Healthy diet and diabetes

Healthy Diet and Diabetes: Why Some “Healthy Foods” Spike Glucose

When you develop an appropriate food choice based upon a plan that includes managing your healthy diet and Diabetes, there are likely to be many choices often associated with being good for you, such as oatmeal, smoothies (typically fruit-based), whole-grain bread (or toast) and fresh fruits. What is typically surprising about this list is how quickly and significantly glucose levels may spike from consuming one or more of these at times.

If you have asked yourself questions such as “Why is my morning blood sugar so high?” or “Why is my blood sugar higher than normal after consuming what has been identified as a ‘clean’ meal?”, then you are certainly not alone.

Let’s break down why this happens and provide alternatives to help minimize increases in blood sugar and improve your overall health.

Why Do “Healthy” Foods Spike Glucose?

Not everyone has stable blood sugar levels, even when they are eating a balanced, healthy diet. The manner in which your body reacts to carbohydrates is dependent on multiple factors:

  • Your level of insulin sensitivity (how well you use the insulin that is produced)
  • The amount of muscle mass you have
  • How stressed out you are
  • How much sleep you get per night
  • Whether or not you currently experience some form of insulin resistance
  • What type of diabetes you have

Just because a food is labelled as whole grain, organic or “natural,” does not mean it will be processed by your body slowly. In fact, it could very easily cause an increase in glucose levels quickly if your body processes carbs poorly.

It does not mean this food is bad; it simply means that it might not fit your metabolic needs.

Common Healthy Foods That May Spike Blood Sugar

The list below includes examples of common food items that may have unexpected effects on glucose levels:

1. Oatmeal

The oats found in oatmeal are typically included in an otherwise healthy diet and diabetes management plans. However, for many people with Insulin Resistance, oatmeal will rapidly elevate their blood glucose levels. Typically, this occurs when oatmeal is consumed by itself, i.e., without the presence of either fat or protein.

2. Fruit Smoothies

Fruit is generally considered a nutritious food item. Blending fruit, however, removes most of the fiber that causes the fruit to be digested slowly. Therefore, a fruit smoothie made from banana and mango (for example) can produce a more rapid rise in blood sugar levels than consuming the same fruits as individual pieces of fresh fruit.

3. Whole Grain Breads

Although whole grain breads may appear to provide a healthier alternative compared to white flour breads; because these products have been refined to such a degree, they can also result in a more immediate response of the body’s blood sugar levels (which can manifest itself through a variety of symptoms such as fatigue, dizziness/shakiness, etc.); although it should be noted due to the processing of the product rather than the type of grain used.

4. Low-Fat Yoghurt

Some types of low-fat yogurt may contain additional sugars, so while the label may indicate “low-fat” and “healthy”, the actual impact of this type of yogurt on your average glucose levels may exceed what was anticipated.

What Happens During a Glucose Spike?

When carbohydrate-heavy foods are eaten, they cause an immediate increase in blood sugar. If a person has less than usual insulin sensitivity, then their body is unable to manage this rapid spike as well as it could. Additionally, this increase may remain elevated for a longer period of time. As such, over a prolonged period of time, these frequent glucose spikes can:

  • Increase your A1C levels
  • Limit how effectively your body can regulate its own blood sugar levels
  • Cause you to gain more weight
  • Reduce insulin sensitivity in your body

Normal blood sugar levels will vary from one person to another, but if your glucose levels consistently exceed what are considered normal ranges (acceptable blood sugar levels), you will have an increased risk of developing long-term health problems.

What to Eat Instead

The purpose is to make healthy food choices, not to get rid of them. Here are smarter swaps for maintaining consistent blood glucose levels:

Pair Carbs with Protein and Fat

Substitute:

  • Plain oats → Oats + Chia Seeds + Nuts + Greek Yogurt
  • Single Fruit → Apple Slices + Almond Butter

Eating carbohydrates with protein and fat will slow down the carbs digestion process and reduce the amount of glucose entering your bloodstream at one time.

Select Lower Glycemic Index Food Choices

Replace:

  • White Rice → Cauliflower Rice/Quinoa
  • Fruit Juice → Whole Berries
  • Regular Processed Bread → Sprouted Grain/Bread Alternatives (Lower Carb)

Place A Priority On Eating High Fiber And Whole Foods

Non-starchy vegetables, lean protein sources, and healthy fats are all basic to a strong, healthy diet and diabetes management strategy.

Why Morning Blood Sugar Can Be High

If you have been asking yourself, “Why is my morning blood sugar so high?” It may be because of a natural release of insulin-stimulating hormones (the dawn phenomenon) when the body normally raises glucose levels as part of its wake-up routine.

However, if your glucose levels continue to elevate throughout the day, this could be an indication of insulin resistance or nighttime glucose fluctuations. 

The way you eat for dinner can have a direct impact on stabilizing your overnight readings. However, reducing the amount of refined carbohydrates consumed at dinner and increasing the amount of protein will assist in stabilizing your overnight readings.

The Bigger Picture: Personalization Matters

All bodies are different, so what works for one person as a “healthy diet” for managing diabetes won’t necessarily work for someone else.

The best way to determine how your body reacts to food, besides lab tests or continuous glucose monitoring (CGM), is by identifying those specific dietary patterns as early as possible to avoid long-term damage to your metabolic function.

Ideal Metabolic Health and Body in Fort Collins supports you to find out how you react to different types of foods and to develop lasting ways to keep your blood sugar under control while promoting optimal metabolic health.

Making small lifestyle changes can have an enormous effect on how you are feeling on a daily basis.

Insulin resistance vs. Diabetes

Insulin Resistance vs. Diabetes: What Changes First?

While many people associate both “insulin resistance” and “diabetes”, these two conditions are NOT identical. Although they are very related to each other, one condition almost always develops long before the other. Knowing which of the two occurs first will allow you to take early action that will ultimately support your overall long-term health (and well-being).

In the simplest of terms, let’s see.

What Is Insulin Resistance?

When you have high levels of sugar in your blood and are unable to get those sugars inside your cells using less and less insulin, you develop a condition called insulin resistance. It means that when you take the insulin, your cells do not respond to the insulin as well as they should.

In order to overcome this problem, your pancreas will make more insulin than ever before. The amount of extra insulin that you need to produce can be so great that you might still appear to have normal blood sugar levels. That’s why you can live with insulin resistance for such a long time without even knowing about it.

However, while your glucose levels look like they’re fine on the outside, your body has become overworked. Some of the most common signs of insulin resistance can include:

  • Feeling tired after meals
  • Hunger or craving sweets more frequently
  • Weight gain, particularly around your midsection
  • Difficulty losing weight and/or improving insulin resistance
  • Brain fog, or lack of energy

The above can occur many years before type 2 diabetes develops.

The Moment Diabetes Enters Your Life

Diabetes begins once you are unable to control how much glucose is in the bloodstream.

For most people who have type 2 diabetes, their bodies will be resistant to insulin before they develop diabetes. As a result of that insulin resistance, the pancreas has a hard time producing enough insulin to meet that resistance. At some point, the pancreas can’t produce enough insulin, and as a result, your blood glucose levels are too high all of the time, which is when you are diagnosed with diabetes.

In contrast, type 1 diabetes is an autoimmune disease, and therefore, it cannot be attributed to insulin resistance since it occurs at a younger age than type 2 diabetes.

When we compare insulin resistance and diabetes in adults, we are generally talking about how type 2 diabetes progresses through the body.

What Changes First?

Typically, the first change that occurs in the body isn’t diabetes itself. The very first change is usually an insulin resistance. Here is a step-by-step explanation of how this progression normally works:

  1. The cells become resistant to insulin (meaning they don’t respond as well).
  2. The body begins producing higher amounts of insulin to help make up for the lower response rate from the cells.
  3. As time progresses, high levels of insulin are produced for many years, even when the cells are still not responding as they should.
  4. During these years of high insulin production, weight gain and other metabolic changes will likely occur.
  5. Eventually, glucose levels will start to rise into the bloodstream.
  6. At some point after the glucose has started to rise, signs of diabetes will begin to emerge and a diagnosis will follow.

This entire process can take many years; which is one reason why it is so critical to have awareness of your body at an early stage.

Signs of Diabetes vs. Early Insulin Resistance

Recognizing the differences can help you identify what is going on with your body early on.

Symptoms of early insulin resistance can be as follows:

  • Weight loss is difficult
  • Your energy crashes
  • You have cravings
  • A small increase in your fasting blood sugar levels
  • Diabetes symptoms can be very apparent, as follows:
  • Increased thirst
  • Frequent urination
  • Blurry vision
  • Poorly healing wounds
  • Unexplainable fatigue

As you can see, many times people will first experience symptoms of insulin resistance that are not so noticeable (before they exhibit symptoms of full-blown diabetes).

Can Insulin Resistance Be Reversed?

Short answer: YES! The good news about insulin resistance is that it is possible to improve insulin sensitivity through a correct method of treatment. Most insulin resistant individuals find that the first steps toward improving their insulin sensitivity involve lifestyle modifications such as:

  • A nutritionally balanced meal plan that helps regulate blood glucose levels.
  • Regular strength training and physical activity.
  • Obtaining quality sleep each night.
  • Practicing stress-reducing techniques.
  • Working with medical professionals for guidance.

When small, consistent changes are implemented to daily habits, these actions can result in significant positive improvement in insulin function over time.

Supporting Your Body Before Blood Sugar Rises

Understanding the differences between insulin resistance and diabetes is an important way to protect your future health. By recognizing early changes in your body’s ability to process glucose and metabolic processes, you provide your body with the chance to correct itself and be more responsive in the future.

At Ideal Metabolic Health and Body in Fort Collins, we want you to be able to make sense of your insulin resistance and/or diabetes. We are here to guide you on your journey toward a better understanding of your body and promote your metabolic health, as well as provide you with tools to proactively address issues that may potentially develop from small imbalances before they become larger issues.

Weight Loss Program, what to expect in month 1

What to Expect in Month 1 of a Weight Loss Program

Your first month starting a weight loss program is typically a mix of excitement and possibly a little anxiety, whether you are joining a weight loss clinic in Fort Collins or developing your own program from the comfort of your own home. The first thirty days will set the stage for your overall success and create habits that help you maintain your new lifestyle. By understanding what may be happening during this time frame, you can also enhance your experience, make the process more enjoyable, and ultimately more sustainable.

Here’s a friendly overview of your first month on your weight loss journey and how to achieve your goals.

Week 1: Preparation & Assessments

Week 1 is essentially about getting ready & understanding where you’re at. Most weight loss programs begin with an assessment (Weight measurement, Body measurements, etc.) as well as setting realistic expectations and planning your meal program.

The initial meal program will focus on creating a balance of lean protein, green vegetables, whole grain products & healthy fats for your weight loss diet. You will also be encouraged to start light physical activity to help support your metabolism by creating some movement in your day, this does not have to be intense or overwhelming.

Expect to spend most of the time in the first week feeling like you’re just trying to get a handle on what you need to do to create the change you want to see in your lifestyle.

Week 2: Building Consistency

Week 2 will be focused on building consistent habits into your lifestyle.

The first week, your body was adjusting to the new calorie intake and exercise routine. Now, it is responding to the changes made during the last week:

  1. Tracking your food & physical activity: Using a food diary or apps can help you maintain tracking of your meal plans and recognize patterns related to your weight loss.
  2. Finding new recipes that are low in calories, yet still taste great – By trying different and creative ways to prepare healthy meals, you can make a balanced diet for weight loss fun again, rather than feeling deprived of foods you enjoy.
  3. Engaging in light physical activities (walking, stretching, etc.): Gentle exercise will support your weight loss and help your metabolic rate.

In this stage, people begin to experience noticeable and positive changes (i.e., increased energy and better digestion), which can help motivate them to continue their weight loss journey.

Week 3: Adjusting and Learning

You’ve probably already seen some improvements by week 3 in your body’s ability to lose fat. The potential is great; however, there may be minor adjustments you’ll have to make during week 3 as your body continues to adjust.

At times, you may feel cravings, changes in how much weight you’ve lost over the course of the week, or you may experience a plateau. A quality weight loss program will help you navigate all of those issues and continue to promote healthy habits and weight loss for weeks and months to come with:

  1. Adjustments in your program: This includes portion sizes, meal timing, or the amount of physical activity you’re doing on a daily basis, based on what works best for your lifestyle.
  2. Supplement recommendations (if necessary): If your clinic offers weight loss supplements, they can help enhance your metabolic function while you follow the appropriate diet and exercise guidelines.
  3. Self-reflective encouragement: Reflecting on your eating habits, your food triggers, and your stressors will help you avoid relapses and maintain consistent weight loss progress.

Week 3 is primarily about discovering which aspects of the program work well for your body and developing a routine that makes sense to you.

Week 4: Celebrating Wins and Planning Ahead

Week 4 is an ideal time to acknowledge all the things you’ve accomplished so far this month, even if it’s just a few pounds. It is also the best time to measure the results (i.e., compare your current weight, measurements, etc., to where you were at the beginning) and make some adjustments to your diet as needed.

By week 4, you will be able to fine-tune your healthy diet plan for weight loss with greater accuracy since you now know what works well for you and what doesn’t.

Additionally, establishing a solid foundation of momentum during the second month is key to successful long-term weight management. Many find that after the first month, their confidence and energy levels are at an all-time high and are ready to take on the next challenge.

Tips for Success in Month 1

  1. Stay hydrated: Drinking water will increase your body’s ability to metabolize and prevent excess snacking.
  2. Prioritize sleep: Getting a good night’s rest will be a huge help in losing weight and maintaining good health.
  3. Be patient and consistent: Losing weight too fast is not safe. Therefore, make slow and healthy choices to lose weight that will last a lifetime.
  4. Look for professional support: If you have any questions or need assistance with your weight loss plan, Ideal Metabolic Health & Body in Fort Collins is here to help you reach your goals.

Starting Strong Matters

Your first month is where everything begins. If you are looking to quickly lose weight or develop a long-term healthy habit, adhering to a structured weight loss program and a healthy, balanced diet for weight loss gives you the greatest opportunity for achieving your objectives.

At Ideal Metabolic Health and Body in Fort Collins, our team is available to assist you as you develop a weight loss plan that meets your needs, your goals, and your body.

With proper support and guidance, your first month will be just the beginning of an empowered, reasonable, and fulfilling experience. Do you need help? We are here for you!

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No “good” or “bad” foods?

In this past week I have seen several different articles and posts from dietitians who are recommending that people shouldn’t diet, that there are no foods that shouldn’t be eaten, and that weight is not intrinsically tied to health.

I agree 100% with those statements, although not for the reason these dietitians state.

First – people shouldn’t diet. No, people really shouldn’t diet. To diet implies temporarily changing what you are eating, usually to lose weight or for a short term goal. I agree that people should not do this. We have been “dieting” for the past 50 years, and we have just ended up heavier and more sick as a country. Have you noticed that when we decided fat was bad (late 70s-early 80s) we ate less fat and significantly increased the carbs, and our obesity rate quickly climbed.

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What is better than dieting is to find a lifestyle that you can live with that doesn’t lead to chronic illness. I favor the lower carb real food plan which includes eating real food and maintaining health. When we eat “food-like substances” instead of real food, we tend to overload our bodies with the trifecta of processed grains, vegetable oils and sugar, leading to insulin resistance and chronic disease.

Second – there are no “good” or “bad” foods. I agree with this statement but I challenge you to actually call a lot of substances sold in the grocery store food. If you are eating real food, there is not “bad” food. But if you are eating ‘Unbeached Enriched Flour, Sugar, Palm and/or Canola Oil, Cocoa, High Fructose Corn Syrup. Leavening, Salt, Soy Lecithin, Chocolate, artificial flavor’ are you actually eating food? What about ‘Corn, vegetable oil, salt, cheddar cheese, whey, monosodium glutamate, buttermilk, romano cheese, whey protein concentrate, onion powder, corn flour, natural and artificial flavor, dextrose, tomato powder, lactose, spices, artificial color, lactic acid, citric acid, sugar, garlic powder, skim milk, red and green bell pepper powder, disodium inosinate, and disodium guanylate’ ? One more: ‘whole grain oat flour, sugar, corn flour, whole wheat flour, rice flour, salt, calcium carbonate, disodium phosphate, reduced iron, niacinamide, BHT, yellow 5, yellow 6, thiamine mononitrate, riboflavin, pyridoxine hydrochloride, folic acid.’ None of these looks like food to me, although some contain some foods in them. (for your info these are Oreos, Nacho Cheese Doritos, and Life Cereal).

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These 3 foods are a popular part of the Standard American Diet, and possibly if you ate something like this every once in awhile, it wouldn’t be harmful. However, the Standard American eats these or something like them every day. These food-like substances are created in labs to make them as addictive as possible. Wouldn’t you rather just get hooked on real food and the nourishment you get from it?

Third – Weight is not intrinsically tied to health. I also agree with this. Too often obesity is blamed for diseases such as diabetes and heart disease. However, in most cases obesity is actually just a symptom of the same thing that causes the other diseases.

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Insulin resistance is when cells in your body do not respond effectively to the hormone insulin that is circulating in your body. This causes the pancreas to secrete even more of this important hormone in an effort to keep your blood sugar from rising too high. (DietDoctor.comWhat you need to know about insulin resistance

In my experience, limiting the foods that lead to elevated blood sugars (starches, sugars, processed grains) will bring the insulin level down, which even without weight loss, will reverse a lot of these issues. Most of the time there is an added benefit of weight loss.

Metabolic health is at a low in this country, and a lot of that is because of the Standard American Diet. If more of us adopted a lifestyle of real food and avoided food-like substances, the average weight and risk of chronic disease in the average person would go down significantly.

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Everything We Know About Obesity is Wrong, Right?

About 2 weeks ago a lengthy article came out in the Huffington Post by Michael Hobbes titled “Everything You Know About Obesity Is Wrong” I was both impressed and disappointed with the article – Just the subtitle was impressive: It’s time for a new paradigm.

We absolutely need a new paradigm – we’ve been trying and failing with calories in=calories out for too long, so I was hopeful. He got a lot of it right, however, he suggested that we need to be content with our size and weight, and this is where I disagree.

I loved Mr. Hobbes’ story about scurvy and how the cure was known and delayed for too long. Like scurvy, the reasons for weight gain have been known and understood for years, yet the knowledge is ignored and we continue to try to fix the epidemic by rejecting good research and pushing bad advice. Mr. Hobbes paints a compassionate picture of different people’s struggles with bullying as they suffer from obesity both from people they know and those they don’t. His descriptions paired with the beautiful photography illustrated strength and vulnerability in his subjects, which he then ruins by referring to them over and over again as “fat people.” Using the words “fat people,” is one of the most degrading ways to talk of someone who has elevated BMI (see link).

A key point that Mr. Hobbs is trying to make is that diets do not work. He suggests that in order for people to successfully lose weight, they must reduce their metabolisms, change their hunger hormones, and fight their body’s energy-regulation systems while battling hunger all day, every day, for the rest of their lives. This type of diet or weight-loss regimen follows old dogma – eat less, exercise more to maintain weight loss. The story he creates is one of sheer hopelessness when it comes to people who strive to lose weight.

I don’t agree. There is hope.

It is a lifestyle change. It takes effort. It takes planning. It is a complete overhaul of how you fuel your body.

  1. Eat real food, focusing on protein and fat and vegetables.
  2. Significantly reduce carbohydrates in your diet, especially the highly processed sugars and grains.
  3. Eliminate vegetable oils and processed foods.
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When you eat real food and reduce carbohydrates, your blood sugar and insulin levels are naturally reduced. As a result, your body adapts to burning fat for energy instead of using glucose and glycogen stores, and the end result is that you will store less fat.

Over the years, The Standard American Diet (SAD) has become quick and easy, overly processed, food-like substances. Sugar and processed vegetable oils are in most of the foods that are found in the aisles of the supermarket. It is packed with addictive sugar which encourages us to buy more. They add words like “heart healthy” and “whole grain” so that we’ll continue to think they are selling us consumable healthy food. Mr. Hobbes touches on the state of our food, but only minimally. This, in my opinion, is the key issue when discussing obesity.

While it is true, as Mr. Hobbes states, that weight and health are not perfect synonyms, the majority of people who suffer from obesity have at least one weight related chronic condition that will improve with weight loss. For every pound lost, the pressure on your knees is reduced by 4-5 pounds, which reduces pain and also reduces risk of future arthritis. Losing weight also reduces a woman’s risk of weight related cancers (breast and uterine). He discusses large numbers of people who suffer from obesity who currently have no signs of metabolic disease, however, if they continue in their current lifestyle, eating the Standard American Diet, they are as likely to get diabetes as anybody.

Mr. Hobbes states that the training that most physicians received in nutrition is not adequate. I concur, but as a trained obesity medicine doctor and family physician, I would also argue that the training is not acceptable. Doctors are still trained in the same USDA guidelines that accompanied the increase in obesity rates we have seen since about 1980. Doctors have been taught that most diseases are chronic and progressive and not reversible. If a doctor gives dietary guidance, it is generally a food plan that will continue patients down the “chronic progressive disease” pathway that will eventually require more and more medications instead of a plan that may improve the diseases. I am truly sad for the patients, ashamed that they are treated in the unacceptable manner by physicians and other health care providers.

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Unfortunately, the system rewards doctors who document talking about obesity to patients as mentioned in the article, and punishes those that do not. This results in discussions of weight that are too quick and without much care about the patient’s response, often ending with orders to “eat less, move more”. Patients absolutely need to be their own advocates and do research on the doctors and other health care providers that they see, and find someone who will actually spend time teaching about health and wellness.

This is an important article as Mr. Hobbes gives an eye opening description of the bias that exists against people who suffer from obesity. He makes a great point about trying to attain happiness with the bodies we have. As stated, “There’s a lot we can do right now to improve fat people’s lives – to shift our focus for the first time from weight to health and from shame to support”. He is right, we need to stop shaming people who have excess body fat. Unfortunately Mr. Hobbs does not give any hope for weight loss. I have experience both personally overcoming weight issues, as have many other people who have successfully achieved weight loss and even a “normal” weight. There are also many studies that show you can achieve significant weight loss through a well formulated ketogenic diet or eating low carb with healthy fat with moderate protein – real food.

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