Lower weight at altitude

mickey-mouseHave you heard about this? Researchers looked at over 400,000 people and found that those who live at altitude are less likely to be obese. I find that fascinating, because for so long people have been saying that Colorado is a “lean” state because people are more active. But maybe there’s more to it than that.

I’m currently in Disney World, which is definitely at sea-level and more accurately swamp-level. However, the amount of walking we do here makes up for the thick air, I’m quite sure. But then again, the Mickey ice cream bars may cancel that out. Oh well – it’s magical at any rate!

So move to the mountains – or at least take a vacation there!

 

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Keeping up Diabetes Appearances

I showed my parents my new book yesterday (we are visiting them in Florida). My mother  read a few bits and pieces and happened to see the part about her taking me to an ice cream shop immediately after I was diagnosed with diabetes, and on our way to the hospital. She laughed and said she didn’t remember doing that.

Here’s my theory: Mom thinks she was not supposed to take me to an ice cream shop, so she’s embarrassed that I wrote that in my book. She doesn’t think that looks good for her. However, the point of my sharing that anecdote is that she did the right thing: she didn’t immediately cut out foods that were enjoyable to me. Of course, as I point out in the book, she may have thought she was getting me my very last “treat” and how much could it hurt at that point?

The thing is, when people are diagnosed with diabetes they often assume they have to “give up” everything they love – or even everything that is part of their culture. This is not so. As discussed in my book, there are ways to manage diabetes and work in our favorite foods.

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Diabetes Book!

FotoFlexer_PhotoMany patients ask me, “What diabetes book should I buy?” And there are so many out there that it’s hard to answer. A few years ago I met a patient who was brand new to diabetes. When she and her fiance arrived for their second visit with me, he looked me straight in the eye and asked, “Where is the book that says we can do this, and she’s going to be all right?” My response was, “I’m working on it.”

I am very excited to announce that the “diabetes book” that I’ve been working on is now available. It’s a book about living well with diabetes, and it’s about strength. My book is for people who have diabetes – from the newly diagnosed to veterans – and for those without. It’s for caregivers and health care professionals, too.

The idea for this book started at a small town hospital in northwest Colorado. A dietitian colleague and I gave a talk for the physicians called, “People With Diabetes Can Eat Anything.” I was tired of the mindset that there are certain things people can and can’t eat, which can actually lead to feelings of limitation and self-defeat. Instead, it’s all about finding balance in life, through choices.

You can learn more about my book, People With Diabetes Can Eat Anything, by clicking here.

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Signs and Symptoms of Diabetes

Signs-Symptoms2Do you know the difference between signs and symptoms? Here’s a little lesson from nursing school: signs are what others look for (such as behavior changes or things you can see) and symptoms are what you experience (such as shakiness, headache, or things that you feel).

The signs and symptoms of diabetes may depend on the type of diabetes. Typically people who have type 1 diabetes experience extreme (“unquenchable”) thirst, frequent urination (peeing a lot), and may have very little energy. These are symptoms. They often lose weight or stop growing, which is a sign. Kids (and even adults, sometimes) with undiagnosed type 1 diabetes may wet their bed (another sign).

In type 2 diabetes, we see central obesity (extra weight in the abdomen, or the “apple shape”), which is a sign. People with type 2 often complain of blurry vision and fatigue (symptoms). The hard part about type 2, however, is that some people get the signs/symptoms typically associated with type 1 diabetes (see above) and many people don’t experience any symptoms at all. In fact, type 2 diabetes is often detected on a routine blood draw, for instance, as part of a life insurance physical. If left undetected, people with type 2 sometimes get complications including dental problems, foot problems, sores that don’t heal, and infections.

If you or someone you know has any of these signs or symptoms, please let your health care provider know. It is far better to know that you have diabetes – and do something about it – than to live with high blood glucose levels that could be damaging your body.

What other signs/symptoms have you experienced, or been told about, that I haven’t mentioned?

 

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The Whats and Whys of Diabetes Management

Here’s some food for thought:

Rather than asking what (do I have to do), consider asking why (do I want to do it). Rather than saying I have to, consider saying I get to.

By figuring out what motivates you (and not what someone else wants you to do), you can get to the core of why something like managing diabetes matters to you. And then, believe it or not, you are more likely to succeed at it. Words like “compliance” are all about the other person, while your diabetes is all about you. I would suggest not thinking about it as “complying” with someone else’s orders, but taking care of yourself for yourself.

What motivates you?

 

 

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Pomegranate

A-pomegranate-007Do you eat pomegranate? I like the idea of pomegranate: a healthy fruit. I like the look of pomegranate: a pretty fruit. But the last time my daughter had a pomegranate, she made such a mess that I told her I wouldn’t buy another one. Uh oh.

A study I read recently found that people are less hungry – have a lower desire to eat – after having pomegranate. Here’s my theory: it’s so much work and makes such a mess, that after dealing with a pomegranate we are no longer hungry. Ok, I admit, the study looked at people who’d taken a pomegranate supplement. They didn’t have to deal with the actual fruit. Heck – if someone else (or some machine) is willing to extract the juice from all those little seeds (are they seeds?), and if the price is right, I might consider it. I’m not necessarily jumping on the pomegranate band wagon, but mixing a little pomegranate into my life might not hurt. Maybe I’ll have it on holidays so I don’t overeat…

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Fear of Diabetes

panic buttonLast night my website became non-responsive. I couldn’t log off, I couldn’t log on, I couldn’t make changes. I kept getting a blank, white screen. I was terrified to touch anything. I was afraid I would break it (more).

Fortunately, despite being bad at computers (or at least the inner workings of web code), I am good at using my resources. I found Brandon. He’s my hero, and he saved my website (in 30 minutes or less) for a reasonable fee.

Of course I started thinking about how this relates to diabetes. I thought about all the people who are diagnosed with diabetes and feel frightened: afraid of needles, afraid of low blood glucose, afraid to eat, afraid to be judged or blamed. Diabetes often comes with fear.

For those who are experiencing fear and diabetes, I strongly encourage you to find and use your resources. There are books and websites, blogs, magazines, and support groups; there are diabetes professionals and lay people who live with diabetes. Get in touch with them and pick their brains. Get support, encouragement, education. Don’t stop until your questions are answered and you are no longer afraid.

And then you can help someone else who has diabetes…and is afraid.

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Food Nutrition Labels

Do you read the nutrition labels on your food products?

A study found that people might make healthier food choices if labels were revised. So I’m curious, if labels gave information for an entire package, would that help you make a healthier choice than just giving the info for one serving? If the label said the package contains 3000 calories, would you stop and say, “Whoa – I think I’ll just have one serving”? I’m not sure that would work for me. There is still math involved, but this way it’s division instead of multiplication. So I guess the real question is, which basic math operation would you rather perform in the grocery store aisle?

I’ll stick with an apple.

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Reliable Information: the GATOR approach

If you are reading this blog, chances are you get information from the Internet. A group of nurse researchers put together the GATOR approach to making sure that people are finding good information on the web.

G is for genuine.

A is for accurate.

T is for trustworthy.

O is for origin.

R is for readability.

Do a little digging and make sure the information you are reading is genuine, accurate, trustworthy, from a good source and readable. And as always, check with your health care provider.

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Teachers College is 125 years old!

Teachers College, the graduate and professional school of education for Columbia University in New York City, starts its 125th anniversary celebration today!

Teachers College is known for many firsts, including the yellow school bus and the Happy Birthday song (you can read about more of them here). The one that I’m most excited about, however, is the Master of Science program in Diabetes Education and Management. Teachers College offers the nation’s first interprofessional graduate degree in diabetes education and management, and it is solely online (which is almost a first for TC). Nurses, dietitians, pharmacists, physicians, exercise scientists and professionals from many more disciplines can come together to study diabetes in depth, share experiences, and learn with and from each other.

Happy Birthday, Teachers College!

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