Reflections of a Unicorn with Type 1 Diabetes by Beverly S. Adler, PhD, CDCES Clinical Psychologist and Certified Diabetes Care & Education Specialist, Part 2

 The Beginning of My Journey with Diabetes

It was a Monday morning in March 1975 when my GP (then known as General Practitioner, now referred to as Primary Care Physician) had me take a 5-hour oral glucose tolerance test in his office. On Friday, March 14, 1975, I returned to his office for the results of the test. He diagnosed me with “juvenile diabetes” (now referred to as type 1 diabetes). He gave me my first injection of insulin. There were no practice shots for me to learn how to inject myself. There were no diabetes educators or support groups for me to ask for guidance. He recommended a physician who was a specialist in diabetes for me to see for my care. That specialist (a diabetologist) was a wonderful man who helped to empower me to manage my diabetes. His name was Dr. Henry Dolgera “Founding Father” of JDF (now referred to as JDRF, formerly known as the Juvenile Diabetes Research Foundation). His office staff welcomed me at my first visit  and after reviewing the results from my glucose tolerance test asked me how my stay in the hospital was? I was alarmed, because I was never admitted to any hospital.  To this day I don’t know how high my blood sugar reading was, but it must have been significant.

“I was told at the time of my diagnosis that I would be blind after ten years of living with diabetes.”

Diabetes management in those days was one shot of insulin a day. There were no meters to measure blood sugar, only urine tests to measure sugar “spilled” into your urine. It was an imprecise tool as it measured the sugar which had collected in your bladder. As time went on, my regimen changed to two shots per day. I was told at the time of my diagnosis that I would be blind after ten years of living with diabetes. At 20 years old that was daunting news to hear. I decided to continue studying my college major of psychology, accepting that I could still practice psychology in the future even if I were blind as long as I was able to hear my patients. Thankfully, I was not blind after 10 years, or 20 years, or 30 years or 40+ years! In fact, I have never experienced any diabetic eye complications.

Read Part 1

Dr. Beverly S. Adler PhD, CDCES has published two books which include insightful lessons of empowerment written by successful men and women with diabetes. Available for purchase.

 

MY SWEET LIFE: Successful Women with Diabetes by Beverly S. Adler, PhD, CDCES and Friends is a collection of life stories – each chapter written by a highly respected successful woman with diabetes. This group of diverse women share their stories how they find balance between managing their careers and/or family AND managing their diabetes.

The book is compiled by Dr. Beverly S. Adler who is also one of those women. “Dr. Bev” as she is better known, is a clinical psychologist and Certified Diabetes Educator in private practice, specializing treating patients with diabetes and also has had type 1 diabetes for 37 years. All those years ago when she was diagnosed, there were no role models with diabetes for her. This book is geared for women with diabetes who need role models who can inspire them. The book is written for the newly diagnosed woman with diabetes who is overwhelmed with her diagnosis. Or, for the woman who has had diabetes for a while, but can also benefit from uplifting, inspirational stories to encourage and motivate self-care (especially if they already are trying to cope with some complications).

Dr. Bev is joined by 23 contributing authors who are all women of exceptional accomplishments! Each story is unique and heartwarming, as these very special women share their triumph over diabetes. The reader can learn how the women’s experiences with diabetes helped to shape them into who they are today. The theme running through the book is that “diabetes is a blessing in disguise.”

 

Dr. Beverly S. Adler PhD, CDCES on November’s Diabetes Late Nite podcast with musical inspiration from one our all-time favorite divas, Whitney Houston.

Enjoy an exclusive listen of “Whitney Houston – I Wish You Love: More From ‘The Bodyguard’”  courtesy of SONY Music. This 25th anniversary of “The Bodyguard” soundtrack album features the hit song, “I’m Every Woman” echoing the recent statistics that 1 in 10 women are now living with diabetes.

Reflections of a Unicorn with Type 1 Diabetes by Beverly S. Adler, PhD, CDCES Clinical Psychologist and Certified Diabetes Care & Education Specialist, Part 1

A unicorn has come to mean a very rare find or somebody who is unique, according to online dictionaries.  The term unicorn was used by Max “Mr. Divabetic” Szadek to describe me! Why? Because I am the rare combination of clinical psychologist AND certified diabetes care and education specialist specializing in the emotional treatment of people with diabetes for more than 20 years in private practice AND living successfully with type 1 diabetes for 46 years!

Consider the person who is feeling burned out during the winter season with the snow storms and cold temps. What if they decide to ignore the facts of winter’s wrath and abandon their heavy coats, scarves, hats, and gloves to wear tank tops and shorts? Foolish, right? Yes! Just because you are weary of winter weather, you can’t live in denial very long without freezing to death if you go outdoors.

Consider the person who is feeling burned out during the COVID-19 pandemic with the restrictions to wear a mask, keep social distance, and follow rules for hand hygiene. What if they decide to ignore the facts of Coronavirus transmission and abandon common sense precautions? Foolish, right? Yes! Just because you experience “pandemic fatigue,” you can’t live in denial very long without putting yourself and others (family and friends) in jeopardy for contracting the virus.

Now, consider the person who is diagnosed with diabetes. You can easily feel burned out trying to manage your blood sugar with all it’s protocols: check your blood sugar (multiple times per day), take your medication (insulin and/or pills, multiple times per day), eating healthy, being active, keeping up with medical appointments to monitor your diabetes. What if they decide to ignore the facts of keeping blood sugars within their target range and abandon a healthy lifestyle? Foolish, right? Yes! Just because you might experience anxiety and depression trying to manage diabetes self-care, you can’t live in denial without risking serious complications.

Dr. Beverly S. Adler PhD, CDCES has published two books which include insightful lessons of empowerment written by successful men and women with diabetes. Available for purchase.

MY SWEET LIFE: Successful Men with DiabetesBeverly S. Adler, PHD, CDCES, Editor

Dr. Beverly S. Adler PhD, CDCES guests on Divabetic’s 10th Year Podcast Anniversary with music from the world’s most famous “Divabetic”–  Ms. Patti LaBelle.

Don’t Miss Divabetic’s Virtual Cooking Party with Chef Robert Lewis aka ‘The Happy Diabetic’

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

Join the happy healthcare host, Mr. Divabetic for this free, fun Virtual Cooking Party with special guest Chef Robert Lewis aka ‘The Happy Diabetic’ on Zoom on Thursday, August 13, 2020, 7 – 7:40 PM, EST on Zoom.

Having diabetes doesn’t mean you need to deny yourself all the foods you love, but you do want to make healthier food choices. One good choice is to eat a lot of fruits and vegetables, which are heavy in nutrition but light in calories.

During this virtual Cooking Party on Zoom, Chef Robert Lewis will prepare a recipe that won’t compromise your diabetes wellness.

Chef Robert Lewis, The Happy Diabetic, is a nationally recognized author and motivational speaker who is passionate about helping people learn to live a healthier lifestyle. Chef Lewis graduated from the prestigious Culinary Institute of America in 1976. He was diagnosed with type 2 diabetes in 1998. Thus began his motivation to create great tasting dishes that are easy to prepare. He travels the country speaking on the benefits of healthy eating not only for people affected by diabetes, but also for anyone who would like to eat and live a healthy lifestyle. 

REGISTER NOW – IT’S FREE 

 

Enjoy Divabetic’s 10th Year Podcast Anniversary Special with music from the world’s most famous “Divabetic”– Ms. Patti LaBelle. She’s encouraging you to have a ‘NEW ATTITUDE’ about living with diabetes! Guests include: Patricia Addie-Gentle, RN, CDE, Dr. Andrea Chisholm OB-GYN, Luther McRae, Mama Rose Marie, Susan Weiner MS, RDN, CDE, CDN, Dr. Beverly S. Adler PhD, CDE, Best-Selling Author Tonya Kappes, Seveda Williams and Terri Seidman.

31 Days of Divabetic Podcasts, Day Twenty Six

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 26, we’re spotlighting Divabetic’s Diabetes Late Nite Inspired by Angie Stone from May 2018.

We’re talking about ‘PRE-DIABETES, PCOS & REGAINING YOUR POWER’ with musical inspiration from Angie Stone.

Pre-diabetes means you have blood glucose levels that are higher than normal but not high enough to be called diabetes. If you have prediabetes, you are more likely to develop type 2 diabetes, heart disease, and stroke.

PCOS (Polycystic Ovarian Syndrome) is a condition that causes an imbalance of female sex hormones. As a result, women with PCOS often don’t have menstrual periods or only have periods on occasion. It is the number-one cause of female infertility. PCOS causes insulin resistance, the hallmark of type 2 diabetes.

Singer Angie Stone is a Grammy-nominated singer, songwriter, producer, actress and mother. She was diagnosed with Type 2 diabetes in 1999. “I was always on the go, and thought I was too busy to develop something like this,” Stone said.  “I thought at the time that diabetes went along with bad habits, but I was the last one in my family to eat junk food.”

What she didn’t realize was that she was a perfect candidate for diabetes: She had a family history of diabetes and was fighting weight problems.

“I came to accept my diabetes when I realized just how many people around me, even in my own family, were living with diabetes,” Angie Stone says. “It gave me back a lot of courage to see all these people just like me, going places, involved in normal things, and I became determined to learn what I needed to better manage my diabetes.”

Angie Stone makes questionable reference to diabetes in her song, 2 Bad Habits from 2015.

Just can’t get enough of you, babe
You’re like sweet, brown sugar to a diabetic
Got me overdosing, I’ma need a paramedic

Guests: Poet Lorraine Brooks, PCOS Diva founder Amy Medling, Dr. Beverly S. Adler PhD, CDE, Dr. Sara (Mandy) Reece PharmD, CDE, BC-ADM- PCOM, Patricia Addie-Gentle RN, CDE, Jeff James and Mama Rose Marie.

Throughout this podcast we will feature songs from ‘Stone Hits: The Very Best of Angie Stone’ courtesy of SONY Music.

 

 

 

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

31 Days of Divabetic Podcasts, Day Twenty Five

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 25, we’re spotlighting Divabetic’s Diabetes Late Nite Inspired by Whitney Houston from November 2017.

Learn how to become your own ‘Diabetes Bodyguard’ ! Our team of experts share ways to safeguard you and your family from experiencing diabetes health-related complications including

  • Heart disease and stroke: People with diabetes are two times more likely to have heart disease or a stroke as people without diabetes
  • Blindness and other eye problems:
    • Damage to blood vessels in the retina (diabetic retinopathy)
    • Clouding of the lens (cataract)
    • Increase in fluid pressure in the eye (glaucoma)
  • Kidney disease: High blood sugar levels can damage the kidneys and cause chronic kidney disease (CKD) pdf icon[PDF – 1.08 MB]. If not treated, CKD can lead to kidney failure. A person with kidney failure needs regular dialysis (a treatment that filters the blood) or a kidney transplant to survive. About 1 in 3 adults with diabetes has CKD. You won’t know if you have CKD unless your doctor tests you for it.
  • Nerve damage (neuropathy): One of the most common diabetes complications, nerve damage can cause numbness and pain. Nerve damage most often affects the feet and legs but can also affect your digestion, blood vessels, and heart.
  • Amputations: Diabetes-related damage to blood vessels and nerves, especially in the feet, can lead to serious, hard-to-treat infections. Amputation can be necessary to stop the spread of infection.
  • And more:
    • Gum disease can lead to tooth loss and increased blood sugar, making diabetes harder to manage. Gum disease can also increase the risk of type 2 diabetes.
    • Diabetes increases the risk of depression, and that risk grows as more diabetes-related health problems develop.

Diabetes health-related omplications usually develop over a long time without any symptoms. That’s why it’s so important to make and keep doctor and dentist appointments even if you feel fine. Early treatment can help prevent or delay diabetes-related health conditions and improve your overall health.

Guests include  Dr. Beverly S. Adler PhD, CDE, Constance Brown Riggs MSEd, RD, CDE, CDN, the Charlie’s Angels of Outreach featuring Patricia Addie Gentle RN, CDE, Mindy Bartleson, T1D, blogger at “There’s More to the Story”, and author, Hairstylist & Salon Owner, Karline Ricketts, and America’s #1 Energy Conductor, Kathie Dolgin aka ‘High Voltage’.

 

Enjoy an exclusive first listen of “Whitney Houston – I Wish You Love: More From ‘The Bodyguard’” ahead of the album’s release date courtesy of SONY Music. This 25th anniversary of “The Bodyguard” soundtrack album features the hit song, “I’m Every Woman” echoing the recent statistics that 1 in 10 women are now living with diabetes.

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

31 Days of Divabetic Podcasts, Day Seventeen

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 17, we’re spotlighting Diabetes Late Inspired by Sara Bareilles from January 2014. “I came out as a gay man on this episode of Diabetes Late Nite,” says Max ‘Mr. Divabetic’ Szadek. “A few months before this podcast, I  was the target of homophobic remarks after I presented a diabetes outreach program at a prominent African American Methodist Church in Philadelphia. I was crushed by those words. I’ve never wanted my sexuality to be the reason for someone to turn away from our diva brand of diabetes outreach but I felt that I had to come out to the Divabetic community for my own personal wellness. I am not ashamed of who I am nor will I be shamed because of my sexuality.  I have never regretted my decision.”

Singer, Songwriter Sara Bareilles achieved mainstream success in 2007 with the hit song, Love Song, which brought her into the number one spot on the Billboard Pop 100 chart. She has sold over one million records and over four million singles in the Untied States alone and has been nominated for a Grammy Award five times. Sara Braeilles‘s latest album, The Blessed Unrest is nominated for Album of the Year Grammy Award. Her song, Brave is nominated for Best Solo Performance Grammy Award. Throughout the podcast, we will be playing clips of Sara Bareilles songs courtesy of SONY MUSIC.

The podcast also includes a Diabetes Hot Topics discussion, a Diabetes Numerology Puzzle, Prize Giveaways and a Mother Your Diabetes commentary.

Guests include Patricia Addie-Gentle RN, CDE, Neva White MSN, CRNP, CDE, Dr. Beverly S. Adler PhD, CDE, Poet Lorraine Brooks, SONY Music Executive Jeff James, Mama Rose Marie and Mike Lawson from San Francisco, CA

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

Body Positivity by Dr. Beverly S. Adler, PhD, CDE

This debate about Jillian Michaels (the self-proclaimed “health expert”) and her negative remarks during an interview about Lizzo (rap singer) and her positive self-acceptance is not a new criticism. Jillian Michael’s question, “Why are we celebrating her body?” is not so surprising as she makes her living helping people to lose weight and get fit.  Lizzo, on the other hand, flaunts her curvaceous body size in her costumes when she performs on stage. Her song lyrics reinforce the idea that you can “feel good as hell” about yourself and celebrates how women should feel empowered.


The term body shaming describes the practice of making critical, potentially humiliating comments about a person’s body size or weight. This controversy about “fatness versus fitness” is not so black and white. Not every plus-sized person is unhealthy or has diabetes. Likewise, not every thin person has achieved their weight in a healthy manner, such as those with eating disorders.


How can you respond to body shaming? Try body positivity. It is the belief that all human beings should have a positive body image, while challenging the ways in which society represents and views the physical body. Body positivity advocates the acceptance of all bodies no matter the form, size, or appearance.
 

It’s human nature to experience hurt feelings when someone says something negative about you.  But the good news is there are a few things you can do to build up your confidence, feel better about yourself, and learn to move on:

1.    DO SOMETHING THAT MAKES YOU HAPPY. Spend time with people who love you for who you are.

2.    DO SOMETHING THAT MAKES YOU FEEL BEAUTIFUL. Get a haircut, treat yourself to a manicure, or wear your favorite outfit.

3.    DO SOMETHING THAT MAKES YOU FEEL ACCOMPLISHED. Love to run, sew, play chess, tell jokes, bake, juggle? We all have special talents, so find what you do well and do it often.4.    DO SOMETHING NICE FOR OTHERS. Pay it forward in the drive-through. Shovel a neighbor’s walk. Mail someone a handwritten note. Small kindnesses can make you feel happy, beautiful, and accomplished at the same time!

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.

Diabetes Late Nite Inspired by Maria Callas

We’re talking about how to minimize DRAMA in our DIABETES LIVES with music from the ultimate diva, Maria Callas on January’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 you find ourselves immersed in something that seems overwhelming, you have an opportunity to learn how to deal with challenges better.

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.

Throughout the podcast we will be featuring music from the Grandiose Stimmen: Maria Callas album courtesy of SONY Music.

LISTEN NOW

Generation Matters: Type 2 Diabetes and You by Susan Weiner MS RDN CDE CDN FAADE

Have you ever scrolled through Instagram and Facebook posts of endless carefree moments and wondered, “is this every-day life”? The truth is that balancing home, work and relationships can be challenging! Add in a diagnosis of type 2 diabetes and you may feel overwhelmed by the daily demands of diabetes management. Every person with diabetes is unique and has his or her own feelings, thoughts and perspectives about life with type 2 diabetes. Some folks view a diagnosis of type 2 diabetes as a nudge to prepare healthier meals and add in more physical activity into daily routines. Others may feel more anxious about the cost of managing the disease and feel overwhelmed with the prospect of following-up with their doctor or health-care provider.

As we get older, we may have different thoughts about our health and everyday lives. A 25-year-old woman may have different concerns about her type 2 diabetes diagnosis then she will in her 60’s. Financial issues, romantic relationships and schedules obviously change as we age and must be addressed. In order to tackle this important issue, healthline.com conducted a survey of 1500 people with type 2 diabetes across generations to explore their feelings, concerns and insights. https://www.healthline.com/health/state-of-type-2-diabetes The survey explored feedback from Millennials, Gen Xers and Baby Boomers. As one of the medical reviewers for this important survey, I was intrigued by the varied perspectives across generations.

I was very interested in how people of varying ages felt about their type 2 diabetes diagnosis. About half of Millennials surveyed and about a third of Gen Xers stated that they often hide their condition from others (which may include friends, family and co-workers), because they are worried about what others might think. Additionally, younger respondents were very concerned about the cost of managing their disease, which lead to a reduction in following health care provider treatment guidelines. The cost of healthcare is huge factor associated with proper medical care and can compound fears about potential long-term complications associated with a diagnosis of type 2 diabetes.

As I read the survey results, I was struck by the feelings of judgment, embarrassment and guilt younger people feel when they follow up with their doctor or health care provider. There are many challenges associated with being overweight and type 2 diabetes. The stigma of type 2 diabetes referred to as an “older persons” or “lifestyle” disease may cause younger people to feel embarrassed. Many survey respondents felt their diabetes diagnosis was perceived as a result of lack of self-control behaviors. This perception may lead to less than optimal outcomes, and needs to be addressed with the health care community as well as the general public. More education about type 2 diabetes is essential!

While non-judgmental diabetes language wasn’t specifically addressed in the survey, I believe it should be at the forefront of this conversation. What we say, and how we say it can make a significant difference for a person managing the complexities of diabetes.  A task force with representatives from the American Association of Diabetes Educators and the American Diabetes Association developed a fabulous language guideline paper insightful tips around language use as it applies to addressing issues of with diabetes. https://www.diabeteseducator.org/practice/educator-tools/educator-guidance/diabetes-language-paper

Simple language swaps such as “checking blood sugar” instead of “testing blood sugar” may put a person at ease. Blood sugar is not a pass-fail grade. A person with type 2 diabetes may feel extremely guilty when they see their doctor, and therefore may not return for a follow-up appointment. 

Body image was viewed differently across generations. More than 50% of Millennials and more than 40% of Gen Xers reported feeling ashamed about their bodies on a daily or weekly basis. In contrast, only 18% of Baby Boomers feel that way! Millennials and Gen Xers had recurrent feelings of guilt, embarrassment, while this was not seen as frequently in older adults. Hiding the condition was more common for younger people, which lead to issues with romantic relationships and feeling of isolation. 

Gender divides were also acknowledged in the survey. Women reported more issues with self-care, including weight management. Many of the women felt that as care givers, they often put others needs before their own. 

Rather than feeling overwhelming with all the “must-do’s” associated with daily diabetes care, consider taking small steps which will add up to big changes. Please speak to your health care provider, family, friends, certified diabetes educator or others in your peer support community about your concerns. You are not alone!

Please share your thoughts and comments. I would love to hear from you! Contact: Susan Weiner MS RDN CDE CDN FAADE

Join Susan Weiner MS RDN CDE CDN FAADE and two other outstanding certified diabetes educators, Dr. Beverly S. Adler PhD, CDE and Rachel Stahl MS, RD, CDN, CDE’ at Divabetic’s Clued Inn: Diabetes & Heart Health Escape Room Experience sponsored by Boehringer Ingelheim 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.

Susan Weiner MS RDN CDE CDN FAADE helped us to make carbohydrate counting fun with a series of colorful Carb Kitty videos available on YouTube: 

Combining Heart Health Education and Diabetes Alert Day Beverly S. Adler, PhD, CDE

Heart disease is the leading cause of death for men and women in the United States. Every year, 1 in 4 deaths are caused by heart disease. More than one in three women is living with some form of cardiovascular disease.

Women with high blood pressure have an 83 percent higher risk of heart attack then men with hypertension.

Women smokers have a 55 percent higher risk of heart attack than male smokers.

Women with type 2 diabetes are 47 percent more likely to have heart attacks than men living with diabetes.

The good news? Heart disease can often be prevented when people make healthy choices and manage their health conditions.

Risk factors that you can manage or treat with lifestyle changes and your healthcare provider’s help include:

High blood pressure

Smoking

High blood cholesterol

Lack of regular activity

Obesity or overweight

Diabetes

Risk factors that you can’t change include:

Age

Gender

Heredity (family health history)

Race

Previous stroke or heart attack

Start by knowing your numbers. You can’t manage what you don’t measure, which is why knowing your heart health risk is critical to prevent cardiovascular disease. Talk to your healthcare provider to learn about your blood pressure, cholesterol, blood glucose, and BMI (Body Mass Index).

Your heart depends on it. For more information about heart health go to the American Heart Association website at www.heart.org.

Alert ! Day for Type 2 Diabetes Awareness

Tuesday, March 26, 2019 is the American Diabetes Association’s “Alert ! Day” for type 2 diabetes awareness.  Each year, held on the last Tuesday of March, is a one-day event that encourages everyone to take the type 2 diabetes risk test and participate in activities that will teach them about reducing their risk for diabetes.

Five factors are used to determine your risk for type 2 diabetes which include: your age, your gender, for women: whether you were ever diagnosed with gestational diabetes, whether you have a close family member with diabetes, whether you have high blood pressure, your level of physical activity, and your weight category.

Only your healthcare provider can tell you for sure if you have type 2 diabetes or prediabetes, a condition in which blood glucose levels are higher than normal but not yet high enough to be diagnosed with diabetes.

Type 2 diabetes is more common in African Americans, Hispanics/Latinos, Native Americans, Asian Americans, and Native Hawaiians and Pacific Islanders. Higher body weight increases diabetes risk for everyone.

The good news is you can manage your risk for type 2 diabetes. Small steps can make a big difference in helping you live a longer, healthier life. For more information about Alert ! Day go to: the American Diabetes Association’s website

Combining Diabetes Awareness with Heart Health Education

For one night only, on Tuesday, March 26, 2019, you can enjoy a FREE outreach event at NYC’s #1 Escape Room Experience, Clued Inn, with a heart health twist. Clued Inn’s goal is to enliven the mission of the American Diabetes Association’s Diabetes Alert Day with a one-day wake up call and encourage further action through an interactive, gaming experience. Clued Inn aims to change perceptions about early recognition of type 2 diabetes, inform about the link between type 2 diabetes and heart health, and promote intervention before it leads to cardiovascular disease.

In many ways, type 2 diabetes is a puzzle since the most common symptoms vary from person to person. The same skills needed to succeed at the game are also necessary for preventing cardiovascular disease for people with type 2 diabetes.  The escape room experience fosters the same collaboration as diabetes management. Players explore possibilities, think of creative solutions, ask questions, listen to answers, and try new ways of doing things. No one goes it alone and there’s more than one way to find a solution. All of these behaviors can be put to good use when tackling a health issue with your healthcare provider(s). For these reasons, Clued Inn offers a fun learning experience for everyone to improve problem solving skills and learn about the connection between type 2 diabetes and cardiovascular disease. It also gives at-risk individuals and their families better knowledge of the questions and conversations to be conducted at the next appointment they have with their healthcare provider.

Can you escape before it’s too late?

Solve the special “Diabetes and Heart Health” puzzles for a chance to receive prize giveaways, diabetes and heart health resources, and meet with nationally recognized diabetes educators. Online registration is quick and easy and the entire Escape Room Experience is totally free courtesy of the Clued Inn sponsor, Boehringer Ingelheim. For further information, and to register, go to www.CluedInn.org.

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.

Understanding and Treating Heart Attack, Panic Attack, and Hypoglycemic Reaction Beverly S. Adler, PhD, CDE

Heart attack, panic attack, and hypoglycemic reaction (low blood glucose) have symptoms which are common to all three conditions. However, treatment for all three are very different.

Symptoms of a Heart Attack:

Shortness of breath

Pressure, tightness, pain, or a squeezing or aching sensation in your chest or arms that may spread to you neck, jaw, shoulder, or upper back. (Note: women may have a heart attack without chest pain.)

Indigestion, heartburn or abdominal discomfort

Nausea or vomiting

Cold sweat

Lightheadedness or sudden dizziness

Unusual fatigue

Symptoms of a Panic Attack:

Sensations of shortness of breath or being smothered

Over-breathing (hyperventilating)

Nausea or abdominal distress

Dry heaving and/or gagging

Sweating

Feeling dizzy, unsteady, lightheaded or faint

Feeling of choking

Palpitations and/or accelerated heart rate

Chills or hot flushes

Trembling or shaking

Numbness or tingling sensations

Fear of losing control or going insane

Feeling that death is imminent

Symptoms of a Hypoglycemic Reaction (Low Blood Glucose):

Rapid heartbeat

Blurry vision

Sudden nervousness

Unexplained fatigue

Pale skin

Headache

Hunger

Shaking

Dizziness

Skin tingling

Sudden mood changes

Trouble thinking clearly or concentrating

Loss of consciousness, seizure, coma

What You Should Know About a Heart Attack

Heart disease is the most common cause of death for both women and men in the United States. However, of the nearly 500,000 heart attack deaths that occur each year, more than 239,000 are in women. Women’s symptoms may occur more often when women are resting. Mental stress may trigger heart attack symptoms in women. Sweating is typical for a heart attack, as is nausea, especially for women. Women of all ages should take heart health seriously. Women under the age of 65, and especially those with a family history of heart disease, need to pay close attention to heart disease risk factors. A heart attack is dangerous, and requires prompt medical attention.

You can’t deep-breathe your way out of a heart attack, but you can deep-breathe your way through a panic attack. If you feel your heart is racing, breathe in through your nose and out through your mouth several times in a row. If it helps, you’re probably just panicking.  If it’s a heart attack, that deep-breathing is going to hurt.

What You Should Know About a Panic Attack

A panic attack is very sudden in onset and includes an intense fear and anxiety. Panic attacks will be over within 10 minutes (and often less), while heart attacks can last much longer. During a panic attack your body goes into fight or flight mode – your breathing rate increase, muscles tense, and heart rate quicken. A panic attack imposes no immediate danger; it is not going to cause a heart attack. Though it can feel like it, a panic attack won’t kill you.

What You Should Know About a Hypoglycemic Reaction (also known as an Insulin Reaction)

The American Diabetes Association defines hypoglycemia, or low blood glucose, in terms of two levels. Level 1 is when the blood glucose level is lower than 70 mg/dL. Level 2, known as severe hypoglycemia, is when the blood glucose level is lower than 54 mg/dL and requires the assistance from another person to treat. Severe hypoglycemia is classed as a diabetes emergency. If you experience any of the symptoms of hypoglycemia, even if you suspect anxiety, you should check your blood glucose. If you have low blood glucose and it causes symptoms, do not ignore it. Low blood glucose can be potentially life-threatening.

How to Treat a Heart Attack:

Call 911 or your local emergency number. Whenever you’re in doubt about your symptoms, seek care without delay. Only medical tests can rule out the possibility of a heart attack.

Chew and swallow an aspirin, unless you are allergic to aspirin or have been told by your doctor never to take aspirin.

Take nitroglycerin, if prescribed.

Begin CPR if the person is unconscious.

Lifestyle Changes to Reduce the Risk of Heart Disease:

Quit or don’t smoke.

Exercise regularly.

Maintain a healthy weight.

Eat a healthy diet that includes whole grains, a variety of fruits and vegetables, low fat or fat-free dairy products, and lean meats. Avoid saturated or trans fat, added sugars, and high amounts of salt.

How to Treat a Panic Attack:

Use deep breathing. While hyperventilating is a symptom of panic attacks that can increase fear, deep breathing can reduce symptoms of panic during an attack.

Close your eyes. Some panic attacks come from triggers that overwhelm you.  To reduce the stimuli, close your eyes during your panic attack.  This can block out any extra stimuli and make it easier to focus on your breathing.

Find a focus object. Some people find it helpful to find a single object to focus all of their attention on during a panic attack.  Pick one object in clear sight and consciously note everything about it.

Picture your happy place. What’s the most relaxing place in the world that you can think of and picture yourself there; try to focus on the details as much as possible. This place should be quiet, calm, and relaxing.

Lifestyle Changes to Manage Panic Symptoms:

Avoid caffeine, alcohol, smoking and recreational drugs. All of these can trigger or worsen panic attacks.

Practice stress management and relaxation techniques. For example, yoga, deep breathing and progressive muscle relaxation may be helpful.

Get physically active. Aerobic activity may have a calming effect on your mood.

How to Treat a Hypoglycemic Reaction:

Early symptoms can usually be treated by following the 15-15 rule. Eat or drink 15 grams of a fast-acting carbohydrate. Fast-acting carbohydrates are foods that are easily converted to sugar in the body, such as glucose tablets or gel, fruit juice, or regular soda (not diet soda).

Check your blood glucose again in 15 minutes. If it is still low (below 70 mg/dL) repeat the step above.

If your next meal is more than an hour away, you will need to eat one carbohydrate choice as a snack (along with protein) to keep your blood glucose from going low again.

If you have type 1 diabetes and your blood glucose drops too low, you may pass out. If you do, a drug called glucagon should be injected into your skin, like you do with insulin This can be done by a family member or friend who has been taught how to do it. Since glucagon may cause you to vomit, you should be placed on your side when the injection is given. If no one knows how to give the injection, you should be taken to a hospital. You need a prescription for a glucagon kit. You should awaken about 10 minutes after the glucagon is injected. If you do not, you should be taken to a hospital at once.

Lifestyle Changes to Manage Blood Glucose:

Pay attention to feelings of hunger and give your body what it needs to function properly.

Always carry a fast-acting carbohydrate with you in case you need to treat an insulin reaction.

If you can’t figure out why you have low blood glucose, call your healthcare provider, as your medicine may need to be adjusted.

Understanding the symptoms for heart attack, panic attack, and hypoglycemia is important so you can receive the right treatment. In addition, it’s also important to make lifestyle changes to reduce your risk of heart attack, manage panic symptoms, and manage blood glucose. 

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.

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