Under The Vines: Adult-Onset Blindness

Season 3 of one of my favorite Acorn TV shoes, Under The Vines, tackles the challenges of adult-onset blindness.  The blindness of the owner of the neighboring vineyard, Hilary (Catherine Wilkin), is worsening. What Hillary is experiencing isn’t just a great storyline in a TV drama; it’s more common than you think. 

One of the leading causes of blindness in U. S. adults is mismanaged diabetes.  Diabetes Retinopathy is a condition caused by diabetes, which disrupts the body’s ability to convert food into energy and can damage the eyes. 

Many people with diabetes don’t realize they have it until organ damage has occurred, so regular health and vision check-ups are essential. 

Hilary struggles to accept her condition and ask for help. She is stubborn, willful, and narrow-minded, much like many people struggling with worsening health conditions. She flatly refuses her rival, Miranda’s offers to take her to the doctor, clean her house, and help run her vineyards. Of course, Miranda has ulterior motives for helping Hilary, but that’s another story. 

If you’re concerned about your vision, follow the advice of healthcare collaborators on how often you should go for exams. Always contact an eye care provider when you have a change in vision or something wrong with your eyes. Wear your prescription glasses and contact lenses when necessary.
If you have diabetes, keep your blood sugar levels tightly managed, and manage your blood pressure if you have high blood pressure.

Cataracts are the leading cause of blindness worldwide. They cause the eye’s lens to harden and turn yellow. In the US, nearly 20.5 million people over 40 have cataracts.

The type of treatment available depends on your condition. Providers can treat some forms of blindness with medications or glasses but can’t treat others, such as those where your eyes are missing or completely damaged. In these cases, your provider may recommend visual rehabilitation. Vision rehabilitation aims to enhance visual functioning to meet your goals and improve your quality of life. 

Actors Rebecca Gibney and Charles Edwards star in Under The Vines as two city slickers who inherit a failing vineyard, Oakley Vineyards, in rural New Zealand. The only problems are that neither of them has ever done a hard day’s work—and they despise one another.

Under The Vines is a fun, easygoing watch. 

I Woke Up This Morning by Lorraine Brooks

Lorraine Brooks shares her thoughts about her experience of living with diabetes on Divabetic’s popular podcast. It’s a splendid thing that makes our diabetes podcasts so unique. Occasionally, we challenge her to write about a specific topic. When we do, she always delights us with her prose.  Our podcast focused on vision, which many of us take for granted. If you’re living with diabetes, make time for an annual exam to protect your eyes. Your vision is too important to take for granted, as it has an astonishing impact on your quality of life. To convey our message, we asked Lorraine to share a poem about taking things in life for granted. 

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 it is 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 it 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 to Lorraine Brooks perform her poem, I Woke Up This Morning, on this episode of Divabetic’s podcast with musical inspiration from Maxwell.

Along with fellow musicians D’Angelo and Erykah Badu, Maxwell has been credited with helping to shape what has been termed the “neo-soul” movement that rose to prominence during the late 1990s. He scored a major hit and won awards for his song, Fortunate, featuring a message that aligns with our podcast theme.

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. 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, Charlie’s Angels of Outreach, Poet Lorraine Brooks, and Mama Rose Marie. This podcast features songs from several of Maxwell’s albums courtesy of SONY Music.

Can You Reserve Diabetic Retinopathy?

The average woman takes 17 minutes to apply eye shadow, eyeliner, and mascara and groom the eyebrows before going out for the night. If you spend that much time making your eyes look beautiful, why not spend a little extra finding out what’s happening inside them?
Make time for an annual eye exam. The macular edema and proliferative retinopathy treatments can prevent vision loss and even restore some of your lost vision.

Can You Reserve Diabetic Retinopathy?

You can’t reserve diabetic retinopathy. But we can reduce our risk of developing diabetic retinopathy or help stop it from worsening by keeping our blood sugar, blood pressure, and cholesterol levels under tighter management.

Divabetic Tip

Create your healthcare entourage of healthcare collaborators who address your needs. Trying to manage all the aspects of diabetes can be overwhelming. If you’re not tech-savvy, it can be downright frustrating. It’s okay to ask for help. Managing diabetes means managing the health of the whole body. This is why you’ll want a diabetes care team with specialists from different fields.

These can include:

  • Primary Care Provider (PCP): This doctor (MD or DO), nurse practitioner (NP) or physician assistant (PA) gives you routine medical care, including physical exams, lab tests and prescriptions for medication.
  • Endocrinologist: This doctor (MD or DO) specializes in diabetes and other diseases of the endocrine system (the system that produces hormones such as insulin).
  • Ophthalmologist or Optometrist: This doctor (MD/DO or OD), also known as an eye doctor, diagnoses and treats eye diseases and disorders.
  • Podiatrist (DPM): This doctor, also known as a foot doctor, is trained to treat feet and lower leg problems.
  • Pharmacist (PharmD): This professional knows about medicines, what’s in them, and how they interact with each other.
  • Dentist (DMD or DDS): This doctor knows about oral care and is trained to care for your teeth and gums.
  • Registered Nurse/Nurse Navigator (RN): A nurse in your doctor’s office who helps coordinate your health care needs.
  • Registered Dietitian Nutritionist (RD/RDN): A dietitian is a nutrition expert (what food your particular body needs to stay healthy). Talking to a registered dietitian nutritionist, not your yoga instructor, will help you use what you eat and drink as tools for managing your blood glucose.
  • Certified Diabetes Care and Education Specialist (CDCES): Previously known as Certified Diabetes Educators (CDEs), these are health care providers with extensive training and experience working with people with diabetes who have passed a credentialed board exam. They can help you figure out how to manage what you need to do to manage your diabetes in a way that fits with your daily life, routines, environment, and family dynamics.
  • Mental Health Professional: This person may be a psychiatrist (MD or DO), psychologist (PhD) or clinical social worker (LCSW or LISW). These professionals can help you deal with the day-to-day challenges of living with diabetes and more serious emotional issues. Be sure to work with a mental health professional who understands diabetes and the medicine and insulin you take that may affect your blood glucose.
  • Fitness Professional: A physical activity specialist may be an exercise physiologist, personal trainer, or physical therapist. These professionals can help you find safe exercises and ensure you get the most out of your exercise program. Be sure to work with a fitness professional who understands diabetes and the medicine and insulin you are taking that may affect your blood glucose.

Choose diabetes care team members who can provide the level of support you want and help when needed. The more information you can give when you get help, the easier it is for someone to assist you.

On this episode of Divabetic’s podcast, we’re discussing 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.

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

Do You Feel Lucky Or Fortunate?

We prefer the word fortunate rather than lucky. Lucky sounds like you have no part in it. It’s the luck of the draw or the random stop of the wheel on a slot machine. Fortunate seems more appreciative as well as more participatory.

Think about it. If you blame yourself for all the negative things that happen in your diabetes life, then should you take responsibility for the good things that happen too?

Recently, I was speaking with one of my favorite diabetes educators, Janis Roszler LMFT, RD, LD/N, CDCES, FAND PhD. She mentioned that humans are much more conditioned to recall negative experiences than positive ones in life. This has something to do with our body’s need to keep us safe from harm.

Janis told me that we have to practice emphasizing compliments, positive things, and the good moments that happen in our lives.

So if you’re beating yourself up about unexpected high and low blood sugars, weight gains, and/or experiencing a diabetes health-related complication – stop! Instead, take a minute a remind yourself about something positive that happened in your day. Take a deep breath, reset yourself, so you’re setting yourself up for a more nurturing outcome.

There’s a chance in everything we do—and don’t do. But we also believe that good fortune favors an open mind. At some level, we create our lives and what we bring into it—at least most of it. So we’d like to encourage you to practice gratefulness. And we wish you good fortune. Happy Thanksgiving!

We’re talking about diabetic macular edema with musical inspiration from Maxwell.

Along with fellow musicians D’Angelo and Erykah Badu, Maxwell has been credited with helping to shape what has been termed the “neo-soul” movement that rose to prominence during the late 1990s

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 Maxwell’s albums courtesy of SONY Music.

Lorraine Brooks: “Four Freedoms We Should Always Fight For” Art Exhibition

We’re excited to announce that our Diabetes Late Nite’s Poet in Residence, Lorraine Brooks will be displaying her artwork in her first Solo Art Exhibition starting this weekend in Brooklyn, NY.

She’s not only an amazing poet, she’s also an amazing artist!

Having been trained at New York City’s prestigious High School of Art and Design, Lorraine has always been interested in the graphic arts. Her photography has been featured in Gold Dust Magazine, and Odyssey Journal, and in her own book of poetry, Riding the Wave.

The stippling method (also known as pointillism), in which a series of dots is placed strategically in patterns to form an image, is currently Lorraine’s technique of choice for the pen-and-ink portraits she has recently produced. When viewed from close up, the dots appear random – however when viewed at a distance they form a distinct pattern of lights and shadows, creating the details of the subject.

“Lorraine’s one of the most talented people I know. Her poems featured monthly on our podcasts have inspired so many people living with, affected by and at risk of diabetes,” says Max ‘Mr. Divabetic’ Szadek. ” I have no doubt that her first art exhibition will showcase another side of her amazing talent. I’m looking forward to celebrating her and her accomplishments!”

Currently Lorraine is working on a series of “freedom portraits”, illustrating her interpretation of the concepts of The Four Freedoms, as articulated by Franklin D. Roosevelt in 1941. These will be part of her Solo Exhibition here in the Island to Island Brewery taproom.

Opening Ceremony

Date: July 8th 2017
Time: 6PM – 8PM
Location: Island to Island Brewery, 642 Rogers Ave Brooklyn Ny 11226 between Clarkson and Parkside Avenues

Free Tasting

We share monthly tastings of local craft distilled spirits made here in Brooklyn or greater New York.
Join us for this month’s art opening and tasting.
Event RSVP Here ⇢

Then come taste and learn about New York distilled spirits made with organic grains from upstate New York and 11 different botanicals, made entirely in house from fermentation to bottle, can be enjoyed simply over ice or in any of the various traditional cocktails.

While enjoying the tasting browse the taproom’s latest Solo Art Exhibition by Lorraine Brooks entitled: “Four Freedoms We Should Always Fight For”. Lorraine will be available during the night for questions comments and sales of art work.

Tasting and Art Show are free and open to the public!

Check out #galleryat642rogers in IG to see past shows.

LISTEN: Enjoy this episode of Diabetes Late Nite featuring music from Maxwell courtesy of SONY Music. 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.

Southwestern Pasta Recipe by Holly Clegg (Divabetic’s Father’s Day Celebration)

Our Divabetic Father’s Day Celebration takes on a Spaghetti Western theme to encourage you to embrace your ‘inner cowboy’ and keep riding high with diabetes health!

Cowboys, like today’s miners and farmers, symbolize courage, optimism, and plain hard work. They also remind you that success isn’t only measured with materials, but by where you find satisfaction.

One of our favorite experts, Best-Selling Cookbook Author Holly Clegg shares this Southwestern menu for a Divabetic 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 (We will be posting one recipe each day throughout the upcoming week).

Southwestern Pasta by Holly Clegg

“Quick to make and the outcome is one of the best southwestern pastas with corn and black beans in a perfectly southwestern infused tomato sauce,” says Holly. 

Makes 8 (1 1/4 cup servings) 

1 onion, chopped

1 (14-ounce) can fire-roasted diced tomatoes

1 (10-ounce) can diced tomatoes and green chilies

2 teaspoons chili powder

1/2 teaspoon ground cumin

1 teaspoon minced garlic

1/8 teaspoon ground cinnamon

Pinch Sugar

Salt and pepper to taste

1 (16-ounce) package rotini

1 (15-ounce) can black beans, drained and rinsed

1 1/3 cups frozen corn

1 cup shredded reduced-fat Mexican blend cheese, optional

1. In large nonstick skillet coated with nonstick cooking spray, sauté onion few minutes.  Add cans tomatoes, chili powder, cumin, garlic, cinnamon and sugar.  Bring to boil, reduce heat, simmer, covered, about 10 minutes.  

2. Meanwhile, cook pasta according to package directions; drain. 

3. Stir black beans and corn into tomato sauce until heated. Add pasta to skillet and mix together.  Sprinkle cheese when serving, if desired.

Nutritional information per servingCalories 321, Protein (g) 13, Carbohydrate (g) 64, Fat (g) 2, Cal. from Fat (%) 5, Saturated Fat (g) 0, Dietary Fiber (g) 8, Cholesterol (mg) 0, Sodium (mg) 254, Diabetic Exchanges: 4 starch, 1 vegetable

You don’t need to live in a barn to embrace country western charm — get the rustic look with these ideas for farmhouse decor.

A Dazzling Array of Condiments: Go beyond basic ketchup and mustard by offering more unique options for hot dog and hamburger toppings, then display them in individual labeled buckets. We love Hot Sauce, Chipotle Mustard and more!

Infused Water (Zero Calories + Amazing Taste): For your guests who don’t want booze, this rose, lemon, and strawberry water makes a great drink option.

Use coffee filters as hot-dog holders: Eliminate the risk of ketchup and mustard spills by wrapping hot dogs in coffee filters — they’re durable, lightweight, and more flexible than paper plates.

Divabetic ‘Spaghetti Western’ Father’s Day Playlist:

  1. Don’t Let The Stars Get In Your Eyes  – KD Lang
  2. Sangria – Blake Shelton
  3. Patsy Cline
  4. A Lesson in Leavin’ –  Dottie West
  5.  Mamas, Don’t Let Your Babies Crow Up to Be Cowboys – Willie Nelson
  6. Stand by Your Man – Tammy Wynette
  7.  Hold On – KT Oslin
  8. Rhinestone Cowboy – Glen Campbell
  9. Here You Come Again – Dolly Parton
  10. Speak to Girl – Tim McGraw & Faith Hill

Artistic Dad Raises Awareness for Diabetic Macular Edema 

Nevada artist Arthur Bryce Chisolm developed this mixed media painting after meeting with Maryanne, who lives with Diabetic Macular Edema (DME) and has experienced vision loss due to the disease. The work of art brings to life the things Maryanne cherishes seeing despite her condition.

Set at a particularly beloved beach in San Diego, the painting shows Maryanne’s grandchildren, who she loves spending time with and who make up an important part of her life. The painting also illustrates Maryanne’s eyes, which represent the importance of the steps she took to help protect against vision loss. Don’t miss Bryce Chisolm on tonight’s Diabetes Late Nite podcast featuring music by Maxwell, 6 PM, EST. 

Spaghetti Westerns Trivia: Clint Eastwood 

Younger film fans may find it hard to believe, but Clint Eastwood wasn’t always a badass. Prior to his iconic performance in “A Fistful of Dollars” (1964), Eastwood was best known to American audiences as Rowdy Yates, a kind-hearted supporting character on the popular “Rawhide” TV show. In fact, it was the opportunity to leave Rowdy’s friendly persona behind that most intrigued Eastwood about going to Spain to work for director Sergio Leone. “I decided,” Eastwood said, “it was time to be an anti-hero.”

No one could have predicted that “A Fistful Of Dollars,” released in Italy 50 years ago this September, would simultaneously launch Eastwood to international stardom and set the guidelines for one of the most unique and unexpectedly durable sub-genres in cinema history: the “Spaghetti Western.”

Ways to Save ‘A Fistful Of Dollars’ on Diabetes Drugs and Supplies

The average person with diabetes runs up almost $8,000 a year in medical expenses directly related to the disease, according to the American Diabetes Association (ADA).

Check out Diabetic Lifestyle’s Tips on how you can cut your out-of-pocket costs:

1. Shop online.
You can save money filling prescriptions and shopping online for diabetic supplies, but there are many illegitimate and illegal pharmacies online, so be sure to choose one that is reputable. Use PharmacyChecker.com to check the credentials of online pharmacies and compare prices. You can also verify the legitimacy of an online company that fills prescriptions or sells healthcare products at LegitScript.com.

2. Ask for samples.
Most medical supply companies and drug manufacturers supply healthcare providers with free samples of their products. Ask about samples whenever you visit your physician or diabetes educator. Check out the ADA’s site for the dates and locations of upcoming Diabetes Expos, where free health screenings, classes, and samples are available. You can also contact supply companies directly and ask for samples.

3. Look for sales and coupons.
In addition to flyers and other announcements from your local drug store or pharmacy, check to see if the store publishes a free monthly or seasonal health magazine that may also contain discount coupons. Shop around at different stores, including the big-box department stores, for the best prices on generic and store-brand products. But always compare products to be sure you’re getting a deal. Not all generic and store brands are cheaper in the long run. GET MORE TIPS

With over 1 million cookbooks sold, Holly Clegg has become a culinary expert on easy healthy everyday recipes through her nationally recognized best-selling trim&TERRIFIC® and Eating Well cookbook series, including Eating Well Through Cancer, (English, Spanish and Chinese editions), Eating Well to Fight Arthritis and Diabetic Cooking with the American Diabetes Association. Holly Clegg attended the Cordon Bleu Cooking School, London. For more information, visit About Holly or The Healthy Cooking Blog for more recipes and tips.

LISTEN NOW: The happy healthcare host, Mr. Divabetic shines the spotlight on author and chef, Holly Clegg, in this half-hour special edition of Diva Talk Radio. This fun-filled food frenzy will feature expert advice on quick, flavorful and healthy eating from Holly’s latest book, ‘Too Hot in the Kitchen:  Secrets to Sizzle at Any Age’

‘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.

The Perfect Bubbles, Buffet & Blouse for a Divabetic New Year’s Day Brunch

Sure, it can be difficult at times to enjoy the holidays when you’re living with diabetes especially if you feel like you’re deprived of your favorite foods. Why not take the opportunity on New Year’s Day to change your mindset as well as someone else’s about what healthy tastes like?

For the past eleven years we’ve been promoting  a ‘New Attitude’ about living with well diabetes to prevent a diabetes health-related complication at our live events, on our podcasts and Divabetic blog! Now we’re sharing our decade’s worth of our ‘diva brand of diabetes outreach’ advice and suggestions with you so that you won’t have to avoid the holidays in order to take charge of our diabetes.

We asked our favorite experts, Catherine Schuller AICI, CIP, ‘The Decadent Diabetic’ aka Chef Ward Arpel, Wine & Spirits Expert Samantha Shaken Baker and certified diabetes educators, Patrica Addie-Gentle RN, CDE and Susan Weiner MS, RD, CDE, CDN, to share advice on how you can kick off the New Year in style without compromising your diabetes health.

Here are our suggestions for the Perfect Bubbles, Blouse & Buffet for a “Divabetic New Year’s Day Brunch”:

First up, our good friend, the Decadent Diabetic, Chef Ward Alper to share some of his fabulous recipes to help you create a fantastic New Year’s Day Brunch. Chef Ward Alper retired to Albuquerque after being a professional chef in Boston and New York City. He blogs as “The Decadent Diabetic: Taking Back My Life and Table,” thedecadentdiabetic.com. Chef Ward is “famous” for his fantastic and festive New Year’s day buffet brunches. Chef Ward says, “the trick to entertaining with or without diabetes is to keep the food interesting and small enough for the guests not to have to fuss with balancing a drink and the food.”

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Whether you are hosting a holiday gathering or have been invited to one, don’t let Diabetes get in your way. It is too easy to create something over the top delicious and low in carbohydrates, NOT just for you but for ALL your guests to savor.

If you are hosting a holiday party and Diabetes is a consideration, there are a few things to consider (beyond “Am I nuts?”)

Mommy-Mocktail

1-Cocktails or Mocktails?

Every person with Diabetes is different in respect to alcohol. Some of us have no problem with it lowering our blood sugars, others get too low, too fast.

I suggest having both.  Just make it look festive. Even sparkling water (rather than higher sodium club soda) can look really festive with a slice of lime or pineapple balanced on the top. Try diet cranberry juice blend spritzers with a slice of fruit or a spritzer of TROP 50 spritzer garnished with pineapple. You might be surprised with people saying: “I’ll have what he is having.”

2Think dishes you can do ahead

Nothing spoils a party than having to cram hours of work in just before your guests arrive. Plan on using the same ingredients in a couple of different ways. Make the stuffings for tomatoes or mushrooms a day ahead

3-Take Ina Garten’s advice and make some, buy some.

Your invitees might be thinking: “Oh dear, Debbie has Diabetes. We will be eating rabbit food all night.” Surprise them with a platter of chunks of oven roasted turkey from the deli and jumbo olives stuffed with almonds. Do a platter of smoked salmon with a flavored whipped cream cheese. Serve these with simple homemade crackers made from low carbohydrate tortillas or Joseph’s lavash, brushed with garlic and olive oil and your favorite herb.

4- Keep it at room temperature

Why worry if Maxine is going to lose her balance in her Jimmy Cho shoes and knock over the sterno burner. Enjoy your guests and your party instead of guarding the chafing dishes.

5-How much should I make?

Depending on how many items you have on your buffet table, consider having 9-11 pieces per person, 2-4 hours event, 13-16 pieces per person; 4+ hour event, dinner replacement.

And as always this season, ENJOY, be happy, be healthy and above all…BE DECADENT.

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The MENU 

Our “Divabetic New Year’s Day Brunch” starts with a sharp as a tack cocktail sauce with fresh vegetables

Homemade Cocktail Sauce by The Decadent Diabetic 

Makes 1 ½ cup- serves 8

carbohydrates 2 grams per Tablespoon

Chef’s notes: Most cocktail sauces for seafood are made with ketchup or chili sauce. While delicious, they have 5 grams of carbohydrates per tablespoon. This Homemade recipe is far lower with ONLY 2 grams per tablespoon. Tomato is the carbohydrate culprit here.

What you are doing with this recipe is basically making your own homemade ketchup.

6 oz. (approx. 2/3 cup) tomato paste

2 Tablespoons apple cider vinegar

2 Tablespoons sweetener of choice, or to taste

salt and pepper to tatse and your doctor’s recommendation

½  teaspoons garlic powder

¾ teaspoons onion  powder

½  cup water

3- 4 tsp. prepared horse radish

How to prepare the recipe:

Place all ingredients in a bowl. Stir to blend completely.

Pistachio coated Feta and Cream Cheese Balls by The Decadent Diabetic 

Makes 16 Balls

Net Carbohydrates   2 per ball

4 – ounces , shelled pistachio nuts

2- 8 0unce packages cream cheese

6- ounces Feta cheese

2- tsp. dry basil

1 -Tsp. dry oregano

1 -Tbsp. fresh parsley chopped

Note: While I usually like to use fresh herbs, this recipe gets too wet and it is hard to shape the balls and have them hold together.

I suspect that this recipe can also be made with goat cheese but my friend Peter ruined goat cheese for me by suggesting it” tasted like you were licking a goat”.

How I prepare this Recipe.

Bring cheeses to room temperature

Very simple: Chop the pistachios into very small bits and place on a dish. Combine all of the remaining ingredients. Refrigerate until firm. Using a small ice cream scoop or a tablespoon, scoop the cheese out and form into a ball. Roll the balls in the chopped pistachio nuts and chill until firm again. Serve with Lavash or tortilla chips.

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Cucumber and Radish Crunches by The Decadent Diabetic 

Serving size 6 pieces

Net Carbohydrates 5g.

Chef’s Note: The first time I entertained guests after my diagnosis, I went into a panic about what to make as an Hors d’ oeuvre. I came up with this very simple little bite that is so good that I never hesitate to serve it. It is a flash to prepare. I use the remaining cheese to spread on a low carbohydrate lavash or tortilla. Just roll it up and slice it to make pinwheels.

1 7-8 inch long cucumber, peeled and sliced into ½ inch thick pieces

1 8 ounce pkg.. cream cheese

1-2 Tbsp. minced shallot (or onion or scallion)

1 stalk of celery minced

5-6 radishes minced + 1-2 sliced thinly

1- Tbsp. fresh parsley, minced

Salt and pepper to taste.

How I prepare this Recipe:

Soften the cream cheese to room temperature

Mince the onion, celery radish, and parsley together and add to the softened cream cheese.

Spoon ½ tsp. of the mixture on each cucumber slice and top with ½ of a radish slice. Refrigerate until set.

Use remaining mixture on a sheet of lavash or on lavash chips or save for use on your morning toast.

There are as many variations on the filling as you have an imagination to create. Curry comes to mind as does spinach.

Divabetic Tip: Being active is your secret holiday weapon; it can help make up for eating more than usual and reduce stress during this most stressful time of year. Get moving with friends and family, such as taking a walk after a holiday meal or buffet.

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Tortilla/ Lavash Baskets filled with Shrimp by The Decadent Diabetic 

Makes 16 cups  < 0g carbohydrate per cup

1 _ sheet JOSEPH’S  lavash or low carbohydrate tortillas

2 – Tbsp. olive oil

1 – tsp. dry dill weed

1 – tsp. dry parsley flakes

½ – tsp. garlic powder

HOW I PREPARE THE RECIPE:

Pre heat oven to 375°F

Combine olive oil and spices. Brush the lavash. Pat off any excess oil from the lavash. Cut the lavash into 16 equal pieces (8 for a tortilla).

Push the pieces into a mini cupcake tin that has been sprayed with Pam.

Bake (WATCHING CAREFULLY) at 375°F for 8-10 minutes until the cups are LIGHTLY browned.

Invert cups onto a paper towel and let cool completely.

When completely cool, you can fill with recipe below, meatballs, salsa, or just use your imagination.

Roasted Shrimp with Cucumber and Dill Dressing by The Decadent Diabetic 

Fills 16 cups  < 0g carbohydrate per cup

2 – Tbsp. Mayonnaise

1- tsp. fresh lemon juice

zest from ½ lemon

¼ -tsp. Dijon mustard

1 – tsp. FRESH dill weed

¼  – tsp. ground black pepper

4 – ounces (after roasting) roasted shrimp

1 – medium cucumber

HOW I PREPARE THE RECIPE:

1-ROASTING SHRIMP:

Preheat oven to 400°F.

Combine raw, peeled, shrimp, 1 clove grated garlic, 1- Tsp. chopped parsley, and 1 Tbsp. olive oil. Place in one layer on a baking sheet and roast for 5 minutes at 400. Let cool before adding to the rest of the recipe.

2-SAUCE:

Combine mayonnaise, lemon juice, lemon zest, mustard, dill, and black pepper.

3-TO ASSEMBLE:

Peel cucumber. Using a teaspoon, remove any seeds. Chop cucumber into VERY small dice.

Cut shrimp into small pieces (just slightly larger than cucumber dice. Reserve any liquid in the baking sheet.

Combine Sauce, shrimp, and cucumber. Mix well and spoon into lavash cups.

No Cook Mediterranean Cheese Pate by The Decadent Diabetic 

Serves 8

Net Carbohydrates 2g per serving

Chef’s Note: Don’t let the title fool you, this is a snap to make.

If you want it to look more Christmas –y, you can certainly use green olives

I suspect that this recipe can also be made with goat cheese but my friend Peter ruined goat cheese for me by suggesting it “tasted like you were licking a goat”.

3 TBSP. Chopped Sundried Tomatoes (about 6-8 pieces)

1 TBSP. olive oil

1- 8 0unce packages cream cheese

3- ounces Feta cheese

2- tsp. dry basil

1 -Tsp. dry oregano

1 -TBSP. fresh parsley chopped

½ cup pitted olives, cut in half

How I prepare this Recipe.

Combine olive oil and chopped sun dried tomatoes and set aside.

Bring cheeses to room temperature.

Using an electric beater, combine cheeses and spices. Stir in  ½ of the sun dried tomatoes.

Line a 5-6 inch flat bottomed bowl (a ramekin works perfectly) with waxed paper or parchment paper.

Arrange the cut olives in a circular pattern over the bottom of the dish, rounded side down. Spoon the cheese mixture into the bowl and press down lightly to make good contact with the olives. Refrigerate at least 2 hours but over- night works as well Run a knife around the edge of the cheese and invert onto a dish. Place remaining chopped tomatoes in the center.

Plaque Assemble´e (Put it together platter) by The Decadent Diabetic 

Don’t make it, assemble it. Go to the best deli/appetizer store and get meats or smoked fish or little bites like grape leaves and put it together piece by piece, bit by bit. Make it a centerpiece of beautiful food.

Cherry Tomatoes Stuffed with Crab Salad by The Decadent Diabetic 

Makes 24 servings

Net Carbohydrates 2 per tomato half

Chef’s Notes: I like to do these with cocktail tomatoes. They are somewhere in size between a cherry tomato and a small tomato. If you use cherry tomatoes you will make about 36 servings.

The tomato is the thing. If crab is not in your budget, or you are allergic to shellfish, or simply don’t like crab, you can fill these with herbed or curried cheese or chicken or tuna salad and make “little” tomato surprises.

Tip: If you happen to have one of those old fashioned grapefruit spoons, it makes this a breeze. If not a sharp pointed paring knife works fine.

12 cocktail tomatoes

Or

18 cherry tomatoes

8 oz. cream cheese

8 oz. crab meat

1 tsp. drained capers

1 small shallot, minced (you can use 3 scallions instead)

Salt and pepper to taste

4 dashes of Tabasco sauce (more if you like it hotter)

HOW TO PREPARE THE RECIPE:

Cut the tomatoes in half and scoop out the insides.

Combine the remaining ingredients. Mix thoroughly.

Using either a star tipped pastry bag or a spoon, fill each tomato half. Chill so the mixture sets and the flavors meld.

Remove from the refrigerator about an hour before serving and stand back. The will disappear so fast you won’t believe your eyes.

Susan Weiner MS RDN CDE CDN and 2015 AADE Diabetes Educator of the Year is an award-winning Registered Dietitian-Nutritionist, Certified Diabetes Educator and published author. Susan offers this advice to all our ‘Divabetics’ who enjoy a buffet: Want to indulge in a few of your favorite hor d’oeuvres? Here’s a great strategy to help you stay within you calorie and carb budget: Select a few hor d’oeuvres and place them on a napkin or small plate. Stand or sit “away” from the bowl or appetizer table. Mindfully savor the flavor of your tasty appetizer while avoiding eating large quantities of these foods. Sit away from the hor d’oeuvres table and  enjoy the celebration with friends and family.

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Stuffed Mushrooms by The Decadent Diabetic 

Net carbohydrates      3. per mushroom cap

This recipe calls for a spinach stuffing. I also use a well seasoned ground turkey (or turkey sausage) stuffing.

12 –mushroom caps (Button is fine but Baby Bella or crimini is better)

1 – pkg. chopped spinach (squeezed dry)

2 TBSP. lemon juice

¼ tsp. dry oregano or basil (or both if you like)

1 – large onion, sliced

2 tbsp. olive oil

¼ cup dried bread crumbs, divided (try panko)

¼ cup parmesan cheese, divided

salt, pepper, garlic powder, parsley to taste ( using 1/2 for the caps, 1/2 for the spinach)

HOW TO PREPARE THE RECIPE:

Preheat oven to 350°F.

Clean the mushroom caps and remove stems. Lightly salt and pepper the inside of the caps.

Sauté the sliced onion in the oil and combine with the squeezed spinach, lemon juice and half of the bread crumbs and half of the parmesan cheese, salt pepper and garlic and divide evenly among the mushroom caps. Top with remaining

bread crumbs and parmesan cheese Bake at 350 for 15-20 minutes until the cheese is lightly browned.

Chocolate Silk Tart by The Decadent Diabetic 

. 8 servings

Net carbohydrates    11g.

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Chef’s note: Guests ALWAYS REMEMBER DESERT. Knock their sox off with this dark chocolate confection.  As a regular desert this recipe serves 8 people with people sized slices. For a party buffet, I suggest slicing it into 12-16 smaller slices.

Crust:

Spray for the pan

(9-10 inch removable bottom fluted tart pan)

2/3. Cup flour

½  cup toasted nuts (either Almonds, Walnuts, or Pecans)

¼ c. GRANULATED SUGAR SUBSTITUTE

1 pinch salt

¼ tsp cinnamon

1/8 Tsp. ground ginger

½ tsp. baking powder

4 tbsp.  butter 1 large egg

FILLING:

1 pkg. cream cheese

2/3 cup GRANULATED SUGAR SUBSTITUTE

3 TBSP. coffee

2 TBP. Sour cream or heavy cream

1 tsp. pure vanilla extract

4 TBSP.  Hershey’s Special Dark Cocoa powder

3 large eggs

HOW I PREPARE THE RECIPE:

In a food processor with a steel blade pulse all of the dry ingredients until very well combined and the nuts disappear into the mixture. Add cold butter and pulse until butter is well distributed in the flour mixture. Add the egg and pulse until mixture forms a ball on the blade. Remove the dough pat into a disc about 5-6’’. Wrap disc in plastic wrap and refrigerate for at least ½ hour but overnight will also work.

Roll out the crust on flowered surface to about a 14 in circle. Using your fingers fit  sections of the crust into tart pan. This dough is fragile and will break. Not to worry just piece it together with your fingers. Refrigerate for 15-20 minutes before filling.

Beat cream cheese in the bowl of a food processor or electric mixer until smooth. Add GRANULATED SUGAR SUBSTITUTE and beat until incorporated. Add eggs one at a time beating well after each addition. Add the coffee, vanilla, and Sour cream. Beat until well mixed.  Add the cocoa powder and mix well. Allow to sit for 20 minutes so some of the air from the beating is released (this will help keep the filling from cracking).

Pour into the crust and bake at 350°F for 25-30 minutes. Transfer to a rack and cool. Refrigerate for 2-3 hours.

612eRb0efrL._SX359_BO1,204,203,200_Divabetic Tip: Get Organized in 2017! From ideas on how to best store, plan for, and label things, every chapter is a treasure chest to help your blood sugars through lessened stress and better diabetes management get the advice you need in  The Complete Diabetes Organizer: Your Guide to a Less Stressful and More Manageable Diabetes Life  by Susan Weiner MS, RD, CDE, CDN and Leslie Josel. 

Divabetic Image & Style Advisor, Catherine Schuller thinks divas of all types and sizes can steal the spotlight at a New Year’s Day Brunch without breaking the bank  Catherine is one of the plus size industry’s pioneers, Former Ford model, consumer advocate image consultant, author, and the creator of ‘Runway the Real Way’ fashion brunches in New York City.


Catherine’s pick for the perfect blouse for a “Divabetic New Year’s Day Brunch” is a chiffon bow tie blouse. The sheer sleeves are perfect for someone who might feel self-conscious about their upper arms. And the bow tie adds a touch of feminine ‘pizazz’ to daytime dressing. You can pair this blouse under a blazer or cardigan sweater s-l1000with a tailored skirt or trousers and still look like you’re ready to walk the Red Carpet. 

Divabetic Tip:  If your eyes love stilettos but your feet don’t like wearing them then make sure to stash a pair of comfortable flats in your bag before heading out the door.  According to DiabeTV.com wearing high heels can have a great toll on any woman’s feet regardless of if she is a divabetic or not. So the question is… can women with diabetes safely wear high heels? Since foot complications are very common in people with diabetes it is often stated that high heels are not recommended at all; however, there are a few exceptions to this rule. You’ll be surprised at how many stylish choices are available in flats today. After you make your grand entrance in high heels, you can quickly switch into your comfy shoes without missing a beat and stay on track with your diabetes self-care management.

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Since bubbles make a New Year’s Day celebration sparkle we asked Samantha Shanken Baker, who helps presents memorable food and wine events like the Annual Harlem Eat Up!, for her recommendation. Samantha suggests you serve IRON HORSE Russian Cuvée Green Valley of Russian River Valley 2011 (retails for $45). This champagne’s brioche, baked apple and floral raspberry aromas lead to focused, rich flavors that linger with notes of cinnamon, orange zest and mineral.

Divabetic Tip: Aim to stay on top of your blood sugar. Check it more often during the holidays, and if you take medicine, ask your doctor if the amount needs to be adjusted.

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My pick for a soundtrack for a “Divabetic New Year’s Day Brunch” is Maxwell’s fifth studio album, blackSUMMERSnight featuring the song, ‘Lake  By The Ocean.’ Maxwell’s first offering in seven years forms the second installment of a trilogy of albums that are titled identically but for the position of the capital letters. The Grammy-winning soul man is a subeditor’s nightmare, but confusion seems a small price to pay for such a classy comeback collection of anguished R&B.

Pitchfork says, “the cool, shimmering blackSUMMERS’night is probably Maxwell’s most cohesive effort since Embrya.”

Divabetic Tip: Don’t skip meals to save up for a feast. It will be harder to keep your blood sugar in control, and you’ll be really hungry and more likely to overeat.