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Open Q & A  and Holiday Meal Planning - Elva Parker, C.D.E., November 19, 2013

lunchlady:
do you recommend any Medicare plans for the expenses involved in using insulin ??
Elva@Unity:
Welcome to the Unity Diabetes Online Community! I’m Elva Parker, a certified diabetes educator at Unity Diabetes & Endocrinology Services, and I’ll be hosting today’s chat. I’m glad you could join us today. We’re excited to answer all of your questions.
Elva@Unity:
Before we get started let me just tell you how I’ll address your questions and comments today. I answer questions one at a time, in the order that they are posted to the site, and there might be a slight delay as I respond to each question. It may take a few minutes for me to type answers to your questions, so please stay logged-in to the chat to see my response, even if it takes a few minutes. And you might need to refresh every few minutes to keep up with the latest posts in the chat if you switch to another application on your computer.
Elva@Unity:
Let’s get started.
Elva@Unity:
Choosing the right insurance plan can be very challenging, to be sure, lunchlady. The best advice would be to check with a Medicare resource to inquire as to what is covered.
Elva@Unity::
As we turn the calendar to the Holiday season, we see references to food everywhere. 6-8 weeks of parties can be a challenge to those trying to follow a healthy eating plan. Many adults gain 5-8 pounds between Thanksgiving & New Years!
Elva@Unity:
Did you know that the typical Thanksgiving feast can add up to 3000-4000 calories and 100 grams of fat?
sassy35:
Do you know of any good gluten free cookie recipes to use during the holidays?
dbhattac12345:
I take a blood glucose reading first thing in the morning after getting up. Though I maintain the same kind of food intake and exercise, I sometimes notice a wide fluctuation in the reading. Sometimes it swings between 30 to 40 points. What might be causing this?
lucyblue:
Hi Elva, do you have any strategies to help prevent weight gain and keeping blood sugars in line during the holidays? I know I already have parties and get-togethers lined up for most weekends between Thanksgiving and Christmas!
Elva@Unity:
For good gluten free recipes, I suggest checking a few of the following websites: Dlife.com, Wegmans.com & Diabetesforecast.org.
Elva@Unity:
dbhattac 12345, the swings you are experiencing can sometimes be part of what is challenging about diabetes management. However, you may want to check that your meter is working correctly. You can use control solution to check this. Using proper technique to obtaining blood samples is very important. Also stress can play a big role in blood sugar swings.
Elva@Unity:
Yes, lucyblue, with a good plan, you can develop strategies to survive the holidays! Choose smaller portions, if you don't love it, don't eat it! Rethink appetizers: how about fresh vegetables and lower fat dips or a plate of berries, pineapple or apples. Have a calorie free chat instead of seconds. If you eat before your holiday dinner or party you are less likely to overeat. And don't forget to include exercise as part of your holiday activity! Bundle up and walk, this prevents overeating.
Elva@Unity:
Exercise helps burn calories and helps prevent those after meal blood sugar spikes, too!
sassy35:
Has anyone tried those gluten free cookie mixes from Wegmans?
Elva@Unity:
Experiment with different, heart healthy cooking methods. For example, try steaming foods (very healthy). Stir fry your meats or fish. This is a high heat/little oil cooking method. Try roasting veggies. This can be very flavorful! Drizzled with a little olive oil, carrots, asparagus, green beans, red peppers & red cabbage sweeten to perfection!
Elva@Unity:
sassy35, I have not used the mixes myself but have tasted the products and they were very good!
A terrific option if you need to avoid gluten in your diet.
lucyblue:
Do you have any suggestions for making a healthy Thanksgiving dessert that I can enjoy without having my blood glucose go sky high?
sassy35:
Thanks Elva. I will check them out.
lucyblue:
Sassy35 -I have tried some of the gluten free cake mixes and they are pretty good. I also think the pancake mixes are good -
Elva@Unity:
Thanksgiving desserts can certainly increase one's blood sugar. Try small portions of fall fruits: pears, apples or grapes paired with small portions of lower fat cheese or delicious heart healthy nuts.
sassy35:
Lucyblue - any tricks using those mixes, or do they work like regular cake mixes?
lucyblue:
They work just like regular cake mixes - follow the directions and they taste like regular too I think!
lucyblue:
Anything chocolate or pumpkin I can have? :)
lunchlady:
How much will a big meal (onetime) spike blood sugar and how do you get it down the next day??
Anne_:
Hi Elva- I was just diagnosed with pre-diabetes. My doctor doesn't want to treat me with medication. How do you feel about using medication? What should I being doing at this point? Thanks.
Elva@Unity:
Be smart with sauces: many are laden with cream, cheese and butter. Try using salsa as a sauce or spooning basil pesto over chicken.
Elva@Unity:
lucyblue: all foods can fit! Enjoy a small piece of dark chocolate (at least 70% cacao). Pumpkin puddings can be delicious. Remember, pumpkin is starchy source so be careful with portion.
lucyblue:
Thanks, Elva!
Elva@Unity:
Anne: diet and exercise are very helpful with pre-diabetes. However, some physicians feel that medication can preserve the function of the cells that make insulin. I think you should discuss this with your doctor, but remember, healthy eating and exercise will always be important for diabetes management.
Elva@Unity:
That’s all the time we have for today. I’ve really enjoyed our conversation and hope that I was able to provide some insight for you. If we didn’t get to your question today or if you think of another question later on – feel free to jump into the conversation in the forum, or submit a question using our “Ask an expert” feature. Be sure to join us for our next chat Tuesday, December 3 at 8 p.m. with Dr. Rajamani, Chief of Endocrinology at Unity Medical Group. He will be hosting an open Q&A session!
Anne_:
Thank you so much! Ill be back next week.
 

 
 
 
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