Diabetes Education Center of the diabetes has a mind of its own! If you feel angry If your diabetes schedule or diet is. too restrictive, making …
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Diabetes
Diabetes Education Center of the Midlands
Winter, 2008
Inside This Issue
NEWS
Tips to Stay Motivated Soft Drinks: A Risk for Heart Disease Dont Skip Meals
Look for us on the web:
Tips to Stay Motivated
by Mary Leighton, RN, BSN, CDE
Soft Drinks: A Risk for Heart Disease?
by Nancy Schwartz, RD, LMNT, CDE
wwwdiabetes-educationcom
How do you stay motivated to follow your diabetes management plan? Does knowing what you do make a difference - is it enough to keep you on top of the game? Or do you experience frustration and fatigue by the demands of the disease?
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The requirement to actively manage diabetes means you have a to-do list everyday just for your diabetes tasks It takes a firm commitment to your health and wellness to follow through everyday It is hard enough to accomplish the necessary self-care chores when everything is going well When stressful events occur it may become impossible to do everything Here are some tips to help you prevent falling into poor self-care habits: Dont Panic When your blood sugar readings are not in target dont overreact Keep in mind that it takes years of high blood sugars to cause complications Look at your meter readings as data you collect to make decisions and try not to have emotional reactions to disappointing readings There is
We are all familiar with heart disease risks such as smoking, high LDL cholesterol, low HDL cholesterol, high blood pressure and inactivity Recently, a study published in the journal, Circulation, found people who drink soda every day are 44 percent more likely to develop an array of conditions that alter metabolism and increase their health risks The truly surprising result was that it didnt matter whether the soda was a diet
version or regular The results were unexpected since even a little soda increased the risk and because diet drinks, with their lack of calories, had the same effect as sugary beverages, the researchers said Soda drinkers fared worse on the individual components of the condition known as metabolic syndrome, including high blood sugar, low levels of good
cholesterol, abdominal fat and elevated triglycerides Having metabolic syndrome approximately doubles your risk of heart attack or stroke, reports the senior author of the study Drinking one soft drink a day increases that risk This is not an association that can be good The researchers, from the Framingham Heart Study, have followed people in the Boston area for decades looking for lifestyle and other factors that increase the risk of cardiovascular disease They analyzed data from more than 6,000 people who filled out food questionnaires and were followed for an average of four years to gauge the impact of their soft drink consumption habits on health By the end of four years, the consumers of soft drinks had a 31 greater risk of becoming obese, a 30 greater risk of increased waist circumference and a 32 greater Continued on page
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SmartPhone shown is an extra cost-option ACCU-CHEK, ACCU-CHEK AVIVA, ACCU-CHEK SPIRIT and LIVE LIFE THE WAY YOU WANT are trademarks of Roche 11305 1007 DECM
Diabetes Education Center of the Midlands DECM is a community based, nonprofit organization dedicated to enhancing the quality of life of diabetic individuals and their families by empowering them through health education to take charge of their lives
Tips to Stay Motivated
Continued from page 1
Soft Drinks: A Risk for Heart Disease?
Continued from page 1 risk of having low levels of HDL or socalled good cholesterol They also had a 25 higher risk of having high blood triglycerides or high blood glucose The researchers said they arent entirely sure how diet soft drinks, with no calories, increased the risks While soda drinkers, in general, do consume more fried foods and more calories, tend to exercise less, smoke more and eat less fiber and dairy products, the researchers took all those factors into account Even adjusting for them, soft drinks were linked to greater risk There are several hypotheses for how and why soda may lead to health problems The high fructose corn syrup can lead to weight gain and
resistance to insulin, which converts blood sugar to energy The fact that diet sodas were implicated made the researchers look for other possibilities People who consume a lot of liquids may not reduce their subsequent caloric intake, as was addressed in
Continued on page 2 who understands how hard diabetes is and who emphathizes with your nothing worse than doing everything efforts Finding this support isnt right and not getting the desired always easy Sometimes friends and results It seems like sometimes family act more like the diabetes diabetes has a mind of its own police by constantly correcting or If you feel angry and frustrated checking on you This makes you feel when you get high readings it may like you are in jail rather than being lead you to feeling like giving supported Talk to your friends and up Some people even stop testing family about how they can be more blood sugars because they dont supportive want to see the numbers This is a Change Your Behavior dangerous situation Try not to feel defeated by individual Get Support blood sugar readings Use the A1C, Finding a healthcare provider or average blood glucose readings diabetes educator who can assist as a
measure of how well you are you in trouble shooting will be doing Set small specific goals that very helpful Having the correct you can achieve If you are feeling treatment plan made to fit your depressed and discouraged seek help needs is your key to success If your diabetes schedule or diet is Everyone needs support: someone too restrictive, making you feel like
your life is miserable, talk to your educator or doctor about ways to change your self-care a bit so you can enjoy life more Getting Help There are many sources beyond your personal healthcare team Be sure to check out support groups in your area and also on-line communities Several self-help books to help you with stress management and motivation are in stock at DSCM: The Mind-Body Diabetes Revolution by Richard S Surwit, PhD with A Bauman Psyching Out Diabetes by Richard Rubin, PhD, CDE, June Biermann, and Barbara Toohey Diabetes Burnout
Diabetes Education Center
Diabetes Education Center of the Midlands, a 501c3 nonprofit agency, gratefully acknowledges those whose gifts have been instrumental in helping the Center meet the needs of diabetic individuals and their families Donations received from August 29, 2007 to
December 10, 2007:
Anthony Allen, Bellevue, NE Mr Mrs Richard Cosgrove, Omaha Rev Wayne Crossroads Community Fellowship Erma DeRock, Bellevue, NE Linda Edwards, Omaha
Thank You
Stanley Donna Flak, Murray, NE Darlene Hare, Omaha Susan Harr, Omaha Terry Judy Hoscheid, Omaha Kenneth Shirley Koehler, Treynor, IA Mike and Mary Leighton, Omaha William Lindsay, Jr, Omaha Sharon Matzke, Omaha Mr Mrs Gene Megrue, Blair, NE In memory of Kenneth Volk: Josephine Volk Michael Ohlinger Everett Moore, Omaha Bette Peterson, Omaha Robin Schmidt, Omaha J L Strasheim, Omaha Elza Ulpis, Omaha Rose Vacha, Omaha Dorothy Woodside, Lexington, NE Gloria Young, Omaha Bernice Rowlett, Omaha Laura Smith, Bellevue, NE Pat Stopak, Omaha Joseph Wilhelmi, Omaha
Honors Memorials
In honor of Orlin Marge Wahl and Terry Dascha Wahl: Dr Mrs Timothy Wahl In memory of Kermit Anderson: Mutual of Omaha Insurance Co In memory of Betty Lien: Brad Vickie Lien In memory of Hilary Neesen: Dr Dave Mrs Jan Mlnarik In memory of Dorothy Smith: Donald Patricia Everett Joyce Nurton In memory of Janet Stiles: Velma Mostek
our last newsletter The sweetness of both regular and diet beverages may lead to cravings for
other sweets, the researchers said The caramel in both drinks may promote inflammation and insulin resistance, they said Some experimental studies show that the caramel content in soft drinks may promote development of complex sugars that can result in insulin resistance and diabetes Is there a safe amount of soda? We cannot really answer that question, the lead researcher says The research shows an association between soda consumption and metabolic syndrome risk but not cause and effect More study is needed Still, he adds, the group without risk drank less than one soda a day The American Heart Association, in its July 23, 2007 press release on the study, states: Since this is an
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observational study, it is important to note that the study does not show that soft drinks cause risk factors for heart disease AHA adds: Diet soda can be a good option to replace caloric beverages that do not contain important vitamins and minerals The American Heart Association supports dietary patterns that include low calorie beverages like water, diet soft drinks, and fat-free or lowfat milk as better choices than full calorie soft drinks The article was published in the July 31, 2007 issue of the
American Heart Associations journal Circulation This CDEs thoughts: Be active, eat well and enjoy your diet soda in moderation And, if caramel is the problem, there are some soft drinks that have none listed in their ingredient lists
Tom Arkwright, Omaha Mr Rik Dr Shannon Bonness, Omaha Gene Burton, Fullerton, NE Michelle Colin, Spotswood, NJ Charles Friend, Bellevue, NE Mildred Garvey, Omaha Nancy Haack, Omaha Anita Hardisty, Omaha Ange 
la Johnson, Wahoo, NE Mark Kriglstein, Omaha Marcia Ledvina, Avoca, IA Bill Martin, Omaha Joyce McElroy, Shenandoah, IA Jack Moore, Omaha Charissa Naran, Omaha George Oltman, Omaha Gilbert Peers, Omaha
In-Kind Donations
Lawrence Brennan, Omaha Joseph Nields, Omaha
Union Pacific Fund for Effective Government
Carol Ryan Steven Ryan The Ryan Foundation
Corporations, Clubs Events
Mark Ledbetter, Omaha
Tree of Life Newsletter
Courtesy of an Anonymous Donor
Dont Skip Meals
by Mary Leighton, RN, BSN, CDE Why do dietitians always try to get you to eat three meals per day? When someone eats only one or two meals a day, the body learns to store extra fat for quick release to enable survival when food intake is not consistent The most accessible
storage space is the abdomen Therefore, eating one time per day high abdominal fat stores During long hours of sleep, large abdominal fat stores can easily raise circulating free fatty acid and triglyceride levels in the blood Higher free fatty acid levels raise insulin resistance and accerate damage to blood vessels In contrast, by eating reasonable amounts of complex, low glycemic index carbohydrates through the day, you help minimize fat release into the blood and assist weight maintenance A healthy nibbling diet helps lower triglycerides and LDL cholesterol levels, and keeps the glucose in better control 7
Diabetes
Supply Center
Visit our Website at wwwdiabetes-supplycom for MORE products
BD Home Sharps Container The BD Home Sharps Container is for safe storage of insulin syringes, pen needles, and lancets It is leak-resistant, punctureresistant, and can hold 70-100 insulin syringes or up to 300 pen needles A permanent locking lid will seal this container when full 425 Diabetes BURNOUT What to Do When You Cant Take It Anymore by William H Polonsky This book addresses reasons to hate blood sugar monitoring, depression and diabetes, how stress influences diabetes, and worrying
about long-term complications 1895 2008 Calorie Fat Carbohydrate Counter This best selling book contains food counts–calories, fat grams, and carbohydrate grams–for over 200 fast food restaurant foods and 11,000 at-home foods It is rated 1 by health professionals and consumers 799 MasterCook Deluxe 90 A complete recipe and nutrition manager, download this CD-ROM and receive over 8,000 recipes Search for recipes with low fat, no sugar, low carb, kosher, gluten free, low sodium, lactose free and more All recipes give you nutritional analysis and substitutions to change nutritional values 2025
We are moving, but not far
Our new office will be conveniently located in the same shopping center, Frederick Square We are moving to the northeast corner opposite end from Shopko We are very excited about the new larger space This will allow us to carry more diabetes related supplies and serve more clients We will be moving the weekend of January 26, 2008 There will be no interruption of services to you Please come and visit us soon
Household Medical Waste Disposal in Your State
of the Midlands
BD Safe Clip The BD Safe-Clip is a needle clipping and storage device that works with insulin
syringe and pen needles The clipped needle is automatically and safely retained within the device It holds up to 1,500 clipped needles The BD Safe-Clip is 4 long and 1 wide Fits in pocket or purse 450
by Justyna Tesmer Did you know that every state has different regulations regarding the disposal of household medical waste? It is estimated that 3 billion syringes are used each year outside health care facilities After being used and discarded, most of these syringes end up in the public solid waste system This presents a risk of needlestick injury and infection to anyone who comes in contact with the waste Learning the proper disposal is the only way to help alleviate this problem Nebraska Guidelines Place the waste in a rigid or semirigid, puncture resistant and leakproof container Mark the container prominently with the universal biohazard symbol Label the container Infectious Waste or biohazard waste Seal the container Ensure that the outside of the container is free from contamination Take container to a needle disposal program or contact your physicians office if a disposal program is not available in your area Under the Sink has a needle disposal program available free
for residents of Douglas and Sarpy counties They can be contacted at 444-SINK 7465 for more information and to schedule an appointment Iowa GuidelinesThe Iowa Department of Natural Resources has not written guidance on safe disposal of used syringes Individuals are advised to contact local solid waste authorities for safe syringe disposal procedures However, it is advisable to follow the Nebraska disposal guidelines and take them to a needle disposal program The Council Bluffs Health Department at City Hall has a needle disposal program available for residents of Iowa It is located at 209 Pearl Street, Council Bluffs, Iowa in the Basement of City Hall No appointments are necessary; they are open Mon-Friday from 8-12 and 1-5 A disposal container is provided for you; once it is full you can drop it off to receive another disposal container To locate information about another state check the web: wwwsafeneedledisposal org
More Diabetic Meals in 30 Minutes Or Less by Robyn Webb Great tasting recipes that can be prepared in 30 minutes or less Contains a healthy variety of salads, soups, entrees and desserts with main dish salads, stir-frys and brunches Complete nutritional information
and exchanges 1695
TO ORDER: CALL Diabetes Supply Center of the Midlands
2974 South 84th Street, Omaha, NE 68124 399-8444 in Omaha 800/779-3374 Outside of Omaha Hours: 8 am - 6:00 pm Monday-Friday 9 am - 1 pm Saturday
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Look for us on the web:
wwwdiabetes-educationcom
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Cookbook Review: Diabetic Meals in 30 Minutes - or Less by Robyn Webb
Reviewed by Anne Johnson, RD, LMNT
You can purchase this book at DECM, when you pick up your diabetes supply order
Faculty Focus on
Diabetes Education Center
If your schedule is hectic and your busy lifestyle limits the time available for preparing meals, then this may be the cookbook for you A stopwatch symbol gives an estimate of the preparation time for each recipe and all can be done in thirty minutes or less Low fat and fat free ingredients are used throughout this cookbook to
provide recipes lower in calories and more heart healthy The complete nutritional analysis of the more than 150 recipes will provide the information needed for including these foods in your daily meal plan With choices from all meal courses from appetizers to desserts there should be something for all tastes
Diabetes News
Upcoming Programs
from Diabetic
Meals in 30 Minutes - or Less Evaporated skim milk and low-fat cheeses make this a healthier version of an old favorite 3/4 cup evaporated fat-free 1 Preheat the oven to 350 degrees Heat the milk in a saucepan over low heat milk Add the cheese until they melt, stirring 1 cup low-fat cottage cheese constantly 1/2 cup part-skim ricotta cheese 2 Stir in the nutmeg, pepper, and salt 1/2 cup low-fat cheddar Remove the cheese sauce from the heat cheese Add the cooked pasta to the cheese sauce 1/2 tsp nutmeg and mix well Fresh ground pepper and salt to taste 3 Pour the mixture into a 2-quart casserole 1 lb cooked elbow dish Sprinkle with Parmesan cheese and macaroni bread crumbs Bake the casserole for 1 Tbsp Parmesan cheese 15-20 minutes until bubbly and the top is 1 Tbsp dry bread crumbs browned
Nutritional Analysis: 6 Servings/Serving Size: Exchanges: Calories Calories from Fat Total Fat: Saturated Fat Cholesterol Sodium Carbohydrate Dietary Fiber Sugars Protein 1 cup 2 Starch, 1 Very Lean Meat 203 24 3g 1g 14 mg 331 mg 28 g 1g 6g 16 g
Low-Fat Macaroni and Cheese
Gloria Jensen, RN, BSN, CDE
Gloria Jensen is a graduate of Methodist College of Nursing in Omaha, and became a Certified
Diabetes Educator in 1992 She has worked for the Diabetes Education Center part time since 1998, either helping with the 4-day classes or teaching as a certified insulin pump trainer She is a native of southwest Iowa, and lives in Omaha with her husband, Ellis They have three grown sons and two granddaughters In her free time she enjoys golf, quilting and ballroom dancing with her husband Gloria believes that education is the most important element people must have to live well with diabetes
8-Hour Basics Skills Class: January 21 24, 2008 February 4 7, 2008 February 25 28, 2008 March 3 5, 2008 March 24 27, 2008 4-Day Comprehensive Class: January 14-17, 2008 February 11-14, 2008 March 10-13, 2008 Pre-Diabetes Class: January 22, 29 February 19
9 AM-1 PM 5-9 PM 1-5 PM 5-9 PM 9 AM-1 PM 3-9 PM Noon-6 PM 3-9 PM 5-6 PM
Support Group: 10:00 AM- 11:30 PM the Second Saturday of every Month
January, 2008 February 9, 2008 CANCELLED DUE TO MOVE Topic - TBA Speaker - TBA
I enrolled in the 8-hour basic skills diabetes class in the summer of 2007 The class was a welcome addition to my education on diabetes It was nice to share information with others that are in the same boat as I am It
was also good to hear about the latest data on medicines and technology that seem to change almost weekly Ive relied on Diabetes Education Center of the Midlands for help in living with diabetes and will continue to do so in the future Phil Klein
UNO Fitness Program: 6 month exercise program, with open enrollment This program is open to anyone who has special needs during exercise This will include, but not be limited to people with diabetes, arthritis, fibromyalgia, hypertension, obesity, osteoporosis osteopenia
Only 75 for all 6 months For more details or to register please call 402 554-3221
SAVE THE DATE
Annual Seminar Saturday, April 12, 2008 Holiday Inn Convention Centre More details coming soon
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After trying this recipe I probably would add a little more milk to make it less dry
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Source:diabetestrialnet.org
