How the USDA’s Failed Food Pyramid Contributed to InsulinResistance and weight gain, metabolic syndrome and diabetes!In Ma...
Insulin resistance is a condition in which the body produces insulinbut does not use it properly. Insulin, a hormone made ...
Many people with insulin resistance and high blood glucose haveother conditions that increase the risk of developing type ...
Insulin resistance and prediabetes usually have no symptoms.People may have one or both conditions for several years witho...
People with prediabetes are at increased risk of developing type 2diabetes, formerly called adult-onset diabetes or nonins...
research tool used by scientists to learn more about glucosemetabolism. If tests indicate prediabetes or metabolic syndrom...
Resistance, in turn will lead to higher levels of Insulin circulating inthe blood stream at baseline setting the stage for...
Call (800)W8MD-007 for more information.§ Get enough protein. If the body gets carbohydrates withoutenough protein, it goe...
§ Eat fewer simple carbohydrates. These foods, with highglycemic index, break down quickly in the body, and can lead torap...
Bagel, (white, frozen)72Stuffing ( approx. 1 cup)74Graham wafers (approx. 1 cup) 74Grape nuts (approx. 1 cup, Kraft) 75Shr...
Fruit yogurt (reduced fat, 3/4 cup)27Tomato soup (1 cup) 38*Skim milk (1 cup) 32While Milk (1 cup) 27Baked beans (1/2 cup)...
Causes of insulin resistance and prediabetes include geneticfactors, excess weight, and lack of physical activity.Being ph...
Causes of weight gain insulin resistance metabolic syndrome prediabetes, and increased risk of diabetes
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Causes of weight gain insulin resistance metabolic syndrome prediabetes, and increased risk of diabetes

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W8MD Medical Weight Loss Program is a medical weight loss, metabolic syndrome management and sleep wellness program for people who are serious about losing weight and gaining control of their health. We understand that losing weight and keeping it off is a challenge for many people and a physician trained in the new field of Obesity Medicine can help. That is why we are committed to our proven approach to medical weight loss using evidence based non surgical methods. We want to give you all the tools you need to succeed in losing weight fast and safe in Greater Philadelphia and New York City.

Our Group has helped patients achieve their goals by using a proven four-step method for safe weight loss:

•a physician-supervised diet and weight loss medication,
•a personally structured and administered exercise program,
•comprehensive behavior therapy, and
•ongoing weight maintenance support.

We can help you achieve long-lasting weight loss without feeling constantly hungry and deprived. When you resent your weight loss plan because you feel constantly hungry, it is much more difficult to maintain any significant lifelong changes. When you feel hungry, you are biologically driven to eat, and diet plans that force you to fight that biological impulse can be difficult to maintain. At W8MD Medical Weight Loss Program, we want to help you achieve lasting weight loss results and make changes that will keep you healthy for a lifetime.

W8MD Medical Weight Loss Program is dedicated to individualized, affordable treatment and as one of the very physician supervised medical weight loss programs to accept most health insurances for the weight loss physician visits. Our non-surgical medical weight loss program is based on the latest medical research and utilizes proven methods to lose weight rapidly and keep it off for a lifetime.

Our Medical Director, Dr. Prab R. Tumpati, is a highly trained and respected physician with training in Obesity Medicine, in addition to being board certified in Internal Medicine and Sleep Medicine, and is well versed in the medical treatment of overweight and obesity. Dr. Tumpati oversees all our patients and helps customize their individual weight loss treatments. We are committed to helping you lose weight as safely and efficiently as possible.

We understand that losing weight and keeping it off is a challenge for many people and a physician trained in the new field of Obesity Medicine can help. That is why we are committed to our proven approach to medical weight loss using evidence based non surgical methods. We want to give you all the tools you need to succeed in losing weight fast and safe in New York City.

If you are a bit overweight or obese and would like to lose weight safely and effectively using proven and evidence based methods instead of fad and unhealthy diets, W8MD’s unqiue insurance physician weight loss and wellness program might be right for you. Call 1-800-w8md-007 or visit www.w8md

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Causes of weight gain insulin resistance metabolic syndrome prediabetes, and increased risk of diabetes

  1. 1. How the USDA’s Failed Food Pyramid Contributed to InsulinResistance and weight gain, metabolic syndrome and diabetes!In May 2011, the USDA released a graphic called “My Plate” to helppeople choose what foods to eat instead of the “Food Pyramid”. Theuseless and misleading food pyramid, which has been confusingconsumers for over 25 years, has advocated a philosophy of eatingmore grains and other less “fatty” foods. Food Pyramid failed todifferentiate simple versus complex sugars and placed undueimportance in promoting grain based products. How can the USDA, agovernment body set up to promote agriculture and promote sale ofagricultural commoditiesbe also charged withhealthrecommendations?Unfortunately,consuming a lot of thegrain based “simplecarbohydrates” such asbreads, potatoes, riceetc. although low in fat,are high in glycemic index and can lead to a phenomenon called“Insulin Resistance”. Affecting up to one in every three Americans,Insulin Resistance is very common and can lead to difficulty losingweight, pre-diabetes, or type II diabetes, heart disease and other longterm health problems associated with obesity.What is Insulin Resistance?
  2. 2. Insulin resistance is a condition in which the body produces insulinbut does not use it properly. Insulin, a hormone made by thepancreas, helps the body use glucose for energy. When people areinsulin resistant, their muscle, fat, and liver cells do not respondproperly to insulin. As a result, their bodies need more insulin to helpglucose enter cells. The pancreas tries to keep up with this increaseddemand for insulin by producing more. Eventually, the pancreas failsto keep up with the bodys need for insulin. Excess glucose builds upin the bloodstream, setting the stage for diabetes. Many people withinsulin resistance have high levels of both glucose and insulincirculating in their blood at the same time. Learning about insulinresistance is the first step toward making lifestyle changes that canhelp prevent diabetes and other health problems. An Obesitymedicine physician well versed with medical management of ObesityandInsulinResistance mightbe ableto help!Cause of Insulin ResistanceScientists have identified specific genes that make people morelikely to develop insulin resistance and diabetes. Excess weight andlack of physical activity also contribute to insulin resistance.
  3. 3. Many people with insulin resistance and high blood glucose haveother conditions that increase the risk of developing type 2 diabetesand damage to the heart and blood vessels, also calledcardiovascular disease. These conditions include having excessweight around the waist, high blood pressure, and abnormal levels ofcholesterol and triglycerides in the blood. Having several of theseproblems is called metabolic syndrome or insulin resistancesyndrome, formerly called syndrome X.What Are The Effects Of Insulin ResistanceInsulin resistance can lead to many problems including weight gain,especially around the tummy due to the anabolic effects of Isulin. Italso leads to metabolic syndrome as defined below, fatty liver,polycystic ovaries, acanthosis nigricans or dark patch around theneck, axilla, groin or other areas, skin tags, prediabetes, risk ofelevated blood pressure, cardiovascular disease etc.What Is Acanthosis Nigricans?
  4. 4. Insulin resistance and prediabetes usually have no symptoms.People may have one or both conditions for several years withoutnoticing anything. People with a severe form of insulin resistance mayhave dark patches of skin, usually on the back of the neck.Sometimes people have a dark ring around their neck. Other possiblesites for dark patches include elbows, knees, knuckles, and armpits.This condition is called acanthosis nigricans.What Is Metabolic Syndrome?Metabolic syndrome is defined as the presence of any three of thefollowing conditions:• waist measurement of 40 inches or more for men and 35 inchesor more for women• triglyceride levels of 150 milligrams per deciliter (mg/dL) orabove, or taking medication for elevated triglyceride levels• HDL, or “good,” cholesterol level below 40 mg/dL for men andbelow 50 mg/dL for women, or taking medication for low HDLlevels• blood pressure levels of 130/85 or above, or taking medicationfor elevated blood pressure levels• fasting blood glucose levels of 100 mg/dL or above, or takingmedication for elevated blood glucose levelsWhat is prediabetes?Prediabetes is a condition in which blood glucose levels are higherthan normal but not high enough for a diagnosis of diabetes. Thiscondition is sometimes called impaired fasting glucose (IFG) orimpaired glucose tolerance (IGT), depending on the test used todiagnose it. The U.S. Department of Health and Human Servicesestimates that about one in four U.S. adults aged 20 years or older—or 57 million people—had prediabetes in 2007.
  5. 5. People with prediabetes are at increased risk of developing type 2diabetes, formerly called adult-onset diabetes or noninsulindependentdiabetes. Type 2 diabetes is sometimes defined as the form of diabe-tes that develops when the body does not respond properly to insulin,as opposed to type 1 diabetes, in which the pancreas makes little orno insulin.Studies have shown that most people with prediabetes develop type2 diabetes within 10 years, unless they lose 5 to 7 percent of theirbody weight—about 10 to 15 pounds for someone who weighs 200pounds—by making changes in their diet and level of physicalactivity. People with prediabetes also are at increased risk ofdeveloping cardiovascular disease.How do you diagnose Insulin Resistance?Health care providers use blood tests to determine whether a personhas prediabetes but do not usually test for insulin resistance. Insulinresistance can be assessed by measuring the level of insulin in theblood. However, the test that most accurately measures insulinresistance, called the euglycemic clamp, is too costly andcomplicated to be used in most doctors’ offices. The clamp is a
  6. 6. research tool used by scientists to learn more about glucosemetabolism. If tests indicate prediabetes or metabolic syndrome,insulin resistance most likely is present.Diabetes and prediabetes can be detected with one of thefollowing tests:Fasting glucose test. This test measures blood glucose inpeople who have not eaten anything for at least 8 hours. This test ismost reliable when done in the morning. Fasting glucose levels of100 to 125 mg/dL are above normal but not high enough to be calleddiabetes. This condition is called prediabetes or IFG. People with IFGoften have had insulin resistance for some time. They are much morelikely to develop diabetes than people with normal blood glucoselevels.Glucose tolerance test. This test measures blood glucoseafter people fast for at least 8 hours and 2 hours after they drink asweet liquid provided by a doctor or laboratory. A blood glucose levelbetween 140 and 199 mg/dL means glucose tolerance is not normalbut is not high enough for a diagnosis of diabetes. This form ofprediabetes is called IGT and, like IFG, it points toward a history ofinsulin resistance and a risk for developing diabetes.People whose test results indicate they have prediabetes shouldhave their blood glucose levels checked again in 1 to 2 years.Why is it important to look at glycemic index of foods?Glycemic Index of foods isimportant because itdetermines how much insulinyour body is going to need afterthe meal. The higher theGlycemic Load, the higher theInsulin Requirements. It isbelieved that eating highglycemic foods such as Bagels,Doughnuts, white breads, whiterice, sweetened beveragesetc., the body starts to go into Insulin Resistance. The Insulin
  7. 7. Resistance, in turn will lead to higher levels of Insulin circulating inthe blood stream at baseline setting the stage for insulin resistance.Since insulin is an anabolic(body building hormone), this can not onlylead to weight gain, but also lead to central distribution of weight.Research has shown that central distribution of weight leads toincreased risk of cardiovascular disease, diabetes and other healthproblems.http://youtu.be/TjK8kR6ggbYTips for Avoiding Insulin ResistanceAccording to the AmericanDiabetes Association, nearlytwo million new cases ofdiabetes were diagnosed inpeople aged 20 years and olderin 2010. Since the grosslymisleading food pyramid wasintroduced, the incidence oftype 2 diabetes has gone up asmuch as 400 percent in theUnited States. Pre-diabetes,also called insulin resistancesyndrome or metabolicsyndrome, affects about a thirdof all Americans. If you havesome extra weightespecially around your waist,you might be insulin resistant!An obesity medicine physicianspecializing in the medicalmanagement of obesity andinsulin resistance might be ableto help.W8MD physicians have specialized obesity medicine trainingand are well versed with managing insulin resistance and othermetabolic effects of weight. W8MD physicians can help you loseweight safely, effectively using proven non surgical methods.
  8. 8. Call (800)W8MD-007 for more information.§ Get enough protein. If the body gets carbohydrates withoutenough protein, it goes into insulin resistance. Most people needabout 30 grams of protein at each meal. One egg is about 7grams. As we evolved as hunters and gatherers, we aredesigned to eat a non-grain based diet rich in protein, fruits, nutsand vegetables.§ Try to work more physical activity into your day. Both exerciseand resistance training can help reduce your risk of diabetes,and also helps to control it once you have it.§ Eat more fiber. Fiber helps reduce your risk of diabetes byimproving your blood sugar control. Try more fruits, vegetables,beans, whole grains, nuts, and seeds.§ Choose whole grains. When you do eat grains, look for theword "whole" in the ingredient list. Whole wheat, stone-groundwhole wheat, brown rice, and oats are all whole-grainingredients.
  9. 9. § Eat fewer simple carbohydrates. These foods, with highglycemic index, break down quickly in the body, and can lead torapid fluctuations in blood sugar levels. Go easy on foods likewhite rice, white bread, white pasta, refined flours, candy, fruitjuice, soda pop, and baked goods made with white flour. The keyis to understand glycemic Index of foods and focus on lowglycemic foods.§ Get enough sleep. When youre sleep deprived, your bodydrives you to eat more simple carbohydrates. Get at least 7-8hours a night.§ Get help from Obesity Medicine physicians. You probably triedthem all and still cannot lose weight! You might want to get helpfrom physicians trained in Obesity Medicine that can help dealwith the complex issues leading to weight gain.W8MD Glycemic Index GuideIn general, you want to limit the high glycemic foods, havelimited medium glycemic foods and have mostly low glycemicfoods with adequate protein, fat, and other nutrients. Protein isgenerally low glycemic.High GI foods = 70-100Intermediate GI foods = 56-69Low GI foods = 0-55Glycemic Index of some common FoodsFood Carbohydrates (gm) Glycemic IndexGlucose has a GI value of 100 HIGHBaked potato, Russet, baked without fat (1 small potato, 5 oz.) 85Waffles, Aunt Jemima (1 piece) 76Gatorade (1 cup) 78Grapenuts (approx. 1 cup, Kraft) 75French Baguette95Bread, white (1 slice)73
  10. 10. Bagel, (white, frozen)72Stuffing ( approx. 1 cup)74Graham wafers (approx. 1 cup) 74Grape nuts (approx. 1 cup, Kraft) 75Shredded wheat (1 oz. serving) 75Total (1 oz. serving, General Mills) 76Cream of Wheat (1 oz. serving, instant,Nabisco) 74INTERMEDIATESpaghetti, (plain, cooked, 3/4 cup)61Rice (brown, cooked, 3/4 cup)60Raisin bran (1 oz. serving, Kelloggs) 61Oatmeal (1 cup) 66Bran muffin (large) 60Green pea soup (1 cup) 66Ice cream, regular(1/2 cup) 61Blueberry muffin (1) 59Raisins (1/4 cup)56Power bar, chocolate 56LOWApple34Orange42Banana52Grapes (1 cup)46Carrot (raw, 1 medium) 47Sweet corn (1/2 cup 54Dried apricots (1/4 cup)31Peas (1/2 cup) 48Bread 100% whole grain (1 slice) 51Orange juice (3/4 cup, 6 oz.) 52
  11. 11. Fruit yogurt (reduced fat, 3/4 cup)27Tomato soup (1 cup) 38*Skim milk (1 cup) 32While Milk (1 cup) 27Baked beans (1/2 cup)48Lentils (1/2 cup)29Kidney beans (1/2 cup)28Lima beans (1/2 cup, baby, frozen)32Garbanzo beans (1/2 cup)28*NB: Please note that whole milk has lower GI compared toskimmed or 2% milk(Chart adapted from *The New Glucose Revolution)Other Resources on Glycemic Index1. The GI Diet Guide - A very useful and practical list offoods. A must visit link - www.The-GI-diet.org/lowgifoods/ - Very useful and practical!2. University of Sidneys Glycemic Index Website -http://www.glycemicindex.com/3. Comprehensive Glycemic index list spread sheet: forA comprehensive list of Glycemic Index, get the excelspread sheet here and look up the glycemic Index. Pleasenote reduced fat milk has higher glycemic indexcompared to whole milk!Summary Of Insulin ResistanceInsulin resistance is a condition in which the body’s cells do notuse insulin properly. Insulin helps cells use blood glucose for energy.Insulin resistance increases the risk of developing prediabetes,type 2 diabetes, and cardiovascular disease.Prediabetes is a condition in which blood glucose levels arehigher than normal but not high enough for a diagnosis of diabetes.
  12. 12. Causes of insulin resistance and prediabetes include geneticfactors, excess weight, and lack of physical activity.Being physically active, making wise food choices, andreaching and maintaining a healthy weight can help prevent orreverse insulin resistance and prediabetes.How can W8MD Medical Weight Loss Centers Program ForDiabetes Prevention And Weight Loss Help?W8MD Medical Weight Loss Program is a medical weight loss,metabolic syndrome management and sleep wellness program forpeople who are serious about losing weight and gaining control oftheir health. We understand that losing weight and keeping it off is achallenge for many people and a physician trained in the new field ofObesity Medicine can help. That is why we are committed to ourproven approach to medical weight loss using evidence based nonsurgical methods. We want to give you all the tools you need tosucceed in losing weight fast and safe in Greater Philadelphia, NewYork City and other places.Author: Prab R. Tumpati, MD, Sleep andObesity MedicineMedical Director, Sleep Medical Associatesand W8MD Medical Weight Loss Centersof America located at 2003, Bath Avenue,Brooklyn, NY 11214. Also have locations inPhiladelphia, Connecticut and other places.Physicians interested in a low cost weight loss franchise to add aW8MD Medical Weight Loss Program at their facility are alsowelcome to contact us.http://www.w8md.com

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