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T1D Dietitian Dosing for Chocolate Banana Monkey Bread!

Uncategorized Jun 14, 2023

For individuals with diabetes, navigating the world of food can sometimes be intimidating, especially when faced with delectable treats like Monkey Bread. 

Let’s break down the nutritional components of a slice of Chocolate Banana Monkey Bread, shedding light on its carb and fat content, and some tips on how to enjoy it without compromising blood sugar levels.

Exploring the Tempting Delicacy

Monkey Bread is a delightful creation consisting of flaky layers of golden caramelized, cinnamon-spiced, dual chocolate goodness. With its sweet, gooey, and addictive nature, it's no wonder this treat can be intimidating for those with diabetes.


Here's the 3 most important things to consider when eating monkey bread if you want great blood sugars:

The Carb Conundrum

The bread is very dense and thick, with chocolate chips on top and banana bread in the middle. Let’s estimate that each piece of bread is about 30 to 40 grams, with an additional 5 to 10 grams of carbs from...

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Dating with Diabetes: Part 3 | Does Diabetes Affects Sexual Performance?

Uncategorized Jun 14, 2023

Sex is a topic that makes a lot of people uncomfortable, but it’s an important one to discuss, especially when it comes to diabetes.

Diabetes can affect many areas of your life, including your sexual performance. If you have diabetes, you may be wondering if it’s affecting your sex life and what you can do about it.

Let’s discuss the relationship between diabetes and sexual performance and what you need to know to keep things healthy and enjoyable.

The first thing to understand is that if you have diabetes, it can affect your sexual performance, but it’s not a guaranteed thing. It all comes down to your blood sugar levels. If your blood sugar is too high or too low, it can impact your ability to perform sexually. When your blood sugar is low, you may not have the energy or desire to engage in sexual activity. And when it’s high, you may experience reduced sensitivity or difficulty achieving an erection or orgasm.


“ What can you do to...

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Managing Blood Sugars: A T1D Dietitian's Guide to Enjoying Jimmy's Famous Seafood Crab Dip

Uncategorized Jun 08, 2023

Eating out at a seafood restaurant can be a delightful experience for individuals with diabetes.

However, it's essential to make informed choices to keep your blood sugar levels in check. With a little planning and knowledge, you can savor a delicious seafood meal while maintaining a healthy lifestyle.

Let's discuss the potential impact of consuming garlic bread and crab dip on their blood sugar levels.

Let’s break down the crab dip first.

The crab dip has some cheese, some cream, green onions, and minced garlic. From a carbs perspective, there’s not a whole lot of carbs. The entire crab dip itself MIGHT have only 20 grams of carbs.

Let’s estimate the amount of carbohydrates contained within the garlic bread. Assuming there are 6 garlic breads in a plate, the larger piece could contain around 15-18 grams of carbs, while a smaller piece might be closer to 10-12 grams. If we estimate the entire thing that would be 90 grams of carbs. 

It's important to consider...

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Dating with Diabetes: Part 4 | Does Your Partner Know How to Switch Out Site? Expert Advice from a Diabetes Dietitian

Uncategorized Jun 07, 2023

Have you ever found yourself in a situation where you needed someone to help you with your insulin pump site change, but didn't know how to ask for it?

Maybe you're in a new relationship, or your usual caregiver is unavailable, and you're left feeling uncertain and alone. It's a common issue that many people with diabetes face, but it doesn't have to be that way.

One solution is to make sure that your partner or caregiver knows how to switch out your site and reservoir. This can bring peace of mind and ease any anxiety you may have about managing your diabetes. 

However, it's important to recognize that not everyone will be comfortable with this task, and that's okay too.

Many people with diabetes never had someone else do a site change for them, and they don't even know if their partner knows how to do it. This may sound concerning, but it's actually a very common experience.

In hospitals, If you are going to be in a procedure where you know you're going to be under...

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Mastering Sushi Roll Dosage with a T1D Dietitian: A Guide for Diabetes Management

Uncategorized Jun 05, 2023

Sushi is a convenient and popular food item with many options (sashimi, nigiri, and maki rolls). Then there's the sushi relatives: fresh ceviche, tuna tartare, and poke bowls—chunks of colorful, raw fish topping off a salad or rice bowl with avocado and crunchy veggies.

However, is it possible for a person with diabetes to eat sushi?

Although some people think sushi is synonymous with raw fish, its centerpiece is rice. In traditional Japanese cuisine, sushi is defined as cold vinegared rice garnished with raw or cooked seafood and vegetables. The rice can trigger a spike in blood sugar.

Let's break down the impact of sushi on blood sugar levels for people with diabetes.

White rice….

Let’s break down the number of pieces in the roll, assuming it is 8 pieces.  We calculate that the entire roll contains about 50 grams of carbs or about 6-7g of carbs per piece. 

Prior to the meal, we should factor in the number of rolls we plan to eat and the fact that white...

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Navigating Relationships with Diabetes: Part 5 | Partnering Up at Endo Appointments

Uncategorized Jun 01, 2023

When it comes to relationships and diabetes, there are a lot of things to consider. 

One question that doesn't get nearly enough love?

“Should your partner come with you to your endocrinologist appointments?”

This is a personal decision that everyone has to make for themselves, but based on the experiences of some people living with diabetes, it seems that the answer is typically, no.

Why is this? 

Well, for one thing, doctor's appointments can take a really long time. Sitting in a waiting room for 45 minutes to an hour is not uncommon, and that's not even counting the time spent in the exam room itself. And let's be real, that's not exactly the most romantic or exciting way to spend time with your significant other.

But beyond that...

There's also the fact that diabetes can be a really personal and private thing. Some people feel uncomfortable sharing all the details of their medical care with anyone, even someone they love and trust. 

And then there's...

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Optimizing Carbohydrate Intake for Diabetics: Insights from a Type 1 Diabetes Dietitian

Uncategorized Jun 01, 2023

Diabetes is a chronic condition that affects millions of people worldwide. When it comes to blood sugar control, people living with diabetes often find themselves wondering…

“How many carbs should I eat per day to achieve my goals?”

However, a cursory Google search on the topic can lead to a million different results that contradict each other, leaving patients feeling even more confused.

There are two camps in the diabetes space that offer contrasting views on carb intake.

The first camp advocates for a low-carb diet, eliminating carbs from one's diet almost completely. They believe that carbs act as rocket fuel to the body's blood sugar, causing spikes that insulin must work to bring down. Eliminating carbs from one's diet makes it harder to experience blood sugar spikes, which can lead to better blood sugar control. However, adhering to a low-carb diet can be incredibly difficult, and breaking adherence can lead to an even more challenging lifestyle.

The second...

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Dating with Diabetes: Part 6 | Managing Diabetes Devices in Relationships | Insights from a Diabetes Dietitian

Uncategorized May 25, 2023

Dating can be a tricky situation for anyone, but for those with diabetes, there are some additional challenges that come with it. If you're a parent of a teen with diabetes, it's understandable that you might be concerned about how your child will navigate dating with this condition.

The key to helping them?

To focus on building their independence and self-sufficiency.

One of the most important things you can do as a parent is to teach your child the necessary skills to manage their diabetes on their own even prior to dating. If you don't focus on teaching the skills, then that’s where the problem is gonna arise later on. They might become super reliant on you. 


So here are the skills that you should teach your child in managing diabetes…

How to use their technology

 How to Interpret blood sugars

 What to do to treat them

 What they might need to treat lows and highs

By starting this training at a young age, you'll be setting them up for...

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Dating with Diabetes: Part 7 | Navigating the 'Big Conversation' about Diabetes | Expert Advice from a Diabetes Dietitian

Uncategorized May 23, 2023

Navigating the dating world can be challenging, and having diabetes can add an extra layer of complexity to the mix. So what are questions and considerations that may arise when you have diabetes and are in a relationship?

One common concern for people with diabetes is when to have a BIG conversation with their partner about their condition.

This conversation can cover a range of topics, from the signs and symptoms of low blood sugar to what to do in case of an emergency. 

While there is no one "right" time to have this conversation, it's important to feel comfortable and confident enough to share this information with your partner when you feel the time is right.

It’s up to you to decide when to tell someone that you have diabetes. You might feel you want to keep it quiet on a first or second date, especially if you don’t know if you’ll see that person again. Or, you may decide to be more open about diabetes from the start – especially before something...

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Diabetes Dietitian's Guide: How to Dose for Goody Goody Foods!

Uncategorized May 18, 2023

Eating out is a joy, but for people with diabetes, it can be tricky. 

As much as we love digging into pancakes, omelets, and biscuits, these meals can wreak havoc on our blood sugar levels if we don't dose them right. 

However, just because you have diabetes doesn’t mean you can’t indulge in brunch. 

In fact, with a little planning and preparation, you can enjoy a big brunch without compromising your blood sugar levels. Let me share with you how to dose for a big brunch (breakfast and lunch).

Let's take a closer look at a typical brunch meal. 


There's an omelet with some bacon, cheese, tomatoes, and peppers which we estimate to be made of three eggs.


Then there's a biscuit, a piece of roasted chicken, a fruit cup, and a banana pancake with actual pieces of banana in it. 

Let’s start by breaking down the meal in terms of carbs, as that will hit blood sugar the fastest!

From a carb perspective, we're looking at 30 grams for...

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