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Guide to Healthy Fast-Food EatingSan Diego, CA
Guide to Healthy Fast-Food Eating
Hope Warshaw, MMSc, RD, CDE, BC-ADM.
Publisher: American Diabetes Association, Alexandria, Virginia. Date of
Publication: 2006. Price: $9.95
Hope Warshaw has spun her magic once again in this highly readable and practical guide to eating out in fast-food restaurants. Ms Warshaw has provided educators and patients such practical guides for years. Her work consistently delivers very important messages: be mindful about what you eat, regardless of the location, and strive for variety in healthful food choices. This book, written for a consumer audience, delivers on these messages. The author reminds people, for example, that a diabetes meal plan should "work around your needs and lifestyle and not vice versa" (p 3). Furthermore, in her refreshingly realistic approach, she writes, "The right meal plan for you is the one that you can learn and put to work" (p 8). The book is a combination of tips and strategies for navigating the white-water rapids of fast-food restaurants followed by detailed nutrition information from the top 13 eateries: Arby's, Baskin Robbins, Burger King, Domino's Pizza, Dunkin' Donuts, Kentucky Fried Chicken, McDonald's, Papa John's Pizza, Pizza Hut, Starbucks, Subway, Taco Bell, and Wendy's. Although some readers may find the choice of restaurants cited to be limiting, the author does offer several additional resources to supplement the book. Several suggestions are offered about how to estimate food choices from restaurants not included in the list. Additionally, instead of only a laundry list of food items, the author also makes recommendations for healthier choices from most of the listed restaurants. The author teaches the reader how to "outsmart the menu," as she cautions about portion size and encourages creativity with food selection. The book is also contemporary in mentioning newer therapies such as Exubera, Symlin, Byetta, and insulin detemir. Although no mention is made of the AADE7, understandably given the audience, there are several instances of the model's application. For instance, the book encourages problem solving, even a personal scientist approach, in encouraging the reader to use blood glucose monitoring to understand better the impact of food on blood glucose levels. The text is easy to read and generally complete. One tip, packing up half the meal when it arrives at the table, is not mentioned early in the book in the 10 strategies for eating out. Rather, the strategy is later mentioned in the section on healthy tips at chicken chains. Other tips such as asking for baked chips rather than fried tortilla chips and corn tortillas rather than flour tortillas are missing completely. In the discussion on alcohol, checking blood glucose after alcohol consumption, particularly before sleeping, is sadly missing. Despite these oversights, the book is a good tool for the person who spends half of every food dollar dining out 4 or more times each week. For the diabetes educator, the book is also a useable tool for discussing one of the most challenging aspects of lifestyle modification—driving past the drive-through.
The Diabetes Educator, Vol. 33, No. 6,
920-922 (2007)
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