Divabetic’s Giant Lube Review For Vagina Dryness

Vaginal dryness is common in women with diabetes. High blood sugar levels can cause damage to the blood vessels in your vagina. This leads to a lack of lubrication. As a result, you can experience discomfort during physical activity, burning, irritation, itching, and sex can be painful.


Divabetic shares our favorite lubricants for women with diabetes coping with vaginal dryness. Vaginal lubricants cannot treat the underlying cause of vaginal dryness, such as lower estrogen levels, but can relieve the discomfort caused by dryness.

Although you might feel embarrassed to shoot for personal lubricants at your pharmacy, most of the top brands can be bought online. Lubricants help reduce friction, ease penetration and stimulate the senses. They come in a wide variety of formulas, fragrances, and flavors.

Water-based lubricants are the most versatile because they’re easy to wash off and don’t degrade the latex in condoms. Some water-based products contain glycerin (derived from sugar), while others are specifically glycerin-free. Water-based lubricants can also contain other ingredients, such as preservatives and antimicrobials.

Good Clean Love’ and “Slippery Stuff” are organic, water-based lubricants that won’t alter pH levels, which can lead to UTIs or vaginal infections. They’re paraben-free, glycerin-free, alcohol-free, and no petrochemicals. This aloe-based lubricant is made with 95% organic ingredients and infused with lemon and vanilla for a light flavor.

Best natural lubricant: Sliquid Organics Natural Gel One of the safest bets for people with diabetes is a high-quality silicone lubricant. No studies have shown people having reactions to pure silicone lubricant.

Best silicone-based lubricant: Pink Silicone Lubricant  Oil-based natural lubricants like coconut oil can break down the latex in condoms, too. They can also alter the pH of the vagina, which can lead to more infections.

Grammy Award-winning Singer Patti Austin, who continues successfully manages her type 2 diabetes after having gastric bypass surgery, sings the theme song for any woman who is getting back in the swing of enjoyable sex.

“I had type 2 diabetes,” says the former 285- pound singer. “I had obesity-driven diabetes,” who now weighs 140 pounds. Patti Austin had gastric bypass surgery to reach her new weight, and the result has been remarkable. We applaud her hard work, determination, and tenacity to maintain her weight loss.

Podcast guests include Poet Lorraine Brooks, Jill Weisenberger MS, RDN, CDE, CHWC, FAND, Chris Pickering co-founder of ‘The Betes Bros, Patricia Addie-Gentle RN, CDE, and Mama Rose Marie.

This podcast features songs from The Best Of Patti Austin album courtesy of SONY Music.

Don’t Let Diabetes Hinder Your Romance Advice

‘Diabetes & Intimacy’ Co-Author Janis Roszler, LMFT, RD, LD/N, CDE, FAND answers our questions about how diabetes can impact our sex lives on February’s Divabetic Diabetes Late Nite podcast.

Diabetes can cause numerous problems in the bedroom, including erection challenges, reduced libido, vaginal dryness, pain during intercourse, orgasm difficulties, and mood swings. If you experienced a diabetes-related weight gain or have marks on your skin from blood sugar checks, insulin pump infusion sets and/or injections, you may also feel uncomfortable having a sexual partner see you undressed.

Fortunately, there are many things you can do to reclaim your mojo and enjoy sexual activity again. Tune in for Janis’s advice on how to resolve 3 of the most common problems facing couples with diabetes in the bedroom.

Janis Roszler is a board certified sex therapist, licensed marriage and family therapist and award-winning diabetes educator.

 

One of Janis Roslzer’s Tips For Reclaiming Your Mojo

Janis recommends following the Mediterranean Diet. She  shared in an article for Modern Intimacy that research has shown that choosing foods according to this plan can reduce the risk of sexual complications in people with type 2 diabetes.

The Mediterranean Diet means eating lots of vegetables, fruits, herbs, nuts, beans and whole grains. Meals are built around these plant-based foods. Moderate amounts of dairy, poultry and eggs are also central to the Mediterranean Diet, as is seafood. In contrast, red meat, sugar-sweetened beverages, added sugars, refined grains, refined oils and other highly processed foods are avoided. 

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. ‘Intimacy & Diabetes’ 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 wellbeing. Intimacy & Diabetes is your key to a happy, healthy intimate life with diabetes.

Love New Recipes?

Join the happy healthcare host, Mr. Divabetic for this free Virtual Cooking Party with special guest, Registered Dietitian and Certified Diabetes Educator Jill Weisenberger MS, RDN, CDE, CHWC, FAND on Zoom on Tuesday, March 2, 2021, 7-8 PM, EST. Jill shares her favorite quinoa recipes with us!

REGISTER NOW – FREE REGISTRATION 

8 Types of Intimacy with Janis Roszler

Photo by Shwa Hall on Unsplash

We’re talking about the 8 Types of Intimacy with special guest: Janis Roszler on Divabetic’s free Indoor Scavenger Hunt & Smoothie Party on Zoom on Thursday, July 16, 2020, 7 – 7:30 PM, EST. Register

How does the fact that you have (your partner has) diabetes affect your relationship with your partner, positively and/or negatively?

Many people readily admit that living with diabetes can complicate and strain even the most loving and open relationships. The mood swings and emotional demands of diabetes can affect relationships with friends, family, co-workers and partners. Having a chronic disease can both increase the need for emotional support and increase the potential for frustration and tension.

Photo by Shwa Hall on Unsplash
Thanks to Shwa Hall for sharing their work on Unsplash.

No two relationships are exactly alike. However, different types of relationships have certain things in common. This might mean the types of feelings involved, the style of sex and intimacy of the couple, or even whether or not they live together.

We tend to focus on the sexual component in romantic relationships whereas but there are actually 8 different types of intimacy. Learning what they are can  help you evaluate your relationship and what you can do to make your relationship a more intimate one.

8 Types of Intimacy

  1. Affection (not sexual): Thank your partner for something they do. Say, “I love you” or “I’m so glad we are together.” Give them a hug and quick kiss when they arrive home from work.
  2. Physical (not sexual): Go for a walk, swim, or bike ride together. If you have a ping pong table, challenge your partner to a game or two.
  3. Aesthetic: Go outside and watch the sunset together. Stroll through an art gallery and view the paintings. Join your partner in the den and ask Alexa to play a song you both enjoy.
  4. Spiritual: Pray or meditate together.  Discuss a spiritual topic, attend church or synagogue together
  5. Intellectual: If you share political views, discuss the 2020 election.  Or, talk about a topic you recently heard or read about.
  6. Social: Go out to a restaurant, see a movie, double date with friends, etc.
  7. Emotional: Share your feelings about something.
  8. Sexual: Shower together, share a bubble bath, or more.

Janis Roszler  MFT, RD, LD/N, CDCES, FAND will be sharing insight about the 8 types of intimacy during Divabetic’s Zoom Party. Janis is  the AADE 2008-2009 Diabetes Educator of the Year 2008 -2009,  Board Certified Sex Therapist, Licensed Marriage and Family Therapist Fellow of the Academy of Nutrition and Dietetics and Author and/or Co-Author of: Intimacy & Diabetes (ADA, 2020); Approaches to Behavior (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).

If you have diabetes, you may be looking for guidance on this sensitive subject. Intimacy & Diabetes is here to give help and advice where you need it.

Intimacy & Diabetes by Janis Roszler, LMFT, RD, LD/N, CDE, FAND; and Donna Rice, MBA, BSN, RN, CDE, FAADE. e-book: $9.99

BUY 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 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

How To Put Intimacy Back into Your Diabetes Life

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

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

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

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

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

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

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

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

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

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

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

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

How To Treat Low Blood Sugars in the Bedroom

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An orgasm is a sought-after sexual reward, but for people with diabetes it can feel like a quest for fire and/or unattainable goal. And, yes, we’re talking about women and men here.

Achieving an orgasm might take a lot of work,  fantasy, time and patience  which could lead to a low blood sugar.

I spoke with Janis Rozsler MS, RD, LD/N, CDE, FAND (2008-2009 Diabetes Educator of the Year (AADE) on our Diabetes Late Nite podcast about how to treat low blood sugars in the bedroom.  The question really isn’t about how to treat a low blood sugar, it’s about to treat it without wrecking the mood.

So how do you treat you blood sugars without losing out on the spontaneity.

“Keep things in their nightstands like a snack and check your blood sugars before going into the bedroom,” says Janis.  “You can also incorporate food into your sexual play like strawberries and chocolates and whipped cream.You need to test what works for you,” says Janis.

If low blood sugar at night is a common problem for you, talk to your doctor about changing your diabetes treatment plan to better control your nighttime glucose levels.

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LISTEN: Don’t Let Diabetes Kill Romance with guest, Janis Rozsler  MS, RD, LD/N, CDE, FAND (2008-2009 Diabetes Educator of the Year (AADE).