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Use Blood Sugar Monitoring for Health and Safety!

August 19, 2016 By John Lamberson Leave a Comment

Blood Sugars can be too low in older diabeticsNice response from Dr. Komaroff in answering a question from one his readers.  (Saw this in the Wednesday, August 17, 2016 edition of The Virginian-Pilot). Older people with diabetes definitely need to speak to their physicians about what target blood sugar levels should be.  While having chronically high blood sugars is bad over the long term, hypoglycemia, low blood sugar, can cause immediate problems!  You must treat low blood sugars with a sense of urgency. Blood sugar monitoring is important. As we age, our ability to feel low blood sugars can diminish.  Often, the older patient with diabetes may be taking multiple medications for a variety of health issues.  This too can inhibit the body’s response to recognizing low blood sugar levels.  Because of these issues, the recommendation is to allow blood sugar levels to run a little higher for this group.  Dr. Komaroff details that very well in his column.

But, I would take it a bit further.  To be sure of blood glucose levels, you must check!  Use a blood glucose monitor to track how your body responds to your diabetes medicine, dietary changes and activity levels.  For people with Medicare coverage blood glucose monitoring is approved for one glucose check a day, unless you are on insulin.  With insulin use, you are typically granted 3 times a day approval. Regardless of the coverage, if you are on hypoglycemic medications, it is extremely important to regularly check blood glucose levels.  Blood glucose monitoring can be an expensive part of your diabetes management program. But, it is a vital part! To make the most of your effort, keep a record of your results and be sure to take those results with you when you see your physician or diabetes educator.   Identifying trends in your glucose levels can help to provide better blood glucose management and keep you healthy and safe. Be an active participant of the health care team.

It’s Your Health. It’s Your Life. Make That Change!

~John

Filed Under: Diabetes Tagged With: Blood Glucose Monitoring, Coping with Diabetes, Diabetes, Hypoglycemia, Low Blood Sugars

Vegetarian Beer Chili

May 10, 2016 By Angie Lamberson Leave a Comment

Vegetarian ChiliThis Vegetarian Beer Chili is a perfect Meatless Monday recipe because it’s so easy & cooks in only 20 minutes.  Add a beer for best flavor. Enjoy!

Ingredients:

1 chopped onion
1 red pepper
1 cup chopped celery
1 cup chopped green pepper
1 cup shredded carrots
1-16 oz. bag frozen corn
2 cans beans, drained & rinsed (one can black, one can red)
12 oz fresh or jarred salsa- mild, medium, spicy- your choice!
1 can diced tomatoes (no salt added)
1-12oz. can or bottle of light beer (non-alcoholic works as well!)
1 cup wheat germ

Instructions:
Combine all ingredients & cook on stove top on simmer for 20 minutes or in crock pot for at least 2 hours on high. (Top with reduced fat cheese and/or reduced fat sour cream if desired). Further reduce the sodium in the recipe by rinsing the beans or choosing reduced sodium canned beans or cooked dried beans.

Filed Under: Diabetes, Diabetes Nutrition, Meatless Monday, Nutrition, Recipes, Wellness Tagged With: Chili, Diabetes, Healthy Recipe, Meatless Monday, recipe, Vegetarian, wellness

Avocado Cucumber Mint Soup

April 19, 2016 By Angie Lamberson Leave a Comment

It’s late April and it is starting to get warmer outside.  This healthy dish is a gazpacho soup (a cold Spanish or Mexican soup made from vegetables and served chilled).  When the temperatures begin to rise, you will find this soup to be incredibly cool and refreshing.  The mint and cucumber aid in the cooling effect.  This recipe is also amazingly fast, easy and healthy!

IngredientsAvocado Cucumber Mint Soup

(Makes 2 servings)

2 medium-sized cucumbers, peeled & lightly chopped (~ 2 cups)

1 avocado

Juice of 2 large lime (or 1/4 cup lime juice)

2 packed tablespoons fresh mint

1 teaspoon green onion

Chili powder, pinch

Directions

Combine cucumber, avocado, lime juice, mint & green onion in a blender and purée well. Serve in chilled bowls and top with a pinch of chili powder. Eat immediately, or refrigerate until ready to enjoy. Can be served topped with sliced green onions, finely chopped tomatoes & slice of cucumber as an appetizing garnish.

(Recipe adapted from eatnaked.com)

 

Nutrition Facts

2 Servings (Amount per Serving)

Calories                                194.0

Total Fat                               14.3 g

Saturated Fat                        2.0 g

Polyunsaturated Fat            1.9 g

Monounsaturated Fat         8.6 g

Cholesterol                          0.0 mg

Sodium                                 49.8 mg

Potassium                           828.0 mg

Total Carbohydrate             16.7 g

Dietary Fiber                         8.8 g

Sugars                                     3.9 g

Protein                                     3.5 g

 

It’s Your Health.  It’s Your Life.  Make That Change!

Filed Under: Diabetes, Diabetes Prevention, Nutrition, Pre-Diabetes, Recipes Tagged With: Diabetes, Healthy Eating, recipes, Vegetables

Diabetes ~ The Highs and Lows…

February 23, 2016 By John Lamberson Leave a Comment

Diabetes-The Ups and DownsA person with Diabetes will certainly tell you that it has its ups and downs.  Sure, having Diabetes can cause a ton of different feelings and emotions.  But the Highs and Lows I’m talking about today are Blood Sugar Levels.  The Highs and Lows.  Both are important and can have an impact on your overall health.  But, Lows can be even more problematic.  Hypoglycemia can cause a critical situation that might require the intervention of emergency personnel. To prevent that from happening, you must be aware of what your blood sugar levels are doing.  So, let me tell you a little story about last night (2.22.2016)….  I’ll show you my Blood Glucose log and actions taken:

7:21 pm BG: 118  Action: Ate dinner, took 12 units of NovoLog (Normal amount for meal eaten)

8:55 pm BG:  70  Action: Felt slight discomfort of Hypoglycemia. Drank 6 oz Juice

9:30 pm……………Action: Took Lantus Insulin ~ 22 units (Normal amount)

10:13 pm BG: 73   Action: Concerned that BG level was staying low. Drank another 6 oz Juice Box

11:15 pm BG: 49  Action: No symptoms of low blood sugar other than I could not sleep. 6 oz Juice Box

I was now worried that I had inadvertently taken 2 Lantus doses.  (That would not be good!)

11:33 pm BG: 66  Action: Ate protein bar and drank 8 oz of Soy Milk (31 g Carb, 19 g Protein)

(Still concerned that I may have doubled up on the Lantus.  I wanted to eat something with both Carbohydrate and Protein to help maintain BG levels.  If I had doubled dosed Lantus, it was going to be a long night. I would now be checking my BG levels throughout the night!)

12:47 am BG: 123 Action: Nothing. Set alarm to recheck BG levels in an hour

2:06 am BG: 105  Action: Drank 4 oz of OJ (Reset alarm)

3:33 am BG: 137   Action: Nothing.

4:44 am BG: 143  Action: Nothing (This is a normal wake up time. Would usually go to the gym)

6:45 am BG: 162  Action: Nothing

7:30 am BG: 177   Action: Breakfast. Normal B’Fast (NovoLog 8 units ~ this is a reduced amount. I wanted to see response to Carbohydrate and still unsure of double dosing of Lantus. It now appears as though I did not double dose.  Let’s see what happens!)

9:20 am BG: 283  Action: Added 3 units of NovoLog (Underdosed the NovoLog, need a correction.)

10:31 am BG: 300  Action: Nothing (Already had additional 3 units of NovoLog on board.  Don’t want to overload and cause hypoglycemia.  Will wait until Lunch and adjust NovoLog then, if necessary.)

12:45 pm BG: 128  Action: Lunch. Ate regular amount and took normal amount of NovoLog  (Had I taken more insulin at the 10:30 time frame, I would have dropped low prior to lunch.  Know how your insulin is supposed to work and what you need to adjust it to cover highs!)

Having Diabetes is no joke.  There are a number of things you need to be aware of.  One of my biggest worries is that I will take a double dose of Lantus.  For those of you not familiar with Lantus, like Levemir, is a long-acting (24 hour) insulin.  If you take too much of that, you will be fighting low blood sugars the whole day. NovoLog, on the other hand is a rapid-acting insulin.  It starts working in about 15 minutes and is typically out of the system within 4-6 hours.  Rapid-acting insulins (Apidra, Humalog & NovoLog) are usually taken with meals to help control meal time blood sugar rises. The long-acting insulins are designed to cover your basal insulin needs, the needs not associated with meals.

I have a system in place to help remind me that I have taken my Lantus dose for the night.  But, if you are not mindful of what you are doing, you can forget what you’ve done.  And that’s what happened to me last night.  Luckily, I have support from my wife that helped me through this event.  But what it also means is that I can’t take things for granted.  I need to stay on top of my game! Sometimes, we all need a reminder!  Now, we’ll have to figure out why my Blood Sugars were so low during the night……..

It’s Your Health. It’s Your Life. Make That Change!

~John

Filed Under: Diabetes, Diabetes Nutrition Tagged With: Coping with Diabetes, Diabetes, Hypoglycemia, Low Blood Sugars, positive approach, Type 1 Diabetes

Mexican Quinoa Casserole

February 17, 2016 By Angie Lamberson Leave a Comment

mexican quinoaThis is an easy, healthy, kid/teen approved casserole made with chicken, quinoa & black beans. It’s a perfect dish when you are cooking for a crowd or if you are one who likes leftovers or “planned overs” like we do.  It makes 10 servings!  Also, this dish is gluten-free which is helpful for those folks who need to avoid gluten in their diet.

Quinoa is high in protein (has the most protein of any of the grains) and gluten free. Additionally, it is high in magnesium, zinc, iron and folate. Do you have any favorite quinoa recipes?  Please feel free to post & share with us!

 

Ingredients:

1.5 cup uncooked quinoa (rinsed in water)

1-14 oz. can low sodium cooked black beans, rinsed

1.5 cups low sodium salsa (“Marie’s” has a low sodium brand)

1.5 cup unsalted chicken broth (We like “Kitchen Basics”) (plus ½ cup more, if needed)

1-2 cloves minced garlic

1.5 cups Kraft 2% Mexican 4 Cheese Blend Shredded Cheese

1 T olive oil

1-2 T sliced jalapeno

1 medium onion, chopped

2 green peppers

2 red peppers

1.5 lb. boneless skinless chicken tenders, cut into small pieces

2 T homemade taco seasoning (1 T chili powder, 1 T onion powder & pinch of cumin)

 
Instructions:

  1. Preheat oven to 375 degrees. Mix quinoa, black beans, salsa, chicken broth, garlic & ½ cup of the shredded cheese in a large bowl. Transfer to a well-greased casserole dish (approx. 9X13 inch size).  We use our Pampered Chef Deep Covered Baker and it works perfectly for this dish.  Bake for 30 min.
  2. While this mixture is baking, heat the olive oil in a large skillet. Add the jalapeno, onion, and peppers.  Saute until golden brown and tender-crisp. Remove from heat and set aside.
  3. Toss the raw chicken with the taco seasoning. When the quinoa is done with the first 30 minutes of baking, stir it really well and add the raw chicken.  Stir the chicken into the mixture to get the chicken mostly covered by the mixture, and return to the oven for another 30 minutes of baking.  If you notice any uncooked pieces of quinoa on top, just stir and bake a bit longer (may help to add a little more chicken broth).
  4. When the quinoa is done, top with the peppers and remaining cheese. Bake another 5-10 minutes or until the cheese is melted.

(Note:  Recipe Adapted from “Pinch of Yum”)

 

NUTRITION FACTS (Per Serving):

Calories:                               320

Total Fat:                             8 g

Saturated Fat:                   2.8 g

Trans Fat:                            0 g

Cholesterol:                       55 mg

Sodium:                               300 mg

Carbohydrates:                 33 g

Dietary Fiber:                     7 g

Sugars:                                 2 g

Protein:                                27 g

It’s Your Health.  It’s Your Life. Make That Change!

Filed Under: Diabetes, Diabetes Nutrition, Diabetes Prevention, Nutrition, Pre-Diabetes, Recipes, Wellness Tagged With: Diabetes, gluten-free, healthy, Healthy Lifestyle Change, Mexican, quinoa, recipes, Vegetables

Get on Track for Successful Health Change in the New Year!

January 8, 2016 By John Lamberson Leave a Comment

Hopefully, Achieve Your Goals- St Francisyou’ve been able to keep those resolutions!  Many times we start to falter as we move deeper into January and February.  We often have a tough time making and maintaining change.  Why? It doesn’t have to be that way!  Things change every day.  We are just not always aware of the changes going on around us.  The sun rises in the East and sets in the West day after day.  What’s different about the rising and setting of the sun?  The time is different. It never rises and sets at exactly the same each day!  We just don’t perceive the difference until it hits us how dark it is at 4:30 pm on the Winter Solstice. The gradual change makes it more difficult to distinguish the changes.  (Take heart, the sun shines a little longer each day now!)

Think about the changes you’ve been wanting to make in your life.  Do you expect the change to happen immediately or are you prepared to slowly evolve into a newer version of yourself?  We tend to start our change process with a New Years Resolution.  But why do we wait until the New Year to make changes?  It was Buddha that said, “Every morning we are born again.  What we do today is what matters most.” Every day we are given a opportunity to make a change in our lives.  The change can be big or small but every change we make will impact us some how.  To get the most out of the changes you want to make, be sure to have a plan to help you make and maintain those changes fro the long term.  Resolutions don’t have to be all or nothing. It’s not a pass-fail game.  If you start with the end in mind, this can help figure out what actions steps you’ll need to complete to reach your goal. It’s important to have a goal BUT, it’s more important to to break that goal down into manageable steps.  We like to use the SMART Step System to help clients find change success.  You may have heard about the SMART System:

S: Specific ~ Be specific about what you are going to do.  It’s not enough to say you are going to eat healthier or exIf you always do what you always did 1.2016ercise more. Specify what that means to you.  How do you define eating healthier or exercising more?

M: Measurable ~ You want to see how often you are doing or not doing something.  If part of your healthier eating plan was to include more fruit, how many pieces a day did you want to eat?

A: Achievable or Action-Oriented ~ This is getting you to take the steps necessary to meet your overall goal.  Break the bigger goal down into smaller components that you can work on each day.  You can also use the “A” to represent Accountability.  Being accountable to someone can help drive you when you feel like giving up. Find  a person that will have a positive impact on your drive towards your goal and, if you’re comfortable, share your goal and your action step you plan to use to reach them.If you always do what you always did 1.2016

R: Realistic ~ Important area here!  We are not saying choose an easy task that won’t cause you much stress.    What we are saying is that we need to be able to meet and exceed our action step and keep moving forward. You want to stretch yourself outside of your comfort zone.  We often work with clients that want to lose weight.  They would like to lose 20 pounds in a month.  While that is possible, it is typically not probable, nor is it healthy! You can lose that 20 pounds but it may take a little longer than 30 days!

T: Time Driven or Target Date: Set a date to accomplish your action step.  If your
goal is to workout more often, say 4 times a week, choose an exercise, choose the time of day and the days of the week.  Doing so will help you better visualize how and when you will accomplish your step.  This can also help you overcome potential barriers that may keep you from finishing that action step.

So take control of each and every day! Use it to help you move forward with your plan.  It may be of help to write down what it is you want to change and why that change will be helpful to you. Think about what it is that motivates you to make that change. Make that motivation a personal priority for you. And if you have a hard time staying on track, remember, there is no failure but opportunities to find out what doesn’t work for us.  So try something new or different!  Each new day gives us a new beginning! Here’s to a Happy & Healthy New Year!

“It’s Your Health. It’s Your Life. Make That Change!”

~John

Filed Under: General Nutrition & Wellness, health coaching, Wellness Tagged With: Achieve Your Goals, Change, Diabetes, diet and health, Don't Quit, Healthy Lifestyle Change, lifestyle changes, positive approach, Success, weight loss, wellness

Diabetes Month Reflections…

December 2, 2015 By John Lamberson Leave a Comment

Old Point Tidewater Triathlon June 9, 2012 Diabetes Does Not Slow Me Down (480x640)Monday, November 30th, brought a close to Diabetes Awareness Month. But for the millions of us with Diabetes, there is no close on Diabetes. It is a condition that requires constant awareness, heightened vigilance, and a focused approach.  We get no break or vacation from Diabetes.

I don’t say that to sound as though I am lamenting over the fact that I have Diabetes or have a feeling of dread or depression associated with Diabetes.  I say it to remind every body that we should all remain alert and and focused on our health, regardless of whether or not we have Diabetes.

I have never used my diagnosis of Type 1 Diabetes as an excuse to allow myself to get down or depressed about it. Diabetes is a frustrating, aggravating, difficult and complex chronic disease to manage.  The good news is that Diabetes is manageable.  For me though, I see Diabetes as a blessing.  I will not tell you that I love having it, because I don’t!  But it’s all about the perspective YOU choose to have.  I can say that without Diabetes, my life would definitely be different.  I don’t mean less frustrating, less aggravating, less difficult or less complex.  Would life be better without Diabetes?  I can’t answer that question.  Life is life.  We will all have problems, frustrations, good times, bad times, happy and sad times.  Diabetes doesn’t add or subtract those things.  While I don’t love Diabetes, I do love my life, which includes Diabetes.

I am thankful when I look back and see how Diabetes impacted my life in a positive way.  Because of Diabetes, I became a Registered Dietitian, Certified Diabetes Educator and an Integrative Health Coach. With Diabetes, I met and married my best friend.  With Diabetes, I have been blessed with two wonderful children.  Diabetes has also allowed me to meet people, both personally and professionally,  that I would never have had the opportunity to meet.

I don’t just try to live with Diabetes, it is my goal to thrive with Diabetes!   I’ve had the diagnosis of Type 1 Diabetes for just over 24 years now.  In that time, I have performed more than 44,250 Blood Glucose Checks, more than 35,400 insulin injections and lived 212,400 hours (or 12,744,000 minutes) of LIFE with Diabetes. It does not define me.  But it is a part of me and it help to make me a better person.

Again, it’s all about your perspective!

It’s Your Health. It’s Your Life. Make That Change!

~John

Filed Under: Diabetes, Diabetes Education, health coaching Tagged With: #DiabetesAwarenessMonth, Coping with Diabetes, Diabetes, Diabetes Awareness, Diabetes Treatment, Dietitian who specializes in Diabetes, Healthy Lifestyle Change, positive approach, Type 1 Diabetes

Quick & Easy Salmon Cakes

November 17, 2015 By Angie Lamberson Leave a Comment

This is a budget-friendly, diabetes-friendly, very quick and very easy salmon cake recipe.  Salmon is an extremely healthy food—it’s high in Vitamin D & very rich in omega-3 fatty acids (which can improve lipid values, reduce arthritis pain, boost immunity and possibly reduce memory loss & depression).  All this for less than $3 a can and under a dollar per serving!  We keep cans of salmon in the pantry for those nights when we need a “throw together fast” meal.  For quick, easy & healthy sides, add cooked spinach (microwave from frozen and drizzle with olive oil and the same Mrs. Dash blend here) & brown rice (instant, boil in bag). 

 

salmon cakes

 

 

 

 

 

 

 

Ingredients:

2 Tbsp. (30mL) Mrs. Dash® Garlic & Herb Seasoning Blend

1/2 cup (120mL) plain dry bread crumbs (Panko-unsalted variety is our favorite)

1can (15 ½  oz.) red salmon, drained (or 2 cups cooked, flaked salmon)

1 tsp. onion powder

¼ cup diced red pepper or 4 Tbsp. drained pimento from jar

½ cup plain/regular oatmeal

1 tsp. lemon juice

4 drops Tabasco sauce

1/4 cup Egg Beaters

2 T olive oil

Instructions:

  1. Mix together Mrs. Dash® Garlic & Herb Seasoning Blend & dry bread crumbs/Panko in a small bowl. Set mixture aside.
  2. Combine all remaining ingredients (except the olive oil) in a medium sized bowl. Mash salmon bones (do not remove bones-they are a great source of Calcium!).
  3. Shape salmon mixture into four cakes.
  4. Sprinkle ¼ of the bread crumb mixture onto a plate. Coat one of the cakes on both sides with the mixture (can roll it on the sides to coat the edges as well).  Repeat this process three more times.
  5. Add olive oil to a non-stick skillet or cast iron skillet and allow to heat. Add cakes to skillet and cook over medium heat, turning once, until lightly browned on each side.

Tip:  Make a large batch of the bread crumb mixture and keep in the refrigerator.  We also use this mixture for making chicken fingers-  http://nutritionpair.com/diabetes/mrs-dash-chicken-fingers

 

NUTRITION FACTS:

Serving Size:                        4 oz.

Calories:                                 310

Total Fat:                                 15 g

Saturated Fat:                         2 g

Trans Fats:                               0 g

Cholesterol:                             0 mg

Sodium:                                   60 mg

Carbohydrates:                      17 g

Dietary Fiber:                          2 g

Sugars:                                         1 g

Protein:                                      25 g

Filed Under: Diabetes, Diabetes Nutrition, Nutrition, Recipes, Wellness Tagged With: Diabetes, Diabetic Diet, healthy eating on a budget, Healthy Recipe, omega 3 fatty acids, Pre-Diabetes, Quick and Easy Recipe, Salmon Recipe

My Top Ten Reasons Why Diabetes is Cool!

November 13, 2015 By John Lamberson 1 Comment

Diabetes Top 10 sign Diabetes is Cool!  Yep, that’s what I said!  Sometimes changing your perspective helps you to see things in a different light! We all know that Diabetes can cause many problems.  But if you have Diabetes, you might have found some humor in the daily tasks you perform to keep things under control.  So, here are my “Top Ten” reasons:

10: I have become good friends with my neighborhood Pharmacists!

9: I can utilize my stealth like, ninja reflexes to check my blood sugars and inject my insulin without anyone even knowing it!

8: I can carry food into sporting events as it is necessary for my Diabetes treatment!

7: If I am having a low blood sugar, I can eat sweets without the guilt!

6: I know Carbs, inside and out!

5: It’s a great way to get out of an uncomfortable situation, “Excuse me, I think I need to go and check my blood sugar…”

4: Provides you with an excuse to not eat your Aunt Vera’s Holiday Fruit Cake!

3: Exercise becomes a necessary and enjoyable treatment to help reduce medications and save money!

2: Allows me to drop my pants at any time if I have to inject insulin!

1: I can keep a watchful eye on the neighborhood when I’m up in the middle of the night checking my blood sugar!

I know if you’ve been dealing with Diabetes, you have some of your own Top Ten moments to add.  Feel free to share them! 

And always remember, We control Diabetes!  It does not control us!

“It’s Your Health. It’s Your Life. Make That Change!”

~John

Filed Under: Diabetes Tagged With: #DiabetesAwarenessMonth, American Diabetes Month, Coping with Diabetes, Diabetes, Diabetes Awareness

Diabetes Awareness Month!

November 4, 2015 By John Lamberson Leave a Comment

Diabetes Awareness Month 2015Welcome November and Diabetes Awareness Month!  We’ve gotten through October and Halloween and are looking forward to Thanksgiving, Christmas and the New Year.  But first, we need to stop and recognize a potential health crisis.  Diabetes continues to play a huge role in the health of our nation and around the world.  The good news is that this is a condition you can control!  The key to control is Knowing Your Numbers.  Have a simple blood glucose check performed and you can quickly assess your diabetes risk or diabetes control.  Remember, being overweight, obese or having a family member with diabetes can increase your risk for developing diabetes.  Get checked if you:

              • Have a Body Mass Index (BMI) greater than 25
              • Lead a sedentary lifestyle
              • Have  a history of Polycystic Ovary Syndrome
              • Have a history of Gestational Diabetes
              • Gave birth to a child weighing more than 9 pounds
              • Have a history of Heart Disease, High Cholesterol or High Blood Pressure
              • Have a family member with Diabetes
              • Are 45 years or older

A quick look at what the numbers mean can give you an idea of where you stand.  Most often, a Fasting Blood Glucose value will be used.  This is preformed after an overnight fast and before any food or beverage in the morning.  A one-time test may not always tell you everything you need to know but at least it can help to move you in the right direction!

  Blood Glucose Results
Normal: Pre-Diabetes: Diabetes:
Fasting Glucose:
(No food or drink previous 8 hours)
< 99 mg/dL 100-125 mg/dL >126 mg/dL    
on two separate draws.
Random Glucose:     >200 mg/dL

As the table shows, the numbers tell the story.  A blood glucose check is a quick and easy way to get more information.  If you’re not sure what the numbers mean or what you can do to take control, talk with your doctor or health care provider to get more answers and referrals to an education program. Being diagnosed with Pre-Diabetes or Diabetes is not a bad thing, it might just save your life!  Don’t wait. The time is now to take action to change your life.

“It’s Your Health. It’s Your Life. Make That Change!”

~John

Filed Under: Diabetes, Wellness Tagged With: Coping with Diabetes, Diabetes, Diabetes Awareness, lifestyle changes, Pre-Diabetes, Risk Factors for Diabetes, Stop Diabetes, wellness

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