Indholdsfortegnelse for September - October 2017 i Diabetes Self-Management

The time for football, foliage and—most importantly—flavorful fall foods has arrived. Dear Readers, INSTEAD OF DWELLING on summer coming to an end, let’s celebrate the start of autumn! The time for football, foliage and—most importantly—flavorful fall foods has arrived, and this issue of Diabetes Self-Management is packed with seasonal recipes that feature everything from comforting soups to fun tailgating fare. And we couldn’t forget the apples and gourds that are so plentiful this time of year. Check out Diabetic Cooking for delicious recipes sure to satisfy whatever craving takes hold. For all you Top Chef fans—as well as Southern cooking enthusiasts—Julia Aparicio interviewed Sam Talbot, who found out he had Type 1 diabetes at 12 years old and used his early love of food to help manage his diagnosis, which…

1. What percentage of people with diabetes develop foot ulcers at least once? A. 1%–15% B. 15%–25% C. 25%–40% D. 40%–55% 2. Seeking immediate medical attention can decrease the risk of unwanted complications of foot ulcers, including amputations, by what percentage? A. 50% B. 67% C. 78% D. 85% 3. Which of the following diabetes complications increases the risk for foot ulcers? More than one answer may be correct. A. Poor circulation B. Neuropathy C. Improperly fitting shoes D. Bunions or hammertoes 4. What percentage of people with diabetic foot ulcers also have diabetic neuropathy? A. 20% B. 50% C. 75% D. 80% 5. In addition to adopting a diabetic diet, people with diabetes should also eat a diet low in ___________ to reduce risk for diabetic foot…

Sometimes things that appear completely unrelated turn out to be anything but. A good example is a new study from Australia that found a correlation between gestational diabetes and the time of year in which a woman conceives. Gestational diabetes occurs during pregnancy and usually disappears after the mother gives birth, although women who’ve had it are at higher risk for developing diabetes later. Researchers from the University of Adelaide studied more than 60,000 births to women in the state of South Australia over a four-year period. They found that women who conceived in winter were more likely to develop gestational diabetes—6.6 percent of the pregnancies from winter conception were affected—than women who conceived in the summer. The women who conceived in winter and developed gestational diabetes were also at…

Be sure to write your child’s name on the supply box and tape a recent picture of him or her to the top as an added safeguard. Blood glucose meter, test strips, lancets, extra batteries Extra food (portioned and labeled), juice boxes, glucose tablets (or other fast-acting carbohydrate*) Wipes Alcohol swabs Syringes Pump supplies Extra reservoirs and infusion sets Ketone strips Glucagon emergency kit (for nurse’s office) Insulin (kept at proper temperature in nurse’s office or other convenient and acceptable place) Copy of health insurance card Additional copy of emergency contact list *Fast-acting sources of carbohydrate should also be kept in other areas where your child might attend class (i.e., art, music or gym) or receive services such as speech therapy. Note: Always make sure your number is programmed into…

Greek Pasta Salad MAKES 8 SERVINGS Nutrients per Serving: Calories 202, Total Fat 4g, Saturated Fat 1g, Protein 7g, Carbohydrates 35g, Cholesterol 8mg, Dietary Fiber 5g, Sodium 218mg Dietary Exchange: 2 Diabetic Carb Count, 2 Bread/Starch, 1/2 Fat 6 cups cooked multigrain or whole wheat rotini or penne pasta 11/2 cups diced cucumber 2 medium tomatoes, diced 1 medium green bell pepper, diced 2 ounces feta cheese, finely crumbled 12 medium pitted black olives, sliced into thirds 1/4 cup chopped fresh dill Juice of 1/2 lemon 1/4 teaspoon salt 1/ 8 teaspoon black pepper Mix all ingredients together in large bowl. Cover and refrigerate until ready to serve. Cheesy Barbecued Bean Dip MAKES 4 SERVINGS Nutrients per Serving: Calories 93, Total Fat 3g, Saturated Fat 1g, Protein 4g, Carbohydrates 15g,…

Spicy Pumpkin Soup with Green Chile Swirl MAKES 4 SERVINGS Nutrients per Serving: Calories 72, Total Fat 1g, Saturated Fat 1g, Protein 4g, Carbohydrates 12g, Cholesterol 5mg, Dietary Fiber 4g, Sodium 276mg Dietary Exchange: 1 Bread/Starch 1 can (4 ounces) diced mild green chiles 1/4 cup light sour cream, plus additional for garnish 1/4 cup packed fresh cilantro leaves 1 can (15 ounces) solid-pack pumpkin 1 can (about 14 ounces) fat-free reduced-sodium chicken or vegetable broth 1/2 cup water 1 teaspoon ground cumin 1/2 teaspoon chili powder 1/4 teaspoon garlic powder 1/ 8 teaspoon ground red pepper (optional) 1. Combine chiles, 1/4 cup sour cream and cilantro in food processor or blender; process until smooth.* 2. Combine pumpkin, broth, water, cumin, chili powder, garlic powder and red pepper, if desired,…

Do you want the freshest, most flavorful food available in your area? In that case, consider taking regular trips to your local farmers market. According to statistics from the Farmers Market Coalition, more than 85 percent of vendors at your local farmers market have traveled less than 50 miles to sell their products and produce. In comparison, produce found in chain supermarkets has often traveled on average more than 1,200 miles before reaching your local shelves. Some farmers markets are only open during peak harvest season, which typically runs from spring through early autumn. However, in some states, year-round markets thrive, often transitioning through the seasons to provide consumers with a variety of locally grown and locally made or sourced options that go beyond produce—including dairy products, fresh beef and…

BUTTERNUT SQUASH OVEN FRIES MAKES 4 SERVINGS Nutrients per Serving: Calories 129, Total Fat 3g, Saturated Fat 0g, Protein 2g, Carbohydrates 28g, Cholesterol 0mg, Dietary Fiber 5g, Sodium 155mg Dietary Exchange: 11/2 Bread/Starch,1/2 Fat ½ teaspoon garlic powder 1/4 teaspoon salt 1/4 teaspoon ground red pepper 1 butternut squash (about 2½ pounds), peeled, seeded and cut into 2-inch thin slices 2 teaspoons vegetable oil 1. Preheat oven to 425°F. Combine garlic powder, salt and ground red pepper in small bowl; set aside. 2. Place squash on baking sheet. Drizzle with oil and sprinkle with seasoning mix; gently toss to coat. Arrange in single layer. 3. Bake 20 to 25 minutes or until squash just begins to brown, stirring frequently. 4. Preheat broiler. Broil 3 to 5 minutes or until fries…

THE BODY, LIKE A MOTOR VEHICLE, is a fine-tuned machine that requires constant maintenance and upkeep. What happens to the body when we leave it stagnant or dormant for extended periods of time is comparable to what happens when a car is left sitting in a garage or driveway for days, weeks, months and even years—the engine wears and the vehicle becomes faulty and unreliable. The main difference is that our bodies respond to stagnation much more quickly than a vehicle does. For most individuals, it may only take one long drive or one day sitting at a desk to begin to feel the repercussions of not moving. The results of stagnation often manifest as tension, fatigue, swelling in the ankles and feet, sciatica and lower back pain. This is…

When you are pregnant, your ideal scenario is to not gain too much weight, pass each milestone without worry and have a safe, fast delivery that results in a healthy baby. When you have Type 1 diabetes, however, the ideal pregnancy may seem unattainable. Lisa Pink, a new mother, was able to manage her pregnancy along with her diabetes to have a healthy baby girl. She summed up her experience: “It’s a lot of work. However, it’s also worth it when you hold your healthy, perfect baby!” “As a 35-year-old Type 1 diabetic, my birth plan really was whatever needed to be done to keep me and the baby healthy, so I was willing to do whatever was necessary.” Before conception Lisa learned she had Type 1 diabetes when she…

THOUSANDS OF PARENTS EACH YEAR EXPERIENCE the emotions that come with sending their child off to college—it’s a nerve-wracking process, whether or not your child has diabetes. But parents of a child with Type 1 diabetes need to consider a few additional details that come with their offspring’s likely first exposure to independent living. The transition of care is a big consideration. This is probably the first time your child will be completely responsible, day and night, for managing his or her diabetes. Start this transition process the summer before your child goes to school. That way, there isn’t a major adjustment upon arrival at campus on top of all the other changes. Your child should already be completely self-sufficient in diabetes management, including knowing when to check blood sugar,…

Rainbow Roots Slaw with Tahini Parsley Dressing MAKES 4 SERVINGS This colorful salad brightens up any meal and it’s like a detox in a bowl. Antioxidants and liver-supporting nutrients never tasted so good! Nutrients per Serving: Rainbow Roots Slaw: Calories 64, Fat 0g, Carbohydrates 15g, Fiber 4g, Protein 1g. Tahini Parsley Dressing: Calories 88, Fat 8g, Carbohydrate 3g, Fiber 1g, Protein 2g Tahini Parsley Dressing 1 small clove garlic, minced 1/4 cup minced fresh flat-leaf (Italian) parsley 1 teaspoon ground cumin 1/4 teaspoon sea salt 1/4 cup tahini 2 tablespoons freshly squeezed lime juice 1 tablespoon extra virgin olive oil 2 tablespoons filtered water (approx.), divided In a small bowl, whisk together garlic, parsley, cumin, salt, tahini, lime juice and oil. Whisk in 1 tablespoon water. If the dressing is…

Being diagnosed with diabetes is a challenge, but unfortunately for some people, diabetes is not the only health concern they have to confront. A new study from the Czech Republic indicates that prediabetes or diabetes occurs more often in patients who have pancreatic cancer than it does in the general population. The researchers looked at three groups of people. The first group, consisting of 60 adults with a mean age of 67, had both pancreatic cancer and diabetes. The second group, consisting of 34 adults with a mean age of 63, had Type 2 diabetes but no cancer. The third group included 30 healthy controls with a mean age of 63. Among the study subjects with pancreatic cancer, 44 had new-onset diabetes and 16 had long-term diabetes, suggesting to the…

OMEGA-3 FATTY ACIDS A type of dietary fat thought to help prevent atherosclerosis (clogging of the arteries). Research suggests that diets rich in omega-3 fatty acids can help prevent heart disease in several ways. They can help reduce blood triglyceride levels, decrease the risk of cardiac arrhythmia (irregular heartbeat), slow the buildup of atherosclerotic plaque in the arteries and lower blood pressure. Omega-3 fatty acids may also have benefits for cancer, depression, inflammation and attention deficit hyperactivity disorder (ADHD), although scientific evidence has not been conclusive. The three types of omega-3 fatty acids are alpha-linolenic acid (ALA), eicosapentaenoic acid (EPA) and docahexaenoic acid (DHA). Good sources of ALA include walnuts, flaxseed, canola oil, soy beans and tofu. Good sources of EPA and DHA include oils from fatty fishes such as…

Our Expert Gary Scheiner MS, CDE, is owner and clinical director of Integrated Diabetes Services (www.integrateddiabetes.com, 610-642-6055), a private practice specializing in intensive insulin therapy for children and adults. He and his team of Certified Diabetes Educators work with clients throughout the world via phone and internet. Gary has lived with Type 1 diabetes for 30 years and was named Diabetes Educator of the Year in 2014 by the American Association of Diabetes Educators. He has written six books, including Think Like A Pancreas. Q: This morning when I measured my blood glucose after fasting for 10 hours, it was 161 mg/dL. I drank a half bottle of water, waited 15 minutes and measured again. It was 142 mg/dL. I am confused—which one is correct? A: Here’s something that is…

Apple Pecan Spice Squares MAKES 24 SERVINGS Nutrients per Serving: Calories 132, Total Fat 5g, Saturated Fat 1g, Protein 2g, Carbohydrates 21g, Cholesterol 27mg, Dietary Fiber 1g, Sodium 158mg Dietary Exchange: 11/2 Bread/Starch, 1/2 Fat 1 package (about 15 ounces) spice or carrot cake mix 11/4 cups water, divided 3 eggs 1/2 cup plain fat-free yogurt 1/2 cup pecan pieces 1 unpeeled tart apple (such as Granny Smith), sliced 1 unpeeled baking apple (such as Red Delicious), sliced 1 tablespoon lemon juice (optional) 1 unpeeled ripe pear, sliced 1 teaspoon ground cinnamon 1/4 teaspoon ground nutmeg 1 tablespoon sucraslose-based sugar substitute 1 tablespoon margarine or butter 1/2 teaspoon vanilla or vanilla, butter and nut flavoring 1. Preheat oven to 350°F. Spray jelly-roll pan with nonstick cooking spray. 2. Beat cake…

Couscous-Stuffed Squash MAKES 4 SERVINGS Nutrients per Serving: Calories 290, Total Fat 4g, Saturated Fat 1g, Protein 9g, Carbohydrates 57g, Cholesterol 0mg, Dietary Fiber 6g, Sodium 187mg Dietary Exchange: 4 Bread/Starch 2 small acorn squash, halved lengthwise and seeded 1 medium poblano pepper, sliced 1 small onion, sliced 11/4 cups vegetable broth 1/2 cup shiitake mushrooms, chopped 3/4 cup uncooked couscous 1 medium plum tomato, diced 2 tablespoons pine nuts 1. Preheat oven to 400°F. Spray baking sheet with nonstick cooking spray; place squash, cut side down, on baking sheet. Spread pepper and onion on baking sheet. Cover with foil; bake 35 to 40 minutes or until squash is tender. 2. Bring broth and mushrooms to a boil in medium saucepan over medium-high heat. Stir in couscous, tomato and pine…

Diagnosed at a young age with Type 1 diabetes, chef Sam Talbot used his early love of food as a way to manage his diagnosis and eventually launch his career. Talbot was a semi-finalist on season two of Top Chef as well as a contestant on Top Chef Charleston, but he is now focused on his new Brooklyn-based restaurant, Pretty Southern, his extensive work with the Beyond Type 1 foundation and his latest cookbook, 100% Real. DSM: You were diagnosed with Type 1 diabetes at just 12 years old. How did that affect how you approached food as you got older? ST: You know, when you’re 12 years old, at least speaking for myself, I don’t think I really knew what was about to hit me. It took some time,…

A Nutrition-based Approach to Diet There is only one right approach to making dietary decisions: a nutrition-based one. So what does a nutrition-based diet look like? How can you use it to manage your weight? IT’S ALL ABOUT BALANCE A healthy and balanced diet is comprised of the following: • at least five portions of various fruits and vegetables a day; • basing meals on starchy carbohydrates such as potatoes, bread, rice or pasta (ideally whole grain); • including some dairy or dairy alternatives (such as soya drinks) in your diet (preferably options lower in fat and sugar); • eating some beans, pulses, fish, eggs, meat and other proteins (including two portions of fish every week, one of which should be oily); and • opting for unsaturated oils and spreads…

“The thing is, every medication has risks and benefits—everyone needs to see their doctors.” FOR RON SAUL, ONE OF THE ORIGINAL HOGS, the 1982 victory over the Dolphins in Super Bowl XVII was the perfect ending to a 12-year NFL career. At 6’2” and 255 pounds, Ron was drafted in 1970 by the Houston Oilers, where he spent six seasons, and then spent six more with the Redskins. He came from a football family—Ron’s older brother, the late Bill Saul, played nine seasons (1962-1970) in the NFL, and Ron’s twin, Rich Saul, played 12 seasons with the Los Angeles Rams, 1970-1982, the same career run as Ron. Having been diagnosed with Type 2 diabetes in 1998, Ron says he has used the same mantra he used throughout his NFL career:…