Maintain a Healthy Lifestyle on Your Next Vacation

‘Tis the season for vacations! Summer is just around the corner so while you’re planning the perfect trip and researching all the great destinations to visit, you may wonder how a vacation will fit in with your health goals. If that sounds like you, we’ve got some tips to help you maintain a healthy lifestyle on your next vacation!

Plan Ahead

When you make your travel arrangements, include plans for meals and snacks to stay on track with your goals. Research the menus of restaurants you want to eat so you can spend less time on vacation worrying about how your meals will fit into your healthy lifestyle.

Before you leave on your trip, consider beginning a weight loss program to help you with your plan. Our NextStepMD Weight Loss Program is designed to help you lose weight, maintain weight loss, and gain better control of your health. We offer one-on-one sessions and work closely with our patients to recommend the methods that offer the greatest opportunities of success. We’ll educate, motivate and support you through your weight loss journey, which includes establishing new eating habits to incorporate throughout your expected – and unexpected – travels.

Pack Snacks

Whether you’re planning a road trip or flying across the country (or world!), stock up on non-perishable snacks so that you have healthy food options ready. If you’re flying, remember to make sure they are TSA-approved! Having healthy snacks prepared will allow you to eat small, frequent meals throughout your trip – which helps to keep you feeling satisfied and helps keep your metabolism stoked.

One of the exclusive weight loss methods that we use is our NextStepMD supplements & meal plans. The unique NextStepMD meal plans are an easy-to-follow three-phase program and provide lots of variety and choice, so you will never feel deprived. Our NextStepMD health and wellness coaches will work with you to make sure you have planned snacks that are both sensible and sustainable on your next vacation.

Stay Active

Search for opportunities to explore your new location by being active! There are a variety of ways to incorporate exercise while on vacation. Look for opportunities like biking tours, take advantage of a hotel pool, or do some of your sightseeing on foot.

If you’re not sure if the location will have many opportunities to get active, take a few minutes each morning to do a short workout. You could walk up a flight of stairs, complete a hotel-room workout, or take a quick walk. Whether you’re taking a walk on the beach or hiking through the mountains, make sure your vacation includes plenty of exercise.

Whether you’re independently on a healthy lifestyle journey or are a participant in a weight loss program to help guide your choices, with a little planning your vacation can fit in with your health goals.

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NextStepMD with Muscle Wise

At Texas Diabetes & Endocrinology, the doctors, advanced practice providers and staff are committed to helping our patients lose weight, maintain weight loss and gain better control of their health. Obesity and carrying excess weight are increasingly common, which can lead to high blood pressure, elevated cholesterol and diabetes as well as other health conditions. People with and without diabetes struggle to lose weight and may have to take multiple medications for medical problems related to the excess weight. Take the Next Step with Texas Diabetes & Endocrinology!

If you have struggled with weight maintenance for a long time, or if you haven’t been able to lose weight through personal efforts, lifestyle changes, or through a structured weight loss program, our new offering is for you!

The NextStep program incorporates weekly visits with one of our experienced coaches into a medically managed program where monthly meetings with one of our healthcare providers supplements the program through the use of expert advice, guidance, and –if indicated- medications.

We have evaluated and tested a number of different weight loss solutions and work closely with our patients to recommend the methods that offer the greatest opportunities for success. We focus not only on weight loss, but work with our patients to maintain that weight loss long-term. People with diabetes frequently can reduce their blood-sugar-lowering medication, including insulin, by losing weight.

Our programs are medically supervised for our patients with diabetes, but are also open to people who have pre-diabetes or don’t have diabetes at all. As your health and wellness coaches, we offer one-on-one sessions. Our goal is to educate, motivate and support you through your weight loss journey. Our programs are medically designed with two components – sensible weight loss and sustainable, stable weight maintenance. Our weight loss strategies include the use of nutrition education, diet and exercise plans as well as FDA-approved weight loss medications if necessary.

One of the exclusive weight loss methods that we work with is Muscle Wise. The Muscle Wise protocol offers structured weight loss while supporting muscle mass and understanding of how food affects and is utilized by the body, including what causes fat storage, utilization of stored fat for energy, improved energy, appetite control and reduced cravings. It is proven that losing weight can improve blood sugar, cholesterol levels and reduce blood pressure. While following the Muscle Wise protocol, your pancreas will get a well-deserved break by limiting simple and complex carbs until your weight loss goal is achieved. The emphasis here again is weight maintenance once a healthy balance is achieved.

MuscleWise is differentiated from other similar programs by the ability to maintain an exercise regimen, the ability to maintain greater flexibility and much more.

Through the one-on-one coaching sessions, we will help you navigate the world of contradictory nutrition advice. We will help you determine what changes are necessary while on the Muscle Wise program in order to establish new eating habits and form long term success. Each coach brings vast nutrition knowledge and experience to the table ensuring you are receiving the best support a

Obesity

Obesity (defined as a body mass index (BMI) >30kg/m2) is a chronic disease that is increasing in prevalence in adults, adolescents, and children and is now considered to be a global epidemic. The National Health and Nutrition Examination Survey (NHANES) in 2016 showed the prevalence of obesity in the United States to be 39.6% (37.9% in men and 41.1% of women), up from 22.9% in 1994.

At Texas Diabetes and Endocrinology we investigate many aspects of this disease. We rule out any possible secondary causes (such as pituitary, thyroid, adrenal or ovarian abnormalities) as clinically indicated, discuss contributing medications, and obtain a thorough weight gain/weight loss history. Obesity is associated with a significant increase in morbidity (including diabetes mellitus, hypertension, dyslipidemia, heart disease, stroke, sleep apnea, and cancer) and we assess these and come up with a comprehensive plan to manage them.

Weight loss itself is associated with a reduction in obesity-associated morbidity and we are committed to helping our patients achieve these benefits. We counsel all patients on lifestyle and behavioral modification. We also offer medically supervised programs to assist with individual goals. Muscle Wise is one program we utilize: it provides structure and one-on-one coaching that can help achieve not only weight loss but also reduction in comorbidities and often medications. We also use FDA-approved weight loss medications as needed to help our patients achieve their goals.

Finally we conduct clinical trials at all of our locations and these often involve obesity treatments. Currently at the south office we are conducting a study on a medication (semaglutide) to evaluate weight loss and long-term cardiovascular outcomes.

Valerie Espinosa, MD Achieves Certification by the American Board of Obesity Medicine

Congratulations to Texas Diabetes & Endocrinology physician partner Valerie Espinosa, MD for achieving certification by the American Board of Obesity Medicine.

The American Board of Obesity Medicine (ABOM) serves the public and the field of obesity medicine by maintaining standards for assessment and credentialing physicians.Certification as an ABOM Diplomate signifies specialized knowledge in the practice of obesity medicine and distinguishes a physician as having achieved competency in obesity care. ABOM collaborates with the National Board of Medical Examiners (NBME) to administer the annual credentialing exam.

Intensive Lifestyle Intervention Improves Metabolism and Bone Strength

Older adults with obesity and type 2 diabetes saw improved glucose control, body composition, physical function, and bone quality when assigned to an intensive diet and exercise program. Preliminary results from an ongoing trial at the Baylor College of Medicine in Houston were just presented at the Endocrine Society Annual Meeting in Boston. Investigators looked at data from 17 adults aged 65 to 85 years. Ten study participants were assigned to follow an intensive diet and exercise based weight loss program, and seven participants continued their daily diet and physical activity routine. At 6 months, there was a significant improvement in average sugar levels (HbA1c), and bone density scores. The study is now looking at specifics to highlight what specific dietary and exercise measures were most beneficial.

Read more here: https://endo.confex.com/endo/2016endo/webprogram/Paper25882.html

Lindsay Harrison, MD authors study published in the Journal of Clinical Endocrinology & Metabolism

Texas Diabetes & Endocrinology physician Lindsay Harrison, MD authored a study that was recently published in the JCEM titled Mechanisms of Action of Liraglutide in Patients with Type 2 Diabetes Treated with High Dose Insulin.

The study concluded that Treatment with liraglutide significantly improved insulin secretion even in patients with long-standing T2D requiring high-dose insulin treatment. Liraglutide also decreased liver and subcutaneous fat, but did not alter glucagon secretion. – See more at: http://press.endocrine.org/doi/abs/10.1210/jc.2015-3906#sthash.rGdwKIl1.dpuf

Texas Diabetes & Endocrinology Proudly Offers a Physician-supervised Weight Loss Program

According to a recent Johns Hopkins University study featured on Good Morning America, some weight loss centers don’t follow medical guidelines. At Texas Diabetes & Endocrinology, the doctors, physician extenders and staff are committed to helping our patients lose weight, maintain weight loss and gain better control of their health. Our programs are medically supervised for our patients with Diabetes, but are also open to people who have pre-diabetes or don’t have Diabetes at all. As your health and wellness coaches, we offer one-on-one sessions. Our goal is to educate, motivate and support you through your weight loss journey. Our programs are medically designed with two components – sensible weight loss and sustainable, stable weight maintenance. Our weight loss strategies include the use of nutrition education, diet and exercise plans as well as FDA-approved weight loss medications if necessary.

The entire GMA segment can be viewed here:  http://abcnews.go.com/GMA/video/study-weight-loss-centers-follow-guidelines-36851026

Ideal Protein Dieter of the Week!

At Texas Diabetes & Endocrinology, the doctors, physician extenders and staff are committed to helping our patients lose weight, maintain weight loss and gain better control of their health. Obesity and carrying excess weight are increasingly common, which can lead to high blood pressure, elevated cholesterol, Diabetes as well as other health conditions. People with and without Diabetes struggle to lose weight and may have to take multiple medications for medical problems related to the excess weight.

The Ideal Protein protocol offers structured weight loss while supporting muscle mass and understanding of how food affects and is utilized by the body, including what causes fat storage, utilization of stored fat for energy (usually has been by day 4 of the program), improved energy, appetite control and reduced cravings (usually on day 4 or 5). It is proven losing weight can improve blood sugar, cholesterol levels and reduce blood pressure. While following the Ideal Protein protocol, your pancreas will get a well-deserved break by limiting simple and complex carbs until your weight loss goal is achieved. To learn more about the Ideal Protein protocol visit our website https://texasdiabetes.com/services/weight-loss-programs/.

Doug lost a total of 172 lbs. and is now on phase 2!!  He looks amazing!

“Eat Well, America!”

November is American Diabetes Month and this years them is “Eat Well, America!” As the American Diabetes Association® celebrates its 75th anniversary, they want to share a timeless message—that eating well is one of life’s greatest pleasures, and enjoying delicious, healthy food helps with diabetes management. This November, the Association will show our nation how easy and joyful healthy eating can be.

Each week, the Association will share nutritious recipes selected by noted chefs and cookbook authors for every meal of the day, including snacks and special occasion treats. Not only that, but they’ll teach you how to choose, prepare, serve and eat healthy food that is both delicious and nutritious. From tip sheets to shopping lists, we’ll help you make healthy eating a fun and easy part of your daily life.

Everyone deserves to enjoy food that makes them feel happy, strong and empowered, and the Association will inspire people to eat well while also successfully managing their diabetes.

Check back for upcoming recipes (see calendar below), and be sure to share them with friends and family. It’s a great way to put good food and good health on the table.

Eat Well, America! Calendar

Week One (11/1–11/7): Breakfast
Delicious breakfast recipes that motivate you to get your busy day off to the right start.

Week Two (11/8–11/14): Snacks
Easy and satisfying snack recipes that make the walk past the vending machine a breeze.

Week Three (11/15–11/21): Lunch, Including National Healthy Lunch Day
Lunch recipes that get you through the midday hump and keep you on track through the rest of the day.

Week Four (11/22–11/28): Dinner
Seasonal dinner recipes that ensure you don’t miss out on the autumn and holiday flavors you love.

Week Five (11/29–12/5): Special Occasion Foods
Healthy special occasion options, including sweets, so you never feel deprived of your favorite treats and stay on track with good nutrition.

Link: http://Diabetesforecast.org/adm

The Importance of Sleep for Metabolism

Why does your endocrinologist ask you how your sleep has been?

One night of sleep loss can influence several genes in the body, that can lead to metabolic effects.

According to a study recently published in the Journal of Clinical Endocrinology and Metabolism, these metabolic effects can include insulin resistance and weight gain. This was a study that looked at young adults who experienced both overnight wakefulness and decreased sleep duration. Even short-term changes in sleep were associated with a decrease in the efficiency with which the body processed sugar. Some of these changes were directly linked to changes in the way the body processes genes. A process called methylation was affected and this leads to slower metabolism.

The researchers took tissue samples, including small pieces of fatty tissues from under the skin of the study participants. They noted that the way these tissues broke down sugars and fats were slower in people who did not get a good night’s sleep. Researchers also saw reduced concentrations of the adrenal gland hormone cortisol in participants after sleep deprivation

These findings underline the importance of sleep for metabolism. Sleep requirements change from person to person, but a minimum of 7 hours a night is recommended for most people.