Diabetes Q and A

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

Q I’m renewing my driver’s license soon. Can I list myself as an organ donor?

A You can under certain conditions. There are two types of donations – ones made while the donor is living, such as a kidney, and those made after a person has passed away. If you have diabetes, you are not permitted to donate an organ while you are alive. But all individuals can become donors, regardless of age, race or medical history, once they have passed away. The parts of the body that can be used depend on their condition at the time of death.Being an organ donor is an incredible act of love and generosity. Visit www.donatelife.net for more information. As a reminder, people with diabetes can donate blood as long as they have never used beef-derived insulin from 1980 or later. Contact your local blood donation center for details.

Q The holidays are coming. How do I deal with friends and relatives who don’t understand my food preferences?

A Communication is the key. Politely inquire about the menu before each event. This alone may initiate a helpful conversation. If nothing meets your needs, offer to bring a diabetes-friendly dish for all to enjoy. If the host refuses your help, eat a small meal at home and take just enough of the food at the party to keep your plate full. Being together is important, so don’t let diabetes keep you from enjoying time with loved ones.

Q I’m starting early. How can I keep my New Year’s Resolutions for this year?

A First, don’t try to keep a goal for an entire year – you will have more success if you break your goal into small, weekly challenges. To do this, use the Jump Start Pledge method, which I discuss in my book, DIABETES ON YOUR OWN TERMS. Here’s how you do it:

  • Choose a small and reasonable health behavior.
  • Pledge to do it for one week.
  • At the end of the week, renew it, change it to fit your needs better, or add an additional pledge.

Q What should I eat if I become sick?

A It’s a great idea to plan ahead. Here are some general rules to follow if you become ill:

  • Take your diabetes medicine as usual. Being sick is very stressful to your body and can raise you blood sugar level.
  • Monitor your blood sugar level every 4 hours.
  • If your blood sugar is running high, monitor your blood sugar for ketones. A positive ketone urine test means that your body is having difficulty using carbohydrates for energy. Contact your doctor and share these results.
  • Keep your carbohydrate intake as normal as possible. The following are foods that can help you do that:
    • 1/2 cup Non-diet soft drink – 15 g carbohydrate159668609
    • 1/2 cup fruit juice – 15 g
    • 1 cup milk – 12 g
    • 1/2 cup vanilla ice cream – 15 g
    • 1/2 cup cooked cereal – 15 g
    • 1/2 cup regular gelatin – 20 g
    • 1/2 cup sherbet – 30 g
    • 1 popsicle – 24 g
    • 1 tsp sugar – 4 g
    • 1 cup coffee, tea, bouillon, broth – 0 g
    • 1 cup thin creamy soup – 15 g
    • 1 cup thick chunky soup – 20 g
    • 1 cup cream soup made with water – 15 g
    • 1 cup cream soup made with milk – 27 g
    • 1/2 cup regular pudding – 30 g
    • 1/2 cup sugar-free pudding – 15 g
    • 1 cup plain or artificially sweetened yogurt – 17 g
    • 1 cup fruit flavored yogurt – 40-60 g

* This article originally appeared in 2007
**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.