During the podcast, we raised the question “How will dialysis affect my relationships?”
Here is Dr. Maddux’s reply: Chronic kidney disease like many other chronic conditions can cause day to day stress, but the goal of kidney care is to help people live as normal a life as possible. Sharing your care plans and needs with family and friends may help them support you in living with kidney disease and dialysis. Living well on dialysis includes following a healthy diet and being active which are actions that are good for everyone!People with kidney disease, their caregivers and family should not feel alone in managing life with dialysis. Dialysis care includes support from a multi-disciplinary team including social workers, dietitians, nephrology nurses, patient care technicians and nephrologists. This care team can help with feelings of depression, being overwhelmed, and anxiety and they can help solve other common problems like transportation for medical care and how to access healthy food. Dialysis care does impact daily life, but it should not change your relationships.
Divabetic Glossary of Terms: What is a Nephrologist?
A nephrologist is a medical doctor who specializes in kidney care and treating diseases of the kidneys. A nephrologist can help people in kidney failure by prescribing medications, offering special diet advice and coordinating dialysis care when the time comes. The term nephrologist comes from the Greek word “nephros”, which means kidney or renal and “ologist” refers to someone who studies. Nephrologists are also called kidney doctors.
People with diabetes may have long-term complications that involve kidney disease and eventual failure. A nephrologist is an important member to add to your healthcare team, if you have symptoms of kidney disease.
Dr. Dugan Maddux
Nephrologist Dugan Maddux champions Fresenius Medical Care’s clinical innovation endeavors across the continent and is co-founder of the Gamewood companies, including Acumen Physician Solutions. Blogger, writer, and essayist, she developed the Nephrology Oral History project chronicling early dialysis pioneers.
We’re talking about secret, hush hush topics in diabetes wellness such as intimacy issues, fears and food issues on Diabetes Late Nitewith musical inspiration from H.E.R. courtesy of SONY Music.
H.E.R. chooses to keep her 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. Mr. Divabetic’s 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.
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’.
Everyday Health spoke with heart doctors to find out the right questions to ask to maintain heart health, and why they matter.
Question 1: What is my risk of having a cardiovascular problem in the future?
Why You Should Ask Understanding your risk for future heart disease, stroke, aneurysm and the like drives much of your care. Someone whose cholesterol is borderline but who has diabetes and a family history of heart disease will need their cholesterol treated much more aggressively than someone with a lower risk, for example. READ MORE
Question 2: What symptoms might indicate a worsening of my specific condition?
Why You Should Ask You may think you know the symptoms for some conditions, like chest pain indicating a heart attack, but a large percentage of women, and even some men, never experience these signs. That’s why it’s important that your doctor goes over all the warning signs that are personalized for you. READ MORE
Question 3: How important do you think it is to adopt new treatments and procedures?
Why You Should Ask You don’t want a doctor who just jumps on the bandwagon because every new technique needs to be studied and confirmed. But equally important, you don’t want someone so stuck in their ways that you don’t receive the benefits of medical advances. READ MORE
Question 4: Why are you recommending I take this test?
Why You Should Ask Most tests are important but patients should ask whether a test is accurate and reproducible, and will lead to a specific recommendation or change in therapy. Guidelines for appropriate tests can be found in medical journals online; if you look up a prescribed test and have questions about its value, call the office to ask more questions. READ MORE
Question 5: Why are you prescribing this medication?
Why You Should Ask Doctors — not your friends or social media buddies — are best positioned to explain the pros and cons of a drug based on the science. READ MORE
Question 6: Will any changes in my lifestyle make a difference?
Why You Should Ask Cardiovascular disease is an area where changes in lifestyle — diet, exercise, stress reduction, sleep — can greatly impact the course of the condition.
For example, the Mediterranean diet — which is high in vegetables, fruits, and healthy fats, and low in saturated fats and added sugars — was shown to improve many of the risk factors associated with heart disease in a study published in December 2018 in JAMA Network. The right diet is especially important if you are overweight or obese.
Healthline created a guide outlining what treatment options are covered by Medicare for Seniors. Find out the different parts of Medicare and what services, medications, and treatment are included under each part:
We’re talking about ‘hush hush’ topics in diabetes wellness such as intimacy issues, fears and food phobias with musical inspiration from H.E.R. on Diabetes Late Nite 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, Michael Priv, 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.
Some doctors will go over lifestyle information with you, while others will refer you to dietitians, physical therapists, and other professionals they work with. Be sure to talk to your cardiologist about lifestyle changes to develop a plan that works for you. READ MORE
On April’s Diabetes Late Nite podcast, Dan Houdeshell will share how his son’s untimely death, Kevin, spurred his family to take action to pass legislation to help save the lives of millions. Tune in to our exclusive interview on Tuesday, April 9, 2019, 6 – 7:30 PM, EST.
Kevin Houdeshell, who was living with type 1 diabetes died at 36 years old because his pharmacy refused to give him insulin after his script had expired.
Kevin Houdeshell
“He tried three times to call his doctor’s office and, four days later, he passed away from not having his insulin,” his sister, Amy Houdeshell told USA Today.
His parents, Dan and Judy Houdeshell, were stunned to learn what had happened. “In the wee hours of the morning, we are wondering how can your son, or anyone, stand in front of a pharmacy desk and be turned away for a life-sustaining medication,” says Dan.
Kevin’s unawareness about his worsening diabetic ketoacidosis (DKA) may be due to a pervasive lack of information within the community reports Insulin Nation.
“I have been in contact with so many people [with Type 1] since Kevin’s death [who] are not aware of DKA, its symptoms, the results if not rectified, and how fast DKA can kill someone or put them in grave danger,” Dan told Insulin Nation. “Many (others) in the medical profession (including ER hospital settings) are not are not aware of what can happen if someone goes without their insulin for any amount of time.
A year after Kevin died, he appeared with his wife and daughter on local TV and their heart-wrenching interview helped trigger what is now known as Kevin’s Law in Ohio.
Kevin’s Law allows pharmacists to give up to a 30-day supply of even expired prescriptions of life-sustaining drugs.
“I never imagined we would reach so many people with that one little story about my brother,” Houdeshell said.
Currently HB 64 (also known as Kevin’s Law) has been passed in 12 states and allows a pharmacist to dispense an emergency supply of insulin to a patient without a current prescription.
“No one should have to die because of an expired prescription and can’t get hold of your doctor,” said Amy and Kevin’s parents, Dan and Judy Houdeshell.
Dan Houdeshell feels that there is still much work to be done even in states that have passed legislation. “It’s important to note some versions of the law have flaws,” he told Pens & Needles. “Some states allow only one refill, EVER. That is not acceptable.”
Diabetes Late Nite inspired by Luther Vandross
TUNE IN: April’sDiabetes Late Nitepodcast on Tuesday, April 9, 2019, 6 – 7:30 PM, EST. Guests include FANDROSS CEO Seveda Williams, Keith Anthony Fluitt, Diabetes Advocate Dan Houdeshell, Pam Henry MEd, Luther Vandross Historian Leon Petrossian, Zhacary Smith, and the Charlie’s Angels of Outreach. Throughout the podcast we will be playing music from Luther Vandross’s “Forever, For Always, For Love” album courtesy of SONY Music.
Don’t miss Clued Inn, the first-time ever Diabetes & Heart Health Escape Room Experience scheduled for Diabetes Alert Day, Tuesday, March 26, 2019 in New York City. Register now: https://cluedinn.org/
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-everDiabetes & 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.
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.
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-everDiabetes & 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.
“Heart disease can often be prevented with some simple healthy lifestyle modifications and smart food choices,” says Dr. Lisa Young.
Divabetic’s Heart Healthy Food Swap #1: Swap Your Hamburger for a Black Bean Burger
“Replacing meat with legumes is a simple swap which may contribute to a healthy heart,” says Dr. Lisa Young. “Legumes—including black beans, lentils, and split peas–are a terrific plant based protein option and also a good source of soluble fiber. Unlike a hamburger, bean burgers are also low in saturated fat which the American Heart Association and Dietary Guidelines recommend we limit. So, try going meatless, for at least a few days, this February.”
Dr. Lisa Young PhD, RDN, CDN is an internationally recognized nutritionist and portion control expert. She’s the the author of Finally Full, Finally Thin: 30 Days to Permanent Weight loss One Portion at a Time (Center Street/ Hachette Book Group) and The Portion Teller Plan: Eating, Cheating, and Losing Weight Permanently (Crown 2005) which was named one of six best health books by The Wall Street Journal and O, The Oprah Magazine.
Read more of Dr. Lisa Young’s some simple healthy lifestyle modifications and smart food choices for a heathy heart.
Listen to Mr. Divabetic’s full interview with Dr. Lisa Young PhD, RDN on February’s Diabetes Late Nite podcast with musical inspiration from Dolly Parton. LISTEN NOW
Do you that Heart Disease is the leading cause of death in the U.S. with 1 in 4 deaths caused by heart disease each year?
Don’t miss Clued Inn:https://cluedinn.org/ Escape Room, the first-ever Escape Room Experience with a Heart Health twist on on National Diabetes Alert Day, Tuesday, March 26, 2019, 5- 10PM in New York City. BOOK NOW
“Figure out who you are and do it on purpose” – Dolly Parton
This month’s Diabetes Late Nitepodcast talks about self-acceptance and diabetes. Max “Mr. Divabetic” Szadek focuses attention onJulie 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
We’re excited to announce our December edition of Diabetes Late Nite. Sara (Dr. Mandy) Wilson Reece, PharmD, CDE, BC-ADM is Vice-Chair and Associate Professor in the Department of Pharmacy Practice and will stop by the studio to talk about HIV and Diabetes while Kelly Clarkson provides musical inspiration. Join us here on Tuesday, December 4, 2018 from 6 – 7:30 PM.
Wrapped In Red, Kelly Clarkson’s holiday album, inspires us to talk about all things ‘red’ such as the iconic red ribbon worn as a symbol for the solidarity of people living with HIV/AIDS. People with HIV are more likely to have type 2 diabetes than people without HIV and some HIV medicines may increase blood glucose levels and lead to type 2 diabetes.
World AIDS Day is December 1, a fitting occasion to speak with Dr. Mandy about the link between HIV medications and diabetes prior to our podcast interview.
Q: I’ve read that some HIV medicines may increase blood glucose levels and lead to type 2 diabetes. Can you explain why could happen?
Dr. Mandy Reece: Some HIV medication cause insulin resistance with insulin deficiency which increases risk for Type 2 diabetes. Specifically, nucleoside reverse transcriptase inhibitors (NRTIs) (zidovudine, stavudine and didanosine) and protease inhibitors (indinavir and lopinavir/ritonavir) increase risk for Type 2 diabetes.
Q: Do you feel people taking HIV medicines should check their blood glucose? If so, what do you recommend?
Dr. Mandy Reece: Yes, they should check their blood glucose before they start their medication and then every few months as recommended by the U.S. Department of Health.
According to U.S. Department of Health and Human Services, it is recommended to have either fasting blood glucose or hemoglobin A1c when entering into care for HIV, initiating or modifying antiretrovial therapy and annually if glucose or A1c were in target range at least measurement. Target range is < 5.7% for hemoglobin A1c and <126 mg/dL fasting blood glucose.It is advised to have fasting blood glucose or hemoglobin A1c tested every 3 – 6 months if above target range at last measure.
Q:Dealing with two or more chronic conditions could be complicated and time consuming. What medication organizing tips can you recommend to help make life more manageable?
Dr. Mandy Reece: Personally, my favorite tool for organizing medications is a pill box where medication is stored by day and time of day.It is easy to identify visually if medication has been taken.Many pharmacies have medical refill reminder calls which work wonderfully if you get all of your medications from the same pharmacy. Pharmacies can utilize a medication synchronization system which allows for your getting all refills at same time.Additionally, there various apps such as Round Health, Medisafe -Pill & Med Reminder and Pill Reminder – All in One would provide digital reminder system.Services such as PillPack sorts and organizes medication by dose and timing each dose with monthly delivery.
Q: With the holidays quickly approaching what advice can you give to people about managing their medications during this busy time of year?
Dr. Mandy Reece: Taking time to get organized is absolutely key.An easy way to get organized is to using a pill box or service such PillPack to organize your medications, and utilizing reminder system to follow through on taking medications.Ensure that you have at least a 10 day supply of medication on hand at all times is essential.Remember keeping your health a priority hence taking your medication during this busy season is key as it has lasting effects that you will not see or feel in the moment.
Q: Holiday travel can lead to long delays and/or missing luggage. What advice can you give to traveler’s
Dr. Mandy Reece: Always pack all of your medications in your carry bag rather than checked luggage.It is absolutely vital to have your medication available at all times.
Sara (Dr. Mandy) Wilson Reece, PharmD, CDE, CDE, BC-ADM, vice-chair and associate professor in the Department of Pharmacy Practice. ‘Dr. Mandy’ shares practical information about medications for people living with diabetes on her blog, Reece’s Pieces. Follow her on Twitter @ReecesPiecesDi and Instagram ReecesPiecesDI
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 Niteis a fast-paced, full-filled hour of diabetes education and wellness advice that encourages listeners to “laugh a little, learn a lot.”
The Queen of Soul’s own health journey is sparking a discussion about the uncertain connection between pancreatic cancer and diabetes. Long-standing diabetes can be considered a risk factor for pancreatic cancer. It causes a modest increase in risk of 1.5- to two-fold. Some of the other risk factors for pancreatic cancer include smoking, chronic pancreatitis (inflammation of the pancreas), family history of pancreatic cancer, obesity and certain genetic syndromes.
Guests include Poet Lorraine Brooks, Dr. Wendy Satin Rapaport, Diabetes Strong’s owner Christel Oerum, Beautyphonics CEO and “Beneath The Makeup”Author Suzanne Perez, Jessica Clark, Coach the Cure Trisha Artman, 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.”
We’re excited to announce our special line-up for Divabetic’s World Diabetes Day edition of Diabetes Late Nite. Diabetes Strong founder, Christel Oerum will stop by the studio to share her experience thriving with type 1 diabetes and the Queen of Soul, Aretha Franklin will provide musical inspiration. Join us here on Wednesday, November 14 from 6 – 7:30 PM.
Christel is a certified personal trainer, diabetes writer and advocate. She has been living with type 1 diabetes since 1997, and lives by the motto “there’s nothing you can’t do with diabetes.” With a wonderful life motto like that, we had to ask Christel to share some advice and guidance on staying strong with diabetes prior to our podcast interview.
Q: You posted on Diabetes Strong that when you first started to work out that you didn’t understand the difference between being ‘skinny’ and being ‘fit’. Can you explain how this impacted your fitness goals?
Christel Oerum: It shifted my whole approach to health and the way I structure my workouts and nutrition. While “skinny” can easily become an endless chase to “lose weight”, being fit and strong is more tangible. My focus is now more on increasing strength and eating to ensure my body can perform. I find strength incredibly empowering and I never go to the gym for “punishment” or to lose anything. I go because I like it and when I leave, I feel accomplished.
Q: Most women don’t want to lift weights because they’re afraid of looking ‘too bulky’ – what’s your opinion?
Christel Oerum: Building muscle is surprisingly hard, especially for women, so I don’t think women have to fear that. To “bulk up”, you have to consistently (we’re talking years) lift heavy and eat enough to support muscle gain. I’ve done that, and I don’t think I look “bulky” but that I look strong.
Q: What does your saying ‘forget about “toning” and focus on “building” mean?
Christel Oerum: “Toning” is such a weird term. Toning indicates that you lean out (aka reduce your body fat) to reveal your muscle tone. Well, you need to build muscle first in order to show it off. I think a lot of people (especially women) become frustrated when they lose weight and still don’t have the “toned” body they want.
Obviously, we all carry muscle even if we never lifted a dumbbell, but if you really want to “tone”, you’re probably also interested in having a little more muscle tone to show off.
Q: How do you deal with blood sugar fluctuations before, after and during your workout?
Christel Oerum: I limit the fluctuations by having a good understanding of how different workouts most likely will affect my blood sugar and by knowing which blood sugar management strategies are optimal to implement. I’ve written several articles on that on Diabetes Strong because it’s something many struggle with, and it takes time and effort to figure out what works for the individual.
But gaining that knowledge is golden. By knowing which types of exercise most likely will increase blood sugar and which won’t, we can adjust our medication and food accordingly and just enjoy exercise more.
Q: How do you feel that knowing how many calories you’re eating and what kind of calories you’re eating is important?
Christel Oerum: I don’t think it’s always important to know your calorie intake. I definitely don’t track what I eat all the time. However, if you do want to gain or lose weight, it’s important to know how much you’re consuming compared to how much you should be consuming. And the most efficient way to determine that is by tracking your food for a while. There are different methods for that and I always recommend people choose the right method for them. If tracking calories result in unwanted eating pattern and eating disorder behavior, I highly recommend a different method.
Q: How can others living with diabetes learn how to make peace with their obstacles and find ways to turn them into something positive?
Christel Oerum: I truly believe in finding your way through joy and support. We all have obstacles we need to tackle, and if they’re not approached with some level of positive outlook, they will become practically impossible to work your way out of. Diabetes is an obstacle, but it’s also an opportunity to become extremely aware of how your body works and responds to pretty much anything you do. And you’re not alone in this journey. There is a vast diabetes community online that you can tap into. We’re in group chats, Facebook, Twitter, Instagram and in person at meet-ups around the world, you just need to reach out.
Q: We’ve read that you often advise people living with diabetes who are interested in starting a fitness routine to do ‘what gives them energy’ what does that mean? Can you explain?
Christel Oerum: I find that when we enjoy something, when we have fun, it makes us happy and gives us energy. If you love to dance, you might be smiling all the way through that favorite song of yours, and you’ll probably have a smile on your face or in your heart even after the song is over, even if you are out of breath and covered in sweat. That’s how I feel about resistance training. I might not always want to go, but I pretty much always feel amazing afterward. I feel energized and happy.
Do what you like and what makes you happy – not what someone else says is the “best” way to exercise.
There are many reasons that Aretha Franklin is the legend of legends, a groundbreaking singer with the fortitude to transcend race and genre, using that tremulous voice as the bulldozer to break down every barrier set up in her way.
Aretha’s own health journey is sparking a discussion about the uncertain connection between pancreatic cancer and diabetes. Long-standing diabetes can be considered a risk factor for pancreatic cancer. It causes a modest increase in risk of 1.5- to two-fold. Some of the other risk factors for pancreatic cancer include smoking, chronic pancreatitis (inflammation of the pancreas), family history of pancreatic cancer, obesity and certain genetic syndromes.
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.
