Diabetes Q and A

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

Q. I received a health club membership for Christmas, but can’t stand going. There are too many people for too few pieces of equipment. Any ideas?

A Some people find the health club scene energizing, while others prefer to work out in a less populated environment. Most clubs report a quick drop in attendance shortly after January has ended. Right after New Year’s, classes fill up with folks who have made exercise resolutions, but quit shortly after. Wait until the crowds die down- then go. If you still feel uncomfortable, have one of the club’s personal trainers design a safe workout routine for you to do at home on your own equipment.

Q A friend told me about a diabetes quilt display. Have you heard about it?

A The display is the Quilt for Life collection, and it is extraordinary! It is the project of childrenwithdiabetes.com and is made up of about 600 quilts designed by children and adults with type 1 diabetes. The display travels to numerous conferences each year. Visit childrenwithdiabetes.com to view the quilts. If you wish, create your own quilt to add to the collection; entry guidelines are posted on the website. Many view diabetes as a disease that affects a large group of faceless individuals. These quilts remind all who see them that people with diabetes are unique individuals with dreams, goals, and strong hopes for a cure.

Q Can stress affect my blood sugars?

A Stress can play games with your blood sugar level – it may raise or lower it. It will also affect long-term health if it causes a person to ignore his or her diabetes care. Signs of stress include:82556873

  • Headaches
  • Feeling overwhelmed
  • Tight jaw or neck muscles
  • Changes in appetite
  • Changes in sleeping patterns
  • Feelings of anger

To help reduce your stress level, try the following:

  • Join a support group
  • Take frequent work breaks
  • Participate in regular physical activity
  • Listen to relaxing music
  • Begin a hobby
  • Ask for help with challenging tasks
  • Plan fun activities with friends and loved ones
  • Meditate or do yoga
  • Set realistic goals – don’t sweat the small stuff!
  • Share your feelings with a friend or qualified mental health professional

Read the book Diabetes Burnout by Bill Polonsky, PhD, CDE. It discusses diabetes-related stress and offers many ways to help cope with these feelings.

Q I’m scheduled to go for a drug screening as part of a job application. I heard that poppy seeds can cause you to have a positive result for opium use, so I’m avoiding them. Can my insulin affect my results too?

A Companies that use pre-employment drug tests are concerned about the use of illegal drugs such as amphetamines, barbiturates, cocaine, marijuana, and heroin. Having insulin in your body will not affect the results of these tests.

Q I take insulin before every meal. I test my blood at the table then inject the amount I need even if I’m at a restaurant. Do other people do this or do they usually go into the restroom to inject their shot?

A Many people have discussed their public diabetes care behaviors with me. Some remain at the table and discretely inject into their skin or right through their clothing, which is safe to do. (Using an insulin pen makes public injections so much easier!) A few head to the rest room and are fine with that, and a large number go to the rest room but resent it immensely. We all seem to have different ideas about how to handle our diabetes care. If you are comfortable with the actions you take, you’re doing the right thing for you.

*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.