Many of our community members agree that thinking ahead and being prepared for unexpected issues related to your daily self-care is helpful. Before you leave your house, make sure you have the necessary supplies with you.
Talk to your healthcare collaborators about what fits your diabetes lifestyle. It could be a small snack, water bottle, glucose tablets, insulin, glucose monitor, or glucose gels.
Based on your lifestyle, your healthcare collaborators may recommend changes in your meal plan, activity level, or diabetes medicines to help you manage blood sugar swings.
Medical identification (cards, bracelets, or necklaces) can show others that you have diabetes and show whether you take diabetes medicine such as insulin. What’s in your bag?
Enjoy highlights from Divabetic’s World Menopause Day Panel discussion on Wednesday, October 18, 2023. Our panel was moderated by Divabetic Image & Style Advisor Catherine Schuller and featured Dr. Julianne Arena, Donna Rice, and Amparo.
According to research, hormone levels (most notably estrogen and progesterone) fall dramatically during menopause. Changes to our hormones can affect our blood sugar levels and make managing diabetes more difficult.
Dr. Julianne Arena is a double board-certified physician, a board-certified OBGYN who applies traditional, integrative methods and a multi-layered approach to helping women with sexual health and intimacy issues. She’s also a practitioner of Cliovana, the only treatment available that improves long-term clitoral stimulation with proven sound wave technology. Her goal is to help women create optimal and vibrant lives.
Catherine Schuller is the go-to person in the image industry for all things style and fashion for the plus-size woman. She began as a former Ford Model and became a spokesperson for the industry, a retail editor for Mode magazine, and wrote the highly acclaimed how-to guide The Ultimate Plus Size Modeling Guide, which has helped thousands of young women who want to enter the plus size modeling field. She is a frequently quoted media expert on the puls-size market. She has appeared five times on The View, The Today Show, The Early Show, eight times on Neal Cavuto’s Your World, and many television and radio shows across the United States.
Donna Rice is a registered nurse and a Certified Diabetes Care and Education Specialist. She is a national and international thought leader and author of four books, including Divabetic’s ebook Sweet Romance: A Woman’s Guide To Love And Intimacy With Diabetes. She is a Past President of the Association of Diabetes Care and Education Specialists and the Past President of the Diabetes Health and Wellness Institute for Baylor Health Care Systems in Dallas, Texas. Donna is the Chief Operating Officer for DiabetesSisters and The Chief Evangelist for Call-ai, working on voice-driven AI for diabetes care and education.
The common physical and emotional sexual complications of diabetes and treatment options for men and women
An overview of diabetes nutrition, physical activity, weight loss, and diabetes medications
Information on how aging impacts diabetes management and intimacy
Guidance on how to talk to your health care provider about intimacy-related issues
Ideas and techniques for building sexual intimacy and communicating effectively with your partner
Tips to help you avoid dangerous or money-wasting fraudulent sexual treatments
Authors Janis Roszler and Donna Rice use humor, helpful examples, and insightful questions to present key topics about sexual health in an engaging, approachable way. This series is perfect for anyone (regardless of gender, sexual orientation, age, or health status) looking to rekindle intimacy with their partner or be proactive about their sexual and emotional well-being.
“Food noise has been running my life, and I didn’t even know it until I took Mounjaro,” said Rosie O’Donnell on the Plus SideZ podcast.
Mounjaro is the brand name for Tirzepatide an injectable prescription drug used to treat Type 2 diabetes. The drug is prescribed along with diet and exercise to help improve blood sugar levels. Like most drugs, Mounjaro may cause mild or severe side effects such as diarrhea, heartburn, constipation, belly and body aches, and pain.
Rosie O’Donnell and my boss, Luther Vandross, were friends on and off-camera. They suffered the same issues related to body image, yo-yo dieting, living with type 2 diabetes, and food and sugar addiction.
I appreciate her honesty and straightforwardness in sharing her experience and mindset in this interview. She managed to find the right words to express her struggle with food addiction in a way that’s clear, concise, and easy to understand.
“My life was out of control without it (Mounjaro),” says Rosie on the podcast. “I do believe I was addicted to food, I was addicted to sugar, and I could not shake it.”
Rose O’Donnell opens up on the podcast about ignoring her Prediabetes diagnosis, living with Type 2 Diabetes, getting a gastric sleeve surgery (2013), having a heart attack (2012), ongoing weight issues, and how weight loss medications changed her life.
“[My doctor] says to me, ‘I don’t care if you lose more (weight). It’s about your numbers for your A1C’ and your something else. But they’re going down, and that’s a good sign. So I don’t want to lose it too fast anyway because it freaks me out,” she told Newsweek.
Additionally, Rosie hired a chef to make her calorie and protein-appropriate meals.
Since taking the medication, Rosie has lost over thirty pounds and hasn’t experienced any side effects. She says she hasn’t gained weight since using the medication – that’s a big deal for her. She’s happy about losing weight slowly because, in the past, she’s been plagued by unwanted attention related to weight loss. It’s sabotaged her efforts to maintain and sustain weight loss.
Rosie feels the biggest benefit of the drug has been eliminating “food noise.” Food noise refers to the constant thoughts or recurring ruminations about food which could contribute to overeating and thus living with overweight and obesity. I’d never heard this term before listening to Rosie’s interview, but it perfectly captures a person’s mindset about food addiction.
I wish these types of drugs and sensitive and respectful talk about food addiction were around when Luther was alive. I witnessed him struggle unsuccessfully to conquer his food addiction and then suffer from complications related to mismanaged type 2 diabetes because of it.
I discuss Luther’s ongoing struggle with food addiction and yo-yo dieting on this Luther Vandross Tribute podcast. Guests include Lisa Fischer, Jason Miles, Jeff James, Patricia Addie-Gentle RN, CDCES, and Chuck Flowers. By the time Luther Vandross headed to the studio to record his fifth album Give Me the Reason, in 1986, he had lost considerable weight. Sadly, he regained weight as he began to tour for the album.
To her amazement, Rosie O’Donnell has found that she is no longer interested in snacks – not even cookies using the drug. “I’m free from food,” Rosie declared on the podcast.
Clinical trials studying Mounjaro (tirzepatide) for weight loss found the following results: Participants lost an average of 12-22% of their body weight over about 68 weeks when using the highest doses of Mounjaro (10-15 mg) along with diet and exercise.
Eli Lilly’s research found that around half of the participants in their study, who were both obese and had diabetes lost around 15 percent of their body weight while taking tirzepatide, the active ingredient in Mounjaro.
Rosie is advocating affordably to help make this LIFE-CHANGING medication accessible to countless individuals whose lives have been transformed by its effectiveness over the last year.
Take this 1-minute testto find out your risk for prediabetes. Now is the time to take action. The CDC-led National Diabetes Prevention Program helps people with prediabetes make lasting lifestyle changes to prevent or delay type 2 diabetes.
Working with a trained coach teaches you to eat healthy, add physical activity, and manage stress. With other participants, you’ll celebrate successes and work to overcome challenges. Click HERE to learn more.
Plus-size Fashion and Travel Blogger, LGBTQ+ Influencer Alysse Dalessandro Santiago shares how seeking out a weight-neutral doctor’s approach helped her improve her diabetes self-care on October’s Divabetic Podcast with music fromCarly Simon.
Alysse says, “It’s taken me a long time to be my own healthcare advocate and challenge the pervasive narrative around plus-size or larger-bodied people living with type 2 diabetes.”
Alysse told her doctor, “I am here for diabetes management. I understand that you have been trained to look at my weight as an indicator of my health. But I look at my A1C as an indicator of my health, so can we focus on that?”
She encourages other plus-size and larger-bodied people to advocate for their diabetes health. “Doctors are there to help and care for you. Their job is to care for you as an individual. When a doctor looks at you as a number on a chart or on the scale, they’re not looking at you as an individual. So if you don’t feel like they are listening to you, then you need to leave and find someone else.”
Alysse’s proactive approach to finding a weight-neutral doctor paid off! Finally, she can focus on the tools she needs to have tighter blood sugar management than the scale numbers. One self-care tool that she loves is the FreeStyle Libre Continuous Glucose Monitor (CGM) System. Alysse says the FreeStyle Libre has helped her to lower her A1C from 11 to a 7. But that’s not all! An added bonus of using the FreeStyle Libre for Alysse has been avoiding triggers related to her binge eating disorder.
“The FreeStyle Libre holds me accountable and tunes me in.” She adds, “The FreeStyle Libre’s alarms make me say, Hey, I emotionally feel like I want to eat, but physically I’m not actually hungry. My blood glucose levels are high, and I should not be eating right now. I’m emotionally hungry. What else can I do to self-soothe?“
The “weight-neutral” movement: a therapeutic approach to improving the health of individuals by focusing less on BMI and more on lifestyle behaviors. Studies suggest weight cycling is more strongly linked with specific adverse health outcomes than having an obese BMI. If your doctor’s appointments start and end with a phrase like: “You need to lose weight,” maybe it’s time to find a new doctor.
*The A1C test—also known as the hemoglobin A1C or HbA1c test—is a simple blood test that measures your average blood sugar levels over the past 3 months.
Plus-Size Fashion and Tavel Blogger, LGBTQ+ Influencer, Alysse Dalessandro Santiago guests on Divabetic’s October podcast with musical inspiration from Carly Simon. Hosted by Mr. Divabetic.
Looking for a fun way to socialize without putting your diabetes wellness at risk? Do you need a little help staying on track with your diabetes self-care?
In honor of National Diabetes Awareness Month, the happy healthcare host, Mr. Divabetic presents its Once In a Blue Moon program. This free, fun-filled, informative hour of diabetes outreach is intended to rejuvenate and reignite your attitude. The happy healthcare host, Mr. Divabetic, Maryann Nicolay MEd, NDTR, Wendy Satin Rapaport LCSW, PsyD, and Divabetic Image & Style Advisor Catherine Schuller share expert ways to expand food choices, add sparkle, and boost spirits.
So have some fun spending time with us during our Once in A Blue Moon program on Thursday, November 11, 2021, 7 – 8 PM EST on Zoom.
90+ People have already registered, how about you? Join us for Divabetic’s largest diabetes outreach of 2021.
Register now for our free, fun Virtual Baking Party with special guest, Stacey Harris aka “The Diabetic Pastry Chef”on Thursday, September 23, 7 – 8 PM, EST on Zoom.
Stacey plans to demonstrate one of her favorite sugar-free recipes, answers your questions, and provide tips for baking with popular sugar substitutes, and other sugar alternatives including Splenda.
After being diagnosed with type 2 diabetes, Stacey Harris (The Diabetic Pastry Chef) taught herself how to make pound cake, pecan rolls, pies, muffins, cupcakes, and other baked goods with about half the carbs you’d get from a traditional bakery item.
“I started experimenting by using almond milk or whole milk mixed with water to cut down on carbs, then tried different flours, incorporating white whole wheat flour, soy flour, oat flour, black bean flour, and other alternatives into my brownies, cakes, and cookies,” she said in a How 2 Type 2 article.
She adds, ”To cut back on sugar, I started using all-natural substitutes, like agave nectar, and trying erythritol. I also bake with a store-bought blend of sugars that tastes delicious.”
If you weigh more than 176 pounds and find yourself in a situation where your birth control fails, then chances are the morning-after pill might not work for you according to a 2013 study conducted by the CDC.
According to the National Institutes of Health, nearly one-third of adults in the United States are obese. This proportion is certainly higher among people with diabetes; insulin resistance, a hallmark of Type 2 diabetes, and obesity are both elements of the metabolic syndrome. (Other traits are high blood pressure and abnormal blood lipid levels.)
“The average woman in America spends five years trying to get pregnant and 30 years trying not to,” explained Cecile Richards, President of Planned Parenthood in an interview with The New York Times.
Although Plan B manufacturers insist that there are no weight limits, researchers have suggested that women weighing more than 176 pounds should consider taking two of the recommended doses to help ensure effectiveness. With the current cost of Plan B running at close to $50, that would mean women who lie outside the weight range could count on spending more that $100 on emergency contraception.
Additionally, a 2011 study in the journal Contraceptive, recommends that women who have a body mass index (BMI) of more than 25 should not rely on levonorgestrel or a “normal” dose of Plan B, as an effective emergency contraceptive.
Searching for an alternative?
An IUD is a small, plastic device shaped like a T. The ParaGard (Copper T 380A) is the only non-hormonal IUD available in the US. This IUD has copper (which acts as a spermicide) coiled around it. The IUD irritates the lining of the uterus, which makes it harder for implantation. It also serves as an irritant, so white blood cells migrate to the inflamed uterus and can help to destroy sperm. The IUD is inserted into the uterus by a doctor and has 2 filament strings which hang down into the vagina. A woman can feel the strings to make sure the IUD is still in place. ParaGard can be left in place for up to 10 years.
Another effective option for plus size women is the barrier birth control method. Because they have do not have any hormones, barrier methods also have fewer side effects. is a device that physically blocks sperm from entering the opening of the uterus. Though these contraceptives can be very reliable — they can become less effective if you do not use them the correct way. Because of this, you may be more likely to experience birth control failure (maybe due to not being inserted correctly, at the right time, etc).
Making sure that these methods work as effectively as possible is even more important given the fact that plus size women are at greater risk of pregnancy-related complications. You can increase the effectiveness of these birth control methods by using a double barrier method (such as a condom and spermicide or a diaphragm and a condom — but do NOT usemale and female condoms or two condoms).
LISTEN NOW: Mr. Divabetic Show on Premenstrual Dysphoric Disorder (PMDD) on this one hour of wellness with a wow podcast. PMDD is a severe, sometimes disabling extension of premenstrual syndrome (PMS) that start about 7 to 10 days before a woman gets her monthly period. The American College of Obstetricians and Gynecologists estimates that at least 85 percent of menstruating women have at least one PMS symptom as part of their monthly cycle. PMS is much more common than PMDD. Biologic, psychological, environmental, and social factors all seem to play a part in PMDD. It is important to note that PMDD is not the fault of the woman suffering from it or the result of a “weak” or unstable personality. It is also not something that is “all in the woman’s head.”
Rather, PMDD is a medical illness that impacts only 3% to 8% of women. Fortunately, it can be treated by a health care professional with behavioral and pharmaceutical options.
Podcast Guests: Dr. Andrea Chisholm OBGYN, Peak 10 Skin founder Connie Elder, We Are Diabetes founder, Asha Brown, and Laura L. who are both living with type 1 diabetes.
