The Insulin Resistance Diet

  Vol 0, Sample Issue
Living Healthy with Insulin Resistance
Dear Stay-On-Track Member,
 
energy edgeWelcome to Living Healthy with Insulin Resistance, a newsletter dedicated to helping readers manage Insulin Resistance through diet and lifestyle.  This newsletter is written by Mary Kay Grossman, RD and Cheryle Hart, MD, the authors of The Insulin Resistance Diet. (For more information, go to the book website.)
Do Diet Sodas Cause Metabolic Syndrome and Weight Gain?
 
photo of a soda canYou may be hearing some buzz about diet sodas and weight issues, heart disease and other health problems.  This comes from two studies, both recently published in Circulation: The Journal of the American Heart Association, which found an association between diet soda consumption and metabolic syndrome.  Both are reputable studies, one by researchers from the University of Minnesota published in the January 2008 issue of Circulation and the other published in the July, 2007 issue by Framington Heart Study researchers at Boston University School of Medicine.  But before you vow off the sweet, calorie free stuff, you should know the facts.
 
For years researchers realized that there was a connection between excessive intake of full-sugar sodas and Metabolic Syndrome.  Metabolic Syndrome is a cluster of disease conditions including increased waist circumference, high blood pressure, cardiovascular disease, and type two diabetes.  It is believed that Insulin Resistance is a factor in this syndrome.  Both groups of researchers were surprised however to find that diet, sugar-free soda consumption also showed a connection. 
 
The Minnesota study was an analysis of dietary intake by 9,514 participants in the Atherosclerosis Risk In Communities (ARIC) study. ARIC is a collaborative study funded by the National Heart, Lung, and Blood Institute. This study set out to find a relationship between diet and Metabolic Syndrome by looking at diets of middle-aged subjects over a period of nine years.  The researchers were not surprised to discover that a typical "Western diet" was associated with 13% to 18% greater risk of Metabolic Syndrome compared with a more "Prudent diet".  In general, the Western-pattern diet was heavy on refined grains, processed meat, fried foods, red meat, eggs and soda, and light on fish, fruit, vegetables and whole grain products.  Whereas the "Prudent diet" was richer in fruits, vegetables, fish, seafood, poultry, whole grains, and low fat dairy products.  What did surprise them however, was the increase in Metabolic Syndrome in diet soda drinkers.  The researchers found that adults who consumed one serving of diet soda daily had a 34% higher risk of Metabolic Syndrome compared to those who consumed no diet soda.
 
The Boston University study looked at 6039-middle aged participants in the ongoing Framington Heart Study, who were free of metabolic syndrome at the beginning of the study. They found that those who consumed one or more soft drinks a day were associated with a 44 percent higher risk of developing new-onset metabolic syndrome than those who did not during a follow-up period of four years.
 
The researchers also observed that compared to participants who drank less than one soft drink daily, those who drank one or more soft drinks a day had a:
·         31 percent greater risk of developing obesity
·         30 percent increased risk of developing increased waist circumference;
·         25 percent increased risk of developing high blood triglycerides or high fasting blood glucose;
·         32 percent higher risk of having low HDL levels.     
 
"We were struck by the fact that it didn't matter whether it was a diet or regular soda that participants consumed, the association with increased risk was present," said Ramachandran Vasan, M.D., senior author of the Framingham Heart Study.
 
A third study presented at the annual meeting of the American Diabetes Association in 2005 found similar results.  The findings came from eight years of data collected by Sharon P. Fowler, MPH, and colleagues at the University of Texas Health Science Center, San Antonio on Americans aged 25 to 64.  Of the 622 study participants who were of normal weight at the beginning of the study, about a third became overweight or obese.
 
"What didn't surprise us was that total soft drink use was linked to overweight and obesity," Fowler said. "What was surprising was when we looked at people only drinking diet soft drinks, their risk of obesity was even higher." 
For regular soft-drink drinkers, the risk of becoming overweight or obese was:
·         26% for up to 1/2 can each day
·         30.4% for 1/2 to one can each day
·         32.8% for 1 to 2 cans each day
·         47.2% for more than 2 cans each day.
For diet soft-drink drinkers, the risk of becoming overweight or obese was:
·         36.5% for up to 1/2 can each day
·         37.5% for 1/2 to one can each day
·         54.5% for 1 to 2 cans each day
·         57.1% for more than 2 cans each day.
For each can of diet soft drink consumed each day, a person's risk of obesity went up 41%.
 
Despite the results, all of the researchers are quick to note that their studies do not prove that diet soda causes obesity or Metabolic Syndrome. It is possible that something in diet sodas may cause problems.  However it is also very possible that something linked to diet soda drinking is also linked to obesity.
 
"One possible ...explanation is that people who see they are beginning to gain weight may be more likely to switch from regular to diet soda," Fowler suggests. "But despite their switching, their weight may continue to grow for other reasons."  This sounds like a typical scenario for a person with insulin resistance.  In this case, the stage would have already been set for weight gain and Metabolic Syndrome when the studies started.  Obviously more studies are needed!
 
In the mean time, what should you do about diet sodas?  Firstly, I do not recommend that you switch from diet to regular soda!  This would be like jumping out of the pot and into the fire!  We know that regular soda is a concern, especially for a person with insulin resistance!  Secondly, I always recommend that you include foods (and beverages) that offer you benefit over choosing those that have none.  Water is an excellent beverage for hydration.  Non-fat or 1% milk is a great source of protein, calcium, and other minerals.  Even tea offers antioxidants that protect against heart disease.  Sodas have no redeeming factors.  If you work towards including more of these healthier beverage choices, you will automatically decrease the intake of sodas.  Thirdly, if you are drinking sodas of any kind on a daily basis, especially more than one per day, I would advise you to gradually cut down.  It appears that sodas should be considered "occasional splurges" rather than routine, everyday foods, at least until more research is done!
 
 
 

 

 

 

 

In This Issue
Do Diet Sodas Cause Metabolic Syndrome and Weight Gain?
How Many Americans Have Metabolic Syndrome?!!!
Real Life Solutions- How to Banish Belly Fat
Recipe of the Month - Succulent Salmon Fillet
How Many Americans Have Metabolic Syndrome?!!!
picture of a question mark 
 The ARIC study quoted above found that 60.5 percent of the subjects had metabolic syndrome by the end of the nine years of follow-up!  The researchers were very troubled by these results.  This is a much higher number than all other previous estimates of Metabolic Syndrome in the US population of around 30 percent!  We all should be troubled by this distressing statistic!

Real Life Solutions
 

photo of a woman measuring her waistCynthia writes:

I have the dreaded "Lady's Tummy".  How can I get rid of it?  All of that awful Pilates was to no avail! 

Mary Kay writes:

 Pilate's and other abdominal exercises will not get rid of fat around your middle! This fat is caused by high levels of insulin circulating in the blood stream. There is only one way to banish this unwanted fat; control your insulin levels and lose weight. To do this, you must first, Link and Balance carefully, second, listen to your body's signals and eat only when you are hungry, and third, do a physical activity routine daily.

Linking and Balancing is key to controlling insulin levels in your body. This will prevent more fat from depositing in your midsection. It may also save your life by keeping your cholesterol and blood pressure to safe levels. But in order to lose the fat that you have already deposited, you must burn more calories than you take in. By eating only when you are truly hungry and stopping as soon as you are no longer hungry, you will avoid overeating. This is an important, lifelong habit to relearn. Like most of us, you may have unlearned this healthy habit in your childhood (by becoming members of the Clean Plate Club and other well-meaning tricks). Remind yourself to consider this every time you want to take an extra portion of dessert or finish your plate at a restaurant. Remember that you can always have more later!

In order to burn off the fat that you have already earned, walk at least 20 minutes every day! Do more if you have time! You can also use other forms of low to moderate intensity physical activity such as leisurely bike rides or swimming or dancing, or anything else that raises your heart beat slightly but still allows you the ability to hold a conversation. This type of activity can be continued for long periods of time without lowering your blood sugar. High intensity activities burn many calories very quickly and must rely on blood sugar as fuel, whereas, slower activities can burn fat, a more complex process. If your goal is to burn belly fat, focus on the slower activities. To improve your cardiovascular fitness, you can throw in 20 minutes of higher intensity activity three times weekly. A bit of resistance activity, such as weights, leg lifts, lunges, circuit training, etc. can also help decrease insulin resistance in your muscle cells and help with bone health. Research shows that those who have lost weight successfully do an average of one hour of physical activity daily. Work up gradually though! If you have not been active, start out with ten minutes daily. Then add two minutes per day till you reach at least 30 minutes.

Be patient! It took longer than a month to gain that fat, and it will take just as long to lose it!

Succulent Salmon Fillet


This no-fail recipe is super easy, and turns out so moist and flavorful. You can bake it in the oven or grill it on the barbeque so you can enjoy it all year long. It is sure to be a hit with dinner guests and a family favorite. Salmon is a great source of omega-3 fats. Eat two servings of omega-3 source fish every week to keep your heart healthy!

1 1/2 lb fresh boneless salmon fillet
One lemon
Two cloves of garlic, minced
One Tablespoon of minced onion flakes
1/2 teaspoon lemon-pepper seasoning
1/2 cup of healthy light mayonnaise
2 teaspoons snipped fresh dill or 3/4 teaspoon dill weed

Place the salmon fillet, skin side down, in the center of a piece of heavy duty aluminum foil that is large enough to completely wrap the fillet. (If baking in the oven, regular aluminum foil can be used if you place the whole thing, foil and salmon, on an oven safe pan.) Cut the lemon in half. Juice half of the lemon and drizzle over the fillet. Cut the other half of the lemon into wedges and reserve. Spread minced garlic over the cut side of the fillet. Sprinkle with onion flakes and lemon-pepper seasoning. Spread the mayonnaise evenly over the entire cut side of the fillet. Wrap the fillet in foil and seal tightly. Place in 350 degree oven or in a covered barbeque at medium low heat. Cook for 20 minutes. Check for doneness by inserting a fork at an angle in the thickest portion and gently parting the meat. If fish flakes easily into sections, remove from heat. If not done, reseal foil and cook for another five or ten minutes. Before serving, sprinkle with dill and garnish each slice with lemon wedge. Yield: 6 portions.

Nutrition information per serving

Protein 23 grams

Carbohydrate 3 grams

Fat 19 grams

Calories 274

We hope that you have found this newsletter interesting and informative!  Our greatest goal is to spread the word about the health risks associated with Insulin Resistance and the simple way to manage it with The Insulin Resistance Diet.  We know that it works!  Thousands of our readers have lost weight, raised their quality of life through greater energy and better mood, and improved their cholesterol, blood pressure, and overall health. We sincerely believe that it can work for you too!  The purpose of this newsletter is to provide readers with the latest research as well as tips and ideas for greater success. 
 
Questions for our newsletters can be sent to mkgrossman@irdiet.com .  If you have a question, there is a good chance that others will benefit from learning the answer to!  We welcome your input!
 
We invite you to join our membership program.  Program benefits include a subscription to our monthly newsletter and a monthly live teleconference with us, the authors.  If you would like to join our program, please go to the book website.  If you have a friend or relative who you think might benefit from our program, please forward it to them.  Help us acheive our mission to spread the word about this life threatening condition! 
 
The Best of Health To You,
 
Dr. Cheryle Hart and Mary Kay Grossman, RD