Can you follow a vegetarian or vegan diet when you have diabetes?
Both vegetarian and vegan diets can be healthful diets and can be part of a dietary strategy to control blood glucose levels if you have diabetes. There are a variety of vegetarian diets but all restrict animal meat. The vegan diet avoids animal products of any sort, including milk and eggs.
Could new regulations affect blood glucose meter accuracy?
Recent changes in Medicare regulations for suppliers of diabetes meters and strips have accelerated the concern of diabetes technology leaders that current testing controls are inadequate to insure blood glucose meter accuracy post market sale. This comes amid the heightened awareness in the Food and Drug Administration (FDA) of the need to strengthen the overall accuracy guidelines for these devices.
Medicare’s competitive bidding rules have recently reduced the number of approved mail-order supply houses to just 18. These suppliers have to meet the cost containment rules issues by Medicare. To do this they have chosen two strategies: one to streamline the extent of their stock and the other to choose meters that are at the best price point. The overall outcome of these policies is that many older people with diabetes are being switched from name-brand meters to those of less cost and possibly lesser quality.
Robert Gabbay, M.D., Chief Medical Officer at Joslin Diabetes Center
Robert Gabbay, M.D., Chief Medical Officer and Senior Vice-President at Joslin Diabetes Center, joined Joslin this past summer.
How did you come to CMO position at Joslin?
It was a circuitous route starting with my degree in biochemistry at McGill University and a doctorate from Wisconsin. I always wanted to go into research and I was overjoyed after I published my first journal article, but that elation started to fade quickly after paper number three. I really wanted to help people and it seemed to me that the time between small, incremental discoveries in the lab and the impact on peoples’ lives was too far apart.
So I took the next logical step and went to medical school. Along the way in my career, I did a joint fellowship at Beth Israel Hospital, Brigham and Women’s and the Joslin Diabetes Center. Dr. Abrahamson, the previous Medical Director at Joslin was my attending.
National Diabetes Month has come to a close. Catch up with all the Joslin content from this past month!
For the past four weeks here at Joslin Diabetes Center, we have celebrated National Diabetes Month (NDM). We’ve talked about the state of diabetes in the world today and the global turn it has taken, we have given tips on what everyone should try to do during NDM, we’ve compiled the risk factors of type 1 and type 2 diabetes, and much more.
Here at Joslin we are dedicated to keeping the public informed on everything to do with diabetes. This month, we ramped up our social media platforms by sharing with you some important pieces of #JoslinNews from the past year, shared polls and quizzes on Facebook, asked you to share your dream diabetes devices on Instagram, and created a Pinterest board to keep you in the loop.
Last Monday, we asked people via the Joslin Facebook page to share their favorite physical activities and diabetes management tips for Thanksgiving. Throughout the week we received numerous comments that outlined a variety of ways to help manage your diabetes during the holidays.
Below is a selection of some helpful tips to navigate Thanksgiving Day:
Include physical activity into your Thanksgiving celebration: Many people commented that they try to balance out a day centered on eating by integrating exercise into their celebrations. Whether you are playing hockey, dancing or taking a walk after the meal, including physical activity is an effective way to offset the focus on food.
James McGough during his 75-year Medalist presentation ceremony
In a ceremony on October 15, Joslin Diabetes Center awarded James P. McGough, of Arlington, Massachusetts, a 75-year medal, representing 75 years with type 1 diabetes and without any serious complications.
Mr. McGough is one of 69 people to receive the 75-Year medalist award, which was originated by Elliott P. Joslin in 1948 when Dr. Joslin began awarding people a 25-Year medal. Since then the program has grown to incorporate the 50-Year medal in 1970 and the 75-Year medal in 1996. As the medalist program continues to grow, Joslin celebrates more diabetes milestones with the first 80-Year medal awarded this past May.
Here are some tips from Joslin Diabetes Center for making your diabetes easier to manage on Thanksgiving
Thanksgiving is two days away. Between the family, football, and piled-high plates, it can be overwhelming to properly manage your diabetes. Over the years, the Joslin Blog has compiled tips and tricks for making the day a little easier.
General Tips for the Day
Check out these three posts to help you navigate the whole day.
For the Table
Try this recipe for Butternut Squash with Onions, Chestnuts and Apples, which has 185 calories, 41g carb, 35g protein, 2g fat, and 8g fiber per serving.
Many commercially baked goods still contain some trans fats, but that number should decrease with the new ban on the use of artificially made trans-fats.
On Nov. 7, the Food and Drug Administration (FDA) put one of the final nails in the coffin of artificially-made trans fats with its decision to ban them from our nation’s food supply. The Joslin applauds the FDA’s decision and supports efforts to move this initiative forward as quickly as possible.
Reducing the risk of heart disease is especially important for people with diabetes. The vascular damage caused by diabetes makes those living with the disease two to four times more likely to develop cardiac events. More than 60 percent of deaths attributable to diabetes are caused by heart disease. Trans fats, which are made by injecting hydrogen atoms into hot vegetable oils to help solidify them, are responsible for both increasing the level of low-density lipoproteins (colloquially known as the bad cholesterol) and decreasing the amount of high density lipoproteins (the good cholesterol) in the blood.
They are out; they were years in the making and now they are here- the new cholesterol guidelines- a joint effort by the American College of Cardiology (ACC) and the American Heart Association (AHA). The report is dense, running to more than 80 pages of instructions and recommendations for how medical professionals should treat those at risk of cardiovascular disease, but its overwhelming consensus is that more Americans need additional treatment.
The big change from the Adult Treatment Panel III, the last set of treatment guidelines issued more than 10 years ago, is a philosophical one, based on the scientific evidence. Instead of trying to lower low-density lipoprotein (LDL- often called the bad cholesterol) levels to specific targets as the last three sets of guidelines did; these recommendations categorize whom to treat and how to treat them based on their level of risk and the power of the statin drugs needed to get the job done. Where the benefit to using these drugs is greater than the side effects of long-term drug therapy, the guidelines favor the drugs.
Stefano Ratto has had type 1 diabetes for 12 years. He just competed in the Ironman World Championship.
Finding out he had diabetes on Christmas eve was certainly not the gift he was hoping to receive, but Stefano Ratto has never let his diagnosis define his will to succeed. At 9 years old, this Lima, Peru native had to figure out how to live like a kid again.
“Being told I had to get several shots a day was like telling me to be an outcast,” he said. But after getting used to eating more healthily and learning how many units of insulin to take, Stefano now sees these adjustments as a normal part of his life.
Now, at 21, Stefano just competed in the Ironman World Championships in Kona, Hawaii. “I started doing some resistance tests and I had good results. When I told the people I was diabetic, they didn’t believe me…. When people are surprised that I’m diabetic getting the results I have, it makes me feel proud of myself,” he said.