• Fresh Views

    Hello world! A Fresh POV may change your life

    We started our blog in November 2018, just a couple of months ago, and thought we would re-share our first post in the new year for those of you who might not know who we are. Please subscribe to our email list and we’ll let you know when new blogs are published!

    Deb and Tami in Italy enjoying the view!

    Thanks for checking out our new blog “A Fresh POV for You”!  Join us as we focus on Possibilities, Opportunities and creating a Vision (POV) for the future, based on strengths and leveraging positive learnings from past experiences.

    Who are we?

    We are healthcare professionals and diabetes specialists passionate about positivity and empowering people with diabetes to live life to the fullest! Deborah is a nurse. Tami is a dietitian. We both have spent our entire careers partnering with those living with diabetes to leave a positive imprint.

    We are also speakers, authors, wives, moms, adventurers, and avid travelers always in search of the next fresh and magnificent view. (You see one of those stunning views in this photo, looking out over a vineyard in Italy). You’ll learn more about us and some of our adventures over time.

    What is our focus?

    Simply put, our goal is to inspire those living with diabetes, or at risk for diabetes to design a life that has a personal sense of balance, is realistic and fun. A life that works for them. It goes without saying that managing diabetes is complex and burdensome. The constant focus on problems can make it even harder. We are passionate about turning the focus to abilities and possibilities. What will be different and new instead of what will NOT happen anymore?  What is desired instead of what is NOT wanted? Let’s learn from each other!  

    Why did we start this blog?

    Since November is Diabetes Awareness month there’s no better time than now to let you in on our new adventure in diabetes that’s been in the works behind the scenes for some time.  

    Getting to know us personally, beyond professionally is important. We believe in the concept of a “therapeutic alliance”- which means that the relationship between health care professionals and people with diabetes is the most important component.  

    Awhile back, we discovered an approach called Solutions Focused Brief Therapy. It resonated with us because of the focus on possibilities, opportunities, and creating a vision for the future.  How about applying this to diabetes?  We  look forward to sharing with you as we learn more!

    Then we joined together to craft content for two recently released brief videos focusing on the use of empowering language in diabetes. Language that puts the person with diabetes, their needs and their values first, thus moving away from language that judges, blames and shames. These videos are based on the language position paper published by the American Diabetes Association and American Association of Diabetes Educators. (You can check out the paper and the videos here and on our blog homepage). Over the months that we worked on the video project we had many soul searching discussions about how diabetes care and education needs to evolve and innovate.

    And thus was born A Fresh POV for You! If you are someone who feels challenged and overwhelmed with aspects of life with diabetes – or someone who just wants to learn more about our creative approach – follow our blog as we begin to share more about our exciting new adventure over the next few months. We have lots of creative ideas and ways we hope to engage in innovative diabetes services! Our goal is to create programs and services that resonate and make sense for people living with diabetes.

    Follow us on Twitter and Instagram @AFreshPOVforYou.  

  • Fresh Views

    Make New Year’s Solutions rather than Resolutions

    With the new day comes new strength and new thoughts – Eleanor Roosevelt

    New Year’s Eve Fireworks

    With the start of the new year, many find themselves reflecting on the past year, re-evaluating life, and pondering what “resolutions” they will set for the new year.  New year’s resolutions often focus on “stopping” doing certain things and starting to make changes. Many resolutions revolve around trying to be healthier in some way.  Yet evidence shows that about 80% of people fail to stick to their New Year’s resolutions longer than six weeks.  That means by the time the Valentine’s Day rolls around, many have abandoned their desire to change. Often resolutions are attempts to find ways to solve problems.

    What if, instead of making New Year’s Resolutions which require change and “fixing”  problems (and change is hard!) – you focus instead on making New Year’s Solutions?

    Who doesn’t like a solution after all? One way to identify solutions is to focus on things that have gone well in the past, and pinpoint how you can do more of that (rather than trying to change).

    As you reflect on the past year, here are 5 questions to ask yourself and guide your thinking:

    • What went well for you in 2018?
    • What did you feel happy about?
    • What behaviors helped you feel successful and were doable?
    • How can you do more that?
    • Instead of thinking about “problems”, how can you reframe your thinking into positive “opportunities” and solutions? (Reframing a situation, idea, or belief can bring a fresh perspective. You can read more about this in our January 2, 2019 post.)

    Here’s an example from Deb…

    I am  a fan of Starbucks Mochas. As 2018 opened, I was getting a Mocha most every day. I also like Starbucks lattes. And the latte has fewer calories. So I started ordering the latte more often. I also discovered I didn’t really need a grande but was satisfied with a tall, so I now order a tall most days. When you add up the calories over the course of a year, that’s a significant savings! (Now on some days when I  really need a pick me up I may decide on a Mocha or splurge on a grande, but it’s no longer the routine). I leveraged something that was going well, and did more of it. It was doable. I closed out 2018 happy about this solution.

    Here’s an example from Tami…

    One of my favorite ways to get physical activity is to walk in the neighborhood after a long work day. I especially like this in the fall and during the holidays with all of the decorations and twinkling lights providing a fresh view to take in while meeting my step goal and unwinding from the day. The past few months I’ve battled a foot injury that has made walking my usual routes impossible some days. Rather than focusing on the “I can’t”,  I’ve turned and focused on what I CAN do. By reframing my thoughts, I find myself thinking, “ I can do this. I am not lazy. I am rebuilding my endurance step by step. I am grateful I am able to do half of my usual walk, it’s better than none.” And I’m really grateful for the days I’ve been able to complete my routine route! I’ve focused on keeping the habit going. Focusing on what I CAN DO and what is going well, rather than fixating on what I can’t accomplish. By reframing the situation, my resulting emotions are feeling confident, in control, and hopeful.

    So as we look with excitement to 2019, join us in making New Year’s Solutions and resolving to do more of  things that we do well!

    Subscribe to our blog and we’ll email you when a new post is published!

  • Fresh Views

    Reframing: One way to bring a fresh perspective

    Our key to transforming anything lies in our ability to reframe it.  – Marianne Williamson

    Reframe by definition means, “to look at, present, or think of in a new or different way or from a different perspective.”  We can change the way we look at something and consequently change how we experience it. Reframing is not simply “positive thinking” – it is different. It is a technique to help view a behavior or situation in a more positive context that allows recognizing and appreciating positive aspects of the situation. The facts remain the same, but a deliberate shift is made in how we see it. Reframing helps us to use whatever life hands us as opportunities to be taken advantage of and live life more fully, rather than problems to be avoided.

    Reframing a situation, idea, or belief can bring a fresh perspective. In illustration, this week Tami found herself at a dead standstill in bumper-to-bumper rush hour traffic. All she wanted was to just get home. Ever been there? The stress started to rise, until she intentionally made the decision to reframe the situation. Rather than focusing on the sea of red brake lights, and viewing the traffic jam as a stressful “problem,” she reframed it as an “opportunity.” An opportunity to pause after a stressful day. An opportunity to catch the dramatic sunset you see in the picture below. And an opportunity to gain a fresh perspective on her situation. “Problem” has a heavy quality to it, while “challenging” is energizing. Our energy can be affected by a simple change of word.


    By the way, what do you see in the clouds? Many have shared that they see a Phoenix, the mythical, magical bird that lives for several hundred years before it dies and is reborn from the ashes, to start a new, long life. Such powerful symbolism. Could reframing help you to start a new life, so to speak, with a fresh perspective?

    Reframing can even enable you to implement the ancient wisdom that says – you can’t always control what happens to you, but you can certainly control how you react to it. Beyond reframing a “problem” as an “opportunity” for change, here are a few other examples of reframing:

    • A “weakness” as a “strength”
    • A “demanding” person as an “assertive” person
    • “Unkindness” as “lack of understanding”
    • An “impossibility” as a “possibility”

    In reflecting on clients we’ve worked with over the years, a multitude of times we’ve heard them reframe a diabetes diagnosis from a “problem” to an “opportunity.” An opportunity to  eat healthy, be more active, or lose a few pounds. Some clients have new, close friends or even new jobs, because they have diabetes. Living with diabetes encouraged them to change their focus in life.  Looking at life through a positive reframe certainly doesn’t mean ignoring the stress and pain that life may bring, but it does help deal with the challenges by seeing them in a different light and from a fresh perspective. It transforms a less than desirable situation into a worthy purpose. Reframing gives you an opportunity to neutralize negative feelings and be more action-oriented.

    Reframing is a tool you already have in your tool belt. By implementing the powerful tool of reframing, we can find resources we didn’t realize we had, and continue to move forward becoming more resilient. We can be inspired to keep our attitude strong and hopeful. In closing, here are some characteristics of resilient people:

    • Awareness
    • Perseverance
    • Internal locus of control
    • Optimism
    • Support
    • Sense of humor
    • Perspective

    We’ll revisit reframing in January, and how to use this tool to make New Year’s Solutions (rather than New Year’s Resolutions).

  • Fresh Views

    Relax and renew

    Happy Holidays from @AFreshPOVforYou (Tami and Deb)!

    We are taking a holiday break to enjoy time with family and friends.  We’ll be doing some traveling too and looking for some fresh views to share with you in the New Year.

    We hope you too can take a break, enjoy some downtime, relax and renew (like Nike here under the tree).


    Nike relaxing under the tree

    We’ll be back with a new blog post on January 2, 2019!

  • Fresh Views

    Do you need a “secret drawer”? A strategy to reduce stress and identify solutions

    “Solitude is where one discovers one is not alone.” –Marty Rubin

    Puma in her secret drawer

    We love animals, and believe in the therapy pets can provide. We also believe we can learn from them.  

    One of Deb’s cats has a secret drawer where she hides when life gets a little too stressful.  She’ll use that alone time to calm down, and when she’s ready, she’ll come out and face the world again. Her resource to foster her strengths is a secret drawer. It’s her stress management.

    Do you ever feel like you need a “secret drawer”, where you can think about things and reframe your focus on things that are going well?  (Check out our January 2, 2019 post for more thoughts on reframing).

    Are you someone who re-energizes by taking some alone time? Or by spending time in a group?  If you’ve ever completed a Myers-Briggs Type Indicator Personality Test you understand this concept. In Myers-Briggs, an introvert replenishes their energy with much needed alone time, because their energy is drained when with a group (which differs from the common thought that introverts are simply quiet and shy). An extrovert, however, needs to be around others to “fill their tank” and recharge. 

    When employing a solution focused approach to help others create solutions, it’s key to understand how people re-energize. To help flush this out, we can explore where they get their strength from? How they have coped in the past? How they have managed?  When they answer these questions, it’s then possible to identify the type of solution they have engaged in, and encourage them to engage in these helpful behaviors more often. Keep in mind, when using a solution focused approach, the solutions do not have to be directly related to any identified problem. The focus is on what the desired future for the individual is, and pinpointing how to move in that direction.  So when things are going well, we want to encourage engaging in behaviors from that time, more often.

    What resources can you pull from when you need a secret drawer? If a little down time helps reduce stress or gives your mind the bandwidth to think and identify solutions, then take a secret drawer break. Or, maybe going out with people is what you need. Maybe you need a little of both, depending on the day.

    A secret drawer may help you focus on and identify your solutions.

  • Fresh Views

    Making a list (and checking it twice): A way to calm and conquer

    With the holidays in full swing at the time of this post, and carols in the air, the lyrics to a popular holiday song about “making a list and checking it twice” struck a chord with us. Not only does making a list and checking it twice help jolly Old Saint Nicholas keep up with who is “naughty or nice”, evidence shows that making lists lends a number of benefits.

    While we @AFreshPOVforYou are personally super fans of lists (especially “to do” lists!), many clients have shared the value they personally find in making lists as well. One client took two days off work to make lists, organize her home, and run errands, noting that it helped her feel calmer. She’s noticed she’s physically and mentally healthier when doing this.

    There are many kinds of lists. And whether they’re compiled on a post it note, piece of paper, in an app, in the Notes on your phone, in an electronic document, on a whiteboard, by asking Alexa or Google, or whatever method works for you…the goal is to get information and clutter out of your head and placed somewhere else to refer back to.  Making lists can help bring a fresh perspective and point of view on life situations, including life with diabetes.

    Here are 7 other benefits of making lists:

    1. Reduces mental clutter. If a thought is written down or documented where you can easily refer back to it, then you no longer have to waste mental energy and capacity thinking about it. And that directly leads to benefit #2.
    2. Reduces stress.  With lists you can see what needs to happen without having to try to remember or fear you will forget.
    3. Allows you to prioritize and allocate time most efficiently. You can separate minutia from what matters.
    4. Helps maintain focus to get things done and combat avoidance, which is particularly helpful when feeling overloaded.
    5. Serves as a valuable communication tool. Whether lists of questions for your health care team at the next visit. Lists of carbohydrate content of favorite holiday foods. Lists of home repair tasks you need a family member to help with. You get the idea.
    6. Brings a sense of purpose and accomplishment when marking things off the list.
    7. Promotes inner calm (not only during the holidays, but beyond).  And undoubtedly that can translate into positive health impacts on blood pressure and  blood glucose.

    List making does offer an opportunity for creativity as well. While some prefer a plain “get it done” checklist, others may prefer a splash of creativity making lists “pretty” via formatting, spacing, color, and font choice. That can enhance calming for some.

    While there are many types of lists, here are 10 types of lists that we’ve found valuable in our clients’ every day lives, and in our personal lives, to help calm and conquer (in no particular order):

    1. To do or task lists. A simple running list of things to accomplish. Seeing allows planning and executing them better.
    2. Accomplishments. Include even the little things – they add to feeling accomplished.
    3. Worries. Putting thoughts and feelings into words by writing them down has a calming effect on the brain.
    4. Gratitude lists. It’s easy to fixate on the things not going well. Rather by turning focus to the good things going on in life, one may become more optimistic and less anxious. When it comes to managing diabetes, for those that may use continuous glucose monitoring (CGM) for instance – rather than focusing on blood glucose out of range, noting gratitude for time in range. What was going on at that time? How can you do that more often?
    5. Hopes/Life lists/Bucket lists. These are things that you’d like to do, see, or experience. It’s easy to get caught up in the day to day routine and forget about the bigger picture.
    6. Questions for your health care team. Going to a visit with a list of questions in hand can help insure you get the information you need.
    7. Shopping lists. One client made an electronic list of all the groceries he bought routinely and arranged it in the order he’d find the items at the store. He’d leave room for additions. Each week, he’d print it off, cross off anything not needed, and add anything not on the list, then go shopping. He found the shopping list template stress-reducing by not having to “re-create” a shopping list each week. And heading into the store armed with an organized shopping list helped him get in and out of the store faster.
    8. Self-care lists. These are things you can do just for you. So whenever you have even just a few minutes, you have inspiration and ideas at hand. The goal is to help remind you to make the time for self-care. And, you can’t look after anyone else without looking after yourself first.
    9. Menu lists. A list of tried and true dinner meals that work for you saves so much brain power! No wondering what the carb count is or what to buy at the store. You have ideas in front of you. You may decide to add breakfast, lunch and snacks to the list too.
    10. Health logs. Considering that a log is basically a list of events tied to specific dates and times, keeping a list of exercise achievements, blood glucose readings, food consumption, or medication doses for instance, can help measure  progress and identify opportunities for change.

    Keep lists handy and refer to them often. Which lists could help you calm, conquer, and realize a fresh perspective on life?

  • Fresh Views

    Finding solutions when they’re not obvious

    The holiday season is in full swing! December travels included a stop in New York City. What’s a trip to New York in December without a visit to the Rockefeller Center tree? Always a magical sight to get you in the holiday spirit!

    New York City Rockefeller Center Tree

    We are big fans of musicals, so seeing one on any trip to New York City is high on the list. A few friends recommended a somewhat unlikely musical that received rave reviews (and a Tony Award!). A musical which really requires one to think differently about the interpretation of life’s events. The show is “Come From Away”  Maybe you’ve heard of it? At the core, it is a story about the power of kindness and generosity of strangers during a horrific time in the world, the first 5 days following the September 11, 2001 terrorist attack on the United States.

    Come From Away

    To briefly recap, the setting is Gander, Newfoundland – a remote island with a “retired” military post from WWII and an old refueling station for transatlantic flights (before planes were large enough to carry all needed fuel). When the U.S. airspace was closed to inbound flights following the 9/11 terrorist attacks, 38 jumbo jets were diverted to Gander. This town of 9,000 nearly doubled in population as an additional 6,759 passengers became refugees so to speak  – unable to leave or to even get their luggage off the planes for 5 days. Along with them were 9 cats, 11 dogs, and 2 rare apes (one who was pregnant). The town affectionately called these individuals the “Plane People”, and put aside their worries and issues to care for these tired and terrified fellow humans. Local residents cooked food all night long. Stores donated medicine, supplies, diapers and toilet paper, while others donated clothing. School buses provided transportation to shelters and even private homes. During this horrific time, while deep sadness was everywhere (one woman lost her son, a New York City Firefighter), friendships were formed. One couple would even later marry and return to Gander for their honeymoon. When the time came to leave, the “Plane People” asked how much money they owed the people of Gander, and were told, “Nothing. You’d do the same for us!”

    This tragic event in U.S. history was translated into a certainly unlikely – and yet successful – Broadway musical.  How did the creator, Michael Rubinoff, think this would work? According to Mr. Rubinoff, “Well, not many people shared that vision to turn this into a musical. It’s not obvious.” Building on that, when times are challenging and solutions are not obvious, it’s easy to feel down. One of those challenging (and stressful) times can be the holiday season. Add onto that the impact of managing diabetes and life can be downright overwhelming. (Be sure to check out our next blog where we’ll share one tried and true strategy to reduce stress). Yet during this often stressful holiday “season of giving”, there is some encouraging news. Did you know that giving to others may actually be good for your health?   Giving is linked with reduced stress, less depression, lower blood pressure, and feeling happy. Giving back can be a helpful strategy or solution to manage holiday stress. A solution that may not seem obvious. We believe giving can help build resilience.  

    We witness giving in the diabetes community all of the time. So many people living with diabetes are advocates and educate others. They create fundraising campaigns like Life for a Child  to provide insulin for children across the world without access.  And we’ve seen posts on social media where someone runs out of diabetes supplies and within minutes, a stranger in a far off state connects with that person to share and provide support. When you have a couple of minutes, take a look at this special video from Diabetes What to Know about “paying it forward” and sharing the gift of education as well as the benefits of learning from others living with diabetes. 

    So during this holiday giving season, will you join us in reflecting on the impact of the people of Gander and channel that in some small way by giving back? Whether giving back to the diabetes community, or others you cross paths with that are facing life challenges.  How can we all support, help, or encourage, as did the residents of Gander? There are many opportunities. It can be as simple as calling a friend and meeting them for coffee, even when you are feeling short on time. Or donating to a worthy organization that means something to you. Or as Ellen Degeneres says, simply “Be kind to one another.” We’ll all feel better in the end!

  • Fresh Views

    Reflections on our #WDD2018 Twitter Chat

    On Wednesday, November 14, 2018, World Diabetes Day, @AFreshPOVforYou was honored to moderate the 7:00 pm ET hour of the #WDD2018 Twitter Chat for #DSMA. Thank you to Cherise Shockley for allowing us to engage with the DOC on such an important evening.The questions put before participants were thoughtfully planned so that the information gained could be used in a small research study. In the near future, we look forward to sharing some of our learnings.

    We were thrilled with the participation and the depth of the responses to our “miracle question” exercise (See our previous blog posts to learn about “the miracle  question” and a bit about Solution Focused Brief Therapy [SFBT])

    There were 32 participants who created 358 Tweets and generated 1.54 million impressions! Wow!  If you’re familiar with Twitter Chats, search the #DSMA hashtag for all of posts between 7:00 pm ET and 8:00 pm ET on November 14, 2018 to follow the conversation.

    An overarching goal of the Twitter Chat was to explore the perceptions of the diabetes online community (or DOC for short)  on the miracle question approach to strengthen resilience and confidence needed to manage diabetes. As usual, the DOC is incredibly insightful and we learned so much.

    Here’s a sneak peak at the many thoughts shared during our discussion.

    We look forward to moderating a future #DSMA Twitter Chat in 2019 as we delve deeper into incorporating SFBT in diabetes care and education. Stay tuned!

  • Fresh Views

    Language can change your POV

    As National Diabetes Month comes to a close, we’d like to share this blog post written for the Society for Participatory Medicine blog post published November 2, 2018.  

    The language used in healthcare has such a significant impact on how a person living with diabetes FEELS about living with diabetes and how they trust and engage with healthcare professionals.

    If you already know us, you know we support the language movement and encourage everyone to think about language in a new and fresh way. When we drafted the scripts for the two #LanguageMatters videos (links on our web page on the lower right and in the blog post) that’s when we began to think about creating A Fresh POV for You because we knew there were more opportunities to impact the diabetes community in a new and positive way.

    Here are a few quick and easy suggestions, that while simple can be a game changer and help stop the blame, shame, stigma and judgement often associated with diabetes.

    • Instead of using words like adherence and compliance, focus on what the person is actually doing to manage their diabetes.  You can ask about when and how they are taking their medication, focusing on their strengths instead of judging behaviors.
    • Refrain from using language that implies the person living with diabetes is unmotivated or doesn’t care. Instead, recognize the time required to manage a chronic condition and appreciate the hard work they are doing every day.
    • Replace the word diabetic with person living with diabetes all of the time! (However, a person living with diabetes can choose the language that best suits them.)

    As we suggest in the blog mentioned earlier, language choice is a habit, and just like anything else, it takes a little practice to change behavior!  If you start to think about diabetes management from a solution focused approach you will naturally use language that is strengths based and action oriented, and not focused on blame. We can embrace a healthier way of talking about diabetes by changing perspectives on language and the impact it has on anyone living with diabetes. Let’s create fresh, new behaviors because #LanguageMatters!

     

  • Fresh Views

    “Imprinting”: How to in 5 steps

    At the close of our prior blog post we mentioned imprinting, and promised to share more with you on that. So here we go…

    While imprint has several definitions, those that resonate with us at A Fresh POV for You are “to fix firmly on the mind/memory” or “to make an impression; have an effect.” So, with that said, here’s how imprinting works:

    1. When you find yourself gazing at a striking view or in a most memorable uplifting  moment…pause. Be present in the moment.
    2. Take a deep breath in and a cleansing breath out.
    3. Gaze at the view – noting where you are and who you are with. Take in colors, lighting, sounds, smells (maybe even taste if it’s food or beverage related).
    4. Then take time to appreciate and acknowledge what you see before you and are experiencing (many liken this to having an “attitude of gratitude”).
    5. Allow that view or moment – every detail – along with those positive feelings to etch into your mind’s eye so you can recall them in the future.

    You see below two memorable views that we have both firmly imprinted in our minds. These photos were taken by the shore of Lake Como in Italy several years ago. The photo of us together was snapped on a cool September evening. We sat with our husbands, sipping a glass of Italian wine, talking about life for several hours, just enjoying each other’s friendship while watching the clouds drop over the mountains, feeling the cool breeze as dusk began to settle in, and listening to the waves lap and church bells toll across the lake. That spectacular view and those special moments in time are deeply etched (imprinted) in our minds.

    Deb and Tami at Lake Como, Italy

    When life is challenging (or just downright hard and painful), we try to turn our thoughts back to happy moments and picturesque views like this. We even keep pictures of some of our imprinted views on our phones so not only our mind’s eye but our actual eye can prompt us and help take us back. In our experience, this philosophy – or mental tool if you will – can build resilience while allowing your thoughts to take a break and refocus in a positive manner.

    You (or those in your circle) may also find imprinting helpful, particularly when feeling down, stressed, anxious, or overwhelmed. With mindfulness and repetition, imprinting may become more automatic. Sometimes we even find ourselves stopping  and saying out loud, “Wait, I want to imprint this moment!” Give imprinting a try. Let us know what view or experiences you imprint, and how imprinting works for you.