Question

Part II Morgan continued to sit in the doctor’s office, listening but not hearing. Her doctor had explained how diabetes would increase her risk of heart disease and stroke, risks she already had from obesity, as well as kidney disease (diabetic nephropathy) and blindness. How could this happen to her, just now before her marriage? “Morgan, I understand this news is devastating for you, but I want to clarify that Type 2 diabetes is easily controllable through exercise, good nutrition, and weight loss.” “You mean if I lose weight I’ll be OK?” “Yes. If you are careful, weight loss will help manage your disease, and exercise will help your cells take in blood glucose. I want you to take a day or two to clear your mind for the road ahead, and read this literature. Then schedule an appointment with our nutritionist, Dr. Navarro. Losing weight will be easier for you, in my opinion, with the guidance of a professional. Come back in one month for a checkup, OK? Will you do that for me?” Morgan went home that afternoon in a state of frustration and denial. She said nothing to her parents, but that was hardly unusual. The next day, she spoke of the bad news to her family and friends and explained how weight loss was supposed to be an effective treatment. “I know just what you should do,” said Morgan’s close friend, Savannah. “You know how I’ve been losing weight? Well, I’ve been on the Atkins’ Diet. I heard about it on TV. It’s great! You get to eat steak, chicken wings, and all the good stuff. All you have to do is limit carbohydrate intake. You should definitely give it a try. This diet has been around for years and it has worked for lots of people, including me.” “I don’t know,” said Morgan’s brother, Alan. “There’s a lot of argument about the Atkins’ Diet. I think the best thing for you to do is exercise and stop eating all of that pizza and candy and food filled with fat. Our people never used to eat that junk. I say eat meals that are nutritionally balanced and high in fiber and low in refined sugars and saturated fats. And run a lot. Stop sitting around the house.” Morgan sat silently, listening to the family debate. Finally, she looked over to the corner of the room where her grandfather had also been sitting quietly. “Grandfather, what do you think? You are healthconscious, you exercise regularly, and you know a lot about nutrition. What do you say?” He said nothing for a long moment and then,”Morgan, it is true that it is best to live in harmony and balance—to eat a nutritionally balanced diet that includes carbohydrates, proteins, and ‘good’ fats to meet your body’s needs. That is good. But look to your heritage. Our people were never overweight before we started eating ‘civilized’ food. Look to our native diet. I think you should look to traditional herbal remedies for help. What Alan says is true. Exercise is good. But it is sometimes not enough. Our people have always looked to the natural medicine for cures. They will lift your spirits and energize you. Then you will lose weight and you will be healthy again.” “Do you mean I should take those herbs from the diet shop?” “Yes. I hear they are safe and good. But you must make them as the medicine label says. It can’t hurt to try them.”

4 Activity What should Morgan do? Research the pros and cons of the Atkins’ Diet, a diet high in fiber and low in saturated fat. Also, research health store supplements containing the herb ephedra (ephedrine). Find out what major healthcare organizations say about these. And learn about the possible effects of exercise to control weight. Be prepared to be split into three groups where each group will role-play and defend the viewpoint of Savannah, Alan, or the grandfather in a debate. You should learn about the pros and cons of each viewpoint in order to understand their strengths and weaknesses.

Answer 1

Atkins diet (this contains a diet with high fat and protein but with low carbohydrate)

Pros	Cons
This can lead to rapid loss of excess body weight High amount of protein can be consumed The calorie count is not followed here It can increase the HDL	Quick loss of body weight can be a root to many health problems High protein can lead to gastrointestinal, cardiovascular, renal problems in long run Consuming without calorie count can lead to increased calorie intake The fiber is low so can lead to constipation Ketosis can occur Nutritional deficiency can occur Regain of weight is possible

The ephedra has been banned by FDA because of its risk to be used by athletes for energy gain and alertness.Though it is a better way to loss weight it has side effects too.

Exercise is always the best way to burn the e cess calories ,fats from the body. It enables to remove the toxins and the harmful substances of the body through perspiration and calories.This natural method often has no side effects when done after an advice from an expert. This can stimulate the release of some mood stabilizing or good hormones to make oneself active ,energetic and healthy always.

Savannah Atkins diet suggestions is good but due to its limitations or cons it has to be discussed with a nutritionist and then started

Alan was good upto his decision to avoid fast foods which are unhealthy which can lead to obesity

The grandfather advice about herbal remedies can be good but if prepared in hone and not in form of supplements or any other form purchased from a store without proper medical expert guidance and advice.