Oct
21
2014

Give Me 10: The Benefits of 10% Weight Loss

Article by Sandra Melloni RN, BSN, BA: Can be found on DiabetesCare.net

Most patients with type 2 come into my office wanting to lose weight.  Often, their goals are lofty:  “Nurse, I really need to lose 130 lbs.”  or “Nurse, I’ve gained 80 pounds over the past decade; I need to lose it all.”  They are often frustrated and overwhelmed. Where do they begin?

We know that weight gain is a major risk factor for developing type 2 diabetes, and that more than 80% of type 2s are overweight. If we study the incidence of type 2 diabetes in America, the statistics are staggering.  With over 29 million people with diabetes in the U.S., the disease is booming. Past forecasts and studies predicted 30 million diabetics in the US by the year 2030, so we are well ahead of schedule. The truth is Americans are becoming increasingly less active and consuming more calories. The result? Our waistlines have increased and so has the incidence of type 2 diabetes.

We have long known that obesity is responsible for the development of hypertension, diabetes, and hyperlipidemia.  Weight gain exacerbates these conditions.  Has your patient put on an extra twenty pounds?  Chances are they will need an adjustment in their diabetes medication, often a dose increase or the addition of another pill. The same goes for their cholesterol and blood pressure.

During the 2013 meeting of the ADA, Philipp Scherer, PhD, professor and director of the Touchstone Diabetes Center at the University of Texas Southwest Medical Center in Dallas, was interviewed on his latest research. He studies diabetes on a cellular level, and obesity’s effects on diabetes, describing fat tissue as a “solid tumor,” containing adipose cells. He explains that when a patient gains weight, fat tissue expands rapidly. This rapid expansion does not allow time for proper vascularization--in other words, the blood supply cannot keep up. The adipose tissues become hypoxic (lack of oxygen) leading to fibrosis of the tissue, and eventually, cell death.  This cell death produces surrounding inflammation, which in turn, damages pancreatic beta cells and causes insulin resistance.  Insulin resistance is the main mode of pathophysiology in type 2 diabetes. (1)

And if weight gain compromises patient health, certainly weight loss will improve it. However, striving for your patient’s weight as a high school junior just isn’t realistic. Sheri Colberg, PhD, author, exercise physiologist and professor at Old Dominion University discusses in a recent article about weight loss and insulin resistance.  “Just a 7% loss of body weight (only 14 lbs if you are 200 lbs) will improve insulin action by 57%. That is a bigger benefit than a patient would get from most diabetes pills.” (2)  The American Diabetes Association confirms that a 10-15 pound reduction in body weight will lower blood glucose, blood pressure, cholesterol, and reduce stress on knees and hips.  And a 10% weight loss may decrease the risk of certain complications like sleep apnea or particular cancers.

In my diabetes self-management classes, I often suggest to patients that they view healthy eating, exercise, and weight loss as importantly as taking their prescribed medications. These are the tools we have to control diabetes, and overlooking them is like not using all the weapons in our arsenal.

Setting a goal to lose 80 pounds can be overwhelming, but requesting they lose just 10% of their body weight is definitely achieveable. I often ask a patient to mentally calculate what 10% of their body weight is. So if a patient weighs 230 pounds, then a 10% weight loss would be about 23 pounds, certainly an achievable goal over a one year time period. Weight loss would average about two pounds per month or a half pound per week. Most projects in life are better managed by splitting them into smaller tasks. At the end of the year, your patient would realize an improvement in blood sugar and no new additional medications.  

So let’s imagine that 23 pounds is our patient’s weight loss goal. This could be achieved with a reduction in calories of about 230 per day. That might be a small bowl of ice cream or a can of soda with some chips. These small changes will add up. Add some physical activity to the mix, and your patient may only need to reduce their calories by 100 per day.

First there are some considerations, particularly if your patient is taking certain medications like insulin or insulin secretagogues, like Glimepiride or Glipizide. Losing weight and eating less may require a change to those medications in order to prevent hypoglycemia. I often suggest that those patients meet with their dietician or diabetes nurse educator before embarking on their weight loss journey. Below are some tips that my colleagues and I often share for weight loss.  Remember, your patient doesn’t have to be perfect but make small changes which will add up.

Weight Loss Tips for Diabetes Patients:

  • Think Do, not Don’t.  If I tell a patient to quit eating chips, it’s often the first thing they crave when they get home.  They begin to focus on the “forbidden goodies.”  But when we ask them to add 3 vegetables and 2 fruits per day, they don’t feel cheated.  Mixing it up with some frozen grapes or some crunchy snow peas with dressing with their lunch will keep things interesting.
  • Water, Water, everywhere. We know water is great but try having your patient drink a tall glass ten minutes before meals.
  • Lose the tube. When we watch TV and eat simultaneously, we eat more due to the distraction. Ask them to shut off the television and sit at a table.
  • Eat to Live.  We have all heard the saying “Eat to live, don’t live to eat.”  Ask your patient which hobbies they miss.  If food is the only source of pleasure, it’s a recipe for disaster.  Suggest music, drawing, volunteering or calling an old friend.  Yes, even sex. To read more about how food can replace sex and intimacy in some relationships, check out a recent DiabetesCare.net blog here.
  • Park Farther and Take the Stairs!  Old, but good advice.
  • Don’t forget Fido. Just walking the dog twice daily for fifteen minutes each time will help your patient reach their goal of 150 minutes per week of exercise.
  • Choose an Exercise you like. If you hate walking, don’t choose it as your exercise.  Aqua classes, biking, and Zumba are becoming more popular for men and women alike. Remind patients that gardening and raking burn calories, so put that leaf blower away!
  • Put the box down and back away.  Everyone is going to cheat sometimes.  If they want some ice cream or chips, have your patient measure it out and put the box away.
  • Catch some ZZZZZ’s.  Lack of sleep can increase stress hormones and cause overeating during the day.
  • Sugar-free gum. If you have a chewing fix, break out the gum and save on calories. 
  • Keep a food diary.  We all know it—we eat more than we think we do. Writing it down in black and white can help to think more about what and how much you consume. 
  • What’s Eating You? If your patient suspects that he or she is an emotional eater, you may want to ask them to keep a journal for one week. Before eating or binging, they might record how they feel, what happened at work, any conversations replaying in their mind and then what they ate. It can certainly be a reflective exercise in why we eat and a great way to become more conscious of the connection between food and emotions.
Again, most people with type 2 want to lose weight. This doesn’t have to be a formidable task or race.  Ask patients to “give you 10.”

Sources: 1, 2
 
Oct
21
2014

Signs You May Need to Lose Weight

There are times that we are on the fence about whether or not we should (or have to) lose weight. It’s understandable to blame those now non-fitting jeans on drying them in the dryer instead of air-drying, or saying you’re are tired just because you had a long day at work. However, what if weight gain is the underlying issue and weight loss is a simple, albeit arduous, remedy? 

Here are some, but not all, signs that you may need to shed some pounds:

Measure your waist:  If you were to measure your waist right now how would the measurements compare to your waist size a month ago? 6 months ago? A year ago? Increased inches in the waist is a good barometer for showing if you gained weight and how much you may need to lose since fat has a propensity to go to areas around our waist and midsection.

Your doctor’s visit didn’t go too well: Weight gain many times is accompanied with other ailments and health conditions. What was your blood pressure measurement when you visited the doctor? Did your latest doctor’s visit show that your cholesterol maybe high or you could be developing type 2 diabetes? Any of these and more could be caused by weight gain, but the good news is weight lost will also help these conditions almost immediately.

Ouch! That Hurts: Weight gain tends to add strain to certain parts of the body, resulting in pain in those areas. Body parts like the back, knees, and hips are the typical areas that fall victim to aches and pains from weight gain.

It’s in the genes: Sometimes ailments and medical conditions are passed down from generation to generation. Decrease the chances of you getting those ailments by living a healthy lifestyle and maintaining a healthy weight.

Links:  Cosmopolitan, National Heart, Lung, and Blood Institute

Oct
6
2014

Robard Webcast Featuring John P. Foreyt, Ph.D.

FREE Webcast Presented by John P. Foreyt, Ph.D.
Role and Clinical Relevance of Nutrition and Weight Loss for Combatting Cardio 
Metabolic Risk  

OCTOBER 15th 

Join Dr. John Foreyt for a 45 minute educational presentation (including questions) and learn how to lower your patients’ cardio metabolic risk.
 
Learning Objectives:

  • Define the role of nutrition in reducing cardio metabolic risk
  • Explain the clinical relevance of weight loss in combatting cardio metabolic risk
  • Identify effective lifestyle strategies for lowering cardio metabolic risk 
As leaders in the weight management industry, Robard offers numerous strictly educational events to support healthcare professionals in the treatment of obese patients, including this 45-minute educational webcast presentation.


About John P. Foreyt, Ph.D.

Dr. Foreyt is a Professor in the Department of Medicine, the Department of Pediatrics, and the Department of Psychiatry and Behavioral Sciences at Baylor College of Medicine, Houston, Texas. He is also the Director of the DeBakey Heart Center's Behavioral Medicine Research Center, Department of Medicine.



 

 

Sep
17
2014

Product Spotlight: 15 Gram Meal Replacement Bars

When dieters don’t have time to prepare a meal, it often leads them to choose unhealthy options. We have an assortment of meal replacement bars that are not only delicious, but also give your dieters all the nutrients and minerals they would receive with a typical meal. Best of all dieters just open the wrapper and enjoy! 

Our best-selling bars include: 

Fudge Graham Bar

  •       15g Protein
  •         160 Calories
  •         Aspartame Free
  •         Gelatin Free
  •         Kosher Product
Cinnamon Bar
  •      160 Calories
  •      15g Protein (13g Soy Protein)
  •        Gelatin Free
  •        Aspartame Free

Peppermint Cocoa Crunch Bar

  •        15g Protein
  •        160 Calories
  •         Aspartame Free
  •         Gelatin Free

·      These bars are also availble in a variety pack. To take a look at these as well as the rest of Robard's products, browse our Product Catalog, or contact one of our Territory Sales Managers at 800-222-9201.

Sep
17
2014

CVS Takes the "Health" Plunge

CVS recently made a move that could catapult them to the top of the retail pharmacy food chain.  It was recently decided that “CVS Caremark” will be now called “CVS Health”. Although the change in name maybe subtle, it’s some of the accompanying changes that will have more of an impact on the consumer and the company. 

While waiting in checkout lines we’ve grown accustom to seeing an array of tobacco products the franchise had to offer. That will no longer be the case. Effective immediately, CVS will not carry tobacco products in any of their 7,700 plus stores nationwide. These shelves will be replaced by products such as nicotine gum and other tobacco using habit-kicking products. 

The removal of tobacco products furthers CVS’ efforts in becoming your go-to place for anything healthcare. There’s also a financial gain that is expected to come from this, that they hope results in surpassing Walgreens as the number one retail pharmacy in the country.  

However, it also removes any potential hypocrisy that would come with the yearning of being on the frontlines of healthcare retail, and selling a universally unhealthy product.  We all know the dangers that are attached with the use of tobacco.  And ultimately goes against the image and direction that CVS sees itself going in. 

What are your thoughts on this decision CVS made? Do you feel other stores should follow suit? Leave a comment in the box below and let us know what you think. 

Source: Investorplace

 

Sep
3
2014

Product Spotlight: ShapeWise® Chews

Small Size, Big Results

Dieters need something for those inevitable cravings that come during the day. Robard’s ShapeWise® Chews are bite size taffy-like treats that assist them with compliance, satiety, and—most importantly—reaching their weight loss goals!

ShapeWise comes in delicious Chocolate and Lemon flavors. Some of their many features and benefits include:

• 50mg of milk calcium (milk calcium has shown to help enhance weight loss when on a LCD)

• Sugar-free and aspartame-free

• 20 calories

• 0 grams of available carbohydrates

ShapeWise Chews can enhance your dieter’s weight loss experience. They can grab a couple when they are feeling hungry between meals, or they can keep a bowl of them in their office or at home for easy access when they are craving something sweet for instant gratification!

For more information on our ShapeWise Chews, please contact one of our Business Development Manager at 800-222-9201. You can explore Robard’s full product catalog at: www.Robard.com/Catalog.

Sep
3
2014

Move to the Beat!

Music has the unique ability to be many things to many people. It can be a mood changer, mood-setter, or simply express our current mood in a more artistic and creative way. What can music do for you while you’re exercising? Regardless of the setting you will find headphones in the ears of the majority of the people you see working out.

Why? For starters, music is a great motivational tool for us. It can be a welcomed distraction to the amount of exertion we are using, allowing us to push that much more.  A study even showed that music can improve performance by up to 15 percent.  That number maybe high and also varies depending on the person, but it also makes sense.

What songs tend to have the best effects? Typically songs that have a 120-140 beats per minute (BPM) ratio have the most significant change in an exerciser. Meaning a song like “Timber” by Kesha and Pitbull (130 bpm) could have a different effect on you compared to “Burn” by Ellie Goulding (86 bpm). Both songs can serve a purpose, the lower rate for warm up and the higher rate for cardio.

Depending what you are listening to music can either keep you on pace, or erratically change it.  While exercising, we often find ourselves working out to the rhythm of what we are listening to.  We would like for that rhythm and pace to be steady, however some music can cause dips and spikes in our pacing.

Find out what works for you! The great part about music is one size doesn’t fit all, but there is something for ALL of us. 

Links: Webmd, Huffington Post, Bases.org

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    Weight loss, nutrition, diet, exercise, education, support, maintenance. Whether you're a professional looking for information about Robard's weight management programs and products or a dieter looking to lose weight or maintain a healthy weight, read on for interesting, informational, and entertaining entries to meet your weight management needs.

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