This presentation covers the benefits of stable blood sugar for athletic performance. It was presented at The Fit Expo San Jose in 2013 by Jonathan Lindberg. The presentation includes an overview of how food becomes blood sugar, what processes in the body regulate blood sugar and energy, clinical study results on Extend Nutrition, pre-workout and post-workout snack recommendations, and testimonials from professional athletes. All athletes should ensure that they have an adequate intake of carbohydrates. It is easy during prolonged intense training to become glycogen depleted which will decrease endurance and limit performance. It may even lead to hypoglycemia - which can be a serious condition that requires immediate treatment. Analysis shows that there was a significant decrease in the frequency of hypoglycemia at the end of exercise after ingestion of the cornstarch containing Extend Bar compared to a placebo bar. These data indicate that the Extend Bar with uncooked cornstarch is associated with enhanced carbohydrate utilization during and after exercise.

1. Stable Blood Sugar
Improves Athletic Performance
Jonathan Lindberg, MA, BA
June 29-30, 2013 - FitExpo Northern California
Booth 210

2. Doctor Developed, Extend Nutrition
• Invented by Dr. Francine Kaufman
• Past president of the American Diabetes Assn.
• 6 clinical studies & 17 international patents
www.ExtendNutrition.com – Samples at Booth #210

3. Slowly Absorbed, Complex Carbohydrate
Raw, Uncooked Cornstarch
www.ExtendNutrition.com – Samples at Booth #210

4. How Food Becomes Energy
• Insert Food into Mouth
• Digestion
– Protein -> Amino Acids
– Fat -> Fatty Acids
– Carbohydrates -> Sugars
www.ExtendNutrition.com – Samples at Booth #210

5. What is “blood sugar”?
Blood sugar refers to the
amount of glucose in your
blood that is available for
cells to produce energy.
Glucose is a simple sugar,
the end result of digestion.
Ingested glucose is
absorbed directly into the
blood from the intestine
and results in a rise in
blood glucose.
www.ExtendNutrition.com – Samples at Booth #210

6. What is insulin?
• Insulin is the hormone that
“unlocks” the cells so that the
sugar from your blood can enter
and be used for energy.
• The pancreas produces insulin
(except for people w/ diabetes.)
• Insulin triggers fat storage and
helps the liver and muscles store
“glycogen” which can be
converted to blood sugar.
www.ExtendNutrition.com – Samples at Booth #210

7. Energy Comes from Glucose
• Glycolysis (breakdown of
glucose) starts the
production of ATP in the
cell mitochondria.
• ATP or Adenosine
Triphosphate is “nature’s
energizer”, it is found in
all living organisms.
• ATP is energy.
www.ExtendNutrition.com – Samples at Booth #210

8. How Food Becomes Energy (cont.)
• The amount of glucose and insulin in our
bloodstream depends on what we eat,
when we eat it, and how much we eat.
• When the body is working as it should, it
keeps blood sugar in a range between 70
and 120 milligrams per deciliter (mmol/L).
• Elevated blood glucose levels are a
diagnostic indicator of Diabetes.
Using glucose for energy and keeping it balanced with just
the right amount of insulin — not too much and not too
little — is the way our bodies maintain the energy needed
to stay alive, work, play, and function - even as we sleep.
www.ExtendNutrition.com – Samples at Booth #210

9. Real Quick, On the Diabesity Epidemic
• Type 1 Diabetes
– Pancreas No Longer Produces Insulin
• Type 2 Diabetes
– Body Does Not Produce Enough Insulin and/or
– Cells Resistant to Insulin (pancreas working)
• “Pre-Diabetes”
– Higher than Normal Blood Sugar Levels
– Likely to Develop Type 2 Diabetes
• Gestational Diabetes
– Elevated Blood Sugar During Pregnancy
– Hormonal Interference
• 25.8 million people in the US have Diabetes
• 79 million in the US are Pre-Diabetic
Source: “Diabetes Statistics”. American Diabetes Association Website
www.ExtendNutrition.com – Samples at Booth #210

10. Extend Nutrition
Appetite Suppressant Clinical
Study• Subjects ingested 1 snack bar (Extend Bar vs. Placebo).
• Subjects were allowed to eat from an all-you-can-eat buffet and calorie
consumption was monitored.
• 21% decline in caloric intake after consuming the Extend Bar, compared to the
placebo nutrition bar.
1. Eat Extend Bar 2. All-You-Can Eat Buffet 3. 21% Fewer Calories
www.ExtendNutrition.com – Samples at Booth #210

11. Clinical Study Conclusions
• “The data clearly shows, the bar is effective in reducing
calorie intake, both by raw percentages and by statistical
significance.”
• Provides “consumers with a product that is completely
natural and devoid of known side-effects, fills a large need in
the weight-control market.”
Study Reference: Sussman, Glen, PhD. “A Study to Assess the Efficacy of Extend Bar as an Appetite Suppressant in
Males and Females.” Illinois Center for Clinical Trials, Chicago IL. Sept. 2000
www.ExtendNutrition.com – Samples at Booth #210

12. How Energy Impacts Performance
• The body relies on glucose for energy (ATP).
• Pushing your body to peak physical performance, especially over a long period of
time, depletes the body’s supply of glucose and glycogen stores.
• Hypoglycemia occurs when blood sugar drops below 70 mmol/L and can cause
some or all of the following symptoms:
paleness, trembling, perspiration, weakness, rapid heartbeat, hunger, agitation, difficulty concentrating,
irritability, fatigue, blurred vision, temporary loss of consciousness, convulsions, coma or even death.
www.ExtendNutrition.com – Samples at Booth #210

13. Stable Blood Sugar Helps Athletic
Performance
• In order to excel in physical activities we need energy, which comes from
the food that we eat.
• As energy stores are used up, blood glucose levels fall causing a decline in
performance and resulting in exhaustion.
• It is therefore important that your blood sugar (glucose) levels are
stabilized to maintain energy.
• Extend Nutrition uses the only formula clinically proven to help stabilize
blood sugar levels for up to 9 hours..
www.ExtendNutrition.com – Samples at Booth #210

14. Extend Nutrition
Exercise Performance Clinical Study
Subjects ingested 1 snack bar (Extend Bar vs. Placebo).
Subjects performed a standardized exercise regimen consisting of 30 minutes
of vigorous exercise 2.5 hours after ingesting the bar.
1. Eat Extend Bar 2. Exercise 3. Avoid Low Blood Sugar
www.ExtendNutrition.com – Samples at Booth #210

15. Clinical Study Conclusions
Analysis showed that there was a significant decrease in the frequency of
hypoglycemia at the end of exercise after ingestion of the cornstarch
containing bar compared to the non-cornstarch bar.
These data indicate that the Extend Bar with uncooked cornstarch is
associated with enhanced carbohydrate utilization during and after
exercise.
Study Reference: Kaufman, Francine, MD. “Methods for suppressing appetite and enhancing exercise and
recovery.” Childrens Hospital Los Angeles, Los Angeles, CA. Aug. 1999
www.ExtendNutrition.com – Samples at Booth #210

16. U.S. Patent 6534487
A method of enhancing exercise performance
or recovery in a subject in need thereof
comprises administering … a food composition
that includes a slowly absorbed complex
carbohydrate such as uncooked cornstarch.
www.ExtendNutrition.com – Samples at Booth #210

17. Optimal blend of carbs and protein
Extend Nutrition products contain:
Slow Burning Carbohydrate (uncooked cornstarch)
Soy, Soy protein isolate, Whey protein isolate
Dietary Fiber
Small Amount of Fat
REAL Food Ingredients
Gluten-Free Ingredients
Sugar-Free (or Very Low Sugar)
www.ExtendNutrition.com – Samples at Booth #210

18. The Glycemic Index
Definition: a number representing the ability of
a food, relative to that of glucose, to increase
the level of glucose in the blood.
•Low GI: 1 - 55
•Medium GI: 56 – 69
•High: 70+
www.ExtendNutrition.com – Samples at Booth #210

19. Extend Nutrition snack foods are Low-Glycemic
and then some!
Products tested at Sydney University in Australia by the Glycaemic Index Research Service
(Human Nutrition Unit, Dept. of Biochemistry)
Glycemic Index Testing
www.ExtendNutrition.com – Samples at Booth #210

20. Low Glycemic + Training
• Low G.I. foods are digested slowly and
can remain in the small intestine for
hours after consumption.
• The benefit of this is a slow and
sustained release of glucose that
occurs even during exercise.
All athletes should ensure that they have an adequate intake
of carbohydrates. It is easy during prolonged intense training
to become glycogen depleted which will decrease endurance
and limit performance. It may even lead to hypoglycemia.
www.ExtendNutrition.com – Samples at Booth #210

21. Pre Workout Snacks Fuel Performance
• When you exercise, your body uses
its available energy.
• If the body runs out of available
energy, your blood sugar will drop -
and this will diminish your athletic
performance.
• Exercise Induced Hypoglycemia is
also called “Hitting the Wall” or
“Bonking Out”.
www.ExtendNutrition.com – Samples at Booth #210

22. Post Workout Snacks Aid Recovery
• Post workout snacks should include both Carbohydrate and Protein.
• Carbohydrates restore your body’s depleted glycogen stores.
• Protein helps your body repair torn muscle tissues.
www.ExtendNutrition.com – Samples at Booth #210

23. Featured in Muscle & Fitness Hers
Aydt, Rachel. “Say So Long to Cravings Forever!”
Muscle & Fitness Hers. May/June 2013
“Turns out, uncooked
cornstarch, while still a
carbohydrate, is a low-glycemic
carb that won’t make you crash
on the insulin roller coaster like
its cooked version will.”
www.ExtendNutrition.com – Samples at Booth #210

24. Pro Athletes Use Extend Nutrition
www.ExtendNutrition.com – Samples at Booth #210

25. Justin Park, Ironman Tri-Athlete
Justin is a full-time professional tri-athlete (with a part-time legal career.)
His condition, called Long QT Syndrome (a heart condition), is generally considered to
have a serious risk of death among children and young adults.
www.JustinParkRacing.com
www.ExtendNutrition.com – Samples at Booth #210

26. Andy Holder, Ironman Tri-Athlete
Andy is a national diabetes spokesperson, speaker, creator of the Iron Andy
Foundation, 8-time Ironman Finisher, and one of the co-founders of a digital
diabetes platform called Insulin Nation -http://www.insulinnation.com
www.ExtendNutrition.com – Samples at Booth #210

27. Vance Veazey, PGA Golfer
Vance Veazey is a pro golfer who currently plays on the Web.com PGA Tour.
“I recently began to struggle with
episodes of hypoglycemia. And in my
profession that's a killer!
I tried many different products to
keep me from going low, but Extend
Bar works better than the rest--by far.
These days I always carry one in my
pocket.”
www.ExtendNutrition.com – Samples at Booth #210

28. Carri Wood, LPGA Golfer
Carri played throughout the USA, Europe, and Asia from 1994 through 2012.
(Top finish: 3rd, July 2007, Owens Corning Jamie Farr Classic, Toledo OH).
“I have found that Extend Bar has
helped me out tremendously on the
golf course in controlling my sugar
level and not allowing me to get too
high or too low at times during the
round.”
“Also, having celiac sprue, Extend Bar
is a great product that I can eat and
not have to worry about it affecting
my diet. It's a wonderful product that
I think all professional athletes could
benefit from in any sport.”
www.ExtendNutrition.com – Samples at Booth #210

29. Ryan Reed, NASCAR Driver
Ryan was diagnosed with diabetes at the age of 17, he is now 19 years old and
racing on the NASCAR Nationwide Series for Roush Fenway Racing.
www.DriveToStopDiabetes.org
www.ExtendNutrition.com – Samples at Booth #210

30. Questions?
www.ExtendNutrition.com
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Follow @ExtendNutrition on Twitter.
Try a Sample Today
Visit Booth #210
Jonathan Lindberg, Extend Nutrition
1-800-887-2919