Indholdsfortegnelse for July/August 2020 i Diabetes Self-Management

Dear Readers, Stiffness, pain and even spasms of your shoulder joint. These are the symptom of frozen shoulder, also known as adhesive capsulitis, and if you’ve been experiencing them, you’re not alone. According to estimates, roughly 2% of people in the general population will deal with this painful condition, and that number increases to as many as 20% of people with diabetes. Want to learn more about risk factors, symptoms, diagnosis and potential treatments? Head over to “Thawing Out That Frozen Shoulder” (page 22). Along with putting you at higher risk for conditions like adhesive capsulitis, diabetes also affects your life in many other ways. For instance, you may be in discussions with your doctor about if now is the right time to start taking medicine or to add another…

It goes without saying that stress management is more important now than ever, especially for those dealing with chronic health conditions. You probably already know that practices such as yoga help manage stress and benefit your overall health, but did you know that scientific evidence shows yoga can help control diabetes? If you decide to pursue yoga, speak with your healthcare provider to determine which type of beginner yoga and what intensity are best for you. Take this quiz to see how much you know about yoga and how it affects diabetes management. 1. How can yoga help people with diabetes? ○ A. It can reduce BMI (body-mass index) and improve blood glucose control. ○ B. It can improve blood pressure, insulin levels, triglycerides and weight management. ○ C. It…

A new liquid formulation of the popular type 2 diabetes drug metformin is now available in the United States, according to a press release from its manufacturer, Sun Pharma. Marketed as Riomet ER, the extended-release formula was approved by the U.S. Food and Drug Administration (FDA) in August 2019. It’s intended for people who have trouble swallowing pills or who often don’t take their medication on schedule because they don’t like swallowing pills. Currently, some people who have trouble swallowing pills are instructed by their doctors to crush tablets of metformin and either dissolve it in a beverage or sprinkle it on food. Having a liquid formulation available will eliminate this requirement for certain patients and caregivers, potentially making it easier to take the drug on a regular schedule. It…

Many middle-aged or older folks, especially the guys, approach yoga like a strange creature they found in the woods. What the heck is it? Is it OK to come near it? I took my first yoga class in 1986 at a Club Med in Guadeloupe, where the teacher, an old man with leathery brown skin wearing only a thong, stood on my opened hips until I asked him to stop. I’m happy to report that my second class, in 1997, went much better. Now I teach it. There are many reasons people are resistant to yoga, but there are even more reasons to give it a try. “ISN’T IT LIKE A CULT? WHAT’S WITH ALL THE CHANTING AND STUFF?” Yoga has its roots in Hinduism and its related healing system…

Nondairy or plant-based milk offers an alternative for those who cannot or choose not to drink dairy milk. Nondairy milks are not all created equal, so be sure to carefully evaluate your options, keeping in mind whether you are looking for something to replace the nutrients found in cow’s milk or simply for a low-calorie beverage to add to your coffee or cereal. Read Nutrition Facts panels and look for options with no more than 2 grams of saturated fat per serving, at least 7 grams of protein per serving, and at least 30% of the Daily Value (DV) for calcium and 25% of the DV for vitamin D. A cup of dairy milk has 3 teaspoons (12 grams) of naturally occurring sugar called lactose. Most unsweetened nondairy milks naturally…

Having trouble reaching behind your back? Do you struggle to button your shirt or tie your necktie? Does your shoulder hurt more at night while you’re trying to sleep? Is your golf game suffering because of shoulder pain? If so, you might be experiencing a painful—yet common—condition called adhesive capsulitis, also known as “frozen shoulder.” What is frozen shoulder? Frozen shoulder is a disorder that causes pain and stiffness in your shoulder joint. Over time, the ability to move your shoulder is reduced, and it may get to the point where your shoulder literally becomes “frozen.” Frozen shoulder is not the same thing as arthritis, however. Your shoulder joint is a ball and socket joint, much like your hip joint. The joint is covered by a capsule of ligaments. When…

Healthy Eating During Hard Times Get expert tips from diabetes educator and dietitian Amy Campbell that can help ensure you and your family eat healthy and tasty meals and snacks while dealing with the coronavirus pandemic. Monitoring Blood Glucose In this video from diabetes educator Alison Massey, learn recommended blood glucose levels, when to monitor your blood glucose, how to perform a blood glucose check and more. Caring for Your Feet Foot problems, annoying enough by themselves, are just a step away from bigger problems. Taking the time to treat your feet royally can keep both them and you healthier. Custard Peach Tart If you’re looking for a dessert that won’t throw your blood sugar levels off-kilter, you’ll love our tart recipe. This delightful, summery treat contains only 14 grams…

Establishing a consistent exercise routine can be simple when you have a 9 to 5 work schedule, regular days off, access to workout equipment and a moderate level of willpower to use it, but what about when your work-life schedule is irregular or changing? Fortunately, behavioral therapists have established practices that make it easier to adopt and maintain new habits. One technique, in particular, involves incorporating small but transformative additions to your established routines. This is called “habit stacking.” According to the National Academy of Sports Medicine (NASM), this strategy is remarkably similar to another behavioral change technique called “implementation intentions.” Implementation intentions take advantage of pre-existing routines and can be thought of as “if this, then that” plans, which attach specific actions to certain situations. They enable goal-directed behaviors…

We seem to live in a time of extremes, and nowhere is this more obvious than in the health and wellness worlds, where new guidance seems to be released on an almost daily basis contradicting earlier advice and new fads promising to help us achieve perfect health come and go with the seasons. But as trends rise and fall, one thing about wellness remains constant: Our bodies perform best with moderation and balance. For years, a common source of confusion in diabetes advice has been whether to start medicines early or hold off as long as possible. There are proponents on both sides of the debate, and people with diabetes often avoid starting medication due to a perceived stigma (along with concerns about potential side effects or financial impacts). But…

The average American has a one in nine chance of developing diabetes. According to the estimates, about 34.2 million American adults have a diabetes diagnosis, and 1.5 million people are newly diagnosed each year. Alarmingly, one in five people with the condition are unaware that they are living with diabetes. Type 2 diabetes accounts for up to 95% of all diabetes diagnoses. In addition, 88 million adults have prediabetes (a condition in which blood glucose levels are higher than normal but not high enough for a diagnosis of diabetes), with about 70% developing type 2 diabetes over time. Type 2 diabetes is a complex condition that occurs as a result of a variety of factors, including age, ethnicity, family history, high blood pressure, and overweight or obesity. Some risk factors…

It’s well known that having diabetes, especially when you have lived with it for long periods of time, raises the risk of cardiovascular disease—including heart attack and stroke. But it hasn’t always been clear what factors make someone with diabetes more likely to have a stroke, beyond diabetes control and duration and general stroke risk factors. But new research points to a previously unknown factor in your risk of having a stroke: whether or not you have diabetic retinopathy, an eye disease caused by damage to small blood vessels in the retina (the light-sensitive tissue at the back of the eye). Researchers at the University of Utah speculated that retinopathy could be a sign that someone also has small blood vessel damage in the brain, which is a risk factor…

Since its introduction in the United States 25 years ago, the drug metformin has become a mainstay of treatment for type 2 diabetes. While its exact mechanisms of action are still being figured out, it appears to prevent the liver from releasing too much glucose as well as make the body’s cells more sensitive to insulin. Metformin is not a substitute for insulin, and it’s not widely prescribed along with insulin in people with type 1 diabetes nor approved by the Food and Drug Administration (FDA) for use in this way. But a new study shows why doctors may want to consider prescribing it more to people with type 1—not because it improves blood glucose control, but because of other benefits the drug can provide. Published in the Journal of…

Oatmeal is a popular breakfast choice for many people who want something healthy and relatively quickly prepared to start off the day. But this food is often a source of confusion: Is oatmeal actually good for those with diabetes? What about the carbs? What’s the best type of oatmeal to eat? And what about Starbucks oatmeal? These are all great questions, so let’s get them answered! What is oatmeal? Oatmeal is a hot cereal made from oats, a whole grain. The whole form of oats is called oat groats, and these take a long time to cook. The oats are milled (ground), steel-cut or rolled, and they are cooked in water or milk to make oatmeal (sometimes called porridge). Oats are also used to make bread, muffins, cookies and other…

Step out of the kitchen and into the beautiful warm summer days with these seasonal eats. Featuring recipes that are no-cook, no-bake or can be prepared on the grill, this collection will keep you out on the deck or in the yard enjoying the weather. Don’t forget to share the recipes, because your friends and family will love them, too! Apple, Apricot and Cinnamon Waldorf-Style Salad 6 SERVINGS | ½ CUP ▼ LC | ▼ LS CAL 87 | FAT 4G | SAT FAT 1G | PROTEIN 1G | CARBS 13G | CHOL 2MG | FIBER 2G | SODIUM 29MG DIETARY EXCHANGE ½ FAT, 1 FRUIT 2 tablespoons fat-free sour cream1 tablespoon light mayonnaise1 tablespoon sugar substitute (optional)¼-½ teaspoon ground cinnamon8 ounces Granny Smith or Gala apples, diced½ cup finely…