Divabetic Patti LaBelle Gets Jazzy on Her New Album ‘Bel Hommage’

Our favorite “Divabetic” Patti LaBelle is living proof that diabetes doesn’t have to dim your dazzle!

Her diagnosis of type 2 diabetes hasn’t stop two-time Grammy-winning legend Patti from taking on new challenges in her career. She just released a new album,  “Bel Hommage,” a jazz covers album executive produced by her ex-husband Armstead Edwards (“he’s known me and my voice for over 30 years, so why not?” she says of the musical marriage) on a new label (GPE Records) she co-owns with their son and her manager, Zuri Edwards of Edwards Entertainment.

“Now you know that’s just how I roll,” Patti told Variety in a recent interview.

It’s been 55 years since her debut single and she’s still going strong even though she admits it took awhile for her to get in tune with her diabetes self-care.  Patti now eats right, exercises daily, and takes her medicine regularly  and is riding high on the success of her Good Life foods imprint with Walmart, starting with the famed “Patti LaBelle Sweet Potato Pie,”and her show for the Cooking Channel’s “Patti LaBelle’s Place”.

However, we happy to hear that music, jazz in particular, remains the godmother of the ‘Divabetic’ movement’s first and truest love. When her ex-husband, Armstead Edwards, suggested that she record her jazz favorites, she jumped at the process, even though — at the time — she wasn’t completely confident in her vocal abilities. “I just didn’t like how I sounded. My voice wasn’t being kind to me. I knew I could be better. I didn’t think I could do it, but Armstead said ‘Blanche’ — that’s his nick name for me and my drama — ‘I know you have it in you.’ So I did it, and was in it to win it. Now, it sounds more beautiful than I ever imagined.”

LaBelle told Variety she fought with Edwards throughout the entire “Bel Hommage” recording process, “even when I knew he was right, just to stir thing up. There’s a lot of laughs, joy, and pain in that album.”

Several years ago, the rhythm-and-blues diva passed out on stage during a singing performance. That night, the doctor asked if she knew she had diabetes. “I didn’t have a clue,” Patti told Diabetic Living magazine.  “I hadn’t gone to the doctor because nothing was hurting me.”

Our May Divabetic inspiration,  Della Reese also experienced a situation similar to Patti Labelle’s  when she was diagnosed with type 2 diabetes. She passed out on the set of her hit TV show,  ‘Touched by An Angel”.  Patricia Addie-Gentle RN, CDE shares ways to help you overcome the initial shock related to a diabetes diagnosis on May’s Diabetes Late Nite podcast s with musical inspiration from Della Reese.

Patti’s diagnosis made her angry, even though she knew diabetes ran in her family.

Anger frequently contributes to diabetes burnout, a person’s anger may encourage them to seek ‘freedom’ from the condition and neglect their self-management.

According to Diabetes UK  ‘mindfulness based approaches’ are recognized as an effective and lasting means of aiding the management of anger. Research has shown that by becoming aware of the triggers as well as the emotional, mental and physical impact of anger, an individual is able to recognize and respond rather than react to triggers which may have initiated an automatic reaction.

Eventually, Patti, like Della, decided she needed a ‘new attitude’, just like the title of her 1985 chart-topper. “I realized my blood glucose levels weren’t getting any better,” she says. “So I knew I had to stop playing around and get serious about this disease.”

https://youtu.be/vnDuExwDaxU

That’s good news because we just learned that Patti LaBelle has several albums ‘in the works’ including a gospel album, a dance-music album, and an album featuring the new first songs penned by fellow Philadelphians Kenneth Gamble and Leon Huff .

“This is like a new beginning for me,” says LaBelle of “Bel Hommage,” “new, but still an old friend.”

White Chocolate Cheesecake by Holly Clegg inspires New Mister Divabetic Mystery

I’m working on my newest tantalizing tale of culinary mystery and suspense, ‘Mister Divabetic Mystery – ‘One Murder Tutu Many’ which takes place in New York City’s vibrant ballet community. 

When my character, Mr. Divabetic heads to the Gotham City Ballet Company’s box office to fix a mix up with his tickets he’s faced with a even bigger problem – a murder. To make matters worse, one of his cheesecakes seems to be covering the victim’s face. Even more shocking are the numerous scandals swirling around the Gotham City Ballet and it’s members that have everyone walking around on tip toes. Could our happy healthcare host’s questionable culinary skills make him an accessory to the crime or even a possible side dish? Now Mr. Divabetic with the help of his team of whip smart Diabetes Educators must whip up his own crime-solving recipe, and fast–before a hearty dose of intrigue and a deadly dash of danger ends his diabetes advocacy and healthy catering career once and for all.

Cheesecake has been touted as the #1 American dessert so with cheesecake on my mind, I reached out to my friend, Best-Selling Cookbook Author Holly Clegg for one of her recipes, White Chocolate Cheesecake.

“White chocolate and cheesecake are outrageously delicious and especially when they are combined in one dazzling dessert. You will be begging for a second piece,” Holly said. “I like to top my cheesecake with raspberries because it gives it such a decorative touch.”

White Chocolate Cheesecake from Gulf Coast Favorites Cookbook by Holly Clegg

Ingredients

1 cup graham cracker crumbs
1/2 cup old fashioned oatmeal
2 tablespoons sugar
1 teaspoon almond extract
2 tablespoons butter, melted
3 (8-ounce) packages reduced fat cream cheese
2/3 cup sugar
2 eggs
2 egg whites
1/4 cup all purpose flour
3 ounces white chocolate, melted
1 cup fat free sour cream
2 teaspoons vanilla extract

Directions

1. Preheat oven 325°F.
2. In bowl, combine graham cracker crumbs, oatmeal, 2 tablespoons sugar, almond extract, and butter. Press onto the bottom and sides of spring-form pan.
3. In mixing bowl, beat together cream cheese and 2/3 cup sugar until light. Add eggs and egg whites, one at a time, beating well after each addition. Nex, add flour and white chocolate, mixing well. Add sour cream and vanilla: mix well.
4. Pour into prepared crust and bake for 55 minutes. Remove from oven and cool to room temperature. Refrigerate until well chilled and then remove from the pan.

16 servings

Nutritional information per serving Calories 217 | Calories from fat 44% | Fat 11 g Saturated Fat 6 g | Cholesterol 55 mg | Sodium 197 mg Carbohydrate 23 g | Dietary Fiber 0 g | Sugars 16 g | Protein 7 g Diabetic Exchanges 1 1/2 carbohydrate | 1 lean meat | 2 fat

I asked Holly why is this cheesecake is considered to be ‘trim & terrific’?

“If you order this cheesecake out it probably has 30 g sat fat and my recipe has 6 g sat fat,” says Holly. “Not all my recipes fit into the diabetic guidelines, however, this cheesecake is so much better for you!  Cheesecake is usually high calorie and high fat.  What did I do?”

“I used reduced- fat cream cheese with a  combination of eggs and egg whites.  I also used fat free sour cream to make the recipe creamy but not add extra fat.  I include white chocolate to give it the flavor but probably another recipe would have double or triple the amount of white chocolate. Also, typically a crust would have a stick of butter in it and I use only 2 tablespoons.  I pride myself on finding the balance of flavor and fat.  It is important that this cheesecake tastes like an indulgence but I also want it to be better for you”

“I make this easy white chocolate cheesecake recipe ahead of time.  Then, I let it cool and freeze to pull out whenever I need it. When your cheesecake is frozen, it is also so much easier to remove from the spring form pan to put on your desired serving plate.  I took my White Chocolate Cheesecake out the day before and  I put in the refrigerator for it to defrost.”

“This is my favorite recipe,” Holly said. “It is funny as once I made it for Thanksgiving and didn’t put the raspberries on top and it wasn’t as popular.  We eat with our eyes!”

With over 1 million cookbooks sold, Holly Clegg has become a culinary expert on easy healthy everyday recipes through her nationally recognized best-selling trim&TERRIFIC® and Eating Well cookbook series, including Eating Well Through Cancer, (English, Spanish and Chinese editions), Eating Well to Fight Arthritis and Diabetic Cooking with the American Diabetes Association. Holly Clegg attended the Cordon Bleu Cooking School, London. For more information, visit About Holly or The Healthy Cooking Blog for more recipes and tips.
LISTEN NOW: Mr. Divabetic shines the spotlight on author and chef, Holly Clegg, in this half-hour special edition of Diva Talk Radio. This fun-filled food frenzy will feature expert advice on quick, flavorful and healthy eating from Holly’s latest book, ‘Too Hot in the Kitchen:  Secrets to Sizzle at Any Age’

Carbohydrates Are ‘Luxury’ Brands in Chloe Wise’s Eyes

We all know high carbohydrate foods can raise blood sugars but did you know that they’re also raising eyebrows in the art world?

Chloe Wise’s viral “Bread Bag” series, in which she affixed luxury logos to carbohydrates and gave them names like Pancakes No. 5 and her videos, in which she and her friends recite things she’s overheard such as: “ I realized I eat quinoa all the time, and I don’t know what it is,” have caught the attention of the art world.

She spends about eight to 12 hours a day in her Brooklyn studio working on food projects depicting the sensual promises of chain restaurants including ‘Olive Garden of Eden’.

What’s the idea behind her carb heavy and highly caloric work?

“Part of it is how women are addressed in the media, like ‘You want to lose weight, you want to be healthy, you want to be the best you.’ For men, it’s like ‘Enjoy yourself’. For women, it’s like, ‘Cut Back’. And it truly affects us,” said Wise in New York magazine. 

I think her approach to capturing the millions of contradictory messages being shot at us daily is necessary and so needed especially in the wake of  Mick Mulvaney, President Trump’s budget chief’s recent comments.

In response to Senator Bill Cassidy’s position that any health insurance should pass the “Jimmy Kimmel test” (providing coverage for conditions like the heart issues suffered by TV comedian Jimmy Kimmel’s infant son that Kimmel described on his late night show), Mulvaney said that, while there should be coverage for diseases like cancer, coverage does not need to include “ordinary health care.” According to the Washington Examiner,  Mick Mulvaney, President Trump’s budget chief, , diabetics have only themselves to blame for their illness:

“That doesn’t mean we should take care of the person who sits at home, eats poorly and gets diabetes.” said Mulvaney. “Is that the same thing as Jimmy Kimmel’s kid? I don’t think that it is.”

It’s shocking to me that anyone, let alone, a government official would make such an absurd and offensive comment. I’m not living under a rock. I know many people still blame people with diabetes for their health but I just didn’t expect to hear in this forum.

For the past 12 years, I’ve been fighting the shame and blame associated with a diabetes diagnosis the best way I know how; with a feather boa!

My diabetes nonprofit organization, Divabetic promotes a glamorous approach to managing diabetes to encourage someone at risk, affected by and living with diabetes ‘to keep their house’ a home and prevent a diabetes health-related complication from occurring. I saw how destructive mismanaged diabetes can be when I found my former boss, Luther Vandross on the floor of his 5th Avenue apartment after suffering a stroke related to type 2 diabetes. These memories still haunt me to this day and motivate me to keep fighting!

I really like artist Chloe Wise and her ‘Bread Bags’ artwork.  I thinks she’s helping us change conversations around food, food consumption and the shame and blame associated with it. She’s pointing out the subversive ways the food industry operates and how they like to play with our minds to get us to consume more and more food. Several of her works focus on the subliminal sexual connotations of phrases like “luscious cream sauce” and dripping, oozing and naughty images used in chain restaurant advertisements. When you really stop and think about it, it’s pretty gross. 

Unfortunately, a lot of people with diabetes don’t get the opportunity to think about these types of things because they’re too busy beating themselves up about their food choices and/or lack of ‘willpower.’

I say, ‘Don’t get down, get DIVA’. The best way to fight back is to embrace yourself, and your diabetes health. Once you truly accept your diagnosis you can strive to learn more, do more and live more!

Divabetic’s Diabetes Plate Poetry “What’ s on Your Plate?” video describes the emotional experience of living with diabetes.  An important component of diabetes self-management, but often unaddressed, is the topic of emotional well being.

Are you afraid of eating Carbohydrates?

“Every day, people with diabetes are bombarded with messages to limit, restrict, avoid, and feel guilty for eating carbohydrates. Not surprisingly, my clients with diabetes often tell me they are afraid of eating carbs.” says Megrette Fletcher, M. Ed, RD, CDE.

So how does someone with diabetes stop being afraid of eating carbohydrates?

Restriction breeds fear and fear breeds restriction

If you are trying to be “good,” it’s a red flag that you may be stuck in a restrictive mindset. The idea of being “good” often start as an intention to make more informed choices, but when the reason you’re trying to “be good” is out of fear, something shifts. Fear can make any choice not good enough because fear moves the goal of eating a balanced meal to a meal that is better. “Better” of course means eating fewer and fewer carbohydrates until you have nearly eliminated carbohydrates from your diet, hoping that the fear of eating would end. But it doesn’t, does it?

Pause and ask yourself, “Do I think all foods can fit in your diet when you have diabetes?” Fear and being afraid, makes it hard to think, read a label, consider your options, or make a decision. In Megrette’s book Eat What You Love, Love What You Eat with Diabetes, she tackle how to resolve some of these difficult thoughts about food and eating. READ MORE

CLICK to LISTEN NOW: The State of Women’s Health on the Diabetes Late  Nite. We’re talking about the state of women’s equality and diabetes and sexual health post-election. Guests include: Dr. Andrea Chisholm OBGYN, Peak 10 Skincare founder and Domestic Violence Advocate Connie Elder, Poet Lorraine Brooks, Mary Ann Hodorowicz RD, CDE, Asha Brown, and the President of Women in Government Relations, Kathryn Schubert.

Country Music Singer Loretta Lynn Suffers A Stroke

Country music singer Loretta Lynn suffered a stroke at her home in Hurricane Mills, Tennessee. She is currently under medical care and is responsive and expected to make a full recovery. Loretta, who just celebrated her 85th birthday, has been advised by her doctors to stay off the road while she is recuperating.

May might be Stroke Awareness Month, but strokes happen every month. In fact, in the U.S., a stroke happens every 40 seconds, with someone dying from stroke every four minutes, according to the National Stroke Foundation.

When it comes to strokes, time is everything. Minutes can mean the difference between life, disability (stroke is the leading cause of adult disability in the U.S.) and death (stroke is the fifth leading cause of death in the U.S.) That’s because strokes occur when parts of your brain cannot get oxygen-carrying blood. Think of a stroke as cutting off the air supply for brain cells. The longer they go without oxygen, the more likely they are to die. And brain cells aren’t like soap opera characters. Once they pass they do not come back to life.

There are two general ways that blood supply can be cut off: one is a blood clot leading to what’s called an ischemic stroke and the other is a blood vessel leaking or rupturing, which is called a hemorrhagic stroke because there is bleeding. The treatment for a stroke? Recognize it as quickly as possible and save those brain cells by trying to rapidly restore blood flow. For an ischemic stroke, using blood clot-dissolving medications (tissue plasminogen activator or tPA) can work. Surgery or interventional radiology procedures may help either remove a clot or stop bleeding.

One way of remembering the signs of a stroke and what to do is FAST, as described by the National Stroke Association:

  • FACE: Ask the person to smile. Does one side of the face droop?
  • ARMS: Ask the person to raise both arms. Does one arm drift downward?
  • SPEECH: Ask the person to repeat a simple phrase. Is their speech slurred or strange?
  • TIME: If you observe any of these signs, call 9-1-1 immediately.

LISTEN: Diabetes Late Nite inspired by Della Reese. We’re talking about ways to overcome the initial fears associated with a diabetes diagnosis.  In 2000, Della was officially diagnosed with diabetes after collapsing on the set of the hit TV show “Touched By An Angel”.  Guests include Diabetes Diabetes Alert Dog Trainer and Author from Chilbrook Kennels, Debby Kay, Central Farm Markets Co-Founders Debra Moser and Mitch Berliner, Master Hairstylist Karline Ricketts, the Charlie’s Angels of Outreach, Poet Lorraine Brooks and Mama Rose Marie.

Throughout the podcast we will be featuring selected songs from Della Reese’s albums courtesy of SONY Music.

Divabetic Old Hollywood Mother’s Day Celebration, Pt. 4

For the past twelve years at our Divabetic live events, on our podcasts and inner blog we’ve been promoting  a ‘New Attitude’ about living with diabetes to help you ‘Keep Your House A Home’ by learning to prevent a diabetes health-related complication from occurring.  Now we’re sharing our decade’s worth of our ‘diva brand of diabetes outreach’ advice and suggestions with you so that you won’t have to avoid the holidays in order to take charge of our diabetes.

Our Divabetic Mother’s Day Celebration embraces an Old Hollywood aesthetic to encourage you to shine the spotlight on you and your diabetes health!

We believe diabetes doesn’t have to dim your dazzle! You can still embody Old Hollywood glamour and the kind of woman who is accustomed to attention from throngs of paparazzi!

Sure, it can be challenging  at times to enjoy the holidays when you’re living with diabetes especially if you feel like you can’t enjoy the foods your actually preparing for your family and friends! Why not take the opportunity this Mother’s Day to change your mindset as well as your family’s about what healthy tastes like?

One of our favorite experts,’The Decadent Diabetic’ aka Chef Ward Alper shares this Oscar worthy menu for a Divabetic Mother’s Day Celebration.  The Decadent Diabetic’s menu includes Cucumber Soup, Smoked Salmon & Brie Omelet, Roasted Asparagus and Tart A Citron. Below is Chef’s Ward Alper’s recipe for Tallulah Tart A Citron (See all of the Decadent Diabetic’s Old Hollywood inspired Mother’s Day recipes on Divabetic blog).

Tallulah Tart A Citron Recipe by The Decadent Diabetic 

Crust Ingredients:

Pam Spray for the pan

(9-10 inch removable bottom fluted tart pan)

2/3. flour

½  cup toasted nuts (either Almonds, Walnuts, or Pecans)

¼ c. GRANULATED SUGAR SUBSTITUTE

1 pinch salt

¼ tsp cinnamon

½ tsp. baking powder

4 tbsp.  butter or margarine

1 large egg

Filling Ingredients:

1 pkg reduced fat (not fat free) cream cheese at room temperature

2/3 cup GRANULATED SUGAR SUBSTITUTE

juice AND zest of two lemons (about 7 tablespoons)

3 large eggs

How Chef Ward Alper Prepares the Recipe:

Roll out the crust on flowered surface to about a 14 in circle. Using your fingers fit into tart pan. This dough is fragile and will break. Not to worry just piece it together with your fingers. Refrigerate for 15-20 minutes before filling.

Beat cream cheese in the bowl of a food processor or electric mixer until smooth. Add GRANULATED SUGAR SUBSTITUTE and beat until incorporated. Add eggs one at a time beating well after each addition. Add the lemon juice BUT NOT zest of the lemons. Beat until well mixed. BY HAND stir in the lemon zest.

Pour into the crust and bake at 350 for 25-30 minutes. Transfer to a rack and cool. Refrigerate for 2-3 hours.

Serve garnished with a few lightly sweetened Blueberries or strawberries or raspberries.

Tallulah Bankhead  was an American actress of the stage and screen, and a reputed libertine. Bankhead was known for her husky voice, outrageous personality, and devastating wit. Originating some of the 20th-century theater’s preeminent roles in comedy and melodrama, she gained acclaim as an actress on both sides of the Atlantic. Bankhead became an icon of the tempestuous, flamboyant actress, and her unique voice and mannerisms are often subject to imitation and parody.

“Tallulah Bankhead was a great character,” says the Decadent Diabetic. “I actually got to see her on stage in Midgie Purvis. It lasted maybe two performances. It opened with her coming down a staircase with two wolfhounds.  As Lily Tomlin would say: “its a look”.”

‘Can I have a healthy baby if I’m living with type 1 diabetes?’ is one of the most common questions we’re asked at Divabetic  diabetes outreach events. Our good friend, Diabetes Advocate and Author, Ginger Vieira recently co-authored a new book, ‘Pregnancy with Type 1 Diabetes’ (subtitled “Your Month-to-Month Guide to Blood Sugar Management) with Jennifer C. Smith RD, CDE.

“The book will likely be referred to as “the Type 1 pregnancy bible” before long,” reports Nancy Sayles Kaneshira for Diabetes Lifestyle’s website.

The books covers “Mama’s Mental Health,” nutrition, blood sugar management, what to expect at doctor’s visits, and Ginger’s personal pregnancy diary (pictured right). With countless tips, dietary recommendations and personal stories in addition to their own, the authors ably guide the reader through preparing for pregnancy all the way to baby’s birth, and throughout the challenges of postpartum diabetes control.

This book is so jam-packed with information it should come with a yellow highlighter. BUY NOW 

Hollywood Fact: Regardless of what you or I may think of Joan Crawford’s mothering skills and/or allegations of physical abuse towards her children,  many single mothers of adopted children owe her a great deal of gratitude. Joan adopted three children—Christina and twins Cathy and Cindy—as a single parent, which at the time was prohibited in California. She used her fame and finances to arrange the adoptions through an agency in Las Vegas.

Diabetes Advocate, Author and Spokesmodel, Doris Hobbs shows off one of the biggest fashion secrets in Hollywood; the nude colored shoe. Nude shoes are ultra- flattering shoe because they elongate your leg and virtually  go with everything. Plus, they’re perfect for summer? Every Hollywood starlet’s wearing them now—Miranda Kerr, Rosie Huntington-Whiteley, and Blake Lively, to name a few—and the result is legs for days, to put it mildly.

Pampering  gifts like products from PEAK 10 SKIN® are always a great treat to any Mom…at any age!  Whether it’s your daughter, sister, daughter-in-law, wife or your Mother, women love things that make them feel pampered and special.  PEAK 10 SKIN® have a couple different gift sets that we put together with Mom’s in mind, but they will also custom design a gift for the Mom’s in your life.  For custom gifts, simply call or email us.  Beautiful gift wrap available , too!  Remember, all of  products are professional spa quality and are paraben FREE, gluten FREE, cruelty FREE!

PEAK 10 SKIN®  is offering this Special 30% Discount Offer to our Divabetic community (use the Divabetic coupon code:   divabetic (all lowercase))

Don’t forget to use your coupon code:  B2B  (40% off)

PEAK 10 SKIN® recently repackaged the new SOOTHE hand cream in a pot for ease of use.  The product was too thick to come out of the tube with ease.  It comes in 2 sizes; 2oz/$18  and 4oz/$28.  These could be perfect gifts as well.  These prices are BEFORE your discount is applied.

Making a Mani/Pedi kit of SAVE MY SOLE & SOOTHE hand cream would be fabulous!  If you get the 2oz of each, that would be a $36 retail/$21.60 for you!

Latino ‘One Day At A Time’ Comedy Fights Stigma of Mental Health

Netflix’s Latino reboot of the popular sitcom ‘One Day at A Time’ from the 1970’s takes on mental health issues facing women and the stigma associated with it.

The new series centers on three generations of a Cuban American family. Justina Machado (“Six Feet Under”) stars as Penelope, a war veteran and recently single mother of two children, 14-year-old Elena (Isabella Gomez) and younger brother Alex (Marcel Ruiz). Rita Moreno  stars as Penelope’s ‘diva-ish’, meddling mother who moves in to help.

After being prescribed medication for mental health, Penelope admits that most Cubans don’t follow their doctor’s orders when it comes to taking medication.

At the end of the episode, Penelope tells her mother that she started taking her medication.

https://youtu.be/wNFFleycS8k

Why is this important?

As a community, Latinos are less likely to seek mental health treatment. A 2001 Surgeon General’s report found that only 20% of Latinos with symptoms of a psychological disorder talk to a doctor about their concerns. Only 10% contact a mental health specialist. Yet, without treatment, certain mental health conditions can worsen and become disabling.

Overall, the Latino community does not talk about mental health issues as reported by the National Alliance of Mental Illness  (NAMI). Subsequently, there is little information about this topic.

Many Latinos do not seek treatment because they don’t recognize the signs and symptoms of mental health conditions or know where to find help. This lack of information also increases the stigma associated with mental health issues. Many Latinos do not seek treatment for fear of being labeled as “locos” (crazy) or as having a mental health condition because this may cause shame.

Common mental health disorders among Latinos are generalized anxiety disorder, major depression, posttraumatic stress disorder (PTSD) and alcoholism. Additionally, Latina high school girls have high rates of suicide attempts.

Most people think of diabetes as a physical condition and have never really thought about the mental aspects with living with the condition according to Mark Heyman PhD, CDE.  Even some people with diabetes are surprised that there are organizations like CDMH that focus on diabetes and mental health. They know that living with diabetes is hard for them, but often they are surprised to hear that their concerns are actually (and unfortunately) quite common.

Can a TV comedy help fight the stigma of mental health in the Latino community?

Although the answer remains to be seen, it’s important to note that twenty years ago another TV sitcom had a tremendous impact on different community facing a stigma.

Ellen DeGeneres’s Groundbreaking Coming Out on her sitcom Ellen. “The Puppy Episode” was watched by an estimated 44 million people, nearly three times the show’s usual ratings.

Ellen DeGeneres told the Associated Press during an interview reflecting on the episode’s 20th anniversary. “I suddenly said, ‘Why am I being, you know, ashamed of who I am just to be successful and famous in society’s eyes?’”

Many in the LGBT community have credited Ellen DeGeneres for making them feel comfortable with themselves and their sexuality, including Eric Marcus, creator and host of the podcast “Making Gay History.”

“For everyday people,” Marcus told the AP, “Ellen made gay okay.”

Ellen DeGeneres spoke to Diane Sawyer on 20/20 and said, “I decided this was not going to be something that I was going to live the rest of my life being ashamed of.”

Believe it or not, Gloria Estefan’s take on the original theme song and gives it a flavorful update.

The original ‘One Day At A Time’, developed by Lear and created by Whitney Blake and Allan Manings, ran on CBS for nine seasons. It starred Bonnie Franklin as the divorced mother and co-starring Valerie Bertinelli and Pat Harrington.

Divabetic Bookshelf: ‘Caught Bread Handed’ by Ellie Alexander

‘Caught Bread Handed: A Bakeshop Mystery’ by author Ellie Alexander is what I like to call  a ‘one day’ book because you’re able to read it in one day or more accurately a lazy afternoon. It’s quick and fun.  

Welcome to Torte—a friendly, small-town family bake shop where the oven is heating up as high as the body count…

Jules Capshaw is still chewing over her husband Carlos’s return to Ashland, Oregon. Could there be too many cooks in the kitchen? Whatever is stirring between those two will have to wait. Despite the Oregon Shakespeare Festival being dark for the winter, the bakeshop is bustling, the dough is rolling, and there’s no rest for the weary…especially when murder is thrown into the mix. READ MORE

My only complaint is that the the nuisances of baking outweigh the mystery behind the murder in this story. Chapter after chapter, I kept wondering when the main character, Juliet ‘Jules’ Capshaw, was going to take off her apron and get down to the business of investigating. However, you will find yourself falling love with Ashland, Oregon and the crazy characters that inhabit it.

The author also does a great job of giving you a slice of ‘cake without the frosting’ when it comes to describing the daily grind of owning and operating a bakery/restaurant. The rhapsody of creating a new recipe is liberally sprinkled over the nonstop, never ending cycle of early mornings, financial worries and physical exhaustion. I don’t think there’s enough coffee for me to put on a chef’s hat! Now, that I’m eating ‘gluten free’ I appreciated her gluten free baking tip too. 

The gay character, Lance hooked me. He’s smart, witty, sarcastic busybody; a bit like Paul Lynne. And right before you think he’s going to be a total stereotype of a ‘theater queen’ the author reveals another, truthful side to the character by hinting at his issues with intimacy. 

I read this book for inspiration. Currently I’m working on rewrites for this year’s ‘Mister Divabetic Mystery: Gypsies, Tramps & Peas’ as well as researching and outlining my next ‘Mister Divabetic Mystery: One Murder Tutu Many’ podcast script. The purpose of our annual diabetes mystery podcasts is to educate you about diabetes self-care in an entertaining way. I also want to encourage you to become a diabetes detective and investigate the reasons behind why you may be experiencing unexpected high’s and low’s with your healthcare team. 

‘Mister Divabetic Mystery: Gypsies, Tramps & Peas’ takes place at the Mermaid Parade in Coney Island, New York.  The happy healthcare host’s first foray into healthy catering gets off to a soggy start when the guest of honor is found swimming with the fishes! Tune in to Diabetes Late Nite for all the action and laughs sprinkled with diabetes information in September.

My ‘Mister Divabetic Mystery: One Murder Tutu Many’ is set in the word of ballet. My character, Mr. Divabetic’s gluten-free cheesecake gives his team of amateur sleuths goosebumps when it’s found covering the face of a dead body. I’ve been busy consulting with Author and diabetes advocate, Zippora Karz, Janis Roszler MSFT, RD, CDE, LD/N, Cookbook author, Holly Clegg, Dr. Beverly S. Adler PHd, CDE and Stacey ‘The Diabetic Pastry Chef’ Harris on the various themes and recipes related to the story. 

Wondering what life’s like for a ballerina living with type 1 diabetes? 

Check out the ‘The Sugarless Plum’ by Zippora Karz. For dancer Zippora Karz, a rising young star with the famed New York City Ballet, being diagnosed with diabetes could easily have ended all her dreams. She was just twenty-one when she was plucked from the corps de ballet to dance solo roles like the Sugarplum Fairy in The Nutcracker. It was near the end of a grueling season when she became exhausted, dizzy, and excessively thirsty. READ MORE

Four years ago I met USA Today Best-Selling Author Tonya Kappes at BookCon in New York, NYC.  Our chance meeting has lead me to researching, writing and producing a yearly diabetes mystery podcast with my Diabetes Late Nite cast for our Divabetic community. Tonya’s been a great support throughout my painful and joyful writing process. 

One day soon I hope to turn one or more of my scripts featuring diabetes self-care tips and information and healthy recipes into a book (!) or not. In the meantime I’m going to keep on reading and writing!

By the way, my Mister Divabetic Mysteries (Pink Panther, Phantom of the Okra, Suspect Boulevard and Gypsies, Tramps & Peas) are available for free at blogtalkradio, i-Tunes and divabetic.org

Can’t wait until September? Check out May’s Diabetes Late Nite podcast featuring the music of Della Reese on Tuesday, May 9, 2017, 6 PM, EST. It’s not an mystery podcast but it’s filled with great advice on how to overcome the sudden shock of being diagnosed with diabetes, and advice on navigating your local farmers market and the best ways to go gray.

In 2000, Della was officially diagnosed with diabetes after collapsing on the set of the hit TV show “Touched By An Angel”. Since then, she’s battled with her health to fight against wheelchair confinement. Her rep claims she’s still able to walk and refuses to be confined. At this point, let’s just hope she continues to fight like we know she can! Guests include Diabetes Diabetes Alert Dog Trainer and Author from Chilbrook Kennels, Debby Kay, Central Farm Markets Co-Founder, Debra Moser, Master Hairstylist Karline Ricketts, the Charlie’s Angels of Outreach, Poet Lorraine Brooks and Mama Rose Marie

Divas & Diabetes: Della Reese

In May, we’re shining the spotlight on singer, actress Della Reese who is living with type 2 diabetes.  Della is best known for her gospel talents and long career in television, including her role on the show ‘Touched by an Angel.’

On Diabetes Late Nite scheduled for Tuesday, May 9, 2017, 6 – 7 PM, EST we will discuss ways to help you overcome the shock of being diagnosed with diabetes, especially if it occurs after a traumatic health crisis.

“Every 25 seconds someone in the United States is diagnosed with diabetes,” said Vice Admiral Richard H. Carmona, the U.S. Surgeon General. “It’s the sixth-leading cause of death in the United States, costing thousands of lives and billions of dollars every year.”

Della Reese was officially diagnosed with diabetes after collapsing on the set of ‘Touched By An Angel.’

“I was feeling great. so I don’t even know how long I had had type 2 diabetes. I have no family history of diabetes whatsoever,” says Della Reese.

The diagnosis of a major disease truly shakes a person to their very core. It can changed your picture-perfect life completely.

Our lives certainly doesn’t stop once we’re diagnosed with a diabetes. There are many ways to get through the initial shock including:

Surrounding yourself with people you love: You need to connect with people who can be your rock/anchor, encouragement, or support, and most importantly, make you feel loved.

Don’t make rash decisions:  Relax. Breathe. Take a time out. Do some research and get a second opinion (if necessary). These make all the difference in getting the best doctor and treatment.

Focus on your health: Stick to your self-care routine and your doctor’s appointments. If you need to let go of unnecessary things at the moment, do so.

Don’t let your emotions get the best of you: Trust that the intensity of your anger, sadness and/or frustration will subside with time.

Make some adjustments to your lifestyle: Taking good care of yourself is a start. Remember to reward yourself for getting enough rest, exercise, and choosing healthier options like brown rice, whole grains and fresh fruit and vegetables.

Join a diabetes support group: You will discover new ways of coping through the advice of others living with diabetes. Be sure that everything is kept confidential within the group.

According to a Health Guide online resource, bottling up your emotions increases your stress even more, and could lead to many more health problems.

In 2002, Reese announced on Larry King Live that she had been diagnosed with type 2 diabetes, but didn’t come as a surprise considering what she ate and what her diet consisted of, as well as her weight. She loved cake, especially chocolate. She became a spokeswoman for the American Diabetes Association, traveling around the United States to raise awareness about this disorder.

Della felt she could to control her disease when she did the best, “With diet, exercise and medication, I took control of my diabetes,” she stated. “I lost 20 pounds and lowered my blood sugar from between 275 and 300 to between 67 and 110.”

More recently, Della admitted to suffering from diabetes, “My life is at stake,” she said. “I don’t have type 2 diabetes — type 2 diabetes has me.”  She contributed her declining diabetes health to years of eating her old, nightly snacks of fried chicken, potato chips, ice cream, candy bars and cola, who was very frustrated because she didn’t do anything to prevent herself.

How different is Della Reese’s diabetes health story from others living with type 2 diabetes?

Despite the national epidemic of type 2 diabetes, two out of three Americans with the disease don’t meet the American Association of Clinical Endocrinologists’ target for blood sugar goals.

“People with diabetes face many daunting obstacles, but in my over 20 years of working as a certified diabetes educators, I think the biggest struggle is figuring out how to fit diabetes management into your life, so that diabetes doesn’t take over your life. Learning how to combine regular blood glucose testing, exercise, healthy eating, medications, regular eye exams, and daily foot care can seem overwhelming and seemingly impossible, says Lynn Grieger from Sharecare.  “Taking a proactive approach, where diabetes self-care becomes a part of your life without taking over your life, is key for both a happy and fulfilling life, as well as a healthy life.”

According to the results of the American Association of Clinical Endocrinologists’ survey, 98 percent of people with type 2 diabetes believe blood sugar control is important. However, 61 percent weren’t aware of the A1C test. Even after they were told what it is, 51 percent didn’t know their last A1C result.

How well do you manage your diabetes?

According to the world health organization, diabetes affects 347 million people worldwide. However, the majority of people with diabetes are originally diagnosed with pre-diabetes, which presents the opportunity to alter unhealthy dietary habits and prevent full diabetes. Additionally, those with diabetes can prevent negative complications by heeding the advice of their healthcare professional, engaging in regular physical activity, and accurately managing glucose levels. In other words, diabetes health-related complications are largely preventable.

There is a distinction between living with diabetes and dying from it. The difference is YOU! Take action and take action early.

“The biggest struggle for people with diabetes is how to balance management of diabetes in one’s lifestyle. It is essential to seek emotional and medical support from family, friends and your health care team to feel your best. Be honest and positive, control your diabetes and do not let it control you,” says Laura Motosko, MSEd, RD.

TUNE IN: Diabetes Late Nite inspired by Della Reese.  Guests include Diabetes Diabetes Alert Dog Trainer and Author from Chilbrook Kennels, Debby Kay, Central Farm Markets Co-Founder, Debra Moser, Kathy Gold RN, MSN, CDE, FAADE, Master Hairstylist Karline Ricketts, the Charlie’s Angels of Outreach, Poet Lorraine Brooks and Mama Rose Marie.

Throughout the podcast we will be featuring selected songs from Della Reese’s albums including ‘Swing Slow & Cha Cha Cha’ courtesy of SONY Music.

Divabetic’s Cinco De Mayo Fiesta Celebration

For the past twelve years at our Divabetic live events, on our podcasts and inner blog we’ve been promoting  a ‘New Attitude’ about living with diabetes to help you ‘Keep Your House A Home’ by learning to prevent a diabetes health-related complication from occurring.  Now we’re sharing our decade’s worth of our ‘diva brand of diabetes outreach’ advice and suggestions with you so that you won’t have to avoid the holidays in order to take charge of our diabetes.

Our Cinco de Mayo Day Fiesta Celebration embraces the colorful fun of a fiesta to encourage you to entertain like a diva!

We believe diabetes doesn’t have to dim your dazzle! Add a splash of color!

Cinco De Mayo FlowerColor is a must but it can either fill the space or play off of white or neutrals. The colors one sees in Mexico are traditionally vibrant, but because they were originally produced from natural pigments they have a slightly muted or chalky quality that tones them down just a bit.

Decorate your fiesta with these festive tissue-paper streamers, bowl bands, and flags.  Tissue paper flowers made great decorations. We put them in flower pots, use them as streamers, and wear them as accessories. READ MORE

While the basics of Mexican restaurant entrees  — rice, corn, beans, tomatoes, and chiles — are packed with nutrients, beware of entrees loaded with fatty cheeses, refried beans, and sour cream. Follow these tips to enjoy flavorful Mexican food without derailing your ‘divabetic’ diet:

Platter-size entrees with all the fixings can total 1,500 calories. Take half home or order a la carte to get only what you want.
Cheese and sour cream top many entrees. Ask for reduced-fat sour cream (or skip it altogether) and lower-fat sauces, such as a red sauce rather than cream sauce.
Crispy entrees usually mean the dish has been deep-fried. Opt for corn or whole wheat tortillas instead.

Keep reading to learn how to slim down Mexican restaurant favorites.

Sure, the holidays when you’re living with diabetes especially if you feel like you can’t enjoy the foods your actually preparing for your family and friends! Why not take the opportunity this Cinco de Mayo to try a new recipe?

Sure, it can be challenging  at times to enjoy

One of our favorite bakers, Stacey ‘The Diabetic Pasty Chef’ Harris shares this zesty dessert idea for your fiesta!

Key Lime Cupcakes by the Diabetic Pastry Chef

Vanilla Cupcakes Ingredients

1 1/2 cups all-purpose flour

3/4 cup sugar or equivalent dry sugar substitute

1/3 tsp salt

1 Tbsp baking powder

1 stick unsalted butter, softened

2 eggs

1/2 tsp pure vanilla extract

1/2 cup milk or unsweetened almond milk

Preheat oven to 325 degrees. Grease muffin tin or use paper liners.

Combine dry ingredients in the bowl of an electric mixer mixing at low speed just until combined. Add butter and mix until the butter coats the flour.

In a separate bowl, whisk together the eggs, milk and vanilla. Turn on the mixer and add the egg mixture to the dry mixture in 3 parts until combined. Do not overmix.

Divide batter evenly among the muffin tins. filling each 1/2 full. This should make about 16 cupcakes. Let sit 10 minutes before baking. Bake about 17 minutes or until toothpick inserted in middle of cupcakes comes out clean. Cool completely.

Hollow out the center of the cupcakes. Fill with lime curd, pipe frosting, and garnish with lime slices, mint and lime zest.

Lime Curd Ingredients

3 eggs

1 cup Whey Low D Granular or equivalent dry sugar substitute

1/2 cup fresh lime juice

1/4 cup butter, melted

1 Tbsp lime zest

Beat together the eggs and sugar substitute in the top of a double boiler. Stir in juice, butter and zest. Cook over simmering water 15 minutes or until thickened. Cool.

Whipped Cream Frosting Ingredients

2 cups heavy whipping cream

6 Tbsp powdered sugar or powdered sugar substitute

1 tsp pure vanilla extract

Add ingredients to the bowl of an electric mixer and beat until soft peaks form. Pipe onto cupcakes. This whipped cream recipe is not stabilized, so frost and garnish right before serving.

Did you know that ‘Mexico’s soda tax will save 18,900 lives and more than $983 million over 10 years?

Mexico’s soda tax has continued to help reduce Mexico’s consumption of unhealthy beverages reported by Reuters.  Purchases of sugar-sweetened beverages were down nearly 10 percent in the second year of the tax, a new study shows.

Dr. Kirsten Bibbins-Domingo, chair of the U.S. Preventive Services Task Force described the new study as “encouraging for many cities and countries around the world which are exploring ways to shift the rising tide of diabetes.”

Similar taxes have been levied in countries around the globe – from Colombia to France and South Africa, and in American cities, from Berkeley, California, to Philadelphia. READ MORE

The LA Times reports that if  Mexicans sustain this pattern of consuming fewer sweetened beverages, the model developed by researchers predicts that over 10  years, the 10% excise tax could prevent 189,300 new cases of Type 2  diabetes, 20,400 strokes and heart attacks, and 18,900 deaths among adults 35 to 94 years old.

From 2013 to 2022, the reductions in diabetes alone could yield savings in projected healthcare costs of $983 million dollars, the researchers concluded.

Margaritas may be a tasty accompaniment to your tacos or enchiladas, but these are among the highest-calorie alcoholic beverages you can choose. Laced with sugar and sweet liqueur, just one margarita may contain as many calories as your meal. The actual count will vary by recipe, and you can create a much lighter version with some key ingredient substitutions.

Eight ounces of a standard margarita on the rocks will set you back about 455 calories, while a 12-ounce margarita has about 680 calories. You can lighten up your drink by limiting the Cointreau — or triple-sec, which is sometimes used instead — and by using fresh lime juice instead of a sweetened version. Omit sweet-and-sour syrup and sugar, and use just one ounce of tequila to further reduce calories. If your drink seems too small, add come zero-calorie soda water.

Or why not treat yourself to a alcohol-free sparkler, made fast with a tangy blend of frozen juice concentrates?

Mocktail Margaritas Recipe from Pillsbury

(Calories: 80, Total Carbohydrates: 19 g)

Ingredients

Lime wedges, if desired

Coarse salt, if desired

1 can (6 oz) frozen lemonade concentrate, thawed (3/4 cup)

1 can (6 oz) frozen limeade concentrate, thawed (3/4 cup)

1/4 cup powdered sugar

3 cups crushed ice

2 cups club soda, chilled

Mocktail Margarita Directions

Rub rims of glasses with lime wedges; dip in salt to coat.

In blender, place lemonade and limeade concentrates, powdered sugar and ice. Cover; blend until slushy. Add club soda; stir gently. Pour mixture carefully into glasses. Garnish with lime wedges.

Four years ago, Actress and Diabetes Advocate, Salma Hayek launched Nuance, an expansive collection of lipsticks, blushes, bronzers, face serums, shampoos, and conditioners inspired by her grandmother. These days, it’s safe to say that she’s got the art of looking good down to a science.

“This is embarrassing to say but I wear makeup a lot,” says Selma. “Not every day, I try to let my skin rest, but when I do, I shade my face to give it more depth and to slim my jaw. People think you contour only to get cheekbones, but if you study your face and realize that dark colors will diminish features and lighter colors will bring out features, you can design the face you want.”

Salma Hayek developed diabetes while she was pregnant.  “I got gestational diabetes, which I didn’t realize at first. It occurs in women who have high blood sugar levels during pregnancy,” says Salma.  “I didn’t know whether I was feeling bad because I was pregnant or whether something was seriously wrong. I was nauseated for nine months, which can be one of the symptoms.”

All pregnant women are at some level of risk for gestational diabetes. Since it affects as many as 18% of all pregnant women, it is one of the most common conditions associated with pregnancy. Learn more about gestational diabetes 

Our Divabetic ‘Cinco de Mayo Fiesta’ Playlist contains a fabulous mix of Selena’s greatest hits. Selena was an American singer, songwriter, spokesperson, model, actress, and fashion designer. Called the Queen of Tejano music, her contributions to music and fashion made her one of the most celebrated Mexican-American entertainers of the late 20th century

https://youtu.be/SQqehP4YaRQ

LISTEN NOW: Drinking & Diabetes? on Diabetes Late Nite podcast with inspiration from Kathie Lee and Hoda.  Find out how alcohol effects your blood sugars. While moderate amounts of alcohol can cause blood sugar to rise, excess alcohol can actually decrease your blood sugar level — sometimes causing it to drop into dangerous levels. If you are in doubt about whether drinking alcohol is safe for you, check with your doctor.

SAVE THE DATE: Don’t miss our first-ever Diabetes Alert Dog Fashion Show on Sunday, June 4, 2017, 11 AM – 1 PM at Mosaic Central Farm Markets in Mosaic, VA. Diabetes Alert Dog Trainer and Author Debby Kay from Chilbrook Kennels, and certified diabetes educator Kathy Gold RN, MSN, CDE, FAADE will on hand to answer your questions.

Divabetic’s Old Hollywood Mother’s Day Celebration, Pt. 3

“Life is a banquet, and most poor suckers are starving to death!” from Auntie Mame.

Our Divabetic Mother’s Day Celebration embraces an Old Hollywood aesthetic to encourage you to shine the spotlight on you and your diabetes health!

We believe diabetes doesn’t have to dim your dazzle! You can still embody Old Hollywood glamour and the kind of woman who is accustomed to attention from throngs of paparazzi!

Sure, it can be challenging  at times to enjoy the holidays when you’re living with diabetes especially if you feel like you can’t enjoy the foods your actually preparing for your family and friends! Why not take the opportunity this Mother’s Day to change your mindset as well as your family’s about what healthy tastes like?

One of our favorite experts,‘The Decadent Diabetic’ aka Chef Ward Alper shares this Oscar worthy menu for a Divabetic Mother’s Day Celebration.  The Decadent Diabetic’s menu includes Cucumber Soup, Smoked Salmon & Brie Omelet, Roasted Asparagus and Tart A Citron. Below is Chef’s Ward Alper’s recipe for Rosalind Roasted Asparagus (We will be posting one recipe each day throughout the upcoming week).

Rosalind Roasted Asparagus by The Decadent Diabetic 

(Serving size 8-10 spears, net carbohydrates: 6 grams)

Chef’s Note: As with most vegetables, high temperature “roasting” intensifies the flavor. I roast a lot of veggies, but asparagus is my personal “star”

I like mid sized asparagus. The pencil thin ones just go limp, and the fat ones seem to taste “old” to me, even after peeling them. ONLY when it fresh in my garden, I use a little lemon thyme in this recipe.

Ingredients

8-10 – asparagus spears

1 – Tbsp. minced  shallot

1 – clove of grated garlic

1 Tbsp. olive oil

or

1 Tbsp. butter

salt and pepper to taste

2 – Tbsp. fresh lemon juice or balsamic vinegar (optional)

HOW TO PREPARE THE RECIPE:

Pre heat oven to 400-425° F.

Rinse the asparagus under running water. On a sheet pan lined with aluminum  foil, toss the shallots, garlic,  butter, olive oil, salt, and pepper with the asparagus  and spread to one layer.

Cook at for 6- 10 minutes depending on how crunchy you like your vegetables. Sprinkle with lemon juice or balsamic vinegar just before serving.

Did you know asparagus may be able to keep diabetes at bay by helping blood sugar levels stay under control while boosting output of insulin? READ MORE

Chef Ward’s asparagus dish pays homage to silver screen legend, actress Rosalind Russell.

 

“Flops are a part of life’s menu and I’ve never been a girl to miss out on any of the courses,” said Rosalind Russell.

She was a tall and lean  just like asparagus! She was best known for her versatility in witty and sophisticated roles such as the fast-talking newspaper reporter in the screwball comedy ‘His Girl Friday’ in 1940. She is also fondly remembered for her portrayal of Mame Dennis in the film ‘Auntie Mame’ in 1958.

Rosalind Russell  may have been the most glamorous and famous woman to have Rheumatoid Arthritis (RA). However, she shared three qualities with many others living with RA: She was determined, hopeful, and private. She used her celebrity status to advocate for research and successfully lobbied Congress to pass the National Arthritis Act.

Not Everything About Old Hollywood Was Glamorous!

Actress Kim Novak recalls when she first got to Hollywood, her studio changed her name, gave her lavender highlights, and told her to speak with a breathier voice. When Novak overate one day after a visit to a farmer’s market, one of her actress girlfriends suggested she remedy the mistake by drinking soap and water — which she did, before getting a ride to the hospital.

Did you know your favorite Old Hollywood actresses would dab gasoline on their cheekbones and browbones to spotlight their bone structure? Cinematographers would even rub the stuff on camera lenses to give the shoot a soft-focus, ethereal quality.

High blood sugar is dangerous for many reasons, but it can also make your skin dry, and prone to cracking and breaking. This opens the door to infections. And if you do get an infection, high blood sugar makes the infection harder to fight.

“The No. 1 key is to get your diabetes in check,” says Katherine H. Fiala, MD, director of the dermatology residency program at Scott & White Clinic in Temple, Texas. “If you do that first, everything else is so much easier.”

Our team’s having so much fun putting together ideas for a Divabetic Old Hollywood Mother’s Day Celebration, that Chef Ward ‘the Decadent Diabetic’ Alper sent me this fun message referencing Old Hollywood: “With all these Divas you are having for brunch, I HOPE, you didn’t have to call Janie Clarkson and cancel….again.”

This delicious quote is from the film, Mr. Skeffington starring Bette Davis. Popular and beautiful Fanny Trellis (Bette Davis) is forced into a loveless marriage with an older man, Jewish banker Job Skeffington, in order to save her beloved brother Trippy from an embezzlement charge, and predictable complications result.