“When you have high blood pressure your heart is working overtime, all the time, “says Neva White DNP, CRNP, CDE on October’s Diabetes Late NIte podcast. “Measuring your blood pressure is one of the best non invasive tests that we have available to give us a window into how well the heart is actually functioning.”
The American Heart Association recommends home monitoring for all people with high blood pressure to help the healthcare provider determine whether treatments are working. Home monitoring (self-measured blood pressure) is not a substitute for regular visits to your physician.
How to use a home blood pressure monitor
Be still. Don’t smoke, drink caffeinated beverages or exercise within 30 minutes before measuring your blood pressure. Empty your bladder and ensure at least 5 minutes of quiet rest before measurements.
Sit correctly. Sit with your back straight and supported (on a dining chair, rather than a sofa). Your feet should be flat on the floor and your legs should not be crossed. Your arm should be supported on a flat surface (such as a table) with the upper arm at heart level. Make sure the bottom of the cuff is placed directly above the bend of the elbow. Check your monitor’s instructions for an illustration or have your healthcare provider show you how.
Measure at the same time every day. It’s important to take the readings at the same time each day, such as morning and evening. It is best to take the readings daily however ideally beginning 2 weeks after a change in treatment and during the week before your next appointment.
Take multiple readings and record the results. Each time you measure, take two or three readings one minute apart and record the results using a printable (PDF) or online tracker. If your monitor has built-in memory to store your readings, take it with you to your appointments. Some monitors may also allow you to upload your readings to a secure website after you register your profile.
Don’t take the measurement over clothes.
Photo by Hush Naidoo on Unsplash
Why keep a blood pressure journal?
One blood pressure measurement only tells what your blood pressure is at that moment. A diary of multiple readings taken over time provides a better picture of your blood pressure that can help you partner with your physician to ensure that your treatments to lower high blood pressure (HBP or hypertension) are working.
If you have been prescribed medication to lower your blood pressure, don’t stop taking your medication without consulting your doctor, even if your blood pressure readings are in the normal range during home monitoring.
Optimism, a sense of purpose and feeling in control are a recipe for better heart health among Black adults reports a new study according to the American Heart Association.
The study, published Wednesday in the American Heart Association’s journal Circulation: Cardiovascular Quality and Outcomes, measured cardiovascular health based on the AHA’s Life’s Simple 7: smoking status, physical activity, diet, weight, and levels of blood glucose, cholesterol and blood pressure.
“We assumed that being both high on psychosocial resilience and living in a resilient neighborhood would be the most beneficial for cardiovascular health,” the study’s principal investigators, Tené T. Lewis, said. “Yet what we found was that psychosocial resilience demonstrated the most robust association regardless of the neighborhood resilience measure.”
“As a result of the heartbreaking consequences of COVID-19 and the inhumanity of George Floyd’s death, we are having a national conversation about the ways in which structural and interpersonal racism have shaped Black Americans’ lives and deaths,” Lewis said. “More studies like this are necessary to fully understand the factors that promote better health for Black Americans.”
The study was published alongside an editorial by Dr. Amber E. Johnson and Dr. Jared W. Magnani, assistant professors of medicine in cardiology at the University of Pittsburgh School of Medicine.
More than half of the US population has hypertension and it is more prevalent in the Black community. We know that cutting back on salt can improve blood pressure control and save lives. Our animated music video and song, “Let’s Talk about Salt” provides evidence-based tips on how to do this in a fun and relatable way.
“Let’s Talk About Salt” is a animated music video PSA starring Grammy®-winning Cheryl “Salt” James from the iconic group, Salt-N-Pepa.
High blood pressure (hypertension) is a leading cause of heart disease and stroke, which together kills more New Yorkers than any other disease.
About one in four New Yorkers has high blood pressure, but there are usually no symptoms. Black and Latino adults are more likely to have high blood pressure than other races/ethnicities.
Blood pressure is the force of blood moving through your blood vessels. The higher it is, the more damage it can do to the inside of your blood vessels. High blood pressure can also lead to problems with your kidneys, eyes and to sexual dysfunction.
Everyone should know their blood pressure. You can get it checked by asking your health care provider, visiting a pharmacy or checking it yourself using a home monitor.
Hip Hop Public Health’s 2020 rendition which was funded in part through the American Heart Association’s New York City Community Impact Grant encourages hypertension prevention by teaching young people about healthy eating and salt consumption with a visually stimulating music video.
Hip Hop Public Health’s mission is to foster positive health behavior change through the transformative power of hip-hop music.
Understanding Your Blood Pressure Numbers
Blood pressure is reported with two numbers, one written over the other. The top number, systolic blood pressure, reflects the amount of pressure in your arteries when your heart squeezes to pump blood. The bottom number, diastolic blood pressure, reflects the amount of pressure in your arteries when your heart relaxes between heartbeats.
For People Not Diagnosed with Hypertension
Systolic (upper)
Diastolic (lower)
Category and Recommended Action
Below 120 and
Below 80
Normal. No action necessary.
120–139 or
80–89
Elevated. Talk with your your health care provider at your normally scheduled visit.
140–179 or
90–109
High. Talk with your health care provider soon.
180 or Higher or
110 or Higher
Dangerously High. You could be in danger. Get medical care immediately.
Can you solve Divabetic’s Mystery Phrase #33? Our phrase is measured by the force that pushes on the walls of your blood vessels as they carry blood and oxygen to your organs (systolic pressure) and the force that’s created when your heart rests between beats (diastolic pressure).
Do you know what Divabetic’s Mystery Phrase #33 is?
Diabetes damages arteries and makes them targets for hardening, called atherosclerosis. That can cause high blood pressure, which if not treated, can lead to trouble including blood vessel damage, heart attack, and kidney failure.
There are several ways in which high blood sugar levels in the blood can increase blood pressure:
The blood vessels lose their ability to stretch.
The fluid in the body increases, especially if diabetes is already affecting the kidneys.
Insulin resistance may involve processes that increase the risk of hypertension.
In 2012, researchers quoted figures suggesting that 30% of people with type 1 diabetes and 50–80% of those with type 2 diabetes have high blood pressure in the United States.
The combination of high blood pressure and type 2 diabetes can greatly increase your risk of having a heart attack or stroke.
If your blood sugar level is too high, you may experience: increased thirst, frequent urination an fatigue. However, the American Heart Association (AHA) stresses that most of the time there are no symptoms for high blood pressure (also known as hypertension).
People usually find out they have high blood pressure when a doctor takes a blood pressure reading, or they take one themselves at home.
The reading will give two numbers:
The systolic is the top number
The diastolic is the bottom number
According to the AHA, the results will be one of the following:
Normal: Systolic below 120 and diastolic below 80
Elevated: Systolic 120–129 and diastolic under 80
Hypertension stage 1: Systolic 130–139 and diastolic 80–89
Hypertension stage 2: Systolic 140-plus and diastolic 90 or more
Hypertensive crisis: Systolic higher than 180 and diastolic above 120.
What is considered normal blood pressure for people with diabetes?
On the basis of recent studies, most people with diabetes should have a blood pressure that’s more than 130/80 mm.
People with diabetes can help decrease the risk of high blood pressure and cardiovascular disease by managing their blood sugar levels.
Here area few effective ways to lower your blood pressure levels:
Stop smoking
Increase activity and exercise more
Lose weight if you’re overweight
Cut back on sugar, refined carbohydrates and processed foods
Join the happy healthcare host, Mr. Divabetic for this free, fun Virtual Cooking Party with special guest, Registered Dietitian and Certified Diabetes Educator Jill Weisenberger MS, RDN, CDE, CHWC, FAND on Tuesday, October 6, 2020, 7 – 8 PM, EST on Zoom.
Divabetic (Divabetic.org) presents a month-long showcase celebrating 10 years of diabetes podcasting. Each of the featured podcasts spotlights our favorite guests, topics, poems, games and/or musical inspiration. Enjoy!
On Day 31, we’re spotlighting Divabetic’s Diabetes Late Nite Inspired by Maria Callasfrom January 2020. We’re talking about ways to help minimize the drama in our daily diabetes lives.
Maria Callas changed the way we listen to opera—and charged the ambition of the singers who followed her. Her ability to interpret a wide variety of different roles truly set her apart, establishing her as a phenomenon, an operatic diva. She was able to fully exploit the dramatic strength of her low vocal range as much as the high and bright notes of her high range.
Opera takes any type of dramatic story and tries to make it more exciting and more believable with the help of music. Symptoms and situations related to diabetes are often dramatic and come on very suddenly. But how do you react to them? Are you ‘drama queen’?
If there’s drama in multiple areas of your diabetes life, be honest with yourself—you’re the constant. Are you creating it? We don’t do anything repeatedly unless there’s something in it for us, so, what’s the payoff?
Every time we find ourselves immersed in something that seems overwhelming, we have an opportunity to learn how to deal with challenges better.
Our monthly podcasts are dedicated to Music Lovers living with, at risk and/or affected by diabetes. We aim to be the epicenter of the circle of care, a link between patients and their health care providers, a translator of clinical speak and a bridge between denial and acceptance, fear and confidence
Divabetic was inspired by the late music legend, Luther Vandross and created in 2005 by Max ‘Mr. Divabetic’ Szadek, who, as Vandross’ assistant of 14 years, witnessed his boss, mentor, and friend struggle in silence and solitude with the diabetes and its related complications. Since its inception, Divabetic has presented outreach programs in 15 major U.S. cities, reaching hundreds of thousands of women, their families and health care professionals.
Experience more of our GLAM MORE, FEAR LESS philosophy at divabetic.org
Can you complete the Mystery Phrase below? Diabetes self-care can be emotionally taxing, but reframing your mind-set can have powerful results. Upbeat, kind, encouraging and gentle words that you say to yourself can help!
Divabetic Mystery Phrase #3
Self-help books often promote the power of positive affirmations. If you’ve never tried them before, the idea can seem incredibly awkward to tell yourself how awesome you are.
Positive affirmations help to re-program your thought patterns and change the way you think and feel about things. They are short positive statements that can help you focus on goals, get rid of negative, self-defeating beliefs and program your subconscious mind.
And yes, there is genuine theory and a fair amount of neuroscience behind this practice.
If you’re struggling to cope with your diabetes diagnosis: try repeating positive affirmations to yourself each morning to steer your mood in the right direction. This way of thinking can be helpful when the mental burden of diabetes management gets tough.
Divabetic Mystery Phrase #3 Answer
We’re talking about how to minimize the drama in our diabetes lives with music from the ultimate diva, Maria Callas on Divabetic’s Diabetes Late NIte podcast.
If there’s drama in multiple areas of your diabetes life, be honest with yourself—you’re the constant. Are you creating it? We don’t do anything repeatedly unless there’s something in it for us, so, what’s the payoff?
Every time we find ourselves immersed in something that seems overwhelming, we have an opportunity to learn how to deal with challenges better.
We asked Jill Weisenberger MS, RDN, CDE, FAND whether or not eggs will impact our cholesterol levels on January’s Diabetes Late Nite podcast. (Click here for the full interview). Jill graciously share the information below on this subject for our Divabetic blog readers:
Jill Weisenberger: The egg is one of those nutrient-dense foods that generates a lot of debate about its healthfulness. Because eggs are high in cholesterol, which has historically been linked to heart disease, the public has long been warned about eating too many eggs, especially the cholesterol-rich yolk. People with diabetes may have even greater concerns because their risk of developing heart disease is quite high.
Here are a few things about eggs.
Recently the American Heart Association, the American College of Cardiology and Dietary Guidelines for Americans Committee stated that the evidence is not strong enough to conclude that cholesterol in foods raises blood cholesterol.
Some population studies have found that eating seven or more eggs weekly increases the risk of heart disease among people with diabetes. Not all studies find an association, however. I see a problem with population studies like these. The researchers cannot account for all of the variables in people’s diets. For example, on some plates, eggs keep company with wholesome fruit and whole-grain toast or oats. On other plates, eggs sit atop buttery biscuits and sausage gravy. Does the company eggs keep influence health? I would have to think so.
Researchers in Australia studied what happens when people with type 2 diabetes or prediabetes eat two eggs daily for six days per week compared to those eating very few eggs. After three months, there were no differences in cholesterol levels, blood sugar, blood pressure or waist circumference. The study didn’t end after three months, so I’m looking forward to learning what the researchers find about these diets after a full year.
In a separate study, researchers compared an egg-based breakfast to an oatmeal-based breakfast among people with well-controlled type 2 diabetes. They measured blood sugar, cholesterol, body fat and more. They found no differences except that the egg group had lower markers of inflammation
Jill Weisenberger’s comprehensive guide, ‘Prediabetes: A Complete Guide: Your Lifestyle Reset to Stop Prediabetes and Other Chronic Illnesses’will lead you through dozens of concrete steps you can take to reduce the risk of developing type 2 diabetes and other lifestyle-related chronic diseases. Taking an individualized approach to your lifestyle “reset,” this book will allow you to choose your own path to wellness, help you gain a greater sense of wellbeing, boost your confidence in your abilities to maintain a healthful lifestyle, and potentially even help you reverse prediabetes and avoid type 2 diabetes and other chronic illnesses.
Jill Weisenberger, MS, RDN, CDE, CHWC, FAND is a great resource for all things nutrition, food and diabetes. Whether she’s speaking, writing, chatting on social media, appearing on TV or working with individuals, her candid and energetic approach appeals to busy people, and her sound nutrition and fitness advice gets results. In fact, her appreciation for science and ability to translate science into actionable information earned her a place in US News & World Report’s 10 Dietitian’s You Need to Follow on Social Media.
Are you a ‘Drama Queen’? Every time you find yourself immersed in something that seems overwhelming, do feel like it’s an opportunity to learn how to deal with challenges better? Or do you act like the sky is falling? Guests include: Dr. Wendy Satin Rapaport PhD, Jill Weisenberger MS, RDN, CDE, CHWC, FAND, Lorraine Brooks, American Heart and American Diabetes Association’s Know Diabetes By Heart Ambassador Rob Taub, Yoga for Diabetes Author and Director Rachel Zinman and Patricia Addie-Gentle RN,CDE.
Great news for the Kardashians! Future blood pressure monitoring could become as easy as taking a video selfie. Researchers have developed smartphone-based technology that can accurately measure blood pressure from a video of a person’s face.
Finding an accessible, easy way to monitor blood pressure could be a breakthrough in healthcare. Nearly half of American adults have high blood pressure and many don’t even know they have it, according to the American Heart Association.
“High blood pressure is a major contributor to cardiovascular disease — a leading cause of death and disability. To manage and prevent it, regular monitoring of one’s blood pressure is essential,” said study lead author Kang Lee, Ph.D., professor and research chair in developmental neuroscience at the University of Toronto in Canada.
Don’t miss August’s Diabetes Late Nite on Tuesday, August 13, 2019 starting at 6 PM, EST. We’re talking about ‘Diabetes, Sleep & Mental Health Issues’ on Diabetes Late Nite with musical inspiration from the iconic Phyllis Hyman.
Guests include Alyson Williams, Queen Diva, Patricia Farrell PhD, Kristina Wolfe, ‘Tabouli: The Story of a Heart-Driven Diabetes Alert Dog’ Author Matt Pelicano, Elizabeth Vaughan Gallagher, Stacie Shonkwiler, and the Charlie’s Angels of Outreach with Patricia Addie-Gentle.
Throughout the podcast we will be featuring music from ‘The Essential Phyllis Hyman’ album courtesy of SONY Music.
“This delicious make-ahead savory bread pudding makes a light breakfast-style recipe. Pop in a cold oven if using a glass dish when baking,” says Best-Selling Cookbook Author Holly Clegg.
Ingredients
1/2 pound mushrooms, sliced
1 onion, chopped
1 teaspoon minced garlic
2 cups packed baby spinach
2 teaspoons all-purpose flour
Salt and pepper to taste
Half loaf French or Italian bread, cut into slices, divided
2. In large nonstick skillet coated with nonstick cooking spray, sauté mushrooms, onion, and garlic until tender. Add spinach, stirring until wilted, and add flour, stirring to mix well. Season to taste; set aside. Place half bread slices in prepared dish.
3. Spread spinach mixture over bread and sprinkle with 3/4 cup cheese. Top with remaining bread and remaining 1/4 cup cheese.
3. In bowl, whisk together eggs, egg whites, milk, and mustard. Pour egg mixture evenly over casserole, refrigerate 2 hours or overnight.
4. Bake at 350°F 40 – 50 minutes or until puffed and golden.
Terrific Tip: You can substitute 1 (10-ounce) box frozen chopped spinach, thawed and squeezed dry for fresh spinach, if desired. Adjust mushrooms and onions to your taste buds but they add great nutrition.
Nutritional Nugget: This is a great dish to try several days before your next cycle of treatment. Good source of vitamins and minerals.
Makes about 7 (3/4-cup) servings
Nutritional information per serving: Calories 210, Calories from Fat 22%, Fat 5g, Saturated Fat 2g,Cholesterol 62 mg, Sodium 352 mg, Carbohydrates 26g, Dietary Fiber 2g, Total Sugars 6g, Protein 16g
With over 1.5 million cookbooks sold, Holly Clegghas become a culinary expert on easy healthy everyday recipes through her nationally recognized best-selling trim &TERRIFIC®, Kitchen 101 and Eating Well cookbook series, including Eating Well Through Cancer, (English, Spanish and Chinese editions), Eating Well to Fight Arthritis and Diabetic Cooking with the American Diabetes Association. Holly Clegg attended the Cordon Bleu Cooking School, London. For more information, visit About Holly or The Healthy Cooking Blog for more recipes and tips.
Several women from the Divabetic community have reached out to us with concerns about eating eggs. We contacted one of our favorite certified diabetes educators and registered dietitians, Jill Weisenberger, MS, RDN, CDE, CHWC, FAND for her expert advice.
“I am very comfortable recommending eggs as part of a balanced diet rich in fruits, vegetables and other wholesome foods for most of my patients with diabetes. There is much to learn about individual differences, however, so it’s prudent to monitor cholesterol levels and adjust as necessary,” says Jill Weisenberger.
Why You Should Consider Including Eggs In Your Diet:
Eggs are affordable and easy to prepare.
They contain lutein, a cousin to beta-carotene. Lutein makes its way into the macula of the eye where it helps protect vision.
Eggs are nutrient-dense, a source of high-quality protein, and are low in saturated fat. I encourage moderate amounts of protein at each of the three main meals to help my weight loss clients minimize muscle loss while they drop pounds.
What’s Up with Eggs?
The egg is one of those nutrient-dense foods that generates a lot of debate about its healthfulness. Because eggs are high in cholesterol, which has historically been linked to heart disease, the public has long been warned about eating too many eggs, especially the cholesterol-rich yolk. People with diabetes may have even greater concerns because their risk of developing heart disease is quite high.
Here Are a Few Things About Eggs:
Recently the American Heart Association, the American College of Cardiology and Dietary Guidelines for Americans Committee stated that the evidence is not strong enough to conclude that cholesterol in foods raises blood cholesterol.
Some population studies have found that eating seven or more eggs weekly increases the risk of heart disease among people with diabetes. Not all studies find an association, however. I see a problem with population studies like these. The researchers cannot account for all of the variables in people’s diets. For example, on some plates, eggs keep company with wholesome fruit and whole-grain toast or oats. On other plates, eggs sit atop buttery biscuits and sausage gravy. Does the company eggs keep influence health? I would have to think so.
Jill Weisenberger’s comprehensive guide, ‘Prediabetes: A Complete Guide: Your Lifestyle Reset to Stop Prediabetes and Other Chronic Illnesses’ will lead you through dozens of concrete steps you can take to reduce the risk of developing type 2 diabetes and other lifestyle-related chronic diseases. Taking an individualized approach to your lifestyle “reset,” this book will allow you to choose your own path to wellness, help you gain a greater sense of wellbeing, boost your confidence in your abilities to maintain a healthful lifestyle, and potentially even help you reverse prediabetes and avoid type 2 diabetes and other chronic illnesses. You’ll be feeling better than you have in years! Inside, you will learn to:
Identify your risks for developing type 2 diabetes
Set personalized and meaningful behavioral goals
Identify and build on your motivation for a lifestyle reset
Create positive new habits
Change eating habits for weight loss and greater insulin sensitivity
Choose wholesome foods in the supermarket and when away from home
Tweak your favorite recipes
Reduce sedentary time
Start or improve upon an exercise plan
Reduce emotional eating
Organize and track your progress with tools included in the book
Much more
Jill Weisenberger, MS, RDN, CDE, CHWC, FAND is a great resource for all things nutrition, food and diabetes. Whether she’s speaking, writing, chatting on social media, appearing on TV or working with individuals, her candid and energetic approach appeals to busy people, and her sound nutrition and fitness advice gets results. In fact, her appreciation for science and ability to translate science into actionable information earned her a place in US News & World Report’s 10 Dietitian’s You Need to Follow on Social Media.
Drinking two or more of any kind ofartificially sweetened drinks a day is linked to an increased risk of clot-based strokes, heart attacks and early death in women over 50, according to a new study by the American Heart Association and American Stroke Association.The risks were highest for women with no history of heart disease or diabetes and women who were obese or African-American.
Previous studies have focused on the bigger picture of cardiovascular disease,” said lead study author Yasmin Mossavar-Rahmani, an associate professor of clinical epidemiology and population health at the Albert Einstein College of Medicine in the Bronx, New York. “Our study focused on the most common type of stroke, ischemic stroke and its subtypes, one of which was small-vessel blockage. The other interesting thing about our study is that we looked at who is more vulnerable.”
After controlling for lifestyle factors, the study found that women who consumed two or more artificially sweetened beverages each day were 31% more likely to have a clot-based stroke, 29% more likely to have heart disease and 16% more likely to die from any causethan women who drank diet beverages less than once a week or not at all.
The analysis then looked at women with no history of heart disease and diabetes, which are key risk factors for stroke. The risks rose dramatically if those women were obese or African-American.
“We should be drinking more water and natural beverages, such as unsweetened herbal teas,” Mossavar-Rahmani said. “We can’t just go all day drinking diet soda. Unlimited amounts are not harmless.”
Clued Inn: Diabetes & Heart Health Escape Rooms
Join us for Clued Inn Escape Room, the first-ever, free Diabetes & Heart Health Escape Room Experience on National Diabetes Alert Day, Tuesday, March 26, 2019, 5- 10PM in New York City. Sponsored by Boehringer Ingelheim. Space Limited. BOOK NOW
