WellesleyWeston Magazine

WINTER 2014/2015

Launched in 2005, WellesleyWeston Magazine is a quarterly publication tailored to Wellesley and Weston residents and edited to enrich the experience of living in two of Massachusetts' most desirable communities.

Issue link: http://wellesleywestonmagazine.epubxp.com/i/410492

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So how does Joslin's Why WAIT program work? It's made up of four parts: dietary intervention, exercise, behavior modification, and medication adjustment. The book guides readers through diet modifi- cations and a gradually increasing exercise plan to help them reach their goals. There is a different chapter for each week of the plan. According to the book, over a 12-week period, readers can: n FOLLOW A DIET PLAN that provides specific proportions of carbohy- drates, protein, and fat to better manage blood glucose levels and body weight. n INCORPORATE GRADUAL EXERCISE, focusing on strength exercises to build muscle, not just cardio workouts like most weight loss plans. n LEARN HOW TO CHANGE BEHAVIORS that caused them to gain weight in the first place. n LEARN HOW TO CONSULT THEIR HEALTH-CARE TEAM about revisiting the doses and types of diabetes medication to enhance weight loss and learn to closely monitor their blood glucose levels. "The number one rule for being successful at losing weight and keep- ing it off and reversing or improving your diabetes course is that you absolutely have to lose the fat, but keep the muscle," says Dr. Hamdy in the book's introduction. The problem with most diets is that you lose a combination of both fat and muscle when you follow them. For a dia- betic this can be a real problem since there can be a "worsening of blood glucose control due to lack of muscle." Also, diabetics tend to lose more muscle as they age than the average person. This program's goal is that participants' total weight loss includes only 10 to 15 percent muscle mass in comparison to 30 percent or more in other plans. According to the book, another problem is fad diets. Those "that promote rapid weight loss by severely cutting calories can lead to a medically dangerous condition called starvation ketosis, which occurs when your body ineffectively attempts to burn fat when your carbohy- drate or calorie intake is very low and is specifically harmful for people with diabetes." People with diabetes or at risk for diabetes, says Dr. Hamdy, should be especially concerned about visceral fat, or the fat that accumulates inside the belly, because this fat makes a body resist its own insulin. "We know that a waistline about 40 inches for a man and 35 inches for a women make the risk of diabetes and heart attack significantly higher," he notes. For Dr. Hamdy, this book has been a labor of love. His family has suffered disproportionately from diabetes. As he says in the dedication, this book is "In memory of my parents, who died from diabetes before I knew how to help them." With this in mind, Dr. Hamdy says it is extremely rewarding to make Joslin's Why WAIT clinical program available to people across the nation (The Diabetes Breakthrough is also being translated into Chinese, Russian, and Spanish). "This is not a book to make money. It's a scientific book that is a real legacy for me," he says. THE DIABETES BREAKTHROUGH is available on Amazon.com and at other locations. 161 w i n t e r 2 0 1 4 / 2 0 1 5 | W e l l e s l e y W e s t o n M a g a z i n e

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