Obesity Rises As Diabetes Rates Drop – What’s Going On?

CNBC reports the number of new diabetes cases among U.S. adults keeps falling, even as obesity rates climb, and health officials aren’t sure why. 

“The bottom line is we don’t know for sure what’s driving these trends,” said the lead author of the new report, Dr. Stephen Benoit of the Centers for Disease Control and Prevention.

One reason explaining the drop off could be that the diagnostic threshold for diabetes was lowered in the late 1990s. 

“We might have mined out a lot of the previously unrecognized cases” and so new diagnoses in the last several years are more likely to be actual new illnesses, said Dr. John Buse, a University of North Carolina diabetes expert.

Additionally the hemoglobin A1C blood test used to diagnose diabetes is much easier to use than previous tests that required patients to fast for 12 hours or to undergo repeated blood draws.

New federal data released Tuesday found the number of new diabetes diagnoses fell to about 1.3 million in 2017, down from 1.7 million in 2009.

Mr. Divabetic takes a ’50 Shades of Gray’ approach to talking about diabetes and aging during this lively hour of diabetes education and empowerment. 

As you age, you may be most aware of your new gray hairs and wrinkles, but aging causes changes throughout the entire body. 

It used to be said that having diabetes aged people an additional 20 years. Today, thanks to better tools for managing diabetes and preventing and treating its complications, people with diabetes have the opportunity to live longer than ever before. 

However, managing diabetes in the golden years presents a variety of challenges, ranging from increased insulin resistance and weight gain to sexual health issues and depression.

Guests include Dr. Andrea Chisholm MD, FACOG, OB-GYN, “How To Fight FATflammation!”,  Author  Lori Shemek PhD, The Secrets to Living and Loving With Diabetes” and “Sex and Diabetes: For Him and For Her” Janis Roszler, MS, RD, LD/N, CDE, FAND  2008-2009 Diabetes Educator of the Year (AADE), Humorist and Author “The Sweet Blessing: MyAdventures in Diabetes” Trisha Porretti RN, BSN, CDE. 

Throughout the podcast we will be playing selected songs from Mariah Carey’s “Merry Christmas’ album courtesy of SONY Music. 

Aging is inevitable — even botox can’t turn back the clock permanently. However, you do have a choice over how you’ll spend your twilight years. By doing everything you can to take care of your body and mind, you can help live a full, meaningful, and energetic life.

LISTEN NOW

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’.

Lubes with Glycerin Are A Big ‘No No’ for Women with Diabetes

We spoke to Janis Roszler LMFT, RD, LD/N, CDE, FAND on May’s Diabetes Late Nite podcast about ‘sex and intimacy issues’ for men and women with diabetes. LISTEN NOW

During the conversation we discussed that it’s common for women with diabetes to experience vaginal dryness. For this reason, lubricants can be a lifesaver in the bedroom. But if you pick the wrong one, it can be seriously harmful to your diabetes health.

Women with diabetes should avoid lubricants containing glycerin, a sugar alcohol. Too much of this sugar alcohol can lead to bacterial growth and  yeast infections and UTIs.

Something to keep in mind is that many organic lubes or other glycerin free lubes use sweeteners other than sugar, such as aspartame. While this is great for those who cannot have sugar, others should keep this in mind as some people have negative reactions to aspartame. Knowing your own body and its reactions to various chemicals, and even natural sweeteners, can help you to make better decisions about the type or brand of lube you want to use.

One of the safest bets for women with diabetes is a high quality silicone lubricant. No studies have shown people having reactions to pure silicone lubricant, and many higher end versions, just as Pjur Bodyglide and Gun Oil only have four or five ingredients, most of them different types of silicone or silicone blends.

Liquid Silk and Play are two brands of water-based lubricant that do not contain glycerin.

Romantic relationships play an important role in our everyday lives. When diabetes enters the picture, it can complicate and strain even the most loving and open relationships. If you have diabetes, you may be looking for guidance on this sensitive subject – Janis Roszler and Donna Rice MBA, BSN, RN, CDE’s book, Sex and Diabetes is here to give help and advice where you need it. Don’t let diabetes hinder the romance; Sex and Diabetes can help you discover how to rekindle the intimacy with your partner.

We’re talking about ‘hush hush’ topics in diabetes wellness such as intimacy issues, fears and food phobias 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’.

Don’t Let Diabetes Dim Your Dazzle this Holiday Season!

The holidays are depressing times for some people. We think everyone else is partying with a loving family, while we don’t have family, or don’t like them, or they are far away. Diabetes doesn’t help.

You might feel the weight of diabetes more at this time, because you can’t let go and celebrate like everyone else. Or maybe you do let go and then beat yourself up over it.

Need some inspiration and advice to stay on track with your diabetes wellness goals this holiday season?

Tune in to Divabetic’s free Diabetes Late Nite podcast available on demand featuring holiday music by the sensational singer, Leona Lewis. Our podcast guests include Diabetes Alert Dog Trainer & Scent Detection Expert Debby Kay, Mindful Eating Expert Megrette Fletcher RD CDE, the Charlie’s Angels of Outreach, and ‘The Secrets to Living & Loving With Diabetes’ Author Janis Roszler RD, CDE, LDN.

Additionally, Emmy Award winning Producer Linda Bracero Morel, who is living with type 2 diabetes,  shares her remarkable weight loss journey, Poet Lorraine Brooks provides wordy wisdom and Mama Rose Marie offers some motherly adivce.

One of Mama Rose Marie’s helpful tips is to start visiting neighbors, former co-workers, and older family members who are shut in during the holiday season. Help someone shop, escort them to doctors appointments (and take notes) and/or drive them to social activies like bridge.  Please open your heart and share love and companionship to a population that is in need.

Enjoy Diabetes Late Nite featuring holiday music from Leona Lewis courtesy of SONY MUSIC. LISTEN NOW

‘Live with Me, Love with Me’ by Poet Lorraine Brooks

Sometimes I’m angry, sometimes I’m sad,
Sometimes I cry at the day that I’ve had.
Often I’m happy, but sometimes I’m not,
Sometimes I fear the disease that I’ve got.

Sometimes I need to eat, sometimes I don’t.
Sometimes my meds will work, sometimes they won’t.
Sometimes my mood is good, happy and gay,
Sometimes it’s hard just to get through the day.

It’s hard to explain, and I don’t have a clue
As to why at some times I behave as I do.
But trust me, I’m trying…I’m doing my best
But this disease just doesn’t give you a rest.

So try to be gentle and do understand,
That I’m just trying to play all,the cards in my hand.
To manage is crucial, and I need support
With planning, and cooking, and things of that sort.

Help me to live with this, and watch what I do,
And know that I because you’re my mate, I need you.
We’re both on this journey, we travel this road
And we”ll both appreciate the seeds that we’ve sowed.

Parttners in everything, shoulders to lean,
All for each other, and no in-between.
That’s what I want and I know you’ll exceed
In giving me all the support that I need!

LISTEN to Lorraine Brooks read her poem, ‘Live With Me, Love With Me’ on February’s Diabetes Late Nite podcast featuring music from Tim McGraw & Faith Hill’s ‘Rest Of Our Lives’ album courtesy of SONY Music. ‘Rest Of Our Lives’ is described as a cozy, inoffensive depiction of an American marriage, with tender ballads and handsome up-tempo numbers preaching the gospel of devotion by Mikael Wood for the Los Angeles Times. Guests include Poet Lorraine Brooks, Jaye O’Grey, Janis Roszler LMFT, RD, LD/N, CDE, FAND, the Charlie’s Angels of Outreach featuring Patricia Addie-Gentle RN, CDE and Mama Rose Marie.

‘Couples & Diabetes’ with Janis Roszler, LMFT, RD, LD/N, CDE, FAND

We’re talking about ‘COUPLES  & DIABETES’ on February’s Diabetes Late Nite podcast on Tuesday, February, 13, 2018. 6 – 7:30 PM, EST.

How we deal with the pressures of diabetes can make a real difference to the relationships we have with others including friends, family, work colleagues or one off acquaintances.

I reached out to my friend, and colleague, Janis Roszler, LMFT, RD, LD/N, CDE, FAND, who is  a Certified Diabetes Educator and Licensed Marriage and Family Therapist for her advice on the subject in an exclusive interview for the Divabetic community.  

Q: What are the common do’s and don’ts for engaging your spouse in your diabetes care?

Janis Roszler (JR): Ask, don’t assume.  Ask your partner if they would like your help.    If they say yes, ask what they would like you to do. 

(JR): Learn about diabetes.  The more you know, the more comfortable you are likely to feel.  For example, your partner’s occasional high blood sugar level is not a problem. Complications develop when blood sugar levels remains high for an extended period of time.

(JR): Don’t be offended if your partner turns down your offer to help.  Many people prefer to do certain tasks themselves. 

(JR): Don’t enter the “parent trap.”  You don’t want to turn into your partner’s nagging mother or father! Calmly share your concerns then ask how you can help. 

Q: What is helpful and not helpful in their interactions with each other?

(JR): Watch your non-verbal communication.  Rolling your eyes or turning away communicates a negative message as clearly as yelling.  When you speak to your partner, turn your body towards them, employ good eye contact and listen to what they say.  Don’t think about your response while they are speaking.  Good listening communicates heartfelt concern.

Q: What advice can you give spouses/partners who argue about diabetes?

(JR): Most couples fight.  The trick is to fight fair and repair hurt feelings at the end of the argument.  Here are some rules for fighting fair:

Make an appointment to discuss the issue.  Find a time when you both aren’t distracted.

Stay on topic.  If you are upset about a certain problem, don’t bring up other issues that also bother you.

Don’t bring up the past.  Avoid phrases like “you always…” or “you never…”  They make people feel attacked.

Focus on the problem, not the person.  Don’t call your partner stupid, forgetful or any other negative term.  That can cause hurt feelings and prompt your partner to attack you back. The problem is the issue, not your partner.

If things get heated, take a break. When people feel angry or attacked, they stop listening. They also have a harder time feeling compassion. If things get out of hand, take a break. Set a time to resume the discussion.

End in a supportive way. After the fight, try to connect in a loving way.  Hug, laugh, go for a walk, etc.  Invest in your relationship.

Q: What advice can you give to spouses/partners of people with diabetes who don’t want to manage their diabetes?

(JR): You can’t control another person’s behavior.  Let your partner know that you are there for them, but try not to nag or guilt them into changing their behavior.  It will only stress your relationship. It is hard to watch someone ignore or mismanage their health.  If watching them becomes too overwhelming, meet with a therapist who can help you deal with the situation.

Q: What advice can you give to spouses who may be afraid that their partners will develop diabetes health-related complications?

(JR): The good news is that people who manage their diabetes well dramatically reduce their risk of complications.  Discuss how you can support their efforts to stay healthy.  If they are open to it, join them at a diabetes class or appointment with their health provider, so you can learn what they need and how you may be able to help.

Q: Hypoglycemia is upsetting, both for people with diabetes and their partners. Both get scared, both get frustrated, and both can get angry, at each other and at the diabetes. What advice can you offer on this subject?

(JR): Create a diabetes emergency plan before a problem develops.  Which snacks should be in the house?  What should you say if you think your partner’s blood sugar is dropping? If your partner wears a pump and has an unexpected blood sugar swing, what should you do?  Etc. If you have unanswered questions, join your loved one at an upcoming appointment with their healthcare provider and ask what they suggest. 

Q:  Many people use glucose monitoring devices that can share data. Are there any guidelines for partners who monitor their spouse’s blood sugar data on their iPhones, etc.?

(JR): Some people feel great comfort knowing that their partner is watching their blood sugar level.  Others prefer to keep these results private.  Ask how your partner feels about sharing this information.  If you see that their blood sugar level is going out of range, how would they like you to communicate this information?  When should you tell them?  This is all very personal and should be discussed before the situation arises.

Q:  Divabetic is honored to  participate in Diabetes Podcast Week  to raise awareness for the ‘Spare a Rose, Save A Child’ campaign. This a wonderful cause encourages people to take the typical “dozen roses,” so popular on Valentine’s Day, and donate the value of one rose to help save the life of a child living with diabetes in developing countries. (The International Diabetes Foundation estimates that there almost 500,000 children under 15 years with type 1 diabetes. Lack of access to insulin remains a common cause of death in a child with diabetes.) Make your donation tonight by visiting the International Diabetes Federation (idf.org).

In the spirit of Diabetes Podcast Week, I’d like to ask you what some guidelines are for creating boundaries between parents and children with diabetes?

(JR): Visit the Children with Diabetes organization (childrenwithdiabetes.com).  They run wonderful programs and offer online support for parents of children who have diabetes. Learn how other parents handle boundary issues.  If your child is ready, encourage them to gradually start to do age appropriate self-care tasks, so they can become more independent.  Let them know that they can come to you if any task doesn’t go as planned. 

Janis Roszler, LMFT, RD, LD/N, CDE, FAND is a registered dietitian, certified diabetes educator, and insulin pump trainer. She is the author of several books as well as the popular Dear Janis column in Diabetes Positive! Magazine and contributes to Diabetes Health, Diabetes Forecast, Diabetes Interview, and Diabetes Self-Management . She is also a speaker on diabetes-related topics and has appeared on numerous radio programs and Internet webcasts.

 

 

 

The Secrets of Living and Loving with Diabetes helps readers gain control of their diabetes and reach a new level of confidence in their relationships.

In this book, 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.

One of Janis Roszler’s other books, 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.

TUNE IN: Diabetes Late Nite inspired by Faith Hill & Tim McGraw on Tuesday, February 13, 2018, 6 PM, EST. Throughout this podcast we will be playing selected songs from Tim McGraw & Faith Hill’s ‘Rest Of Our Lives’ album courtesy of SONY Music. Guests include Poet Lorraine Brooks, Jaye O’Grey, Janis Roszler LMFT, RD, LD/N, CDE, FAND, and the Charlie’s Angels of Outreach featuring Patricia Addie-Gentle RN, CDE.

Don’t Let Diabetes Kill Romance Tips

Did you know mixing oil-based lubricants with latex condoms is not a good idea?

Since vaginal dryness is the biggest sexual complaint in women with diabetes then using lubricant is important. Vaginal dryness is, this  twice as likely if you have diabetes. If you are in menopause or postmenopause, less estrogen may be the cause. If you aren’t, damage to the nerves that lubricate your vagina may be. Vaginal dryness can become a painful cycle. If sex hurts because of it, you may tense up during sex, causing more pain, or avoid sex altogether.

Not using appropriate lubrication can actually lead to some pretty serious tears that can land you in the emergency room.

“If you’re using a latex condom, do not use an oil-based lube—including natural lubricants like olive or coconut oil—because they break down the latex and the condom becomes ineffective.” If you’re using a condom, you should be using a water or silicone-based lubricant.

Water-based lubricants come in two general types, with and without glycerin. Glycerin is a slightly sweet tasting substance. Brands containing glycerin include KY Jelly, Sylk, Astroglide, Probe, and Aqualube. However, women who often have vaginal yeast infections may wish to avoid glycerin lubes, as the sugar can encourage yeast growth. Liquid Silk and Play are two brands of water-based lubricant that do not contain glycerin.

Something to keep in mind is that many organic lubes or other glycerin free lubes use sweeteners other than sugar, such as aspartame. While this is great for those who cannot have sugar, others should keep this in mind as some people have negative reactions to aspartame. Knowing your own body and its reactions to various chemicals, and even natural sweetners, can help you to make better decisions about the type or brand of lube you want to use.

One of the safest bets for women with diabetes is a high quality silicone lubricant. No studies have shown people having reactions to pure silicone lubricant, and many higher end versions, just as Pjur Bodyglide and Gun Oil only have four or five ingredients, most of them different types of silicone or silicone blends. With little or no additives, these lubes are most certainly sugar free, and are great for all types of sex, unless you are using silicone toys.

Keep in mind that in addition to finding a good sugar free lube, you should have plenty of water and high impact snacks available during sex to help regular blood sugar as needed. If you are concerned, make sure to keep test strips nearby as well, and journal about what makes your blood sugar rises in fall in correlation with sexual activity.

Romantic relationships play an important role in our everyday lives. When diabetes enters the picture, it can complicate and strain even the most loving and open relationships. If you have diabetes, you may be looking for guidance on this sensitive subject – Janis Roszler and Donna Rice’s book, Sex and Diabetes is here to give help and advice where you need it. Don’t let diabetes hinder the romance; Sex and Diabetes can help you discover how to rekindle the intimacy with your partner.

 

The happy healthcare host, Mr. Divabetic explores issues of love, intimacy and diabetes on this special one hour  ‘Don’t Let Diabetes Kill Romance’ podcast.Both type 1 and type 2 diabetes can lead to sexual health complications including vaginal dryness, sensation and performance. Up to 50% of men and 25% of women may experience some kind of sexual problem or a loss of sex drive.

Don’t equate sexual performance with love or a fulfilling relationship; focus on letting your partner know you care and want to give pleasure as part of your relationship

Mr. Divabetic’s Guests include Best-Selling Author Lisa EugeneJennifer Martsolf from Trigg Laboratories (the makers of Wet Lubricants) and Janis Roszler MS, RD, LD/N, CDE, FAND (2008-2009 Diabetes Educator of the Year (AADE).

If you or your partner is experiencing sexual difficulties, you may find it helpful to meet with a mental health professional, such as a psychiatrist, psychologist, social worker, marriage counselor or sex therapist. These professionals can help you learn how to reduce stress and change behaviors and attitudes, particularly when impotence is caused by stress or other mental health issues. LISTEN NOW

What’s Trending This Week At Divabetic

Check out the latest headlines in diabetes, diabetes self-management, healthy lifestyles and diva entertainment that we think you should know about.

Talking About Sex Is Great, But HOW You Talk About Sex Is What Really Matters

When individuals and couples have problems in the bedroom, it impacts other areas of their lives. “I once met with a couple to discuss how to manage the husband’s diabetes better. We talked about meal planning, label reading, exercise, medication dosing, and more,” writes Janis Roszler, LMFT, RD, LD/N, CDEFAND. “Later, I learned that he had erectile dysfunction (ED). She was angry and hurt. She assumed that his performance problems meant that he was no longer attracted to her.” READ MORE

Taylor Swift Goes to a Darker Place on New Album, ‘Reputation’ 
Singer Taylor Swift didn’t just release a new single this week; she kicked off a meticulous campaign to get die-hard fans involved in the collective experience of buying things from Taylor Swift.
When Swift dropped “Look What You Made Me Do” at midnight on August 24, another video appeared on her YouTube page to announce a new partnership between the singer and Ticketmaster in preparation for the tour she’ll embark on in support of her upcoming album Reputation, which will be available November 10. The basic idea is, as the peppy voiceover declares, to “beat the bots” to the business of buying the best seats, an ongoing frustration for fans of Swift and/or anyone else who routinely sells out shows. READ MORE
Hurricane Harvey: Diabetes Tips to Be Prepared for the Storm 
Hurricane Harvey is heading toward Texas and is set to make landfall late Friday night or early Saturday morning — meaning that people with diabetes should take preventative measures now.
The American Diabetes Association recommends storing three days worth of diabetes supplies, which, depending on how you take care of your diabetes, could include oral medication, insulin, insulin delivery supplies, lancets, extra batteries for your meter and/or pump, and a quick-acting source of glucose. You may also want to have an extra glucagon emergency kit. All these items should be kept in an easy-to-identify container, and stored in a location that is easy to get to in an emergency. READ MORE
Amazon Says Whole Food Prices Will Drop Prices 
Amazon is cutting the prices of bananas, butter, organic eggs, and other best-selling staples at Whole Foods’ 470 stores, promising customers lower costs and targeting the grocer’s “Whole Paycheck” nickname. The online giant also says its Amazon Prime members will get special prices and perks according to npr.org.
New prices will take effect on Monday, August 28, 2017 — the same day Amazon says it will finalize its $13.7 billion acquisition of Whole Foods. The online marketplace, famous for disrupting the book industry and other retail segments, also laid out its plans for combining its business with an established brick-and-mortar chain. READ  MORE

Dr. Phil Could have Ended up Weighing 500 Pounds.

“I’m the only one in my family who’s not morbidly obese,” says the top TV talk show host. “I have two nephews who are over 500 pounds, I’ve got aunts that died in their 40s from being hugely obese.” His father died of heart complications from obesity, and diabetes is a huge problem for both sides of his family. READ MORE

Luther Vandross Tribute Podcast
We’re honored to celebrate Luther Vandross and his musical legacy as well as raise awareness for diabetes health-related complications (such as stroke) on our annual Luther Vandross Tribute podcast. Featured guests include Patricia Addie-Gentle RN, CDE, Luther percussionist Steve Kroon, Luther vocalists Tawatha Agee and Pat Lacy, Luther historian Leon Petrossian, members of ‘The Luther Re-Lives Experience’, family members, friends and superfans. Throughout the podcast we will be featuring selected songs from the album entitled ‘Luther Vandross’ courtesy of SONY Music. LISTEN NOW

‘I Woke Up This Morning’ by Lorraine Brooks

I woke up this morning, as always,

And while walking through my hallway,

I looked in the mirror, reflecting,

And thought, why am I so rejecting?

There’s food in my pantry and clothes on my back

And 2 cars in my garage.

I’ve plenty of colleagues and friends, I don’t lack,

I’m blessed with a fine entourage.

There’s heat in the winter and cool when its hot,

There’s no way I’m doubting the blessings I’ve got.

So what if I need to count calories now,

I still can consume that dessert anyhow.

My kidneys are fine and my eyesight’s okay,

And I can still sleep at the end of the day.

I have a few dollars and I can have fun

And not have to justify to anyone.

I make my decisions and live with my fears

And thankful for 65 wonderful years.

This life here on earth can be tragic enough

Without adding to it irrelevant stuff.

The gift is in living, and doing our best.

And then letting go of all of the rest.

So have a good time and be of good cheer.

And you will enjoy the time you have here.

Positive vibes and a will to stand tall

And living won’t be any trouble at all.

LISTEN NOW: Lorraine Brooks reads ‘I Woke Up This Morning’ on June’s Diabetes Late Nite podcast. Guests include singer Alfa Anderson, Diabetic Macular Edema patient Maryanne Kass, Artist Bryce Chisholm, the Charlie’s Angels of Outreach, Poet Lorraine Brooks and Mama Rose Marie. Throughout the podcast we will be featuring selected songs from several of Maxwell’s albums courtesy of SONY Music.

Enjoy Best-Selling Cookbook Author Holly Clegg‘s healthy delicious recipes for our Divabetic ‘Spaghetti Western’ Father’s  Day Celebration. Holly’s menu includes Southwestern Roasted Vegetables, Asparagus with Zucchini Rings., Vodka Pasta, Beer Bread , Butternut Squash, Black Bean and Feta Enchiladas with Salsa Verde,  Southwestern Pasta. READ

Find out how our Divabetic ‘Spaghetti Western’ themed Father’s Day Celebration is shedding new light on ‘Great Silence’ aka Erectile Dysfunction (ED) in this guest blog by Janis Roszler MSFT, RD, LD/N, CDE, FAND READ

 

‘The Great Silence’: Diabetes & Erectile Dysfunction (Divabetic’s Spaghetti Western-Themed Father’s Day Celebration)

Our ‘Spaghetti Westerns’ theme for our Divabetic Father’s Day Celebration hopes to shed light on one of the more common, but often not discussed,  diabetes health-related complications for men: Erectile dysfunction (ED).

Erectile dysfunction (ED) — the inability to get or maintain an erection firm enough for sex — is common in men who have diabetes. It can stem from problems caused by poor long-term blood sugar control, which damages nerves and blood vessels.

Does the man in your life keep quiet about having trouble getting an erection, keeping an erection and/or shooting blanks?

If so, then maybe the title of one of the most popular Spaghetti Western films: The Great Silence’   accurately sums up what’s happening in your bedroom.

In the film, a mute gunfighter defends a young widow and a group of outlaws against a gang of bounty killers in the winter of 1898, and a grim, tense struggle unfolds.

More to the point, 95% percent of men are ‘mute’ about discussing erectile dysfunction.  A national telephone survey of 502 American men age 18 or older, which was undertaken as part of the Cleveland Clinic’s “MENtion” it campaign (2016) found only 5% of men discuss erectile dysfunction (ED) with their male friends, and only 3%  mention urinary tract issues.

One-fifth of men (22 percent) do not discuss private topics such as health or relationships with anyone. Baby Boomers are especially private in this regard, with only one-third having more than one person they feel comfortable sharing such information with, compared to 47 percent of Millennials.

Why is ‘The Great Silence’ About ‘ED” Still Going On Today? 

In therapy, many issues are covered, but sex may still be an uncomfortable topic for many people and even therapists to talk about. Yet many people with diabetes have sexual issues that need to be resolved in order for life to be the most fulfilling that it can be.

“Once ED occurs, the man can start to become very anxious about it happening again”, says, Dr. Laura Berman, a sex educator and relationship therapist. “Ironically, this can make ED more likely to occur, and it can also complicate his relationship with his partner…. Meanwhile, his partner might have no idea what’s going on and be very concerned and even angry.”

I reached out to one of my favorite certified diabetes educators, Author Janis Roszler, LMFT, RD, LD/N, CDE, FAND , who also just happens to be a family therapist (!), to share some tips to help men open up about E.D:

You are not alone.  ED is a very common problem that affects more than 39 million men in the United States.  You are not the first man to bring up the topic with your doctor, and won’t be the last!

There is a treatment for almost every man who has E.D.  If you tried oral medications and they didn’t help, don’t give up.  You have a lot of options.

You deserve a good sex life.  Don’t assume that having E.D. is the way things must be from now on.  For most men, intimacy is very important for their mental and physical health.  Don’t give up!

If you feel uncomfortable about the topic, tell your healthcare provider that you have something very personal to discuss.  Hopefully, your doctor, nurse or other expert will get the hint and open the discussion for you.

What you Can Do If Your Suffering from ED!

Keep your blood glucose level under control to prevent urological and other diabetes-related problems. Medications, exercise, and a proper diet can help you manage your blood sugar levels.

Conditions like diabetes or heart disease can lead to emotional problems, including anxiety or depression. These can worsen your ED and other aspects of your health. Talk to your doctor if you start to experience feelings of hopelessness, sadness, anxiety, or worry.

Few things can take the wind out of your man’s sails quite like learning that he’s shooting blanks. But that’s the reality for more guys than many people realize.“Infertility affects one out of 10 couples,” says Darius Paduch, M.D., Ph.D., director of sexual health and medicine at Weill Cornell Medical College. “And in 30 percent of those cases, men will be the main reason.”
Don’t be afraid to talk with your doctor if you have a problem that affects your sex life. He or she may be able to suggest a treatment. For example, the most common sexual difficulty of  women with diabetes is painful intercourse caused by vaginal dryness. Your doctor or a pharmacist can suggest over-the-counter vaginal lubricants or moisturizers to use. Water-based lubricants are helpful when needed to make sex more comfortable. Moisturizers are used on a regular basis, every 2 or 3 days. Or, your doctor might suggest a form of vaginal estrogen.
Physical problems can change your sex life as you get older. But, you and your partner may discover you have a new closeness. Talk to your partner about your needs. You may find that affection—hugging, kissing, touching, and spending time together—can make a good beginning.
What is Male Infertility?Male infertility means you can’t get your partner pregnant. It often results from low production of sperm, called oligospermia, or from complete absence of sperm in your ejaculate, called azoospermia.Sperm that doesn’t move correctly, or is shaped abnormally, can also have problems reaching an egg to fertilize. Obstructions preventing the sperm from leaving the body can be to blame, too.

What Causes It?

Hormonal imbalance may be to blame. You need adequate levels of testosterone, follicle-stimulating hormone (FSH), luteinizing hormone (LH), and prolactin to produce healthy sperm, so low levels could cause a problem.

Certain health conditions can play a role, too. Diabetes, for instance, damages the nerves that move the sperm out of the penis, Dr. Paduch says. READ MORE 

Did you know that he Spaghetti Western boom in the late 60’s and early 70’s  saw close to 500 features produced throughout Europe? Such actors as Clint Eastwood, Franco Nero, Lee Van Cleef, and Terence Hill (real name: Mario Girotti) found a home in the genre.

‘The Great Silence’  Trivia: According to director Sergio Corbucci it was actor Marcello Mastrioanni who gave him the idea of the mute gunslinger, when the actor told him that he had always wanted to do a western, but unfortunately didn’t speak English. When Corbucci first met Trintignant, who didn’t speak English either, he decided that this was the moment to turn the taciturn spaghetti western hero into a mute. The name Silence is not only referring to the character’s incapacity to speak, but also to that “great silence” that is waiting for us all on the other side.

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.

“The best book on sexuality and diabetes published in the last 5 years. A must read for all persons with diabetes and their significant others.” —David S. Schade, MD.

The happy healthcare host, Mr. Divabetic explores issues of love, intimacy and diabetes on this special one hour podcast, ‘Don’t Let Diabetes Kill Romance’. Both type 1 and type 2 diabetes can lead to sexual health complications including vaginal dryness, sensation and performance. Up to 50% of men and 25% of women may experience some kind of sexual problem or a loss of sex drive.

Don’t equate sexual performance with love or a fulfilling relationship; focus on letting your partner know you care and want to give pleasure as part of your relationship.

LISTEN NOW: Don’t Let Diabetes Kill Romance podcast with guests Janis Roszler MS, RD, LD/N, CDE, FAND (2008-2009 Diabetes Educator of the Year (AADE), Best-Selling Author Lisa EugeneJennifer Martsolf from Trigg Laboratories (the makers of Wet Lubricants).

 

Over the next week I’ll be sharing more Divabetic ‘Spaghetti Western’-themed Father’s Day Celebration blog posts showcasing Best-Selling Cookbook Author Holly Clegg‘s healthy recipes, Megrette Fletcher RD, CDE‘s advice on portions, Diabetes Advocate & ‘Rich In Love’ Spokesmodel Doris Hobbs’s vintage Western looks and fun party ideas (pictured above).

Divabetic ‘Entertaining’ Style: Burlap’s not just for potatoes anymore! Burlap tablecloths and table runners are the perfect combination of classic beauty and country charm!  Burlap tablecloths come ina vast array of colors. My favorite shades of faux burlap are natural or white. These two shares  are often paired together to create a clean contrast between the natural rustic shade and fresh linen-like look of white.Try one to add texture to your Father’s Day Celebration.

Divabetic ‘Entertaining’ Tip: When determining your color palette remember that you define it, your surroundings do not need to dictate your table. If you make your table the focal point, that is really what guests are going to see. So don’t stress too much about your carpet, wall color or other nearby factors. Be bold, be sassy, be a diva!

TUNE IN: Tuesday, June 13, 2017 for Diabetes Late Nite with music by Maxwell. We’re talking about Diabetic Macular Edema (DME) with musical inspiration from Maxwell.

Diabetic Macular Edema (DME) is an accumulation of fluid in the macula-part of the retina that controls our most detailed vision abilities-due to leaking blood vessels. In order to develop DME, you must first have diabetic retinopathy. Diabetic retinopathy is caused by damage to the blood vessels in the tissue at the back of the eye (retina). Poorly controlled blood sugar is a risk factor. Early symptoms include floaters, blurriness, dark areas of vision, and difficulty perceiving colors. Blindness can occur.

Guests include singer Alfa Anderson, Diabetic Macular Edema patient Maryanne Kass, Artist Bryce Chisholm, the Charlie’s Angels of Outreach, Poet Lorraine Brooks and Mama Rose Marie. Throughout the podcast we will be featuring selected songs from several of several of Maxwell’s albums courtesy of SONY Music.