DONNA JANDA 

Some of us go our whole lives without ever reading food labels, others swear by them. Yet, there are some of us who would love to read food labels, but we have no idea what all those numbers mean or how they impact our health or well-being. 

This is all fine, until there is a health crisis, such as diabetes, at which point, reading and understanding these labels can be critical. 

To break down the mystery of the food label, we have to look at the ingredients list, serving sizes, and most importantly, try your best to ignore all the fancy descriptions on the front of the package. 

The ingredients are listed in order of highest quantity. This means that the first ingredient on the list has the most content, and the last ingredient, has the least amount of content. This seems simple enough until you see dextrose, fructose, galactose, glucose, lactose, maltose, sucrose…all of which are sugar in its various forms. There are over 50 other names for sugar that the unsuspecting consumer may not be aware of, not including the hidden sugars in fruits or ingredients, such as coconuts, so if you are diabetic, read your labels very carefully. 

Whether you are diabetic or not, it is important that you pay special attention to the serving sizes, as they are generally smaller than what we consume in a sitting. For example, a can of soda or a bag of chips may contain two or more servings. Can you really imagine leaving half a can of soda for another day? 

What about cereal, a trusty, quick fix breakfast when you don’t have time to make some porridge? Did you know that the average cereal bowl holds approximately two cups of cereal, however, the average cereal serving size is only 3/4 of a cup? This means that when your favourite granola says it contains 200 calories and 30% of your daily intake of saturated fats, you may actually be consuming 520 calories and 78% of your daily intake of saturated fat, and that’s all before you have even walked out the door. 

Also, please do not sit down and eat that one container of ice-cream by yourself. One container is not meant for one sitting. Pace yourself and thank me later. 

Mark Simms, Certified Holistic Nutritional Practitioner (CNP), #thatwholisticguy, suggests that if you are diabetic, you should increase your fiber consumption. Simms also states that when eating fruits, size does indeed matter. You should eat small fruits or cut and weigh them so that you are only consuming approximately 15g of fruit. And what about food combinations? Well, if you eat food with protein and/ or healthy fats, that is a bonus to keep your blood sugar balanced. 

If in doubt, foods without labels, such as fruits, vegetables, and legumes, are always the healthier choice. However, when you start your journey to a healthier lifestyle, please ensure that you consult your doctor or health practitioner to get that extra support and guidance. 

And remember, you don’t have to be financially rich to lead a rich and fulfilling life. The battle is won at the grocery store. Knowledge is power, and your health is in your hands…and on your plate. 

The post HOW TO TAKE CONTROL OF YOUR DIABETES: THE GROCERY STORE CHRONICLES appeared first on RG Magazines.

Dr Andrew Jamieson, through the Bermuda Diabetes Association, offers some interesting facts surrounding COVID-19 and diabetes. If you haven’t already investigated this, be encouraged that it’s manageable to live well despite the challenges you may face: 

1. Having diabetes does not increase a person’s chance of being infected by Coronavirus. 

2. A person with diabetes is at a greater risk of becoming unwell if they develop COVID-19 than someone without diabetes. 

3. The way COVID-19 causes illness, by attacking blood vessels throughout the body, makes people with diabetes more prone to complications of COVID-19. 

4. A person with diabetes who develops COVID-19 will experience a rise in blood glucose levels that may become dangerously high. 

5. Certain medicines used to treat diabetes, which are recommended to be stopped in any acute illness, can worsen a person’s health if continue during a COVID-19 infection, e.g. Metformin, SGLT- 2 inhibitors. 

6. Patients with diabetes are about twice as likely to end up being admitted to ICU than those without diabetes. 

7. Poorer control of diabetes, increasing age, kidney disease and socioeconomic deprivation are the strongest factors predicting hospital admission, ICU admission and death in people with COVID-19. 

8. The majority of people in hospital in Bermuda due to COVID-19 have diabetes – the combination is deadly. 

9. Your risk of getting very sick from COVID-19 is likely to be lower if your diabetes is well managed and you are vaccinated. 

Now, while that information should be taken seriously, it’s not all bad news. Things feel a little scary or uncertain. If you’re finding yourself worrying, consider focusing on the things you can control in your life: 

1. Know your ‘sick day’ rules. If unsure, reach out to your HR department or other professional. Take care of yourself! 

2. Keep up to date on the symptoms of COVID-19 and what to do. Check out a reputable site or stay in touch with your local physician. 

3. Keep up to date with public recommendations. It’s not fun, but it helps to keep cases low – wear your mask, wash you hands often with soap and warm water, maintain social distancing, etc. Reference the government website or other local news sources to stay current. 

4. Take precautions! Try to keep your blood glucose level in range, ensure you have hypo treatments and available, and prescriptions if needed. 

5. Look after your body. Try to make good food choices and look at this as an opportunity to expand your culinary skills! Also, find an activity of interest that will help you maintain a good exercise level. 

6. Look after your mind, as well! Keep in touch (or reach out if you haven’t already) to friends and family. If you’re isolating, remember to keep your brain active and to care for yourself mentally. 

7. Don’t be afraid to say “no”. Feel confident in saying “no” if something is no good for you. Ask for help you feel you need it. 

There are some things that are beyond your control and focusing your worry on them won’t help you. 

You can’t control who catches COVID-19, if you catch it, events being cancelled, what supplies are available, or all the negativity out there. 

However, you CAN manage the stresses and uncertainties by preparing yourself to cope with whatever situation you find yourself in and making changes for the better. Eat well, exercise, sleep consistently, de-stress, and live the best life you can. 

The power is in your hands! 

The post Staying in Control: Diabetes & COVID-19 – FACTS AND TIPS TO HELP YOU MANAGE YOUR DIABETES AND HABITS appeared first on RG Magazines.

KRYSTAL MCKENZIE 

There are persons in our island home who are living their lives as best they know how while managing their Type 2 diabetes. While every step in a positive direction is welcomed and beneficial to your body, there are some who want to take it a step further and possibly reverse their Type 2 diabetes completely. 

There is hope! For over 75 years Wildwood, located in the state of Georgia in the US, has been pivotal in helping thousands of people take their first steps toward a better health, with testimonials to prove it. 

At the Wildwood Lifestyle Centre, they claim to include more that just physical treatments: “We care for (our guests) on all levels: physically, mentally, and spiritually. At Wildwood we believe in healing by changing lives, not just treating symptoms. 

For this reason, we introduce our guests to a healthier lifestyle, one that helps them finally live the life they were always meant to live. Wildwood is a place where modern medicine meets nature’s remedies and lifestyle change. Here one can benefit from scientific evidence-based alternative treatments in a peaceful, caring, and accepting environment. 

At Wildwood Lifestyle Center, we don’t just treat our guests during the program. We teach them everything they need to know, so that they can continue living the healthy life that they have obtained during their stay. We cover a wide range of relevant health subjects, such as hydrotherapy, massage, exercise, diet, and botanical medicine. These practical classes help equip them to make better lifestyle choices. 

Our medical staff have a thorough knowledge of various diseases, and how to treat those with both conventional medicine and natural remedies, lifestyle changes, and diet.” 

Articles out of Weill Cornell Medicine prove that diet and exercise treatment reverses diabetes in 61% of patients. In addition, the American Journal of Lifestyle Medicine demonstrated that, “sufficiently intensive lifestyle interventions can produce remission of T2D with similar success to bariatric surgery, but with substantially fewer untoward side effects.” 

To be clear, the word “reversed” implies a “cure” whereas some simply consider it a method of managing blood sugars. In a great deal of diabetes research, diabetes “remission” is defined as blood sugar levels being at “pre-diabetic” levels rather than non-diabetic levels – meaning the diabetes is being “managed”. It’s also key to remember that it’s not possible for everyone. 

When it comes to Type 2 diabetes, recently Wildwood introduced a 28- day online program through which you can learn to tackle your type-2 diabetes naturally, and if possible, “reverse” it completely. 

Through this programme, whether online or in person, you acquire the following to help you in your journey: 

MEDICAL PROVIDER PERSONALIZED TREATMENT 

Have a virtual consultation with a physician or nurse practitioner who believes in holistic care. You will receive a personalized treatment plan that includes natural remedies and lifestyle change. 

NUTRITIONAL COUNSELING 

Chat with a nutritionist who will give you dietary recommendations and help design a meal plan that works for you. 

ONE-ON-ONE COACHING 

Interact with a trained lifestyle coach who will be right by your side (virtually) as you follow your provider’s recommendations. He will encourage and help you to stay on track so that you can meet your health goals and gain victory over your diabetes. 

LIFE ALIGNMENT INSIGHTS 

A healthy mind makes a healthy body. Get practical tips on managing stress and anxiety by a trained life alignment instructor. Learn how unhealthy thinking affects your lifestyle choices and what you can do to change that. 

LEARN HOW LIFESTYLE AFFECTS DIABETES 

Knowledge is power and we want to empower you with well-researched materials that give you insight into type-2 diabetes, how it develops, and how you can tackle it by changing lifestyle habits. 

DISCOVER HEALTHY COOKING 

Together with recommendations from the nutritionist, we will handpick cooking demonstration videos and recipes to teach you simple, nutritious, and delicious plant-based cooking you can do at home. On top of that, you’ll also receive a free cookbook with recipes so easy anyone can make them. 

HEAPS OF RESOURCES AND TRACKING TOOLS 

With almost 80 years of experience, we have acquired an abundance of resources that we can’t wait to share with you, from scientific articles to cooking demonstrations, health tips, recipes, and spiritual resources.

PARTICIPATE FROM ANYWHERE 

The best part of this program is that you can participate from the comfort and safety of your home. This program is designed to help people from around the world become the healthy individuals they have always dreamed of being. 

Remember, trying to determine who can and who can’t “reverse” their diabetes is determined largely by trying. 

In conclusion: is type 2 diabetes reversible? Sort of. In the end, it really comes down to two things: 

1. Your personal opinion of what “reversed” vs. “managed” means. 

2. Whether or not your body is struggling with insulin production rather than insulin resistance. 

The most important thing is…try! For more information, check with the Bermuda Diabetes Association, or visit wildwoodhealth.com/ programs/overcome-diabetes/ 

The post REVERSING TYPE 2 DIABETES appeared first on RG Magazines.

Let’s be real. The world isn’t ready to fully embrace food intolerances but it’s coming around to admitting that food allergies are a thing. 

WebMD has an entire article on what foods are good for diabetics and which should be avoided. 

It cleverly states that all foods are allowed within limits. For example, while pasta is considered a carbohydrate and carbs turn into sugar, there are pastas that are acceptable for diabetics. 

Whole grains are great! White flour is frowned upon as it tends to lack in fiber and protein unlike its healthier counterpart. These sorts of missing nutrients can increase the likelihood of a person with Type 2 diabetes to be overweight or obese. 

So, what happens if you’re celiac or have a gluten sensitivity? How does that affect your diabetes? It turns out that the symptoms for celiac are like those of diabetes and once one is diagnosed with type 1 diabetes they should also get tested for celiac. 

The link between type 1 diabetes and celiac disease was first established in the 1960s. The estimated prevalence of celiac disease in patients with type 1 diabetes is approximately 6%, and about 1% in the general population. Due to the significantly higher prevalence of celiac disease in diabetes patients, many doctors recommend getting screened for celiac disease after a diagnosis of type 1 diabetes, and vice versa. There is no established link between type 2 diabetes and celiac disease. 

The link has been made, you’re celiac with diabetes. Now how do you eat? For the average person with celiac disease, a salad may be a reasonable option at a restaurant that doesn’t have a gluten-free menu. 

However, for someone with both diabetes and celiac disease, a salad comprised only of vegetables, meat, and dressing is likely too low in carbohydrate to meet standard meal recommendations. Always come prepared with additions or use a beverage (like a smoothie or a latte) as your source of carbohydrate if necessary. 

Whole grains are best for type 2 diabetics and there is a whole world of alternate whole grain flours that are now at your fingertips such as almond flour and coconut flour. Bob’s Red Mill has wonderful products such as Millet flour and Quinoa flour which is a complete protein. 

This leads to another common allergy – nuts. What does a nut allergy do to insulin production in the body? Let’s look at all the good that nuts and other healthy fats do for insulin production in the first place. 

Through digestion, the proteins you eat are broken down into amino acids, which play many crucial roles inside your body. Some amino acids, including those that come from protein, trigger pancreatic cells to produce and release more insulin. 

While it’s good to eat proteins from a variety of sources, some research indicates that plant-based proteins are especially beneficial for increasing natural insulin levels. Plant-based proteins come from a variety of sources, including beans, lentils, peas, nuts, and tofu. 

There are articles on the benefits of nuts and tree nuts as they are wholly nutritious. They embrace all the fiber and protein needed for a healthy body. 

So, what if one has a tree nut allergy? Forget about peanuts! What if you also cannot have almonds or Brazil nuts which are high in zinc? Well, seeds have very similar properties and similar benefits. It would probably be best to find out what properties that food has in it and match that up with a food you can tolerate which gives the same benefits. 

For example, zinc is also found in lentil sprouts, shitake mushrooms, okra, and broccoli. These are also whole foods. With our current climate and increase in health awareness the use of supplements seems like the easiest answer, but we have food as medicine at our fingertips. 

“Compared to supplements, whole foods like fruits and vegetables are almost always a healthier option,” one expert notes. “In addition to containing more overall nutrients, including macronutrients and micronutrients, whole foods also contain beneficial fiber and protective compounds, such as antioxidants, that aren’t always present in supplements.” 

If a variety of foods are available to you, you most certainly should eat all the colors of the rainbow. Not just because it’s pretty but because each color represents a different nutrient your body needs. 

Recognizing what your body doesn’t like or is intolerant to is very important and knowing what to substitute is key. If the internet is not as user friendly for you a great concession would be to consult a Registered Dietitian/Nutritionist. They can guide you through all the ins and outs of meal prep and how to substitute any food your body may be allergic to with another of equivalent nutritional value. 

What’s most important is recognizing all that is available to you instead of focusing on what you can’t have. 

The post Diabetes and Food Allergies: HOW TO NAVIGATE THE EVER-CHANGING WORLD OF FOOD appeared first on RG Magazines.

Eat this, not that! If you’re a diabetic, you’ve heard the instructions, but it’s challenging to remember what to do on an everyday basis. 

Taken from the Diabetes Care Community online, they break food choices down by category, so here are some examples for you to update your shopping list and include the foods on the left: 

CHOOSE THIS: INSTEAD OF THIS: 

Grains and Starches: Grains and Starches: 

Whole grain or rye bread White bread 

Sweet potato White potato or French fries 

Brown rice or basmati rice Short grain rice 

Whole-grain cereals with no added sugar Cereals made with processed grains and added sugar 

Barley, bulgur, quinoa Pasta or rice 

Corn or whole wheat tortilla White flour tortilla 

Protein: Protein: 

Egg whites Whole eggs 

Lower-fat cuts of meat, such as sirloin Higher-fat cuts of meat 

Roast turkey or chicken Cold cuts or lunch meats 

Ground turkey Ground beef 

Skinless chicken or turkey breast Chicken or turkey with skin 

Salmon, trout, mackerel – baked or steamed Battered fried fish 

Lentils or legumes (chick peas, kidney beans) Ground beef 

for taco filling or pasta sauce 

Fats and Oils: Fats and Oils: 

Non-hydrogenated margarine Hydrogenated or “hard” margarine, butter 

Low fat sour cream on baked potato Butter or regular sour cream on baked potato 

Olive oil or canola oil Butter or vegetable oil for cooking; use olive oil for dipping bread instead of adding butter to bread 

To see the full list, go to diabetescarecommunity.ca, or take advantage of the services and resources at our very own Bermuda Diabetes Association. 

Lastly, if you find yourself relying more heavily on takeout and delivery, Kristen Smith, MS, RD, Spokesperson for the Academy of Nutrition and Dietetics, offers 10 tips for ordering from your favourite eatery: 

1. DO YOUR RESEARCH 

Ordering take-out gives you more time to look over the menu and check nutrition information. Many places have nutrition information or at least calorie counts listed with their online menus. 

“Read menu descriptions thoroughly to catch foods that could contain unexpected carbohydrates such as those labeled breaded, crusted, or crispy,” says Smith. 

2. BE CAUTIOUS WITH DAIRY 

Restaurant kitchens are usually much more liberal with high fat dairy foods than you would be at home. You can always ask the restaurant to leave it off or look for a leaner menu option. 

3. USE THE PLATE METHOD 

Remember to fill half your plate with non starchy vegetables, one quarter with lean protein, and the rest with carbohydrates. Most restaurant meals have plenty of carbs and protein but may be lacking in vegetables. Order an extra vegetable side or add a salad to your meal. 

4. UPGRADE YOUR CARBS 

Not all carbs are bad. Whole grains are often packed with fiber and sometimes restaurants will offer whole-grain versions upon request. 

“Ask about brown rice, whole wheat bread, and whole wheat pasta options. These options still contain carbohydrates, but do take longer to digest, thus not increasing your blood sugar as rapidly,” cites Smith. 

5. WATCH THE ADD-ONS 

Sometimes you’ll open your takeout bag to find goodies you didn’t even order. These little extras are meant to show good hospitality, but they can derail your otherwise healthy choices. 

6. USE YOUR OWN PLATES 

Instead of eating straight from the takeout containers, portion out some of the meal onto a plate and leave the rest in the container for tomorrow. Ta-dah! Two or three meals for one! 

7. FOCUS ON LEAN PROTEIN AND VEGGIES 

When you’re scanning a menu, always zero in on the available lean protein and vegetable options. This is a great way to make sure you’re getting the best nutrition and least empty calories for your buck. 

8. SKIP FRIED FOODS 

Most restaurants have plenty of appealing non-fried options, too. Look for things that are seared, baked, grilled, or steamed instead. 

9. MAKE SPECIAL REQUESTS 

Don’t be shy, you are a paying customer, and you should get exactly what you want. 

“Substitute a portion of rice or pasta for steamed vegetables, for example,” suggests Smith. You could also request sauces, which are often calorie dense and poured on with a heavy hand, on the side, or substitute fried foods for items that are grilled or baked. 

10. SEEK OUT BEANS 

Beans are packed with fiber, which makes them very filling and helps prevent blood sugar spikes. You’ll find black and pinto bean dishes at Mexican restaurants while white beans are more common in Italian, Greek, or Mediterranean recipes – Plant-based protein with major health benefits! 

The post Savour the Flavour! MEAL PLANNING TIPS AND PLANT-BASED RECIPES FOR DIABETICS (AND THE FAMILY!) TO ENJOY appeared first on RG Magazines.

Diabetes is a serious problem in Bermuda. Our food culture (which is heavily affected and informed by food insecurity), increasingly sedentary lifestyles, high rates of obesity, and stress inducing habits make Bermuda the perfect environment for diabetes to thrive, and it does. 

Bermudians contract diabetes at a higher rate than the global average, and questions about food insecurity are still difficult to answer here, but we’re going to try to shed some light on the topic. 

Bermuda Diabetes Association Diabetes Educator Sara Bosch de Noya says, “Although there is little data directly on the rates of food insecurity as it relates to diabetes here in Bermuda, it is a known fact that we have a high incidence of overweight and obese people, and the prevalence of diabetes here on the island is higher than the global prevalence of diabetes. 

“Bermuda is estimated to have a diabetes prevalence of approximately 13%, while the global prevalence of diabetes now stands at around 10% of the world’s population.” 

Speaking specifically on the topic of food insecurity in Bermuda, Ms Bosch de Noya asserts: “Food insecurity refers to a situation in which households lack access to healthy, nutritional foods because of limited money or other resources. Limited finances in food insecure households often result in the purchase of cheaper and high caloric density foods, which contribute to higher rates of obesity. Obesity …is linked to, and carries an associated increased risk of chronic illness, including type 2 diabetes, depression, and many other medical conditions. 

“This, perhaps, is one of the major concerns with food insecurity: the potential to see an increased risk of developing diabetes, as further exacerbated by the pandemic. Many countries are seeing a significant rise in obesity rates because of physical, mental, and economic constraints and changes in lifestyle habits.” 

In Bermuda, we generally consume diets that are comprised of imported, processed foods that arrive in cans, boxes, bottles, bags, and crates. We do not, generally, consume a lot of organically grown local produce. Yes, we do consume local fish, as a preference (for most Bermudians), but our national dish is Cod Fish and Potatoes – cod is not a local fish and is preserved in a lot of salt. 

Sugar is another favorite for Bermudians. We put sugar in everything! Sugar intake, of course, is the single biggest factor in any diabetes diagnosis; indeed, we all have a relative who is from a generation which never used the word diabetes at all, referring to the dreaded affliction as the folksier, “Sugar.” 

On how to prevent diabetes through dietary consumption, Ms Bosch de Noya advises: “It is key to understand the elements of what we eat and why; foods that contain carbohydrates, such as starches, fruits, dairy foods, and sweet foods are all broken down into sugar in our body. Therefore, sensible portions of carbohydrate containing foods, selecting less refined sources, e.g., whole wheat grains, rice, and pasta whenever possible and limiting sweet foods and avoiding sweet beverages are all key dietary recommendations. 

“Increasing consumption of vegetables and fresh fruit is important to get adequate micronutrients (vitamins and minerals) while helping to fill up on less calorie dense foods. Healthy proteins, chicken, fish, eggs, nuts, and beans are recommended to incorporate with meals to maintain good blood sugar patterns. Healthy fats such as olive oil, nuts and avocados help to keep cholesterol levels in check and decrease the risk of cardiovascular disease which is prevalent in diabetes patients.” 

With this in mind, we can see how factors such as socio-economic status, clean food access, and disparate food cultures can inform food insecurity in Bermuda. Let’s face it: eating healthy in Bermuda is not cheap! 

Anything with the word “Organic” on the label is sure to come with a premium on the price tag; and even local produce is very expensive due to local farmers having to live and pay bills in Bermuda, just like the rest of us. 

These factors make food insecurity a huge problem for many Bermudian families, so the high prevalence of diabetes in Bermuda is just a logical byproduct of how we’ve historically fed ourselves. 

Ms Bosch de Noya extols the economically sound virtues of frozen vegetables and farmer’s markets, while breaking down the notable shortcomings of canned fruits and dried products: “Many associate healthy eating to be a challenge because of the cost of fresh produce. While this is true for many fresh vegetables and fruits which must be imported to Bermuda, it is important to remember that frozen vegetables and frozen fruits, have just as many micronutrients if not more than their fresh counterparts and are by no means a nutritionally inferior choice. 

“Canned foods are significantly higher in sodium and owing to the salted water in canned vegetables, this compromises the micronutrient content. Canned fruits are often dense in sugar content so bulk buying of fresh fruits in bags, oranges, small apples and frozen fruit are healthier economical options than tinned fruits. 

“Dried fruits such as raisins and cranberries, apricots and prunes are dense in sugar and carbohydrate content and best avoided for people with diabetes. Looking to follow recommendations for healthy eating with financial constraints and diabetes, opt for local fresh produce (often farmer’s markets are well priced), and stock your freezer with frozen vegetables and frozen fruits and berries.” 

Unfortunately, according to Ms Bosch de Noya, food insecurity puts our children at risk too: “Most of the research into food insecurity and health outcomes traditionally has been concentrated on children, particularly where it relates to food scarcity and malnutrition associated with nutritionally inadequate diets. 

“However, in the context of diabetes risk, when discussing food insecurity and diabetes (both prevention and management), all segments of our population are at risk. The increasing trend of obesity seen in children, if this may occur more in households affected by food insecurity, puts them more at risk of developing type 2 diabetes as adults particularly in families with a history of diabetes.” 

Our seniors are especially affected as well, Ms Bosch de Noya continues: “In our senior population, food insecurity is real and contributes to detrimental diabetes care by compromising both the ability to afford recommended foods and their access to diabetes medication. 

“In the working age adult group, there is evidence to show that food insecurity contributes to increased risk of diabetes, high blood pressure and high cholesterol, mental health problems and depression. All age groups of adults affected by food insecurity, if also living with a diagnosis of diabetes, would be challenged to adhere to many aspects of medical recommendations, pertaining to recommended dietary intake, medications, and scheduled health care appointments; all vital components of good diabetes care.” 

In closing, Ms Bosch de Noya warns against the lingering specter of food insecurity and its impact on diabetes in Bermuda: “Food insecurity is widespread and prevalent, probably even more so since the pandemic started and likely to be experienced by many in our community for some time in the future. It is hugely detrimental on a personal health level and on the economic health of our community. It is a challenging problem to tackle effectively. It is important for all health care organizations, GP’s and health professionals to look at ways to address the issue by screening for food insecurity and connecting at risk patients to resources and interventions.” 

The post FOOD INSECURITY AND DIABETES: WHAT’S THE 411? appeared first on RG Magazines.

Dr. Chris Fosker is Director of Oncology at King Edward VII Hospital and Medical Director and Radiation Oncologist at Bermuda Cancer and Health Centre. He explains how we can help ourselves detect the early signs of breast cancer and increase our chances of preventing it.

“In terms of prevention, the more manageable things that ladies and men can do revolve around lifestyle,” he says. “Being an ideal weight, exercising regularly and drinking less alcohol are the three big things because these are elements you can manage.”

When it comes to detection, Dr. Fosker says that there are a package of measures, beginning in our 20s with regular breast exams, progressing to physicals with a general practitioner in your 30s, and then onto annual mammograms in your 40s. These ages are guidelines. There are other individual factors to consider, which is why it’s important to talk to your doctor, especially if there is a family history of breast cancer.

“The most common reason to be regarded as high risk is a family history and the most common gene associated with breast cancer is the BRCA gene,” he continues. “This is a conversation to have with yourdoctor, and if he or she is worried, patients can be referred to the genetic counselling service through Bermuda Cancer and Health Centre.”

For those with more usual circumstances, regular breast self-exams are recommended monthly. “A lot of women worry they’ll do it wrong, but just do it regularly so you spot any changes,” says Dr. Fosker. Mammograms are encouraged once you turn 40 based on the body of evidence gathered since the medical profession first began using mammograms in the 1980s. “Over the last 40 years, we have learned how beneficial they are in the early detection of breast cancer,” says Dr. Fosker, who adds that “mammograms pick up about 60 percent of all breast cancers.”

While the statistics point to the benefits of regular mammograms, the process or discomfort of having one doesn’t appeal to everyone. Some women fear what the mammogram might find. “Some people don’t like to know,” says Dr. Fosker. “Cancer is a provocative and emotive condition.” Others worry about the radiation involved in getting a mammogram.

However, Dr. Fosker emphasizes that “a mammogram only has a tiny amount of radiation. The benefits outweigh the risks.” Some women are also concerned about the expense of the treatment,but they shouldn’t be because “mammograms come under the standard health benefit. There shouldn’t ever be a co-pay.”

Not only does early detection of breast cancer dramatically increase your survival rate, it can also mean simpler treatment. “If you have very early-stage breast cancer, the treatment is likely to only be surgery and radiation,” says Dr Fosker. “Mammograms can be a way of avoiding chemotherapy.”

With a referral from your doctor, mammograms are offered at the hospital, Bermuda Cancer and Health Centre, Ultimate Imaging and HMC Burnaby Urgent Care & Medical Imaging.

The post PREVENTING AND MANAGING CANCER FROM THE EARLIEST STAGES appeared first on RG Magazines.

Thousands of Bermudians turn up to support the annual BF&M Breast Cancer Awareness Walk, which takes place this year on October 13. If you’ve ever wondered why this event is important or how it impacts you, this is a great time to learn more.

“We’re especially excited about the BF&M Breast Cancer Awareness Walk this year, since it’s the 25th anniversary,” says John Wight, Group Chairman and CEO of BF&M Limited, a leading insurance company in Bermuda and the Caribbean that sponsors the walk each year.

“Every family has been or will be affected by breast cancer, whether it’s your mother, sister, aunt or friend,” says Wight. “Everyone is touched by it one way or another. Breast cancer impacts our community greatly.”

In fact, breast cancer is the number one women’s cancer in Bermuda; one in eight will be diagnosed. That’s why funds raised during the walk support the Equal Access Fund and the Prevention and Early Detection Programmes at the Bermuda Cancer and Health Centre (BCHC). Funds raised assist women who can’t afford health insurance to access mammograms and treatment. The need is especially great in 2021, as the COVID-19 pandemic left many uninsured or underinsured.

“Anything we can do to support the BCHC and to help the community— we want to be part of that,” says Wight. “It’s what’s at the heart of this event and we always get an overwhelming response from the community.”

Indeed, Bermudians take great pride in helping out. Over the last 10 years, the community of about 65,000 people has raised over $1 million. This year’s goal is to raise another $200,000.

This year, Kristin Burt, wife of the Honourable E. David Burt, Premier of Bermuda, is excited to serve in a special role. “I’m honoured to support Breast Cancer Awareness Month as the Honourary Patron,” says Burt. “In that capacity, I’ll join Lynne Woolridge of BCHC and John Wight from BF&M at the official launch of Breast Cancer Awareness Month and also help to kick off the walk. My children and I look forward to doing the countdown each year, and then we get in a workout as we walk together.”

Woolridge is the chief executive of BCHC. Her role is to be an ambassador for the organization, advocating for the services the Centre provides to the community. For this event, Woolridge works alongside the BCHC and BF&M organizers to do whatever is needed to get the word out about how to participate and contribute to the cause. While the fundraising aspect of the event is very meaningful, the walk isn’t just about money.

“The walk is a tangible demonstration of the support available to those who are affected by this disease, not only through monetary donations, but emotional support for patients, survivors and their caregivers,” says Woolridge. “There is a swell of pride every time we see the sea of walkers wearing their distinctive shirts throughout the city and the island on the day of the walk.” Wight couldn’t agree more.

“Every year, to see people wearing our jerseys and walking through Hamilton to raise funds for such a worthwhile cause gives us so much satisfaction and joy,” he says. “It’s what drives us to do it year after year. With this being 25th anniversary, it’s reason to step back and realize as community what we’ve been able to do together to assist women who have benefitted. Participating in this walk is truly a labour of love.”

Adds Burt: “Breast Cancer Awareness Month, and this walk in particular, are the time that Bermuda can take a moment to celebrate the service and support that BCHC provides to so many in our community who are affected by breast cancer. With funds raised from the walk, BCHC is able to provide educational outreach, early detection and radiation treatment and support here on island, so it’s important that Bermuda continues to support this event. In this one event, BCHC and BF&M have been able to educate and entertain walkers, while also honouring survivors and those who’ve sadly lost their battles with breast cancer. This is an amazing event and I’m excited for the opportunity to raise awareness and funds to support the awesome work that BCHC does year round.”

In a regular year, there are often more than 2,000 people next to the BF&M building as the opening ceremony begins at 5:30 p.m. Typically, there are two routes, a three-kilometre and a five-kilometre walk, both starting and finishing in Barr’s Bay Park and looping on the outskirts of the city and then back into the city. There’s usually a warm up to get people pumped up before they head out for the 6 p.m. start.

In the park, fruit is usually handed out to participants and health professionals participate in a health fair and are on hand to offer advice and prizes. Once the walk is done, cancer survivors take the stage to share their stories. This part of the evening is called the Survivors’ Ceremony, and it’s about celebrating and honouring survivors.

This year, health and safety protocols will be in place and walkers may have staggered start times to ensure a safe environment. Participants are encouraged to register online for this year’s walk; however, an in-person event is subject to change due to health regulations that may be implemented by the Ministry of Health.

Last year, walkers stayed in their bubbles across the island, rather than gather together in the city, because of the pandemic restrictions. One thing that those who register can count on, even with the pandemic, is that they can still receive a pack which they can collect at BF&M’s drivethrough pick-up event. This year’s pack includes a breathable shirt in a high-performance fabric to celebrate the 25th anniversary. Look out for communications nearer the event for details of this year’s walk.

Wight is looking forward to returning to the kind of in-person, heartwarming event that has taken place every other year. “When I hear the survivor stories on stage, I choke back tears,” says Wight. “Hearing the strength of these women as they fought breast cancer is inspiring.” Wight describes the event as having a positive vibe and he is excited to walk this year.

The walk began in 1996 to bring breast cancer awareness to the community, to honour survivors and to give the community a fun, health-conscious platform to raise funds for breast cancer prevention, early detection and support. Nobody foresaw that it would grow into the celebration it is today. It’s makes the BCHC especially grateful. “The Centre is immensely grateful to our corporate supporter, BF&M Insurance, and the widercommunity for bringing attention to this disease and how we can fight back against it,” says Woolridge. If participants gain one thing from this event, it’s this: “I want people to know that help is available and accessible on the island.”

Woolridge herself has had friends who have been diagnosed, some in the very recent past during this pandemic, which has been a double scare and challenge. That’s why Woolridge offers some personal advice for Bermudians during Breast Cancer Awareness Month this October:

1. Be aware of your own body— check in with yourself regularly to monitor any changes.

2. If you detect a change, don’t be afraid—seek medical advice to determine whether that change is valid.

3. If a change is verified, know that help and support is available— don’t let finances or lack of health insurance be a barrier.

4. Lean on those you consider your “tribe” or “network” to get you through whatever you’re experiencing.

5. Share your story and be an encouragement to others.

Burt has been impacted, too. “My life is better because of the love and support of my great aunt who twice survived breast cancer before I was even born,” she says. “When I think about the impact of the walk, I think of all of the families that will be better because a loved one was able to detect breast cancer early and beat it. I hope that everyone will consider supporting this year’s Breast Cancer Awareness Walk.”

For more information and to register,visit www.cancer.bm or www.racedayworld.com.

The post THE ANNUAL BREAST CANCER AWARENESS WALK appeared first on RG Magazines.

When Gloria Dill was diagnosed with breast cancer in 1990, cancer was considered the elephant in the room— best left undiscussed. “Just the mention of cancer was so secretive,” says Dill.

It was common for this kind of diagnosis to be met with fear and speculation. It would be years before the Internet would reach its current status, where a wealth of knowledge is literally at your fingertips.

With precious little information to be had, patients on the island were left to wait, wonder and worry about the road that lay ahead. The same was true for Dill until she and a friend stumbled upon Just Between Us, a word-of-mouth breast cancer support group founded in 1991 by Shirley Humphreys. She was soon joined by Marion Holland (both of whom have since passed).

“There wasn’t a big billboard where you could see there was a support group,” Dill says, which might explain how the small collective was able to bond so tightly over their shared experiences. In its early days, either Humphreys or Holland would open their homes as they’d opened their hearts, allowing the growing group to meet and discuss treatments, side effects, and other concerns in a comfortable setting.

Soon, the women of Just Between Us would find a regular meeting place at the Nurses Residences on Berry Hill Road.

“We were the youngest at the time,” Dill recalls of herself and her friend. The other group members were aged 55 and older. As a young working mother with no insight into what a life with cancer really meant, these women became a huge source of support and inspiration, for more reasons than one.

“Looking at them, knowing what they were going through and what they had gone through, I thought, ‘If these ladies can do it at their age, I can surely do it at my age’,” she says. “Everyone thought of cancer as a death sentence. No one survives. These ladies were a true testament that you can live through cancer as a survivor for many years to come. Just them being in that room was proof. I’m always inspired that I can pass that hope on to others.”

Buoyed by the evidence of the light at the end of the tunnel, Dill travelled regularly to the United States as part of her treatment regime, and each time made a point to return with whatever informational material she could get her hands on. The practice became common among women in the group, all of whom were happy to do their part in spreading awareness for those who lacked the resources.

A two-time breast cancer survivor, Dill took over the reins as president of Just Between Us in 2013. She continues to speak passionately about the spark of hope provided for women on their cancer journey, and offers grateful praise to the Bermuda Cancer and Health Centre (BCHC), an organization dedicated to educating the community and bringing top quality medical care to the island.

In the 80s and 90s, Bermuda wasn’t equipped with the technology to provide the necessary treatments, and islanders like Dill were forced to use sick leave and vacation time to complete their therapy overseas, with the added hope that insurance, whether governmental or through an employer, would be adequate enough to cover any expenses incurred.

Through the fundraising efforts of BCHC and events like Relay for Life, Bermuda is now home to a radiation therapy machine, which means “women can stay connected with family; you don’t have to lose time at work,” Dill says. She adds: “I would have been able to carry on with the day to day, be with my son, not lose out on being around family and friends supporting me here, and being also in a place that was already familiar—my home.”

Today, being a cancer patient in Bermuda is a completely different experience. “It’s like you’re in Boston because the resource is right there. Your imaging is sent straight to Boston, there’s no having to send it by FedEX. It’s seamless. I think BCHC has done a great job.” Though it started as a safe community where women over the age of 18 with breast cancer could swap stories (providing assistance to minors is not in the group’s remit),

Dill explains that Just Between Us “doesn’t discriminate.” She says, “To us, cancer is cancer. It doesn’t matter what part of your body it’s in. It doesn’t matter if you’re part of the group, active, or not. If there is a woman we are made aware of, we assist where we can.”

From raising funds for gift vouchers to help offset the cost of groceries or electricity bills to offering a shoulder to cry on or a different perspective, “we don’t mind sharing our story,” Dill says.

Since the beginning of the pandemic, the group has had to pause in-person meetings, but they continue to get together on Zoom, with the occasional gathering, provided the location meets and exceeds their expectations for health and safety protocols.

“We also have a WhatsApp group, so we send inspirational messages to each other,’’ Dill says, smiling. “I hear my phone going off, pinging at six o’clock in the morning with inspirational messages.”

It’s been 20 years since Dill received the devastating blow, and cancer is no longer considered a taboo topic. Time may not soften its impact. But thanks to the efforts of women like Humphreys and Holland, stories may stay “Just Between Us,” but you will never have to take that journey alone.

If you are or know a woman over the age of 18 who would like to learn more about Just Between Us, please call Gloria Dill on 332 7274.

The post Just Between Us, A Support Group And Ray of Hope appeared first on RG Magazines.

By Stacey Stein

Breast cancer may be one of the top three cancers worldwide, but the good news is it’s highly treatable, especially when detected early.

In Bermuda, a high mammography screening rate means a significant proportion of breast cancer patients are being diagnosed and treated early.

“Mammography is the gold standard for breast screening – it’s a fantastic tool that we’re lucky to have,” says Rebeca Morales, a radiographer/mammography technologist at Bermuda Cancer and Health Centre in Hamilton. Describing the difference between different diagnostic tools, Morales explains that a mammogram uses X-rays, whereas an MRI uses a magnet and an ultrasound uses soundwaves.

According to the Bermuda National Tumour Registry, out of the 320 females and two males diagnosed with breast cancer between 2014 and 2017, 91 percent of cases were detected in the early stages, when treatment is most effective.

But robust screening tools are only one piece of the puzzle when it comes to early detection. Being proactive is just as important. This means advocating for yourself and taking your personal healthcare into your own hands. One example of this is performing regular self-exams.

“Self-exams are a great way to stay conscious of any breast-related changes you might have experienced recently. We encourage all women to perform regular self-exams and get mammograms,” says Morales, adding mammograms can detect subtle changes in tissue that a self-exam won’t uncover. “It’s not an either/or kind of thing. Do both!” she says.

Women should begin having regular mammograms at the age of 40, unless advised otherwise by their doctor, according to Morales. Regular screening is crucial because radiologists (doctors who examine mammograms, breast ultrasounds and MRIs) look for subtle changes within the breast that can sometimes only be noticed by comparing new images to images from previous years. In addition to a yearly mammogram, women with dense breast tissue may also benefit from having an ultrasound exam.

Mammogram frequency depends on family history and medical advice, but annual mammograms are a good rule of thumb for most women. While 40 may be a benchmark, some women should consider getting a mammogram even earlier.

“If a 32-year-old woman is experiencing symptoms consistent with breast cancer, a doctor may recommend she get a mammogram to rule out anything serious,” says Morales.

Here’s something else to feel good about: nearly all breast cancers can be treated on-island as Bermuda’s health-care providers offer a comprehensive range of early detection, diagnostic, and treatment options for breast cancer, including the state-of-the-art technology used by Bermuda Cancer and Health Centre.

Leading edge tools paired with self-advocacy can go a long way toward ensuring successful health outcomes. Seeking advice from reliable sources – like your healthcare providers – is important too.

“Trust the advice of your physician,” Morales advises. “You know your body, but there is a lot of misinformation out there. So, ask questions of trustworthy sources! Along with your doctor, we’re always here to help and we’re happy to answer any questions we can.”

The post Regular screening and self-advocacy appeared first on RG Magazines.