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Dr Neal Barnard

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Food for Life Healthy Eating to Tackle Diabetes Neal Barnard, MD President, Physicians Committee for Responsible Medicine Adjunct Associate Professor of Medicine George Washington University School of Medicine
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Page 1: Dr Neal Barnard

Food for Life

Healthy Eating to Tackle Diabetes

Neal Barnard, MDPresident, Physicians Committee for Responsible Medicine

Adjunct Associate Professor of MedicineGeorge Washington University School of Medicine

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U.S. Per Capita Meat Intake (lb)

1900 1920 1940 1960 1980 2000

20

40

60

80

100

120

140

160

180

200

220

Source:US Department of Agriculture, Economic Research Service,http://www.ers.usda.gov/Data/FoodConsumption/FoodAvailSpreadsheets.htm#mtpcc,accessed August 15, 2009.

1909

2007

123.9 pounds

200.6 pounds

(Includes red meat, poultry, and fish)

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U.S. Per Capita Chicken Intake (lb)

1900 1920 1940 1960 1980 20000

10

20

30

40

50

60

Source:US Department of Agriculture, Economic Research Service,http://www.ers.usda.gov/Data/FoodConsumption/FoodAvailSpreadsheets.htm#mtpcc,accessed August 15, 2009.

1909

2007

10.4 pounds

59.9 pounds

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Diabetes Prevalence 1994

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Diabetes Prevalence 2008

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Adventist Health Study – 2 60,903 participants, aged ≥30, enrolled 2002-2006

Tonstad S, et al. Type of vegetarian diet, body weight and prevalence of type 2 diabetes. Diabetes Care 2009;32:791-6.

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Weight-Control Study

64 women

Moderately to severely overweight

Post-menopausal

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Weight-Control Study

Low-fat vegan diet

No exercise

14-week study

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Typical Day’s MealsBreakfastBlueberry pancakes or Oatmeal with cinnamon and raisinsHalf cantaloupe Rye toast with jam

LunchChunky vegetable chiliGarden salad with sesame dressing

SnackBanana

DinnerLentil soup with crackers Linguine with artichoke hearts and seared oyster mushrooms Steamed broccoli

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Weight-Control Study

Low-fat vegan diet

No exercise

14-week study

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Weight-Control Study

Low-fat vegan diet

No exercise

14-week study

13 lb average weight loss in 14 weeks

Sustained weight loss for 2 years

2-inch drop in waist measurement

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Nancy

Lost 40 pounds

Stopped all diabetes medications.

Arthritis improved dramatically.

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Vance

Lost 60 pounds

Stopped diabetes medications.

Diabetes no longer detectable.

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P = 0.01

8.1

7.9

6.8

7.5

Individuals with no medication changes, n = 24 vegan, 33 ADA

7.4

7.2

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Plant-Based Diet at GEICO

• Healthful choices in the cafeteria

• Weekly cooking class and discussion

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There were a few missteps along the way…

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Body Weight

P-value < 0.0001

Am J Health Promotion, In press

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Waist Circumference

Am J Health Promotion, In pressP-value < 0.001

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Hillary and Bruce

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PCRM 2009 USDA 2011

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Complete Nutrition

Protein

Calcium

Vitamin B12

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Beginning a Healthful Diet

Step 1. Check out the possibilities

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Breakfast

Lunch

Dinner

Snack

Foods to Try

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Healthy Breakfasts

• Cinnamon Raisin Oatmeal• Blueberry Pancakes

• Hot Whole Wheat with Dates• Breakfast Scrambler

• Fantastic Fruit Smoothie• Whole-Grain Bagel with Jam

• Swiss Style Muesli• Slow Cooker Whole-Grain Porridge

• Orange-Pineapple Crush

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Lunches and Dinners• Chunky Vegetable Chili

•Chuckwagon Stew • Seitan & Mushroom Stroganoff • Portobello Mushroom Steaks • Oven-Barbecued Tofu Steaks

• Roadhouse Hash • Sweet & Sour Tempeh

• Southern Beans & Greens • Seitan Cassoulet • Mandarin Stir-Fry

• Stuffed Vegetable Rolls • Zucchini & Herb Calzones

• Chili Bean Macaroni

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Italian Cuisine

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Mexican Cuisine

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Chinese Cuisine

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Japanese Cuisine

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Fast-Food Options

Veggie delight

Bean burrito, hold the cheese

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Beginning a Healthful Diet

Step 1. Check out the possibilities

Step 2. Do a 3-week test drive

Optional: Use transition foods

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Resourceswww.pcrm.org

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PCRM.org

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PCRM.org

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March 2012:

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