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Editor's e-Note
Consider the limits of supplements
Satisfying the Sweet Tooth

In my recent efforts to eat more healthfully, I’m eating more fruits and vegetables and cutting back on added sugars. I’m measuring the amount of sugar I put in my tea each morning, and I’ve stopped buying cookies, candy, and other sugar-laden treats. According to the 2015–2020 Dietary Guidelines for Americans, added sugars should comprise no more than 10% of total daily calories. But what about people with diabetes? Which types of sweeteners are best for them, and what are their daily limits?

In this month’s E-News exclusive, Today’s Dietitian discusses the different types of nutritive and nonnutritive sweeteners on the market, which ones are best for people with diabetes, and which ones are ideal to withstand high temperatures during baking.

After reading the article, visit Today’s Dietitian’s website at www.TodaysDietitian.com to read the digital edition of the August issue, which includes articles on low-carb diets and diabetes, the School Breakfast Program, fiber’s role in treating irritable bowel syndrome, and our final installment of our three-part series on the hottest nutrition trends of 2016 based on our fourth annual “What’s Trending in Nutrition” survey that we developed with Pollock Communications.

It was a pleasure seeing familiar and new faces at the American Association of Diabetes Educators Annual Meeting in San Diego. Please enjoy the E-Newsletter and give us your feedback at TDeditor@gvpub.com, and don’t forget to like us on Facebook and follow us on Twitter.

— Judith Riddle, editor
e-News Exclusive
Best Sweeteners for People With Diabetes
By Constance Brown-Riggs,
MSEd, RD, CDE, CDN


Patients with diabetes often ask which sweeteners are best for them; what makes those sweeteners a good choice? Are there limits on how much of a given sweetener they can consume each day? If you counsel people with diabetes, chances are you’re frequently asked these questions.

This article will discuss the different types of sweeteners that grace store shelves, which ones are best used for baking, and what is their acceptable daily intake (ADI). It will also provide tips for counseling patients.

Types of Sweeteners
Sweeteners can be placed into two main categories: nutritive and nonnutritive. Nutritive sweeteners, often referred to as caloric sweeteners or sugars, contain carbohydrate and thus provide calories. Nonnutritive sweeteners, also known as high-intensity sweeteners or low-calorie sweeteners, provide few or no calories. People with diabetes can safely consume both types of sweeteners.

Currently, the FDA has approved the following eight nonnutritive sweeteners for use: acesulfame K, advantame, aspartame, luo han guo extract, neotame, stevia, saccharin, and sucralose.1

“The Academy of Nutrition and Dietetics [the Academy] position paper on sweeteners advises people can safely consume nonnutritive or nutritive sweeteners when they are part of a healthy eating plan,” says Toby Smithson, MSNW, RDN, LDN, CDE, a spokesperson for the Academy. Furthermore, the American Heart Association, American Diabetes Association (ADA), and Academy agree that nonnutritive sweeteners can help people with diabetes achieve glucose control.2,3

Full story »
 
In this e-Newsletter
Olympics News
Dietary Challenges and Triumphs
of This Year’s Olympians

By Matthew Ruscigno, MPH, RD

The 2016 Rio Olympics are in full swing, and worldwide sports fans, casual or otherwise, are tuning in by the millions to watch elite athletes compete in events for which they’ve been training for years. From marathon running to weightlifting to the modern pentathlon, there’s a huge diversity in athlete types, preparation methods, and training approach. Regardless of the discipline, nutrition plays a significant role in preparation for the world stage of the Olympic games.

Olympic athletes are the best at what they do, and at those levels of performance, the specifics of their nutrition plan become increasingly important. They have to be especially careful when they travel across the world to compete; a new environment coupled with the excitement of the big day and being around so many competitors can make eating even more challenging. Here’s a closer look at some of the issues these elite athletes have to consider.

Full story »
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In the September Issue

Getting Heart Healthy—It’s a Family Affair

Fresh Look at Brown Rice

Peanut Allergy Prevention

TD Exclusive: Meet Lucille Beseler

Cancer Malnutrition Basics

The Best of Boston Dining
Other News
Americans Devote More Than 10 Hours
a Day to Screen Time

A new report reveals that adults in the United States devote about 10 hours and 39 minutes each day to consuming screen-based media, according to CNN.

McDonald’s Nixes
Some Artificial Ingredients

McDonald’s has announced its plan to remove high-fructose corn syrup from its sandwich buns and artificial preservatives from its chicken nuggets, according to The Wall Street Journal.
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Continuing Education
Learn about flax’s nutritional content and potential to help prevent and manage various medical conditions in this month’s issue of Today’s Dietitian. Read the CPE Monthly article, take the 10-question online test at CE.TodaysDietitian.com, and earn two CPEUs!

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Overview of the Nutritional and Health Attributes of Soy
Presented by Mark Messina, PhD
Wednesday, August 24, 2016, 2-3 pm ET

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This 1 CEU webinar will discuss the proposed health benefits of soyfoods and will address topics such as the effects of soy on male hormone status, the impact of soy on breast cancer prognosis and the effect of soy on mineral absorption and status. Emphasis will be placed on the clinical and prospective epidemiologic data.

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Dietary Targeting of Inflammation: Modification of Cancer Risk
Cynthia Thomson, PhD, RD, FAND, FTOS
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1.5 CEUs

This 1.5 CEU webinar will examine the relationship between inflammation and cancer, as well as foods and dietary patterns that have been shown to impact the inflammatory response. Attendees will come away with the recognition that RDs can play an important role in positively impacting the health of patients and clients at risk for cancer by encouraging dietary interventions that reduce inflammation.


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Presented by Dr. Joanna McMillian and Professor Karen Dwyer, this complimentary 1-credit webinar discusses a growing body of research supporting the notion that some people digest milk proteins differently, and that for these people, A1 beta-casein may be the cause of postdairy digestive discomfort.


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Tech & Tools
Finding Healthful Lifestyles Near You
The Healthy Places app (healthyplacesapp.com), free to download for iOS and through Google Play, locates healthful dining, grocery stores, farmers’ markets, health stores, fitness and wellness centers, yoga studios, health-based events, and more near the user’s location. The user can input certain preferences (eg, organic, local, gluten-free, vegan) for the app to search for. The app also generates coupons and loyalty rewards. Learn more »

Music and Motivation for Working Out
The Motion Traxx app (www.motiontraxx.com), available free for iOS and Android, offers guided cardio workouts from professional fitness trainers. The app’s music is designed to match the intensity of a user’s workout and motivate further. Users can choose high-intensity interval training workouts for the treadmill, indoor bike, elliptical, rower, stairclimber, and more. Learn more »
Field Notes
Defining Moderation May Vary by Individual

Though eating in moderation might be considered practical advice for healthful nutrition, a new University of Georgia study suggests the term’s wide range of interpretations may make it an ineffective guide for losing or maintaining weight.

The more people like a food, the more forgiving their definitions of moderation are, says the study’s lead author Michelle vanDellen, PhD, an assistant professor in the Franklin College of Arts and Sciences department of psychology.

“Moderation is a relative term,” she says. “When people talk about eating in moderation, it doesn’t allow them a clear, concrete way to guide their behavior. For both thin and overweight people, people tend to think of moderation through their own objective lens, and they tend to exaggerate what moderation is.”

Read more »
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Ask the Expert
Have a dietetics-related question that you'd like our expert Toby Amidor, MS, RD, CDN, to answer? E-mail TDeditor@gvpub.com or send a tweet to @tobyamidor, and we may feature your query!