Walmart Sells $25 Insulin – So What?

Walmart offers a low-cost insulin option without a prescription, but it’s far from ideal for all patients.

According to Vox, doctors and diabetes advocates point out that while ReliOn may help patients in a pinch, especially those without health insurance, it’s also a formulation (known as “human” insulin) that came on the market in the 1980s, more than a decade before more refined insulins started to emerge.

The newer insulins, known as analogs, appear to be more effective at preventing dangerous blood sugar swings in people with Type 1 diabetes or those at a higher risk for severe low blood sugar. (The evidence of insulin analog’s benefits is less clear for Type 2 diabetes, but the studies are also low quality so it’s difficult to make conclusive statements.)

There’s one more problem: Because it’s available without a prescription, patients can get the drug without the supervision of a doctor, and they sometimes get into trouble as a result. So stories have surfaced about patients who required emergency care because of severe blood sugar highs and lows after self-dosing with Walmart insulin, or even dying as a result.

The cost of the four most popular insulins has tripled over the past decade, forcing many of the millions of Americans with Type 1 or Type 2 diabetes who rely on the drug to skimp on or skip doses.

READ MORE 

We’re talking about ‘HUSH HUSH’ topics in diabetes wellness such as insulin’s staggering costs, intimacy issues, fears, and food issues on Diabetes Late Nite with musical inspiration from H.E.R. courtesy of SONY Music.

H.E.R. chooses to keep her true identity a secret but that’s proving harder to do after winning Best New Artist and Best R&B Song Grammy Awards this past year.

Guests include Janis Roszler LMFT, RD, LD/N, CDE, FAND, Cheryl Farley “Food as Medicine” Nutritionist, Dr. Dugan Maddux and the Charlie’s Angels of Outreach. Throughout the podcast we will be playing music from H.E.R.’s “I Used To Know Her: The Prelude” album courtesy of SONY Music.

Diabetes Late Nite is a fast-paced, full-filled hour of diabetes education and wellness advice that encourages listeners to “laugh a little, learn a  lot’.

Why 2 Young Women Died of Heart Trouble

18-year-old Félicité Tomlinson reportedly passed away from a heart attack/cardiac arrest. A person in the apartment called for an ambulance, but paramedics pronounced her dead at the scene after failing to revive her. She was the sister of One Direction singer Louis Tomlinson, the oldest of seven siblings.

Her shocking death comes days after former Miss Teenager Universe Lotte van der Zee passed away at 20 after suffering a sudden cardiac arrest the day before her birthday.

Why would young women who seemed healthy die that way so suddenly?

According to HollywoodLife, Dr. Reed Wilson, a Beverly Hills GP and cardiologist  stated, “a heart attack is caused by a blocked artery to the heart. The part of the heart that is supplied by the blood vessel dies and no longer pumps. If the area is small enough the individual can do very well. If it is a large area and there is no longer enough heart to pump, the patient can die. The most common deadly problem following a heart attack are abnormal heart beats that result in deadly arrhythmias and ultimately cardiac arrest where the heart stops.”

Since there were reportedly no warning signs, one can’t help wondering if a defect that went undetected?

Dr. Wilson states “some young adults can be born with abnormalities of the coronary arteries that can lead to sudden death. The heart has two arteries, a right and a left (the left immediately splits into two). But some individuals have just one that supplies the whole heart, while others have arteries that travel in strange directions to get to the heart. Both of these can lead to heart attacks.

EDITOR’S NOTE: A heart attack is when blood flow to the heart is blocked, and sudden cardiac arrest is when the heart malfunctions and suddenly stops beating unexpectedly. A heart attack is a “circulation” problem and sudden cardiac arrest is an “electrical” problem.

On March’s Diabetes Late Nite podcast we spoke to Patricia Addie-Gentle RN, CDE about the findings from a recent study the more young women are having heart attacks. 

The study states that the proportion of heart attack–related hospitalization rates for women ages 35 to 54 increased from 21% to 31% over the last two decades.

Scientists can’t say for sure what’s causing an increase in heart disease among young women, but they do have some ideas. Last month’s study found that not only had hospitalization rates for heart attacks increased among young people since 1995, but that hypertension and diabetes rates had increased as well. The young women in the study were also more likely to be black than the young men, suggesting that heart disease is hitting young black women especially hard.

Another interesting finding was that, compared to the young men in the study, the young women were less likely to have previously been treated for conditions like high blood pressure, high cholesterol, or stroke. This suggests that women are being under-treated this link opens in a new tab for heart disease risk factors, wrote Viola Vaccarino, MD, PhD, an epidemiologist at Emory University, in a commentary published along with the study. Prevention guidelines may also underestimate risk among this age group, she added.

It’s also interesting to note that the estrogen in birth control pills and in hormone patches, implants, vaginal rings and injections can cause an increase in blood clotting, which could result in a heart attack. However, that risk is still very small for most women, especially for those under 35 who do not have other risk factors for heart disease, such as smoking or obesity.

Divabetic will presenting the first-ever Diabetes & Heart Health Escape Room Experience: Clued Inn on Diabetes Alert Day, Tuesday, March 26, 2019 in New York City. Currently we have over 150 pre-registered for Clued Inn but there’s still room for you and your friends to participate! Register now at CluedInn.org.

‘How to Overcome Your Genetic Risk for Heart Disease’ on March’s Diabetes Late Nite Podcast

‘Nutrition & You’ Author Dr. Joan Salge Blake EdD, RDN, LDN, FAND guests on March’s Diabetes Late Nite podcast with music from the rock band, Heart scheduled for tonight, Tuesday, March 12, 6 -7:30 PM, EST. Tune in to learn about Dr. Joan’s recent U.S. News article entitled, ‘ How to Overcome Your Genetic Risk for Heart Disease.’

The article reports how a recent study in the New England Journal of Medicine uncovered: That a healthy lifestyle can dramatically reduce your risk of heart disease – even if your family’s health history isn’t stellar.

The researchers found that people who don’t smoke, aren’t obese and eat a healthy diet, may still be able to beat the family odds of succumbing to heart disease.

Don’t know where to start to improve your diet? Try Whole Oats!

Research suggests that beta-glucan, a viscous soluble fiber found in oats, can help lower total and LDL cholesterol levels. When it comes to choosing which type of oats to buy, keep in mind that how they’re processed matters. According to Johnson McRorie, co-author of a recent article on the subject, the more processed the oats, the less potent the beta-glucan and its ability to lower your blood cholesterol levels. So, while old-fashioned oats take a few minutes longer to cook than instant oatmeal in the morning, they’re probably better for your heart.

Start your morning off with a bowl of oatmeal. Add a dash of cinnamon, which will add natural sweetness to your breakfast. When making meatballs or breaded chicken, swap out some of the breadcrumbs for oats.

READ MORE of Dr. Joan Salge Blake’s U.S. News article

Diabetes Late Nite inspired by Heart

We’re talking about ‘HEART HEALTH & DIABETES’ with musical inspiration from the rock band “Heart” on March’s Diabetes Late Nite podcast.

Adults with diabetes are two to four times more likely to die from heart disease than adults without diabetes.

People with insulin resistance or diabetes in combination with one or more of these risk factors are at even greater risk of heart disease or stroke. However, by managing their risk factors,  people with diabetes may avoid or delay the development of heart and blood vessel disease.

The rock band “Heart” was started in Seattle in the 1960s. Heart’s mix of hard rock and folk yielded one of the longest lasting and most commercially successful bands of all time. The band is fronted by sisters, Ann and Nancy Wilson who wrote many of the band’s songs. Heart’s new “Love Alive” Tour kicks off this  Summer with Joan Jett & the Blackhearts, Sheryl Crow, Brandi Carlile, Elle King, and Lucie Silvas.

Guests include Poet Lorraine Brooks, Author of ‘Nutrition & You’ Dr. Joan Salge Blake, EdD, RDN, LDN, FAND, Jill Weisenberger, MS, RDN, CDE, CHWC, FAND, Glucose SOS founder Pamela Heyward and the Charlie’s Angels of Outreach.

Throughout the podcast we will be playing music from Heart’s “The Essential Heart” album courtesy of SONY Music

Divabetic will presenting the first-ever Diabetes & Heart Health Escape Room Experience: Clued Innon Diabetes Alert Day, Tuesday, March 26, 2019 in New York City. Currently we have over 150 pre-registered for Clued Inn but there’s still room for you and your friends to participate! Register now at CluedInn.org.

What Becomes A Semi-Legend Most is Not ‘Fur’ But ‘Failure’!

Recently I had the opportunity to share my personal story with the Beyond Type 2 website. It quickly turned into a walk down memory lane for me as the memories of the humble beginnings of Divabetic (selling t-shirts, hosting support meetings at the YMCA, and working in the basement of dLife) came rushing back. 

I don’t think I would have been so honest or forthright in my writing if not for Boehringer Ingelheim’s sponsorship of Divabetic’s newest program, Clued Inn: Diabetes & Heart Health Escape Rooms. This new sponsorship helped me push past multiple failed attempts at sponsorship and the never-ending negativity from the greater diabetes community, and get back in the game! 

I’m hoping my story can help inspire others because I know that not everyone is able to get past their failures. 

“Failure is always a demoralizing and upsetting experience. Failure makes your mind trick you into believing things that aren’t true,” according to the Psychology Today website. “Unless you learn to respond to failures in psychologically adaptive ways, they will paralyze you, demotivate you, and limit your likelihood of success going forward.”

Failure Distorts Your Perceptions of Your Abilities

This is true for me. I haven’t spoken about the ‘makeover’ years in quite awhile because I really thought I failed. My inability to get sponsorship for anything else after Divabetic’s  makeover program ended really broke my spirit. I didn’t think I was good at anything involving diabetes outreach. Additionally, several ‘haters’ on social media thought I was strictly ‘fluff’ and not informative or educational. I also was the target of homophobia after presenting a free diabetes outreach program at a well-known African-American Methodist Church which stopped me from ever presenting faith-based outreach again. 

The Pressure to Succeed Increases Performance Anxiety and Causes Choking

Everyone from the  Divabetic-Makeover Your Diabetes team kept asking me why we weren’t getting sponsored by another pharmaceutical company. What they didn’t know was that my proposals were being rejected on a daily basis! I became frustrated, angry and upset as I tried to rework the program into various formats and different sponsorship levels – all without success.

I remember hosting a Divabetic Zone at the Taking Control of Your Diabetes (TCOYD) Expo. The crowd loved us! Plenty of sponsors saw first-hand how our Divabetic area was packed throughout the day. I hosted portion control games, ‘Single Ladies, Single Servings’ and ‘Dancing In Cars’ workouts all day on Saturday afternoons but still no one returned my calls on Monday mornings.

The Psychologically Healthiest Response to Failure Is to Focus on Variables in Your Control 

After what seemed like my millionth failure in achieving sponsorship I chose to go inward. I stopped volunteering to be part of other people’s and organization’s diabetes outreach events and focused solely on Divabetic podcast and videos. I put my head down and focused on the work. I added music to Divabetic’s Diabetes Late Nite podcasts courtesy of SONY Music, created health games and reworked podcast segments with a variety of guests. 

Psychology Today advises people facing similar situations to break down the task or goal in question to those aspects that are in your control and those that are not. Then go through the list of aspects that are not in your control and figure out how to take control of them—by improving your skill-set, planning, relationships, knowledge, preparation, etc.

It worked for me! Feeling in control is a literal antidote to feelings of helplessness and demoralization that will motivate you to try again, minimize your chances of another failure, and increase your likelihood of success!

Podcasting allowed me to flex my creativity and explore new ways to educate people about diabetes and diabetes self-care. A  chance meeting with Best-Selling Author, Tonya Kappes at a Book Expo in New York led to Divabetic’s annual mystery podcast. Trust me, no one in their right mind was willing to hire me as a ‘mystery writer’ except for me (I couldn’t pay anyone else to do it!). Somehow I managed to convince my Diabetes Late Niteteam and colleagues to participate in a mystery radio podcast. We had so much fun that here we are six years later getting ready for present our sixth annual mystery podcast, ‘Gingerbread Men Prefer Blondes’ in September 2019. 

And that’s not all! Our annual mystery podcast was such a healing experience for me that I actually swallowed my pride and submitted a proposal in October for a new diabetes outreach program based on the mystery podcast. 

I happy to announce that Divabetic will presenting the first-ever Diabetes & Heart Health Escape Room Experience: Clued Inn on Diabetes Alert Day, Tuesday, March 26, 2019 in New York City. Currently we have over 150 pre-registered for Clued Inn but there’s still room for you and your friends to participate! Register now at CluedInn.org.

‘Self-Acceptance & Diabetes’ by Beverly S. Adler, PhD, CDE Clinical Psychologist and Certified Diabetes Educator

“Figure out who you are and do it on purpose” – Dolly Parton            

This month’s Diabetes Late Nite podcast talks about self-acceptance and diabetes. Max “Mr. Divabetic” Szadek focuses attention on Julie Murphy’s book Dumplin’ and spotlighting the music of Dolly Parton who helped make the soundtrack for the Netflix movie. To summarize (and simplify) the story, it’s about a plus-size teenageddaughter of a former beauty queen, who learns how to accept her body and feel proud of who she is.

Dumplin’ by Julie Murphy

Self-acceptance can be an emotional struggle for many people, especially for women who judge their appearance critically. You fill in the blank: “I am too ______” short, tall, fat, skinny, young or old, etc. Let’s remember not to judge a book by its cover! Plus-size people can be superficially judged by their body type instead of what’s on the inside. It’s unfair, but you can’t change what others think. Try to remember to be yourself. People don’t have to like you, but you don’t have to care.

Some people are judged critically for having diabetes. It is assumed, and they are unfairly blamed and shamed, that they lead an unhealthy lifestyle (i.e. eating too many sweets, and being lazy). It’s hurtful to be so harshly judged, especially with no evidence to support those accusations. You know in your heart of hearts what is true and what is untrue. Remember that the most important relationship in your life is the one you have with yourself.


Benefits of Self-Acceptance

Self-acceptance is necessary for good mental health.  A person who scores high on self-acceptance has a positive, non-judging attitude.  A person treats themselves kindly, rather than harshly.  A person allows themselves to be human, to make mistakes and learn from them. Know that as humans we are not perfect, nor should we be expected to act flawlessly.

Psychological benefits of self-acceptance include a decrease in depressive symptoms and an increase in positive emotions. Positive benefits include an increase in feelings of self-worth and self-esteem, and more self-kindness when mistakes occur. Self-acceptance is associated with more optimism and better recovery from stress. Other psychological benefits are a decrease in fear of failure, less desire to win the approval of others, and less self-criticism.  Physical benefits include lower levels of glycosylated hemoglobin (a marker for glucose levels/insulin resistance).


Tips for Self-Acceptance

Use self-talk to encourage yourself. Tell yourself to keep trying and focus on positive aspects of what you did.

Forgive yourself. You have to accept your humanness and the fact that you are not perfect. If you hurt yourself through addictive behavior, avoidance, or otherwise behaving unwisely, make a coping plan for the next time you are in a similar situation so that you can begin to act differently. Remember, there are no failures, if you have learned and grown from your mistakes; there are only lessons learned.

Become mindful. Know what you think, feel and want. When you are mindful you can act on this knowledge rather than on what others want for you.

Practice good self-care. You can accept yourself more, when you take better care of your basic needs. Nourish yourself daily through healthy activities, like choosing healthful food choices, physical activity, sleep, intimacy, and healthy social interactions.

Final Thoughts

Challenge your negative thoughts about yourself. The underlying message of Dumplin is to figure out who you are and do it on purpose. Treat yourself with self-compassion. Tolerate yourself to be imperfect in some parts. We are deserving of love and respect just the way we are. Value yourself and all the things that make you unique. We are all works in progress.

Dr. Beverly S. Adler PhD, CDE

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.

Don’t miss February’s Diabetes Late Nite podcast in support of the ‘Spare A Rose, Save A Child’campaign on Tuesday, February 12, 2019, 6 – 7:30 PM, EST.  We’re talking about ‘SELF ACCEPTANCE & DIABETES’ with musical inspiration from Country Superstar, Dolly Parton. Guests include Poet Lorraine Brooks, Dr.Beverly S. Adler PhD, CDE, Patricia Addie-Gentle RN, CDE, Catherine Schuller AICI, CIP,  Lisa R Young, PhD, RDN and more. Enjoy selected songs from Dolly Parton’s new album Dumplin’ Original Motion Picture Soundtrack courtesy of SONY Music.  TUNE IN

‘Inch By Inch’ Poem By Lorraine Brooks

Slow and steady wins the race.
Baby steps should set the pace.
There’s no need to rush to win,
Enjoy the journey that you’re in.

Things don’t happen overnight.
It takes time to get things right.
Sometimes it may seem too slow
To get to where you need to go.

Dealing with a chronic ill,
May seem like it’s all uphill.
Getting better from a stroke
Makes you feel like a slowpoke.

Lowering your a1c
May seem like an eternity.
Trying hard to lose some weight
Happens at a sluggish rate.

Changes that we make today
Won’t make a difference right away.
But if we practice patiently,
We’ll see results eventually.

Inch by inch the goal gets near
Even if it takes a year.
So don’t stop when you’re halfway there.
Set your sights, and persevere.

Slow and steady, inch by inch -
Do not blink and do not flinch.
It won’t happen instantly...
But in the end, you’ll win - you’ll see!

Hear Poet Lorraine Brooks read her poem, Inch by Inch, aloud on January’s Diabetes Late Nite podcast. Throughout the podcast we’re talking about ways to proceed with ‘CAUTION’ in 2019 with musical inspiration from the iconic Mariah Carey TUNE IN

Join us as we talk to experts about the link between Diabetes and Cardiovascular Disease (CVD).  

Do you know living with type 2 diabetes puts you at greater risk for heart disease and stroke? Unfortunately most people don’t. We want to help you get CLUED INN and make a healthy comeback worthy of Mariah Carey. Music critics agree that Mariah’s latest collection of songs not only maintains her status as one the best singer/songwriters in the game, but also eloquently displays her truth. She opens up about love, loneliness, and self-worth in a cautionary album that reminds us that she is still a force to be reckoned with after nearly three decades in the industry.

Diabetes Late Nite guests include: Poet Lorraine Brooks, Susan Weiner, MS RDN CDE FAADE, Mama Rose Marie, WeAreEatNeat.com’s Lloyd Owens, Type 2 Diabetes – What To Know Community member Nick Zevgolis, Yoga For Diabetes Director and Author Rachel Zinman and the Charlie’s Angels of Outreach. Throughout the podcast we will be playing music from Mariah Carey’s “CAUTION” courtesy of SONY Music.

Diabetes Late Nite is a fast-paced, full-filled hour of diabetes education and wellness advice that encourages listeners to “laugh a little, learn a  lot.”

Join Mr. Divabetic and cast of Diabetes Late NIte for the first-ever free and totally thrilling Diabetes & Cardiovascular Disease Escape Room Experience, Clued Inn,on National Diabetes Alert Day (Tuesday, March 26, 2019) in New York City sponsored by Boehringer Ingelheim. BOOK NOW

Divabetic Makes Diabetes Forecast’s List of Diabetes Podcasts!

We’re thrilled to announce that Divabetic’s Divabetic’s free monthly podcast, Diabetes Late Nite, is included on Diabetes Forecast’s list of Diabetes Podcasts in the January – February issue. 

Writer Benjamin Page said, “With “a mission to glamorize good health,” this podcast isn’t your typical fare. In addition to chatting with health care professionals, host Max Szadek (aka “Mr. Divabetic”) interviews beauty and style experts affected by diabetes. There are even annual Diabetes Mystery Theater specials—nostalgic murder mystery shows where the caper, clues, and culprit all revolve around diabetes.”

We are grateful to partner with outstanding diabetes educators, scent detection experts, health professionals, beauty/fashion experts, chefs, fitness gurus, cookbook authors, poets, musicians, vocalists, Luther Vandross’ fans, best-selling mystery writers, farmers market owners and vendors, romance writers, advocates, therapists, peers, SONY Music and amazing mothers(!) on our podcasts. Our aim is to present an unique, honest and upbeat approach to educating and empowering people to live well with diabetes. We strive to tackle issues and concerns related to diabetes such as sexual health, emotions, and self-image that are often overlooked by traditional media.

Thank you to our loyal listeners who have joined us on over 167 podcasts for the past eight years.

Music changed my life. Now music is helping me to prevent diabetes-health complications from occurring with the help of SONY Music by changing attitudes in people living with, affected by and at risk of diabetes. Contact me if you’d like to be a guest: mrdivabetic@gmail.com 

Join us for Diabetes Late Nite inspired by Mariah Carey on Tuesday, January 8, 2019, 6 PM, EST.

We’re talking about ways to proceed with ‘CAUTION’ when coping with Diabetes and Cardiovascular Disease (CVD) with musical inspiration from Mariah Carey.  

Do you know living with type 2 diabetes puts you at greater risk for heart disease and stroke? Unfortunately most people don’t. We want to help you get CLUED INN and make a healthy comeback worthy of Mariah Carey. 

Music critics agree that Mariah’s latest collection of songs not only maintains her status as one the best singer/songwriters in the game, but also eloquently displays her truth. She opens up about love, loneliness, and self-worth in a cautionary album that reminds us that she is still a force to be reckoned with after nearly three decades in the industry.

Guests include Poet Lorraine Brooks,  2015 AADE Diabetes Educator of the Year Susan Weiner, MS RDN CDE FAADE, Mama Rose Marie, WeAreEatNeat.com’s Lloyd Owens, Nick Zevgolis, and the Charlie’s Angels of Outreach.

Throughout the podcast we will be playing music from Mariah Carey’s “CAUTION” courtesy of SONY Music. TUNE IN

Diabetes Late Nite is a fast-paced, full-filled hour of diabetes education and wellness advice that encourages listeners to “laugh a little, learn a  lot.”

Join Mr. Divabetic and cast of Diabetes Late NIte for the first-ever Diabetes & Cardiovascular Disease Escape Room Experience, Clued Inn,on National Diabetes Alert Day (March 26, 2019) in New York City sponsored by Boehringer Ingelheim.

Divabetic’s ‘Wrapped In Red’ Holiday Gift Guide with Sue Perez

Kelly Clarkson‘s fabulous holiday album, Wrapped In Red, is the inspiration behind this year’s annual Divabetic Gift Guide. We asked our contributors to share their favorite ‘red’ gift suggestions for people living with diabetes on the Divabetic blog and Diabetes Late Nite podcast.

What do you feel when you see the color red? For us, we feel excited because it means the holidays are coming! Red is the color of the biggest, most romantic holidays of the season; Christmas and Valentine’s Day. And no one wears red as splendidly as Grace Kelly does in Alfred Hitchcock’s 1954 American crime mystery film, Dial M for Murder.

Grace Kelly was an icon in American culture. Her timeless essence as an actress, her youthful beauty as a mother and wife and her elegant style as a princess continue to captivate us today.

Our friend, Sue Perez, CEO –Beautyphonics Inc. shares  her favorite red lipsticks and makeup looks inspired by Grace Kelly to help you ‘GLAM MORE, FEAR LESS’ this holiday season!

E.l.f. Cosmetics makes great makeup at affordable prices. When I want to achieve a long lasting, gorgeous matte finish I reach for their Liquid Matte Lipstick ($5.00- Walmart). Red Vixen is my go to shade when I want that perfect sexy pout. Coordinate with a full coverage foundation, a pair of natural looking strip eyelashes with a hint of black gel liner turned up in the outer corners for a cat eye effect. Strong and classic. 

Mac Cosmetics has always been known for having a diverse color range and their lip formulas of color plus texture always stands out on the runway. A favorite of mine is Ruby Woo it’s a retro Matte formula and looks impeccable with a full coverage finish. Wear this opaque matte lip with bronze sun-kissed tinted moisturizer, shimmery eyelids and extra mascara for an evening look. Stunning and unforgettable.

Chanel makeup is more expensive but worth considering for a splurge if you adore that gorgeous black and gold Chanel package as much as I do. And a translucent powder compact for touch ups is a wonderful treat for your makeup bag. Rouge Coco Glossimer in chili ($30.00- Bloomingdales) provides a flattering and very glossy sheer red when I prefer a lighter lip with a bold dramatic eye makeup look. Keep the rest of your skin matte with only a hint of blush. Captivating and hypnotic.

“These red lipstick suggestions look great on all skin tones!,” says Emmy Award nominated makeup artist and skincare expert,  Sue Perez. “Just experiment and complete the look with foundation, lashes and well-groomed eyebrows. It’s all about balance when I apply makeup, so make sure your look is clean, well-blended and of course, pretty.”

In Sue Perez’s book “Underneath the Makeup” she has makeup applications anyone can do using just a few products and makeup brushes in 15 minutes! Her fabulous book is for ALL women that truly want to understand and define their own unique beauty. You will learn the secrets that are easy and fun to understand so you can do your own makeup effortlessly.

‘DIVA’ FUN FACTS  Dial M for Murder (1954) was Grace Kelly’s first Hitchcock film. ‘She lights up the screen in every scene she’s in, in head-to-toe red, from lipstick to the lace dress (in the most pure ’50s style) and the satin pumps,” says ‘Style on Film’ classiq.me .

Grace Kelly’s costumes were designed by Moss Mabry. Grace Kelly and Alfred Hitchcock made two more films, Rear Window (1954) and To Catch a Thief (1955) before Miss Kelly became Princess Grace of Monaco and retired from the screen in 1956.

Enjoy December’s Diabetes Late Nite podcast featuring holiday music from Kelly Clarkson. Guests include Poet Lorraine Brooks, Kathy Gold  RN, MSN, CDE, FAADE, Glucose Delivery Necklace Co-Creator Kris Maynard, Dr. Sara (Mandy) Reece, PharmD, CDE, BC=ADM, BCACP, FAADE, Maria Sakowitz, MS, RDN, LDN, CLT, and the Charlie’s Angels of Outreach. LISTEN NOW

‘Homeless With Diabetes’ On December’s Diabetes Late Nite podcast

We’re excited to announce our December edition of Diabetes Late Nite. Kathleen Gold, RN, MSN, CDE, will stop by the studio to share her experience working with homeless people and Kelly Clarkson will provide musical inspiration from her holiday album, Wrapped in Red.  Join us here on Tuesday, December 4, 2018  from 6 – 7:30 PM.

One of the Diabetes Late Nite featured songs this month is Kelly Clarkson’s “I’ll be Home for Christmas.” This is a poignant inspiration song to gain perspective from Kathy prior to our podcast interview on the biggest obstacles homeless people face who are living with diabetes.

As a diabetes advocate for over 20 years at Unity Health Care Clinic at the Community for Creative Nonviolence, a shelter in Washington, D.C., Kathy helped homeless people check blood glucose logs, made referrals to specialists, and discussed ways to best manage their health. “What I try to do is spend as much time with them as they need,” Gold said in an interview for Diabetes Forecast. “We touch on other issues, not just diabetes: food, food stamps, depression. … They really are very motivated, and they try to make good choices.”

Q: I would think that for homeless people with diabetes the stress of living with so much uncertainty every day must play a big factor in managing their diabetes. What do you advise?

Kathy Gold RN, MSN, CDE: Yes, this is a major problem. They frequently don’t know when or if they will get their next meal or where they may be sleeping that night. I first try to address their living situation. Locating a shelter and a place to receive meals on a consistent basis is the main priority. Until these needs are met you can’t address their diabetes or their healthcare needs.

Q: What type of meal planning advice do you give to homeless people with diabetes who are relying on food stamps, the kindness of others, and prepackaged foods to carry them through the day?

Kathy Gold RN, MSN, CDE: I connect them with various food kitchens and food banks, so they know where to access food. Also, we discuss options for how to spend their food stamp dollars wisely. I help them create a shopping list of non-perishable items they could always have available. We also discuss portion control. I encourage them always to choose vegetables, whole grains and fruit if available. In DC the primary food bank offers a “diabetes meal” which provided an extra serving of vegetables.

Q: How do you advise homeless people with diabetes to create and/or adhere to a daily diabetes management routine if they don’t have a set schedule? 

Kathy Gold RN, MSN, CDE: This is a big struggle as the timing of meals is such a difficult thing to predict. It is important to use medications cautiously if the individual does not have access to meals at a predictable time. Oatmeal is always a lifesaver because all they need is a cup of hot water and they have instant nourishment. Educating the homeless about how and when their medications work to avoid a low blood sugar reaction is very important and ties in with the appropriate use of food stamps. The newer insulins make a huge difference in controlling blood glucose levels as they can be taken with meals. It is much more difficult if individuals are forced to use the older insulins where there is little flexibility.

Q: What kind of medical services and supplies are available to homeless people with diabetes?

Kathy Gold RN, MSN, CDE: A lot depends on where they live and if and how they are covered under Medicaid. Not all Medicaid plans cover the newer medications. In DC we are fortunate that all patients could have a meter and strips to test their blood glucose and our medication formulary was quite extensive. This is not the case in all states. Education is key. I found that if patients were educated, their expenses dropped, and the risk of complications greatly decreased. At the Homeless Shelter we saw significant savings and complication reductions but not everyone has access and that’s sad.

Q: Do you feel homeless people with diabetes are more likely to develop health-related complications? If so, can you share some insight into the types of health complications homeless people with diabetes are more likely to develop.

Kathy Gold RN, MSN, CDE: Many homeless individuals have a history of alcohol or drug abuse which places them at risk of many health issues besides diabetes. Kidney disease is a major complication, since many individuals also suffer from hypertension. Mental illness is widespread, and it is difficult to manage these individuals because they frequently don’t take their medications. Diabetic neuropathy, depression and feeling overwhelmed are very prevalent in this population. Hypoglycemia is also a frequent complication because of their inability to eat on time, which can cause them to be unresponsive, confused and/or disoriented. Severe hyperglycemia, if they stop taking their medications, can lead to ketoacidosis or a very elevated blood glucose level. It is necessary to deal with these health issues first, so they can manage their diabetes.

I found that people who overcame with addictions were very successful in managing their diabetes because they had the tools to make behavior change.

Q: I have read that homeless people with diabetes may sell their supplies in order to afford basic living needs. What’s your experience? 

Kathy Gold RN, MSN, CDE: There is a black market for strips and meters. In DC these supplies were provided, so we didn’t see as much of it. But there were some people who constantly “lost” their meters and they may have been selling them. People get desperate.

Q: How can our Diabetes Late Nite listeners help?

Kathy Gold RN, MSN, CDE: If you donate food, please stick to healthy foods such as vegetables and fresh fruit. Volunteer at a homeless shelter and prepare healthy meals. Whole grain cereals, oatmeal, peanut butter for protein and nuts for a good snack are good options. Avoid sugared cereals, processed foods that are high in salt, sugar, and fat.  Arrange with local restaurants or farmers markets to donate their foods to a homeless shelter. Offer to teach a simple cooking class at a food bank or a shelter. Donate brown rice instead of white rice and include some recipes that use foods you donated. Donate to the National Health Care for the Homeless Council https://www.nhchc.org/

Don’t miss December’s Diabetes Late Nite podcast featuring music from Kelly Clarkson’s Wrapped In Red album courtesy of SONY Music on Tuesday, December 4, 2018, 6 PM, EST.

Kelly Clarkson’s inspiring us to lend our ‘voice’ to  topics such as the link between HIV medications and type 2 diabetes, how the homeless manage diabetes, great gift ideas for loved ones with diabetes, and how you can lose weight during holidays (!). Plus, one lucky listener tries their luck during Mr. Divabetic’s ‘Wrapped In Red’ Health Game challenge. Guests include Poet Lorraine Brooks, Kathy Gold  RN, MSN, CDE, FAADE, Glucose Delivery Necklace co-creator Kris Maynard, Dr. Sara (Mandy) Reece, PharmD, CDE, BC=ADM, BCACP, FAADE, Maria Sakowitz, MS, RDN, LDN, CLT, Mama Rose Marie and the Charlie’s Angels of Outreach.

Diabetes Late Nite is a fast-paced, full-filled hour of diabetes education and wellness advice that encourages listeners to “laugh a little, learn a  lot.”

Sloppy Joes, Added Sugars & Healthy Eating Advice with Jill Weisenberger

One of our Divabetic community members, Deb L.., who is living with type 2 diabetes,  recently contacted us through Facebook with questions about added sugars. We contacted our good friend, a past Diabetes Late Nite podcast guest, Registered Dietitian Nutritionist, Certified Diabetes Educator and Best-Selling Author Jill Weisenberger MS, RDN, CDE, FAND for answers  and advice regarding Deb’s questions.

Q: Is the amount of sugar in packaged products and recipes increasing?

Jill Weisenberger (JW): I’m not aware that this is true. In fact, I think there’s been a big push in the last few years to reduce the amount of added sugar is packaged goods. And manufacturers are responding. My own observation is that manufacturers provide a variety of options for different consumer likes and dislikes, so some products are created simply for taste and others are developed health goals in mind as well as taste.

One new thing that’s confusing is that some food labels show the amount of added sugar and some show the amount of total sugar. That’s because not all manufacturers have yet adopted the newest guidelines to include a line to show how much sugar has been added to a product. I never worry about the amount of sugar naturally in foods like fruits, vegetables, milk and yogurt. It’s the added sugars that I pass close attention to.

Often people with diabetes focus too much on sugar when the total amount of carbohydrate is really what’s important. It’s not only the sugar portion that affects blood sugar. For example, a cup of milk has 12 grams of carbohydrate, and all 12 are sugar (lactose). A cup of brown rice has 1 gram of sugar, but 45 grams of carbohydrate. In this case, the cup of brown rice with a mere 1 gram of sugar will raise blood sugar levels far more than a cup of milk with 12 grams of sugar.

Q: I like to read recipes and I’m horrified by the amount of sugar in them. I’ve looked in vain for a Sloppy Joe recipe that isn’t sweet. All of the ones I’ve read and I’ve read plenty call for (too sweet) ketchup plus additional brown sugar. Even dessert recipes seem to be increasing the amounts of sugar in them.

Jill Weisenberger (JW): The good news when you’re preparing your own recipes is that you can tweak them to meet your needs. Often you can reduce sugar by 1/4 to 1/2. In some recipes, you can omit it or swap it for a non-nutritiive sweetener of choice. However, if you’re baking, you’re going to get very white cookies or cakes without having at least a little sugar. It’s needed for the browning.

Q: Can you provide a Sloppy Joe recipe and/or a low sugar alternative?

Jill Weisenberger (JW): You can point out that while lentils are a source of carbohydrate, they – like other legumes – are full of the type fiber that’s good for blood sugar control. While there is a tablespoon of brown sugar in the recipe, that amounts to about 1 gram of added sugar per sandwich. If she is concerned aobut the total amount of carbohydrate (40 g, but 7 are fiber), she can remove the top bun to save 60 calories and about 12 grams of carbohydrate.

Lentil Sloppy Joes Recipe: A Healthy, Delicious take on an Old Favorite

Jill Weisenberger (JW): I usually eat this open faced to save about 60 calories. And for my friends and clients with diabetes, leaving half the bun trims 15 grams of carbohydrate. If the length of this ingredients list gives you pause, take the very, very easy route. Simply mix prepared lentils with a can of your favorite sloppy joe sauce. It won’t be the same, but it will allow you to try out this concept.

Ingredients

1 tablespoon canola or olive oil

1 large yellow onion, chopped (about 2 cups)

1 large carrot, chopped (about ⅓ cup)

1 orange bell pepper, chopped (about 1 cup)

2 garlic cloves, chopped or crushed

1 teaspoon cumin

1 teaspoon chili powder

2 tablespoon tomato paste

3 cups vegetable broth

24.5-ounce box of strained tomatoes (or 24-ounces canned tomato sauce)

1 tablespoon sriracha sauce

1 tablespoon Dijon mustard

1 tablespoon brown sugar

1 cup green lentils, rinsed and sorted

12 small whole-grain rolls, toasted (look for rolls about 120 calories)

Instructions

In a large pot or Dutch oven, heat the oil over medium heat. Sauté the onions, carrots and bell pepper until softened, about 5 minutes.

Add the garlic, cumin, chili powder and tomato paste. Mix well.

Add the vegetable broth, strained tomatoes or tomato sauce, sriracha sauce, Dijon mustard and brown sugar. Mix well. Add the lentils.

Increase the heat to a boil. With the lid ajar, reduce the heat and simmer until the lentils are tender, about 45 minutes. Stir occasionally to prevent sticking.

Serve in a toasted bun.

Notes

I use a lot of tomato paste in my recipes because I really like the full-bodied, meaty flavor it provides. Look for it in a tube, so it lasts a long time in your refrigerator after opening. Feel free to substitute any other color bell pepper for the orange or red pepper specified.

Nutrition Information

Serving size: rounded ½ cup, 1 roll Calories: 235 Fat: 3g Saturated fat: <1g Trans fat: 0g Carbohydrates: 40g Sodium: 470mg Fiber: 7g Protein: 11g Cholesterol: 0mg

Jill Weisenberger’s comprehensive guide, Prediabetes: A Complete Guide’ 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.

LISTEN NOW: Divabetic’s 8th Year Anniversary podcast featuring music by Patti Austin. We’re talking about healthy strategies to help you deal with the FOOD POLICE with guests: Poet Lorraine Brooks, Jill Weisenberger MS, RDN, CDE, CHWC, FAND, Chris Pickering co-founder of ‘The Betes Bros, Patricia Addie-Gentle RN, CDE, and Mama Rose Marie.