Nordic Diet – Better than Mediterranean?
Developed in tandem by scientists, nutritionists, and chefs, the Nordic diet was designed to enhance the nutritional intake of people in Scandinavian Countries. The Nordic diet is similar to the Mediterranean diet in that it promotes healthy lifestyle habits like choosing local, fresh ingredients and pairing diet with active habits like bicycling and walking.
The Nordic diet’s aim is to limit sugar and highly processed foods while emphasizing whole and minimally processed foods; high-fiber vegetables, whole grains, fruit, dense breads (pumpernickel/real sourdough), fish, low-fat dairy, lean meats of all types, beans and lentils, tofu, skinless poultry, and fermented foods.
The Nordic Diet ratio recommends 50% of calories from high fiber carbs, 25% lean protein, and 25% from mostly plant based fats. Fermented foods — fish, vegetables and dairy — also play a strong role, as do herbs and spices
A caveat is if you live in a warmer climate, some of the Nordic foods may be difficult to find, so the Mediterranean diet may be better. Also, registered dietitian Layne Lieberman advises limiting cured fish which is high in salt, sugar, and often nitrates. Read more about the Nordic diet here.
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Technology & Diabetes Today | September Newsletter
September Newsletter Now Available!
In our September Newsletter we highlight a string of new technology developments! From pump recalls and treatment decisions, to technology events and solutions.
Read this month’s newsletter to find out more about our latest technology toolkit, and can’t-miss events like the Women Leader’s Conference coming to the East Coast!
September Newsletter Topics Include:
- Time in Range Goals for CGMs
- Medtronic Pump Recall
- EverSense Approved for Treatment
- Women Leader’s Conference to include Technology Session
Want to learn more about Diabetes Technologies? Coach Beverly’s New Technology Toolkit – Earn 3.0 CEs is ready for on-demand viewing. Next Live Show: September 11 & 13, 2019 @ 11:30 a.m.
When it comes to insulin pumps, sensors and calculation, many of us feel overwhelmed and unsure about diabetes technology management. Plus, with the vast amount of information, it may seem impossible to figure out what to focus on for our clinical practice and to prepare for the diabetes certification exam.
Coach Beverly invites you to enroll in our NEW Technology Toolkit Online Course Bundle, to keep you abreast of the rapidly changing world of Insulin Pump Therapy, Continuous Glucose Monitoring and calculations while preparing for exam success.
If you want cutting edge information on diabetes technology, problem solving and using formulas to determine appropriate insulin dosing, we highly recommend this toolkit.
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!
Smart Glucometers Improve Engagment During Pregnancy
A clinic in South Carolina studied 50 pregnant women with type 1 or type 2 diabetes and found that use of smart glucometers improved diabetes management. Use of these glucose meters led to increased participant engagement and better informed treatment decisions.
The smart glucometers were cellular-enabled to upload readings in real time to the clinic’s online portal. The smart meters also reported time of day, type of meal eaten, physical activity information, and symptoms. Blood glucose readings taken with the smart meter were automatically uploaded to a patient portal via cellular connectivity and were reviewed daily by diabetes educators.
During the study providers contacted participants when blood glucose readings were less than 50 mg/dL or when there were two consecutive readings of more than 200 mg/dL. They found that women with the smart meter reported more hypoglycemic events and were more likely to use a CGM than those who kept manual log books.
Those with smart glucometers versus those without had no difference in maternal or neonatal complications, except for neonatal hypoglycemia, which was less frequent in those with smart glucometers. For more details, you can read the full study.
Want to learn more about Diabetes Technologies? Coach Beverly’s New Technology Toolkit – Earn 3.0 CEs is ready for on-demand viewing.
When it comes to insulin pumps, sensors and calculation, many of us feel overwhelmed and unsure about diabetes technology management. Plus, with the vast amount of information, it may seem impossible to figure out what to focus on for our clinical practice and to prepare for the diabetes certification exam.
Coach Beverly invites you to enroll in our NEW Technology Toolkit Online Course Bundle, to keep you abreast of the rapidly changing world of Insulin Pump Therapy, Continuous Glucose Monitoring and calculations while preparing for exam success.
If you want cutting edge information on diabetes technology, problem solving and using formulas to determine appropriate insulin dosing, we highly recommend this toolkit.
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!
Eversense CGM approved for Treatment Decisions
Continuous glucose monitoring (CGM) uses interstitial fluid to provide real time glucose readings. Some CGMs have a nonadjunctive dosing indication, which means that users can base treatment decisions on the CGM reading.
Most recently, Eversense CGM received the nonadjunctive indication from the FDA. This means that Eversense users will not have to check fingersticks to make treatment decisions in the near future.
However, users will still need to calibrate the Eversense CGM twice daily and will need to download a new app before they can base treatment on the CGM readings.
The Eversense is the first long-term implantable CGM device that can be used for up to 90 days before replacing. The sensor is inserted via an in-office procedure in the upper arm by a trained physician. A fluorescent chemical coating on the outside of the sensor generates a small amount of light in response to the amount of sugar that is present in fluid under the skin (interstitial glucose). This light signal is converted into a glucose reading and transmitted wirelessly every five minutes to a compatible mobile device.
Read more in Endrocrine Today – FDA approves nonadjunctive indication for Eversense CGM.
For more information visit the Eversense Website
Want more practice for the exam? Try our new Technology Toolkit, meant to assist with studying based on the updated CDCES content outline!
Earn 3 CEs and join coach Beverly for her second airing of the Toolkit Live on September 11 and 13, 2019. Purchase includes On-Demand viewing now and the ability to join live later.
Two Online Courses are included in this Technology Toolkit:
- Tech 101 – Pumps and Sensors Update and Overview and
- Tech 102 – Insulin Pump Calculations: From Basal to Square Bolus
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!
Can Coffee Help Our Waistlines?
A new study from the University of Nottingham suggests yes! The study examined the effect coffee on brown fat.
Brown fat is a heat generating form of fat, unlike white fat which simply store the body’s excess calories. The heat generation of brown fat helps burn calories in the process of thermogenesis.
Brown fat normally is triggered in response to cold and helps the body produce heat by burning sugar and fat. In this study, the brown fat actually became hotter after a drink of coffee!
Michael Symonds, the study leader, explained the next step will be testing if caffeine supplements create a similar effect. Read the full report on the study here.
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Free Resource Friday | Free Teaching Resources
There are a number of websites that offer FREE handouts for diabetes education and ready-to-download resources, all conveniently collected on our Teaching Resources Page!
We always highlight a free resource each Friday as a way to give back. Sign up for our blog below to stay up to date on all the resources available to you.
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!
New “Time in Range Targets” provide clear goals for CGM
Providers and people living with diabetes are increasingly taking advantage of continuous glucose monitoring (CGM) technology. CGM’s offer real time blood glucose levels with more convenience and less fingersticks.
However, utilization of CGM technology in routine clinical practice remains relatively low. This under-use may be due in part to unfamiliarity with the technology aspects and lack of standardized glycemic targets.
The recently published Recommendations From the International Consensus on Time in Range Diabetes Care 2019, clearly outline CGM Glucose Targets that both diabetes teams and people with diabetes can work toward. See the CGM target ranges for different groups below.
These guidelines, from an International Committee, provide standardized Time in Range targets for most people with type 1 and type 2 diabetes; for those who are older or at high risk for severe hypoglycemia; and for pregnant women.
Recommendations are given for upper and lower blood glucose targets and for time spent in both target and out-of-target ranges.
The recommendations are endorsed by the ADA, American Association of Clinical Endocrinologists (AACE), American Association of Diabetes Educators (AADE), European Association for the Study of Diabetes (EASD), Foundation of European Nurses in Diabetes, International Society for Pediatric and Adolescent Diabetes, JDRF, and Pediatric Endocrine Society.
For more information, please see the complete article: Clinical Targets for Continuous Glucose Monitoring Data Interpretation: Recommendations From the International Consensus on Time in Range Diabetes Care 2019 Aug; 42(8): 1593-1603.
Want to learn more about Diabetes Technologies? Join Coach Beverly for New Technology Toolkit – Earn 3.0 CEs Premiers August 20 & 23
When it comes to insulin pumps, sensors and calculation, many of us feel overwhelmed and unsure about diabetes technology management. Plus, with the vast amount of information, it may seem impossible to figure out what to focus on for our clinical practice and to prepare for the diabetes certification exam.
Coach Beverly invites you to enroll in our NEW Technology Toolkit Online Course Bundle, to keep you abreast of the rapidly changing world of Insulin Pump Therapy, Continuous Glucose Monitoring and calculations while preparing for exam success.
If you want cutting edge information on diabetes technology, problem solving and using formulas to determine appropriate insulin dosing, we highly recommend this toolkit.
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!
Intermittent Fasting Reduces Hunger?
A new study shows intermittent fasting may help reduce hunger and promote weight loss. The typical American mealtimes occur during a 12-hour window, between 8 a.m. and 8 p.m. Intermittent fasting is a strategy of limiting down the amount of hours spent eating, from 8 a.m. to 2 p.m.
This small study compared two groups who ate the same amount of calories but one group stayed on the typical American eating schedule (from 8am to 8pm), and the other group ate within the intermittent fasting schedule (from 8am to 2pm).
Those who fasted 18 hours (from 2 p.m. to 8 a.m.) had lower levels of ghrelin and higher levels of peptide (they were more satiated and less hungry) and lost weight.
Those practicing intermittent fasting, even though they ate the same amount of calories as the non fasters, also had better metabolic flexibility. You can read more details on the study here.
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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