a little sugar - norc.org · senora garcia’s daughter, maria, works long hours and so can’t...
TRANSCRIPT
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Un poco de Azúcar
A Little Sugar
Vincent D, McEwen MM, Hepworth JT, and Stump CS. (2014). The Effects of a Community-Based, Culturally Tailored Diabetes Prevention Intervention for High-Risk Adults of Mexican Descent. Diabetes Educ., 40(2), 202-213.This study was funded by the National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Diseases Grant #(1R34DK085195-01). For more information, please contact: Deborah Vincent ([email protected])
These materials are a part of the Compendium of Culturally and Linguistically Tailored Resources for Type 2 Diabetes Prevention, assembled by NORC at the University of Chicago under contract with the Centers for Medicare & Medicaid Services Office of Minority Health.
Please Note: To adapt this photonovela, please insert photos of individuals from the community you are serving where indicated throughout.
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Me encanta
planear
fiestas!
I love to plan
parties!
La Señora García se esta preparando para la quinceañera de su nieta
Senora Garcia is getting ready for her granddaughter, Lourdes’ quinceañera party.
Insert photo of Sra Garcia
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Pero tengo tanto
que hacer!
But I have so
much to do!
Insert photo of Sra Garcia
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La hija de la
señora García
trabaja largas
horas, no puede
ayudar con los
preparativos
Senora Garcia’s
daughter, Maria,
works long hours and
so can’t help much
with the party
Insert photo of woman at
computer
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La señora García tiene que
comprar decoraciones
Senora Garcia has to pick up the
decorations
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Tiene Que ir de compras para la
comida y el pastel
She has to shop for the food and the
cake
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Prepara la comida
Prepare the food
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Que música le gustara
a Lourdes
I wonder what kind of
music would Lourdes
like?
Insert photo of concerned looking Sra Garcia
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Ha estado tan ocupada que
no caminado como de
costumbre y ha comido
mucha comida rápida.
She has been so busy! She hasn’t
been taking her usual walk and has
been eating too much fast food.
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Su ropa le queda un
poco apretada y sabe
que ha aumentado de
peso.
Now her clothes are getting a
bit tight and she knows she
has gained weight.
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Hoy la señora García
tiene que hacerse
pruebas de sangre y
revisarse la presión.
Today, Senora Garcia has
to go to get some blood
tests and have her blood
pressure checked.
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Su doctora le tiene
noticias un poco
desagradables.
The Nurse Practitioner
has some troubling news
for Senora Garcia.
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Ha aumentado de peso y su azúcar esta arriba de lo normal
She has gained weight and her blood sugar is above normal
Insert photo of worried looking Sra Garcia
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Ay Dios mio!
Dijeron que tengo
que prediabetes.
¿Que voy hacer?
They said I have
prediabetes. What am
I to do?
Insert photo of worried looking Sra Garcia
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Estoy mortificada la
doctora dice que tengo
que cambiar lo que como.
Que dirá mi familia?
I am so worried. The Nurse
Practitioner said I have to
change how I eat. What will
my family say?
Insert photo of thoughtful Sra Garcia
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Próxima Semana
Next Week • Y si mi familia no
quiere comer mas
sano?
• Les gusta como
siempre he
cocinado.
• La señora García
cocina para toda la
familia!
• What if her family
doesn’t want to eat
healthier?
• They like her
cooking the way its
always been.
• Señora García
does all of the
cooking for the
family
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Un poco de Azúcar
A Little Sugar
Capitulo 2
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La Semana Pasada
Last Week
La semana pasada le
dijeron a la señora García
que tenia una poca de
azúcar en la sangre.
Ella tenia mucho miedo.
Señora Garcia was told that she
had a little sugar in her blood.
She was very scared.
Insert photo of worried
looking Sra Garcia
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Yo se que tengo que
cambiar mi forma de
comer, pero yo cocino
para toda mi familia.
I know I need to change
how I eat. But I do all of
the cooking for my family
Insert photo of tired
looking Sra Garcia
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¿Estarán dispuestos
a cambiar nuestra
forma de comer? Will they be willing to
change how we eat?
Insert photo of tired looking Sra Garcia
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Platicare con ellos
esta nocheI’ll talk with them
tonight.
Insert photo of thoughtful
looking Sra Garcia
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Esa tarde la Señora García le dice a su familia lo que su
profesional de salud le dijo.Ellos están muy mortificados.
That evening, Señora Garcia tells her family what her nurse practitioner
said.They are very concerned.
Insert photo of Garcia
family
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Se acuerdan la abuela tenia
diabetes .You remember Grandma had
diabetes.
Insert photo of Garcia family
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Ella perdió su pierna y tiene
problemas con sus ojos.She lost her leg and had trouble
with her eyes.
Insert photo of Garcia family
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Mamá, esto es muy grave. ¿Qué
podemos hacer?Mama, This is very serious. What
can we do?
Insert photo of worried looking Garcia family
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Pero ella come muchas verduras y muy poco
pan. Y toma agua en lugar de soda.But she eats lost of vegetables and not much bread.
And she drinks water instead of soda!
Insert photo of talking Garcia family
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A todos nos haría bien comer mejor. He
estado leyendo como los Americanos están
engordando mucho.It would be good for all of us to eat better. I was
reading how Americans are getting too fat.
Insert photo of worried looking Garcia family
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Yo también lo leí. El tener sobrepeso causa muchos
problemas de salud. Aún nuestros niños están
engordando y teniendo diabetes.I saw that in the paper too. Being overweight causes lots of
health problems. Even our children are getting too fat and
getting diabetes.
Insert photo of worried looking Garcia family
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¡Lo podemos hacer Nana! Todos te
ayudaremos.We can do this Nana. We’ll all help.
Insert photo of smiling Garcia family
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Sera bueno para la familia el comer
saludable. ¿Pero que es lo qu
tenemos que comer?It will be good for the family if we eat
healthier. But what do we need to eat?
Insert photo of worried looking Garcia family
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Me siento tan bien.
Mi familia me
ayudara a hacer los
cambiosOh, I feel so much
better. My family will
help me. Together we
can learn to make
these changes.
Insert photo of smiling Sra Garcia
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La semana próxima
María y yo iremos a ver a
la nutrióloga en la clínica.
Aprenderemos mas
sobre como perder peso.Next week, Maria and I will
see the dietician at the clinic.
We’ll learn more about how
to lose weight.
Insert photo of smiling Sra Garcia
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Próxima Semana
Next week
• ¿Podrán comer menos
Grasa?
• ¿Serán los alimentos
igual de sabrosos con
menos grasa?
• ¿Que tal el ejercicio?
¿Que tanto se tiene que
hacer?
• Can they eat less fat?
• Will the foods they
like be as tasty with
less fat?
• What about exercise?
How much will they
need to do?
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Un poco de Azúcar
A Little Sugar
Capitulo 3
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La Semana Pasada
Sra García estaba muy tireste porque le dijeron que es prediabetica.
Sra Garcia was very upset when she learned she had prediabetes.
Insert photo of tired looking Sra Garcia
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Su familia le dijo que la van a ayudar y esto va a ser bueno para toda la familia ya que
todos aprenderán a comer más saludable.
Her family said they would help and it would be good for the family to learn to eat more healthily.
Insert photo of Garcia family
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Te voy a acompañar con la
nutriólogo.
I’ll go with you to the dietician. Gracias, hija. Eso me va
hacer sentir mucho mejor.
Gracias, mi hija. That will
make me feel much better.
Insert photo of Sra Garcia and daughter
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She and her daughter, Maria, are meeting today with the dietician.
¿Y si nutriólogo me dice
que no puedo comer
mis alimentos favoritas?What if she tells me I can
never eat my favorite
things?
Insert photo of thoughtful looking Sra Garcia
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El nutriólogo les explico acerca de la pirámide de los alimentos así como el tamaño
de las porciones.
The dietician explains about the food pyramid and portion sizes.
Es muy importante comer más
verduras, espeicalamente verduras
de hojas verdes. Y comer menos
grasas y alimentos que con tengan
almidón.It’s important to eat more vegetables,
especially green leafy vegetables. And
eat less fat and fewer starchy foods
Insert photo of
dietician
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Recuerde que la grasa que
ingiere es importante. La grasa es
alta en calorías. Trata de comer
alimentos bajos en grasas.Remember the amount of fat you eat
is important. Fat is high in calories. Try
to eat low-fat foods.
Insert photo of
dietician
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Usted puede comer sus
comidas favoritas. Pero
sustituya la tortillas de harina
por la de maíz, porque el maíz
tienen meno grasa. Puede
probar las tortillas bajas en
calorías o las de trigo.You can eat your favorite foods. So
you can have tortillas, but corn
tortillas have less fat than flour
tortillas. Or you could try the low-fat
or whole wheat tortillas
Insert photo of
dietician
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Recuerde el tamaño de las
porciones es muy importante.
Use su mano para calcular la
cantidad de comida que necesita.
Y mantenga un diario de lo que
come.Remember, portions sizes are very
important. Use your hand to estimate
the portion size of food. And keep a
food diary.Insert photo of dietician
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Leer las etiquetas de comida le ayudaran a saber la cantidad de calorías y grasa que
hay en cada porción.
Reading food labels will help you to know how many calories and how much fat is in each serving.
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Así que puedo comerme un
pedazo de pastel de quince
años. Pero no demasiado.So I can have some quinceanera
cake, just not too much.
Insert photo of thoughtful looking Sra
Garcia
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Esa noche, María y la Sra. García compartieron con la familia lo que el nutriólogo les
dijo.
That evening, Maria and Senora Garcia share what the dietician said with her family.
Insert photo of Garcia family talking
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!Nana, nosotros podemos
hacerlo! Todos te va nos a
ayudar.We can do this, Nana. We’ll all
help.
Insert photo of Garcia family talking
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Todos estuvieron de acuerdo que cambiar su dieta va hacer bueno y que deberían
de empezar inmediatamente.
They all agree the diet changes will be good for all of them and they should start immediately.
It will be good for all of us to eat
more vegetables and less fried or
sweet foods.
Insert photo of Garcia family talking
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Se que podemos
hacerlo. No
necesitamos hacer
grandes cambios.I know we can do this.
We don’t need to make
big changes.
Insert photo of smiling Sra Garcia
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Vamos hacerlo poco a
poco. Podemos empezar
comiendo menos grasa.
Yo voy probar algunas
recetas del libro que me
dio el nutriólogo.We’ll do a little at a time. We
can start by eating less fat. I’ll
try some recipes from the
cookbook the dietician gave
me.
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La próxima semana
Next week
• ¿Como sabrá la
Señora García la
cantidad de comida
que esta comiendo?
¿Es difícil llevar un
control?
• ¿Que pueden hacer
los Garcías para
comer menos grasa?
• ¿Que pueden hacer
para convertirse en
detectives de grasa?
• How will Senora
Garcia know how
much she is eating?
Is it hard to keep
track?
• How can the Garcias
eat less fat?
• How can they be fat
detectives?
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Un poco de Azúcar
A Little Sugar
Capitulo 4
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La Semana Pasada
Last Week
Los García aprendierón a comer menos grasa. La Señora García estaba
emocionada por que probaría recetas nuevas.
The Garcias learned to eat less fat. Senora Garcia was excited to try some new recipes.
Insert photo of smiling Sra Garcia
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La familia dijo que le ayudaría y seria bueno para todos aprender a comer más
saludable.
Her family said they would help and it would be good for the family to learn to eat more healthily.
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Fats, sweets, alcohol
Meat, poultry, fish, dry beans, eggs
Milk, yogurt, cheese
Fruit
Vegetables
Bread, cereal, rice, pasta
Date:
Rate Your Plate
Ella apunto todo lo que comió esta semana.
She kept track of everything she ate this week.
Evalue sus comidas
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No me había dado
cuento que estaba
comiendo tanto.I didn’t realize I was
eating so much!
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La nutrióloga dijo; The dietician said…
Es muy importante comer
mas vegetales, menos
grasas y menos
carbohidratos.It’s important to eat more
vegetables and less fat and
starchy foods.
Insert photo of thoughtful Sra Garcia
Insert photo of dietician
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Recuerde que la cantidad de
grasa que come es
importante. La grasa es alta
en calorías. Trate de comer
alimentos bajos en grasa.Remember the amount of fat you
eat is important. Fat is high in
calories. Try to eat low-fat foods.
Insert photo of
dietician
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Un poco de Azúcar
A Little Sugar
Capitulo 5
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La Semana PasadaLast Week
Los García aprendieron a registrar la cantidad de comida y comenzaron a caminar.
The Garcias learned to keep track of what they ate and began walking.
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Ellos aprendieron a:
Comer alimentos altos
en grasa con menos
frecuencia.
Comer pequeñas
cantidades de alimentos
grasosos.
Comer más frutas y
verduras.
They learned to:
Eat high-fat less often.
Eat smaller amounts of
high-fat foods.
Eat more fruits and
vegetables.
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Esta semana el paseo fue
agradable. Compré unos zapatos
nuevos y mi amiga me acompañó
a caminar en el centro comercial.Walking went well this week. I got
some new shoes and met a friend at
the mall and walked.
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We are going to meet
once a week to walk.
Then I can also walk
with my family.
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Pero algunas cosas
siguen siendo difíciles.But some things are still
hard.
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!Me encantan las enchiladas! Y
cuando veo a gente comiendo
helado, quiero un poco también.I love enchiladas! And when I see
people eating ice cream, I want
some too.Insert photo of
thoughtful Sra
Garcia
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!Necesito controlar
mis deseos de
comer!I need to take charge
of what’s around me!
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La nutrióloga dijo:The dietician said…
Coma algo antes de ir a una fiesta.
Y así no tendrá hambre ni deseos
de comer en exceso.Eat something before you go to a
party. Then you won’t be so hungry
and overeat.
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Insert photo of dietician
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La nutrióloga dijo:The dietician said
Beba algo caliente como un té, si lo
acostumbra; un bocadillo mientras ve
televisión. Haga algunos ejercicios de
estiramiento o camine en algún lugar
durante unos minutos.Drink something hot like tea if you usually
snack when watching TV. Or do some
stretches or walk in place for a few minutes
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Lleve un registro diario de los
alimentos y la actividad. El diario le
ayudará a saber lo que a comido y lo
activo que ha sido realmente. Este
segura de llevar su contador de pasos.Keep a food and activity diary. This will
help you to know how much you really eat
and how active you’ve really been. Make
sure to use your step counter.
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Al final de la semana, los García hablaron acerca de su progreso.
Cuando ellos caminaban los 5 días lo celebraban y prometían hacerlo mejor posible
cuando fallaban.
At the end of the week, the Garcias talk about their progress. They celebrate when they’ve
walked 5 days a week and promise to do better this time when they haven’t.
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La próxima semana, yo
voy a tratar de caminar
por 5 a 6 días. Next week, I’m going to try
for 5 to 6 days of walking.
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La próxima semana
Next week
• La Señora García se
reunirá con amigas
para cenar. Le
preocupa que vaya a
comer en exceso.
• Y todavía se siente
estresado. ¿Qué
puede hacer?
• Senora Garcia is
meeting friends for
dinner. She is
concerned that she
will overeat.
• And she still feels
stressed. What can
she do?
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Un poco de Azúcar
A Little Sugar
Capitulo 6
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La Semana Pasada
Last Week
Los García aprendieron a controlar la cantidad de comida e incrementar el tiempo
para caminar.
The Garcias learned to take charge of what they ate and increased the amount of time they
walked.
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Conocí una amiga en el central
comercial y caminamos por treinta
minutos mientras platicábamos.I met my friend at the mall and we
walked for 30 minutes and got to talk.
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Aprendí que cuando veo a
gente comer ciertas comidas
siento deseos de comer más.I learned that seeing people eat
certain foods makes me want to
eat too much.Insert photo of thoughtful
Sra Garcia
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Me preocupaba que comer más frutas y vegetales iba
hacer más caro. Pero hable con la nutrióloga y medio
algunas ideas.I was worried that eating more fruits and vegetables would be
expensive. But I talked to the dietician and she gave me some
ideas.
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La nutrióloga dijo que podía usar frutas y verduras
congeladas. Estas son saludables y más baratas.She said we could use frozen fruits and vegetables.
They are good for us and are much cheaper.
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Pero algunas cosas siguen
siendo difíciles. Tengo días
muy ocupados y algunas
veces olvido hacer
ejercicio. But some things are still hard.
I get busy and sometimes
forget to exercise
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Necesito tener
control de lo que esta
a mí alrededor.I need to take charge of
what’s around me!
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Necesito pequeñas
notas para recordarlo.I need some reminders.
Reminders
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Cuando salgo a comer
fuera necesito planearlo
anticipadamente. De esa
manera no comeré
comidas altas en grasa.When I go out, to eat, I need
to plan ahead. Then I won’t
eat too much or eat too
many high-fat foods.
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Y si no termino mi
comida la llevo a casa
para el día siguiente.And if I take some home, I
have lunch for the next day.
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Me gusto la comida
asada. Me seguro de
ordenar así mis
alimentos y no comer
aderezos.I like grilled foods. I’ll make
sure to order those and stay
away from sauces.
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Ahora, que me
dijeron ellos acerca
de el stress?Now, what did they
tell me about stress?
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El ejercicio es excelente método para
disminuir el stress o bien puede tomar tres
o cuatro respiraciones profundas. Así se
sentirá mucho mas relajada.
Exercise is a great way to decrease stress.
Another thing you can do is take 3 or 4 deep
breaths, and then feel how much more relaxed
you are.
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Recuerdo los
ejercicios de
respiración. Esto es
fácil y me ayuda. I remember the deep
breathing exercise. It’s so
easy, and it does help.
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Próxima semana
Next week
• La Señora García quería
perder mas peso pero
ella no esta segura de
poder caminar mas por
mas tiempo.
• Como podrá ella ser mas
activa sin invertir mas
tiempo?
• Que otra cosa puede
hacer ella por su stress?
• Senora Garcia wants to
lose more weight but she
isn’t sure she can walk
more.
• How can she get more
active without it taking too
much of her time?
• What else can she do for
her stress?
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Un poco de Azúcar
A Little Sugar
Capitulo 7
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La Semana PasadaLast Week
Los García aprendieron a controlar la cantidad de comida cuando salen a comer fuera.
También la Señora García practico la respiración profunda para sentirse menos
estresada.The Garcias learned take charge of what they ate when they ate out. Senora Garcia also practiced
deep breathing to feel less stressed.
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Yo quiero perder más
kilos. Como lo puedo
hacer. I want to loose more weight.
How can I do that?
Tip the Calorie Balance
Calorie Balance =
• The balance between
the calories (energy)
you take in by eating
and
• use up by being
active.
Incliné la balanza de las calorías
Balanza de las calorías = A el
balance entre las calorías
(energía) que consumes y que
son usadas siendo activo.
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Lo tengo que recordar!
Tengo que convertirme en
mejor detective de grasas. I remember! I need to be a
better fat detective.
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comer menos grasas
Eat less fat y escribir lo
que como
Write down what
I eat
ser mas activa
Be active
Necesito:I need to…
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Pienso que debemos tratar de ser más
activos.Caminar es bueno, pero puedo
hacer más.I think we should try to be more active. Walking is
good but we can do more.
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Pienso que podríamos ir a bailar una vez por semana.Que opinan? Me gusta
bailar y el centro para adultos tiene una clase de baile a la semana.
I was thinking about going dancing maybe once a week. What do you think? I like to
dance and the senior center has a dance class once a week.
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Pero algunas cosas son
todavía difíciles.
Tengo que des hacerme de
cualquier !pensamiento
negativo. Si lo puedo hacer!But some things are still hard. I
need to talk back to any negative
thoughts. I CAN do this!
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Voy a tratar de hablarme
positivamente.
Como me enseñó la nutrióloga.I’m going to try some positive self-
talk, like the dietician taught me.
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Y voy a probar otra técnica
de relajación para el stress.
Lo mejor es la meditación.
Mmm...And I’m going to try another
stress relaxation technique,
maybe mediation. Hmmm
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Próxima semana
Next week
• ¿Podrá la Señora
García incrementar
su actividad?
• ¿Le tomara
demasiado tiempo?
• ¿Le ayudara la
meditación para
sentirse mas
relajada?
• Can Senora Garcia
increase her activity?
• Will it take too much
time?
• Will mediation help
her to feel more
relaxed?
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Un poco de Azúcar
A Little Sugar
Capitulo 8
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La Semana PasadaLast Week
La Semana Pasada
La Señora García practica desasiéndose de los pensamientos negativos.
Last week, Senora Garcia practiced talking back to negative thoughts.
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Voy a comerme el pastel de los
quinceaños. Necesito comer
menos de otros alimentos ese día.
I can eat the party cake. I just need to
cut back on other foods that day.
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Y he hecho me caminata.
!Estoy caminando 6 días a la
semana!And I have been really good about
walking. I walk 6 days a week!
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Eat less fat
Ayer comí demasiado. Salí al
almuerzo y comí y demasiado
grasa!But yesterday I slipped. I ate way
too much. I went out for lunch and
over did it. Too much fat!
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Sra Garcia
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!Pero lo haré mejor hoy! A lo
mejor comeré una ensalada
durante el almuerzo.But I’ll do better today, maybe I will
have a salad for lunch.
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Garcia
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Esta semana no hemos caminando tanto como
deberíamos. Se que estamos muy ocupados.
Vamos a caminar esta noche y volveremos a
intentarlo.We haven’t been walking as much this week. I know
we got too busy. Let’s go for a walk tonight and try
again.
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Compre marca pasos para nosotros. El marcos
pasos nos mostrará cuánto caminamos y eso nos
ayudará a mantenernos motivado.I got step counters for all of us. They will show us how
many steps we’ve taken and help us stay motivated.
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Es casi el cumpleaños de Lourdes. Todo va bien.It’s almost Lourdes’s birthday, but everything is going ok.
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¡La fiesta fue todo un éxito!
Todo el mundo la paso muy bien.
The party was a big success!
Everybody had a good time
Todos nos divertimos!
Nana hace fiesta
grandiosas! We all had fun! Nana gives
great parties.
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Garcia and granddaughter
Insert photo of smiling
Garcia family