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D-Life offers some tips for making it through the Holiday season with sanity and blood sugar intact:   1.  SHOP STRATEGICALLY:  -Plan ahead and start shopping early to avoid the stress of the mall and crowds.  Stress  = increased blood sugar levels   2.  SNACK SMART:  When you are out on long shopping excursions – bring healthy snacks along and avoid the food court.  Small frequent meals are best for keeping your energy and blood sugar in a comfortable zone.   3.  GIVE THE GIFT OF HEALTHY FOOD:  Treat your host or hostess to a tasty low-care or sugar-free dish at the next holiday party you attend.    Chances are that more than one health conscious guest will appreciate you for doing so.   4. HAVE A ROAD MAP FOR DIABETIC EMERGENCIES:   If planning to travel – develop a plan for doing so.  Call ahead for any airline – trains or cruises and discuss your needs and preference to make sure the food that you want is accessible.  Bring snacks and plenty of medication in case of unforeseen delays on the road – rails or air.    5.  WRAP UP A CURE –  Shop for and help Diabetes advocacy groups  to help find a cure.

DID YOU KNOW?    DIABETES AND SURGERY:    According to Diabetes Living Magazine – if you are scheduled to have surgery – talk with your Doctor `about your blood glucose levels.  Surgical site infections are the most common hospital acquired infection in surgical patients and people with diabetes are at a higher risk that people who do not have diabetes.  Keeping blood sugar levels between 80-110 mg/dl during the first 48 hours after surgery has been shown to reduce infection.
It is also very important when facing surgery or any outpatient procedure to let your Health Care Providers know if you are on Metformin (Glucophage).  This would include dental surgery and would also include any x-ray procedure in which dye is injected. You may need to stop taking metoformin  before the procedure and wait 48 hours to restart treatment.  Your Doctor will give you exact instructions.  Metformin  has the potential to cause a life threatening illness called lactic acidosis so make your provider aware.
Wounds in diabetic patients are a concern because of the difficulty in healing them.  The worse case scenerio in a Diabetic patient is a small wound that leads to an infection and amputation of a limb or part of a limb.
For years Home Helath or Wound Care Nurses recognized the positive efect of silver on a wound.  Burns have been treated for years with a silver ointment that looks like “white icing” known as Silverdene
But in recent years wound care specialists have found that silver in a gel form is extremely effective in treating bacteria at the level of the wound bed.  Specialists have found that Antibiotics by mouth are not nearly as effective as treatment of the wound bed. As a result some companies have started to seel socks that have very small amounts of silver interwoven in them.  These socks combat not only bacteria in a wound but also can help with yeast and fungus – other problems that affect Diabetics.
Recently a company called Cupron has developed a pair of socks that has copper woven in the fabric as a preventative for Athlete’s foot and other fungal infections.
Check the internet for companies that sell them
The HAMPSHIRE COUNTY DIABETIC SUPPORT GROUP  meets monthly at the Romney Senior Center on School street.  It is the 4th Wednesday of each month at 1 pm.   For more information call Pam Francis RN Diabetic Educator at 304-813-6588.
A1C:       A test that measures a person’s average blood glucose over the past 2-3 months.  Hemoglobin is the part of the red blood cells that carries oxygen to the cells and joins with glucose in the blood stream/  This test should be done twice yearly if within range and every 3 months if not.  To be in range results should be 7 or less.
BETA CELL:      A cell that makes insulin.  Beta cells are located in the islets of Langerhans in the Pancreas
CALORIE:   Food energy that animals including humans derive from their food..
About 3500 calories equal a pound of body weight.  So to lose a pound a week you would have to decrease 3500 calories from your regular intake for the week
Often we feel that if we eat portions that are smaller it will also mean the food has less calories and carbohydrates.
One example where this is not true is a small pan/individual meat lovers’ pizza.  One of the 6 inch pizza’s with pepperoni – ham or ground beef is a big calorie and fat bomb according to Dietitican’s with Academy of Nutrition and Dietitics.   And lower calories is not an option as they contain about 830 calories.
To burn off one of these pizzas you would have to :  1.  Shop for 5 hours and 8 minutes
2. Bike for 3 hours and 5 minutes  3.  Cook for 4 hours and 38 minutes   4.  Walk for 2 hours and 48 minutes  or 5.  Do jumping jacks for 1 hour and 31 minutes.
Next time to make it healther:  1.  Pick just one meat  – ham would be the better choice.
2. Use the Mushroom trick:  To satisfy a meat craving – order mushrooms instead.  These vegetables will fill you up and deliver the same meaty texture..
3.  Think thin (crust) – Thick crusts are always higher in calories.  The thinner the better.
4.  Go easy on the cheese.  Ask for half the cheese or order without cheese and sprinkle on afterwards.
5.  Stick with Veggies – this slashes almost 300 caloreis – cuts the fat in 1/2 and the sodium content by 40%.
6.  Eat salad first.  You will most likely eat less slices
Well controlled Diabetes is the leading cause of ……..nothing!
Dr William Polonsky – Diabetess Behavioral Institute
Western Maryland Health Systems offers a guided tour of a local supermarket by a Registered Dietitian.  She will show you how to read labels and shop for healthy choices.
Tours are scheduled regularly and they are free!  For dates of upcoming tours – you can call them at 240-964-2302 or visit www.wmhs.com
The Center for Disease Control (CDC)  recommends vaccination against Hepatitis B because having Diabetes may increase the chances of getting the disease.  Because Diabetes affects the immune system Hepatitis may affect the Diabetic.  The CDC now recommends that unvaccinated adults with Diabetes who are between the ages of 19-59 to have the Hep B vaccine and Diabetics age 60 or older to have the vaccine as determined by a Healthcare provider.
HOW MANY CARBS PER MEAL?   This is one of the most frequently asked questions as a Educator that I receive.  In general the target should be 45-60 carbohydrates per meal for women and 60-75 per meal for men.  Snacks should contain 15-30 grams of carbohydrate.
One carb choice = 15 grams of carbohydrates.  The is about the amount found in – 1 small apple – 1/2 cup of mashed potatoes – 5 crackers or 1 small chocolate chip cookie