Divabetic – Page 119 – Wellness with a Wow

06/09/201706/09/2017

‘The Great Silence’: Diabetes & Erectile Dysfunction (Divabetic’s Spaghetti Western-Themed Father’s Day Celebration)

Our ‘Spaghetti Westerns’ theme for our Divabetic Father’s Day Celebration hopes to shed light on one of the more common, but often not discussed, diabetes health-related complications for men: Erectile dysfunction (ED).

Erectile dysfunction (ED) — the inability to get or maintain an erection firm enough for sex — is common in men who have diabetes. It can stem from problems caused by poor long-term blood sugar control, which damages nerves and blood vessels.

Does the man in your life keep quiet about having trouble getting an erection, keeping an erection and/or shooting blanks?

If so, then maybe the title of one of the most popular Spaghetti Western films: ‘The Great Silence’ accurately sums up what’s happening in your bedroom.

In the film, a mute gunfighter defends a young widow and a group of outlaws against a gang of bounty killers in the winter of 1898, and a grim, tense struggle unfolds.

More to the point, 95% percent of men are ‘mute’ about discussing erectile dysfunction. A national telephone survey of 502 American men age 18 or older, which was undertaken as part of the Cleveland Clinic’s “MENtion” it campaign (2016) found only 5% of men discuss erectile dysfunction (ED) with their male friends, and only 3% mention urinary tract issues.

One-fifth of men (22 percent) do not discuss private topics such as health or relationships with anyone. Baby Boomers are especially private in this regard, with only one-third having more than one person they feel comfortable sharing such information with, compared to 47 percent of Millennials.

Why is ‘The Great Silence’ About ‘ED” Still Going On Today?

In therapy, many issues are covered, but sex may still be an uncomfortable topic for many people and even therapists to talk about. Yet many people with diabetes have sexual issues that need to be resolved in order for life to be the most fulfilling that it can be.

“Once ED occurs, the man can start to become very anxious about it happening again”, says, Dr. Laura Berman, a sex educator and relationship therapist. “Ironically, this can make ED more likely to occur, and it can also complicate his relationship with his partner…. Meanwhile, his partner might have no idea what’s going on and be very concerned and even angry.”

I reached out to one of my favorite certified diabetes educators, Author Janis Roszler, LMFT, RD, LD/N, CDE, FAND , who also just happens to be a family therapist (!), to share some tips to help men open up about E.D:

You are not alone. ED is a very common problem that affects more than 39 million men in the United States. You are not the first man to bring up the topic with your doctor, and won’t be the last!

There is a treatment for almost every man who has E.D. If you tried oral medications and they didn’t help, don’t give up. You have a lot of options.

You deserve a good sex life. Don’t assume that having E.D. is the way things must be from now on. For most men, intimacy is very important for their mental and physical health. Don’t give up!

If you feel uncomfortable about the topic, tell your healthcare provider that you have something very personal to discuss. Hopefully, your doctor, nurse or other expert will get the hint and open the discussion for you.

What you Can Do If Your Suffering from ED!

Keep your blood glucose level under control to prevent urological and other diabetes-related problems. Medications, exercise, and a proper diet can help you manage your blood sugar levels.

Conditions like diabetes or heart disease can lead to emotional problems, including anxiety or depression. These can worsen your ED and other aspects of your health. Talk to your doctor if you start to experience feelings of hopelessness, sadness, anxiety, or worry.

Few things can take the wind out of your man’s sails quite like learning that he’s shooting blanks. But that’s the reality for more guys than many people realize.“Infertility affects one out of 10 couples,” says Darius Paduch, M.D., Ph.D., director of sexual health and medicine at Weill Cornell Medical College. “And in 30 percent of those cases, men will be the main reason.”

Don’t be afraid to talk with your doctor if you have a problem that affects your sex life. He or she may be able to suggest a treatment. For example, the most common sexual difficulty of women with diabetes is painful intercourse caused by vaginal dryness. Your doctor or a pharmacist can suggest over-the-counter vaginal lubricants or moisturizers to use. Water-based lubricants are helpful when needed to make sex more comfortable. Moisturizers are used on a regular basis, every 2 or 3 days. Or, your doctor might suggest a form of vaginal estrogen.

Physical problems can change your sex life as you get older. But, you and your partner may discover you have a new closeness. Talk to your partner about your needs. You may find that affection—hugging, kissing, touching, and spending time together—can make a good beginning.

What is Male Infertility?Male infertility means you can’t get your partner pregnant. It often results from low production of sperm, called oligospermia, or from complete absence of sperm in your ejaculate, called azoospermia.Sperm that doesn’t move correctly, or is shaped abnormally, can also have problems reaching an egg to fertilize. Obstructions preventing the sperm from leaving the body can be to blame, too.

What Causes It?

Hormonal imbalance may be to blame. You need adequate levels of testosterone, follicle-stimulating hormone (FSH), luteinizing hormone (LH), and prolactin to produce healthy sperm, so low levels could cause a problem.

Certain health conditions can play a role, too. Diabetes, for instance, damages the nerves that move the sperm out of the penis, Dr. Paduch says. READ MORE

Did you know that he Spaghetti Western boom in the late 60’s and early 70’s saw close to 500 features produced throughout Europe? Such actors as Clint Eastwood, Franco Nero, Lee Van Cleef, and Terence Hill (real name: Mario Girotti) found a home in the genre.

‘The Great Silence’ Trivia: According to director Sergio Corbucci it was actor Marcello Mastrioanni who gave him the idea of the mute gunslinger, when the actor told him that he had always wanted to do a western, but unfortunately didn’t speak English. When Corbucci first met Trintignant, who didn’t speak English either, he decided that this was the moment to turn the taciturn spaghetti western hero into a mute. The name Silence is not only referring to the character’s incapacity to speak, but also to that “great silence” that is waiting for us all on the other side.

Janis Roszler’s ‘Sex & Diabetes’ is the first book ever to deal exclusively with sexual problems as they relate to diabetes— and the only book to discuss issues that relate to both men and women.

It also shows you how sexual problems can be prevented or delayed and discusses treatments options that currently exist. Sex & Diabetes highlights the value of communication between sexual partners and the importance of having an open relationship with healthcare professionals.

“The best book on sexuality and diabetes published in the last 5 years. A must read for all persons with diabetes and their significant others.” —David S. Schade, MD.

The happy healthcare host, Mr. Divabetic explores issues of love, intimacy and diabetes on this special one hour podcast, ‘Don’t Let Diabetes Kill Romance’. Both type 1 and type 2 diabetes can lead to sexual health complications including vaginal dryness, sensation and performance. Up to 50% of men and 25% of women may experience some kind of sexual problem or a loss of sex drive.

Don’t equate sexual performance with love or a fulfilling relationship; focus on letting your partner know you care and want to give pleasure as part of your relationship.

LISTEN NOW: Don’t Let Diabetes Kill Romance podcast with guests Janis Roszler MS, RD, LD/N, CDE, FAND (2008-2009 Diabetes Educator of the Year (AADE), Best-Selling Author Lisa Eugene, Jennifer Martsolf from Trigg Laboratories (the makers of Wet Lubricants).

Over the next week I’ll be sharing more Divabetic ‘Spaghetti Western’-themed Father’s Day Celebration blog posts showcasing Best-Selling Cookbook Author Holly Clegg‘s healthy recipes, Megrette Fletcher RD, CDE‘s advice on portions, Diabetes Advocate & ‘Rich In Love’ Spokesmodel Doris Hobbs’s vintage Western looks and fun party ideas (pictured above).

Divabetic ‘Entertaining’ Style: Burlap’s not just for potatoes anymore! Burlap tablecloths and table runners are the perfect combination of classic beauty and country charm! Burlap tablecloths come ina vast array of colors. My favorite shades of faux burlap are natural or white. These two shares are often paired together to create a clean contrast between the natural rustic shade and fresh linen-like look of white.Try one to add texture to your Father’s Day Celebration.

Divabetic ‘Entertaining’ Tip: When determining your color palette remember that you define it, your surroundings do not need to dictate your table. If you make your table the focal point, that is really what guests are going to see. So don’t stress too much about your carpet, wall color or other nearby factors. Be bold, be sassy, be a diva!

TUNE IN: Tuesday, June 13, 2017 for Diabetes Late Nite with music by Maxwell. We’re talking about Diabetic Macular Edema (DME) with musical inspiration from Maxwell.

Diabetic Macular Edema (DME) is an accumulation of fluid in the macula-part of the retina that controls our most detailed vision abilities-due to leaking blood vessels. In order to develop DME, you must first have diabetic retinopathy. Diabetic retinopathy is caused by damage to the blood vessels in the tissue at the back of the eye (retina). Poorly controlled blood sugar is a risk factor. Early symptoms include floaters, blurriness, dark areas of vision, and difficulty perceiving colors. Blindness can occur.

Guests include singer Alfa Anderson, Diabetic Macular Edema patient Maryanne Kass, Artist Bryce Chisholm, the Charlie’s Angels of Outreach, Poet Lorraine Brooks and Mama Rose Marie. Throughout the podcast we will be featuring selected songs from several of several of Maxwell’s albums courtesy of SONY Music.

06/08/2017

If Transparent Pricing Works for Handbags, Then Why Can’t it Work for Health Care?

High-end retailers now flaunt their exorbitant price markups for products without experiencing dips in sales so why doesn’t our healthcare system?

According to the New York Times‘ article, ‘Revealing Costs to Make Sales’ the leather goods company, Oliver Cabell posts the cost breakdown of all its products on its website so customers can see exactly what they are playing for and how much the manufacturer is charging them on top of its cost of production.

For the record, Oliver Cabell spends $16.02 on canvas, $11.58 on leather, $5.68 on lining and 78 cents on webbing and $4.27 for the zipper.

This practice, known as transparent pricing, has been gaining hold among a select group of retailers, who say that it appeals in particular to millennials – who often want to know exactly what they’re paying for. Guess what? So do the rest of us!

I’m confident that most ‘divabetics’ would also like to know why the fashion industry’s transparent pricing isn’t available in our healthcare system especially since the costs of meds (like insulin), doctor’s visits and/or equipment keep rising.

Seriously, wouldn’t it be great to see the price tag for a treatment ahead of time and determine how much you’re willing to pay out-of-pocket before receiving care?

“Pricing transparency and stories behind the scenes help the shopper navigate the decision to pay for a more expensive product,” said Natalie Grillon, founder of Project Just, which collects ethics and sustainability date on fashion brands.

Find out What’s Behind the Rising Price Tag for Insulin

I’m sure I’m not the only one who would like to know what’s behind the rising prices of insulin prices — increases that mean some people are spending as much on monthly diabetes-related expenses as their mortgage payment.

As of May 2, the list price of Humalog, a short-acting insulin, is $274.70 for a 10 ml bottle, an increase of 7.8% from what the list price had been since July 2016. On May 2, Lilly also took a 7.8% list price increase to Humulin, an older form of insulin. Novo Nordisk, which also makes a short-acting insulin, increased its prices to the drug in 2017. In February, the drugmaker raised its price to $275.58 for a 10 ml bottle, up 7.9% from what the list price had been since July 2016. In December, Novo Nordisk committed to limiting all future drug list price increases from the company to single digit percentages.

Over the last decade, the list prices of the two drugs have increased by 290%. READ MORE

Apparently most Americans want greater price transparency and would compare health care prices if given the option according to Public Agenda.

The historical opacity of health care prices is widely believed to be a major factor inhibiting the more efficient functioning of the delivery system,” according to the Robert Wood Johnson Foundation. “Health economists and other experts are convinced that significant cost containment cannot occur without widespread and sustained transparency in provider prices.”

Unfortunately, ore than half of Americans say they have tried unsuccessfully to find out about the price of health care before getting care according to Public Agenda.

The vast majority of people believe that more expensive care does not equate to better care. This demonstrates the demand for transparency among consumers, and the recognition among consumers that price variation in health care is often an arbitrary divide that does not necessarily reflect quality of care.

With health premiums increasing, families have to make more educated purchasing decisions in the health marketplace to save money, especially those families with higher deductibles. But accurate price information is hard to come by considering the default price opacity in most states. The Healthcare Financial Management Association cites a recent report where the U.S. Government Accountability Office asked dozens of health care providers about their price for a knee replacement. The estimates given ranged from $33,000 to $101,000. This wide range in prices is difficult to account for, and without more comprehensive price transparency, consumers face a difficult time choosing the most cost-efficient option.

One way you can help your state government combat price opacity is by contacting your elected officials to request providers and insurance personnel to talk about pricing, as well as guiding people toward reliable price information and explaining to them how prices vary across providers. READ MORE

How to Make the Most of Your Next Doctor’s Visit

If you really want to take full advantage of your doctor visit, plan in advance. Here are two key points from One Drop will make for a very informed doctor’s visit:

Check out your blood glucose (BG) stats from for the past month before heading to the doctor. What’s your average BG level? % high, % low? How does your food intake affect these numbers? Do you have lots of high BGs (“hypers”) or lows BGs (“hypos”)? If so, are they occurring often? Are you finding trends or patterns? How severe are they? Can you feel the early signs of a low and take action before it becomes too severe? What do you eat/drink to treat them? How quickly does your body respond? When do you get the most severe highs (highest glucose levels)? Is that associated with food, medications, activity, all three, or other factors (stress, illness)? Any idea what may be causing these highs and lows?

(Pro Tip ⭐️ : if you’re taking insulin, One Drop provides the average total daily insulin and the breakdown into %basal and %bolus insulin.) What’s your average daily activity, and how does that seem to be affecting BG numbers?

Discuss your mood! A topic often overlooked at doctor’s appointments, mental health is something that should take tip-top-priority on your talking points list. How are you doing psychologically? How does diabetes affect you mentally? Are your major highs/lows taking a toll on you psychologically?

Remember, this is your time. Don’t be bashful with your questions. Come prepared, and you’ll be able to make any and all necessary changes. READ MORE

TUNE IN: Tuesday, June 13, 2017 for Diabetes Late Nite with music by Maxwell. We’re talking about Diabetic Macular Edema (DME) with musical inspiration from Maxwell. Guests include singer Alfa Anderson, Diabetic Macular Edema patient Maryanne Kass, Artist Bryce Chisholm, the Charlie’s Angels of Outreach, Poet Lorraine Brooks and Mama Rose Marie. Throughout the podcast we will be featuring selected songs from several of several of Maxwell’s albums courtesy of SONY Music.

06/07/201706/07/2017

Divabetic Father’s Day Celebration Tips on Portions by Megrette Fletcher M.Ed., R.D., CDE

I know many people in our Divabetic community don’t like to celebrate the holidays because they feel they may disrupt their diabetes care. But with a little pre-planning and guidance from your healthcare entourage you can still enjoy the festivities associated with Father’s Day without failing your diabetes.

Over the next few days, I’ll be sharing our Divabetic ‘Spaghetti Western’-themed Father’s Day Celebration blog posts showcasing healthy recipes, expert advice on portions and diabetes sexual health-related issues from our favorite diabetes experts, chefs, stylists (Diabetes Advocate & ‘Rich In Love’ Spokesmodel Doris Hobbs shows off a vintage Western look in the photo above) and party planners.

Since our a Father’s Day BBQ’s can spell trouble for anyone watching their weight and/or managing their diabetes I asked registered dietitian, diabetes educator, and Mindful Eating expert, Megrette Fletcher M.Ed., RD, CDE to share her tips on portions to help you stay on track with your diabetes self-care. Below are Megrette’s Tips on Portions in celebration of Father’s Day:

Do you get confused (or downright afraid) when your health care provider talks to you about changing your diet to better manage blood sugars. Fear not, eating the “right” amount of food is easy if you start by asking a few simple questions.

First – eat when you are hungry. By asking yourself, “Am I hungry?” you can uncover if you are truly hungry. If you are not hungry but you still want to eat, then you may be coping with situations in your life through food. For most people, this isn’t a problem, but if you are always coping with a bowl of ice cream at 9 p.m., is it working? Sure, it tastes yummy while you are eating it, but when the bowl is empty are you filled with a sense of health and wellbeing or guilt, blame and shame?

Many dads think, “I can’t have ice cream! I have diabetes!” The idea of forbidden foods because you have diabetes only drives the fear and misinformation about this disease. Remind yourself – all foods fit! The question is how much and how often. Restriction, regarding of the underlying intention, creates the conditions for you to feel deprived. At some point, your resolve will snap, causing you to overeat not with a serving of ice cream, but with a pint of ice cream! This type of overeating is the issue because it becomes a pattern. The cycle of overeating, repentance, and repetition is currently under study by leading neuroscientists. Thus far, the research is teaching us deprivation doesn’t work!

This Father’s Day, take a deep breath and take charge of your diabetes. Start by asking the first two questions in the Mindful Eating Cycle – “Am I Hungry?” and “When Am I Hungry?” If you think you are hungry, great! Get curious and ask the next questions – “When am I hungry? When I see food? When I am offered food?” Dig even deeper and notice where in your body you are feeling hunger.

It isn’t a waste of time to take a few seconds and be certain you are physically hungry instead of being tempted to eat. In our food abundant society, temptation starts the moment you wake up. You are bombarded by hundreds of cues to eat! At some point, you need a system to address the hundreds of food choices before you, which is why the Mindful Eating Cycle is so helpful.

To learn more about mindful eating and diabetes care, please visit www.AmIHungry.com. This website created by Dr. Michelle May is full of terrific resources to help you manage your blood sugar by getting curious about your hunger! You can also purchase the book, Eat What You Love, Love What You Eat with Diabetes for an in-depth understanding of mindful eating and diabetes.

Megrette Fletcher M.Ed., RD, CDE joins us on July’s Diabetes Late Nite podcast schedule for Thursday, July 13, 2017, 6 PM, EST. On this podcast we will be celebrating our 7th Anniversary of ‘wellness with a wow’ podcasting. Guests include the Charlie’s Angels Of Outreach, Poet Lorraine Brooks and Mama Rose Marie.

TUNE IN: Tuesday, June 13, 2017 for Diabetes Late Nite with music by Maxwell. We’re talking about Diabetic Macular Edema (DME) with musical inspiration from Maxwell. Along with fellow musicians D’Angelo and Erykah Badu, Maxwell has been credited with helping to shape what has been termed the “neo soul” movement that rose to prominence during the late 1990s. Diabetic Macular Edema (DME) is an accumulation of fluid in the macula-part of the retina that controls our most detailed vision abilities-due to leaking blood vessels. In order to develop DME, you must first have diabetic retinopathy. Diabetic retinopathy is caused by damage to the blood vessels in the tissue at the back of the eye (retina). Poorly controlled blood sugar is a risk factor. Early symptoms include floaters, blurriness, dark areas of vision, and difficulty perceiving colors. Blindness can occur. Guests include singer Alfa Anderson, Diabetic Macular Edema patient Maryanne Kass, Artist Bryce Chisholm, the Charlie’s Angels of Outreach, Poet Lorraine Brooks and Mama Rose Marie. Throughout the podcast we will be featuring selected songs from several of several of Maxwell’s albums courtesy of SONY Music.

06/06/201706/06/2017

Chocolate Zucchini Cupcakes Recipe from ‘Gypsies, Tramps & Peas’

Our annual Mister Divabetic Mystery Podcast presented in September is a fun way to learn about diabetes for mystery lovers.

This year’s Mister Divabetic Mystery Podcast: ‘Gypsies, Tramps & Peas’ takes place at the Mermaid Parade in Coney Island, NY and features summer time diabetes education tips and healthy recipes from our favorite chefs including Chef Robert ‘The Happy Diabetic’ Lewis and Stacey ‘The Diabetic Pastry Chef’ Harris.

Diabetes advocate turned reluctant amateur sleuth, Mr. Divabetic finally takes the plunge and ventures into a new career as a healthy caterer. With the help of his co-workers and nosy Italian mother, Mama Rose Marie, he heads for Coney Island, NY for the 35th Annual Mermaid Parade to cater his first party aboard a yacht for his former swim coach, Ted Rockow. But his nautical soiree quickly capsizes when the guest of honor is found swimming with the fishes. What it an accident or foul play? Now Mr. Divabetic’s grilling Burlesque dancers, a lifeguard lothario and some sequined mermaids, all intent on keeping their secrets buried deep within the sand. Can Mr. Divabetic prove Coach’s death was a murder, not an accident? Or will he end up floating out to sea?

One of the dilemmas our team faces in Coney Island is what to do with all the unused vegetables from the party, especially the zucchini!

Thankfully Chef Robert Lewis aka ‘The Happy Diabetic‘ has come to our rescue with this delicious recipe for Chocolate Zucchini Cupcakes for you to enjoy!

Chocolate Zucchini Cupcakes Recipe by ‘The Happy Diabetic’

What’s in it!

1-1/4 cups butter, softened
1-1/2 cups sugar
2 eggs
1 teaspoon vanilla extract
2-1/2 cups all-purpose flour
3/4 cup baking cocoa
1 teaspoon baking powder
1 teaspoon baking soda
1/2 teaspoon salt
1/2 cup plain yogurt
1 cup grated zucchini
1 cup grated carrots

Let’s Put It Together

1. In a large bowl, cream butter and sugar until light and fluffy. Add eggs, one at a time, beating well after each addition. Stir in vanilla. Combine the flour, baking cocoa, baking powder, baking soda and salt; add to the creamed mixture alternately with yogurt, beating well after each addition. Fold in zucchini and carrots.

2. Fill paper-lined muffin cups two-thirds full. Bake at 350° for 18-22 minutes or until a toothpick inserted near the center comes out clean. Cool for 10 minutes before removing from pans to wire racks to cool completely. Frost cupcakes with a chocolate frosting

Yield: 21 cupcakes.

Nutritional Facts

1 each: 326 calories, 17g fat (9g saturated fat), 50mg cholesterol, 288mg sodium, 40g carbohydrate (25g sugars, 1g fiber), 3g protein.

Chef Robert ‘The Happy Diabetic’ Lewis:

Growing up in Los Angeles offered Chef Robert a culinary experience he will always cherish. Family cooks and guests in my home were experts in preparing Jewish, Mexican, Middle and Far Eastern, and traditional dishes, which gave him a love for food and the creative outlet it provided.

After graduating from the Prestigios Culinary Institute of America in 1976. In 1998 he was diagnosed with type 2 diabetes. Thus began his motivation to create great tasting dishes that are easy to prepare.

In 1998 I was diagnosed with type 2 diabetes. Much of what I heard in those early day was about the foods that were prohibited. I suspected that my days of good eating were over, yet as I worked through my ups and downs, I came to realize that the selection of foods I could and should eat was vast and included many of my favorites. This motivated me to attempt to create delicious, diabetic-friendly dishes that were also easy to prepare.

Chef Robert is a nationally recognized author, public speaker and spokesperson for all people affected with diabetes. He travels the country speaking on the benefits of healthy eating not only for people affected with diabetes, but also for anyone who would like to eat and live a healthy lifestyle.

Enjoy our third annual Mister Divabetic Mystery Podcast: ‘Suspect Boulevard’ revolves around dogs, dementia, diamonds and diabetes. This special mystery theater production is loosely based on Billy Wilder’s film, Sunset Boulevard. Our cast includes Poet Lorraine Brooks, Patricia Addie-Gentle RN, CDE, ‘We Are Diabetes’ organization founder, Asha Brown, Catherine Schuller AICI, CIP, Susan Weiner MS, RD, CDE, CDN, Chef Robert Lewis, USA Today Best-Selling Author Tonya Kappes and Mama Rose Marie.

TUNE IN: Diabetes Late Nite inspired by Maxwell. We’re talking about diabetic macular edema with musical inspiration from Maxwell on Tuesday, June 13, 2017, 6 PM, EST. Diabetic Macular Edema (DME) is an accumulation of fluid in the macula-part of the retina that controls our most detailed vision abilities-due to leaking blood vessels. In order to develop DME, you must first have diabetic retinopathy.

Diabetic retinopathy is caused by damage to the blood vessels in the tissue at the back of the eye (retina). Poorly controlled blood sugar is a risk factor. Early symptoms include floaters, blurriness, dark areas of vision, and difficulty perceiving colors. Blindness can occur.

06/03/201706/03/2017

Is Zac Pozen the first Foodie Fashionista?

“Fashion people are supposed to be scared of food!” joked fashion designer, Zac Posen while promoting his new cookbook, ‘Cooking with Zac’ on a panel discussion at the Book Expo in New York, NY.

But apparently he’s not!

Somehow Zac Posen manages to find enough time to cook between designing his Zac Posen and ZAC Zac Posen lines, acting as the creative director of Brooks Brothers, and serving as a judge on Project Runway!

For this fashion designer entrepreneur it seems ‘branzino’ is the new black as he puts designs on becoming a full-fledged lifestyle brand.

‘Fashion and food’ have always had a fatal, fabulous attraction—but Zac says “I don’t feel guilty about eating, as long as you do it in moderation.”

What are some other similarities Zac Posen sees between cooking and creating a garment?

“You have to start with good ingredients: good fabrics and good materials, a clear concept and the flow of it. A composition-flavor and taste, it’s like how a garment feels and wears. Then your dessert is your evening wear,” he says.

Honestly just thinking about Zac’s hectic lifestyle makes me want to order dinner from Seamless – so exactly how does he manage to do it?!!!

“Basically, that’s how I de-fashion,” he tells Vogue.com over the phone from his studio, where he has taken a reprieve from tailoring a black wool dress.

While most of us might be surprised to find he’s written a cookbook his 1 million followers on Instagram, where he documents many of his culinary experiments. are not.

“If it had not been for the response from the followers on social media, I never would have taken the plunge and put a cookbook together,” says Posen. His hashtag, for those who are interested, is #CookingWithZac.

When did he start to cook?

“When I was growing up, my dad cooked for the family every day, and on special weekends, my mom would bake with me. I had trouble relating to my middle-school classmates, so baking became my escape. I made elaborate cakes,” says Zac.

His dishes run the gamut from the well-known (strawberry rhubarb pie) to the elaborate and experimental (Kenchinjiru, a Japanese Buddhist vegetable soup). Whether you’re planning a meal or a fashion line, the goal is to create a masterpiece.

Finally, what cookbooks does Zac Posen love?

“Two cookbooks changed my life: La Varenne Pratique, which taught me techniques, and Martha Stewart’s first book, Entertaining. Now that I have the basics down, I don’t really use cookbooks—I can whip up dinner in an hour!,” says Zac.

Zac Posen’s Molasses-and-Sesame-Seed Cookies

Ingredients:
2 cups all-purpose flour
1/4 cup almond flour
2 tsp. ground ginger
1 tsp. baking soda
3/4 tsp. ground cinnamon
1/4 tsp. ground cloves
1/4 tsp. ground nutmeg
1/4 tsp. salt
1/4 cup salted butter
1 cup caster sugar
1 large egg
1/4 tsp. water
1/4 cup molasses
1/4 cup sesame seeds

Directions:
Preheat the oven to 350 degrees. Sift all the dry ingredients together in a bowl. In a larger bowl, beat the sugar and the butter until fluffy. Stir in the egg, water and molasses. Then mix in the dry ingredients to form a dough. Using about a tablespoon-and-a-half of the dough each time, roll the dough into balls with sesame seeds. Slightly flatten the balls with the palm of your hand and place on a tray. Bake for 10–15 minutes and allow to cool for 5 minutes.

Zac Posen (Cooking With Zac – Rodale), Girls Who Code founder Reshma Saujani (Girls Who Code: Learn to Code and Change the World – Penguin Young Readers), and Veronica Roth (Divergent series) appeared on a panel to discuss their views on creativity while sharing insights into their newest books. Ben Dreyfuss, Senior Editor, Growth and Engagement of Mother Jones, will be the moderator.

More Divabetic Book Expo Buzz

Three additional buzz-worthy books that caught my eye at Book Expo in New York were ‘The Seven Husbands of Evelyn Hugo’ by Taylor Jenkins Reid and ‘Single But Dating’ by Sexologist, Relationship Expert, Dr. Nikki Goldstein and the American Diabetes Association’s ‘The Diabetes Carbohydrate & Fat Gram Guide’ by Lea Ann Holzmeister, RD, CDE.

Pop Sugar calls ‘The Seven Husbands of Evelyn Hugo” is a wildly addictive journey of a reclusive Hollywood starlet and her tumultuous Tinseltown journey comes with unexpected twists and the most satisfying of drama.”

Although the book’s cover boasts “a spellbinding novel about love, glamour, and the price of fame, what grabbed my attention was the storyline’s similarity to last year’s Mister Divabetic Mystery podcast: ‘Suspect Boulevard’!

Don’t let diabetes kill Romance (in a digital age!)

Diabetes takes an often unspoken toll on a woman’s sex life. Close to a third of women with diabetes report low sexual satisfaction, according to a recent study in the journal Obstetrics and Gynecology, and women who take insulin for managing diabetes are nearly twice as likely to say they aren’t satisfied sexually as their peers who aren’t living with diabetes.

Improving diabetes management can help improve intimacy, but still single women diabetes may find they need some ‘extra’ help besides a good lubricant and blood glucose monitor to navigate the dating scene in this age of smartphones. If that’s the case, Australia’s most popular sex therapist, Dr. Nikki Goldstein has an array of practical steps to regain a vibrant sex life!

Dr. Nikki Goldstein says, “t’s important to challenge the ideals that surround you to become the most dateable version of you and to make the best decision for yourself, enjoying this single but dating life along the way.”

Dr. Nikki Goldstein dispenses advice on how to tackle a broad variety of relevant topics like how to let go of outdated beliefs around what it means to be single, how to become technosexually savvy, how to know if you are overtexting, when to enact a man-ban and how to deal with new dating phenomena like ghosting.

Finally, I stopped by the American Diabetes Association(ADA)’s booth to find out what new offerings there are for ‘Divabetics’ from the publishing world. I hate to admit it but the ADA’s marketing geniuses think the best way to package invaluable diabetes education and advice is to put it in a brown paper bag. There’s no glitz, no glamour to spark your interest! Maybe they should consider publishing a Divabetic-style book for people with diabetes with a ‘glam more, fear less’ attitude?!

If you don’t judge a book by it’s cover then the pocket size, user-friendly ‘The Diabetes Carbohydrate & Fat Gram Guide’ is a great addition to any Divabetic’s bookshelf. The guide describes how to use many generic and brand-name foods in meal planning and teaches you to convert carbohydrate grams into carbohydrate exchanges. Nutrient counts for food planning, how to understand grocery store food labels, and how to incorporate different sources of food-count information into meal planning are also covered. Lea Ann Holzmeister, R.D., C.D.E., is a nutrition consultant and a certified diabetes educator, and is widely published in diabetes education.

TUNE IN: May’s episode of Diabetes Late Nite on Tuesday, June 13, 2017, 6 PM, EST. Guests include singer Alfa Anderson, Diabetic Macular Edema patient Maryanne Kass, Artist Bryce Chisholm, the Charlie’s Angels of Outreach, Poet Lorraine Brooks and Mama Rose Marie. Throughout the podcast we will be featuring selected songs from several of several of Maxwell’s albums courtesy of SONY Music

06/02/2017

Can you Recognize the Warning Signs for Diabetes in Your Pet?

Our dazzling brand of diabetes advocacy is going to ‘the dogs’ in honor of our upcoming Diabetes Alert Dog Fashion Show event on Sunday, June 4, 2017 at Mosaic Central Farm Markets.

Diabetes is a real health issue for pets, so make sure your pet gets – and stays – on the road to a healthy and happy life by knowing these warning signs for diabetes:

Increased thirst and urination: Blood sugar levels can get so high outside of the body’s cells that it spills into the urine, increasing urine production. You might notice your dog or cat is urinating more frequently or is having accidents in the house. Increased thirst is also a common sign of diabetes in dogs and cats. Animals with diabetes produce large volumes of urine more frequently and so they drink more water to compensate for the fluids lost through urination. An increase in thirst and urination are also signs of other serious health problems, so these symptoms should always trigger a call to the vet.

Increased appetite: Hunger is caused by the lack of amino acids inside the cells. Diabetes might be a cause for concern if your pet is eating more but still losing weight. This is because the brain’s satiety center reads sugar levels: the more sugar that enters the satiety center, the less the brain feels hunger. When insulin does not allow sugar to enter the satiety center, the body’s cells are not fueled, resulting in hunger and weight loss.

Tiredness and lack of energy: Lethargy and sleepiness are typical in animals suffering from diabetes. When the body’s cells lack blood sugar, then running, taking a walk, or playing lose priority for pets. Eventually, animals may develop a dangerous condition called diabetic ketoacidosis, which is caused by the body using fat instead of sugar for energy. This results in the production and buildup of toxic acids, called ketones, in the blood.

The older a pet gets, the more likely it may develop diabetes. Share these signs with a fellow pet owner who may be concerned that their pet may have diabetes.

Don’t miss our free ‘Dog Fashionista for Diabetes’ Outreach Event at Mosaic Central Farms on Sunday, June 4, 2017

This weekend the happy healthcare host, Mr. Divabetic raises awareness for diabetes alert dogs with the free outreach event “Dog Fashionistas for Diabetes” at Mosaic Central Fam Markets in Fairfax, VA on Sunday, June 4th from 10:30am-12pm.

This free diabetes outreach event will bring awareness to diabetes, healthy eating and diabetes alert dogs who are often in the news for warning their owners about dangerous glycemic lows.

We will also feature scent detection pioneer, Debby Kay and her ‘Super Sniffer Diabetes’ alert dogs and certified diabetes educator, Kathy Gold RN, MSN, CDE, FAADE.

“Managing Type 1 Diabetes on a daily basis is exhausting, frustrating, and terrifying, especially when managing it in a young child. Through her amazing dogs and training program, Debby Kay has given us hope in the midst of chaos. My daughter has a new best friend, a faithful companion, and a loving guardian,” says Allison Herod.

“The breadth of Debby Kay’s knowledge and experience make her a tremendous resource for anyone who wants to work with their dogs on scent training.” says Ann R. Howie, LICSW, ACSW, Human-Animal Solutions, LLC.

During our Dog Fashion Show owners will show off their pet’s fashionable designs, and three winners will be presented with prizes. The fashion show is free to enter and is open to the public.

Why this fabulous and free diabetes outreach event and why at a Farm Market? Along with giving you access to great fresh food, Central Farm Markets is also committed to providing information about healthy living. Hosting an event like this brings awareness to an important topic, provides fun nutrition programs for the kids and invites in community minded non-profit organizations. Plus, for the past 12 years Mr. Divabetic has been committed to raising awareness for diabetes making diabetes education and empowerment more accessible to our local communities.

What’s Your Opinion on These Hot Topics about Service Dogs in the News?

Student’s service dog gets his own photo in Virginia high school yearbook! Stafford High School junior Andrew “AJ” Schalk has Type 1 Diabetes and his dog, Alpha can alert him if his blood sugar is too high or low. Schalk told BuzzFeed that Alpha has saved his life multiple times. He’s been accompanying AJ to school since last year and has been popular among the school community. Alpha even has his own school ID.READ MORE

UNC’s baseball team has a secret weapon — a service dog that helps players recovering from surgery. While Remington’s main duty is to help struggling teammates regain their strength and confidence, the dog helps wherever he can on the field. For instance, according to
Rucinski, Remington carries balls in a bucket out to the umpire before games. He also holds a hat or glove in his mouth for the national anthem. And while Remington can’t open a bottle of Gatorade, he can open the fridge allowing players easy access. READ MORE

Get more Diabetes News Headlines, Food & Fashion Trends and Daily Inspiration on Divabetic’s Facebook page!

06/01/2017

Tiger Woods DUI Arrest Alludes to Breathalyzer Shortcomings for People with Diabetes

The recent news that alcohol was not a factor in Tiger Woods’ DUI Arrest sheds light on the false symptoms and breathalyzer readings associated with diabetes.

Do you know that someone with diabetes can arrested for drunk driving because they’re experiencing an unexpected low blood sugar level?

The similarity in symptoms caused by alcohol intoxication and low blood glucose levels commonly leads to easy—but false—conclusions by law enforcement officers.

Breath-alcohol machines use infrared beams of light. The light beams are absorbed by any chemical compound in the breath sample (including ethyl alcohol) that contains the “methyl group” in its molecular structure. The more absorption, the higher the blood-alcohol reading. The machine is programmed to assume that the compound is “probably” alcohol.

Unfortunately, thousands of compounds containing the methyl group can register as alcohol. One of these is acetone. And a well-documented byproduct of hyperglycemia is a state called ketoacidosis, which causes the production of acetones in the breath. In other words, the Breathalyzer will read significant levels of alcohol on a person with diabetes’ breath, where in fact there may be little or none at all.

In America fifteen to 20 percent of all drivers on the road are living with diabetes. The reactions of a person in the early stages of a low blood glucose attack include dizziness, blurred vision, slurred speech, weakness, loss of coordination and confusion. Coincidentally, these are the symptoms and signs that the patrol officer is looking for in a person who is driving under the influence of alcohol. And the officer’s observations are quickly followed by a failing performance on DUI field sobriety tests.

The police report indicated that Tiger Woods was found asleep in his car while it was running. An alcohol breathalyzer test showed Woods had a blood alcohol level of 0.00, but his arrest report indicates he was taking four prescription medications at various points in the past few years, most of which are typically prescribed for pain.

Over the course of his career, Tiger Woods likely struggled with pain. He not only injured his knees, legs, and back playing golf, but also underwent multiple surgeries for those injuries and crashed a car. According to the Centers for Disease Control and Prevention, more than a third of people who undergo surgery get an opioid prescription.

Undoubtedly, thousands of people with diabetes have been falsely accused—and convicted—of drunk driving in the past because of nothing more than a physiological condition.

The American Diabetes Association recommends these tips for people with diabetes to ensure they are safe behind the wheel:

Always check your blood glucose before you get behind the wheel and at regular intervals during long drives.
Always carry your blood glucose meter and plenty of snacks — including a quick-acting source of sugar — with you when you drive.
Pull over as soon as you feel any of the signs of low blood glucose (hypoglycemia), and check your blood glucose level.
If your blood glucose is low, eat a snack that contains a fast-acting sugar source such as juice, non-diet soda, hard candy, or glucose tablets. Wait 15 minutes and check your blood glucose again to make sure it’s at your target range before you resume driving.
If you experience hypoglycemia unawareness, stop driving and consult your health care provider. Do not resume driving until awareness has been reestablished.
Get regular eye exams for early detection of diabetes-related vision problems that can affect your driving ability.

For more information on safe driving, see the brochure “Driving When You Have Diabetes” created by the National Highway Traffic Safety Administration and the American Diabetes Association.

LISTEN NOW: Enjoy an exciting mix of pop culture, diabetes information and advice along with music by today’s hottest artists on Divabetic’s free monthly podcast, Diabetes Late Nite. In June we’re talking about Diabetic Macular Edema (DME) with music by Maxwell. Guests include singer Alfa Anderson, Diabetic Macular Edema patient Maryanne Kass, Artist Bryce Chisholm, the Charlie’s Angels of Outreach, Poet Lorraine Brooks and Mama Rose Marie. Throughout the podcast we will be featuring selected songs from several of several of Maxwell’s albums courtesy of SONY Music

05/30/201705/30/2017

Overcoming The Fear of Diabetes Complications by Beverly S. Adler, PhD, CDE

Many people with diabetes are fearful about some aspect of the condition – scared of taking medication, using syringes, breaking old habits and/or adjusting their diets and this is just the day to day challenge of living with a chronic health problem.

What about those fears about the future – the possibility of developing long term complication such as blindness, kidney failure, heart attacks, stroke and lower limb amputation.?

I’ve decided to include this topic in a new Mister Divabetic Mystery podcast. As part of my ongoing research I contacted my friend, Dr. Beverly S. Adler, PhD, CDE aka “Dr. Bev” for her invaluable insight and advice on this subject. She willingly agreed to share the blog post featured below, “Fear of Diabetes Complications” with our Divabetic community:

The topic of diabetes complications stirs up a lot of emotional issues. Some well meaning, but uninformed, people (they call themselves your family and friends) may tell you that if you eat that slice of cake you will lose a toe or go blind. Trying to guilt you into eating healthy does not work. It makes many people with diabetes become oppositional and eat that slice – and more – just because they want to be assertive.

Diabetes is the Leading Cause of…..

First, let’s examine that “advice” that you will lose a toe or go blind by eating a slice of cake. That is not a true fact. It’s important to remember that poorly controlled diabetes can result in long-term complications. That’s a good place to start when talking with your family and friends, if they worry about your future health. It is okay to eat that slice of cake if you’ve planned for it in your meal plan. You can’t eat the whole cake, but enjoying a reasonable size slice is not going to result in dire diabetes complications. If you take insulin, you need to account for the additional carbs and increase your bolus insulin dose accordingly. If you don’t take insulin, you need to “pick and choose” which carbs are your priority: try to skip eating the bread and pasta, so you can enjoy the cake. And remember this: Well controlled diabetes is the leading cause of……..NOTHING!

Helpful ideas to be Assertive

Second, let’s examine how to be assertive with the “diabetes police.” While it makes the point that you will do what you want, not what you’re told, the reaction cited in the example above is rather unhealthy. Here’s some helpful ideas to be assertive without being self-destructive:

Acknowledge their concern. Express appreciation for their well meaning intent and thank them for their concern. Always be courteous.
Educate your well meaning, but uninformed, family and friends. Let them know about carb counting and meal planning.
Reassure the “diabetes police” that you know how to manage your diabetes. Correct mis-information. After all, you don’t want to live with those dire complications either.
Keep a sense of humor. Try to be light-hearted if the situation gets tense.
If all else fails, you have the right to choose to ignore the advice and the person dispensing the advice. It’s okay to do what you need to do to keep yourself emotionally strong and healthy.

What if You are the one Fearing Diabetes Complications

What if you are the one who is obsessively worried about the “what if” of possible future diabetes complications? It can make you feel hopeless. An emotional consequence of obsessive worry, and trying to follow a strict regimen in order to avoid complications, can lead to “diabetes burnout.” Diabetes burnout can result in you feeling out of control and overwhelmed by your diabetes. If you feel like your diabetes is a prison, I advise you to “break out before you burnout!” When people with diabetes burnout, the pendulum of good self-care swings in the opposite direction to poor self-care. Try to be reassured with this good news: thanks to medical developments, people with diabetes are less likely to develop long-term complications than ever before!

Actions to Calm your Fear

Here are some actions you can take to help calm your fear for the short and long-term:

Take a walk.
Engage in regular exercise – because it can manage stress as well as blood glucose.
Get enough sleep.
Write in a journal.
Learn to use some form of relaxation, such as deep breathing or yoga.
Limit or eliminate alcohol.

Changing your Thoughts to Reduce your Fear

Here are some ways to help change your thoughts to reduce your fear:

Approach your diabetes with the mindset “it is what it is” – then stress can be reduced.
If you can accept your diabetes, you can feel empowered to manage it.
If you change your attitude from hopelessness to hopefulness, you can change your perspective to focus on long-term good health.
Psychologists see humor as a character strength.People living with diabetes can improve their mood by approaching life with a sense of humor – LAUGH!
Have a positive attitude. As the saying goes, “you cannot live a positive life with a negative mind.” If you default to a negative mindset, that will limit you. Remember: A bad attitude is like a flat tire – you don’t get anywhere until you change it.

Help is Available

If you are so worried about potential complications that may happen in the future, I say to you: “None of us knows what the future will bring.” (If you did know the future, could you please tell me what the winning lottery numbers will be!) Worrying about future complications wastes your time and energy and does not make your chances better or worse. Take care of your diabetes management one day at a time. It’s an approach I’ve personally followed to successfully manage my type 1 diabetes for the past 42 years.

If you feel that your fear of diabetes complications is too difficult for you to manage on your own, you may be helped by talking with a diabetes psychologist or mental health provider who provides diabetes-focused therapy.

Dr. Beverly S. Adler, aka “Dr. Bev”, is a clinical psychologist and Certified Diabetes Educator with a private practice in Baldwin, NY. She was honored in 2016 with the “Certified Diabetes Educator Entrepreneur of the Year Award.”

She is the author/editor of two diabetes self-help books which include insightful lessons of empowerment written by successful men and women with diabetes. She has published articles in print and online about diabetes management – always with the focus on emotional adjustment. Dr. Bev has been quoted in numerous magazines and contributed to a monthly diabetes advice column online. She is a frequent contributor to the Divabetic Diabetes Daily Wire, where she blogs about diabetes topics from the psychological perspective.

Dr. Bev has lived successfully with type 1 diabetes for 42 years. You can connect with her on her website www.AskDrBev.com and on Twitter @AskDrBev.

LISTEN NOW: Diabetes Late Nite podcast with music by Sia. We’re shedding some light on the emotional side of diabetes including depression with guests, Dr. Beverly S. Adler PhD, CDE, , Poet Lorraine Brooks, the Charlie’s Angels of Outreach, Mama Rose Marie and Zippora Karz, a former NYC Ballet Solo Ballerina with type 1 diabetes and author of the memoir “The Sugarless Plum”.

05/28/201705/28/2017

Divabetic Memorial Day Celebration with Dessert by The Diabetic Pastry Chef

Memorial Day is a federal holiday in the United States for remembering the people who died while serving in the country’s armed forces.

One of my favorite memories of our diva-style outreach came the day after I presented our ‘Divabetic- Makeover Your Diabetes’ outreach event in Washington, DC. I took my parents to see Arlington National Cemetery. My father, who is a veteran of the Korean War, enjoyed seeing the Changing Of the Guard Ritual. The Guards of Honor at the Tomb of the Unknown Soldier are highly motivated and are proud to honor all American service members who are “Known But to God.”

Did you know Memorial Day was borne out of the Civil War and a desire to honor our dead. It was officially proclaimed on 5 May 1868 by General John Logan, national commander of the Grand Army of the Republic, in his General Order No. 11. “The 30th of May, 1868, is designated for the purpose of strewing with flowers, or otherwise decorating the graves of comrades who died in defense of their country during the late rebellion, and whose bodies now lie in almost every city, village and hamlet churchyard in the land,” he proclaimed. The date of Decoration Day, as he called it, was chosen because it wasn’t the anniversary of any particular battle.

Having friends and family over for a get-together over the long weekend can be stressful of anyone, especially when you’re living with diabetes. Stacey ‘The Diabetic Pastry’ Chef shares a sugar free dessert recipe to make your Memorial Day memorable.

Type 2 diabetes doesn’t stop Stacey Harris. From her tasty treats to her outlook on life, This pastry chef keeps things as sweet as can be as well as … sugar free!

Berry tartlets with blueberries, raspberries, kiwi, strawberries, almond flakes in icing sugar

Sugar- Free Fruit Tartlets by The Diabetic Pastry Chef

Cookie Crust (Ingredients):

1/2 cup butter, softened

1/2 cup Whey Low D Granular, or equivalent dry sugar substitute

2 large eggs

1 cup unbleached all-purpose flour

3/4 cup white whole wheat flour

Directions: In the bowl of a mixer, beat the butter on medium speed until smooth. Add the sugar substitute and mix until incorporated. Add the eggs one at a time beating until combined after each. Add the flour all at once and mix on low just until incorporated. Cover and refrigerate for a minimum of 2 hours. Roll out and use fluted 3″ cookie cutter to cut and place in 24 mini muffin cups. Bake in 350 degree preheated oven until golden brown approximately 10 minutes.

Custard:

1/3 cup Whey Low D Granular, or equivalent dry sugar substitute

3 Tbsp cornstarch

1/8 tsp salt

2 cups milk

2 egg yolks, slightly beaten

1 Tbsp butter

1 tsp pure vanilla extract

Directions: In medium saucepan, combine the dry ingredients. Gradually stir in the milk, and cook over medium heat until the mixture boils and thickens while stirring constantly. Boil for 1 minute. In small bowl, blend approximately 1/3 of the hot mixture into the egg yolks. Return the yolk mixture to the hot mixture and blend well. Cook the mixture until it bubbles, stirring constantly. Remove from heat and add the butter and vanilla. Cool. Fill each muffin cup about half way with the cooled custard and add topping. Fruits can be brushed with a little heated currant jelly if you would like them to appear glossy. Refrigerate until serving time.

Topping: Various fruits and berries such as: Blueberries, raspberries, strawberries, kiwi, sliced almonds, confectioners sugar or substitute for dusting and/or mint leaves for garnishing

Divabetic Fact: The U.S. Department of Veterans Affairs (VA) reports that nearly one in four men and women (24 percent) who served their country have diabetes.

Set the table for a whole season of festive cookouts by giving it a new summer coat. The wooden slats of a classic picnic table provide a ready-made outline for stripes. Red and white are very versatile — with blue napkins and flag “bouquets,” the table’s ready for patriotic gatherings; adorned with bright red, orange, or yellow tableware, it would have “casual barbecue” painted all over it. READ MORE

Divabetic Playlist: “Soldier Boy” is a song written by Luther Dixon and Florence Greenberg. The song was released as a single by The Shirelles in 1962 and met with great success, topping the US Billboard Hot 100. The song’s lyrics are a profession of the singer’s love for the titular soldier boy in which she promises to remain true to him while he’s away.

How to enjoy Memorial Day foods without packing on pounds

Plenty of us will be heading to Memorial Day picnics and barbecues this weekend, but is it possible to enjoy the food without ruining your diet? NBC health and nutrition editor Madelyn Fernstrom is here to help you make smart food choices with a game she calls “Pick It or Nix It?” with Hoda and Kathie Lee. WATCH NOW

The first step to a successful ‘DIVABETIC’ manicure and pedicure is to know where to go. Inexpensive salons often have unlicensed technicians who are not educated about proper hygiene and cleanliness. Inspect the spa before you make an appointment. Ask about their cleaning and sterilization procedures. READ MORE

Break out the red, white and blue nail polish, ladies, because Memorial Day weekend is here! As with most holidays (read: every holiday ever), nail art should pay tribute to what’s being celebrated, and what better what to celebrate Memorial day than with some patriotic nail art to match your flag-inspired bathing suit?

Do you ever feel ‘guilty’ about living with diabetes?

Unfortunately a heavy dose of guilt is a frequent companion to diabetes.

“I spend a lot of time talking to my clients about guilty feelings. Usually related to not being compliant,” said Dr. Gary McClain, a therapist specializing in helping clients with the emotional impact of chronic illness, catted with members of the diabetes community about coping with diabetes guilt for Diabetes Connect’s website.

“Actions aren’t the only cause of guilt. My clients tell me they also feel guilty when they think of ways to avoid being compliant. I have had clients tell me that just thinking about a Hershey bar can make them feel guilty in anticipation of cheating. Interaction with the doctor is a big source of guilt. Clients often talk about not being quite honest with their doctors. Some of my clients are so focused that just a minor slip-up on their diet will result in lots of guilty feelings and self-criticism,” he added. READ MORE

Divabetic Fact: Veterans who develop type 2 diabetes mellitus and were exposed to Agent Orange or other herbicides during military service do not have to prove a connection between their diabetes and service to be eligible to receive VA health care and disability compensation. READ MORE

Join us when we celebrate Service Dogs at Mosaic Central Farm Markets in Fairfax, VA on Sunday, June 4, 2017, PM.With their superior sense of smell, diabetes alert dogs have the ability to sniff out low blood glucose levels. Dog Expert Debby Kay and Kathy Gold RN, CDE help me host the Red Tomato Carpet at our first-ever Diabetes Alert Dog Fashion Show. READ MORE

Divabetic Playlist: “Boogie Woogie Bugle Boy” was a major hit for The Andrews Sisters and an iconic World War II tune. It can be considered an early jump blues recording. The song is ranked No. 6 on Songs of the Century. Bette Midler‘s 1972 recording of the song reached the top ten on the U.S. pop singles chart.

Don’t miss June’s episode of Diabetes Late Nite with music by Maxwell on Tuesday, June 13, 2017, 6 PM, EST. We’re talking about Diabetic Macular Edema (DME) which is an accumulation of fluid in the macula-part of the retina that controls our most detailed vision abilities-due to leaking blood vessels. In order to develop DME, you must first have diabetic retinopathy.

05/27/2017

Why Plan B May Not Be Effective for Plus Size Women

If you weigh more than 176 pounds and find yourself in a situation where your birth control fails, then chances are the morning-after pill might not work for you according to a 2013 study conducted by the CDC.

According to the National Institutes of Health, nearly one-third of adults in the United States are obese. This proportion is certainly higher among people with diabetes; insulin resistance, a hallmark of Type 2 diabetes, and obesity are both elements of the metabolic syndrome. (Other traits are high blood pressure and abnormal blood lipid levels.)

“The average woman in America spends five years trying to get pregnant and 30 years trying not to,” explained Cecile Richards, President of Planned Parenthood in an interview with The New York Times.

Although Plan B manufacturers insist that there are no weight limits, researchers have suggested that women weighing more than 176 pounds should consider taking two of the recommended doses to help ensure effectiveness. With the current cost of Plan B running at close to $50, that would mean women who lie outside the weight range could count on spending more that $100 on emergency contraception.

Additionally, a 2011 study in the journal Contraceptive, recommends that women who have a body mass index (BMI) of more than 25 should not rely on levonorgestrel or a “normal” dose of Plan B, as an effective emergency contraceptive.

Searching for an alternative?

An IUD is a small, plastic device shaped like a T. The ParaGard (Copper T 380A) is the only non-hormonal IUD available in the US. This IUD has copper (which acts as a spermicide) coiled around it. The IUD irritates the lining of the uterus, which makes it harder for implantation. It also serves as an irritant, so white blood cells migrate to the inflamed uterus and can help to destroy sperm. The IUD is inserted into the uterus by a doctor and has 2 filament strings which hang down into the vagina. A woman can feel the strings to make sure the IUD is still in place. ParaGard can be left in place for up to 10 years.

Another effective option for plus size women is the barrier birth control method. Because they have do not have any hormones, barrier methods also have fewer side effects. is a device that physically blocks sperm from entering the opening of the uterus. Though these contraceptives can be very reliable — they can become less effective if you do not use them the correct way. Because of this, you may be more likely to experience birth control failure (maybe due to not being inserted correctly, at the right time, etc).

Making sure that these methods work as effectively as possible is even more important given the fact that plus size women are at greater risk of pregnancy-related complications. You can increase the effectiveness of these birth control methods by using a double barrier method (such as a condom and spermicide or a diaphragm and a condom — but do NOT use male and female condoms or two condoms).

LISTEN NOW: Mr. Divabetic Show on Premenstrual Dysphoric Disorder (PMDD) on this one hour of wellness with a wow podcast. PMDD is a severe, sometimes disabling extension of premenstrual syndrome (PMS) that start about 7 to 10 days before a woman gets her monthly period. The American College of Obstetricians and Gynecologists estimates that at least 85 percent of menstruating women have at least one PMS symptom as part of their monthly cycle. PMS is much more common than PMDD. Biologic, psychological, environmental, and social factors all seem to play a part in PMDD. It is important to note that PMDD is not the fault of the woman suffering from it or the result of a “weak” or unstable personality. It is also not something that is “all in the woman’s head.”

Rather, PMDD is a medical illness that impacts only 3% to 8% of women. Fortunately, it can be treated by a health care professional with behavioral and pharmaceutical options.

Podcast Guests: Dr. Andrea Chisholm OBGYN, Peak 10 Skin founder Connie Elder, We Are Diabetes founder, Asha Brown, and Laura L. who are both living with type 1 diabetes.