Diabetes Q and A

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

Q I heard that people with diabetes must be more careful with waxing?

A Many individuals with diabetes use waxing as way to remove unwanted hair. For most people, waxing shouldn’t be a problem. If you have any loss of sensation and aren’t able to tell if the wax is too hot for your skin, you should probably skip this procedure.

Q How can I tell if the advice I find on the Internet is real or phony?A Here are a few ways you can check out Internet advice:

  • Ask your health care team to review it.
  • See if the source of the advice is associated with a recognized medical center or is from a well-respected member of the diabetes community. He or she should have recognized credentials, such as MD (medical doctor), RD (registered dietitian), RN (registered nurse), or CDE (certified diabetes educator).
  • Visit www.quackwatch.org. This nonprofit group was founded by Dr. Stephen Barrett. It provides information on health-related frauds, myths, fads, and fallacies.
  • Visit http://urbanlegends.about.com/od/medical. This site features articles, frequently asked questions and basic information about false health and medical stories that circulate on the web.

Q I have several boxes of test strips that expired. Can I still use them?

A Sorry, but they should be tossed. Once the expiration date has come and gone, strips begin to experience chemical changes that can affect their accuracy. I know that it seems like a waste, but it is important to get the best results possible when checking your blood glucose level. Using something that may not provide those results is not a good choice.

Q I love hiking. How can I hike safely now that I have diabetes?

A Hiking is a terrific way to enjoy the great outdoors! Here are a few suggestions that can help you get off on the right foot:80966252

  • Start with small excursions and gradually build up to longer ones. This way, you can figure out your body’s comfort level and how long you should make your hikes.
  • Travel with a friend, if possible.
  • Let others know where you are headed and when you plan to return.
  • Take additional snacks and water in case you get delayed.
  • Bring some sort of communication device, such as a whistle, phone or flare in case of emergency.
  • Check your blood sugar level frequently.
  • Wear comfortable hiking boots.

Q I heard that resistant starch is supposed to be very healthy for people with diabetes. What is it and what can it do for you?

A Resistant starch is a form of carbohydrate found in beans, unprocessed whole grains, legumes, cooked-and-chilled pasta, cold rice (like sushi), and potato salad that offers a number of health benefits. Here are a few of the things that it can do:

  • Increase insulin sensitivity
  • Increase the body’s ability to burn fat.
  • Promote healthy bowel function.
  • Help you feel more satisfied after eating.

*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.

Cheryl helps her clients reach balance through lifestyle choices: cooking and eating, activity and purpose in life.

Jackie Newgent, RDN, CDN, is a registered dietitian nutritionist and classically-trained chef. With a passion for helping people (including her father) with diabetes, she’s author of The With or Without Meat Cookbook: The Flexible Approach to Flavorful Diabetes Cooking and the award-winning The All‐Natural Diabetes Cookbook, both published by the American Diabetes Association. Jackie is also author of 1,000 Low-Calorie Recipes and Big Green Cookbook. Her next book, The All-Natural Diabetes Cookbook—2nd Edition, was published in 2015.

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.