Blog Entries With Tag: ADA

Posted: Nov 2, 2013

dictionary spelling of di-a-be-tes

Hmmm, I've been seeing various places within the DOC (diabetes online community) going on about this being some celebration of diabetes month (NDAM). 

Yuppers, glancing at my calendar on my wall - THIRTY days of advocating in many different forms about my disease I've had for almost 1/2 a century.  Boy oh boy - do WE feel special or what?  

JDRF 2013 NDAM logo

On further research (gotta love search engines) - I discovered that in the United States - Mr. Obama has declared that it indeed is true. JDRF Canada has as well -along with ADA (American Diabetic Association).  I was even surprised after abit of sleuthing that the CDA (Canadian Diabetes Association) website that they have as well!   I could probably post more - perhaps from other parts of the world - but I'll leave that up to you to let your fingers do the walking across your keyboard (and if you find any good ones - post them here).

Everyone has their different approach to how to celebrate.  I have to admit one of my favs has always been the Lee Anne Thill's World Diabetes Day Post Card Exchange (details can be found at the bottom of this blog for 2013).

A new one I've come across this year is well known American advocate/blogger Kerri Sparling's of Six Until Me - Diabetes Month Photo-A-Day project.  I always like to take pictures (have mobile - will click) - so you'll either see those pics posted here at OR my Blogger site - The Roller Coaster Ride of Diabetes.  All depends on how many projects I get involved in (I mean - there is a life outside of diabetes - right?)

So - what will you be doing this month to tell the world about diabetes?  I can't wait to see - but remember - awareness and advocacy isn't just a once a year thing.  It's all the time for many of us that advocate / educate. 

Remember though - if a person's eyes start to glaze over as you yammer on - retreat - some of what you'll have said will enter into their already over-logged brains - and hopefully they'll walk away with abit better understanding of what diabetes is all about!

Little child crying shut the F up


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Posted: Jun 16, 2013

Have you ever read a book that made you so emotional about how good it was – that you wanted to shout it out to the world (okay – Facebook / Twitter / Google+ it?).  Usually it’s reserved for a fiction book in my case, but today, I want to give a shout out to this book by Johanna Burkhard and Barbara Allan, RD, CDE along with Canadian Diabetes Association (CDA).  This book is aimed at folks wanting to prevent and manage their Type 2 diabetes (Gestational Diabetes Mellitus (GDM) / Type 1 is explained VERY well too) in TEN steps.  Though, in actual fact I’m thinking it’s a book that everyone should delve into – diabetic or not – if they want to live a healthy life.   I feel like the Doctor Oz / Oprah of the big blue marble with getting this book out to you!!!  I’m wanting to give this book to every friend I know, every aging parent I know  …  but sorry – at $24.95 (Cdn/US) – you’ll have to fork out the money for it yourself - but it’ll be a great investment – even for those of you like myself who’ve lived with diabetes most of their lives.  I have actually learned some new things – or my mind was refreshed with stuff that I’ve forgotten over the years.  When I’ve returned this book to my local library – I’m going to be using the Amazon gift certificate my brother gave me for my birthday.

Now, I do realise that some diabetics may poo poo some of what is written in the book – especially those that are die hard low carb fans of Dr. Bernstein (See Note 1).   Fair game – since I am a sort of a "semi" low carb eater myself (120 grams on average if I don’t “cheat”) – but I think for anyone wanting to know more about diabetes and try to at least learn how to eat wisely – then progress otherwise – this book is a valuable resource for those trying to understand diabetes.  The nice thing, in less than 150 pages the explanation of diabetes will NOT send you to sleep – it will make you learn/question more – which is a good thing in my books. What is contained is easily understood by the layman like me and not using language that sometimes goes right over my head with some books I’ve read by doctors and well learned scholars (e.g. university geeks).   The other point is that after you browse over the sections of the diet plan they have (for weight loss they aim for 1,600 calories) - you can also modify the meal plan (28-day menu) to suit your lifestyle with their simple suggestions.

One great tip I got from the book (and there are many) – with every meal – ensure that you have a minimum of 15 grams of protein.  So this morning, I had my toast with jam, along with ½ cup of 2% cottage cheese.  I’m hoping with my next blood glucose reading (BG) – I won’t have spiked up too much – since protein/fat help keep your BG’s more stable.  I think I’ve always known that having protein/carb helps with more level BG’s – but the little reminder on the side of the section I was reading was a great reminder.  The section offers a list of choices for ALL meals – to help meet that protein requirement!

Here’s a little factoid from the book – “­Did You Know?  People with prediabetes are likely to develop Type 2 within 10 years unless they take steps to prevent or delay it.”

In the section on Low-Sodium Cooking, most of us know that high blood pressure can be contributed to the way we eat – with processed foods we do not have much control over it.  If you are of African descent, age 51 or more, have diabetes or high blood pressure you should aim to limit your sodium to 1,500 milligrams per day rather than the upper limit of 2,300 for healthy individuals.  In actual fact – as they state – we ALL should limit our salt intake.  Luckily, all the recipes in Chapter 2 use very little added salt, using herbs/spices to make the food tastier, which is what most people use salt for.
                                             Picture courtesy of USDA (My Plate)

One area I always have problems with is eating lunch.  I’m usually too busy to remember and before I know it – dinner is almost approaching.  That may not be my problem anymore – of wondering/remembering to eat (and maybe not consume so much at dinner time because I’m so hungry).  There is a great section on Combo Sandwiches – Combo Salads – that allow you to choose your Carb Choice / Vegetable Choice / Fat Choice / Extras – and some of them are very drool worthy!  You’ll even find a great section of 100-Calorie and 200-Calorie snacks.  The breakdown of the foods is easily understood for ALL diabetics and nondiabetics (exchange values are given to those who follow that method – or those of us who count their carbs to match their insulin requirement – too easy!!).

One thing that shocked me - did you know that children born to mothers with GDM have a higher risk of diabetes themselves, and a higher risk of being overweight?  Following/using some of the recipes in this book is the course of action (and of course – they’ll eat larger portions due to growing – but they will be healthier choices).   Really, when it comes down to it, the menus shown here are really a “menu for life” – and not to look at the way diabetics in general  eat as being a “diet” which often makes people think of weight loss only – but a healthy diet for everyone.  My Mum who is not a diabetic, to this day still follows the CDA way of eating that she brought me up on – and has no serious health issues!

The tried and true steps to good health – eating a variety of whole foods, including plenty of vegetables and fruit, exercising and getting enough sleep – will never go out of style.”

There’s a very good section (2 pages – short read) – about Artificial sweeteners and their “safety” issue.  I have a few nondiabetic friends who will not eat/drink anything that contains artificial sweeteners (Stevia is written in this section as well).  Sadly, some of my friends, who are aging like me, are increasing in weight, and still continue to consume regular sugar soda.  I keep on telling them that the after taste they remember from many years ago is no longer a big issue – at least not for me.  Despite the recent research that shows people gain weight when drinking diet soft drinks (this is talked about in the book) – I still think it’s all about moderation – e.g. don’t drink a case a day!   Now if only I can get my friends to see the light on artificial sweeteners – so I can keep them away from becoming possible Type 2 diabetics! 

So, run to your local library (or check for book online like I can with my public library system) - I want to see if you feel the same way as I do about this book!!!  Along with your own blogs about meals you've cooked up from the book!!!  Eat, Eat!!!  Mangi! Mangi! 

Note 1: I can now maybe see why Americans dislike the ADA by this statement in the book - “ADA system “counts” more of the fiber and more of the vegetables.  This results in more Carbohydrate Exchanges per day in the ADA system – roughly 13, compared with 11 CDA Food Choices “. 

Recipe you can find on page 270 of the book

Tandoori Chicken with Cucumber Mint Raita (baked in oven rather than BBQ as per the recipe) –along with some Coconut Milk Quinoa with Sprouted Bean Trio & Peanuts



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Posted: May 13, 2010

To carb or not to carb – that is the question:

Whether 'tis nobler in the mind to suffer

The ups and downs of blood sugar fortune

Or to take arms against a sea of cheese sauce on broccoli ...

Broccoli with cheese sauce

I feel like I’m in London at the Globe Theatre getting ready to watch Hamlet holding a high carb banana in one hand and a cheese curd in the other.  What fate befalls us as we contemplate their destinies!

When I was younger, my Mum followed the Canadian Diabetes Association way of eating (aka American Diabetes Association).   It was what all diabetics followed, and as a child, full of energy I had no problems with the diet which was maybe higher in carbs then what the CDA recommends today.  This is all my Mum had to follow on, since young children with diabetes were a very small percentage of diagnosed diabetics (less then 1%).  She was VERY strict with measuring out my food, no seconds, even if I was hungry, you ate what you had on your plate.  Going to friends house was my way of escaping her careful food planning.  It seemed that my friends had food like there was no tomorrow, but then, none of them had diabetes.  Even worse, going to a birthday party was something that my Mum had I think a hard time dealing with, as there was really no control with what I ate again.  So, birthday parties, sleepovers, didn’t happen too often.  I keep on wondering, if I had been a Mum with a diabetic child like myself, if I would have been the same way, maybe not so much now, but still I can understand her worry. 

When I left home at 19, it was hard to not break the “training” my Mum had taught me, with measuring out food since the age of 7.  Though as most of us know, with time, we eyeball what we are eating, but still, we always are calculating in the back of our minds.  Take for instance the spaghetti (tossed with tomato pesto sauce) that I just had for lunch.  It’s about ¾’s of a cup, so I’m “guesstimating” about 30 grams of carbs.  My blood sugar (BG) at the time was 4.9 mmol/l or 88 mg/dl – so I took a few units of fast acting insulin and hopefully I’ll stay within range.  That’s one thing I miss with my pump holiday – the combo bolus – where you can spread out the insulin coverage.  I’ll probably be checking my BG’s in about 2 hours and a correction may have to be made.  I am a human dart board for the pen needle these days, but it’s okay, 32 gauge needle, way better then needles of the “Stone Age” when I first got diagnosed.

My pasta tossed with tomato/pesto sauce

 So, as you can tell, I love to eat carbs with a limit (though sometimes I go hog wild and don’t feel bad about it as it’s only once in awhile)!  I try not to go over 30 grams of carbs per meal if I can help it.  I do tend to eat smaller portions then what my friends would eat.  I find that this way of eating, to me is subconsciously done (calculate, calculate), is how I have kept my diabetes in control of 43 years.  I’m not sure if a really low crab (LOL on Kerri Morrone Sparling blog post today)  diet would work for me since I do cook a few vegan meals, and of course, beans are high in carbs, so those meals generally are >30 grams or more. 

Off to test my BG's - as I have a feeling the insulin is doing it's job a wee bit too well for what I just ate!  The Roller Coaster Ride of Diabetes - Whoo! Whoo!

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Posted: Aug 25, 2009

Eat To Beat DiabetesWell, as most of you know - I love to cook, I love to eat (my excuse is my clothing has to keep on fitting me - who wants baggy pants around their lower buttucks?).  I took out this great book from the library and have been lucky enough to renew it twice - but now it's due back - as it's a new publication.

The reason I took out the book was due to it saying that it had recipes that are low in carbs.  I've been watching my carb intake more carefully since going onto the pump and reeducating myself in my eating habits.  Not that they've really changed - I still tend to eat more veggies then carbs when I sit down for my main meal.  According to this book, a diabetic should plan their meal to be 1/2 veggies on the plate, then the remaining 1/2 should be 1/2 starch and 1/2 protein.  So, I'm right on track with that.

Majority of the recipes in this book tend to be low carb - under 20g per serving - some lower (I like to eat meals under 30g of carb).  The occassional recipe is abit higher then what I would normally eat (e.g. 56g) - but again -  the serving size of the dish is for 4 people - I tend to eat a smaller amount - so when you factor that in - the carb count isn't that overwhelming.

Even better, at the back of the book it has a great explanation of the different types of diabetes, written in a form that I can understand (too technical makes my brain freeze up).  It goes into detail on how food works on our blood sugars as well as weight maintenance.  There is a daily food and health tracker along with a great meal plan for one week that you can follow if you want.

The main thing though - is the recipes are based on the CDA/ADA food exchange regime (I hate to say "diet") that most of us follow.  It shows each recipes with the nutritional breakdown - something I've become more aware of as I've gotten older and wiser .  Compared to the 2 cookbooks I've bought over the past 40 years of being diabetic - this recipe book IMHO is the best one yet - with very easy to follow instructions - ways to change the recipe to suit your taste buds - and little tid bits of information on each page.

The only thing with book that I wrote to Reader's Digest about (the publisher of the book) - is for some diabetics like myself - who weigh our food in order to get a more accurate carb count - this wasn't shown.  Just the regular "each serving provides".  That is fine - but if I eyeball that serving size portion wrong - I can end up taking too much insulin - and then having a hypo - rare for me - but it could happen to others that are like myself - counting their carbs.

I know the one recipe I really want to try out is a light rye bread recipe - that is only 15 g per slice.  I love rye bread - so this will be one of the many pages I'll be photocopying before I take the book back to the library (am currently trying to see if a friend of mine that works for Reader's Digest can purchase the book for me at a discounted rate - crossing my fingers here).

So, if you want a good cookbook to check out - diabetic or nondiabetic - you will be very surprised if you think we eat a bland and boring diet (Spiced Stir Fried Duck looks amazing - quack, quack).  The recipes in this book are something that you might find at a posh little restaurant - without all the fuss of some recipe books I've come across.  Click on this link to find out how to order it or check for it at your local library which is where I found my copy.



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