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Posts (9)

Jun 22, 2017 · Anyone find that foods listed as "safe" spike your blood? in Diabetes/Endocrine System

No, A1C should not rise with age. One of the things that could cause is the continued excess consumption of refined carbohydrates (CHO) after older age which possibly leads to insulin resistance.

-Brenda

Jun 21, 2017 · Anyone find that foods listed as "safe" spike your blood? in Diabetes/Endocrine System

@retiredteacher, I forgot to mention that working with so many providers I have learned that the General or Family Physicians usually wont do a lot of educating when it comes to speaking with the patient with results from tests. It almost seems like once they give you your results their job is done and they pass it on to a Specialist to deal with it and then the PCP is just for your normal maintenance. I have been blessed with a great doctor who will sit and talk to me about options and what the risks or benefits will be depending on what I decide to do. He is such a great Family Doctor that I may only see my Endocrinologist once a year-if that.

At work my colleagues and I have realized that many of the PCP’s of the children that are referred to us for our program don’t educate the families at all or even show them the child’s BMI chart or explain why they are sending them to us. I was just on a call of a mother that took her son in for a routine yearly physical and after the provider walked out of the room a Medical Assistant walked in and handed mom her son’s allergy prescription and a flyer and told them to have a great day. I have also experienced this exact situation with other families and the mother on the other end of the line will yell at us or even hang up because “there is no way my child needs to lose weight my doctor didn’t tell me that.” Some parents may feel offended that when they call we are the ones who answer the line and have to be the ones to give them the reason why they may be calling.- What parent wants to hear from a stranger that their child is overweight and will need our attention?

The mother called us because she actually went home and read the flyer. The flyer comes from our program explaining our cause and benefits and it clearly states on there that a doctor has to send a referral in for this child so that the child can be registered. She said that not at any moment did they tell her that her son was overweight, she was shocked when she called the pediatric clinic back to find out why this flyer was given to her. The receptionist told her that during her visit her pediatrician must have charted her child at a 85% on their growth chart for the BMI and this was why she was given this flyer. What the doctors office should have done is talked to the mother and child about the condition, explained what a growth chart is and she should have at least been briefed on if she would like to be referred to our program at all before letting her just walk out with our flyer.

Most doctors just cannot take the time to do all this so they rely on their Medical Assistants or nurses but they are usually super young and inexperienced and just want to keep up with the doctor so they rush in and out of rooms too. When we started our program we educated each and every provider that would be referring to us on how to introduce our program to the families. obviously 3 years later now we still have this negative experience happening. So we do have several parents that will call us just like this mom not even knowing that their child could be in need of our help. This is why I know that doctors just test and give diagnosis and if it is something that need to be more closely supervised they refer out and don’t even bother to educate the patients because they are in the mind set that their nurses have done it or that the Specialist will have to do it anyway.

It sucks but it’s a reality. You should mention your feelings to your doctor before finding a different one, sometimes they just need a little reminder that they are treating HUMANS and not numbers. Try this before switching providers because that too can be a hassle- its best to keep a good medical history in its original location.

-Brenda

Jun 21, 2017 · Anyone find that foods listed as "safe" spike your blood? in Diabetes/Endocrine System

@retiredteacher it sounds like you are doing a great job already. Maybe try changing your routine-and I know you wont like to hear this but I have to say it because it is a fact, but usually the weight gain in this circumstance is muscle gain. I hate it too, I was in the same whole for about 4 months but my numbers were almost perfect when it came to my blood work.

-Brenda

Jun 21, 2017 · Anyone find that foods listed as "safe" spike your blood? in Diabetes/Endocrine System

Since I work full time a mother of 4 and a full time grad student my volunteer hours have decreased these past two years. I should finish school in December so I pray I will be able to go back to my normal volunteering routine.
(Currently studying for a Masters in Public Health)

Jun 21, 2017 · Anyone find that foods listed as "safe" spike your blood? in Diabetes/Endocrine System

Yes I do volunteer work when the time allows me to. I volunteer at a rehabilitation center for diabetics that have suffered some type of damage that leads them to have the rehab-stroke, amputations and more

Jun 21, 2017 · Anyone find that foods listed as "safe" spike your blood? in Diabetes/Endocrine System

Just remember a Pre-Diabetic is diagnosed at a 5.7 – 6.4 A1C. Your A1C is not so bad. I do wish other people would worry the way that you do with this. Just take it slowly, if you lose 1 lbs or 2 in one month-that is a WIN in my book. I will tell you this, some people may not lose weight at all but they do modify the food choices and they still see good results when given their A1C results.

-Brenda

Jun 21, 2017 · Anyone find that foods listed as "safe" spike your blood? in Diabetes/Endocrine System

You are doing the right thing. For someone who I find is complying to the doctors recommendations I say only check your blood sugar levels if and when you are not feeling well. Your BS will be different every second so the 3 month A1C test is the real and important one to do. If you do have a provider with the knowledge he will suggest the same I on the other hand do have to check my blood regularly because my diabetes is a bit different. Depending on what I eat I have to ratio and scale the amount of insulin I have to take. Try to keep your daily diet as close to the guidelines (My Plate) as possible and do some walking maybe 2-3 times a week, usually this will keep you at a close number balance. If you do begin a walking or any physical activity routine remember to have a protein for snacks between meals to keep your energy and muscle awake. Don’t kill yourself cooking from Diabetic Recipes-just continue your normal food choices but try new alternatives for those foods that may not be so nutritious. This doesn’t have to get expensive-everyone thinks that it does but believe me living in a household of 6 I keep it at low cost when it comes to my food purchases and still I am able to substitute the not so good items for the healthier ones.

-Brenda

Jun 21, 2017 · Anyone find that foods listed as "safe" spike your blood? in Diabetes/Endocrine System

Good morning,
I was diagnosed Type 1 when I was 3 years old. Being a “big boned” kid all of my childhood didn’t help at all and since I was constantly doing sports my parents didn’t worry. Finally after high school ended and sports did too I packed on more lbs rapidly and kept packing, the doctor told me if I didn’t lose weight I would more than likely be on dialysis within 6-8 months in 2000. After becoming so overweight that I could no longer jog or even fast-walk to exercise (it was just too painful to my knees) I finally gave in and got bariatric treatment. First I had a lapband then I had to have a revision and now I have a sleeve. I had to do it, it was the only way to help myself-life changing tool. I went from 309 lbs in 2001 to 180lbs in 2005 and I kept it off since, Oh, Im 5’6. The 309 on the scale was a rude awakening. This was the first BIG thing that hit me. Not long after this, one of my aunts (my favorite aunt) informed me that she was just diagnosed Type 2 and I found out soon after she was non-compliant for about 6 years which caused her to have both of her legs amputated. She passed away the very next year-she just stayed so sad that even though she was finally taking all her medications as directed her body just gave up. She was just in her early 50’s. My father was diagnosed just a few months after her passing. That year I began studying everything and anything that had to do with diabetes, all diabetes. I finally decided what I wanted to major in and I applied myself to do just that and I got my Health Promotion, Program and Planning degree from Texas A&M with a minor in Interdisciplinary Studies. I have also been taking many other off site Diabetes Educator classes and I was certified in that too. I began teaching classes at the WIC offices in 2004 and I was there for 8 years. Now I am a Health Educator for the pediatric hospital I mentioned and I teach from a curriculum that 3 Dietitians and 3 pediatric doctors oversee and wrote and they update it constantly. I have been with this team for 3 years now and I also worked at the hospitals Endocrinology Department for 1 1/2 years before my current position opened up. Now I’m with the Weight Management & Diabetes Prevention team. I work all the health fairs. For the health fairs I have, what I call, “A Traveling Show”. My displays are different: Rethink Your Drink, Physical Activity. My Plate and Portion Distortion. It just depends what the facilitate would like to educate the visitors on. I also train school nurses and afterschool facilitators so that they know what to look for in the children that they deal with daily and they also learn the curriculum I take all the tools that they need for the activities. We also teach a Cooking with the Community classes where we have hired several Chef’s to come and teach the families how to properly handle tools in the kitchen and tips on cooking. The children learn many things in this class: how to properly use a real knife and cut, cooking times, food temp., and much more. These classes help the families grow closer together and they learn to eat as a family with no distractions and since the children are the ones cooking and parents are just assisting-we noticed that our picky eaters are not so picky anymore at the end of the class; they are more willing to try those foods that kids don’t normally like. One of us in our team will also attend along with the Chef to answer any nutrition questions and to give information as needed. I also teach 4, 6 or 8 week one hour once a week class at afterschool programs and clubs Elementary Schools, Middle Schools and High Schools. I also teach parents Nutrition and Diabetes Prevention or Maintenance at schools when I am invited and we have enough parents registered to attend. We implement physical activity into all of our classes too; we may do a Zumba class or a GoNoodle Video or just a 10 minute refreshing body stretch (the idea is to just keep moving and implement it in increments). We do much more but I would never finish typing. We never really put people on diets. If the child is morbidly obese they more than likely have other comorbidities so they will be referred to someone else and we make sure they get the care that they need. We follow the basic guidelines of MyPlate and just give advise on easy tips and tricks to substituting favorite “not so nutritious” foods for healthy ones-and it works! Oh, one of my favorite classes is when we do a Store Tour and the families have to go on a scavenger hunt and they learn and then understand the Nutritional Facts labels after this class.

I enjoy working with children, it’s just so natural for me. I realized that teaching adults can be more difficult (my dad). My father was noncompliant as well and just this year 2017, February he had to have his left great toe partially amputated, never healed so then on April they had to amputate to his metatarsals. At first it looked like it was healing-but sadly it went VERY BAD very fast and so May 25, 2017 he had to have his leg amputated up to the knee. He just had his staples removed this Monday.

This is why I do what I do. I have to at least try and help as many little humans as possible because I truly believe that maybe if all this information is planted in their young heads they will use it to empower their wellbeing and live long healthy lives and maybe, just maybe, they will forward this information to many others. I don’t want anyone to go through what I have experienced, it is too painful.

-Brenda