Fight Diabetes
With Food –
Class 1
Vanita Jain Rahman, MD
Jennifer Paul, MPH, RD
Josh Cullimore, MD, MPH
Deitra Dennis, RN
What to expect:
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Live classes are every Tuesday on Zoom from 3-4 p.m. ET.
Recordings are available on demand for registrants.
A new class series will restart every eight weeks, so you
always have a place to keep learning and get support on
your journey. Today is the start of series 3!
You can invite others to join you anytime! No need to wait
until the next series begins.
Now that you’ve registered, you will not need to re-register
to continue attending any future series.
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 ---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 One Outline
1.
2.
3.
4.
5.
Welcome
Get to know you questions
Today’s presentation
Guest panel discussion
Closing announcements
Chat with
other
attendees
here!
Ask your
questions
here!
Poll:
Anonymous Poll:
True or False: I have prediabetes or diabetes
❑ True
❑ False
Poll:
Poll:
What are your goals for this program?
(select all that apply)
❑
❑
❑
❑
❑
❑
Avoid prediabetes/diabetes
Improve my prediabetes/diabetes
Lose weight
Lower blood pressure and/or cholesterol
Improve my overall health
Other (share in the chat box!)
What is
Diabetes?
Insulin, Blood Sugar, & Diabetes
Not
Enough
Insulin
Insulin
Doesn't
Work
Blood
Sugar
Rises
Physicians Committee for Responsible Medicine
9
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
10
Glucose
Insulin
Glucose
Insulin
Phew!
Type 1 vs. Type 2 Diabetes
Type 1
Type 2
Cause
Insufficient insulin
production
Cells are resistant to
insulin
Onset
Usually childhood
Usually adulthood
Physicians Committee for Responsible Medicine
14
Plant-Based
Diets &
Diabetes
Barnard ND, et al. Diabetes Care 2006;29:1777-1783.
Barnard ND, et al. Am J Clin Nutr 2009;89(suppl):1588S-96S.
Diabetes Study in South Korea
A1c
Before
12-weeks later
Standard Diet
7.4%
7.25%
Plant-Based Diet
7.5%
6.65%
Lee YM, Kim SA, Lee IK, Kim JG, Park KG, et al. (2016) Effect of a Brown Rice Based Vegan Diet and Conventional Diabetic Diet on Glycemic Control of Patients with Type 2 Diabetes: A 12Week Randomized Clinical Trial. PLoS ONE 11(6): e0155918. doi:10.1371/journal.pone.0155918
http://journals.plos.org/plosone/article?id=info:doi/10.1371/journal.pone.0155918
16
BROAD Study
(12-month results)
Cholesterol
LDL
Weight
Hemoglobin A1c
↓ 19.3 mg/dL
↓ 23.16 mg/dL
↓ 25.3 lbs.
↓ 0.5%
Wright N, Wilson L, Smith M, Duncan B, McHugh P. The BROAD study: A randomised controlled trial using a whole food plant-based diet in the community for obesity, ischaemic heart disease or diabetes. Nutr
Diabetes. 2017;7(3):e256. Published 2017 Mar 20. doi:10.1038/nutd.2017.3
Physicians Committee for Responsible Medicine
Fig 1. Pooled hazard ratios (95% CIs) for type 2 diabetes according to deciles
of the overall, healthful, and unhealthful plant-based diet indices.
Satija A, Bhupathiraju SN, Rimm EB, Spiegelman D, Chiuve SE, et al. (2016) Plant-Based Dietary Patterns and Incidence of Type 2 Diabetes in US
Men and Women: Results from Three Prospective Cohort Studies. PLOS Medicine 13(6): e1002039.
https://doi.org/10.1371/journal.pmed.1002039
https://journals.plos.org/plosmedicine/article?id=10.1371/journal.pmed.1002039
Why Are Plant-Based Foods Healthier?
Plant foods
Animal foods
Fiber
High
None
Cholesterol
None
High
Fat
Low
High
Caloric Density
Low
High
Others
Anti-oxidants
Carcinogenic
Physicians Committee for Responsible Medicine
What Is A Healthy
Plant-Based Diet?
• Includes plenty of fruits, vegetables,
whole grains, legumes
• Is low in fat
• Excludes all animal products
A Healthy
Plant-Based
Diet
+ B12 supplement
(100+ micrograms/day or as
directed by your doctor)
Physicians Committee for Responsible Medicine
21
Poll:
I already follow a 100% plantbased/vegan diet.
❑ Yes
❑ No
Poll:
Tell
Us!
What concerns do you have with
following a plant-based diet to
improve your prediabetes or
diabetes, if any?
Share in the chat!
Easy Breakfast Ideas
Bean + Green + Grain = Meal!
Favorite Lunches and
Dinners
Easy Snack Ideas
Physicians Committee for Responsible Medicine
How to make
plant-based meals low-fat?
• Avoid high-fat, vegan meats and cheeses,
coconut, solid chocolate (cocoa powder is
ok!), and oils
• Limit nuts, seeds, avocados, olives – to
about 1 ounce or 2 tablespoons daily
(combined total)
• Avoid high-fat commercial desserts
Physicians Committee for Responsible Medicine
Introducing our guests!
Lauren Plunkett, RD, CDCES
LP Nutrition Consulting
Jacque Salomon
Seeds to Inspire
Connect with
Lauren!
Read her book “Type One Determination”
to learn more about her story!
Work with Lauren to improve your health!
LPNutritionConsulting.com
Connect with
Jacque!
Learn more about her diabetes
reversal story and how she is
helping others in marginalized
communities heal and reclaim their
health through her nonprofit!
SeedstoInspire.org
SproutingWellness.com/MealPrep
This week: try at least one plant-based breakfast
200+ Recipes
PCRM.org/recipes
Search by breakfast, lunch,
dinner, side dish, snack,
dessert, sauce/dressing,
smoothies
The Resource Page
PCRM.org/DiabetesResources
• Class slides and recordings
• Community resources
• Recipes and cooking videos
• Nutrition resources
Please Note
B12 supplement – 100+ mcg daily
Diabetes medication – check blood sugar daily
High Blood Pressure medication – check blood pressure daily
Medications – work with your physician
Join Us Next Week—with a friend!
Tuesday, Feb. 8 at 3 p.m. ET
Topic:
How to get started with a powerful
menu
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: