Ramadan Mubarak…. Happy Ramadan.
This evening, Ramadan begins. It is the most important spiritual time for the 1.8 billion Muslims around the world.
In Islam, Ramadan is the month in which the first verses of the Quran, were revealed to Prophet Muhammad. In observance, many Muslims fast by abstaining from food, drink, smoking, and sex, from pre-sunrise to sunset. This fasting achieves greater “taqwa” or “consciousness to God.”
As Diabetes Care and Education specialists, we have the chance to provide tools for those who fast while keeping diabetes in mind.
The Association for Diabetes Care and Education Specialists (ADCES) put together some helpful handouts to better support people who are fasting and living with diabetes.
Below is the list of resources shared by ADCES
To read more about Ramadan, click here.
To take our Question of the Week that considers Type 1 and fasting during Ramadan.
The ADA Standards of Medical Care in Diabetes is a key resource for healthcare professionals involved in diabetes care, education, and support.
One of the most important pieces of literature to read prior to becoming a Diabetes Care and Education Specialist and for clinical practice, the Standards of Care book is a study must!
The book includes:
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Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.*
The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.
As we continue to navigate this long-lasting pandemic there has been so much loss and heartache.
Years ago I went to a conference on preventing burnout in healthcare providers with Dr. J. Bryan Sexton, associate professor in psychiatry and behavioral sciences at Duke’s School of Medicine and an expert in the idea of resilience. He impressed me and I have talked about his conference to many colleagues over the years.
I loved sharing his wisdom with my clients, because of studies that link resilience to better diabetes self management. (1)
Lately, as I have been struggling with overwhelming feelings of sadness, I have remembered to practice some of his tools to cultivate resilience. Cultivating resiliency is something that takes daily focus. To cultivate means to nurture, grow, and encourage resilient behaviors.
Three Good Things
Humans are hard-wired to remember the negative aspects of our day, but flipping around the natural inclination is simple.
Building resilience is possible by focusing on positive emotions – joy, serenity, hope gratitude, inspiration, pride, love, awe, and amusement.
Promoting positive thoughts and building resilience can be as easy as taking notes each night before bed. Think of three things that happened during the day that went well and your role in the positive outcome, then jot down those three things. Best results for this exercise come after 14 consecutive days. Empirical evidence shows that this elevates brain serotonin with positive effects on our mood that last for months. (2)
Show Gratitude
Grab a pen and paper and write a letter of appreciation to someone- anyone. Take five minutes to explain something they did, how it impacted you and the benefits you received. Whether you share the letter or not, Dr. Sexton said it can have lasting impacts, increasing happiness while lowering depressing thoughts because focusing on benefits forces us to linger on positive thoughts.
Rediscover Awe
Through an “awe intervention,” you can create a sense of slowed down time, which offers a calming sensation and a feeling of having more time available.
Awe also helps us to feel inspired. I call awe intervention, “joyful thanksgiving”. It is a practice that I am doing in which I acknowledge and give a little extra gratitude for the many amazing sights, sounds, tastes, relationships, information, and emotions that excite me and create awe right from the moment when I wake up.
I began to feel grateful for this medicinal food. Oats, blueberries, banana, and nuts contain water soluble fiber which slow the absorption of sugar and fat from food, and therefore help prevent spikes in blood sugar and blood fat, possibly reducing the inflammatory response to food. (3)(4)
Fiber is a super food which provides important nutrition for our intestinal bacteria to live and prosper, that’s why fiber is called a pre-biotic. Vegetables, fruit, whole grains, nuts and legumes remain the single best sources of fiber in the diet. High-fiber vegetables include many of the green leafy vegetables like kale, collard greens, chard, arugula, and even lettuces. Whole-grain sources of fiber include oats, quinoa, barley and rye. Legumes include beans like peas, soy, black, pinto and lentils.
Encouraging our clients to consider adding more fiber rich dishes to the holiday meals this season and perhaps telling them about Dr. Sexton’s tools for cultivating resilience may help them to feel happier and more hopeful and contribute to better blood sugar control.
½ cup unsweetened coconut milk beverage
½ cup old-fashioned oats
½ TB chia seeds
½ banana
1 tsp maple syrup
½ cup blueberries
2 TB chopped walnuts
1/8 tsp cinnamon
Combine coconut milk, oats, chia, banana, maple syrup in a pint-sized jar and stir. Top with blueberries and coconut. Cover and refrigerate overnight. Heat up and sprinkle with walnuts and cinnamon in the morning.
285 calories, 6 gm protein, 57 gms carbohydrate, 7 gms fiber 6 gm fat
Meta-Analysis. Nutrients. 2015 Dec; 7(12): 10369-10387p. 1392:8
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The winter and holiday seasons can be stressful and wear us down, especially during the pandemic. We tend to spend more time indoors. To help out, we have some suggestions that will not only help with stress management but can also boost your immunity.
Walking outside in nature and drinking in an “oxygen cocktail” feels good, but does it benefit our immunity?
You might be familiar with the term “Forest bathing” or shinrin-yoku. In Japanese, Shinrin means “forest,” and yoku means “bath.” Shinrin-yoku means bathing in a forest atmosphere or taking in the forest through our senses.
Research has demonstrated that trips to the forest can not only make us feel better by lowering muscle tension, boosting sleep, and reducing blood pressure. It turns out being in nature also enhances our immune systems by increasing the number and activity of our lympocytes and killer T cells.
When we walk among trees and plants, we breathe in airborne chemicals from plants called phytoncides.
Plants produce these chemicals to protect themselves from insects, bacterial and fungal infections. Phytoncides help plants fight disease.
These cells kill tumor and virus-infected cells in our bodies. In one study, increased NK activity from a 3-day, 2-night forest bathing trip lasted for more than 30 days.
According to Dr. Qing Li, author of the book, Forest Bathing, the key to unlocking the power of the forest is in the five senses:
To read more, click here.
The holiday season can also be stressful and throw us off our normal routine. This can compromise our sleep and our overall eating habits.
To help everyone feel their best during this holiday season, we have ten strategies for you and your patients. And even if you can’t do all ten, just pick one or a few that you feel you can commit to and succeed with most of the time.
We have created a 10 Steps to Survive the Holidays PDF – a handout that includes the info below to print and share with your friends, patients, and colleagues!
Recorded & Ready for Viewing
Coach Beverly Thomassian, RN, MPH, CDCES, BC-ADM, has completely updated this critical presentation, to bring health care professionals up-to-date on the current state of COVID and its impact on diabetes care. She summarizes key information including critical teaching points and management strategies for people with diabetes who develop a COVID-19 infection.
Topics Include:
Join us to learn critical information about Diabetes and COVID Management
Instructor: Beverly Thomassian RN, MPH, CDCES, has been Board Certified in Advanced Diabetes Management for over 20 years. She is an Associate Clinical Professor at UCSF and Touro University and a nationally recognized diabetes expert.
See Full Free Resource Catalog
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Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.*
The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.
World Diabetes Day is celebrated in honor of Dr. Fredrick Banting, whose leadership, tenacity and belief led to the discovery of insulin.
The discovery of insulin has saved the lives of countless millions of people over the past hundred years and will continue to save millions of lives in the near future and beyond.
During a hot summer in 1921, Dr.Banting secured space to test out his theory at the University of Toronto. Along with his colleague, Charles Best, and a bare-bones lab, they conducted dozens of experiments on dogs, which ultimately led to the discovery of insulin.
Dr. Banting and Charles Best began their experiments ligating the pancreases of dogs, thinking this would prevent destruction by the digestive pancreatic juices, and then isolating the extract from the islet cells. They then processed the extract from the islet cells and injected this extract they called “insulin” into diabetic dogs. According to an audio interview with Dr. Best, by July 1921, they had 75 positive examples of insulin lowering blood glucose levels in dogs.
In February 1922, doctor Frederick Banting and biochemist John Macleod published their paper on the successful use of an alcohol-based pancreatic extract for normalizing blood glucose levels in a human patient.
Here are some photos of the first insulin bottles produced by the University of Toronto and Eli Lilly.
Soon, word of their discovery got out and the race was on to produce enough insulin to treat the flood of type 1 patients arriving in Toronto to receive this miracle injection.
But, as with any amazing discovery, there is always more to the story.
One of the biggest barriers to Banting was the simple fact that he was not involved in the field of diabetes research. The idea leading to the discovery of insulin came to him after preparing a lecture on the pancreas and diabetes, a subject he knew little about. He wasn’t a trained researcher and thus securing support for the project was initially difficult.
First Children to Receive Insulin
The first patient to receive insulin was a ‘welfare’ case at Toronto General Hospital – no clinical trial structure to say the least. People from Canada/US flooded into Toronto to receive treatment. Banting struggled with the lack of accessibility of insulin – volume needed issues of purification.
The earliest patients were “selected”, some youths from Canada/US, some soldiers with diabetes (probably because of Banting’s service in the First World War), and then later some select private patients. During this time they were working hard to increase the volume and continue to improve the purification process. Insulin was available for testing in the US, namely through Dr. Elliot Joslin in the late summer of 1922.
Takes a Team
While Best played a critical and important role, credit must also go to Professor Macleod, from the University of Toronto, who provided the lab space, showed Dr. Banting how to operate on dogs, provided his student Best and suggested they switch from saline to alcohol to purify the ‘extract’. Dr. Macleod also secured the support of JB Collip, the 4th man on the team, and the first person to purify insulin for human use. Best is also known for pushing Banting to return to the research during a particularly dark period of failure.
Dr. Banting – Fun and Interesting Facts
Want to Learn More About Dr. Banting?
Visit Banting House FaceBook Page
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November is an exciting month. We celebrate National Diabetes Month and World Diabetes Day. Plus, we get to exercise our right to vote.
I love this quote by Sharon Salzberg, “Voting is the expression of our commitment to ourselves, one another, this country and this world.”
Ms. Salzberg’s expression is the perfect segue to this year’s Diabetes Month Celebration theme; Taking care of Youth with Diabetes. When we take care of children with diabetes, we are making a long-term commitment to our families, communities, and the future. Diabetes Specialists are natural advocates for children and families living with diabetes.
We are excited to share helpful resources to support you with ongoing advocacy, education, and emotional support for young people living with diabetes.
November also kicks off our holiday season extravaganza. Celebrating during a pandemic is going to present many challenging situations and awkward conversations around safety. To help out, we are sharing our Stress Management Strategies for the Holidays handout. Plus, our dietitian expert, Dawn DeSoto, bravely explores her personal story of stress and sugar overconsumption. She provides some delicious low sugar recipes to help ease us through the holidays.
Lastly, as part of our annual celebration, we are excited to invite you to two FREE Webinars. Diabetes Management in Tots to Teens and our Gut & Skin Microbiome Webinar. We will look into COVID and gut health plus explore some new science that might change our showering habits.
We are grateful for family and friends. We are thankful for each one of you and the message of hope you share with our diabetes community.
In health and gratitude,
Coach Beverly, Bryanna, and Jackson
Click here to read our full November newsletter.
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“This Webinar is filled with Bev’s energy, knowledge, and passion for diabetes that she replicates in all her teachings. She puts a demand on herself to be a mentor to all. Her information is well organized, full of current/relevant research, and helps CDCES’ view into the future as a changing world impacts diabetics. I find her to be the most exciting and engaging educator and … OUTSTANDING teacher!!” – recent participant
This one-hour complimentary journey will expand your view of how the trillions of bacterial hitchhikers profoundly influence our health. We will discuss how foods, the environment, and our medical practices have impacted our gut bacteria over time and strategies we can take to protect these old friends.
Webinar topics:
Sign up for Diabetes Blog Bytes – we post one daily Blog Byte from Monday to Friday. And of course, Tuesday is our Question of the Week. It’s Informative and FREE! Sign up below!
Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and Commission on Dietetic Registration (CDR), Provider DI002. Since these programs are approved by the CDR it satisfies the CE requirements for the CDCES regardless of your profession.*
The use of DES products does not guarantee the successful passage of the CDCES exam. CBDCE does not endorse any preparatory or review materials for the CDCES exam, except for those published by CBDCE.
Almost 200,000 people under the age of 20 are living with type 1 or type 2 diabetes. This makes diabetes the most common chronic condition in school-age youth in the United States.
Living with diabetes is challenging, no matter their age. Being a young person with diabetes presents the additional challenge of managing glucose during a period of intense hormonal fluctuations and the complexity of managing a social life, extra-curricular activities, and risk-taking behaviors. For caregivers, advocating for the rights of school-age children with diabetes can be time-consuming and full of challenges.
The National Institute of Health (NIH) and the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), has put together a Toolkit for health care professionals and caregivers alike to help navigate this challenging time.
Health Professional Toolkit – To help raise awareness about the best care for youth with diabetes, this toolkit by the NIDDK, includes social media posts that you can easily copy and share.
Juvenile Diabetes Research Foundation – Type 1 Diabetes Resources and Support
Articles on NIDDK Website
Diabetes care and the Adolescent Population: Navigating the Transition of Roles and Responsibilities. In this Q & A session, David Schwartz, Ph.D., shares insights on how providers can facilitate shared responsibility for diabetes care while minimizing conflict between adolescents and their parents/guardians.
Managing Diabetes at School – In a perfect world, all teachers and other school staff would understand how to manage diabetes. In the reality, parents and caregivers need to provide information to the school and work with staff to keep children safe and healthy, no matter what the school day brings. This link includes information and a downloadable Diabetes Medical Management Plan.
The Role of the Community Environment in Managing Diabetes Risk – this diabetes discoveries and practice blog are full of interesting, short articles and presentations on a range of critical and timely topics. You can sign up to receive blog notifications too.
Guiding Principles for the Care of People with Diabetes – These Guiding Principles aim to identify and synthesize areas of general agreement among existing guidelines to help guide primary care providers and health care teams to deliver quality care to adults with or at risk for diabetes.
ADA’s FREE Living with Type 2 Diabetes Program: ADA’s program includes six digital, printable journeys to teach how to live well with diabetes; a monthly e-newsletter with tips, stories, and more resources; six free issues of the Diabetes Forecast® magazine; access to an online community and local events. (The program is available in both English and Spanish).
ADA Diabetes Education Library Offers over 170 topics on diabetes that are searchable by topic and language. A treasure trove of educational info.
CDC Diabetes Prevention Program Curricula and Handouts This site offers excellent resources for those interested in offering Diabetes Prevention Education.
National Diabetes Education Program is an online library of resources compiled by the
Last year, during our campus tour at Santa Clara University, the docent took a moment to recognize and thank the Indigenous Peoples’ for the use of the land that we were gathered on.
“We pause to acknowledge that Santa Clara University sits on the land of the Ohlone and Muwekma Ohlone people. We remember their continued connection to this region and give thanks to them for allowing us to live, work, learn, and pray on their traditional homeland. We offer our respect to their Elders and to all Ohlone people of the past and present. “
Santa Clara University
I found this statement and acknowledgment to be very moving. It was the first time I had experienced a “Land Acknowledgment”. Since that time, I have heard it more frequently at events and gatherings.
Land Acknowledgement is defined as a formal statement that recognizes and respects Indigenous Peoples as traditional stewards of this land and the enduring relationship that exists between Indigenous Peoples and their traditional territories.
To perform a Land Acknowledgment, first, find out the history of the land you’re on.
In our town, Chico, CA, we acknowledge the land of the Mechoopda tribe.
As of today, 14 States and 130 cities celebrate Indigenous Peoples’ Day. Keep reading to find out other ways to recognize this important day.
The Smithsonian National Museum of the American Indian has compiled wonderful ideas on taking a moment to celebrate the lives and traditions of our lands’ first inhabitants.
Read more about this exciting and important topic on the Smithsonian Website.
Thank you for being a part of the diabetes community.
Coach Beverly and Bryanna
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We are off to College!
Good morning everyone, Beverly won’t be at work today. She will be taking the next step in moving her son toward independence.
In 2002, Beverly brought her firstborn into the world.
Now she is bringing him to college.
After surviving the first 18 years of motherhood (barely), Coach Beverly is ready to kick (gently) her oldest little fledgling, Robert, out of her nest and into the much bigger nest of the collegiate world.
Robert shows all the signs of readiness to leave his home of origin behind and move to the dorms to start college at SMU (Go Mustangs) in Texas.
Robert’s signs of readiness to move out and move on include:
These are all signs that we have succeeded at our job as parents. Now with a mixture of joy and a twinge of longing, I will deliver him to the next stage of his journey.
Our prayers are with him. We will keep you posted!
May 26 11:30 am – 1:00 pm
June 30 11:30 am – 1:00 pm
Test Taking Practice Exam Toolkit | Webinar + 220 Sample Practice Test Questions
July 12 11:30 am – 12:45 pm
July 14 11:30 am – 12:45 pm
FREE Preparing for the BC-ADM Exam Free Webinar – What you need to know
August 9 11:30 am – 1:00 pm