Diabetes Outreach At the New York Auto Show

We’re bringing our dazzling approach to diabetes outreach to the New York International Auto Show in New York City. The New York International Auto Show is North America’s first and largest attended auto show, featuring 1,000 vehicles plus the latest in tech, safety, and innovation.

Play along with Mr. Divabetic and participants in Divabetic’s ‘Serve, Taste or Trash!’ Game. In the game, you’re given three choices of popular foods. You must decide which one you’d serve, which one you’d taste, and which one you’d trash. The game’s goal is to encourage people to become more open-minded eaters:

Mr. Divabetic wants to raise awareness of the precautions people living with diabetes should take before getting behind the wheel. Did you know that sudden bouts of low blood sugar, or hypoglycemia, can lead to confusion, delayed reaction, visual disturbances, or loss of consciousness when driving? Even in the absence of low blood sugar, people with diabetes may have impaired vision or nerve function in the feet, which can affect driving. While most accidents related to diabetes complications happen to a small group of people with Type 1 diabetes who need to take insulin, people with Type 2 diabetes are also at risk.

Tune in to Divabetic’s free monthly podcasts hosted by Mr. Divabetic on blog talk radio. Divabetic’s dynamic free online and mobile podcast channel features live and archived programs and specials. Guests include healthcare collaborators, beauty, image/style, fitness experts, entertainment industry leaders, and VIPs: women and men living with, at risk of, and being affected by diabetes.

Join Divabetic’s Facebook page, follow Mr. Divabetic on Twitter, and learn more about sponsorship opportunities and event details.

Happy 4th of July

Mr. Divabetic stops by the 10th Annual Big Apple Barbecue Block Party at Madison Square Park in New York City to find out how people stay on track with their Summertime health goals.


At the Big Apple Barbecue Block Party, pitmasters from New York City, Alabama, and Texas come together to celebrate American barbeque.

According to the Webstaurant Store blog, the main styles of American BBQ are Kansas City, Memphis, Carolina, and Texas.

Kansas pitmasters brush wet ribs with sauce before, during, and after smoking them for a wet sauce. Memphis-style “dry” ribs are coated in a dry rub before they’re smoked and served without sauce, allowing their authentic flavor to shine.

Alabama white sauce is mayonnaise-based and punctuated with apple cider vinegar, brown mustard, and horseradish. It is usually served on chicken.

St. Louis is famous for its spare ribs, and most people refer to this meat cut when they mention St. Louis-style barbecue. In St. Louis, they prefer grilling their ribs rather than slow-smoking them over indirect heat.

California-style BBQ centers on wood-fired tri-tip steaks rubbed in salt, pepper, and garlic powder seasoning. 

Everyone loves grilling food because the high heat and direct contact with your grill can make foods crispy on the outside while keeping them moist inside.

Kentucky is famous for perfecting slow-smoking mutton and developed a Worcestershire-based sauce to complement its rich, gamey flavor.

In recent years, contradictory reports have cited the benefits and dangers of grilling.

According to New York Health, research has found that grilling may reduce your risk for many chronic diseases, including heart disease, certain cancers, and type 2 diabetes. This is because grilling food makes it easier for us to eat fewer calories and fat.

According to Columbia Doctors, cooking over high heat, especially an open flame, exposes you to two main carcinogens: heterocyclic aromatic amines (HCAs) and polycyclic aromatic hydrocarbons (PAHs). Studies show HCAs and PAHs cause changes in DNA that may increase the risk of cancer. 

Staying healthy isn’t just about watching what you eat; it’s also important to be aware of the excessive calories and added sugar in your drinks. Many summer drinks, including soda, sports and energy drinks, lemonade, fruit juices, and sweetened waters, contain added sugar. 

For example, a 16-fluid-ounce soda can contain over 12 teaspoons of added sugar, while a 16-fluid-ounce sports drink can contain 7 teaspoons. Added sugar can provide empty calories that can contribute to weight gain, obesity, heart disease, and tooth decay. 

New York Historical Society Lecture on John Adams

I attended this fantastic New York Historical Society lecture on America’s second President. Most people falsely assume the lecture focused on Thomas Jefferson, who was America’s third President. Our second President was John Adams. He was also our first Vice President, serving under George Washington. 

The lecture, titled ‘Making the Presidency: John Adams and the Precedents That Forged the Republic,’ was led by esteemed Author and Historian Lindsay M. Chervinsky in conversation with moderator David M. Rubenstein (who is very funny). They skillfully illuminated the unique challenges that John Adams faced during his presidency and how his actions laid the groundwork for his successors.

Lindsay made the point that John Adams left a significant mark on history by establishing a peaceful transition of power. In the midst of the current political climate, John Adams stands out as a beacon of decency. He lost re-election to his foe, Thomas Jefferson, in a campaign fraught with tension. However, John Adams never wavered in upholding the customs of the presidency. Despite being sandwiched between two of America’s biggest heroes and not having a monument erected in his honor, he still achieved greatness.  Imagine if he had refused to leave office after his adversary, Thomas Jefferson, won. Would we still have a democracy today?  He did not attend Jefferson’s inauguration, choosing instead to travel by public carriage back to his home in Massachusetts.  Lindsay noted that John Adams was not invited to attend Jefferson’s inauguration, and there is evidence to support that his presence could have created chaos. 

Among the intriguing facts I learned about John Adams: he was the first President to reside in the White House, having previously served in Philadelphia, PA. His son, John Quincy Adams, would later become President.

It was also fascinating to discover that the President and Vice President cannot be from the same state, a rule that still stands today. 

When you think you know everything about America’s history, you find out there’s so much more to learn. 

Mr. Divabetic Raises Awareness At Feria de Salud Festival in The Bronx

The happy healthcare host, Mr Divabetic raises awareness for diabetes in a fun, new way at the American Diabetes Association’s Latino program, Feria de Salud, at St. Mary’s Park in the Bronx, NY.

The annual Feria de Salud Festival offers free health screenings and education to South Bronx residents about diabetes.

Approximately 1,717,067 people in New York, or 10.7% of adults, have been diagnosed with diabetes. An additional 456,000 people in New York have diabetes but don’t know it, significantly increasing their health risk. Sadly, the Bronx is home to five of city’s worst 10 neighborhoods for diabetes-related deaths.

Play along as Mr. Divabetic challenges various American Diabetes Association staff members, Dr. Ileana Vargas – Rodriquez, Mimi Gonzalez BS, RN, with the food game, ‘Serve, Taste or Trash!’

You might be surprised by the results. In the game, players are given three choices of fruits and vegetables. You must decide which one you’d serve, which one you’d taste, and which one you’d trash. Before you decide to “trash” a veggie for good, why not try to eat it raw? Raw veggies can be more delicious than cooked to people who aren’t crazy about vegetables. The flavors of raw veggies can be milder than those of cooked ones. And the texture is crispy rather than mushy.

Are You Living With PreDiabetes? 

Why should I care about prediabetes? The sooner you know you have prediabetes, the sooner you can take action to reverse it and prevent type 2 diabetes. Click HERE to take a quick PreDiabetes Risk Test.

The CDC-led National Diabetes Prevention Program helps people with prediabetes make lasting lifestyle changes to prevent or delay type 2 diabetes. Working with a trained coach teaches you to eat healthy, add physical activity, and manage stress. With other participants, you’ll celebrate successes and work to overcome challenges. If you have prediabetes, now is your time to take action Click HERE for program details.

Mr. Divabetic is a 2011 WEGO Health Activist Award finalist and the happy healthcare host of Diva TalkRadio. Diva TalkRadio is Divabetic’s dynamic free online and mobile podcast channel where tens of thousands of fans, followers, and listeners turn to laugh a little and learn a lot. The channel features a line-up of live and archived programs and specials.

Do you need some inspiration to help you make healthier choices? Tune in to this episode of Divabetic popular podcast focused on Healthy Swaps. With a few simple swaps, you can help live your best life while managing your diabetes. Our experts offer straightforward, simple, and fun swap ideas for drinks, medications, self-care, and fashion. Plus, we share style tips and words of inspiration to help you maintain a healthy habit.

Developing these habits isn’t always easy. Adapting to a new routine can be tricky, and it’s often tempting to want to return to old ways if we don’t see immediate results. One of the biggest mistakes people make when forming a new habit is taking on too much too quickly.  Focus on what’s working in your diabetes self-care plan before overhauling diabetes management. Instead of decluttering the entire house, why not focus on one room or closet? Why not focus on the calories you drink rather than everything you eat?  If you want to eat healthier, try replacing one dessert daily with a piece of fruit rather than cutting out sugar completely. If you’re going to get into hiking, start with a walk at lunchtime. Setting small goals you can achieve will help keep you motivated along the way.

Guests include Catherine Schuller, Poet Lorraine BrooksPatricia Addie-Gentle RD, CDCES, MaryAnn Horst Nicolay, MEd, NDTR, and Mama Rose Marie. Hosted by Mr. Divabetic.

Divabetic Podcast Inspired by Ricochet

New York Times Best-Selling Author Cherry Adair’s brand new T-FLAC novella, RICOCHET, inspires Divabetic’s podcast celebrating National Diabetes Awareness month.

Cherry Adair’s books are just the right mixture of romance and suspense; whether you are reading one for the first time or the tenth, they will keep you hooked from the beginning.

Cherry writes five to seven hours a day, six days a week. When asked why she chooses to write romantic suspense, she says, “Who says you can’t have adventure and a great love life? Of course if you’re talking about an adventurous love life, that’s another thing altogether. Actually, I write romantic suspense with adventure because I like to entertain, and nothing keeps readers happier than a rapid pulse with a happy end.”

Her popular T-FLAC series features the trials and tribulations of an elite anti-terrorist task force. In Ricochet, one of the critical members of T-FLAC is living with type 1 diabetes.

Guests include Cherry Adair, Neva White DNP, CRNP, CDCES, Emily Hiriak RD, CDCES, David Madison, Pam Harrod-Smith, Patricia Addie-Gentle RN, CDCES, Lorraine Brooks, Michelle Foster from the American Diabetes Association in Philadelphia, PA, Mama Rose Marie and special guest, Sharon, who is living with type 2 diabetes.

Ricochet (T-FLAC)

.Ricochet T-FLAC Hannah Endicott’s only purpose for traveling half a world away to Ecuador is to retrieve what her feckless best friend appropriated to invest in yet another bad business venture. Unwillingly drawn into meeting his new associates, she overhears a nefarious plot and instantly goes from irritated to terrified. The right person, in the wrong place, at the worst possible time. . . .When T-FLAC operative Grayson Burke and his team storm the yacht, the last person he expects to find is the woman he stood up at the altar three years ago. Now she’s in his deadly world…On the horns of a life and death dilemma when his brother and the diamonds disappear, Hannah suddenly becomes Gray’s only hope of locating his quarry and retrieving the stolen money. Low on her stock of insulin injections, Hannah’s inability to remain with Gray is rapidly advancing to a critical end. Now his entire world turns into a time bomb ticking away the minutes. Gray must choose between his brother, his mission, and the woman he loves.

Star Spangled Sugar-Free Strawberry Tart by the Diabetic Pastry Chef

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, recipes and games with you so that you won’t have to avoid the holidays like the Fourth of July in order to take charge of our diabetes.

Typical July weather is hot, hot, hot! If you’re living with diabetes make sure you stay hydrated. Dehydration, or the loss of body fluids, can happen on these very hot summer days whether you have diabetes or not. If you have diabetes, dehydration also can occur when blood glucose is not under control. When blood glucose is elevated, this can lead to an increase in the body’s excretion of urine.

“People with chronic diseases like diabetes as well as people taking certain medications, including heart disease medications and diuretics, which are often used to treat complications of diabetes, are at increased risk of experiencing difficulties in the heat, even though they may not be aware of it,” says Catherine Carver, M.S., A.N.P., C.D.E, Director of Educational Services at Joslin Clinic. 

How do you know if you are properly hydrated?
  1. Try this skin test. First, use two fingers to grab a roll of skin on the back of your hand (between where your watch sits and where your fingers start), advises Higgins. …
  2. Check your urine. If you’re well-hydrated your urine will be mostly clear with a tinge of yellow, Higgins explains.

Tart with strawberries and whipped cream decorated with mint leaves

Our good friend, Stacey Harris aka ‘The Diabetic Pastry Chef’ who loves to bake shares this delicious dessert recipe featuring one of our favorite fruit, strawberries!!!

Sugar-Free Strawberry Tart by the Diabetic Pastry Chef 

1- 8 or 9″ baked pie shell

Filling

1-8-oz pkg cream cheese, softened

1 cup Swerve sugar-free confectioner’s sugar or other equivalent

Strawberry Topping

1/2 cup Marzetti sugar-free strawberry glaze

2 cups fresh strawberries, halved

mint leaves for decoration

whipped cream, optional

Beat together the cream cheese and confectioner’s sugar substitute. Spread in bottom of baked pie shell.

Gently combine the strawberry glaze with the fresh strawberries, and arrange on top of the cream cheese mixture. Refrigerate until set approximately one hour. Garnish with mint leaves. Serve with whipped cream if desired.

Stacey Harris aka ‘The Diabetic Pastry Chef’ loves to bake! While she was attending cooking school she began creating  diabetic-friendly recipes for breads, cakes and other desserts by swapping out the sugar, blending the flour and cutting the milk carbohydrates after being diagnosed with type 2 diabetes READ MORE

DIVABETIC TIP: If you have diabetes, the key to maintaining your blood sugar is to use portion control. Thanks to the low-carbohydrate density of strawberries, you can safely enjoy a 1¼-cup serving. The diabetic exchange for blueberries is 3/4 cup.

When it comes to reducing your risk for diabetes, knowledge is key. Take this quiz to find out how much you know about type 2 diabetes! (Answer at bottom of post) 

DIVABETIC TIP:  Watch for Signs of Heat Exhaustion, especially if you are working or exercising outdoors. People with diabetes and other chronic diseases like heart disease are more susceptible to overheating. Symptoms include: feeling dizzy or fainting; sweating excessively; muscle cramps; skin that is cold or clammy; headaches; rapid heartbeat and/or nausea. If you experience any of these symptoms, move to a cooler environment, drink fluids like water, juice or sports drinks (based on your healthcare provider’s instructions) and seek medical attention.

HOT TOPIC: The American Diabetes Association (ADA) is troubled by the proposed changes to Medicaid and the negative impact of these changes on low-income Americans, who are disproportionately affected by diabetes. In states that expanded their Medicaid programs, more individuals are being screened for diabetes than non-expansion states. Cuts to Medicaid would leave the most vulnerable individuals with or at risk for diabetes without the health coverage they need to be diagnosed and treated for the disease as early as possible.

As currently drafted, the Association cannot support this legislation. It falls far short of the minimum standards for replacing the important safeguards and coverage provided by the Patient Protection and Affordable Care Act (ACA), which the Association has outlined. We urge all Senators to vote no on this bill and to work toward meaningful legislation that will protect access to affordable and adequate health care coverage for people with diabetes. READ MORE

ANSWER: Men are more likely than women to have undiagnosed diabetes. One of the big reasons is that men are less likely to go to their doctor regularly. One out of every four people with diabetes doesn’t know it, and a simple blood test can determine if you’re at risk for the disease or already have it. READ MORE

What is the Dawn Phenomenon?

On March’s Diabetes Late Nite podcast we discussed nighttime diabetes management including the answer to this perplexing question:

Do you wake up with a blood glucose level that’s higher than when you went to bed?

The dawn phenomenon, also called the dawn effect, is an early-morning (usually between 2 a.m. and 8 a.m.) increase in blood sugars and can be a constant source of frustration and irritation for people trying to manage their diabetes. 

According to the American Diabetes Association the rise in glucose is mostly because your body is making less insulin and more glucagon (a hormone that increases blood glucose) than it needs. The less insulin made by the pancreas, the more glucagon the pancreas makes as a result. Glucagon signals the liver to break down glycogen into glucose. This is why high fasting blood glucose levels are common in people with type 2 diabetes.

According to columnist Wil Dubois, the higher your A1C, the more likely you are to have a significant dawn phenomenon. It could be that spending a number of hours each morning out of control is having a significant effect on your overall control.

So it’s worth trying to get dawn phenomenon under control. How can you do that? You have to figure out what is triggering it and then try some possible solutions.

Some people have high glucose levels in the morning because their medicines wear off overnight. This could be true of medicines like insulin, sulfonylureas, and metformin. If you are taking any long-acting medicine, consider asking your doctor about changing meds, doses, or times.

Mayo Clinic doctor Maria Collazo-Clavell, MD, says avoid carbs at bedtime. She also says an insulin pump can help a lot. You can program it in advance to increase your insulin when the dawn phenomenon starts to kick in. You might have to check a few middle-of-the-night levels to find out when the phenomenon starts for you, or if you are going too low.

“Some people with dawn phenomenon find that their glucose continues to rise until they eat in the morning. For others, levels will settle down a few hours after waking, regardless of whether or not they eat,” according to the American Diabetes Association.

Keep in mind, everyone has a dawn phenomenon. Otherwise they’d be too weak to get breakfast. But in people without diabetes, insulin levels also increase to handle the extra glucose. People with diabetes can’t increase insulin levels that much, so their early morning blood glucose levels can rise dramatically.

LISTEN NOW: My full interview with one of the Charlie’s Angel of Outreach, Patricia Addie-Gentle RN, CDE about the dawn phenomenon on March’s Diabetes Late Nite inspired by Gladys Knight & The Pips.