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Weight Management in Diabetes – Weight Loss

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Attaining a healthy weight for the individual who has diabetes is always a challenge. The person with Type 2 diabetes may need a plan for weight reduction. The young child with Type 1 might need to put on several pounds to be better able to insert their insulin delivery device giving enough fat for better insulin delivery. The weight loss strategy must meet the needs of the individual for either weight reduction, weight maintenance or weight gain.

AdobeStock_21335169-640x429For the individual who wants to lose weight, first off a realistic goal for loss needs to be set for a certain time frame.

Knowing what to eat and how much to eat to provide for all nutrient needs while restricting caloric intake is not an easy task.

Physical impairments can impede an individual’s ability to be active or exercise on a regular basis thus affecting the amount of caloric use. Exercise and physical activity is performed so that a person can burn calories that are consumed. Prior to the initiation of any exercise program consultation with the physician is a must to determine health status and readiness for physical activity.

African American woman celebrating on scale

Simple weight loss tips have the individual assessing current weight, deciding on a healthy loss per week and devising a plan of caloric restriction, caloric utilization or a combination of the two methods.

For individuals who count carbohydrate it is important to recognize the number of calories in one carbohydrate serving (15 grams of carbohydrate = 60 calories). Then, the individual will need to how many calories are in a pound (3500 calories) and how many carbohydrate servings will be allowed in their daily meal plan.

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Exercise Planning for Diabetes

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When an individual has diabetes it is essential for one to make exercise a part of their diabetes self management plan. The AADE self Care behaviors stress Being Active as a key element/ goal of managing diabetes and staying in target or goal range.

Physical activity or exercise can be defined in several ways.

People can perform endurance, resistance, flexibility and functional forms of exercise. Exercise can take the form of sports, dancing, yoga, weight lifting or even grocery shopping.

doctor_with_smiling_patientBefore the introduction of any exercise program it is important that the individual check with their physician to determine if they are exercise or physical activity ready or safe.

To determine the intensity of exercise or physical activity the use of the Borg Scale can be used if an individual takes any medications that can affect the heart.

Intensity of exercise used to be determined by a formula of 220- current age, then multiply by .6 .7 or .8 to be in a target zone for fat burning.

The usual recommendation for exercise is to get 30 minutes of a cardio exercise at least 5 days per week reaching approximately 150 minutes of exercise per week.

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What is CGM?

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Continuous Glucose Monitoring or CGM is a wireless device worn on our abdomen that provides glucose readings every five minutes. This generates 288 readings a day. You still need to check your blood glucose two times daily to make sure the monitor is working correctly, but a CGM provides valuable information for people who have wide swings in their blood sugars or who has A1c values that don’t match their blood sugar meter results.


You should also think of a Blood Glucose Strip as a picture and a CGM as a video in-motion. With a CGM you will find solutions to many of these common challenges:

  • Privacy in checking your blood sugar levels while at a restaurant or in a meeting.
  •  Do you have children or grandchildren you are constantly worried about their blood glucose during the day or night?
  • Are you concerned about Dawn Phenomenon?
  • Have you ever had hypoglycemic unawareness?
  • Are you abut to get behind the wheel? Is your blood sugar going up or down?

Click here to take a short survey to see if continuous glucose monitoring will benefit you.

 For more information concerning the CGM and other questions you have please call us at 1-888-738-7929.

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Strategies For Dining Out

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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.

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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 website
Link to

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


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Plate Method a visual tool in diabetes control

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The nutrition of diabetes control is divided between choice and portion. While it is important to make wise food choices that encourage good blood sugar control, it is also important to practice portion control and add foods in the right combinations.

The American Diabetes Association (ADA) and Diabetes Management & Supplies (DMS) advocate portion control strategies for people living with any form of diabetes and for those trying to prevent diabetes.

The ADA suggest “creating your plate” as an easy way to get started with managing blood glucose levels.

“You don’t need any special tools or have to do any counting,” the ADA Web site says. “It’s simple and effective—draw an imaginary line on your plate, select your foods, and enjoy your meal! You may have heard of this as the ‘Plate Method.’”

The DMS “I’m in Control” diabetes education program details meal planning and the Plate Method in its Healthy Eating section.

The plate method is a way to visualize proper portion sizes using a 9-inch plate. Make half of your plate non-starchy vegetables, a fourth of your plate protein and a fourth of your plate starch. On the side you may either have a serving of low fat milk or a serving of fruit. Following the plate method helps to ensure that you eat a well-balanced meal containing all the necessary food groups and stay within recommended carbohydrate intake.

Menu Planning

  • Start with the Carb choices allowed on your meal plan – how many – what is a serving size?
  • Add the correct amount of Protein food – usually about 2-4 ounces of meat per meal (size of your palm) cooked using a low-fat method
  • Add no more than one or two servings of Fat per meal. Add none if you include fried foods at that meal or if trying to lose weight. (1 tsp = 1 serving)

The ADA plate method is detailed in the video below.

DMS offers diabetes self-management and diabetes education services. For more information on specific exercise needs or to enroll in group or individual sessions, call our Education Department at 1-888-738-7929.

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Exercise, no whey! Yes, whey and activity helps

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Blood sugar control is key to the best results for people living with diabetes. Two recently-released studies offer promising ways to understand what affects blood sugar spikes and glucose levels and offers ways help.

These findings go back to diet and exercise as ways to control blood sugar fluctuations.  One study found that consuming whey protein before breakfast helped to ease the blood sugar spike seen directly after eating. The other study found that the exercise combination of aerobic activity and resistance training sparked an added benefit or tighter blood sugar control.

Whey has been found to improve the body’s insulin response. Researchers took that fact and developed a novel approach for enhancing glucose-lowering strategies in type-2 diabetes. There were 15 test subjects who were not using oral meds to control their diabetes. They consumed whey protein, had meals and were tested 180 minutes later. The study found the group who had whey protein had blood sugar levels 28 percent lower than a group who did not have whey protein.

Dr. Timothy Church, Pennington Biomedical Research Center

Dr. Timothy Church, Pennington Biomedical Research Center

Exercise has always been suggested as a tool for blood sugar control, but European researchers wanted to determine what exercise regimens would be best for people living with diabetes. The University of Vienna study found patients with diabetes had better blood sugar control and fasting numbers with aerobic exercises such as swimming or jogging than as a result of resistance training such as toning exercises or muscle strengthening.

Dr. Timothy Church from LSU System’s Pennington Biomedical Research Center found similar results in a 2009 study of 262 sedentary women and men with type 2 diabetes.  The Baton Rouge researchers compared the effect of aerobic training, resistance training, and a combination of A1C levels. Subjects who did both experienced benefits that those who just used one method did not experience.

For more on the studies:

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Strawberries with Honeyed Yogurt Sauce

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Strawberries with Honeyed Yogurt Sauce


1 quart fresh strawberries

1 cup plain low-fat yogurt

1 tablespoon orange juice

1 to 2 teaspoons honey

Ground cinnamon


Rinse and hull strawberries. Combine yogurt, juice, honey and cinnamon to taste in small bowl; mix well. Serve over berries.

Makes 4 servings.

Dietary exchanges: ½ milk, 1 fruit

Nutritional value: Calories: 88 – Total fat: 1 g – Carbohydrates: 16g – Protein: 4g (4g fiber)

From the book Diabetic Cooking, No-Bake recipes for summer, 2007

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MLB hero has faith-based response to diabetes

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When Lou Brock played Major League Baseball, stealing was one of his specialties. Now that the stolen bases record-holder has retired, he helps people restore the health and hope that has been taken from them. Brock, a minister and motivational speaker, will be the featured speaker tonight, April 24, at Higher Ground Outreach Church in Baton Rouge. A representative of Diabetes Management & Supplies will be on hand and participate in the event. If you are not in Baton Rouge tonight, you can still participate in a live broadcast starting at about 7 p.m.  The live broadcast will be available via UStream:

Brock was diagnosed with type 2 diabetes at age 60. He now works with Novo Nordisk, an international pharmaceutical company, to promote awareness and encourage tight, proactive management of diabetes.

Area family medicine physician, Dr. Rani Whitfield will introduce Brock and provide some background into the diabetes epidemic gripping the country. He will discuss prevention, diagnosis and risk factors that can increase a person’s chances of developing diabetes.

Both Brock and Whitfield are products of Southern University in Baton Rouge. Brock, a native of El Dorado, Ark., grew up on a share cropping cotton plantation in Collinston, La. He started Southern on an academic scholarship and later tried out and made the baseball team. His star began to rise on the Southern diamond and continued to shine as he stole bases and captured records. His 20-year professional career spanned three years with the Chicago Cubs and 17 years with the St. Louis Cardinals.

Whitfield, a board certified family physician and sports medicine specialist, has become known as “Tha Hip Hop Doc” or “H2D” to many in Baton Rouge and across the country. Whitfield is an impassioned advocate for increasing the awareness of health-related issues, including HIV/AIDS, obesity, cardiovascular disease and substance abuse.

Higher Ground Outreach Church, led by Bishop Rickey and Pastor Lesia Washington, is located at 3730 N. Sherwood Forest in Baton Rouge. The event starts at 6:30 p.m. tonight.

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Neuropathy a complication of diabetes

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woman_testingOnce a diagnosis of diabetes has been given, avoiding complications is a prime objective. Diabetic neuropathy is a group of complications that gets a lot of attention because it involves nerve damage and the limbs of the body.

People living with diabetes can, over time, develop nerve damage throughout the body. This damage can be silent, showing now signs, or it can cause pain, tingling, or numbness-loss of feeling-in the hands, arms, feet, and legs. Nerve problems can occur in every organ system, including the digestive tract, heart, and sex organs.

The National Diabetes Information Clearinghouse (NDIC), an arm of the U.S. Department of Health and Human Services, explains  symptoms can be mild at first. Because most nerve damage occurs over several years, mild cases may go unnoticed for a long time.

Symptoms of nerve damage include:

  • Numbness, tingling, or pain in the toes, feet, legs, hands, arms, and fingers
  • Wasting of the muscles of the feet or hands
  • Indigestion, nausea, or vomiting
  • Diarrhea or constipation
  • Dizziness or faintness due to a drop in blood pressure after standing or sitting up
  • Problems with urination
  • Erectile dysfunction in men or vaginal dryness in women
  • General body weakness

Diabetes Self-Management services, like those offered by Diabetes Management & Supplies, may help avoid complications like nerve damage and encourage good blood sugar control. The DMS Diabetes education program is accredited by American Association of Diabetes Educator’s Diabetes Education Accreditation Program (DEAP).  This accreditation means that it meets the National Standards for Diabetes Self-Management. Visit the DMS site or call 1-866-734-7164 to speak to the education team.

For more from the NDIC, visit Diabetic Neuropathies: The Nerve Damage of Diabetes

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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.