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Diabetes Prevention
Presenter: Mildred Bentler, RD, CDE, CSP
November 1, 2018
Mildred "Mitch" Bentler, MA, RD, CSP, CDE
is a registered dietitian with Summit Medical
Group.
As a Clinical Nutritionist and Certified
Diabetes Educator, she has over 30 years of
experience in nutrition management and
counseling.
She has worked extensively in multiple areas
including weight management, diabetes,
pulmonary, gastroenterology, and pediatric
nutrition.
She is a member of the American Association
of Diabetes Educators.
What is pre-diabetes?
A person’s blood glucose (sugar) level is
higher than normal, but not high enough yet to
be diagnosed with diabetes
Are you at risk?
If yes,
Share your results with your physician
and ask about getting your blood sugar
tested.
How is it diagnosed?
• Fasting Glucose test: measures your blood
glucose when you haven’t eaten for 7 hours
• Hemoglobin A1C test: measures your
average estimated blood sugar over the past
2-3 months
A1C
(percent)
Fasting
Plasma
Glucose
(mg/dL)
Oral
Glucose
Tolerance
Test
(mg/dL)
Diabetes 6.5 or above 126 or above 200 or above
Prediabetes 5.7 to 6.4 100 to 125 140 to 199
Normal About 5 99 or below 139 or below
Blood Test Levels for Diagnosis of
Diabetes and Prediabetes
Definitions: mg = milligrams, dL = deciliter
For all three tests, within the prediabetes range, the higher the test results, the greater the diabetes
Source: National Institute of Diabetes and Digestive and Kidney Diseases. Adapted from American Diabetes Association.
Treatment
HEALTHY WEIGHT
“If you have pre-diabetes, losing a small amount of weight
if you’re overweight and getting regular physical activity
can lower your risk for developing type 2 diabetes.
A small amount of weight loss means around 5% to 7% of
your body weight”
Increase
Fruits & Vegetables
• Vitamins, minerals, fiber,
phytonutrients
• Eat the rainbow
Whole Grains
• Look for at least 3 grams of fiber per
serving
Low-fat dairy
• 1% milk, low-fat cheese, low-fat yogurt
Lean protein
Decrease
Saturated fat
Salt: < 2300 mg daily
Simple sugars
Eat a diet rich in whole grains, vegetables,
fruits and beans.
• Aim to fill at least 2/3 of your plate with
vegetables, fruits, whole grains and beans
 Increases your intake of fiber, vitamins, minerals,
antioxidants.
 Plant based diets reduce incidence of :
• Diabetes by 90%
• Heart Attack by 80%
• Stroke by 50%
• All cancers by 30% (ovarian by 50%)
Limit consumption of “fast foods” and other
processed foods high in fat, starches or sugars
• The US Ranks 27 of 34
top free market
democracies
• 32% Animal
• 57% Processed
(Packaged)
• 11% Whole grain, fruit,
vegetables & nuts
GAME TIME!!!!
Good Carb vs. Bad Carb
Label Reading
Physical Activity
Regular physical activity means getting at
least 150 minutes a week of brisk walking or a
similar activity.
That’s just 30 minutes a day, five days
a week
Workouts for bad back, knee & foot
No $$$ for gym
Seated exercises
https://www.prevention.com/fitness/seated-chair-exercises
STRESS REDUCTION
“If you ask what is the single most important key to
longevity, I would have to say it is avoiding worry, stress
and tension. And if you didn’t ask me, I’d still have to
say it.” – George Burns
Meditation
Exercise
Adequate Sleep
Nutritional Services
include:
Diabetes Education
Weight Management
Gestational Diabetes
Bariatric Surgery
Evaluations
Eating Disorders
GI disease
Pediatrics*
Renal disease
Sports Nutrition*
Oncology
*only specific RDs offer these services
Margaret Eckler, MS, RD, CDE
1 Diamond Hill rd., Berkeley Heights
To schedule appts.: 908-277-8667
Mary Friesz, PhD, RD, CDE
67 Walnut Ave., Clark
- 732- 388-7300
375 Mt. Pleasant Ave., West Orange
- 973-261-1460
Leslie Killeen, MS, RD, CDE
75 E. Northfield Rd., Livingston
140 Park Ave., Florham Park
To schedule appts.: 973-577-4160
Roger Warn, MS, RDN, CDE, CSOWM
95 Madison Ave., Morristown
To schedule appts.: 973-775-5115
Simone Gampel, RD, CDE
1 Diamond Hill rd., Berkeley Heights
- 908-277-8950
75 E. Northfield Rd., Livingston
- 973-436-1530
Jennifer Llewellyn, RD, CDE
6 Brighton Rd., Clifton
To schedule appts.: 973-777-7911
Mitch Bentler, MA, RD, CDE, CSP
1 Diamond Hill rd., Berkeley Heights
- 908-277-8667
150 Park Ave., Florham Park
Lindsay Maurer, RD, CDE
31-00 Broadway, Fair Lawn
- 201-796-2255
870 Palisades Ave., Teaneck
- 201-836-5655

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Your Path to Diabetes Prevention - Mildred Bentler, RD, CDE, CSP - 11.1.18

  • 1. Diabetes Prevention Presenter: Mildred Bentler, RD, CDE, CSP November 1, 2018
  • 2. Mildred "Mitch" Bentler, MA, RD, CSP, CDE is a registered dietitian with Summit Medical Group. As a Clinical Nutritionist and Certified Diabetes Educator, she has over 30 years of experience in nutrition management and counseling. She has worked extensively in multiple areas including weight management, diabetes, pulmonary, gastroenterology, and pediatric nutrition. She is a member of the American Association of Diabetes Educators.
  • 3. What is pre-diabetes? A person’s blood glucose (sugar) level is higher than normal, but not high enough yet to be diagnosed with diabetes
  • 4.
  • 5. Are you at risk?
  • 6.
  • 7. If yes, Share your results with your physician and ask about getting your blood sugar tested.
  • 8. How is it diagnosed? • Fasting Glucose test: measures your blood glucose when you haven’t eaten for 7 hours • Hemoglobin A1C test: measures your average estimated blood sugar over the past 2-3 months
  • 9. A1C (percent) Fasting Plasma Glucose (mg/dL) Oral Glucose Tolerance Test (mg/dL) Diabetes 6.5 or above 126 or above 200 or above Prediabetes 5.7 to 6.4 100 to 125 140 to 199 Normal About 5 99 or below 139 or below Blood Test Levels for Diagnosis of Diabetes and Prediabetes Definitions: mg = milligrams, dL = deciliter For all three tests, within the prediabetes range, the higher the test results, the greater the diabetes Source: National Institute of Diabetes and Digestive and Kidney Diseases. Adapted from American Diabetes Association.
  • 10.
  • 12. HEALTHY WEIGHT “If you have pre-diabetes, losing a small amount of weight if you’re overweight and getting regular physical activity can lower your risk for developing type 2 diabetes. A small amount of weight loss means around 5% to 7% of your body weight”
  • 13.
  • 14. Increase Fruits & Vegetables • Vitamins, minerals, fiber, phytonutrients • Eat the rainbow Whole Grains • Look for at least 3 grams of fiber per serving Low-fat dairy • 1% milk, low-fat cheese, low-fat yogurt Lean protein
  • 15. Decrease Saturated fat Salt: < 2300 mg daily Simple sugars
  • 16.
  • 17. Eat a diet rich in whole grains, vegetables, fruits and beans. • Aim to fill at least 2/3 of your plate with vegetables, fruits, whole grains and beans  Increases your intake of fiber, vitamins, minerals, antioxidants.  Plant based diets reduce incidence of : • Diabetes by 90% • Heart Attack by 80% • Stroke by 50% • All cancers by 30% (ovarian by 50%)
  • 18.
  • 19. Limit consumption of “fast foods” and other processed foods high in fat, starches or sugars • The US Ranks 27 of 34 top free market democracies • 32% Animal • 57% Processed (Packaged) • 11% Whole grain, fruit, vegetables & nuts
  • 20.
  • 21. GAME TIME!!!! Good Carb vs. Bad Carb
  • 22.
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  • 30.
  • 31.
  • 32.
  • 33.
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  • 36.
  • 38. Physical Activity Regular physical activity means getting at least 150 minutes a week of brisk walking or a similar activity. That’s just 30 minutes a day, five days a week
  • 39. Workouts for bad back, knee & foot
  • 40. No $$$ for gym
  • 42. STRESS REDUCTION “If you ask what is the single most important key to longevity, I would have to say it is avoiding worry, stress and tension. And if you didn’t ask me, I’d still have to say it.” – George Burns
  • 43.
  • 47. Nutritional Services include: Diabetes Education Weight Management Gestational Diabetes Bariatric Surgery Evaluations Eating Disorders GI disease Pediatrics* Renal disease Sports Nutrition* Oncology *only specific RDs offer these services Margaret Eckler, MS, RD, CDE 1 Diamond Hill rd., Berkeley Heights To schedule appts.: 908-277-8667 Mary Friesz, PhD, RD, CDE 67 Walnut Ave., Clark - 732- 388-7300 375 Mt. Pleasant Ave., West Orange - 973-261-1460 Leslie Killeen, MS, RD, CDE 75 E. Northfield Rd., Livingston 140 Park Ave., Florham Park To schedule appts.: 973-577-4160 Roger Warn, MS, RDN, CDE, CSOWM 95 Madison Ave., Morristown To schedule appts.: 973-775-5115 Simone Gampel, RD, CDE 1 Diamond Hill rd., Berkeley Heights - 908-277-8950 75 E. Northfield Rd., Livingston - 973-436-1530 Jennifer Llewellyn, RD, CDE 6 Brighton Rd., Clifton To schedule appts.: 973-777-7911 Mitch Bentler, MA, RD, CDE, CSP 1 Diamond Hill rd., Berkeley Heights - 908-277-8667 150 Park Ave., Florham Park Lindsay Maurer, RD, CDE 31-00 Broadway, Fair Lawn - 201-796-2255 870 Palisades Ave., Teaneck - 201-836-5655

Editor's Notes

  1. 1 in 3 American adults has prediabetes, but only 10% of them know they have it Without making changes, many people with prediabetes can develop type 2 diabetes within 5 years Prediabetes has no symptoms
  2. Whole food plant based vs Vegan 1 Apple a day decreases oral, larynx, breast, colon, kidney and ovarian cancers Antimutagenic, antioxidant, anti inflammatory, immune enhancing Fresh tumors taken from patients show that many cancers appear to have a biochemical defect that makes them dependent on methionine, including some tumors of the colon, breast, ovary, prostate, and skin.  But since methionine is sourced mainly from food, a better strategy may be to lower methionine levels by lowering methionine intake, eliminating high methionine foods to control cancer growth as well as improve our lifespan
  3. Living longer but sicker