In our rural clinic, we are starting more and more individuals on glucose sensors. People’s response to using a CGM device has garnered mixed reactions. Most individuals are thrilled that they can see their blood sugars are at a glance with fewer finger pricks. They feel empowered with this play-by-play blood sugar report.
However, others experience a sense of overwhelm in response to the sudden onslaught of glucose data on their screen. This stress becomes more acute as they hone in on sugar spikes or sudden lows that don’t seem to have a rhyme or reason. In addition, many people are confused by the discrepancy between the meter and sensor glucose, causing even more upset.
These individuals may experience an understandable amount of confusion, frustration, and distress.
This newsletter provides a range of tools and resources to assist you in addressing these distress points, detailed in the following featured articles.
Our first article explores the reasons behind the gap between CGM and meter readings. We also provide a CGM Troubleshooting Cheat Sheet that you can share with your colleagues and clients.
Next, we outline a step-by-step communication approach designed to help individuals adjust to sensor data overwhelm using a person-centered approach.
Finally, we address diabetes distress by interviewing expert Susan Guzman, PhD. You are invited to join Dr. Guzman and Larry Fisher, PhD, who will share their expertise on this topic in June, during our highly popular ReVive 5 training program.
Our last article recognizes the healing relationship we have with our pets. Challenge yourself with our Question and Rationale of the Week and please keep in touch.
Sending notes of joy and health, Coach Beverly, Bryanna, Brent, Christine, Andrew, and Ginger |
Featured Articles
Upcoming Webinars
This two-session training provides the essential steps to address diabetes distress combined with an innovative approach to helping people make sense of their glucose data.
The first session is team-taught by experts in the field of diabetes distress and effective communication approaches. Dr. Larry Fisher kicks off the program by describing the difference between depression and distress and interpreting Diabetes Distress screening results. Dr. Susan Guzman uses a case study approach and step-by-step communication strategies to address responses from the Diabetes Distress screening tool. This session includes an abundance of evidence-based approaches that you can apply in your clinical setting.
Coach Beverly leads the second session. During this three-hour program, Beverly describes insulin dosing strategies, meter and sensor data interpretation, and common issues encountered by people using diabetes technology. Case studies include tools to help individuals discover what changes are needed to get glucose to target, coupled with the communication skills discussed in the first session. In conclusion, the team of instructors review a case study that pulls together all the ReVive 5 elements.
Can’t join live? That’s okay. Your registration guarantees you access to the recorded version of the series, along with podcasts and resources for one full year.
Accredited Training Program:
Join us to gain the confidence and learn the skills needed to support people with diabetes to move forward in their self-management and discover the expert within.
Team of Experts:
ReVive 5 is taught by a team of 3 Interdisciplinary Experts:
Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession!
The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.
RD is 82 years old, on basal insulin with bolus insulin at breakfast and dinner if need. RD just started using a sensor to track their daily blood sugars. After using the sensor for a few weeks, they share that they are feeling anxious and don’t know what to do with all this information. They even took extra bolus insulin yesterday to try and get blood sugars down. RD’s time in range is over 70%.
Which of the following is the most appropriate intervention?
“ReVive 5” breathes new life into our relationship with diabetes, bringing a fresh perspective to both the person with diabetes and the provider.
The ReVive 5 program is built on sound research from the Embark Trial and will revolutionize your approach to diabetes self-management education.
We have reassembled the Embark training team and created a resource binder of fantastic tools that we are excited to share with you in our ReVive 5 Diabetes Training Program. You are invited to join us to learn a step-wise, proven approach to addressing hidden barriers to diabetes self-management and glucose management.
You don’t need to be mental health expert or diabetes technology wiz to join this training or to integrate these new strategies into your daily practice.
ReVive 5 uses an integrated, evidence-based approach that provides health care professionals with a realistic 5-step approach to addressing the whole person, starting with emotional distress and incorporating a unique, but integrated approach to problem-solving glucose management difficulties.
Intended Audience: This library of critical information is designed for individuals or groups of diabetes specialists, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and other health care providers interested in staying up to date on current practices of care for people with diabetes and preparing for the CDCES or BC-ADM Certification Exams.
Can’t join live? That’s okay. Your registration guarantees you access to the recorded version of the series, along with podcasts and resources for one full year.
Accredited Training Program:
Join us to gain the confidence and learn the skills needed to support people with diabetes to move forward in their self-management and discover the expert within.
Team of Experts:
ReVive 5 is taught by a team of 3 Interdisciplinary Experts:
Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession!
The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.
In celebration of Earth Day, we are excited to highlight the role of native plants in supporting wildlife and resilient environments.
By choosing plants that originated from your geographic area, we can help support regional ecosystem and offer pollinators, birds, butterflies and other healthy critters needed food, pollen and building materials for their survival. It’s good for humans too. We thrive in healthy ecosystems and experience improved quality of life.
When Coach Beverly first moved to her house 24 years ago, she just planted flowers and grasses that she found visually appealing and could tolerate the heat of our region. Her house and office are situated on an acre of land, so there was lots of space to plant a wide variety of foliage and trees to provide shade and beauty. But, she wasn’t yet tuned-in to the native plant and animal habitats of our new home.
Over time, Coach Beverly started learning about the impact habitat loss for creatures and pollinators. She researched which plants support the local area and found a nearby native nursery. Now, she and husband are working hard to make their land a nourishing and welcoming space for pollinators, birds, amphibians, lizards and more. With the help of a few great websites and a visit to the local native nursery, they incorporate plants that support their community of animals and are drought tolerant.
In addition to plants, providing a water source can be a game changer for thirsty pollinators, birds and others animals too. Simply placing a bowl of water, bird bath or even creating a small pond can make a big difference in supporting a variety of wild life. Last year, Coach Beverly dug a frog pond and within a few short weeks, frogs, toads and birds arrived to enjoy a drink, take a swim or a bath. A year later, our pond is teaming with tadpoles, mosquito fish, water beetles, dragonflies and lots of microscopic creatures. This lively pond brings family and visitors an abundance of joy and wonderment. Plus, they notice how connecting with nature improves mental health and helps with stress management and well being.
For people with diabetes or other chronic health issues, caring for plants and living beings can be very therapeutic and gratifying, and it doesn’t have to be complicated. Just take one step at a time. Start with potted herbs, plants, vegetables or flowers. Or through some wildflower seeds on a patch of untended earth and see what happens. For the more adventurous, planting a native garden is great excuse to get outside, bend, shovel and keep active. Plus, there is nothing like a fresh tomato warm from the vine that you have nurtured to frutition.
To get started, check out the article, Audubon – 20 Common Types of Native Plants, which includes a helpful list of 20 different native plants that support wildlife in the United States. You can cross-reference plants with your zip code finder above to see if these would be a good addition to your neighborhood. For example, in Chico, California, the California Christmas-Berry is a great food source for local birds and is drought tolerant.
In general, consider adding these native plants to your wish list:
Trees: Oaks, Pines, Dogwoods and Willows.
To bring color to your yard, porch or planters try planting Sunflowers or Coneflowers.
Treats for you and our bird friends include Blueberries, Elderberries, or Service berries.
The National Wildlife Federation (NWF) also provides a wonderful website, Native Plant Finder – NWF, to determine by zip code, native plants for your area. You can create and save your own personalized plant list too.
The Plant Native website, provides a listing of native nurseries throughout the U.S.
I also encourage you to visit www.Earthday.org and Project Regeneration for other great ideas to improve the health of our planet.
Many of us feel discouraged about what is happening to our planet, but there is a rising awareness of our impact and also a rising belief in our ability to protect this beautiful earth. Each action matters. Your action matters. And you can just start by planting one bush, flower, tree, plant or another acting on another idea that is meaningful to you. Thank you in advance for your action.
Each action, no matter how small, matters. We can do this!
With wishes for improved planetary health,
DiabetesEd Services Team
Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession!
The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.
Are you a diabetes health care professional or person with diabetes who is ready to get on track with your diabetes?
We want to encourage you to let your community know about an exciting research opportunity.
Were you diagnosed with type 2 diabetes less than 5 years ago, live anywhere in the U.S. and your last A1C was 7.5% or higher?
If so, the Behavioral Diabetes Institute is conducting a research study examining how innovative new approaches to diabetes education might help to improve glucose outcomes and quality of life outcomes. Participants will be randomly assigned to take part in one of two different live, online, group education programs. Each group program will be lively and informative, and will meet once weekly for 5 weeks in a row.
Also, half of the participants will receive a continuous glucose monitor and free testing supplies.
To find out more and see if you might qualify, click below to apply. Or for more information, email them at ahhastudy@behavioraldiabetes.org or call us at 858-336-8693.
People with diabetes experience a myriad of feelings as they utilize new technologies and try to make sense of all the data and new information. As diabetes healthcare providers, we can learn to address these feelings through person centered coaching and help individuals take steps to get to their best health. This approach not only acknowledges the individual’s feelings but also empowers them to take steps towards their optimal health.
This article equips healthcare professionals with a dozen practical coaching strategies. These strategies are designed to instill confidence in individuals with diabetes, fostering their belief in their ability to successfully self-manage their condition.
Using a person-centered approach, we can identify the individual’s strengths and expertise and then leverage this information to open a door of possibilities. Our choice of communication techniques can spark behavior change in people living with diabetes.
Adopting a person-centered approach may require a significant adjustment for some healthcare providers. In traditional care, the provider assumes the role of the captain, steering the ship, providing the fuel, and plotting the course. However, in person-centered coaching, the provider becomes the rudder, guiding the individual while they steer their own course towards better health.
For this conversation, we imagine someone struggling with technology-related diabetes distress after switching from checking blood sugars using a meter to trying to make sense of the data being generated by their new CGM.
DO: Mindfully Listen to the individuals’ problems and fears.
The first strategy is carefully listening to the person’s fears and concerns. If someone struggles with nutrition, meds, or behavioral changes, listen to the struggle and try not to push, advise, or fix it. Listen and reflect on what you think is happening for the first few minutes.
For example, reflecting back could go something like this:
“Taking insulin each meal is hard for you because you are worried about taking too much.” OR
“It’s hard not to constantly check your blood sugar on your CGM because you are worried that it is going above range.” OR
“It sounds like you blame yourself for having blood sugars that are above target.”
Listening and reflecting on the individual’s struggles is the first phase of energizing the visit.
DO: Focus on curiosity before exploring possible changes in behavior.
With a person-centered approach, spend more time in the “curiosity” phase before moving to the “action” phase.”
We might ask the person who feels worried about elevated blood sugars, “I am curious to learn more about your feelings when blood sugars go above target.”
As care providers, we may be slightly overanxious to get to the “action” phase, which involves action, planning, goal setting, and looking at specific foods and exercise prescriptions. It can be disorienting for providers to delay the “action” phase and spend most of the time exploring the “curiosity” phase, and there’s a perception that it takes longer. In fact, it’s probably more efficient with time. It’s a redistribution of the provider’s time in that more time is spent listening to the individual’s barriers and fears and responding to them.
Curiosity can provide comfort and open the door to insights.
DO: Listen for individual insights and ideas.
After reflecting on the person’s struggles and feelings, the next phase is the “building change” talk. It combines having the person express how a behavior change would benefit them and realistic ways to move to the action phase.
As genuinely curious providers, we ask, “What are your ideas about how you can improve this situation?” Then, the provider listens carefully to what the person shares.
Along with the struggles and barriers, the individual might say,
“I will try only to check my blood sugar levels before meals and two hours after a meal instead of twenty times a day” or
“I could try adjusting my insulin dose for a week to see how that affects my blood sugars.”
We want to fine-tune our listening skills so that we can pick up the scent of the trail. People often allude to what they’re willing to do and drop crumbs when they feel safe and heard during the conversation. All we need to do is pick up on the hints and encourage them down the path.
DO: Ask Questions and Collaborate.
Once the individual has identified their motivation and begins brainstorming ways to change behavior, the door is open for respectful collaboration. You’ll want to explore how much change the individual is willing and able to make at that time.
To keep it real and achievable, we start with a tiny step by saying,
“So, you think you could limit checking your blood sugars to about eight times a day?” or
“You think you could adjust your insulin dose for a week to see if that lowers post-meal blood sugars?” Let that sit; let the person describe their thoughts and feelings.
Then we might say, “How, if at all, do you see this plan fitting into your life?” We are careful to avoid any prescription or declaration and stick with asking questions.
If they volunteer—”I will limit checking my blood sugars on my CGM to eight times a day.” Or
“I will adjust my insulin dose to see if it lowers my post-meal blood sugars.”
We would absolutely reinforce and support these choices.
AVOID: Pressure, fix, or control.
A person-centered approach energizes individuals to take the lead in managing their condition, in step with their providers and supporters. We are careful to avoid forced solutions or controlling language. As providers, we feel we have these great ideas that will fix the person, if only…. However, the truth is, our job is to help the person with diabetes find their own answers and solutions.
Let’s stop “Shoulding” on people.
It’s time to let go of terms like “You must, you should, you have to, it’s better, it’s important, do it for me” since they fall under the category of “controlling motivation”—which can be hurtful and lead to the individual becoming defensive or shutting down. We avoid controlling language because it elicits resistance and defiance. The literature is quite clear about people doing something because someone made them feel guilty, ashamed, or pressured them. The long-term prognosis for behavior change using this approach is underwhelming.
DON’T employ Scare Tactics.
As providers, we genuinely care about people’s health and may try to energize behavior change using fear. Such as, “If you don’t get your A1C down, you are heading for dialysis or amputation.” or “Don’t you want to see your kids grow up?” We don’t generally motivate people by scaring them since research shows it is ineffective, and they may never return for that follow-up appointment.
In the short term, people are usually willing to make changes when they’re terrified—when they first get diagnosed—but that willingness wanes in a relatively short period. The question is how to energize the person when the initial fear has worn off.
In conclusion, Celebrate and Recognize Each Person’s Efforts.
Making behavior changes, like losing weight or adjusting lifelong eating habits, can be extremely difficult.
Find a way to recognize and affirm their efforts even if there is no or little change in clinical measures.
If someone’s A1C has not moved, but they decreased their CGM checks to eight times a day or adjusted their mealtime insulin, we can say, “Wow, I want to recognize the effort you put into this.”
Respond kindly and compassionately to their disappointment, frustration, and fear. It won’t fix the immediate problem but will help the person feel that their effort was well spent. It will help them feel heard instead of us just “fixing it.” Over time, your empathy will build bridges and trust, leading to long-term collaboration and better health.
Download a PDF of this Person Centered Step-By-Step Approach
About the author – Coach Beverly has been fine-tuning her guilt-free approach to diabetes education for over 30 years and has witnessed its impact on improving well-being and building connections.
Learn more about these effective communication approaches in our ReVive 5 Training Program.
Inspired by https://www.niddk.nih.gov/health-information/professionals/diabetes-discoveries-practice/motivational-interviewing-dos-dont
This two-session training provides the essential steps to address diabetes distress combined with an innovative approach to helping people make sense of their glucose data.
The first session is team-taught by experts in the field of diabetes distress and effective communication approaches. Dr. Larry Fisher kicks off the program by describing the difference between depression and distress and interpreting Diabetes Distress screening results. Dr. Susan Guzman uses a case study approach and step-by-step communication strategies to address responses from the Diabetes Distress screening tool. This session includes an abundance of evidence-based approaches that you can apply in your clinical setting.
Coach Beverly leads the second session. During this three-hour program, Beverly describes insulin dosing strategies, meter and sensor data interpretation, and common issues encountered by people using diabetes technology. Case studies include tools to help individuals discover what changes are needed to get glucose to target, coupled with the communication skills discussed in the first session. In conclusion, the team of instructors review a case study that pulls together all the ReVive 5 elements.
Can’t join live? That’s okay. Your registration guarantees you access to the recorded version of the series, along with podcasts and resources for one full year.
Accredited Training Program:
Team of Experts:
ReVive 5 is taught by a team of 3 Interdisciplinary Experts:
The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.
By Christine Craig, MS, RD, CDCES
As more and more people are using glucose sensors as a tool to improve their blood sugars, they may feel frustrated or confused about the mismatch between their sensor and glucose meter readings. Some many even ditch this new fangled sensor, thinking that their old friend, the meter, provides more reliable information.
AW called the clinic to report an issue with the accuracy of their continuous glucose monitor (CGM). They stated that their blood glucose (BG) and sensor glucose (SG) have been 60-100 points different for the past 24 hours. They are concerned about this difference and want help troubleshooting what could have gone wrong.
In this article, Christine Craig, MS, RD, CDCES outlines strategies to explore this glucose mismatch and provides practical problem solving actions to clear up the confusion. In addition, we invite you to download a CGM Troubleshooting Cheat Sheet that provides specific information on different interfering substances and other factors that can affect the accuracy of continuous glucose monitor (CGM).
Assessment of accuracy within CGM or flash glucose monitors in studies uses mean average relative difference or MARD. (For simplification, we will refer to both as CGM or sensor for the remainder of this article). CGM values, also called sensor glucose values, are compared with a standard reference, often the lab-measured Yellow Springs Instrument (YSI) analyzer, and are reported as a percent of the mean or median absolute error between CGM and reference values.
Almost 20 years ago, the MARD values for CGM were about 20%, and now most CGMs have MARD values near or under 10%.1
As CGM accuracy improves, we now see non-adjunctive indications for many CGMs on the market. This term means the FDA has approved the use of CGM for treatment decisions without BG confirmation. In studies, we can see MARD differences within specific populations, in different CGM site placements, or between different sensor glucose values. For example, a sensor glucose range between 70 and 180 may have a different MARD than a sensor glucose range of less than 54 mg/dl.
As an individual living with diabetes in the real world, MARD can be impacted by factors specific to the sensor or factors of daily living. Day of sensor wear, sensor-to-sensor variation, or insertion factors such as body site selection, skin integrity (thin or loose skin), scar tissue, or body movements can impact sensor glucose accuracy. 2
If the sensor is compressed due to positioning, lack of perfusion to the sensor site can cause the sensor glucose to be temporally lower than actual glucose values.3 In this case, during CGM data interpretation, you may see a fall and then a return of trend within the sensor glucose readings. Often, compression lows occur overnight due to sleeping directly on the sensor, but during the day, compression can occur with other situations such as placement around a beltline, other very tight clothing restrictions, or if positioned within the interior of the upper arm.
In studies, body site selection between arm, abdomen, and buttocks has shown differences in accuracy, and in the real world, for each individual, this actual difference can be more significant than for others. Using recommended site selection can improve sensor accuracy, but it is essential to consider each individual living with diabetes to determine the best placement for optimal sensor accuracy.
A blood glucose meter measures capillary blood glucose, and CGM sensors measure interstitial fluid, a thin layer of fluid surrounding the cells just below the skin. These values correlate well, but they measure two different types of fluids.
This difference in BG vs. SG at one point in time can be alarming at first and is a commonly reported concern related to sensor accuracy. Education about the difference in measure and understanding that this difference is most significant during rates of change (a rise or fall in glucose values) can help address this concern. Blood glucose values change first, followed by sensor glucose.
The lag time between BG and interstitial glucose (what the sensor measures) can be from 2 to 20 minutes.
We may notice this difference most during increased rates of change (such as >2 mg/dl per min) and during circumstances such as after a meal, after treating a low glucose event, during and immediately after exercise, or after taking diabetes medications that have a more rapid effect on glucose such as meal/correction insulin or sulphonylurea.1
Educating about the difference between BG and SG and how to interpret glucose trends, sensor glucose trend arrows, and monitoring change over time can improve understanding.
Interfering Substances
The 2024 ADA Standards of Care recommends that for ALL people who wear CGM devices, education and assessment of potential interfering substances occur. Many of these interfering substances can be a common over-the-counter supplement or pain reliever. The effect for all reported interfering substances is a false elevation in sensor glucose versus actual blood glucose values. 4 It is cautioned that this could cause missing a severe glucose event.
Each manufacturer has different identified interfering substances.
Studies and reports of interfering substances are not comprehensive, so it is recommended that if suspicion occurs that a medication or supplement is contributing to erroneous CGM values, they should contact the manufacturer’s technical support team.9
For sensors requiring calibration, poor quality of the blood glucose test can also create inaccuracies with the glucose sensor readings. Most manufacturers with CGM calibration requirements recommend ensuring a “clean calibration,” having individuals wash their hands, taking the second drop of blood when hand washing is unavailable, and calibrating when glucose values are more stable, such as before a meal, insulin, or exercise. Luckily, most devices no longer require calibration, but it is important to review technique when applicable.
AW reported no recent changes with medications, supplement intake, or fortified food sources, and no changes were noted at the sensor site. However, they did report that the CGM was on the last day of manufacturer recommended sensor wear. Sensor integrity variation based on day of sensor was determined to be the main consideration of cause. After changing to a new sensor, AW’s general range of BG to SB differences were observed. This event served as an important reminder to AW to check BG when SG values were not reading as expected and different than any symptoms.
As educators, we can support individuals concerned with CGM accuracy by providing education about the differences between SG and BG values. Assessing individual factors such as medical conditions, movement and activity, site integrity and placement, issues of compression, and medication and supplement use (assessing for potential inferring substances). We can educate individuals to check BG anytime symptoms do not match SG readings and report any concern of a faulty sensor to the manufacturer. Reporting can often lead to the replacement of faulty sensor.
Since the arrival of CGM, benefits including improved quality of life factors, A1c reduction, increased Time in Range, and prevention of hypoglycemia have been found.4 We know from working in diabetes care and through real-world studies the overall value of CGMs. Unlike BG, CGMs provide a complete picture showing trends for direction, personalized alerts, and supporting pattern recognition.
Although not ideal for all, growth of users will continue to rise with approval of over-the-counter product options and understanding accuracy issues is essential to ensure safety and support user experience.
This two-session training provides the essential steps to address diabetes distress combined with an innovative approach to helping people make sense of their glucose data.
The first session is team-taught by experts in the field of diabetes distress and effective communication approaches. Dr. Larry Fisher kicks off the program by describing the difference between depression and distress and interpreting Diabetes Distress screening results. Dr. Susan Guzman uses a case study approach and step-by-step communication strategies to address responses from the Diabetes Distress screening tool. This session includes an abundance of evidence-based approaches that you can apply in your clinical setting.
Coach Beverly leads the second session. During this three-hour program, Beverly describes insulin dosing strategies, meter and sensor data interpretation, and common issues encountered by people using diabetes technology. Case studies include tools to help individuals discover what changes are needed to get glucose to target, coupled with the communication skills discussed in the first session. In conclusion, the team of instructors review a case study that pulls together all the ReVive 5 elements.
Can’t join live? That’s okay. Your registration guarantees you access to the recorded version of the series, along with podcasts and resources for one full year.
Accredited Training Program:
Team of Experts:
ReVive 5 is taught by a team of 3 Interdisciplinary Experts:
The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.
Mohammed Ali was a fierce competitor and fought for what he believed in.
Yes, the towering figure had a poetic side, that leaned toward justice.
In 1972 Ali was being interviewed by journalist David Frost and was asked how he would like people to remember him when he was gone. Here is his response.
“I’d like for them to say he took a few cups of love.
He took one tablespoon of patience,
One teaspoon of generosity,
One pint of kindness;
He took one quart of laughter,
One pinch of concern.
And then, he mixed willingness with happiness,
He added lots of faith and he stirred it up well.
Then he spread it throughout a lifetime and he served it to every deserving person he met.”
When I heard this, I thought it a perfect description of how we approach people with diabetes, starting with a foundation of love. The practice of diabetes care is just a little bit of science and loads of kindness and concern with lots of faith and belief in the ability of each individual.
We spread this over a lifetime of care and share it with generosity to each person we meet.
Coach Bev will also review sample test questions and the reasoning behind choosing the right answers. We hope you can join us.
Accreditation: Diabetes Education Services is an approved provider by the California Board of Registered Nursing, Provider 12640, and our CPEU courses have received Prior Approval* from the Commission of Dietetic Registration (CDR), Provider DI002. Since our CPEU courses received Prior approval* from the CDR, these CPEU courses satisfy the CE requirements for the CDCES /BC-ADM regardless of your profession!
The use of DES products does not guarantee the successful passage of the certification exam. CBDCE and ADCES do not endorse any preparatory or review materials for the CDCES or BC-ADM exams, except for those published by CBDCE & ADCES.
Nick Kundrat first caught our attention when he shared his incredibly detailed study sheets on our CDCES Exam Prep Facebook Group. He had just passed his CDCES exam and posted his lecture notes on the FB group to support his colleague’s success at the exam, too. This act of generosity made Nick a standout educator, and our team contacted him to help with our national CDR accreditation application. Through this connection, we learned that Nick not only provides diabetes care and education but also lives with type 1 diabetes. He recently published a book, “Positively Type 1” that emphasizes the transformative power of a positive mindset and a holistic approach. Whether you’re a seasoned educator or someone living with Type 1 diabetes, Nick’s message is clear: positivity, understanding, and resilience pave the way for a brighter future.
Let Nick’s words be a call to action. By fostering positivity and empathy, we contribute to a more hopeful journey for everyone touched by Type 1 diabetes.
We hope you enjoy this interview with Nick as he describes his path as a role model of holistic diabetes care and a beacon of hope for the 1.5 million people and their families living with type 1 diabetes. Thank you, Nick, for sharing the knowledge and insights you gained through personal experience and your commitment to lifelong learning. May “Positively Type 1” continue to inspire positive change in the diabetes community.
In the realm of diabetes education, where deep struggles often cast shadows on hope, one holistic diabetes educator has embarked on a mission to illuminate a different path—a path that embraces positivity, resilience, and a profound understanding of living with Type 1 diabetes. Join us in this exclusive interview with Nick Kundrat – Holistic diabetes educator and author behind “Positively Type 1,” as we delve into a refreshingly simple and optimistic approach to diabetes care.
Nick Kundrat, a beacon of inspiration in the diabetes education community, didn’t arrive at this revolutionary approach by chance. It was forged through personal experiences, a deep empathy for those navigating the complexities of Type 1 diabetes, and a relentless belief in the transformative power of a positive mindset.
As we navigate the pages of “Positively Type 1,” we discover a manifesto for individuals with Type 1 diabetes seeking a brighter, more empowering point of view on their diabetes diagnosis. In this interview, Nick takes us behind the scenes, sharing the insights, anecdotes, and strategies that have the potential to redefine how we approach diabetes education.
Get ready to challenge preconceptions, embrace a holistic perspective, and embark on a journey that goes beyond the textbooks. “Positively Type 1” isn’t just a book; it’s a paradigm shift—a beacon guiding educators and individuals alike toward a positive, resilient, and fulfilling approach to Type 1 diabetes.
Diabetes education technically includes a myriad of different topics related specifically to diabetes treatment, as well as nutrition, exercise and other lifestyle interventions. Yet in my experience, most diabetes education stops at the first one…. diabetes education. Now arguably, diabetes educators focusing on diabetes education seems like a good thing, right? Well…
While diabetes treatment is an important piece of the puzzle., it’s really only the tip of the iceberg when it comes to a person’s health. Your blood sugar balance is NOT just reliant on your insulin dosing and carb counting. Every other area of your life and health can affect your diabetes treatment in big ways. How you sleep, how you eat, how you think, how you rest, how you move, even how you relate to others are really the foundations of proper blood sugar control.
In my opinion, it is a disservice when health professionals focus solely on the diabetes. Besides… They are working with people. They aren’t working with diabetics, they’re working with people who just happen to also have diabetes. Unfortunately, many doctors and educators are just seeing numbers on a page rather than a whole person.
The holistic approach to diabetes is exactly that. A people first approach to diabetes care. Addressing the foundations of health (sleep, stress, nutrition, hydration, exercise, emotions, detoxification) along with your traditional diabetes care is the only way to cultivate true wellness, rather than just staying stuck in the loop of disease treatment.
In my wellness practice, I utilize a variety of different modalities to help my patients heal at a deep level. We always begin with the health foundations (as mentioned above) as well as optimizing diabetes care. With some clients who want to go even more in depth with their health, we utilize nutritional testing and manual therapy approaches to help rebalance the body at a deep level. I’m blessed to be able to share my experiences in both clinical and holistic health to help my patients feel good and cultivate true wellness.
A holistic diabetes education means looking at the WHOLE PERSON. What many professionals believe that means is: Diabetes education + exercise + nutrition only. What it really means is taking into account EVERY PART OF YOU… This includes the parts you cannot see. Emotions, feelings, psychology, stress, behaviors, choices and spirituality are all important parts of you that cannot be “seen” but are nonetheless very real, and very important factors in your health journey.
Your beliefs are a very important part of the “unseen” parts of your health puzzle. What you believe about the world, about your body, about health in general, and about your diabetes set the stage for how you will act in the world (and how well you will do actually treating your diabetes!
Beliefs determine our thoughts, which determine our feelings, which determine our actions. In other words, what you believe, determines how you act. So if you believe:
“Well my body is broken, I cannot get any better, and nothing ever works in my favor,” you will continue to run yourself in self limiting circles, keep making poor decisions and keep struggling with your health and diabetes treatment.
But if you believe:
“My body is strong and resilient, I can always make positive change and get healthier, and my struggles are opportunities to grow and change,” you will be able to make choices that lead you in a positive direction with your health and your diabetes treatment.
If you can shift someone’s beliefs, you can shift their entire lives. This was the goal for Positively type 1 – to shift the negative beliefs (that most of us living with type 1 diabetes hold) in a more positive, optimistic direction.
My book writing journey actually began at a very young age when I was diagnosed with Type 1 Diabetes myself. At age 4, after becoming terribly sick, my parents and I were told to head to the emergency room. We expected to be checked in, seen by the doctor, then be checked out with some antibiotics. But instead, a terrible nightmare ensued…. Being diagnosed with an incurable, life-long chronic illness: Type 1 Diabetes.
Growing up with a fantastic support system, the daily struggles of diabetes were outweighed by a very happy, healthy childhood filled with sports, school, activities, family and friendships. Yet still I spent lots of time with doctors and educators who helped me navigate my complex chronic condition.
Naturally, as an adult, I was led into the healthcare field, where I soon became the educator (instead of the educated). After spending countless hours around diabetes educators and endocrinologists as a patient, and countless hours on the other side of the coin, educating patients myself in hospitals & clinics, I arrived at a startling conclusion….
There is lots of negativity in the diabetes space. A LOT.
When I (and nearly everyone else I know with diabetes) was diagnosed with type 1, I was never given a pep talk and was never given much hope. Instead I was told:
“Your body is broken”
Your pancreas doesn’t work”
“Your body turned against you”
“You wont get to be like other kids”
While there is some truth in these statements, telling a 4 year old child these things can (and will) drastically shift their beliefs about their bodies and about themselves.
As an educator, I noticed most practitioners are approaching Type 1 diabetes through a similar lens.
“Well, it’s just something you have to manage”
“You’ll be stuck with this forever”
Which again there is some truth to, but statements like these lack a vital ingredient in the recipe of health and healing… HOPE!
If I’ve learned one thing as a diabetes patient and educator… Sometimes all it takes to drastically change someone’s life is a little dose of hope.
This was the inspiration behind writing Positively Type 1.
Put simply “Positively Type 1: How living with a chronic illness can be your most powerful motivator for an extraordinary life” is a lighthearted guide to seeing your type 1 diagnosis through a positive, optimistic lens.
In each chapter, I explain a different skill or character trait you learn living with Type 1. Allow me to share a few examples:
A person with type 1 diabetes makes on average over 180 more decisions per day (between insulin dosing and carb counting) compared to someone without diabetes. Through this, we become INCREDIBLE problem solvers.
With type 1, you learn to be extremely tuned in to every little shift and change in your blood sugar levels. This helps us build incredible levels of self awareness.
Having to endure countless needle-sticks and finger-pricks helps you cultivate a mental and physical toughness unlike any other group of people I’ve ever met.
And many more!
Plus, so that you aren’t just hearing from me, I sat down and interviewed amazing young type 1 warriors whom I’ve worked with as patients. So you get to hear from inspiring young voices who are doing a kick A** job with their diabetes mindset and treatment.
Overall, it’s an easy, lighthearted, humor filled read that will hopefully leave you smiling and filled with hope.
Positively Type 1 is for anyone with type 1 diabetes, or those who love someone with type 1 diabetes. It’s written for all ages, but many of the “Type 1 Interviews” at the end of the chapters are with young adults, so it may particularly resonate with the preteen/teen age group.
As we conclude our exploration of “Positively Type 1” with Nick, it’s evident that the book is more than words on paper—it’s a source of inspiration for both educators and individuals with Type 1 diabetes.
The insights shared today emphasize the transformative power of a positive mindset and a holistic approach. Whether you’re a seasoned educator or someone living with Type 1 diabetes, the message is clear: positivity, understanding, and resilience pave the way for a brighter future.
Thank you, Nick, for guiding us on this empowering path. May “Positively Type 1” continue to inspire positive change in the diabetes community.
To learn more about Nick’s holistic wellness practice, please visit his website:
To purchase a copy of Nick’s book from amazon, please visit:
Nick Kundrat Educational Background and Bio
My name Nick and I’m a passionate educator, coach and the founder of Blueprint Wellness. My story began with years of struggle with multiple chronic illnesses. At my worst, I had over 12 chronic diagnoses including; POTS, Type 1 Diabetes, Hashimotos, EDS, parasite/fungal infections, lymes disease, mast cell activation syndrome, mold toxicity and depression/anxiety. After years of being severely debilitated with tons of “mystery symptoms,” and working with some of the best holistic doctors and practitioners who weren’t able to help me, I was truly sick of being sick.
Funny enough, being severely sick was the best gift I could’ve ever received. If I hadn’t been knocked out with illness, I never would’ve been forced to change my habits, and make an important shift in the way I thought about health.
Everything changed when I began focusing on cultivating wellness, rather than treating my diseases. I decided to completely disregard any diagnoses or labels, and embark on a mission of learning what a healthy human eats like, moves like, looks like, acts like, thinks like and functions like…. and cultivating habits and practices that would get me there.
And now after going on that journey myself, I have devoted my life to becoming the holistic practitioner I needed during my toughest health trials & tribulations.
I’m now blessed to be able to guide others on their journey to health, utilizing a unique blend of holistic and clinical approaches to facilitate real, deep healing for those who are also sick of being sick. I’m not simply after helping you “relieve your symptoms” My goal is to help you cultivate real health, evolve out of disease and grow into the person you were made to be.
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