Tuesday, January 23, 2018




The simple Eatwell Plate plan that can halt type 2 diabetes in its tracks and help sufferers shed a stone in four months


  • More than 40% of sufferers lose over 11lb if they adopt the healthy eating plan
  • This includes having at least five portions of fruit and vegetables a day 
  • Losing 11lb makes people go on to shed around 17.7lb over the next three years 
  • It also means diabetes sufferers do not require an increase in their drug dose
  • Researchers believe the plan is successful as it is based on 'normal eating'
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People with type 2 diabetes can control their condition by cutting 600 calories off their daily intake and following the NHS eatwell plan, new research reveals.
More than 40 per cent of sufferers lose over 11lb (5kg) in four months if they cut calories and adopt the recommended dietary intake of eating at least five portions of fruit and vegetables a day, having wholegrain carbohydrates make up one-third of their plate, and limiting sugary, fatty foods to be treats, a study found.
People who lose 11lb, which is generally the recommended amount for obese people with type 2 diabetes, go on to shed around 17.7lb (8.3kg) over the next three years, compared to just 2.2lb (1kg) in sufferers who rely on medication alone, the research adds.
Lead author Dr Jennifer Logue from the University of Glasgow, told MailOnline: ‘It is very much “normal eating” and I think that is a big part of why the weight loss was sustained in the long term as the diet can be followed for life and the food given to the whole family.’
People who lose such weight also do not require an increase in their diabetes medication or insulin dose, the study found.
Around 3.5 million people in the UK are diagnosed with diabetes, of which, approximately 90 per cent suffer from type 2. Type 2 diabetes is linked to obesity as carrying excess weight causes the release of chemicals that make the body less sensitive to insulin.
People with type 2 diabetes can control their condition by  following the NHS eatwell plan
People with type 2 diabetes can control their condition by following the NHS eatwell plan
Type 2 diabetes is linked to obesity as excess weight  makes the body less sensitive to insulin
Type 2 diabetes is linked to obesity as excess weight makes the body less sensitive to insulin

DIET CAN REVERSE TYPE 2 DIABETES IN THREE MONTHS  

A crash diet lasting just three months can reverse Type 2 diabetes, a landmark study by the universities of Newcastle and Glasgow showed last December.
Nearly half the people who underwent the diet saw their condition go into remission — providing the strongest evidence yet that diabetes can be eradicated by simply losing weight. 
A year after starting the 850-calorie-a-day diet, 75 per cent were drug free and 46 per cent had seen their blood sugar drop so far they were no longer considered diabetic. How the research was carried out
The researchers analysed 808 obese people with type 2 diabetes for up to three years between 2005 and 2014.
The participants’ diets were personalised according to their lifestyles and any other health conditions, but they all reduced their daily calorie intake by 600 units.
‘It is very much “normal eating”’
Dr Logue told MailOnline: ‘The diet is based on healthy, normal eating with a 600-calorie deficit. It is [also] based on the NHS eatwell plate.
‘So it is very much “normal eating” and I think that is a big part of why the weight loss was sustained in the long term as the diet can be followed for life and the food given to the whole family.’
The findings were published in the journal Diabetes, Obesity and Metabolism.
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WHAT IS THE EATWELL GUIDE?

The Eatwell Guide shows how much of what people eat overall should come from each food group to achieve a healthy, balanced diet.
 This includes:
  • Eating at least five portions of fruit and vegetables a day to ensure adequate levels of vitamins, minerals and fibre
  • Basing meals on whole grain carbohydrates or potatoes to give people a good source of energy and add other nutrients to their diet
  • Opting for some dairy to keep bones strong. Sources include milk, cheese and yoghurt
  • Having protein, such as beans, pulses, meat, egg and fish, with every meal
  • Choosing healthy fats, such as olive oil, and using them in small amounts
  • Limiting sugary, fatty foods and drinks to occasional treats
  • Drinking between six and eight glasses of water a day 



Fiber hidden in burritos and quarter-mile strolls on the golf course could be key to bringing President back from the obesity line, experts explain.
In a press conference on Tuesday, the president's official physician said that Trump was in 'excellent' condition in spite of his fast food-heavy diet, adding that 'if he had a healthier diet for the last 20 years, he might live to be 200 years old.' 
At 239lbs and 6'3", Trump's body mass index (BMI) of 29.9 puts him one tenth of a point away from obesity. 
President Trump told Reuters today that he is 'okay with' Dr Ronny Jackson's prescription for a better diet and a bit of physical activity.
Daily Mail Online spoke to experts who came up some simple strategies that Trump's team might prescribe to ease him into healthier habits.
President Trump's love for fried foods and sedentary lifestyle have pushed his BMI  near obesity, but experts suggested some substitutes that might still appeal to him
President Trump's love for fried foods and sedentary lifestyle have pushed his BMI near obesity, but experts suggested some substitutes that might still appeal to him
Trump needs to ditch the fries for fiber to bust bad cholesterol
At 71, with a BMI over 29, Trump has an elevated risk for heart attack or other potentially fatal cardiac issues.
The president's bad cholesterol levels have only continued to climb - from 169 last year to 233 in last week's assessment - fueled by his beloved McDonald's and Diet Coke.    
'It's never easy to get started on a major lifestyle change, and many people do well with a slow, gradual approach,' says Rui Li, CEO of New York Personal Training.
'For example: when it comes to nutrition, I recommend starting with nixing out processed foods first and getting accustomed to preparing meals at home,' or in Trump's case, carefully designed meals cooked by the White House chef. 
'Begin adding in lots of fibrous vegetables, especially dark leafy greens,' says Li.
'The next step is to nix out grains and revise the carbohydrate portions of your meals to be a quarter of your plate or less,' he adds. 
Fruits and vegetables are high in nutrients, which have protective effects, and are low in fats. 
Canadian dietitian Abbey Sharp says that fiber can 'help lower cholesterol and keeps you satiated longer, unlike junk food.' 
By including high fiber foods in his diet, Trump 'won't need to eat as much as he is,' she says.  
Fibrous foods are denser, taking up more room in the stomach, and take longer to digest, staving off hunger longer.  
For someone Trump's age, she recommends daily minimum intake of at least 30 grams of fiber.  
'I can't imagine him getting that with the diet he's living on now,' Sharp says.  
'I always recommend more whenever possible, especially as you get older and want to promote regularity and if you're trying to lose weight, fiber is really the secret,' she says.  
Sharp suggested easy substitutes for breakfast, lunch and dinner that would be better for Trump's health, but might still appeal to his sensibilities. 
A bowl of oatmeal could offer a quick, easy way to Trump to fill up on fiber at breakfast 
A bowl of oatmeal could offer a quick, easy way to Trump to fill up on fiber at breakfast 
BREAKFAST
Oatmeal or a smoothie are quick ways to get fuller faster
'Oatmeal or overnight oats are really rich in soluble fiber,' Shar says. 
Adding nutritious fruits that are also high in fiber, like pears or raspberries, can lend the oat-y breakfast cereals sweetness without sending the sugar content off the charts.
The president 'may also want to grab a smoothie when he's got one of those kind of crazy days,' says Sharp. 
To really boost his morning fiber, Trump could add a scoop of a fiber supplement, or 'even some flax seed or rolled oats, because once they're pureed in there, he's not even going to notice.'
But the fiber will do its job and the president feel more sated, helping to curve potential snack cravings as the day wears on. 
LUNCH 
A burrito stuffed full of hidden nutrition
Burritos made with tomatoes, avocado, cilantro, whole grain wraps and beans (that aren't refried) could cleverly disguise antioxidants, vitamins and fiber in Trump's lunch
 'A burrito might be a great option because he won't see all the vegetables in there staring at him,' says Sharp. 
It's easy to wrap a lot of fiber into burrito while keeping some of the outward charms of fast food. 
'Instead of packing it full with refried beans, you can use whole grain rice, quinoa, or [regular beans], which are an amazing source of fiber,' Sharp suggests. 
A few more substitutions bring the burrito up to muster: a whole grain wrap instead of a refined white flour one, and plenty of vegetables like avocado, tomatoes, cilantro, adding extra fiber, vitamins and antioxidants to Trump's lunch. 
DINNER 
Salmon fish sticks that are loaded with good fat and look fried (but aren't)
There isn't much room for Trump's beloved burgers if he is redesigning his diet to trim his waistline.  
Many ways of cooking use large quantities of oils chocked full of trans and saturated fats, both of which contribute to the clogging of blood vessels over time.
Fish, on the other hand, is high in healthy fats, including Omega-3.
The fatty acid helps to break down triglycerides, in turn lowering blood pressure and lowering risks for heart disease and stroke, which Trump's stats suggest he could stand. 
'I'd urge him to try some fatty fish, like salmon,' says Sharp. 
'I know that's probably a stretch for him, so if we want to channel our childhood self, even some salmon fish sticks with a whole grain or oatmeal crust [would work],' she says. 
The best supplement would be a side of steamed vegetables, and some sweet potatoes, which are high in both fiber and antioxidants, plus, could be a way for Trump to 'sort of get that junk food fix,' Sharp adds.   
The president could get his 'fast food fix' at dinner by eating salmon fish sticks that are high in healthy fats and encrusted with oatmeal to avoid corn meal and fatty frying 
The president could get his 'fast food fix' at dinner by eating salmon fish sticks that are high in healthy fats and encrusted with oatmeal to avoid corn meal and fatty frying 
WORKOUT 
Walking a quarter of a mile a week could ease Trump into a more active lifestyle
The American Heart Association recommends that adults get at least 150 minutes of moderate exercise or 75 minutes of intense exercise each week. 
'I get more exercise than people think,' Trump told Reuters in an interview today. 
He cited walking as his main source of exercise, especially on the golf course - even though he prefers to take a golf cart from hole to hole to save time. 
Cutting out the cart might be a great place for Trump to start getting fit, according to Li's advise.
At 7,511 yards, the Trump National Golf Club in Bedminster, New Jersey offers over four miles of course to to walk.  
But Trump doesn't need to get that ambitious, Li says.  
'When it comes to exercise, it's a similar principle [to dieting]: ease into it with modest, doable activities,' he said. 
'Start by walking a little bit more each week.'
For the first week, just a quarter of a mile - about 10,000 steps - is enough to get the ball rolling, Li says. 
Then, 'Two weeks later, increase it to half a mile,' he suggests.
He also advised  that Trump could do 'regressed forms of exercises, such as squats by standing up from a chair, or push ups from the wall.'
'The idea is, get good at one thing first, then start layering more on top, and maintain a slow pace with regard to adding more changes. Rome wasn't built in a day, so there's no need to rush through anything,' Li says. 



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