
If you couldn’t make the Women Leaders in Diabetes Conference (which was completely magical), we have great news. Each Wednesday, we will highlight our keynote speakers and their message. First up, is the amazing Theresa Garnero and Conference Co-Chair.
How many more people could you reach by tapping into your creativity? Theresa Garnero, APRN, BC-ADM, MSN, CDCES, founder of theSweet People Club, kicked off our Women Leaders Conference with a TED-style presentation and this question. She inspired the audience to incorporate more creativity into their diabetes education approaches. To get the creativity ball rolling, she shared strategies that she uses to provide interactive and fun approaches to diabetes education.

Theresa is a creativity expert. In addition to her numerous degrees and certifications, she is a talented artist, humorist, and cartoonist. She reaches people with prediabetes and diabetes by using creativity as a bridge to build rapport and trust.
Theresa also promotes imaginative expression through movement. As the founder of “Dance Out Diabetes,” Theresa made a lasting impression on the hundreds of community members who walked through her door. Dance Out Diabetes was a fun dance community made up of all ages, abilities, people with and without diabetes, friends, families, volunteers, and certified diabetes educators. Regular dance programs included ongoing health screenings, a 45-minute dance lesson, and different genres of music. Participants had an opportunity to socialize with peers facing similar challenges in a relaxed and informal setting. Plus, they had improved outcomes.

In 2019 Theresa once again leveraged creativity, combined it with technology and founded theSweet People Club. This easy-to-navigate and upbeat website invites people with prediabetes to meet weekly and enjoy a modernized CDC curriculum that includes fun, brief informational videos.
The Sweet People Club is perfect for people on the go or who can’t afford the time to come in for multiple appointments. The Sweet People Club houses over eighty videos by Theresa and a team of experts, so people with prediabetes can design an individualized program that best matches their needs and interests.
From cartoons to dancing and technology, there are so many ways to build creativity into our diabetes education programs. Given the diabetes pandemic, incorporating creativity to keep participants engaged is more important now than ever.
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May 29th, 2019 – 11:30 a.m. – 12:40 p.m. PST
Preparing for the BC-ADM Exam – What you need to know
Join us for this live webinar
Becoming BC-ADM is a great achievement for diabetes educators with an advanced degree in their field and a professional license as an advanced practice nurse, registered dietitian, or registered pharmacist. The scope of advanced diabetes practice includes patient management skills such as medication adjustment, medical nutrition therapy, exercise planning, counseling for behavior management and psychosocial issues.
Attaining optimal metabolic control in the diabetic client may include treatment and monitoring of acute and chronic complications. This webinar will review changes in requirements for 2019, exam eligibility and test format, strategies to succeed along with a review of study tips and test-taking tactics. We will review sample test questions and the reasoning behind choosing the right answers. We hope you can join us for this webinar. Click here for a bunch of free resources, a reading list and to register for FREE Webinar.
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!
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Our Diabetes Detective Team scans the diabetes news to discover the most relevant info that Diabetes Educators need in their daily practice. 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!
Sign Up for Diabetes Blog Bytes Today
Do you know the best way to prepare for the CDCES exam? Want more questions like this? Really test your knowledge and prepare with our 1-Year Subscription, with over 36 online courses and 50+ CEs.
You can also download our free CDCES Coach App!

| Registered Dietitians are rock stars. MNT interventions provided by RDs, dramatically lower A1cs. The results say it all. Within 3-6 months of meeting with an RD, people with diabetes can expect an: A1c drop of up to 2.0% with Type 2 Diabetes A1c drop of up to 1.9% with Type 1 Diabetes |
Fiber is a BIG deal
Regular fiber intake decreases the risk of death in people with diabetes.
Yet most Americans don’t get enough roughage in their daily diet. Recommended daily intake of fiber is 14 grams per 1000 calories or about 28 grams per day.
Encourage half of fiber intake to come from whole intact grains. Whole grains still have all three of these parts intact: the bran (the nutritious outer layer), the germ (the seed’s nutrient-rich embryo) and the endosperm (the germ’s food supply, which is high in starchy carbs). They’re typically high in iron, magnesium, manganese, phosphorus, selenium, B vitamins and dietary fiber.
50 percent of fiber from whole grains. Examples per 100gm include:
50% of fiber from foods naturally high in fiber. Here are a few examples.
When it comes to finding foods with fiber, the packaging can be misleading. Food labels provide the most accurate information. Foods that are a good source of fiber have 3 grams per serving and foods that are an excellent source of fiber contain 5 grams per serving.
More weight loss improves outcomes
Prediabetes – For overweight people with prediabetes, new evidence supports losing 7-10% of current weight to reduce diabetes incident by 79%. Adding regular physical activity, including both aerobic and resistance exercise, also contributes to the prevention of type 2 diabetes.
Diabetes – If a person is overweight or obese with diabetes, the most effective weight loss target is 15% or greater to improve outcomes. The previous recommendations of a weight loss of 5-7% are based on the threshold for therapeutic effects. When it comes to weight loss, the greater the weight loss, the greater the benefits.
Eating Patterns – What is best?
There is not enough evidence to support one best approach, but for people with diabetes the research supports the following strategies:
Read the Complete Nutrition Therapy for Adults with Diabetes or Prediabetes – A Consensus Report here.
“What you do makes a difference, and you have to decide what kind of difference you want to make.” – Jane Goodall

The energy and synergy were palpable. Over 160 attendees sharing a moment and a growing movement.
We learned, we shared and we re-fueled. The women leaders pushed us to create, to believe, to plan, to do and to work it.
Thank you to everyone who made this possible, including our attendees, our speakers, our volunteers and our amazing staff!
Each day this week we will post a summary of the keynote speakers presentation. You are in for a real treat!
Recent studies have shown that 1 in 4 people living within the United States has fatty liver disease. However, the rate among Latinos is considerably higher at around 45%. Scientists are examining the effects of fatty liver disease and why certain communities are at higher risk than others.

A person is diagnosed with fatty liver disease if more than 5% of their liver weight consists of fat. However, ” it can progress to a more severe condition called nonalcoholic steatohepatitis, or NASH, which is linked to cirrhosis, liver cancer and liver failure. This progressive form of fatty liver disease is the fastest-growing cause of liver transplants in young adults.”
A surprising new research finding, is that the sugar in sweetened beverages can be passed from mother to child via breast feeding. When a mother consumes a beverage sweetened with high fructose corn syrup, the fructose level increases in the breast milk and stays elevated for hours. This can contribute to infant obesity and the development of a fatty liver, according to Michael Goran, the director of the Diabetes and Obesity program at University of Southern California and Children’s Hospital Los Angeles (CHLA).
Goran leads a program called HEROES or Healthy Eating Through Reduction of Excess Sugar. The program helps young people avoid unhealthy habits to help reduce obesity and prevent fatty liver disease.
Many lawmakers are now attempting to decrease the consumption of sugar laden drinks, whether it is through a soda tax or added warning labels. However, many believe this is not enough. Public health agencies need to be more involved in raising awareness and discouraging marketing of sugary drinks to children and adults alike.
A concerning aspect is the amount of Latinos affected by fatty liver disease. A study revealed that a gene called PNPLA3 increases the risk of fatty liver and about 1/2 of the Latino population studied had the gene and a quarter has two copies of the gene.

“Medical researchers consider fatty liver disease a manifestation of metabolic syndrome — a cluster of conditions that include excess visceral adiposity, elevated blood pressure, blood sugar and cholesterol levels that increase the risk of heart disease, stroke and diabetes.”
Low-income neighborhoods, often struggle with lack of resources combined with increased availability of unhealthy and cheaper fast food options, which can be a barrier to healthy eating. In an effort to improve health in these areas, HEROES has implemented farmers markets, community gardens and turned corner stores into markets with healthier options.
Providers and educators are urging people to decrease sugar intake and cut back on refined, low-fiber, carbohydrates to avoid health risks in the future. Let’s help get the word out eating less sugar and increasing fiber and whole food intake.
To learn more: Why are so many Latino children developing fatty liver disease? – PBS
Learn more about sugar intake, ways to avoid sugar and how to spot hidden high sugar offenders with our “The Joy of Six” resource page.
Download the Sugar Rush app from Fooducate to see how much sugar has been added to your food. Just scan the bar-code of any product and instantly see a breakdown of naturally occurring and added sugar.
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!
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by Coach Beverly Thomassian RN, MPH, CDCES, BC-ADM
For this newsletter, we highlight some key finding in the newly released consensus report, “Nutrition Therapy for Adults with Diabetes or PreDiabetes.” We also explore the rising incidence of fatty liver disease in youth and provide encouragement to keep active with the “Don’t Sit, Get Fit Campaign.” Nurse Appreciation Week kicks off May 6th. Let’s take a moment to shout out and recognize the contributions of our amazing nursing colleagues.