intimacy – Page 3

05/21/201905/21/2019

Can I Lose Sensation in My Clitoris and Vagina?

Janis Roszler LMFT, RD, LD/N, CDE, FAND shares answers to our sexual health and intimacy questions on May’s Diabetes Late Nite podcast. LISTEN NOW.

One listener, Meghan from Alberta, Canada, who is living with type 1 diabetes, wants to know if her neuropathy can cause her to lose sensation in her clitoris and vagina. If so, what can she do?

Janis Roszler’s response: It is possible for neuropathy to cause a loss of sensation in numerous areas of your body, but diabetes-related female sexual issues tend to be more likely when psychological issues are present. Unlike men with diabetes who may develop erection problems when they have neuropathy and heart complications, women’s sexual problems seem to be more linked to depression and other emotional challenges.

If you have lost some feeling in your clitoris and vaginal area, treat any depression that you may have. Explore ways to reduce the stress in your life and intimate relationship. Maintaining your blood sugar level in a healthy range can help you feel less stressed and more energized – work with your healthcare team to achieve that. Also, when engaging in sexual activities, don’t hesitate to use a lubricant that is made for vaginal use. It can help you enjoy greater sexual pleasure with less discomfort.

Sex is an important part of life and relationships. But diabetes can affect a woman’s sex life. Some women with diabetes have less interest in sex because of depression or changes in blood glucose levels that can leave them feeling tired or irritable. Or perhaps intercourse is painful because of vaginal dryness. Problems with having sex aren’t a normal part of getting older and don’t happen to all women who have diabetes.

If you find that you don’t enjoy sex anymore, it’s normal to feel upset. Find someone on your health care team to talk with. Learn about medicines or counseling that can help.

Janis Roszler, LMFT, RD, LD/N, CDE, FAND PhD is a candidate in Clinical Sexology, 2008-2009 Diabetes Educator of the Year (AADE) , Licensed Marriage and Family Therapist, and Fellow of the Academy of Nutrition and Dietetics. Janis is the author and co-author of: Approaches to Behavior – Changing the dynamic between patients and professionals in diabetes care and education (ADA,2015); Diabetes On Your OWN Terms (Marlowe & Company, 2007); Sex and Diabetes (ADA, 2007); The Secrets Of Living And Loving WITH Diabetes (Surrey Books, 2004).

Janis Roszler’s Sex & Diabetes is the first book ever to deal exclusively with sexual problems as they relate to diabetes— and the only book to discuss issues that relate to both men and women. It also shows you how sexual problems can be prevented or delayed and discusses treatments options that currently exist. Sex & Diabetes highlights the value of communication between sexual partners and the importance of having an open relationship with healthcare professionals.

In The Secrets of Living and Loving with Diabetes three experts deliver advice on issues such as handling nagging friends and relatives, injecting insulin discreetly while dining out, bringing up the subject of blood sugar highs and lows before turning out the bedroom lights, and avoiding diabetes urgencies becoming emergencies. Also included are practical tools like exercises, quizzes, questions, checklists, and coping strategies.

We’re talking about secret, hush hush topics in diabetes wellness such as 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 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.

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’.

05/09/201902/19/2021

The 6 Best Questions to Ask Your Cardiologist

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:

Does Medicare Cover Treatment for Heart Disease?
What You Need to Know About Medicare Part C

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

01/27/201701/28/2017

How To Put Intimacy Back into Your Diabetes Life

February’s musical inspiration, superstar George Michael never shied away from singing about ‘sex’ and we’re not afraid to talk about it, especially when it relates to your diabetes life.

It doesn’t make much sense to button our lips about ‘sex’ when so many people with diabetes are struggling with sexual health issues.

At any given time an estimated 30 million American men experience impotence (erectile dysfunction), defined as the inability to achieve or maintain an erection sufficient for intercourse more frequent than one out of four times. Approximately 35 percent of women with diabetes may experience some form of sexual dysfunction related to their disease. And 50 to 70 percent of men and 40 to 50 percent of women living with diabetes health related complications may have sexual difficulties because of nerve damage.

If there’s a silver lining to be found in any of the above statistics its that sexual dysfunction doesn’t have to mean the end of sexual intimacy. By learning to communicate with your partner about bodily changes and other sexual issues and by learning to focus on your ability to give your partner pleasure, rather than on any impairment or limitations you may have, you can keep your love life alive.

In honor of Valentine’s Day, we asked one of our favorite diabetes educators, the author of “Sex and Diabetes” and “The Secrets of Living and Loving with Diabetes” and family therapist, Janis Roszler, LMFT, RD, LD/N, CDE to share some of her favorite intimacy tips:

1. Hug! Every day, hug your partner until you both feel relaxed. It’s a non-sexual hug that nurtures your emotional needs while it enriches your relationship. When you feel more connected, romantic moments get even better!

2. Do one romantic thing for your loved one each day – send a loving text, call to say you miss them, place a romantic note in their sink, buy their favorite food, etc. Show that you are thinking of them. Very romantic!

Don’t miss Diabetes Late Nite inspired by George Michael on Tuesday, February 7, 2017, 6-7 PM, EST. Enjoy our first-ever Valentine’s Day Party featuring Chef Ward Alper aka ‘The Decadent Diabetic’, ‘Rich In Love Fashion’ blogger Doris Hobbs, the Charlie’s Angels of Outreach, Poet Lorraine Brooks and Mama Rose Marie

Learning to accept yourself for who you are is the most important step to self-love. Stop comparing yourself to others and learn to embrace the person you are.

You have beautiful qualities, both physical and emotional, that draw people to you. You don’t need to look or talk or act like anyone else. We all offer the world something different. That’s what makes it so beautiful.

Lest our team of experts show you how to embrace Valentine’s Day without feeling like you’re compromising your diabetes self-care. Don’t let diabetes dim your Dazzle!

This podcast is part of Diabetes Podcast Week in support of the ‘Spare A Rose, Save A Child’ campaign. Please join us! #Dpodcastweek