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  Chat Transcript
Open Q&A and Community Resources – Joy Valvano, C.D.E., and Dawn Jeffords, Director of Programs and Outreach, American Diabetes Association: May 2, 2012
 kjvbible1611:
 Need help with how many servings chart.
 Joy at Unity:
 Welcome to the Unity Diabetes Online Community! I’m Joy Valvano and I’ll be hosting today’s chat. We’re glad you could join us today. I’m excited to introduce my special guest Dawn Jeffords from the ADA. Dawn and I are eager to answer any diabetes-related questions you have.
 Joy at Unity:
 Before we get started let me just tell you how we’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.
 Joy at Unity:
 Hi kjvbible, welcome to the chat! What would you like to know about servings?
 Dawn @ ADA:
 Hi kjvbible! I am excited to share information the ADA has to offer. We have a Create Your Plate informational sheet that displays the best way to 'create your plate' nutritionally.
 kjvbible1611:
 When it says guideline at least 6 servings per day does that mean for each of the items listed based on the amount? Confused.
 Dawn @ ADA:
 I would be glad to mail out the Create Your Plate sheet in addition to other nutritional informational brochures if you would like. You can call and leave me a message at 585-458-3040 ext. 3491.
 Dawn @ ADA:
Hello, juanitajolley! Welcome to the chat. 
Joy at Unity:
  Usually there is a standard size for what is considered a serving. For example 1 serving would be 1 slice of bread, 1/3 cup pasta or rice or 1/2 cup potato – these are all equal to 15 g carb or one serving of carb.
 sassy35:
 What's Create Your Plate?
 kjvbible1611:
 OK
 kjvbible1611:
 That is for starch foods and yet un-starchy has only 3 servings per?
 Joy at Unity:
 Using the plate method approach also helps you create a healthy plate; 1/4 plate is starchy foods/carbs, 1/4 plate is protein foods (meat, chicken, fish) – about 3 oz. – and 1/2 plate is non-starchy vegetables. The Create Your Plate sheet that Dawn referenced explains this concept.
 Dawn @ ADA:
 The Create Your Plate is an ADA brochure that uses the "Plate Method"...an Easy Way to Eat Well guide where you do not need any special tools or count anything...you just need to focus on filling your plate with more non-starchy vegetables and less starchy foods and meats. You would fill your plate with 1/4 grains and starchy vegetables, 1/4 protein, and 1/2 with non-starchy vegetables. It has a list of foods for examples for each plate section as well.
 Joy at Unity:
 Non-starchy vegetables are considered "free foods" and usually can fill half the plate. The 1/4 plate of the carbs/starchy foods includes rice, pasta, bread, starchy vegetables like potato, corn, peas, sweet potatoes, fruit, milk/yogurt, beans and legumes.
 kjvbible1611:
 So how many 1/2 cup servings of let's say, beans, can I eat per day...6?
 sassy35:
 Are there any tools online you can use as a guide?
 juanitajolley:
 Hi Joy and Dawn. I'm on an Animas pump. To watch for lows during the night, I set my alarm clock. It would be nice to have a Continuous Glucose Monitor. Is this device available for Type 2 diabetics? Thanks.
 Joy at Unity:
 You may find it helpful to meet with a dietitian/diabetes educator and/or attend a Managing Diabetes class as well to help design a meal plan that meets your needs, and to further explain the carb counting concept.
 Dawn @ ADA:
 We have many great recipes and nutritional information online at diabetes.org. My Food Advisor on the website is an interactive tool that tracks what you eat. You can explore over 5,000 different foods, search the database by setting your own criteria for carbs and other nutrients, easily add up the carbs, fat, and other nutrients, browse recipes by criteria you select and save meals and recipes to your personal recipe box.
 Joy at Unity:
 Well kjvbible1611, usually we divide the total servings per day into 3 meals per day. So, typically about 3-4 servings/meal for women or 45-60 g carb and 4-5 servings per meal for men or 60-75 g carb. Spacing the carb servings throughout the day helps keep blood sugars more stable.
 Joy at Unity:
 HI juanitajolley. I am checking on whether the Continuous Glucose Monitor is available for people with type 2 diabetes on pumps – I will have an answer in a minute! :)
 kjvbible1611:
 So the answer is yes to 6 servings a day to 1/2 cup beans? Using this as an example!
 sassy35:
 Thanks, Dawn – I'll have to check that out.
 Joy at Unity:
 Yes, you could have 6 1/2 cup servings of beans per day – spaced into 2-3 meals.
 kjvbible1611:
 But nothing else let's say in that starch group?
 Dawn @ ADA:
 Our Living With Type 2 program is a FREE, twelve month program that provides information every three months either online or via postal mail on ways to manage your diabetes. It is available in English and Spanish. For example, the first month you will receive our What Can I Eat? booklet to learn more about food, nutrition, and how to create your plate, find meals, and new recipes. You will also receive the Choose to Live booklet which is an A-Z guide to diabetes management. 
 Joy at Unity:
 OK juanitajolley -- yes you may be eligible for a continuous glucose sensor if you meet the qualifications and are not on Medicare and Medicaid. You may want to check into this further with your physician or endocrinologist.
 Joy at Unity:
 kjvbible – The goal is to include 45-60 g carb per meal let's say, that can include 3 servings of the same or different foods. For example, you could have a sandwich with 2 bread (2 servings from the bread) and an apple (1 serving in the apple).
 Joy at Unity:
 That will equal 45 g carb or 3 servings – one more could be the addition of 6-8 oz. yogurt.
 kjvbible1611:
 New to all this sorry!
 Dawn @ ADA:
 And the Healthy and Tasty recipe booklet. And that is just the first month:) The other months provide you with a lot of other beneficial informational resources. You can sign up for this free program via: diabetes.org/living OR calling 1-800-diabetes and mention you want to enroll in the Living with Type 2 program. Either way you choose to enroll, it only takes less than a minute.
 Joy at Unity:
 kjvbible – We LOVE your questions! Is this carb counting/plate method approach starting to make sense?
 juanitajolley:
 Thanks Joy. I will certainly do that. I turn 65 this year, so I will be on Medicare in December. My fear of dying has led me to seek help from a therapist. A sensor would really be helpful.
 kjvbible1611:
 Some what.
 Joy at Unity:
 I would recommend going to a diabetes education class or meeting with a diabetes educator to help clarify! We offer classes and individual counseling here at Unity Diabetes Center.
 Joy at Unity: 
 Unity Diabetes Center phone #368-4560!
 kjvbible1611:
 I'm afraid to eat anything!
 Joy at Unity:
 juanitajolley, I do encourage you to follow up with your physician, because any sensor approval needs to come from your physician.
 Dawn @ ADA:
 As the Director of Programs for the American Diabetes Association, I want to share that we offer free workshops to the public on a variety of topics such as basic diabetes information, a workshop on the basics of nerve damage called Just a Touch, another workshop on Healthy Minds where you can understand the difference between having a bad day and depression when it comes to diabetes, another workshop on nutrition basics. Some workshops are offered in Spanish as well!
 Joy at Unity:
 kjvbible – Starting with the plate method concept that Dawn and I explained is a good place to start! Good luck!
 kjvbible1611:
 Thanks.
 juanitajolley:
 Thanks, Joy. I will.
 kjvbible1611:
 Are these sessions printable?
 Eileen15:
 Is the "just a touch" program online?
 Joy at Unity:
 Awesome! If you need help with the process please feel free to contact us here at Unity Diabetes Center, 368-4560 or use the Ask an Expert feature of our online community, unitydiabetescommunity.com.
 Dawn @ ADA:
 I am also always looking for anyone to become an ambassador. This would entail being trained (two hours max. of your time) on one or two workshops – how to present the workshops and conduct the pre- and post-tests and turning them in to me afterwards. You would be responsible for finding workshops if able and I would contact you for workshop requests to see if you can teach at the requested date and time. Please call me at 585-458-3040 ext. 3491 if you are interested in becoming an ambassador!
 Dawn @ ADA:
 All of our workshops are available in print as I provide them at the workshops in slide formation so the participants can take the information with them as a referencing tool after the workshops.
 Eileen15:
 Thanks.
 Joy at Unity:
 Any other questions before we end our session for today?
 kjvbible1611:
 No, thank you!
 Eileen15:
 When is the next session?
 Joy at Unity:
 The next session is May 30, 12 noon with Karen G., one of our diabetes educators! Hope to see you back then!
 Eileen15:
 Thanks!
 Dawn @ ADA:
 The ADA local office is 160 Allens Creek Road, Rochester, NY 14618. Our number is 585-458-3040. The website is www. diabetes.org. Our Tour de Cure is June 10th at the RIT campus – come support our riders and our mission!
 Joy at 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 Wednesday, May 30 at 12 p.m. with Karen Gesell for a few pointers about counting carbs – and another opportunity to get answers to all of your diabetes-related questions.
 
 
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