Considering new diets, behavior change and the use of dietary supplements

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href="/web/20130814184507/http://www.healio.com/endocrinology/careers" title="Careers" target=""> Careers</a> <ul class="sub_menu"> </ul> </li> </ul> <script type="text/javascript"> jQuery(".nav>li:last>a").addClass("last"); //fix for IE last-child style </script>   <div id="main-content">  <p id="breadcrumbs"> <a href="/web/20130814184507/http://www.healio.com/"> Healio</a> <span>›</span> <a href="/web/20130814184507/http://www.healio.com/endocrinology"> Endocrinology</a> <span>›</span> <a href="/web/20130814184507/http://www.healio.com/endocrinology/highlights-from-aade-2013"> Highlights from AADE 2013</a> <span>›</span> <a href="/web/20130814184507/http://www.healio.com/endocrinology/highlights-from-aade-2013/blog-considering-new-diets-behavior-change-and-the-use-of-dietary-supplements"> Considering new diets, behavior change and the use of dietary supplements</a> </p>  <script language="javascript" type="text/javascript"> $(document).ready(function () { var submitbtn = 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rel="stylesheet" type="text/css"/> <input type="hidden" id="contactid" value="{0}"/> <div class="resource-wrap"> <a href="/web/20130814184507/http://www.healio.com/endocrinology/highlights-from-aade-2013"><img src="/web/20130814184507im_/http://www.healio.com/~/media/Images/Resource Centers/Endocrinology/AADE 2013/AADE_2013_RC_488x90.jpg" alt="" border="0"/></a> <h2></h2>  <div class="content"> <h2> Blog: Considering new diets, behavior change and the use of dietary supplements</h2> <h3 class="deck"> </h3> <p class="main-subtitle"> </p> <ul class="meta-info"> <li> August 10, 2013</li> </ul> <div class="wyContent"> <p>PHILADELPHIA — Saturday’s sessions at the American Association of Diabetes Educators Annual Meeting and Exhibition ran the gamut, with presenters discussing how different diets may delay a patient’s progression to diabetes as well as how starting small is the key to creating lasting behavior change. In this blog post, <b>Linda E. Sartor, RD, MA, CDE, LDN, RYT, </b>gives her take on these interesting presentations.</p> <p style="text-align: center;">__________________________________________________</p> <p><b>Saturday, Aug. 10, 7:30 a.m.</b></p> <p>As we continue to look for innovative ways to extend the health and quality of life for all persons with diabetes, the concept of adopting a plant-based diet is intriguing.</p> <div class="mug right"><img width="90" height="120" alt="Linda E.Sartor, RD, MA, CDE, LDN, RYT" src="/web/20130814184507im_/http://www.healio.com/~/media/Images/Mugs/Endocrinology/S/Sartor_Linda_90x120.jpg"/>  <p class="name"><strong>Linda E. Sartor</strong></p> </div> <p></p> <p>Research from <b>Neal Barnard, MD;</b> <b>Dean Ornish, MD;</b> and many others prove that as little as 2.9% of those with a history of diabetes go on to actually progress to diabetes when they eat a plant-based diet.</p> <p>Perhaps this is something we should all look into for our patients!</p> <p style="text-align: center;">__________________________________________________</p> <p><b>9:15 a.m.</b></p> <p>During this morning’s general session, keynote speaker <b>B.J. Fogg , PhD,</b> professor at Stanford University, had us dancing in the aisles as he led us on a journey on how to change human behavior. The key, he believes, is triggering a behavior you are already doing (“I will do push-ups daily after I brush my teeth”), feeling confident in your ability to do it and having motivation. Tiny changes and taking baby steps help us create success momentum, leading to lasting changes.</p> <p style="text-align: center;">__________________________________________________</p> <p><b>11:00 a.m.</b></p> <p>Sorting out the science vs. hype is no small feat in the supplement world. </p> <p><b>James Bennett, RPh, FACA, CDE</b>, director of clinical services at James Bennett Apothecary, encourages us to help our patients choose wisely. He provided a few of the following examples during his presentation.</p> <p>Nutrient deficiencies that may affect many of our diabetic patients include magnesium, vitamin B12 or vitamin D deficiency, and altered gut flora. </p> <p>Since many type 2 diabetes patients take metformin, clinicians need to check B12 levels, especially in vegans or the elderly. Often, oral or sublingual B12 works well for repletion. </p> <p>Chronic use of PPIs can alter gut flora and lead to bacterial overgrowth, as well as magnesium deficiency. Always check magnesium levels before supplementing.</p> <p>Chronic statin use may deplete coenzyme Q10 (co-Q10) levels.</p> <p>Diuretics can not only reduce potassium, but also thiamine and magnesium. Always test the patient for deficiencies to be sure.</p> <p>Most persons with diabetes are vitamin D-deficient, although this has received lots of attention in the media and clinicians are testing for it.</p> <p>Omega-3s should be obtained from foods, such as fatty fish, flaxseed and other nuts/seeds, so oral supplements are not always necessary, except when triglyceride levels are abnormally high.</p> <p>Gut microbiota is a huge emerging field. The health of the gut can often boost immune function, so take those probiotics daily, especially if you are taking antibiotics. Be well!</p> <ul class="author-info"> <li><strong>Linda E. Sartor, RD, MA, CDE, LDN, RYT,</strong> is a nutrition specialist at the Penn Rodebaugh Diabetes Center in Philadelphia. Sartor reports no relevant financial disclosures. </li> </ul> </div>  <div class="fig left"> <p class="figcaption"> </p> </div> <div class="wyPagination">   </div>  <div class="follow"> <img src="/web/20130814184507im_/http://www.healio.com/~/media/Images/News/FollowUs.jpg" id="layout_0_maincontent_0_NewsArticle_SocialFollow_socialfollow" name="socialfollow" alt="Follow us" usemap="#followus" border="0"/> <map id="followus" name="followus"> <area id="layout_0_maincontent_0_NewsArticle_SocialFollow_followfb" shape="rect" coords="51,5,5,51" target="_blank" href="https://web.archive.org/web/20130814184507/http://www.facebook.com/endocrinetoday" alt="Follow us on Facebook"></area> <area id="layout_0_maincontent_0_NewsArticle_SocialFollow_followtw" shape="rect" coords="241,3,281,50" target="_blank" href="https://web.archive.org/web/20130814184507/http://www.twitter.com/endocrinetoday" alt="Follow us on Twitter"></area> </map> </div> </div>  <div class="social-links"> <div class="fb-like" data-send="false" data-width="300" data-show-faces="true" data-action="recommend"></div> <ul class="share"> <li><a href="javascript:void(0)" id="twitter" target="_new">Tweet</a></li> <li><a href="javascript:void(0)" id="facebook" target="_new">Share</a></li> <li class="linkedin"><a href="javascript:void(0)" id="linkedin">Link</a></li> <li><span class="db-wrapper"><span class="g-plusone" data-size="tall" data-annotation="none"></span></span></li> <li><a href="javascript:void(0)" id="email">Email</a></li> <li class="last"><a href="javascript:void(0)" id="print">Print</a></li> </ul> </div>  <div id="respond"> <h4> Comments</h4> <script language="javascript" type="text/javascript"> var idcomments_acct = 'aa6ff53f9870e40f92f83e1b5df3cddf'; var idcomments_post_id = '{EE948ACA-0161-4E00-BB0E-481AE1BD06ED}'; var idcomments_post_url; </script> <span id="IDCommentsPostTitle" style="display: none"></span> <script type="text/javascript" src="https://web.archive.org/web/20130814184507js_/http://www.intensedebate.com/js/genericCommentWrapperV2.js"></script> <p class="comment-notes"> Healio is intended for health care provider use and all comments will be posted at the discretion of the editors. 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Considering new diets, behavior change and the use of dietary supplements