
- With Mayo Clinic diabetes educators
Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
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Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
Nancy Klobassa Davidson and Peggy Moreland
Nancy Klobassa Davidson, R.N., B.S.N, C.D.E
Nancy Klobassa Davidson is a registered nurse who has worked in diabetes education for 17 years. She is a certified diabetes educator (C.D.E.) and is currently in graduate school working on a Master of Science in nursing (M.S.N.) and health care education.Nancy works with adults who have type 1, type 2 and other forms of diabetes. Nancy is coordinator of the Diabetes Unit's intensive insulin therapy program within the Division of Endocrinology, Diabetes, Metabolism, & Nutrition at Mayo Clinic in Rochester, Minn. Nancy has worked extensively with insulin pump therapy and continuous interstitial glucose sensing.
Peggy Moreland, R.N., M.S.N.
Peggy Moreland is a certified diabetes educator (C.D.E.) in the Division of Endocrinology, Diabetes, Metabolism, & Nutrition at Mayo Clinic in Rochester, Minn.Peggy graduated with a Master of Science in Nursing and Health Care Education from the University of Phoenix and is a member of the American Association of Diabetes Educators and the American Diabetes Association. A certified diabetes educator (C.D.E.), Peggy enjoys working with patients to set and achieve diabetes self-management goals.
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Jan. 4, 2011
The downside of dieting
By Nancy Klobassa Davidson, R.N., and Peggy Moreland, R.N.
Dieting. Upon hearing the word, many of us cringe and maybe feel a little guilty. Lots of us have struggled with weight and have been on various weight-loss diets — official and fad — that either haven't worked, or worked but didn't produce sustainable weight loss.
Why don't diets work? In general when we use the word, "diet," it's in relationship to fad diets and misleading weight-loss products that promise substantial, quick results. Weight regain is common after weight loss, even on nutritionally balanced diets. There seem to be many medical- and behavioral-based reasons for weight regain, which I'm not going to cover here.
Ultimately, long-term behavioral and lifestyle changes are keys to maintaining and keeping weight off. Many of us see weight loss as a short-term goal and don't maintain the new lifestyle skills as a permanent way of life.
I think we need to give credit where credit is due when weight loss is concerned.
- Even the loss of a couple pounds is an accomplishment.
- Maintaining weight loss is an accomplishment.
- Maintaining exercise and activity is an accomplishment.
- Any positive lifestyle change is an accomplishment — for example, switching from whole milk to skim milk.
- Maintaining blood glucose control with stable weight is an accomplishment.
- Continuing to work on lifestyle changes, even with lapses, is an accomplishment.
- Healthier eating is an accomplishment.
Have a good week!
Your thoughts?
Nancy
31 comments posted
December 6, 2012 10:00 p.m.
What a great article, all these weight loss programs out these days are just fad weight loss programs that reduce fast a fantastic simple eating plan made up of a fantastic balance of necessary protein carbohydrate food and requirements body fat is key to keeping glucose levels low and fantastic heart health!
- Tacoma fitness club
September 26, 2012 7:36 a.m.
Reviewing accomplishments off the scale are extremely important because the scale can mislead due to water weight, etc. When I am tempted to eat unhealthy food, I think about the inches I've lost or the blood sugar control I've achieved and that usually helps me make a different decision, which perpetuates the positive results. Positive reinforcement is SO much more effective than negative results. AND I don't feel guilty when I do allow something sweet because I plan it with protein so the effects on blood sugar are minimal and it's within my calorie goals. This approach has allowed me to eat "normal" with minimal guilt and a great feeling of accomplishment daily.
- Jill
August 28, 2012 3:07 p.m.
Daily low dose aspirin can lower the risk of a heart attack, but is not safe for everyone and can cause stomach irritation. Check with your doctor first before starting aspirin therapy to determine whether it's safe and how much to take.
- Nancy and Peggy
August 22, 2012 10:20 p.m.
Some probablistic info or renimmecdatoons with limited downside would be more useful than the comment above by Mayo.If I am having a first suspected heart attack with no prior medical history, should I take the aspirin?Is it likely to help?Would the answer be different if there was likely a long delay in getting medical assistance eg live half an hour from hospital and ambulance and doctor?Apart from ringing for assistance what are the steps that are highly likely to likely to help?What are commonly talked about things I should not do?
- Denee
May 29, 2012 1:59 p.m.
Thank you so much for your positive analysis. After almost six months of dieting or new life style adoption, I came to realize the importance of positive feedbacks that kept me going and got me closer to a healthier life style. It was a constant struggle every day and every step of the way. There were more setbacks than positive milestones, but it was worth it. I could no longer affort to be obese. Diabetes has claimed the lives of both of my parents and has struck several of my siblings. I finally decided to do something about my weight if I wanted to live a health life and healthy retirement. Last week, I reached my target weight after I lost almost 51 pounds and I am working super hard to maintain my new weight.
- Omar
May 21, 2012 7:32 p.m.
Very Informative, enjoyed reading your article. Thank you for sharing. :)
- Ahmed
April 28, 2012 9:54 a.m.
for the person who discovered there is more sugar in lower fat milk: Those who package these "special" foods know that they need to keep the flavor. So, they almost always add something so we can stand the taste. Fat for salt or sugar. salt for fat, sugar for salt or fat, etc. If I could milk Bessy, I would. then I would know what I was drinking. I don't do low-fat. sugar-free, sodium-free, etc. I begin with food as simple as I can get it. Then I know how much of these things is in it. I also don't do "all natural" or "organic". I feel these things just cost more money without any reason to. So called "all natural" foods tickle me. Did you ever see a box of cereal growing in a garden? Did you ever see a pill growing on a plant or swimming in the ocean? They're no more "natural" than any other food or med. They were altered! And also not controlled by the FDA. So, one thing you can be certain of is: You don't know what they are! turkey insteak of pork or beef. Yeh, if you kill the turkey yourself. But did you ever try to fry a true turkey burger? They have to add suet or it will over cook and be dry. Learn what nutrients are in what foods. Then control what you eat on that basis. If you have time, "KISS IT" (Keep It Simple, Sally! Bon Keep It Simple Silly
- Bon
April 28, 2012 9:24 a.m.
greeat article! common sense always makes sense. However, I don't believe "diet gurus" and most doctors pay enough attention to chemical and genectic aspects. I have learned fom experience (both in dieting and not dieting), that these things are very important. I have gained weight while dieting. And I have lost considerable weight while not even thinking about dieting. I've made connections to the meds that increease or decrease my appetite. I pay attention to what I'm feeling when I want to binge.No, it isn't depression or other psycholoical problem: not for me anyway. I lost it gained it lost it again etc. I now try to be aware of what I eat and accept my body as it is. Not to say I don't still "diet". I have too. I have a predispotion for obesity! I'm 66 years old and have finally,lost and kept off 50 pounds. However,I'm still obese (almost to just overweight). But I've stopped beating myself up for not being thin. I've accepted that my body has found a comfortable weight. I still concider every aspect of weight gain and loss. And I watch what I eat accordingly. I think, I will gradually begin to lose again... Just as unexpectedly as I did when I lost 50# after one of my meds was stopped. I monitor my meds. If I start a new medication and my appetite increases, I ask my doctor to change it. Or,simply put up with the problem if it isn't lifthreatening. I also no longer have to take my oral diabetes med. I focus on doing what's right for my body. thanx
- bonnie
October 12, 2011 10:29 a.m.
What a great article, all these diets out today are just fad diets that fade fast a good simple diet consisting of a good balance of proteins carbs and essentials fats is key to keeping blood sugar low and good cardiovascular health!
- Aaron
September 22, 2011 9:52 a.m.
I have recently come upon some interesting and relevant stats. The CDC tells us the national childhood obesity rate has nearly tripled in the past 30 years. Over the same time, health spending in America has followed the same trend. In 1965, health spending in America, as a % of GDP, was 5%. In 2010 it was 18%. It steadily rose in the intervening years. If the rising trend in obesity is not halted and reversed, it will continue to consume an increasing % of GDP as the years go by. It is my view that the rising trend of obesity in this country will not be halted and reversed until there is a MASSIVE education campaign that teaches people, children and adults alike, about nutrition, healthy eating and the need to lead a physically active lifestyle to live a healthy life.
- Jay
September 2, 2011 1:15 a.m.
I began a diabetic eating program on the 27th of December. I stand 6 ft. 4 in. male, small boned. Weighed 165 at the age of 35. Turning 77 in Sept. I have, as of the 1st of Sept. lost 55 lbs on a 1200 calories pre day regime. It has not been easy as I have always eaten to taste and I enjoy all food. I also lke my wine with dinner. It has also not been easy as I have IBS which acts up constantly in either the "C" stage or the "D" stage. I want to loose 5 more lbs. and I will be at the 165 I was when I was 35. Since dropping the lbs. my Asthma is almost non-existent and I recently tossed my blood pressure med. From an old man, who now that the wrinkles have been ironed oout really looks his age: Hang in there. Take it easy. Play what ever games you need to play to stay as close to you plan as possible. Don't be swayed with phrases like: Well, it's just one meal with us so eat up and all the other comments -- particularly as you begin to wrinkle. When eating out, split a plate if you can and/or ask for a take-away sack. If all else fails, eat around the edges and leave the rest -- a great waste of food but it's your health that counts. Now, I am wondering how the challenge will be when I get to where I want to be (5 lbs of wiggle room) and keep it off. I think that is going to be a tremendous struggle for me. However, it is a JOB and has to be tackled as such. Good luck to anyone who reads this.
- James
August 30, 2011 8:24 a.m.
I am also having the same issue as Cheryl below - eating approx. 15g carbs/day, maybe around 1000 calories - for the first 3 weeks I lost 20 lbs. but now I'm gaining weight - can someone please let me know what I'm doing wrong - is this starvation mode?
- Rich
June 5, 2011 9:49 a.m.
I am trying to take control finally in my Diabetes. I have joined a gym and have a personal trainer 2x a week. My question is I am trying to eat healthier and watch my callorie/carb/fat intake. I have made it sort of a game. I am 62 years old and have had diabetes for 20 years (slow learner) I have lost over 20 pounds and need to loose about 40 more by my doctors advise. My question is I keep running across information saying if you go below a certain number of calories your body will go into starvation mode and slow your metabolism down. How many is too low??? I eat around 900 to 1200 a day, is that too low? I don't feel bad and I am loosing from 3 to 5 pounds sometimes less per month. I am confused I eat protein and complex carbohydrates before exercising and a small supper after. Please help me if you can with some guidelines. Thanks
- Cheryl
June 1, 2011 1:36 p.m.
Carolyn, you can buy a meter over-the-counter and test your blood glucose fasting 1 to 2 times a month. A good target would be a blood glucose below 120 mg/dl or 6.6 mmol. If the blood glucose is consistently over the target contact your health care provider; medication may be required.
- Nancy and Peggy
May 28, 2011 2:04 p.m.
PS: I should have mentioned that my BMI is within normal limits.
- Carolyn
May 28, 2011 1:54 p.m.
Seven weeks ago my doctor told me I was "borderline diabetic (type 2) and my cholesterol was above normal. I immediately went on a low carb, low fat diet and have stuck to it faithfully. I have lost 6 pounds and believe I am eating and living healthfully. I would like to be able to monitor my blood sugar myself to see what my levels are. Is it appropriate for me to do this? If so, when and how often would it be good to check it. I am not on any medication. I am determined to avoid the need for meds if possible.
- Carolyn
May 11, 2011 2:46 p.m.
I los 25kgs by sticking to a low GI diet. Been on my goal weight for 3 years now. It is worth it!
- Zelda
April 18, 2011 12:24 p.m.
Helen: Ask your physician for a referral to a dietician who can help you with a diet that meets your needs.
- Nancy and Peggy
April 17, 2011 12:16 p.m.
i would lioke to do the ideal protein diet because it deals with the pancreas and blood sugar levels, can this diet be used with type 2 diabetes
- helen
March 17, 2011 2:21 a.m.
I'm trying to eat a nutritional diet and alway have tried to do so. With diabetes (diagnosed 2 months ago for the second time) I'm losing weight and I panicking. I don't want to. I am smalled boned, some would sat tiny boned, and skinny except for my waistline. I'm losing weight except from my waistline and I don't want to lose an ounce more. Is this natural? I'm almost 70. I once weighed 88 and looked anorexic years ago and don't want to look like that again. I have a cholesterol prob', HBP meds, now sugar.
- ivory
March 9, 2011 4:15 p.m.
I don't understand the movement to go to fat reduced dairy products. They are so much higher in sugar. I look at the g of Sugar and pick the lowest. Am I wrong?
- Tami
January 13, 2011 1:03 p.m.
I think for me, lapses are hard. I tend to beat myself up over diet or exercise lapses. I am very good at beating myself up in my mind over a vending machine candy bar at work. Which causes more problems! So I think its good from the outset to consider lapses as natural, normal, and just get back up the next day and get right back on track. Well, this works for me, otherwise I just have more mini-lapses into sweet-tooth heaven or 'no exercise today' exultations.
- Laura
January 13, 2011 10:27 a.m.
its good article to guide the patient in proper manner
- shanmukha
January 12, 2011 11:01 p.m.
After I got diagnosed in 2007 I retired and started concentrating on my health. I managed to lose 35 lbs over an extended period by trying to eat better and exercising. For 6 or 8 months now I have developed sugar cravings (I used to prefer savory things) and hardly test at all. Consequently I have regained 22 lbs and feel tired all the time. It's a new year and I am back at the gym and in the pool so I guess I will just have to chip away again. At least I did not gain all the weight back and do recognise that I better do something sooner rather than later.
- Ellen
January 12, 2011 4:05 p.m.
It's easier to make a lifestyle change with a good attitude. Once I got past the initial pity party I found a support group. It helps to have friends who don't need an explanation. I let my glucometer be the "boss" and I don't think of it as a "diet". It's just that some foods aren't an option. I have new favorites.
- Carol
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