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£2.90 By Veronika Charvatova MSc and Jane Easton, Vegetarian & Vegan Foundation The Big-D: defeating diabetes with the D-Diet Eat to beat the disease – a guide providing you with know-how together with show-how

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Page 1: The Big-D: defeating diabetes with the D-Diet · cause is obesity and related risk factors include high blood pressure, low HDL cholesterol, and high triglycerides. Pre-diabetes almost

£2.90By Veronika Charvatova MSc and Jane Easton,Vegetarian & Vegan Foundation

The Big-D:defeating diabeteswith the D-DietEat to beat the disease –a guideproviding you with know-howtogether with show-how

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About the Vegetarian & Vegan FoundationThe Vegetarian & Vegan Foundation (VVF) is a science-based health andnutrition charity which monitors and interprets the growing body ofresearch linking diet and health. The VVF helps the public, healthprofessionals and the food industry make informed choices about diet byproviding accurate information and advice about healthy eating. The VVFalso runs health and education campaigns, presents school talks,cookery demonstrations, produces a wide variety of materials, runs theVegetarian Recipe Club and answers nutritional queries from the public. Veronika Charvatova MSc is the Health Campaigner at the VVF. She is

a biologist and has focused on understanding and uncovering the linksbetween health and nutrition for several years. She translates scientificresearch into everyday language and provides nutritional advice aboutplant-based diets. Jane Easton is the Food and Cookery Coordinator at the VVF. Jane

regularly gives public talks and cookery demonstrations for the VVF andour sister group Viva!. She creates recipes for our campaigning materialsas well as for our, and Viva!’s, magazine Viva!Life. Her recipes andexpertise are on hand for members of the Vegetarian Recipe Club – seewww.vegetarianrecipeclub.org.uk.

© Vegetarian & Vegan Foundation, 2011.

Vegetarian & Vegan Foundation, 8 York Court, Wilder Street, Bristol BS2 8QH

Tel. 0117 970 5190; Email: [email protected];www.vegetarian.org.uk

Need help to lose weight?Lower cholesterol and blood pressure?Detox?Eat well?Gain energy?

Contact Juliet Gellatley BSc, Dip CNM, FNTP, NTCC, CNHC,Revive! Nutrition for a 90 minute consultation in Bristol (£60; follow ups are £30) and change your life.

Revive! Nutrition, 8 York Court, Wilder St, Bristol BS2 8QH.Tel: 0117 944 1000 [email protected]

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Know-howWhat is diabetes? 4

The causes of diabetes 7

What’s wrong with our diet? 10

Defeat diabetes with the D-Diet 11

Why you should try the D-Diet 16

Show-how 18Product guide 20

How to read food labels 21

One week of diabetes defeating menus 26

RecipesLentil & Tomato Soup 29

Smoky Split Pea Soup 29

Spicy Tomato & Two-Potato Soup 30

Easy Peasy Noodles 31

Rice, Beans ‘n’ Greens 31

Almost Instant Black-eyed Bean Paté 32

Accelerated Aubergine & Chickpea Curry 33

Smoky Bean & Garlic Paté OR Smoky Bean & Broccoli Paté 34

Greek-Style Butterbean & Tomato Stew 34

Scrambled Tofu 35

Speedy Gonzalez Chilli 36

Pancakes 36

Moroccan Quinoa Salad 37

Butternut Squash with Garlic-Thyme Aduki Beans 38

Creamy Bean & Potato Dip 38

Easy Quinoa 38

Easy Brown Rice 39

Reduced-fat Soyannaise 39

Sour Crème 40

Dressing Down – Lower-Fat Salad Dressings 40

Saucy 42

Extra! Extra! – Quick Fix Meals for Busy Times 44

Vegetarian & Vegan Foundation 3

Contents

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Diabetes mellitus (the full medical name) is ahealth condition characterised by high levelsof glucose (sugar) in the blood, which the bodycannot use properly and eventually excretes inthe urine, together with a lot of water. It iscaused either by the pancreas not producingthe hormone insulin – or not enough of it – orby the body cells’ inability to react to insulin. Insulin is produced by the pancreas and acts

as a key that lets glucose into the body’s cells.Glucose is a sugar that is a vital source ofenergy for all cells and thus the main fuel forthe body’s processes. It comes from digestingcarbohydrates and it’s also partially producedby the liver. Carbohydrates are the mainnutrient in healthy foods such as wholegrainor rye bread, pasta, oats, brown rice, pulses(beans, peas and lentils), sweet potatoes, andin not so healthy foods such as white bread,cakes, sweets and other sugary foods. If the body cannot use glucose as a source

of energy, it uses fat instead but this inevitablydisturbs the biochemical balance of the bodyand leads to further health complications.Typical examples of this are unhealthy dietssuch as the Atkins, where carbohydrates areavoided in favour of fatty foods. Symptoms ofdiabetes include tiredness, irritability, nausea,hunger, thirst, weight loss, blurred vision,tingling sensations in the hands and feet and

dry, itchy skin. In 1985, an estimated 30 million people

worldwide had diabetes; a decade later thisfigure had increased to 135 million and by 2000an estimated 171 million people had diabetes.It is predicted that at least 366 million peoplewill have diabetes by 2030. This rapid increaseis attributed to a range of factors, includingpopulation growth, ageing, unhealthy diets thatare high in saturated fat and cholesterol,obesity and lack of physical exercise.

Number of diabeticsworldwide

4 Defeating Diabetes with the D-Diet

What is diabetes?

400000000

350000000

300000000

250000000

200000000

150000000

100000000

50000000

01985 1995 2000 2030

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In the UK alone, 2.8 million people havebeen diagnosed with diabetes but it isestimated that up to half a million more havethe disease but have not yet been diagnosed. Just in 2008, 145,000 people were

diagnosed with diabetes in the UK – that’saround 400 people every day! According to thelatest numbers, it is expected that by 2025over four millions people will have it. Becauseof a rapid increase in the number ofoverweight and obese people, and becausethe population is ageing, most of these caseswill be type 2 diabetes.

Diagnosing diabetesA diagnosis is arrived at after repeated bloodtests which measure the amount of glucose(sugar) in the blood, specifically in the part ofthe blood called plasma.You will be diagnosed with diabetes if your

tests show that:

n plasma glucose after fasting for 8-12 hoursis more than 7.0mmol/l (126mg/dl) and/or

n plasma glucose two hours after ingesting aspecial glucose drink is more than11.1mmol/l (200mg/dl)

Another criterion is called glycosylatedhaemoglobin (HbA1c) which reflects theaverage level of blood glucose over a period ofweeks. Haemoglobin molecules are one of the

main components of red blood cells and whenglucose binds to haemoglobin in thebloodstream HbA1c occurs. The more glucosethere is, the more HbA1c will be present. Redblood cells survive for eight to 12 weeksbefore renewal and so by measuring HbA1c,an average blood glucose reading can beestablished.For non-diabetics, the usual reading is 3.5-

5.5 per cent. For people with diabetes, anHbA1c level of 6.5 per cent is considered goodcontrol, although the closer to the non-diabetic figure, the better.

Type 1 diabetesType 1 diabetes usually develops early in lifewhen the immune system attacks the insulin-producing cells in the pancreas and effectivelydestroys them. The body is then unable toproduce any insulin. Because insulin is thekey which allows glucose to enter the body’scells, when it is absent the glucose goesunused and builds up in the blood.Type 1 diabetes accounts for approximately

10 per cent of all people with diabetes but isincreasing rapidly in all age groups, with aparticularly steep rise amongst childrenunder five years old.The evidence is growing that a combination of

susceptible genes and early exposure to cows’milk is responsible for this self-harming reactionof the body. A virus or other infection may also beimplicated in triggering the condition.

Type 2 diabetesIn type 2 diabetes, the body can still makesome insulin but not enough, or it doesn’treact to insulin properly (insulin resistance)so, again, glucose builds up in the blood.Approximately 90 per cent of all people withdiabetes in the UK have type 2.It usually develops in people over the age of

40, but South Asian and African-Caribbeanpeople are at greater risk as they often becomediabetic relatively early in life – around the ageof 25. The disease is rapidly becoming more

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HbA1c & Glucose Blood LevelsHbA1c Average Stage of(%) Blood diabetes

Glucose(mmol/l)

13 1812 1711 1510 139 128 107 86 7

5 5

Levels of HbA1cabove 6.5% areconsidered diabetic

HbA1c 6 – 6.5% isconsidered pre-diabetesor at risk of diabetesHbA1c 3.5 – 5.5% isconsidered normal

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6 Defeating Diabetes with the D-Diet

common in children, adolescents and youngpeople of all ethnicities as it is closely linked tothe rapid increase in childhood obesity.

Metabolic syndromeMetabolic syndrome, or Syndrome X, ischaracterised by central obesity (weightaccumulated mostly around the waist), raisedblood pressure, raised triglycerides (fats in theblood), low HDL (the ‘good’ cholesterol that isbeing cleared from the bloodstream) andimpaired glucose metabolism. Impairedglucose metabolism means that the body isnot using glucose properly and the level in theblood is raised but has not yet reacheddiabetic levels.All these symptoms significantly increase

the risk of diabetes and cardiovascular (heart) disease.

Pre-diabetesThose with impaired glucose metabolism arediagnosed with pre-diabetes – a conditionassociated with insulin resistance. The maincause is obesity and related risk factorsinclude high blood pressure, low HDLcholesterol, and high triglycerides.Pre-diabetes almost always precedes type 2

diabetes but many people don’t know theyhave it until diabetes develops. However, bothpre-diabetes and metabolic syndrome arereversible with the right approach.

It’s not all sweetDiabetes is not usually diagnosed immediatelyafter it starts and so by the time the diagnosisis made, many people will have alreadydeveloped other health complicationsresulting from diabetes. Even those who areaware of their diabetic condition and haveadjusted their lifestyle, are still atconsiderable risk of heart disease, stroke, eye problems, kidney disease, nerve damageand amputations.

The location ofthe pancreas inthe human body

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All in the genes?Not really! Our genetic make-up plays animportant role and a certain set of genes canmake us more or less susceptible todeveloping diabetes. However, even if yourgenes do make it more likely that you willdevelop the disease, it doesn’t mean you will.Several gene variants have been identified

as contributing to type 1 diabetes but only asmall proportion of people with those genesgo on to develop the disease – less than 10per cent. It follows that environmental factorsare necessary to trigger the reaction whichdestroys insulin producing cells. Lifestyle and environment also play a huge

role in the development and severity of type 2diabetes. Even individuals with susceptiblegenes and many of those who have alreadydeveloped the disease don’t have to live with itfor the rest of their lives.

Lifestyle andenvironmentalfactorsLifestyle is incredibly important and cansignificantly increase or decrease the risk of

developing the disease. Even if both parentshave diabetes, it doesn’t necessarily meantheir children will develop it too.

Type 1 diabetesIt has been known for years that type 1diabetes is triggered by something in theperson’s environment. The conventionaltheory is that a viral or another infectionmight be the culprit, making the body attackits own insulin producing cells by mistake.There is, however, a more uncomfortabletheory – that cows’ milk is the main triggerand it has been increasingly accepted since itwas first suggested in the early 1990’s.If an individual has a certain combination of

genes, making them more susceptible to type1 diabetes, the environmental trigger is thekey which opens the door to the disease. But

if the trigger is avoided, they may neverdevelop diabetes. The theory is as follows.A baby with a susceptible genetic make-up

is exposed to cows’ milk early in life, forexample through infant formula. At the sametime the baby’s immune system might beweakened by a virus infection. When milkproteins reach the intestine, they are not fullydigested and broken down into individualamino acids as they should be. (Amino acidsare the building blocks of proteins.) Instead,they are only broken down into chains ofamino acids and these fragments may beabsorbed into the blood where the immunesystem recognises them as foreign intrudersand attacks them.Coincidentally, the structure of some of

these dairy fragments is identical to thesurface structure of the body’s own insulin

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The relative(s) with the Risk of type 1 diabetes Risk of type 2 diabetesparticular type of diabetesDiabetic mother 2% 15%Diabetic father 8% 15%Both parents diabetic Up to 30% 75%Diabetic brother or sister 10% 10%Diabetic non-identical twin 15% 10%Diabetic identical twin 40% 90%

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producing cells (ß-cells) in the pancreas and itcannot distinguish between the two. As aresult, both pancreas ß-cells and milk proteinfragments are attacked and destroyed by the immune system and the child becomes diabetic.The process of ß-cell destruction can be

fast and aggressive, when the diseasedevelops within a few months or, more often,it can take as long as 10 years or more as thecells are gradually destroyed. Type 1 diabetesis irreversible as the cells cannot regenerate.So what exactly are the milk proteins

responsible for this reaction? There are three which will trigger this immune system reaction:

1 Bovine serum albumin (BSA)Human milk also contains albumin but it isdifferent in structure to cows’ albumin. Whena foreign body is identified in the bloodstream the immune system reacts byproducing antibodies to fight it, so thepresence of particular antibodies is anindicator that there is something in the bloodthat shouldn’t be. When scientists tested type1 diabetics and healthy children forantibodies against BSA, the results wereastonishing. All diabetic children hadantibody levels as much as seven timeshigher than the healthy children. Otherstudies have followed and all but one havefound that diabetic children have high levelsof BSA antibodies in their blood.

2 ß-caseinThe structure of human ß-casein is similar toß-casein from cows’ milk but about 30 percent is different, which is assumed to be thereason why the immune system attacks it. As

with BSA, there are structural similaritiesbetween cows’ milk ß-casein and themolecules on the surface of the insulinproducing cells in the pancreas. It is this closesimilarity that causes the immune system toreact and attack both the cows’ ß-casein aswell as its own pancreas cells by mistake.

3 Cows’ insulinCows’ insulin is present in formula milk andcan trigger the formation of specificantibodies. Research shows that the immunesystem of babies given cows’ milk formula asearly as three-months old, reacts stronglyagainst the cows’ insulin and produces anti-insulin antibodies. This results in the body’simmune cells attacking human insulin also.

An extensive study of children from 40 differentcountries confirmed a link between diet andtype 1 diabetes. The study set out to examinethe relationship between dietary energy frommajor food groups and the occurrence of thedisease. Meat and dairy foods significantlyincreased the risk of type 1 diabetes whilst adiet based on plant foods resulted in a much

reduced risk of this disease. The moremeat and milk in the diet, the higher wasthe incidence of diabetes but the moreplant-based foods that were eaten, thelower the occurrence. In summary, an early exposure to cows’

milk (via infant formula) puts susceptiblechildren at high risk of developing type 1

8 Defeating Diabetes with the D-Diet

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diabetes. If a baby cannot be breastfed until atleast six months old, a much better option issoya-based formula. It provides all theessential nutrients without triggering animmune reaction. More than 20 per cent of allUS babies have been brought up on soya-based formulae for 40 years or more – that’smillions and millions of children – with noadverse reactions.

Type 2 diabetesType 2 diabetes is closely linked with beingoverweight or obese – in fact, obesity is themain risk factor, particularly abdominal obesitywhere the weight sits around your waist.According to the latest statistics, almost a

quarter of adults in England (24 per cent ofmen and 25 per cent of women) are classifiedas obese. In addition, 42 per cent of men and32 per cent of women classified as overweight.The numbers of obese children are equally

startling – 17 per cent of boys and 15 per centof girls aged two to 15. With this rapidly risingnumber of overweight people, the risk ofdiabetes is ever-increasing.An extensive, 21-year study involving over

25,000 adults found that diabetes is lessfrequent among vegetarians and vegans.Those on meat-free diets had a 45 per centlower risk of developing diabetes compared tothe population as a whole. Another long-termpiece of research followed the eating habits ofpeople for 17 years. It showed that eating justone serving of meat per week significantly

increases the risk ofdiabetes. Peoplefollowing a low-meatdiet had a 74 per centincrease in the risk oftype 2 diabetescompared tovegetarians. The big question is

why? What makesanimal products sodamaging to health?The answer is simple –fat is the main culprit.Several studies

revealed that in people with insulin resistance(one of the main problems in type 2 diabetes)microscopic drops of fat accumulate in bodycells and interfere with their ability to react toinsulin correctly. Even though their bodiesmight produce enough insulin, the fat insidecells blocks the necessary reactions. Musclecells normally store small amounts of fat asan energy reserve but, as the researchshows, in insulin-resistant people, fat canbuild up to levels 80 per cent higher than inother, healthy people. Slim people are notexempt because it takes years for diabetesand other symptoms to develop. But it doesn’t end here. An abundance of fat

in the bloodstream also turns off some ofthose genes that normally help the body toburn fat! A high-fat diet, therefore, not onlycauses the body to accumulate fat in the

muscle cells but also slows down its ability toburn that fat. The result is an inability torespond to insulin.This paradox can be explained by our

evolutionary history. When food was scarce,the bodies of our ancestors developed specialmechanisms to store fat when they had theopportunity – it was vital for their survival. Welive in a much different world now but ourbodies are still ready to store fat at any time ifwe provide it for them.The common diet in many countries,

including the UK, is high in fat, animalproducts and sugary foods and low in complexcarbohydrates (see page 14). Not only is thisresponsible for ever-increasing numbers ofoverweight or obese people but it alsoincreases the risk of diabetes andcardiovascular disease.

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Treatment of diabetes is individual aseveryone has different needs, according totheir condition, stage of the disease and otherhealth complications. The classical approachto diabetes treatment is based on acombination of diet adjustments, carbohydratecounting and medication. This approach canaffect people’s lives quite profoundly. Most professional health advisors are likely

to prescribe a diet that limits carbohydrateand calorie intake, recommends cutting downon certain types of fat and encourages theconsumption of high-fibre and low glycemicindex (GI) food. It might improve the conditiontemporarily by inducing weight-loss but itdoes not bring blood glucose under long-term control, and sooner or later medicationis needed.People with type 1 diabetes are usually

required to learn the approved method ofcarbohydrate counting because their insulindoses are based on the amount ofcarbohydrate eaten. Recommendations to use food exchange

lists (combining certain types of food at everymeal), counting carbohydrates or restrictingportion sizes have serious shortcomings. Allthis, combined with medication, focuses mainlyon glucose management and weight-loss butdoes not bring about any meaningful changes

in metabolism. Whilst it might keep bloodsugar under control, it does not limit animalproducts – the main sources of fat in the diet –and still allows the body to feast on saturatedfats and cholesterol. The outcome is that thekidneys continue to work hard to cope withanimal proteins, the fat drops accumulated inmuscle cells stay exactly where they are andthe condition gradually worsens.

What’s wrong with our diet?

10 Defeating Diabetes with the D-Diet

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People with both types of diabetes will benefithugely from the D-Diet although those withtype 1 will always need to take insulin.However, type 1 diabetics can use the D-Dietto keep insulin doses to a minimum andmarkedly reduce their risk of further healthcomplications. Our approach is based on what you eat, not

on counting how much you eat. Maybesurprisingly, what you eat actually regulateshow much you eat, and we’ll come to that later.Research has shown that it is perfectly

possible to reverse type 2 diabetes – decreaseblood sugar levels, medication and the risk ofcomplications – with the right diet. A numberof trials have achieved significantimprovements, enabling patients to lower ordiscontinue medication after just three weeks.Added benefits include weight loss, alleviationof diabetes-related pain (neuropathic pain)and a significant drop in heart disease riskfactors such as high blood pressure andcholesterol levels.Alongside these studies, the dietary patterns

of nearly 3,000 volunteers without diabeteswere analysed and their risk of diabetesestablished. The main indicators wererepeatedly measured – blood glucose, insulinconcentrations, cholesterol levels and waistcircumference. The findings were clear: eating

a diet based mainly on plant foods protectsagainst insulin resistance, whilst refinedgrains, high-fat dairy, sweet baked foods,sweets and sugary soft drinks increase it.

Basic principles ofthe D-DietThese are the basic principles of a diet whichcan prevent, treat and reverse diabetes.Anyone with diabetes switching to this newdiet should be in close touch with their doctorbecause glucose control and insulin sensitivitycan improve relatively quickly and there mightbe a need to adjust medication. Never take thisdecision by yourself – always consult a doctor.

1st principle: no to all animal products By rejecting all animal products, such asmeat, fish, dairy and eggs, you will avoideating substantial amounts of fat and yourcholesterol intake will be, literally, zero. Evenlean white meat and fish contain surprisingamounts of fat. For example, 38 per cent ofcalories from roast chicken and 40 per cent ofcalories from salmon come from fat. All fish,despite being promoted as a source of omega-3 fats, also contain cholesterol and a

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significant proportion of their fat issaturated – between 15 and 30 per cent,depending upon the species.Even low-fat varieties of dairy products

inevitably contain fat and most of it issaturated. There is absolutely no need forsaturated fats in our diet. Cutting down fat intake is vital for many

reasons – to help muscle cells reduce theamount of fat interfering with insulinsensitivity, to improve heart health, to reducethe risk of many degenerative diseases and topromote weight loss.But there are other reasons to avoid animal

products. Animal proteins found in meat, dairyand eggs put an additional strain on thekidneys and can eventually harm them. Plantproteins do not have the same effect.Protecting the kidneys is another key issue onthe way to better health. All foods should be of plant origin and

unrefined wherever possible, which meansthey are naturally high in fibre and complexcarbohydrates (see page 14) and low in fat,with the exception of oils, nuts and seeds.Animal products contain no fibre or healthycarbohydrates. We can get all the essentialnutrients we need from plant foods.Avoiding certain foods is ultimately easier

than attempting to limit their intake.Attempting just to reduce how much you eatof a particular food is rarely successful as thecravings for those foods might never be lost.Avoiding problem foods entirely allows your

taste to adjust to the new way of eating andproblem foods won’t be so appealing!

2nd principle: low fatEven though vegetable oils are better thananimal fats as they contain essential fattyacids, less saturated fat and no cholesterol, itis still important to keep them to a minimum.The body needs to get rid of the fats

accumulated inside its cells and it can only dothis when it is not being continually suppliedwith excessive amounts of fat. Low-fat foodmeans that the body will get the essentialquantity of fat it needs but not more.The amount of fat per serving should not

exceed three grams, or 10 per cent of caloriesfrom fat at any given meal. Diabetics should alsolimit their consumption of nuts and seeds.(Small amounts of vegetable oils such as flaxeedoil should be consumed though – see page 15.)

3rd principle: low GIGlycemic index (GI) is a measure of the effectsof carbohydrate sugars and starches on bloodsugar levels. Carbohydrates that break downquickly during digestion and release glucosequickly have a high GI; those that break downmore slowly, releasing glucose gradually intothe bloodstream, have a low GI. It is theselatter types of food that are the ones you need.Low GI means that after eating a particular

food, blood glucose won’t reach overly-highlevels, which is exactly what diabetics need, notonly to better control their blood sugar but also

12 Defeating Diabetes with the D-Diet

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to avoid complications caused by hyperglycaemia(high levels of blood sugar). These can includeeye problems, nerve damage and kidney disease.Low GI foods also prevent episodes of

hypoglycaemia where blood glucose levelsbecome too low which can result in feeling weak,shaky, fainting or even becoming comatose!In summary, the D-Diet contains only foods

from plant sources, minimum amounts of oilsand is high in foods with a low glycemic index.The D-Diet is based on the following foodgroups – wholegrains, pulses, vegetables, fruit,nuts and seeds. While limiting the types of foodeaten, the D-Diet does not limit the amount youeat because all these foods are high in fibre anddigested gradually, which makes you feel fullersooner and for longer. The minimal amount offat it contains naturally limits calorie intake.

Here’s why the D-Diet worksWhat we eat has en enormous effect on ourmetabolism, not least the fact that fats canaccumulate in our cells and seriously damageour health by triggering a whole range ofproblems. This plant-based, wholesome andlow-fat diet works on many levels and for bothtypes of diabetes. Here’s why.

1 Improves metabolismIt eliminates fat stores in your cells and thusimproves cell metabolism, enabling it to workproperly and remove fatty obstacles standingin the way of insulin sensitivity.

2 Helps heartsWhen you steer away from refined (white)carbohydrates (such as white bread, whitepasta, sweets, etc.) and fats and eliminateanimal products from your diet, the risk ofheart and circulation problems – high bloodpressure, raised cholesterol and triglyceridesand atherosclerosis – plummets. There is nocholesterol in plant-based foods.

3 Cares for kidneysThe kidneys can cope with plant protein muchbetter than with animal protein. By switchingto a vegan diet, you relieve your kidneys. Highprotein diets work the liver and kidneys hardto filter out nitrogen products from proteinmetabolism. The kidneys dilate their bloodvessels to filter out this protein waste andanimal protein causes greater dilation thanplant protein. Plant-derived proteins are alsolower in sulphur and demand less from thekidney’s filtration system. Research hasshown that among people with any degree ofkidney damage, animal protein increases therisk of further damage, whilst a vegan diethas a protective effect.

4 Protects organsMany diabetes-associated complications arecaused by the damage done to the blood vesselsby poor blood sugar control (high glucose levels)and by raised cholesterol levels, which can harmthe walls of arteries. Diets based on starchy,high-fibre foods remove excess cholesterol and

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The glycemic index of selected foodsClassification GI range ExamplesLow GI 55 or less Most fruits and vegetables, pulses (beans, soya, peas, lentils,

chickpeas), barley, buckwheat, hummus, pasta, nuts and seeds, sweet potatoes, dried apricots and prunes, rolled oats, all-bran cereals, wholegrain pumpernickel bread, soya yoghurt and products low in carbohydrates

Medium GI 56–69 wholewheat bread, rye bread, crisp bread, brown rice, basmati rice, corn, porridge oats, shredded wheat, pineapple, cantaloupe melon, figs, raisins, beans in tomato sauce

High GI 70 and above potatoes, watermelon, pumpkin, white bread, French baguette, white rice, rice cakes, corn flakes, processed breakfast cereals, dates, sugary foods

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enable the body to digest carbohydratesgradually, preventing blood glucose levels fromrising too high and damaging blood vessels. Thisis extremely important for the eyes, kidneys andheart – organs which are particularly at riskfrom diabetes.

5 Sheds weightThe D-Diet also induces general weight-loss,which is a much desired effect. It does sowithout portion restriction and thereforebrings about the positive change of losingweight without leaving you hungry. This isactually a very important issue becausenumerous restrictions and limitations and thelack of positive results make many diabeticsdepressed. Every 14 grams of fibre reduce thecalorie intake by about ten per cent.

Research shows that the results in patientswho follow this diet are better than any singledrug can manage.

D-Diet nutritionbasics A healthy diet which will bring about areversal of diabetes or significantimprovement in the condition should be basedon the food groups in the table opposite.One to two litres of water per day (at least

eight glasses) should also be consumed aspart of a healthy, balanced diet. Tea, especially

herbal teas, can be counted as water.Wholegrains are rich in complex

carbohydrates (see below) and therefore havea low GI. Pulses are high in protein and alltypes have a low GI. Virtually all vegetableshave a low GI and contain many essentialvitamins and minerals as well as cancer-fighting antioxidants.It is a common misconception that because

fruits are sweet, they should be avoided bydiabetics. In fact, nearly all fruits have a lowGI, with the exception of watermelons andpineapples. Moreover, they are full ofantioxidants and contain a wealth of vitaminsand minerals.

* Important note on grapefruit: grapefruit orgrapefruit juice can influence the effects ofsome medications. For example it canincrease the blood concentration of someblood pressure and cholesterol loweringdrugs, antihistamines and some psychiatricmedications. If you are on any kind ofmedication, it is necessary to consult howgrapefruit might affect you with your doctor.

ComplexcarbohydratesComplex carbohydrates, also known as starchycarbohydrates or polysaccharides, are naturalcompounds found in many foods. Allcarbohydrates, simple or complex, are made up

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Vegetarian & Vegan Foundation 15

know-howNo. of servings Foods Healthy portion size To provide

At least 5 Fruit and vegetables Eaten preferably whole or in smoothies (juices have Folate, (folic acid) Calcium,higher GI because they don’t contain fibre) Vitamin A, Vitamin C, Fibre, Iron,Fresh fruit 1 medium piece AntioxidantsDried fruit 1-11⁄2 tablespoons Green or root vegetables 3 tablespoons Salad vegetables 1 cereal bowl

3 or 4 Wholegrains Wholegrain pasta, brown rice, oats, rye bread, grains Energy, Fibre, B Vitamins, such as wheat, spelt, barley, millet, quinoa, etc Calcium, Iron, ProteinCooked brown rice 3 heaped tablespoons Breakfast cereal 25g or 1 regular sized cereal bowlCooked wholemeal pasta 1 cup as side dish or 2 cups as main dishWholemeal or rye bread 2 slices

2 or 3 Pulses 1½ cup (cooked) Protein, Energy, Fibre, Iron, Beans, lentils, soya, peas, chickpeas, tofu and low-fat soya and Calcium, Other Mineralsbean products (burgers, sausages, mock meat, yoghurts etc.)

1 Nuts or seeds 1 tablespoon Protein, Energy, Fibre, Iron, Calcium, Other Minerals, Vitamin E

Small amounts Margarine and vegetable oils 1 teaspoon per portion Vitamin A & D (fortified margarine)Flaxseed, hempseed or rapeseed oil, used cold; olive oil Energy, Vitamin E (vegetable oils),or rapeseed oil for cooking Essential Omega-3 and Omega-6

fats (flaxseed, soya, walnut, hemp)

At least 1 B12 supplement or fortified foods such as Vitamin B12fortified soya milk, fortified breakfast cereal, yeast extract (eg Marmite)

1-2 litres of water per day (eight glasses) should also be consumed as part of a healthy, balanced diet. Tea, especially herbal teas,count as water. If you are on medication, consult your doctor on how grapefruit might affect you.

D-Diet nutrition basics A healthy diet which will bring about a reversal of diabetes or significant improvement in thecondition should be based on the following food groups each day.

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of sugar molecules. If three or more of thesemolecules are bound together, it is considered acomplex carbohydrate. Complex carbohydratesare healthier than simple carbohydrates, whichcontain just one or two sugar molecules,because it takes the body longer to break themdown. This slow digestion releases sugar intothe bloodstream slowly, providing the body witha continual supply of energy rather than a shortburst. Vegetables, pulses and wholegrains arehigh in complex carbohydrates.

Alpha – omegaTo ensure sufficient intake of essential omega-3 fats, natural sources such as flaxseed(linseed), hempseed, walnuts or rapeseed oilshould be made part of a daily diet. The bodyonly needs small amounts so the low-fat ruleapplies even to these ‘good’ fats.

• Flaxseed (linseed), hempseed: 1 tbsp of milled(ground) seeds, sprinkled on breakfast cerealor added to smoothies, or 1 tsp of oil added toany meal when serving. Itshould not be heated asthis will destroy itsproperties

• Walnuts – 5-8halves

• Rapeseed oil –1 tbsp forcooking

Vitamin B12A vegan diet based on the above principles isthe healthiest possible but there is a need foradded vitamin B12, either in a supplement(available in health food shops and chemists)or from fortified foods such as soya milk andmargarines. This requirement is not vegan-specific as B12 supplementation isrecommended for all people above the age of50, including meat eaters. B12 requirementsmay be higher in diabetics because thecommonly taken drug, Metformin can reduceabsorption of this vital vitamin (Diabetes UK, 2008).

That well-planned, plant-based diets worksuccessfully has been confirmed time and againby scientific research. As the latest review onnutrition and health makes clear – a vegetariandiet, is nutritionally suitable for adults andchildren and promotes better health. The samereview also states that vegetarians have lower

body weight, lower cholesterol(including the bad stuff –

LDL), lower bloodpressure, fewerdeaths fromheart disease,fewer strokesand reducedlevels of type 2diabetes and

certain cancers.

Why you should trythe D-DietWhat we eat has an enormous effect on ourbodies and if we choose the right diet, it canliterally save our lives. Scientific researchand clinical studies show that lifestyle is thesingle most important factor in thedevelopment of diabetes – and it’s never toolate to try this new approach.Give the D-Diet four weeks and follow the

rules completely. Yes, it might be challengingat first but soon you’ll realise that it is notthat difficult and the positive changes willmotivate you to carry on. Encourage yourfamily or your partner to try it with you, theywill also benefit from a healthy diet and itwill be easier for you to stick to it.The current mainstream approach can

never reverse diabetes, it can only slow itdown and delay the complications. Theapproach described in this guide can notonly reverse diabetes or minimise themedication needed, it can also prevent allthe debilitating complications that may comewith it as well as lower your risk ofnumerous other diseases, including cancer.It will help you lose weight without starvingyourself. And all that without any sideeffects! It’s got to be worth trying!

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Plus water – 1-2 litresVitamin D source – if little sun – from fortifiedfoods eg cereals, margarine, soya milkActivity – minimum 30 minutes exercise daily(includes brisk walking)See page 15 for portion sizes

Animal-freeFood PyramidDaily guide to the healthiest foods

Sun for Vitamin D1 portion B12fortified food

1-3 (25g) portionsessential healthy fats

2-4 portions veg(1 dark green, 1orange/yellow)

3-4 portionswholegrains

3-6 portions of fruit

2-3 portions protein-rich foods (peas, beans,lentil, nuts, seeds)

know-how

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Squeeze the Fat! Learn to cook with no, or very tiny amounts ofoil. This can be achieved by:

n Using non-stick pans and frying pans/woksn Using the ‘poach’ method instead of fat tocook onions, garlic and spices – the basicor ‘foundation’ ingredients of many meals.Do this by adding a little stock to thefoundation ingredients – about100ml/generous 3 fl oz – and simmeringthem until the onions are tender. Then addthe rest of your ingredients to this mixture.

n Using 1-2 squirts of oil sprayn Using 1-2 tsp oil per dish maximum – perdish, not portion

Dressing Down Or, how to dress salads the low-fat way! Seepages 24 and 41 for brands of salad dressingAND easy home-made options.

Pillars of Salt?Whatever your dietary needs and necessities,it’s always good to eat less salt. The goodnews is that our taste buds change everythree weeks or so. In other words, what mayhave tasted strange will eventually taste good! Case in point – switching to Natex, a

reduced salt yeast extract tasted very oddafter years of salty Marmite and similar, but Isoon became used to the new flavour.However, when I used the salty variety again ittasted awful! My new tastebuds now enjoy aless salty taste. Meridian’s No Added Saltyeast extract is also a good product. We have recommended low-salt stock

cubes and other products wherever possible –see Product Guide, page 20. Many of thesecan be found in large, good supermarkets –otherwise try a health food shop.

Beans, Beans,Beans…Eat shed-loads of them! Pulses – peas, beansand lentils – are miracle foods for so manyreasons. Mixing them with your mealsincreases their low-glycemic qualities, makesthem more filling and adds more protein andiron – as well as being low in fat. Result!Try them:

n In soups, especially those that are mainlyvegetable-based – just add a handful ofcooked pulses per portion

n In salads – most beans work well,including cooked peas and whole lentils(green, brown or Puy)

n In dips – hummus (made from chickpeas) isthe obvious one, but there are plenty ofother simple dips that can be whipped up inminutes from a can of beans and a fewherbs and spices

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Show-how!… or easy ways to cook, shop and snack on the D-Dietby Jane Easton

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ScintillatingCinnamonApart from being a great source of iron,calcium, manganese and fibre, cinnamon canhelp treat diabetes type 2. Seasoning a highcarbohydrate food with cinnamon can helplessen its impact on your blood sugar levels.Cinnamon slows the speed at which thestomach empties after meals, reducing therise in blood sugar. Cinnamon may also help diabetics (type 2)

respond to insulin, and so assist innormalising their blood sugar levels.Cinnamon both stimulates insulin receptorsand stops an enzyme that inactivates them,significantly increasing the cells' ability to use glucose. Studies in humans are currently underway

with a recent report from the US AgriculturalResearch Service showing that less than halfa teaspoon per day of cinnamon lowers bloodsugar levels in people with type 2 diabetes.Even the lowest amount of cinnamon, 1 gramper day (approximately ¼ to ½ teaspoon),produced an approximately 20 per cent drop inblood sugar. Triglycerides and cholesterolwere also lowered. When daily cinnamon wasstopped, blood sugar levels began to increase.So… sprinkle ground cinnamon on to your

breakfast cereal each morning (instead ofsugar!) and on to fruits, desserts, etc.

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A note on hummusThe ready-made (or even reduced-fat) brandstend to be high in fat. The good news is thatyou can make your own very quickly! Justblend a tin of rinsed and drained chickpeaswith a teaspoon of tahini, a squeeze of lemonjuice, salt and pepper – plus enough liquid toachieve your preferred consistency.

Pimp Your Hummus!Try adding one or more of these to the basicrecipe to ring the changes: n Oil-free roasted red pepper pieces (blend in)

n Sundried tomatoes (eg Merchant GourmetSlow Roast variety, which are oil-free)

n Fresh coriander

For the purists amongst you, hummus iseven nicer when made with freshly-cookedchickpeas – ie non-tinned! Soak overnight,then boil or pressure cook until tender. Drainin cold water and allow to cool beforemaking the hummus – a cup of cookedchickpeas is about the equivalent of adrained tin. And if you make a large batch ofchickpeas, the surplus can be frozen foranother time – use sealable sandwich bagsor airtight plastic containers.

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Nearly all the ingredients in the recipes areavailable from Waitrose and/or large branchesof Sainsbury’s, Tesco, Asda and Morrisons. But ifyou have an independent health food shop nearyou, use it – they are a treasure trove, especiallythe ones that sell real food (as opposed tosupplements!). Or try mail order – GoodnessDirect is a fantastic online wholefood companythat delivers (www.goodnessdirect.co.uk).

Know Your LabelsAlthough we have done most of the work foryou regarding products, it’s good tounderstand how nutritional labelling works ifyou want to try other items. It isn’t ascomplicated as you might think – just read ourinstructions below and take reading glasses tothe shops if you are of a certain age!

Per Cent or PerPortion? When writing fat levels on a product,manufacturers often give two measurements:per cent and per portion. The percentageshould be no more than 10 per cent, while 3gof fat should be the maximum per portion –this is what we have based our recipes on.

Products suitable forthe D-DietAlpro Soya Low Fat DessertsThese come in several flavours: Vanilla,Chocolate, Dark Chocolate or Caramel.

Agave SyrupA natural sweetener that is low GI comparedto sugar and other syrups – but use sparingly,nonetheless. Available in most largesupermarkets (not Asda at time of writing).

Breakfast Cereal – see Oats alsoWeetabix or supermarket own-brands aregood. However, some Kellogg or supermarketbreakfast cereals such as branflakes arefortified with an animal-derived Vitamin D3 soare not suitable for vegans. As ever, checkthe label. n Nature’s Path – mostly vegann Mesa Sunrise Flakes – a healthy breakfastcereal – available in most largesupermarkets (not Asda at time of writing)

n Dorset Cereal Muesli – or any other goodquality muesli that is whey/honey/sugar-free. (Avoid Alpen and similar, which tendto add these unhealthy extras!)

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Product Guide

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How to read food labelsLooking at food labels on manufactured foods and drinks can helpwhen choosing a healthier diet. This guide will help you to make senseof the label and to find out which nutrition values to look for.

The nutrition information on the label provides useful data but theyare not always easy to understand. Below is the kind of food label youwill find on a packet and a guide on how to read it.

Judging if a food is a healthy choice or notdepends on how it is cooked it and how oftenyou eat it, as well as the nutrition it contains.For a quick check use the following guide:

‘Per serving’ for a complete meal or ‘Per 100g’for a snack item such as biscuits or crisps

‘A little’ – this amount or less3g fat1g saturated fats2g sugars0.1g sodium0.5g fibre

‘A lot’ – this amount or more 20g fat5g saturated fats10g sugars0.5g sodium3g fibre

MAFF – Food Safety Directorate, 1998

EnergykJ (kilojoules)/kcals (kilocalories)n If you are watching your weight you mayfind it useful to look at the calorie value.

n Kilocalories are the same as calories.

Carbohydraten Includes both sugar and starches; thefigure for sugars includes both addedsugar and natural sugar (eg fruit sugar).

n Aim for foods with the least amount ofsugar (1 teaspoon = 4g sugar).

Fatn There are 3 main types of fat: saturates,polyunsaturates and monounsaturates. Thelabel shows the total amount of fat and mayprovide information on the different types.

n Try to choose foods that contain the leastamount of saturated fats (1 ‘butter pat’ =7g of fat).

SodiumTells you how much salt is in the food – try tohave no more than 6g salt (2.4g sodium) a day.

Guideline Daily Amounts (GDAs)Often given as a guide to the amount of caloriesand fat adults should be eating each day. Thisallows you to compare how much is in a servingof the food with the total for your daily diet.

NUTRITION INFORMATION

per SERVING per 100gENERGY 1462 kJ 975 kJ351 kcal 234 kcal PROTEIN 100g 7.0g CARBOHYDRATE 28.2g 18.8g of which sugars 3.0g 2.0g of which starch 25.2g 16.8g FATS 23.3g 14.9g of which saturates 7.6g 5.1g of which monounsaturates 10.9g 7.3g of which polyunsaturates 2.7g 1.8g FIBRE 1.6g 1.1g SODIUM 0.6g 0.4g PER SERVING 351 CAL 23.3g FAT

GUIDELINE DAILY AMOUNTSEACH DAY WOMEN MENCALORIES 2000 2500 FAT 70g 95g

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Cooking Sauces and PastesThese make handy store-cupboard or freezerback-ups. They can jazz up simple dishes inthe twist of a lid.

Curry SaucesMany are suitable, but avoid those laden withcream, yoghurt and other dairy – or highamounts of coconut. Read labels carefully.The following are suitable:n Lloyd Grossman: Balti; Bhuna; Dhansak;Dopiaza; Jalfrezi sauces

n Patak: Jalfrezi; Balti sauces

Curry PastesA couple of tablespoons cooked in with onionsand other vegetables then mixed with passata(sieved tomatoes) will make a good alternativeto curry sauce. n Patak: Balti; Bhuna; Biriyani; Jalfrezi; Mild;Korma; Rogan Josh; Tikka and TikkaMasala; (all mild-medium). Also hot-veryhot!: Kashmiri Masala; Madras; Extra Hot;Vindaloo

Chinese SaucesMost of these are fine – but some dairy/egggets slipped in occasionally so read carefully!Watch the sugar content also – if it is near thetop of the list, that means there is a lot of it.

Thai SaucesMost bottles or sachets contain fish sauce oregg or else are very high in fat. Instead, use

Thai Taste Green Curry Paste or any pastethat is fish/shrimp-free.

Couscous Aim for the wholewheat version if you can get it:n Merchant Gourmet – Sainsbury’sn Merchant Gourmet Wholewheat GiantCouscous – Sainsbury’s

n Ainsley Harriot Tomato Tango Couscousn Belazu Barley Couscous (wheat-free butnot gluten-free)

n Sungrown Spicy Couscousn Tesco Mediterranean Couscous (not RoastedVegetable orWild Mushroom Couscous)

Crispbread and Crostini n Crispbread – Ryvita is available in anysupermarket – and Ryvita Minis are also agreat snack attack stand-by! Sweet Chilliand Salt & Vinegar Minis are suitable, butavoid the Cream &Chive variety

n Crostini – use awholemealvariety suchas PogenWholegrainKrispbread,availablefrom Tesco,Sainsbury’s,Ocado.

FalafelA Middle-Eastern mildly spiced chickpeafritter – delicious. n Cauldron brand is widely available insupermarkets. However, they are awhopping 11 per cent fat overall – so eatvery sparingly. One falafel sliced up in asnack will be plenty. Redwood brand isnicer (in our opinion!) and a much healthier4.2 per cent fat – available from Holland &Barrett and independent health food shops

Flaxseeds (see Linseeds)

Gravy GranulesMost vegetarian brands are suitable – don’toveruse as they tend to be quite high in salt. n Asda Vegetarian Gravy n Bisto Best Roast Vegetablen Bisto Favourite (red tub)n Bisto Vegetable (green tub)n Sainsbury’s Vegetarian Gravyn Tesco Vegetarian Gravy

LinseedsThe same as flaxseeds, these tiny littleseeds provide an excellent source ofessential Omega-3 fats. Available from large supermarkets in thefollowing varieties:n Packets of whole seeds – by far thecheapest way to buy them. Grind up fine

in a coffee or spice grinder a little at atime. (They have to be ground to release the

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omega-3 fat.) Store the mixture in a cooldark place in an airtight container. Store theremaining whole seeds in the same way.You need 1 tbsp per day – sprinkle onbreakfast cereal or add to soups and stewsin the bowl (don’t cook)

n Packets of ground flaxseed – available fromlarge Tescos and health food shops

Mayonnaise – see SaladDressing alsoEven healthier vegan mayo is too high in fatfor a diabetic regime. Try our easy home-made Soyannaise recipe on page 39 instead.

Meat alternatives n Mince – the nicest is the frozen variety –(also called ‘meat-free mince’): LindaMcCartney; Asda; Tesco; Morrisons are allsuitable. (Avoid Quorn – it is over 15 percent fat, as well as containing egg anddairy. Compare this with Linda McCartneyVegemince at only 0.2 per cent fat!)

n Redwood Cheatin’ Slices – a greatalternative for sandwiches – they aren’tvery low-fat but you only need one-twoslices per sandwich

n Real Eat Chicken-style pieces – great instir-fries or other savoury dishes. Lightlytoast in a little oil spray and add to stews,casseroles. Supermarket equivalents tendto add egg or be high in fat – so hunt forthis brand in Holland & Barrett or otherhealth food shops

Milk alternativesUse any plant milks, eg soya, rice or almond.Avoid cows’ milk, even skimmed, as it isparticularly unhealthy for anyone with diabetes.

Miso Dark miso is great in soups, gravies and otherthings that require a fairly strong, ‘meaty’flavour. Clearspring brown rice miso isavailable from Sainsbury’s and good healthfood shops.Sweet white miso – delicious to

make a vegan ‘cheesy’ sauce ora light stock in soups –available from Sainsbury’sor health food shops, soldin jars or pouches.

Nut buttersThese aren’t exactly low-fat but can be eaten insmall amounts. Theobvious use is on bread – orto make delicious sauces.Satay, or peanut sauce isincreasingly popular. Cashew butteris sublime but at present usually only availablein health food shops, along with almond andother varieties. Meridian is one good brand.

OatsBuy jumbo oats if possible as they are lower inGI than the usual porridge variety – and avoidthe instant Ready Brek variety completely.

Aim for half a cup per person and soakovernight in cold water – the oats cookquicker and are more digestible. n Asda Extra Jumbo Oatsn Jordan’s jumbo oats rangen Sainsbury’s Whole Organic Oats (Taste theDifference range)

n Suma Jumbo Oatsn Waitrose Jumbo Oats

For the gluten intolerant amongst you,replace with gluten-free porridge oats –

or try other grains to make porridge:quinoa flakes, millet flakes andbuckwheat flakes are availablefrom good health food shops.

PastaGo for wholemeal; it will tastedifferent compared to whitepasta but you will soon getused to it and find the white

stuff a bit bland after a while! Ifyou aren’t convinced, try half and

half wholemeal to white – put thewholemeal in for a minute or two first then

add the white (check packet instructions).Wholegrain spaghetti, fusilli etc are availablein all large supermarkets.

Pasta SaucesMany sold in jars and fresh tubs are good – lowor reduced fat and dairy/egg/meat-free. But docheck the ingredients to ensure that no milk,

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sugar, mascarpone,cream, Parmesan etc hasbeen added! See alsopage 42 for easy sauces.

Jars:n Asda: Tomato & GarlicPasta Sauce; Tomato &Mushroom plus others –check labels

n Loyd Grossman Tomato & Basil;Tomato Chargrilled Vegetable Pasta Sauce;Tomato & Mushroom, etc. – check labels.

n Meridian – all rangen Tesco Tomato & Olive; Onion & Garlic;Chunky Vegetable Pasta Sauce – andothers. Check the labels

Fresh:Most simple tomato or tomato and basil saucesare suitable – just check the small print!

PulsesPeas, beans and lentils – all great sources ofprotein and iron, as well as fibre. Beans and lentils are sold in various ways:

dried (uncooked); longlife packs; tins; frozen;pouches. Try and get the salt and sugar-freevarieties if you can. Merchant Gourmet make a delicious pouch

of Puy lentils and sundried tomatoes whichwould form the basis of many a quick anddelicious meal – available in most largesupermarkets.

QuinoaA quick-cooking wholegrainthat is bursting with flavour.Widely available in largersupermarkets. See page 38 forcooking method and page 37for a recipe.

Roasts n Cauldron Vegetable Roast –

available only in large branches ofSainsbury’s at present – and some healthfood shops

n Granose Sunflower Seed, Lentil &Vegetable Roast Mix – available fromHolland & Barrett or independent healthfood shops – sold as a dry mix thenhydrated and baked. It is higher in fat thanthe Cauldron Roast, so go easy on theportions, but an alternative if you can’t gethold of the Cauldron!

SoupsThere is nothing like home-made soup and it’seasy to make – see pages 29 and 30 for somerecipes. However, the time-pressed orkitchen-phobic need easy alternatives – hencethis list of ready-mades. Other ready-madesmay or may not be suitable – read the labelscarefully. The Covent Garden Soup Companyin particular is best avoided as they have anobsession with shoving cream/butter orwhatever in just about everything they sell!

Fresh soupsAll major supermarkets sell these but theyaren’t all suitable so check the label.

Tinned/bottled soupSold in health food shops and large Waitrosestores.n Suma tinned soups are all vegan and low infat and salt

n Essential Wholefoods sell vegan soups inglass jars: White Asparagus; Gazpacho;Lentil & Pumpkin; Pea and Lentil – not alltheir range is vegan so check

n Free & Easy – their tinned soups are usuallyvegan and reduced fat and include Split Peaor Red Pepper & Lentil; Potato & Leek

Salad Dressing (see alsoMayonnaise)Most ordinary dressings are high in fat. Olive,walnut and sesame oil etc are certainlyhealthier compared to animal fats but they arestill oils and a low-fat diet needs to reducethem to a bare minimum. So with that inmind, we have provided a handful of simpledressings on page 41 – and a list of ready-made dressings below.n Newman’s Own Lighten Up Balsamic n Newman’s Own Lighten Up French n Tesco Light Choices Balsamic n Kraft Light Balsamic n Kraft Light Italian n Asda Good For You Italian-style n Asda Good For You Lemon & Black Pepper

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n Asda Good For You Vinaigretten Sainsbury’s Be Good To Yourself French Style

StockYou can make your own or use up vegetablecooking water boosted with a bit of ready-made stock – or just add boiling water to oneof those below.n Marigold bouillon powder in the red(ordinary) or purple tub (low salt) is vegan –not the green tub

n Kallo Just Bouillon or Organic Vegetablecubes

n Green Oxon Sainsbury’s and Asda Vegetable stockcubes (green packet)

n Waitrose vegetable stock in sachets andsoup tubs – they also sell Kallo low saltvegetable stock cubes

Make up stock according to the packetinstructions. Taste the dish you are cookingbefore adding salt as stock cubes/powder maybe pretty salty already. Read labels carefully – not all vegetable

stock cubes are vegan – many addunnecessary dairy, which isn’t good news forthose on a diabetic diet.

Tofu Made from soya beans into a kind of cheese orcurd, tofu is ideal for those on a diabetic orlow GI/fat diet! It’s a bit of a wonder food, infact. It comes in many forms.

Silken tofuUsually sold in longlife cartons (tetra packs) –look out for Mori-nu or Blue Dragon brands. It’savailable from large branches of Sainsbury’sand Asda, some Waitrose too. Fresh silken tofuis available from some health food and Orientalshops – Taifun is a good brand.

Firm plain tofu Available from most supermarkets – Cauldronbrand. Chop lengthways into two “steaks”,marinade in soya sauce… then bake at220°C/440°F/gas mark 7 for 20 mins or fry inlow-calorie spray.

Flavoured tofuMainly found in health food shops: check outTaifun’s Smoked or Tofu Rosso (sun-driedtomato) but use more sparingly as these typesare higher in fat.

Veg pots These are an excellent and easy quick meal. They areall low or reduced fat andpretty tasty, althoughsome are a little bland.Try adding a little soyasauce or hot pepper saucefor a bit more oomph! n Clive’s Pots Organic – allvegan, anything between0.5 to 5.5 per cent fat.Available from good health food

shops, Goodness Direct online etc. n Innocent – mostly vegan (two aren’t socheck the labels) around 3.5 per cent fat

n Tesco – similar to Innocent – mostly but notall vegan

WholegrainsThese are foods like brown rice, millet,quinoa, barley and buckwheat. It just meansthat they come as nature intended – with alltheir nutrient-rich fibre instead of having itstripped off. This makes them a perfect foodfor those on a diabetic or low-GI diet. See pages 38 and 39 for easy ways to cook

quinoa and brown rice. Alternatively, try n Merchant Gourmet products: WholesomeGrains; Wholewheat Couscous or Red &White Quinoa – sold in pouches in Waitroseand some branches of Sainsbury’s

n Waitrose: frozen brown rice from larger branches

Yoghurt Alpro, Provamel, Sojasun andSojade are all vegan. Alpro isthe most common brand andis sold in large supermarkets:plain (500ml tubs) and fruit(500ml tubs or packs of fourlittle tubs). Use the plain variety to make

yoghurt and mint dressing/dollop oncurries and breakfast cereals – as you

would use traditional dairy yoghurt, in fact!

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MondayBF Jumbo oats porridge sprinkled with

cinnamon, 2 tsp ground flaxseed(linseed) – see page 22. Top with half a banana

Snack Ryvita or equivalent crispbread (eg thevariety with oats and pumpkin seeds)and 1 piece of fruit

Lunch Soup with a wholemeal roll and mixedsalad with low-fat dressing. Makesure the soup contains lots of pulsesas well as vegetables – add half a tinof beans/lentils if necessary. Seepages 29 and 30 for soup suggestions

Snack 1 tub Alpro Vanilla SoyaDessert, 1 oatcake

Dinner Easy-Peasy Noodles withvegetables of your choice –eg, steamed broccoli,Brussels sprouts,celery sticks. See page 31

TuesdayBF Baked beans OR grilled tomatoes &

mushrooms on wholemeal toastSnack Home-made fruit smoothie with ½ tsp

cinnamon (make at home and take towork) and 5 walnut halves. See page 45

Lunch Stuffed pitta with green salad, gratedcarrot and 2 tbsp reduced-fathummus. See page 19

Snack Crostini or Krisprolls, 2 pieces toppedwith oil-free Roasted Red Peppers &oil-free Sundried Tomatoes

Dinner Cauldron Vegetable Roast with gravy,baked potato, steamed broccoli and

carrots OR Granose SunflowerSeed, Lentil & Vegetable

Roast Mix (7.7% fat).See page 24

WednesdayBF Unsweetened muesli (use a good

brand such as Dorset Cereals or RudeHealth that is free from added whey,honey etc) with soya milk, a sprinklingof cinnamon and 2 tsp groundflaxseed (linseed). See page 22

Snack Ryvita or equivalent with 1 tbspreduced-fat hummus and 1 piece of fruit

Lunch Soup, green salad and brown ricesalad or wholemeal bread. Make surethe soup contains lots of pulses aswell as veggies – add half a tin ofbeans/lentils if necessary. See pages29 and 30. Try adding a little cinnamon– it gives a lovely Middle Easternflavour to tomato-based soups.A green salad might include: rocket,beansprouts and half a small avocadowith low-fat dressing

Snack Raw veggie sticks – chunks of carrot,pepper, celery with a dollop of tomatosalsa (fresh in a tub or from a jar)

Dinner Rice, Beans‘n’Greens and SweetPotato Cashew Cream Sauce – with alittle cinnamon mixed in with the rice.See page 31 and 42

26 Defeating Diabetes with the D-Diet

One week of diabetes defeating menus

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ThursdayBF 2 Weetabix (or generic wheat biscuits)

OR a serving of Nature’s Path MesaSunrise Cereal OR a good qualityunsweetened muesli (containing driedfruit and nuts). Serve with soya milk, asprinkling of cinnamon, 2 tsp groundflaxseed (linseed) and half an apple,grated with skin

Snack Ryvita or equivalent with BlackeyedBean Pate (see page 32) OR 2 tbspreduced-fat hummus OR a smallhandful of dried apricots

Lunch Falafel salad with low-fat dressing (2falafels per person), lots of choppedtomato, cucumber, lettuce and onewholemeal pitta. See page 22

Snack Banana – not overly ripe, 1 oatcake Dinner Ready-made Veg Pot plus a large

mixed salad and quinoa. Seepages 25 and 45. ORAcceleratedAubergine &Chickpea Curry.See page 33

FridayBF Jumbo oats porridge with a sprinkling

of cinnamon, walnuts and half abanana.

Snack Raw veggie sticks – 2 handfuls ofcarrot, celery, cucumber OR a piece of fruit

Lunch Smoky Bean & Garlic Paté Dip, (seepage 34). Serve with an avocado &rocket roll – make the roll by mashingup half an avocado and spreading it ona wholemeal bread roll filled with agood handful of rocket.

Snack 1 tbsp toasted sunflower seeds and asmall soya yoghurt with a dash ofcinnamon. See page 25

Dinner Greek-style Butterbean & TomatoStew with baked sweet potatoes andsalad, (see page 34) sprinkle a littlecinnamon in the stew for flavour and

health benefits!

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SaturdayBF Wholemeal toast with 1 tbsp peanut

butter and a smear of yeast extract ormarmalade OR with grilled tomatoes& mushrooms

Snack Banana smoothie (rice or soya milkbased), with a little cinnamonsprinkled in if you wish

Lunch Scrambled Tofu with tomato & basilon toast, (see page 35). Serve withvegetables or salad of your choice

Snack 2 pieces of Ryvita with 1 tbsp reducedfat hummus OR a small handful ofdried apricots, dried prunes or driedapples

Dinner Speedy Gonzalez Chilli, (see page 36) – try with a little cinnamon mixed in

SundayBF Pancakes with blueberries and

vegan yoghurt. See page 36 Snack 1 small apple with 1 tbsp seeds or

nuts of your choiceLunch Morroccan Quinoa Salad. See page 37 Snack 1 banana and a handful of berries

or nutsDinner Butternut Squash with Garlic-Thyme

Aduki Beans & Roasted Red PepperSauce. Pages 38 and 43

28 Defeating Diabetes with the D-Diet

Note on fruit and vegetablesIf not in season, they are best bought frozenas they retain more vitamins and are cheaperthan fresh produce that may have beenimported from far away and/or have been onthe shelves for a week. A good way to add anextra boost to your breakfast is to buy a packof frozen berries and add a handful to yourmorning cereal – they thaw very quickly. Eat more vegetables than fruit, especially

the dark green leafy variety and brassicas(Brussels sprouts, broccoli, cabbage, etc).Most fruits and vegetables have a low GI

and all of them are low in fat, so feel free tosnack on them at any time (the only exceptionwould be watermelon and pumpkin). Driedfruits vary but dried apricots, dried applesand dried prunes are always low GI.

Notes on breadThe best choice is wholemeal rye or pumpernickelbread. However, wholemeal pitta bread has onlyslightly higher GI and is perfect for quick lunches.

Pasta It might sound surprising but pasta has a lowGI so feel free to enjoy your favourite pastadishes – with a few healthy tweaks! Wholemealpasta is best, so give it a try or cook half whitewith half wholemeal. We suggest easy pastadishes on page 44. Or, to make a healthierSpaghetti Bolognese, use your usual recipe butreplace oil with oil spray and swap the fattymeat with veggie mince and peas – both ofwhich are available from good supermarkets.

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Lentil & Tomato SoupServes 4 | 30 minutesA really easy, tasty soup that is a big favouritewith everyone. You can also add some gratedcarrot near the end if you want extra goodiesin the soup!

n 2 squirts oil sprayn 1 onion, roughly chopped – use red if you can n 1 red pepper, roughly choppedn 2-3 cloves garlic, crushed (optional) n 175g/6oz red lentils, washed and drainedn 2 tins tomatoes – plum or chopped n 1.15L/2pts vegetable stock – use 4 roundedtsp of powder or follow packet instructionsif using cubes

n 1 tsp dried mixed herbs or 1 tbsp fresh ofyour choice (eg thyme, oregano)

n 1 bay leafn Salt and freshly ground black peppern Optional: half a grated carrot per portion

1 Heat a medium-large saucepan and add theoil spray. Add the onion and sauté for severalminutes until it starts to soften. Add a littlestock or juice from the tomatoes if it starts to stick.2 Add the red pepper and garlic and cook infor another 3 minutes.

3 Add the lentils, tomatoes, stock and herbsand stir in well. 4 Cook for 20 minutes or longer. If usinggrated carrot, add a few minutes before theend of the cooking time. 5 Blend to get the consistency you like –completely smooth or a bit textured. Use ahand blender if you have one, much quicker. 6 Taste and season to your liking.

Smoky Split Pea SoupServes 4-6 | 1 hour, including preparationtime – under half an hour if you pressurecook the soupThis is a bit like the soup my granny used tomake, but of course hers wasn’t vegetarian,let alone vegan! The recipe here gets itssmoky taste from the smoked paprika – awonderful spice available in larger branchesof most supermarkets, including Asda,Sainsbury’s and Tesco. Recipe adapted with thanks from Appetite

for Reduction by Isa Chandra Moskowitz, (DaCapo Press).

n 1 tsp olive oiln 1 medium onion, chopped roughlyn 4 cloves garlic, crushedn 4 tsp smoked paprika

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Recipes

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n 2 tsp dried thymen 1 large carrot, chopped roughlyn 280g/10oz split peasn 1.4l/2½ pts vegan stockn 1 tbsp lemon juicen Black pepper and salt to taste

1 Use a medium-large saucepan and heat theoil in it. Sauté the onion for a few minutesuntil translucent, about 3-4 minutes. Add alittle of the stock if it starts to stick. 2 Add the garlic, paprika and thyme and stir fora few seconds to mix in. 3 Add the carrots, split peas and stock. Bringto the boil then reduce heat to a simmer. 4 Cook for about 40 minutes – 15 at high in apressure cooker – or until the lentils arecreamy. If cooking the traditional way, stiroccasionally to ensure the lentils don’t stick atthe bottom and thin with a little water if thesoup gets too thick. 5 Add the lemon juice near the end and addblack pepper – and salt if necessary.

Spicy Tomato &Two-Potato Soup Serves 2-4 | 30 minutesThis makes a thick soupy stew, particularly ifyou add pulses or wholegrains. Aim for asmall handful of either per person – around 2 tablespoons. Cooked pulses that work: chickpeas, white

haricot beans, butterbeans, any type ofcooked whole lentils.Cooked

wholegrains: quinoa,brown rice, barley.

n 2 squirts of low-calorie oil spray

n 2 onions, chopped– preferably redonions

n 1 courgette,chopped roughly

n 3 sticks of celery,chopped roughly

n 1 large sweetpotato, peeled and chopped roughly

n 1 small white potato, peeled and choppedquite small

n 4 large cloves of garlic, choppedn 2 tins of tomatoes, whole or chopped n 250ml/9fl oz watern 1 tsp dried sagen ½ tsp curry powdern 1 tsp miso paste if you can get it – brownrice miso (Genmai, made by Clearspring) isavailable in large branches of Sainsbury’s –see page 23

n 1 reduced or low-salt vegan stock cube(double if not using miso)

n Cooked pulses or wholegrains of yourchoice – a handful per serving

n Black pepper

1 Sauté the onion in oil spray until it starts tosoften then add the rest of the vegetables andcook for 3-4 minutes (not the tomatoes). 2 Add the tinned tomatoes and all otheringredients except for black pepper. 3 Bring to the boil then simmer until thepotatoes are soft – about 15 minutes. Addcooked pulses/wholegrains and heat themthoroughly.4 Blend, add black pepper to taste and serve.

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Easy Peasy NoodlesServes 4 | 20 minutes

n 300g/10oz wholemeal noodles or spaghettin 1 pack of bean sproutsn 225g/8oz fresh soya beans (sold in thefreezer in large supermarkets or healthfood shops)

n 1 red or yellow peppern 1 large carrotn 1 small head pak choin 1-2 tsp freshly grated gingern Hoisin sauce, ready-made*n 8 spring onionsn Soya sauce and black pepper for seasoning

*The following are animal-free and reduced fatn Tesco Stir Fry Hoisin Sauce Pouch or Hoisin& Spring Onion

n Asda Extra Special Hoisin Cooking Saucen Sharwood’s Hoisin and Garlic Stir Fry Sauce

1 Boil a kettle and pour it into a medium-sizedsaucepan. Cook the noodles or spaghetti in it,according to packet instructions. 2 Wash and prepare the vegetables: Chop thepepper into thin slices, grate the carrot andfinely shred the pak choi. Chop the springonions in 4 then slice lengthways.3 Steam or microwave the soya beans forabout 4 minutes – add the pepper strips about

a minute from the end.4 Place the Hoisin sauce and grated ginger ina bowl or small saucepan and heat ormicrowave. 5 Drain the noodles/spaghetti and mixeverything together in a large serving bowl. 6 Serve immediately.

Rice, Beans ‘n’ Greens Serves 2-3 | 30 minutes – everything else isprepared and cooked while the rice issimmeringServe with a quick and simple sauce – suchas Sweet Potato, Cashew & Lime or one ofthe others in the Saucy section. Or cheat anduse a ready-made cooking sauce – just checkit’s animal-free and below five per cent fatper serving!

Ricen 225g/8oz brown rice n 750ml/1pt 6fl oz watern ½ a low-salt stock cuben 1 tsp cinnamon

Beansn Oil sprayn 2 large cloves garlic, crushedn 1 tsp cumin powdern large pinch chilli flakesn ½ tsp saltn 2 tins kidney or pinto beans, well rinsedand drained (buy salt-free if you can)

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Greensn Use curly kale, spring greens or dark greencabbage – if you are really pushed for time,try ready-chopped bags of curly kale! Aimfor 3 good handfuls of shredded greens perperson. If cooking from scratch, cut thelarge veins out of the greens and discard.Shred quite finely then wash thoroughly.Place in a steamer – and cook for 3-5minutes. Don’t let it get soggy.

1 Put the rice on to cook – wash, drain andplace in a pan with the water, half a stock

cube and the cinnamon. 2 Make a sauce of your choice. Keep warmuntil the meal is ready to serve. 3 Prepare the bean ingredients. Heat the oilspray, sauté the garlic then add the cuminand chilli flakes. Add a teaspoon of water if itstarts to stick. Add the beans and salt and mixin well. Turn off the heat and keep warm. 4 Now steam the greens – shred them fine sothey cook quickly. 5 Serve everything hot with the sauce on topor on the side.

Almost InstantBlack-eyed Bean PatéServes 2-4 | 5 minutesA fresh, tangy paté that is excellent with rawvegetable sticks, pitta, rye bread or crispbread (Ryvita).

n 1 tin black-eyed beans, rinsed and drainedn 1-2 tbsp soya saucen 1-2 tsp grated ginger root, to tasten 2 tsp lemon juice

1 Blend everything together – as smooth or astextured as you like it. You can also add herbsor spices to your taste.

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AcceleratedAubergine &Chickpea CurryServes 2-4 | 25 minutes – 30 if cooking brownrice from scratch Accelerated? Because it’s fast, innit!We include the spices at the bottom if you

want a home-cooked curry, but the currysauce makes for an easy, fast alternative. (Youcan also replace the sauce with 2 tbsp currypaste and half or a full tub passata – see page22 for suitable pastes.)

n 1 large aubergine, cut into medium-smallchunks – approximately 2cm/1 inch square.Don’t get too worried about this – thepieces simply need to be small so theycook quickly but don’t dissolve into mush

n 2 squirts oil sprayn 1 medium onion, choppedn 3 cloves garlic, crushed OR 2 tsp ready-made garlic paste

n 1 jar of suitable Loyd Grossman or Patakcurry sauce (see page 22)

n 1 tin chickpeas, rinsed and drainedn 120ml/4fl oz water n ½ tsp saltn 4 tbsp finely chopped fresh coriander n ¼ tsp garam masala

Home-made alternativeOmit the curry sauce or paste and add thefollowing at Stage 3, cooking in gently with theonion, garlic and pepper pieces.

n 1 red pepper, chopped into medium piecesn 2 tsp cumin seedsn 2 tsp ground coriander n 1 tsp turmericn 1 large pinch of asafetida OR fenugreekpowder (or 1 clove garlic, pressed)

n 2 tsp grated ginger or ready-made ginger paste

n ¼ – ½ tsp chillipowder

n Plus a littlecinnamon!

1 Put brown rice on tocook now. See page 39. 2 Chop the aubergineinto medium chunksand soak in coldwater. Set aside. 3 Heat a heavy-bottomed saucepan ordeep-sided frying panand spray it with oilspray. Cook thechopped onion in it untilit turns golden brownthen add the garlic.

4 Drain the aubergine, add to the pan andcook over a medium heat for a few minutesuntil it starts to soften – stir regularly. Reducethe heat, cover and cook until the aubergine issoft and melting – add a tablespoon or two ofwater if it starts to stick.5 Add the curry sauce or home-made spices –plus cinnamon! – and stir in well. Cook in fora couple of minutes before serving. 6 Just before serving, add the fresh coriander,garam masala, and salt to taste. Serve withbrown rice or wholemeal chapattis.

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Smoky Bean & GarlicPaté OR SmokyBean & Broccoli PatéServes 2-4 | 5 minutesThis is a really easy paté/dip which lends itselfto lots of variations. We give two suggestions –but you could also try it with red pepper(roasted, oil-free or fresh).

n 1 tin of white beans: butter or whiteharicot, rinsed and drained

n 1-2 tsp crushed garlic or purée (use a tubeif you’re in a hurry) OR half a head ofbroccoli, divided into florets and lightlysteamed

n ½ tsp smoked paprikan 1 tsp lemon juicen salt and black pepper

1 Blend the beans and everything together –it’s up to you how smooth or textured youmake the paté.

Greek-StyleButterbean &Tomato StewServes 4 | 35 minutesOne of those lovely simple dishes they sell inrestaurants in Greece. We’ve reduced theolive oil considerably however and altered thecooking method. Use fresh herbs if you can –and if you have time, cook in a slow cookerfor that traditional oven-baked flavour.Otherwise just simmer gently on top of thecooker. Serve with wholemeal pitta and a biggreen salad.

n 1 tbsp extra virgin olive oiln 2 medium onions, choppedn 2 stalks celery, choppedn 1 medium carrot, dicedn 3 garlic cloves, crushedn 1 tbsp fresh oregano leaves or 1 tsp driedn 1 tsp cinnamon (optional)n 700g carton of passata (crushed tomatoes)n 4 tbsp chopped fresh flat-leaf parsleyn 2 tbsp chopped fresh or 2 tsp dried dilln 3 tsp agave syrup n 2 tins butterbeans, rinsed and drained n 1 tsp salt n ½ tsp freshly ground black pepper

1 Heat the olive oil and sauté the onions untilthey start to soften.

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2 Add the celery, carrot and garlic and cook infor another 4 minutes or so. Add the oregano,cinnamon (if using) and passata. Cook for atleast 10 minutes.3 Add the parsley, dill and agave syrup andcook for another 5 minutes. Add the beans,salt and pepper to taste. 4 It can be served now, but it’s better eatenthe next day – or cook it in a crockpot/slowcooker overnight on the lowest setting to letthe flavours develop.

Scrambled TofuServes 2 | 10-15 mins

n 1 tbsp olive or rapeseed oiln ½ onion n 1 garlic cloven 1 tbsp white flourn ½ cup soya milkn 1 block tofu (200g or 250g) crumbled n 3 medium vine tomatoes, finely choppedn 1 tsp English mustardn Salt and freshly ground black pepper

1 Fry the onion and garlic on a low heat until soft.2 Stir in the flour, followed by the soya milk.3 Add the tofu, tomatoes and mustard and stirfor 5 mins.4 Serve with fresh basil leaves, with brownsauce or soya sauce on the side and salt andpepper to taste.

Ideas: It's really nice if you add fresh spinachleaves in too and toasted seeds!

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Speedy Gonzalez ChilliServes 2 | 10-15 minutes

n 1 jar Discovery Fajita Season & Sauce or asupermarket own brand such as Tesco MildChilli Sauce

n Half a tin of whole lentils, rinsed anddrained (use the rest to add to a soup orsalad the next day or two)

n 1 pack Discovery or other wholemealtortilla wraps – use 2 tortillas per person

n 2 tomatoesn Baby spinach leaves and low-fat saladdressing or balsamic vinegar

n Sour Crème recipe, a batch of (see page 40)

1 Pre-heat the oven to 200°C/400°F/Gas Mark 6. 2 Make the Sour Crème and chill in the fridge.3Wrap the tortillas in foil and place in the oven.4 Heat the sauce together with the drainedlentils and keep warm.5 Wash the spinach and spin. Wash thetomatoes and chop small.6 Remove tortillas from the oven, spoon someof the lentil/fajita sauce on each one, sprinklewith the seasoning (if using the Discoverybrand), add 1-2 tbsp of sour crème and rollup. Serve the salad on the side with a drizzleof low-fat dressing or balsamic vinegar.7 Eat while hot.

PancakesMakes 8 pancakes | 10 minutes to weigh andmix batter, 10-15 minutes to make pancakesThese are really easy to make. For an easybreakfast, mix the batter the night before –make it in a large jug, cover and refrigerate andgive a quick stir before using in the morning! This recipe can be used for sweet pancakes

or with savoury fillings. Try:n apples stewed with cinnamon n tofu blended with spinach, herbs, nutmegand salt/soya sauce

n banana and a little agave syrup

n 175g/6oz fine wholemeal flour, sieved n 2 tbsp chickpea flour – also known as gramor besan flour. It is available in largesupermarkets such as Tesco and Asda – orhealth food shops or ethnic grocers

n 1 tsp baking powdern 175ml/6fl oz soya milkn 175ml/6fl oz water n 1 tbsp sunflower oiln Pinch of saltn Additional oil or oil spray for frying (but govery easy with it)

1 Pre-heat the oven to 160ºC/300°F/Gas Mark 3.2 Sieve all the dry ingredients, especially thegram flour, which can be very lumpy.3 Blend all of the ingredients, except the oilfor frying, until smooth. Alternatively, add theliquid a little at a time and whisk by hand untilthere are no lumps. Add more water if themixture looks too thick – aim for crêpe-stylepancakes.4 Heat a small amount of oil or oil spray in afrying pan until piping hot. Mop up any excessoil with a piece of kitchen towel. 5 Using the ladle, pour enough of the battermixture in to the frying pan to thinly cover thebottom. Gently swirl the batter to cover thebase of the pan. Don’t worry if the firstpancake is a bit dodgy – the rest will be fine.6 Fry on one side for about a minute. Loosenthe edges with a non-scratch spatula or fishslice and flip the pancake. 7 Fry the flip side for another minute or untildone – as the frying pan gets hotter, this willtake less time.8 Remove the pancake from pan and keepwarm in the oven – you may want to cover thepancakes with a bit of tinfoil.9 Add more oil to the pan if and when necessary. 10 Repeat steps 4 to 7 until all of the mixtureis used up. Serve hot.

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Moroccan Quinoa SaladServes 2-4 | 20 minutes plus 1 hour chilling timeGenius – you can prepare the saladingredients while the quinoa cooks – thenleave the entire dish to chill and marinatewhile you do some chilling yourself – have acandle-lit bath for example!

n 175g/6oz dried quinoan 500ml/just under 1pt hot stock – madewith 2 level tsp vegan bouillon powder orfollow the packet instructions if usingvegan stock cubes

n 2 lemons: zest from 1, juice from 1-2 (dothe zesting before halving the lemons!)

n 2 tbsp olive oiln 2 tbsp fresh orange juicen 2 tsp ground cuminn 1 tsp cinnamonn 1 tsp saltn ¼ tsp sugarn 1 tin black beans OR chickpeasn 1 tin sweet corn, drained (approximately330g) – use the no-sugar, no-salt variety ifpossible – or the same weight frozen

n ½ small red onion, thinly slicedn 1 carton of fresh cherry tomatoesn 2 tbsp toasted flaked almondsn Handful of pitted green or black olives (inbrine, not oil)

Add just before serving: n 4 tbsp finely chopped fresh mintn 4 tbsp finely chopped fresh coriander

Serve withn 1 tbsp plain soya yoghurt per personn 1 hot wholemeal pitta bread per personn Harissa paste (optional) on the side – aspicy Middle Eastern condiment.

1 Cook quinoa by dryroasting in a heavy-bottomed saucepan.Then add the hotstock and cook for 20minutes, stirringoccasionally – add alittle more hot water ifit starts to stick.2While quinoa iscooking, whisk togetherlemon juice and zest,olive oil, orange juice,cumin, salt and sugarin a small bowl to makethe dressing. 3 Combine quinoa andall remainingingredients, exceptfresh herbs, into amedium-sized bowl.4 Drizzle withvinaigrette. Toss tocombine

5 Refrigerate for at least one hour to allowflavours to combine. Add fresh herbs justprior to serving. May be served at roomtemperature. 6 Warm pitta bread through about 10 minutesbefore serving.7 Serve salad with the pitta bread, a dollop ofyoghurt on the top – and a little harissa pasteif you like things a little spicy!

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Butternut Squashwith Garlic-ThymeAduki Beans Serves 4 | 20 minutesThis not only tastes extremely good, but theorange squash and dark red beans also makeit a very attractive dish.

n Approximately 450g/1lb butternut squash –one medium sized

n 2 cloves garlic, crushedn 1 tin aduki beans, drained and rinsed OR240g/9oz home-cooked

n 1 tbsp olive oiln 2 tbsp fresh thyme or ½ tsp dried

1 Peel squash and chop into medium pieces. 2 Steam for 10-15 minutes or until just tender.3 Heat a frying pan or wok. Add the oil andwhen it is hot, sauté the garlic, stirring toensure it doesn’t burn – about 1-2 minutes.4 Add the cooked squash, thyme and adukibeans. Mix in gently, coating everything in thegarlic and oil mix. Keep warm but don’t allowit to cook any more.5 Serve immediately.

CreamyBean &Potato DipMakes a small tub | 15minutesThis can be used as a dip – orthin down a little and use as adressing on potato salad andsimilar dishes.

n 1 small potato – about 100-150g, peeledand cut into small chunks

n Half a tin of cannelini beans. Keep liquidseparately but rinse and drain the beans well

n 1 tbsp lemon juicen ¼ tsp saltn 1 small clove garlic, crushed

Options:n a large pinch of smoked paprikan chopped chivesn more garlic

1 Steam the potatoes until tender – about 10minutes.2 Meanwhile, blend the beans and lemon juiceuntil very smooth.3 Add the potato, salt and garlic and blendtogether with the bean mixture until smooth.Add some of the bean liquid to thin down asnecessary.

Easy QuinoaA nutritional powerhouse and easy to cook.Make life simpler and double up on quantities– that way you can add the leftovers to a salador other savoury dish the next day. Or freeze it.

n 90g/3oz of dry quinoa per personn Double the water or stock to cook it in (egif using 180g/6oz quinoa, use 350ml/12floz liquid)

n ½-1 tsp mixed dried herbsn ½-1 tsp cinnamonn Black pepper (and salt if necessary)

1 Wash and rinse the quinoa then dry roast itin a heavy bottomed saucepan for a minute ortwo, stirring constantly. 2 Add the liquid, herbs and cinnamon, bring tothe boil and simmer for 20-25 minutes, oruntil tender. 3 Stir occasionally. If it starts to dry out, justadd a little more liquid and give a good stir!

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Easy Brown RiceBrown rice is also a wholegrain, meaning thatit is low GI – far easier on your body thanwhite. It takes longer to cook than white, soyou can always double up on quantities to savetime. If you can’t use it the next day, freeze itin an airtight container. It will keep frozen forup to a month this way. Just make sure that itis very very hot before serving again.

n 100g/3½oz of dry long grain brown rice perperson

n 2-2½ times water or stock (eg 200-250mlliquid to 100g rice)

n A large pinch of mixed dried herbsn ½ – 1 tsp cinnamonn Black pepper and salt if necessary

1 Wash and drain the rice.2 Add the rice, liquid, herbs and cinnamon to aheavy bottomed saucepan and bring to the boil. 3 Turn to a simmer and put the lid on. 4 Cook for 25-30 minutes, stirringoccasionally. If it starts to dry out, add a littlemore liquid. If the rice is still too wet, turn upthe heat, stir and let the liquid burn off.

Reduced-fatSoyannaise Makes a large(ish) jar – just under 400g. Halvethe quantities if you want less! | 5 minutes

n 1 pack firm silken tofun ¾ tsp saltn 1 tbsp plain mild-tasting vegetable oil(such as rapeseed/canola)

n ½ tsp sugarn 1 tsp Dijon mustardn 1½ tbsp lemon juicen 1 tsp cider vinegar1 Blend the tofu thoroughly until it has lostany grainy texture and is smooth and creamy. 2 Add the rest of the ingredients and blendagain so everything is well integrated. 3 Store in the fridge in an airtight container.Will keep in a jar for over a week – just checkit regularly!

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Sour CrèmeMakes a jar, approx 350g | 5 minutesThis works very well with chilli and mushroomstroganoff – or indeed, anything that requiressour cream in its recipe or as anaccompaniment. It will keep in an airtight container for

several days – or if you won’t get through it,divide it into two containers and freeze one ofthem. When defrosted, give it a quick whizzwith a hand blender or food processor before using.

n 1 pack firm silken tofu (approximately350g) – Mori-nu or Blue Dragon brandsavailable in large supermarkets such asSainsbury’s and Waitrose

n 2 tbsp lemon juicen 1 tbsp plain vegetable oil (not olive) –rapeseed oil (canola) is best because it isbland tasting

n 1 tsp cider vinegarn 1 tsp sugarn ½ tsp salt

1 Blend the tofu until it is completely smoothand creamy and has lost its grainy texture. 2 Add the remaining ingredients and blendagain until everything is well mixed in. 3 Taste and adjust seasoning if necessary.

Dressing Down –Lower-Fat SaladDressingsMany commercial brands of salad dressingcontain egg or dairy, neither of which are good news. However, there is a handful thatdo the job, although taste varies – and somebrands lean heavily on sugar to compensatefor lack of oil! So read the nutritionalbreakdown on the label carefully. See page 24for suggested brands.

Top TipMost commercial low-fat dressings use xanthangum as a thickener (it’s an oil substitute andanimal-free). You may wish to add a teaspoon ofit when making your own dressings – it isavailable in jars/tubs from many largesupermarkets as well as health food shops. Lifeand Doves Farm are the most common brands.

n Reduced Fat Soyannaise – see page 39

Caesar Dressing,reduced fatMakes a good-sized jar’s worth – add this to a biggreen salad and home-made (low-fat!) croutons,baked in the oven for a few minutes on a bakingsheet coated with a little oil spray | 5 minutes

n Half a pack of silken tofu, any sort(approximately 175g/generous 6oz)

n 60ml/4 tbsp water n 60ml/4 tbsp lemon juicen 2 tbsp light miso – from large Sainsbury’s(Sweet White Miso), health food shops orOriental grocers

n 1 tbsp agave syrup n 1 tbsp Dijon mustard n 1 tsp vegetarian Worcester Sauce (eg Lifeor Biona, available from Tesco, Asda andOccado or health food shops)

n 1 clove garlic n Black pepper to taste

1 Put all ingredients into a blender and pureeuntil smooth. 2 Cover and chill until ready to serve. Store in an airtight container such as a clean glassjar with lid – will keep in the fridge for up to a week.

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Three Simple Low-fat Dressings These take a minute or two to make and arelovely – not too sweet, either. Remember, you can add a little xanthan

gum to these if you want a thickerconsistency.

Balsamic Dressing Makes a jar. Keeps for at least a week in thefridge – less if you add the fresh parsley

n 180ml/generous 6fl oz watern 2-4 tbsp balsamic vinegarn 3 tsp capersn 2 tsp Dijon mustardn ½-1 tsp dried basiln Optional: 1 tbsp fresh parsley

1 Combine the ingredients. Add 2 tbsp of thebalsamic vinegar then taste before addingmore – remember, the capers contain vinegarso go easy.2 Store in a covered container in therefrigerator.

Singleton’s FrenchDressing Makes about 2 tbspKeeps in the fridge for at least a week, but beinga tiny portion will probably get used immediately!

n 2 tbsp lemon juice – use fresh rather thanbottled if you can, much nicer!

n 2 tsp white wine vinegarn ¼ tsp saltn ¼ tsp sugarn 1⁄8 tsp French or Dijon mustardn Ground black pepper to taste

1 Put everything in ascrew-top jar andshake well.

Oriental DressingReally easy and lovely, particularly withnoodle or rice salads

n 1 tsp good quality soya sauce (shoyu ortamari)

n ½-1 tsp brown rice vinegar – use cidervinegar if you can’t get it

n ½-1 tsp fresh ginger, grated finen 1 tbsp chopped fresh parsleyn 125-180ml/4-6fl oz water n Optional: 2 tsp mirin (rice wine)

1 Mix everything together and serve.

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SaucyUsing quick home-made sauces transformssimple, wholesome ingredients in a whizz! Allyou need is a stick blender. Try adding one ofthese to:

n Rice, Beans’n’Greensn Easy Peasy Noodlesn Easy Quinoa or Easy Brown Rice

For busy or lazy days, many supermarketready-made sauces provide a good alternative– see pages 22 and 24.

Tomato &Mushroom Saucen 500ml/18fl oz watern 1 large onion, choppedn 2 cloves garlic, chopped n 400g passata (sieved tomatoes)n 4 tbsp tomato puréen Optional: 2 tbsp vegan red wine (EgHarvey’s or one of the Co-op’s vegan range)

n 350g chestnut or field mushrooms (not thewhite ones, basically!)

n ½-1 pack of fresh basil, torn roughly n Salt and black pepper

1 Place 4 tbsp of the water in a mediumheavy-bottomed saucepan. Add half the onionand half the crushed garlic. Cook, stirring

frequently, until onion and garlic softenslightly, about 5 minutes. 2 Add the passata, tomato puree, red wine ifusing and all the remaining water except foranother 4 tbsp. Season with several twists offreshly ground pepper and a little salt. Bringto a boil, reduce heat to low and simmer forabout 30 minutes, stirring occasionally.3 Meanwhile, heat a large non-stick fryingpan. Add the remaining onions and garlic andcook, stirring frequently, until onions andgarlic soften slightly – add the remaining 4tbsp water and cook in for another minute ortwo. Add all the mushrooms and continue tocook, stirring occasionally until mushroomsare tender, about 5 minutes. 4 Add to the tomato mixture and cook thesauce over low heat for about 15 minuteslonger, stirring occasionally. 5 Remove from heat and stir in the basil.Season with more freshly ground pepper, ifdesired, and a bit of salt if necessary.

Sweet PotatoCashew CreamSauce Serves 2-4 | 15 minutes

n 1 large sweet potato, chopped into mediumchunks – approximately 300-350g

n 2 tbsp cashew butter

42 Defeating Diabetes with the D-Diet

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n 3 tbsp lime juicen 90ml/3fl oz water – use steaming watern Pinch of nutmeg or allspicen Salt and pepper

1 Steam the sweet potato until tender – lessthan 10 minutes. Keep the steaming water. 2 Blend the sweet potato with the cashewbutter and lime juice until smooth – add alittle of the steaming water to thin it down. 3 Taste and add seasoning. Whizz again andserve hot.

Shiitake Mushroom SauceServes 2-4 | 30 minutesThis is a quick sauce/gravy which goes wellwith lots of things, such as pasta with smokedtofu, vegan mince (see page 23 for brands) orRealeat chicken-style pieces from Holland &Barrett and other health food shops.

n Oil sprayn 1 medium onion, slicedn 120g/4oz fresh shiitake mushrooms,chopped roughly (remove stalks if verytough) – available from large supermarkets

n 4 tbsp plus 1 tbsp rice flour (available fromlarge supermarkets, eg Tesco andSainsbury’s)

n 350ml/13fl oz water or vegetable stockn 3 tbsp good quality soya sauce, eg

Kikoman, Essential, Clearspring or Sanchi– use tamari if you are gluten-free

n 1 tbsp sherry, any flavour (Tio Pepe,Gonzalez Byass & Harvey’s are all vegan)

n 1 tbsp chopped fresh thyme or ¼ tsp dried n 2 tsp chopped fresh sage or 1 good pinchdried

1 Use a medium saucepan and spray with twosquirts of the oil spray. 2 Sauté the onions and mushrooms. Coverand cook for about 10 minutes, stirringoccasionally. 3 Stir in the rice flour and cook in foranother few minutes, stirring well. Addthe herbs. 4 Add the soya sauce and 350ml/13fl ozwater and whisk in to prevent lumps.Bring to the boil then reduce heat andsimmer for another 10 minutes. 5 Blend if you prefer a smooth sauce –otherwise serve as it is.

Roasted RedPepper & AlmondSauceServes 2-4 | 5-10 minutes

n 225g/8oz roasted red peppers – in brine orwater, well rinsed and drained

n 2 tbsp ground almonds or pine nuts

n 1 tsp balsamic vinegar n 1 tsp dried basil n 1 tsp crushed garlic (approx 1 large clove) n ½ tsp salt n Pinch ground allspice

1 Blend ground nuts and all other ingredientsuntil creamy and smooth. 2 Warm sauce through gently and serve ongrain/vegetables of your choice.

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Pasta and saladServes 1 or more – just add more ingredientsaccordingly!Cook wholemeal pasta or fusilli.Meanwhile, heat up a portion of tomato

pasta sauce (jar or fresh tub) and add one ofthe following per person:n Half a tin of whole lentils or other pulsesper person, eg chickpeas, kidney beans,pinto beans… you choose!

n Half a pack of Smoked Tofu, diced(Waitrose, Holland & Barrett and goodhealth food shops)

n A few strips of Real Eat Chicken-stylestrips, (freezer section of Holland & Barrett& good health food shops) lightly fried in 2squirts of oil spray

n Serve with a big green salad: shreddedlettuce, rocket, cucumber etc

Tortillas with Green SaladServes 2Heat a jar or tub of tomato salsa with half atin of kidney or pinto beans (or other beans ofyour choice) and warm through twowholemeal tortillas or wholemeal pittas.Serve with big green salad, as above. A

dollop of vegan sour cream (page 40) or plainvegan yoghurt is nice also.

Stuffed PittasServes 1Similar to Tortillas, but fill a large wholemealpitta with bean paté or a smear of reduced-fathummus and as many salad veggies as youcan: green leaves, tomato, grated carrots,diced celery, beansprouts – and some low-fatsalad dressing. Oh, and a tablespoon or two ofcooked pulses or wholegrains!

Couscous Serves 2-4Couscous is cracked wheat – pale yellow finegrains that cook very quickly – used widely inthe Middle East and North Africa. Most of theready-made couscous packs are vegan, butcheck the labelling. Either that or usewholemeal couscous. See page 22 for brands Make couscous according to instructions

(pour boiling water over it, cover and let standfor 5 minutes), then add half a tin of chickpeasand/or half a tin of whole lentils – cold orwarmed up – plus any extra vegetables youcan, eg grated carrot, tomato, choppedspinach, sliced red pepper. Add a squeeze oflemon juice and a dollop of plain veganyoghurt, a couple of chopped dried apricots orfigs (use scissors for speed) and a teaspoon oftoasted nuts or seeds.

44 Defeating Diabetes with the D-Diet

Extra! Extra! – Quick Fix Mealsfor Busy TimesAs well as the recipes included in our week’s menu plan, here are a few other simple ideas toget a tasty, instant meal on the plate in around 10 minutes.

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Quinoa or Rice SaladQuinoa is a small wholegrain that is high inprotein and iron. Originally grown and eatenby the ancient Incas, it has beenrediscovered because of its greattaste and nutritional advantages.Servings depend on how muchgrain and other ingredients youadd. Similar to the Couscousrecipe above, but gluten-free andwith different grains. Addwhatever you like, piling up on thepulses (cooked peas, beans orlentils), lots of veggies andsome low-fat dressing.

Uber-SmoothieServes 1

This is thicker than the usual smoothie – but it alldepends on how much soyamilk you add. Blend half a pack of silken

tofu until smooth and creamy.Thin with a little soya or ricemilk, according to taste. Blendagain with 1 medium banana, ½tsp cinnamon, 1 tbsp groundflax seeds (linseeds) and ahandful of berries.

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Need nutritionaladvice? Contact us at the VVF. Email [email protected] orcall 0117 970 5190, 9am to 5pm, Monday to Friday.

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46 Defeating Diabetes with the D-Diet

VVF’s Defeating Diabetes resources:The Big-D: Defeating Diabetes throughDiet – report: £5 (inc p&p)This fully referenced report looks at the causes ofboth types of diabetes and investigates thelink between diet and this disease.

The Big-D: Defeating Diabetesthrough Diet – fact sheet:£0.80 (inc p&p)A fact sheet summarising all the basicinformation about diabetes and how to eat tobeat it (fully referenced).

Nutrition in a Nutshell – guide: £2 (inc p&p) An easy to read guide teaching you nutritionbasics for everyday health.

Join VVF –£15 per yearYou can join the VVF, receive magazine Viva!Life three times a year andfive nutrition fact sheets in a special folder, and have access to freeadvice on diet and health. You will also be supporting campaigns toimprove the nation’s health and save animals from suffering.

Books:Healthy Eating for Life: to preventand treat diabetes £12.99

Dr. Neal Barnard’s Programfor Reversing Diabetes £9.99

Order online at www.vegetarian.org.uk/vvfshop or call 0117 970 5190, 9am to 5pm, Monday to Friday.

Hungry for more?Read about the science behind this guide. Find out how diet influences your health and what youcan do to improve it. Enjoy eating and thrive on a new diet!

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The D-Diet is a groundbreaking diet for reversing or preventing diabetes. Its simple rules andscience behind it are fully explained in our guide The Big-D: Defeating Diabetes with the D-Diet.When you pledge to follow the D-Diet for four weeks, you’ll receive our D-pack containing:

n The Big-D: Defeating Diabetes throughDiet scientific report

n A direct line numberfor nutritionalenquiries

n Fun, colourfulwallchart whichshows you where toget all the nutrientsyou need from for ahealthy, vibrant diet ata glance. Laminated soideal to put up on yourfridge or on a kitchen wall

n A feedback form – becausewe want to hear about yourexperience and progress!

n Access to our online recipe club

n One more copy of thisguide – The Big-D:Defeating Diabetes with the D-Diet

I, __________________________ , pledge to follow the D-Diet for the minimum of four weeks.

Title _____ First Name ____________________ Surname ______________________________________

Address _______________________________________________________________________________

_______________________________________ Postcode ______________________________________

Tel ____________________________________ Email ________________________________________

Total enclosed £ __________ (Please make cheque payable to the VVF)OR please debit my Visa/Master/Switch/Solo/Maestro card number

Expires _____/_____ Switch Issue No _____ Switch start date _____/_____

Name on Card _________________________________________________________________________

Please return to: The Big-D, VVF, 8 York Court, Wilder Street, Bristol BS2 8QH. Tel: 0117 970 5190

Life changing D-PackThe Big-D Pledge4 weeks of Defeating Diabetes with the D-Diet

Only£4.99

#

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ISBN 978-0-9561093-3-0

9 7 8 0 9 5 6 1 0 9 3 3 0£2.90

© Vegetarian & Vegan Foundation, 2011. Vegetarian & Vegan Foundation,

8 York Court, Wilder Street, Bristol BS2 8QHTel: 0117 970 5190;

Email: [email protected];www.vegetarian.org.uk

The Big-D: defeating diabeteswith the D-DietA guide on how to prevent orreverse diabetes through dietThis easy-to-read guide summarises the key findings of the VVF'sscientific report on diabetes and complements it with a seven-daymeal plan, recipes and practical shopping tips.

Learn the secrets of the only diet that can reverse diabetes orminimise your chances of developing it.