A Plant-Based Diet Can Reduce Your Risk for Type 2 Diabetes, If You Do It Correctly
By Ginger Vieira
Type 2 diabetes is far more complicated than simply having eaten too much sugar.
However, preventing the escalation of prediabetes into type 2 diabetes can be simpler for some.
Approximately 22 percent of people diagnosed with prediabetes are able to prevent it from progressing to type 2 diabetes, according to a recent study from the Aging Research Center at the Karolinska Institute in Stockholm.
Research (Trusted Source) published this week concluded that one of the most crucial factors in preventing type 2 diabetes and bringing blood sugars back into a healthier range comes down to embracing a plant-based diet.
"Plant-based dietary patterns, especially when they are enriched with healthful plant-based foods, may be beneficial for the primary prevention of type 2 diabetes," explained the report.
"Plant-based" is a trendy term these days — and often implies veganism — but in this context, the focus of a plant-based diet is on eating mostly "real" food, including some animal protein and carbohydrates.
Processed Foods vs. Plant-Based Diet
The most immediate benefit of a plant-based diet on the prevention of type 2 diabetes is the impact that non-plant-based foods have on blood sugar levels and insulin resistance.
However, research suggests the impact is actually broader.
"Plant-based diets may also reduce the risk of type 2 diabetes through lowering the risk of excess weight gain," the researchers noted.
"Multiple interventional and observational studies have indicated that increased consumption of plant-based foods can lead to short-term weight loss or prevention of long-term weight gain," explained the researchers. "In turn, it is likely that a considerable proportion of the protective association between plant-based diets and risk of type 2 diabetes can be attributable to weight control."
Experts in diabetes care and prevention agree.
"What if we had a world without processed food in it?" said Mara Schwartz, CDE, RN, a coordinator of the Diabetes Prevention Program at Self Regional Healthcare in Greenwood, South Carolina. "We wouldn't have the weight problems we have now if it weren't for processed food. It would be very difficult to become obese while eating a whole-food, plant-based diet."
Indulging in a bag of chips and a milkshake is a lot easier than eating a bowl of homemade whipped cream with fresh blueberries and strawberries.
In Schwartz's work, she has seen the difference in outcomes when a client commits to changing their nutrition habits.
"People truly have to understand that what they put in their mouth affects their health," Schwartz, who has lived with type 1 diabetes for decades, told Healthline. "You're gonna have to commit to yourselves and acknowledge that your current diet is hurting you."
The recent research recommends focusing on a plant-based diet of fruits, vegetables, whole grains, legumes, and nuts.
"Moreover, refined grains, starches, and sugars can also be characterized as plant-based, although they are independently associated with a higher risk of type 2 diabetes," the researchers said.
The study also found a "protective" association against the development of type 2 diabetes when people consumed higher amounts of vitamins, minerals, and antioxidants through plant foods and lower amounts of red meats and processed meats.
The study doesn't advise against eating healthier animal products, such as organic eggs, and lean proteins, like chicken, turkey, and pork.
It Isn’t Just Insulin Resistance
The short-term and long-term effects of an unhealthy diet actually create a more serious problem with metabolism, cravings, and relationship with food.
Schwartz points to Susan Peirce Thompson, author of the book, "Bright Line Eating," who explained the destructive cycle that junk-quality food has on several aspects of the hormones related to our cravings and body weight.
"By eating the wrong foods, we increase our insulin levels," said Schwartz. "Increased insulin levels actually block the production of leptin."
Leptin is a lesser-discussed but crucial part of managing your appetite. It's a hormone produced by your body's fat cells and your small intestines. Its primary role is to regulate your appetite by signaling to your brain that you're full.
When a person develops "leptin resistance" from excessive amounts of leptin in their system along with insulin resistance, your brain thinks you're starving, creating an insatiable type of hunger that leads to mindless eating, craving junk food, and eating more processed carbohydrates.
Reversing this starts with making major changes in your diet by reducing heavily processed, packaged foods and focusing every meal on whole foods.
Transitioning to a plant-based diet doesn't require a costly diet program, buying "diet" products, or learning how to cook a variety of time-intensive, complicated meals.
Instead, start with a look at the nutrition labels on the packages of the processed foods you currently eat.
"If you can't pronounce half of the things on the list of ingredients, you shouldn't be eating it," advised Schwartz. "If you were cooking a meal with whole foods, you wouldn't go to the store and also buy common additives like Yellow 5 or sodium benzoate or carrageenan to put into that meal."
Processed foods, reminded Schwartz, were made for convenience and for profit, but few are actually healthy. Just because a box of cookies is labeled as organic doesn't mean it's not still a processed, packaged item void of any valuable nutrition.
Schwartz also cautions against filling your diet with vegan "plant-based" products such as frozen vegan meats.
"Sometimes when people follow a vegan diet, they're eating a lot of processed foods that are no better for you than a greasy burger. Just because something is vegan doesn't mean it's automatically healthy if it's loaded with highly processed ingredients like soy protein isolate, and a slew of preservatives, added flavors, chemicals, and tons of sodium," she said.
And it's important not to fall for advertising phrases such as "whole-grain" or "low-fat" on the packaging.
"Even a whole-wheat pasta is heavily processed. If it was truly whole wheat, you'd see chunks of actual wheat in there — and you don't because it's been broken down through processing, combined with a variety of additives, and packaged to make you think it's a whole food," Schwartz explained.
A low-fat, whole-wheat English muffin, for example, is still a heavily processed product that offers little to no original vitamins, minerals, or quality nutrition. It's made of processed flour and more than a dozen additives to make it taste good.
But what should you eat instead?
This Doesn’t Have to Be Complicated
"It doesn't take that much more time to make something that's not processed. You can buy riced cauliflower and spiralized zucchini noodles ready-to-go at the store these days," said Schwartz.
Breakfast could be eggs, berries, and a serving of whole oats, or a lower-carb option of almonds.
Lunch could be a giant bowl of greens with a serving of black beans, cucumber, chicken, and a careful serving of your favorite salad dressing.
You can make simple swaps for high-starch or highly processed grains, for example, including wild rice instead of white rice and farro or quinoa instead of pasta.
Sweet potato or brown rice may be high in carbohydrates — something to be careful about as a person with diabetes, since carbohydrates are the first macronutrient with the biggest impact on blood sugar levels — but they'll still offer far more nutrition and less of a blood sugar spike compared to processed bread and pasta.
If you do still want some pasta, Schwartz suggests quickly sautéing a variety of vegetables and then adding a small amount of pasta to the plate. Even though the goal is to focus on eating more vegetables, that doesn't mean it has to be entirely vegetables.
"It's very hard to overeat a healthy meal because the fiber from the vegetables is so filling," she said.
And the vegetables don't have to always have been freshly diced — a simple bag of frozen microwave vegetables is still better for you than a bag of chips.
What About Carbohydrates?
Typically, when you significantly reduce or remove animal products from your diet, you inevitably increase the amount of carbohydrate you're eating in order to still consume adequate calories.
For those with diabetes, even the American Diabetes Association has reversed its stance on low-carbohydrate diets as a tool for improving blood sugar levels. The organization now recommends a lower-carb approach.
Schwartz avoids carbohydrates in her personal diabetes nutrition management because she feels eating them simply leads her to crave more carbs, never feeling fully satisfied.
Other experts in diabetes care agree that a plant-based diet that includes too many servings of carbohydrates isn't the best option.
"I do not feel grains are a healthy choice for a diabetic," Ryan Attar, ND, MS, who lives with type 1 diabetes and has devoted his healthcare work at the Connecticut Integrative Medical Center to helping the diabetes population.
"What do grains offer our bodies? Very energy-dense, carbohydrate-dense foods, which have very little nutrient value. The amount of nutrients in grains are so low that by law grains must be fortified," Attar told Healthline.
Attar compared grains in general to a long chain of glucose molecules paired with a list of synthetic vitamins added to it.
He also argued that choosing brown rice over white won't have a big impact on how significantly it spikes your blood sugar.
"The amount of increased fiber and nutrients in whole grains is very small. Take a look at white versus brown rice. Both have the same amount of carbohydrates, 45 grams in 1 cup. The brown rice has 3 grams more fiber than white rice. Leaving you 41.5 grams of starchy carbohydrate versus 44.4 in white rice," he said.
Attar suggests nixing grains from your diet completely but still striving to eat a diet largely focused on plants.
"Get those nutrients from eating more non-starchy leafy greens instead," he said.
Blurry Lines of a ‘Healthy’ Diet
A plate full of plant-based food can still contribute to being overweight and higher blood sugar levels if you're not being mindful about how much you're eating.
"Portions do matter, no matter what you're eating," said Schwartz. "If you're eating a 12-ounce steak with three cups of mashed potatoes and a huge wallop of blue cheese dressing on your side salad, you're overdoing it."
Instead, cut the steak in half, swap the potatoes — or at least most of the potatoes — for greens. Keep the dressing on the side to dip your fork into instead of covering the salad with it.
"Eating something in moderation is also a very vague plan," said Schwartz, who often sees her clients struggle with using this common terminology to include less-than-healthy items in their diet too frequently.
Committing to a Plant-Based Diet
"The difference between the patients who succeed in improving their blood sugars and the patients who don't often comes down to a willingness to commit and make changes," said Schwartz.
"There's always an excuse if you let yourself make one for choosing junky processed food over real food. I've had a stressful day. I was hungry and the cafeteria was closed. I was at a party. I didn't say no to cake because I might offend someone. It's too expensive to eat healthy."
If you can afford cigarettes, Netflix, or fast food, you can afford healthier food.
"You learn how to eat from how you were raised, but you can change those habits, too. Take more ownership over the fact that you do have control over what you put in your mouth," said Schwartz.
Reposted with permission from our media associate Healthline.
EcoWatch Daily Newsletter
By Arkilaus Kladit
My name is Arkilaus Kladit. I'm from the Knasaimos-Tehit tribe in South Sorong Regency, West Papua Province, Indonesia. For decades my tribe has been fighting to protect our forests from outsiders who want to log it or clear it for palm oil. For my people, the forest is our mother and our best friend. Everything we need to survive comes from the forest: food, medicines, building materials, and there are many sacred sites in the forest.
Map of the Knasaimos traditional lands.
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By Farah Aqel
Overthinkers are people who are buried in their own obsessive thoughts. Imagine being in a large maze where each turn leads into an even deeper and knottier tangle of catastrophic, distressing events — that is what it feels like to them when they think about the issues that confront them.
Ruminating<p>According to the late Susan Nolen-Hoeksema, a professor of psychology at Yale University, <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5796420/" target="_blank">ruminating</a> involves replaying a problem over and over in your mind. We ruminate by obsessing over our thoughts and thinking repetitively about various aspects of a past situation.</p><p>It usually involves regret, self-loathing and self-blaming. Rumination is associated with the development of depression, anxiety and eating disorders. </p><p>People prone to such patterns of thought may, for example, overanalyze every single detail of a relationship that breaks up. They often blame themselves for what has happened and are overcome with regret, with typical thoughts being: </p><p>- I should have been more patient and more supportive. </p><p>- I have lost the most perfect partner ever. </p><p>- No one will love me again.</p>
Worrying<p>Worrying is wanting to predict the future. It involves negative thoughts about things that might and might not happen.</p><p>- They'll not like me in the interview; they'll not give me the job. </p><p>- I haven't heard back from other employers. How long will I be unemployed?</p><p>These thoughts are energy-draining and distressing. They could happen to anyone under stress. But when you reach the point where your thoughts and worrying are preventing you from doing what you want to do — from living your life to the fullest — then you should take action.</p>
Catch Yourself Overthinking<p>Reuben Berger, a psychotherapist at the university hospital in the western German city of Bonn, recommends several practical steps that you could employ in your daily routine when you catch yourself worrying or ruminating.</p><p>One effective remedy, says Berger, is the <a href="https://www.uofmhealth.org/health-library/uf9938" target="_blank">thought-stopping technique.</a></p><p>"When the negative thoughts come or ruminations start, you say to yourself: 'Stop!,'" he says, adding that it is more effective when you actually say the word out loud.</p><p>He even recommends having a rubber band around your wrist to ping against yourself while saying the word. Adding a visual component by imagining a stop sign also makes the technique more powerful, he says.</p><p>The main idea here is conditioning yourself to stop the loop of worrying (making future predictions) or rumination (obsessing over past events).</p><p>Berger says the technique could take up to two weeks to take effect and that it needs to be practiced every day. "Consistency is very important," he says. </p>
Thoughts Are Just Thoughts<p>Another way of dealing with negative thoughts often used in modern therapy is realizing that thoughts aren't facts, says Berger.</p><p>He says it is important when we think something to ask: Is that real? Did that really happen? What is the worst thing that could happen?</p><p>Flight anxiety is one example where untrue thoughts are accepted as facts. Although air travel is the safest way to get around, people suffering from fear of flying accept their thoughts and fears as reality, then act upon them by refusing to fly.</p>
Mindfulness<p>Berger also recommends the use of mindfulness techniques, in which attention is paid to experiences in the moment without judging them, as a way of reducing worrying.</p><p>"Mindfulness helps you to distance yourself from your thoughts and to be more present in the moment," he says.</p><p><a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3432145/#R2" target="_blank">Several studies</a> have shown that mindfulness has a positive impact on reducing stress-related behaviors such as rumination and worrying, as focusing on the moment makes anxiety about other problems impossible.</p><p>Mindfulness can be practiced during routine activities by paying attention to your body and your surroundings. For instance, when you leave for work in the morning, you can focus on sensing the breeze, listen attentively to birds, feel the gravel under your feet and monitor your breath. </p>
Trick Your Brain Into Happiness<p>People plagued by obsessive thoughts do not always choose healthy ways like mindfulness to distract from them, however.</p><p> Dr. Edward Selby, a psychologist at Florida state university, has shown in a study that people try to avoid rumination by engaging in a range of uncontrolled behaviors, such as binge eating and substance abuse.</p><p>But he says that a much better way to overcome such distress is by distraction and shifting attention away from problems that are obsessing us.</p><p>There are many activities that can be used to distract from rumination, he says, and people should choose the one that works best for them. Here are some examples:</p><p>- Listen to music</p><p>- Read a book</p><p>- Take a hot shower</p><p>- Dance or exercise </p><p>- Talk to a friend (not about the problem)</p><p>- Watch a movie</p><p>- Mindfulness meditation</p>
Changing the Perception of Events<p>The way people perceive a situation largely influences their emotions and behavior. It is not the situation itself that determines how they feel, but rather the way they interpret it.</p><p>Reframing negative thoughts can lead to positive emotions and, subsequently, healthier behaviors — including a reduction in damaging overthinking and worrying.</p><p>Cognitive behavioral therapy (CBT) is currently a gold standard in psychotherapy. CBT aims to change the way people think and act. It largely involves challenging unhelpful beliefs or attitudes such as overgeneralization — thinking "I always fail at public speaking" when you have had one bad experience in front of an audience, for example — or "catastrophization," i.e., imagining the worst possible outcome to a situation. </p><p>A psychotherapist can teach people how to implement such thought-changing techniques into their lives. Techniques vary depending on their issues and goals.</p>
Solutions Are at Hand<p>Try to find ways of avoiding worrying, rumination and overthinking that make you feel most comfortable.</p><p>Incorporating any routine in your life when you're stressed isn't an easy task, but you can do it! If you feel overwhelmed, you can always seek professional help. </p><p><em>If you are suffering from serious emotional strain or suicidal thoughts, do not hesitate to seek professional help. You can find information on where to find such help, no matter where you live in the world, <a href="https://www.befrienders.org/" target="_blank">at this website.</a></em></p>
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By Michael Baker, Amanda Kvalsvig and Nick Wilson
On Sunday, New Zealand marked 100 days without community transmission of COVID-19.
Deaths From COVID-19 Per Million Population<img lazy-loadable="true" src="https://assets.rebelmouse.io/eyJhbGciOiJIUzI1NiIsInR5cCI6IkpXVCJ9.eyJpbWFnZSI6Imh0dHBzOi8vYXNzZXRzLnJibC5tcy8yMzU0ODIyOS9vcmlnaW4ucG5nIiwiZXhwaXJlc19hdCI6MTY0MjkzMDc1OX0.7Yp1h1hokihlMJUurDukGmq-Y8NJB0V-07O1ukEjGt0/img.png?width=980" id="0fe6a" class="rm-shortcode" data-rm-shortcode-id="6bce85a610aee18e2f4f1c1caca7b8a0" data-rm-shortcode-name="rebelmouse-image" />
<div id="77fff" class="rm-shortcode" data-rm-shortcode-id="ce7b34f8986d3d36bee5d4d83ac0822c"><blockquote class="twitter-tweet twitter-custom-tweet" data-twitter-tweet-id="1292270210238447616" data-partner="rebelmouse"><div style="margin:1em 0">COVID-19 Update There are no new cases of COVID-19 to report in New Zealand today. It has been 100 days since t… https://t.co/Cz55ixGZUz</div> — Unite against COVID-19 (@Unite against COVID-19)<a href="https://twitter.com/covid19nz/statuses/1292270210238447616">1596936201.0</a></blockquote></div>
Getting Through the Pandemic<p>We have gained a much better understanding of COVID-19 over the past eight months. Without effective control measures, it is likely to continue to spread globally for many months to years, ultimately infecting billions and killing millions. The proportion of infected people who die appears to be <a href="https://www.medrxiv.org/content/10.1101/2020.05.03.20089854v4" target="_blank">slightly below 1%</a>.</p><p>This infection also causes serious <a href="https://www.bmj.com/content/370/bmj.m2815" target="_blank">long-term consequences</a> for some survivors. The largest uncertainties involve <a href="https://www.nature.com/articles/d41586-020-02278-5" target="_blank">immunity to this virus</a>, whether it can develop from exposure to infection or vaccines, and if it is long-lasting. The potential for treatment with antivirals and other therapeutics is also still uncertain.</p><p>This knowledge reinforces the huge benefits of sustaining elimination. We know that if New Zealand were to experience widespread COVID-19 transmission, the <a href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3310086/" target="_blank">impact on Māori and Pasifika populations</a> could be catastrophic.</p><p>We have previously described critical measures to get us through this period, including the use of fabric face masks, improving contact tracing with suitable digital tools, applying a science-based approach to border management, and the need for a dedicated national public health agency.</p><p>Maintaining elimination depends on adopting a highly strategic approach to risk management. This approach involves choosing an optimal mix of interventions and using resources in the most efficient way to keep the risk of COVID-19 outbreaks at a consistently low level. Several measures can contribute to this goal over the next few months, while also allowing incremental increases in international travel:</p><ul><li>resurgence planning for a border-control failure and outbreaks of various sizes, with state-of-the-art contact tracing and an upgraded alert level system</li><li>ensuring all New Zealanders own a <a href="https://www.nzma.org.nz/journal-articles/mass-masking-an-alternative-to-a-second-lockdown-in-aotearoa" target="_blank">re-useable fabric face mask</a> with their <a href="https://www.nzherald.co.nz/nz/news/article.cfm?c_id=1&objectid=12354409" target="_blank">use built into the alert level system</a></li><li>conducting exercises and simulations to test outbreak management procedures, possibly including "mass masking days" to engage the public in the response</li><li>carefully exploring processes to allow <a href="https://blogs.otago.ac.nz/pubhealthexpert/2020/06/16/preventing-outbreaks-of-covid-19-in-nz-associated-with-air-travel-from-australia-new-modelling-study-of-alternatives-to-quarantine/" target="_blank">quarantine-free travel</a> between jurisdictions free of COVID-19, notably various Pacific Islands, Tasmania and Taiwan (which may require digital tracking of arriving travellers for the first few weeks)</li><li>planning for carefully managed inbound travel by key long-term visitor groups such as tertiary students who would generally still need managed quarantine.</li></ul>
Building Back Better<p>New Zealand cannot change the reality of the global COVID-19 pandemic. But it can leverage possible benefits.</p><p>We should conduct an <a href="https://blogs.otago.ac.nz/pubhealthexpert/2020/06/11/five-key-reasons-why-nz-should-have-an-official-inquiry-into-the-response-to-the-covid-19-pandemic/" target="_blank">official inquiry into the COVID-19 response</a> so we learn everything we possibly can to improve our response capacity for future events.</p><p>We also need to establish a specialized national public health agency to <a href="https://blogs.otago.ac.nz/pubhealthexpert/2017/12/20/the-havelock-north-drinking-water-inquiry-a-wake-up-call-to-rebuild-public-health-in-new-zealand/" target="_blank">manage serious threats to public health</a> and provide critical mass to <a href="https://blogs.otago.ac.nz/pubhealthexpert/2020/02/05/a-preventable-measles-epidemic-lessons-for-reforming-public-health-in-nz/" target="_blank">advance public health generally</a>. Such an agency appears to have been a key factor in the success of Taiwan, which avoided a costly lockdown entirely.</p><p>Business as usual should not be an option for the recovery phase. A recent <a href="https://www.nzherald.co.nz/business/news/article.cfm?c_id=3&objectid=12353555" target="_blank">Massey University survey</a> suggests seven out of ten New Zealanders support a green recovery approach.</p><p>New Zealand's elimination of COVID-19 has drawn attention worldwide, with a description just <a href="https://www.nejm.org/doi/full/10.1056/NEJMc2025203" target="_blank">published</a> in the New England Journal of Medicine. We support a rejuvenated World Health Organization that can provide improved global leadership for pandemic prevention and control, including greater use of an elimination approach to combat COVID-19.</p>
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