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Diabetes Everyday

Living your best life with diabetes. Toby Smithson provides professional guidance with personal experience.

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You are here: Home / Archives for Diabetes

Diabetes

Toby’s Advice- Diabetes, Blood Pressure and Potash

February 19, 2014 By Toby Smithson

If you’re a gardener I’ll bet that title and photo got your attention. Potash is a common component of fertilizers, used to provide potassium to plants. Potassium (chemical symbol K) is important for us humans too, and in generous quantities compared to other “micronutrients.” Potassium helps nerves carry signals, works to facilitate muscle contraction (including your heart muscle), and plays a key role in balancing the fluids in your body. In this regard, potassium helps counteract sodium, and is a key nutrient for helping maintain normal blood pressure.

The DASH Diet, developed by the National Institutes of Health to reduce high blood pressure, recommends we get 3 times more potassium than sodium- 4700 mg/day potassium to 1500 mg/day sodium in the most effective blood pressure lowering plan. Getting adequate potassium is important to diabetes in part because managing blood pressure is so important to diabetes. Diabetes and high blood pressure are in a photo finish for the first and second leading causes of kidney failure, so managing blood glucose and blood pressure are both incredibly important.

Dietary potassium has an important direct relationship with diabetes too. Some studies have shown, for instance, that low levels of potassium negatively impact blood glucose levels, but getting adequate potassium presents an interesting challenge. Why? Because many foods rich in potassium are also rich in carbohydrate. Two familiar potassium powerhouses- potato and banana- have 5 or 6 grams of carbohydrate per ounce. Other rich sources of potassium include white beans, apricots, yogurt and hard shell squashes- all also carbohydrate containing foods.

Dark, leafy greens like spinach and some fish, salmon in particular, will provide potassium too, but we should not avoid the carbohydrate foods that give us potassium. Making room in your eating plan for potassium rich carbohydrate foods is one way that putting some thought into your meals can pay off big time. There’s plenty of room for those carbs if you manage other nonessential carbohydrates carefully. Make sure you get enough potassium – it’s a powerful nutrient where long term diabetes health is concerned.

Filed Under: Diabetes

Blood Glucose Testing…do it often and do it right

July 9, 2013 By Toby Smithson

Testing our own blood sugar levels is an important part of effective diabetes management, but it’s important to do it correctly for accuracy and comfort. Watch Toby demonstrate how to monitor blood glucose for better diabetes management.

Filed Under: Diabetes and Health, Videos

1% Reduction in A1C- A “Big Deal”

November 28, 2012 By Toby Smithson

We’ve heard a lot about “the 1%”, referring to the very wealthy, in the recent US political campaign, and opinions are divided. There’s another 1% in the field of diabetes care about which opinions are divided, and that relates to HbA1C. HbA1C, or simply A1C, is a measure which estimates average blood sugar levels over a period of a few months, and relevant organizations have set target values where the risk for diabetes complications is reduced. The American Diabetes Association, for instance, establishes an A1C target value of 7%, corresponding with average blood glucose levels of approximately 150 mg/dl (8.3 mmol/l).

The relationship of A1C to heart and cardiovascular diabetes complications has not been clear, however, with different studies showing different results. Recent “real world” data from a large Swedish observational study presented this Fall to the conference of the European Association for the Study of Diabetes by Dr. Katarina Eeg-Olofsson of the University of Gothenburg suggests that reducing A1C has a marked impact on the risk for heart and cardiovascular events. A study group of more than 12,000 patients selected from the Swedish National Diabetes Registry (with no history of heart disease) were followed by researchers who noted changes in A1C over time and correlated those changes to heart disease, cardiovascular disease and death. About 6800 subjects showed A1C reductions over the course of the study from an average of 7.8% to a final average of 7.0%. Conversely, about 5500 subjects showed stable or increasing A1C from an average of 7.8% to a final average of 8.4%.

The group where A1C values improved over the course of the study showed a more than 40% decreased risk for these common diabetes cardiovascular complications. It is important to note that the only variable between the two groups was the trajectory of the subjects’ A1C values over the course of the study period. However, other potentially confounding factors between the groups such as BMI, age, duration of diabetes, gender, etc. matched relatively closely. Further evaluation of these observations is ongoing, but the benefit of reduced average blood glucose was profound in the broad assessment.We’ve heard a lot about “the 1%”, referring to the very wealthy, in the recent US political campaign, and opinions are divided. There’s another 1% in the field of diabetes care about which opinions are divided, and that relates to HbA1C. HbA1C, or simply A1C, is a measure which estimates average blood sugar levels over a period of a few months, and relevant organizations have set target values where the risk for diabetes complications is reduced. The American Diabetes Association, for instance, establishes an A1C target value of 7%, corresponding with average blood glucose levels of approximately 150 mg/dl (8.3 mmol/l).

The relationship of A1C to heart and cardiovascular diabetes complications has not been clear, however, with different studies showing different results. Recent “real world” data from a large Swedish observational study presented this Fall to the conference of the European Association for the Study of Diabetes by Dr. Katarina Eeg-Olofsson of the University of Gothenburg suggests that reducing A1C has a marked impact on the risk for heart and cardiovascular events. A study group of more than 12,000 patients selected from the Swedish National Diabetes Registry (with no history of heart disease) were followed by researchers who noted changes in A1C over time and correlated those changes to heart disease, cardiovascular disease and death. About 6800 subjects showed A1C reductions over the course of the study from an average of 7.8% to a final average of 7.0%. Conversely, about 5500 subjects showed stable or increasing A1C from an average of 7.8% to a final average of 8.4%.

The group where A1C values improved over the course of the study showed a more than 40% decreased risk for these common diabetes cardiovascular complications. It is important to note that the only variable between the two groups was the trajectory of the subjects’ A1C values over the course of the study period. However, other potentially confounding factors between the groups such as BMI, age, duration of diabetes, gender, etc. matched relatively closely. Further evaluation of these observations is ongoing, but the benefit of reduced average blood glucose was profound in the broad assessment.

Filed Under: Diabetes

Blood Sugar Control Shows Huge Impact on Long Term Health

August 7, 2012 By Toby Smithson

An observational study from the University of Gothenburg in Sweden has shown that reducing A1C levels by less than 1%, to a target of 7%, had a huge effect on the incidence of death from cardiovascular causes as well as the occurrence of heart-related “events” and cardiovascular events. Observing more than 18,000 individuals having diabetes for an average of 8 years, selected from the Swedish National Diabetes Register, researchers divided the study population into those showing A1C reduction (average from 7,8% to 7.0%) and those showing an A1C increase (average 7.7% to 8.3%). Patients having a history of cardiovascular disease, congestive heart failure, or atrial fibrillation were excluded from the study completely.

After correcting for age, diabetes duration, sex, blood pressure and blood pressure treatment, lipid status and lipid-lowering treatment, HbA1c, albuminuria, BMI, and changes in those risk factors and treatments over time there remained a substantial 45% decreased risk for cardiovascular related death among the group exhibiting better glycemic control. Better glycemic control also reduced the risk of fatal and nonfatal heart events by 39% and fatal/ nonfatal cardiovascular events by 37%.

The researchers were looking to address the debate about whether glycemic control is related to poor cardiovascular outcomes.

1% A1C Reduction = 45% Reduction in Cardiovascular Death in Swedish Study

An observational study from the University of Gothenburg in Sweden has shown that reducing A1C levels by less than 1%, to a target of 7%, had a huge effect on the incidence of death from cardiovascular causes as well as the occurrence of heart-related “events” and cardiovascular events. Observing more than 18,000 individuals having diabetes for an average of 8 years, selected from the Swedish National Diabetes Register, researchers divided the study population into those showing A1C reduction (average from 7,8% to 7.0%) and those showing an A1C increase (average 7.7% to 8.3%). Patients having a history of cardiovascular disease, congestive heart failure, or atrial fibrillation were excluded from the study completely.

After correcting for age, diabetes duration, sex, blood pressure and blood pressure treatment, lipid status and lipid-lowering treatment, HbA1c, albuminuria, BMI, and changes in those risk factors and treatments over time there remained a substantial 45% decreased risk for cardiovascular related death among the group exhibiting better glycemic control. Better glycemic control also reduced the risk of fatal and nonfatal heart events by 39% and fatal/ nonfatal cardiovascular events by 37%.

The researchers were looking to address the debate about whether glycemic control is related to poor cardiovascular outcomes.

Filed Under: Diabetes

High Fat Diet Compromises Pancreatic Beta Cell Funtion

August 17, 2011 By Toby Smithson

A study published online August 14 in Nature Medicine has identified a pathway that links high-fat diets to a series of molecular events responsible for the onset and severity of Type 2 diabetes. The team discovered that Type 2 diabetes may begin with pancreatic beta cells.

The study was led by Jamey D. Marth, Ph.D., director of the Center for Nanomedicine, which is collaboration between the University of California, Santa Barbara and Sanford-Burnham Medical Research Institute (Sanford-Burnham). This work was primarily funded by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the National Institutes of Health (NIH). Co-authors include Kazuaki Ohtsubo at Sanford-Burnham and Mark Z. Chen and Jerrold M. Olefsky from the University of California, San Diego.

In general, diabetes is a malfunction of the body’s ability to manage glucose, a “simple” sugar.  Glucose is the body’s main source of fuel, primarily provided by eating carbohydrate containing food.

In healthy people, pancreatic beta cells monitor the level of glucose in blood and produce insulin to closely match rising blood sugar levels. This system to monitor and control blood sugar results in relatively stable and “normal” blood glucose levels. Type 1 diabetes results when these cells are attacked and destroyed by the bodies’ immune system. People with Type 1 diabetes must take insulin by injection to control the levels of the sugar glucose in the bloodstream.

In Type 2 diabetes, beta cells are not destroyed, but this system does not function efficiently to keep blood sugar levels “normal.” High blood glucose over the long term contributes to serious increases in risk for heart disease and other so-called “complications.”  Because overweight/ obesity is the strongest risk factor for developing Type 2 diabetes, much research has focused on a potential connection between Type 2 diabetes, obesity, and diet.

This study found that high levels of fat interfered with the ability of beta cells to sense and respond to blood glucose levels. Fat levels interrupted the production of a critical enzyme called GnT-4a glycosyltransferase, and in normal mice fed a high fat diet beta cell function was dysfunctional. Conversely, when researchers preserved the function of GnT-4a in obese mice, the onset of diabetes was prevented.

Researchers hope these finding may lead to alternative treatments for Type 2 diabetes.A study published online August 14 in Nature Medicine has identified a pathway that links high-fat diets to a series of molecular events responsible for the onset and severity of Type 2 diabetes. The team discovered that Type 2 diabetes may begin with pancreatic beta cells.

The study was led by Jamey D. Marth, Ph.D., director of the Center for Nanomedicine, which is collaboration between the University of California, Santa Barbara and Sanford-Burnham Medical Research Institute (Sanford-Burnham). This work was primarily funded by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), part of the National Institutes of Health (NIH). Co-authors include Kazuaki Ohtsubo at Sanford-Burnham and Mark Z. Chen and Jerrold M. Olefsky from the University of California, San Diego.

In general, diabetes is a malfunction of the body’s ability to manage glucose, a “simple” sugar.  Glucose is the body’s main source of fuel, primarily provided by eating carbohydrate containing food.

In healthy people, pancreatic beta cells monitor the level of glucose in blood and produce insulin to closely match rising blood sugar levels. This system to monitor and control blood sugar results in relatively stable and “normal” blood glucose levels. Type 1 diabetes results when these cells are attacked and destroyed by the bodies’ immune system. People with Type 1 diabetes must take insulin by injection to control the levels of the sugar glucose in the bloodstream.

In Type 2 diabetes, beta cells are not destroyed, but this system does not function efficiently to keep blood sugar levels “normal.” High blood glucose over the long term contributes to serious increases in risk for heart disease and other so-called “complications.”  Because overweight/ obesity is the strongest risk factor for developing Type 2 diabetes, much research has focused on a potential connection between Type 2 diabetes, obesity, and diet.

This study found that high levels of fat interfered with the ability of beta cells to sense and respond to blood glucose levels. Fat levels interrupted the production of a critical enzyme called GnT-4a glycosyltransferase, and in normal mice fed a high fat diet beta cell function was dysfunctional. Conversely, when researchers preserved the function of GnT-4a in obese mice, the onset of diabetes was prevented.

Researchers hope these finding may lead to alternative treatments for Type 2 diabetes.

Filed Under: Diabetes, EveryDay Diet, New in the News

An Ounce of Insulin is Worth…… 650,000 Apples????

July 28, 2011 By Toby Smithson

By  Anthony Smithson–

As managing editor for DiabetesEveryDay I spend more time editing than I spend writing. But now and then I like to get a word or two in myself, and I have recently been completely fascinated by some calculations I made for the “Blood Sugar and Diabetes Lab Demonstration” video (see “Diabetes” tab). I’ll admit to having an intense curiosity with biology and chemistry, my chosen fields of study some “several” years ago, and I find I continue to discover things that amaze me. This is one of those amazing things.

If you’ve seen that video (or visited our booth at a trade show) you may recall that we displayed a 5 liter (1 ½ gallon) vat of fake blood to represent the average blood volume of an adult male, and we demonstrated that dropping only two, 2 gram Domino “Dots” sugar cubes into that vat is necessary to establish an excellent “blood sugar” concentration of 80 milligrams/deciliter (4.4 mmol/l). That’s 4 grams (4000 milligrams) of sugar into 5 liters (50 deciliters) of blood. And, if that tiny amount of carbohydrate makes a perfect blood sugar, we ask what happens to the rest of the carbs we eat? A large baked potato, after all, could be 65 grams of carbohydrate…32 Domino “Dots” sugar cubes.

Well, the answer, of course, is insulin. Insulin (either naturally produced by pancreatic beta cells or injected) works to remove glucose from our blood and stash it away for when we need it later. Our body is constantly “burning” glucose for energy, so it’s important to have a stored supply handy. This incredible hormone insulin is what really amazes me.

Watch the video

In our video we also tried to demonstrate the immense power of insulin, but to be honest the measuring units are so small that most of us have no frame of reference. Our video showed that when Toby eats 50 grams of carbohydrate she injects 4 units of insulin solution, which amounts to a good deal of water and “less than two-tenths of a milligram” of pure insulin. Who can picture 0.2 milligrams? There are 28,350 milligrams in one ounce!

So I recently thought, why not represent the insulin to food formula differently? This time, I’ll start with an imaginary amount of insulin we could easily visualize, and then calculate how much food Toby could eat to match that amount of insulin. So, I picked one ounce (28.35 grams for my metric friends) of imaginary insulin, and that’s pure insulin. One ounce is about 7 teaspoons of sugar or salt.

So, how much could Toby eat if she had 7 teaspoons of pure insulin to work with? Would you believe 21,500 pounds (9,750 kilograms for my metric friends) of carbohydrate (9,747,850 grams or 649,856 carb choices)? Yes, that one ounce of insulin would account for 650,000 apples…or 250,000 cans of soda…or 150,000 of those baked potatoes. Please don’t try this at home, however…Toby is pretty insulin sensitive and you may not be able to eat quite as much.

So what’s the point, other than a mad scientist calculating crazy numbers? This insulin to carbohydrate biological system is unbelievably fine tuned. And, whether we’re getting our insulin by injection or from struggling beta cells, the balance is difficult to manage. People with diabetes have amazing resources to help….medications, physicians, dietitians and educators can, miraculously, give you the tools to find a balance. But, they all depend upon you to do your part too; in fact, you’re the key player. Doesn’t it make sense to do everything possible to help your carbohydrate metabolism along? If you’re not sure what that means when it comes to diabetes management go back and ask your diabetes educator once again….and drop that can of soda.

THE NUMBERS

1 international unit = .0349 mg insulin

1 international unit  = 12 grams carbohydrate for Toby

28,350 mg/oz. ÷ .0349 mg/ IU = 812,320 units of insulin solution to contain 1 ounce insulin

812,320 units X 12 grams carbohydrate/unit = 9,747,850 grams of carbohydrate per one ounce insulin

9,747,850 grams ÷ 28.3 grams per ounce = 344,477 ounces carbohydrate

344,477 ounces ÷ 16 ounces per pound = 21,528 pounds of carbohydrateBy  Anthony Smithson–

As managing editor for DiabetesEveryDay I spend more time editing than I spend writing. But now and then I like to get a word or two in myself, and I have recently been completely fascinated by some calculations I made for the “Blood Sugar and Diabetes Lab Demonstration” video (see “Diabetes” tab). I’ll admit to having an intense curiosity with biology and chemistry, my chosen fields of study some “several” years ago, and I find I continue to discover things that amaze me. This is one of those amazing things.

If you’ve seen that video (or visited our booth at a trade show) you may recall that we displayed a 5 liter (1 ½ gallon) vat of fake blood to represent the average blood volume of an adult male, and we demonstrated that dropping only two, 2 gram Domino “Dots” sugar cubes into that vat is necessary to establish an excellent “blood sugar” concentration of 80 milligrams/deciliter (4.4 mmol/l). That’s 4 grams (4000 milligrams) of sugar into 5 liters (50 deciliters) of blood. And, if that tiny amount of carbohydrate makes a perfect blood sugar, we ask what happens to the rest of the carbs we eat? A large baked potato, after all, could be 65 grams of carbohydrate…32 Domino “Dots” sugar cubes.

Well, the answer, of course, is insulin. Insulin (either naturally produced by pancreatic beta cells or injected) works to remove glucose from our blood and stash it away for when we need it later. Our body is constantly “burning” glucose for energy, so it’s important to have a stored supply handy. This incredible hormone insulin is what really amazes me.

Watch the video

In our video we also tried to demonstrate the immense power of insulin, but to be honest the measuring units are so small that most of us have no frame of reference. Our video showed that when Toby eats 50 grams of carbohydrate she injects 4 units of insulin solution, which amounts to a good deal of water and “less than two-tenths of a milligram” of pure insulin. Who can picture 0.2 milligrams? There are 28,350 milligrams in one ounce!

So I recently thought, why not represent the insulin to food formula differently? This time, I’ll start with an imaginary amount of insulin we could easily visualize, and then calculate how much food Toby could eat to match that amount of insulin. So, I picked one ounce (28.35 grams for my metric friends) of imaginary insulin, and that’s pure insulin. One ounce is about 7 teaspoons of sugar or salt.

So, how much could Toby eat if she had 7 teaspoons of pure insulin to work with? Would you believe 21,500 pounds (9,750 kilograms for my metric friends) of carbohydrate (9,747,850 grams or 649,856 carb choices)? Yes, that one ounce of insulin would account for 650,000 apples…or 250,000 cans of soda…or 150,000 of those baked potatoes. Please don’t try this at home, however…Toby is pretty insulin sensitive and you may not be able to eat quite as much.

So what’s the point, other than a mad scientist calculating crazy numbers? This insulin to carbohydrate biological system is unbelievably fine tuned. And, whether we’re getting our insulin by injection or from struggling beta cells, the balance is difficult to manage. People with diabetes have amazing resources to help….medications, physicians, dietitians and educators can, miraculously, give you the tools to find a balance. But, they all depend upon you to do your part too; in fact, you’re the key player. Doesn’t it make sense to do everything possible to help your carbohydrate metabolism along? If you’re not sure what that means when it comes to diabetes management go back and ask your diabetes educator once again….and drop that can of soda.

THE NUMBERS

1 international unit = .0349 mg insulin

1 international unit  = 12 grams carbohydrate for Toby

28,350 mg/oz. ÷ .0349 mg/ IU = 812,320 units of insulin solution to contain 1 ounce insulin

812,320 units X 12 grams carbohydrate/unit = 9,747,850 grams of carbohydrate per one ounce insulin

9,747,850 grams ÷ 28.3 grams per ounce = 344,477 ounces carbohydrate

344,477 ounces ÷ 16 ounces per pound = 21,528 pounds of carbohydrate

Filed Under: Diabetes, Featured

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Keys to Living Well – Toby’s Posts

Recent Posts

  • How To Make a Successful New Year’s Resolution for Diabetes January 8, 2021
  • Can Drinking Water Help My Blood Sugar? January 8, 2021
  • Are Smoothies Good For My Diabetes? January 8, 2021
  • Is Insulin Right For Your Diabetes? January 8, 2021
  • Sneaky Exercise For Your Diabetes Health December 17, 2020

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Jan 15

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Have you tried this yet? Most definitely top of my list of things to do lately. This #video is worth viewing for everyone, not just for people with #diabetes. Link to video in bio  #diabetesmanagement #forestbathing #forestbathing🌲🌲🌲 #type1diabetes #type2diabetes  #type1 #type2 #relaxation #stressrelief #stressmanagement #stressreliever

Have you tried this yet? Most definitely top of my list of things to do lately. This #video is worth viewing for everyone, not just for people with #diabetes. Link to video in bio #diabetesmanagement #forestbathing #forestbathing🌲🌲🌲 #type1diabetes #type2diabetes #type1 #type2 #relaxation #stressrelief #stressmanagement #stressreliever ...

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Jan 14

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Double thankful: got my #COVID19 #vaccine today and so glad to be living in a small town because it was quick and easy...no waiting in any line, vaccine didn’t hurt, staff was super friendly and people I knew from my neighborhood! #Igotmyshot

Double thankful: got my #COVID19 #vaccine today and so glad to be living in a small town because it was quick and easy...no waiting in any line, vaccine didn’t hurt, staff was super friendly and people I knew from my neighborhood! #Igotmyshot ...

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Jan 7

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Need some distraction from the stress of the day? These two springers are step
Sisters. Rescued from the same household several states away and coincidentally reunited as the owners (myself and Diane Myers-Mosher) live in the same subdivision. ❤️ #englishspringerspaniels #englishspringerrescue #englishspringerrescueassociation @dimmosher

Need some distraction from the stress of the day? These two springers are step
Sisters. Rescued from the same household several states away and coincidentally reunited as the owners (myself and Diane Myers-Mosher) live in the same subdivision. ❤️ #englishspringerspaniels #englishspringerrescue #englishspringerrescueassociation @dimmosher
...

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Jan 6

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Needing a distraction from the news? Let’s talk healthy eating for the new year for people with #diabetes - Starting soon. @diabetesstrong_ig

Needing a distraction from the news? Let’s talk healthy eating for the new year for people with #diabetes - Starting soon. @diabetesstrong_ig ...

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Jan 6

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Follow up #video with a #recipe for a #diabetesfriendly #smoothie . #youtubevideo link in my bio. #diabetesmanagement #diabeteslife #healthyeating #type1diabetes #type2diabetes  #nutrition #haveaplant #diabetescommunity #diabetesonlinecommunity

Follow up #video with a #recipe for a #diabetesfriendly #smoothie . #youtubevideo link in my bio. #diabetesmanagement #diabeteslife #healthyeating #type1diabetes #type2diabetes #nutrition #haveaplant #diabetescommunity #diabetesonlinecommunity ...

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Jan 6

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Big week in my world as a registered dietitian. @usnews News 2021 Best Diets have been published and I am very honored to  be part of the expert panel ranking the #diets. 
Here’s the link to see the list.  #bestdiet #healthyeating #weightloss #usnewsandworldreport https://health.usnews.com/best-diet

Big week in my world as a registered dietitian. @usnews News 2021 Best Diets have been published and I am very honored to be part of the expert panel ranking the #diets.
Here’s the link to see the list. #bestdiet #healthyeating #weightloss #usnewsandworldreport https://health.usnews.com/best-diet
...

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Jan 4

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Excited for starting off this New Year with a couple of online chats about #HealthyEating for People with #Diabetes. First up is on January 6th, where I will be the guest for #diabetesstrong Fit with Diabetes Challenge Webinar.  Diabetes Strong Diabetes Strong Community #diabetesonlinecommunity #newyearsresolutions  https://us02web.zoom.us/webinar/register/2716092874267/WN_Oz0vz_XWTwuueLWnDIpUjw

Excited for starting off this New Year with a couple of online chats about #HealthyEating for People with #Diabetes. First up is on January 6th, where I will be the guest for #diabetesstrong Fit with Diabetes Challenge Webinar. Diabetes Strong Diabetes Strong Community #diabetesonlinecommunity #newyearsresolutions https://us02web.zoom.us/webinar/register/2716092874267/WN_Oz0vz_XWTwuueLWnDIpUjw ...

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Dec 30

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I’m definitely excited to ring in the New Year. Make 2020 history. The video this week will give you guidance regarding this #NewYearsresolutions. Wishing you all a safe and healthy #newyear 
#diabetes #diabetesmanagement  #diabetescommunity #diabetesonlinecommunity #diabetesredefined #2021 #diabetescommunity  https://youtu.be/70VmjHFFzvM

I’m definitely excited to ring in the New Year. Make 2020 history. The video this week will give you guidance regarding this #NewYearsresolutions. Wishing you all a safe and healthy #newyear
#diabetes #diabetesmanagement #diabetescommunity #diabetesonlinecommunity #diabetesredefined #2021 #diabetescommunity

https://youtu.be/70VmjHFFzvM
...

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Dec 23

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Wishing all who celebrate, a happy and healthy holiday season. Make sure to stay hydrated with a focus on #water. Check out this #video on how much and why  drinking water is important especially for people with #diabetes 
#type1diabetes #type2diabetes #hydration #diabetesmanagement #bloodsugar #diabetescommunity #diabetescommunityonline

Wishing all who celebrate, a happy and healthy holiday season. Make sure to stay hydrated with a focus on #water. Check out this #video on how much and why drinking water is important especially for people with #diabetes
#type1diabetes #type2diabetes #hydration #diabetesmanagement #bloodsugar #diabetescommunity #diabetescommunityonline
...

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Dec 22

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Had fun developing a #diabetesfriendly #snack  using a bento box from @NationalDairyCouncil and @TodaysDietitianMagazine to make this Greek #yogurt #Apple pie with #almonds parfait. #diabetes #snacking #TDBox #nationaldairycouncil #NDC #protein #carbs #healthyfats #dairy

Had fun developing a #diabetesfriendly #snack using a bento box from @NationalDairyCouncil and @TodaysDietitianMagazine to make this Greek #yogurt #Apple pie with #almonds parfait. #diabetes #snacking #TDBox #nationaldairycouncil #NDC #protein #carbs #healthyfats #dairy ...

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Dec 18

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Dear Subscribers, Thanks for asking this question...Are #smoothies ok for people with #diabetes? The answers are in this week's #youtube #video 
Located in my bio. #diabetescommunityonline #diabetesmanagement #diabeteseducation #diabetesfriendly #healthyeating #type1diabetes #type2diabetes #type1 #type2 #diabetescommunity #fruitsandveggies #plantbasedfood #plants #wheyprotein #wheyproteinshake #wheyproteinpowder #nutribullet #peanutbutter #almondbutter

Dear Subscribers, Thanks for asking this question...Are #smoothies ok for people with #diabetes? The answers are in this week's #youtube #video
Located in my bio. #diabetescommunityonline #diabetesmanagement #diabeteseducation #diabetesfriendly #healthyeating #type1diabetes #type2diabetes #type1 #type2 #diabetescommunity #fruitsandveggies #plantbasedfood #plants #wheyprotein #wheyproteinshake #wheyproteinpowder #nutribullet #peanutbutter #almondbutter
...

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Dec 14

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I’ve been especially cognizant of keeping a stash of emergency food/ meals in my pantry ever since #COVID19 began. Had received a sample of this #starkistcreations tuna and it was delicious! It’s now on my grocery shopping list to keep in stock. TY @todaysdietitianmagazine  for the #tdbox @starkistcharlie #healthyeating #balancedmeals

I’ve been especially cognizant of keeping a stash of emergency food/ meals in my pantry ever since #COVID19 began. Had received a sample of this #starkistcreations tuna and it was delicious! It’s now on my grocery shopping list to keep in stock. TY @todaysdietitianmagazine for the #tdbox @starkistcharlie #healthyeating #balancedmeals ...

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Dec 11

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Hoping to clear up any confusion about #insulin for people with #diabetes. Link to video in bio under #youtube  #diabetesmanagement #diabetesredefined #diabetesonlinecommunity #diabetescommunity #bloodsugar

Hoping to clear up any confusion about #insulin for people with #diabetes. Link to video in bio under #youtube #diabetesmanagement #diabetesredefined #diabetesonlinecommunity #diabetescommunity #bloodsugar ...

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Dec 11

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Sharing first night of Chanukah the COVID safe way... via Facebook portal with our granddaughters and wonderful DIL. ❤️ Happy Chanukah!

Sharing first night of Chanukah the COVID safe way... via Facebook portal with our granddaughters and wonderful DIL. ❤️ Happy Chanukah! ...

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Dec 4

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For those trying to stick with low carb food choices, here’s a creative option if you’d like to eat a loaded “potato”. Link in bio under #youtube #haveaplant #diabetes #diabetesmanagement #healthyeating #bloodsugar #gettingcreativewithyourmeals

For those trying to stick with low carb food choices, here’s a creative option if you’d like to eat a loaded “potato”. Link in bio under #youtube #haveaplant #diabetes #diabetesmanagement #healthyeating #bloodsugar #gettingcreativewithyourmeals ...

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Nov 27

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After #thanksgiving post about #physicalactivity . No need to go to a gym. I’ve got some ideas while you #staysafeathome  TY to our #englishspringerspaniel  and my husband @smithsonanthony for helping w this #youtube #video. Link in bio. #diabetes #diabetestype1 #diabetestype2 #diabetesmanagement #exercise #diabetesonlinecommunity #diabetesonline #diabetescommunity #staysafe #englishspringerspanielsofinstagram #englishspringerspanielrescue #englishspringerrescueamerica

After #thanksgiving post about #physicalactivity . No need to go to a gym. I’ve got some ideas while you #staysafeathome TY to our #englishspringerspaniel and my husband @smithsonanthony for helping w this #youtube #video. Link in bio. #diabetes #diabetestype1 #diabetestype2 #diabetesmanagement #exercise #diabetesonlinecommunity #diabetesonline #diabetescommunity #staysafe #englishspringerspanielsofinstagram #englishspringerspanielrescue #englishspringerrescueamerica ...

tobysmithson

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Nov 26

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Glad our #Thanksgiving tradition is COVID safe. Wishing all who celebrate, a happy and safe holiday. #englishspringerrescueamerica #englishspringerspaniel #englishspringersofinstagram

Glad our #Thanksgiving tradition is COVID safe. Wishing all who celebrate, a happy and safe holiday. #englishspringerrescueamerica #englishspringerspaniel #englishspringersofinstagram ...

tobysmithson

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Nov 21

Open
Curious about which breakfast is the best idea for people with #diabetes ? Check out the link to my latest #youtube #video in my bio.  #diabetestype1 #diabetestype2 #diabetesmanagement #diabetescommunity #diabetesmonth #everydaydiabetes #diabetesonlinecommunity #diabetesredefined #cereal #oatmeal #bagel #eggsforbreakfast #eggs #eggenthusiast #hempseeds #whatshouldieat #whatshouldieatforbreakfasttoday #fiber #complexcarbs #almonds #goodkarmamilk #eatyourveggies #almondbutter #peanutbutter #wholegrain @peanutrd

Curious about which breakfast is the best idea for people with #diabetes ? Check out the link to my latest #youtube #video in my bio. #diabetestype1 #diabetestype2 #diabetesmanagement #diabetescommunity #diabetesmonth #everydaydiabetes #diabetesonlinecommunity #diabetesredefined #cereal #oatmeal #bagel #eggsforbreakfast #eggs #eggenthusiast #hempseeds #whatshouldieat #whatshouldieatforbreakfasttoday #fiber #complexcarbs #almonds #goodkarmamilk #eatyourveggies #almondbutter #peanutbutter #wholegrain @peanutrd ...

tobysmithson

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Nov 19

Open
A special blog for @usnews in honor of #nationaldiabetesmonth  #speakingfromtheheart #diabetes #diabeteslife #diabeteslifestyle #diabetesmanagement #healthyeating #takingcareofme #takingmeds #beingactive #diabetesredefined #type1diabetes #type2diabetes #type1 #type2 #diabetescommunity #diabetesonline #diabetesonlinecommunity #youcandothis  https://health.usnews.com/health-news/blogs/eat-run/articles/how-do-i-make-managing-diabetes-easier

A special blog for @usnews in honor of #nationaldiabetesmonth #speakingfromtheheart #diabetes #diabeteslife #diabeteslifestyle #diabetesmanagement #healthyeating #takingcareofme #takingmeds #beingactive #diabetesredefined #type1diabetes #type2diabetes #type1 #type2 #diabetescommunity #diabetesonline #diabetesonlinecommunity #youcandothis https://health.usnews.com/health-news/blogs/eat-run/articles/how-do-i-make-managing-diabetes-easier ...

tobysmithson

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Nov 18

Open
Love this #zucchini casserole as an everyday #sidedish or for #thanksgiving dinner! #diabetesfriendly #lowcarb #diabetestype1 #diabetestype2 #diabetesonlinecommunity #diabetesonline #diabetesmanagement #healthyeating #haveaplant #moreveggies @marlenekochrd

Love this #zucchini casserole as an everyday #sidedish or for #thanksgiving dinner! #diabetesfriendly #lowcarb #diabetestype1 #diabetestype2 #diabetesonlinecommunity #diabetesonline #diabetesmanagement #healthyeating #haveaplant #moreveggies @marlenekochrd ...

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