Fight Diabetes With Food – Class 5 Jennifer Paul, MS, RD Vanita Jain Rahman, MD Deitra Dennis, RN, NBC-HWC 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 November 2 when 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 Five Outline 1. Welcome/check-in 2. Today’s presentation 3. Guest panel discussion 4. Closing announcements and sweepstakes winner reveal! RECIPES PCRM.org/DiabetesResources PCRM.org/DiabetesResources Barnard Medical Center Handout Other Resources: Action Sheet_Talking To Your Friends.pdf (PlantPureCommunities.org) Talk to Your Friends & Navigating Social Situations PCRM.org/DiabetesResources PCRM.org/FindaDoctor Other Resources: How To Talk To Your Physician About Going Plant-Based Is Your Doctor In? How to Talk to Your Physician About Going Plant-Based - Forks Over Knives Talk to Your Doctor About Going Plant-Based Poll: Since last class, how many fully plantbased days did you have? None 1 2-3 4-6 All 7 Share in the chat what you ate! Poll: What was easy about trying plant-based meals since last class? Having recipes from class, the 21-Day Kickstart, or other sources Meal planning and/or grocery shopping Finding time to prep ingredients and/or cook tasty meals Finding options at restaurants or outside the home Other (tell us in the chat box) I haven’t had a plant-based meal yet Poll: Bean Camp!! 1. Are you attending class today? 2. Over the past week, were all your meals plantbased? 3. Over the past week, were all your meals low-fat? 4. Over the past week, did you experience any health improvements? (if yes, share in the chat box) Getting The Nutrients You Need WHERE DO YOU GET YOUR PROTEIN? Protein Protein Protein Protein Lunch Bean burrito, Steamed broccoli Protein = ~ 20 grams Breakfast Oatmeal with cinnamon & raisins, coffee with soy milk banana Dinner Whole wheat pasta marinara, minestrone soup, whole wheat bread Protein = ~30 grams Protein = ~17 grams Total Protein = ~67 grams HIGH-PROTEIN PLANT FOODS VITAMIN B12 • B12 supplement required on a plant-based diet • Recommended for everyone 50+ or on certain medications • For nerve and blood health • RDA: 2.4 mcg/day • Supplement: 100+ mcg/day or per your healthcare provider IRON • RDA for adults: – Men 19+ / Women 51+ years: 8 mg/day – Women 19-50 years: 18 mg/day • Vegetarians consume as much or more iron than non-vegetarians. • Plant-based iron is safer. • Vitamin C boosts iron absorption. • Good sources: Beans, greens, whole grains Melina et al. Position of the Academy of Nutrition and Dietetics: Vegetarian Diets. J Acad Nutr Diet. 2016;116:1970-1980. CALCIUM RDA for adults: 19-50 years: 1,000 mg/day 51+ years: 1,200 mg/day Institute of Medicine. Dietary Reference Intakes for Calcium and Vitamin D. (2011). British Dietetic Association. Food fact sheet: calcium. https://www.bda.uk.com/foodfacts/Calcium.pdf. Published July 2017. Accessed April 25, 2018. CALCIUM IN BEANS AND GREENS (MILLIGRAMS PER CUP) Black beans 103 Great northern beans121 Navy beans 128 Soybeans 175 Tofu 512 White beans 161 Broccoli 94 Collards 358 Kale 94 Mustard greens150 (Spinach 244) (Swiss chard 102) HOW MUCH CALCIUM IS ABSORBED? Brussels Sprouts 64% Mustard Greens 58% Broccoli 53% Kale 40-59% Fortified Orange Juice 36-38% Dairy Milk (for comparison) 32% Weaver CM, Plawecki KL. Am J Clin Nutr 1994;59(suppl):1238S-41S. Heaney RP, Weaver CM. Am J Clin Nutr 1990;51:656-7. IODINE • RDA for adults: 150 mcg/day • Good sources: iodized salt, vegan sushi, sea vegetables (e.g. nori, kombu, dulse) – Sea vegetables may provide too much • Vegan women of childbearing age recommended to supplement 150 mcg/d • Tips: – When using salt at home, use iodized. – Eat vegan sushi or sea veggies a few times per week. Melina et al. Position of the Academy of Nutrition and Dietetics: Vegetarian Diets. J Acad Nutr Diet. 2016;116:1970-1980. VITAMIN D • RDA for adults: –19-70 years: 600 IU/day –71+ years: 800 IU/day • Some recommend 1,000-2,000 IU Institute of Medicine. Dietary Reference Intakes for Calcium and Vitamin D. (2011). National Institutes of Health Office of Dietary Supplements. Vitamin D Fact Sheet for Health Professionals. https://ods.od.nih.gov/factsheets/VitaminDHealthProfessional/. Updated March 2, 2018. Accessed April 26, 2018. Melina et al. Position of the Academy of Nutrition and Dietetics: Vegetarian Diets. J Acad Nutr Diet. 2016;116:1970-1980. VITAMIN D • Sources: sun, supplements, fortified foods • Two types: D2 and D3 –Equivalent when taken by mouth • Deficiency osteomalacia, osteoporosis Institute of Medicine. Dietary Reference Intakes for Calcium and Vitamin D. (2011). National Institutes of Health Office of Dietary Supplements. Vitamin D Fact Sheet for Health Professionals. https://ods.od.nih.gov/factsheets/VitaminDHealthProfessional/. Updated March 2, 2018. Accessed April 26, 2018. Melina et al. Position of the Academy of Nutrition and Dietetics: Vegetarian Diets. J Acad Nutr Diet. 2016;116:1970-1980. OMEGA-3 • Used in the structures of cell membranes, provide energy and signaling, and are involved in the body’s cardiovascular, pulmonary, immune and endocrine system. • Sources: chia seeds, walnuts, flax seed –Also, edamame and kidney beans National Institutes of Health Office of Dietary Supplements. Omega-3 Fatty Acids Fact Sheet for Health Professionals. https://ods.od.nih.gov/factsheets/Omega3FattyAcids-HealthProfessional/. Updated August 4, 2021. Accessed October 1, 2021. OMEGA-3 • Adequate Intake Levels: – Female 14+ yo = 1.1 g – Male 14+ yo = 1.6 g • 1 tbsp chia seeds = 2.5 g • 1 tbsp flaxseed = 2.35 g • 1 tbsp walnuts = 1.4 g National Institutes of Health Office of Dietary Supplements. Omega-3 Fatty Acids Fact Sheet for Health Professionals. https://ods.od.nih.gov/factsheets/Omega3FattyAcids-HealthProfessional/. Updated August 4, 2021. Accessed October 1, 2021. Introducing our guests! Chef Jason Wyrick The Vegan Taste Peggy Kraus, CDCES Erasing Diabetes Get to Know Chef Jason Wyrick! For those who live in/near Phoenix: • Subscribe to his meal subscription service: The Vegan Taste • Visit his restaurant: Casa Terra Read his vegan magazine and vegan cookbooks! TheVeganTaste.com Improve your lifestyle with Peggy Kraus! Learn more about her coaching programs: Erasing Diabetes In-person and virtual services! Covered by Medicare and most private insurance plans. PeggyKraus.com Join AAHP for a walk! If you live in Montgomery County, Maryland, join AAHP for a bi-monthly walk. Next session: Saturday, Oct. 9 : 8:45 am at Woodlawn Manor Cultural Park SignUpGenius.com 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 continue: Try a second, 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 5-6 Ingredient Recipes Breakfast Sweet Potato Pudding Yes-You-Can Black Bean Chili Cinnamon Apple Oatmeal Black Eyed-Peas with Sweet Potatoes and Greens Banana Ice Cream Chocolate Mousse Sweet Potato Toasts Hummus and Sun-Dried Tomato Wrap Veggie Rainbow Wraps Strawberry Chia Pudding Pumpkin Smoothie 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. 12 at 3 p.m. ET Topic: Healthy Options When Traveling or Dining Out 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: