com
Follow Plant Based Nutrition Movement!
Attend their virtual events, A
Delicious Adventure, the 4th
Tuesday of every month!
• Tonight! Sept. 28 at 7:30 pm CST
• Theme: Back to School
Subscribe to their monthly
newsletter to stay up to date
on events and projects!
PBNM.org
Connect with Rohit on LinkedIn!
LinkedIn profile
Stay tuned for the
launch of his lifestyle
medicine consulting
and coaching
program!
This week’s
winner is…!
•
In the next 4 classes, one person will win these books:
•
Your Body in Balance and Reversing Diabetes by Dr. Neal Barnard
•
Simply Plant Based cookbook by Dr. Rahman
•
By registering for the class with your email address, you are
automatically enrolled.
•
Duplicate entries not allowed; disclosure details are at
PCRM.org/DiabetesClass
Physicians Committee for Responsible Medicine
Let the 21-Day Challenge begin:
Try a full week of plant-based meals!
If helpful, follow along with the 21-Day Vegan Kickstart!
Take advantage
of the 21-Day
Vegan Kickstart!
• Refer to this FREE meal plan or other extra
recipes in the 21-Day Challenge!
• Check out the learning tab for cooking demos
and nutrition videos!
21DayKickstart.org
The Resource Page
PCRM.org/DiabetesResources
• Class slides and recordings
• Community resources
• Recipes and cooking videos
• Nutrition resources
Join Us Next Week—with a friend!
Tuesday, Oct. 5 at 3 p.m. ET
Topic:
Getting the Nutrients You Need
Reminders:
Share your feedback in a survey that
will appear in your browser when
you exit Zoom!
The webinar will remain open for 10
minutes to go back and read the
chat or Q&A each week.
Special Guests: