Speaker A [00:00:00]:
Hi, everyone. So today on the podcast, I have my fellow dietitian and friend, Dionne Milaskis, who is a specialist in prediabetes and blood sugar control. Welcome to the Paralysis Nutrition Podcast, where changing your eating habits is the key to losing weight, improving bowel health, and feeling your best. I’m your host, Fatima Fakouri. I’m a registered dietitian who’s married to a quadriplegic and specializes in nutrition for paralysis. Get ready to be inspired, educated, and motivated so you can take control of your health using the power of food. Let’s get started. This is the Paralysis Nutrition Podcast.
Speaker A [00:00:39]:
Welcome, Dion, to the Paralysis Nutrition Podcast.
Speaker B [00:00:42]:
Hey, thank you for having me. I’m excited to be here.
Speaker A [00:00:45]:
So, Dionne, we shared this before the recording started. I shared this with you. That people with spinal cord injury have an incidence of diabetes. There is a two and a half times higher incidence or prevalence of diabetes in the spinal cord injury community than there is in the general population. So first, does that surprise you?
Speaker B [00:01:08]:
It doesn’t. It doesn’t surprise me because one of the biggest factors that comes to mind is, you know, our sedentary time, especially throughout the day, can really have an impact on our A1C and our blood sugar, which are the two biggest factors that impact our whether we have prediabetes or type 2 diabetes.
Speaker A [00:01:26]:
Right. And so I have found that when I ask clients, what is your A1C, they often don’t know. Can you tell us what is the A1C? I know, but the listeners might not know.
Speaker B [00:01:38]:
Yeah, no, you’re right. I feel like a lot of people don’t know. It’s a term that kind of sounds foreign. And so I talk about A1C a lot because whenever it comes to blood sugar, most people are aware that you can just, you know, take your blood sugar at any point during the day. You can take your fasting blood sugar in the morning, but then here comes a 1C, which is a much better measure of how you’re actually doing with your glucose metabolism. A1C is just your average blood sugar from the past three months. And we like that because a lot of things can temporarily impact, typically, you know, for the worse, like elevate your blood sugars, but sometimes it can temporarily reduce them as well. Right now, in the moment, like, if I would have went for a 30 minute walk before hopping on here with you and then taken my blood sugar, it would have been lower, obviously, than if I didn’t do that.
Speaker B [00:02:27]:
So A1C gives us a real picture of what you’re looking like over the last three months, it’s expressed as a percent because it’s the percent of your red blood cells, your hemoglobin. So you might hear it called hemoglobin A1C. The percent of your hemoglobin cells that have glucose attached to them. The more glucose that’s attached, the higher the percent.
Speaker A [00:02:51]:
Right. So just for anyone who is listening, what are the values? So I told you my A1C was 5.7. And that is right on the borderline of being pre diabetic. Right. And I tell people in my program all the time, like, I’m not just telling you to balance your. Your carbs. I’m doing it too, because it’s very genetic. Right.
Speaker A [00:03:15]:
So you had mentioned activity level. Right. As being a big factor, but genetics are a huge factor too. Right. And so. So 5.7 was my number. And I know that at 5.8, you’re officially pre diabetic. And so you want to be below 5.8.
Speaker A [00:03:34]:
Right. For your A1C, you want to be below 5.7, actually.
Speaker B [00:03:38]:
So 5.7. Yeah. 5.7 to 6.4 is the range. So you really want to be 5.6 or below.
Speaker A [00:03:46]:
Okay. So you want to be. So thank you for correcting me. So 5.6 are below. And then where does pre diabetes end? And diabetes begin after 6.4.
Speaker B [00:03:55]:
So at 6.5%, that’s considered type 2 diabetes.
Speaker A [00:03:59]:
Okay. And so a lot of people in my program are pre diabetic, and they don’t know it until I ask them or if I kind of prompt them, I say, you know, like, on the discovery call, I’ll say, do you have other. You know, not just in my program, it’s weight loss and it’s bowel health. Right. Mostly like, constipation. But I always want to know, like, is there something else going on? Because I know that in the paralysis community, spinal cord injury in particular, there’s a higher prevalence of diabetes. And so they’ll kind of offhandedly say, well, you know, the doctor said I was pre diabetic, and people don’t take it as seriously as I wish that they would. So, Dionne, can you just tell us what is the difference, other than just, like, your A1C, what’s the difference between prediabetes, which I always teeter on the edge of prediabetes, and I really have to watch it.
Speaker A [00:04:50]:
Right. And so what is the big difference between being pre diabetic and being diabetic?
Speaker B [00:04:56]:
Yeah. So the main difference is. So what is diabetes? Diabetes is whenever your pancreas has, essentially it’s been fatigued, your pancreas produces insulin. Insulin is the hormone that helps remove glucose from your bloodstream and put it into your cells, essentially. So in the type 2 diabetes range, your pancreas is really working at a much lower capacity than in the pre diabetic range. And so, you know, prediabetes is actually a relatively new term that was developed in the 90s. So before that it was either you’re below range or you have type 2 diabetes. And so pre diabetes came about as kind of like, not like if you’re in the type 2 diabetes range, that’s a red flag.
Speaker B [00:05:35]:
You need to do something differently. For sure, the prediabetes is like the orange flag, the warning sign that like, they kind of turn this around before you go on and do that, unfortunately, permanent damage to your pancreas. Because at this point, there’s really no way that we can regenerate the cells that produce insulin. So once you have type 2 diabetes, it’s kind of one of those things where the damage is done. And I don’t like to fear monger, but it’s just, it’s very scientific, Right. And so you’re just at that point working with what you’ve got as far as your insulin, whereas in the pre diabetes range, your pancreas is still working a lot better and you have more insulin.
Speaker A [00:06:11]:
Wow. And so it’s interesting because when you, and I’m sure you, every dietitian has this problem is that when we’re looking for really specific research, it’s, it’s, it’s difficult. So imagine trying to find spinal cord injury and paralysis research. Research. So I am, you know, working with very little information, but two and a half times of a higher prevalence of diabetes. I can only imagine the prevalence of pre diabetes.
Speaker B [00:06:39]:
Yeah.
Speaker A [00:06:40]:
I don’t want to make assumptions, but I’m going to say it’s a lot higher than two and a half times, because your doctor, I’ll tell you very honestly, I mean, I’m glad I’m a dietitian because I know that in a 1C, I teeter on like 5.6, 5.7, 5.6, 5.7. So now I know that I need to do more, right? I need to do more in terms of my nutrition and my lifestyle to get my number down. But I know that because I studied this, right? Most of my clients are people in the paralysis community. They get their blood work done. No one’s checking their A1C. Unless I will give you a guess, when does your doctor check your A1C? What is that bias that they have.
Speaker B [00:07:20]:
If their BMI is.
Speaker A [00:07:22]:
Yes, yes, I knew you were going to say that. Right. So BMI is body mass index, and it is an outdated thing. And so many people with paralysis don’t even know how much they weigh. Right. Because where is their wheelchair scale where it’s not in every doctor’s office. Right. So I get a lot of people who I think the doctors are assuming, right.
Speaker A [00:07:49]:
That they have certain health issues, including something like diabetes, which, you know, it is what it is. If that’s what gets them to order the blood work, it’s great. But I always ask people in my program, like, listen, if you’re going to the doctor anytime soon, can you please get your A1C checked? Because it’s just good to know, right? And they will not wave that orange flag and say necessarily, you’re pre diabetic. I just had my thing, my blood work done. It was 5.6. Deonna. I did not get a phone call from the doctor’s office because it was 5.6, but three months ago, it was 5.7. And of course, as a dietitian, I asked for a copy of my labs.
Speaker A [00:08:31]:
So I was able to look at it and say, okay, you’re 0.1 better. You need to do even more to get this down. But so when it comes to being pre diabetic, we can just assume that the prevalence of prediabetes in the spinal cord injury community is a lot higher than the diabetic numbers. And the diabetes numbers are not good. Two and a half times higher. Right. So I really do preach a lot of, like, we don’t really calorie count too much, but we macro count. So you are always talking on your social media.
Speaker A [00:09:05]:
Oh, which, by the way, we forgot to mention. So, Dion, you have to follow her on social. She’s at prediabetes nutrition. Her content is amazing and so, so helpful. Because, Dionne, you don’t say, cut out carbs. You don’t say, stop eating your favorite foods. What is your approach to balancing carbs? Right. So if there’s people listening who are like, oh, I think I’m pre diabetic, or I could be pre diabetic, or I know that I’m pre diabetic, what are some things that you would say they could start doing immediately?
Speaker B [00:09:36]:
Coming from healthcare providers, too, I recommend the pairing approach. Having your carbs and then pairing them with protein Fat and fiber to prevent a blood sugar spike and manage your blood sugars. Um, so, so knowing that, you know, focus. Saying carbs are the easy part for everybody, everybody I’ve ever met, it’s the prote fat and fiber that’s the hard part. So, you know, I always say start with fiber because upwards of 90% of Americans are deficient in their daily fiber intake, which is about 5 to 30 grams a day. So I’ll say have some, you know, avocado at breakfast or some berries at lunch. Or again, focusing on what you can add to your diet versus take away.
Speaker A [00:10:19]:
I love that because I think of so many people when they want to eat healthy, they think about what they have to cut, right? So I always say adequacy first. And as you know, in my program it’s a lot about bowels. So we talk a lot about dietary fiber. And you know, people are, this is like so kind of frustrating because I think if you want to improve your constipation, you have to eat fiber. That means you have to eat carbs. There’s no fiber in protein, there’s no fiber in fat. The only macro that’s left when it comes to food is carbs. So people who want to, you know, lose weight, they’re scared of carbs, they’re scared of fruit, they’re scared of whole grains.
Speaker A [00:11:00]:
But you really need that stuff so that you can get enough fiber. So I love that you’re sharing the pairing method. So Dion’s kind of approach is that you eat your carbs, but you don’t eat them by themselves. Right. Pair them with protein, you pair them with fat. And whenever I tell people like, oh, you know, for a snack, I always tell them like, go for your fruit, but make sure that you pair it with some nuts, with a piece of cheese, with, you know, something. Right. Do you feel like people with prediabetes need to cut down on their carbs or do you feel like it’s really about balance? What’s your take on that?
Speaker B [00:11:40]:
It just depends because some people that come to work with me, you know, they’re coming from a keto style diet. So in that case, we’re obviously going to increase carbs. Other people might would say, I just don’t like meat. You know, um, in that case, if they’re eating a pretty and they’re not focusing on plant based protein, if they’re having a predominantly high carb diet, yeah, we’re just by virtue of adding in their protein and fiber and fat or carbs higher in Fiber, which is more filling. They’re probably going to be eating a little bit less carbs because there’s just not enough room for them. Um, absolutely. Absolutely.
Speaker A [00:12:16]:
Absolutely. I think that’s important to distinguish is like, we don’t want. I mean, you and I are very similar in our approach, is that we don’t want you to cut out carbs. Like you need to eat carbs. However, there is a such thing as too many. Right. And. But I love that kind of adequacy approach where you say, what can we add?
Speaker B [00:12:39]:
Yeah. And you know, it’s the same thing I tell my clients too, is like, you know, you can use the pairing method. It works with any food. But if you’re having a really large portion, if you eat, you know, five slices of pizza and that’s 100 carbs, there’s not enough protein in the world that’s going to prevent your blood sugar from spiking. So you do have to keep in mind portions that work for you. And. And also knowing that if you do eat five pieces of pizza, it’s not going to give you diabetes. It happens.
Speaker B [00:13:06]:
Right. Also teaching them to not feel guilty or shameful because that typically drives an even higher amount of eating carbs. So again, all about balance, you know, with portion sizes and also understanding that if you guilt trip yourself for going over what works well for you, you have to forgive yourself and move on.
Speaker A [00:13:26]:
Absolutely. And I think that emotional eating is something that comes up a lot. So it’s for weight, it’s for carbs, it’s for just like in any kind of arena that you talk about eating, I think that emotional eating is a big deal. So when it comes to, I guess, the comfort foods, Right. We love our Mac and cheese, we love our bread. What’s your, I guess, advice or tip, you know, to how can we enjoy these foods? Right. Like the Mac and cheese, for example. I know it’s Thanksgiving almost, it’s coming.
Speaker A [00:14:07]:
I’m going to be grating cheese for hours, you know, and so do you think that we can still eat our heavy, heavy carb foods or if you’re pre diabetic, you think those are still. Still okay?
Speaker B [00:14:23]:
Yeah, I think you can make any food work because in my experience, if I were to tell someone with prediabetes that loves Mac and cheese they can never eat it again, they would not be happy. They would find this not sustainable, and they would probably avoid it for a month or two, too, and then find themselves eating it and eating it in large portions and falling off the wagon and it just kind of spirals. So again, I always tell people, make sure that whenever you’re eating it, ideally that you are not doing it out of stress. Like if you’re eating it at the end of the day because you’re stressed, you need to find other mechanisms to cope with your stress.
Speaker A [00:14:59]:
Besides, tell us, Dion, what can we do if it’s the end of the night and it’s like, well, I do often tell my clients to go to bed. Yes, it’s good for your body.
Speaker B [00:15:10]:
Okay.
Speaker A [00:15:11]:
Like if you ate dinner at 6 and it’s now like 9:30, it does not surprise me that you are hungry. So you and I, we are moms, we have young kids, we work full time, we like to go to bed early. What about people who like to stay up late? What do we do about the nighttime snacking? So first I want you to give us a couple of ideas for what is a blood sugar friendly, as you call it, snack for bedtime. Right. Because some people get hungry and then we will talk about the other things to do other than eat.
Speaker B [00:15:42]:
Yeah, yeah. So that’s the cool thing about blood sugar management is a lot of research shows that having a snack before bed, I call it a night snack, but it’s really just a snack before bed. Even if you go to bed at.
Speaker A [00:15:54]:
Like 7:30, I won’t tell at 8pm.
Speaker B [00:16:01]:
But IT research shows that it can help bring down your fasting blood sugar, which is often the most difficult metric for people with Pre and type 2 diabetes to bring down, even more so than A1C. And so it’s kind of fun because it’s like, for most people, yes, let’s actually plan on having a snack. And so the best snack is going to be a higher protein, higher fiber snack. So, you know, avocado, that’s, that’s a fun one. Guacamole, something like that. Any kind of nuts. That’s also a really good one. Um, I also like cheese.
Speaker B [00:16:31]:
I mean, I have to watch my cholesterol personally. But for people who don’t, cheese and crackers or something like that would be nice.
Speaker A [00:16:38]:
We are literally the same, you and I. We are not even 40. We have prediabetes and we have high cholesterol. What is going on?
Speaker B [00:16:47]:
Imagine if we weren’t dietitians. I think it would be good.
Speaker A [00:16:51]:
And I would like to point out that for Dion and I, our weight has absolutely nothing to do with this cholesterol and this prediabetes. Right. Sometimes it does. Right. But I just want to put it out there. And I know that you preach this all the time on your page, that weight is not in and of itself a reason for people to become diabetic. And that’s what I think is sometimes misconstrued. Right.
Speaker A [00:17:23]:
Like, anytime I tell anyone that, like, oh, you know, I have to kind of watch it because I’m pre diabetic, they’re like, what? You know, because I’m not considered high BMI or overweight, but it’s. There’s so many factors that drive up your blood sugar and screw up your cholesterol. Obviously, what you eat, right. Is part of it, and your physical activity level and your stress level and your genetics. So I just wanted to put that out there because just because you are at a higher weight does not mean automatically that you have these, you know, metabolic issues. But also, on the flip side, just because you are slim or at a, you know, quote unquote, normal bmi, it does not mean that you cannot have these problems. You know, appearances can be deceiving. So just wanted to kind of make that note because I think it’s really important.
Speaker A [00:18:14]:
Right. And also evidence based. Evidence based.
Speaker B [00:18:18]:
Right.
Speaker A [00:18:18]:
We’re here for that.
Speaker B [00:18:19]:
Yeah.
Speaker A [00:18:20]:
I mean, so the snack, I love that. Should we also have a carb or. No. So if you do fruit, should it be like fruit and cheese, or would you say just do the cheese?
Speaker B [00:18:30]:
Definitely have a carb. I’ve seen it backfire. If people just do protein and fat, like just cheese, it can be a low. If there’s ever a time for, like, a lower carb snack, I always say this is the time. Like nuts, for example, they’re lower carb. They still have carbs, but definitely want some carbs. The higher the fiber, the better. So that’s why I would, like, if I.
Speaker B [00:18:51]:
If I know I’m going to eat.
Speaker A [00:18:52]:
What’s your bedtime snack, Dion? Tell us.
Speaker B [00:18:55]:
Tell us what’s your bedtime changes all the time. But lately I. I’ve really been. I love olives. I love black olives. So lately I’ve been into, like, black olives, cucumbers, tomatoes, and then whatever kind of like yogurt or cottage cheese. I get the lower fat again because of the cholesterol.
Speaker A [00:19:12]:
Me too. 1%. Yeah.
Speaker B [00:19:14]:
I’ll make a little, you know, dip or I’ll do like, everything but the bagel seasoning over it and make like a little salad or something. I go through phases, though. Like, sometimes I’ll just do like a protein bar or like some nuts or I like a lot of Nuts. So something like that. But I think, you know, going back to what you said before, that about people in smaller bodies getting prediabetes and people. I think it’s so great that you’re talking about that because I think talking about how so many people that have spinal cord injury don’t even know that they have prediabetes until you mention it. It’s the same in the general population. I would imagine it’s more exaggerated in the spinal cord population, but it is.
Speaker A [00:19:55]:
You know, access to doctors and like keeping regular appointments. There’s a lot of barriers, you know, to entry, you know, other things to kind of take precedence at times. So. So, yeah, weight is not.
Speaker B [00:20:09]:
And it’s one of those things where if you go to the doctor, most, most doctors or dietitians working in a clinical setting, we don’t have a lot of time to spend with people. So these are the things they don’t tell you. They don’t tell you have this for a night snack or, hey, just because your, your BMI is considered normal, it doesn’t mean that you’re not at risk and you shouldn’t pay attention. So I think it’s great that there’s resources like your podcast and our Instagram pages, because people can consume this free information and be aware. And that’s the biggest thing with prediabetes, is if you can catch it while you’re in the pre diabetic range. It’s so much easier to get down than before you go to the type 2 diabetes range. And, and the only way to do that is by getting your labs because most of it’s asymptomatic. Most people.
Speaker A [00:20:52]:
Right.
Speaker B [00:20:52]:
Diabetes don’t even know they have it.
Speaker A [00:20:54]:
No, there wouldn’t be. I mean, yeah, not really. There’s not a lot of signs. And so the signs come when you’re already diabetic. Right. And then it’s kind of like now we’re looking at medications and, you know, it’s not the end of the world. But in a better scenario, we find out, oh, a 1C 5.6. Okay.
Speaker A [00:21:14]:
Ooh, you’re right on the edge. Let’s do something about it. And so, yeah, I think that’s, I’m sure a lot of people are going to like hearing that they can have a snack and that we want to make sure that there’s fiber, make sure that there’s some protein, some healthy fat in there and just like a little bit of carbs. So that’s very helpful. And then last, what do you think about other methods of coping. Right. Because stress, depression, anxiety, all of these things are prevalent in every part of the world. But I think that mental health is a huge concern in the paralysis community.
Speaker A [00:21:52]:
And, and I gotta say, it is something that people feel is equalizing. You know, it doesn’t change. Your taste perception doesn’t change after paralysis, your appetite may kind of change, but food is still something that can very much be enjoyed. Right. And I have had clients say that once they’re injured, it’s like one of the few things that they really can still enjoy. Right. So what’s your, I guess, top couple of things that people can do, you know, once they’ve eaten their meals? Obviously, we’re not talking about instead of eating. We’re saying, you’ve eaten your meals, you’ve had enough calories, you’re eating your protein, you got your carbs and fiber, and now it’s 9pm We’ve even maybe had our healthy night snack.
Speaker A [00:22:41]:
Now what, what if we’re sad and we just want to eat a bunch of Cheetos?
Speaker B [00:22:45]:
Yeah. Yeah. Oh, man. And there’s, there’s typically, it’s not so easy as just one or two things. Right. It’s so much deeper than that. And, and you’re right. Food.
Speaker B [00:22:55]:
You’re allowed to enjoy food no matter who you are, no matter what chronic conditions you’re living with. That’s a pleasure of life that everyone has. But we don’t want food to be our only pleasure in life. That’s whenever we get in trouble, is at the end of the day, we’ve enjoyed our foods and then we’re physically full, maybe, but mentally we’re going, I want the Cheetos. And that’s where, you know, you got to dig deep and go, okay, what do I really need right now? Am I bored? Am I lonely? Have I said that Cheetos are bad and avoided them all day? And now it feels good to be bad. You know, there could be so many things going on.
Speaker A [00:23:25]:
It’s bad, feels good.
Speaker B [00:23:30]:
Yeah.
Speaker A [00:23:31]:
Put that on a post. It reflect on, why are we like this? I think that’s really poignant, right? Is that it’s not just like one thing. It’s not like, oh, I want a snack. I think I’m going to write my journal now.
Speaker B [00:23:44]:
Right. It’s not that easy.
Speaker A [00:23:45]:
Doesn’t work.
Speaker B [00:23:45]:
No, exactly. So it takes a lot of deep inner work. And it’s always, to me, it’s just a sign, a red flag, if you will, that you need to dig deeper. And, you know, Investigate what has kind of led you here and work on it. You know, everyone thinks just because we all eat food every day, it’s easy. But having a healthy relationship with food to where you could say, eat Cheetos in an amount that feels good and without guilt, that’s actually not so easy for a lot of people.
Speaker A [00:24:12]:
It’s not even easy for me. Geez. You know, because in our, in my mind it’s like, oh, I really shouldn’t be eating this. Might as well just eat them all, get rid of it and then not have the problem tomorrow.
Speaker B [00:24:24]:
Exactly. That’s, that’s the mindset that a lot of us get in, you know, so it’s, it’s important to, I say, you know, make foods like that. If it’s a food you find yourself struggling with, consistently try to make it a more regular part of your diet alongside other foods that are healthy and make you feel good.
Speaker A [00:24:44]:
That is a great tip. So if you love your Cheetos, you love your chips, you want to have them, fit them into your meal. So it’s like say you want to have a handful on the side of your lunch or you want to have, you know, those, those smaller individual sized servings. Right. Like the smaller bags. I think those are great. I buy those for my kids because. For the lunch boxes.
Speaker A [00:25:09]:
But they actually work really well for, for the adults too. Right. So you don’t have to, you know, you’re not just sticking your hand in the bag. Right. And it’s like bottomless.
Speaker B [00:25:19]:
It’s a nice portion. I mean, and you nailed it. Like a personal example is I used to view, just like, I love plain potato chips. I used to just think they were like bad, empty calories, you know, oh, they’re carbs, I shouldn’t have those. And I would find myself at the end of the day in front of the couch, just eating like way more than I wanted to. I didn’t feel good. And then I would start to add them in during the day, like with my lunch alongside, you know, maybe a salad, some chicken, some berries, whatever, tofu. And at first I was going, should I really be doing this? But what I found is eating a few of them earlier in the day was very enjoyable and it prevented me from kind of like binge eating them at night and still healthy, still, you know, doing great.
Speaker B [00:25:57]:
So it didn’t. Yeah.
Speaker A [00:25:59]:
Yes. So it was kind of better for me. Yeah. So kind of fitting them into your regularly scheduled programming and not having them as like this bad thing that you do, you know, at Night. So, yeah, I think digging deeper, I always tell people, you know, there’s free apps you can always download. I use the Calm app.
Speaker B [00:26:19]:
I do too. I love that.
Speaker A [00:26:20]:
I love that one. Yeah. And so you can download these things and have them kind of in your toolbox. Right. And I also love what you said. Like, what do you need right now? Like, what do you need? Do you need to. Do you feel sad? Do you want to talk about your emotions? Can you call somebody? Are you just feeling kind of yucky? Like, do you want to just kind of put on some lip gloss and, you know, just like, feel normal again? Do you? What do you need? Right. Because a lot of us are looking to food to fill these.
Speaker A [00:26:51]:
I don’t know.
Speaker B [00:26:52]:
It’s an unmet need. Exactly.
Speaker A [00:26:55]:
An unmet need. And I think that’s a lot of this leads, unfortunately, to disease. Right? So kind of that mind body connection. It’s like if something’s not right upstairs, right. In the brain, if you’re feeling all these things, which, of course, in the spinal cord injury community, there’s just, like, a lot that goes on, mental health wise, it really does manifest itself in your eating habits. Right. And to end on, like, a happy note, it’s like, it’s actually fine to be pre diabetic. You can fix that, right? Like, you can get that number down, but you need to know what to do.
Speaker A [00:27:28]:
So that’s why we have people like Dionne who specialize in this. Thank you so much, Dion, for coming on the podcast. I really appreciate it. The spinal cord injury community really, I think, needs more nutrition information. And so that is why I asked you to come here, because so many people are diabetic, pre diabetic, don’t even know it. So I had to call in the specialist.
Speaker B [00:27:51]:
Well, thank you for having me. It’s an honor to be here. And I learned a few things today, too, about the spinal cord injury community.
Speaker A [00:27:58]:
Awesome. And tell people where they can find you on Instagram, Dionne.
Speaker B [00:28:02]:
So it’s prediabetes nutrition.
Speaker A [00:28:05]:
Awesome. And thank you so much. And I will see you guys next time on the next episode. That’s our episode for today. Thanks for listening. I hope you enjoyed it and that you learned something new. Remember, if you want to lose weight with paralysis, improve your bowel health and feel your best you can. It’s possible you just have to change your eating habits.
Speaker A [00:28:25]:
If you need inspiration on how to get started, check out the paralysis Nutrition Cookbook 101 recipes to help you lose weight and improve bowel health. The cookbook comes with a bonus 30 day meal plan and is the perfect way to start eating healthier. You can find it online at paralysisnutrition.com cookbook I’ll talk to you again soon.
