Delivered Food – Is it safe? Answers and Resources

As Americans strive to shelter-in-place to prevent the transmission of COVID-19, many are wondering about the safety of take out or delivered food. North Carolina State University has put together the handout below to address this concern. NCSU has also put together a series of information sheets on food safety and a myriad of other critical topics on COVID-19 in both English and Spanish.

According to an article from Market Watch, “There is no evidence that coronavirus is transmitted from food or food packaging, according to the Food and Drug Administration. Nor is there any indication that people have contracted coronavirus, from consuming food,” said food-safety expert Benjamin Chapman, professor at North Carolina State University.

Handouts and Info Sheets on Keeping Safe from North Carolina State University

This wealth of resources posted on North Carolina State University’s website provides best practices for preparing for COVID-19 and managing risk for individuals at home and for food environments such as restaurants, grocery stores, and farms.

According to the site, these resources are based on guidance and best practices as outlined by the Centers for Disease Control and Prevention (CDC), Environmental Protection Agency (EPA) and the World Health Organization (WHO). Check back frequently for updates to the guidance.

Thank you North Carolina State University for posting this life-saving information.


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Weight stigma is pervasive in most health care settings. As Diabetes Specialists, we have an opportunity to recognize our own biases and take a leadership role in decreasing weight stigma in our work settings.

Last month, Healio Endocrine Today interviewed clinical nutrition manager, Lisa Hodgson, RD, CDN, CDCES, to get her perspective on how health care professionals can address weight stigma within their practice and support long-term healthy behavioral modifications for people living with diabetes. For many, staying motivated to maintain long-term changes can be difficult.

As Hodgson explains, “Weight stigma projected onto people with diabetes by clinicians may lead them to avoid seeking medical care. It may also perpetuate binge eating and overeating, limit physical activity, encourage disordered eating and foster physiological stress.”

These stigmatizing attitudes among providers are often reflected in their interactions with the individuals they treat, which can have negative impacts. That is why it is so important for each of us to address and unlearn our own biases around weight.

7 Steps to Reduce Weight Stigma Within Your Practice

  • Use person-centered, encouraging, and respectful language free of judgment
  • Create a safe space by asking about and addressing situations where the person experienced weight stigma
  • Address emotional eating and offer healthier coping strategies such as meditation, yoga or mindful eating techniques
  • Identify what is important to an individual and develop action plans around these areas
  • Use past successes to inform a plan for ongoing behavioral changes 
  • Customize interventions based on a person’s access to resources and their preferences
  • Measure individualized goals at each visit and adjust plan over time

Helpful Resources

  • Joint international consensus statement for ending stigma – The ADA announced that they and over 100 professional societies and medical journals are taking the “pledge to eliminate weight bias and stigma.
  • Evaluate your Weight Bias –Harvard’s Project Implicit – Project Implicit is a non-profit organization that provides international collaboration between researchers interested in implicit social cognition – the thoughts and feelings outside of conscious awareness and control. The goal of the organization is to educate the public about hidden biases and to provide a “virtual laboratory” for collecting data on the Internet.
  • Language & Diabetes Free Webinar – Learn how to uplift your people by choosing language that is non-judgmental and person-centered.

To read the full interview and to get more tips from Lisa Hodgson, click here.


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March is the National Nutrition Month!

To kick things off, Coach Beverly has collected an entire page of plant-based eating resources. This page includes recipes, instructional videos, reading materials, and more!

We hope this list informs and inspires you!

Click here to read more.


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In a 2019 study published in Diabetes Care, researchers evaluated the associations between long term consumption of sugary beverages and the risk of type 2 diabetes. These sugary beverages included both sugar-sweetened beverages, (SSBs) artificially sweetened beverages (ASBs) as well as 100% fruit juice.

After adjustment for BMI and lifestyle covariates, the study found that:

Increasing total sugary beverage intake by as little as a half serving a day was associated with a 16% increased risk of diabetes over the next 4 years.

To conduct this large cohort study, the researchers followed up with 76,531 participants in the Nurses’ Health Study plus and additional 81,597 participants in the Nurses’ Health Study 2. They also included 34,224 men in the Health Professionals’ Follow-up Study. Since these studies were ongoing since 1986 so there was plenty of data to crunch.

The researchers specifically looked at the change in sugary beverage consumption from the food questionnaires the participants received every four years. They found that when the total consumption of sugary beverages increased there was a 16-18% higher risk of type 2 diabetes.

The opposite was proven to be true as well: replacing one daily serving of a sugary beverage with coffee, water or tea but not an (ASB) was associated with a 2-10% lower risk of diabetes.

This extensive study demonstrates that regardless of the type of sugar-sweetened beverage, the risk of diabetes increases with each SSB consumed.

To read more about this study click here


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There are a number of “life hacks” out there recommending adding butter to coffee, taking specific miracle supplements, or engaging in even more extreme methods like blood transfusion, all in an attempt to slow aging, improve health, and decrease weight.

However, the simple approach of regular exercise, healthy eating, and not smoking increases longevity and enjoyment with the additional benefit of increased lifespan in a multitude of studies.

In 2011, the American Journal of Public Health published such a study showing these lifestyle behaviors can increase lifespan by 11 years.

In 2016, the British Medical Journal found the following lifestyle behaviors reduce all-cause mortality 61 percent! Brad Stulberg of Outside Magazine, has compiled a number of these studies and synthesized the lifestyle changes in to 8 simple steps:

8 Simple Steps to Live Longer

  1. Move Around: 30 minutes of moderate to intense daily physical activity can lower heart disease, cancer, and other physiologic diseases as well as psychological ones!
  2. Eat “Real Foods”: avoid plastic wrapped foods, it normally means they are ultra processed, which can result in excessive calorie consumption without as much nutrition.
  3. Call Friends & Family: social connection is associated with reduced cortisol and improved sleep quality, among other positive effects.
  4. Avoid Supplements: without proven deficiency or need, studies have often shown more harm than good from supplements.
  5. Sleep 8 Hours: continuous deep sleep is critical for mental and physical health.
  6. Enjoy Nature: getting outside can curb negative effects of stress and alleviate anxiety and depression.
  7. Don’t Smoke: it’s associated with dozens of cancers and causes 1 out of every 5 deaths in the U.S.
  8. Don’t Drink Too Much: excessive alcohol use is associated with chronic diseases. “Moderation is key.”

Read more here.


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A Tel Aviv University study found a starch-rich breakfast consumed early in the morning, coupled with a smaller low-carbohydrate dinner could decrease the need for injections and other medications for people with diabetes!

The body’s natural metabolism and biological clock are optimized for eating starches in the morning and fasting during the evening and night when the body recovers through sleep.

The study found eating 3 meals a day produced with the majority of starches in the early part of the day, promoted glucose balance and improved glycemic management for people living with type 2 diabetes. The results led researchers to believe it is possible for people with diabetes to significantly reduce or even stop injections of insulin as well as medications.

This study contrasts the recommendation for people with diabetes to eat 6 small meals throughout the day or “6M-diet”. Researchers found the 6M-diet has not been effective for glucose control.

“Their need for diabetic medication, especially for insulin doses, dipped substantially. Some were even able to stop using insulin altogether,” said Prof. Jakubowicz, lead author of the study.

The Tel Aviv study was inspired by the knowledge that insulin injections can lead to weight gain which further increases blood sugar, so their goal was to find alternatives. The biological clock diet (3M-diet) is designed to allow bread, fruits, and sweets in the early hours of the morning, a substantial lunch, then a small dinner specifically lacking starches, sweets, and fruits.

In the study, participants on the 6M-diet did not lose weight and did not experience any sugar level improvement. In contrast, the participants on the 3M-diet lost weight and substantially improved sugar levels.

Read more on MedicalXpress.


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We created this Carb Counting Quick Reference sheet based on the ADA handbook. With the holidays and New Years around the corner, this cheat sheet of the most common carbs with serving size is a perfect reference for people counting carbs. Plus, it is perfect for exam prep for health care professional. Download the Carb Counting Quick Reference today by clicking here!

If you are studying for diabetes certification exam, this reference provides the most common 15gm carb sources and their serving size. One exception is the milk serving – this list was created for people with diabetes and was simplified – we have modified it to reflect the actual carb count of a serving of milk (12 grams, not 15 grams of carbohydrates).


Learn more carb counting tips and tricks, and nutrition information in our Level 1 and 3 courses!

Start 2020 off right with Level 1 updates in January, Boot Camp (Level 3) updates in February and March, and a bundle to save on all the courses! We’re here to help make your New Year’s resolution a reality with great, on-demand videos, podcasts, handouts, extra resources, and practice tests to help you succeed at any diabetes certification exam.


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In a study conducted by University of California San Francisco’s (UCSF) Elissa Epel and colleagues, Epel wanted to evaluate the relationship between access to sugar-sweetened beverages (SSB) in the workplace and total daily consumption.

Epel and team banned the sale of all SSBs at UCSF for 10 months. Her team found that in employees deemed “frequent” SSB drinkers, consumption went down from 35 fluid ounces to a startling 17 oz.

Even though the employees still had access to SSBs outside of the campus, their consumption decreased significantly, highlighting the impact of eliminating access to SSBs in the work environment.

“This shows us that simply ending sales of sugary drinks in the workplace can have a meaningful effect on improving health in less than one year,” Epel said in a statement. “There is a well-known pathway from soda to disease. High sugar intake leads to abdominal fat and insulin resistance, which are known risk factors for diabetes, heart disease, cancer and even dementia. Recent studies have also linked sugar intake to early mortality.”

But this correlation was not enough for Epel. Before the ban went into effect, her team recruited 214 full-time employees who were self-reported “frequent” SSB drinkers. Epel and her team then randomly separated the employees into two groups: one group would receive a motivational intervention along with the SSB ban, while the other group wouldn’t receive any intervention. The motivational intervention included a 15-minute motivational session to begin and 5-minute calls one week, one month, and sixth months after the ban was put into effect.

The results were astounding; the participants in the intervention group consumed 25.4 oz less compared to the control group who only consumed 8.2 oz less.

Epel and her team had successfully proven a correlation between banning SSBs and consumption as well as a correlation between intervention and consumption. To read more about Epel’s study click here.


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A new trial conducted by researchers at Macquarie University found a strong association between poor diet and depression. To conduct this trial, researchers split participants into two groups: one group ate a Mediterranean-style diet while the other control group continued to eat their usual diet.

They found that in the group that had changed their diet to eat healthier, depression levels decreased from moderate to non-depressed. The other group remained in the moderately depressed severity range.

“Highly processed foods increase inflammation,” researcher Heather Francis, a lecturer in clinical neuropsychology at Macquarie University in Sydney, Australia, told NPR via email. What’s more, “if we don’t consume enough nutrient-dense foods, then this can lead to insufficiencies in nutrients, which also increases inflammation,” she said.

The “healthy group” ate around six more servings of fruits and vegetables than the control group. They were also told to increase their intake of whole grains and healthy proteins and avoid processed foods.

NPR noted that this trial was not a stand alone. In 2017, one study found a link between eating a diet full of refined grains, red meat, and high-fat dairy products and depression.

Although there may be other factors affecting this data, such as the fact that there is no way to “blind” the participants (hence there’s the potential for placebo), this trial could be the first step to lower levels of depression. What this trial truly highlights is how much of one’s life can be affected by the food choices they make.

Read more on this study here.


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Americans purchase nearly 600 million pounds of candy every year just for Halloween. That means lots of extra calories and sugar temptations for days and weeks to come.

One strategy to decrease temptation and consumption, is to remove these sugary treats from your home and donate leftover candy to persons or organizations in need. Donating provides a great opportunity to teach children about sharing and kindness, while supporting healthy food choices.

Raegan’s 1st Halloween!

“Giving back to our Soldiers” provides a fantastic opportunity to express our gratitude by sharing these treats and maybe even adding a note of thanks for their service.

Operation Gratitude
Operation Gratitude sends care packages to U.S. troops stationed in overseas and first responders stateside. The organization’s mission is simple: to put a smile on soldiers’ faces. Kids are encouraged to include letters and pictures, too. Check out the organization’s map for drop-off locations.

Soldiers’ Angels
Soldiers’ Angels organizes Treats for Troops annually. Visit the website to find a donation drop-off point, or register to start a drive of your own.

Operation Shoebox and Any Soldier
These are two more organizations that collect and send care packages to troops overseas. Operation Shoebox accepts individually wrapped candies all year long. Meanwhile, Any Soldier allows you to decide which branch of the armed forces you’d like to support: Army, Navy, Air Force, or Marines.

Here are some other strategies:

  • Out of site, out of mind: Try keeping their favorite fruits and veggies in sight and put the candy somewhere where they have to dig for it.
  • Trade treats for treasures: Plan a visit from the Halloween Witch.Tell your kids a tall tale about the Halloween Witch (or fairy). Like her cousin the Tooth Fairy, she sneaks in on the night of October 31 to spirit away candy–and leave a special toy or other gift in its place.Jennifer Tyler Lee posted this clever idea for reducing candy consumption on the Huffington post: Some parents invite their kids to leave a donation to the Switch Witch, who collects up Halloween candy and leaves a present in exchange. Similar to this idea, we’re going to trade treats for treasures. Five candies buys you a pack of hockey cards or a take-apart eraser. Twenty-five candies gets you a bucket of balls at the driving range. One hundred candies can be redeemed for tickets to the local college basketball game.
  • Use candy for crafts: Use use the candy as the raw material to build a holiday house. Have your kids make a candy wreath by gluing packaged candies onto a wreath. Fun and decorative at the same time! A great way to use up extra candy and keeps the kids busy.
  • Just add milk: Serve a glass of nonfat milk or water to enjoy with the candy. This will help balance what they are consuming and leave less room in their their stomach for more candy.

Don’t forget, today is the last day of our October Sale!

Be sure to take advantage of the books on sale and our CDCES Prep Bundle which is only $319 right now!


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