Diabetes

After passing out for the second time due to dangerously high blood sugar levels, Michael T. Ross turned his life around with healthier food choices and a new medication.

Photo by Exceed Photography

Photo by Exceed Photography

CONTENTS

Health Monitor Living Diabetes

THE BASICS

You can thrive despite diabetes!
Thanks to new types of medications and lifestyle tweaks that can help keep your blood sugar levels in a good range, diabetes doesn’t have to take over your life. Work with your healthcare team to find the treatment plan that’s your perfect fit!

How medicines can help
The good news for people with diabetes? Today’s treatments can help you thrive! Ask your doctor or diabetes care and education specialist if these options are right for you.

TRUE INSPIRATION

“This is your life—and you should be enjoying it!”
Here’s how Michael, Simone and Kate enjoy life fully—despite diabetes.

FEEL YOUR BEST

Quiz: How sugar-savvy are you?
Think you have an eye for sugar servings? Test out your knowledge by clicking on the food or drink option that you think has the least amount of sugar.

Stay in shape like the stars!
For Hollywood celebrities, staying in shape is part of the job. Here, they share the A-list strategies that might just inspire you!


You can thrive
despite diabetes!

Thanks to new types of medications and lifestyle tweaks that can help keep your blood sugar levels in a good range, diabetes doesn’t have to take over your life. Work with your healthcare team to find the treatment plan that’s your perfect fit!
_________

A closer look at diabetes
Diabetes is a metabolic disorder that disrupts your body’s ability to produce or use insulin properly and leads to high blood sugar levels over a period of time. Normally, beta cells, found in the pancreas, make insulin—the hormone that helps blood sugar enter cells to be used for energy. In type 1 diabetes, beta cells are destroyed by the immune system, so the body does not make enough insulin. In type 2 diabetes, beta cells either don’t produce enough insulin or the body’s cells do not respond correctly to insulin (this is known as insulin resistance).

When blood sugar is unable to enter the body’s cells, it builds up in the bloodstream. Over time, excess blood sugar can lead to body-wide damage, including heart and kidney disease.

How is it diagnosed?
Your healthcare provider will order a blood sample be taken after you fast—i.e., don’t eat—overnight. If the results come back between 100 to 125 mg/dL, it is considered prediabetes. If the results are 126 mg/dL or higher, it is considered diabetes. The blood test will also likely look for your A1C—that’s your average blood sugar levels over the past three months. The A1C level for someone without diabetes is below 5.7%, a level of 5.7% to 6.4% indicates prediabetes, and a level of 6.5% or more indicates diabetes.

Medicine can help
Insulin is the treatment if you have type 1 diabetes. If you have type 2 diabetes, oral medicines, non-insulin injectables and/or insulin can help. Learn more about your options by clicking here

What you can do
Work with your diabetes care team to identify your blood sugar and A1C goals and create an action plan to achieve them. And don’t forget, lifestyle changes can also help you stay on track, achieve your goals and feel your best! Ask your healthcare provider if you can give some of our Hollywood insider fitness secrets a try, or take our nutrition quiz to find out if you can identify sneaky sources of sugar.

How medicines
can help

The good news for people with type 2 diabetes? Today’s treatments can help you thrive! Ask your doctor or diabetes care and education specialist if these options are right for you.

Learn more about your medication options

DIABETES PILLS

Metformin decreases blood sugar made by the liver.

Oral semaglutide is a glucagon-like peptide (GLP-1) receptor agonist, which increases insulin secretion, slows stomach emptying time, and leads to reduced food intake and feeling full, with low risk of hypoglycemia (low blood sugar).

Sodium-glucose co-transporter 2 (SGLT2) inhibitors promote the release of excess blood sugar through urine and result in weight loss.

Dipeptidyl peptidase-4 (DPP-4) inhibitors prevent breakdown of a compound that lowers blood sugar.

Thiazolidinediones (TZDs) increase insulin sensitivity.

NON-INSULIN INJECTABLE MEDICINES

Glucagon-like peptide (GLP-1) receptor agonists increase insulin secretion, slow stomach emptying time, and lead to reduced food intake and feeling full, with low risk of hypoglycemia. An oral form is also available, with potentially fewer stomach side effects.

INSULIN INJECTIONS

Insulin helps your body take up blood sugar into cells and helps the liver to store sugar.

Basal, or long-acting, insulin is typically taken once a day and acts slowly over 24 hours.

Bolus, or rapid-acting, insulin is taken before meals to prevent blood sugar increases after eating.

COMBINATION INJECTABLE MEDICINES

Insulin and GLP-1 agonist medicines can be combined. The insulin helps keep blood sugar levels in target range while fasting and overnight, while the GLP-1 agonist medicine helps the pancreas release insulin after eating, often increasing the feeling of fullness, and is helpful for weight loss. It comes in a fixed dose pen, which allows for ease of use.

“This is your life—
and you should
be enjoying it!”

Photo by Exceed Photography

Photo by Exceed Photography

Here’s how Michael, Simone and Kate enjoy life fully—despite diabetes. —by Amy Capetta

“Embrace your new normal”
____________________
MICHAEL T. ROSS
LAS VEGAS, NV

Music has been the love of Michael T. Ross’ life since he was a child. “I’m just a kid who grew up playing piano and now it’s something that has taken me around the world many times,” says the 52-year-old from Las Vegas.

Over the last two decades, Michael has played his keyboard in theaters and at festivals abroad, including London, Italy, Mexico, Canada and Croatia. However, there was a time when Michael’s lifelong dream of being a professional musician was threatened by type 2 diabetes. His health journey began in his early 30s when he decided to take a leap of faith and enter the music world. As luck would have it, he quickly signed his first big record deal with Neal Schon, the guitarist from Journey. Then two weeks before Michael was scheduled to play his first professional show in England in 2002, he passed out.

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“For about a year leading up to that moment, I had been dealing with low energy and feeling lightheaded,” he says. “That progressed to where I started feeling actually dizzy.” One visit with his doctor revealed the cause: Type 2 diabetes with an extremely high blood sugar reading of over 500 mg/dL! Although Michael was prescribed medicine, he wasn’t interested in taking it. “And for the next 10 years, I did my best to ignore the diagnosis.”

Photo by Exceed Photography

Photo by Exceed Photography

“I WAS DOING SOME REAL DAMAGE TO MY BODY”
Looking back now, Michael admits that he spent a decade feeling sick. “We had professional photo shoots and I didn’t want to look in the camera,” he states. “There wasn’t one photo of me smiling. I weighed 200 pounds and hid behind big clothes. Here I was on stage and in the spotlight, yet I was angry. I was struggling and doing some real damage to my body.”

In 2012, Michael moved from Hollywood to Las Vegas after getting the rock musical job. While doing a soundcheck during the first week of the show, the dizziness resurfaced. “The next thing I knew, Tracii Guns from Guns N’ Roses found me passed out and I was off to the emergency room, where they told me my blood sugar was in the 500 mg/dL range again.”

Between 2012 and late 2017, Michael added an endocrinologist to his healthcare team. Michael also knew the time had come to change his lifestyle by getting more movement in, cutting down his portions and preparing his own food at home.

“I’m a type 2 diabetic and
I’m proud of it!”

“I LOST 50 LBS.!”
By early 2018, thanks to his new lifestyle changes, Michael weighed in at a lean 150 pounds and now keeps his daily blood glucose levels in the low 100s by taking his medication as prescribed. Today, he is looking forward to the rock show reopening and going on the road again with his fellow musicians.

“There may be obstacles ahead for me, but I know I can take on the new challenges with confidence,” says Michael, who can be found on Facebook @rockkeys and on Instagram @MichaelTRoss. “This is your life, and you should be enjoying it. At one time I let diabetes get the best of me—but now I am a happy and healthy person living the life of my dreams!”

Michael’s take on how to keep diabetes in check

Focus on ‘complete’ meals.
“At first when I made the decision to adjust my eating plan, I figured that meant having only one slice of pizza rather than three or four in a sitting. But I soon came to realize I needed to focus on eating things that were actually nutritious if I wanted to feel better.” So, Michael made what he calls his “master list” of healthy foods, including berries, vegetables and lean proteins. “I stopped buying the pizza and burgers and cooked portion-controlled, healthier versions of my favorite meals, like eggplant parmigiana,” he says.

Plan ahead.
Michael says prep is key when it comes to managing blood sugar levels. “I’ll have a ‘cook day’ where I make meals according to the number of days I will be eating outside of my home,” he explains. “When I’m on the road in the states, I want to eat my home-cooked food as long as possible, so I have lots of containers, ice packs and Igloos.” If a hotel stay is involved, he calls ahead to make sure the room has a fridge.

Don’t dwell on numbers.
While Michael believes in keeping a log of daily blood glucose levels, he cautions against the urge to overcheck. “I enjoy the new convenient technology, but at one point I realized checking my numbers became a habit like picking up the phone—something I could easily do 30 times a day,” he explains. “Even though I’d be in my target range, I’d be wondering why my number jumped ten points, which just wasn’t good for my mental health. Check however often your doctor recommends and resist the urge to test in-between.”

“I live my life freely!
____________________
SIMONE MOORE, BSN, RN, CPN
Houston, TX

Diagnosed with diabetes in 1996, Simone recalls a time when social media support groups weren’t around yet. Today, she shares her story on Instagram in hopes of helping others who are newly diagnosed or might be struggling with their condition.

Photo by Laurie Perez

Photo by Laurie Perez

Simone’s strategies
for thriving

Find support.
“When I was diagnosed with diabetes in 1996, the Internet and social media weren’t what they are today,” says Simone, a nurse who now devotes herself to helping others with diabetes. “You might be going to the doctor every three months, but who do you talk to in the meantime? Those friends and loved ones who don’t have diabetes probably don’t know what it’s like when your blood sugar is low and you want to eat everything in the kitchen!” Along with various online communities, Simone participates in a Texas-based Facebook group that has meetups. “If someone is having a rough week or day, we might talk about diabetes. But if everything is great we just have fun and enjoy being around each other.”

Keep track of what’s working.
Simone uses a vision board to set her goals, and journals every evening to keep track of them. What works for her? “Eating my vegetables first in a meal, which fill me up. And morning workouts, which have made the biggest difference in my blood sugar levels throughout the day.”

Live your life freely!
“I stayed in Aruba for a few months, just me. I’ve also taken an eight-day solo trip to New Zealand where I did a zipline tour and climbed the Auckland bridge.” Key to enjoying these adventures? Preparation—such as packing extra diabetes medication for her trips. “I meet people who tell me I can’t have or do certain things because of my diabetes. But the more you prepare, the easier it is to live your life without limits.”

Have the right mindset.
“I feel like a lot of people with diabetes have a negative mindset toward their diabetes. You have to clear that up. Yes, you have to take it into account, but it doesn’t define you. It doesn’t have to limit you.” To stay positive, she practices morning affirmations, such as: I can do anything I put my mind to. Diabetes is not the boss of me. I refuse to live a life of regret. Diabetes can’t stop me from doing anything!

“Lots of little things can
have an impact!”
____________________
Kate Dolan
Philadelphia, PA

When Kate was diagnosed with diabetes at age 25, she noticed her blood sugar was up and down whenever she had an “off” week. Here, she shares how her eating and physical activity plans help her cope with her diagnosis.

Photo by Brian Angelini

Photo by Brian Angelini

Kate’s key lifestyle tips

Move your body.
“I take a lot of walks, which benefits my blood sugar and my mental health, too! I also do a lot of strength training to build muscle, which boosts how my body responds to insulin,” says Kate, who blogs about diabetes on Instagram @K.t1d.olan. In fact, a study in Medicine and Science in Sports and Exercise found that a 12-week program of strength training (two sessions a week) improved how the body responded to insulin even when body fat was not reduced.

Stay hydrated.
“I notice when I wake up the day after not properly hydrating, I find it harder to keep my blood sugar levels stable,” says Kate, a health coach. “So I carry around a reusable water bottle and sip on it all day. I don’t count ounces, but I try to have a glass first thing in the morning before I do anything else and at every meal. And I’ll sip on it while I’m working.”

Choose more ‘good for you’ carbs.
“Carbs are not the enemy!” says Kate. “I love sweet potatoes and oats (especially, ‘overnight oats,’ which I prepare and refrigerate overnight to eat the next morning)—they definitely work with my body. But I also eat bread and pasta almost every day. I just make sure to pick products that have a good amount of protein in them, which seems to help regulate my blood sugar levels. My favorite bread is Dave’s Killer Bread and my favorite pasta is chickpea pasta!”

Stay in shape
like the stars!

For Hollywood celebrities, staying in shape is part of the job. Here, they share the A-list strategies that might just inspire you!

CONSTANCE WU
...tunes in to these while running
Musicals and podcasts! “When I’m not working, I run, like, six miles a day. I listen to old Broadway musicals, like The Sound of Music or A Chorus Line. If I’m doing a longer run, I’ll listen to a podcast.”

STERLING K. BROWN
...finds a fun workout
“I love basketball because it’s social, and you’re not even thinking about working out—you’re just playing a game, and getting great exercise at the same time.”

SOFIA VERGARA
...strikes a healthy balance
“You shouldn’t do too much of anything—that could mean working out, that could mean dieting like crazy. I mean, I drink alcohol, but like a little bit. You have to live your life and be happy because I think being happy and not stressing all the time also helps you. You know, having your good times and being healthy. But it’s important to go to the doctor, to have your checkups, to workout, eat healthy, everything. Do everything that you can.”

NAZANIN BONIADI
...swaps white rice for this
Quinoa! “I love Persian food, but it contains a lot of white rice (or “polo” in Persian). One of my favorite dishes is Zereshk Polo (rice with saffron and barberries), usually served with chicken. So my mother introduced me to a healthier version, which I think tastes even better than the original—she simply substitutes the rice for tricolored quinoa and cooks it with chicken broth to give it more flavor. It’s delicious!”

Quiz

Special thanks to our medical reviewer:
Rachel Pessah-Pollack, MD, FACE,
Clinical Associate Professor, Division of Endocrinology, Diabetes & Metabolism, NYU School of Medicine, NYU Langone Health

And thanks to the Association of Diabetes Care & Education Specialists for their review of this publication.

Maria Lissandrello, Senior Vice President, Editor-In-Chief; Lori Murray, Associate Vice President, Executive Editor; Lindsay Bosslett, Associate Vice President, Managing Editor; Joana Mangune, Senior Editor; Marissa Purdy, Associate Editor; Erica Kerber, Vice President, Creative Director; Jennifer Webber, Associate Vice President, Associate Creative Director; Suzanne Augustyn, Art Director; Ashley Pinck, Associate Art Director; Molly Cristofoletti, Graphic Designer; Kimberly H. Vivas, Vice President, Production and Project Management; Jennie Macko, Senior Production and Project Manager; Taylor Wexler, Director, Alliances & Partnerships

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Health Monitor Medical Advisory Board

Michael J. Blaha, MD, Director of Clinical Research, Ciccarone Center for the Prevention of Cardiovascular Disease; Professor of Medicine; Johns Hopkins

Leslie S. Eldeiry, MD, FACE, Clinical Assistant Professor, Part-time, Department of Medicine, Harvard Medical School; Department of Endocrinology, Harvard Vanguard Medical Associates/Atrius Health, Boston, MA; Chair, Diversity, Equity and Inclusion Committee, and Board Member, American Association of Clinical Endocrinology

Angela Golden, DNP, FAANP, Family Nurse Practitoner, former president of the American Association of Nurse Practitioners (AANP)

Mark W. Green, MD, FAAN, Emeritus Director of the Center for Headache and Pain Medicine and Professor of Neurology, Anesthesiology, and Rehabilitation at the Icahn School of Medicine at Mount Sinai

Mark G. Lebwohl, MD, Dean for Clinical Therapeutics, professor and chairman emeritus at Kimberly and Eric J. Waldman Department of Dermatology, Icahn School of Medicine at Mount Sinai, New York

Mary Jane Minkin, MD, FACOG, Clinical professor in the Department of Obstetrics, Gynecology, and Reproductive Sciences at the Yale University School of Medicine

Rachel Pessah-Pollack, MD, FACE, Clinical Associate Professor, Division of Endocrinology, Diabetes & Metabolism, NYU School of Medicine, NYU Langone Health

Julius M. Wilder, MD, PhD, Assistant Professor of Medicine; Chair, Duke Dept of Medicine Diversity, Equity, Inclusion, and Anti-racism Committee; Vice Chair, Duke Dept of Medicine Minority Retention and Recruitment Committee; Co-Director for the Duke CTSI- Community Engaged Research Initiative