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Archive for March, 2013


Fruit holds healthy appeal for diabetes control

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Living with diabetes and maintaining control is often seen as a mandate to categorize and keep lists of food “no-nos.” Fruit is often lumped in the category “do not eat” because of the sugar content found in naturally-occurring fructose.

Experts at Health Hubs advise keeping fruit in your meal plan and explain that there are many fruits a person with diabetes can enjoy which do not adversely affect blood sugar levels. Some fruits may actually improve blood sugar control and insulin sensitivity over time.

Remember, part of the fruit appeal is the peel. Fiber rich foods are generally safe for people with diabetes to eat because they tend to have a lower glycemic index (GI) and therefore do not spike blood sugar levels to the same extent as high GI foods. This is because fiber delays the emptying of stomach contents into the small intestine which slows down the absorption of sugar into the blood stream.

pearsFiber rich fruits tend to be fruits with edible skins and seeds. These two parts of the fruit are highest in fiber. Fruits high in fiber include (fiber content in brackets): passion fruit (10.4%), raspberries (6.5%), apples (2.5%), pears (2.1%), apricots (2.1%), blueberries (2.7%), kiwifruit (2.1%), strawberries (2.0%), pomegranates (3.4%) and avocados (6.7%).

Pears are packed with health benefiting nutrients such as dietary fiber, anti-oxidants, minerals and vitamins, which are necessary for optimum health.

Pears are a good source of dietary fiber. Most of the fiber in them is non soluble polysaccharide (NSP), which functions as a good bulk laxative in the gut. Additionally, the gritty fiber content binds to cancer-causing toxins and chemicals in the colon, protecting its mucous membrane from contact with these compounds.

In addition, pear fruit is one of the very low calorie fruits, provides 58 calories per 100g. Just a few sections a day in the diet can bring significant reduction in weight and blood LDL cholesterol levels.

Chef John Wright of Diabetes Management & Supplies is a big proponent of bringing fruit into every aspect of the dinner table. His Pear Salad features sweet and tangy flavors, fresh shaved pears and a homemade cranberry vinaigrette dressing.

Related recipes:

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Shaved Pear Salad

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Salad Ingredients:

  • Spring Lettuce Mix
  • Pear – shaved
  • 2 Tbsp. Blue Cheese – crumbled
  • 1 Tbsp. Sunflower Seeds
  • 1 Tbsp. Sun Dried Cranberries
  • Sun Dried Cranberry Vinaigrette (Click HERE for recipe)


Blend dressing ingredients, toss with salad ingredients and serve.

Categories : Nutrition, Recipes
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OneTouch recalls Verio IQ glucose meters

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The LifeScan unit of Johnson & Johnson is voluntarily recalling almost 2 million of its OneTouch Verio blood glucose meters because they malfunction at extremely high blood glucose levels.

The recall includes 1.2 million meters sold worldwide under the brand name OneTouch Verio IQ, says LifeScan spokesperson David Detmers. Of those, 90,000 are in the United States. Also recalled are 670,000 OneTouch Verio Pro meters in Europe, and 4,900 OneTouch Verio Pro + meters used in hospitals and clinics in various markets outside the United States.

Each of the One Touch Verio models malfunction a bit differently at blood glucose levels of 1024 mg/dL and higher.

Click HERE for entire recall notice.

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Be on the alert, take the Diabetes Risk Test

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logo-alert-dayTomorrow is American Diabetes Association® Alert Day®, but you can get a jump start on protecting yourself right now.

The ADA Alert Day® — held on the fourth Tuesday of every March — is a one-day “wake-up call” asking the American public to take the Diabetes Risk Test to find out if they are at risk for developing type 2 diabetes.

The Diabetes Risk Test asks users to answer simple questions about weight, age, family history and other potential risk factors for prediabetes or type 2 diabetes. Preventative tips are provided for everyone who takes the test, including encouraging those at high risk to talk with their health care provider.

By taking the test, you can also help further the work of the ADA. Boar’s Head® – a leading provider of premium delicatessen products – will donate $5 for every test taken to the American Diabetes Association starting March 26 through April 9, 2013, up to $50,000.

Although Alert Day is a one-day event, the Diabetes Risk Test is available year-round.

For more information, visit:


CDC shining light on looming diabetes risk

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logo-alert-dayDiabetes can be a formidable opponent, but many people who have diabetes don’t know they  have it. This week, federal health officials reported that only 11 percent of the estimated 79 million Americans who are at risk for diabetes know they are at risk.

The condition, known as prediabetes, describes higher-than-normal blood sugar levels that put people in danger of developing diabetes, according to the U.S. Centers for Disease Control and Prevention.

American Diabetes Association® Alert Day® is a one-day “wake-up call” asking the American public to take the Diabetes Risk Test to find out if they are at risk for developing type 2 diabetes. Held on the fourth Tuesday of every March, this year’s Alert Day will be held on Tuesday, March 26, 2013.

“We have a huge issue with the small number of people who know they have it. It’s up a bit from when we measured it last, but it’s still abysmally low,” said report author Ann Albright, director of the CDC’s Division of Diabetes Translation.

“We need people to understand their risk and take action if they are at risk for diabetes,” Albright said. “We know how to prevent type 2 diabetes, or at least delay it, so there are things people can do, but the first step is knowing what your risk is — to know if you have prediabetes.”

For the complete article on the CDC report, visit Health Day’s Millions on Verge of Diabetes Don’t Know It.

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Athlete with diabetes not raising any white flags

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jay-swimDiabetes can alter one’s life, but scores of athletes living with diabetes demonstrate not only the will, but the methods to control the disease and write new rules of engagement. Jay Hewitt is one such athlete.

When Hewitt was diagnosed with type 1 diabetes at the age of 24, he chose to challenge himself by competing in one of the most challenging events in the sporting world – the Ironman Triathlon. Not only has Hewitt achieved his goal of finishing an Ironman, but he has crossed the finish line more than 13 times, proving to people with diabetes everywhere that diabetes has not stopped him from achieving – and surpassing – his goals.

An Ironman Triathlon is a series of long-distance races organized by the World Triathlon Corporation (WTC) consisting of a 2.4-mile swim, a 112-mile bicycle ride and a 26.2-mile marathon, raced in that order and without a break. Most Ironman events have a strict time limit of 17 hours to complete the race, starting at 7 a.m. The mandatory swim cut off for the 2.4-mile  swim is 2 hours 20 minutes, the bike cut off time is 5:30 p.m., and all finishers must complete their marathon by midnight.

The name Ironman Triathlon refers to both the original Ironman triathlon and the annual Ironman World Championship. Also called Ironman Hawaii, the world championships of the event, held annually in Hawaii since 1978, are now preceded by a series of qualifying events. Ironman Triathlon became known for its grueling length, harsh race conditions and television coverage.

Hewitt is also a motivational speaker and lawyer. His message is enabling to others living with diabetes especially children and teen-agers.

Many athletes with type 1 diabetes refuse to let the disease dictate participation in either competitive or recreational sports. A nutrition management plan for training, competing or just play is critical, and should involve the athlete, the trainer or coach, healthcare provider, certified diabetic educator and registered dietitian.

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Pumps deliver insulin as well as more options

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CGM device and insulin pumpAs our understanding of diabetes increases, people living with diabetes are being given an expanded tool box of products and devices that can be used for treatment and daily management. Insulin pumps have been used since the 70s so as a category they are not new. They have, however, increased in popularity as the technology associated with them has evolved. Insulin delivery through a pump is popular with people with extremely busy lifestyles and the pumps may provide a more stable, consistent blood sugar control.

The American Diabetes Association (ADA), offers an Insulin Pump 101 for those new to pumping and as an update on the latest features of the new class of insulin pumps. The pump parts and associated terminology are explained.

Continuous Glucose Monitoring (CGM) isn’t mandatory when using an insulin pump, but CGMs and insulin pumps are being lauded as the “dynamic duo” of blood sugar control. A CGM automatically takes several blood sugar readings throughout the day, sends alerts for extreme readings and feeds those levels to the insulin pump. The goal would be blood sugar control that is consistently stable.

The CGM reads blood sugar levels every one to five minutes and shows whether a person’s blood sugar is rising or falling. Combining CGM with pump therapy can provide a method to monitor and manage blood glucose levels. The information obtained can also help to fine-tune the pump settings.

A recent article of Diabetes Forecasts gave an overview of how one man and his health team determined the best combination for him. See CGMs and Insulin Pumps 2013: Is this dynamic duo the right choice for you?

The diabetes educators at Diabetes Management & Supplies can help you decide if pump therapy is right for you and help take the fear out of using an insulin pump.

They can also provide insulin pump training on all major insulin pumps. Working with your doctor, the educators can also help pumpers improve their control by helping them fine tune pump settings and avoid fluctuations in blood glucose as well as other pump and infusion site issues.

In addition to pump therapy, our educators can also teach people with diabetes how to use a CGM. For more information on specific monitoring or insulin delivery needs, call our Education Department at 1-888-738-7929.

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Exercise can be a key to blood sugar control

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healthy-lifestyleThe Diabetes Management & Supplies “I’m in Control” program teaches diabetes self-management skills to people living with diabetes. Understanding the condition and the importance of proper nutrition are emphasized as well as the role of physical activity.

Developing and maintaining an exercise routine will have several noticeable effects. WebMD lists the following ways exercise helps you manage diabetes:

  • Improving your body’s use of insulin
  • Burning excess body fat, helping to decrease and control weight (decreased body fat results in improved insulin sensitivity)
  • Improving muscle strength
  • Increasing bone density and strength
  • Lowering blood pressure
  • Helping to protect against heart and blood vessel disease by lowering ‘bad’ LDL cholesterol
  • Improving blood circulation and reducing your risk of heart disease
  • Increasing energy level and enhancing work capacity
  • Reducing stress, promoting relaxation, and releasing tension and anxiety

Diabetes Management & Supplies offers diabetes self-management and diabetes education services that include the expertise of an exercise physiologist. For more information on specific exercise needs or to enroll in group or individual sessions, call our Education Department at 1-888-738-7929


No time for exercise buffet: Have a few snacks

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The diabetes education staff of Diabetes Management & Supplies advocates a good mix of diet and exercise to help control blood sugar. People living with diabetes should try to set a goal of 150 minutes of exercise per week.  A good rule of thumb is to exercise five days a week for 30-minute sessions.

If you are having trouble committing to 30 minutes at a time, experts advise doing aerobic activity for periods of 10 minutes or longer at a time. You can spread these sessions out over the week.

Physical activity tips

  • Nibble on an exercise snack. Plan to do at least 10 minutes of physical activity three times a day on 5 or more days a week. This will help you meet the 150-minute goal. While at work, take a brief walking break. Use the stairs. Get off the bus one stop early. Go dancing with friends. Whether for a short or long period, bursts of activity may add up to the total amount of physical activity you need each week.
  • Strengthen your muscles at least twice a week. Do push-ups or pull-ups, lift weights, do heavy gardening, or work with rubber resistance bands.
  • Shake it up! If you are sitting at the TV or a desk for long periods of time, take breaks to be more active. Do jumping jacks while ads are on, stand up while talking on the phone, or take short walking breaks whenever possible.

For more on mapping out your exercise routine, check out the Physical Activity Guidelines from the U.S. Department of Health and Human Services.

Diabetes Management & Supplies offers diabetes self-management and diabetes education services that include the expertise of an exercise physiologist. 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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Know your numbers and make most of exercise

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Exercise can have a positive effect on your blood sugar levels and a few safety precautions can help you score a “win-win” with your physical activity.

weightssmilesIt is not a simple concept, but exercise can have an “insulin-like” effect on the body. WebMD explains that “normally, insulin is released from the pancreas when the amount of sugar (glucose) in the blood increases, such as after eating.

Insulin stimulates the liver and muscles to take in excess glucose. This results in a lowering of the blood sugar level.”

Here’s how that plays out when exercising: the body needs extra energy or fuel/glucose for the muscles. For short bursts of activity, such as running to catch a bus, the muscles and the liver can release stored sugar for fuel. If your activity involves continued moderate exercise, however, your muscles burn sugar at almost 20 times the normal rate. This helps lowers blood sugar levels.

If you are not taking insulin, your insulin levels may drop so the risk of hypoglycemia or low blood sugar is minimized. (See more online at WebMD, Type 2 Diabetes and Exercise)

workout_testingChecking your blood sugar before and after exercise will give you a better idea of how your blood sugar changes when you are physically active.

  • Exercise can lower your blood sugar especially if you take medications that can possibly cause a low blood sugar.
  • Monitoring your blood sugar before and after exercise can help to prevent this.
  • Be prepared and carry glucose tablets with you in your gym bag or pocket when you exercise.

In addition to knowing your blood sugar numbers and monitoring before and after exercise, take good care of your feet to reduce injury and complications.

Foot care suggestions:

  • Wear sturdy, comfortable shoes that support your feet. Soles should be thick enough to absorb shock and fitted to prevent blisters and other problems.
  • Wear socks that absorb sweat. You may also purchase diabetic socks which have looser elastic for better blood flow to your feet.
  • If you have nerve damage to your feet and are not able to feel things with your feet, there may be certain exercises you want to avoid. Talk with your diabetes team for more information on this.

Diabetes Management & Supplies offers diabetes self-management and diabetes education services that include the expertise of an exercise physiologist. 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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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.