Diabetes Q and A

By Janis Roszler, MSFT, RD, CDE, LD/N

Q Can the weather affect a person’s blood sugar control?

A Yes, it can. Some people find that they need an insulin increase in the winter and a decrease in the summer. We don’t know why this happens, but it may be related to the fact that some blood vessels dilate in warmer weather, which increases the delivery of glucose in the body. If your diabetes control seems to be related to changes in the weather, check your blood more frequently and work with your health care team to adjust your diabetes care plan to better meet your changing needs.

Q I wear an insulin pump and recently started having an embarrassing problem. —– shoots up to the 300’s. Why does this happen and what can I do about it?

A Any —– insulin or your blood sugar level may go high. Your pump infusion set may be moving out of place during your activity. If it is doing this, you won’t get the insulin that you need and your blood sugar level will go high. Try moving your infusion set to another area or secure it with special tape. Tape samples should have come with the pump supplies. If it didn’t, you can contact your pump company and order some.

Q School is starting again. Are there any special scholarships for students with diabetes?

A The childrenwithdiabetes.com website lists scholarships and financial aid information on its website. There aren’t a great number of options, but you may find an opportunity that fits you. Bayer Healthcare offers an annual college scholarship to incoming freshman who seek a higher education at an accredited four year university, college, technical or trade school. Check childrenwithdiabetes.com for additional information.

Q What is the carbohydrate content of whiskey?

A Whiskey, vodka, bourbon, gin, scotch and rum do not contain carbohydrates. But that doesn’t mean they should be consumed without care. Alcohol can cause a rapid drop in blood sugar levels. Studies showed that people with diabetes who ate food with a moderate amount of alcohol were able to limit the effect the alcohol had on their blood sugar level. Here are some ways to safely include alcohol in your life:86489049
Eat something while consuming alcohol. The additional food helps blunt the hypoglycemic (low blood sugar) effect of the alcohol.

Don’t imbibe if your blood sugar level is low or you have a history of alcohol problems.

Limit your intake to a safe amount. The American Diabetes Association suggests that men with diabetes drink no more than 2 alcoholic drinks per day and women with diabetes consume no more than one drink per day. A serving of alcohol is approximately 12 oz of beer, 5 oz of wine or 1.5 oz of distilled spirits like whiskey and vodka.
Wear medical identification. Symptoms of low blood sugar often resemble drunkenness. If your blood sugar drops and you have alcohol on your breath, those around you may assume that you are intoxicated and won’t get you the medical assistance you require.

Discuss your use of alcohol with your health care team to see if it is an appropriate choice.

*This article originally appeared in 2008
**please consult with your healthcare provider before making any changes to your diabetes regimen.

About Janis Roszler, RD, CDE, LD/N (15 Articles)
<p>Janis Roszler, RD, CDE, LD/N is the 2008-2009 Diabetes Educator of the Year (AADE). She is also a Marriage and Family Therapist, Fellow of the Academy of Nutrition and Dietetics, former radio show host, and award-winning medical media producer. Janis is the author and co-author of APPROACHES TO BEHAVIOR: CHANGING THE DYNAMIC BETWEEN PATIENTS AND PROFESSIONALS IN DIABETES EDUCATION (ADA, 2014), DIABETES ON YOUR OWN TERMS (Marlowe & Co, 2007), SEX AND DIABETES (ADA, 2007), and THE SECRETS OF LIVING AND LOVING WITH DIABETES (Surrey Books, 2004).</p>
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Constance Brown-Riggs, MSEd, RD, CDE, CDN—an award-winning RD, certified diabetes educator, and past national spokesperson for the Academy of Nutrition and Dietetics, is the author of The African American Guide to Living Well With Diabetes, which received the Favorably Reviewed designation from the American Association of Diabetes Educators, and Eating Soulfully and Healthfully with Diabetes.

Dr. Lori Shemek, PhD, CNC, CLC, the best-selling author of “Fire-Up Your Fat Burn! and leading health and weight loss expert, is also known as “The Inflammation Terminator.” She has made it her mission to educate the public on the toxic effects of certain foods and lifestyle choices and how they create inflammation in the body. She is a leading authority on inflammation and its role in weight loss, preventing disease and optimizing health.

Rebecca Bitzer – MS, RD/LD, CEDRD is an award-winning Registered Dietitian, writer, speaker, blogger, and REBEL Dietitian business owner. Rebecca and her team of six Registered Dietitians have counseled thousands of clients struggling with diabetes for over twenty-five years. They work closely with each other along with internists, endocrinologists, therapists, and families.

Maureen Sullivan – RN, CDE has worked for many years as a Registered Nurse, most of them in emergency and trauma services. She is a Certified Emergency Nurse, Certified Diabetes Educator, and the former manager of a hospital stroke program. Maureen’s wealth of knowledge, passion for nursing and education, and ability to engage people makes her an excellent teacher and a captivating lecturer. Recently, Maureen has been concentrating on writing, speaking and teaching, as well as working on her award-winning weekly podcast, “The Health and Humor Show.”

Lauren Harris-Pincus, MS, RDN is a nutrition communications specialist, registered dietitian in private practice, social media consultant, speaker, spokesperson and corporate consultant. She is currently the owner of Nutrition Starring YOU, LLC and www.NutritionStarringYOU.com. Lauren strongly believes that we should “Think Healthy, not Skinny”, and “EveryBODY is unique, your diet should be too”. Lauren was co-host of the Family Food Experts Kitchen radio show, available for listening on iHeart Radio and iTunes. Also known as one of the “NutritionBabes”, Lauren co-founded NutritionBabes.com, a popular Health and Wellness website in 2009. NutritionBabes.com was voted one of Healthline’s Top 100 Health Blogs in 2011, 2012 and 2013.

Mark Heyman, PhD, CDE is a clinical health psychologist and the director of the Center for Diabetes and Mental Health (CDMH). In addition to treating patients with type 1 and type 2 diabetes, Dr. Heyman provides training for health care providers on how to identify and address the emotional and behavioral aspects of diabetes in their patients. He also works with pharmaceutical and medical device companies to help them understand these issues and incorporate this information into their sales, marketing, and patient education materials. He is particularly interested in empirically supported behavioral interventions that promote behavior change and improve physical and mental health in people with diabetes.

Katie Ferraro, MPH, RD, CDE is a nationally-recognized registered dietitian, certified diabetes educator and author with an expertise in nutrition communications and curriculum development. She is the co-author of “Diet Therapy in Advanced Practice Nursing” (McGraw Hill, 2014) and an Assistant Clinical Professor of Nutrition at the University of California San Francisco and University of San Diego’s graduate schools of nursing.

Dr. Beverly S. Adler, PhD, CDE (aka “Dr. Bev”) is a clinical psychologist and certified diabetes educator, author and speaker. She specializes treating the emotional issues of people with diabetes. In her private practice, she provides individual, family and/or group therapy utilizing a cognitive behavior therapy orientation, combined with a spiritual approach. Her goal is to empower her patients to manage their diabetes.

Dr. Bev is the author of two self-help diabetes books. She has written numerous articles which are published in print and online – always focused on diabetes from the emotional perspective. She also speaks to audiences of people living with diabetes, as well as, to audiences of healthcare professionals and diabetes educators. Dr. Bev, herself, has been living successfully with type 1 diabetes for 40+ years.

In August 2016, Dr. Bev was honored to receive the “CDE Entrepreneur of the Year” Award from her Metropolitan NY Association of Diabetes Educators.

Jill Weisenberger, MS, RDN, CDE, FAND is an internationally recognized nutrition and diabetes expert with more than two decades experience. Through writing, speaking and one-on-one coaching, Jill empowers people to grab control of their health. She has worked as both a nutrition counselor and a diabetes educator in the hospital and research settings, and now in private practice in Newport News, VA. Jill is known for her practical approach and caring attitude. Her no-nonsense strategies to eating well include foods that both taste good and are good for you.

Marlene Koch (pronounced ‘cook’) is a nationally recognized nutritionist, popular TV personality and New York Times bestselling author. She graduated Magna Cum Laude from UCLA with a Bachelor’s degree in Nutritional Science. She is a registered dietitian and one of a select group of dietitians to hold an advanced certificate in Child and Adolescent Weight Management from the Academy of Nutrition & Dietetics.

Marlene has taught professional chefs from the American Culinary Federation the principles of healthy cooking and eating. She has been adjunct Nutrition professor and cooking instructor for Columbus State College and the Columbus State Culinary Academy, and she is a nationally recognized expert in weight loss, diabetes, child and adolescent nutrition, and sugar substitutes.

Marlene has sold over one million cookbooks, and is a regular guest on QVC.

Barbara Ruhs – MS, RDN is a Registered Dietitian Nutritionist and owner of Neighborhood Nutrition LLC, a consulting firm focused on providing solutions to help food companies and supermarkets improve consumer health & wellness. She’s a former supermarket dietitian and has run a successful business for 17 years. A leader in the field of nutrition, her mission is to help people by impacting the way food is produced, marketed and sold. She’s a strong advocate for supermarket dietitians and believes the retail food industry has the greatest potential to impact public health.

Cheryl Orlansky has over 25 years of experience in health promotion and chronic disease prevention and management. Her first career as a registered dental hygienist led her towards a path of wellness and nutrition! Her expertise is in diabetes, weight management and cardiovascular disease for individuals and groups. She works in a large private practice including endocrinology, internal medicine, rheumatology, neurology and sleep medicine. She is an award winning dietitian with current leadership positions in state and local dietetics organizations.

She has been interviewed and quoted in media outlets for WebMD, Atlanta Sports and Fitness, Georgia Public Broadcasting, and the Atlanta Journal and Constitution. She has partnered with V-103 Radio to lead supermarket tours as part of a community outreach during National Nutrition Month.

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Nutritionist Rania Batayneh, MPH is the author of the best-selling book, The One One One Diet. She holds a master’s degree in public health nutrition from the University of Michigan School of Public Health and is also a Wellcoaches Certified Health and Wellness Coach endorsed by the American College of Sports Medicine (ACSM).

OmnichannelHealth Media, publisher of DiabetesDigest.com, does not provide medical advice, diagnosis or treatment. See additional information.