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Speaker 1: Welcome to the Therapy for Black Girls Podcast, a weekly

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Speaker 1: conversation about mental health, personal development, and all the small

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Speaker 1: decisions we can make to become the best possible versions

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Speaker 1: of ourselves. I'm your host, doctor Joy Hard and Bradford,

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Speaker 1: a licensed psychologist in Atlanta, Georgia. For more information or

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Speaker 1: to find a therapist in your area, visit our website

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Speaker 1: at Therapy for Blackgirls dot com. While I hope you

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Speaker 1: love listening to and learning from the podcast, it is

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Speaker 1: not meant to be a substitute for a relationship with

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Speaker 1: a licensed mental health professional. Hey, y'all, thanks so much

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Speaker 1: for joining me for session three eighty five of the

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Speaker 1: Therapy for Black Girls Podcast. We'll get right into our

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Speaker 1: conversation after word from our sponsors.

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Speaker 2: Hi.

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Speaker 3: I'm Jess and I'm Wendy, and we're on the Therapy

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Speaker 3: for Black Girls Podcast.

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Speaker 4: We are in session today unpacking our new platform, Diabetes Digital.

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Speaker 1: Masis. We're seeking an experienced and passionate ad sales strategists

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Speaker 1: to join our team here at Therapy for Black Girls.

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Speaker 1: Were looking for somebody who can help us to strengthen

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Speaker 1: and maintain our existing brand partnerships and who can help

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Speaker 1: us identify and cultivate new brand partnerships that align with

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Speaker 1: our mission. If you are someone who has five to

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Speaker 1: seven years in AD sales or media buying or similar

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Speaker 1: position with a proven track record of success, we love

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Speaker 1: to chat with you. Go to Therapy for Blackgirls dot

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Speaker 1: com slash ad Sales to learn more about the position

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Speaker 1: or to apply. Many of you in our community are

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Speaker 1: familiar with Wendy and Jess of the Food Heaven podcast,

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Speaker 1: who joined us in twenty twenty two for a conversation

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Speaker 1: about developing a health the relationship with food Will the

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Speaker 1: dynamic duo of BFFs and registered dietitian nutritionists are back,

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Speaker 1: this time in honor of National Diabetes Month to discuss

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Speaker 1: their new platform, Diabetes Digital. A little bit about Diabetes

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Speaker 1: Digital is that it's an insurance covered telehealth platform designed

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Speaker 1: to empower individuals to manage and prevent diabetes through one

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Speaker 1: on one virtual nutrition counseling. And in my conversation today

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Speaker 1: with Wendy and Jess, we discuss not just how you

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Speaker 1: might benefit from getting involved with their new platform, but

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Speaker 1: also how to generally manage stress, diet and lifestyle concerns

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Speaker 1: that may come up after diabetes or pre diabetes diagnosis.

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Speaker 1: If something resonates with you while enjoying our conversation, please

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Speaker 1: share with us on social media using the hashtag tpg

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Speaker 1: in session or join us over in the Sister Circle.

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Speaker 1: To talk more about the episode. You can join us

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Speaker 1: at community dot therapy for Blackgirls dot Com. Here's our conversation. Well,

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Speaker 1: I am very excited to have the dynamic duo that

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Speaker 1: we know in love behind Food Heaven Podcasts joining me

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Speaker 1: again today. So welcome back Wendy and jizz Hi.

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Speaker 5: Thank you. We're so excited to be back.

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Speaker 1: So we both of course know you most for the

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Speaker 1: Food Heaven podcast, which you are here today to talk

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Speaker 1: to me more about your newest venture, which is Diabetes Digital.

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Speaker 1: So can you tell me a little bit about how

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Speaker 1: food haveven then pivoted into your new offering.

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Speaker 5: Yes, that is the question.

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Speaker 3: Basically, we have been doing Food Heaven had past tense

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Speaker 3: for over ten years, and I think that there just

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Speaker 3: became a point where we still loved the idea of

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Speaker 3: Food Heaven, but the actual doing the same thing for

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Speaker 3: so long. I think it was actually twelve years. We

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Speaker 3: were ready for a change, and to be honest, a

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Speaker 3: lot of the work became around social media, and as

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Speaker 3: people who are not the biggest fans of social media,

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Speaker 3: that can be tough, you know, just the whole landscape change,

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Speaker 3: especially with the pandemic, and it felt, I don't know,

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Speaker 3: just felt a little more gross. I even recently deactivated

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Speaker 3: in my Instagram. So we decided that we wanted to

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Speaker 3: get back to our roots of why we became dietitians

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Speaker 3: in the first place.

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Speaker 5: And that was to help people.

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Speaker 3: And also early on we knew that we wanted to

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Speaker 3: work with diabetes. So back in I think for me

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Speaker 3: it was like twenty sixteen I became a certified diabetes educator.

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Speaker 3: Wendy also did shortly after, and we were just thinking, like,

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Speaker 3: what can we do that kind of fills a gap

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Speaker 3: that doesn't exist around diabetes, cultural inclusivity, all of those things.

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Speaker 3: And that's where we came up with the idea of

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Speaker 3: Diabetes Digital, which is essentially accessible virtual nutrition counseling for

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Speaker 3: people with diabetes and pre diabetes that accepts an insurance

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Speaker 3: and works in twenty nine states.

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Speaker 1: Beautiful. So I feel like this is a whole separate conversation.

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Speaker 1: You may need to have a part three. Yeah, to

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Speaker 1: talk about how much social media and like the changing

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Speaker 1: landscape then impacted your business, right, because I feel like

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Speaker 1: you all were on the very cutting edge, Like you

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Speaker 1: were some of the pioneers in terms of podcasting, and

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Speaker 1: I think particularly podcasting from experts who wanted to use

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Speaker 1: podcasts as a way to solve issues for a community

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Speaker 1: and to give to people in a way that was accessible.

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Speaker 1: And then so much changes and you feel like, wait

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Speaker 1: a minute, this isn't what I set out to do, right.

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Speaker 1: Can you say a little bit more about like how

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Speaker 1: that all then happened?

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Speaker 4: Yeah, we became quickly burned out because I think when

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Speaker 4: we initially.

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Speaker 2: Started on social media.

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Speaker 4: It was definitely our outlet for creativity for us and connection.

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Speaker 4: And then I think with the monetization of social media,

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Speaker 4: it was very much about output. It was just like creating, creating, creating,

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Speaker 4: being able to put things out. And then also we

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Speaker 4: were signed with an agency and it was very much

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Speaker 4: about analytics, so like you had to meet certain numbers

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Speaker 4: and it was just really stressful to have to create

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Speaker 4: from that place. It sucked a lot of the creativity

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Speaker 4: out and it was all about like, how is this

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Speaker 4: going to perform?

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Speaker 2: Well?

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Speaker 4: Imagine initially creating something from a place of excitement and joy,

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Speaker 4: and then you're like, okay, well, what's actually going to

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Speaker 4: do well for people? What's going to get the clicks?

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Speaker 4: And yeah, it was a complete buzzkill for us. And

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Speaker 4: then just getting older and being like, okay, we don't

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Speaker 4: really want to be on camera like that. And also

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Speaker 4: in the wellness space especially, it became saturated with people

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Speaker 4: who are not professionals, and that is really why it's

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Speaker 4: important the work that we have done and being able

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Speaker 4: to get it out on social media. But it just

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Speaker 4: becomes draining when you're like, you have these influencers that

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Speaker 4: are promoting all types of things that are just unsafe

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Speaker 4: and scary, and having to keep up with these things

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Speaker 4: and then have people ask us questions constantly about the

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Speaker 4: latest trends and things.

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Speaker 2: So yeah, it's just a lot.

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Speaker 1: Yeah, well, I'm really happy that y'all have been able

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Speaker 1: to then further show up for your community in a

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Speaker 1: way that is in alignment with your values and then

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Speaker 1: the way that you want to be serving your community.

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Speaker 1: So tell us a little bit about what we can

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Speaker 1: expect with diabetes digital. So it's a community and you're

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Speaker 1: answering questions, tell us what we can expect in the community.

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Speaker 3: Yeah, so when somebody has either diabetes or pre diabetes,

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Speaker 3: and that is fifty percent of the US adult population,

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Speaker 3: also PCOS and metabolic syndrome, they can sign up to

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Speaker 3: work one on one with one of our expert dietitians

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Speaker 3: and so there's really like a four step process, so

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Speaker 3: it's more than just a community. We'll be literally working

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Speaker 3: one on one with their dietitian to help essentially lower

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Speaker 3: their A and C. And people who have diabetes or

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Speaker 3: pre diabetes, they typically know what A and C is.

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Speaker 3: It's your average politic glucost over three months period of time,

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Speaker 3: and the goal typically is to lower that A and C.

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Speaker 3: So we work really closely with people. Step one on

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Speaker 3: would be verifying their insurance benefits because we do accept

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Speaker 3: all major insurance plans, so Etna, Anthem, Blue Cross, Blue Shields, SIGNA,

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Speaker 3: United Medicare. I think those are the main ones, so

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Speaker 3: we accept those and they would just go to our

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Speaker 3: website Diabetesdigital dot com slash quiz. They can fill out

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Speaker 3: our form and within a day we'll get back to

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Speaker 3: them and let them know if they're a network or not.

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Speaker 3: And there's options whether you are or are not.

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Speaker 5: In network.

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Speaker 3: Then from there people will have an initial consultation. So

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Speaker 3: during this session, it's really probably similar to a therapy session,

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Speaker 3: where we're gathering information about them, their medical history, their lifestyle,

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Speaker 3: they're current health status. Will also order labs for them

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Speaker 3: they're A one C to see where they're at right now,

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Speaker 3: they're fasting, glucose, their lipids.

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Speaker 5: And from there we.

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Speaker 3: Will do weekly sessions. Typically some people they want to

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Speaker 3: do bi weekly, that's fine, most people do weekly.

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Speaker 5: And you know, in addition to.

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Speaker 3: The initial assessment, we'll come up with a personalized nutrition

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Speaker 3: plan for them that will include things like joyful movement, hydration,

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Speaker 3: how to build a nutritious breakfast, meal timing because so

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Speaker 3: many people are not really sure the best timing for

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Speaker 3: them to have their meals. A lot of people are

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Speaker 3: skipping meals. How to reduce added sugars. That's another thing

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Speaker 3: the dietitian will talk about with people increasing their fiber intake,

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Speaker 3: looking at protein. Also, how to celebrate success. So there's

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Speaker 3: so many different things, and the goal is over the

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Speaker 3: twelve weeks to lower that A and C, and most

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Speaker 3: of the time I would say it does happen. Of course,

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Speaker 3: you can't guarantee all the time, and then we'll do

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Speaker 3: a final check in if you're A and C. Depending

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Speaker 3: upon your goal, you might still have more sessions after that,

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Speaker 3: and that check in is where we'll look at the

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Speaker 3: A and C again, look at your labs, see where

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Speaker 3: you're at, evaluate, check in with your doctor if needed.

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Speaker 3: Maybe you know it's time to bring in some medication

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Speaker 3: management as well that the doctor would manage. And we

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Speaker 3: can work flexibly with people. And the good thing is

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Speaker 3: most people's insurance fully covers it, similar to therapy, because

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Speaker 3: with the Preventative Plan under Obamacare, people are really able

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Speaker 3: to have these benefits that are going to improve their

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Speaker 3: overall health without them needing to pay typically no copay either.

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Speaker 1: You mentioned a stat that I want us to go

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Speaker 1: back to in terms of fifty percent of the population

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Speaker 1: either meeting criteria for pre diabetes or diabetes. Can you

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Speaker 1: tell us more about that? What are the criteria? I

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Speaker 1: know there's also type one and type two diabetes. Can

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Speaker 1: you break some of those definitions down for us?

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Speaker 3: Absolutely, So, first we'll talk about the different types of diabetes,

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Speaker 3: because I think a lot of folks are confused about that.

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Speaker 3: So that's a good place to start now, Type one

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Speaker 3: is what used to be called juvenile onset is an

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Speaker 3: autoimmune condition where the body's immune system mistakenly attacks the

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Speaker 3: insulin producing cells in the pancrease. And so with type one,

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Speaker 3: you definitely have to take insulin every single day, multiple

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Speaker 3: times a day to manage your blood glucose levels. Now,

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Speaker 3: like I said, it's often diagnosed in children and young adults,

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Speaker 3: but it can occur at any age. So that's type one.

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Speaker 3: It's kind of more autoimmune. Type two occurs mostly I

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Speaker 3: would say, in adults, but sometimes in kids too when

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Speaker 3: the body doesn't use insulin properly or where it has

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Speaker 3: a harder time regulating that blood glucose. And there are

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Speaker 3: several risk factors for type two, and those are things

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Speaker 3: like genetics, age, family history. It's also important to recognize

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Speaker 3: that these factors play a role in managing diabetes. And

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Speaker 3: it's really important to also like work with your body's

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Speaker 3: unique needs and figure out how your body responds to

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Speaker 3: exercise in different food combinations, things like that. So those

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Speaker 3: are the differences between the two. And then in terms

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Speaker 3: of the actual diagnostic tools that we might use, the

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Speaker 3: number one is a one C. So in somebody who

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Speaker 3: is quote normal, I use that in air quotes. Their

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Speaker 3: A one C is going to be under five point seven.

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Speaker 3: In somebody who has pre diabetes, the A one C

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Speaker 3: is going to be five point seven to six point four.

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Speaker 3: So that's what you might call borderline. I think a

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Speaker 3: lot of people in the black community use that you're

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Speaker 3: not quite in the diabetes range, but you're a little

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Speaker 3: bit above quote normal, and then diabetes is six point

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Speaker 3: five in higher. And for most people with diabetes, you

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Speaker 3: want to still keep that A and C through diet

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Speaker 3: lifestyle meds in some cases under seven percent for most people,

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Speaker 3: again sometimes older people, it's a little bit more relaxed

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Speaker 3: with the guidelines, and yeah, you can also look at

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Speaker 3: fast and glucose and other things, but typically we're going

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Speaker 3: to be looking at A one C.

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Speaker 2: Got it okay?

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Speaker 1: And people are typically I'm guessing either you're having some

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Speaker 1: symptoms that cause you to go to the doctor, or

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Speaker 1: is that something that you would expect to get a

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Speaker 1: panel from from your regular yearly physical A doctor is

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Speaker 1: typically tacking for that every year, or do you have

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Speaker 1: to have symptoms for them to even check for this.

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Speaker 4: That's a good question, because sometimes you do have to

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Speaker 4: advocate to get that test done, especially if you're thinner,

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Speaker 4: because unfortunately providers, if you're in a larger body, they

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Speaker 4: will associate things like diabetes with your weight, and so

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Speaker 4: people that are thinner, they can get these conditions overlook

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Speaker 4: because they're like, oh, you're in good health, you don't

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Speaker 4: need an A and C. I've been told that when

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Speaker 4: I go to the doctor, and I'm like, no, no, no,

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Speaker 4: let's run that A and C. I recommend that anyone

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Speaker 4: get it, especially if you have a family history, at

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Speaker 4: least once a year, because I mean, it's really nothing

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Speaker 4: for the doctor to order it if you do have symptoms,

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Speaker 4: for example, like some symptoms of high blood sugar will

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Speaker 4: include blurry vision, You're going to the bathroom a lot

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Speaker 4: because your kidneys are trying to get rid of the

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Speaker 4: excess glucose. You're dehydrated because you're going to the bathroom

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Speaker 4: a lot. You might be really fatigued because it could

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Speaker 4: do a number on your hormones when you have elevated

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Speaker 4: blood glucose. And so those are some of the symptoms.

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Speaker 4: But honestly, for most people with pre diabetes, they have

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Speaker 4: no symptoms at all because it's only when your glucose

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Speaker 4: becomes to such a high level that you start becoming symptomatic,

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Speaker 4: and that is very advanced diabetes, and at that point

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Speaker 4: you're probably going to need insulin to help bring it down,

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Speaker 4: at least in the beginning. And so when you're symptomatic,

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Speaker 4: that means that your numbers are probably running really, really high.

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Speaker 4: And so that's why someone may have pre diabetes for

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Speaker 4: years without knowing if they're not getting these tests done,

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Speaker 4: and then they only come to find out when the

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Speaker 4: diabetes has progressed significantly.

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Speaker 1: So primary candidates for people who would likely do well

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Speaker 1: with diabetes digital or people who are pre diabetic or

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Speaker 1: who are in maybe those earlier stages and maybe don't

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Speaker 1: require insulin just yet.

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Speaker 4: Exactly, or if also if they're at a high risk,

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Speaker 4: like if they have a family history, if they have PCOS,

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Speaker 4: because insulin resistance is a very common component of PCOS.

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Speaker 4: So also someone like that could be a good candidate too.

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Speaker 3: Yeah, and we see people with also type one as

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Speaker 3: well on insulin. Even one of our dieticians has type

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Speaker 3: one diabetes.

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Speaker 5: Who leads our groups.

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Speaker 3: But even if you're not someone who has type one,

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Speaker 3: usually people with type one no a lot like I said,

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Speaker 3: a lot of them have had it for a long time.

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Speaker 3: Definitely get that A and C checked because they won't

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Speaker 3: run it a lot of the times. Even my husband,

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Speaker 3: he's dinner, he's never had an A and C. I'm like, what,

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Speaker 3: So I'm trying to like advocate for him to get one.

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Speaker 3: And I think a lot of people to a similar situation.

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Speaker 1: So I wonder if you all can talk a little

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Speaker 1: bit more about that genetic component. So do you know

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Speaker 1: like the numbers in terms of like how many people

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Speaker 1: who end up being diagnosed with diabetes actually have a

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Speaker 1: family history.

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Speaker 4: So in terms of inheritance, the number is very greatly

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Speaker 4: because research and science is super variable, but it can

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Speaker 4: be up to seventy percent that's attributed to genetic factors

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Speaker 4: in terms of inheriting type two diabetes. And I feel

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Speaker 4: like that's pretty consistent with what I've seen clinically in

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Speaker 4: the years that I've worked as a dietitian. For someone

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Speaker 4: especially someone who comes in and they have uncontrolled diabetes.

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Speaker 4: Maybe they haven't tested for a few years, but it

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Speaker 4: just spirals. Typically what I've seen is that they definitely

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Speaker 4: have a close family member like a parent or a grandparent.

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Speaker 2: That has also had type two diabetes.

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Speaker 3: One thing that I think is important to talk about

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Speaker 3: is ethnic groups are hit harder with diabetes, especially type two. So,

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Speaker 3: for example, Native Americans developed type two diabetes at nearly

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Speaker 3: twice the rate of Caucasians do. Also, latinx Asian Americans

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Speaker 3: and African Americans are also at higher risk, which is

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Speaker 3: important to know because many people don't really realize that

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Speaker 3: and so then they don't get the testing that they need.

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Speaker 3: And people are always asking, Okay, well, why is it

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Speaker 3: that we're at higher risk? And researchers used to think

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Speaker 3: that in type two the rates were because of genetic

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Speaker 3: differences between different racial groups, right, But now we're realizing

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Speaker 3: that's not the whole story. So I'm sure you all

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Speaker 3: have talked about on this podcast social determinants of health,

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Speaker 3: which are non medical factors that influence health outcomes. And

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Speaker 3: these are just different conditions related to where people are born,

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Speaker 3: where they live, where they work. It can include things

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Speaker 3: like economic stability and chronic stress, education access and quality right,

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Speaker 3: education levels influence health literacy, healthcare access and quality. We

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Speaker 3: all know doctors, especially in the hood. Sometimes there's a

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Speaker 3: lack of doctors or it's a long wait or maybe

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Speaker 3: you can't even get your medications, and it's hard to

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Speaker 3: get in touch with anybody because the doctors are so

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Speaker 3: overwhelmed the neighborhood and environment as well food insecurity. So

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Speaker 3: I think it's important to talk about social determinants of

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Speaker 3: health because now that's what we're more thinking that it

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Speaker 3: has to do with that versus there being like inherent

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Speaker 3: differences genetically within different ethnic groups. Also racism, of course

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Speaker 3: that's going to play a role, and stress and all

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Speaker 3: of those things. And we know that stress is a

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Speaker 3: huge factor for diabetes and also just your blood glucose

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Speaker 3: levels go high when your body is under stress. So

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Speaker 3: just things to think about.

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Speaker 1: You know, as y'all were talking, I was definitely thinking, Okay,

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Speaker 1: what is the connection between like racism and stress and

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Speaker 1: how that maybe impacts how glucose breaks down. Now, this

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Speaker 1: is beyond my pay grade. That feels like very sciencey,

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Speaker 1: and I don't know the answers.

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Speaker 2: Maybe you do, but it feels.

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Speaker 1: Like there must be some connection, right for the numbers

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Speaker 1: to be so much higher in communities of color exactly.

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Speaker 5: I think there's a huge connection.

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Speaker 3: And it's also interesting because a lot of patients they're like, oh,

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Speaker 3: moving to the US causes diabetes. People from other countries

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Speaker 3: when they move here, they're like, oh, my aunt got

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Speaker 3: diabetes when she moved here, or I only got diabetes

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Speaker 3: when I moved here. And I think part of it

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Speaker 3: is the food system here, right, Like a lot of

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Speaker 3: times our native cultural foods are naturally organic, naturally more

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Speaker 3: fruits and vegetable heavy. But also I think it's the

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Speaker 3: stress of coming to the US, the racism, all the

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Speaker 3: things that I mentioned, like housing, environmental food, deserts, and

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Speaker 3: it plays a huge role, and I don't think that

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Speaker 3: we're paying enough attention to it.

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Speaker 5: And a lot.

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Speaker 3: Of the talk about diabetes is very shame and blame,

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Speaker 3: blaming people for the disease and not really looking at

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Speaker 3: how all these structures in place have a real impact

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Speaker 3: on the likelihood that somebody might be at more risk

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Speaker 3: for developing type two diabetes in particular.

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Speaker 1: Yeah, I'm really glad that you wrote up the shame piece,

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Speaker 1: because of course that is something that as therapists, we

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Speaker 1: are paying a lot of attention to you, right, Like,

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Speaker 1: what kind of shame narrative people have around whatever their

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Speaker 1: experience is. Can you say more about how this shame

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Speaker 1: shows up with a diabetes diagnosis and what kinds of

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Speaker 1: things maybe you're doing in diabetes Digital To help address

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Speaker 1: some of it.

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Speaker 4: Is when someone is initially diagnosed, typically they come in

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Speaker 4: and they think it's something that they have done themselves,

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Speaker 4: like oh, I was just drinking so much soda during

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Speaker 4: the holidays, And I think a lot of that comes

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Speaker 4: from the messaging that we're seeing online about these are

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Speaker 4: all the things that you can do to cure your

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Speaker 4: diabetes or to get your blood sugars regulated, and it's

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Speaker 4: all on you. It all falls on you without accounting

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Speaker 4: all of the different factors that we just spoke about,

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Speaker 4: and so a lot of times when people come in

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Speaker 4: and they've been recently diagnosed, they feel very defeated because

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Speaker 4: they're just like, oh my god, it's been years of

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Speaker 4: me not doing the right thing. It's too late. And

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Speaker 4: oftentimes people associate diabetes with complications from diabetes, so it's

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Speaker 4: really scary because they're just like, I'm going to get amputations,

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Speaker 4: I'm going to lose all my teeth. I have to

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Speaker 4: go on insulin, which there is no problem being on insulin,

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Speaker 4: but just the idea of having to inject yourself every

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Speaker 4: day is very scary for people, and so we really

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Speaker 4: work on that during the first few sessions, just unpacking

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Speaker 4: all of that because it is a form of therapy.

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Speaker 4: Like you have people who may have seen family members

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Speaker 4: going through a lot of hardship from having a diagnosis

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Speaker 4: like diabetes, but in reality, if it's well managed and

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Speaker 4: you have a supportive healthcare team like a dietician, a

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Speaker 4: nurse at endocrinologist, all of those things can make them

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Speaker 4: more manageable. You're not as stressed out about it, and

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Speaker 4: you can live along and healthy life with diabetes. Like

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Speaker 4: just making sure that you have that support in place,

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Speaker 4: and also a therapist. We work a lot with therapists

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Speaker 4: because for people who have diabetes, there's a lot of

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Speaker 4: restrictive eating that happens where they're just like, I'm going

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Speaker 4: to cut out carbohydrates because they associate that with increased

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Speaker 4: glucose levels and so there's a lot of disordered eating

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Speaker 4: associated with that or like they really want to lose weight,

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Speaker 4: and so that's another component. There might be binge and

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Speaker 4: restricting happening, and so yeah, there's just so much that

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Speaker 4: we cover, and that's why the sessions are longer because

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Speaker 4: simply when you go to the doctor, the visits are

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Speaker 4: super sure. We your doctor, and then if they refer

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Speaker 4: you to a dietician in the hospital, it's like a

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Speaker 4: twenty minute visit, but we spend an hour because we

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Speaker 4: know that we want to allow space to really dive

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Speaker 4: into all of those different things.

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Speaker 1: Got it more from our conversation after the break, but

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Speaker 1: first a quick snippet of what's coming up next week

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Speaker 1: on TVG.

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Speaker 6: My heart smiles as I bask in their legacies, knowing

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Speaker 6: their lives have altered many deathkins these in her eyes.

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Speaker 6: I see my mother's poise and her face. I glips

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00:22:04,200 --> 00:22:07,320
Speaker 6: my Auntie's grace. In this case of deja vous, a

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00:22:07,480 --> 00:22:11,239
Speaker 6: nineteenth century question comes into view, and the time win

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Speaker 6: Sojourner truth.

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Speaker 2: Asks, ain't I a woman?

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Speaker 6: Today? We pose this question to new powers making that's

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Speaker 6: on artificial intelligence, Hope towers. The Amazonians peek through windows,

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00:22:23,119 --> 00:22:28,479
Speaker 6: blocking deep blues as faces increment, scars, old burns, new urns,

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Speaker 6: collecting data chronicling our past, often forgetting to deal with gender,

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Speaker 6: race and class.

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Speaker 2: Again, I ask ain't to eye a woman.

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Speaker 1: Casis we're seeking inexperienced and passionate and sales strategist to

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Speaker 1: join our team here at Therapy for Black Girls. We're

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438
00:23:06,040 --> 00:23:09,600
Speaker 1: position with a proven track record of success, we love

439
00:23:09,640 --> 00:23:11,960
Speaker 1: to chat with you. Go to Therapy for Black Girls

440
00:23:11,960 --> 00:23:14,240
Speaker 1: dot com slash ad sales to learn more about the

441
00:23:14,240 --> 00:23:21,280
Speaker 1: position or to apply. Yeah, and you touched on something

442
00:23:21,320 --> 00:23:23,280
Speaker 1: that I definitely want to hear more about because we

443
00:23:23,400 --> 00:23:25,399
Speaker 1: know that diet and you all have said that is

444
00:23:25,440 --> 00:23:28,119
Speaker 1: a part of managing your gluecose what I think a

445
00:23:28,119 --> 00:23:30,240
Speaker 1: lot of people think, Okay, that just means you got

446
00:23:30,280 --> 00:23:32,520
Speaker 1: to cut out sugar, and I know that there is

447
00:23:32,640 --> 00:23:35,560
Speaker 1: way more involved. So can you say more about the

448
00:23:35,600 --> 00:23:38,040
Speaker 1: whole idea around like healthy eating and what does this

449
00:23:38,119 --> 00:23:41,080
Speaker 1: look like to actually have a nutrition plan when you

450
00:23:41,080 --> 00:23:42,480
Speaker 1: are trying to manage diabetes.

451
00:23:42,680 --> 00:23:46,240
Speaker 3: I will say I think the least sustainable thing somebody

452
00:23:46,280 --> 00:23:48,439
Speaker 3: can do who has diabetes is to just go and

453
00:23:48,480 --> 00:23:52,280
Speaker 3: cut out all carbs. It's not sustainable, it's not necessary,

454
00:23:52,480 --> 00:23:56,560
Speaker 3: it's not even healthy, And that is typically the messaging

455
00:23:56,560 --> 00:23:58,600
Speaker 3: people are getting. A lot of people on the diabetes

456
00:23:58,680 --> 00:24:01,680
Speaker 3: community talk about the diabetes handout. If they get diagnosed

457
00:24:01,680 --> 00:24:03,879
Speaker 3: and they get this handout, that's just this list of

458
00:24:03,920 --> 00:24:06,680
Speaker 3: foods not to eat, and a lot of times it

459
00:24:06,760 --> 00:24:08,919
Speaker 3: might be cultural foods, right, Like I've had a lot

460
00:24:08,960 --> 00:24:11,440
Speaker 3: of Mexican patients where they're just told cut out rice,

461
00:24:11,520 --> 00:24:13,959
Speaker 3: cut out tortillas, and it's okay, Well, that's an important

462
00:24:14,000 --> 00:24:18,160
Speaker 3: part of the diet. And we also know that even

463
00:24:18,200 --> 00:24:20,000
Speaker 3: if somebody did do that, it's not going to be

464
00:24:20,000 --> 00:24:22,720
Speaker 3: sustainable long term, right because they're cultural foods that have

465
00:24:22,800 --> 00:24:25,919
Speaker 3: significance to them. So I think that's number one, is

466
00:24:26,280 --> 00:24:28,840
Speaker 3: just setting that framework that we're not going to ask

467
00:24:28,920 --> 00:24:32,159
Speaker 3: you to cut anything out. But what we like to

468
00:24:32,200 --> 00:24:35,040
Speaker 3: do is figure out what foods are important to you,

469
00:24:35,160 --> 00:24:38,040
Speaker 3: what foods do you love that you want to incorporate,

470
00:24:38,359 --> 00:24:41,480
Speaker 3: and how can we balance those with other foods to

471
00:24:41,600 --> 00:24:44,159
Speaker 3: help them not have as big of an impact on

472
00:24:44,640 --> 00:24:47,760
Speaker 3: your blood glucose long term. So, for example, if you

473
00:24:48,359 --> 00:24:52,800
Speaker 3: did want to have tortillas, that's totally fine. Maybe we

474
00:24:53,600 --> 00:24:57,159
Speaker 3: make tacos and we include some protein in the tacos.

475
00:24:57,160 --> 00:24:59,320
Speaker 3: So that could be in the form of beans which

476
00:24:59,320 --> 00:25:01,560
Speaker 3: also have carbohie, it can be beans, it can be

477
00:25:01,720 --> 00:25:04,439
Speaker 3: some ground turkey, so you can have that. And you

478
00:25:04,440 --> 00:25:06,760
Speaker 3: can also add some vegetables which are going to provide

479
00:25:06,800 --> 00:25:10,680
Speaker 3: fiber which helped us slow the release of the carbohydrate

480
00:25:10,960 --> 00:25:13,720
Speaker 3: into the blood stream. So maybe for vegetables you have

481
00:25:13,800 --> 00:25:16,679
Speaker 3: some lettuce and some salsa, right, and then maybe you

482
00:25:16,720 --> 00:25:20,360
Speaker 3: also add fat to those tacos in the form of guacamole,

483
00:25:20,760 --> 00:25:22,760
Speaker 3: and that fat is also going to help to slow

484
00:25:22,800 --> 00:25:25,560
Speaker 3: the release of that glucose into the blood stream, which

485
00:25:25,560 --> 00:25:28,159
Speaker 3: is going to keep your blood glucose more stable over time.

486
00:25:28,600 --> 00:25:31,560
Speaker 3: For people who have diabetes, that will make it more

487
00:25:31,600 --> 00:25:34,520
Speaker 3: helpful for managing it when you have that slower release

488
00:25:34,560 --> 00:25:37,760
Speaker 3: of sugar into the bloodstream. So that's Number one, is

489
00:25:37,800 --> 00:25:40,840
Speaker 3: just focusing on a balance, so anytime you have carbs,

490
00:25:40,840 --> 00:25:45,119
Speaker 3: trying to also have protein fat in fiber. Also looking

491
00:25:45,119 --> 00:25:47,679
Speaker 3: at added sugars because I think a lot of people

492
00:25:48,160 --> 00:25:51,200
Speaker 3: are not really clear on how to read nutrition facts labels.

493
00:25:51,520 --> 00:25:54,960
Speaker 3: They're not really sure that there's a difference between added

494
00:25:55,000 --> 00:25:59,399
Speaker 3: sugars and naturally occurring sugars, and that the added sugars

495
00:25:59,480 --> 00:26:02,119
Speaker 3: might raise their blood sugar a little bit more, and

496
00:26:02,200 --> 00:26:04,119
Speaker 3: so we might look at that and not saying we

497
00:26:04,160 --> 00:26:06,160
Speaker 3: have to cut them out completely, but maybe we have

498
00:26:06,680 --> 00:26:10,600
Speaker 3: our dessert with added sugars with our meal so that

499
00:26:10,880 --> 00:26:12,960
Speaker 3: there's a slower release of sugar into the blood because

500
00:26:12,960 --> 00:26:15,520
Speaker 3: you have all those other food groups coming with it.

501
00:26:15,880 --> 00:26:17,600
Speaker 3: There's also a lot of added sugars in the form

502
00:26:17,600 --> 00:26:20,159
Speaker 3: of beverages that people are not really aware of. And

503
00:26:20,200 --> 00:26:21,840
Speaker 3: even when I was a kid, I thought this, like, oh,

504
00:26:21,920 --> 00:26:25,000
Speaker 3: orange juice is so great, which nothing against orange juice,

505
00:26:25,040 --> 00:26:29,280
Speaker 3: but those sugars, because it's extracted from the fruit and

506
00:26:29,320 --> 00:26:31,600
Speaker 3: it's not the whole fruit, they're gonna spike your blood

507
00:26:31,600 --> 00:26:34,240
Speaker 3: sugar more than if you had an actual orange. So

508
00:26:34,280 --> 00:26:37,440
Speaker 3: we talk a lot about that with people, or like sodas,

509
00:26:37,480 --> 00:26:41,560
Speaker 3: like how can we maybe have less sodas or replace

510
00:26:41,600 --> 00:26:43,480
Speaker 3: some sodas with seltzer waters or.

511
00:26:43,440 --> 00:26:45,240
Speaker 5: Do half and half things like that.

512
00:26:46,000 --> 00:26:48,120
Speaker 1: And you mentioned that there are four steps in your

513
00:26:48,160 --> 00:26:51,800
Speaker 1: program too, so not only nutrition but also joyful movement.

514
00:26:52,160 --> 00:26:55,040
Speaker 1: Can you talk to us about the comprehensive plan for

515
00:26:55,240 --> 00:26:56,919
Speaker 1: somebody managing their diabetes?

516
00:26:57,520 --> 00:27:01,760
Speaker 3: Absolutely, So, like I said, somebody would do an initial

517
00:27:01,800 --> 00:27:04,520
Speaker 3: assessment with us, and we're going to see where they're

518
00:27:04,560 --> 00:27:06,840
Speaker 3: at and what they need support with. There might be

519
00:27:06,880 --> 00:27:09,040
Speaker 3: some people who were like, look, I have my fitness

520
00:27:09,119 --> 00:27:11,320
Speaker 3: routine going, I love it. I don't want to talk

521
00:27:11,359 --> 00:27:11,800
Speaker 3: about that.

522
00:27:12,080 --> 00:27:12,399
Speaker 5: Great.

523
00:27:12,800 --> 00:27:15,240
Speaker 3: There's other people where one week we might talk about

524
00:27:15,320 --> 00:27:19,800
Speaker 3: hydration and ways to like still enjoy your hydration without

525
00:27:20,080 --> 00:27:22,440
Speaker 3: having so much added sugar. But there might be people

526
00:27:22,440 --> 00:27:24,400
Speaker 3: who are like, I only drink water, I don't need this,

527
00:27:24,680 --> 00:27:27,160
Speaker 3: but maybe they do. Maybe they need help drinking more water. Right,

528
00:27:27,480 --> 00:27:29,119
Speaker 3: So those are just a couple of weeks, Like we

529
00:27:29,119 --> 00:27:33,840
Speaker 3: talked about breakfast, meal timing, reducing added sugars, increasing fiber

530
00:27:33,920 --> 00:27:36,680
Speaker 3: intake because there's a lot of research that supports that

531
00:27:36,800 --> 00:27:39,600
Speaker 3: fiber is one of the best things to do to

532
00:27:39,680 --> 00:27:43,160
Speaker 3: help lower that a one c over time. So if

533
00:27:43,160 --> 00:27:45,480
Speaker 3: we can just get closer to our fiber needs, which

534
00:27:45,560 --> 00:27:47,560
Speaker 3: is about twenty five grams a day for women about

535
00:27:47,560 --> 00:27:50,560
Speaker 3: thirty eight for men. Powering up on protein. A lot

536
00:27:50,560 --> 00:27:53,240
Speaker 3: of folks, especially earlier in the day, they're not really

537
00:27:53,560 --> 00:27:57,159
Speaker 3: getting enough protein with breakfast and sometimes not even with lunch,

538
00:27:57,520 --> 00:27:59,720
Speaker 3: and so that might have an impact on their blood glucose.

539
00:28:00,080 --> 00:28:02,520
Speaker 3: Can we figure out what your needs are and make

540
00:28:02,560 --> 00:28:05,240
Speaker 3: sure you're getting enough. We also talk about stress and

541
00:28:05,320 --> 00:28:08,240
Speaker 3: sleep because if you are stress and not sleeping, it

542
00:28:08,280 --> 00:28:10,359
Speaker 3: doesn't matter what you do. Your blood sugar is not

543
00:28:10,480 --> 00:28:13,880
Speaker 3: going to do what you wanted to do because it's

544
00:28:14,080 --> 00:28:17,399
Speaker 3: very sensitive to stress and sleep, and even like stress

545
00:28:17,400 --> 00:28:20,040
Speaker 3: in the form of being sick. I'll give an example

546
00:28:20,080 --> 00:28:22,320
Speaker 3: of myself, and I'm someone who doesn't even have diabetes,

547
00:28:22,359 --> 00:28:24,399
Speaker 3: but I was sick with COVID and I went to

548
00:28:24,400 --> 00:28:25,879
Speaker 3: the hospital. I think this was like a couple of

549
00:28:25,920 --> 00:28:28,440
Speaker 3: months ago, but my blood sugger was two ninety eight,

550
00:28:28,440 --> 00:28:30,560
Speaker 3: which is high, and normally my blood sugar is like

551
00:28:30,560 --> 00:28:33,880
Speaker 3: one hundred. So that goes to show that stress can

552
00:28:33,960 --> 00:28:35,120
Speaker 3: really have an impact.

553
00:28:35,480 --> 00:28:36,800
Speaker 5: And then, of course, how can.

554
00:28:36,640 --> 00:28:40,440
Speaker 3: We celebrate wins and success in ways that are not

555
00:28:40,600 --> 00:28:45,160
Speaker 3: only about food, because often times for folks they only

556
00:28:45,240 --> 00:28:48,040
Speaker 3: kind of lean on food to celebrate success, or even

557
00:28:48,080 --> 00:28:49,200
Speaker 3: sometimes when they're.

558
00:28:49,160 --> 00:28:51,040
Speaker 5: Not even in a good mood, they might lean on food.

559
00:28:51,080 --> 00:28:53,800
Speaker 3: And not saying you can't lean on food, but maybe

560
00:28:54,000 --> 00:28:56,000
Speaker 3: we lean on food sometimes and we have other ways

561
00:28:56,000 --> 00:28:58,480
Speaker 3: to celebrate other times. So we'll talk about that. And

562
00:28:58,480 --> 00:29:01,640
Speaker 3: then emotional eating too, because it's huge for so many

563
00:29:01,640 --> 00:29:04,200
Speaker 3: people there's a history of disordered eating, not having a

564
00:29:04,200 --> 00:29:06,840
Speaker 3: healthy relationship with food, not being in tune with their

565
00:29:06,880 --> 00:29:09,680
Speaker 3: hunger and fullness cues from the initial assessment, we'll see

566
00:29:09,680 --> 00:29:11,920
Speaker 3: where you're at and whether you are somebody with a

567
00:29:11,960 --> 00:29:15,840
Speaker 3: disordered eating history or not, Like will tailor things just

568
00:29:15,880 --> 00:29:17,760
Speaker 3: for you based on your history.

569
00:29:18,320 --> 00:29:20,480
Speaker 1: What's the role of hydration in all of this. You

570
00:29:20,520 --> 00:29:23,240
Speaker 1: mentioned that as like a separate, standalone thing, so there's

571
00:29:23,360 --> 00:29:25,680
Speaker 1: some connection between hydration and glucose levels.

572
00:29:25,720 --> 00:29:27,400
Speaker 4: I was like, well, I think you just want to

573
00:29:27,440 --> 00:29:30,120
Speaker 4: make sure that you're hydrated so that.

574
00:29:30,160 --> 00:29:31,280
Speaker 2: You don't feel harm.

575
00:29:33,720 --> 00:29:37,120
Speaker 4: Yeah, you're just you're gonna get headaches, You're gonna be aggie.

576
00:29:37,600 --> 00:29:39,560
Speaker 4: I mean just thinking about all the things that happened

577
00:29:39,560 --> 00:29:44,040
Speaker 4: when you're dehydrated. I remember having a client with diabetes

578
00:29:44,080 --> 00:29:47,800
Speaker 4: and already like you might be going through mood fluctuations

579
00:29:47,840 --> 00:29:51,040
Speaker 4: when you have kihs and lows with your glucose, and

580
00:29:51,160 --> 00:29:54,560
Speaker 4: she had these chronic headaches that would not go away,

581
00:29:55,000 --> 00:29:57,400
Speaker 4: and we were just like troubleshooting, troubleshooting. At the end

582
00:29:57,400 --> 00:29:59,240
Speaker 4: of it all, I'm like, how much water are you

583
00:29:59,320 --> 00:30:01,479
Speaker 4: drinking during And it turns out that she was like

584
00:30:01,520 --> 00:30:05,080
Speaker 4: severely dehydrated. She wasn't really drinking much water during the day,

585
00:30:05,120 --> 00:30:07,440
Speaker 4: and it was such an easy fix. We were just like, Okay, well,

586
00:30:07,440 --> 00:30:10,520
Speaker 4: how can you incorporate more fluids during the day that

587
00:30:10,600 --> 00:30:12,960
Speaker 4: won't spike your blood sugars and the headaches went away.

588
00:30:13,040 --> 00:30:16,160
Speaker 4: So I think it just helps you feel better, and

589
00:30:16,240 --> 00:30:17,880
Speaker 4: it's important for your organs.

590
00:30:17,560 --> 00:30:19,840
Speaker 2: To make sure that they're hydrated. Got it.

591
00:30:20,240 --> 00:30:22,480
Speaker 1: So you've already mentioned a little bit about the care team.

592
00:30:22,560 --> 00:30:25,920
Speaker 1: So y'all talked about often working with therapists. I imagine

593
00:30:25,920 --> 00:30:28,719
Speaker 1: that there's like a primary care doctor involved who's on

594
00:30:28,760 --> 00:30:30,920
Speaker 1: the care team for somebody who might be a client

595
00:30:30,960 --> 00:30:31,400
Speaker 1: of yours.

596
00:30:31,720 --> 00:30:34,600
Speaker 4: So typically a primary provider, and it could be a doctor.

597
00:30:34,720 --> 00:30:36,720
Speaker 4: It could also be a nurse. For some people, they

598
00:30:36,800 --> 00:30:39,920
Speaker 4: have nurses that are their primary providers. For people that

599
00:30:40,000 --> 00:30:42,880
Speaker 4: have type two diabetes and type one, sometimes they have

600
00:30:42,920 --> 00:30:46,840
Speaker 4: an endocrinologist, especially if they're having a hard time getting

601
00:30:46,840 --> 00:30:50,440
Speaker 4: their numbers down with medication, and the endocrinologist is a

602
00:30:50,480 --> 00:30:54,920
Speaker 4: specialist that focuses on diabetes, and they get involved, especially

603
00:30:54,960 --> 00:30:59,160
Speaker 4: when the medication approach is a little more advanced and

604
00:30:59,640 --> 00:31:02,240
Speaker 4: they're primary doctor. Feels like they would benefit from more

605
00:31:02,280 --> 00:31:06,440
Speaker 4: specialized care. And then there's of course a dietician, and

606
00:31:06,480 --> 00:31:09,400
Speaker 4: we work with everyone on their care team to make

607
00:31:09,440 --> 00:31:11,680
Speaker 4: sure that we're communicating the plan and that we're all

608
00:31:11,680 --> 00:31:15,280
Speaker 4: on the same page, because, for example, with someone who

609
00:31:15,360 --> 00:31:17,640
Speaker 4: might be restricting a lot because they think that might

610
00:31:17,680 --> 00:31:20,440
Speaker 4: be beneficial to their diabetes, and maybe they have a history

611
00:31:20,480 --> 00:31:23,920
Speaker 4: of disordered eating, that might be getting pushed by their

612
00:31:23,960 --> 00:31:27,560
Speaker 4: primary provider because their primary provider might be like, cut

613
00:31:27,560 --> 00:31:29,840
Speaker 4: this out, cut that out, lose weight, and so it

614
00:31:29,880 --> 00:31:32,480
Speaker 4: doesn't really align with the work that we're doing. So

615
00:31:32,640 --> 00:31:35,360
Speaker 4: many times we have to communicate with the provider like, hey,

616
00:31:35,360 --> 00:31:38,760
Speaker 4: these are the guidelines and this is actually not helping

617
00:31:39,320 --> 00:31:41,720
Speaker 4: our client. So let's try to get on the same

618
00:31:41,760 --> 00:31:44,360
Speaker 4: page about what the goals are going to be.

619
00:31:44,360 --> 00:31:45,240
Speaker 2: Because they might not know.

620
00:31:45,200 --> 00:31:47,760
Speaker 4: Because they only have maybe fifteen minutes to see the person,

621
00:31:47,800 --> 00:31:49,400
Speaker 4: they might not know like, hey, this is someone who's

622
00:31:49,440 --> 00:31:52,480
Speaker 4: really struggling with restrictive eating and things like that. So

623
00:31:52,600 --> 00:31:56,160
Speaker 4: we try to keep an open line of communication their

624
00:31:56,320 --> 00:31:59,960
Speaker 4: therapists that are involved. For some people who for many reason,

625
00:32:00,320 --> 00:32:02,960
Speaker 4: I mean, there's so many reasons why you would want

626
00:32:02,960 --> 00:32:05,760
Speaker 4: to see a therapist, but it's really stressful to have

627
00:32:05,760 --> 00:32:08,400
Speaker 4: a chronic condition and have to manage all of those

628
00:32:08,400 --> 00:32:10,880
Speaker 4: different aspects. And so if someone is not in therapy

629
00:32:10,920 --> 00:32:13,520
Speaker 4: and we think that they would find it useful, which

630
00:32:13,600 --> 00:32:15,880
Speaker 4: is most people, and they have coverage for it, we

631
00:32:16,000 --> 00:32:19,680
Speaker 4: recommend starting therapy with the mental health professional. And then

632
00:32:19,680 --> 00:32:23,040
Speaker 4: there's also just things like an ophthalmologist that you want

633
00:32:23,080 --> 00:32:25,800
Speaker 4: to see every year because diabetes can cause damage to

634
00:32:25,880 --> 00:32:28,160
Speaker 4: your eyes, and so you want to make sure you're

635
00:32:28,200 --> 00:32:30,320
Speaker 4: getting your eye checks. You want to go to the

636
00:32:30,320 --> 00:32:34,920
Speaker 4: foot doctor because oftentimes you can also get damage to

637
00:32:34,960 --> 00:32:37,480
Speaker 4: your feet because when you have high glucose levels, it

638
00:32:37,480 --> 00:32:41,440
Speaker 4: affects circulation. Let's say you bump your toe on something,

639
00:32:41,520 --> 00:32:43,400
Speaker 4: or you get like a little cut on your foot.

640
00:32:43,560 --> 00:32:46,720
Speaker 4: You might not feel it because you have decreased sensation,

641
00:32:46,880 --> 00:32:50,040
Speaker 4: and that can quickly progress into an infection. So you

642
00:32:50,040 --> 00:32:51,760
Speaker 4: want to make sure that you're going to the podiatrist,

643
00:32:51,840 --> 00:32:54,640
Speaker 4: that they're cutting your nails for you so that you

644
00:32:54,680 --> 00:32:57,480
Speaker 4: don't accidentally cut yourself and then it turns into something

645
00:32:57,520 --> 00:33:01,160
Speaker 4: that it didn't need to be. The dentist, because diabetes,

646
00:33:01,320 --> 00:33:05,640
Speaker 4: when uncontrolled, can affect your teeth, your oral health. You

647
00:33:05,760 --> 00:33:09,840
Speaker 4: might be losing teeth, you might get oral infections. And

648
00:33:09,880 --> 00:33:11,480
Speaker 4: then there's a pharmacist. You want to make sure you

649
00:33:11,560 --> 00:33:13,680
Speaker 4: have a good pharmacist where it's not stressful. Every time

650
00:33:13,720 --> 00:33:15,600
Speaker 4: you go to the pharmacy, you can't get your medication.

651
00:33:16,160 --> 00:33:18,120
Speaker 4: They have to send an order. We've all been there

652
00:33:18,160 --> 00:33:20,480
Speaker 4: where like the pharmacy is a hot mess, and so like,

653
00:33:20,720 --> 00:33:22,920
Speaker 4: how do I get my medication? They have to put

654
00:33:22,960 --> 00:33:24,720
Speaker 4: in another order and they get it. So you want

655
00:33:24,720 --> 00:33:26,800
Speaker 4: to make sure you have a good pharmacy. And thankfully

656
00:33:26,880 --> 00:33:29,600
Speaker 4: now there's a lot of virtual pharmacies that you can

657
00:33:29,640 --> 00:33:31,480
Speaker 4: sign up for where you just get it mailed to

658
00:33:31,520 --> 00:33:33,000
Speaker 4: your house and you don't even have to go through

659
00:33:33,000 --> 00:33:35,640
Speaker 4: the stress of getting online and spending an hour trying

660
00:33:35,640 --> 00:33:36,480
Speaker 4: to get your medication.

661
00:33:37,120 --> 00:33:41,080
Speaker 1: So you have just listed like several different entities that

662
00:33:41,160 --> 00:33:44,800
Speaker 1: somebody would have to be coordinated. And so I'm wondering, like,

663
00:33:45,040 --> 00:33:47,640
Speaker 1: is there some kind of case manager or is it

664
00:33:47,680 --> 00:33:50,400
Speaker 1: a part of your program where you are keeping track

665
00:33:50,440 --> 00:33:52,400
Speaker 1: of Okay, have you had your padetor just visit this

666
00:33:52,480 --> 00:33:55,040
Speaker 1: month or this year, Like are you helping to manage

667
00:33:55,040 --> 00:33:55,880
Speaker 1: some of that as well?

668
00:33:56,480 --> 00:33:57,800
Speaker 2: Exactly, Yeah, we would do that.

669
00:33:57,840 --> 00:33:59,920
Speaker 4: We include that as part of our assessment and our

670
00:34:00,080 --> 00:34:02,840
Speaker 4: follow ups, and we keep track of the dates so

671
00:34:02,880 --> 00:34:05,440
Speaker 4: that we know, Okay, it's time to schedule your p

672
00:34:05,520 --> 00:34:09,600
Speaker 4: dietary appointment. Because Justin and I are being diabetes educators,

673
00:34:09,719 --> 00:34:12,880
Speaker 4: we're very familiar with what the guidelines are, and so

674
00:34:12,920 --> 00:34:16,040
Speaker 4: we make sure we provide training to our dietitians so

675
00:34:16,080 --> 00:34:18,319
Speaker 4: that they know, hey, these are the established guidelines. We

676
00:34:18,400 --> 00:34:20,839
Speaker 4: have to make sure that every so and so time,

677
00:34:20,960 --> 00:34:23,840
Speaker 4: all of these appointments are made to reduce the likelihood

678
00:34:23,840 --> 00:34:24,880
Speaker 4: of complications.

679
00:34:25,120 --> 00:34:26,839
Speaker 1: So we talked a little bit about this when you

680
00:34:26,880 --> 00:34:29,960
Speaker 1: introduce the idea of social determinants of health, Jess. But

681
00:34:30,160 --> 00:34:32,520
Speaker 1: I want to talk a little bit about prevention because

682
00:34:32,520 --> 00:34:35,040
Speaker 1: you mentioned okay, is the correct information out there, like

683
00:34:35,239 --> 00:34:37,399
Speaker 1: don't we know? And so I wonder if you could

684
00:34:37,480 --> 00:34:40,120
Speaker 1: share some things for people to be mindful of that

685
00:34:40,239 --> 00:34:42,799
Speaker 1: might help to prevent a diabetes diagnosis.

686
00:34:43,280 --> 00:34:46,759
Speaker 3: Yeah, I mean, I think number one is knowing your

687
00:34:46,840 --> 00:34:50,359
Speaker 3: numbers super important. I think if you all just take

688
00:34:50,400 --> 00:34:54,360
Speaker 3: one thing from this episode, it's make sure you know

689
00:34:54,400 --> 00:34:56,680
Speaker 3: what your A and C is. The longer name is

690
00:34:56,760 --> 00:34:59,279
Speaker 3: hemoglobe and A and C. And it's not even an

691
00:34:59,280 --> 00:35:01,839
Speaker 3: expensive tap, I mean, insurance covers it. So I don't

692
00:35:01,840 --> 00:35:05,279
Speaker 3: know why doctors don't always automatically order it. So that's

693
00:35:05,360 --> 00:35:09,759
Speaker 3: number one. And then I think just not being too

694
00:35:09,840 --> 00:35:13,240
Speaker 3: overwhelmed if you do have a pre diabetes diagnosis, because

695
00:35:13,280 --> 00:35:15,120
Speaker 3: I can't tell you the number of patients I have

696
00:35:15,200 --> 00:35:19,320
Speaker 3: where they really freak out and I understand why because

697
00:35:19,480 --> 00:35:22,720
Speaker 3: their mind is going to like the worst possible outcome

698
00:35:22,760 --> 00:35:26,160
Speaker 3: in scenario. But just take a deep breath. It's probably

699
00:35:26,200 --> 00:35:29,080
Speaker 3: going to be okay. Also, not everybody with pre diabetes

700
00:35:29,239 --> 00:35:32,759
Speaker 3: develops diabetes. You do have an increased risk, but there's

701
00:35:32,800 --> 00:35:36,319
Speaker 3: a lot you can do, So I would say even

702
00:35:36,520 --> 00:35:40,400
Speaker 3: doing things like having walks after meals. I love toying

703
00:35:40,440 --> 00:35:43,479
Speaker 3: with continuous glucose monitors. I actually have one right here.

704
00:35:44,239 --> 00:35:47,920
Speaker 3: I'll show you. These are ways that you can track

705
00:35:48,000 --> 00:35:51,120
Speaker 3: your blood glucose in real time, and so a lot

706
00:35:51,160 --> 00:35:53,839
Speaker 3: of our patients will use it's called a CGM. And

707
00:35:54,080 --> 00:35:56,520
Speaker 3: even when I have used it in the past and

708
00:35:56,560 --> 00:35:58,759
Speaker 3: I'm just using one now just to play around with it.

709
00:35:58,840 --> 00:36:01,200
Speaker 3: But when I take a walk, like just ten minute

710
00:36:01,239 --> 00:36:05,280
Speaker 3: walk after dinner or any meal, really like it dramatically

711
00:36:05,320 --> 00:36:07,759
Speaker 3: lowers your blood glucose. Even if you just did a

712
00:36:07,800 --> 00:36:09,919
Speaker 3: ten minute walk after dinner, and that's all you did,

713
00:36:10,040 --> 00:36:12,319
Speaker 3: that's probably going to have a positive impact on.

714
00:36:12,239 --> 00:36:12,840
Speaker 5: Your A and C.

715
00:36:13,600 --> 00:36:16,239
Speaker 3: Now, of course, incorporating strain training is going to be

716
00:36:16,280 --> 00:36:20,520
Speaker 3: even more beneficial because your muscles when you do strain training,

717
00:36:20,560 --> 00:36:23,839
Speaker 3: they continuously eat that glucose in your blood. I think

718
00:36:23,840 --> 00:36:25,799
Speaker 3: it's up to seventy two hours, so it has a

719
00:36:25,840 --> 00:36:28,880
Speaker 3: longer term effect versus the walking is more an acute

720
00:36:28,880 --> 00:36:31,759
Speaker 3: effect in the actual moment. So I have so many

721
00:36:31,800 --> 00:36:34,000
Speaker 3: patients where all they did was change physical activity and

722
00:36:34,080 --> 00:36:37,120
Speaker 3: that really helped in terms of nutrition.

723
00:36:37,920 --> 00:36:38,880
Speaker 5: Trying to really.

724
00:36:38,719 --> 00:36:42,400
Speaker 3: Follow that MyPlate method, and the MyPlate method is essentially

725
00:36:42,800 --> 00:36:45,600
Speaker 3: having a combination on your plate. Like I mentioned, half

726
00:36:45,719 --> 00:36:51,800
Speaker 3: your plate is non starchy vegetables things like spinach or tomatoes,

727
00:36:52,200 --> 00:36:56,080
Speaker 3: or colored greens, okra, stuff like that, even one thirty

728
00:36:56,120 --> 00:36:58,640
Speaker 3: year plate is going to be great. And then making

729
00:36:58,960 --> 00:37:02,640
Speaker 3: about a quarter or one to your plate lean protein fish, chicken,

730
00:37:03,239 --> 00:37:06,680
Speaker 3: tofu for vegetarians, and then about a quarter or third

731
00:37:06,719 --> 00:37:10,120
Speaker 3: of your plate will be your starchy carbohydrates, so things

732
00:37:10,160 --> 00:37:14,920
Speaker 3: like peas, corn potatoes, potatoes, tomatoes, what are the great

733
00:37:15,280 --> 00:37:20,680
Speaker 3: but no peas, corn potatoes, bread, pasta, rice, things like that.

734
00:37:20,719 --> 00:37:23,280
Speaker 3: So just having that balance is really going to be

735
00:37:23,320 --> 00:37:24,200
Speaker 3: helpful overall.

736
00:37:24,520 --> 00:37:36,720
Speaker 1: More from our conversation after the break. So I'm curious

737
00:37:36,760 --> 00:37:39,439
Speaker 1: to hear how you are because you both have talked

738
00:37:39,440 --> 00:37:43,719
Speaker 1: about the need for culturally informed and sensitive dietitians who

739
00:37:43,800 --> 00:37:46,680
Speaker 1: understand Yeah, I want to keep tortillas and things in

740
00:37:46,680 --> 00:37:49,520
Speaker 1: my diet. I wonder if you can talk a little

741
00:37:49,520 --> 00:37:52,680
Speaker 1: bit about your vetting process for people who become dietitians

742
00:37:52,719 --> 00:37:54,959
Speaker 1: as a part of diabetes Digital. But also if people

743
00:37:55,000 --> 00:37:58,000
Speaker 1: are finding dietitians in their own areas, how might they

744
00:37:58,080 --> 00:37:59,680
Speaker 1: bet someone for that kind of information.

745
00:38:00,400 --> 00:38:03,200
Speaker 4: Yeah, that is such a good question because how do

746
00:38:03,239 --> 00:38:07,759
Speaker 4: you know? And sometimes it could be a person of color,

747
00:38:07,880 --> 00:38:12,960
Speaker 4: dietitian of color who maybe isn't asking those questions or

748
00:38:13,000 --> 00:38:15,600
Speaker 4: really just approaching it with curiosity. And I think that's

749
00:38:15,640 --> 00:38:19,560
Speaker 4: the most important thing, like having someone who is asking

750
00:38:19,600 --> 00:38:21,759
Speaker 4: you the questions and finding out like what did you

751
00:38:21,800 --> 00:38:24,120
Speaker 4: grow up eating, what do you enjoy eating. It's called

752
00:38:24,160 --> 00:38:27,920
Speaker 4: patients center care, but really learning because we don't know

753
00:38:28,040 --> 00:38:31,879
Speaker 4: every single culture, and our staff of dietitians is very

754
00:38:31,920 --> 00:38:35,040
Speaker 4: diverse and it's very intentional. Want to make sure that

755
00:38:35,080 --> 00:38:37,160
Speaker 4: we have people from different backgrounds so we can learn

756
00:38:37,200 --> 00:38:38,680
Speaker 4: from each other. But at the end of the day,

757
00:38:38,719 --> 00:38:42,280
Speaker 4: We're not going to know everyone's background, and I'm always

758
00:38:42,320 --> 00:38:43,080
Speaker 4: learning myself.

759
00:38:43,120 --> 00:38:44,000
Speaker 2: So we want to make.

760
00:38:43,880 --> 00:38:47,160
Speaker 4: Sure that the dieticians that we have on staff approach

761
00:38:47,239 --> 00:38:50,000
Speaker 4: things with curiosity. It's not like I'm the provider, so

762
00:38:50,080 --> 00:38:52,839
Speaker 4: I know what's best for you. It's really like, okay, well,

763
00:38:52,840 --> 00:38:57,280
Speaker 4: what do you enjoy eating? What do you feel good eating?

764
00:38:57,560 --> 00:38:59,560
Speaker 4: You know, like physically, how do you feel when you're

765
00:38:59,600 --> 00:39:02,759
Speaker 4: pairing certain foods together, like when you're making this meal,

766
00:39:03,440 --> 00:39:09,319
Speaker 4: and just respecting different cultural practices and traditions. Hopefully it's

767
00:39:09,400 --> 00:39:11,480
Speaker 4: more of an outdated practice, but I remember when I

768
00:39:11,520 --> 00:39:15,640
Speaker 4: was becoming a dietitian, it was super common for dietitians

769
00:39:15,640 --> 00:39:18,560
Speaker 4: to be known as the food police or just making

770
00:39:18,600 --> 00:39:21,879
Speaker 4: people feel bad about their food choices, where they came

771
00:39:21,920 --> 00:39:25,640
Speaker 4: in and they left the office just feeling judged and

772
00:39:25,880 --> 00:39:28,360
Speaker 4: looked down upon. And that's definitely not what we want. Like,

773
00:39:28,400 --> 00:39:32,560
Speaker 4: there's nutritious foods from all cultures, there's plant foods from

774
00:39:32,600 --> 00:39:34,879
Speaker 4: all cultures, and it's like, okay, well, how can we

775
00:39:35,239 --> 00:39:37,720
Speaker 4: figure out a way to incorporate more of those foods.

776
00:39:38,160 --> 00:39:41,399
Speaker 4: And also, like foods that aren't considered as healthy, they

777
00:39:41,440 --> 00:39:43,360
Speaker 4: still have a place, but how can we make some

778
00:39:43,400 --> 00:39:46,719
Speaker 4: modifications or maybe have them less often so that you

779
00:39:46,760 --> 00:39:49,200
Speaker 4: don't feel like you're restricting everything that you love or

780
00:39:49,200 --> 00:39:50,000
Speaker 4: that you grew upon.

781
00:39:50,640 --> 00:39:53,600
Speaker 3: And if I can also add with our dietitian, so

782
00:39:53,640 --> 00:39:56,839
Speaker 3: that's part of the interview process too. We asked them

783
00:39:56,920 --> 00:40:00,520
Speaker 3: specifically how they would deal with different scenarios like Wendy

784
00:40:00,560 --> 00:40:03,080
Speaker 3: brought up. And I think one of the questions is,

785
00:40:03,160 --> 00:40:05,160
Speaker 3: let's say someone talks about a culture of food. You

786
00:40:05,200 --> 00:40:07,360
Speaker 3: don't know what that food is. How do you approach that,

787
00:40:07,400 --> 00:40:09,840
Speaker 3: because some people can freak out or whatever. But the

788
00:40:09,880 --> 00:40:12,160
Speaker 3: answer we're looking for is you ask the patient and

789
00:40:12,200 --> 00:40:13,799
Speaker 3: you say, hey, I'm not familiar. Can you tell me

790
00:40:13,840 --> 00:40:16,480
Speaker 3: more about that, or maybe after the visit you look

791
00:40:16,520 --> 00:40:19,000
Speaker 3: it up. Things like that just so that people feel

792
00:40:19,040 --> 00:40:21,960
Speaker 3: heard and seen. So that's number one. And then also

793
00:40:22,800 --> 00:40:26,200
Speaker 3: the co founder of Diversified Dietetics, who's one of our

794
00:40:26,239 --> 00:40:28,720
Speaker 3: good friends. She's a dietitian. Her name is Tamara Melton.

795
00:40:29,160 --> 00:40:32,880
Speaker 3: She also created a training for our dietitians on cultural humility,

796
00:40:33,320 --> 00:40:35,640
Speaker 3: which is something they have to do before they even

797
00:40:35,680 --> 00:40:38,680
Speaker 3: see their first patient with us, which is so important.

798
00:40:39,160 --> 00:40:41,560
Speaker 3: And then in terms of the patient care when you

799
00:40:41,640 --> 00:40:44,319
Speaker 3: mentioned patient centered care, and we try to get a

800
00:40:44,400 --> 00:40:47,359
Speaker 3: sense from our intakes as well, like we incorporate those

801
00:40:47,360 --> 00:40:50,719
Speaker 3: cultural questions and the pre intake and also in the

802
00:40:50,719 --> 00:40:54,120
Speaker 3: person's first visit and beyond asking them specifically what do

803
00:40:54,160 --> 00:40:56,200
Speaker 3: we need to know about your culture or what do

804
00:40:56,239 --> 00:40:57,680
Speaker 3: you think is important to know in terms of how

805
00:40:57,760 --> 00:40:59,760
Speaker 3: you grew up and how that might impact your eating

806
00:41:00,040 --> 00:41:01,880
Speaker 3: because there's a lot of things that might happen in

807
00:41:01,920 --> 00:41:04,480
Speaker 3: different cultures, right like with food that might even impact

808
00:41:04,520 --> 00:41:07,080
Speaker 3: your relationship with food, Like I know in some cultures

809
00:41:07,080 --> 00:41:09,880
Speaker 3: that might be common to comment on people's bodies or whatever,

810
00:41:09,960 --> 00:41:12,040
Speaker 3: and so being able to dissect those things out too

811
00:41:12,600 --> 00:41:15,840
Speaker 3: and understand the foods that people love and reassure them

812
00:41:15,880 --> 00:41:17,719
Speaker 3: we're not trying to take that away or tell them

813
00:41:17,760 --> 00:41:20,799
Speaker 3: they have to eat kale and queenwa or cottage cheese

814
00:41:20,840 --> 00:41:22,760
Speaker 3: to be healthy, because that's the last thing we want

815
00:41:22,840 --> 00:41:26,120
Speaker 3: to do to anyone, Like we're not here to ruin

816
00:41:26,160 --> 00:41:26,680
Speaker 3: your life.

817
00:41:27,080 --> 00:41:29,920
Speaker 1: I wonder if y'all could offer some advice or words

818
00:41:29,960 --> 00:41:33,520
Speaker 1: of affirmation for somebody who maybe has gotten a prediabetes

819
00:41:33,719 --> 00:41:37,560
Speaker 1: or early diabetes diagnosis to help with the process.

820
00:41:38,200 --> 00:41:41,920
Speaker 4: Initially, it can be really scary, And I think the

821
00:41:41,960 --> 00:41:45,279
Speaker 4: most important thing is focusing on the progress that you're

822
00:41:45,320 --> 00:41:49,080
Speaker 4: making instead of getting everything right, because there's definitely this

823
00:41:49,160 --> 00:41:53,040
Speaker 4: perfectionist mentality that kicks in when you've been diagnosed with

824
00:41:53,080 --> 00:41:55,240
Speaker 4: like pre diabetes or diabetes, and you're just like, Okay,

825
00:41:55,239 --> 00:41:58,600
Speaker 4: how can I plan every meal perfectly? And the reality

826
00:41:58,640 --> 00:42:01,520
Speaker 4: is that it's not sustainable. Eating is a lifelong thing.

827
00:42:01,600 --> 00:42:03,960
Speaker 4: You have to do it several times a day, and

828
00:42:04,000 --> 00:42:08,239
Speaker 4: it's just not realistic to plan every single meal out

829
00:42:08,280 --> 00:42:11,800
Speaker 4: perfectly so that you can have these target blood sugars.

830
00:42:11,800 --> 00:42:14,560
Speaker 4: You want to keep into account your sanity because you

831
00:42:14,640 --> 00:42:16,759
Speaker 4: stressing out about this is also going to raise your

832
00:42:16,760 --> 00:42:20,359
Speaker 4: blood sugars. So try to quiet all the noise, all

833
00:42:20,400 --> 00:42:22,880
Speaker 4: the things that you're coming across about what you should

834
00:42:23,239 --> 00:42:25,560
Speaker 4: be doing, and just like connecting what it is that

835
00:42:25,600 --> 00:42:27,920
Speaker 4: you need and trying to plan as much as you

836
00:42:28,000 --> 00:42:31,279
Speaker 4: can to set yourself up for success. But it's not

837
00:42:31,360 --> 00:42:33,920
Speaker 4: about getting it right all the time. It's really about

838
00:42:33,920 --> 00:42:38,040
Speaker 4: making those small changes that lead to long term results.

839
00:42:38,560 --> 00:42:40,120
Speaker 1: And Winnie, I want to go back to something that

840
00:42:40,160 --> 00:42:42,520
Speaker 1: you mentioned earlier, because I had not even thought about

841
00:42:42,800 --> 00:42:45,600
Speaker 1: the connection between what you need to do to manage

842
00:42:45,600 --> 00:42:48,400
Speaker 1: your blood glucose as it relates to being almost a

843
00:42:48,440 --> 00:42:51,879
Speaker 1: trigger for disordered eating of behavior. Right, so you get

844
00:42:51,920 --> 00:42:54,719
Speaker 1: into the habit of paying attention more than you typically

845
00:42:54,760 --> 00:42:57,960
Speaker 1: would have, and then that results in something maybe bigger.

846
00:42:58,280 --> 00:43:00,000
Speaker 1: Can you say a little bit about what people need

847
00:43:00,200 --> 00:43:02,120
Speaker 1: to be careful about or what do they want to

848
00:43:02,200 --> 00:43:04,680
Speaker 1: keep an eye on so that it does not maybe

849
00:43:04,680 --> 00:43:06,680
Speaker 1: become like a disordered eating situation.

850
00:43:07,320 --> 00:43:10,680
Speaker 4: Yes, definitely, I would say being aware of the thoughts

851
00:43:10,800 --> 00:43:13,680
Speaker 4: that are coming up for you, Like if you're obsessively

852
00:43:13,800 --> 00:43:16,640
Speaker 4: thinking about meal planning or like how you're going to

853
00:43:16,680 --> 00:43:21,000
Speaker 4: put together a balanced meal, that's not a healthy approach

854
00:43:21,040 --> 00:43:23,799
Speaker 4: because the goal with working with a dietician is that

855
00:43:24,320 --> 00:43:27,520
Speaker 4: food becomes part of life just like anything else. It's

856
00:43:27,520 --> 00:43:30,600
Speaker 4: not something you're obsessing over. It's just something that you

857
00:43:30,719 --> 00:43:34,640
Speaker 4: do to get enjoyment and to survive. And it's hard

858
00:43:34,719 --> 00:43:37,840
Speaker 4: because with a condition like diabetes that is very linked

859
00:43:37,880 --> 00:43:40,960
Speaker 4: to food, it's hard to not fall into that because

860
00:43:40,960 --> 00:43:42,560
Speaker 4: you're just like, Okay, what can I do?

861
00:43:42,600 --> 00:43:43,200
Speaker 2: What can I do?

862
00:43:43,400 --> 00:43:46,280
Speaker 4: But again, think about all the different factors that we mentioned,

863
00:43:46,320 --> 00:43:48,480
Speaker 4: Like there's just so many things that can impact your

864
00:43:48,719 --> 00:43:53,640
Speaker 4: blood sugar, whether it's stress, whether it's medication, whether it's

865
00:43:53,880 --> 00:43:58,359
Speaker 4: life circumstances, and also family history. So with food, just

866
00:43:58,400 --> 00:44:01,400
Speaker 4: like with everything else, it's good to just be patient

867
00:44:01,480 --> 00:44:04,520
Speaker 4: with yourself and know that you're not going to get

868
00:44:04,560 --> 00:44:08,040
Speaker 4: it right all the time. It's not worth stressing over

869
00:44:08,080 --> 00:44:10,920
Speaker 4: something like this. Initially is totally understandable, but when you

870
00:44:11,000 --> 00:44:14,480
Speaker 4: just find yourself constantly going down that rabbit hole just

871
00:44:14,640 --> 00:44:18,320
Speaker 4: mentioned the CGM. Having a CGM can help to identify

872
00:44:18,400 --> 00:44:22,799
Speaker 4: trends sometimes, and I think Abbot Freestyle they have a

873
00:44:22,840 --> 00:44:25,040
Speaker 4: free trial that you can do for two weeks so

874
00:44:25,120 --> 00:44:26,680
Speaker 4: you don't have to come out of pocket for because

875
00:44:26,719 --> 00:44:29,520
Speaker 4: sometimes it's tricky getting it covered by insurance, but just

876
00:44:29,560 --> 00:44:31,400
Speaker 4: so you see the trends for a couple weeks and

877
00:44:31,440 --> 00:44:34,399
Speaker 4: you can identify like, hey, during certain parts of the day,

878
00:44:34,640 --> 00:44:37,239
Speaker 4: I can see these elevations happening, like what's going on?

879
00:44:37,400 --> 00:44:39,719
Speaker 4: Is it that maybe I overate or that I was

880
00:44:39,760 --> 00:44:43,479
Speaker 4: really stressed out? And I will also say that that's

881
00:44:43,520 --> 00:44:48,400
Speaker 4: tricky because sometimes the stress of the numbers and tracking

882
00:44:48,800 --> 00:44:52,520
Speaker 4: can be another stressor So you just want to make

883
00:44:52,520 --> 00:44:55,160
Speaker 4: sure that you're not becoming obsessive with any of these things,

884
00:44:55,160 --> 00:44:59,239
Speaker 4: like whether it's food, monitoring your glucose, working out. It's

885
00:44:59,280 --> 00:45:01,799
Speaker 4: all a balance and we don't want it consuming you.

886
00:45:02,320 --> 00:45:05,080
Speaker 3: And when we do see it consuming someone, that's where

887
00:45:05,080 --> 00:45:08,720
Speaker 3: we might shift more into that relationship with food piece

888
00:45:08,800 --> 00:45:12,479
Speaker 3: first before we go into gentle nutrition. Oftentimes you can't

889
00:45:12,520 --> 00:45:15,439
Speaker 3: really do both. If someone is really struggling, it's like, Okay,

890
00:45:15,480 --> 00:45:17,440
Speaker 3: we got to make food a little bit more neutral,

891
00:45:18,120 --> 00:45:20,600
Speaker 3: loop in the therapist to care, make sure someone does

892
00:45:20,640 --> 00:45:23,319
Speaker 3: have a therapist, and then once we feel like they're

893
00:45:23,320 --> 00:45:25,080
Speaker 3: in a better place of food, then we can bring

894
00:45:25,120 --> 00:45:26,000
Speaker 3: in the gentle nutrition.

895
00:45:26,640 --> 00:45:29,120
Speaker 1: Well, it is obvious how much care has gone into

896
00:45:29,239 --> 00:45:31,919
Speaker 1: creating this program, and I'm so excited that you all

897
00:45:31,960 --> 00:45:35,120
Speaker 1: have pivoted to be able to offer this. Can you

898
00:45:35,160 --> 00:45:38,000
Speaker 1: tell us more about like where we can get information?

899
00:45:38,520 --> 00:45:40,720
Speaker 1: How would somebody get signed up with you? You mentioned

900
00:45:40,719 --> 00:45:43,080
Speaker 1: that you're available in twenty nine states. I think tell

901
00:45:43,120 --> 00:45:44,800
Speaker 1: us more about like the logistical piece.

902
00:45:45,400 --> 00:45:48,080
Speaker 3: Yes, So the logistical piece is you go to our

903
00:45:48,120 --> 00:45:53,440
Speaker 3: website Diabetesdigital dot co. That's dot co and we have

904
00:45:53,480 --> 00:45:56,320
Speaker 3: all the information there. If you just want the direct link,

905
00:45:56,400 --> 00:46:00,759
Speaker 3: it's slash quiz and you take the quiz and from

906
00:46:00,800 --> 00:46:05,080
Speaker 3: there we will verify your insurance benefits within a day,

907
00:46:05,160 --> 00:46:06,879
Speaker 3: and you can even get an appointment as soon as

908
00:46:06,880 --> 00:46:09,440
Speaker 3: like twenty four hours our dietician. So I will say

909
00:46:09,480 --> 00:46:12,319
Speaker 3: they're like getting booked up, so we will probably have

910
00:46:12,360 --> 00:46:14,600
Speaker 3: to be expanding soon, which is a good thing. So

911
00:46:14,640 --> 00:46:18,319
Speaker 3: you do that and from there you will start meeting

912
00:46:18,320 --> 00:46:21,279
Speaker 3: with your dietitian. If you are not in network, we

913
00:46:21,360 --> 00:46:24,400
Speaker 3: have a self pay version. Ninety three percent of people

914
00:46:24,480 --> 00:46:27,200
Speaker 3: are in network and then seven percent aren't and they

915
00:46:27,280 --> 00:46:29,719
Speaker 3: do the self pay but you can use like your

916
00:46:29,800 --> 00:46:33,040
Speaker 3: FSA or HSA for that and sometimes you might get

917
00:46:33,040 --> 00:46:35,600
Speaker 3: reimbursed with super bills. A lot of my patients have

918
00:46:35,680 --> 00:46:39,000
Speaker 3: done that, and yeah, we would love to work with you.

919
00:46:39,120 --> 00:46:42,360
Speaker 3: It's for people with type one, type two pre diabetes

920
00:46:42,400 --> 00:46:44,520
Speaker 3: type one point five, which we didn't even talk about.

921
00:46:44,880 --> 00:46:47,560
Speaker 3: That's a whole other type of diabetes gestational we didn't

922
00:46:47,560 --> 00:46:51,480
Speaker 3: talk about. That's diabetes and pregnancy PCOS because that tends

923
00:46:51,520 --> 00:46:54,520
Speaker 3: to have a higher risk of diabetes and insulin resistance.

924
00:46:54,719 --> 00:46:57,520
Speaker 3: So we work with all those folks. And if you

925
00:46:57,520 --> 00:46:59,520
Speaker 3: also just want to learn a little bit more about us,

926
00:46:59,560 --> 00:47:02,440
Speaker 3: we have a called the Diabetes Digital Podcast, which comes

927
00:47:02,440 --> 00:47:06,520
Speaker 3: out on Wednesdays, and we talk about all things related

928
00:47:06,520 --> 00:47:10,440
Speaker 3: to diabetes, but also from a social justice and inclusive lens,

929
00:47:10,440 --> 00:47:14,480
Speaker 3: and we have diverse guests and on Instagram we are

930
00:47:14,520 --> 00:47:18,279
Speaker 3: most active at Diabetes Digital Co. So that's pretty much it.

931
00:47:18,400 --> 00:47:20,959
Speaker 3: We hoped that you guys will join our community, whether

932
00:47:21,280 --> 00:47:23,760
Speaker 3: as a client or just as a listener.

933
00:47:24,120 --> 00:47:25,960
Speaker 1: And I'm curious, so I know people will hear you

934
00:47:26,040 --> 00:47:27,440
Speaker 1: and be like, I want to work with Wendy and

935
00:47:27,520 --> 00:47:31,879
Speaker 1: Jess Are you both accepting new clients and dieticians are

936
00:47:32,000 --> 00:47:33,560
Speaker 1: do they have to go with someone else?

937
00:47:34,320 --> 00:47:36,560
Speaker 4: Yes, we're doing the behind the scenes of it all,

938
00:47:36,640 --> 00:47:39,600
Speaker 4: so we're not sting clients, and honestly, it's because we've

939
00:47:39,600 --> 00:47:42,120
Speaker 4: been seeing clients for like ten years and we're just like,

940
00:47:42,400 --> 00:47:46,520
Speaker 4: we want to oversee the operations more so so that

941
00:47:46,600 --> 00:47:49,480
Speaker 4: we have longevity with this company, because we would probably

942
00:47:49,520 --> 00:47:52,640
Speaker 4: just burn out if we were seeing clients ourselves. So

943
00:47:52,680 --> 00:47:55,319
Speaker 4: we have an excellent team of dietitians that we have

944
00:47:55,400 --> 00:47:57,840
Speaker 4: personally vetted and they are seeing the clients.

945
00:47:58,080 --> 00:47:59,920
Speaker 3: I know everyone because I'm like that too, where it's

946
00:47:59,920 --> 00:48:01,759
Speaker 3: like I hear this from this person I want to

947
00:48:01,800 --> 00:48:04,800
Speaker 3: work with. I promise you, Like they're all really good

948
00:48:05,120 --> 00:48:08,440
Speaker 3: and they have amazing reviews from their clients and amazing

949
00:48:08,520 --> 00:48:10,320
Speaker 3: like case studies, success stories.

950
00:48:10,800 --> 00:48:13,560
Speaker 5: It's like a team and we also all talk.

951
00:48:13,760 --> 00:48:17,799
Speaker 3: We do weekly meetings, we do supervision, so there's a

952
00:48:17,840 --> 00:48:21,040
Speaker 3: lot of support and like one on one support from

953
00:48:21,120 --> 00:48:23,200
Speaker 3: us that they get. So it's not just like some

954
00:48:23,360 --> 00:48:25,840
Speaker 3: contract because I know there's a lot of like contract

955
00:48:25,920 --> 00:48:29,200
Speaker 3: situations or whatever. Like they're actual employees with us and

956
00:48:29,760 --> 00:48:31,880
Speaker 3: they're all amazing, beautiful.

957
00:48:32,120 --> 00:48:34,480
Speaker 1: And is there somewhere on your website for any dieticians

958
00:48:34,480 --> 00:48:36,640
Speaker 1: who may be listening, who may be interested in working

959
00:48:36,640 --> 00:48:39,000
Speaker 1: with you all? Can they sign up somewhere on the website.

960
00:48:39,520 --> 00:48:41,120
Speaker 4: Yes, if you go to our website and you go

961
00:48:41,160 --> 00:48:44,799
Speaker 4: to the fotter, there is a section called join the team,

962
00:48:44,880 --> 00:48:48,279
Speaker 4: so you can click on there and we hire on

963
00:48:48,320 --> 00:48:51,560
Speaker 4: a rolling basis. We're actually gonna be hiring for the

964
00:48:51,600 --> 00:48:53,799
Speaker 4: fall and the winter, so you can apply there.

965
00:48:53,960 --> 00:48:56,000
Speaker 2: We can review your application. Beautiful.

966
00:48:56,000 --> 00:48:57,880
Speaker 1: Well, thank y'all so much for joining me again. It

967
00:48:57,920 --> 00:48:59,520
Speaker 1: was a real treat to chat with you all.

968
00:49:00,120 --> 00:49:02,720
Speaker 3: Thanks for having us Doctor Joy of course.

969
00:49:02,840 --> 00:49:08,160
Speaker 1: Yes, I'm so glad Wendy and just were able to

970
00:49:08,239 --> 00:49:11,239
Speaker 1: join me for this conversation to learn more about them

971
00:49:11,280 --> 00:49:14,000
Speaker 1: and the work they're doing. At Diabetes Digital. Be sure

972
00:49:14,000 --> 00:49:16,239
Speaker 1: to visit the show notes at Therapy for Blackgirls dot

973
00:49:16,280 --> 00:49:19,600
Speaker 1: com slash Session three eighty five, and don't forget to

974
00:49:19,640 --> 00:49:21,719
Speaker 1: text this episode to two of your girls right now

975
00:49:21,760 --> 00:49:24,399
Speaker 1: and tell them to check it out. If you're looking

976
00:49:24,400 --> 00:49:27,520
Speaker 1: for a therapists in your area, visit our therapist directory

977
00:49:27,560 --> 00:49:31,040
Speaker 1: at Therapy for Blackgirls dot com slash directory. And if

978
00:49:31,040 --> 00:49:33,120
Speaker 1: you want to continue to dig into this topic or

979
00:49:33,160 --> 00:49:35,879
Speaker 1: just be in community with other sisters, come on over

980
00:49:35,920 --> 00:49:38,400
Speaker 1: and join us in the Sister Circle. It's our cozy

981
00:49:38,440 --> 00:49:41,279
Speaker 1: corner of the Internet designed just for black women. You

982
00:49:41,320 --> 00:49:44,879
Speaker 1: can join us at community dot Therapy for Blackgirls dot com.

983
00:49:45,239 --> 00:49:48,719
Speaker 1: This episode was produced by Elise Ellis, Zaria Taylor, and

984
00:49:48,840 --> 00:49:53,000
Speaker 1: Tyree Rush. Editing was done by Dennis and Bradford. Thank

985
00:49:53,080 --> 00:49:55,400
Speaker 1: y'all so much for joining me again this week. I

986
00:49:55,480 --> 00:49:58,680
Speaker 1: look forward to continuing this conversation with you all real soon.

987
00:49:59,360 --> 00:49:59,960
Speaker 2: Take good care.

988
00:50:02,680 --> 00:50:04,520
Speaker 6: What what What