what to ask at today’s exam diabetes -...

DiabetesWhat to ask at today’s exam

Compliments of your healthCare provider

Guide to

Take charge!✔ manage your

blood sugar

✔ Get—and stay—slim and fit

✔ Work with your care team

“Insulin gave me hope”

6 Ways to help insulin

work better!

When soaring blood sugar threatened Tiffiany’s pregnancy, insulin came to the rescue

eye brow

3

Special thanks to our expert medical adviser:

Arlan Rosenbloom, MD Adjunct Distinguished service professor emeritus, Division of endocrinology, Department of pediatrics, university of Florida College of Medicine, Gainesville

Health Monitor Network is the nation’s leading multimedia patient-education company, with publications such as Diabetes Health Monitor available in healthcare professionals’ offices, and websites. For more information: health Monitor network, 135 Chestnut ridge road, Montvale, nJ 07645; 201-391-1911; healthmonitor.com ©2015 Data Centrum Communications, inc. Questions? Contact us at [email protected]

STAFFeditor-in-Chief maRIa LIssaNdReLLo

project editor kathLeeN eNGeL

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LINdsay BossLett

Creative director JohN aNGeLINI

art director JeNNIfeR WeBBeR

production and project management director kImBeRLy h. VIVas

alliances and partnership director

maRc JeNseN

strategy and integrated solutions director daN tassoNe

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vice president, human resources and

Customer service ReNee moRmaNdo

Chief financial officer dING yU

senior vice president daVe doLtoN

senior vice president, new products,

technology and strategy aLex doNG

president keNNeth fReIRIch

Chief executive officer eRIc JeNseN

®

Guide to

Diabetes

this publication is not intended to provide advice on personal medical matters or to substitute for consultation with a physician.

The basics 4 Live the life you love—

despite diabetestaking charge of diabetes can lead you to better health and more energy

6 Understanding diabetesfind out how diabetes affects your body and why you must control it

16 Give insulin a helping hand6 ways to get the best benefit

You and your healthcare team 8 Meet your team

learn more about the healthcare professionals who are on your side

13 Getting the best treatment for youuse this discussion guide to get care that’s customized to you

True inspiration10 “I’m healthy—and so is my

daughter—because of insulin”tiffiany’s sugars soared during her pregnancy; insulin came to the rescue

22 “We’re thriving with diabetes!” scott, Jessica, mike and riva on the tips that keep them going strong!

34 “Yep, I eat chocolate every day”diabetes educator, dietitian and person With diabetes marina Chaparro spills her nutrition secrets

28 Emma Stone,

Kate Hudson and Jessica Biel share their fitness tips!

34 rD and pwD Marina Chaparro practices what she preaches.

Take charge26 Do you have diabetes and...?

high blood pressure, high cholesterol and/or extra pounds in addition to diabetes requires special attention

28 Stay fit like the stars! how hollywood’s a-listers look so good!

30 Surprising ways to make weight loss stick small tweaks to your environment can help make weight control effortless

32 Snack-sational!When the munchies hit, grab one of these snacks— each contains 15 grams of carbohydrates or less!

36 Power breakfast—Spanish style!this easy-make tortilla delivers lots of flavor and fill-you-up protein

Cover photo by Chris hAMilton photoGrAphy At ponCe City MArket2 health monitor Guide to dIaBetes

4 health monitor Guide to dIaBetes 5

hearing you have a chronic disease can take the wind out of anyone’s sails. “When my

doctor told me I had type 2 diabetes, I started shaking on the exam table,” says Carly, a 56-year-old computer tech. “I was working full-time, helping out with my 2-year-old granddaughter, Janie, and my husband and I were renovating our kitchen. This was gonna push me over the edge!

“But my doctor put her arm around me and said, ‘Carly, I know it’s a lot to handle, but let’s take it one step at a time. You can do this.’ ”

Letting successes add upIt was the reassurance Carly, then 51, needed to put the diagnosis in perspective. She found a diabetes educator near her office and squeezed in lunchtime appointments. “I learned what blood sugar is, and how insulin works,” says Carly. “I learned about making better food choices, too.

disease and kidney failure,” says Carly.“I was disappointed at first, then

my doctor explained it wasn’t my fault. ‘Sometimes the body’s own insulin just can’t keep up,’ she said. I realized it was foolish not to go for it.” Where are you on your diabetes journey? Whether you are newly diagnosed or living with diabetes for a while,

Live the life you love—despite diabetes!

“Together my diabetes educator and I picked various goals to work on. This first one was actually pretty big. I had to lose about 33 pounds, and she suggested we start there. But I explained that I was still smoking, and I really wanted to tackle that first. She agreed, and that’s where we started!

“Within three months, I had stopped smoking, and I was

tracking my meals and testing my blood sugar.”

Being open to the options

At Carly’s next checkup, she was down five pounds—“I

wasn’t really on a diet per se, but the food log made me more aware of what I was eating.” She was also nicotine free. Unfortunately, her A1C was over 9, and her doctor recommended adding insulin to her treatment plan. “She explained that injected insulin works just like the insulin your body makes, and that it was my best strategy for avoiding complications, like heart

you can take inspiration from Carly. Like her, you can use the tools at your disposal—your doctor, diabetes educator, medication and more—to help turn the tables on diabetes. Keep reading this guide to learn more.

“I’ve lost the weight, and my last A1C was in the sevens!” says Carly. “Best of all, I have no trouble keeping up with Janie. She’s 7 now, and I plan on being there for her for a while!”

Taking control of

diabetes means you may avoid

complications and feel your

best!

your journey


the basics

HoW InSULIn anD BLooD SUGar WorK ToGETHEr

1. Sugar accumulates in blood

4. Blood sugar reduced

2. Pancreas produces insulin, which enters blood

3. Insulin allows sugar to be absorbed by body cells

sugar

insulin

W hether you’ve had diabetes for a while or were recently diagnosed,

one thing is certain: Understanding what diabetes is, how it can affect your body and, most important, what you can do to keep it in check, is one of your most potent tools for avoiding complications and feeling your best. Read on for a refresher on the basics and begin to take charge today!

Some people with type 2 can control their blood sugar with diet and exercise. However, oral medications and insulin are also commonly used.

Keeping blood sugar levels stable The key to taking charge of your diabetes is controlling your blood sugar levels, usually through a combination of diet, exercise and medication. Your care team will work with you to determine what your target numbers should be (see table on next page). By frequently testing your

levels to avoid or quickly correct spikes or drops in your blood sugar levels, you can help fend off and even prevent the long-term effects of diabetes.

Taking control, dodging complications One of the tricky parts of uncontrolled diabetes is that you may not feel the effects right away. When blood sugar accumulates in your blood over time, it can cause inflammation and damage to your blood vessels—especially vulnerable are those in your eyes, your extremities (such as your toes and

Understanding diabetesDiabetes—explained!Normally, beta cells, which are found in the pancreas, produce and secrete insulin, the hormone that helps blood sugar enter the body’s cells, where it is used for energy.

“When you have diabetes, your beta cells become compromised, and your body either stops producing or stops responding to insulin,” explains Rachel Pessah-Pollack, MD, a clinical assistant professor at the Mount Sinai School of Medicine in New York City. “People are diagnosed with diabetes if they have a fasting glucose level above 126 mg/dL; a random glucose level [taken during the day, when you have eaten normally] of 200 mg/dL or above, along with symptoms such as frequent thirst and urination; or if their A1C level is greater than 6.5.”

If you’re diagnosed with type 1—which usually strikes children or young adults—your pancreas produces little or no insulin, and you must take insulin to keep your blood sugar levels in a

normal range. If you have type 2, your body either does not produce enough insulin or your body does not respond to it the way it’s supposed to.

You’re not alone! More

than 29 million americans have

diabetes.


the basics

fingers) and your gums—and put extra strain on your kidneys and heart. That’s why it’s so important to test frequently and follow the treatment plan your care team creates for you: Keep your numbers within range, and you can help keep the complications at bay.

You can take charge!“See your endocrinologist and diabetes educator regularly. They will monitor your progress and watch for any signs of complications,” says Dr. Pessah-Pollack. Also: Make sure you understand how your medication works—and how to take it. “We have a great arsenal of treatment options to make sure your blood sugar levels are within range.”

Finally: Whether or not you need medication and/or insulin, making smart choices each day—apple vs. apple pie, stairs vs. elevator—can help keep your blood sugar at goal. It’s not always easy, but you don’t have to go it alone. Turn to this guide, your doctor and diabetes educator, and your loved ones for the support that can help keep you healthy and happy!

THE TEaM on YoUr SIDE• Primary care physician (PCP):

your family doctor or internist may be the physician who diagnosed your diabetes. your pCp can coordinate your healthcare team.

• Endocrinologist: this doctor specializes in diseases of the endocrine system, including diabetes.

• Certified diabetes educator (CDE): A healthcare professional who can counsel and educate people with diabetes. he or she can help you set achievable behavioral goals, give you lifestyle suggestions and address your concerns and challenges.

• Nurse practitioner (NP): An advanced practice registered nurse who can diagnose and treat diabetes.

• Physician assistant (PA): A certified medical professional who can also diagnose and treat diabetes.

• Ophthalmologist: this doctor can do regular eye exams to help prevent and treat diabetic eye disease.

• Nephrologist: this doctor can treat kidney disease that results from diabetes.

• Neurologist: this doctor can treat nerve damage, known as neuropathy, that results from diabetes.

if you let diabetes run rampant, you may…

HoW DIaBETES can LEaD To a HEarT aTTacKexcess blood sugar can cause clogged arteries. that, in turn, can lead to blood clots, which can trigger a heart attack or stroke. in fact, people with diabetes have twice as many heart attacks and strokes as people without the disease, according to the American Diabetes Association. if you have diabetes, ask your doctor to evaluate your heart health, and find out what you can do—besides controlling your blood sugar—to lower your risk.

Blood sugar goals for people with diabetes (mg/dL)(Review with your care team.)

Normal Good Action neededbefore-meal blood sugar <110 80-120 <80 or >200After meal <120 180 <100 or >180hemoglobin A1C <6% 7% 8%+

iMPAiR YOuR viSiONHigh blood sugar can damage blood vessels in your eyes. This can lead to diabetic retinopathy. • Watch for: Any change in your vision, such as specks

or blurriness.

DEvELOP HEART DiSEASEWith diabetes you are at greater risk for heart disease. • Watch for: Chest pain, shortness of breath, extreme

fatigue, racing heart.

SuFFER KiDNEY FAiLuREUncontrolled blood sugar can lead to kidney disease.• Watch for: Fluid buildup. More advanced symptoms

include poor appetite, upset stomach, weakness and difficulty concentrating.

DAMAGE NERvES (AND RiSK AMPuTATiON)Chronically high blood sugar can lead to diabetic neuropathy. When foot nerves are affected, you are prone to ulcers that could ultimately lead to amputation. • Watch for: nausea, vomiting, dizziness, feeling faint or

weak, trouble urinating, pain and/or numbness.

“art was there for me while I was pregnant with Izabella,” says tiffiany.


true inspiration

Back in 2009, Tiffiany Jordan McDuffie was in the middle of the most exciting time in her

life—the then 34-year-old was set to marry her fiancé, Art. But something wasn’t quite right.

Why was she waking up so tired every morning? And what about the constant stomachaches? She tried chalking up the symptoms to her stressful job at a law firm, but “I finally made an appointment with my doctor,” she remembers.

Tiffiany’s physician took some tests and told her to stick to “soft foods,” like ice cream, for the time

being. But the following morning, her doctor called and said, “Everything I told you yesterday…don’t do it!”

Turned out, Tiffiany’s fasting blood sugar was 293! A second round of blood work confirmed she had type 2 diabetes. “I was shocked,” she admits.

“i decided to step up”In addition to taking the medication her doctor prescribed, Tiffiany signed up for a nutrition course. “I’d always heard diabetes referred to as ‘the sugar’ and that people with ‘the sugar’ had to stay away from sugar,” she states. “But I never knew until I got into this class that it was more than just sugar.”

Tiffiany learned how to read labels and count carbs. Soda was out, brown rice replaced white, and veggies—like roasted asparagus and roasted kale—took up more room on her plate. “Kale chips have become a really big thing for me!” she says.

“My sugars soared during my pregnancy”Shortly after Tiffiany and Art walked down the aisle, she found out she was pregnant.

But their joy was tempered when Tiffiany was told her blood sugars were out of control. “This number is so high, your baby is going to have problems,” said her doctor.

Tiffiany was heartbroken, but Art emboldened her: “Our baby is going to be healthy,” he vowed. “And whatever you need, you’ll get.”

“insulin saved my baby!”To safeguard her baby, Tiffiany turned to an endocrinologist, who added insulin to her treatment plan. “When I told her I didn’t like needles, she had me practice in the office on myself,” Tiffiany recalls. “And she prescribed a hair-fine needle that wasn’t even a half-inch long—it was amazing because I could barely feel it!”

During her pregnancy, Tiffiany continued to learn more ways to manage her blood sugar, like drinking water throughout the day to balance cravings and enjoying a

“I’m healthy— and so is my daughter— because of insulin!”

when her blood levels soared out of control during her pregnancy, tiffiany’s doctor recommended insulin. she’s grateful for the therapy that brought baby izabella into the world.

photo by Chris hAMilton photoGrAphy At ponCe City MArket

diabetes discussion guide

13

1. How well is your current treatment working?List the medications you are currently taking:

name of medication Current dose (how much/how often)

Fill in your recent blood sugar readings:

when i tested test result My blood sugar goal

after waking up

Before a meal

after a meal

Before going to sleep

other (after a workout, middle of the night, etc.)

My most recent A1C: My goal A1C:

Getting the best treatment for you!when diet, exercise and oral medications aren’t able to control blood sugar levels in people with type 2 diabetes, insulin is often their best option. Fact is, diabetes is a progressive condition, so many people with type 2 will eventually go on to need insulin. Fill out the tools on these next few pages and share with your diabetes team to see if insulin may be an option for you, and how to best use it if it is.

late-night protein and carb snack, such as a serving of fruit and peanut butter, so she was less likely to wake up with low blood sugar.

The combination of insulin and lifestyle changes kept her diabetes in check, and a few months later, Tiffiany and Art were over the moon when she gave birth to a beautiful—and healthy—baby girl, Izabella.

“My endo is my accountability partner!”These days, Tiffiany continues to

manage her diabetes with the help of her endocrinologist. “I call her my ‘accountability partner,’ ” she states. “I trusted her throughout my pregnancy to make sure my baby was fine, so I trust that she will continue to keep me on the right track.”

Her current goal is to incorporate more exercise into her life in order to stay healthy for her family. “I take the stairs instead of the elevator in my building, I pick the farthest spot in parking lots, but the best exercise of all is playing with Izabella!”

• Get specialized attention. “the first thing i suggest is seeing a registered dietitian or diabetes educator,” says tiffiany. “this person can help you figure out how to still eat the foods you love, which won’t make you feel deprived.” she also swears by her endocrinologist. “she truly understands my condition and has tailored a program that works best for me.”

• Prick with ease. tiffiany, who felt she “ran out of fingers by

Tiffiany’s top tips for conquering diabetes

the end of the day,” discovered a less sensitive way to test blood sugar levels. “i’ve found that pricking my finger on the side right under my fingernail, as opposed to in the middle of the pad on a finger, doesn’t hurt as badly,” she says.

• Keep a log. Maintaining a daily record of each blood sugar reading can prevent future setbacks, states tiffiany. “being able to actually see my

numbers helps me catch a bad trend ahead of itself,” she explains.

• Make water your BFF. “when i was pregnant, i was told to drink a lot of water each day in order to stay hydrated,” says tiffiany. “And it’s something i never stopped doing—today i take in at least 70 to 80 ounces of water a day. it makes me feel good, and when i feel good, i don’t have any desire to eat junk.”

true inspiration

diabetes discussion guide

check off side effects you’re experiencing from your current treatment and how they are affecting you:

symptomnot a problem

sometimes a problem

often a problem

Always a problem

nausea

vomiting

diarrhea

Constipation

low blood sugar

high blood sugar

increased urination

neuropathy

Confusion or brain fog

dizziness

metallic taste

decreased appetite

Weight loss

Weight gain

headaches

Water retention

I have tried the following other methods to control my blood sugar:£ Diet changes (if yes, please list:)

£ exercise (if yes, please list what activities you do and how often:)

£ other lifestyle changes (e.g. quit drinking, managing stress, etc.)

2. Making the most of insulinif you’re already taking insulin, or were recently prescribed it, fill out this form and share with your care team to make sure you’re using it as best you can; and to ensure side effects aren’t coming between you and good diabetes management.

I’m currently taking:£ bolus (short-acting) insulin £ basal (long-acting) insulin £ both

if using bolus insulin, how much do you use per dose, and how often per day are you injecting? __________ (dosage) ______________ times per day.

check off side effects you’re experiencing and how they are affecting you:

symptomnot a problem

sometimes a problem

often a problem

Always a problem

low blood sugar

Blurry vision

headaches

infection, rash or pain at injection sites

frequent colds or flu-like symptoms

Weight gain ask your diabetes care team what you can do if you…Forget to take your insulin: Are afraid of needles: Are too embarrassed to use insulin in public/at your job/around your family: Find it too inconvenient with your busy lifestyle: Can’t afford it:

3. Questions to ask• Do you recommend i try insulin?• if i am currently taking insulin, would switching to a different type of insulin

address any of my concerns?• is there anything else you recommend (diet change, exercise change, more

frequent blood sugar monitoring) to help my insulin work better?• when should i make my next appointment?


differently. Sticking with the same general area will help avoid blood sugar fluctuations.

3 Rotate injection sites. Once you’ve chosen the best area of your

body for injections, insert the needle in a different spot each time. For example, give your next shot one inch over from the last one. “Rotating” injecting sites like this helps avoid skin problems. Some patients find it convenient to establish a pattern like the one below. By the time you get to site #20, site #1 will be healed and you can start over. Ask your doctor, nurse or diabetes educator what might work best for you.

4 Stay on schedule! A consistent injection schedule helps keep your

blood sugar within the target range. “Along with understanding the type of insulin, the time of day you take your medication is key,” emphasizes Massey. Eventually, giving yourself insulin may become so routine that it slips your mind. The AADE offers a few ideas for reminding yourself:• Write down the

date, time and dose of every injection.

• Set a reminder on your cellphone or watch.

the basics

• “Link” your injection to something you do at the same time each day, like brushing your teeth.

• Keep your injection materials where you’ll see them at the right time.

5Don’t make it a pain. It’s easier to be consistent with your

injections if you’re not causing yourself pain every time. Pinching the skin around the injection site so it’s hard and using a new needle every time will be easier on your skin. Also, let the insulin come to room temperature before injecting it; cold insulin can sting.

6 Track your progress. “Monitoring blood glucose levels is

key to figuring out if your medication regimen, including insulin, needs to be adjusted,” explains Massey. Often, patients are advised to check their blood sugar at least four times daily. You may need to check more or less

often, depending on the plan you’ve discussed with your care team. Remember, their goal is the same as yours: to make sure you’re as healthy as possible and feeling your best.

—Harris Fleming

l uckily, when your pancreas can’t produce the insulin your body needs to move sugar from your

bloodstream into your cells and tissues, there’s a ready alternative: injected insulin, which acts just like the insulin your body makes. The challenge? Figuring out how to use it to get your blood sugar into a healthy range while preventing highs and lows, explains Alison Massey, director of diabetes education at Mercy Medical Center’s Endocrinology Center in Baltimore, MD. Here, her tips for doing just that.

1Know your medication— and how it works. “There

are different types of insulin,” explains Massey. “Be well-versed

6ways to give

your insulin a helping

handnot only on the dose and injection technique, but how that insulin works to help with blood glucose management.” Storage instructions can differ from one type to another, too. Read the instructions, and talk to your diabetes care team if you have questions.

2Pick your injection area. The American Association

of Diabetes Educators (AADE) recommends choosing one area of your body (e.g., the abdomen, the outside of your thighs) that you can see and reach easily for injections—and then injecting your insulin there every time. Why? Different parts of your body may absorb insulin

PoSSIBLE InJEcTIon roTaTIon PaTTErnstart with site #1 and move on down the line with each injection. When you get to the end of the series, start again.


1

*As compared with U-100 mealtime insulin pens. †Once opened, Humalog U-200 KwikPen should be thrown away after 28 days, even if insulin remains. ‡As compared with capped and undialed U-100 mealtime insulin pens.

Now you can change pens half as often.*†

The Humalog® U-200 KwikPen® contains twice as much mealtime insulin in a size‡ similar to your cu� ent mealtime insulin pen. ask your doctor about Humalog U-200 KwikPen.

Humalog.com/U200

*

029967_elcu2_PP-HI-US-0009_u200_digest_ad_fa2.indd 1 7/1/15 4:39 PM

mportant Safety Information for humalog 100 units/MLand Humalog 200 units/ML KwikPen

PP-HI-US-0009 06/2015 ©Lilly USA, LLC 2015. All rights reserved.

What is the most important information I should know about Humalog?• Do not share your Humalog KwikPen, cartridges, reusable pen compatible

with Lilly 3 mL cartridges, or syringes with other people, even if the needle has been changed. You may give other people a serious infection or get a serious infection from them.

• Humalog 200 units/mL KwikPen contains 2 times as much insulin (200 U/mL) in 1 mL as standard insulin (100 U/mL).

• The Humalog contained in the Humalog U-200 KwikPen should ONLY be injected with the Humalog U-200 KwikPen. Do not withdraw Humalog U-200 from the pen using a syringe. It could result in an overdose causing severe low blood sugar which may put your life in danger.

• Do not change the insulin you use without talking to your healthcare provider. Changes may make you more likely to experience low or highblood sugar. Changes should be made cautiously under the supervision ofyour healthcare provider.

• Test your blood sugar levels as your healthcare provider instructs.

• Your insulin dose may need to change because of illness, stress, other medicines you take, change in diet, or change in physical activity or exercise.

• When used in a pump, do not mix or dilute Humalog U-100 with any other insulin or liquid. Do not use Humalog U-200 in an insulin pump.

Who should not take Humalog?• Do not take Humalog if your blood sugar is too low (hypoglycemia) or if you

are allergic to insulin lispro or any of the ingredients in Humalog.

Before using Humalog, what should I tell my healthcare providers?• About all of your medical conditions, including liver, kidney, or heart failure

or other heart problems.

• If you are pregnant, planning to become pregnant, or are breastfeeding.

• About all the medicines you take, including prescription (especially ones commonly called TZDs [thiazolidinediones]) and nonprescription medicines, vitamins, and herbal supplements.

How should I use Humalog?• Humalog is a rapid-acting insulin. Take Humalog within fi fteen minutes before

eating or right after eating a meal.

• Always make sure you receive the correct type of Humalog from the pharmacy.

• Do not use Humalog if it is cloudy, colored, or has solid particles or clumps in it.

• Do not mix Humalog U-200 with any other insulin.

• Inject Humalog under your skin (subcutaneously). Never inject into a vein or muscle. Change (rotate) your injection site with each dose. Make sure you inject the correct insulin and dose.

• Do not re-use needles. Always use a new needle for each injection. Re-use of needles can cause you to receive the wrong dose of Humalog and result in infection.

• Do not drive or operate heavy machinery until you know how Humalog a� ects you. Do not use alcohol while using Humalog.

What are the possible side e� ects of Humalog?• Severe low blood sugar can cause unconsciousness (passing out), seizures,

and death. Low blood sugar is the most common side e� ect. There are many causes of low blood sugar, including taking too much Humalog. It is important to treat it quickly. You can treat mild to moderate low blood sugar by drinking or eating a quick source of sugar right away. Symptoms may be di� erent for each person. Be sure to talk to your healthcare provider about low blood sugar symptoms and treatment.

• Severe life-threatening allergic reactions (whole-body reactions) can happen. Get medical help right away if you develop a rash over your whole body, have trouble breathing, have a fast heartbeat, or are sweating.

• Humalog can cause life-threatening low potassium in your blood (hypokalemia), which can cause severe breathing problems, irregular heartbeat, and death.

• Serious side e� ects can include swelling of your hands and feet and heart failure when taking certain pills called thiazolidinediones or “TZDs” with Humalog. This may occur in some people even if they have not had heart problems before. Tell your healthcare provider if you have shortness ofbreath, swelling of your ankles or feet, or sudden weight gain, which may be symptoms of heart failure. Your healthcare provider may need to adjust orstop your treatment with TZDs or Humalog.

• Failure of your insulin pump or infusion set or degradation of the insulin in the pump can cause hyperglycemia and ketoacidosis. Always carry an alternate form of insulin administration in case of pump failure. The most common side e� ects of Humalog include low blood sugar, allergic reactions, including reactions at your injection site, skin thickening or pits at the injection site (lipodystrophy), itching, and rash. These are not all of the possible side e� ects. Ask your healthcare provider for more information or for medical advice about side e� ects.

You are encouraged to report negative side e� ects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

Humalog is available by prescription only.

For additional information, talk to your healthcare providers and please see accompanying Brief Summary of Patient Prescribing Information on the next page.

Please see Instructions for Use included with the pen.

HI U200 CON ISI 26MAY2015

Humalog® and Humalog® KwikPen® are registered trademarks of Eli Lilly andCompany and are available by prescription only.

Who should use Humalog® U-200?Humalog U-200 (insulin lispro injection [rDNA origin]) is used to treat people with diabetes for the control of high blood sugar.

I


Humalog® (insulin lispro injection) HI U200 CON BS 26MAY2015

Humalog HI U200 CON BS 26MAY2015 Brief Summary 4.75 x 6.875 PRINTER VERSION 1 OF 2

Information for Patients about Humalog® (insulin lispro injection)

Read the “Patient Information” that comes with Humalog (HU-ma-log) before you start using it and each time you get a refill. There may be new information. This leaflet does not take the place of talking with your healthcare provider about your diabetes or treatment. If you have questions about Humalog or diabetes, talk with your healthcare provider.

What is Humalog?Humalog is an injectable, rapid-acting, man-made insulin. It is used to treat people with diabetes for the control of high blood sugar. You should take Humalog within fifteen minutes before eating or right after eating a meal.

What is the most important information I should know about Humalog U-200 KwikPen?• Do not share your Humalog U-200 KwikPen with other people, even if the needle has been changed.

You may give other people a serious infection or get a serious infection from them.• Humalog 200 units/mL KwikPen contains 2 times as much insulin (200 U/mL) in 1 mL as standard

insulin (100 U/mL).• The Humalog contained in the Humalog U-200 KwikPen should ONLY be injected with the Humalog

U-200 KwikPen. Do NOT withdraw Humalog U-200 from the pen using a syringe. It could result in an overdose causing severe low blood sugar which may put your life in danger.

• Do not change the insulin you use without talking to your healthcare provider. Changes may make you more likely to experience low or high blood sugar. Changes should be made cautiously under the supervision of your healthcare provider.

• You must test your blood sugar levels as your healthcare provider instructs.• Your insulin dose may need to change because of illness, stress, other medicines you take, change in diet,

or change in physical activity or exercise • Always make sure you receive the correct type of Humalog from the pharmacy. Do not use Humalog if it is

cloudy, colored, or has solid particles or clumps in it.• Inject Humalog under your skin (subcutaneously). Never inject into a vein or muscle. Change (rotate) your

injection site with each dose. Make sure you inject the correct insulin and dose.• Do not use Humalog U-200 in an insulin pump.

Who should NOT take Humalog?Do not take Humalog:

• if your blood sugar is too low (hypoglycemia).• before checking with your healthcare provider regarding any allergies you may have to its ingredients.

How should I use Humalog?• Humalog is a rapid-acting insulin. Take Humalog within fifteen minutes before eating or right after eating

a meal.• Always make sure you receive the correct type of Humalog from the pharmacy.• Do not use Humalog if it is cloudy, colored, or has solid particles or clumps in it.• Do not mix Humalog U-200 with any other insulin. • Do not re-use needles. Always use a new needle for each injection. Re-use of needles can cause you to

receive the wrong dose of Humalog and result in infection. • Do not drive or operate heavy machinery until you know how Humalog affects you. Do not use alcohol while

using Humalog.

What are the possible side effects of Humalog?• Severe low blood sugar can cause unconsciousness (passing out), seizures, and death. Low blood sugar

is the most common side effect. There are many causes of low blood sugar, including taking too much Humalog. It is important to treat it quickly. You can treat mild to moderate low blood sugar by drinking or


Humalog® (insulin lispro injection) HI U200 CON BS 26MAY2015

Humalog HI U200 CON BS 26MAY2015 Brief Summary 4.75 x 6.875 PRINTER VERSION 2 OF 2

eating a quick source of sugar right away. Symptoms may be different for each person. Be sure to talk to your healthcare provider about low blood sugar symptoms and treatment.

• Severe life-threatening allergic reactions (whole-body reactions) can happen. Get medical help right away if you develop a rash over your whole body, have trouble breathing, have a fast heartbeat, or are sweating.

• Humalog can cause life-threatening low potassium in your blood (hypokalemia), which can cause severe breathing problems, irregular heartbeat, and death.

• Serious side effects can include swelling of your hands and feet and heart failure when taking certain pills called thiazolidinediones or “TZDs” with Humalog. This may occur in some people even if they have not had heart problems before. Tell your healthcare provider if you have shortness of breath, swelling of your ankles or feet, or sudden weight gain, which may be symptoms of heart failure. Your healthcare provider may need to adjust or stop your treatment with TZDs or Humalog.

• The most common side effects of Humalog include low blood sugar, allergic reactions, including reactions at your injection site, skin thickening or pits at the injection site (lipodystrophy), itching, and rash. These are not all of the possible side effects. Ask your healthcare provider for more information or for medical advice about side effects.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

What should I tell my healthcare provider before using Humalog?• About all of your medical conditions, including liver, kidney, or heart problems.• About all the medicines you take, including prescription (especially ones commonly called TZDs

[thiazolidinediones]) and nonprescription medicines, vitamins, and herbal supplements.• If you are pregnant, planning on becoming pregnant, or are breastfeeding.

How should I store HUMALOG?• Unopened Humalog should be stored in a refrigerator and can be used until the expiration date. • Humalog should be stored away from heat and light. Do not use insulin if it has been frozen.• Once in use, Humalog KwikPen should be kept at room temperature. • Once in use, Humalog KwikPen should be thrown away after 28 days, even if insulin still remains in the pen.

Humalog® and Humalog® KwikPen® are registered trademarks of Eli Lilly and Company.

Available by prescription only.

Marketed by: Lilly USA, LLC Indianapolis, IN 46285, USACopyright © 2015 Eli Lilly and Company. All rights reserved.

Additional information can be found at www.humalog.com

HI U200 CON BS 26MAY2015



true inspiration

Reach out. Connecting with others who have diabetes has helped Scott K. Johnson of Minneapolis see that it’s common to struggle with certain things. For example, because of his online diabetes community, he knows that “following instructions and still getting unexpected results doesn’t make me a failure—that’s just how things work with diabetes sometimes!”

Hoof it whenever you can! You don’t have to join a gym or do a big workout. Instead, try doing what Jessica Apple of Philadelphia, PA, does. “I try to walk everywhere I can,” she says, “and if possible I always skip the elevator and take the stairs.”

them back on,” says Riva Greenberg of Brooklyn, NY. Instead, she embraces a healthier diet—specifically, more vegetables, fruit, lean protein, beans, lentils and healthy fats like olive and coconut oil, avocado, nuts and seeds. “If you eat a healthy diet, the weight will come off and what you eat will be nutritious, helping your diabetes and your overall health.”

Forgive and move on. “No one with diabetes can have perfect blood glucose all the time!” Jessica

“No one with diabetes can have perfect blood sugar all the time,”says JESSIca aPPLE, here with husband MIKE aVIaD, who also has diabetes.

Check your blood sugar often. “I check a minimum of eight times a day—and often much more than that, especially during long-distance runs,” says Michael Aviad of Philadelphia (and Jessica’s husband), who runs and trains for marathons. His top goal: to avoid going low. “It’s a terrible feeling, and high blood sugar often follows the low. The roller coaster is draining”—which makes him all the more determined to keep checking.

Aim to eat well, not drop pounds. “Most of us want to lose a few pounds, but when that’s our focus, we tend to drop them and then put

says. “If you need to have a treat, do it and get back on track the next day.” Her advice if you crave sweets all the time? Learn to bake low-carb desserts—or enjoy chocolate! She chooses bars with 70% cacao or more.

Try this to distinguish your insulins. If you take a long-acting and rapid-acting insulin, make sure you can tell the difference between them quickly and easily, Riva advises. “We do so many things on

“We’re thriving with diabetes!”

ScoTT, JESSIca, MIKE and rIVa know the ups and downs of living with diabetes. yet they have found ways to get the best out of every day. Ask your healthcare team if their ideas can work for you, too! by AnDreA bArbAliCh


“Focus on progress, not perfection,”

says ScoTT JoHnSon.

automatic that if you’re not watching carefully all the time it’s easy to mix them up.” Her trick for preventing this: “I use an insulin pen for my long-acting insulin and a vial and syringe for my rapid-acting insulin. It’s been decades and I’ve never mixed them up!”

Realize we’re all different. Mike keeps this in mind at all times: What works for one person may not work for another. “It takes some trial and error, but you can find a system that works for you,” he says. “Just remember: It’s not a test, and if it were, no one gets 100! And that’s okay.”

Be prepared. “We can’t always prevent lows, so we have to have quick-acting sugar at the ready,” says Riva, who carries glucose tablets in all her purses, pouches and pockets. “You can get an inexpensive little plastic case that holds four tablets,” she says. She also keeps a bottle of tablets in a kitchen drawer and another next to her bed.

“When the blues hit, go

out and enjoy yourself!”

says rIVa GrEEnBErG.

Be patient with blood sugar lows. “They’re tough, and I struggle with eating more than necessary to fix them,” says Scott. “I try to keep fast-acting glucose with me at all times, and when I can discipline myself to treat with them, I’m less likely to overtreat.” He also recognizes, though, that his body is reacting to what it perceives as a life-threatening situation. “So of course it’s going to be dramatic,” he says. His advice? “Treat the low and wait. That might be one of the hardest things in the world to do.”

Do what you love. When the blues hit—“as they will,” shares Riva—shake them away by going to a movie, having dinner with a friend, going shopping, or taking a favorite walk. “It can be anything that gives you pleasure because it will shift your energy!”

Don’t suffer in silence. “There is a wonderful online diabetes community!” says Jessica. “You are likely to find warm, supportive people who understand what you’re going through.” Most important: If you feel burned out or depressed, ask your care team for help.

Embrace a mantra. Scott’s favorite? “Focus on progress, not perfection.” Be kind to yourself, he says, and surround yourself with information and support. “You can totally do this diabetes thing!”

Congratulate yourself—often! “Take a moment during the day or sometime during the week to acknowledge all you’re doing to care for yourself and your diabetes,” encourages Riva. “It’s a big job, and it’s never-ending! So really pause and express some appreciation to yourself. This can relieve some of the stress of managing diabetes and give you more energy and resolve to keep going.”

true inspiration

26 health monitor Guide to dIaBetes26 health monitor Guide to dIaBetes

Why it matters: “People with diabetes and hypertension are at great risk for heart attack and stroke,” says Erin Kelly, RN, BSN, CDE, a diabetes educator at the Joslin Diabetes Center in Boston. High blood pressure is also one of the leading causes of kidney damage in people with diabetes.What you can do:• Work with your care team. You can’t “feel” high blood pressure, so in addition to taking lifestyle steps (such as reducing sodium intake and increasing exercise), it’s important to take any medication exactly as prescribed. Your care team may also ask you to monitor your blood pressure at home and log the readings. Review the log at scheduled visits.

Why it matters: “Obesity only makes your body more resistant to insulin,” says Kelly. The good news? “A small amount of weight loss, typically five to seven percent, is usually enough to help improve insulin resistance.” What you can do:• Set realistic goals. Modest weight loss makes a big difference in blood sugar control, so focus on losing just five pounds at a time. And consider setting a goal that has nothing to do with the scale, such as being able to walk a 5K.• Write it down. Studies show simply jotting down what you eat can

high blood pressure?

Why it matters: About 60% of people with diabetes also have high cholesterol. Trouble is, high blood sugar damages blood vessels, while high cholesterol causes arteries to become stiff and narrow. Together, it’s a recipe for heart attack! What you can do:• Skip the “sat fats.” Saturated fats— the kind that turn solid, such as lard—drive up LDLs. They’re often found in processed foods, so Scheiner says, “look at food labels and limit your

high cholesterol?

excess weight?

by itself, diabetes can take a toll on your overall health (especially if it’s not controlled). And when you add high blood pressure, high cholesterol or obesity

to the mix, your risk for diabetes-related complications such as heart disease, kidney damage, neuropathy and more increases. Fortunately, a few strategies can help you take charge and drive those risks right back down! here’s how.

Do you have diabetes and…

• Stop smoking! “You can do all the right things, but if you continue to smoke cigarettes you’ve really doomed yourself,” says Gary Scheiner, MS, CDE, owner and clinical director of Integrated

Diabetes Services in Wynnewood, PA. “Nicotine causes hypertension in and of itself, so it’s just throwing gasoline on the fire.” Not to mention: Smoking raises blood sugar levels!• Relax. “Chronic stress raises blood pressure and causes insulin resistance,” says Scheiner. “Relaxation exercises can really help with that.” Something as simple as closing your eyes and “seeing” mental images of a peaceful place like a favorite beach can help. Have a smart phone? Try a free app like Calm!

help you lose weight, probably by making you more mindful of every bite. But don’t stop at recording your meals—record your physical activity, too. Everything from flights of stairs, to steps taken, to vacuuming counts. Review your log to look for any trigger foods. For example, does a handful of almonds lead to a whole can? • Get a buddy. “An ‘accountability partner’—a person who will hold you to your goals—can be key,” says Kelly.

You can also ask your diabetes educator to refer you to a support group.

—Harris Fleming

daily intake to no more than 13 grams.”• Do whatever it takes. “You might do all the right things and still not get the results you want,” says Scheiner.

“In that case, medication may be necessary.” Note: You may have heard that statins, drugs that lower high cholesterol, can raise blood sugar. If your doctor recommends a statin, ask him to review the risks and benefits. Often, the heart-protective effects outweigh the risks.

take charge

take charge

Stay fit—like the stars!who better to inspire your fitness plan than some folks who have to look good for a living? here, celebrities share some of their favorite ways to stay in shape!

Mix things up“I like to do a couple of yoga classes during the week, mixed in with weight training sessions for strength…yoga for me is more of an elongating thing. I hike and walk my dogs a lot. It keeps me very clear-headed.”

—TV and film actress Jessica Biel

Get moving“Sometimes I’ll just move around and dance around to kind of just sweat because I feel like I need to get things circulating. My go-to’s are Brazilian Butt Lifts—it’s just really, really concentrating on your core and your butt—and Pilates.”

—Academy Award winner Kate Hudson

Find exercise you love“I like to do things I actually enjoy, like going for a swim. I had a trainer during Spider Man and I discovered I have deep-seated rage when I’m holding heavy weights over my head! That’s not the kind of working out I want to do.”

—Birdman star Emma Stone

1APPROVAL DATE OK/WCAPPROVAL DATE OK/WCAPPROVAL DATE OK/WCAPPROVAL DATE OK/WCAPPROVAL DATE OK/WCAPPROVAL DATE OK/WCAPPROVAL DATE OK/WCAPPROVAL DATE OK/WCAPPROVAL DATE OK/WCAPPROVAL DATE OK/WC

Client: NONEJob No.: NONEDescription: NONEPick-up Job No.: NONE

Notes:Document: M57479 Digest-FullPage-B_m4.indd Date: 9-25-2015 10:07 AMDDB Office: San Francisco

Color(s): 4C

Trim: 5.25” x 7.3125”

Gutter: None

None

Miller, Jason

40613 Version:02 09-26-15 hr

M57479_DFP_B_v2

*Dexcom G5 Mobile User Guide, 2015 ** For a list of compatible devices, visit www.dexcom.com/compatibilityBRIEF SAFETY STATEMENT The Dexcom G5 Mobile Continuous Glucose Monitoring System is a glucose monitoring system indicated for detecting trends and tracking patterns in persons (age 2 years and older) with diabetes. CONTRAINDICATIONS Remove the System before MRI, CT scan, or diathermy treatment. The device is MR Unsafe. Do not bring any portion of the System into the MR environment. Taking acetaminophen while wearing the sensor may falsely raise your sensor glucose readings. WARNING Do not use the System for treatment decisions. The System does not replace a blood glucose meter. The System is not approved for use in pregnant women, persons on dialysis or critically ill persons. If a sensor breaks and no portion of it is visible above the skin, do not attempt to remove it. Seek professional medical help if you have infection or inflammation. Report broken sensors to Dexcom Technical Support. Sensor placement is not approved for sites other than under the skin of the belly (ages 2 years and older) or upper buttocks (ages 2-17 years). Your smart device’s internal settings override your app settings. Accessory devices (like a smart watch) might override your smart device’s alert and notification settings. The Share feature must be turned “On” with an active internet connection to communicate glucose information to a Follower. The Follower must download and install the Dexcom Follow App onto a separate smart device with an active internet connection to receive data. Contact Dexcom Toll Free at 877-339-2664 or www.dexcom.com for detailed indications for use and safety information. © 2015 Dexcom Inc. All rights reserved. This product is covered by US patent.

D E X C O M . C O M

A L W A Y S K N O W

I ALWAYSKNOW

WHEN MYGLUCOSE LEVEL

CAN GO ANOTHER MILEIF YOU HAVE DIABETES, NOW YOU CAN ALWAYS KNOW

YOUR GLUCOSE LEVEL WITH THE NEW DEXCOM G5™

MOBILE CONTINUOUS GLUCOSE MONITORING (CGM)

SYSTEM. IT SENDS READINGS EVERY FIVE MINUTES*

— AND ALERTS WHEN NECESSARY — FROM A SMALL,

BODY-WORN SENSOR TO YOUR SMART DEVICE.** YOU

WILL ALWAYS KNOW YOUR LEVEL, SO YOU CAN AVOID

HIGHS AND LOWS.

S:4.375”S:6.875”

T:5.25”T:7.3125”

B:5.5”B:7.625”

PACIFIC DIGITAL IMAGE • 333 Broadway, San Francisco CA 94133 • 415.274.7234 • www.pacdigital.comFilename:

Colors:Operator: Time:

Date:M57479_DFP_B_v2.pdf_wf02Cyan, Magenta, Yellow, Black

SpoolServer 13:28:1915-09-26

NOTE TO RECIPIENT: This file is processed using a Prinergy Workflow System with an Adobe Postscript Level 3 RIP. The resultant PDF contains traps and overprints. Please ensure that any post-processing used to produce these files supports this functionality. To correctly view these files in Acrobat, please ensure that Output Preview (Separation Preview in earlier versions than 7.x) and Overprint Preview are enabled. If the files are re-processed and these aspects are ignored, the traps and/or overprints may not be interpreted correctly and incorrect reproduction may result. Please contact Pacific Digital Image with any questions or concerns.

Surprising ways to make weight loss stick!

Eat more! Protein, that is. If you want to stay lean, consume protein at each meal—even snacks. “Protein helps you feel satisfied for an extended period of time,” says Lyssie Lakatos, RD, a New York City-based nutrition expert and co-author of The Secret to Skinny (HCI, 2009). It’s digested more slowly than carbs, so you’ll be less likely to feel ravenous soon after eating. Some healthy options: fish, soy, black or kidney beans, non-fat and low-fat dairy products, eggs,

who fear resources are becoming scarce tend to indulge in more high-calorie foods.

Go with this dinnerware color scheme. It’s red! A study in the journal Appetite showed that red plates cause you to automatically eat less because they subconsciously signal your brain to “stop.”

you know maintaining a healthy weight goes hand-in-hand with controlling your blood sugar levels and staving off diabetes complications. but the reality is, nearly 80% of people who lose weight will regain it all within five years. so how can you make it into the 20% of weight-loss success stories? why not start with a few tweaks to your environment? these study-proven tips can help you cut calories and make healthier choices—effortlessly.

lean cuts of meat and skinless chicken; good snack choices include red and green bell pepper strips with hummus, a celery stalk smeared with peanut butter, or grapes with low-fat string cheese.

Serve food restaurant-style. Portion food onto plates from the stove or counter, rather than placing serving bowls on the table. This will automatically make you less likely to reach for seconds.

Show some green at the supermarket. Using cash (rather than credit) to pay for meals or at the supermarket caused study subjects to automatically buy more healthy foods, according to research in the journal Obesity. The reason? Scientists suspect that using credit causes people to make more impulse

purchases—which in the food store typically means unhealthy snack or dessert foods!

Turn off the news while making dinner. Hearing sad or concerning news can activate a “survival” mind-set that may drive you to eat more. Researchers at University of Miami found that people

Put portion control in the palm of your hand!HanDFUL =1 ounce, or a serving of nuts, chips and popcorn

WHoLE THUMB=1 ounce peanut butter and hard cheese

PaLM=3 ounces, or a serving of meat and fish

If you’re like most americans, you’re eating two to three times the amount recommended by U.s. dietary guidelines. moderating your portions can help you lose excess weight. don’t want to weigh or measure? Just use your hands!

cLEncHED FIST=1 cup fruits and veggies

THE FronT oF YoUr cLEncHED FIST=1/2 cup cooked pasta

FInGErTIP =1 tsp. fats like mayo or butter

take charge

30 health monitor Guide to dIaBetes

1 string cheese and a handful of grapes:

9 CARBS

1 wedge melon wrapped in slices of

ham or smoked salmon: 11 CARBS

2 tbsp. peanut butter, 4 wheat crackers:

15 CARBS

sliced cucumber and yogurt dip: 10 CARBS

½ cup mixed nuts: 14 CARBS

1 cup ricotta cheese sprinkled with cinnamon

and sliced almonds: 10 CARBS

1 cup cottage cheese with 2 tbsp. fresh salsa:

10 CARBS

1 cup edamame: 15 CARBS

1 cup roasted kale chips sprinkled with

parmesan cheese: 7 CARBS

1 cup air-popped popcorn : 6 CARBS

bell pepper slices and ¼ cup hummus:

12 CARBS

Celery stuffed with cream cheese:

6 CARBS

WHAT’S MY CARB GOAL?Generally speaking,

your carb intake should account for 45%-65% of your total calories —that’s 200 grams if you’re eating 1,800

calories a day. so you can allot about 50 carbs

at each of your three meals, with 50 left to

spend on drinks, snacks and/or dessert.

you can feel guilt-free turning

to one of these snacks when the

munchies hit—each contains

15 or fewer carb grams!

Snack-sational!

1 oz. Cheddar cheese with 1 pretzel rod:

9 CARBS


take charge

½ avocado with ¼ cup tuna salad: 13 CARBS

“Yep, I eat chocolate every day!” registered dietitian and pwD Marina Chaparro

follows a few simple rules to eat healthfully and keep her blood sugar in check. by DeborAh pike olsen

Hospital in Hollywood, FL. Here, she shares the strategies that help her stick to a healthy diet without feeling deprived.

Make portion control automatic! Marina keeps measuring cups in her cereal boxes, pasta and grain containers: “Once you

know what a cup of rice looks like, it’s easy to eat out and avoid a blood sugar spike,” she says.

Eat carbs last. “If I start my meal with a carb, my blood sugar spikes quickly,” says Marina, so she begins with a salad and a protein like chicken and saves a carb for the end of the meal. New research in Diabetes Care backs her up. The finding: If you fill up on veggies and protein first and save the carbs for later, you will have better blood sugar control.

Treat yourself. “I eat chocolate every day,” says Marina, who follows a few simple rules to keep blood sugar level: First, she always eats chocolate with meals, because that’s when she uses insulin to help regulate her blood sugar. If she were to eat it at a different time of day, such as mid-afternoon, her blood sugar would spike. Marina also controls her portions carefully by choosing treats that have no more than 150 calories.

Pre-package your snacks. Marina has two to three snacks between meals—about three to four hours apart. She aims for 15 to 20 grams of carbs per snack and checks food labels to determine the right serving size. She uses Tupperware containers and Ziploc bags to create grab-and-go snacks like trail mix, carrots and hummus, and fruit. “Rather than grab chips from a bag, it’s better to measure them out in advance,” she says.

use technology. Apps like Calorie King and My Fitness Pal come in handy when Marina is at a chain restaurant and wants to check the nutritional profile of a food. “I’ll type in a quantity, like two slices of pizza, and look up the carbs and calories,” she says. “Then I’ll give myself insulin based on how much I eat. The apps remove the ‘guesstimation factor.’ ”

Divvy your plate. Marina always fills half her dinner plate with non-starchy veggies like spinach, broccoli, asparagus and red peppers. She divides the other half into quarters and has a serving of lean protein, such as chicken, meat or fish, in one and reserves the remaining quarter for healthy carbs like brown rice, whole wheat pasta or sweet potatoes. “This approach helps me feel full and prevents me from overeating carbs,” says Marina.

marina Chaparro knows firsthand that one of the biggest challenges with

diabetes is how to enjoy food while keeping your blood sugar under control. She’s had diabetes for most of her life and has dedicated her career to helping others with the disease. As a registered dietitian, certified diabetes educator and spokesperson for the Academy of Nutrition and Dietetics, Marina uses her professional training and personal knowledge to educate patients at Joe DiMaggio Children’s


true inspiration

Makes 4 servings

8 eggs

1 cup chopped veggies, such as mushrooms, zucchini and red peppers

2 garlic cloves

4 small potatoes

2 tbsp olive oil

2 chives or 1/2 medium onion

this traditional spanish dish, courtesy of diabetes educator and registered dietitian Marina Chaparro, is loaded with protein, veggies and complex carbohydrates. not only is it filling, but it also helps keep your blood sugar in check!

Nutrition facts (per serving)Calories 351 fat 17 g, protein 16 g, carbohydrates 33 g, sodium 312 mg

• Boil potatoes in hot water until slightly done. Set aside, cool and chop. • Sauté the veggies with the olive oil

until they turn light brown. Add chopped potatoes and cook until done. • Mix eggs, sprinkle with salt and

pepper, and add to the veggies. Cover with lid to help eggs fluff. Flip egg and veggie mixture so it cooks evenly.• Serve with green salad.

VeGGIe toRtILLa

Power breakfast–

36 health monitor Guide to dIaBetes

take charge

spanish style!

what to ask at today’s exam diabetes -...

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