Why We Need Weight-Neutral Approach For Diabetes Management

Plus-size Fashion and Travel Blogger, LGBTQ+ Influencer Alysse Dalessandro Santiago shares how seeking out a weight-neutral doctor’s approach helped her improve her diabetes self-care on October’s Divabetic Podcast with music from Carly Simon.

Alysse says, “It’s taken me a long time to be my own healthcare advocate and challenge the pervasive narrative around plus-size or larger-bodied people living with type 2 diabetes.”

Alysse told her doctor, “I am here for diabetes management. I understand that you have been trained to look at my weight as an indicator of my health. But I look at my A1C as an indicator of my health, so can we focus on that?”

She encourages other plus-size and larger-bodied people to advocate for their diabetes health. “Doctors are there to help and care for you. Their job is to care for you as an individual. When a doctor looks at you as a number on a chart or on the scale, they’re not looking at you as an individual. So if you don’t feel like they are listening to you, then you need to leave and find someone else.”

Alysse’s proactive approach to finding a weight-neutral doctor paid off! Finally, she can focus on the tools she needs to have tighter blood sugar management than the scale numbers. One self-care tool that she loves is the FreeStyle Libre Continuous Glucose Monitor (CGM) System. Alysse says the FreeStyle Libre has helped her to lower her A1C from 11 to a 7. But that’s not all! An added bonus of using the FreeStyle Libre for Alysse has been avoiding triggers related to her binge eating disorder.

“The FreeStyle Libre holds me accountable and tunes me in.” She adds, “The FreeStyle Libre’s alarms make me say, Hey, I emotionally feel like I want to eat, but physically I’m not actually hungry. My blood glucose levels are high, and I should not be eating right now. I’m emotionally hungry. What else can I do to self-soothe?

The “weight-neutral” movement: a therapeutic approach to improving the health of individuals by focusing less on BMI and more on lifestyle behaviors. Studies suggest weight cycling is more strongly linked with specific adverse health outcomes than having an obese BMI. If your doctor’s appointments start and end with a phrase like: “You need to lose weight,” maybe it’s time to find a new doctor.

*The A1C test—also known as the hemoglobin A1C or HbA1c test—is a simple blood test that measures your average blood sugar levels over the past 3 months.

Plus-Size Fashion and Tavel Blogger, LGBTQ+ Influencer, Alysse Dalessandro Santiago guests on Divabetic’s October podcast with musical inspiration from Carly Simon. Hosted by Mr. Divabetic.

Looking for a fun way to socialize without putting your diabetes wellness at risk? Do you need a little help staying on track with your diabetes self-care?

In honor of National Diabetes Awareness Month, the happy healthcare host, Mr. Divabetic presents its Once In a Blue Moon program. This free, fun-filled, informative hour of diabetes outreach is intended to rejuvenate and reignite your attitude. The happy healthcare host, Mr. DivabeticMaryann Nicolay MEd, NDTR, Wendy Satin Rapaport LCSW, PsyD, and Divabetic Image & Style Advisor Catherine Schuller share expert ways to expand food choices, add sparkle, and boost spirits.

So have some fun spending time with us during our Once in A Blue Moon program on Thursday, November 11, 2021, 7 – 8 PM EST on Zoom.

 

REGISTER NOW – FREE PROGRAM

Serena Williams Talks Near-Death Experience After Giving Birth

Tennis champion, Serena Williams knew something had gone terribly wrong just a day after giving birth to her child.

She explained what happened in Vogue Magazine stating,”The next day, while recovering in the hospital, Serena suddenly felt short of breath. Because of her history of blood clots, and because she was off her daily anticoagulant regimen due to the recent surgery, she immediately assumed she was having another pulmonary embolism. (Serena lives in fear of blood clots.) She walked out of the hospital room so her mother wouldn’t worry and told the nearest nurse, between gasps, that she needed a CT scan with contrast and IV heparin (a blood thinner) right away. The nurse thought her pain medicine might be making her confused. But Serena insisted, and soon enough a doctor was performing an ultrasound of her legs. “I was like, a Doppler? I told you, I need a CT scan and a heparin drip,” she remembers telling the team. The ultrasound revealed nothing, so they sent her for the CT, and sure enough, several small blood clots had settled in her lungs. Minutes later she was on the drip. “I was like, listen to Dr. Williams!”

A near death experience in childbirth involving one of the greatest female athletes of all-time will inevitably create buzz on social media but it’s also the story of millions of women of color across the nation.

ProPublica has published an investigative series on the effect socioeconomics has on motherhood in America. One piece in that series, titled “How Hospitals Are Failing Black Mothers,” reports, “It’s been long-established that black women… fare worse in pregnancy and childbirth, dying at a rate more than triple that of white mothers. And while part of the disparity can be attributed to factors like poverty and inadequate access to health care, there is growing evidence that points to the quality of care at hospitals where a disproportionate number of black women deliver, which are often in neighborhoods disadvantaged by segregation,” writes Annie Waldman.

Data like this highlights the fact that the American medical system has a long-standing racial gap for dealing with diseases such as diabetes.

Let’s not forget that compared to the general population, African Americans are disproportionately affected by diabetes as reported by the American Diabetes Association:

13.2% of all African Americans aged 20 years or older have diagnosed diabetes.

African Americans are 1.7 times more likely to have diabetes as non Hispanic whites.

African-Americans are significantly more likely to suffer from blindness, kidney disease and amputations.

Good diabetes management can help reduce your risk of developing a diabetes health-related complication; however, many people are not even aware that they have diabetes until they develop one of its complications.

About 2.8 percent of U.S. adults — one-third of those with diabetes — still don’t know they have it reports the Centers for Disease Control and Prevention (CDC).

You cane help us change that staggering stastistic!

Join us for Fandross Festival on Saturday, May 12 2018, 6:30 – 9:30 PM in New York, NY. We will be raising awareness of the prevention of diabetes health-related complications such as stroke by celebrating the legacy of R & B superstar, Luther Vandross. Don’t miss it! TICKETS ON SALE NOW

One final thought, Serena Williams reflecteed on her post-birth complications and said, “it made me stronger’ on the Today Show.  Words to live by.

Our Fifth Day of Blue Christmas Gift Ideas from Susan D’Addario

On the fifth day of Blue Christmas my true friend and athlete, Susan D’Addario sent to me a Paderno Spiralizer to inspire me to do more home cooking.

Divabetic is celebrating a Blue Christmas to bring attention to the mental health issues related to living with diabetes.

You probably know better than we do how diabetes affects your holiday experience. You might feel the weight of diabetes more at this time, because you can’t let go and celebrate like everyone else. Or maybe you do let go and then beat yourself up over it.

That’s why we asked our panel of experts, friends and past Diabetes Late Nite podcast guests to spread some holiday cheer by sharing their favorite products to help keep you ‘happy and healthy’ all year long.

Susan’s pick: the Paderno 6-Blade Spiralizer allows you to quickly turn a wide variety of vegetables and fruit into healthy meals. Vegetable strands, shreds, and ribbons can be eaten both raw and cooked. Take the work out of salads and slaws, add textural appeal to vegetable platters, and create new flavors with ease.

“You can make noodles out of many types of veggies,” says Susan D’Addario aka ‘The HealthShrink’. “ I make zucchini or noodles frequently using zucchini and/or yellow squash. Get your veggies an forget the sugar raising pasta.”

Zoodles” is a nickname for zucchini noodles, or spaghetti-like strands made from spiralized, raw zucchini and other squash. They contain no flour or wheat whatsoever and are very low in both calories and carbs.

“You can eat approximately five cups or more of zoodles for the same number of calories that you’d get from just one cup of regular wheat-based noodles!,” states Dr. Axe on his Food & Medicine website.

“Zoodles’ provide a good dose of nutrients like vitamin A, vitamin C, B vitamins, potassium and a modest amount of fiber in every cup.

Did we mention zoodles are gluten-free?

 

 

While it’s possible to find pre-made zoodles in some grocery stores, most people prefer to make them fresh at home, especially considering they can take just a few quick minutes to prepare. 

My friend, Susan D’Addario, LCSW is the Founder of The HealthShrink program, and an avid health seeker and healer in both the mental/emotional and the physical health realms. Whether referred to as a diet coach, nutrition coach, or Eating Psychology Coach, she’s fascinated with people, emotions, health, and our relationship with eating, food, and our body.  As a nutrition coach, Susan looks forward to supporting you with counseling strategies and nutrition principles that are nourishing, doable and sustainable and yield long-lasting weight loss results.

Susan’s HealthShrink program emphasizes the inner root causes of weight issues, as an antidote to the superficial Band-Aids of fad dieting.

I have happily partnered with Susan D’Addario to present Health & Wellness programming for the members of the Gotham Volleyball League in New York. Together we have produced a series of popular Facebook Live videos focusing on healthy food and drink alternatives for people who enjoy sports. Susan has also presented several Health & Wellness programs for members interested in achieving optimum health. Susan’s a very thoughtful, intelligent woman with a passion for helping others. On and off-court, I’m happy to have Susan be a part of my team.

Wondering why physical activity is so important for managing diabetes?

Regular activity is a key part of managing diabetes along with proper meal planning, taking medications as prescribed, and stress management according to the American Diabetes Association. 

When you are active, your cells become more sensitive to insulin so it can work more efficiently. Your cells also remove glucose from the blood using a mechanism totally separate from insulin during exercise.

So, exercising consistently can lower blood glucose and improve your A1C. When you lower your A1C, you may be able to take fewer diabetes pills or less insulin.

Physical activity is also important for your overall well being, and can help with many other health conditions. READ MORE

Get Inspired to Move! 

Meet other women who swim, bike, and run for hours — with diabetes

WILD stands for Women Inspiring Life With Diabetes, and the organization demonstrates that having diabetes can be an inspiration rather than an obstacle to achieving one’s athletic and fitness goals.  Through the Red Riders and Team WILD, Mari Ruddy, a recreational triathlete with type 1 diabetes and a stage IIa breast cancer survivor, has found a way to contribute to the health and wellness of all people who live with the incredible challenge of diabetes, whether type 1 or type 2.

 

 

 

 

On December’s Diabetes Late Nite podcast we’re celebrating a Blue Christmas. I chose this theme in December because ‘Blue’ is the color that I most closely associate with diabetes and I feel that the mental health issues related to diabetes are often overlooked and ignored. Some listeners may feel that talking about depression is depressing  which is understandable. However, I feel it is far more important to reach out to those coping with diabetes distress and burnout  and let them know they are not alone.  Please join us! 

TUNE IN! Don’t miss December’s Diabetes Late Nite podcast featuring music by Elvis Presley on Tuesday, December 12, 2017, 6 PM, EST. We will be discussing ways to not let diabetes make you feel ‘blue’ during the holiday season with our panel of experts. Guests include ‘Walking With Peety’ Author Eric O’Grey, Chilbrook Kennels Breeder Author, Diabetes Alert Dog and Scent Detection Expert, Debby Kay, Poet Lorraine Brooks, Susan Weiner MS, RDN, CDE, CDN, the Charlie’s Angels of Outreach featuring Patricia Addie-Gentle RN, CDE and America’s #1 Energy Conductor, High Voltage. Throughout the podcast we will be featuring songs from the new “Christmas with Elvis and The Royal Philharmonic Orchestra” album courtesy of SONY Music. The album brings together Elvis Presley’s best-loved yuletide performances from “Elvis’ Christmas Album” (1957) and “Elvis Sings the Wonderful World of Christmas” (1971) re-imagined with sublime and exquisite new arrangements performed by The Royal Philharmonic Orchestra.

NEED MORE INSPIRATION? Our panel of experts, Divabetic community members and past Diabetes Late Nite guests will be sharing more Blue Christmas Gift suggestions on this blog for the next twelve days to help you enjoy the festive spirit of the season without compromising your diabetes health!

Are you feeling ‘blue’ this holiday season?

You’re not alone.

While it’s true that sadness and/or depression at holiday time can be a reaction to the stresses and demands of the season, people with diabetes are more likely to be depressed than others states David Spero BSN, RN for Diabetes Self-Management.

Diabetes can cause complications and health problems that may worsen symptoms of depression. Depression can lead to poor lifestyle decisions, such as unhealthy eating, less exercise, smoking and weight gain — all of which are risk factors for diabetes.

The good news is that diabetes and depression can be treated together. And effectively managing one can have a positive effect on the other.

If you think you might be depressed, seek help right away. Your doctor or diabetes educator can refer you to a mental health professional.