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Canyon Ranch Health Resort. Established in Tucson, Arizona, in 1979, Canyon Ranch Health Resort has two other locations in Lenox, Mass., and a soon-to-be-opened resort in Bali, Indonesia.
Canyon ranch offers low fat proteins, carbohydrates and vegetarian dishes. Calorie ranges are individualized per guest by a registered dietitian. The program teaches cooking classes so clients can learn how to make healthy eating choices. Each menu item has a nutritional index with fiber, fat, carbohydrates and calories.
Canyon Ranch offers a New Directions in Diabetes program that runs November first through the eighth for people with type 2 diabetes. Headed by Phil Eichling, MD, MPH, New Directions is a week-long program which focuses on making lifestyle changes for people with type 2. The program is staffed by a range of health care professionals from medical doctors to exercise physiologists. The program includes group fitness activities, lectures and group sessions with doctors and diabetes educators, HbA1c and microalbumin tests, individual physician consultation, a $190 allowance for health and healing services and access to four spa and sports services.
Spouses or friends can also attend the sessions.
Approximately $3,000 for a one-week stay. This includes three meals a day and accommodations. Expenses are out of pocket.
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Jenny Craig. Stashed in shopping malls across the country, Jenny Craig is not only accessible but also cheaper than many of the other weight loss programs surveyed.
Type 1 & 2
Jenny Craig offers its own line of pre-packaged, pre-measured portions of food. This can be an advantage or a disadvantage depending on a person's lifestyle.
The basic food menu costs about 72 dollars a week. Jenny Craig's ABC weight loss program menus are low in fat and cholesterol and high in fiber. The calories are split into 60 percent carbohydrate, 20 percent protein and 20 percent fat. Calorie limits range between 1200 to 2300. The program also assists people with diabetes in counting carbohydrates.
Janet McCreary found the pre-packaged food helped her to lose 62 pounds in the nine months she was at Jenny Craig. "The food was good and I liked how everything was measured out so I didn't have to worry," she says.
Roxanne Sullivan lost 10 pounds on the Program. "I liked the fact that they provided all of the food," she said. After three children, however, Sullivan found the program too restricting when she wanted to lose weight. "With three children to cook for, I needed more freedom choosing what I eat," says Sullivan.
Director of program development & nutrition, Lisa Talamini Jones, RD, says Jenny Craig's ABC program primarily caters to people with type 2 diabetes. Most Jenny Craig staff members are not health care professionals, so be sure to check with your CDE or doctor before making insulin or medication changes.
Jenny Craig offers three different weight loss memberships to its clients: the Silver, Gold or Platinum.
The Silver Membership costs $49 and is good for a year. It includes: a 15-minute weekly consultation with a diet counselor and a 30-minute lifestyle class once a week.
The Gold Membership is good until you lose your weight and includes a half-hour weekly consultation with a diet counselor, a weekly 30-minute lifestyle class, a walking program, audio library, "Cutting Through the Fat" cookbook and the ABC Folder. It costs $148.
The Platinum Membership costs $296 and offers unlimited weight maintenance classes, maintenance consultations, video library, unlimited comeback privileges, 25 percent family discount, 10 percent discount on food items (while maintaining your desired weight) and an ABC maintenance folder and guidebooks.
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The Pritikin Longevity Centers founded by Nathan Pritikin, MD, first found success with heart patients in the '70s and now helps people with diabetes, too. Pritikin has two locations, in Miami Beach, Fla., and Santa Monica, Calif.
Type 1 & 2
According to nutrition specialist James Kenney, PhD, RD, FACN, the Pritikin diet consists of a low-fat, high-complex-carbohydrate and high-fiber menu with approximately 3-1/2 ounces of meat a day.
Pritikin has a full medical staff and the medical director, Monroe Rosenthal, MD, is a board certified endocrinologist. The program teaches tools for cooking with less fat, beating the craving for fattening foods, label reading, healthy eating in restaurants, and exercise.
"Mainly we specialize in health education and we teach people how to make healthy lifestyle changes," says Kenney.
He boils down the program's success rate to the patient's compliance. "The closer people stick to the program the more likely they'll be able to go off their medication or insulin," says Kenney.
The Pritikin Longevity Center offers two different residential programs. The 13-day program is tailored primarily for people with type 2 on oral medications. The 26-day program is geared toward those with insulin-requiring diabetes.
One week costs $1,884 and for a companion the visit will cost $1,380. For two weeks the cost is $3,432 and $ 2,340 for a companion. Hotel lodging can be as high as an additional at $192 per night. There is also an additional $590 fee for medical tests.
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The Duke Rice Diet Program
The Duke Rice Diet program, originated by Walter Kempner, MD, of Duke University in 1939, is located in Durham, N.C.
Type 1 & 2
Despite the name, the diet does not consist entirely of rice. Instead it is based primarily on a low-fat, low-salt diet of grains (rice, pasta, cereal, etc.), beans, vegetables and fruits. Nonfat dairy products like fish, eggs, chicken and lean meat may also be added. The diet is restricted to 800 to 1,000 calories a day.
The program, headed by cardiologist Robert A. Rosati, MD, and endocrinologist Francis A. Neelon, MD, claim that of their type 2 patients on insulin, 38 percent were able to stop taking insulin and 62 percent decreased their dose. Of those taking oral medications, 80 percent were able to stop taking their pills and the remainder decreased their medication.
The program offers daily meetings with medical staff, an individualized exercise program based on walking, educational groups and lectures focusing on nutrition, cooking and lifestyle changes.
A four-week program costs $3,256 including lodging. A 50 percent discount is offered to accompanying spouses. Program fees are not covered by MediCare or most third party insurers. For more affordable housing, the program also offers a list of apartments, hotels and boarding houses.
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The Atkins Center
Started in the early '80s by Robert C. Atkins, MD, the Atkins Center in New York City treats patients using both alternative and mainstream medicine.
Type 1 & 2
The program is based on a low-carbohydrate diet (or no-carbohydrate diet) with moderate amounts of protein. The diets are tailored to fit a client's specific needs.
A patient's eligibility will be initially determined by a questionnaire and previous medical records. In the beginning a preliminary consultation is conducted with Atkins or associate medical director Fred Pescatore, MD. (Note: to meet with Atkins the cost is $295 as opposed to $195 with Pescatore).
The medical treatment and exercise program is then specialized for the patient's specific illnesses.
According to the Atkins Center, cost depends on a patient's family background, age, medical evaluation and whether he or she is insulin dependent or not. The Center gave an initial range of $300 to $1,500. Christina Morris of Hyde Park, N.Y., had the majority of her costs covered by Medicare. "However, I have about $400 to $700 a month of vitamin and mineral supplements that aren't covered," she says.
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Whitaker Wellness Institute. Julian Whitaker, MD, author of Reversing Diabetes and Reversing Heart Disease (to name just a few of his book titles) opened the Wellness Institute in 1979 in Newport Beach, Calif.
Types 1 & 2
The program is based on a low-fat, high-fiber diet tailored to the individual by the faculty nutritionist. "We don't call it a diet, however," says Diane Lara, RD, a nutritionist for the Institute. "We call it making lifestyle changes because diets don't work."
The Whitaker Institute offers intensive one-week clinics. These clinics focus on a nutritional supplement regimen, stress reduction and mild exercise. The Institute is a full fledged medical center (with a staff of five medical doctors) that also utilizes alternative therapies.
According to Lara, the Institute doesn't focus on a lot of exercise. "A majority of our clients are quite ill and only here for a week so there is not really time to start an exercise program," she says. However, mild exercise is recommended for clients who are able to participate.
A week-long program costs approximately $3,500 plus $531 to stay at the Hilton three blocks away from the Institute. In some cases, Medicare will cover expenses; however, most insurance companies will not cover costs.
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Joslin Diabetes Center. Why not go to a place where they really understand diabetes? Located in Boston, Mass., The Joslin Center offers its Fit'n Healthy program for both type 1s and 2s.
A menu will be individuality tailored by a Joslin dietitian, in which only 25 to 30 percent of the calories will come from fat. The program teaches fat gram counting instead of the more traditional calorie counting.
The Fit n' Healthy program lasts 16 weeks and runs three times a year. Once a week the client will go in for a one-hour meeting with a nutritionist and a one-and-half-hour session with an exercise physiologist. Before enrolling, a potential client will be evaluated by a registered dietitian. The program teaches stress management skills along with weekly exercise and diet consultations.
Director of educational projects and services Joan Hill, RD, CDE, says the program focuses on "getting away from the scale being the only measure of success."
The program costs $500 for 16 weeks. Fit n' Healthy is typically not covered by insurance so it is an out-of-pocket expense.
Free program orientations are offered
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1 comment - May 1, 1998
Diabetes Health is the essential resource for people living with diabetes- both newly diagnosed and experienced as well as the professionals who care for them. We provide balanced expert news and information on living healthfully with diabetes. Each issue includes cutting-edge editorial coverage of new products, research, treatment options, and meaningful lifestyle issues.