Outdoor Grilling, Picnic’s and Summer Fun with Diabetes

Summertime is now in full swing and you should be enjoying the rewarding and exciting experiences of the season. Some of the favorite activities discussed by our diabetes management patients are the outdoor grilling, enjoying a lazy afternoon picnic at the park or hanging out at the beach with friends or during a family reunion.

Having diabetes or another chronic condition should make you think more about proper planning. Diabetes can influence your immune system, especially when blood sugars are out of control, increasing the risk of infection. According to the CDC, “food poisoning is one of the most common maladies in the US. About 1 in 6 people get sick by consuming contaminated foods. This is about 48 million people.” Food poisoning tends to increase during the spring and summer months when more foods are taken outdoors and can be affected by the high heat and humidity with improper handling. To stay healthy and enjoy all of your outdoor cooking and grilling events, consider some of these guidelines to make your summer more carefree and outdoor friendly when you have diabetes.

Wash Hands

Always start any food preparation or eating by washing your hands – preferably with soap and warm water or a hand sanitizer high in alcohol content. This should be done prior to, during and after food preparation.

Be Really Prepared

When cooking outdoors, carry plenty of disposable wipes, cooking gloves, hand sanitizer, paper towels, tin foil, extra paper goods, a blanket or beach towel, plastic ware and a large garbage bag. Make a checklist and keep it near your picnic basket or grilling supplies. Carry snacks such as fruit, veggies or nuts to snack on if you get hungry and the food is not ready. You do not want to set yourself up for hypoglycemia. Feelings of weakness, light headedness, sweating, fatigue and being confused can signify heat stroke or low blood sugars so test to be certain.

Food Preparation

Always thaw frozen food in the refrigerator and not on the counter top at room temperature. This can become a breeding ground for bacteria. Frozen food can be directly thawed in a microwave and should be used immediately. There is no need to wash raw meat or poultry which can splash germs into the sink. Cooking food at correct temperatures will kill the bacteria which may be present.

Meat Temperature

Grilling Barbecue RibsMake sure to use a thermometer to check for temperature of meat. Steaks, chops, lamb, veal and roasts should be cooked at 145 degrees with a 3-minute rest period, poultry should be cooked at 165 degrees and burgers should be cooked to 160 degrees which is medium to medium well. Not cooking to a proper temperature can increase the risk of E. coli.

Food Size

Cut foods like steaks, chops and chicken breasts into bite size kebobs to lower cooking times and temperatures. This is more healthful. Clean the grill prior to each use with soapy water and a steel brush to remove all hazardous fragments. Use steel skewers or wet bamboo skewers prior to threading food.

Coolers

All salads, meats, produce and dairy should be transported in a cooler. Use a reliable cooler that is large enough for the food as well as for the ice or ice packs. A full cooler will do a better job of keeping food cold than a 1/2 full cooler. Adjust to a smaller size if it is not filled. Keep a separate cooler for drinks since this cooler will be opened much more frequently. Make sure the cooler is washed after each use with warm soapy water and carefully dried out. Keep the cooler in the car with air conditioning and not in the trunk or exposed to direct sunlight. A thermometer should be placed in the cooler and kept at 40 degrees or cooler.

Keep hot and cold foods separated so they can maintain their proper temperature.

Grilling Fruits

Grilling fruit is a perfect summertime dessert treat but make sure to remove the rinds. For instance, summer fun may include soaking watermelon, honeydew or cantaloupe in vodka or rum. The rinds may harbor Listeria, so remove them. Peaches, plums and pineapple taste delicious when grilled with none of the ill effects of grilling. Grilling vegetables with a bit of olive oil are also delicious. Try grilled asparagus, corn or tomatoes.

Foods Not Influenced by Temperature

If you do not want to cook or worry about separating foods by temperature, consider bringing foods that do not require much maintenance. Bring hard cheese and whole grain crackers, popcorn, Chex-Mix, nuts, nut butters, dry cereals like Cheerios or pieces of whole fruit or canned tuna, salmon, sardines or chicken.

Mayonnaise is Not Really the Picnic Enemy

mayonaiseEveryone is always concerned about summer chicken, egg or potato salads made with mayonnaise. Mayonnaise is not the problem since it has a high acid content. A food with high acid content may reduce the risk of pathogens. It’s the storing of the mayo-dressed salad at room temperature which causes the problem especially when left out for too long. Here are a few tips on ensuring that your day full of grilling is safe and healthy for everyone in attendance:

  • Throw it out. Discard of all grilled foods that are in heat of 90 degrees or more for more than 60 minutes
  • Cook all meats thoroughly to avoid parasites like E. Coli and Trichinosis
  • Avoid AGEs (advanced glycation end products) caused by high heat sources like a grill by starting your cooking in the oven prior to grilling
  • Add marinades that help protect and shield the meat
  • Trim off visible fat and remove skin from the meat prior to grilling. Let the marinade help maintain the moisture

Summertime is the right time to get outdoors and enjoy your friends and family along with a delicious BBQ or picnic. Know the guidelines to keep you safe with diabetes!

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NOTE: Consult your Doctor first to make sure my recommendations fit your special health needs.
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About the Author:

Roberta Kleinman, RN, M. Ed., CDE, is a registered nurse and certified diabetes educator. She grew up in Long Island, NY. Her nursing training was done at the University of Vermont where she received a B.S. R.N. Robbie obtained her Master of Education degree, with a specialty in exercise physiology, from Georgia State University in Atlanta, Georgia. She is a member of the American Diabetes Association as well as the South Florida Association of Diabetes Educators. She worked with the education department of NBMC to help educate the hospital's in-patient nurses about diabetes. She practices a healthy lifestyle and has worked as a personal fitness trainer in the past. She was one of the initiators of the North Broward Diabetes Center (NBMC) which started in 1990 and was one of the first American Diabetes Association (ADA) certified programs in Broward County, Florida for nearly two decades. Robbie has educated patients to care for themselves and has counseled them on healthy eating, heart disease, high lipids, use of glucometers, insulin and many other aspects of diabetes care. The NBMC Diabetes Center received the Valor Award from the American Diabetes Center for excellent care to their patients. Robbie has volunteered over the years as leader of many diabetes support groups.

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