Monday, February 6, 2017

Recipe Corner: Zoodles with Meatballs

"Zoodles" (Zucchini Noodles) with Turkey Meatballs
  Makes 5 servings

  1 lb ground turkey - 93% lean
  1/3 cup 100% whole wheat panko bread crumbs
  1 large egg
  1 clove garlic, minced
  1/4 tsp salt free seasoning such as Mrs. Dash Italian Medley
  1 1/2 cup 100% natural, no salt added tomato sauce
  4 large zucchinis (~8 cups zoodles)
  1/2 tbsp olive oil
  1/4 cup parmesan cheese, grated

  1.   Preheat oven to 350° F
  2.   Lightly grease baking sheet
  3.   Combine ground turkey meat, bread crumbs, egg, garlic and seasoning and create evenly      sized meatballs (about 10 meatballs)
  4.   Place meatballs on baking sheet and bake in oven for 20 minutes
  5.   Use a "Veggetti", a spiralizer, or a julienne peeler to create zoodles while meatballs are in the   oven
  6.   Place skillet over medium-high heat, add olive oil and then, once the skillet is hot, add    zucchini. Toss zoodles lightly with tongs and cook for 5-7 minutes, until zoodles are tender.
  7.   Heat tomato sauce in a saucepan over low heat for 5-10 minutes
  8.   Separate zucchini into 5 servings and top each serving with meatballs, tomato sauce and a    sprinkling of parmesan cheese
  9. Enjoy! 

 Nutrition Information for 
 2 turkey meatballs, 1 1/2 cups Zoodles, 1/3 cup sauce:
  276 calories, 10.5 g fat, .5 g saturated fat, 3.5 g monounsaturated fat, 2 g polyunsaturated fat, 
  25 g protein, 22 g carbohydrate, 4.5 g fiber, 105 mg cholesterol, 243 mg sodium 

This post was written by Briana Adler MS RD CDN,  member of the Academy of Nutrition and Dietetics and the Greater New York Dietetic Association.

Question Corner: What's a medical alert bracelet?

I was recently diagnosed with diabetes and I want to ensure I do everything possible to stay safe. I heard about medical bracelets, can you tell me more about them and if that's something you recommend. Also, what other measures I can take to ensure safety?
Thanks, Anonymous 
Dear Anonymous, 

A medical bracelet or necklace to identify health conditions is a wonderful investment. Their essential purpose is to provide first responders with a quick overview of your medical conditions, allergies and medications to ensure safe and effective treatment in an emergency situation, thus reducing treatment errors and unnecessary testing.

In addition, once emergency personnel recognize a MedicAlert ID, they call 24/7 Emergency Response Center and are immediately connected to your medical history, ensuring you receive proper medical care and reducing the risk of treatment errors. The initial product purchase includes one free year of "My MedicAlert Services" ensuring your health information is made available in the event of an emergency. Please refer to for more detailed information.   There are other options for medical identification, cards or non-MedicAlert identifiers which may be less expensive, but will not have the telephone backup information.
It is also important to remember that you may set up a Medical ID on your smartphone, which allows you to create a medical profile that is accessible from the lock screen. This is another quick way for people to access your health history if you are unable to share it with them.   This option is secondary to the medical alert jewelry because you may not have your phone with you at all times or during an emergency. Additionally, it is not certain that Emergency Response Personnel will check your phone to see if there is a Medical ID.

Since we are discussing how to stay safe with diabetes, I'd like to mention the importance of glucose tablets and glucagon kits for people with type 1 diabetes. All people with any type of diabetes should carry glucose tablets, hard candy such as lifesavers or 4 ounce juice boxes to treat low blood sugar.  Discuss with your healthcare team what is best for you.   Stay safe!

Kind regards,
Victoria Abram, RN, CDE

Victoria Abram RN,CDE earned her nursing degree from Adelphi University. Throughout her career, she has worked closely with patients with diabetes and has a comprehensive knowledge of and experience in prediabetes, diabetes, prevention, and management. She recognizes the importance of assessing educational needs and each individual's readiness to learn.

ADA Position Statement on Patient Centered Psychosocial Care

The American Diabetes Association released a position statement in December, 2016, stating their belief that in order to achieve optimal medical outcomes and psychological well-being, physicians and the health care team must provide care that is respectful of and responsive to individual patient preferences, needs, and values and ensure that patient values guide all clinical decisions. Known as patient-centered psychosocial care, this requires that communications and interactions, problem identification, psychosocial screening, diagnostic evaluation, and intervention services take into account the context of the individuals with diabetes and the values and preferences of these individuals. The position statement gives diabetes care providers evidence-based guidelines for psychosocial assessment and care of patients with diabetes and their families. Their recommendations are based on commonly used clinical models, expert consensus, and tested interventions - these recommendations take into account available resources, practice patterns across the country, and practitioner burden. The position statement focuses on the most common psychological factors affecting individuals with diabetes.

 For more information see: 

Psychosocial Care for People With Diabetes: A Position Statement of the American Diabetes Association Diabetes.

Physicians and educators at the diabetes center fully support this statement and will continue to follow the guidelines, which we already implement at Mount Sinai.

MSDC Welcomes Victoria Abram, RN, CDE

Victoria Abram is a Registered Nurse and a Certified Diabetes Educator. She earned her nursing degree from Adelphi University. Victoria has an extensive background in chronic condition management. Throughout her career, she has worked closely with patients with diabetes and has a comprehensive knowledge of and experience in prediabetes, diabetes, prevention, and management. Victoria joined Mount Sinai Diabetes Center in October 2016, where she educates and supports people affected by diabetes. She recognizes the importance of assessing educational needs and each individual's readiness to learn. Her works includes educating patients on necessary lifestyle changes, medication administration, continuous glucose monitoring and insulin pump infusion.

MSDC Welcomes Dr Khadeen Cheesman

Dr. Khadeen Cheesman is board certified in Endocrinology, Diabetes and Metabolism as well as Internal Medicine. She earned her MD degree from Columbia University College of Physicians and Surgeons. Following medical school, she completed her residency in Internal Medicine, and her fellowship in Endocrinology, Diabetes and Bone diseases at the Icahn School of Medicine at Mount Sinai. During her fellowship, she participated in research on pituitary and adrenal disorders. Most recently, she presented her research at the Endocrine Society Meeting, 2016. She joined the faculty as an Assistant Professor in Endocrinology, Diabetes and Metabolism in August 2016. Dr. Cheesman aims to provide exceptional care to patients with diabetes and other endocrine disorders.

February 2017 Research Update


Update from the Diabetes Obesity Metabolism Institute (DOMI)

Andrew Stewart MD, Director of DOMI
The Diabetes Obesity Metabolism Institute (DOMI)is the principal research arm for diabetes, obesity and metabolism activities at Mount Sinai. It includes a core of 23 research faculty, who collectively garner $8Million annually in research support from the National Institutes of Health (NIH), the Juvenile Diabetes Research Foundation, the American Diabetes Association, and other funding agencies and foundations. Together with the Albert Einstein College of Medicine/Montefiore Health System, DOMI shares one of 16 Diabetes Research Center grants from the NIH. In addition to the 23 primary DOMI faculty members, there are an additional 40-50 affiliated members at Mount Sinai who work in diabetes/obesity related research. Mount Sinai has a long and proud history of diabetes research, from the discovery of the first blood tests to measure insulin which led to the 1977 Nobel Prize, to many new "firsts", some examples of which follow. You can learn much more from our website

Type 1 Diabetes (T1D):
  • Through Carol Levy MD and David Lam MD, in Endocrinology, we have initiated New York City's largest Artificial Pancreas research program.
  •  Peng Wang PhDRupangi Vasavada PhDNagesha Kondewgowda PhD and Andrew Stewart    MD have discovered the first drugs that are able to induce human beta cells to regenerate.
  •  Dirk Homann MD, PhD was recruited to spearhead research program in the autoimmunity that underlies T1D.
Type 2 Diabetes (T2D):
  • Daniel Donovan MD and Jeanine Albu MD lead a large and growing portfolio of T2D clinical research programs at Mount Sinai Hospital and the new Diabetes Research Center at Mount Sinai-Saint Lukes.
  •  Donald Scott MDChristoph Buettner MD, PhD, and Adolfo-Garcia-Ocaña PhD
  • Derek LeRoith MD and Emily Gallagher MD comprise a leading a center exploring the link between T2D and cancer risk.
  • We have the largest bariatric surgery program in New York City, based at Mount Sinai Hospital and Mount Sinai St. Luke's.
  • We have outstanding research programs in adipocyte (fat cell) metabolism, led by Susan Fried PhDKalypso Karastergiou MD PhD and others.
  • These are coupled with internationally renowned obesity genomics programs led by Ruth Loos PhD.
Brain Control of Metabolism:
  • Led by Drs. Christoph Buettner and Sarah Stanley, and in collaboration with theFriedman Brain Institute at Mount Sinai, we have one of the premier centers in the US. Researchers are showing that the brain controls not only appetite, but also metabolic rate in fat tissue, liver and muscle: the main organs that consume calories and generate heat to balance calorie intake from food. Read -more here about the Buettner lab 

Artificial Pancreas (AP) Program Update

Research continues to proceed in this exciting area! We have competed the initial testing of the Type Zero AP system and have a collaboration with Rensselaer Polytechnic Institute studying a novel new system. We anticipate the Type Zero main study will begin enrolling in the Spring of 2017. The Animas AP system study is planned to open to enrollment late spring as well. Additional studies are being finalized and more will opening over the next few months! For those of you on injections, we have not forgotten about you! Studies are planned for a support system for people on daily injections to manage their diabetes. If you have further questions about any AP studies, please call Selassie Ogyaadu, MD, MPH research coordinator at 212-241-9089.

Diabetes Clinic Celebrates 100 Years!

In January 2017, the  Diabetes Clinic celebrates 100 years of service to patients with diabetes. As seen in the announcement to the left, Dr. Sigismund Schulz Goldwater (February 7, 1873 - October 22, 1942) announced the opening of the clinic, inviting referrals for patients with 'diabetes, nephritis and other conditions' to attend the 'special clinic for diseases of metabolism'. 

One hundred years later, and just a few changes ... we are going strong!

Diabetes Classes 2017 are in Session!

Free Diabetes Education Classes
  5 East 98th Street (between Madison Ave. and 5th Ave.), 3rd floor Conference Room

 Topics, Dates, and Times

  Tuesday, February 21, 2017

  Being Active and Blood Glucose Monitoring

  Tuesday, March 21, 2017
  Diabetes Medications

  Tuesday, April 18, 2017
  Problem Solving with Diabetes and Reducing Risks

  Tuesday, May 23, 2017
  Healthy Coping with Diabetes

Classes teach patients to better manage their diabetes, prevent complications, and thrive. Our classes are   taught by our dedicated registered dietician and nurse practitioner and certified diabetes educators.   To join a class and receive an updated class schedule, please   email or
call 212-241-3422.

Thursday, February 2, 2017

World Diabetes Day 2016 at Mount Sinai

Mount Sinai looks forward to its annual World Diabetes Day Health Fair as a way to promote diabetes awareness, prevention, and healthy living with diabetes to the Mount Sinai Community and the New York City community-at-large. On World Diabetes Day, November 14, 2016, a multidisciplinary team led by Camilla Levister, MS, ANP-C, CDE, and Briana Adler, MS, RD, CDN, both the Mount Sinai Hospital Diabetes Center led the annual World Diabetes Day Health Fair.  The International Diabetes Federation designated “Eyes on Diabetes” as this years’ World Diabetes Day theme with the key message to promote the importance of screening, early diagnosis of type 2 diabetes, and treatment of diabetes to reduce the risk of complications.  The World Diabetes Health Fair at Mount Sinai carried out this theme by providing
complimentary body fat testing and type 2 diabetes risk assessment and counseling with Mount Sinai health care providers and certified diabetes educators.  Additionally, we hosted a Diabetes Themed Jeopardy game as an engaging way to promote awareness of what diabetes is, its risks, and management.  Organizations such as the American Diabetes Association, 92nd Street Y, The American Heart and Stroke Association, and Mount Sinai’s Fit for Life program were in attendance to promote healthy living to all including those without diabetes, those at high risk, and those currently living with diabetes.  

Recipe Corner: Cauliflower Crusted Pizza

Makes 2  Five-inch  pizza pies

1.     2 1/2 cups cauliflower, grated (about 1/2 of a large head)
2.      1 large egg, lightly beaten
3.      1 cup shredded part-skim mozzarella cheese
4.      2 tablespoons grated Parmesan cheese
5.     ¼ tsp salt free Italian seasoning
6.     1/4 cup tomato sauce, low sodium
7.     1 cup cooked eggplant (or vegetable of your choosing), diced
8.     ½ tsp onion powder
9.     ½ tsp garlic powder
10. 2 tbsp finely chopped fresh basil leaves
11. 1/4 teaspoon crushed red pepper flakes

Preheat oven to 425 degrees

Line a baking sheet with parchment paper

Use a box grater to grate ~2 cups of cauliflower “rice”. Place in a large bowl

Microwave cauliflower “rice” for 7-8 minutes, or until soft. Remove and let cool.

Add cauliflower to a fine-mesh strainer and use a dish towel (or paper towel) to press out excess liquid

Return cauliflower “rice” to bowl and combine with egg, ¾ cup mozzarella cheese, 2 tablespoons Parmesan cheese, Italian seasoning, ¼ tsp onion powder and ¼ tsp garlic powder.

Mold mixture into two 5 inch circles (resembling 2 personal pizzas) and place on parchment paper. Bake for 10-15 minutes, or until golden brown.

Once baked, top both pizza crusts with low sodium tomato sauce, remaining mozzarella cheese and cooked eggplant (or other non starchy vegetable)

Bake in oven for another 5-10 minutes until cheese is melted and bubbly

Top with basil, red pepper flakes, and remaining onion and garlic powder

Nutrition per Five-inch” personal pizza pie

Calories: 280kcal; Fat: 16gms; Saturated fat: 10gms; Polyunsaturated Fat: 1gm; Monounsaturated Fat: 1gm; Cholesterol: 137mg; Sodium: 650mg; Potassium: 508mg; Total Carbohydrate: 14gm; Dietary Fiber 5gm; Sugars: 4gm; Protein: 23gms

Compare to: Veggie lover’s Six-inch personal pan pizza from a national pizza chain:
Calories: 550kcal; Total fat: 20gms; Saturated fat: 8gms; Cholesterol: 35 mg; Sodium: 1190mg; Carbohydrates: 70gms; Fiber: 4gms; Sugars: 8gms;
Protein: 22gms

This post was written by Briana Adler RD CDN member of the Academy of Nutrition and  Dietetics and the Greater New York Dietetic Association