Podcasts about diabetes program

Episode 77: Pediatric Obesity: The Role of GLP – 1 Receptors Evaluation and Credit:  https://www.surveymonkey.com/r/medchat77 Target Audience            This activity is targeted toward primary care physicians and advanced providers. Statement of Need This podcast will address the role of GLP – receptors in the treatment of pediatric obesity. As the prevalence of pediatric obesity is on the rise, the need for effective, evidence-based treatments is essential. This increase in pediatric obesity is associated with numerous health complications for the pediatric patient including type 2 diabetes, hypertension and cardiovascular diseases. Early intervention in the pediatric patient and management can prevent the progression of obesity with the goal of improving the long-term health of these individuals. Objectives  Define pediatric obesity. Discuss the key aspects of GLP – 1 receptors and their use of treatment of the pediatric patient. Explain the mechanisms and criteria for patient selection for GLP – 1 as a treatment option for obesity. Describe best practices integrating GLP-1 receptor agnostic into a broader treatment plan and appropriate monitoring and follow-up.   ModeratorMark McDonald, M.D., MHA, CPE System Vice President Pediatric Medical Affairs Medical Director, Norton Children's Louisville, Kentucky  Professor Department of Pediatrics Division of Critical Care UofL School of Medicine Louisville, Kentucky SpeakerSara Watson, M.D. Pediatric Endocrinologist Medical Director of the Type 2 Diabetes Program and the Health Weight Program Norton Children's Endocrinology Louisville, Kentucky Moderator and Planner Disclosures  The planners, moderator and speaker of this activity do not have any relevant financial relationships with ineligible companies to disclose.   Speaker DisclosureThe speaker, Sara Watson, M.D. discloses a relevant financial relationship with the ineligible company Lilly as a principal investigator. All relevant financial relationships have been mitigated. Commercial Support  There was no commercial support for this activity.    Physician Credits Accreditation Norton Healthcare is accredited by the Kentucky Medical Association to provide continuing medical education for physicians. Designation Norton Healthcare designates this enduring material for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Nursing CreditsNorton Healthcare Institute for Education and Development is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation. This continuing professional development activity has been approved for 0.75 ANCC CE contact hours.  In order for nursing participants to obtain credits, they must claim attendance by attesting to the number of hours in attendance.  For more information related to nursing credits, contact Sally Sturgeon, DNP, RN, SANE-A, AFN-BC at (502) 446-5889 or sally.sturgeon@nortonhealthcare.org.   Resources for Additional Study/References  Characterizing GLP-1 Receptor Agonist Use in Preadolescent and Adolescent Populations https://pubmed.ncbi.nlm.nih.gov/39412809/ Role of GLP-1 Receptor Agonists in Pediatric Obesity: Benefits, Risks, and Approaches to Patient Selection https://pubmed.ncbi.nlm.nih.gov/33085056/   Date of Original Release | April 2025; Information is current as of the time of recording. Course Termination Date | April 2028 Contact Information | Center for Continuing Medical Education (502) 446-5955 or cme@nortonhealthcare.org   Also listen to Norton Healthcare's podcast Stronger After Stroke. This podcast, produced by the Norton Neuroscience Institute, discusses difficult topics, answers frequently asked questions and provides survivor stories that provide hope. Norton Healthcare, a not for profit health care system, is a leader in serving adult and pediatric patients throughout Greater Louisville, Southern Indiana, the commonwealth of Kentucky and beyond. More information about Norton Healthcare is available at NortonHealthcare.com.  

Susie Roberts and Laurynn Verry with Knoxville Hospital and Clinics discuss the hospitals new Live Well Preventing Diabetes program.

Dr. Fred Rosenberg interviews Dr. Ruchi Mathur, director of the Diabetes Program in the Division of Endocrinology, Diabetes and Metabolism and an endocrinologist at the Weight Loss Center, at Cedars-Sinai. Cedars-Sinai recently released a study which found that patients who take a class of widely prescribed medications (GLP-1) to manage diabetes and obesity may require extra preparations before undergoing endoscopic procedures. Join Dr. Rosenberg and Dr. Mathur as they explore how gastroenterologists can advise patients who take GLP-1 medications when preparing for endoscopic procedures, to have the best results. Produced by Andrew Sousa and Hayden Margolis for Steadfast Collaborative, LLC Mixed and mastered by Hayden Margolis Gastro Broadcast, Episode 68, presented by TissueCypher from Castle Biosciences

To learn more about working with me and to get a free call and bonus digestion training, go to: www.GutPartner.com Or, call us now at 586-685-2222 To try Dr. Christine's Smart Carb-45 for $19.99, go to: www.TrySmartCarb.com

Join us each week as we do a quick review of three compelling stories from the pharma world — one good, one bad and one ugly. Up this week:   The good — FDA approves Adaptimmune engineered cell therapy  The bad — FDA puts clinical hold on vTv Therapeutics diabetes program  The ugly — Sanofi sues Sarepta over manufacturing patents for Duchenne gene therapy 

It's In the News! A look at the top diabetes stories and headlines happening now. Top stories this week: Dexcom goes Direct to Watch in the US, Abbott gets FDA okay for its OTC CGM, new study about metformin during pregnancy, an update on semaglutides, JDRF changes its name, and more! Find out more about Moms' Night Out  Please visit our Sponsors & Partners - they help make the show possible! Learn more about Gvoke Glucagon Gvoke HypoPen® (glucagon injection): Glucagon Injection For Very Low Blood Sugar (gvokeglucagon.com) Omnipod - Simplify Life Learn about Dexcom  Edgepark Medical Supplies Check out VIVI Cap to protect your insulin from extreme temperatures Learn more about AG1 from Athletic Greens  Drive research that matters through the T1D Exchange The best way to keep up with Stacey and the show is by signing up for our weekly newsletter: Sign up for our newsletter here Here's where to find us: Facebook (Group) Facebook (Page) Instagram Twitter Check out Stacey's books! Learn more about everything at our home page www.diabetes-connections.com  Reach out with questions or comments: info@diabetes-connections.com Episode transcription with links:   Hello and welcome to Diabetes Connections In the News! I'm Stacey Simms and every other Friday I bring you a short episode with the top diabetes stories and headlines happening now. XX In the news is brought to you by Edgepark simplify your diabetes journey with Edgepark XX Our top story this week – some CGM news… Dexcom announces Direct to Watch is here in the US. From the release: Using its own dedicated Bluetooth connection, Dexcom G7 sends glucose information and personalized alerts right to a user's Apple Watch. Dexcom G7 is the only CGM system that can display glucose on multiple devices simultaneously and independently, including on a smartphone, smart watch, receiver or connected automated insulin delivery system.‡ Apple products are built with strong privacy protections and users have control over their data in the Health app. (If you like to keep track of these things, we are just over 7 years since the official announcement this was going to happen) XX FDA approves Abbot's over-the-counter continuous glucose monitoring system. It's called Lingo and comes a couple of months after Dexcom won clearance for its Stelo over-the-counter CGM. Abbott has been selling Lingo in the UK as more of a lifestyle device – not aimed at people with diabetes. They call it a consumer biowearable designed to help people make decisions about their overall health and wellness; Lingo is not intended for use in diagnosis, treatment or management of a disease or medical condition. No word yet on exactly what kind of app they'll launch here in the US or if it will be marketed toward people with diabetes like the Libre currently is.. just as an OTC option. While it seems like the same hardware, the company has not confirmed that. https://www.drugdeliverybusiness.com/abbott-wins-fda-clearance-for-its-lingo-otc-glucose-monitor/ XX New study looking at the use of continuous glucose monitors (CGMs by rural children and adolescents living with type 1 diabetes. Previous studies examining the use of CGMs by children relied on prescription records to identify use of these devices, but just because someone is prescribed a CGM does not mean that they use one; barriers such as cost can stand in the way. this study instead identified use of these devices according to billing codes for the interpretation of CGM readings by the provider. The results unearthed a sizeable disparity. Those living in rural areas were significantly less likely to use a CGM than those in urban areas, even after adjusting for sex, race or ethnicity and insurance type. Specifically, compared with youth living in urban areas, the use of CGMs was 31% lower for children and adolescents living in small rural towns, and 49% lower for those living in isolated rural towns. The gap between rural and urban patients persisted across the four years of the study, even as the use of CGMs increased for all patient types during this time. These results are also relevant to people with type 2 diabetes who require insulin, Tilden said. The results also revealed that non-White patients, those who had public insurance and patients who lived in areas with a higher NPI all were less likely to use CGMs. More research is needed to explore the reasons for these disparities, but Tilden said they likely are a function of such issues as cost, reduced internet access, which CGMs require to relay their data, and distance from clinics and Medicaid-contracted pharmacies.   The next step is figuring out how to eliminate those disparities. These researchers are seeking funding to design an intervention that uses telemedicine and partners with a network of 35 clinics across Kansas to deliver specialty care to diabetes patients in rural areas.   https://www.kumc.edu/about/news/news-archive/diabetes-monitoring-disparities.html XX Metformin is just as safe to use during pregnancy to treat type 2 diabetes as insulin. The study, which hasn't been published yet in a peer-reviewed journal, tracked health data and potential long-term side effects of using metformin during pregnancy for up to 11 years postpartum. While today's popular GLP-1 medications, such as Ozempic, are not approved yet for use during pregnancy, metformin and insulin have been used during pregnancy for decades. https://www.medicalnewstoday.com/articles/metformin-may-be-as-safe-as-insulin-to-treat-diabetes-during-pregnancy XX Once weekly basal insulin is a no go from an FDA advisory panel. They found the potential benefits of the investigational once-weekly basal insulin analog icodec (Novo Nordisk) don't outweigh the increased risk for hypoglycemia in people with type 1 diabetes. We've been following this for a long time. Most of the trials here have been in people with type 2 – and the FDA hasn't publicly raised concerns about efficacy and safety seen in any of those trials. But the type 1 trial found a significant increase in serious or severe hypoglycemia with icodec compared with degludec (4.66 vs 1.0 events per 100 patient-years; 14 events in nine patients versus three in three patients), with the greatest incidence in the icodec group on days 2-4 after injection. None of the events resulted in treatment discontinuation or study withdrawal. This doesn't mean the FDA can't approve the drug – and the panel mentioned that they hope the FDA would work with Novo Nordisk to – quote - make sure that if this is approved there are as many guardrails as possible to make sure we don't harm people with type 1 diabetes." https://www.medscape.com/viewarticle/advisory-panel-votes-against-once-weekly-insulin-type-1-2024a10009we XX The shortage of Ozempic and Mounjaro continues… with some doctors offering advice of what to do if you can't fill your prescription. Health care company Ro recently launched a public crowd-sourced shortage tracker to help patients. The company says they also share the patient-reported shortages to the FDA. Chae says some patients could discuss with their doctor off-label use of other medications, like liraglutide injections (such as Trulicity, for example), depending on their preexisting conditions. Patients may also consider trying compounded semaglutide. Compounded drugs are made to order in local pharmacies, but Chae says be wary of them: Because of their bespoke nature, the drugs' safety isn't regulated by the FDA. “The state of Mississippi, North Carolina and West Virginia have banned these compounded drugs,” he said. https://www.scrippsnews.com/health/popular-diet-and-diabetes-drugs-in-short-supply-as-demand-surges XX Commercial XX Big news from JDRF – they've changed their name to "Breakthrough T1D." Here's the statement: "Breakthrough T1D was selected following a rigorous, data-informed process because it more accurately conveys the nonprofit's ability to connect with and work on behalf of the entire type 1 diabetes community," The median age for a person living with T1D worldwide is 37 years. Only about one in five are aged 20 years or younger, two thirds are aged 20-64 years, and another one in five are aged 65 years or older.   The organization was founded in 1970 by parents of children with T1D and was originally called the "Juvenile Diabetes Foundation." The "research" part was added in 2012 to reflect that aspect of its mission. We will have much more on this next week – Tuesday's episode is an interview with JDRF. Oops with Breakthrough T1D. https://www.medscape.com/viewarticle/type-1-diabetes-group-grows-jdrf-now-breakthrough-t1d-2024a1000afr XX Android users – heads up! The FDA has approved a hybrid, closed-loop, insulin-delivery Android app. In May, CamDiab, revealed that the CamAPS FX had received approval. CamAPS FX is approved for people with type 1 diabetes who are two years of age or older, including those who are pregnant.   CamAPS FX works in unison with the FreeStyle Libre 3 and the Dexcom G6 to produce a hybrid, closed-loop system that is compatible with the Ypsomed mylife YpsoPump. The app and those pumps are already approved in several other countries. You may recall that the YspoPump had a partnership with Lilly to bring that pump to the US – but that deal died in 2022. Yspomed is still moving forward to get FDA approval for their pump. https://beyondtype1.org/fda-approves-camaps-fx-hybrid-closed-loop-insulin-delivery-app/?fbclid=IwZXh0bgNhZW0CMTEAAR137RhLAt2GfIJ_BBYMrhU2R-maQ0EQmwOFhPfKN9iCnG2BKWY6dEB0sTk_aem_ATLPk1xWOnLNzPz7LvYINbTdCVMZk7pcRmma2pgG5MIo0OfinomTSgjsTsTpW_fE6GNVRnScZS6UGzaTvP1SewNW XX Driven by payments for diabetes treatments — especially insulin — prescription drugs for metabolic diseases now make up nearly one quarter of total national pharmaceutical spending, reported a study of spending trends by therapeutic class. The detailed examination of a decade's worth of US drug spending also found changes in who pays for the medicines, with an overall drop in out-of-pocket costs, except in the metabolic disease category. The findings add to concerns about the costs of US diabetes treatments. Annual US spending on diabetes medicines surged from $27.2 billion in 2011 to $89.2 billion in 2020,  according to this paper was published online in Research in Social and Administrative Pharmacy. In the same period, total annual pharmaceutical spending rose at a far slower rate. Yet much of the persistent gain in the cost of diabetes treatments in this same period was due to a decades-old drug, insulin, a cornerstone of diabetes care. https://www.medscape.com/viewarticle/study-raises-concerns-about-rising-cost-diabetes-meds-2024a1000a8e XX The number of people aged over 16 with insulin-dependent diabetes and eating disorder symptoms is as high as one in four, a study has revealed. Researchers from the University of Eastern Finland examined the findings from 45 past studies, looking at data from almost 11,600 people with insulin-dependent diabetes. They say that understanding the extent of the issue is the first step in developing treatment pathways, citing Finland as an example of a country which does not have care pathways for people with both diabetes and eating disorders. Of course, neither does the US. Typical eating disorder symptoms include restricting food intake and binge eating. Symptoms particular to insulin-dependent diabetes include insulin omission, which is when individuals restrict or skip insulin doses due to fears of putting on weight. The prevalence of eating disorder symptoms was higher in women than in men, a finding previously made in young people too. The age of an individual was not found to be a factor, with eating disorders occurring regardless of age group. https://www.diabetes.co.uk/news/2024/jun/1-in-4-people-with-insulin-dependent-diabetes-have-eating-disorder-symptoms-research-shows.html XX Congrats to Kate Farnsworth who recently won Diabetes Action Canada Catalyst for Change award. Many of you know Kate from the early DIY days.. Kate Farnsworth is the patient partner co-lead for the Innovations in Type-1 Diabetes Program. Kate has been heavily involved in the Do-It-Yourself #wearenotwaiting movement since her daughter Sydney was diagnosed with type 1 diabetes at the age of 8. With a background in information technology and graphic design, Kate has lent her skillset to developing diabetes watch faces for remote monitoring used by patients worldwide. Kate has created an online patient-driven support community for people who are exploring DIY closed-loop solutions and continues to advocate for all people with diabetes to have access to the best tools to manage their diabetes. Very nice to see this award go to someone very well deserved. XX Join us again soon!

host Denise BIllen-Mejia www.healandberadiant.com Guest Heba Ismail MBBCh/PhD www.medicine.iu.edu/faculty/43095/ismail-heba Dr. Heba Ismail is here again to chat about her slightly convoluted journey to the USA. She earned her MBBCh with honors from the Faculty of Medicine at Cairo University, in 1999 and completed her residency and pediatric endocrine training at Cairo University Children's Hospital. With a strong interest in research, she took a postdoctoral position In Washington State, which led to her resolve to practice in the US after she fulfilled her obligation in Eygpt After completing her US residency training at T.C. Thompson Children's Hospital in Chattanooga, TN, and her pediatric endocrine fellowship training at Seattle Children's Hospital, Heba became the Clinical Director of the Weight Management Program at Children's Hospital of Pittsburgh in 2014 and Clinical Director of the Diabetes Program there in 2016. In 2018, she joined the faculty at IU School of Medicine where she enjoys interacting with her patients, medical students and residents and continues her research into Type I diabetes She lives with her young son and daughter in Indianapolis Contact her through her blog EatYourGreenBananas.com or through LinkedIn If you are a healthcare professional yourself and find an episode relevant to your own work you will be able to apply for free CME credit (reciprocal CPD for non- US clinicians)here Not a medical professional? Of course, you are also welcome to subscribe and listen but please remember, while we are physicians, we are not YOUR physicians. Please consult with your own medical professional before acting on anything you hear on this, or any other, podcast. Please contact me at: office@aahypnosis.com with any comments or suggestions #endocrine #Indiana #Washington #Tennessee #USMLE # Post-doctoral #Giza #Cairo #pediatrics

Join us for a candid discussion on how vaccines can lead to healthier outcomes for people living with diabetes. Our panelists will discuss the value of vaccines in communities of color, which vaccines are most effective in living well for those with diabetes, and how our community partners and advocacy organizations are a catalyst to promoting the value of vaccination. Moderator Anna Norton, MS President, Center for Sustainable Health Care Quality & Equity, National Minority Quality Forum Anna Norton has worked in the non-profit sector for 25 years as an advocate, fundraiser, speaker, and leader. She has been featured in an assortment of health-related magazines and books, including Balancing Pregnancy with Pre-Existing Diabetes, A Woman's Guide to Diabetes: A Path to Wellness and Diabetic Living. Anna graduated with a Bachelor of Science from the University of Florida and Master of Science in Education at Florida International University. Panelists Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES, FADCES, FCCP Endocrinology Clinical Pharmacy Specialist Cleveland Clinic Diana Isaacs, PharmD, BCPS, BC-ADM, BCACP, CDCES, FADCES, FCCP is an Endocrinology Clinical Pharmacy Specialist. She serves as the Co-Director of Endocrine Disorders in Pregnancy and the Director of Education and Training in Diabetes Technology at the Cleveland Clinic Endocrinology and Metabolism Institute. Dr. Isaacs earned her bachelor's degree in chemistry from the University of Illinois at Chicago, Doctor of Pharmacy Degree from Southern Illinois University Edwardsville (SIUE) and completed a pharmacy practice residency at the Philadelphia Veterans Affairs. Dr. Isaacs holds board certifications in pharmacotherapy, ambulatory care, and advanced diabetes management. She served on the American Diabetes Association (ADA) Professional Practice Committee from 2020-2023, the committee that updates the ADA Standards of Care. She is a National Board Member of the Association of Diabetes Care and Education Specialists (ADCES). Tasha Berry-Lewis Health Ministry Director New Spiritual Light Missionary Baptist Church Tasha R. Berry-Lewis is a Health Advocate based in the Chicagoland area. She brings a wealth of experience from her previous role in the federal government, where she specialized in Human Resources, focusing on Labor and Employee Relations, Benefits, Training, and Payroll. Tasha is also a distinguished 20-year military veteran, serving during the Gulf War in Dharan, Saudi Arabia. Since 2021, Tasha has been a part of the National Minority Quality Forum - Faith Health Alliance, where she has been providing educational services to churches in the Chicagoland area on various health-related topics, including influenza, and COVID-19 vaccines. Kristian Hurley Senior Vice President of Programs, Advocacy and Health Equity, Beyond Type 1 Kristian Hurley is the Senior Vice President of Programs, Advocacy, and Health Equity at Beyond Type 1, a global nonprofit that helps people living with diabetes to stay alive and thrive. She is an experienced leader with a history of tripling health impact and revenue by inspiring transformative change in communities through building coalitions to increase health equity. Dr. Enrique Caballero, MD Endocrinologist/Investigator, Division of Endocrinology Diabetes and Hypertension, Division of Global Health Equity, Brigham and Women's Hospital Dr. Caballero is an Endocrinologist, Clinical Investigator and Educator. He is the Faculty Director of International Innovation Programs and Faculty Director of Diabetes Education in the Office for External Education at Harvard Medical School. Dr. Caballero founded the Latino Diabetes Initiative at the Joslin Diabetes Center and the Diabetes Program within the Spanish Clinic at the Brigham and Women's Hospital, both affiliated with Harvard Medical School. He is currently Associate Scientist in the Division of Global Health Equity at the Brigham and Women's Hospital in Boston.

Hey there, Health Visionaries! Today we are going to go over our 4 pillars and then jump right into the T2T2 Diabetes Program, how it works, functional medicine liver detox, why I am also following it. Also, what is involved in the T2T2 30 Day Kickstart Program, and a 5 tips to balance your blood sugar at the end of the podcast and one bonus item that you may NOT have considered! The T2T2 30 Day Kickstart will be available for pre sign up on July 15th. There's a special discount deal for podcast listeners who sign up. Click here for the private facebook group Click here for Printable resources Share this podcast episode with those who need

Over 34 million Americans have diabetes, that's 10%+ of the entire population. Let's talk about it! Dr. Paul Thornton, Director Endocrine & Diabetes Program, Cook Children's Endocrinology joins J.W. on this episode of Fortitude and shares information on what he is doing from the research and treatment side of the disease as well as offering useful advice on what parents should look for in their child to assess if they might have diabetes and what can be done if anything, to minimize the risk of your child or anyone from getting the disease.

The Festival of Lights is coming up, and the Museum of Fine Arts in Boston will be filled with light, hope, cheer, and joy on Thursday, December 15th. That's because the Museum, in collaboration with the Jewish Arts Collaborative and Combined Jewish Philanthropies, is once again hosting their very special Hanukkah at the MFA event! Laura Mandel, the Executive Director of the Jewish Arts Collaborative, joins Nichole to share the details of the event, which is open to one and all. PLUS: Millions of diabetics are finding themselves in a no-win situation these days: pay for their insulin, or pay other critical bills, like heat or food. The skyrocketing cost of the critical diabetes drug is forcing many to cut back or go without completely, which can lead to dangerous consequences. Dr. Marie McDonnell, the Director of the Diabetes Program at Brigham and Women's Hospital in Boston, breaks down what insulin is, why it's so imperative that diabetics have it, what's causing the price to rise so high, and what patients can do to get the medicine they need.

Have you ever scrolled through Netflix for something to watch, only to get overwhelmed by the sheer amount of tv shows and movies they have available? So you get stuck scrolling through option after option for way too long until you give up and just re-watch the same show/movie again? Chronic Illnesses, such as diabetes, can have the same effect. So much of your health and well being with diabetes depends on the actions and decisions that you make. But with so many things to think about it's easy to not know where to start or get so overwhelmed that you don't do anything. CCS has come up with a diabetes program to help lift some of that burden off of its patients. We sat down with Marian Lowe, EVP and GM for Digital Health at CCS, and Heather Hormel, Senior Director of Human Resources at United Regional Health Care System to learn more about it. Learn more about CCS: https://ccsmed.com/ Learn more about United Regional Health Care System: https://www.unitedregional.org/

David is a Trustee of The Leona M. and Harry B. Helmsley Charitable Trust. As a parent of two children with type 1 diabetes, his personal interest in this disease has led to the creation of a robust and highly developed program built on funding unmet needs. The Helmsley Type 1 Diabetes Program works closely with partners in private philanthropy, industry, academia, and government. David serves as a leader in fostering collaborations between funders and projects. Show notes for people who are Bold with Insulin Get your supplies from US MED with the link or 888-721-1514 Learn about the Dexcom CGM You may be eligible for a free 30 day supply of the Omnipod DASH  Get Gvoke Glucagon  Learn about Touched By Type 1 CONTOUR NEXT ONE smart meter and CONTOUR DIABETES app Tak the T1DExchange survey A full list of our sponsors  How to listen, disclaimer and more Apple Podcasts> Subscribe to the podcast today! The podcast is available on Spotify, Google Play, iHeartRadioRadio Public, Amazon Music and all Android devices The show is now available as an Alexa skill. My type 1 diabetes parenting blog Arden's Day Listen to the Juicebox Podcast online Read my award winning memoir: Life Is Short, Laundry Is Eternal: Confessions of a Stay-At-Home Dad The Juicebox Podcast is a free show, but if you'd like to support the podcast directly, you can make a gift here or buy me a coffee. Thank you! Follow Scott on Social Media @ArdensDay @JuiceboxPodcast Disclaimer - Nothing you hear on the Juicebox Podcast or read on Arden's Day is intended as medical advice. You should always consult a physician before making changes to your health plan.  If the podcast has helped you to live better with type 1 please tell someone else how to find the show and consider leaving a rating and review on iTunes. Thank you! Arden's Day and The Juicebox Podcast are not charitable organizations.

I'm joined by registered dieticians Glenys Oyston and Rebecca Scritchfield, talking all about diabetes and how to manage everything from pre-diabetes to diabetes from a health at every size perspective. We're unpacking all the myths about diabetes, whether you need to be concerned if you are genetically predisposed, whether you need to cut carbs, and changes you can make to manage blood sugars without triggering the diet mentality. Show notes: summerinnanen.com/219 In this episode, we talk about: - What inspired them to create the Self Care for Diabetes Program, - That diabetes has an unknown etiology, - Advice for someone whose doctor has recommended weight loss because of a diabetes diagnosis, - How dieting doesn't make diabetes go away, - How they encourage self-discovery and experimentation, instead of the typical limitations or restrictions, - The importance of decreasing the shame of diagnosis, Plus so much more! Get the shownotes:  summerinnanen.com/219

Jan Stankiewicz  0:06  Hello and welcome to Thriving on the Prairie,  a podcast exploring issues concerning families and communities that inspires North Dakota movers, shakers and community difference makers to engage in lifelong learning. I'm Jan Stankiewicz, Community Health and Nutrition Specialist with NDSU Extension. And I'm so excited to have a few guests on today. Farmers markets are an integral part of local food systems and economies across the state. With the short growing season here in North Dakota, people are always on the lookout for those canopies and truck beds set up in parks, or Greenspaces, or parking lots or on the side of the road. Today, I'm chatting with market managers of two farmers markets, Sue Balcom, with Bismarck Farmer's Market and Heidi Ziegenmeyer and Jessica Fish with Spirit Lake Mobile Farmer's Market. So let's just go ahead and jump right in. We'll start with Sue. So thanks so much for joining me on the podcast. I'm so glad you're here today. Sue Balcom  1:04  I'm delighted to be asked to be with you, Jan.Jan Stankiewicz  1:09  This is great. So I can just I'm just so excited for our conversation. So let's start with a little bit of background for you. And you in regards to the Bismarck Farmer's Market. Where does all this start? I know you've been involved in local foods and farmer's markets for quite some time. But just tell us a little bit about how it started for you. Sue Balcom  1:31  Boy, you're not gonna like this, because my history goes back a long ways. You know, sometimes you forget how old you are, and how long you've been on the planet. But when I started in local foods, officially, I didn't even know it was called local foods. And it was about 2008 when I got a job at the Ag Department as the local foods marketing specialist. But the only qualification I think I have for any of the work that I've been doing since then, including the farmer's markets, is that I have lived a local economy. I grew up in a local economy. If it wouldn't have been for gardening, when we lived in Fredonia, we would have probably had a very limited diet. But my mom was an avid gardener. My memories start way back then. And so when I found out that people were didn't know where a potato came from, or didn't know how to garden, or can I was like, What do you mean, like this is craziness. And so getting started in the local foods movement in North Dakota was really exciting. And I remember Roger Johnson, who was the ag commissioner at the time, he said to me, you don't really think Sue is going to get these people to start canning do you. And look at what's happened since then it's really taken off. And so about, oh, I'd say maybe seven years ago, I did research for a book on the German Russian food culture, because I really wanted to know how people gardened, canned, preserved, butchered, stored meat without electricity. Like, how do you bake bread with cow pies? You know, like, how do you regulate an oven? Where do you keep meat in the wintertime? Like, these are questions I really wanted to know. And in the course of all of this research, now, everybody wants to know the answers to these questions. So one of the parts of that whole scenario with the books that I did was the everlasting yeast, which is actually a sourdough starter, and all the ladies had one in their root cellar. So I thought, Oh, this is so fascinating to me, I think I'm gonna start baking bread. And so I started my culture back then. And then I ran into somebody named Diane Schmidt, who had been doing farmer's markets and Mandan. I was one of her customers for 40 years. And she encouraged me to join the farmer's market. And I did. And of course, the rest is history because I've been a street vendor for many years as an artist and this fell right into my, the way I wanted to live my life and how I wanted to make money. And so when our markets kind of like grew and split, I became the market manager for Bismarck Farmer's Market and let me tell you, that's been a real learning experience.I can imagine I really like how you talk about like the different worlds you know, you live in a world or were raised in a world where local foods wasn't even a term because it was just your lived experience. And then being exposed to or having insight into other people's worlds where it's a completely different experience. So I just really like that you can, you know, local foods allows us to kind of step in and out of that or, or see different ways of of living and experiences that's really interesting.Jan Stankiewicz  5:00  So Bismarck Farmer's Market that is, of course, in Bismarck. Tell us a little bit about your role as a market manager because I think maybe, maybe some people don't know all of the work that it takes to get markets set up on Market Day. Sue Balcom  5:18  Heck, I'd probably wouldn't have taken this job had I known how much work it was. Alright. First of all, you really, we're really strict. I hate using that word, but we're really committed to being a farmer's market. So one of the things that we require is that the people are actually growing their own vegetables, we don't do any resale. So in order to ensure that we can maintain the integrity of the market, we set ourselves up as a nonprofit corporation each, and that requires paperwork, and lots of paperwork, lots of paperwork, and annual paperwork to it didn't just stop there.We file every year with the Secretary of State's office under our name, our official name, Bismarck Farmer's Market, and, of course, we are insured because nowadays, you can't do anything without insurance. So as a market, we have insured all of our vendors while they're on the property selling. Finding a place to have a market is sometimes a challenge. You know, we we have such a following now that the parking issue is, is almost overwhelming, like all of the people that are coming to visit the market. But you know, on a daily basis, I get phone calls, inquiring when the market is. I have to do the website updates. I do a Facebook page, we do Facebook posts all the time, not just on Saturdays, our market runs four days a week. So we're doing promos all the time. And then of course, people want to join the market. So who do they call? The market manager? And anytime anybody even has questions about where to park they call the market manager. Like, leave me alone. I'm trying to market my own stuff. Okay?Jan Stankiewicz  7:07  Yeah. Sue Balcom  7:09  Well, there's there's bookkeeping, you know, you have to keep track of people, you have to keep track of their membership dollars, you have to be responsible to them. So you have meetings and you report to them what you've done with their dollars and what benefit they're getting. But farmers are independent thinkers. So sometimes I think even the vendors aren't cognizant of what a market manager is doing for them behind the scenes. Jan Stankiewicz  7:32  Mm hmm. Right. And that is that something to also kind of make note of is that farmer's markets operate very differently. So Bismarck Farmer's Market, sounds like you guys are very set up and like you said, committed, that's a good word. Committed to operating and having integrity around your products and your vendors. But there is differences across markets too. Other markets are more open or more forgiving or loose on their, like rules or regulations or anything. So just for, you know, shoppers or customers, it's just interesting to see the differences in how markets are operating. Sue Balcom  8:13   I kind of have a theory about that. And that is that I think sometimes people don't take us seriously. You know, I think sometimes they think that this is people that garden and they got excess produce and they're just bringing it to market to get rid of the excess. And that's not the case with our market. We vet our vendors to make sure that they are semi, if not fully, serious about becoming a business, I know that our market has been going, the vendors in our market range from age 12 to 97. And they file their taxes under farm taxes. You know, it's it's a business for us. It's not just a sideline and so part of keeping that integrity is ensuring that we have people that are really serious about this because I would certainly like to see people be able to make a living doing this and not just have to work off the farm like I do for health insurance or whatever you know.Jan Stankiewicz  9:15  Right? It's not just a hobby kind of a thing. Just in somebody's backyard and off a whim somebody wants to go to the farmer's market on Saturday right? It's a well thought out well-oiled machine kind of a thing. Sue Balcom  9:29  I wouldn't go so far as it sounds well-oiled, but we can still get the grease.Well and again, you know from like those external perceptions like from the outside, it looks like you guys are a well-oiled machine. So you're clearly doing something right.So right and people don't understand truly how hard our vendors work. We have people that are there four days a week. Now in addition to planting that garden, you know, they're getting up at the crack of dawn and they're picking vegetables, they're washing and bagging, and then they go to the markets for four, six or eight hours. And then the next day, they're back to picking again, because we do markets Tuesdays, Thursdays, Saturdays and Sundays. It's really hard work. And we have aging vendors, I'm sorry to say I'm in that category also. But we need to, we really need to start that mentoring, we really need to start mentoring new vendors. And that is, my goal is to give generously. And you know, when somebody comes by and asks us how we do things, or where to buy bags, or where's the best deal on a canopy, we are more than willing to help them along. So that we have more vendors, and we've had, I've had a lot of fun this year with a couple of young ladies that have joined our market. And, you know, it's a little slow starting, but like I said, when you have kids and things, it's it's really a lot of work. It is yeah. And I like creating that culture of generosity and thinking of the next generation or succession, you know, those kinds of things, where I think sometimes, in the business world in, economics, it's kind of you think of a competitive nature, where, you can only have one type of vendor, or the more vendors, the smaller market you're going to have, but it really isn't like a truly competitive thing. It's like, it's a little bit more synergistic than I think that people might might realize. Yeah, that's true. That's a really good point, too. So thinking about the market this year. So Bismarck Farmer's Market this year, it's looked a little bit different than in years past for you guys. Specifically, becoming SNAP authorized, which is a huge deal. Oh, my God, had I known on that I might have not gone through with it.I know. Don't make me regret inviting you here. Sue I'm just kidding. Just totally kidding. Oh, my gosh. So let's talk about SNAP and Double Up Dakota. All right, in you know, really on that point there. It it seems overwhelming at first, and it was a little frustrating, because there it's a federal program. And so there were some hoops jumping that we had to do. But you know what, it's gotten so much easier. And I understand it now. And so I'm working with the individual vendors to help them try and understand a little better the importance of what we're doing here.Right, but how do you explain that to the vendors, it's counterintuitive to not write your market because they bring people and then those people bring people and then. Okay, so here's a prime example, when I did art shows, I did very high end hand woven garments like 400 to $800 jackets. And when I was the only person there I was the only person they could compare my product to. So then they couldn't make up their minds as easily as if there were five weavers there, they could go around, speak to each one of them and say, you know, this is the person I really liked their soul or I really like, you know, their artist statement or whatever. And it's easier than for the next time you're there. More people will come because they're like, oh, there's like five weavers there. I really love hand woven clothes, I think I'm gonna go see what I can find. So when you have one person doing this and one person doing that, there's just not as much comparison going on. And you know, if they come in, they don't like something that one week, they're not going to come back unless they have some choices. SYeah, and that's a really good so let's maybe I'm going to take it one step back. And so just let people know what SNAP is so SNAP is Supplemental Nutrition Assistance Program. It is a USDA program that individuals or families qualify for based on income and other factors. And it helps it's it provides food assistance, so dollars to help food budgets throughout the month. And, you know, just as you can go to a grocery store and use your SNAP or EBT card is what they call it. You can, a farmer's market can become an authorized retailer to accept SNAP. And like Sue mentioned there are hoops and there are forms and there are all kinds of things to get farmer's markets equipped to accept SNAP as a form of payment just as like accepting a credit or debit card. NDSU Extension had put together this project to help farmers markets become a authorized to accept SNAP. And the primary goal was, again to just increase the number of places where SNAP participants can can buy food. And the emphasis on farmer's markets was to increase access to local foods. So some grocery stores don't carry very many or no local foods at all. And so SNAP participants can now choose if they if they wish to shop at farmer's market that becomes SNAP authorized. So Sue worked with the Bismarck Farmer's Market and is now a SNAP authorized. Ta-da!  And I would have never even thought of it if it hadn't been for Extension's assistance. Just even being there to ask questions was huge, because I had I don't know, had a little trouble there at the start getting authorized. But now that everything falls in place, this falls totally in line with building your farmer's markets. Because if I remember correctly, this program began a long time ago, many years ago, as a way to support local farm businesses. Now a part of this was to purchase food from farmers. Because if if all the farmers disappear, everyone's going to have to dig up their backyard, because it's going to be kind of hard to find fruits and vegetables in particular. Jan Stankiewicz  16:22  Right. Sue Balcom  16:23  Just think of how much more you can how much more business this will generate in a farmer's market. Plus, we're educating people about how to use local food, where they're getting it's healthier, you know, they're getting a really fresh product if they're coming to the market. And we've had not a great run. But we've had more people than I thought coming out with their EBT cards. And I'm like, so excited. I'm like, thank you guys for coming. This is so awesome. And then they're really delighted because of the Double Up program that was like a fringe benefit for all of us. Yeah, yeah. So the Double Up program is, you know, an additional source of funding, so they call it a Nutrition Incentive Program. So for every SNAP dollar that is used to purchase any SNAP eligible food at the market, the those SNAP participants and folks who use their EBT card are then given $1 for dollar match on that SNAP purchase up to $10. And those Double Up Dakota, those incentives can be used to purchase additional fruits and vegetables. So again, tying back into the access to local foods, the access to healthy, affordable foods. Those incentives really go a long way. And I really do like Sue, when you were talking about going back to why farmers and farmer's markets should or are interested in these kinds of things. Because those SNAP dollars, there is a lot of funding that goes towards those programs. And if farmer's markets can tap into even a fraction of those dollars, it truly is like an economic stimulus, like it will dramatically impact  those dollars or it can dramatically impact those dollars coming into those farmer's markets and directly to the farmers.Right. And I think these people, I at least the customers that we've had kind of enjoy the alternative to going to a grocery store. You know, I've been just surprised like, Okay, this, on Saturday, we had a young lady there, and her mother and her son, and they came over and she bought, we use tokens at our market. So she came and used her EBT card for $20 tokens to buy product. And then I said but you're gonna get these $10 and double up and she goes, You mean I get to spend $30 at the market? And I said yes. And so her son, who was probably about four or five years old, was able to select a pumpkin from one of the vendors with those double up tokens. And he was so proud of that he carried it out of the market himself and everything. And so all of this ties into the social aspect of farmers market, which I think dinner, cooking, canning all this stuff is kind of like a community thing also. Yeah, it really is those there are it's personal connections. It's relational. It's more relational than it is transactional. You know, you think about buying food or paying for things or using coupons. That sounds very transactional. But it really is relational and like the social connectedness piece. Those things really do shine through. Right? And people say all the time, you know, like, I don't know why you work so hard or even why you're standing out here and it's only 30 degrees. Well, every time I get up on a Saturday morning at 5am, and cut flowers in the dark or something, you know, wash pumpkins in the dark. And I'm like, why am I doing this, I'm exhausted. I'm loading up my trailer. Driving to the market thinking I really would like to be home with a cup of coffee. And then that first customer shows up and I'm like, I love this. I love this interaction with people. I love that people love my stuff. Like when they come back and tell me why pickles tastes just like their grandmother's. It just like, yes! I've accomplished something really important in the world today. Jan Stankiewicz  20:50  I know, right? What is it about our grandma's pickles? I have the same feeling. I hope my grandma's watching from heaven and is proud of me. Sue Balcom  20:59  Oh, I know. I know. It really is those stories and connections, those things. It just It does. It makes it worth it even even in the dark and the mud. And in the work.I think it's gonna rain one of these days on us because as you know, we're moving into winter here. But you know, we hang out until the end of October at our market. And we do do four days a week. And when we're when you know, they come in eight and they're out of produce, they leave. And for you people who are late risers, you know, you got to get with the program. You got to get there early. You want to be able to have any kind of selection, that's for dang sure. Yeah, so where, let's say you four days a week, Tuesday, Thursday, Saturday, Sunday. Where is Bismarck Farmer's Market located Sue? Oh, we were so absolutely fortunate to have been invited to the new Ace Hardware north, which is on the other side of 43rd Avenue. And for someone who lives in rural Morton County, I was shocked to see what's been going on for development in North Bismarck, it is in credible. Jan Stankiewicz  22:12  It is nuts. Sue Balcom  22:12  We were trying to get our old customers to recognize that we moved a little bit further north and some of them whined a little bit about it. It has been the best thing ever. We have a whole new clientele because there's a whole bunch of young families up there. So we're seeing new people, we're on a visible corner so that people can see the canopies and the trailers when we're there. And it's ended up being just a totally awesome thing. Because moving any kind of market is a scary thing. It is yeah. But I in my deep down in my heart, I keep thinking how much fun it would be to go back home to my little town of 400 people and have a farmer's market there, you know, talk about a community kind of thing. Yeah, right. I know. It definitely is a culture. It's certainly is and it's so neat to see. And you know, like we talked about a little bit earlier, the differences in that. So it would be interesting to see, you know, a farmer's market culture in Bismarck, and even that Bismarck Farmer's Market isn't the only farmer's market in Bismarck and you guys are still thriving and the other markets are doing really well. And so it's just a it is a culture. And it's really neat to see how that's kind of ebbing or flowing or shifting. Here's a shift I'd like to see. Sorry to interrupt, but I don't know, one of the things that we're always talking about is wouldn't it be super great if the Bismarck City Commission got together with Burleigh county commissioners and created a permanent structure, you know, canopy type thing for all the farmer's markets. And we could do this year round, like whoever had product to sell could come and set up in a little stall it could be heated or not heated or semi heated. You know, you could do some solar energy type, cover, you know, like I live the dream about making this really legitimate because as I mentioned before, I think sometimes people are like, Yeah, this isn't really a business. But it is a business. And it is a lifestyle for us that I think more people would really like to be able to do and survive. Yeah, you do have big vision Sue, that's for that's for sure. But right like how to create something in your community that can sustain things, you know, so it's creating those supports are those systems that can bolster it that can make it you know, a little bit easier, especially in North Dakota was such wicked weather sometimes and the growing season challenges. So if there's ways to make it a little bit more convenient or a little bit easier, or goes longer into the seasons. That's yeah, those are exciting things. Right? And then I think the word would spread and more and more people, including the SNAP people who sometimes I think, probably don't think about shopping at farmer's markets. Well, I shouldn't say that about that. Because I think there's people all over the city that don't think about shopping at farmer's markets. It's very European to go and buy your loaf of bread and your fresh vegetables weekly, instead of annually, and then store the stuff, you know, with preservatives in your cupboard. I'm sorry, my bad not to install preservatives. But...Yeah, no, it is, again, it's a culture it's a it's a way of life. Definitely, definitely differences, that's for sure. But going back to that is kind of figuring out a way to, to kind of bend people towards those shifts. So maybe, maybe I'm a family who goes on a grocery shopping trip once a month, and I get all my stuff at one of the larger chain stores. But if there's ways to bend towards or to you know, like, because shifting behavior or patterns is hard, and it takes a lot of effort. And it takes a long time. So it's those kinds of things where, you know, the more exposure we have to folks shopping at a farmer's market, or even coming to the farmers market and seeing what's available, seeing, you know, talking with the people who grow the food, who make the food, who bake the things. I think that those are the really important pieces where each little exposure each little instance or circumstance can add up to, you know, longer term behaviors and patterns and those kinds of things. And you want that you want to cultivate, sorry to use that word again, the people who are actually doing this. So I think there were statistics out there when I was working either at farms or the Ag department about if people were just to spend five or $10 a week. Yeah, market five or $10 other grocery budget at a market every week, you would be able to support X number of small businesses and you know, in light of the pandemic, you know, people have all of a sudden panicked a little bit about the empty store shelves and things like that. So I hate to say this, but it took a pandemic to get people to even start thinking about local economies. And I'm not talking just about farmer's markets here but local economies have to do with processing too like meatpacking plants and wash and pack vegetable places which I think we have none are small processors like the Amy Gordon place in Grand Forks you know, there's there's a lot of peripheral businesses that came around the small diversified farms of the past that are no longer here, you know, farmers and like there was a creamery in the town that I grew up in, you know, I mean, there was a meatpacking plant and a creamery and all of these places that played into this local economy, which also equated into security. Like food security for the people that lived in the area, which is critical issue nowadays, because yeah, I hate to say this, but nothing breaks my heart more than hearing the statistics on the people, the young kids in North Dakota that go hungry every day. Right? I know it is there's so many layers in there. And it's it is heartbreaking because North Dakota being an agriculturally based stateWe got it going on man, we could take over the industry, if enough of us put our heads together, we have the knowledge and the land and water. Right. And that's the thing too, is it's not like to, to kind of bust bust the myth of farmer's markets being like this elitist kind of environment or climate for folks shopping for food. It's not and it's certainly more of lots of us doing a little bit, not very few of us doing all of it, you know, so it is those those $5 purchases, those $10 purchases, it's not that. Very few of us ever buy all of our grocery needs from a farmer's market. But if lots of us do, you know, again with those $5 transactions, those $10 transactions, those turn into those big scale changes that we, that we're waiting for. Right? And I'll just keep plugging along with my little voice here, which isn't that little. Yes, well, Sue this has just been a tremendous pleasure. I do appreciate your time. Is there anything else that I didn't cover that you want to be sure to let folks know about?I think we pretty much ran the gamut from back in the day to what my future outcast, or my future outlook is, or farmer's market. So just give us a try, you know, like, don't be timid to ask questions. That's, that's what we do. You know, we're in the business of educating people. And I really want to thank you again, because this SNAP thing I think can only grow for us. And I would have never done it without your help, Jan. So I really, really, really appreciate the support. And it's been a real pleasure talking with you today. Awesome. That's so great to hear. Sue, thank you so much. Thank you. All right. And now we have Heidi and Jessica joining us from Cankdeska Cikana Community College. Welcome to the podcast. I'm so excited that you guys are here today. Heidi Ziegenmeyer  31:13  Thanks. We're really excited too.Sue Balcom  31:15  Awesome, so why don't you guys just take a little bit and tell us like who you are and what you do at Cankdeska. And with the mobile farmer's market? Heidi Ziegenmeyer  31:25  Yeah. Okay. So, as you said, Jan, I'm Heidi Ziegenmeyer, and I am the land grant director at Cankdeska Cikana Community College. And Jessica is my assistant land grant director and general right hand woman, Lady about town. And, and we do things for the Spirit Like community. So we are part of Cankdeska as a 1994. land grant college. So just like NDSU is an 1862 Land Grant and they do things with outreach and Extension. And education. That's the sort of the three pillars right of Land Grant and agricultural education and things we do that as well but for the tribal community. So Spirit Lake is where we are located in Fort Totten centered in Fort Totten, North Dakota. And we do things like a community garden, we till gardens for people at their homes on the reservations, we give out seeds and seedlings, we do gardening, education workshops, or even just one on one like phone calls and messages. We have student interns who are apprentices who learn how to how to garden, how to operate a tractor how to run a greenhouse and take care of all the plants on campus and grow, grow tomatoes from seed, for example. What is and is not a weed, oh my gosh, that's an aphid in the greenhouse get it, kind of thing. So, so that we do all sorts of stuff like that. And, boy, we try to do all sorts of events throughout the year, little nutrition workshops, or even like crafting workshops, seasonal things, which can be good mental health breaks, you know, and just wanted to kind of get together and breathe a sigh of relief that you know, we take a break for a moment.Oh, like the corn maze and pumpkin patch or the or the community garden. Those were ideas of from community members that you know, things that they wanted to see like like outdoor activities for the fall or for the summer depending you know, for the community garden aspect. Because they're there were very rural, you know, North Dakota's rural. So having activities, that things that people can do, that are healthy and fun and educational, like our corn maze last year had Dakota cultural and informational history information on signs throughout the maze. So as you went through the maze, you could find the signs and learn things about Dakota culture. And it was in the shape of a buffalo or Tatanka, which is a culturally significant symbol. So all sorts of fun stuff we try to do to serve the community and the farmer's market to circle back to what we're talking about is one of those things that it ties in well with the community garden and the garden tilling program, it provides a venue for people to to sell their food or value added products and thingsto sort of supplement their incomes. Spirit Lake is a you know, low income area. And it's also a food desert. So access to local and fresh and healthy food is very limited. There's very few access points on the reservation or if people have to go over to Devil's Lake, transportation can be an issue and so on. So providing a market space for, you know, local people like very local on the reservation people who can, where they can sell their, their fresh food, or their jams and whatnot. Keeping that, that that income in the community. And then also giving that that fresh access, fresh food access to to other people who might want it without having to travel too far is the whole idea. And that's why we're mobile too. Because I attended a meeting. Oh, gosh, it was COVID. Right. And the pandemic makes time just like not not even time anymore. But so I don't remember when, but, but we had a meeting and the the tribal chairman at the time or chairperson talked about services that are provided to people on the reservation and how it's really important to to not just, you know, how's that service in a building somewhere and expect people on the reservation to come to you, because transportation is an issue. They might not know where you are. If you're not from here, like I'm I'm not from here. But I do love it here. And I appreciate it here. But I'm not from here. So people don't necessarily know me and automatically know where I'm located. So to bring the market out to them to bring it, the idea is to have it at the local rec centers. There's one in each district on the reservation wellness centers or rec centers, brings it closer to people. Some of them are quite walkable from some of the areas and they could just walk up and buy food. So that's the idea behind having it be mobile and rotating through the districts, it does provide some complications in that it's, you know, having a market in a different place each week can be confusing, but we try to market very well and have it clear on the signs. And so on. So this year, though, we had it housed at the college as a central location because of well, COVID. And you know, everybody's so busy. I think everybody just understands, everybody's so busy. And trying to coordinate getting it out at the RECs where I don't even I'm not sure if the RECs are even open right now. Normally, we were trying to collaborate with a health clinic, because they do a mobile foot clinic at the same time. So we were going to do the farmer's market the same day and location and times as the mobile foot clinics. Because they have like diabetes walk ins. And again, that fresh food aspect is very good to tie into that. But they weren't doing a mobile clinics because of COVID. So it started was like well, let's just do to the colleges here. But in future. That is the plan. Yeah, and I've gone on and on now, Jan, so please ask me another question. Yeah, no, that's all really great information. Heidi, it's just so important to know. Because oftentimes, in I want to say like in the farmer's market world in North Dakota, but I don't think it's, you know, necessarily pertains only to farmer's market worlds. But it's so it is hard to get that information, like we're in it. And we think that everybody knows about it, or knows how to get the information about it. So having all of that background information, all of that the details just readily available, is really nice. And I think, you know, lots of times we we feel like we're being repetitive or saying too much or something. But you run into people all the time. And it's like, I never knew that. And we were thinking, oh my gosh, how like how do we need to how can we get this better? How can we get this message out to more people or so don't apologize for all the information. It's very interesting, I know. We can only hope that we can be that hip or something.Hey, great. And just related to if that is something that people want to know about, especially on reservations, getting information out to people, word of mouth is, of course huge. But partnering with people is a big deal. Because there'll be long standing like special Diabetes Program, or food distribution or this there are these long standing kind of institutions that work with people on the reservation that you want to reach. And so partnering with them, including them if they want to have like a booth at your market. And then they'll market for you to write. And then like our reservation has a radio station run by the tribe and so you can record they let you for free you just record a little PSA and and they'll play it for you as many times you know, as they are able on the radio. And so that was another way that we got our information out in the past so just um, yeah, keep your eyes out for partners and different ways that people get their information. I think it's a little different sometimes on a reservation or in really rural areas. That it's not necessarily like, TikTok I mean, young people sure tick tock, you know, I'm sure. But like, I'm sorry, I'm not even on I'm not on TikTok. I'm not marketing Farmer's Market on TikTok. But maybe in the future. You know.Jessica Fish  39:34  young people sure TikTok, you know, I'm sure. But like, I'm sorry, I'm not even on I'm not on TikTok. I'm not marketing Farmer's Market on TikTok. But maybe in the future. You know, I'm not I know.Jan Stankiewicz  39:43  We can only hope that we can be that hip or someHeidi Ziegenmeyer  39:46  Yes, I wish I were that hip. I'm in my 30s I am not hip anymore. But like, I don't know I was playing these days ratchet that didn't even that's old, right? But that's an old word. I don't know. I don't know what the new word is for that anymore. But you know what's cool? I say cool. And that's probably not the word anymore. But again, off topic, but fun to talk about. Um, yeah, but so you got to think about your audience back to that thinking about your audience and, and how they get their information. And here we have learned word of mouth, getting some key people in the community who, who just know a lot of people, and are willing to be kinda like a champion for you is big. We had with farms last year FARRMS, that's one of our partners, was definitely bloom Hagen. And I'm them, and they're great. And they provided us with an intern for the farmer's market last year, and this year as well, are funded one that we hired locally. And our intern last year was a local person, and she was just fantastic. She knows everybody. And so she was like, sharing it on her Facebook and her posts on her flag on her personal Facebook got more likes than ours on the college page. And I was like, dang it. All right, well, you know, go you Thank you. I'm glad I know you. Um, so yeah, just find those champions look for radio stations, or whatever it is that people, you know, get their information from. Sue Balcom  41:18  And, yeah. And so speaking of getting your message out, and like tapping into maybe some new audiences, this year was a little bit new for you guys. Becoming SNAP authorized. Heidi Ziegenmeyer  41:31  Yes. Sue Balcom  41:32  So for folks who are maybe just figuring out what we're kind of chatting about farmer's markets, at Cankdeska, but then also SNAPs, so the Supplemental Nutrition Assistance Program, SNAP, some people referred to it, or formerly known as food stamps. It's a USDA program that offers food assistance benefits to those folks who qualify -individuals and families with limited resources. And it helps like, again, stretch food budgets throughout each month, so they can purchase food. To be up for a SNAP participant, to be able to use their card, their dollars, those places where you can buy food have to become SNAP authorized. And that is a whole process. It's, you know, a federal application, all those big scary words. But Heidi and Jessica had ventured that trail with us this year. Yes. And it was a process. It's a process, but it's also it is, it's doable, we got there. But so getting that message out to folks, SNAP participants who couldn't have used their SNAP dollars at your market, like last year or any previous year, because you weren't SNAP authorized. So if you could share a little bit about, like, what that process looks like, and then moving towards, you know, getting the word out to SNAP participants and how those how those transactions or how those transactions kind of went for you during market season. Heidi Ziegenmeyer  43:15  While the process itself, I guess I just have a noise to represent it and it was (displeasure sound) That would be my feelings about the SNAP authorization process.Jan Stankiewicz  43:29  (laughs)Heidi Ziegenmeyer  43:31  No, it's fine. But it's fine. It's fine. It's fine. It's fine. It's what we tell ourselves. It's fine. Everything's fine. Your your the dog sitting with the coffee cup with the flames around you. It's fine. It's fine. No anyways, but as she was super, super helpful with the training in January, you were fantastic. And then you had your your helper people I won't call them in minions, but like, you know, I'm just kidding. I'm just kidding. I'm your helper, other NDSU staff who were would make site visits or check in on us like we had Gabe Nelson with Benson County or I guess that's an FNP program. Yes. Good. I'm getting it sort of. Right. Right. She would check in on us and help us as well and answer questions or, you know, point me to where I could find the information that you had already so thoughtfully provided and I just had forgotten. So I'm justIt was all a learning process. And that's the thing too, is learning learning along the way learning together. Yes. So my interaction with the federal government. So yes, the noise does not represent my interaction with NDSU it is representative of the my feelings regarding the federal government for this process. Um, because you know, what could be quick and easy is no, you fill in one extra box on the form which it says you have to fill in social security number. For example,. And then oh, that triggers, you have to also submit all this other information that it doesn't originally ask for on the form. But now you have to do that. And so then they kick your application back, and then back and forth, and back and forth. And then oh, and then they want to know what, what products you sell. And you can't just say fruits and vegetables, you have to say like carrots, potatoes, onions. So they'll ask you these follow up questions sometimes. And it seemed like different people, sometimes you would, because we were in this cohort group, right of different markets. And we were asked these questions, but not everybody was. So it was be prepared, I think, for the process, the emphasis on process the long time frame. But if they respond to you be aware that you only have I believe, 30 days, or they will kick you back. And you have to start all over. So they can take your time, but you cannot. is I think where what we learned from this as well. And I'm not. I used to work for government in an aspect and I can understand their side, too. But oh, you know, frustrating. Jan Stankiewicz  46:05  Yeah, I know. Sue Balcom  46:06  And it seems like you know, you know, in our minds, like, all we want to do is accept SNAP as payment for folks to be able to use their food dollars. And then yes, we run into the obstacles. The people work, the emails, the phone calls the wait the wait time? Yeah, it is. It is, it doesn't seem. There's lots of things in life today that are so easy. They make it so easy to do certain things. And then other things, it's just not that easy. Heidi Ziegenmeyer  46:39  Yes. I think to myself, Well, gee, if I were designing this form, I would have done this instead, not have that or put this direction. But then, you know, there's probably reasons why they didn't I mean, the form of would probably be ended up like 40 pages long, if you know, you could put every little direction on there that I would have.Sue Balcom  46:58  And, and maybe some of these conversations can lead into some more informed decision making because accepting SNAP at farmer's markets across the country, it has kind of like, been a steady uptick. But specifically here in North Dakota, it's been a little bit of a slower motion forward. And so, you know, maybe some of these rumblings, some of these conversations can then, you know, move things in the direction to which we want to see. Heidi Ziegenmeyer  47:28  Yeah, and I should sort of backtrack and say like, just because it was a process doesn't mean you shouldn't do it. Doesn't mean it's not a good thing. It doesn't mean you can't do it, or that, you know, you'll automatically get denied. I think most if not all of us in there, you know, your cohort kind of made it we all got authorized, right? Yes. Yeah. Yeah. So, um, it's doable. It's not impossible. It just was frustrating at times, because, you know, we all have busy lives and have other things going on. And so then to go back and list out, oh, not just vegetables, but potatoes, carrots, onions,  I mean, you know, I just, I got cranky, but Jan Stankiewicz  48:06  For sure. Heidi Ziegenmeyer  48:07  But everyone should still do it. Accepting SNAP is important. Because access to food is important. Healthy food, local food, food that puts, you know, dollars in pockets of your neighbor. And then you get their potatoes and they're delicious. Because they they're so fresh. And then the Double Up Box, which I'm sure we'll talk about later, if not right now. Jan Stankiewicz  48:34  Oh, let's do it right now.Yeah. Thanks for the Segway Heidi. Heidi Ziegenmeyer  48:39  Yeah. So do you want to talk on the Double Ups? Or you want me to? Jan Stankiewicz  48:44  Why don't you take it - you talk. Heidi Ziegenmeyer  48:45  Take it alright, I'm taking it. Um, so Double Ups... Double Up was like, if you bought something with your SNAP dollars, or SNAP card, then you would get up to $10. In Double Up. Like, we used hope we had tokens every day in tokens, right? Double Up tokens that you would give out that then you could turn around and it was like free money. Buy more veggies. And so we actually I think, Jessica you Jessica was my like I said my main lady. And she would help people figure out how to like even in one sitting right, maximize their SNAP dollars. Jessica Fish  49:23  Yeah, so what I because a lot of people around here didn't, hadn't heard of the SNAP Double Up and weren't really familiar. And there are there are some pretty specific rules for the Double Up Bucks. You can only use them on minimally prepared fresh fruits and vegetables. So where you can use your SNAP benefits on things like fresh salsa or bread, you cannot use the double up on that. So people would come up with their order and say I've got $50 worth well, okay, spending $40 Anyway, you're going to get what you needed to get your $10 token So from there, what we can do is actually say, okay, so you're going to get $40 on your card. And then with that, you get these $10 tokens, and that will cover this $10 of potatoes or pumpkins or whatever. Heidi Ziegenmeyer  50:15  So we were like, Yeah, spend those immediately. Yeah, let's do this. We're gonna, because it also with us, we, we only did a couple markets this fall because of various issues. And so we we wanted to, you know, not expect people to hang on to them necessarily until next year or something. So spending, you know, let's maximize that. Let's do it. Now. Let's get you as much fruits and vegetables and fresh things as possible. And I think that that was awesome for them. They really liked it. Right? Jessica Fish  50:45  Yeah, it was a fantastic, and it was a great way to explain how it worked, especially for those people that had never done it before. Like, oh, okay, I see this now. That makes sense. Okay, I get it. Sue Balcom  50:57  Right. And that's so cool that Jessica, that you were there to be able to, like provide that connection with people. Because lots of times that confusion, or you can have lots of apprehension around. I'm not sure how this works. I'm not sure what questions to ask. So having that person right there, I'm sure is what contributed to a lot of your success. Heidi Ziegenmeyer  51:18  Yes, Jessica, we had Jessica, she was like our SNAP lady, you know, transaction person. And we had a whole table that was she would do the credit cards or the SNAP. And then the individual vendors would handle their cash or whatever. But we had Jessica with her table with like, different flyers and information. And like one person, I was telling him about the Double Ups. And he was like, Oh, can I spend them anywhere? And I was like, no, not anywhere. Here is, like we had a flyer with like, all the markets on the back like, these are the different markets if you were to like go to busy market. Right? And you know, you could spend it there. But but not like just on the grocery store? No. So use them now would be our advice. And we worked to help them do that. And it was it was very popular. We sold a lot of how much did we end up selling in SNAP sales and things. Jessica Fish  52:12  SNAP sales, we actually had between the two markets, almost $130 of sales just for SNAPHeidi Ziegenmeyer  52:19  Awesome. Jessica Fish  52:21  We also we did have quite a few people who held on to their tokens, but we had about $30 worth of Double Up, come from that. And then cash and credit card, we probably had just for the booths that we were running another $300. Heidi Ziegenmeyer  52:38  Yeah. And then we just we had a few, you know, just a small market. But I think a small market kind of popping up in the community with like a week or so notice really, we got we got some good turnout. And I'm really excited about the the SNAP sales, we also went to the we advertise in the blue building, right? The tribal building, yes, and where a lot of people will come in for like tribal business. And then also over at the social services, where they actually do the SNAP applications.You put flyers and stuff there. So people would know. And I told the staff there to like send them to our market, like we're accepting SNAP now. So they could kind of talk it up to them as well and really access those people who, who can use their SNAP dollars. Sue Balcom  53:26  So yeah, I know, I think that's so important. And I think, you know, from a vendor or producer perspective, it's really nice, because you open it up to folks who like, maybe weren't even considering shopping at the market before because like, if I'm using my EBT card, I know, I've got a certain dollar amount. I'm typically, you know, knowing where I spend those dollars, moving from, you know, buying my stuff at a grocery store, or let's say in Devil's Lake, but then I'm going to try to do it at a farmer's market. And you know, having that open, welcoming, warm, you know, reception at a farmer's market, and then being able to feel like you belong or you're part of the community in that way. And then also knowing that those dollars, like you said, Heidi would benefit those farmers that you're that you're buying from and so like, you know, it's a little bit of an empowerment approach and having people feel connected and belonging, I think, you know, when we talk about SNAP dollars, and you know, those kinds of things, it makes it feel a little bit transactional. But farmer's markets are so cool, because it's very relational. And, you know, incorporating the social piece to it. So it's kind of works around some of those things. Heidi Ziegenmeyer  54:46  You talked about warm and welcoming. And I was just thinking about, you know, students are walking past the market into the college and like, hey, farmer's market! They're like, Oh, who's that crazy lady, but you know, they kind of came over, I think.Jan Stankiewicz  55:02  Anyway, the ones that didn't run in. Heidi Ziegenmeyer  55:04  Exactly, exactly. If I didn't scare them too much. Um, they, you know, my talk of tomatoes. Let's go. Anyway, um, it was it's good time so, you know, yeah, for sure. It's not you know you don't get that at Walmart. You don't get you don't get some crazy lady yelling tomatoes at you. Um, who doesn't want that?Sue Balcom  55:33  They're just like visions happening right now. Like, what what would that be like? Heidi Ziegenmeyer  55:38  Yeah, exactly like don't I want that potatoes? I don't I don't yell at people. I hope everybody out there in the podcast world is laughing as well. Jan Stankiewicz  55:51  I know. Heidi Ziegenmeyer  55:52  They're like this lady's not butJessica Fish  55:55  That's the draw to the farmers market. Yes, the person. You too can come and see that person. Heidi Ziegenmeyer  56:01  Yes. I'll be famous. They'll want my autograph. crazy lady right here. Oh, right. Okay, yeah. Another another set real? Yes. But that's fine. That's I mean, we're having Yeah, yeah. Sue Balcom  56:13  So I wanted to chat a little bit about the, the mobile piece of your guys's market. So most farmer's markets or the side of the road in a parking lot, like with a canopy over top and your setup in a park or something? You guys are mobile, and you mentioned, you know, visiting specific districts across the reservation across the tribal nation.Like how does that work? And what so you mentioned the transportation to like the why of a mobile farmer's market. And that makes a lot of sense. But talk a little bit about how you guys function that way. And like, you know, just anything about that, because it's, it's pretty novel, actually. Heidi Ziegenmeyer  56:52  Thanks we are so fancy. Um, so the mobile part, like I said, it's really important to bring opportunities out to the people. Especially in areas where poverty is an issue, transportation can really be an issue. A lot of people, gosh, you know, share vehicles don't have their own vehicle, try to get rides from others, and so on. So being able to bring the food out to them and a place where maybe they can just walk up to it or somewhere they were going anyway, like if it's to the mobile foot clinic, or were to take their kids to go play at the playground at the Rec, or something is really good. And the whys and how's I mean, so that's the why the how is really due, thankfully to our I call them our small army of interns. But we have, you know, different grants that help support us and they support the interns which get agricultural education, and all the various hands on things they do, but also in farmer's market and learning how to you know, how to run a market. They learn also about SNAP dollars and Double Ups and how to price things in a market and like if they were  ever be vendors themselves, and our interns have some of them, have turned from just interns into well, interns and community gardeners. So they had that opportunity. And I think, I'm not sure we had some produce donated from some of our, from our community gardeners. So that might have been come, some of it might have come from our interns. But anyway, so they get that kind of building knowledge, you know, that builds on itself. And being part of that market as well. So we have, but we have canopies, and tables that we provide, again, that's grant funded, and we're very thankful for that. USDA NIFA. But I'm trying to give a shout out to them. But they, we have an Extension grant through them. And part of that funds, the farmer's markets. And so we have we provide the canopies and the tables and chairs, there's no charge to be a part of our market. Again, it's just that because we're in a low income area, we're trying to help people get into doing the kind of small business thing like a farmer's market. And so adding costs, like you know, you have to provide your own canopy and tables and chairs and also pay us a fee and blah, blah, I mean, it can be a barrier. Jessica Fish  59:27  For sure. Heidi Ziegenmeyer  59:28  So we wanted to get rid of those barriers. So we provide that we we call and recruit vendors beforehand. So we have an idea of how many. We haul the stuff out there. Our interns will set it up and we have a hotspot or whatever you call it right hotspot for the credit card, you know, SNAP machine thing for us to be mobile. And it's not the easiest thing to do for sure, but I think important, worthwhile. And We've enjoyed it so far. And I think bringing it out to different areas too. We get people who, who maybe don't necessarily drive by Fort Totten, but they do drive by the rack and St. Michael, or something. And so then they'll go, Oh, hey, what's that I'm gonna go stop. And we have a big banner, you know, like, farmer's market here. Now, what we've tried to put out, you don't a conspicuous area to help people, you know, see what's going on and stop by so.Sue Balcom  1:00:26  Yeah, that's very cool. I really do. The mobile aspect of it is very intriguing for me. So it's kind of, you know, being from Bismarck, and we just set up and we're stuck with just stop there. You start and stop there. But yeah, I think that's so interesting. And it's also, you know, I'm sure it would be interesting, you know, being able to, like, create relationship with, you know, more community members, because clearly, you're doing it to reach more folks. So yeah, that's very cool. Heidi Ziegenmeyer  1:00:56  I do have one, thank you. And I do have one, like, asterisk on the mobile aspects, should somebody else be considering that for themselves. And, you know, hopefully, no feds are listening to this. Or if they are, they will plug your ears right now. And this won't matter to them. Anyway, I did put it on my application. So you can't say it's not on there. But you have to have a specific physical location for your market, when you are applying for the SNAP thing. SNAP up step authorization, we specific ID. So when you're applying for SNAP authorization, you have to put a specific location. And then there's a note section where I said, but we are a mobile market, we also operate at these locations. So be aware of that if you're considering being mobile, that you are supposed to have one specific location that you're authorized for, but I didn't put that on my application. Nobody asked me any questions about it. I'm saying we're good.Jan Stankiewicz  1:01:53  I know. Heidi Ziegenmeyer  1:01:55  They're so bad. But that's one little little, you know, asterisk caveat. Something to just think about. If you feel comfortable just putting a note and saying you're good. Yeah.Sue Balcom  1:02:07  Right. Yeah. And but that's, you know, even for other farmer's markets, like sometimes they have different, like set locations. Maybe they're mobile. Yeah, but they have like to like they're in one place on Saturday in one place on Wednesday or something. Heidi Ziegenmeyer  1:02:20  Sure. Sue Balcom  1:02:20  So right, but having that, you know, disclosed and then allowing, you know, the people who make decisions to figure all that out. Heidi Ziegenmeyer  1:02:28  Yeah, exactly. I'm just letting them figure that out. But disclosing is important. So be sure to disclose all of your nuances. Sue Balcom  1:02:37  Yeah, yeah. So knowing the last couple of years, you know, we can talk at length about all of the challenges over the last couple of years. So let's, let's shift it a little bit to maybe next year or the year after. So what do you guys see, for the Spirit Lake Mobile Farmer's Market next year in the following years?Heidi Ziegenmeyer  1:02:59  Well, the future is exciting, and daunting and scary and exciting again. I mostly exciting, we'll go with that. So ah, for the future, we want to expand our community garden even more. We are talking about the college leasing additional land for a larger space. And then of course, that takes grant money to help with the setup and everything because we don't have we're not generating millions on or now that it's taken millions but you know, we're not generating a lot of dollars on our own. but it's good stuff for the community. So it'll be a process but we hope to expand the community garden Oh, there's that word process again. So not just for the government, but for us to probably you know, yes, we all we all participate in that more tilling you know, garden tilling program participants,  more seed and seedling providing and so on. So that we expand our participants in those programs that then you know is the base for our vendors for our farmer's market to to build a bigger, more vendors. We had a few, not large by any means but it's a it's a process.Sue Balcom  1:04:17  And if you could all see Heidi right now she's building with her arms and her hands she's building it up so she's willing it Heidi Ziegenmeyer  1:04:24  Yes, I would have said wildly gesticulating but you building building it is much better. Yes. I'm so so that building it up is good. We also have plans to renovate our physical location here at the college to turn a classroom into a commercial kitchen space. That is approved again USDA. So that that can be both a teaching space but also a place that people can borrow kind of rent but I don't even know if we'll even charge you know, really again low income and helping and supporting people To make those value added products that they can sell at the farmers market. Jan Stankiewicz  1:05:06  That is so exciting. Heidi Ziegenmeyer  1:05:08  I'm excited. Sue Balcom  1:05:09  I mean, that is honestly like one that is a big gap in a lot of communities is to have that space for folks to infer, you know, a commercial kitchen space allows individual producers to make products that can be sold outside of the home and into businesses and restaurants. And yes, so it really is like a like a business economical thing. So that's so exciting. Heidi Ziegenmeyer  1:05:35  Yeah, we're, like, I have goosebumps right now just thinking about it was talking about it. Oh, goosebumps. Yes. Um, so that's very exciting. And then, Jessica. Jessica Fish  1:05:43  So I also have a pet project with our farmer's market, because one of the things that the college does right now is in the spring, we provide seeds and seedlings, for a small fee, and seeds and seedlings are SNAP eligible products, yes, which means that we can be promoting that to the people in our community to say, look, you can spend $1 of your SNAP money to buy this tomato plant, and that tomato plant is going to produce you, I think it's like 15 pounds of tomatoes, on average. So for $1 and a little work, you're getting 15 pounds of tomatoes. And also because the Double Up program is continuing next year, when you buy $10 worth of vegetables. You're banking $10 to later buy vegetables when you need something you didn't grow. Sue Balcom  1:06:34  Yeah, I really liked how you're putting that together. Jessica, that's so exciting. And I really like, you know, having those conversations with folks because, like, it just makes so much sense. And the the, like you mentioned, Heidi, lots of barriers and a lot of this work. And so when we can work proactively, like you guys do such an amazing job to remove some of those barriers make it a little bit more convenient for folks who are starting out or just figuring out how to maybe like add some income or create a business or expand something. So that's Oh, that's so exciting. Heidi Ziegenmeyer  1:07:11  Oh, thanks. Yeah. And you know, it's buy this tomato for tomato plant. I mean for $1 with your SNAP dollars. Oh, and come to our gardening workshop. Oh, and then our food preservation workshops in the fall. And, you know, we it's a whole full service thing we got going. Jan Stankiewicz  1:07:26  Right, right. It really takes you through the whole spectrum. Heidi Ziegenmeyer  1:07:31  Yeah, yeah. It's a thing. We're, we're happy. We're proud of it. We work hard. Right? Jan Stankiewicz  1:07:37  You guys do,  it is a thing. Yeah. You guys work so hard. Oh, thank you. Yes. Yeah. So hard. Well, I know Heartsong.Sue Balcom  1:07:48  Well, we can wrap things up a little bit. I do sincerely appreciate your guys's time. I think that it's so great to hear stories to share. I really hope it's far reaching. Is there anything else you want to leave us with anything else that we didn't cover that you want to make sure that everybody hears?Jessica Fish  1:08:07  Oh, I do have one thing. Shout out to NDSU. Because one of the things that Gabe provided us with was these great, just little cards about how to preserve vegetables. And so we had those all set out on a table. And I had several people going through going, you can freeze grapes? You can can potatoes? Like they had no idea you could save these things for later. And that was such a good draw for them to then go okay, well, if I could freeze these, I can buy a pound. And I'll just freeze them for later. So that was huge, too. Jan Stankiewicz  1:08:43  Yeah. Heidi Ziegenmeyer  1:08:44  NDSU is awesome. Food nutrition program in the house. Well, yeah.Jan Stankiewicz  1:08:49  All right. Yes, we can definitely end on that note that. I'm so glad. I'm so glad. Thank you. Heidi Ziegenmeyer  1:08:56  Thank you for inviting us. Sue Balcom  1:08:57  Yeah, yes. Excellent. Thanks for listening to Thriving on the Prairie. To subscribe to the podcast and access a full transcript and resource links from this episode, visit www.ag ndsu.edu/thrivingontheprairieYou can find more resources for families and communities on Extension's website at www.ndsu.edu/extension. This has been a production of NDSU Extension - Extending knowledge. Changing livves. 

In this episode of the Highway To Hope, you'll hear an in-depth update on SCF's Driving Down Diabetes program. SCF Health & Wellness Manager Julie Dillon shares how this effort to address and prevent diabetes among professional drivers has grown and taken shape with a supportive community of participants. During this episode, you'll also hear […] The post Update On SCF's Driving Down Diabetes Program appeared first on PodWheels Powered by Radio Nemo.

Guests: Lisa Coombs-Gerou, EdD Candidate, MPA - YMCA & Jesse Ehrenfeld, MD, MPH - Advancing a Healthier Wisconsin

Listen Now Dr. Paul Thornton and Dr. Blake Palmer lead a lively round-table discussion on reaching clinical excellence through exceptional interdisciplinary care for patients and families. Dr. Paul ThorntonDr. Blake PalmerCortney Wolfe-Christensen PhDEmily Haddad LCSW Related InformationCongenital Adrenal Hyperplasia (CAH)Treating Congenital Adrenal HyperplasiaCook Children's Endocrinology DepartmentCook Children's Pediatric Urology Department Transcript 00:00:02 Host: Hello and welcome to Cook Children's Doc Talk. Today we're talking about congenital adrenal hyperplasia. Cook Children's is designated by the Cares Foundation as a Center of Excellence for Congenital Adrenal Hyperplasia. Joining us are members of the team, Dr. Paul Thornton, Medical Director, Endocrine and Diabetes Program, Dr. Blake Palmer, Medical Director Pediatric Urology and Surgical Director Kidney Transplantation. Dr Cortney Wolfe Christiansen, clinical child psychologist, and Emily Haddad, a licensed clinical therapist and social worker. Welcome to all of you. 00:00:39 All: Thanks for being here. Thank you for having us, happy to be here. 00:00:43 Host: Congenital adrenal hyperplasia or CAH, is one of the most common inherited metabolic disorders. We know that there are two forms of CAH, classic and non classic. Non classic is a mild form of CAH and fairly asymptomatic, while classic CAH is very severe and often life threatening. From birth, the classic form of CAH affects approximately one in 15,000 babies born each year. While we can touch briefly on the non classic form, I'd really like to focus on the classic form of CAH and the unique challenges faced when caring for children with this disease. Dr Thorton, as the medical director of this program can you take us through an overview of CAH? 00:01:25 Dr. Thornton: Yes, congenital adrenal hyperplasia CAH as we like to abbreviate it, is a condition in which there is an enzyme deficiency in the adrenal glands and as a result we get a deficiency in some of the most critical hormones in the body for example cortisol with in excess of the sex steriods, particularly the androgens being produced. And why this is very important is that cortisol is essential for life and in times of critical illness our bodies make more cortisol in order to help us survive and children with CAH are unable to do this and hence they can have life threatening adrenal crises which can be manifested as hypotension and hypoglycemia and can be critically dangerous. So with classical congenital adrenal hyperplasia there are 2 forms. there are those who are missing the cortisol and that would be called simple virilizing, and then 75 percent of the kids are missing both cortisol and aldosterone which is called salt wasting CAH, and that is by far the most dangerous of the 2 conditions. 00:02:31 Host: Dr Tho

In celebration of Rare Disease Day, we hear from a panel of five inspiring guests - all who share their unique perspectives about one particular rare condition called Congenital Hyperinsulinism. Join us to hear these valuable insights from Julie Raskin – Co-Founder and Executive Director, Congenital Hyperinsulinism International (CHI), New Jersey, and mom to Ben who has congenital hyperinsulinism; Sheila Bose – Vice President of the Board of Directors for CHI and parent to 3 children born with congenital hyperinsulinism; Dr Sarah Flanagan - Associate Professor in Genomic Medicine at the University of Exeter Medical School; Dr. Diva De León-Crutchlow - Chief of Endocrinology and Diabetes and Director of the Congenital Hyperinsulinism Center at Children's Hospital of Philadelphia; and Dr. Paul Thornton – Medical Director of the Endocrine and Diabetes Program at Cook Children’s Medical Center, Texas.

The SCF Highway to Hope Podcast returns for a second season. SCF Director of Philanthropy & Development Shannon Currier is back as the host of the Highway To Hope. In our opening episode of Season 2, we look back at SCF's fund-raising success in 2020 as the organization surpassed $1 million in donations. We also […] The post SCF Launches Driving Down Diabetes Program appeared first on PodWheels Powered by Radio Nemo.

Whose ready to establish a more joyful relationship with movement?  Welcome to principle #9 of intuitive eating, movement - feel the difference.When living with diabetes the pressures to exercise can feel even greater, especially if you are feeling added pressures to watch your weight or increase insulin sensitivity.  Such pressures  do little to encourage a more joyous relationship with movement, or help us in finding forms of exercise that we genuinely enjoy.  If you're wanting to learn how to embrace this idea of joyful movement, and are hoping to free yourself of the 'no pain no gain' mentality of exercise past, get ready to embrace this refreshing take on movement.  On this episode  you'll learn:the difference between the terms movement and exercisethe benefit of decoupling movement from needing to change our body, and/or needing it to increase our insulin sensitivitymy struggles with exercise over the yearsthe importance of understanding our relationship to exercise as we work towards pursuing joyful movementquestions to ask yourself when looking to create joyful movementhow joyful movement can beneficial in supporting other principles of intuitive eating, like hunger and fullness. Mentioned in the show:Holiday Giveaway:  Chance to win a scholarship to the 9 week 1:1 Intuitive Eating with Diabetes Program (open for Type 1s and Type 2s).  To enter, leave a rating and review, take a picture and DM on Instagram.  Giveaway ends end of day on January 1, 2021.Lindsay's Instagram:https://instagram.com/theintuitivediabetic/Intuitive Eating with Diabetes 1:1 Coaching Program:https://www.lindsaysarson.com/intuitive-eating-programWork with Lindsay:https://www.lindsaysarson.com/work-with-me

Welcome to episode 10 of the Intuitive Diabetic Podcast where we are continuing our series on intuitive eating with diabetes.On this episode we look at principle number 8 of intuitive eating- respect your body.  It is in this principle that we've hit a huge turning point in our journey to becoming an intuitive eater.  Realizing that our body is not our fault, and neither is our diabetes (no matter the type!!!).  In doing so we are able to begin treating our body with dignity, while holding the intention of meeting its basic needs.  Things that when dieting, or working to manipulate its size are  impeded.In this episode you'll learn: What is body respectThe impact of diet culture,  weight stigma, and medical bias on body image, and our relationship to diabetesThe concept of genetically determined weight5 ways to begin creating more body respect Mentioned in the show:Holiday Giveaway:  Chance to win a scholarship to the 9 week 1:1 Intuitive Eating with Diabetes Program (open for Type 1s and Type 2s).  To enter, leave a rating and review, take a picture and DM on Instagram.  Giveaway ends January 1, 2021.Lindsay's Instagram:https://instagram.com/theintuitivediabetic/Intuitive Eating with Diabetes 1:1 Coaching Program:https://www.lindsaysarson.com/intuitive-eating-programWork with Lindsay:https://www.lindsaysarson.com/work-with-me

Do you struggle with using food as a way to cope with your emotions?  If yes, know you are not alone.  In fact, it is even more common for those of us who have a history of dieting and restriction (as many of us living with diabetes do, and maybe still do).  The important thing to remember and that is not emphasized enough is that using food to cope with emotions is NOT a bad thing, and is completely natural.On this episode of the podcast we explore principle #7 of intuitive eating - honour your feelings without using food.  What you'll learn in this episode:what the real issue is with emotional eating (hint: it is not about the food)how diabetes and emotional eating can be intertwinedthe 2 questions to ask yourself before turning to foodkey reminders as you learn to cope with your emotions in a different wayMentioned on the show:Holiday Giveaway:  Chance to win a scholarship to the 9 week 1:1 Intuitive Eating with Diabetes Program (open for Type 1s and Type 2s).  To enter, leave a rating and review, take a picture and DM on Instagram.  Giveaway ends January 1, 2021. Lindsay's Instagram:https://instagram.com/theintuitivediabetic/Intuitive Eating with Diabetes 1:1 Coaching Program:https://www.lindsaysarson.com/intuitive-eating-programWork with Lindsay:https://www.lindsaysarson.com/work-with-me

Today's episode is all about principle 5 of intuitive eating - discovering the satisfaction factor and how diabetes, and diet culture can take us further away from food joy and health.It's too often I hear fellow diabetics share with me their struggles with food, and how the stress of blood sugars, weight loss/body image struggles, and healthism have overtaken the simple joys of eating.  I know, I've been there too!In today's episode we talk about:the struggles of prioritizing food satisfaction when living with diabetesthe role that diet culture plays in impacting our food choices, and how this relates to our ability/inability to maximize food joythe benefits of increasing food joy beyond the foodhow to navigate blood sugars and food satisfaction togethertips for looking beyond the blood sugars when wanting to up the satisfaction factor of foodMentioned in the show:Holiday Giveaway:  Chance to win a scholarship to the 9 week 1:1 Intuitive Eating with Diabetes Program (open for Type 1s and Type 2s).  To enter, leave a rating and review, take a picture and DM on Instagram.  Giveaway ends January 1, 2021. Food Freedom Guide:https://www.lindsaysarson.com/food-freedomLindsay's Instagram:https://instagram.com/theintuitivediabetic/Work with Lindsay:https://www.lindsaysarson.com/work-with-me

In today's episode we look at the second principle of intuitive eating - honouring your hunger and I share with you my struggles with honouring my hunger as a result of diabetes and diet culture influences from childhood and beyond. What you'll learn from this episode is:Why honouring our hunger is so importantWhat happens when we don't honour our hungerHow diabetes may impact our ability to honour our hungerHow body image struggles/diet culture pressures impact our ability to honour our hungerHow we can reconnect with our hungerThe benefit of this reconnection for diabetes and body imageThe benefits of creating body attunementMentioned in the show:Tribole, E & Resch, E (2020).  Intuitive Eating: A Revolutionary Anti-Diet Approach. St. Martins Publishing Group, New York. 1:1 Intuitive Eating with Diabetes Program (open for all people living with diabetes):https://www.lindsaysarson/intuitive-eating-programLindsay's Instagram:https://instagram.com/theintuitivediabetic/

Sign up for LWT2D.  Learn about the benefit. to receive more tips on how to manage your diabetes sign up for ADA's free Living with Type 2 Diabetes Program. Find the link to register@ diabetes.org/experts

Emily Coppedge N.P. discusses The Pediatric Diabetes Program at Weill Cornell Medicine. She shares tips for parents on catching the symptoms of early-onset diabetes in kids and offers guidance on how to make healthy choices for the whole family to help their children thrive.

Diabetes medications can help you control your blood sugar levels and prevent diabetes-related complications. To receive more tips on how to manage your diabetes sign up for ADA’s free Living With Type 2 Diabetes Program. 

Type 1...Type 2. One of the first things that comes to mind after hearing these words is Diabetes and the complications that come with it. Faithful, loyal, funny, witty. A true family hero. The first things that come to mind when describing Finley Kate, a precious 8 year old with Type 1 Diabetes. On this episode of the Live, Learn and Play podcast Finley Cate's mom, Heather Patterson, joins us to discuss Finley Kate's journey that led to her diagnosis, how Finley and her family are maneuvering the complicated path of Type 1 Diabetes, and how you can support and impact the diabetic community.

We welcomed Jenna Hollenstein, MS, RDN, CDN, author of the book Eat to Love: A Mindful Guide to Transforming your Relationship with Food, Body, and Life, to the podcast to talk about her framework, which is based in Buddhism, for healing disordered eating. In this episode, she explains the six Paramitas (generosity, discipline, patience, exertion, meditation and wisdom) and how we can apply them in approaching intuitive eating. Her compassion-based framework asks us to see ourselves as a beloved other in learning how to listen to our inner wisdom and bring about sustainable, positive self-care. Show Notes: Find Jenna Hollenstein: www.eat2love.com Instagram @jennahollenstein Facebook Learn more about Aaron's Mens Body Trust Group Learn more about Glenys Dare to Not Diet Sign up for updates about the upcoming HAES Care for Diabetes Program  

Glenys and Aaron invite Meredith Noble of Made on a Generous Plan to the show to discuss a blog post she wrote a while back that our hosts love and refer to frequently. Meredith, a Certified Body Trust® Provider and coach who helps plus-size and fat-identifying people find food and body peace and fat liberation, wrote a poignant essay about how grieving the thin ideal is essential in our body acceptance journey. Glenys and Aaron have been sharing this article with clients for a long time so it was such a pleasure to have Meredith come on the show and take a deep dive into this work and what it looks like. Meredith also shared her number one tip for improving your body image. You won't want to miss this episode. Learn more about Meredith Noble Merideth's Essay - Body Acceptance Begins with Grieving the Thin Ideal Jeanne Courtney's Article that inspired this work Kate Harding's "The Fantasy of Being Thin" Learn more about Aaron's Mens Body Trust Group Learn more about Glenys Dare to Not Diet Sign up for updates about the upcoming HAES Care for Diabetes Program

Pastor Vernon Walton, Senior Pastor of First Baptist Church of Vienna joins Dr. P on the Pod this week to discuss why prevention and education is so important to mobilize in the church!

A diabetes diagnosis can be overwhelming. Support and education make living with diabetes less challenging. Marielena Cid, Diabetes Education Services Manager, explains how the Diabetes Program at Eisenhower Health helps patients live with diabetes.

Almost all of us have called our endo or our child's doctor in the middle of the night. done it. But before you call the hotline again.. you're going to want to hear from this week's guest. Dr. Jamie Wood is a pediatric endocrinologist and the Medical Director of the Diabetes Program at Rainbow Babies & Children’s Hospital in Cleveland, Ohio. She shares the top ten questions she's asked in the middle of the night.  In our Know Better segment, some new guidance on cell phone security from the Diabetes Technology Society.  Join the Diabetes Connections Facebook Group! ----- 1:30 Stacey welcome - explains travel situation 5:40 Interview with Dr. Jamie Wood 57:15 Know Better: DTS guidelines on cellphone security ----- Sign up for our newsletter here Get the App and listen to Diabetes Connections wherever you go! Click here for iPhone      Click here for Android   

Type 2 diabetes was once considered a rare condition in the pediatric population, now however it accounts for about 15% to 45% of all newly diagnosed cases of diabetes in children and teenagers.The Diabetes Program at St. Louis Children's Hospital provides patients and their families a comprehensive approach to diabetes treatment for both Type 1 and Type 2 diabetes. Our mission is to provide patient care, teaching and research in all aspects of pediatric diabetes – from infants to young adults. The goal of research is to improve therapies for patients and find a cure for diabetes.Ana Arbelaez,MD, discusses the current state of Diabetes in the pediatric population and when to refer to the specialists at St. Louis Children's Hospital.

This episode features Dr. Joseph Wolfsdorf discussing advances in devices to manage children and adolescents with type 1 diabetes. Dr. Sadhna Vora hosts. Dr. Wolfsdorf is a Professor of Pediatrics at Harvard Medical School and Director of the Diabetes Program at Boston Children's Hospital. He is also Section Editor in Pediatric Endocrinology at UpToDate. Reference: Abraham MB, Nicholas JA, Smith GJ, et al. Reduction in Hypoglycemia with the Predictive Low-Glucose Management System: A Long-term Randomized Controlled Trial in Adolescents With Type 1 Diabetes. Diabetes Care 2018; 41:303. Contributor Disclosure: Nothing to disclose.

In 2012, 86 million Americans over the age of 20 had prediabetes. Before people develop Type 2 diabetes, they almost always have "prediabetes" — blood glucose levels that are higher than normal but not yet high enough to be diagnosed as diabetes. People with prediabetes often have no symptoms. Through early diagnosis and prevention, many people with prediabetes can delay or even prevent the onset of Type 2 diabetes.Linda Kerr, RN, MSN, NP, CDE, director, Diabetes Program, Long Beach Memorial is here to discuss prediabetes and Type 2 diabetes.