How I make room for processed foods that fit a healthy life
With the new Dietary Guidelines for Americans making headlines, a lot of people are feeling confused — especially around the word ultra‑processed. It’s become a catch‑all term that lumps everything from hot dogs to whole‑grain cereal into the same bucket, and that can lead to some pretty misleading conclusions.

A new review published in BMJ Nutrition, Prevention & Health helps bring some clarity. Researchers looked at 14 studies examining how different types of processed foods affect our risk for heart disease, diabetes, and overall mortality. Their findings highlighted an important difference:
  • Ultra‑processed animal products — like bacon, deli meats, hot dogs, and ready‑to‑eat meat dishes — were consistently linked with higher rates of type 2 diabetes, hypertension, and early death.
  • These foods tend to be high in saturated fat, sodium, and nitrates/nitrites, which drive inflammation, blood pressure, and insulin resistance — the very things that raise our risk for chronic disease.
  • Ultra‑processed plant-based foods, on the other hand — things like whole‑grain breads, cereals, and even plant‑based meat alternatives — were associated with lower risk of type 2 diabetes, hypertension, and heart‑disease mortality.
Why the difference?
Fiber, antioxidants, and micronutrients — along with the absence of heme iron and high saturated fat — support healthier blood sugar and cholesterol levels and reduce the inflammation that drives chronic disease.

One of the most interesting takeaways from the review is this:
Not all ultra‑processed foods behave the same in the body.
Plant-based and animal-based products simply don’t have the same health impact, even if they fall under the same processing category.

This matters right now because the new Guidelines give more attention to meat and dairy — and for some people, that may feel like a green light to lean harder into animal-heavy eating. But decades of research still point in the same direction: more plants, fewer ultra‑processed animal products, and habits that support long-term health.

And just to be clear — I eat processed foods too. Sprouted‑grain bread, canned beans, plant-based milks, powdered tea, tofu, “meat” crumbles, and ground spices are all technically processed, but they’re what I call gently processed foods. They make healthy eating easier, they support my goals, and they fit beautifully into a plant‑forward life. Not all processing is the same, and these kinds of foods can absolutely be part of a healthy routine.

At the end of the day, the basics haven’t changed.
Vegetables, fruits, beans and lentils, whole grains, and plant-forward meals still do the heavy lifting for our heart, blood pressure, blood sugar, and cholesterol.
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This blog is dedicated to Irl Flanagan, who was my friend and grammar mentor. Over the last 20 or so years, he spent countless hours editing my manuscripts and teaching me the intricacies of sentence structure and the true meaning and the proper usage of words. 

Irl died 4 months before his 100th birthday.

About Me

I’m Peggy Kraus, an exercise physiologist and diabetes care and education specialist. My clients often tell me my superpower is helping people reverse type 2 diabetes — but the impact goes far beyond blood sugar.

After almost 30 years in cardiac rehab, I’ve seen how the American diet has affected people’s lives. I know health isn’t just about managing symptoms. It’s about reversing disease when possible, feeling strong and energized, and getting your life back.

I’ve helped thousands of people lower blood sugar, lose weight, improve cholesterol, and reduce blood pressure — all through simple, strategic lifestyle changes rooted in science and compassion.

My signature 6‑week program, 5 to Thrive, teaches the five key strategies my most successful clients use to create lasting change. And my newest program, Diabetes Rescue, is helping people move toward type 2 diabetes remission with a bold, plant‑powered approach that gives them the tools, support, and confidence to take back control of their health.

A plant‑based lifestyle is powerful. And so are the results my clients achieve.



Photo of Peggy Kraus