2015 Winter Newsletter

NEWSLETTER

MY

Winter 2015 Volume 50

Type 1 or Type 2 Diabetes...

Is One Really Worse Than the Other?

Dr. Edelman’s Corner

INSIDE Dr. Edelman’s Story Page 3

Can We Slow Down Diabetic Kidney Disease?

Page 4

Giving Back...

What Do You Believe In? WeAreOne Update Page 6

Product Theater Page 7

Are You Good at Sharing?

Page 8

Question of the Month Page 9

Apple vs. Pear What’s Your Shape?

Page 10

Know Your Numbers Page 11

Recipe by Chef Robert Lewis Page 12

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istorically, having type 1 diabetes was considered to be much worse than having type 2 diabetes. People with type 1 diabetes were thought of as, “brittle diabetics” by the medical community because they had a hard time controlling the wide swings in their blood sugar levels.

This was especially the case before the introduction of glucose monitors and the A1c test in the 1980s.

In addition, the high rate of complications, such as blindness and kidney failure, seemed inevitable and resulted in shortened and poor quality lives. On the other hand, type 2 diabetes was considered a mild condition with really nothing to worry about and no sense of urgency. It was merely a “lifestyle” issue.

Well, the way we think about both type 1 and type 2 diabetes has

changed dramatically over the past 20 to 30 years. Having type 1 diabetes is no longer considered to be a death sentence. With the plethora of approved treatment options, including fast and long acting insulin analogs, pumps, pens, and continuous glucose monitors, it has definitely become realistically possible to reduce the fluctuations in blood sugar levels and getting the A1c to goal while Type 1 or Type 2 Diabetes (continued on page 2)

Type 1 or Type 2 Diabetes (continued from page 1)

Special Acknowledgements Board of Directors Steven V. Edelman, MD Founder and Director, TCOYD Sandra Bourdette Co-Founder and Executive Director, TCOYD Edward Beberman Christine Beebe Audrey Finkelstein Margery Perry Daniel Spinazzola Andrew Young

Contributing Authors Christine Beebe Jennifer Braidwood Chef Robert Lewis Steven V. Edelman, MD Irl B. Hirsch, MD Robyn Sembera

TCOYD Team Steven V. Edelman, MD Founder and Director Sandra Bourdette Co-Founder and Executive Director Jill Yapo Director of Operations Michelle Day Director, Meeting Services Michelle K. Feinstein, CPA Director of Finance and Administration Jennifer Braidwood Manager, Outreach and Communications David Snyder Manager, Exhibit Services Robyn Sembera Manager, Continuing Medical Education and Publications

MyTCOYD Newsletter Editor: Robyn Sembera Assistant Editor: Jennifer Braidwood Design: Hamilton Blake Associates, Inc.

MyTCOYD Newsletter is offered as a paid subscription of Taking Control Of Your Diabetes. All material is reviewed by a medical advisory board. The information offered is not intended to constitute medical advice or function as a substitute for the services of a personal physician. On the contrary, in all matters involving your health, TCOYD urges you to consult your caregiver. ©2015 All rights reserved.

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minimizing episodes of hypoglycemia. who has already had a major heart attack It goes without saying that in order to or stroke, leaving him debilitated with a live a healthy life with type 1 diabetes, poor prognosis and quality of life, which one needs to have access to these negatively impacts not just him, but his effective drugs and devices as well entire family, too. This case scenario is as having guidance and support by a considerably worse than most type 1s knowledgeable healthcare professional. I see in clinic these days. On the other With the availability of these advances hand, I recently saw a newly diagnosed in treatment options, the rates of woman with type 2 diabetes at one complications have dramatically of our TCOYD conferences who had dropped in type 1 diabetes. made some impressive lifestyle changes, Modern concepts including losing 50 pounds ...the way we think regarding type 2 by improving her eating about both type 1 diabetes are that it is and exercise habits. There and type 2 diabetes is no question that being an extremely serious has changed condition associated diagnosed with type 2 dramatically over the with a very high rate diabetes, and making it her, past 20 to 30 years. of heart disease. In ‘wake-up call,” is leading to fact, it is estimated a longer and healthier life that four out of five individuals with more than if she had never developed type 2 diabetes will pass away from diabetes in the first place and had cardiovascular disease (heart attacks remained sedentary, overweight, and and strokes) and not the eye, kidney, continued eating excess amounts and nerve disease that we commonly of unhealthy food. associate with diabetes complications.

So, the answer to the question This is why there is more emphasis “type 1 or type 2 diabetes…is one really on addressing cholesterol and blood worse than the other?” is…well, it pressure levels and, in reality, many depends. Either type of diabetes, along diabetes professionals feel treating with its associated risk factors, can be these two cardiovascular risk factors treated successfully and you do not have take precedence over the glucose to be a diabetes statistic. My philosophy and A1c values when it comes to the is, prove those depressing old medical management of type 2 diabetes. textbook odds wrong by practicing a It is not unusual to see healthy lifestyle, adhering to a 55 year-old patient with a proper medication regimen, type 2 diabetes, central and live a long, productive life obesity, hypertension, and with your diabetes! dyslipidemia (the medical description for abnormal Steven Edelman, MD amounts of lipids or Founder and Director lipoproteins in the blood), Taking Control Of Your Diabetes

TCOYD in Motion

a lecture hall teaming with eager medical students and listening to his professor cite statistics from a textbook about the high death rate in people with diabetes. At that moment One Man’s Mission to Take Control the feeling in the room suddenly

By Jennifer Braidwood changed, a tension rose and bloomed, and Edelman knew that everyone in his class was desperately trying not to look at him. His professor went and decided to go to medical school. on to state that 50% of people with t was the year 1970. A gallon of diabetes die from diabetic kidney He completed his undergraduate gas cost 36 cents, the very first premedical studies at the University disease within 20 years after their Earth Day was celebrated and the initial diagnosis. Later that afternoon of California, Los Angeles smooth iconic sound of the Beatles in his physiology laboratory, he had and during that time became song, “Let it Be” lingered on the to dissect the cadaver of a 25-year-old increasingly interested in medicine radio waves. It also happened to be male who had died of diabetic kidney the year that this story truly begins, and specifically endocrinology. He disease; Edelman was 23 at the time worked in a research laboratory at that a life, a cause, and one man’s with eight years of UCLA with Dr. mission began to take shape. diabetes behind him.

Mayer Davidson Steve Edelman was 15 years He soon realized that his At that moment his and was able old and he felt sick, really sick. He passion, his mission, his life’s purpose began to observe lost 20 pounds in just a few weeks, calling in life was to help to sharpen and he Dr. Richard developed an unquenchable thirst the people with diabetes knew that he would and a desperate need to sleep. What Berkson treat in a first-hand fashion, forever be linked to a patients in the he didn’t know was that he had a to speak directly to them, mission of improving diabetes clinic. pancreas that stopped producing and give them the most his health, the health By watching and insulin. The weeks progressed, his cutting-edge information of others with diabetes, learning from symptoms did not relent, and he and knowledge... and the medical system eventually went to the doctor just in his mentors, behind it all. time to sidestep a diabetic coma. He Edelman slowly After his medical residency at started to get on track with his own emerged from the ICU a few weeks UCLA and his fellowship at the diabetes complications. He began later with the diagnosis of type 1 Joslin Diabetes Clinic in Boston, the to realize that one shot of insulin diabetes. Edelman was given strict now Doctor Edelman, started giving a day was totally inadequate and instructions from his doctor to take lectures to the patients with diabetes subsequently he slowly started to one shot of insulin per day in the at the Joslin Clinic. He noticed that morning, follow a strict diet, test his improve his own regimen to allow individuals with diabetes all expressed for better control. urine for glucose four times a day, a similar intense need, a desperation Edelman entered his first year and keep stringent records. for knowledge about their disease of medical school in 1978 at the As the years continued to and how to effectively manage it.

University California, Davis. He pass, Edelman developed an distinctly remembers sitting in intense passion for the sciences One Man’s Mission (continued on page 5)

Dr. Edelman’s Story I

Taking Control Of Your Diabetes

3

Ask Your Healthcare Provider

Can We Slow Down Diabetic Kidney Disease?

By Irl B. Hirsch, MD

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iabetic kidney disease remains a major problem for people with diabetes. About 30% of people with type 1 diabetes will develop kidney disease. While fewer people need to progress to dialysis or kidney transplant compared to 30 years ago due to better blood glucose and blood pressure control, this still remains a major public health problem.

There is now a study for patients with type 1 diabetes who are at risk for kidney disease. This study is called PERL which stands for Preventing Early Renal Loss in diabetes. In this study, participants will be either given a placebo (inactive pill) or allopurinol, a drug used to lower uric acid in people with gout. In people with gout, uric acid can form hard crystals in joints. New research has suggested that uric acid is harmful for people with diabetes and PERL will determine if lowering the uric acid with allopurinol can slow down or prevent loss of kidney function for people who may have early signs of kidney damage.

PERL is the only trial investigating the effect of an intervention for early diabetic kidney disease. The fact that

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the trial is using a drug that is already available and known to be safe makes the strategy particularly attractive. The primary goal of the study is to see if allopurinol can slow (or stop) the progression of the kidney disease.

How Do I Qualify?

The trial aims to enroll 480 people with type 1 diabetes.

In order to participate, volunteers must be between the ages of 18 and 70, have had type 1 diabetes for at least eight years, and have early signs of diabetic kidney disease by blood or urine tests.

More details can be found at

http://perl-study.org/. There are currently 13 sites but if a participant does not live near one of the study centers travel expenses can be arranged.

While the study is funded from the National Institutes of Health (NIH) and the Juvenile Diabetes Research Foundation (JDRF), the funding stems directly from a special diabetes program for type 1 diabetes from Congress. If you think that you may be eligible and would like to learn more about this research, look below for the PERL location nearest you or call toll-free 1-800-688-5252, ext. 65630 or 612-626-5630 or email the PERL

Find the PERL location closest to you

One Man’s Mission (continued from page 3)

Study at T1D-PERL@umn.edu.

A member of the study team will ask you some additional questions about your medical history to determine your eligibility for the study and will set up a screening visit if you qualify.

Why Participate?

Every year thousands of people participate in studies around the world to help advance medical care. Clinical trials like PERL are needed to learn whether new treatments work and are safe.

People volunteer for research studies for many reasons. If you join PERL, you will receive careful attention from a team of specialists at a major medical center.

Also, you can help make a big difference for people everywhere with diabetes. Without the critical contribution of research participants, we simply cannot answer important questions about new treatments for diabetes and its complications. Our research team is committed to partnering with people like you to see whether a promising treatment should become part of the care available to people with diabetes.

Edelman eventually moved to San Diego in 1987 and began teaching at the University of California, San Diego School of Medicine.

He soon realized that his passion, his mission, his calling in life was to help the people with diabetes in a first-hand fashion, to speak directly to them, and give them the most cutting-edge information and knowledge that would help them live long and healthy lives with diabetes. Thus, Taking Control Of Your Diabetes (TCOYD) was born.

In 1995, Dr. Edelman founded TCOYD, a San Diego based notfor-profit organization with a mission to educate, inspire, and motivate people with diabetes.

Since 1995 TCOYD has conducted a total of 159 Taking Control Of Your Diabetes Conferences and Health Fairs in over 60 different cities across the United States, and inspired more than 200,000 individuals with diabetes to take control of their lives! In addition

to the national conferences all over the country, TCOYD has also conducted Native American and Latino focused diabetes conferences, short and sweet, two-hour lectures called “Mini-Series”, held locally in San Diego, Extreme Diabetes Makeover, The Edelman Report, the TCOYD Research Registry, and the newest initiative, WeAreOne, an amazing collaborative approach for any one in the professional field of diabetes.

From the time of his diagnosis in 1970 until today, Dr. Edelman has never allowed diabetes to define his life. Instead, he spends his life’s work defining a new way to teach individuals how to live a healthy and happy life with diabetes. Taking Control Of Your Diabetes happily celebrates its 20th year anniversary by educating and empowering people with diabetes. If you or a loved one has diabetes, please go online to TCOYD.org or call 800.998.2693 for more information about any of the initiatives or programs Taking Control Of Your Diabetes offers. To another 20 years!

Stay In Touch with TCOYD

B

e sure to “like” us on Facebook. By joining our online community you will be closely connected to TCOYD, others who have diabetes, and get the latest and greatest updates on

diabetes care and management.

Find us on Facebook today and say hello! We would love to hear from you.

Taking Control Of Your Diabetes

5

Giving Back

By Robyn Sembera

otography

6 My TCOYD Newsletter, Vol. 50

Paul Nestor Ph

“

Photo Credit:

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r. Edelman has saved my life, twice,” said Barbara Groce a long-time donor and friend to Taking Control Of Your Diabetes.

Barbara, who was diagnosed with LADA by Dr. Edelman, and her husband David Groce, a type 2, have been instrumental in supporting TCOYD’s scholarship program, which allows individuals with diabetes who are struggling financially, to attend a conference free of charge.

“I know I’m giving to a good cause. The small, yet powerful team at Taking Control Of Your Diabetes makes living with diabetes easier.

When I attend one of their national conferences I always feel a little less alone afterwards,” said Barbara.

The Groce’s are strong advocates behind the concept of, “if you strongly believe in something then you’ve got to support it. It feels good to donate because TCOYD remembers us, recognizes us, and makes us feel as though we are really making an impact.”

“A lot of people think they can’t make a difference to causes that are important to them, but for around the same price as an expensive coffee from Starbucks, you can cover the registration fee for someone with diabetes to attend a conference that will change their lives,” said David.

“Everyone has time and talent,

not everyone has treasures; give back in any way you can” Barbara emphasizes. Barbara likes to think of their contributions to TCOYD as “treasures,” and she’s absolutely right. Gifts like the Groce’s are long-lasting. They make a huge difference to our organization, and to individuals affected by diabetes.

TCOYD sends a warm thank you to the Groce’s for graciously expressing their praises for our work and for their many “treasures” that go a long way toward helping others in need. The Groce’s gifts help to sustain TCOYD, allowing us to fulfill our mission of educating and empowering people with diabetes to live long and healthy lives. Please consider donating today. Visit www.tcoyd.org and click the “Giving” tab. TCOYD appreciates gifts in all amounts and uses them to help people with diabetes lead better lives.

Be in the Know: Updates on TCOYD

By Robyn Sembera

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ast fall, Dr.s Steve Edelman and Jeremy Pettus introduced We Are One Diabetes, the online collaborative group for people living with type 1 diabetes, who are also professionally involved in the diabetes world (e.g blogger for diabetes, doctor, nurse, pharmacist, pharmaceutical representative, etc.) In only five short months, We Are One has over 350 members! The website is to promote cross talk and communication between these diabetes professionals with type 1 about the latest information regarding clinical care, research, etc. If you are professionally involved in the diabetes world or know of a diabetes professional with type 1, make sure to click or pass along the link, weareonediabetes.org, sign up and be in the know!

Product Theater

Sharing Is Caring

By Robyn Sembera

D

excom Share™ is the perfect companion to the new Dexcom G4® PLATINUM System, connecting you to those nearest and dearest to you, even when they’re far away.

Through secure wireless Bluetooth connections, Dexcom with Share™ allows remote viewing of glucose levels, trends and data between the person with diabetes and their spouse, parent, grandparent or other loved ones from an Apple iPhone® or iPod Touch®.

How it works? The user must pair their Dexcom Share™ device with their iPhone or iPod Touch and also have the Dexcom Share™ 2 app (available to download in the Apple App Store). The data will transmit via Bluetooth and be securely sent to the Cloud*. This then allows up to five loved ones or friends to see the user’s data. These users must

have an Apple device and the Dexcom Follow app (also available to download in the Apple App Store).

For now, the Dexcom G4® PLATINUM Receiver with Share™ is NOT compatible with Andriod devices and is only currently available in the United States. *The term “cloud” derives from cloud computing, which really means internet-based computing.

The idea behind cloud computing is that files, programs, and settings that you synchronize to the “cloud” are available anywhere you have internet access. You can access all

those things from another computer, a smartphone, or tablet. Depending on the setup you go with, cloud computing could be as simple as a file manager allowing you to grab documents on the go or as in-depth as complete remote desktop access.

- Definition from Blog wirelessworld.com

Bigger Sometimes Is Better The Tandem t:flex Insulin pump, recently approved by the FDA, is the largest-capacity insulin pump on the market. With all the bells and whistles of the t:slim (e.g. slim design, advanced Micro-Delivery™ technology), this new pump can hold 480 units of inulin! This device is perfect for teens with type 1 and many people with type 2. This product will be available sometime in the Spring of this year, so be on the lookout!

Tandem t:flex Insulin Pump

Taking Control Of Your Diabetes

7

Taking Control

By Christine Beebe

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wo powerful forces are expected more. But what does it mean to to improve the quality of be an empowered consumer? An healthcare in the next several empowered consumer or patient: years, an empowered consumer • has information and more advances in information • knows what to do with the technology. As Dr. Eric Topol states information, and in his book, “The Patient Will See • knows how to communicate You Now,” the future of medicine and partner with their is in the patient’s hands. Each of healthcare provider wisely. us as consumers of healthcare will have access to all You are an Advances in technology expert regarding of our medical data and even be able to are providing us with your body and add to that data by your life. Your tools to be more monitoring our vitals engaged in monitoring health professional (blood pressure, blood is an expert our health. But what glucose, pulse rates does it mean to be an in prescribing and more) with our empowered consumer? treatment and smart phones. promoting healing.

Advances Combining these in technology are providing us talents allows you both to with tools to be more engaged in make decisions together that impact monitoring our health. People with your health. This is called “shared diabetes should have an even greater decision making” or SDM. If you idea of how technology can aide in have diabetes, sharing in decisions the management of their condition is not new. In other health due to the advances in continuous conditions, however, this has glucose monitoring (CGM), glucose not been the case and efforts are meters, insulin pumps, and much underway to change that.

8 My TCOYD Newsletter, Vol. 50

How Does SDM Work?

Wells, it’s pretty simple, just follow these three steps. It is important to note that both you and your clinician have equal roles in the steps outlined below.

Step One: Your clinician provides medical information you need in patientfriendly, easy to understand terms.

This includes information about your options, as well as what would happen to your health if you decide to do nothing. Benefits, risks, and side effects of your options should also be reviewed. This is done with paper tools or more recently with videos. Ask your healthcare provider for shared decision-making tools in specific topics or search online.

Step Two: You openly share what is important to you and what your preferences are. What do you value? For example, if preventing hypoglycemia or weight gain with a therapy is important then say so! You should express any concerns about risks or side effects. Maybe nausea or GI upset is not something you think you can handle and may prevent you from using a therapy. Is there a way to manage or prevent the side effects?

Ask your provider to explain how many people get the side effects. Is it 2 out 100 or higher than that? If so, does that seem low enough for you to consider that therapy?

Step Three: Together you decide on which therapy is best for you and

Question of the Month

develop a plan to put the therapy in action. You increase your chances of being successful with a therapy by getting involved in the choice and clearly knowing what to do once you have made the choice. In other words, you need an action plan. That may mean writing things down or having a resource like a video, voice recording or written document to refer to later.

When should you share in decision making with your health provider? Nearly all the time! When more than one option is open to you - get involved in making the decision. This could mean choosing to have a test or not, which test to have, choosing a medication or surgery, which medication, or even changing a medication.

Many health conditions can be treated with different therapies.

Having more therapeutic options and medications for treating a disease is great but also means more decision-making to identify which is best for you personally. For example, you may decide to manage your diabetes with lifestyle changes, or you may decide to add an oral agent or insulin, and if so, which one or combination is best for you and your lifestyle? These are all decision opportunities to be made together with your healthcare provider.

Remember, you are an informed and powerful force behind your healthcare decisions, so take action, and get involved!

By Steven Edelman, MD

I

am a 23 year-old woman with type 1 diabetes. I was diagnosed two years ago and I would like to know when you think there will be a cure?

Answer: When I was first diagnosed in 1970 at the age of 15, I asked my doctor that same question. He said, “about 10 to 15 years.” When I was 22 years old, I worked in a diabetes research lab at UCLA, where I attended college, and when I asked my mentor that same questions he responded with, “about 10 to 15 years.” I went to the famous Joslin Diabetes Center in Boston when I was 30 years old to advance my training and I asked the top scientist there if a cure is possible and he said, “yes…in about 10 to 15 years.” At the age of 45, I attended the American Diabetes Scientific Sessions and sat in on a symposium on potential cures for type 1 diabetes and the panel of experts concluded that it would take about 10 to 15 years.

Now, to answer your question…I can honestly say that with all the advances in the artificial pancreas and stem cell research, I think it really will be about …10 to 15 years. For a while now, because we have so many treatment options, I’ve been saying that there has never been a better time to have diabetes. The most important piece of advice that I can offer you is, while we are all waiting for a cure, keep yourself healthy so you will be a good recipient of that cure when it does arrive.

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Taking Control Of Your Diabetes

9

Living Well

Article provided by Diabetic Living

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nowing your body type can help you determine how and where to focus your weight loss efforts.

When you get dressed, are you more apt to disguise your thighs or hide your belly? Assessing these simple acts can help you figure out if your body shape falls into the apple or pear category. Understanding where your body stores fat may help you strategize more effectively when it comes to weight loss.

“People know it instinctively— do you gain weight around your hips or your thighs?” says Marie Savard, M.D., author of The Body Shape Solution to Weight Loss and Wellness: The Apples & Pears Approach to Losing Weight, Living Longer, and Feeling Healthier (Atria Books, 2007).

A more scientific method to figure out your body type is to simply calculate your waist-to-hip ratio. “It boils down to the tape measure,” Savard says. “Measure your health in inches and not so much in pounds.”

Find Your Number Measure in inches the smallest part of your waist; if you’re

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overweight and apple-shape, your natural waist may be hidden, so Savard recommends measuring one inch above your belly button.

Then measure the widest part of your bottom half, which is the butt for some people and the thighs for others. Divide the waist number by the bottom number.

If you’re a man and your waistto-hip ratio is less than 0.9, then you are a pear. If you’re a woman and your waist-to-hip ratio is less than 0.8, you’re also a pear. The smaller the number the better— higher numbers, or apple shapes, may mean more health problems.

A 2011 study in the European Journal of Preventive Cardiology found that waist-to-hip ratio was

a better predictor of cardiovascular events and mortality in people with type 2 diabetes than body mass index, a weight-to-height ratio.

“Ninety percent of people with type 2 diabetes are apple-shape,” Savard says. In fact, people with normal BMIs, but high waist-to-hip ratios and apple shapes, are more likely to develop type 2 diabetes later in life, she says. Also, fat does not sit inert in your body.

It releases hormones that impair insulin receptors and create chronic inflammation.

If You’re an Apple Have no fear: If you’re an apple shape, it just means you’ll have to be more diligent about making smart lifestyle changes.

“Apples should focus not on the scale but on removing inches from their waist,” Savard says. Reducing your waist by just 2 inches has been shown to significantly decrease your risk for future disease, she says.

The American Heart Association recommends waist circumference be less than 35 inches for women and less than 40 inches for men.

Apples also should try to focus on the quality of the food they’re eating and not just the quantity.

Savard recommends a diet that includes healthy fats, such as salmon and walnuts. Apples also may want to increase their fiber intake to help prevent the insulin spikes that apple-

Know Your Numbers

shape people with type 2 diabetes are more prone to. Soluble fiber found in legumes, oats, veggies, and fruits also can help lower cholesterol levels.

Cardio should be the go-to exercise for apple-shape bodies.

If You’re a Pear Pear-shaped people may not like their hips, but they can be thankful they have a lower risk for some diseases, Savard says.

But weight loss in trouble spots does not come easy for pears. Fat stored in the thighs and bottom is the last to go when most people try to lose weight, and some obesity experts think one reason is because fat there may actually be protective.

Savard tells pear-shape people to try and reduce the quantity of foods they’re eating—especially those high in fat. She also suggests doing resistance exercises, such as lunges and squats, to help firm and tone butt and thigh muscles. But pears should not forget their upper body: Toning the arms and back can help even out the proportions of a pear body to resemble more of an hourglass shape.

By Steven Edelman, MD

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his Dexcom continuous glucose monitor (CGM) download of the hourly trend data is from a 40 year-old female with type 1 diabetes who is on an insulin pump and the mother of three young kids. You can see that starting at ~9am, when she has breakfast, her glucose values often start to rise and then stay elevated most of the day until midnight.

When I looked at her CGM there was an alert setting called, ‘high snooze’ and it was turned off. The ‘high snooze’ setting is designed to alert the person with diabetes that additional insulin may be needed in order to control blood glucose levels. In this person’s case, if the glucose values rise above a pre-determined high limit of 170mg/dl and do not dip below that same value within two hours the alert sounds. So, what’s exactly happening here? Well, she was getting high on certain days and was too busy with kids to check her monitor, so she remained high all day.

The important message here is to make sure you have the correct settings on your Dexcom CGM. Not only the upper and lower alert values but also the snooze alerts (see photo)…otherwise you will negate the full potential of this incredible device.

Accept Your Body Most important for both apples and pears is to eat healthfully, exercise, and learn to love your body.

Regardless of your shape, you should always seek smart alternatives to unhealthy lifestyle choices. It can make for a healthier, lighter you.

Taking Control Of Your Diabetes

11

TCOYD Conferences & Health Fairs 2015 Schedule February 7 March 7 March 28 April 25 May 16 June 20 September 26 October 17 November 21

Taking Control Of Your Diabetes 1110 Camino Del Mar, Suite “B” Del Mar, CA 92014 | www.tcoyd.org

Tel: (800) 998-2693 (858) 755-5683 Fax: (858) 755-6854

Augusta, Georgia Augusta Convention Center Santa Clara, California Santa Clara Convention Center Austin, Texas Austin Convention Center Honolulu, Hawaii Honolulu Convention Center Kansas City, Kansas Overland Park Convention Center Native American - Santa Rosa, CA Hyatt Vineyard Creek Hotel San Diego, California San Diego Convention Center Omaha, Nebraska CenturyLink Center Phoenix, Arizona Renaissance Glendale Hotel & Spa

Nonprofit Organization U.S. Postage

PAID

San Diego, CA Permit No 1

Stay connected to TCOYD visit www.tcoyd.org

TCOYD is a not-for-profit 501(c)3 charitable educational organization.

Recipe by Chef Lewis

(Makes about 6 cups) 4 servings

Chef Robert Lewis is a frequent presenter at TCOYD conferences.

Chef Lewis, ‘The Happy Diabetic’ was diagnosed with type 2 diabetes in 1998.

He has published three cookbooks – Cook Fresh, Live Happy; Get Happy, Get Healthy; and Simply Desserts.

They are available at www.happydiabetic.com

12 My TCOYD Newsletter, Vol. 50

½ cup diced peppers, both red and green 1 red onion sliced 4 large mushrooms, diced 4-5 stalks of fresh asparagus 2 cloves of garlic 1 Roma tomato, diced 10 pitted kalamata or black olives 1 can of drained cannellini beans 1 lb skinless, boneless cooked chicken

breast halves, sliced 1/4 cup white wine 1 t oregano 1 t rosemary 1 t chopped fresh basil 1 t extra virgin olive oil 1/8 cup chopped fresh parsley

Directions Pre heat the oven to 425 degrees. Lay all the ingredients in a 9x12 casserole dish; be sure not to crowd them. Roast for 30 minutes, stirring them halfway. Add white wine, and simmer for about 5 minutes. Add oregano, rosemary, and basil, and roast for 2 to 3 more minutes. Season with pepper to taste, and serve.

Serves 4 Per Serving: Calories: 196 Total Fat: 8g Total Carbs: 19mg Dietary Fiber: 0.16g Sugars: 0.05 Protein: 32g