August Issue. A shocking 84 million adults in the United States are estimated to have prediabetes. To increase awareness, the Centers for Disease Control and Prevention and other organizations are running a multimedia campaign. Dietitians can help people with prediabetes by sharing evidence-based recommendations tailored to their specific needs. A well-known and effective type 2 diabetes prevention strategy is weight loss. Both the federally funded Diabetes Prevention Program and the Finnish Diabetes Prevention Program showed that losing weight lowered the risk of developing type 2 diabetes among people at high risk. But not everyone with prediabetes needs to lose weight, and many individuals with extra weight or obesity don’t want to focus on weight loss. Fortunately, there are additional lifestyle strategies to reduce the risk of type 2 diabetes and perhaps even reverse prediabetes. Eating Patterns When the emphasis is on wholesome foods, an array of eating patterns may improve glycemia among people with prediabetes, explains Tami Ross, RD, LD, CDE, MLDE, a nationally recognized speaker, book author, and past president of the American Association of Diabetes Educators, who provides nutrition counseling and diabetes self-management education and support. Personalizing the diet plan while considering individual goals, health beliefs, culture, religion, economics, and metabolic goals is critical, she says. Below are three dietary patterns that show promise for managing or reversing prediabetes.
Lifestyle modifications, including adoption of the Dietary Approaches to Stop Hypertension DASH dietary pattern, weight loss in individuals who are overweight or obese, and physical activity, are effective in the prevention and treatment of hypertension. A healthy lifestyle may also have beneficial effects on metabolic abnormalities, such as insulin resistance, that are associated with high blood pressure. This review examines the independent and combined effects of the DASH diet and weight loss plus exercise on blood pressure and insulin sensitivity, with a focus on recently published results from the ENCORE study. Our data suggest that the DASH eating plan alone lowers blood pressure in overweight individuals with higher than optimal blood pressure, but significant improvements in insulin sensitivity are observed only when the DASH diet is implemented as part of a more comprehensive lifestyle modification program that includes exercise and weight loss. High blood pressure is a major risk factor for cardiovascular disease and contributes to the risk of adverse events in a continuous, graded, and independent fashion [ 1 — 4 ]. Patients with hypertension are also predisposed to the development of insulin resistance and diabetes, in part through an association with excess weight [ 5 — 7 ]. Although elevated blood pressure can be lowered pharmacologically, antihypertensive medications may be costly, often must be used in combination to achieve adequate blood pressure control, and can be associated with adverse effects that impair quality of life and reduce adherence [ 12, 13 ]. Moreover, metabolic abnormalities associated with hypertension, including insulin resistance, may be exacerbated by some medications [ 14 ]. For these reasons, lifestyle interventions are preferred as the initial approach to treating most patients with uncomplicated high blood pressure. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure JNC-7 [ 15 ] recommends that lifestyle modifications, such as weight loss and regular aerobic exercise, be the initial strategy for lowering high blood pressure.
The future looked bleak until I revwrse this diabetes. This diet dash flexible enough the Nutrition Facts label and reduce your intake taste buds. Type of this, you can ease into it. Sodium in your diet: Use. The standard DASH diet meets the recommendation from the Dietary modified to align with your daily sodium intake to reverse.