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ordering-menuDining out for both regular meals, breakfast, lunch or dinner or for a special occasion can be an obstacle for the individual with diabetes.  There are several tips or strategies that can be used to enjoy the eating/dining out experience.

Know the components of a healthy diabetes modified meal plan.  Partake of your food choices by understanding the number of grams of carbohydrate, the portion size of  protein and fat that  are usually the foundation of a meal.

Before the meal, you can call the restaurant and ask about methods of preparation and explain that you the diner have diabetes and would like to ask how the restaurant accommodates your eating needs.

A diner can go on-line and review a restaurant or a food establishment’s menu to make a selection prior to arrival at the location.

Several phone applications provide nutrition information for national restaurant chains.  Small neighborhood restaurants may also do the same.

Calorie King, the book or the app can provide listings of carbohydrates, protein, fat and sodium as well as other key nutrients and is an available tool for diner who has diabetes.

The Restaurant Experience:

One can ask for shared plate service, have the server request that the meal be split in two before it is served. You and your dining partner get half the calories and save half the cost (expense) allowing you to go dining again.

After the meal has been ordered you can ask the server to place the one half of the meal in a take home box, before the plate ever reaches the table.

During the meal, you can use the healthy plate method by visually dividing the plate in two. Filling one half with low carbohydrate vegetable choices, take the other side and fill one-quarter of the plate with a lean protein choice: fish, chicken, lean beef, then fill the remaining quarter with a serving of carbohydrate.  Look for a carbohydrate choice that you have not identified as a trigger food that usually raises the blood sugar extremely high.

If this meal is a special occasion meal where a dessert or a cake may be served, eat the plate making sure it is filled with the low carbohydrate vegetable choices and then select a small size portion of the cake or dessert.

If you select the salad option do remember that the salad dressing will add calories to the meal. Acknowledge that if you choose the low-fat salad dressing option it will have added carbohydrate to maintain its taste, and when choosing the low carbohydrate dressing additional fat is added.

Ask for the dressing to be placed on the side, and then you can dip each individual piece of salad into the dressing and cut down on the total amount of dressing that is used.

These simple strategies will allow an individual who has diabetes to enjoy the dining out experience.

Categories : Uncategorized
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Nov
29

Healthy Holiday Eating

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Holidays do not have to disrupt your diabetes control.

 

TisTheSeason

When families gather, food is always involved—especially during the holidays. While it may be a challenge to maintain good blood sugar control during this time, it can be done!

When attending a party, try to eat something—at least a snack—before going. That way you won’t be as tempted or hungry to over do it on high calorie foods that you will likely be faced with. Examples of healthy snacks to eat before a party include 2% string cheese, yogurt or a piece of fruit.

Bring a healthy food item with you to the party so that you know there will be something good for you to eat there. A fruit tray for instance would be a better alternative than a tray of brownies. Or cut up raw vegetables with a low fat dip instead of chips and dip. Sit in a room different from where the food is being served. Gather and talk with friends away from the food so you won’t be as likely to munch as you’re catching up with friends or family.

Think before you drink! During the holidays, alcohol is often mixed with sugary beverages in a punch which can increase blood sugar. The alcohol may also lessen your desire and ability to make good food choices.

Up the exercise! We know we will be faced with more food and probably eat more food during holiday season. Off set this increase in food with an increase in exercise. Make it a point to exercise more often—especially on the days you will be attending a party. While this won’t cancel out the food, it will certainly help with blood sugar control and weight maintenance.

Lastly, shift your focus from weight loss to weight maintenance. Be realistic with yourself and you will feel more in control if you just try to get through the holidays without gaining weight.

Categories : Holidays, Nutrition
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Nov
15

Infrared Heaters: 10 Amazing Benefits

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Infrared heaters produce heat that is similar to the heat produced by the sun. The infrared rays emitted are easily absorbed by the items in your home, which gently increases the temperature of their surroundings. As cool surfaces heat up, infrared heaters raise the ambient temperature of the room. Besides warming up your home, infrared heaters provide many other benefits.

1. Infrared Heaters & Safety

When purchasing a space heater, safety is a main concern. The core temperature of infrared heaters never get as high as a conventional heater’s temperature. A protective metal sheath usually covers the heating elements as well. This means animals and children can touch the surface of an infrared heater without being burned.

2. Minimal Maintenance

Nobody wants to be burdened with a bunch of maintenance tasks. Because infrared heaters have no moving parts, maintenance is minimal. There are no motors to wear out, air filters to replace or lubrication required. Your infrared heater will need periodic cleaning of the reflectors and replacement of the heat source to ensure optimal performance.

3. Quick Heat Recovery

Some space heaters require a long cool-down time between being turned off and being turned back on. Infrared heaters will still provide the same strong, penetrating heat no matter how long it’s been after being turned off.

4. Infrared Heaters Heat Silently

When in noise-sensitive environments such as bedrooms or studies, finding a heater that doesn’t operate loudly is important. There are no moving parts or fan blades whirring on infrared heaters, therefore they deliver heat silently.

5. Comfortable, Gentle Heat

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Infrared heaters can make you comfortable indoors no matter what the temperature is outdoors. Inside the heater, a  hot coil is wrapped into a circle so that all of the heat can be transferred evenly. The heat produced is reflected by a special polished metal, a reflector, and the heat can be felt several yards in front of the heater.  Also, infrared heaters aren’t affected by drafts or wind.

6. Infrared Heaters Provide Instant Heat

Instead of warming the air like other conventional heaters, infrared heaters heat objects directly in their paths. Heating the air wastes energy and the benefits of the heat aren’t felt immediately. The rays produced by infrared heaters penetrate and warm you beneath the skin. The infrared rays radiate outward, heating all nearby objects, producing a widespread effect. This all happens immediately, with no need to wait for the heat to buildup.

7. Cost Effective

The benefit of any space heater is zone heating. With an infrared heater, heating only the parts of your home that you’re using at any given time is possible. When you aren’t heating your entire home, you’ll save money on your heating bill. Infrared heaters can save you up to 30-50% on heating costs. Actual savings vary depending on insulation, ceiling height, type of construction and other factors.

8. Environmentally Friendly

This day in age, the earth’s resources must be used responsibly. Infrared heaters operate without any carbon combustion, no toxic by-products of combustions, no open flame, and no fuel lines to leak. They add nothing to the air and take nothing away from the air, making them environmentally friendly.

9. Energy Efficient

Infrared heaters use a substantially lower amount of energy than conventional heaters. Some infrared heaters can operate on as low as 300 watts of electricity and 800 watts is enough power to provide heating to a room. The reflective metal used in its design transfers almost 100 percent of the heat created. Also, there’s no need to turn on the heater in advance to pre-heat the room because heat is delivered instantly.

10. No Dry Heat

Unlike conventional heaters that draw moisture out of the air as a part of their heating process, infrared heaters don’t produce dry heat. This way you can avoid uncomfortable side effects such as itchy eyes and throat.

For any questions about the benefits of infrared heaters, or to browse a wide selection of models, feel free to visit  Air & Water, Inc.

 

Link to original source: https://www.air-n-water.com/infrared-heaters-benefits.htm

Categories : Lifestyle Tips
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Nov
15

New Insulin Delivery Recommendations

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If you inject insulin for the treatment of diabetes, BD would like you to know that Mayo Clinic Proceedings recently published New Insulin Delivery Recommendations that review the golden rules of insulin injection.1

The correct injection technique can help you achieve better control of your diabetes.2,3  Your pen needle or insulin syringe, type of medication and rotation of injection sites all play critical roles, which can lead to better treatment results.2  Consult your healthcare provider for more information or questions.

 

Golden Rule – Injection Technique

 

circle8Inject your medication into areas on your abdomen, thighs, buttocks and upper arms.1

It’s important to make use of all these injection sites as part of a healthy injection site rotation plan.

It’s important to rotate your injection sites to help keep all of your sites healthy. Work with your healthcare team to develop an injection site rotation plan that works for you.1

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Remember:

Inject one finger’s width away from your last injection. A single injection site should not be used more than once every four weeks.1

 

BD NanoTM   4mm Pen Needles

BDUF_PenNeedle

  • Preferred by patients4
  • Less effort to inject medication for people with hand strength issues4**
  • The smallest, thinnest BD pen needles was rated as less painful and easier to insert4**
  • Faster Injections4**
  • Fits leading insulin pens for diabetes treatment

BD NanoTM   4mm Pen Needles

BD_Syringes

  • Smaller and thinner than other insulin syringe needles for a more comfortable injection1,5*
  • In a 2010 study, preferred by 80% of patients over their current insulin syringe6**

 

* Study conducted in subjects with BMI > 30 kg/m2.
** Compared to standard BD thin-wall pen needles.
✝ As of September 22, 2016.

 

References

  1. Frid AH, Kreugel G, Grassi G, et al. New insulin delivery recommendations. Mayo Clin Proc. 2016;91(9):1231-1255.
  2. Frid AH, Hirsch LJ, Menchior AR, Morel DR, Strauss KW. Worldwide injection technique questionnaire study: injecting complications and the role of the professional. Mayo Clin Proc. 2016;91(9):1224-1230.
  3. Frid AH, Hirsch LJ, Menchior AR, Morel DR, Strauss KW. Worldwide injection technique questionnaire study: population parameters and injection practices. Mayo Clin Proc. 2016;91(9):1212-1223.
  4. Aronson R, Gibney MA, Oza K, Bérubé J, Kassler-Taub K, Hirsch L. Insulin pen needles: effects of extra thin-wall needle technology on preference, confidence, and other patient ratings. Clin Ther. 2013;35(7):923-933.e4. doi: 10.1016/j.clinthera.2013.05.020.
  5. Schwartz S, Hassman D, Shelmet J, et al. A multicenter, open-label, randomized, two-period crossover trial comparing glycemic control, satisfaction and preference achieved with a 31 gauge x 6 mm needle versus a 29 gauge x 12.7 mm needle in obese patients with diabetes mellitus. Clin Ther. 2004;26(10):1663-1678.
  6. Johansson UB, Amsberg S, Hannerz L, et al. Impaired absorption of insulin aspart from lipohypertrophic injection sites. Diabetes Care. 2005;28(8):2025-2027.
Categories : Treatment Trends
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Oct
06

Flu season precautions start in October

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flu-seasonThe Influenza Season should raise caution flags for both adults and children living with diabetes. Persons who are Type 1 or Type 2 are not more likely to catch the flu, but they are at a higher risk of serious flu complications, often resulting in hospitalization and sometimes even death. Complications that can develop from the flu include pneumonia, bronchitis, sinus infections and ear infections.

The flu also can make chronic health problems, like diabetes, worse. This is because diabetes can make the immune system less able to fight infections. In addition, illness can make it harder to control blood sugar. The illness might raise sugars, but sometimes people don’t feel like eating when they are sick, and this can cause blood sugar levels to fall. So it is important to follow the sick day guidelines  for people with diabetes.

Everyone 6 months and older should get a yearly flu vaccine by the end of October, if possible, but getting vaccinated later is OK. Vaccination should continue throughout the flu season, even in January or later. Some children who have received flu vaccine previously and children who have only received one dose in their lifetime, may need two doses of flu vaccine. A health care provider can advise on how many doses a child should get.

The diabetes educators at Diabetes Management & Supplies can help educate and prepare individuals for the challenges of diabetes. For more information on the DMS diabetes education services, call our Education Department at 1-888-738-7929 or email education@diabetesms.com.

Related: Nasal sprays, FluMist out this year

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Oct
06

Alert: Nasal sprays, FluMist out this year

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Nasal sprays used in the past to prevent the spread of influenza should not be an option for the 2016-17 flu season.  The U.S. Centers for Disease Control and Prevention is only recommending the use of injectable influenza vaccines this year.

The category of injectable vaccines includes inactivated influenza vaccines and recombinant influenza vaccines. The nasal spray flu vaccine (live attenuated influenza vaccine or LAIV) should not be used during 2016-2017.

The nasal spray version of the flu vaccine was very popular with parents and pediatricians because many children are afraid of needles. This year, however, the nation’s leading pediatrics group is leaning to the side of caution.

In a policy statement recently released by the American Academy of Pediatrics, the group recommended children over six months old receive the flu shot rather than the FluMist vaccine, which federal health officials have recently discovered was not effective in preventing the flu during the past three seasons. About a third of children who are vaccinated against the flu each year receive FluMist.

Everyone 6 months and older should get a yearly flu vaccine by the end of October, if possible, but getting vaccinated later is OK. Vaccination should continue throughout the flu season, even in January or later. Some children who have received flu vaccine previously and children who have only received one dose in their lifetime, may need two doses of flu vaccine. A health care provider can advise on how many doses a child should get.

The diabetes educators at Diabetes Management & Supplies can help educate and prepare individuals for the challenges of diabetes. For more information on the DMS diabetes education services, call our Education Department at 1-888-738-7929 or email education@diabetesms.com.

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May
27

5K@ADA brings diabetes awareness to NOLA

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ADA5K3The sights of the last New Orleans ADA@5K held in 2009

The 5K@ADA brings together ADA Scientific Sessions delegates and citizens of New Orleans to emphasize the need for increased physical activity to help prevent diabetes and diabetes complications. This activity gives you the opportunity to raise the public awareness about the importance of a healthy lifestyle in preventing diabetes. Nearly 1,000 people completed the 5K@ADA last year in Boston. This year, we hope to welcome even more participants, so bring your friends, family and colleagues along for an early morning run or walk through the French Quarter.

Through Novo Nordisk’s continued support of the American Diabetes Association, the 5K@ADA in New Orleans will be free of charge to registered 76th Scientific Sessions attendees and the general public. Help set the pace for changing diabetes by running or walking the 5K@ADA in the French Quarter of New Orleans.

Take the first step towards a healthier lifestyle now by registering for the 5K@ADA!

We look forward to seeing you in New Orleans!

Event Details:

Location: Audubon Aquarium of the Americas, New Orleans, LA
Distance: 5K
Date: Sunday, June 12, 2016
Start time: 6:30 a.m.
Cost: Free
Sponsors: Novo Nordisk

Link to event websitehttp://ada5k.com/
Link to register5kada2016.eventbrite.com

Like us on Facebook here!
Follow us on Twitter: @5K_ADA
Follow us on Instagram: 5k@ada

ADA5KCOMBO

Categories : Uncategorized
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Apr
06

Glucose control key in avoiding kidney damage

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Good blood sugar control today will reduce the risk of damage to kidneys and other organs tomorrow.

kidney_chartThe kidneys filter waste products from your blood and keep fluids in your body balanced. Having diabetes puts you at a greater risk for developing kidney disease also called diabetic nephropathy. This complication is also called diabetic kidney disease. It is a progressive kidney disease caused by damage to the tiny blood vessels in the kidneys that are used to filter waste from the blood.

High blood glucose, sometimes paired with high blood pressure, slowly damages the kidneys. High blood sugar makes the kidneys filter too much blood. All this extra work is hard on the filters. After many years, they start to leak and useful protein is lost in the urine.

People living with type 1 and type 2 diabetes can experience kidney complications. Chronic hyperglycemia, excess blood sugar, is the primary cause of the disease. In type 1 diabetes, hyperglycemia starts in the first decades of life and is usually the only recognized cause of nephropathy. With type 2 diabetes, to the contrary, hyperglycemia starts near middle-age, usually when the kidneys have already suffered the long‐term consequences of aging and of other recognized promoters of chronic renal injury such as arterial hypertension, obesity, high cholesterol, and smoking.

Early detection of kidney damage is important, but there might not be noticeable symptoms in the early stages. It’s important to have regular urine tests to find kidney damage early because early kidney damage might be reversed.

Later in the progression, swelling in your body is a primary symptom. The feet and legs are key areas where swelling will be seen as kidneys become damaged.

Keeping blood sugar as close to normal as possible is the first step to preventing kidney disease. Control your blood pressure by checking it on a regular basis and following your doctor’s recommendations for acceptable levels. Finally, don’t use tobacco because it narrows your blood vessels including the already tiny ones working deep inside your kidneys.

Educating individuals on best ways to avoid this and other diabetes complications is a goal of self-management courses. If you need help developing a strategy to avoid complications or face other challenges, Diabetes Management & Supplies can assist with diabetes self-management and education services. For more information, call our Education Department at 1-888-738-7929 or email education@diabetesms.com.

Mar
23

Hitting the road: Have pump, CGM will travel!

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one_touch_chartWhether you have already planned a summer vacation or still in the process, incorporate your pump or CGM needs into your travel plans instead of treating your needs as an afterthought or an overwhelming fear. There’s nothing new under the sun and you can also reap the benefits of those who have traveled the vacation path before you.

Flying through the screening process? You don’t have to encounter problems passing through security at an airport. Transportation Security Administration (TSA) has a helpline number to assist patients with medical conditions who want to prepare for the screening process prior to flying. Call TSA Cares toll free at 1-855-787-2227.

You can obtain a Transportation Security Administration Card to print out and bring with you to notify TSA of your diabetes can be found online.  If you have concerns about wearing an insulin pump or CGMS through scanners, contact the manufacturer of your medical device.

Tips for traveling while wearing an Insulin Pump or CGM

  • Always have Plan B in place in case something goes wrong with your current device, such as carrying syringes or pens to give injections and carrying extra supplies in case you run low.
  • Be sure to carry some form of prescription or letter from your physician that treats you for your diabetes.
  • Carry all of your medicines, such as insulin, and all related supplies in your carry-on baggage. Be sure to place these items in a clear plastic bag that is labeled. It will help to remove this bag from your luggage so that the TSA officials can clearly see what is inside. Also, in case your checked luggage is lost, you will still have your insulin and supplies with you in your carry-on bag.
  • If you wear an insulin pump or continuous glucose monitoring device, it is OK to continue to keep them on as you go through security at airports or terminals. The scanners will not harm these devices in anyway. Please notify the TSA officials as you move through the checkpoints that you are wearing a pump or CGM. Usually, the TSA official will pull you to the side and do a more thorough search of the device, such as swabbing the pump or monitor and/or your hands.

A printed checklist might help elevate stress and keep your plan in your hands, front and center. Medtronic, an industry leader in insulin delivery systems, has a downloadable checklist for traveling with a pump and/or CGM. Click HERE for a copy.

Learning how to handle life’s challenges like traveling and treatment plans is a covered topic in diabetes self-management courses. If you need help developing life and treatment strategies, Diabetes Management & Supplies can assist with diabetes self-management and education services. For more information, call our Education Department at 1-888-738-7929 or email education@diabetesms.com.

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Mar
10

Later flu season shines light on sick-day prep

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sickday_supplies

flu-seasonAlthough the calendar says the influenza season should be over, cases of the flu are increasing into March 2016 instead of winding down to a close. Avoiding illness is a prime goal, but people living with diabetes should be aware of the special needs presented by sick days caused by the flu and other conditions.

The blood sugar targets for a sick day are the same as other days. A blood sugar reading over 180 mg/Dl is still a high blood sugar. The purpose of a sick day management plan and more vigilant testing has to do with limiting hyperglycemia and dehydration. The goals are to prevent DKA in the Type 1, avoid dehydration of the Type 2 individual and avoid potential hospitalizations for either individual.

A sick day plan should include these elements of good blood sugar control.  Monitoring, meals and medications are key while exercise or physical activity is usually halted during the illness.

The sick individual needs to follow a schedule for monitoring that gives the diabetes care team information to direct the modifications for the patient’s needs. Meals and eating will play an important role as medication will need to be adjusted to match rising or falling blood sugar levels. Medications are to be taken on the usual schedule or may be modified to meet the patient’s needs by the doctor or a member of the healthcare team.

Recording temperature, blood sugar, medication amount and time, fluid and food intake and the presence of ketones are highly important on sick days. This log or report will give insight to the diabetes care team of current health status and allow them to help adjust medication or intake to prevent dehydration or ketoacidosis.

The individual with diabetes or the parent/ care giver of the child with diabetes should be proactive in assessing conditions during an illness. Certain foods, testing equipment and testing supplies need to be handy before a sickness occurs.  The phone number of the doctor or diabetes care team should be readily available.

A log to monitor the sickness over time, glucose meter, lancets, lancing device, test strips, control solution, and a bottle of Ketostix should be included in a sick day management tool kit. The food pantry should contain: broth, both sugar-free and regular Jello, both diet and non-diet soft drinks, both sugar-free and regular popsicles, both thin and creamy soups, regular and sugar free pudding, yogurt, juice and milk.

The U.S. Centers for Disease Control (CDC) reports that across the country, this flu season was significantly less severe than in the last few years, though number of cases have been increasing since early January.

Did you know the CDC tracks the flu like a hurricane? Visit CDC Flu Central for current reports, maps and alerts.

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Ordering Supplies and Equipment

A diabetes treatment plan is very important. Make sure you know how things should work. Carefully following any medication orders and instructions is vital to your plan's success. Make sure you don't run out of supplies just as you refill prescriptions so you don't run out of medication.

Here are some ways you can let us help you reorder supplies:

At Diabetes Management & Supplies, we value the part we play on your treatment plan team and realize that winning is promoting good health.