Sept. 27 – Diabetes Expo at the Jacob Javitz Center, NYC

UnknownADA Diabetes Expo Saturday

I should have said this sooner but my head’s been in the clouds, well more literally the great outdoors, sniffing and savoring the cool, crisp breezes and changing light of fall, my favorite season. 

For those in the New York area, this Saturday is the American Diabetes Association Diabetes Expo at the Jacob Javitz Convention Center in New York City (11th Avenue at 34th Street) from  10 am to 4 pm. Entrance is free, however if you pre-register, it will make walking in easier. There’ll be eye and foot screenings, workshops, speakers, tons of info, free samples, cooking demos– and me. 

I will be there late morning at the Eat Smart America booth with my book,The ABCs Of Loving Yourself With Diabetes, and meeting and greeting anyone who drops by to say “hello.” 

Please come by, don’t be shy. It’s so nice to get out from behind this computer and rub shoulders with everyone.

 

A rare animal, the diabetes wannabee

I’d never heard the term before last year when I made a new friend named Joe. Joe’s a diabetes educator and therapist who works with families with diabetes. Joe was the first to acquaint me with the “diabetes wannabee” talking about a colleague of his whom he respects enormously who doesn’t have diabetes but is so totally supportive you’d think she did. I found it a strange notion–after all why would anyone want to have diabetes? Then surprisingly soon after, I began wondering if my husband was exhibiting “diabetes wannabee” tendencies.

A recent blood test he had taken revealed a fasting glucose of 102 and he was immediately alarmed. The doctor reassured him that 2 points above the cut off was nothing to be concerned about, but it did concern him and living with me he had the opportunity to measure his blood glucose whenever he wanted so I gave him his own meter and lancing device. 

He approached the task with what appeared to be unnatural gusto and glee deciding he would measure his glucose four times a day for three days. Like clockwork the first day at the appropriate hour he walked into the kitchen where we keep the meters, pulled out a test strip, inserted strip into meter, secured an appropriate finger and ample drop of blood and recorded his number. I would watch withholding a smile, yet after his third test I began to notice some uncomfortable feelings within myself: Was I jealous? Was he encroaching on my territory? Were we both now worthy of sympathy, not just me? I went so far as to wonder what would life be like if we both had diabetes? Midway through the second day, however, whatever novelty motivated his initial burst of enthusiasm wore off, the testing stopped, I got my fair share of, “I don’t know how you do it!” and my “diabetes wannabee” was a “diabetes don’twannabeeanymore.” Also, his numbers confirmed no diabetes.

I guess you could see having diabetes as membership in an exclusive club, like getting picked to play on a sports team without having had to wait embarrassedly while the team captain decided whether or not he’d pick you. Maybe that is the allure to the “diabetes wannabee,” but whatever it be now that my “diabetes wannabee” has run off the field I get to reclaim the star position on this turf and I’m truly happy for a host of reasons that I’m the only one on the field.

Remember when walking was something you did rather than measured?

The aerial route inside my park 

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Most days I walk around, sometimes inside, my local park two blocks away which takes me just about an hour door to door. I’ve worn a pedometer enough times to know it’s about 7,200 steps. I also know approximately 2,000 steps make a mile, so this walk is slightly more than 3.5 miles. And if I cared to spend even more brain cells on it, this would tell me I walk about a sixteen-minute mile. 

Well, this summer my husband made a commitment to exercise and was out the door every day at 7 AM to do his walk/run and Chi Gong in the park. Of course, being a techno-guy, he was not content merely to strap on a pedometer, but strapped something on around his chest to measure his heart beat, something else on his sneaker to measure his footstep, something that surveyed his walk from the air (thus the photo) so he could come home and look at where he’d been on his computer–as if he didn’t know–and a watch that told him how far he’d gone both in miles and kilometers, at what speed and probably who he passed. Somewhere in his enthusiastic sharing, I stopped listening. Sorry, bad wife.

One day we walked together and wanting to share his toys he demonstrated how each worked, making them available to me out of his deep love and generosity. By time he showed me how I’d know from his watch (rather than my head) that my 3.5 mile/hour walk was about a 16 minute mile I said, “That’s nice, but who cares?” Bad, bad wife. 

I know everything I need to know having worn a pedometer a few times: like that I have 2,800 steps left to cover to fulfill the 10,000 steps a day recommendation for health and that the ordinary running around I do every day typically has me fulfill that target. I don’t need to see where I went when I get home, thank goodness my memory isn’t yet that faulty, and I don’t need to confirm that my heart was beating while I was walking, thank god for that. Or, how many beats my heart makes per footfall. If I can put one foot in front of the other at a good pace without falling over I figure I’m doing more than fine.

4 sides of my diabetes teepee

I walked out of my weekly grocery shop the other day looking at my cash receipt and it struck me: this is why at 55 years old (yes, you know that now) and 36 years living with diabetes, I’m in the shape I am. This list is how I eat, and it’s one of the sides that forms my diabetes Teepee: half my diet is vegetables, then whole grains, fruits, fish, low-fat dairy, nuts, dark chocolate and red wine. Yes, there’s a cup or two of coffee a day and the odd treats, but my basic diet never wavers and hasn’t for nearly the last decade. And, I’ve learned to love it. There is no sense of sacrifice here.

My daily hour walk constitutes the second side upon which my diabetes house leans and the third is being responsible with my medication: testing, calculating and correcting. At times a pain in the royal butt, ’tis true, but I prefer to know where I am most of the time to keep myself on course. 

The fourth side of my teepee is more like a small deck–and that’s managing my mind. When it all gets too much, when I can’t bear the little red dots all over my abdomen, when I resent I have them because I’ve taken so many injections for so many years, when I’m merely walking to meet a friend or from the subway and I’m going low–before my thoughts scramble completely–I think, “Why do I have to live like this???” And then I just accept that I do, and that I can handle this.

I can’t say it’s ever fun, I can’t say there aren’t times I don’t throw a pity-party (usually I’m the only guest) because I work like a dog maintaining my health on top of the work the rest of my life takes. But I can say at 55 almost everyone I know has something: cancer, parkinsons, obesity, aphasia, and I wouldn’t trade “mine” for “theirs.” Over the years, diabetes has helped me become even healthier than I would have been without it–and not many people with an illness can say that. Look, it’s written all over my grocery receipt.

Life not despite diabetes, but because of it

Screen Shot 2015-02-08 at 2.24.26 PMIs this what 55 looks like?

It was my birthday this week, September 2 to be exact. My husband told me when we got married 7 years ago that, although I was amazing then, when I was 55 I’d be utterly amazing. I’m thinking he was pretty accurate.

Here’s what 55 looks like so far: This week I flew to Bangor Maine to deliver a diabetes presentation to a roomful of patients at the local diabetes clinic and I gave the diabetes educator there my book,The ABCs Of Loving Yourself With Diabetes. She couldn’t stop telling me how much she loved it. 

Later that day a young man drove me in the hotel van downtown to have a walk and some dinner riverside. He was wearing a medic alert bracelet and it turned out it was for diabetes. When I asked how long, he said since July. When I told him I’ve had it 36 years he couldn’t ask enough questions and I couldn’t enjoy more sharing my golden wisdom. 

When I got home I had two emails from Australian diabetes organizations wanting to meet me when I’m in Sydney this December and would I agree to be a lunchtime speaker? Well, one has to eat. 

Today I had a conversation with Fran Carpentier, senior editor of Parade magazine. She’s lived with type 1 diabetes for 39 years and is quite an advocate. I’ve long had her on my list of people I want to interview but it would have been a cold contact. As it turned out one of my dear friends bumped into her last week at her hairdressers, mentioned me, and Fran said, “I’d love to talk to riva, I know very well who she is.” I thought my friend was joking and I told her so, she wasn’t.

I’ve hit the 3/4 mark on the book I’m writing this year debunking diabetes myths due out next spring, and for one, my van driver in Bangor promises to buy a copy. 

I adore my husband, my friends, my family and my life. Not a day goes by I wonder what to do with myself, although to be honest some days I think I wish I did. Three days into 55, things are looking pretty amazing. Wonder what a whole year will look like? Better hold onto that psychic husband.

Glucose Rapid Spray – quick glucose to delay a low

UnknownHelps delay or defray a low blood sugar incident

Glucose Rapid Spray was one of my finds at the American Association of Diabetes Educators’ (AADE) Conference a few weeks ago as I ambled through the Exhibition Hall. I think it’s a most innovative product that offers three distinct advantages–it provides what it says “rapid glucose delivery” with quick absorption through the surface of your inner cheeks. It offers great portability as its tiny size fits in the palm of your hand, and, it can delay and possibly deflect a low. My only word of caution, however, since we all react to things diabetes differently, is if you give it a try, since it’s uncertain just how many sprays will lift your blood sugar how far, test your blood sugar response over an hour after using, to see how your body reacts. The directions call for 5-10 sprays but you may require more, or less. Also, it’s not marketed as an emergency remedy but a way to keep your blood sugar from dropping like a stone before you can treat it.

My unexpected test of Glucose Rapid Spray occurred the other day when I took my usual one hour walk around my local park and returned at 11 AM with a blood sugar of 50. Great, I said, now I can try out Glucose Rapid Spray! The label directs you to spray 5 to 10 sprays into your mouth directed to your cheek and repeat as desired. So I sprayed 5 sprays into each cheek. While I have the orange flavored version, it also comes in raspberry, the taste is strong, and almost simultaneously sweet and slightly bitter.

I checked my blood sugar fifteen minutes later and it had lifted me to 60. Not bad I thought, but wanting to see what would happen over a bit more time I tested my blood sugar again in another fifteen minutes, now 30 minutes from my initial blood sugar of 50. I was 53. I had risen to 60 and then dropped to 53. Obviously I needed more than 10 sprays to lift me higher. As the directions instruct, I could have sprayed several more mists, but I opted since I was already home to chomp on some glucose tabs.

The takeaway: this may indeed be a valuable product to have with you when you’re on the go to delay a major low, but I’d suggest testing it to determine how many sprays you require to lift your blood sugar sufficiently before you can get your hands on some fast-acting carb or your next meal.

What’s in the Exhibition Hall at the AADE conference

Major buzzing in the hall

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EatSmart, this scale does it all

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Pelikan Sun lancing device, it’s gold

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A pocket glucose spray

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A dream pasta, Dreamfields

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Dr. Francine Kaufman closing the conference

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You can make a difference in a child’s life

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Now, to  conclude my last post, remarking on the annual American Association of Diabetes Educators Conference in Washington D.C. Let’s be honest, the most fun at one of these events is looking at all the stuff in the exhibition hall, and of course eating your way through it. I managed to do both: nibbling almost every few feet on low-fat blueberry yogurt, Activia, walnuts, cereal bars, Lean Cuisine, soft serve ice cream and lots of tidbits that resembled food but I’m not really sure they were. Gadget-wise, in truth I’ve been to a lot of exhibition halls and I didn’t find all that much new, but these things are worth mentioning:

  1. Eat smart. A small, great looking scale that measures everything and tells you how much it weighs, its calories, carb content and 7 or so vitamins and minerals. To be honest, my husband was immediately attracted to the gadgetry while I thought oh another thing to be bothered by. But, having it in our kitchen now and knowing that the plum in my fruit bowl I’m about to eat has 27.6 carbs is an incredibly useful addition to my management.
  2. Meters, meters, meters everywhere. Glucose meters have become a parody product, but I did see one that caught my eye by Intuity. You put your finger over a hole at the bottom, it pricks it and in seconds gives you your blood sugar reading. Notice, no test strip. Due out next January, now let‘s just hope they make it a little less masculine looking.
  3. On site A1c testing. I only learned recently many doctor’s offices offer A1c testing right in their office, while I’m always trekking off to the lab. Well, here at the show I could avail myself of five booths that would give me my A1c result within minutes, so of course I had to test this. I tried three different booths and came up with a 5.0, 5.4 and 5.5. Given that I’d just had my A1c done at the lab two weeks ago and it was 5.8, I’m inclined to say two of my three tests at the exhibition hall were in the ball park.Reli-On makes a kit where you smear some blood on a pad, mail it in and get your A1C results in a week.
  4. My lancing device ratings. Since we all know lancing devices cause more pain than injections I have a personal investment in keeping up with improvements in this area.
    1. First place winner– Pelikan Sun. It’s battery operated and has a feather touch. Downside: expensive, about $200 for the instrument and a little larger than a pack of cards. I’m told lancets should be covered by insurance Upside: you won’t mind testing 10x a day.
    2. Accucheck Multi-clix. The best, least painful cheap lancing device. It runs on a track so the lancet doesn’t shred your skin when piercing. My favorite run of the mill device.
    3. Renew from Can-Am Care. Operates on the same track technology as Multi-clix. Cool packaging and the only other stand-out in the pack. You can request a free trial sample online.
  5. Pumps are getting smaller and more are getting tubeless. Omnipod, the only tubeless pump right now promises a pump half the size within two to three years, I’m staying tuned, and Medtronics is working toward the same. I’ve always said when the pump is the size of a credit card, count me in.
  6. Omron, a company that makes blood pressure machines and pedometers is coming out with a new pedometer next year that’s slim, you can slip it in your pocket rather than clip it on your belt and it will work at any angle. I like the ease of putting it in a pocket. The husband loves the techie gadgetry.
  7. Glucose Rapid SprayA tiny atomizer mist spray. 5 to 10 sprays onto your cheek will help bring your blood sugar up a bit when you’re going low. Handy to carry when away from home or exercising, but I’m told not a resue item. I’m waiting for my first potential low blood sugar to give it a try.
  8. Dreamfields. A dream of a pasta. I gave up pasta for a dozen years due to how high and how quickly it raised my blood sugar. Now Dreamfields has created a pasta that nets only 5 grams of carbs per serving and I know it works. They’ve reconfigured the pasta’s molecular structure and much of it is highly non-digestible when traveling through your stomach. It still tastes delicious but doesn’t break down into carb. I swear give it a shot. I find it at my local supermarket chain, Key Food, but they’re distributing many places.

Helping Third World Children with Diabetes

The conference was closed by Dr. Francine Kaufman, pediatric endocrinologist at the Center for Diabetes, Endocrinology and Metabolism at Childrens Hospital Los Angeles. Kaufman is a tireless advocate against childhood diabetes. She shared clips from a documentary she made for the Discovery Health channel, Diabetes: A Global Epidemic, where she traveled through Africa and India bringing medicine, training and treatment to poor children, families and caretakers. Countless children are dying of diabetes because there is no medicine, no meters, no test strips, no doctors. In places where insulin is obtained on an irregular basis children are given whatever is available. Can you imagine using only Humalog one month, then only Lantus another, then NPH yet another? How would you ever figure out your protocol? I get chills just thinking about it.

If you would like to donate unused, unexpired medical supplies they are taking them atwww.Lifeforachild.org. You can also contribute $1/day and a child will receive medicine and testing supplies.

Having this podium I leave you with my own closing remark which is an observation: I found it profound that here in America we are literally dying of abundance: too much food and too many luxuries that make us lazy, while around the planet people are dying of scarcity: too little food, too little medicine and too few health care professionals.

It’s something to ponder, I think.

In the Convention Center with diabetes educators

Washington D.C. Convention Center

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Inside a great maze of learning

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AADE President opens the event

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Elizabeth Edwards key-note speaker

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Shuttle buses everywhere

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AADE bookstore, upper right corner 

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The great Exhibition Hall

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 As promised, here’s my brief report of the 35th annual conference of theAmerican Association of Diabetes Educators (AADE). 4,000 educators from around the U.S. and a sprinkling from outside the U.S. convened at the Convention Center in Washington D.C. for four days of lectures to earn credits and learn the latest news regarding drugs, devices and behavioral practices to better help their patients. They are an impassioned group truly wanting to make a difference. Having a concern of my own, why I’m getting red dots every time I inject, each educator I asked went right to work examining the problem and investigating my behavior truly wanting to help, and yes, I did take advantage of my circumstances.  Unfortunately, diabetes educators are dwindling in number each year while patients are increasing, making their work ever-more demanding.

My husband and I descended upon Washington together both eager to hear what educators are learning, teaching, what’s new in the field and how patients are being served and responding. I also wanted to thank, in person, the many experts who were speaking there and have been helping me with the book I’m currently writing, debunking diabetes myths. Arriving the night before the conference began our first self-assigned task was to find fruit for the husband’s next morning breakfast. Within a 20 block radius of downtown D.C. there is not a banana, orange or apple to be had. Trust me, I know; I asked shopkeepers, restauranteurs, passers-by and the hotel concierge. The closest we came was Tang, a powdered orange juice like drink at a CVS drugstore, but alas, not a single piece of fruit. I found it remarkable that blocks away 4,000 people had convened to learn how to help patients improve their diet and eating habits, and yet in our nation’s capital I could not find a piece of fruit. Proving once again diabetes is not just a medical issue, not just a behavioral issue, but also a systemic issue: our society’s infrastructure does not support practicing the healthy behaviors we hear about daily on the morning news.

But, forgive me, I digress. The conference was opened by Amparo Gonzalez, current president of the AADE. Her lilting accent welcomed everyone in the huge basement hall where I sat amid a sea of largely Caucasian, middle-aged women, with perhaps one man to every 50 women. Elizabeth Edwards, the key-note speaker, gave an hour long, impassioned address sharing her own experience of living with cancer and built a bridge between all of us who live with a chronic illness. She was real, warm, bright, funny, engaging, shared her darker days with cancer and spent the last 15 minutes comparing Senators McCain and Obama’s health plans. While she promised to be impartial, which I believe she was, she gave both plans low grades letting us know neither is as workable as either politician would have us believe. I left concerned that our already broken health care system is not getting fixed anytime soon. Unfortunately, two days later her broken marriage was being aired on the Convention Center’s TV monitors every few feet.

Here’s what educators are learning:

  1. New medicines, largely that deal with type 2 diabetes, and more meds on the horizon indicate diabetes is not merely an insulin problem, gastric hormones are getting more and more attention.
  2. The artificial pancreas is inching ever forward in trials largely due to the efforts of  the Juvenile Diabetes Research Foundation.
  3. Diabetes educators’ largest hurdle is getting patients to change behaviors: adopt healthier eating habits and exercise.
  4. Educators’ second biggest hurdle is once they’ve gotten patients to adopt healthier behaviors, getting them to sustain them. The drop off seems to occur 4-6 weeks later.
  5. Educators are being encouraged to shift from being “teachers” instructing patients to being “coaches” partnering with patients.
  6. “Peers for Progress” is a new AADE initiative getting underway to utilize patient mentors. We knew it was coming, too many patients for too few educators.
  7. Personal note: My book, The ABCs Of Loving Yourself With Diabetes, initially declined by the AADE bookstore because it wasn’t deemed something educators would find useful, sold out in the first few days.

Most educators I spoke with find trying to change patients’ behavior difficult and challenging, yet derive enormous fulfillment when they can help a patient succeed. As one told me, “If I can really make a difference for just 10% of my patients, I’m so happy.” I think they are soldiers, every one of them always on active duty. In truth, I’m surprised there isn’t a higher burn-out rate amongst educators. 

 
In my next post I’ll tell you what I found new and interesting at the Exhibition Hall where another 1,000 people had gathered to show their wares.  

 

 

Want to lose weight and get healthy? Nutrient-dense foods.

Are you ready to Eat to Live?

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Maybe he’s just another hawker wanting to sell books or sit next to Oprah, or maybe he’s got it right. Joel Furhman is a doctor and up and coming weight loss healthy eating guru. I’m now reading one of his earlier books, Eat to Live, from 2003 and here’s his proposition in a nutshell: Make the overwhelming bulk of your diet nutrient-dense foods and you’ll avoid disease, particularly heart disease and cancer, your diabetes’ symptoms may go away if you’re type 2, your blood pressure and cholesterol will lower and you’ll lose weight and maintain a “normal” body weight. Furhman says most of our weight, ills and diseases come from our (profit-making-big-business) unhealthy American diet which is high in fat, refined carbohydrates and calories and low in nutrient-dense foods, leaving us hungry, unsatisfied, fat and unhealthy.

Further, our most recent mania to control portions is like putting a band-aid on a levy that’s bursting; limiting our portions of non-nutritive food may cut some calories but it still leaves us nutritionally deficient with over stimulated appetites. He says if you have type 2 diabetes you can eradicate insulin resistance using his eating plan, if you have type 1 you can dramatically lower your insulin requirement. And I believe him. It seems common sense to me that the over-processed, packaged, chemically-formulated and steroid-pumped, refined junk we eat causes weight gain and disease.

Furhman just hates the food pyramid the U.S. Department of Agriculture rolls out each year and proposes one of his own. Drum roll please: our personal food pyramid’s bottom, the foundation of our diet, should be built on vegetables and leafy greens, then fruit, beans and legumes, whole grains, with the top of the house giving us a trickle of non-fat diary, animal protein and healthy fats derived from foods like nuts and avocado. If you think you’ve heard this a million times, his USP (unique selling proposition) is he rates foods according to their nutrient density. Something by the way is going to soon make an appearance in supermarkets. But what I found compelling was Furhman’s forceful argument, continue to eat unhealthy foods and your sickening yourself every day, want to truly “fortify” yourself against disease? Do it with food, not drugs. Highlights from his book:

1. Olive oil is not the miracle drug we all thought, 97% of its fat will go straight to your hips so use it limitedly.

2. Leafy greens like salad greens and green vegetables are 1/2 protein, 1/4 carbs and 1/4 fat. Who knew? You don’t need to eat a side of beef to get enough protein if you’re eating lots of veggies.

3. If you’re eating a diet rich in fresh fruits and veggies you’re getting enough water. 8 glasses a day, fugedabout it, 3 is plenty!

4. Furhman agrees, don’t be fooled be foods that say “fortefied.” A spray of folic acid won’t do it.

5. Animal protein whether white, as in chicken or red, as in beef is equally disease causing. Fish is better but even fish should only be eaten 2xweek and mercury-free.

6. Don’t worry about getting the right mix of veggies and beans etc. on your plate to get your protein covered, eat this healthy way and you will.

Mind you, always, any significant change in your eating plan may create a change in your blood sugars, which means a change in your medication–and I guarantee you if you follow this plan you will definitely need less medicine, whether you’re on orals or insulin. So, be alert and discuss this with your health care provider. If you have a condition like kidney disease you may not be able to eat enough veggies, fruits, nuts and legumes for this to work for you, so please don’t undertake this without consulting with a professional. Also if you have vitamin or mineral deficiencies talk with a professional before making any dietary changes.

You might call this a super-charged slightly left of center vegetarian eating plan, but many vegetarians rely on refined carbs and saturated fats like pasta, crackers, pretzels and cheese, which are not nutrient-dense, whereas this plan is mostly vegetables, fruits and beans. Whole grains, healthy fats and animal protein are parceled out according to your weight loss goals.

Of course, restaurants and social outings are harder to maneuver than home cooking, so he proposes using outings as a time when you indulge a little. If you’re living in this century, time is the other nasty. Who has much time to shop and prepare vegetarian meals? Furhman offers recipes, but darn, somebody’s got to make them. I mostly do the simplest thing: steam an assortment of fresh veggies every night for dinner, lunch is a spinach salad with beans, left over veggies from the night before and a little feta cheese. Breakfast is steel cut oats.

If you want to really get healthier and drop some pounds read the book, try the diet and see what you think. Wouldn’t it be remarkable to shed those 20 pounds forever, really feel full and satisfied, and watch your health transform, including your energy and outlook?

End note: I will be away this week at the American Association of Diabetes Educators annual conference in Washington D.C. I am not an educator or any other type of medical professional, merely a lay person interested in knowing what educators are learning, talking about, being taught, where their struggles are with patients, what they see for the future and will let you know.

Would you change what you eat if you considered food medicine?

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Want to get healthier? Eat better? Feel fitter? Have your “numbers” more in line with where they should be? Try this: look at what you eat as medicine, each morsel providing the nutrients that either increase your health or decrease it, because actually it does.

I’m not advocating that you can’t eat a plate of French fries or a bowl of ice cream, but I am suggesting that if you approached what you eat differently, that everything you eat is either making you healthier or having the opposite effect, would you make healthier food choices?  While vitamin and mineral supplements are useful, particularly for certain conditions, they are not quick fixes or substitutes for a healthy diet. In fact they’ve been shown to be less healthful than eating the real food that contains them because supplements contain only one trace element extracted from a whole host of nutrients that work together in the foods where they naturally exist.

Also, I have to say the notion of “fortifying” foods is somewhat misleading. It leads us to believe those foods become super healthy, but you can’t spray a nutrient on basically white bread (with a little caramel coloring or tablespoon of whole wheat flour and call it whole wheat bread) and then tell people it’s uber healthy. I firmly believe, in case you haven’t gotten it yet, that what we eat, along with physical activity and our genetics forms the building blocks of our health.

I got to wondering whether it would inspire us to eat healthier if we considered food medicine the other day when I got my annual report from my endo: A1C, cholesterol, triglycerides, microalbumin, blood pressure.

I sat across the desk from my doc shrouded in worry, I always find these things worrisome, and then found out that I’m fit as a fiddle. My A1c is in the 5’s, my HDL (good cholesterol) is as high as my LDL (bad cholesterol), my microalbumin which is supposed to be under 30 is 0.3 and on and on, one great result after another. My doctor, in fact, needing to fax my A1c report to the group I do the A1c Champion presentations for wrote on his report patient in “excellent control.”

Seeing “excellent control” I had a flash of insight why I’m in excellent control–my numbers are by and large the direct result of what I put in my body, and what I don’t, and that I walk an hour a day. I translated “excellent control” not merely into blood sugar as he meant it, but something bigger: my overarching diet and exercise routine.

Everyone with diabetes keeps hearing the mantra, “diet and exercise” and I really got it in that moment, yep, it makes all the difference. But diet doesn’t mean low calories, or the debate between low carbs and low fats: it means healthful, nutrition-rich foods, which are basically vegetables, grains, fruits, beans, and a bit of the rest, largely unrefined foods and where fats are concerned the healthy ones.

I’m not discounting the role genetics plays, you may be more prone to one thing or another based on your genes. I’m on synthroid for my underperforming thyroid, my thyroid failed me at exactly the same age it happened to my mother.

And, while my HDL is 105 and my LDL is 106, some would say my LDL should be lower, like 70 often quoted as the target for diabetics. I in fact think it should be lower as a result of my diet, but I know it’s 106 because of genetics, both my parents have high cholesterol. But genes are often triggered by our poor diets.

I’m also not saying in considering your diet as medicine that there’s no room for fried calamari, bread sticks or a piece of incredibly delicious New York cheesecake, but consider that a day you skip your meds and know that the bulk of what you put in your body on a daily basis forms the health of your bones, your blood, your tissue, the foundation that you rest upon, and if you put in whole and wholesome foods, you know the ones that grow out of the ground and on trees, your house is going to stand on a stellar foundation.  Whereas when we stuff ourselves with less healthy foods, lots of sugar and fat, refined carbs and animal protein, rather than plant protein, we cause inflammation of our body’s tissues, the stimulus for disease and premature aging.

Too many people are eating weak, not nutrient dense, foods and believing that “fortified” on a product label is the seal of approval. The real reason portion control has become so big is we’re eating the wrong things and rather than pushing the right foods, some self invested organizations are trying to solve the problem by limiting the amount of bad things you eat. In the end, this is not the solution.

If there’s room for you to do better with your “numbers” those target ranges for all your vitals, instead of thinking about another medication to add to your regimen, think about what you eat.

I’m not giving any medical advice, or telling you not to take your medication, I’m just saying in addition try viewing the foods and beverages you put in your body, your engine, as either premium, super, leaded or leaded and to for the ones that will give you the most mileage so you’re running like a fine tuned lamborghini. Leafy greens, broccoli, kale, salmon, walnuts, spinach, blueberries, ginger, tumeric, these are not “fortified” foods, these are whole, real foods, and among the most healthful, and I like to think medicinal foods you can feed yourself.

Ask yourself: Would I make healthier food choices if I viewed everything I put in my mouth—well almost everything—as having a high or low rating of medicinal effect? I would, I do, and I can’t go back, not when I’ve seen the results of an ironically fabulously tasty and satisfying “medicinal” diet.