• Fresh Views

    Happy 2023 from A Fresh POV for You!

    Wishing you a happy and healthy holiday season from us here at A Fresh POV for You!

    We’re taking a couple weeks off but will be back soon with more fresh points of view to guide and support healthcare professionals in implementing a solution-focused approach to practice so clients can embrace possibilities, opportunities, and a fresh vision for the future. 

    We welcome anyone interested in our approach to Subscribe to our blog and we’ll email you when a new post is published!

    If you are a health care professional and interested in learning more about our solution-focused practice and approach, when you subscribe to our blog, we’ll send you in return a FREE resource of 10 Solution-Focused Questions to start a solution-focused discussion with your clients. 

    Follow us on Twitter @AFreshPOVforYou

    Deb is employed by Dexcom, but her words and opinions in this blog are her own.

    Tami is employed by the University of Kentucky HealthCare Barnstable Brown DIabetes Center, but her words and opinions in this blog are her own.

  • Fresh Views

    Using monitoring in a solution-focused way during the holidays

    Christmas at Gaylord Opryland Resort

    Learning is a constant process of discovery – a process without an end. – Bruce Lee

    The holiday season is an ideal time to use monitoring to learn how special holiday foods/meals, changes in schedules, stress, and changes in routine physical activity affect blood glucose.

    We know that glucose numbers are simply that……they are numbers, and numbers provide information. The goal of monitoring is to generate data to help people make choices and changes. Numbers are not good or bad. They help people learn and understand.

    While many people use meters to stay in touch with their blood glucose, a CGM (short for continuous glucose monitor) is a helpful choice for others. With a CGM one can see patterns and trends over time, not just one single number at one moment in time.  Also, they can receive real time alerts for when glucose is going above or below target. Around holidays, a CGM can be a great monitoring tool to see how the choices made impact glucose levels.  

    Learning from CGM

    Below you see CGM data over a 24-hour period, beginning at midnight. The goal is more green – more time in range – more time feeling better. Have you heard of the acronym FNIR?  It means flat, narrow and in-range. That is the goal of CGM trend graphs.

    Suppose this tracing below is a few hours after a holiday meal. This is  just one day. It’s important to keep the big picture in mind. Yet, learning can come from this data – seeing the impact of foods and portions.

    While the focus may be drawn to the time out of range (in red), let’s turn focus to the green (the time in range). How was that accomplished? We learn that the individual made it to the gym for a morning workout and enjoyed a healthy lower carb breakfast. Monitoring helped identify exceptions (those times when the presenting situation could have happened, but somehow did not.)  It’s a time when things could have gone wrong, but didn’t. Exceptions are a core tool in solution-focused practice. Focusing on what is going well, instead of what is wrong, changes the conversation and allows the client to identify strengths and successes.

    If you have not used CGM in the past, but are interested in learning from your own data, consider asking your healthcare provider to prescribe a Professional CGM. This type of CGM is owned by the clinic, but most insurances cover professional CGM a few times a year for most people with diabetes. Asking to wear a professional CGM over the holidays might not only provide you with data to learn from and might also help you to evaluate your choices and portion sizes. 

    Learning from structured blood glucose monitoring (BGM)

    If you don’t have access to CGM, you can use structured BGM to also learn about your body’s response to food and activity You can read about discovery learning and structured BGM here.

     “Discovery learning” focuses on using “personal experiments” to uncover aspects of one’s diabetes themselves. And when people learn by doing, they are able to make health decisions that work for them. They can identify “what’s working well” and are able to apply the solution-focused tactics to “do more of what’s working” and focus on successes instead of problems. Discovery learning is a great way to incorporate a solution-focused approach into practice. 

    Some examples of personal experiments you may encourage your clients to try:

    Food. Consider a 3 day challenge. Clients can experiment to learn how favorite holiday foods affect them. Day 1 eat their favorite high carb breakfast. Day 2 eat their favorite high fat breakfast. Day 3 eat a combination breakfast with both carbs and fats. At the end of the three days compare CGM data or pre- and post-meal BGM values.

    Physical activity. Day 1 eat before physically active. Day 2 do physical activity before eating. Day 3 have a small snack before physically active and then the next scheduled  meal after the activity. Do you see differences that make you want to “do more of that?”

    When following up with clients, focus first on glucose data that is in target, rather than the outliers. How was that accomplished? When evaluating glucose data and patterns, a typical first response may be to focus on the glucose values out of range and try to identify what went wrong at those times. However, what if the first focus was on glucose levels in the target range, and what was going on to accomplish that? Focus on what went well and what they learned. If we only focus on times that are not working well, we miss identifying successes.Of course, we always identify hypoglycemia and address that at all visits to ensure safety.

    Examples of questions to ask:

    I see you changed how much you walked after dinner, what did you learn? 

    You were in target range after these three meals, how did you do that? How can  you do more of that? And what else?

    What have you learned during your discovery? And follow up with, How can you do more of that?

    We hope you and your clients unwrap some new learnings and discoveries using monitoring in a solution-focused way this holiday season!

    If you are a health care professional and interested in learning more about our solution-focused practice and approach, when you subscribe to our blog, we’ll send you in return a FREE resource of 10 Solution-Focused Questions to start a solution-focused discussion with your clients. 

    Follow us on Twitter @AFreshPOVforYou

    Deb is employed by Dexcom, but her words and opinions in this blog are her own.

    Tami is employed by the University of Kentucky HealthCare Barnstable Brown Diabetes Center, but her words and opinions in this blog are her own.

  • Fresh Views

    10 Solution-focused tips to sneak in movement during the holidays

    Gaylord Opryland hotel grounds in Nashville, TN. Tami and her husband sneaked in quite a few steps while walking around the festive holiday hotel grounds.

    Three little words: You’ve got this. (Now, get it.) – Anonymous

    The holidays can be hectic without a doubt! We find that for many, physical activity takes a back seat to all of the festivities and gatherings. For those who are challenged to fit physical activity into their day, especially during the busy holiday season, we feel empathy because some days it’s a challenge for us too! So that brought us today to share practical tips to “sneak” more movement into the holiday season.

    As DCES’s, using solution-focused talk, together, we can help clients/patients identify what activity they like and makes sense to them. By refraining from “all or nothing” thinking, described by Adam Brown in his book Bright Spots and Landmines (we interviewed Adam here), let’s help clients/patients take small steps towards a more active holiday season and acknowledge their success.

    10 solution-focused tips to sneak more movement in the holiday season

    1. Wrap holiday gifts, standing at a table or counter, instead of sitting.
    1. While watching a favorite holiday movie, walk in place or on a treadmill, or ride a stationary bike. 
    1. At commercial breaks or between streaming shows, march in place, walk around the house, or do jumping jacks.
    1. When doing holiday cooking or washing dishes, alternate standing on one leg then the other. Mix in a few leg lifts, squats, or push-ups against the kitchen counter.
    1. When writing holiday cards at a table or desk, strengthen your core by sitting on an exercise ball.
    1. While visiting with family or friends, get up every half hour and walk around 2-3 minutes.
    1. On holiday road trips, do leg stretches and ankle rolls every half hour or so. When stopping for bathroom breaks, stand and stretch and walk around the rest stop for 2 or 3 minutes.
    1. Shovel snow! Not only is it purposeful in clearing the sidewalk and driveway for holiday guests arrival, it sneaks in a lot of movement!
    1. When holiday shopping, park in the back of the lot to fit in extra steps. Make an extra lap around the mall.
    1. Turn on holiday tunes and dance around the house!

    Sneaking in more movement throughout the day is not only a healthy behavior, it can help cope with holiday stress. After the holidays have passed, reflect with your client/patient on which strategies worked for them. With a solution-focused perspective our focus is on doing more of what works. Maybe they decide to continue incorporating some of these strategies into their day in the new year?

    If you are a health care professional and interested in learning more about our solution-focused practice and approach, when you subscribe to our blog, we’ll send you in return a FREE resource of 10 Solution-Focused Questions to start a solution-focused discussion with your clients. 

    Follow us on Twitter @AFreshPOVforYou

    Deb is employed by Dexcom, but her words and opinions in this blog are her own.

    Tami is employed by the University of Kentucky HealthCare Barnstable Brown Diabetes Center, but her words and opinions in this blog are her own.

  • Fresh Views

    Happy Memorial Day! 6 Solution-focused Strategies for Picnics and Gatherings

    Where did Spring go?! Memorial Day is at hand, and that means it’s time to kick-off summer! If you’ve been following our series on Transforming Primary Care Encounters Using a Solution-Focused approach, we’re going to take a few weeks off from this series,  but will revisit and closeout the series with a few more important considerations and tactics later this summer. 

    Will you be gathering with family and friends on Memorial Day? Sometimes it can be challenging to maintain healthy habits during group gatherings, especially if everyone is not on the same page. It’s helpful to have strategies in your back pocket to pull out. So, today we want to share with you 6 solution-focused strategies for navigating picnics and gatherings that you can share with your clients (or even try out yourself)! 

    #1 – Portion your plate by the healthy plate for diabetes. When you are ready to sample the celebration spread, if there’s a choice on plate size, go with a smaller plate (maybe the ones that are out for salads or desserts). Then fill half the plate with non-starchy vegetables (such as veggie salads, green beans, or sliced tomatoes), one fourth of the plate with lean protein foods (such as a grilled turkey burger or grilled chicken), and one fourth with carbohydrate foods (this is where potato salad, corn on the cob, watermelon, or a sweet treat may fit). Partitioned paper plates can do the portioning for you. Not sure partitioned paper plates still exist? Here you go, just a click away.  When asked how high one can “pile the plate”…try to keep it no higher than a deck of cards is thick. This simple strategy has brought success for many when navigating picnics and celebrations. And, Tami recalls one client she worked with that embraced this as a “year-round” strategy, purchasing the “old fashioned” partitioned 9-inch paper plates to use at home. He went on to lose over 30 pounds managing his portions and blood glucose in this manner. And he was thrilled that he didn’t have to wash dishes!

    #2 – Stick with small tastings. Maybe there are a number of things on the picnic table that you want to enjoy. And maybe you are not sure exactly what is in some of the dishes or how much carbohydrate they contain. One tried and true strategy is to stick with small tastings. You can sample a number of different items if you choose, fitting them within the plate sections reviewed above. And there’s a lesser chance of sending blood glucose out of range with small tastings versus a serving spoon portion. This is a great strategy for travel as well, discussed in our blog on Traveling with Diabetes.

    #3- Eat fresh and local. We are fans of supporting local farmers and enjoying local produce at the peak of ripeness. When trying to decide what to take to a gathering, think local and fresh. Picnics can be laden with rich casseroles and sides, so taking a fresh, low carbohydrate side that you know will work for you helps to insure there is something you can eat at the event. One of our favorite go-to’s that is ALWAYS the first dish to disappear is this (you may know it as Caprese salad): juicy ripe sliced tomatoes on a platter, topped with a slice of fresh mozzarella cheese, chopped fresh basil (or a dollop of pesto sauce), then drizzled with olive oil and balsamic vinegar. Sometimes we’ll layer sliced avocado on the tomatoes as well. Serve with  salt and pepper grinders alongside so everyone can manage what goes on their salad.  

    A version of the Caprese salad we enjoy made with yellow tomatoes

    #4 – Fill the day with fitness. With the eating and celebrating, fitting in fitness can help manage blood glucose and spend more time in range. Whether it’s participating in a local walk/run, swimming, playing cornhole, or joining the kids in a water balloon toss. How can you fit in fitness during Memorial Day weekend? We are believers in making a commitment to move even more when we know there is a weekend or vacation ahead filled with a few indulgences. Take a walk early in the day. That makes sure that movement doesn’t get pushed out by other holiday activities. And if you find blood glucose out of range 1-2 hours after you eat, take another walk to help lower blood glucose.

    #5 – Bring something to share that incorporates seasonal produce. Many of the food traditions associated with Memorial Day are filled with the best summer has to offer. Not only is flavor at its peak, seasonal produce is packed with nutrients (and lower in cost). Deb has local, fresh grown strawberry stands nearby at this time of year, so makes a weekly journey to purchase and enjoy their sweet flavor.

    #6 – Focus on fellowship and laughter. We believe that laughter is the best medicine, and we try very hard to practice what we preach. Scientists have shown that laughter is a great stress reliever and causes mental relaxation. Laughter can even improve blood pressure, pain, and immunity. Most importantly it strengthens human connections when we laugh together.

    Here with our husbands, we enjoyed some laughs atop a rooftop among igloos when we were together a few months ago
    We got some more laughs wrapping up in the furs in the rooftop igloos

    We hope you enjoy some laughter, friendship, family and great food this holiday! We are taking our own advice and will be enjoying some travels, adventures, and connecting with great friends and will be back soon with more content to share.  

    If you have any suggestions regarding future blog topics or series please let us know!

    We welcome anyone interested in our approach to Subscribe to our blog and we’ll email you when a new post is published!

    If you are a health care professional and interested in learning more about our solution-focused practice and approach, when you subscribe to our blog, we’ll send you in return a FREE resource of 10 Solution-Focused Questions to start a solution-focused discussion with your clients. 

    Follow us on Twitter and Instagram @AFreshPOVforYou

    Deb is employed by Dexcom, but her words and opinions in this blog are her own.

    Tami is employed by the University of Kentucky HealthCare Barnstable Brown DIabetes Center, but her words and opinions in this blog are her own.

  • Fresh Views

    Happy Holidays from A Fresh POV for You!

    Wishing you a happy and healthy holiday season from us here at A Fresh POV for You!

    We’re taking a few weeks off but will be back in the new year on January 12 with more fresh points of view to guide and support healthcare professionals in implementing a solution-focused approach to practice so clients can embrace possibilities, opportunities, and a fresh vision for the future. You won’t want to miss our new series packed full of practical tips on implementing this approach in a primary care setting!

    We welcome anyone interested in our approach to Subscribe to our blog and we’ll email you when a new post is published!

    If you are a health care professional and interested in learning more about our solution-focused practice and approach, when you subscribe to our blog, we’ll send you in return a FREE resource of 10 Solution-Focused Questions to start a solution-focused discussion with your clients. 

    Follow us on Twitter and Instagram @AFreshPOVforYou

    Deb is employed by Dexcom, but her words and opinions in this blog are her own.

    Tami is employed by the University of Kentucky HealthCare Barnstable Brown DIabetes Center, but her words and opinions in this blog are her own.

  • Fresh Views

    Wishing you a happy and healthy holiday season from us here at A Fresh POV for You!

    Tami’s “grandkitty” Starlight 
    (No kitties allowed on the tables or counters, but…she wanted a fresh point of view, and who could resist the cuteness!)

    We’re taking a couple weeks off but will be back in the new year with reflections on what 2020 taught us! We’ll also return with more fresh points of view to guide and support healthcare professionals in a solution-focused approach so clients can embrace possibilities, opportunities, and a fresh vision for the future.

    We wish everyone a very happy and healthy holiday season. We look forward to 2021 with new hopes and dreams!

  • Fresh Views

    Happy Holidays from Deb and Tami @ AFreshPOVforYou!

    Taken at The Greenbrier Resort in White Sulphur Springs, WV

    Happy Holidays from @AFreshPOVforYou (Tami and Deb)!

    We are taking a holiday break to enjoy time with family and friends and put self-care into practice. We hope you too can take a break, enjoy some downtime, relax and renew!

    Keeping pics of happy times at our fingertips on our phones is one way we practice gratitude! We hope you enjoy this pic from a couple years back. 

    We’ll be back in the new year……can’t believe it will be 2020….. with new posts and fresh views on taking a solution-focused approach to managing diabetes!

    If you are a health care professional and interested in learning more about our solution-focused practice and approach, when you subscribe to our blog, we’ll send you in return a FREE resource of 10 Solution-Focused Questions to start a solution-focused discussion with your clients. 

    Follow us on Twitter and Instagram @AFreshPOVforYou

  • Fresh Views

    9 tried and true strategies to enjoy eating at holiday gatherings

    With the holiday season and celebrations in full swing, today we want to share 9 tried and true strategies to enjoy the spread at holiday gatherings without compromising blood glucose. These strategies have worked for our clients and he hope are helpful for you.

    Strategy #1: Consider eating a small snack before the holiday gathering to curb appetite

    Some find it helpful to eat a small snack before heading out to the festivities. Maybe a small handful of almonds, peanuts, or pistachios, a boiled egg, or a stick of string cheese. It’s easier then to focus on fun and visiting, rather than being sidetracked by  appetite, concerns about there being food options that work for you, and potential worry about blood glucose dropping out of range.

    Strategy #2: Take a healthy dish or treat to share, or a healthier version of a favorite. Maybe it’s something like the caprese kabobs Tami made for an event that you see pictured above. Just a couple of grape tomatoes, fresh basil (or spinach) leaves, and a fresh mozzarella ball speared with a small skewer with a balsamic dressing to drizzle. Offering to bring something healthy can reduce stress by knowing that there’s at least one item to suit personal preferences and needs. (And chances are the host will welcome an addition to the party spread!)

    Strategy #3: Plan ahead how to fit-in carbohydrate-rich foods. We’ve seen many try to trick themselves into believing that “just a little bit” of a carbohydrate-rich food won’t affect blood glucose? Sweet potato casserole, stuffing, corn pudding…you get the idea. The reality is, that strategy often doesn’t work out so well. However, by familiarizing oneself with the carbs in special holiday foods, planning a carbohydrate managed portion, and then including those carbs rather than simply adding them on, it’s possible to enjoy holiday foods and still manage blood glucose.

    Strategy #4: Stick with tiny tastings. Many clients we’ve worked with over the years have shared success keeping their blood glucose in range by sticking with tiny tastings, or 2-3 bites, of foods they may be unsure of exactly what’s in them or foods that are rich in carbohydrates They can still enjoy the experience without too much worry of sending blood glucose out of range.  This is also a great strategy when traveling. You can read more about that here.

    Strategy #5: Cruise by the foods that aren’t worth the carbohydrate or calories.  We encourage clients that before filling the plate with a little bit of everything, to cruise the buffet or party spread to see what’s available, and then decide which foods they really want, and what portion of each works for them. We encourage asking themselves, “Is it worth the carbohydrate or calories?” If the answer is “no,” then it may be best to pass it by. If the answer is “yes,” then decide what portion fits their carbohydrate budget before adding it to the plate.

    Strategy #6: Fill half of the plate with veggies of the non-starchy variety

    Aim to fill at least half of the plate with non-starchy veggies like carrots, broccoli, cherry or grape tomatoes, and pepper strips. Or fill a punch cup with salad (like you see in the picture). Raw vegetables will keep you munching and fill you up with minimal carbohydrates and calories, leaving room in the carbohydrate “budget” to sample some special foods.

    Strategy #7: Go for protein if possible

    When you’re cruising the spread, take note of protein options. Maybe there’s cheese, nuts, chicken salad, or sliced turkey or beef that can curb hunger with little carbohydrate or effect on blood glucose.

    Strategy #8: Plan for alcohol if you choose to drink

    Decide your limit on alcohol before any special occasion. Consider starting with a nonalcoholic beverage (especially if thirsty) and then slowly savor an “adult  beverage” of choice. If choosing to sip more than one alcoholic drink, drinking something in between that’s nonalcoholic (like sparkling water, club soda, or infused water which you see in the picture) will give the body time to process the alcohol already consumed. The big thing to know is that for people with diabetes alcohol may cause blood glucose to drop too low, especially for those that take diabetes medications with hypoglycemia as a side effect.

    Strategy #9: Evaluate what went well. After each event, reflect on what went well and how you can repeat that at future gatherings. This is a helpful solution-focused strategy for anyone! Also think about what didn’t go as planned, and what changes can be made at future gatherings to keep blood glucose in range. You can read more in our blog post on Bright Spots and Landmines.

    If you are a health care professional and interested in learning more about our solution-focused practice and approach, when you subscribe to our blog, we’ll send you in return a FREE resource of 10 Solution-Focused Questions to start a solution-focused discussion with your clients. 

    Follow us on Twitter and Instagram @AFreshPOVforYou

  • Fresh Views

    In All Things We Give Thanks

    Gratitude makes sense of our past, brings peace for today, and creates a vision for tomorrow – Melody Beattie

    We are always grateful for the sunshine and beautiful outdoors

    On this Thanksgiving eve, we are reminded of ALL that we are grateful for…including YOU, our readers and followers!

    Gratitude is good for health

    According to the American Heart Association several clinical trials show that engaging in a practice of gratitude can lower blood pressure and help the immune system. “Grateful people engage in more exercise, have better dietary behaviors, are less likely to smoke and abuse alcohol, and have higher rates of medication (taking)”. Several studies suggest that gratitude can decrease stress and anxiety by activating the areas in the brain that the release feel-good hormones serotonin and dopamine. 

    Research discussed in the Jan/Feb, 2019 issue of Diabetes Self-Management also shows that positive psychological states such as gratitude are associated with improved physical health in people with diabetes, improved sleep, and increased self esteem. While the relationship is not fully understood, positive emotions such as expressing gratitude, are linked to healthier lifestyle choices. And healthy lifestyle choices including healthy eating and being active are in turn linked to overall health.

    How to get started with gratitude in this season of Thanksgiving? 

    Here are 5 strategies to help develop daily gratitude habits: 

    1. Have gratitude reminders. These are simple cues to remind you to focus on gratitude daily. Maybe it’s an alarm on your phone, a bracelet or wristband, a photo, a magnet, or a post it note. And with that reminder, pause, take a breath and focus on being grateful in that moment.
    2. Keep a gratitude journal. We both have found this to be a good personal practice to express gratitude more readily and maintain focus on finding things to be grateful for. Some log entries in their journal weekly, and others daily. Our personal goal is to identify at least 3 things daily for which we’re grateful.While the goal is to write in the journal daily, sometimes life happens and weeks may go by without an entry, but we pick right back up with our entries. 
    3. Start a gratitude box. Keeping a box (jar, album, folder, or whatever works for you) filled with notes, pictures, and moments you are grateful for can bring a boost when needed. 
    4. Voice or write down one (two, or three) good things that happened in your day. On the homefront, this is a gratitude practice Tami has used with her son over the years. In the days when she would take and pick him up from school, she found that the drive time was a good time to learn about his day. That conversation always began with these words, “Tell me something good that happened today.” He knew he needed to answer that, acknowledging something good, before talking about the challenges of the day. 
    5. Use gratitude apps. There are a number of apps with a range of capabilities including sending reminders, sharing uplifting thoughts, and organizing memories for which you are grateful. 

    You can glean other insight in this post we wrote on Gratitude here.  

    Happy Thanksgiving!

    If you are a health care professional and interested in learning more about our solution-focused practice and approach, when you subscribe to our blog, we’ll send you in return a FREE resource of 10 Solution-Focused Questions to start a solution-focused discussion with your clients. 

    Follow us on Twitter and Instagram @AFreshPOVforYou

  • Fresh Views

    5 Solution-focused Strategies for Labor Day Gatherings

    Marblehead Harbor, Marblehead, MA

    Labor Day is just a few days away! This first Monday in September celebration often is heralded in with gatherings amongst family and friends. Sometimes it can be challenging to maintain healthy lifestyle habits around holiday gatherings, especially if everyone is not on the same page. It’s helpful to have strategies that work at the ready. Today we want to share with you 5 solution-focused strategies for navigating Labor Day gatherings so you feel satisfied and won’t feel that you missed out on a thing.

    5 Solution-focused Strategies for Labor Day Gatherings

    #1 – Bring something to share that incorporates seasonal produce. Many of the food traditions associated with Labor Day are filled with the best summer has to offer. Not only is flavor at its peak, seasonal produce is packed with nutrients (and lower in cost). Below you see a variety of beautiful tomatoes. 

    An easy, colorful, flavorful salad with Tami’s crew is simply chilled diced tomatoes and cucumbers tossed with light Italian dressing. The flavor intensifies if the salad is chilled 30-60 minutes before serving. (Stir it up and pop in the cooler. It will be good to go by the time you arrive at the gathering).

    Seasonal tomatoes and fresh berries

    Another well-loved side dish is roasted carrots. They’re low in carbohydrate, high in flavor, and won’t keep you hanging out in the kitchen. Toss sliced or diced carrots with some olive oil, kosher salt, and black pepper. Roast at 425 degrees in an even layer on a sheet pan until fork tender (about 20-25 minutes). 

    Roasted carrots

    #2 – Make a swap or two. Consider the foods that are often at Labor Day gatherings and determine where you can make a swap or two for health. One of our favorites is swapping lean turkey burgers in place of hamburgers. Maybe everyone doesn’t want a turkey burger, but having a few on the grill is a tasty option for those trying to be health conscious.

    Turkey burgers and zucchini

    Another delicious swap is spiralized zucchini salad in place of traditional macaroni or pasta salad. Raw fresh zucchini is crisp and delicious with little carbohydrate. A spiralizer  is a handy, inexpensive kitchen tool.  Here’s a simple way to make a zucchini salad with a Mediterranean flair (you can find more Mediterranean swaps and ideas in our July 17, 2019 blog here.) 

    #3 – Portion your plate by the healthy plate for diabetes. As we shared in our July 3, 2019 post, when you are ready to sample the celebration spread, if there’s a choice on plate size, go with a smaller plate (maybe the ones that are out for salads or desserts). Then fill half the plate with non-starchy vegetables (such as veggie salads, green beans, or sliced tomatoes), one fourth of the plate with lean protein foods (such as a grilled turkey burger or grilled chicken), and one fourth with carbohydrate foods (this is where potato salad, corn on the cob, or a sweet treat may fit). Partitioned paper plates can do the portioning for you. Not sure partitioned paper plates still exist? Here you go, just a click away.  When asked how high one can “pile the plate”…try to keep it no higher than a deck of cards is thick. This simple strategy has brought success for many when navigating picnics and celebrations. 

    Lobster salad with a light dressing, vegetables, healthy fat and 1/4 portion of potatoes

    #4- Go on a walk early in the day. We are believers in making a commitment to move even more when we know there is a weekend or vacation ahead filled with a few indulgences. Taking a walk early in the day (as you’ll see us doing with our husbands on a holiday escape to Chicago), makes sure that movement doesn’t get pushed out by other holiday activities. And if you find blood glucose out of range 1-2 hours after you eat, take another walk to help lower blood glucose.

    Mike, Tami, Deb & Mark, Walking along Lake Michigan, Chicago, IL

    #5 – Focus on fellowship and laughter. We believe that laughter is the best medicine, and we try very hard to practice what we preach. Scientists have shown that laughter is a great stress reliever and causes mental relaxation. Laughter can even improve blood pressure, pain, and immunity. Most importantly it strengthens human connections when we laugh together. There is now actually “laughter therapy” defined by the National Cancer Institute as therapy that uses humor to help people cope with medical conditions by relieving pain, stress and improving well-being. 

    Tami and Deb enjoying some “laughter therapy”

    You’ll find 4 more of our tried and true solution-focused strategies for picnics and celebrations in our July 3, 2019 post. 

    As you prepare for Labor Day gatherings, we challenge you to consider the following:

    • What strategies have worked well for you in the past to navigate picnics and gatherings? 
    • Which of the strategies that we’ve shared might help you? 
    • Choose at least one of those to put into practice on Monday

    We’d love to hear from you on strategies that worked for you! Happy Labor Day!

    Tami and Deb, Highland Beach, FL

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