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UNIT TWO LESSON 6 Cholesterol. Objectives. At the end of the lesson, participants should be able to: Describe the relationship between diabetes and heart disease Explain good and bad cholesterol List foods that are high in cholesterol
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UNIT TWO LESSON 6 Cholesterol
Objectives At the end of the lesson, participants should be able to: • Describe the relationship between diabetes and heart disease • Explain good and bad cholesterol • List foods that are high in cholesterol • Describe ways to lower LDL cholesterol and raise HDL cholesterol • Set goals to lower LDL cholesterol and raise HDL cholesterol • Describe feelings and experiences about living with diabetes • Identify ways to modify everyday recipes to fitinto the diabetes meal plan
Diabetes and Cholesterol If you have diabetes what should you know about cholesterol? • High levels of blood cholesterol can lead to heart disease • Heart disease is more common in people with diabetes • People with diabetes and heart disease are two to four times more likely to die from heart disease • You should have your blood cholesterol level checked by your doctor at least once a year
The Good News A person with diabetes who lowers his or her LDL cholesterol can reduce cardiovascular complications by 20-50%.
What You Should Know about Cholesterol • The body makes cholesterol • It is found in all cells of the body • It is only found in animal products
What You Should Know about Cholesterol Foods high in cholesterol: • Beef • Veal • Lamb • Pork • Liver and other organ meats • Egg yolk
Types of Cholesterol • LDL “bad” cholesterol • HDL “good” cholesterol
LDL “bad” Cholesterol • LDL stands for low density lipoprotein • It is called the “bad” cholesterol because it carries cholesterol to your arteries and increases the risk of a heart attack
LDL “bad” Cholesterol • The higher the level of LDL cholesterol in the blood, the greater your risk for heart disease • Lowering your level of LDL cholesterol lowers your risk of heart disease • The goal for a person with diabetes or heart disease is to have a blood cholesterol level below 100 mg/dL
Diabetes and High LDL Cholesterol • People with diabetes generally have excess glucose in the blood • The excess blood glucose sticks to the LDL cholesterol • This glucose-coated LDL stays in the blood longer and forms plaque, beginning the process of heart disease
Ways to Lower LDL “bad” Cholesterol • Control body weight • Excess weight raises your level of LDL “bad” cholesterol and increases your risk for developing heart disease • Being overweight also makes it difficult for your body to use the insulin it makes and to remove glucose from the blood
Ways to Lower LDL “bad” Cholesterol • Limit or eat less of foods that are high in trans fat, saturated fat, and cholesterol • Trans and saturated fat raise blood levels of LDL cholesterol more than cholesterol from the food we eat • It is important to read food labels carefully so that you are aware of the foods that provide trans fat and saturated fat
Trans Fat and Saturated Fat Foods that containtrans fat: Foods that containsaturated fat: Fatty meats, chicken skin, whole milk and whole milk products, butter, lard • Doughnuts, cookies, cakes, French fries, onion rings
Ways to Lower LDL “bad” Cholesterol • Include oats, oatmeal, dried peas and beans, and fruits and vegetables in your diet daily • These foods are good sources of soluble fiber that have been shown to lower LDL cholesterol • Use fat-free or low-fat (1%) milk, milk products, and cheeses
Ways to Lower LDL “bad” Cholesterol • Increase your intake of good oils, such as canola and olive oil, and good fats, such as avocado and walnuts • Decrease your intake of solid fats, such as butter, lard and shortening
Ways to Lower LDL “bad” Cholesterol • Take medication as prescribed by your doctor • Sometimes making changes in your diet and increasing exercise is not enough to lower your level of “bad” cholesterol • Your doctor will decide which type of medication is best to lower your cholesterol
HDL “good” Cholesterol • HDL stands for high density lipoprotein • This is called the “good” cholesterol because it moves cholesterol from tissues to the liver. Good cholesterol does not clog up the arteries of the heart • The higher the level of HDL in the blood, the lower your risk for heart disease
HDL “good” Cholesterol • People with diabetes tend to have low HDLcholesterol levels in the blood which increases their chances of getting heart disease • You want your level of HDL to be “high,” or greater than 60 mg/dL
Ways to Raise HDL “good” Cholesterol • Take part in 30 minutes or more of physical activity on five or more days of the week • Avoid smoking • Smoking lowers your level of HDL • Lose excess weight
Ways to Raise HDL “good” Cholesterol • Use olive and canola oils in cooking • Use soy-based products, such as tofu and soy milk • Add more fiber to your diet • The fiber found in oats, fruits, vegetables, and peas and beans can raise HDL cholesterol and lower LDL cholesterol
What You Should Know about Triglyceride • Most of the fats in food and in our bodies are in the form of triglycerides • When diabetes is not controlled triglyceride levels are high • People with high triglyceride levels also have high LDL and low HDL cholesterol levels
What is normaltriglyceride level? • People with diabetes should have a blood triglyceride level less than 150 mg/dL
Ways to lowerTriglyceride Level • Lose weight • Be involved in physical activity such as walking, biking, dancing, and swimming for at least 30 minutes on five or more days of the week
Ways to LowerTriglyceride Level • Eat less beef, beef fat, veal, lamb, pork, lard, poultry fat, butter, cream, milk, cheeses and other dairy products made from whole and 2 % milk
Ways to LowerTriglyceride Level • Use olive and canola oils and liquid margarine • Limit alcohol. Even small amounts can raise triglyceride levels
Ways to lowerTriglyceride Level • Improve blood glucose control
Putting it together • Share what you learned about diabetes and cholesterol
E-mpowerment Diabetes Education Series: Cholesterol
Diabetes Education Series • How would you describe your experiences and feelings living with diabetes and cholesterol? • What was most difficult for you? • What are ways that you could overcome some of these difficulties?
A-ction Did you accomplish the goal you set last week? Your goal is to have your LDL , HDL cholesterol and triglyceride levels checked. This is a goal on your Diabetes Checklist.
R-eal-Life Problem Solving Monica’s Story
Questions aboutMonica’s Story • What is Monica’s problem? • What are some ways in which she can solve her problem? • What do you think would work best for her and why? • What would you do if you were in Monica’s situation?
Questions aboutMonica’s Story • Please find the Real-Life Problem Solving handout for this lesson in your folder • These questions will help with your understanding of Monica’s story
N-utrition Menu Vegetable Fried Rice Fresh Peaches in Yogurt
See you next week! Topic: The Diabetes Food Pyramid
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