April 4, 2006

Good Eating Habits

by



Tuesday, April 4, 2006 – 9pm est.
Janis Roszler, RD, CDE, LD/N
<a href=”http://www.dearjanis.com”>www.dearjanis.com</a>
Topic: Good Eating Habits

Janis Roszler, RD, CDE, LD/N is a registered dietitian, certified diabetes educator, insulin pump trainer, author, and radio host. She is the author of the popular “Dear Janis” column in Diabetes Positive! magazine, monthly columnist for Ediets.com, and contributor to numerous publications including Diabetes Forecast, Diabetes Health and Diabetes Self-Management magazines. Janis is the associate producer for 2MuchMedia, a company that produces health and socially responsible video programs, and diabetes consultant to numerous companies. Her radio show “Janis’ Jump Start to Good Health,” is broadcast from 4-6 on Sundays on <a href=”http://www.WWNNtalk.com”>www.WWNNtalk.com</a>. She travels internationally as a speaker on diabetes and other health-related topics. The Secrets of Living and Loving with Diabetes is her first book.

Janis is married and is the mother of four terrific kids. She has a miniature schnauzer named Zoe and spends her free time belly dancing (really!). She resides in South Florida.

[Jon] 6:00 pm: Hello Everybody! I would like to introduce Janis Roszler!
Janis Roszler, RD, CDE, LD/N is a registered dietitian, certified diabetes educator, insulin pump trainer, author, and radio host. She is the author of the popular “Dear Janis” column in Diabetes Positive! Magazine, monthly columnist for Ediets.com, and contributor to numerous publications including Diabetes Forecast, Diabetes Health and Diabetes Self-Management magazines.

[Jon] 6:00 pm: Janis is the associate producer for 2MuchMedia, a company that produces health and socially responsible video programs, and diabetes consultant to numerous companies. Her radio show “Janis’ Jump Start to Good Health,” is broadcast from 4-6 on Sundays on WWNNtalk.com. She travels internationally as a speaker on diabetes and other health-related topics. The Secrets of Living and Loving with Diabetes is her first book. Janis is married and is the mother of four terrific kids.

[Jon] 6:01 pm: She has a miniature schnauzer named Zoe and spends her free time belly dancing (really!). She resides in South Florida.

[Ellen] 6:01 pm: Does Zoe belly dance too? πŸ™„

[Janis Roszler, RD, CDE, LD/N] 6:01 pm: Of course!

[Jon] 6:02 pm: Janis, are you ready for questions?

[Janis Roszler, RD, CDE, LD/N] 6:02 pm: I sure am. Fire away guys!

[Jon] 6:02 pm: Thanks for being here!

[betty] 6:02 pm: long time no chat

[reese] 6:02 pm: I need breakfast ideas that keep me full

[Janis Roszler, RD, CDE, LD/N] 6:02 pm: Thanks for inviting me.

[Ellen] 6:02 pm: Janis I’m in Boca Raton. Have I met you at any DRI events? Are you available locally for private consultations or do you work with an endocrinologist?

[Janis Roszler, RD, CDE, LD/N] 6:03 pm: That depends on how much time you have. You can make something involved, drink a meal replacement shake or have a snack bar.

[Janis Roszler, RD, CDE, LD/N] 6:03 pm: Hi Ellen. My radio show broadcasts from Boca. I see some patients, but mostly write articles and books.

[reese] 6:04 pm: fast, feeling and low fat, and low cal, ha

[reese] 6:04 pm: feeling=filling

[Janis Roszler, RD, CDE, LD/N] 6:05 pm: Grab a starch, protein and fruit. Toast plus melted cheese and an orange, perhaps?

[Amy] 6:05 pm: are there any foods that you think somebody with type 1 should avoid completely?

[Janis Roszler, RD, CDE, LD/N] 6:05 pm: Or oatmeal with raisins and skim milk?

[Janis Roszler, RD, CDE, LD/N] 6:06 pm: Nope. I believe that all foods can fit if you know how to adjust your insulin and portions. Life is meant to be ENJOYED!:heart:

[reese] 6:06 pm: done the oatmeal and milk, just makes me more hungry, pb and toast too much fat, maybe the toast and cheese and I will try to add a fruit, ty

[Ellen] 6:06 pm: I have long and established poor eating habits, usually just grab what’s easy and quick without regard to real nutritional value, and eat too much volume. How do you help someone break that habit and focus on change without being overwhelmed?

[reese] 6:07 pm: that is true of a lot of us Ellen, good question

[Janis Roszler, RD, CDE, LD/N] 6:08 pm: I created “Jump Start Pledges” for this. You take a single, easy health behavior goal and pledge to do it for only one week. At the end of the week, you renew it, change it, or add another. For your eating habits, just pledge to try one thing. For example, try to eat a serving of vegetables at dinner and lunch. (cut fresh veggies or salad).

[Jon] 6:09 pm: that is a great idea. 1 week sounds a lot easier than a lifetime

[Janis Roszler, RD, CDE, LD/N] 6:09 pm: Another Jump Start Pledge for food could be fiber. For one week only, try to switch to whole grain cereal in the morning. You can do a simple pledge for 7 days. Don’t try to change your entire life. Just try to change one week at a time.

[Ellen] 6:09 pm: That sounds very reasonable – where can I read more about that Janis – do you have audio books?

[Janis Roszler, RD, CDE, LD/N] 6:10 pm: It is soooooooooooooo simple. It works! I’ve tried it.

[Janis Roszler, RD, CDE, LD/N] 6:10 pm: Visit my website, <a href=”http://www.dearjanis.com”>www.dearjanis.com</a>.

[Ellen] 6:10 pm: Thanks!

[Janis Roszler, RD, CDE, LD/N] 6:10 pm: I don’t have audio books, but have radio interviews from my show archived on dearjanis.com and on dLife.com

[Janis Roszler, RD, CDE, LD/N] 6:11 pm: I do the dLife podcasts.

[ms] 6:11 pm: Janis, what are your recommendations regarding fiber? A long time ago I had learned to deduct fiber from total carb value when taking insulin if it was more than 5 grams, but I have also heard of others deducting all fiber. Thoughts?

[jeff] 6:13 pm: :whistle:

[Janis Roszler, RD, CDE, LD/N] 6:13 pm: I’m still recommending that fiber greater than 5 grams be deducted. That is the official recommendation from the ADA. I like to keep things really simple. If an item has just a bit of fiber, it doesn’t make that much difference in your BS control.

[reese] 6:13 pm: I was on NPH for 35 years and now pumping for 3 and I cannot break my bedtime snack even though I don’t need food to keep my bgs normal through the night anymore. If I don’t eat I don’t sleep as I feel hungry and I know I could eliminate so many calories this way, any ideas?

[ms] 6:13 pm: Also, was wondering if you have a total carbohydrate recommendation for woman per day?

[Janis Roszler, RD, CDE, LD/N] 6:13 pm: Change to a lower calorie snack and increase your exercise. If your nighttime snack makes you feel good, keep it up.

[Ellen] 6:14 pm: What would you advise a teen going off to college with type 1 diabetes with regard to finding nutritious food there? My son’s going off to school, has been vegetarian for 11 years. So much of college food is now fast food

[ms] 6:15 pm: Ellen, send extra money πŸ™„

[Janis Roszler, RD, CDE, LD/N] 6:15 pm: Most women need between 130 – 180 grams of carbs per day.

[Ellen] 6:15 pm: He’s already telling me he’s going to need $150/wk for food8s

[Janis Roszler, RD, CDE, LD/N] 6:16 pm: Your son should keep healthy snacks in his dorm room. Can he get a fridge?

[reese] 6:16 pm: that many carbs Janis, for real, wow, not feeling so guilty any longer πŸ™‚

[ms] 6:16 pm: what are your feelings on protein intake for someone without known kidney disease?

[Janis Roszler, RD, CDE, LD/N] 6:16 pm: I’ve got 2 kids in college. They eat a lot too! LOL

[Janis Roszler, RD, CDE, LD/N] 6:17 pm: I don’t buy into the low carb mania. Carbs are way too important for your body. Healthy carbs, not fewer carbs.

[betty] 6:17 pm: I’m with you reese

[reese] 6:17 pm: betty πŸ™‚

[ms] 6:18 pm: i have a strange worry that by somehow consuming a lot of protein (despite no problems) i may be pu8tting stress on my kidneys. Is that way off base, or may there be something to it?

[betty] 6:18 pm: πŸ™‚

[Janis Roszler, RD, CDE, LD/N] 6:18 pm: As long as your kidneys are healthy (you must get tested!) and you aren’t eating an aggressively large quantity of protein, you are doing fine.

[Jon] 6:19 pm: Janis, do you find that protein has much of an effect on blood sugars, and if so, how do you figure that in when calculating an insulin dose?

[ms] 6:20 pm: the two cravings i get are protein and carbs – so… at times i feel like i am packing in the protein – what is a concerning amount?

[jeff] 6:20 pm: That is what put where I am at today, Is eating fast food and eating on the run I am sometimes so sorry I ever took my career and wish things where different. But there not and that is one of the things I am fighting the FMCSA Federal Motor carrier admin on is the Hours Of Service rule. It is forcing drivers to eat high carb foods all the time to keep there wheels rolling to max there driving time.:grin:

[reese] 6:23 pm: are you on a pump Jeff?

[jeff] 6:23 pm: I ate pizza almost every day before i got sick

[jeff] 6:23 pm: Not on pump yet

[jeff] 6:23 pm: I am hopeing to go oral

[Janis Roszler, RD, CDE, LD/N] 6:23 pm: There is a great book out by Hope Warshaw, RD, CDE. Guide to Healthy Restaurant Eating. Has suggestions for fast foods.

[Janis Roszler, RD, CDE, LD/N] 6:24 pm: It is written for folks with diabetes

[Jon] 6:24 pm: Janis, do you find that protein has much of an effect on blood sugars, and if so, how do you
figure that in when calculating an insulin dose?

[ms] 6:24 pm: the two cravings i get are protein and carbs – so… at times i feel like i am packing
in the protein – what is a concerning amount?

[Janis Roszler, RD, CDE, LD/N] 6:25 pm: I don’t have my pump patient’s bolus for protein. Some people are sensitive to large amounts of protein and must take extra insulin, but most don’t have to.

[reese] 6:25 pm: gotta run thank you for the helpful hints Janis, goodnight all, nice to see you betty πŸ™‚

[Janis Roszler, RD, CDE, LD/N] 6:25 pm: Bye betty thanks for coming!

[jeff] 6:25 pm: Well in less you have been in a truckstop and see how you have to eat there that book would not help all the truckers in the world. Foods are the same day in and day out at truckstops but I know how to eat now thanks to you janis

[betty] 6:25 pm: take care reese

[Janis Roszler, RD, CDE, LD/N] 6:26 pm: You are too kind, Jeff.

[jeff] 6:26 pm: Well it the truth

[betty] 6:26 pm: that’s reese that’s leaving Janis

[Janis Roszler, RD, CDE, LD/N] 6:26 pm: Cravings come if you aren’t eating a well-balanced day. The best way to fight them is to get your BS within a normal range, EXERCISE, and eat a larger amount of fiber to fill you up.

[jeff] 6:27 pm: I did not get alot of training with diabetes but somehow my Lantus is down for 60 units to 4 units at night

[Janis Roszler, RD, CDE, LD/N] 6:27 pm: Also keep the bad foods far away from you. Don’t buy them and don’t bring them into your home.

[jeff] 6:27 pm: and i still count carbs

[Janis Roszler, RD, CDE, LD/N] 6:28 pm: You are doing something right. That’s for sure!

[jeff] 6:28 pm: I am still here talking thanks to you

[Janis Roszler, RD, CDE, LD/N] 6:29 pm: I’m blushing! Enough compliments!;)

[Jon] 6:30 pm: Janis, do you think that 100 grams of carbs per meal for a 15 year old is excessive?

[Ellen] 6:30 pm: Do you have suggestions for people who are emotional eaters? How to break that habit?

[Jon] 6:31 pm: I ask because I was told not to let him have more than 100 grams per meal. Not that he always east that much, but sometimes he likes to

[Janis Roszler, RD, CDE, LD/N] 6:31 pm: I work with adults, so I don’t know exactly what a 15 y/o should have, but if his 2 hour post meal BS level is within his target range and he is growing appropriately, I would guess that he is doing well.

[Janis Roszler, RD, CDE, LD/N] 6:32 pm: Hmmm emotional eaters. I am one too. Just keep the bad foods out of the house and find a way to release your stress – yoga, exercise, meditation and BELLY DANCING! Also drink plenty of water, especially when you crave a food and are just nervous, not hungry.

[Ellen] 6:33 pm: Jon, I can tell you that when my son was around 12, he would eat breakfast with gusto – probably 180 grams of carbs every morning without fail. But his A1C’s stayed close to target and he did well. And best of all, he doesn’t have eating issues. He’s 18 now and has cut way down in how much he wants to eat

[Janis Roszler, RD, CDE, LD/N] 6:33 pm: Like I said, I believe life is meant to be enjoyed. Your son is a kid. As long as all is well with his health, let him enjoy his food.

[Jon] 6:34 pm: would it be beneficial for an adult with type 2 to switch to a vegetarian or vegan diet?

[Jon] 6:34 pm: my sons blood sugar usually runs on the high side. They thought that restricting his carbs might help

[Janis Roszler, RD, CDE, LD/N] 6:35 pm: It depends. Vegetarian diets can be very high in carbs. Vegan diets must be planned carefully so you get all the nutrients that you need. If you want to do that, work with someone who can help you do it safely. If you just want to substitute vegetarian protein for animal protein, that should be fine.

[Janis Roszler, RD, CDE, LD/N] 6:36 pm: For your son – cutting back on carbs is not a bad idea, but I’m sure that he loves his portions. Search for carb foods that are higher in fiber – that will slow down the entry of glucose into his system.

[Janis Roszler, RD, CDE, LD/N] 6:37 pm: Is your son on a pump?

[Jon] 6:37 pm: he is not on a pump yet

[Jon] 6:37 pm: we just received it a few days ago

[Jon] 6:38 pm: they wouldn’t give him one before because he was eating too many carbs

[Janis Roszler, RD, CDE, LD/N] 6:38 pm: Get him on it ASAP. Then he can eat what he wants too (healthy foods, preferably) and not feel so tortured by diabetes restrictions. Every kid should be on a pump in my opinion

[betty] 6:38 pm: congrads Jon!

[Jon] 6:38 pm: we are waiting for the pump trainer to get back from vacation

[Janis Roszler, RD, CDE, LD/N] 6:38 pm: They wouldn’t give him one because of his carb intake? Crazy!

[ms] 6:38 pm: just an interesting note… for some reason when i buy/eat veggie products (burgers, sausage etc…) my blood sugars go high despite me
bolusing – have not had them in a long time – don’t buy them anymore bec. of it

[Janis Roszler, RD, CDE, LD/N] 6:39 pm: That is interesting. Not sure why that is happening. I have to think about it. Are you sensitive to large protein amounts?

[Janis Roszler, RD, CDE, LD/N] 6:40 pm: Do you eat certain foods with these veggie items that you don’t normally eat with other foods?

[Jon] 6:40 pm: the amount of carbs was just one excuse in a long line of excuses

[jeff] 6:40 pm: If your sugars go high, will the pump let you know somehow ??

[Janis Roszler, RD, CDE, LD/N] 6:40 pm: I’m glad he is getting a pump. Keeping it from him was a nasty punishment to him and you!

[Janis Roszler, RD, CDE, LD/N] 6:41 pm: No. You must check your BS frequently when you wear the pump. Hopefully it will tell BS levels in the future, not yet, however.

[jeff] 6:41 pm: I see

[Janis Roszler, RD, CDE, LD/N] 6:42 pm: If the pump is working properly and you are taking the correct amount of insulin, you shouldn’t go out of range that often.

[ms] 6:42 pm: no, had eaten the veggie products alone each time – could it be the soy? It was a long while ago – I stopped bec. I could not figure it out. I do think that protien affects my bg hours later, but have not really analyzed it fully – i think the same with high carbs hours later

[betty] 6:42 pm: for me having a pump is almost like having a pancreas:D

[ms] 6:42 pm: it definitely adds flexibility to life!!

[Janis Roszler, RD, CDE, LD/N] 6:43 pm: Maybe. The only thing you can do is to keep a journal and chart what happens. You have to be a detective to figure out these things.

[jeff] 6:43 pm: Well not for me but there s hope:cry:

[ms] 6:43 pm: Unfortunately I know … I record when it is important enough to me πŸ˜‰

[Janis Roszler, RD, CDE, LD/N] 6:44 pm: There are LOTS of new things coming on the market. Diabetes treatment is really cooking.

[Jon] 6:44 pm: Jeff, most pumps should have continuous glucose monitors in the near future.

[jeff] 6:44 pm: I would like to see one close up

[ms] 6:45 pm: I heard that the next big focus will be on making infusion sets etc… that are more gentle – that companies are recognizing that people with long term diabetes are running out of “insertion space” due to scar tissue etc., due to the impact of the needles going in to the body

[Jon] 6:45 pm: I understand Minimed has a pump with the Guardian glucose monitor available in Canada, but has not yet been approved in the US

[Janis Roszler, RD, CDE, LD/N] 6:45 pm: A pump or continuous glucose monitor?

[jeff] 6:45 pm: A pump

[Janis Roszler, RD, CDE, LD/N] 6:46 pm: Most of the pump websites have virtual pumps that you can play with online.

[jeff] 6:46 pm: I olny know a little about them

[Ellen] 6:46 pm: Jeff, if you’re interested, there’s a good comparison chart of pumps here: <a href=”http://www.diabetesnet.com/diabetes_technology/insulin_pump_models.php”>http://www.diabetesnet.com/diabetes_technology/insulin_pump_models.php</a>

[jeff] 6:46 pm: thx

[Ellen] 6:46 pm: Janis, what do you think of supplements? Do you think it’s wise to take a basic multi-vitamin?

[Jon] 6:47 pm: Jeff, the ADA has conventions all over the country. The pump reps are usually there with sample pumps you can see up close. It might be worth looking into

[Janis Roszler, RD, CDE, LD/N] 6:47 pm: A basic multi-vitamin is not a bad idea, especially if you don’t always eat well.

[Jon] 6:48 pm: thats a good question. What about chromium and cinnamon that have been in the news recently?

[jeff] 6:48 pm: I be at washington dc one here soon and hope to goto call to congress olny 2 people in my way here

[Ellen] 6:48 pm: And benfotiamine

[Janis Roszler, RD, CDE, LD/N] 6:49 pm: I like both chromium and cinnamon. They both work. Check supplements out at consumerlab.com. They are an independent testing lab that checks different brands and will tell you if they do what they say they will do.

[Jon] 6:49 pm: do those have any benefits for type 1, or are they mostly good for type 2?

[Janis Roszler, RD, CDE, LD/N] 6:50 pm: Not sure about benfotiamine. I have to check the research.

[The DiabetesTalkFest Chat Room]: karen has left at 6:50 pm

[The DiabetesTalkFest Chat Room]: crystal has entered at 6:51 pm

[Janis Roszler, RD, CDE, LD/N] 6:51 pm: Cinnamon works for type 2 and chromium can help both type 1 and 2

[ms] 6:51 pm: I have Viactive chewable multivitamis. Do they really have sufficient nutrients (as supplements?)

[crystal] 6:51 pm: hi all!!

[Ellen] 6:51 pm: How do you determine the safe amount for a child with type 1 taking chromium?

[ms] 6:51 pm: what are the benefits of chromium? lowering bg?

[Janis Roszler, RD, CDE, LD/N] 6:51 pm: Yes, viactiv is a good brand.

[crystal] 6:52 pm: i heard that too much chromium can effect the liver?

[Janis Roszler, RD, CDE, LD/N] 6:52 pm: Unfortunately, I don’t know about children. You have to speak with his/her health care team

[Janis Roszler, RD, CDE, LD/N] 6:53 pm: Chromium may improve your cells sensitivity to insulin.

[crystal] 6:53 pm: so why would my nautopathic Dr say that?

[Jon] 6:54 pm: I have heard lots of different “magical” supplements, such as honey and apple cider. Are there any others that you know of that actually help?

[Janis Roszler, RD, CDE, LD/N] 6:54 pm: Too much of anything can be harmful. Supplements and herbs are medicine! You must treat them with great respect. Check out the info at consumerlab.com. They review the pros and cons of the supplements that they review. They discuss the research.

[crystal] 6:54 pm: that is good to know

[Janis Roszler, RD, CDE, LD/N] 6:55 pm: I’m sorry, Crystal. What did you natropath say?

[Janis Roszler, RD, CDE, LD/N] 6:55 pm: The only magical natural supplement that I’ve seen good research on is cinnamon. Nothing exciting about honey or apple cider.

[crystal] 6:56 pm: oh that is ok,he said that chromium can have effects on the liver and cause damage

[Ellen] 6:56 pm: Vinegar has also been in the news for type 2

[Janis Roszler, RD, CDE, LD/N] 6:56 pm: Oh, hot peppers help too. Some good research on that came from Jamaica. It helps lower post meal BS levels.

[Jon] 6:56 pm: Chat is officially over in 5 minutes, however Janis has offered to stay longer if anybody would like to continue

[crystal] 6:57 pm: okay sure

[Janis Roszler, RD, CDE, LD/N] 6:57 pm: Oops. you are right. Vinegar is good too. I just wrote an article on all of this. Sorry, I forgot what I wrote!!!

[Ellen] 6:57 pm: :yeah:

[Jon] 6:57 pm: can we find that article on your website?

[Janis Roszler, RD, CDE, LD/N] 6:58 pm: So we have vinegar, cinnamon, and hot peppers. If I think of anything else I’ll let you know.

[crystal] 6:58 pm: have you ever heard of bitterm melon or noni juice?

[Ellen] 6:58 pm: Janis, I’m going to write to you and see if you’d like to speak at our pump support group – it’s facilitated by Dr. Wendy Satin Rapaport ( a psychologist who focuses on diabetes)

[crystal] 6:58 pm: sorry meant bittermelon

[Janis Roszler, RD, CDE, LD/N] 6:58 pm: No, sorry. I wrote it for Diabetes Health. I think it is archived on their site.

[Ellen] 6:59 pm: The people in India have talked about bitter melon lowering bg for a long time. I can also show you the research of non-pasturized camels milk lowering blood sugar πŸ™‚

[crystal] 6:59 pm: really but that sounds like it may taste awful

[ms] 7:00 pm: what is the research on vinegar ? is it a specific type of vinegar only?

[Janis Roszler, RD, CDE, LD/N] 7:00 pm: Yes, I’m familiar with both. Bitter melon can help lower BS levels in type 1 and type 2, but may cause diarrhea. I have read about noni juice, but can’t recall what the research says. Also, another great food is garlic. It can help lower lipids (blood fats).

[crystal] 7:00 pm: good to know

[Ellen] 7:00 pm: Any suggestions for getting through the Passover holiday without gaining weight?

[crystal] 7:00 pm: hello Martin

[Jon] 7:00 pm: would any of these supplements be beneficial to anybody with “pre-diabetes”?

[Janis Roszler, RD, CDE, LD/N] 7:01 pm: The vinegar research was done on regular white vinegar. Other types probably help too.

[crystal] 7:01 pm: yeah good question I too am jewish

[Janis Roszler, RD, CDE, LD/N] 7:01 pm: You can find lots of passover info on <a href=”http://www.friendswithdiabetes.com”>www.friendswithdiabetes.com</a>

[Martin] 7:02 pm: Hi . the Url is “bad”

[crystal] 7:02 pm: anyone heard of goji juice or phykto plankton

[crystal] 7:02 pm: what is url

[Janis Roszler, RD, CDE, LD/N] 7:03 pm: Just watch your portions like any other holiday. Drink plenty of water, fill up on chicken soup, etc. You can use the Plate Method to measure out your foods. It is a great portion control method that uses your plate as a measuring too. <a href=”http://www.platemethod.com”>www.platemethod.com</a>

[Ellen] 7:03 pm: I’ve heard non juice is , to say it nicely, full of fraudulent claims.

[Jon] 7:03 pm: <a href=”http://www.friendswithdiabetes.org/”>http://www.friendswithdiabetes.org/</a>

[Janis Roszler, RD, CDE, LD/N] 7:03 pm: thanks. you beat me to it.

[Martin] 7:03 pm: the webpage www,friendswith………

[crystal] 7:04 pm: so i have heard well they say it has been used for centuries in tahiti however my endo said do not touch it

[Martin] 7:04 pm: tx Jon….

[Janis Roszler, RD, CDE, LD/N] 7:04 pm: It is a Jewish diabetes support site.

[Janis Roszler, RD, CDE, LD/N] 7:05 pm: The problem with many of the folk remedies is that the amount of active ingredient found in the plant is not always the same -no regulation. It is tough to try to improve your BS level if you don’t know what you are taking.

[crystal] 7:05 pm: in Toronto we have a very large jewish community

[Ellen] 7:05 pm: We need a website that helps people with celiac on passover

[Janis Roszler, RD, CDE, LD/N] 7:06 pm: I do a lot of research on herbs and supplements, but have to look most of them up. Sorry guys, I don’t have the info handy.

[Jon] 7:06 pm: Janis, have you ever heard of type 2 meds having an effect on lactose intolerance?

[Ellen] 7:06 pm: I grow a lot of herbs – all legal πŸ™‚

[crystal] 7:06 pm: lol

[Janis Roszler, RD, CDE, LD/N] 7:06 pm: Ellen, have you every seen Rabbi Blumenkrantz’s guide to passover? He covers most eating issues

[crystal] 7:07 pm: that would be good to look

[Janis Roszler, RD, CDE, LD/N] 7:07 pm: I haven’t heard that lactose intol is a side effect of type 2 meds, but each person is different. Some meds do affect GI health.

[Jon] 7:07 pm: my dad claims his lactose intolerance went away when he started taking glucophage

[Janis Roszler, RD, CDE, LD/N] 7:08 pm: Cool. Hey, if it worked, I’m all for it.

[Ellen] 7:08 pm: No but his wife used to be my daughter’s teacher a long time ago. I wonder if he covers celiac and passover because I’ve yet to find any gluten free matzot.

[Janis Roszler, RD, CDE, LD/N] 7:08 pm: What may have happened is that his improved BS level reduced any GI neuropathy that he was developing.

[crystal] 7:09 pm: we have a jewishdelicatessen here that has them i just need to remeber the name

[Jon] 7:09 pm: that would make sense

[Janis Roszler, RD, CDE, LD/N] 7:09 pm: Ellen, write me at my website, dearjanis.com and I’ll see if I can find the celiac recommendations in that book. I just bought it yesterday.

[Ellen] 7:09 pm: I’ve seen oat matzah but it’s questionable if oats are safe for celiac.

[Ellen] 7:09 pm: My email will have Camels in it Janis. Please don’t delete it as spam πŸ™‚

[Janis Roszler, RD, CDE, LD/N] 7:10 pm: ok. I like camels.

[ms] 7:10 pm: Janis, do you have many clients who deal with weekend eating (large portions) and holiday eating (frequent within judaism)?

[Janis Roszler, RD, CDE, LD/N] 7:11 pm: Yes. Most of my patients are orthodox. I am too.

[ms] 7:11 pm: do you suggest dual/square wave bolusing a lot?

[Janis Roszler, RD, CDE, LD/N] 7:12 pm: Again, portions control. Get the challah off the table (egg bread) and limit the cholent to 1/4 of your plate (traditional bean stew).

[crystal] 7:12 pm: Janis do you have anyone here in Toronto you would recommend that is also orthodox

[Ellen] 7:12 pm: I’m going to have a hard time with my sephardic charoset. I know I shouldn’t make so much of it.

[ms] 7:13 pm: oh gee… i think i am high for hours after eating the “bean stew” – do people find that they are high after chille? it is similar.

[Janis Roszler, RD, CDE, LD/N] 7:13 pm: I don’t teach dual/square wave bolusing to my patients unless they are struggling with their post meal BS level. But if it helps you enjoy high fat foods, such as pizza, go for it.

[Janis Roszler, RD, CDE, LD/N] 7:14 pm: The best thing to do is move temting foods away, far away from you!

[Ellen] 7:14 pm: The extended bolus works great for my son with pizza and high fat foods. He takes about 40% up front and the rest over the next 90 minutes.

[Janis Roszler, RD, CDE, LD/N] 7:14 pm: chili could do that too.

[Janis Roszler, RD, CDE, LD/N] 7:14 pm: Great. It sounds like it works well for him.

[ms] 7:15 pm: do you have suggestions for eating and bolusing for matzah?

[Ellen] 7:15 pm: I need to go to sleep so I’d like to say thank you so much for your time tonight Janis. And I wish you and the others here who celebrate Passover, chag sameach vekasher.

[Janis Roszler, RD, CDE, LD/N] 7:16 pm: Chag kasher v’sameach to you too! (Happy and kosher holiday) thanks for joining us.

[ms] 7:16 pm: sorry everyone… did not mean to narrow that focus on passover – guess its on my mind

[crystal] 7:16 pm: Thanks Elle good night

[Martin] 7:17 pm: Has anyone tried the Guardian RT ? (i am going to test it tomorrow)

[ms] 7:18 pm: no martin – what state are you in ? i think it is only available in select cities

[Martin] 7:18 pm: I am from Norway…… πŸ™‚

[ms] 7:19 pm: ah… in the united states, it is not widely available yet

[Jon] 7:19 pm: Are there any more questions for Janis?

[crystal] 7:19 pm: are you in Norway or from Norway??

[Jon] 7:20 pm: Thanks for being here Janis!

[ms] 7:20 pm: Just wanted to thank Janis for her time tonight, and for fielding a wide range of questions. Have a nice evening.

[Martin] 7:20 pm: i am in Norway and from Norway, and its 4in the morning……

[Janis Roszler, RD, CDE, LD/N] 7:20 pm: Thanks everyone! I enjoyed meetin you all. Have a great night.

[Jon] 7:20 pm: We will have a transcript up in case anybody missed part of the chat

[Jon] 7:20 pm: Janis, please come back and chat with us again any time

[crystal] 7:21 pm: what is Norway like

[Janis Roszler, RD, CDE, LD/N]7:21 pm: You bet. G’nite!:up:

[crystal] 7:21 pm: thank you Janis

[Jon] 7:22 pm: Please check out Janis’s website, <a href=”http://dearjanis.com/”>http://dearjanis.com/</a> as well as her radio talk show on Sundays from 4-6 PM (ET) on WWNNtalk.com, and on 1470 AM in south Florida.

[The DiabetesTalkFest Chat Room]: Janis Roszler, RD, CDE, LD/N has left at 7:22 pm

[Jon] 7:22 pm: Chat is officially closed. Stay as long as you like everybody!