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    9/28/09 12:Vegan Chefs Avocado Recipes for Diabetes - Well Blog - NYTimes.com

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    eptember 24, 2009, 3:00 pm

    A Vegan Chefs Avocado Recipes for Diabetes

    y Tara Parker-Pope

    his weekend, top doctors and chefs will gather at New Yorks Jacob K. Javits Convention Center to offerealth and cooking advice for people with diabetes.

    he expo, part of a series sponsored by the American Diabetes Association, presents a unique opportunity foreople with Type 1 or Type 2 diabetes to learn more about managing their disease. The event will includeooking demonstrations, eye and foot screenings and fitness information

    mong those taking part is Jason Wyrick, a 36-year-old Phoenix chef who was diagnosed with Type 2iabetes at age 28. Chef Wyrick, who specializes in vegan cooking, publishes the online magazine The Veganulinary Experience. At the time of his diagnosis, he was coping with failing eyesight and high blood sugar,ut he says he was able to reverse his diabetes by following a low-fat, vegan diet.

    Chilled Avocado Soup

    uring Saturdays expo, Chef Wyricks cooking demonstrations will focus on vegan avocado dishes that areealthful options for people with diabetes and everyone else as well. How these dishes fit into your overalliabetes management depends on the diet plan you follow, but all of them offer about 35 grams of

    Welcome to TimesPeopleGet Started

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    arbohydrates, primarily from vegetable sources (although one recipe includes a multi-grain bun).

    2006 study published in Diabetes Care compared a low-fat vegan diet to a standard diet following theaditional American Diabetes Association guidelines. Both diets improved glycemic and lipid control inatients with diabetes, but the low-fat vegan diet produced the best results.

    Im showing people how to do recipes that are easy, you can do them at home, theyre going to taste good,ays Mr. Wyrick. By teaching people simple recipes that are fun and taste good, they can enjoy eatingealthy, and they can manage their diabetes or completely reverse it like I did.

    ere are some vegan avocado recipes. Chef Wyrick created the Roasted Red Pepper Avocado dip and thethers are from the Avocados from Mexico recipe bank.

    hilled Avocado Soup

    large ripe avocadoscups good-quality vegetable broth

    /4 cup dry sherry, preferably fino

    . Cut the avocados in half lengthwise, navigating around the pits. Twist to split, then remove the pits andiscard. Using a medium-size spoon, scoop out the flesh in large pieces, then cut into 1/2-inch pieces.

    . In a heavy, medium saucepan, combine the broth and 2 cups water. Bring to a boil, then reduce the heat to ammer.

    . Add the avocado pieces and simmer for 2 minutes. Add 2 tablespoons of the sherry and cook 1 minuteonger.

    . Remove from heat and let cool for several minutes. Transfer the contents of the saucepan to a blender. (Youmay need to do this in several batches.) Process until the soup is very smooth and creamy.

    . Add salt and freshly ground white pepper to taste. Stir in the remaining 2 tablespoons sherry and chill untilery cold before serving.

    ield: 6 servings.

    Portabella Burgers With Avocado Spread

    ortabella Burgers With Avocado Spread

    medium-sized portabella mushrooms (about 4 ounces each), stems removedmedium onion, cut in 1/2-inch slicestablespoons olive oil

    /4 teaspoon salt, divided/2 teaspoon ground black pepper, dividedfully ripened avocado, halved, pitted and slicedtablespoons plain soy yogurt

    /2 teaspoon minced garlicwhole grain vegan buns, toastedjarred roasted red peppers

    . Brush mushrooms and onion slices with oil; sprinkle with 1/2 teaspoon of the salt and 1/4 teaspoon of theepper.

    . Heat large skillet or grill pan over medium heat until hot. Add mushrooms; cook until tender, 8 to 10minutes, turning once. Transfer mushrooms to plate, cavity side up; cover to keep warm.

    . In same skillet, cook onion slices until golden, about 8 minutes, turning occasionally.

    . While the onions are cooking, combine in small bowl 1/2 of the avocado, yogurt, garlic and remaining 1/4aspoon each salt and pepper; mash until smooth.

    . Build the sandwich by spooning the onions and roasted peppers into mushroom cavities, divided equally.ext, spread smooth avocado mixture on bottom of each bun, and top each with stuffed mushrooms. Top with

    emaining sliced avocado. Cover with tops of buns.

    ield: 4 servings.

    oasted Red Pepper Avocado Dip

    avocadoroasted red peppersteaspoon fresh lime juice

    http://www.avocadofiesta.com/Recipes.htmlhttp://care.diabetesjournals.org/content/29/8/1777.long#sec-3
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    clove of garlic/4 teaspoon ground cumin/4 teaspoon ground saltteaspoon fresh oregano leaves (optional)

    . Combine all of the ingredients in a blender or food processor and puree. Serve with sliced cucumber.

    Mexican Tomatillo Stew

    tablespoons olive oil-1/2 cups peeled and diced sweet potatoescup chopped celery

    /4 cup chopped onion

    tablespoon finely minced garlictablespoon cumincups lower sodium vegetable brothcups diced tomatillosfully ripened avocados, halved, pitted and diced

    /2 cup chopped cilantroround black pepper to taste

    . In large saucepan, heat oil. Add sweet potatoes, celery, onion, garlic and cumin; cook and stir for 5 minutes.dd broth and tomatillos; bring to boil; reduce heat and simmer for 10 minutes.

    . Just before ready to serve, stir in 1 avocado and cilantro. Season with pepper, if desired.

    . Serve in bowls topped with remaining avocado, if desired.

    ield: about 10 cups.

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    4 Comments

    1. 1. September 24, 2009 3:48 pmLink

    Sounds like a delicious event to attend. And who better to offer recipes than a vegan chef who hasdiabetes?

    Thought folks might be interested in this more recent review article on the benefit of vegan diets fortype-2 diabetes:

    Nutrition Reviews 67(5):255-63, May 2009

    Barnard, ND et al. Vegetarian & Vegan diets in Type-2 Diabetes Management

    Abstract:

    Vegetarian and vegan diets offer significant benefits for diabetes management.

    In observational studies, individuals following vegetarian diets are about half as likely to develop

    TWITTER

    http://well.blogs.nytimes.com/2009/09/24/a-vegan-chefs-avocado-recipes-for-diabetes/#comment-392133http://well.blogs.nytimes.com/2009/09/25/the-alternative-medicine-cabinet-the-neti-pot/http://well.blogs.nytimes.com/2009/09/24/when-the-long-runs-are-r-rated/http://well.blogs.nytimes.com/2008/03/21/big-race-ahead-for-cyclists-with-diabetes/http://well.blogs.nytimes.com/2008/05/02/broncos-quarterback-joins-roster-of-athletes-with-diabetes/http://well.blogs.nytimes.com/2008/11/13/a-day-in-the-life-of-type-1-diabetes/http://well.blogs.nytimes.com/2009/06/20/team-type-1-rides-across-america/http://well.blogs.nytimes.com/2009/08/04/the-voices-of-type-2-diabetes/http://well.blogs.nytimes.com/tag/type-2-diabetes/http://well.blogs.nytimes.com/tag/type-1/http://well.blogs.nytimes.com/tag/recipes/http://well.blogs.nytimes.com/tag/diabetes/http://well.blogs.nytimes.com/category/whats-on-your-plate/http://well.blogs.nytimes.com/2009/09/24/a-vegan-chefs-avocado-recipes-for-diabetes/?pagemode=print
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    diabetes, compared with non-vegetarians.

    In clinical trials in individuals with type 2 diabetes, low-fat vegan diets improve glycemic control to agreater extent than conventional diabetes diets.

    Although this effect is primarily attributable to greater weight loss, evidence also suggests that reducedintake of saturated fats and high-glycemic-index foods, increased intake of dietary fiber and vegetableprotein, reduced intramyocellular lipid concentrations, and decreased iron stores mediate the influence ofplant-based diets on glycemia.

    Vegetarian and vegan diets also improve plasma lipid concentrations and have been shown to reverseatherosclerosis progression. In clinical studies, the reported acceptability of vegetarian and vegan diets iscomparable to other therapeutic regimens.

    The presently available literature indicates that vegetarian and vegan diets present potential advantagesfor the management of type 2 diabetes.

    Dr. David Jenkins out of Canada was a co-author & hes published a lot of research on the benefits ofhigh nutrient plant-based diets for both diabetes and heart disease prevention.

    http://www.happyhealthylonglife.com

    FROM TPP Excellent citation. thanks

    The Healthy Librarian

    2. 2. September 24, 2009 3:50 pmLink

    Avacaaaado yum.

    running librarian

    3. 3. September 24, 2009 4:08 pmLink

    As a person with Type 1 DM for 40 years, I just want to issue a caution: Watch portion sizes. Otherwise

    the amount of carbohydrate (CHO) adds up and the blood sugars go up accordingly. I stick to 30 gramsof CHO a day, so, for example, making the tomatillo soup WITHOUT the sweet potatoes means I canhave a little more of an equally delicious soup.

    Dr. Stan De Loach

    4. 4. September 24, 2009 4:52 pmLink

    It seems to me that the cultures that avoid diabetes can be either low fat/ high carb (like Japan) or highcarb/ low fat (like the Copper Canyon in Mexico. What they seem to have in common is an absence ofsugar and other highly refined foods.

    Peter Silverman

    5. 5. September 24, 2009 5:00 pmLink

    Another recent study compared a low-carb Mediterranean diet with the low-fat American HeartAssociation diet in people with type 2 diabetes.

    Mediterranean won.

    [Reference: Esposito, Katherine, et al. Effects of a Mediterranean-style diet on the need forantihyperglycemic drug therapy in patients with newly diagnosed type 2 diabetes. Annals of InternalMedicine, 151 (2009): 306-314.]

    Youd think that in 2009 wed know the best diet for people with type 2 diabetes, but we dont. Perhapsits a heterogeneous disorder for which there will never be a single best diet.

    -Steve Parker, M.D.-http://DiabeticMediterraneanDiet.com

    Steve Parker, M.D.

    6. 6. September 24, 2009 6:02 pmLink

    Did anyone else notice that avocados are high-fat, not low fat? In fact, 319/384 fat/total calories, percup.

    http://www.peertrainer.com/DFcaloriecounterB.aspx?id=2022

    Luckily thats O.K., since despite what Tara writes, the increasingly strong scientific (and anecdotal)results are that a very effective way for many people to control type 2 diabetes and metabolic syndromeis with low carbohydrate eating habits, not low fat ones. See e.g. Steve Parkers vegan low carbreference in #5, or this non-vegan version:

    Carbohydrate Restriction has a More Favorable Impacton the Metabolic Syndrome than a Low Fat Diet

    Lipids. 2009 Apr;44(4):297-309. Epub 2008 Dec 12

    abstract:

    http://www.ncbi.nlm.nih.gov/pubmed/19082851

    article in .pdf:

    http://www.cnpp.usda.gov/Publications/DietaryGuidelines/2010/Meeting2/CommentAttachments/Feinman-

    http://www.cnpp.usda.gov/Publications/DietaryGuidelines/2010/Meeting2/CommentAttachments/Feinman-Volek2009-170.pdfhttp://www.ncbi.nlm.nih.gov/pubmed/19082851http://www.peertrainer.com/DFcaloriecounterB.aspx?id=2022http://well.blogs.nytimes.com/2009/09/24/a-vegan-chefs-avocado-recipes-for-diabetes/#comment-392217http://well.blogs.nytimes.com/2009/09/24/a-vegan-chefs-avocado-recipes-for-diabetes/#comment-392177http://well.blogs.nytimes.com/2009/09/24/a-vegan-chefs-avocado-recipes-for-diabetes/#comment-392173http://well.blogs.nytimes.com/2009/09/24/a-vegan-chefs-avocado-recipes-for-diabetes/#comment-392155http://well.blogs.nytimes.com/2009/09/24/a-vegan-chefs-avocado-recipes-for-diabetes/#comment-392137http://www.happyhealthylonglife.com/
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    Volek2009-170.pdf

    Reading from the paper Tara references in her article, which compared the vegan diet to the ADA diet,in the vegan diet nutrient intakes were about 10% fat, 15% protein, 75% protein. In the ADA diet theywere about 20-30% fat (

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    (i.e. not maintainable). humans are designed to eat meat, plain and simple.

    http://www.proteinpower.com/drmike/low-carb-library/are-we-meat-eaters-or-vegetarians-part-ii/

    Paul Bowers

    13. 13. September 24, 2009 9:30 pmLink

    Ill take one of those Portabella Burgers With Avocado Spread - Sounds delicious! :)

    Bea Elliott

    14. 14. September 24, 2009 9:42 pmLink

    the problem with observational studies comparing vegetarian diets to those not following vegetariandiets is obvious. first, those following vegetarian diets tend to make other lifestyle changes (e.g. dontsmoke, dont drink, dont eat a lot of refined sugars/grains) that non-adherers dont.

    clinical trials should compare the vegetarian diet to the low-carb, high-fat diets, not conventionalrecommended diets, which are usually high in carbs (>100g/day).

    lastly, be wary of the source of your information. neal barnard is president of the physicians committeefor responsible medicine, a thinly-veiled front for PETA.

    FROM TPP - FYI, the study cited in the story was a randomized trial not an observational study.

    Paul Bowers

    15. 15. September 24, 2009 11:08 pmLink

    Im glad to see an article recognizing veganism as a healthy option!

    I am vegan for ethical reasons, but am constantly explaining that I am not sacrificing my health. Andthanks for the recipes!

    Allie16. 16. September 25, 2009 1:28 amLink

    FROM TPP - FYI, the study cited in the story was a randomized trial not an observational study.

    i was actually referring to study the healthy librarian cited. but again, the diet with the lower CHO intakeis going to lead to better blood glucose/insulin control. the ADA diet is a travesty. far too many carbsallowed.

    2 position papers and a few of the many studies supporting low-carb, high-fat diets as a treatment fortype 2 diabetes:

    Dietary Carbohydrate Restriction in the Treatment of Diabetes and Metabolic Syndromehttp://www.nmsociety.org/App_Themes/Images/Diabetes/CNI_Carb_Restrict_Westman.pdf

    Dietary carbohydrate restriction in type 2 diabetes mellitus and metabolic syndrome: time for a criticalappraisalhttp://www.nutritionandmetabolism.com/content/5/1/9

    Carbohydrate Restriction, as a First-Line Dietary Intervention, Effectively Reduces Biomarkers ofMetabolic Syndrome in Emirati Adultshttp://jn.nutrition.org/cgi/content/abstract/jn.109.109603v1

    Carbohydrate Restriction has a More Favorable Impacton the Metabolic Syndrome than a Low Fat Diethttp://www.nmsociety.org/App_Themes/Images/Research/Carbohydrate%20Restriction%20has%20a%20More%20Favorable%20Impact%20VOLEK_Lipids2009%5B1%5D.pdf

    The effect of a low-carbohydrate, ketogenic diet versus a low-glycemic index diet on glycemic controlin type 2 diabetes mellitushttp://nutritionandmetabolism.com/content/5/1/36

    Paul Bowers

    17. 17. September 25, 2009 8:59 amLink

    Im interested in networking with other diabetic vegetarians who are following a very low carb diet, asadapted from Dr. Richard Bernsteins Diabetes Solution guidelines.

    Please join our facebook group:The Vegetarian Low Carb Diabetic Healthy Diet Society

    http://www.facebook.com/group.php?gid=39690495167

    Sincerely,

    Barry ErdmanBoulder [email protected]

    Barry Erdman

    18. 18. September 25, 2009 10:02 amLink

    Re: Comment #7

    As a type 1 diabetic, I feel it is necessary to correct the false information in comment #7.

    http://well.blogs.nytimes.com/2009/09/24/a-vegan-chefs-avocado-recipes-for-diabetes/#comment-392487mailto:[email protected]://www.facebook.com/group.php?gid=39690495167http://well.blogs.nytimes.com/2009/09/24/a-vegan-chefs-avocado-recipes-for-diabetes/#comment-392411http://nutritionandmetabolism.com/content/5/1/36http://www.nmsociety.org/App_Themes/Images/Research/Carbohydrate%20Restriction%20has%20a%20More%20Favorable%20Impact%20VOLEK_Lipids2009%5B1%5D.pdfhttp://jn.nutrition.org/cgi/content/abstract/jn.109.109603v1http://www.nutritionandmetabolism.com/content/5/1/9http://www.nmsociety.org/App_Themes/Images/Diabetes/CNI_Carb_Restrict_Westman.pdfhttp://well.blogs.nytimes.com/2009/09/24/a-vegan-chefs-avocado-recipes-for-diabetes/#comment-392339http://well.blogs.nytimes.com/2009/09/24/a-vegan-chefs-avocado-recipes-for-diabetes/#comment-392321http://well.blogs.nytimes.com/2009/09/24/a-vegan-chefs-avocado-recipes-for-diabetes/#comment-392303http://well.blogs.nytimes.com/2009/09/24/a-vegan-chefs-avocado-recipes-for-diabetes/#comment-392299http://www.proteinpower.com/drmike/low-carb-library/are-we-meat-eaters-or-vegetarians-part-ii/
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    Type 1 diabetics CANNOT stop taking insulin. A healthful diet and lots of exercise are a necessary partof the successful treatment of type 1 diabetes, but no type 1 diabetic can stop taking insulin.

    If the type 1 diabetics commenter #7 is referring to really had no symptoms by the end of the month, itis because they were dead.

    Jane

    19. 19. September 25, 2009 10:08 amLink

    The key is Carbohydrate - and processed versus not.And the implicit component is AMOUNT, or moderation. The right amount of the right product at theright time. Too much or too little at the inappropriate time (frame) of the wrong product will result inproblems.

    For example, even wheat is fine; it becomes more problematic as white flour, a highly refined productthat eases the absorption (as long as you dont have Celiac disease, aka nontropical sprue.) Generallyspeaking vegans do not use bleached flour, but not always. (There is no injunction.) The vegan diet hasthe potential to be like the Eco-Atkins (or not) as well.

    PS Avocados are indeed high fat. But so is Salmon.Avocados are essential cholesterol free, and high in monounsaturated fats. Think of them as tastysolid olive oil.

    Zaglossus

    20. 20. September 25, 2009 10:15 amLink

    To the poster who commented:

    Hurray for rib-eye steaks, beef brisket, cheese, cream, butter and eggs with lots of green salad withblue cheese dressing and green veggies in olive oil. Thats pretty much been my diet for the past 10years.

    You have got to be kidding me. I cant even imagine how unhealthy your heart must be. Vegan is by farthe best diet to combat a variety of Western illnesses. Check out The China Study. Scary what somepeople think is healthy. No wonder our country has an obesity epidemic.

    Amanda

    21. 21. September 25, 2009 10:15 amLink

    i left a comment with a bunch of links supporting low-carb high-fat diets for the treatment of type 2diabetes. what happened to it? i spent 10 minutes writing that, so id appreciate it being posted.

    thanks, paul

    FROM TPP COmments with a bunch of links often end up in spam filters. If i find it Ill post,but no guarantees its still there..

    Paul Bowers

    22. 22. September 25, 2009 10:46 amLink

    i explain to someone struggling with type 2 diabetes that he/she has a metabolic traffic jam going on -

    an excess of too glucose and/or fats intracellularly has caused these nutrients to back up into the bloodstream.i help the person determine what foods seem to be the most problematic for them, whether high carb,high fat or both, and explore dietary options to clear that traffic jam either by substituting a healthierlower carb, or lower fat (and low glycemic index) food, or by decreasing overall quantity of high densitycaloric foods.i also describe how regular exercise helps in a different way clear out their intracellular traffic jamwithin their muscles and explore how the person might incorporate some regular activity into dailyroutine.

    Karen LaVine, RN CDE

    23. 23. September 25, 2009 10:59 amLink

    Nick, http://veganhope.com is the blog of a woman who reversed her diabetes with a vegan diet aftermany years trying to control it with a low carb diet.

    mollyjade

    24. 24. September 25, 2009 12:42 pmLink

    thanks for the recipes!I am vegan for MANY reasons, thats pretty much been my diet for the past 4 years.

    Merval Eliel Medeiros Braga

    dd your comments...

    our Name Required

    our E-mail Required, will not be published

    our Commentomments are moderated and generally will be posted if they are on-topic and not abusive. For more

    http://well.blogs.nytimes.com/2009/09/24/a-vegan-chefs-avocado-recipes-for-diabetes/#comment-392625http://veganhope.com/http://well.blogs.nytimes.com/2009/09/24/a-vegan-chefs-avocado-recipes-for-diabetes/#comment-392553http://well.blogs.nytimes.com/2009/09/24/a-vegan-chefs-avocado-recipes-for-diabetes/#comment-392545http://well.blogs.nytimes.com/2009/09/24/a-vegan-chefs-avocado-recipes-for-diabetes/#comment-392505http://well.blogs.nytimes.com/2009/09/24/a-vegan-chefs-avocado-recipes-for-diabetes/#comment-392503http://well.blogs.nytimes.com/2009/09/24/a-vegan-chefs-avocado-recipes-for-diabetes/#comment-392493
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