Too many patients, as documented in an on-line study of 12,000 individuals conducted by the American Thyroid Association published in June 2018, (https://doi.org/10.1089/thy.2017.0681) , complain of persistent symptoms of hypothyroidism despite what their doctors believe is successful treatment with levothyroxine (brands include Synthroid, Unithroid, Tirosent, Levoxl). We believe something needs to be done to resolve this conflict between patients and their doctors.
Helpful Nutrition Hints for Avoiding Diabetes
I am attaching an excerpt from a recent book by Dr. Frederic Vagnini and Lawrence D. Chilnick on how to use nutritional techniques to avoid developing diabetes. Thanks to the authors for permission to use this information.
Overcome Supermarket Roadblocks
by Frederic Vagnini, M.D., FACS, and Lawrence D. Chilnick,
Authors of The Weight Loss Plan for Beating Diabetes: The 5-Step Program That Removes Metabolic Roadblocks, Sheds Pounds Safely, and Reverses Prediabetes and Diabetes
Shopping Defensively
Here are some specific hints for defensive shopping:
Prepare ahead. If there’s one rule to follow, this is it: Don’t to go to the supermarket “on the fly.” We’ve all run out for a few things and ended up buying twice as much as we needed. Often, something in the store tempts us to do just that. For example, how many supermarkets position the bakery right where you walk in, with the wonderful smell of newly baked bread or cakes perfuming the air? It’s not an accident.
Consult your cookbooks and create a weekly menu. Write down all of the ingredients you need for it.
Know what you are going to make, and make sure that most of what you buy fits into your overall meal plan.
Check the fridge and pantry so you know what you don’t need to buy.
Shop weekly. Shopping too often or stretching your shopping trips to every two weeks will make sticking to your meal plan more difficult.
Learn the store layout. The fewer tempting products you see and the less time you spend browsing, the easier it will be to avoid buying the wrong foods. The healthiest fresh foods are in areas against the store walls. Don’t spend time in the central aisles with things you don’t need.
Look up and down. The most attractively packaged food is on shelves at eye level.
Stay away from the areas where store employees are offering free samples of high-carb and fatty foods.
Eat before you shop. A hungry shopper buys more food and makes worse food choices, plus with diabetes, you need to eat at specific times and in amounts that ensure stable blood sugar.
Shop alone and without the kids. Although research claims that men are more likely to stick to their list only, the levels of obesity in both genders suggests otherwise. Going to the supermarket should be a directed, time-limited event. You are there to buy certain things you need; you don’t have to review every single one of the store’s offerings. If possible, shop for food when the kids are in school because they are special targets for marketers.
Make healthy choices. This doesn’t only mean buying fresh vegetables from local farms or good produce in the supermarket. A healthy choice is a meal you make at home — not take-out or prepared foods. Over the past decade, sales of prepared foods at the deli counters and throughout the store have risen steadily. Americans now spend over $15 billion per year on prepared foods in supermarkets and in shopping mall food courts.
While sales of starchy, fat-dripping fast foods are dropping, prepared take-out foods aren’t much better. The choices are often “family friendly”: fried chicken, chicken nuggets, chicken wings, baked potatoes, egg rolls, tacos, and creamy “comfort food” soups. Did you know that much of the prepared supermarket food is made by the same giant food companies that make the fast foods? If you buy prepared foods, avoid those with heavy mayonnaise or breading and high calories. Dodge items featuring rice or mashed potatoes, too.
Some experts suggest you take a close look at how much of your diet comes from the prepared choices. If prepared food makes up more than half of your diet, you have a problem. While one solution would be to learn to cook more or better, some people simply don’t like to cook or have too little time to make meals at home. But this isn’t an insurmountable problem.
Making the Supermarket Your Support System
If you are truly going to make a change that will bring your glucose under control and help you lose weight, you will have to take control of what you and your family eat. It is less difficult than you think. The secret is in your commitment to change.
There are scores of healthy-eating-oriented cookbooks in bookstores, supermarkets, mega-stores, and online recipe sources. These books help you follow some basic rules that will help meet the requirements of the Five-Step Plan.
Doing your own cooking will help you control what you eat, control your glucose, and lose weight. You will still go to the supermarket, but buying fresh vegetables in season, certain fruits, and good protein sources such as fish, chicken, turkey, and other lean meats will make your diet more interesting and flavorful. You might even discover that cooking can be fun, and you can make it a group activity. As you lose weight, you will feel better physically and mentally because the food you eat will be better for you. Your body will thank you.
Another good tip is to ask questions at the market. You’d be surprised how much help the people behind the counters can be, and not only at high-end supermarkets.
The desire for certain foods has been studied and reported on over the years. It’s often been noted that people fantasize more about food than any other pleasure, including sex. After all, food gave us our first pleasure as children, and eating habits last a lifetime. Given the level of obesity in the country, is it any surprise that many adolescents who do their “hunting” in front of the computer or video game are following in their parents’ footsteps?
The above is an excerpt from the book The Weight Loss Plan for Beating Diabetes: The 5-Step Program That Removes Metabolic Roadblocks, Sheds Pounds Safely, and Reverses Prediabetes and Diabetes by Frederic Vagnini, M.D., FACS, and Lawrence D. Chilnick. The above excerpt is a digitally scanned reproduction of text from print. Although this excerpt has been proofread, occasional errors may appear due to the scanning process. Please refer to the finished book for accuracy.
Copyright © 2009 Frederic Vagnini, M.D., FACS, and Lawrence D. Chilnick, authors of The Weight Loss Plan for Beating Diabetes: The 5-Step Program That Removes Metabolic Roadblocks, Sheds Pounds Safely, and Reverses Prediabetes and Diabetes
Author Bios
Frederic J. Vagnini, M.D., FACS, coauthor of The Weight Loss Plan for Beating Diabetes: The 5-Step Program That Removes Metabolic Roadblocks, Sheds Pounds Safely, and Reverses Prediabetes and Diabetes, is a board-certified cardiovascular surgeon whose understanding of the ravages of cardiovascular diseases is grounded in twenty years as a cardiac surgeon. He hosts a popular call-in radio show and has published several books, including The Carbohydrate Addict’s Healthy Heart Program, a New York Times bestseller.
Lawrence D. Chilnick, coauthor of The Weight Loss Plan for Beating Diabetes: The 5-Step Program That Removes Metabolic Roadblocks, Sheds Pounds Safely, and Reverses Prediabetes and Diabetes, is the authors and creator of the New York Times bestseller The Pill Book, which has sold 17 million copies and is still in print after more than two decades. He is a publishing executive, editor, teacher, journalist, broadcaster, and author of several popular health reference books, electronic products, audiotapes, and videos.
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