The Johnson & Johnson Diabetes Institute, in partnership with The Diabetes Influencers Network, has launched a series of Twitter chats from August through December 2016 geared to diabetes healthcare professionals. Topics will cover the gamut from using social media for career growth to helping clients accept the diagnosis of diabetes to offering guidance on healthy restaurant eating.
These lively Twitter chats will be facilitated by Hope Warshaw, MMSc, RD, CDE, BC-ADM. Warshaw is a Johnson & Johnson Diabetes Institute Faculty member and is serving during 2016 as president of the American Association of Diabetes Educators.
Our recent Twitter chat took take place on Wednesday, August 24 from 9:00 – 10:00 am ET, 8:00 – 9:00 am CT, 6:00 – 7:00 am PT. The topic was: Helping People with Diabetes Move from Denial to Acceptance. Following is a summary of that Twitter chat.
|nutritionjill||Stating my #diabetes isn’t bad. “It’s just a bit of sugar” Or “I’m just borderline.” #DiabetesINFL #client #DiabetesDenial|
|hopewarshaw||Actions may be: not practicing #diabetes self-care, not checking BG or taking D-meds. What do you see in clients? #DiabetesINFL|
|askdrbev||Having a high C is a clue that a person is not taking care of their #diabetes management. One reason could be denial. #DiabetesINFL|
|diabeticpsych||Words like ‘can’t’, ‘should’ #diabetesINFL|
|askdrbev||Also known as “dia-denial”, some PWDs “forget” to take their meds or don’t pay attention to eating healthfully. #DiabetesINFL|
|hopewarshaw||Re: food/eating, actions of denial may be lack attn. to choosing healthy foods, unwilling/not changing eating habits. #DiabetesINFL|
|maureensrn||Denial of diagnosis "may" manifest in poor eye contact, limited engagement in education; noncompliance #DiabetesINFL|
|nutritionjill||Not filling Rx or “forgetting to take meds,” ignoring sores that don’t heal, justifying unhealthful food. #DiabetesINFL #client|
|janekdickinson||I use/recmd Motivational Interviewing, where it is referred to as ambivalence. Acknowledges that ppl want hope and health #DiabetesINFL|
|hopewarshaw||Signifying denial: People may not openly share that they have #diabetes w/ family, friends, roommates, work mates #DiabetesINFL|
|diabeticpsych||It’s both actions but ways of thinking about things – ‘I can’t work AND manage #diabetes‘ #diabetesINFL|
|fiberfriendly||denial of diabetes can manifest in poor food choices & other destructive self behavior #DiabetesINFL|
|maureensrn||Denial "may" appear as continued poor health choices, "forgetting" to take medications; missing appointments #DiabetesINFL|
|janekdickinson||Open ended questions! #DiabetesINFL|
|hopewarshaw||What other signs of #diabetes denial have you experienced among ppl w diabetes you’ve worked with? Plz share. #DiabetesINFL|
|maureensrn||Agree with motivational interviewing- assess "where patient is" on learning curve. #DiabetesINFL|
|maureensrn||Possible denial " just tell me what is on a diabetic diet". Looking for quick fix; not invested. #DiabetesINFL|
|maureensrn||Denial of diagnosis may be d/t coping skills and health literacy #DiabetesINFL|
|nutritionjill||Many keep their diagnosis a secret. #DiabetesINFL # client #DiabetesDenial|
|katieladytherd||missing appointments, blaming DM issues on other things #DiabetesINFL|
|sarhoward||eg my cousin, 30+ years with t1d, doesn’t check bg, says he doesn’t always need insulin, #DiabetesINFL|
|hopewarshaw||However, this is a balance….often times ppl need more glucose-lowering meds #DiabetesINFL https://t.co/SzGIkMI6m4|
|janekdickinson||I think shame and guilt lead to avoidance/ambivalence.This can be seen in #s that don’t match up, not making eye contact #DiabetesINFL|
|hopewarshaw||Legitimize that denial is normal and common among ppl w T1 and T2 #Diabetes. Acknowledge takes time to accept dx #DiabetesINFL|
|hopewarshaw||#Diabetes, for some, easy disease to deny. Nearly no physical signs other than self-management actions #DiabetesINFL|
|nutritionjill||I find acknowledging their fears/disappointment & repeating back their words helps. #DiabetesINFL #DiabetesDenial # client|
|askdrbev||HCPs can help PWDs move toward acceptance of #diabetes w/TLC Therapy – Talk, Listen, Counsel. 1st provide diabetes educ. #DiabetesINFL|
|nutritionjill||Show people w #diabetes ways to empower themselves. Focus on what they can do to improve things. #DiabetesINFL #DiabetesDenial # client|
|askdrbev||Listen to PWDs They need to express their concerns openly. Lastly, counsel them by challenging their unreasonable beliefs. #DiabetesINFL|
|hopewarshaw||Acknowledge #diabetes is very challenging disease to manage, complex self-care regimen. It’s tough but doable in time! #DiabetesINFL|
HCP should accept patient “where they are in learning” ability. Adjust/modify curriculum.
|askdrbev||Since we can’t change the dx of diabetes, if PWDs change how they think, then they can change how they feel. (That’s CBT) #DiabetesINFL|
|diabeticpsych||Normalizing people’s experiences is so important – so many people think they are the ‘only one’ #DiabetesINFL|
|janekdickinson||Absolutely! By using language that builds on ppl’s strengths and empowers them. Give ppl credit for what they are doing. #DiabetesINFL|
|sarhoward||realize that pwd are very diverse. my cousin manages t1d by foraging for mushrooms, Buddhism… not your typical patient. #DiabetesINFL|
|maureensrn||Acknowledge a persons fear/anxiety/stress/guilt over new diagnosis. Nonjudgemental attitude. #DiabetesINFL|
|nutritionjill||try to help them remove feelings of guilt or at least deal w those feelings. #DiabetesINFL # client #DiabetesDenial|
|diabeticpsych||Normalizing experiences empowers people! #DiabetesINFL|
|hopewarshaw||For ppl w/ T2 #diabetes explain common disease progress as person willing to hear. Mgmt increasingly challenging in time #DiabetesINFL|
|janekdickinson||Give them credit for simply being at this visit. #DiabetesINFL|
|fiberfriendly||acknowledging the challenge & providing strategies that worked for others goes a long way towards #diabetes acceptance #DiabetesINFL|
|diabeticpsych||NYes, and management changes over time and this is normal, not a sign of failure #DiabetesINFL https://t.co/8iG1UMS0cO|
|hopewarshaw||With no associated, immediate pain or impact of variable glycemia, it’s hard to accept, limited incentive to accept dx #DiabetesINFL|
|janekdickinson||Focus on what the person enjoys – what motivates them (not what motivates us – the provider) #DiabetesINFL|
|maureensrn||Assess reading ability /comprehension and patients primary concerns first. Meet them at their level; family support #DiabetesINFL|
|katieladytherd||Helping them set small goals to achieve; being open and nonjudmental & work towrds decreasing meds #DiabetesINFL|
|diabeticpsych||Leveraging motivation is empowering and empowerment is key #DiabetesINFL https://t.co/2e1uTS7kha|
|janekdickinson||Build a trusting relationship by accepting where the person is in their journey. Can be hard for diabetes professionals! #DiabetesINFL|
|hopewarshaw||Empathize. Managing T1D = VERY hard work! #DiabetesINFL https://t.co/iCxRvgUrGR|
|diabeticpsych||Engagement, asking good questions, engaging family members in treatment, doing things they enjoy AND managing diabetes #DiabetesINFL|
|maureensrn||Acceptance may appear as attending classes, compliance with diet and meds; engaged dialogue. #DiabetesINFL|
|hopewarshaw||Listen for changes in language, how a person talks about having diabetes. More open, acknowledge having it. #DiabetesINFL|
|nutritionjill||Lack of behavior change, justifying diet splurges or not monitoring blood glucose. #DiabetesINFL #client|
|fiberfriendly||agree w/ @DiabeticPsych that engaging family members as stakeholders is essential for optimal #diabetes mgmt #DiabetesINFL|
|hopewarshaw||@diabeticpsych: In your JJDI webinar you mentioned concept of “allowing some discomfort.” Can you plz translate, explain. #DiabetesINFL|
|diabeticpsych||Yes! Moving from ‘I can’t to ‘I can…even though it is hard’ #DiabetesINFL https://t.co/XJz9My95UO|
|maureensrn||Acceptance can appear as good eye contact; asking questions; having family present; discussing new lifestyle changes. #DiabetesINFL|
|nutritionjill||Comparing their circumstances to others in order to make themselves feel better. #DiabetesINFL #client #denial|
|askdrbev||When PWDs realize that #diabetes can be managed (not necessarily controlled), that is a sign of diabetes acceptance. #DiabetesINFL|
|nutritionjill||Often ppl in denial tell stories of friends whose situations, blood glucose levels, etc are much worse #DiabetesINFL #client|
|hopewarshaw||HCPs need to work on listening more, talking less #DiabetesINFL https://t.co/VCuLYY7HRb|
|janekdickinson||In Motivational Interviewg it’s called “change talk” – really listen to what they are saying & build on change talk.#DiabetesINFL|
|janekdickinson||Being truly present and listening. This is harder than it sounds. #DiabetesINFL|
|nutritionjill||Agree. Reflecting back their words is very helpful. #DiabetesINFL #client https://t.co/FrH7kTJllU|
|janekdickinson||Change talk = examples of what motivates someone. “I want to be around for my grandchildren.” #DiabetesINFL|
|katieladytherd||when the PWD continues the conversation during an appointment & will talk about those who struggle with their BG and meds #DiabetesINFL|
|diabeticpsych||Meeting patients where they are is a critical piece of motivational interviewing! #DiabetesINFLhttps://t.co/7nv5mZThr4|
|maureensrn||Levels of acceptance dependent on past exposures to chronic disease & outcomes. #DiabetesINFL|
|hopewarshaw||@askdrbev: At #AADE16 you talked abt moving from denial, thru anger, to bargaining, to depression b4 acceptance. Explain? #DiabetesINFL|
|janekdickinson||I’ve seen people move in and out of acceptance, so yes, back tracking is possible. espec. based on life around them. #DiabetesINFL|
|maureensrn||Much like “5 stages of dying”, I think #diabetes brings same process- denial, anger, bargaining….. #DiabetesINFL|
|diabeticpsych||Different for everyone, but acceptance in thinking then leads to acceptance in behavior #DiabetesINFL|
|hopewarshaw||@diabeticpsych, others: are there differences b/w T1 and T2 #diabetes re: path, pace of acceptance? #DiabetesINFL|
|nutritionjill||I see acceptance/start of acceptance when pwd ask me about blood glucose monitoring or how to adjust a recipe. #DiabetesINFL #client|
|janekdickinson||Life happens & sometimes diabetes takes a back seat. Another chance to meet ppl where they r and provide support & guidnce. #DiabetesINFL|
|askdrbev||Not everybody goes thru all these stages, nor do they always go thru in this order. Stage 1 is Denial – cope by ignoring. #DiabetesINFL|
|nutritionjill||Typically T1 go thru stages faster b/c their symptoms are more obvious. Harder to deny. #DiabetesINFL #client #DiabetesDenial|
|askdrbev||Ignoring #diabetes (aka denial) is what I call “Ostrich policy”. Not a coping strategy that helps to manage diabetes. #DiabetesINFL|
|askdrbev||Stage 2 is Anger. Anger is the result of a person’s thoughts, not of the event. Anger is caused by the way you think/feel. #DiabetesINFL|
|askdrbev||When angry, stress hormones are released making blood glucose go up. Instead of being angry, take actions toward managing. #DiabetesINFL|
|askdrbev||Stage 3 – Bargaining is when a person makes a desperate plea to a higher power (or HCP) to reverse their dx of #diabetes. #DiabetesINFL|
|janekdickinson||Goes back to trust – if ppl trust us, they will know they can be open about backtracking and then get back on track! #DiabetesINFL|
|avivamenche||Models for behavior change outline stages. CDE Donna Webb blogs about Prochaska model –https://t.co/glO9RTZkmV #DiabetesINFL|
|askdrbev||Underlying this stage is helplessness based on fear. Help PWD to replace fear w/rational thoughts and return power to PWD. #DiabetesINFL|
|askdrbev||Depression/Diabetes Distress is Stage 4 – When depression is related to living with the demands of #diabetes management. #DiabetesINFL|
|askdrbev||Acceptance – PWD learn to make healthy lifestyle choices using rational thought/action. With acceptance comes empowerment. #DiabetesINFL|
|diabeticpsych||People avoid things where they feel shamed and blamed – these feelings are hard to accept, so easier to avoid #DiabetesINFL|
|hopewarshaw||Accord to DQ&A, @diaTribeNews presented at #AADE16, 52% of T2s, 76% of T1s, report experiencing stigma due to #diabetes #DiabetesINFL|
|hopewarshaw||Accord to @diatribeNews, Issue of stigma focused on “therapeutic visibility”, “stems from deviance from cultural norms.” #DiabetesINFL|
|fiberfriendly||Teaching clients that shame & blame related to T2 #diabetes are not mandatory parts of the dx! #DiabetesINFL|
|nutritionjill||So many of my patients w #diabetes keep it a secret from friends/family. They fear humiliation. #DiabetesINFL #client #DiabetesDenial|
|janekdickinson||Shame/blame = a big problem in diabetes. Even caring pros use words that shame/blame. Lookg at our messges can make a diff. #DiabetesINFL|
|nutritionjill||My job is to help people understand disease process & empower changer. These reduce shame/guilt #DiabetesINFL #client #DiabetesDenial|
|hopewarshaw||Accord to @diatribeNews, neg emotions (guilt, shame, blame, isolation), more prevalent: higher A1c, BMI, poor control. #DiabetesINFL|
|hopewarshaw||Shame and blame particular to T2 #diabetes, is this related to excess weight, unhealthy eating. Your thoughts? #DiabetesINFL|
|nutritionjill||also my job is to listen, reflect, listen, reflect, be a round board. #DiabetesINFL #client #DiabetesDenial|
|maureensrn||remove blame/ stigma of a chronic disease being caused simply by lifestyle behaviors. #DiabetesINFL|
|janekdickinson||We – diabetes professionals – can perpetuate the message that diabetes is “not your fault” rather than shame and blame. #DiabetesINFL|
|hopewarshaw||How can HCPs help ppl lessen shame, blame? Provide accurate info abt why #diabetes happens to clients, public. #DiabetesINFL|
|diabeticpsych||Tools that allow them to make changes and empowering them by showing them that their behavior matters #DiabetesINFL https://t.co/FXiuVR2EyR|
|sarhoward||I think raising awareness of all the other factors that are linked to T2d would help reduce stigma, at least a little! #DiabetesINFL|
|maureensrn||Acknowledge that blame further alienates patient; builds up barrios/walls. Not effective to anyone #DiabetesINFL|
|maureensrn||with ~ 86 million prediabetics, we have to engage all at risk to avoid healthcare epidemic/crisis. #DiabetesINFL|
|maureensrn||To properly address diabetes, it is important that families/communities/ the nation come together in united front. #DiabetesINFL|
|maureensrn||“change” will occur/is occurring when we put personal bias aside and work for greater good->a healthier nation #DiabetesINFL|
|janekdickinson||Encourage communication and support from family members. With full understanding, they can also lose the judgment. #DiabetesINFL|
|askdrbev||If family/loved ones (aka “type 3’s”) become partners in healthy eating & activity, it helps all move toward acceptance. #DiabetesINFL|
|nutritionjill||Encourage family members to make changes together. #DiabetesINFL #client #DiabetesDenial|
|maureensrn||Encourage family activates, healthier eating, avoid shaming…… #DiabetesINFL|
|diabeticpsych||HCPs can help by modeling behavior. If HCPs are collaborative with patient and others see this, they will follow#DiabetesINFL|
|hopewarshaw||Try not to aid denial by not acknowledging #diabetes but also don’t push at your pace towards acceptance. Your thoughts? #DiabetesINFL|
|janekdickinson||Fam membrs often judge out of fear – if they have open communication and understandg, they are more likely to be supportve. #DiabetesINFL|
|nutritionjill||Encourage family members to ask: How can I help you, Not: You need to change #DiabetesINFL #client #DiabetesDenial|
|hopewarshaw||Work to appreciate, understand the day-to-day challenges, rigor, mental attention managing #diabetes requires. #DiabetesINFL|
|maureensrn||Always invite family members into exam room ( with patient permission). Diabetes is a family issue- avoid isolating PWD. #DiabetesINFL|
|avivamenche||Family support can be very valuable both emotionally and practically. Important to find balance between help & policing #DiabetesINFL|
|janekdickinson||Simply asking, “do you want to walk the dog with me?” rather than “why don’t you ever exercise?” makes a diff!! #DiabetesINFL|
|nutritionjill||Biggest predictors I see are 1) social support 2) long term desire for good health #DiabetesINFL #client #DiabetesDenial|
|fiberfriendly||family involvement is so key in #diabetes mgmt. Family members can be positive OR negative influencers #DiabetesINFL|
|hopewarshaw||I’m not aware of research that points to objective factors to predict rate of transition to acceptance of #diabetes. You? #DiabetesINFL|
|janekdickinson||I will go with “YES!” for 800. #DiabetesINFL|
|hopewarshaw||If I were to wager a guess, I’d predict age, family support and socioeconomics play role, w family support highest. You? #DiabetesINFL|
|janekdickinson||What’s happening in life (age, etc.) plus how it is handled by pros and family at diagnosis, plus prior exper w/ diabetes #DiabetesINFL|
|janekdickinson||meaning if they’ve seen friends or family with diabetes – good or bad experiences. #DiabetesINFL|
|maureensrn||PWD transition to acceptance at different time periods. Support is priority. #DiabetesINFL|
|maureensrn||Finances can affect access to healthcare/education/mental health services & more. #DiabetesINFL|
|diabeticpsych||Mindfulness can be used to facilitate acceptance. Mindfulness is paying attention in the present moment, without judgment #DiabetesINFL|
|diabeticpsych||Mindfulness aids distress tolerance which is a critical piece of acceptance b/c diabetes is hard sometimes #DiabetesINFL|
|nutritionjill||#Mindfulness-wonderful skill-helps people fully engage in their lives. Trying to master it #DiabetesINFL #client https://t.co/TwWE0phipE|
|nutritionjill||Learning to see emotions and physical sensations w/out judgment is a skill & a gift. #DiabetesINFL #client #DiabetesDenial|
|askdrbev||Teach HCPs new updated holistic approach to #diabetes care: medication, diet, exercise and spirituality. #DiabetesINFL|
|askdrbev||Strange as this may sound, some PWDs (including me) see our #diabetes as a “blessing in disguise” – feeling at peace w/dx. #DiabetesINFL|
|askdrbev||I am a big fan of the Serenity Prayer: Accept the things I cannot change; Courage to change the things I can. #DiabetesINFL|
|askdrbev||Having a positive attitude toward #diabetes can make PWDs feel empowered to manage their self-care. “It is what it is.” #DiabetesINFL|
|diabeticpsych||I agree! Helping people find benefit can really facilitate acceptance #DiabetesINFL https://t.co/SCcIbTlduJ|
|avivamenche||Different approaches jive with different personalities. Some might appreciate a spirital approach while other may not. https://t.co/glO9RTZkmV #DiabetesINFL|
|maureensrn||Agree that holistic care in so important. Don’t get tunnel vision when treating a chronic disease. #DiabetesINFL|
|maureensrn||Spirituality indeed plays important role for anyone dealing with chronic disease process #DiabetesINFL|
|diabeticpsych||Helping people see that their current strategy is not working well. Asking might there be a better way #DiabetesINFL|
|hopewarshaw||Ask open ended Qs, listen carefully to answers. Observe body language when responding. Note self-care actions, engagement #DiabetesINFL|
|nutritionjill||Help patients make changes slowly to gain confidence. This lessens feelings of being overwhelmed. #DiabetesINFL #client|
|hopewarshaw||Don’t tell but rather ASK the person w #diabetes to state what they’re ready to do to self-manage #diabetes #DiabetesINFL|
|maureensrn||phone apps, log books, internet programs- let patient choose what learning style works best. #DiabetesINFL|
|janekdickinson||Seriously check out motivational interviewing. It takes a lot of work/practice, but is worth it. #DiabetesINFL|
|fiberfriendly||connecting newly diagnosed PWD w/ those who have had success in mgmt helps transition towards diabetes acceptance #DiabetesINFL|
|nutritionjill||Ask patients about overall vision of long term health/happiness. Bring self-care into that ideal picture. #DiabetesINFL #client|
|diabeticpsych||Fighting/ignoring #diabetes takes a lot of time an energy. Helping people see the benefits of not ‘fighting’ can help #DiabetesINFL|
|janekdickinson||Learn about and work on changing language. Send messages of hope and strength, rather than shame and judgment. #DiabetesINFL|
|hopewarshaw||Use technique of asking person w #diabetes if willing to do small, doable experiments with self-care behaviors #DiabetesINFL|
|diabeticpsych||Peer support can also be helpful. For many of my pts I am the first PWD they have ever met. Meeting others is powerful #DiabetesINFL|
|janekdickinson||Susan Guzman (PhD Psych) talks about the power of AND. Diabetes is hard AND you can do this! #DiabetesINFL|
|sarhoward||expose pwd to current research on diabetes too, that can help some of us. it varies by patient though. #DiabetesINFL|
|sarhoward||make sure to ID depression first cuz if so, may not be motivated to do any of this. #DiabetesINFL|
|hopewarshaw||Legitimize denial is common. Acknowledge day-in, day-out rigor, challenges of #diabetes self-management. #DiabetesINFL|
|avivamenche||Support groups – in person or virtual (social media – DOC) #DiabetesINFL|
|askdrbev||Gary Scheiner: "3 things needed to manage diabetes successfully: the right tools, the right skills, & the right attitude." #DiabetesINFL|
|janekdickinson||Ask permission before giving advice, suggestions! #DiabetesINFL|
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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).