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Healthy Recipe Doctor

From low fat recipes, to recipes designed for diabetics, Elaine Magee RD, MPH shares recipes and advice to create healthy meals that are guaranteed to please.

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This blog reflects the personal experience of one person and others can be different. It is best to contact your doctor to discuss what's best for you.
Tuesday, June 05, 2007

Taste Test Tuesday: Pillsbury Doughboy Goes Sugar-Free
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They're a bit pricey (over 4 dollars for 12 "ready to bake" pre-formed cookies) but the words SUGAR FREE caught my eye.

Was it my imagination or was the Pillsbury Doughboy looking trimmer? If he still had that fun-to-poke belly, it was hiding behind that Sugar Free Chocolate Chip Cookie he was holding.

In order to get the complete "tasting" experience of this new cookie, I had no choice but to taste some of the raw cookie dough. Although the dough wasn't as good as other cookie dough I've tasted (light and regular), it did taste like it had some potential. I baked the tray of cookies in my toaster oven and the family dug in. The last few cookies are still sitting on the kitchen counter the next day (which tells you something).

How did they taste?

They tasted "okay". The texture was similar to what you would expect but the flavor was kind of a let down. My daughter said it tasted like oatmeal with dark chocolate in it. Strangely, I can see why she said that. This might be a helpful treat to someone with diabetes because it looks like these cookies are completely sugar free - even the chocolate chips.

What's In There?

There are 16 grams of carbohydrate per cookie and 0 grams of sugar. In addition to Splenda, each cookie contains 6 grams of sugar alcohol per (maltitol powder is the second ingredient for the dough and lactitol is used to sweeten the chocolate chips) and remember that sugar alcohols can have a laxative effect in larger doses (they can have an effect in smaller amounts in some people with IBS).

There are 90 calories per cookie and 4 grams of fat, 1 grams of which is saturated and 1 gram of which is trans fat. The big surprise for me was the 3 grams of fiber per cookie.

~~Elaine

Related Topics: Sugar Fix, Cookies for Breakfast

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Posted by: Elaine Magee, RD at 7:11 AM

Thursday, May 24, 2007

Is There Such Thing as Diabetic Diarrhea?
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This isn't pretty but over the years I've heard some people with diabetes complain of having periodic diarrhea. In fact, a friend recently asked me what could be going on. I mentioned that perhaps undigested carbohydrates in the intestine were holding onto excessive water and causing watery stools (I told you this wasn't pretty). But I wanted to know if a dietitian who specializes in helping people with diabetes might have discovered any other possible reasons why this could sometimes be happening--so I asked a certified diabetes educator/dietitian that I recently met in Kansas City: Diana Rodenberg CDE, RD, MS, Clinical Nutrition Specialist at Saint Luke's Health System Diabetes Centers in Kansas City, Missouri.

Q: I wanted to know if some of your diabetic clients experience diarrhea after meals sometimes and if so, what might be going on here specific to diabetes?

A: There are two fairly common reasons why someone with diabetes might have diarrhea, and there are many not so common reasons.

MEDICATION?
The first thing I look at is their medications. If they take Metformin, it can cause stomach upset and diarrhea, especially if it is taken on an empty stomach. If they take it after they eat it will usually help. The problems usually diminish over time, but if they continue to have problems they may need a change in meds.

POOR BLOOD SUGAR CONTROL?
Poor blood sugar control can also cause diarrhea, the mechanism is not fully understood, but I suspect it is the osmotic effect of undigested carbohydrate entering the large intestine. Moderate carbohydrate intake 45-60 grams per meal (women) and achieving good glucose control may help.

NEUROPATHY?
Autonomic neuropathy is another possibility, especially in people who have had diabetes for a long time. It is caused by damage to the nerves that control the GI tract. Good glucose control may help, but they often need medications.

BACTERIAL OVERGROWTH?
It could also be bacterial overgrowth. Detected by a hydrogen breath test. Probiotic therapy may help.

CELIAC DISEASE?
Celiac disease is also a possibility, it is more common in people with type 1 diabetes.

UNRELATED TO DIABETES?
Or it could be IBS or another problem not related to diabetes.

~~Elaine

Related Topics: Diabetes and Artificial Sweeteners, Healthy Eating and Diabetes

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Posted by: Elaine Magee, RD at 8:52 AM

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