Care Beyond Treatment for Black Women Facing Breast Cancer

2026-10-01T07:01:02

(BPT) – How whole-person support helped one woman navigate the physical and emotional realities of metastatic breast cancer

When Tia Newman was diagnosed with metastatic triple-negative breast cancer (TNBC), a cancer that has spread to other parts of the body,1 it was already deeply personal. The 55-year-old Washington, D.C., area native had lost her mother and sister to the same aggressive disease.

Losing family members to TNBC fundamentally changed how Tia experienced her own diagnosis and underscored the burden this disease places on Black women.2 As she began navigating metastatic TNBC, she quickly learned that her care would involve much more than medical treatment.

Tia and her sister. For Tia, support came through Care for HER, a national initiative from Unite for HER and TOUCH.

Black women are diagnosed with TNBC at nearly three times the rate of white women3 and are 38% more likely to die from breast cancer than white women, highlighting ongoing differences in breast cancer care and survival.2 As efforts continue to address these disparities, the goal is to ensure people have access to trusted guidance and practical support throughout their care journey, alongside advances in treatment.

For Tia, support came through Care for HER, a national initiative from Unite for HER and TOUCH, The Black Breast Cancer Alliance. Care for HER connects Black women with free resources including integrative therapies, health education and around-the-clock, culturally tailored nurse navigation.

Support for the Whole Person

Tia and husband. For Tia, support came through Care for HER, a national initiative from Unite for HER and TOUCH.

Through Care for HER, Tia received support tailored to what she needed outside of the doctor’s office, supplementing the caregiver support she received from her husband and children. The program’s “Wellness Passport” fully funds and delivers services such as professional counseling, nutrition consultations, exercise classes and fresh grocery deliveries.

As Tia dealt with severe weight loss and fatigue during treatment, she worked with a dietitian and used meal kits tailored to her pescatarian diet, helping her regain strength.

“When you have cancer, support is bigger than just medical appointments,” Tia shared. “Having an outside navigator and real people to talk to who guide you through the tears makes a massive difference.”

That whole-person approach is at the heart of Care for HER.

“Our vision is that every Black individual diagnosed with breast cancer will feel supported and have access to comprehensive integrative oncology care that manages arduous side effects, supports treatment adherence and gives those we serve their lives back,” said Sue Weldon, CEO and Founder of Unite for HER.

“Care for HER’s nurse navigation program aims to directly address a considerable need among Black breast cancer patients, providing services and support that they might not be able to access otherwise,” said Ricki Fairley, CEO of TOUCH, The Black Breast Cancer Alliance. “Together, we’re ensuring these women receive the comprehensive care and guidance they deserve.”

Care for HER’s focus on helping people navigate needs beyond treatment aligns with Gilead Sciences’ Community Cancer Collective (CCC), which supports the program alongside other sponsors.

“Gilead’s CCC brings together community organizations, healthcare providers, advocates and local leaders to help reduce barriers to cancer care, with patient navigation as a core pillar of its work,” said Darren Tayama, MD, Vice President, U.S. Medical Affairs, Oncology at Gilead. “Through Care for HER, we are proud to support a program that is delivering whole-person support, an often-overlooked but essential aspect of addressing persistent disparities for Black women facing breast cancer.”

Removing Barriers to Care

During Breast Cancer Awareness Month this October, Tia is encouraging other women to pay attention to their bodies, ask questions and seek support from the beginning of their cancer experience.

That includes asking care teams about navigation programs and other resources that can help with the emotional, nutritional and practical challenges that may come with treatment.

“Don’t let cancer absorb your mind,” Tia advised. “Pushing through with the right support in your corner makes all the difference.”

To learn more about free patient navigation, integrative therapies and holistic support through Care for HER, visit uniteforher.org/careforher. For additional information and resources from Gilead Sciences, Inc., for people living with metastatic breast cancer and those who support them, visit expose-mbc.com.

Close up of Tia. For Tia, support came through Care for HER, a national initiative from Unite for HER and TOUCH.


1. National Cancer Institute. Triple-Negative Breast Cancer Treatment. Published December 2, 2025. Accessed September 23, 2026. https://www.cancer.gov/types/breast/treatment/triple-negative-breast-cancer

2. ACS Medical Content and News Staff. More Black women die from breast cancer than any other cancer. American Cancer Society. Published February 14, 2022. Accessed September 23, 2026. https://acsjournals.onlinelibrary.wiley.com/doi/epdf/10.3322/caac.21874

3. McCarthy AM, Friebel-Klinger T, Ehsan S, et al. Relationship of established risk factors with breast cancer subtypes. Cancer Med. 2021;10(18):6456-6467. https://pubmed.ncbi.nlm.nih.gov/34464510/

Gilead is a trademark of Gilead Sciences, Inc. All other marks are the property of their respective owners.

Myopia in children: What parents should know — and what you can do today

2026-10-01T11:35:00

(BPT) – If your child has trouble seeing the board at school, squints at things across the room or needs to sit closer to the television, myopia could be the reason. But myopia is more than simply needing glasses to see far away — and today, parents have more options than ever to help manage it.

What is myopia and why is it becoming more common?

Myopia, commonly called nearsightedness, is a condition in which objects further away appear blurry, while close-up objects are usually clear. It often begins during childhood and may continue to progress or worsen as a child grows, usually stabilizing in late teens or early adulthood. Parents think myopia means blurry vision because the prescription is increasing but it’s more than that — it’s not a benign condition. Myopia leads to the eyeball growing too fast and too long — leading to the abnormal stretching of the eye and potentially other eye health complications in future. Correcting vision alone does not address the excessive eye growth in myopia.

Myopia is becoming increasingly common. In the United States, its prevalence has increased from 26% to 42% between 1972 to 2002,1 and worldwide estimates suggest that nearly half of the population may have myopia by 2050.2

The increase in school-age myopia we are seeing today is predominantly driven by lifestyle factors while genetics can predispose a child.3 Children with parents who have myopia are also at greater risk of developing myopia.3 Studies show that children should spend at least 2 hours outside daily and it is the lack of time outdoors that is a major risk for myopia development as well as prolonged near work.3,4 Children today often spend more time doing close-up activities and less time outdoors.3,4. The role of digital devices in myopia is not clear but it is good to establish good visual hygiene and limit screen time, according to the screen guidelines set by the American Academy of Pediatrics.7

The good news is that there are steps families can take.

Why “just knowing” isn’t the finish line

Recognizing the signs of myopia is important, but awareness alone doesn’t protect a child’s vision. The next step is making sure vision concerns lead to appropriate eye care. Vision screenings at school or at the pediatrician’s office can identify some children who may have a vision problem, but a screening is not the same thing as a complete evaluation of a child’s eyes and vision.

Keep in mind that children may assume their vision is normal because it is the only vision they know. Through comprehensive eye examinations, eye care professionals can identify myopia and assess children who may be at increased risk of developing it as well as other childhood conditions. Factors such as family history, near-work habits and time spent outdoors can help provide a more complete picture of a child’s risk.3,4 The doctor can also help parents recognize vision-related signs that might otherwise be attributed to behavior, attention or school performance.

What early intervention actually looks like

For generations, the usual response to childhood myopia was straightforward: When a child’s vision became blurrier, the prescription was increased. But today, the conversation has changed. Traditional single-vision glasses and contact lenses correct blurry vision, but myopia management is intended to do something more: slow the rate at which myopia progresses.3,5

Myopia should be managed as soon as it is detected given that the fastest rate of increase tends to be at the earlier ages and thus is the critical time to intervene.3 Today there are a number of options available to manage myopia: there is an FDA-authorized myopia management spectacle lens called Essilor® Stellest® lenses6 and an FDA approved contact lens called Coopervision® Misight® 1 Day.3 These correct myopia while slowing its progression at the same time. In addition, there are also overnight reshaping lenses.3 Your eye care professional will determine the appropriate treatment for your child based on their clinical and lifestyle factors as well as age.

Glasses frame with lens.

Since Essilor® Stellest® Lenses were approved by the FDA in September 2025, we have trained more than 30,000 eye care professionals on myopia management and the role of Essilor® Stellest® to help address this growing public health concern. Essilor® Stellest® Lenses were authorized by the FDA with language recognizing myopia progression as a disease, helping elevate the conversation beyond simple vision correction toward proactive disease management.

Small daily habits can make a difference

Healthy visual habits can start today. Spend more time outdoors. Research has consistently demonstrated that increased outdoor time delays the development of myopia in children.3,4

  • Make outdoor play and activities part of the family’s regular routine.
  • Give the eyes regular breaks. Long periods of uninterrupted close-up work should be broken up.7
  • Be thoughtful about screens and other near work. Screens are part of children’s lives, and the goal isn’t necessarily to eliminate them. Instead, avoid unnecessarily prolonged recreational screen time, encourage breaks and remember that books, homework, phones, tablets and other close-up activities all contribute to time spent focusing at near.3,4
  • Don’t hold things too close. Encourage children to maintain a comfortable working distance rather than bringing books, phones or tablets very close to their face. Very close working distances and long periods of continuous near work have been associated with myopia.3,4

Most importantly, these habits should complement — not replace — professional eye care or prescribed myopia management.

Why does acting now matter?

Myopia often progresses throughout childhood. That means the changes that occur from year to year can add up. Higher levels of myopia later in life are associated with a greater risk of several eye diseases and that risk increases as the amount of myopia increases.5,8 That’s one reason the goal today isn’t simply to help a child see clearly with the next pair of glasses. When appropriate, it is also to slow the progression of myopia while the eyes are still growing.

There is no single approach that’s right for every child. But there is an important first step for every parent who has concerns: Don’t just watch and wait. Start the conversation. Schedule an eye examination with an eye care professional.

A simple parent action checklist

  • Watch for squinting, blurry distance vision, headaches, eye rubbing or difficulty focusing.
  • Ask open-ended questions about what your child actually sees.
  • Follow recommended childhood vision screening and eye-care guidance.
  • If your child has myopia, ask whether it is progressing.
  • Ask your eye care professional about available myopia-management options.
  • Encourage regular outdoor time.
  • Break up prolonged periods of close work and screen use.
  • Try the 20-20-20 rule.
  • Use an eye care professional locator to find a provider near you.

Myopia may be common, but that doesn’t mean parents have to simply watch it progress. Knowing the signs, building healthy visual habits and starting the conversation with an eye care professional can help families act earlier.

For more information, visit essilor.com.

References

1. Vitale S, Sperduto RD, Ferris FL 3rd. Increased prevalence of myopia in the United States between 1971-1972 and 1999-2004. Arch Ophthalmol. 2009;127(12):1632-1639. doi:10.1001/archophthalmol.2009.303.

2. Holden BA, Fricke TR, Wilson DA, et al. Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology. 2016;123(5):1036-1042. doi:10.1016/j.ophtha.2016.01.006.

3. Gifford KL, Richdale K, Kang P, et al. IMI – Clinical management guidelines report. Invest Ophthalmol Vis Sci. 2019;60(3).

4. Morgan IG, Wu PC, Ostrin LA, et al. IMI risk factors for myopia. Invest Ophthalmol Vis Sci. 2021;62(5):3. doi:10.1167/iovs.62.5.3.

5. Bullimore MA, Brennan NA. Myopia control: why each diopter matters. Optom Vis Sci. 2019;96(6):463-465. doi:10.1097/OPX.0000000000001367.

6. U.S. FDA. FDA authorizes marketing of first eyeglass lenses to slow progression of pediatric myopia. Sep 2025. https://www.fda.gov/news-events/press-announcements/fda-authorizes-marketing-first-eyeglass-lenses-slow-progression-pediatric-myopia

7. American Academy of Ophthalmology. Computers, digital devices and eye strain. American Academy of Ophthalmology. Accessed August 26, 2026.

8. Haarman AEG, Enthoven CA, Tideman JWL, Tedja MS, Verhoeven VJM, Klaver CCW. The complications of myopia: a review and meta-analysis. Invest Ophthalmol Vis Sci. 2020;61(4):49. doi:10.1167/iovs.61.4.49.

Why creatine deserves a place in your routine

2026-09-30T16:47:00

(BPT) – By Lauren Manaker, MS, RDN, LD

As a Registered Dietitian Nutritionist navigating perimenopause, I’m always thinking about how to best support my body and mind as I age. I’m also selective about supplements. I don’t take many, so if something earns a place in my routine, there has to be a good reason.

Creatine monohydrate is one of the few that has made the cut. Every morning, I mix a scoop into my orange juice. It’s a simple habit, but one I’ve come to rely on because of the strong research behind it and the way I feel when I take it consistently.

Many people still think creatine is only for bodybuilders or people trying to bulk up, but that’s a limited view. Beyond supporting muscle performance, strength and recovery, creatine also plays an important role in cellular energy and may benefit cognitive function during menopause. That’s one reason why I think it deserves more attention, especially during life stages like perimenopause, menopause and andropause. Healthy Aging Month is a great opportunity to learn more about this natural energy source.

How creatine powers your cells

To understand how creatine works, let’s take a quick step back to high school biology. You might remember the Krebs cycle and ATP (adenosine triphosphate). ATP is the primary energy currency your cells use for everything from moving a muscle to solving a puzzle.

However, your body’s ATP stores are limited. They deplete quickly when energy demands rise. This is where creatine steps in. It helps your cells regenerate ATP more efficiently, acting as a rapid energy reserve.

This mechanism makes creatine valuable well beyond the gym. One question I hear often is: Does creatine help with perimenopause fatigue? Based on the available evidence, there’s reason to think it can, particularly by supporting cellular energy during periods of hormonal flux, poor sleep or mental strain. It won’t replace good sleep or a balanced diet, but for women navigating menopause-related muscle loss and energy dips, it’s one of the more well-researched tools available. By helping to ensure your cells have a steady energy supply, creatine supports resilience when your body is working harder to maintain it.

Does creatine help during perimenopause and menopause?

Hormonal changes during perimenopause and menopause bring noticeable shifts. Energy levels can dip, workouts often feel harder to recover from and mental clarity might not come as easily. These frustrating changes highlight exactly why creatine is so relevant right now.

Throughout a woman’s lifespan, hormonal fluctuations influence how the body produces, transports and uses creatine.1 In other words, the times when you need steady energy and resilience the most are often the same times when your body’s natural creatine dynamics are shifting.

Additionally, women may naturally produce less creatine and consume less of it through food compared to men.2 This makes supplementation particularly relevant, especially as hormonal changes during menopause can impact areas like bone density, cognitive sharpness and muscle strength, which are key aspects of health that often feel more vulnerable during this transition.

Emerging research suggests creatine may help support muscle strength, cognitive function, energy metabolism and exercise recovery during menopause.3 While it is not a treatment for menopause symptoms, it may help address some challenges associated with hormonal changes.

What are the benefits of creatine for brain and muscle health?

What I find most compelling about creatine is how its benefits overlap. We don’t experience muscle health, mental clarity, recovery and mood as separate systems. They’re interconnected!

When creatine supports ATP production, it provides fuel for muscle contractions. This can improve your training quality and help preserve lean muscle mass. At the same time, it fuels your brain cells. The brain is an incredibly energy-hungry organ. Some data link creatine supplementation to improved memory, attention and processing speed in adults, and it may enhance cognitive performance by increasing cellular energy reserves and reducing oxidative stress in the brain.4

Creatine for men and andropause

Creatine isn’t just a conversation for women. Men also experience age-related hormonal shifts, often referred to as andropause. As testosterone declines, men may notice losses in muscle mass, reduced strength, lower energy and changes in focus or mental sharpness.

Because creatine supports ATP regeneration, it can help address these challenges. For aging men, this means support for strength, training capacity and lean mass, while also helping maintain mental energy and cognitive performance. The underlying biology is the same: when cells can produce and recycle energy more efficiently, both physical and cognitive performance benefit.

How much creatine should you take?

Most research on creatine monohydrate uses a maintenance dose of 3–5 grams per day. Experts generally recommend taking creatine consistently each day to maintain elevated muscle creatine stores.5

Keeping it simple

When I talk with clients about supplements, I encourage simplicity. But creatine is one of the few supplements I consistently recommend during this life stage because the research is broad, the mechanism makes sense, and it’s easy to use.5

When choosing a product, I recommend a third-party-tested creatine monohydrate without unnecessary additives. Doctor’s Best Creatine Powder is a great example; it’s unflavored, vegan and easy to mix into orange juice, water or a smoothie, making it a seamless addition to your routine.

The bottom line

Creatine isn’t just a supplement; it’s a small but powerful way to support your body and mind through life’s transitions. Whether you’re navigating the hormonal shifts of perimenopause or menopause, or simply looking to maintain strength, energy and clarity as you age, creatine offers a science-backed solution that’s easy to incorporate into your routine. For me, it’s not about chasing perfection; it’s about feeling strong, capable and clear-headed in the moments that matter most. And that’s why creatine has earned its permanent spot in my morning orange juice, and I encourage clients in this life-stage to explore it too.

Frequently Asked Questions

  • What does creatine do? Creatine is a naturally occurring compound that helps your body produce and recycle ATP (adenosine triphosphate), the primary source of energy used by your cells. While it’s best known for supporting muscle strength and exercise performance, creatine also plays an important role in brain function, recovery, and cellular energy production throughout the body.
  • Can creatine help with brain fog? Research suggests that creatine may support cognitive function by helping brain cells maintain adequate energy levels. Some studies have linked creatine supplementation to improvements in memory, attention and information-processing speed, particularly during periods of metabolic stress, sleep deprivation or aging. While creatine is not a treatment for menopause-related brain fog, it may help support overall brain health and mental clarity as part of a healthy lifestyle.4
  • Does creatine help with fatigue? Because creatine helps regenerate cellular energy, it may help support physical and mental energy demands. Some women find that creatine helps them feel more resilient during periods of hormonal change, intense exercise or poor sleep.
  • How much creatine should I take? Most research on creatine monohydrate supports a daily maintenance dose of 3–5 grams per day. While some people choose to start with a short loading phase, it’s not necessary. Taking 3–5 grams daily consistently will gradually increase and maintain creatine stores in your muscles and other tissues.5
  • When should I take creatine? The most important factor is consistency. Creatine can be taken any time of day, as long as you take it regularly. Long-term daily use is generally more important than the specific timing of supplementation.

These statements have not been evaluated by the Food and Drug Administration. This product and information is not intended to diagnose, treat, cure, or prevent any disease. This content is for informational and educational purposes only. It is not intended to provide medical advice or to take the place of such advice or treatment from a physician. Consult your physician or healthcare provider before beginning any supplement or lifestyle program.

References

1 Smith-Ryan, A. E., Cabre, H. E., Eckerson, J. M., & Candow, D. G. (2021). Creatine Supplementation in Women’s Health: A Lifespan Perspective. Nutrients, 13(3), 877. https://doi.org/10.3390/nu13030877

2 Smith-Ryan, A. E., DelBiondo, G. M., Brown, A. F., Kleiner, S. M., Tran, N. T., & Ellery, S. J. (2025). Creatine in women’s health: bridging the gap from menstruation through pregnancy to menopause. Journal of the International Society of Sports Nutrition, 22(1). https://doi.org/10.1080/15502783.2025.2502094

3 Smith-Ryan, A. E., Cabre, H. E., Eckerson, J. M., & Candow, D. G. (2021). Creatine Supplementation in Women’s Health: A Lifespan Perspective. Nutrients, 13(3), 877. https://doi.org/10.3390/nu13030877

4 Xu C, Bi S, Zhang W and Luo L (2024) The effects of creatine supplementation on cognitive function in adults: a systematic review and meta-analysis. Front. Nutr. 11:1424972. doi: 10.3389/fnut.2024.1424972

5 Kreider, R. B., Kalman, D. S., Antonio, J., Ziegenfuss, T. N., Wildman, R., Collins, R., … Lopez, H. L. (2017). International Society of Sports Nutrition position stand: safety and efficacy of creatine supplementation in exercise, sport, and medicine. Journal of the International Society of Sports Nutrition, 14(1). https://doi.org/10.1186/s12970-017-0173-z

After Breast Cancer, I Had to Learn How to Live in My Body Again

2026-09-29T00:01:00

(BPT) – When I was diagnosed with breast cancer at 36, I didn’t think of a mastectomy as an amputation. But that’s exactly what it is. A part of my body was removed to save my life. And with it went something I had not expected to lose: the ability to feel my chest.

I’d been told I could be numb. I didn’t understand what that reality actually meant.

Before my mastectomy, sensation wasn’t something I thought about. The warmth of someone’s hand or the pressure of a seatbelt across my chest didn’t require conscious attention for me to know it was there. My body simply told me what was happening.

Until it didn’t.

When Your Body Doesn’t Feel Like Your Body

During a mastectomy, nerves that provide feeling to the breast and chest are cut as part of the procedure. It is necessary to remove cancerous tissue. Without surgical intervention to reconstruct those nerves, the majority of women are left numb after a mastectomy. I was only told the day of my surgery that I might experience numbness. But it was an afterthought, just another side effect on a long list of risks and complications I was already trying to understand and reconcile. It sounded temporary. Manageable. Certainly not something that would fundamentally change the way I experience my own body. After surgery, my chest “healed” according to medical standards, but to me, it still felt unfamiliar and disconnected from the rest of my body. What I saw and what I felt no longer matched.

That disconnect is difficult to explain unless you’ve lived it.

It can make your body feel foreign. It can change intimacy, how you experience touch, how you move through completely ordinary moments. Numbness isn’t visible. To the people around me, I looked healed. But healing and feeling whole aren’t necessarily the same thing. Without anyone realizing it, I had to navigate an entirely new relationship with my body.

I hug people tighter because I can’t fully feel it against my chest. I’ve burned myself without realizing it. Clothing and seatbelts can feel strange. I pay attention to pressure and temperature in ways I never had to before. Sometimes, there is the simple, unsettling realization that I’m touching my own body and can’t feel it.

For me, one of the hardest parts was the shift from never thinking about sensation to thinking about it every day. Many times a day.

It’s Not Just Me

For a long time, these experiences felt deeply isolating. They weren’t the things people talked about when they discussed breast cancer survival. Then I read the results of a national survey of more than 300 women who had undergone mastectomy, and I saw myself in their shared experiences.

Nearly nine in 10 women reported experiencing chest numbness or loss of feeling. One in four reported burns, cuts or other injuries related to their numbness. More than half reported depression or sadness, and 57% said they no longer felt like the woman they once were.

But one stat struck me especially hard: 54% said they stayed silent because they felt they should “just be grateful.”

I understand that silence. I survived the thing I feared most, yet I still grieve something I never expected to lose. Sometimes I wonder if I should feel that loss so deeply when I am fortunate to still be here.

Gratitude Doesn’t Cancel Grief

There is enormous pressure around survivorship to be grateful. And I am grateful. I am alive. But it’s possible to experience gratitude and grief together. Many of us do.

Grieving what cancer and treatment took from me doesn’t diminish the gift of survival. Talking about numbness doesn’t mean I don’t appreciate the care that saved my life. Missing what my body used to feel like doesn’t make me any less thankful to still be here.

Surviving changed me. And that’s the part of survivorship I wish we talked about more openly. Gratitude and grief aren’t opposites.

When numbness is invisible, it is easy for everyone around you — and eventually even for you — to assume that once the scars heal, you’re okay. But the end of treatment isn’t necessarily the end of what cancer changes for survivors.

There Is Life After Cancer

Maybe you’re facing a mastectomy now. Maybe you had one years ago and you’re trying to find the words for something you’ve felt (or lost) all along. Or maybe you love someone who has survived breast cancer and never realized this could be part of her experience.

What I wish I had understood is that numbness isn’t a small side effect. It’s not a footnote. It changes the way you move through the world and how you experience your own body.

The cancer may be gone, but I still carry the changes it brought into my life.

I don’t share this to diminish survival. I share it because I survived breast cancer, but healing didn’t make me feel whole again. And no woman should have to discover and live with that alone.

Cara Bisegna is a breast cancer survivor and a patient advocate focused on improving education and informed decision-making in women’s health. Cara is a paid spokesperson for Axogen, Inc.

Caregiving at Home: 4 Everyday Challenges Families Don’t Expect

2026-09-14T08:27:00

(BPT) – More than 41 million Americans are caregivers for aging parents, spouses and other loved ones, and for many, it’s becoming part of everyday life. While many new caregivers anticipate helping with medications, doctors’ appointments and transportation needs, some of the most challenging parts of caregiving are the everyday responsibilities families rarely talk about — and often feel least prepared to manage.

The 3 a.m. bathroom trip. The conversation neither person wants to have. The hygiene routine that suddenly takes up the whole morning. These daily moments can take an emotional and physical toll on both caregivers and the people they care for.

“One of the biggest adjustments that I see families face is realizing that caregiving isn’t just about managing a medical condition; it’s about navigating dozens of everyday moments that can quickly become overwhelming,” says Yolanda Rhodes, MSN, RN, CRRN, Senior Clinical Solutions Manager-Home Care, BD Urology and Critical Care. “The good news is that in my experience, with the right preparation and support, families can feel much more confident caring for their loved ones and may be better equipped to manage some of challenges that come with caregiving.”

Here are four everyday caregiving challenges families may not anticipate, and practical ways to navigate them.

1. The Bathroom Challenge

Helping a loved one with bathroom needs is often one of the most physically demanding and emotionally delicate parts of caregiving. Whether due to urinary incontinence, limited mobility or recovery from surgery or illness, toileting assistance can quickly become a daunting part of the daily routine. Beyond the physical demands, it can also be uncomfortable and embarrassing for the person receiving care.

“Caregivers often worry about saying the wrong thing or making their loved one feel embarrassed,” says Rhodes. “In my experience as a nurse, approaching these moments calmly and matter-of-factly can help preserve dignity and puts everyone more at ease.”

What helps: Keeping essential supplies, like wipes, gloves and a change of clothes, within easy reach. Ensure the path to the bathroom is safe and accessible and consider adding grab bars near the toilet or a toilet seat riser to provide support for the person you’re caring for.

2. The Nighttime Disruptions

From helping a loved one safely in and out of bed to responding to overnight bathroom needs or changing bedding after an accident, nighttime disruptions can leave caregivers exhausted and increase the risk of falls or injury when navigating the dark.

“Nighttime can be one of the most challenging parts of caregiving because everyone is tired and simple tasks become more difficult,” Rhodes says. “Many caregivers find that finding ways to minimize overnight disruptions, whether through consistent bedtime routines or tools that help reduce unnecessary trips out of bed, may help make nighttime care smoother.”

What helps: Keep frequently used items within easy reach and make sure pathways between the bed and bathroom are clear and well-lit. If nighttime urinary incontinence is causing frequent trips out of bed or overnight cleanup, products such as the BD PureWick® Urine Collection System may help. This non-invasive, external urine management option is designed for overnight use and can support more uninterrupted sleep for both caregivers and loved ones. Supporting this benefit, a recent study published in the Journal of Clinical Medicine[1] found that women using the BD PureWick® Urine Collection System reported better sleep and greater overall comfort, highlighting the system’s ease of use and non-invasive design.

3. The Tough Talks

Few caregiving responsibilities are as emotionally difficult as discussing changing care needs with a loved one. Whether it’s accepting help, giving up certain activities or acknowledging that daily tasks have become more difficult, these conversations can be emotional for everyone involved. Rather than trying to address everything in one major discussion, it can help to approach them as a series of smaller conversations over time.

What helps: Try framing each conversation around what your loved one maintains rather than what they’re giving up. Importantly, caregivers don’t necessarily have to navigate these conversations alone. Consider bringing a doctor or nurse in when needs begin to change can provide additional guidance and support during difficult conversations.

4. The Hygiene Hurdles

Daily activities that seem simple, like bathing, dressing and grooming, can often become more complicated than families expect. These routines require close physical assistance while balancing privacy, comfort and a loved one’s desire to remain as independent as possible. Physical limitations, mobility challenges and fatigue can make these routine tasks that once felt automatic take considerably more time and patience.

What helps: Preparing ahead and building in extra time can help make these routines less overwhelming. Gather towels, toiletries and clothing before getting started so everything is within easy reach. Ask your loved one how you can make the process feel most like their own — whether it’s their preferred bathroom temperature, choosing the outfit they had in mind or following the step-by-step skincare routine they’ve always used. Encourage your loved one to do the parts they can safely manage on their own while offering assistance where it’s needed.

Don’t Forget the Caregiver

Family caregivers devote enormous amounts of time and energy to supporting the people they love. Yet many put their own well-being last.

“Caring for someone else starts with caring for yourself,” Rhodes says. “Accept help when it’s offered, lean on your support system and remember that you don’t have to do everything alone. Taking care of yourself can help maintain your well-being while continuing to support a loved one.”

If you’re unsure how to adapt to a loved one’s changing needs, healthcare professionals can help you identify the next steps that best support you both. With the right routines, tools and support, the day-to-day may become more manageable, for both you and your loved one.

Yolanda Rhodes, MSN, RN, CRRN, is a nurse and BD associate. The opinions expressed are based on her professional experience and are not intended as medical advice. Individuals should consult their healthcare provider regarding their specific care needs.

Indications for Use: The PureWick® Urine Collection System is to be used with PureWick® External Catheters which are intended for non-invasive urine output management.

Contraindications for Use: Do not use the PureWick® Urine Collection System with PureWick® External Catheters on individuals with urinary retention.

Safety and Warnings: Always unplug PureWick® Urine Collection System before cleaning or when not in use.



[1] Medina, J. C., Fakih, M., Khalsa, S., Redmond, D., & Kennelly, M. J. (2025). Safety, Efficacy, and Patient-Reported Outcomes of the PureWickTM System Versus Comparator for Nocturnal Urinary Incontinence in the Home Setting: Results of a Randomized Trial. Journal of Clinical Medicine, 14(24), 8699. https://doi.org/10.3390/jcm14248699

Erectile dysfunction: A long-standing problem has new options emerging

2026-09-17T07:01:00

(BPT) – Sponsored by IBSA USA

Demanding careers. Evolving family priorities. Staying connected with partners. These are just a few of the pressures men may face in midlife. If these challenges were not enough, midlife can often be accompanied by the unwanted arrival of erectile dysfunction (ED).1

A private, isolating struggle

Today, ED is becoming more prominent in everyday conversation. Advertisements and other forms of direct-to-consumer marketing are more visible across broadcast media and social channels. However, for some men, ED remains a private condition that can carry emotional and psychological burden.2

“The stigma and uncertainty surrounding ED can make men feel isolated at the very moment they need reassurance most,” said Dr. Ralph Zagha, a board-certified urologist in Tamarac, FL. “It’s a burden that’s not limited to older populations, as we are seeing a number of cases of ED in men aged 18-44.”3

An unsure treatment journey

Many men with ED do not seek or receive care, with U.S. data showing that only a small portion discuss symptoms with a healthcare provider.4 Finding the right treatment is often not a simple, one-step process.

Awareness may begin with frustration or confusion, followed by online searches or conversations with partners. Some individuals eventually consult clinicians in person, while others may turn to telehealth for more convenience, greater privacy and improved access to care.5

As telehealth expands and cultural attitudes shift, men are increasingly turning to ED treatment options that are convenient and discreet. Evidence suggests that embarrassment and privacy concerns contribute to this shift, with telehealth platforms offering more private and accessible care that may encourage seeking treatment.6,7

Modern treatment options, designed for real life

Recent treatment advances are expanding how ED can be managed, potentially offering flexibility to fit individual needs and lifestyles. These features including simple dosing and no restrictions on food or water timing.8

With a range of dosing options and formulations available, care can be tailored based on personal needs and response.9 These innovations may help address common barriers and support men in seeking care.

Talk to your doctor

ED is a medical condition and treatment often begins with a conversation. Men experiencing symptoms or considering new options are encouraged to speak with a healthcare provider to better understand what approaches may be right for them.

Dr. Zagha is a paid consultant to IBSA Pharma Inc.

  1. Charles, S. (October 2025). Erectile dysfunction and age: What you need to know. Verywell Health. https://www.verywellhealth.com/erectile-dysfunction-and-age-5200761
  2. Allen, M. S., Wood, A. M., & Sheffield, D. (2023). The psychology of erectile dysfunction. Current Directions in Psychological Science, 32(6), 487–493. https://doi.org/10.1177/09637214231192269
  3. Mark, K. P., Arenella, K., Girard, A., Herbenick, D., Fu, J., & Coleman, E. (2024). Erectile dysfunction prevalence in the United States: Report from the 2021 National Survey of Sexual Wellbeing. *The Journal of Sexual Medicine, 21*(4), 296–303. https://doi.org/10.1093/jsxmed/qdae008
  4. International Society for Sexual Medicine. (n.d.). Prevalence of erectile dysfunction in the United States. ISSM Sexual Health Headlines. https://www.issm.info/sexual-health-headlines/prevalence-of-erectile-dysfunction-in-the-united-states
  5. Li, M. K., Patel, D. P., & Hsieh, T.-C. (2025). Direct-to-consumer erectile dysfunction medications: Is the convenience worth the cost? Current Urology Reports, 26(1), 69. https://doi.org/10.1007/s11934-025-01302-3
  6. Brink, S. M., Iarajuli, T., & Shin, D. (2023). Characteristics of direct-to-consumer platforms offering erectile dysfunction treatment. Sexual Medicine, 11(4), qfad038. https://doi.org/10.1093/sexmed/qfad038
  7. Sexual Medicine Society of North America. (May 2024). The intersection of telemedicine and men’s health. https://www.smsna.org/patients/news/the-intersection-of-telemedicine-and-mens-health
  8. Pham, Q. M., Yannas, D., Sansone, A., Romero-Otero, J., Vendeira, P., Frangione, V., & Jannini, E. A. (2025). Food effect on pharmacokinetic profiles of sildenafil 100 mg oral films in healthy male volunteers: Results from two randomized, single dose, crossover studies. Sexual Medicine, 13(5), qfaf096. https://doi.org/10.1093/sexmed/qfaf096
  9. Shen, J., Park, D., Bash, J., & Andino, J. (2026). Advances in erectile dysfunction management: What does work. Trends in Urology & Men’s Health. https://doi.org/10.1002/tre.70027

Have you or a loved one been diagnosed with non-small cell lung cancer? Learn more about a clinical trial happening now

2026-09-16T08:01:00

(BPT) – Sponsored by Merck

Lung cancer (both small cell and non-small cell) is the second most common cancer in the U.S.1 In 2026 alone, it’s estimated that nearly 230,000 new cases of lung cancer will be diagnosed.1 Nearly half of all lung cancers are diagnosed at a later stage, after the cancer has spread from the lungs to more distant areas of the body.2

What is non-small cell lung cancer (NSCLC)?

The main types of lung cancer are non-small cell lung cancer (NSCLC) and small cell lung cancer (SCLC). NSCLC is the most common type of lung cancer, making up more than 8 out of 10 lung cancers in the U.S.3

What causes NSCLC?

Many cancers are caused by gene changes, also called mutations. Genes are pieces of DNA that tell your cells how to work, and when gene mutations occur, they can change how the cells work.

For example, some gene mutations change how cells grow or multiply, causing them to grow or multiply too much, leading to cancer.

Gene mutations in NSCLC

Multiple gene mutations are associated with NSCLC. Specific mutations can influence how someone’s cancer grows or spreads and how well available treatments may work in their case.

One specific gene mutation commonly found in NSCLC is the G12C mutation of the KRAS gene.4,5 The KRAS G12C mutation causes cells to grow in an uncontrolled way, which can form tumors.6 About 13% of people (13 in 100) with advanced NSCLC have this specific mutation.4 Most KRAS G12C mutations are found in current or former smokers.5,6

Biomarker testing can help determine if you have certain gene mutations. Doctors often recommend that people with NSCLC get biomarker testing to see what mutations their cancer has.7

What are clinical trials?

A clinical trial, also called a clinical study, is a type of research designed to learn more about how the human body responds to investigational medicines, vaccines or other treatments. Clinical trials are the only way treatments can be approved for public use.

Learn about an investigational medicine targeting KRAS G12C

The goal of one particular trial is to learn if an investigational medicine may help stop or slow down the growth of NSCLC with KRAS G12C mutations. It will compare:

  • The investigational medicine combined with an immunotherapy, to
  • An immunotherapy and a placebo.8 A placebo looks like the trial drug but has no medicine in it. Using a placebo helps researchers understand if the investigational medicine works.

This trial is for adults age 18 and older who8:

  • Have been newly diagnosed with locally advanced or metastatic NSCLC. Locally advanced or metastatic means the cancer has spread to other parts of the body or cannot be removed with surgery.
  • Have the KRAS G12C mutation.
  • Have the PD-L1 protein on their cancer cells. PD-L1 is found on some cancer cells and can help the cancer hide from the body’s immune system. To learn if you have PD-L1, doctors test a tissue sample from a tumor.

More about this trial

There are more eligibility criteria for this trial. There may be risks related to participating in clinical trials. The trial doctor can discuss these with you.

Participation in clinical trials is voluntary, and participants are free to leave at any time, for any reason. Participants may help contribute to data that may advance research and potentially help future generations learn more about the investigational medicine and NSCLC.

Advancing research through representation

Representation in clinical trials helps researchers gain a more complete picture of how investigational medicines work across populations. This helps support the development of safe and effective medicines for those who are most affected by the disease or condition being studied.

“Diseases can impact people differently based on their age, gender, race, and ethnicity, as well as other factors,” said Michelle Chawla, clinical trial representation program lead at Merck. “That’s why it’s important for clinical trials to include people from a wide variety of backgrounds. By participating in a clinical trial, you can help researchers understand how investigational treatments may work across different populations and contribute to data that may advance research.”

See if you or a loved one may be eligible for a clinical trial

You can learn more about this clinical trial at Merck’s clinical trial page.

References

  1. American Cancer Society. Key statistics for lung cancer. Updated January 13, 2026. Accessed April 23, 2026. https://www.cancer.org/cancer/types/lung-cancer/about/key-statistics.html
  2. Centers for Disease Control and Prevention. U.S. cancer statistics lung cancer stat bite. Updated June 2, 2025. Accessed May 5, 2026. https://www.cdc.gov/united-states-cancer-statistics/publications/lung-cancer-stat-bite.html
  3. American Cancer Society. What is lung cancer? Updated January 29, 2024. Accessed May 6, 2026. https://www.cancer.org/cancer/types/lung-cancer/about/what-is.html
  4. Lim TKH, Skoulidis F, Kerr KM, et al. KRAS G12C in advanced NSCLC: prevalence, co-mutations, and testing. Lung Cancer. 2023;184:107293. doi:10.1016/j.lungcan.2023.107293
  5. Cascetta P, Marinello A, Lazzari C, et al. KRAS in NSCLC: state of the art and future perspectives. Cancers (Basel). 2022;14(21):5430. doi:10.3390/cancers14215430
  6. American Lung Association. KRAS and lung cancer. Updated December 2, 2025. Accessed May 6, 2026. https://www.lung.org/lung-health-diseases/lung-disease-lookup/lung-cancer/symptoms-diagnosis/biomarker-testing/kras
  7. American Lung Association. Lung cancer biomarker testing. Updated January 20, 2026. Accessed June 4, 2026. https://www.lung.org/lung-health-diseases/lung-disease-lookup/lung-cancer/symptoms-diagnosis/biomarker-testing
  8. Merck & Co, Inc. MK-1084-004: learn about a clinical trial for non-small cell lung cancer (NSCLC) with KRAS G12C mutations. Merck Clinical Trials. Published 2025. Accessed May 6, 2026. https://www.merckclinicaltrials.com/trial/nct06345729/

5 ways to enjoy your favorite foods this fall without the heartburn

2026-09-09T15:15:00

(BPT) – Eating delicious food with great company is one of the best parts of attending your favorite fall festivities, whether you’re at a backyard cookout, planning back-to-school dinners, tailgating or hosting a football watch party. However, certain popular foods like spicy wings, pizza and fried favorites are often accompanied by an uninvited guest — heartburn.

If you know certain foods trigger heartburn but still eat them anyway, you’re not alone, as many Americans are willing to make that tradeoff. According to a new PEPCID® brand survey, almost half of respondents knowingly eat or drink things they expect will cause heartburn. While avoiding these foods could help reduce the likelihood of acid reflux and discomfort after eating, 80% of respondents believe certain foods are “worth the risk.”*

Group of friends enjoy a pizza part outdoors.

The good news is that you do not have to pass on eating delicious dishes this fall. That is why having a heartburn game plan, including these five simple strategies, can help you manage symptoms and feel more prepared to enjoy the food you love at gatherings.

1. Elevate your upper body or stand up

When you lie down, increased pressure on the lower esophageal sphincter, the muscle that keeps the bottom of the esophagus closed, can worsen heartburn symptoms. Stand up after eating or elevate your upper body and head with a pillow to keep the stomach acid from flowing up into your esophagus.

2. Loosen tight clothing

Clothing that fits tightly around the waist can put pressure on your stomach, pushing its contents backward into the esophagus and causing discomfort. If you feel heartburn coming on, try loosening your belt or, when possible, opting for looser-fitting clothing to give your midsection more room to relax.

3. Chew gum to help reduce acid

Believe it or not, gum can help take the edge off a heartburn-triggering meal. Chewing gum boosts saliva production and makes you swallow more often, which can help clear acid from the mouth and esophagus. The best part? You’ll get the added benefit of fresh breath.

4. Get moving

Did you know that regular exercise can help manage heartburn? Low-intensity aerobic exercises (walking, cycling and yoga) may offer protective benefits against acid reflux. These activities can also support a healthy weight, which is an important part of managing heartburn and acid reflux. However, you should try to avoid eating right after. The next time you eat a meal, invite a friend or family member to take a leisurely stroll around the block.

5. Have an acid reducer on hand

Many people who occasionally experience heartburn take a “wait and see” approach to potential heartburn, even though they know that there are over-the-counter (OTC) acid reducers that can help relieve their symptoms. In fact, according to the survey, 67% said they have experienced heartburn symptoms but chose not to take medication because they expected symptoms would go away on their own. Even among those who experience severe symptoms, 77% reported doing the same.*

Don’t let heartburn interrupt the moment. If you know certain foods can trigger occasional heartburn, consider picking up an OTC acid reducer like PEPCID® so you can enjoy a Saturday barbecue. By reducing the amount of acid in the stomach, PEPCID® relieves heartburn and controls acid for up to 12 hours.** It works fast and lasts all day***, so you can enjoy a meal without worrying about discomfort.

Pepcid on a table with dishes that may cause heartburn such as pizza, chicken wings, and nachos with peppers.


Enjoy the season with a heartburn game plan

You don’t have to give up your favorite foods to avoid heartburn. Using these simple tips, you can feel more prepared to enjoy the season’s biggest food moments with the people you love. Before your next backyard cookout, tailgate or fall gathering, visit Pepcid.com to learn more about occasional heartburn, compare product options and find where to buy relief near you.

Use products only as directed.

*PEPCID® commissioned an online survey with KRC Research of 3,000 U.S. adults aged 18 or over in Spring 2026, reflective of U.S. census demographics.

**Acid control does not imply symptom relief.

***Starts to work in 15-30 minutes. Lasts all day based on 8-hour symptom relief studies during the day.

Do you or someone you love have Crohn’s disease? Learn more about a clinical trial

2026-09-08T08:01:00

(BPT) – Sponsored by Merck

Crohn’s disease (CD) is a chronic condition that affects approximately 1 million people living in the U.S.1 Research shows that the disease has become increasingly common in the U.S. and other parts of the world, yet experts don’t know why.1

CD is a type of inflammatory bowel disease (IBD) that causes inflammation (swelling) and ulcers (sores) in the digestive tract.1 CD accounts for approximately 40% of IBD cases.2,3

Your digestive tract digests and moves food through your body. It includes your4:

  • Mouth
  • Esophagus (the tube that connects your mouth to your stomach)
  • Stomach
  • Small intestine
  • Large intestine, which includes your colon, rectum and anus

What causes CD?

In CD, the body’s immune system overreacts and damages healthy tissues in the digestive tract.5 It most often happens in the small intestine and the beginning of the large intestine. However, CD can happen in any part of the digestive tract.1 Though experts don’t know exactly what triggers CD, research shows that it may be due to a combination of immune system changes, genes and lifestyle factors.5

“Researchers are evaluating the safety of an investigational medicine and how well it may work in resolving or improving Crohn’s disease symptoms compared to placebo in a clinical trial happening now,” said Dr. Ahmed Kurdi, gastroenterologist and principal investigator at Sanford Health. “You or a loved one may be eligible to participate based on the inclusion criteria.”

Join a clinical trial for CD

A clinical trial, also called a clinical study, is a type of research designed to learn more about how the body responds to investigational medicines, vaccines, or other treatments.

There is a clinical trial studying an investigational medicine for moderate to severe CD. Moderate to severe CD means symptoms happen more often or are more intense compared to mild CD, often leading to additional complications and greater impact on daily life.6

The goal of this trial is to learn if the investigational medicine is safe and works well to improve CD symptoms compared to a placebo.7 A placebo looks like the trial medicine but has no medicine in it. Using a placebo helps researchers better understand the effects of the investigational medicine.

This trial is for adults who7:

  • Are between ages 18 and 80
  • Have had CD for at least 2 months and currently have moderate to severely active CD
  • Have had at least 1 of the below:
    • Have not responded well or stopped responding to at least 1 CD treatment
    • Have not tolerated their dose of corticosteroids (such as prednisone, budesonide, or beclomethasone) being reduced
    • Have not been able to tolerate taking at least 1 CD treatment

The importance of representation in clinical trials

Representation in clinical trials helps researchers gain a more complete picture of how investigational medicines work across populations. This helps support the development of safe and effective medicines for those who are most affected by the disease or condition being studied. Today, only 24% of clinical trial participants are from communities of color despite making up more than 40% of the U.S. population and facing higher burdens of many diseases.8

“Communities of color haven’t always been equally represented or treated in healthcare,” said Dr. Kurdi. “Acknowledging that history can open the door to honest conversations about clinical trial participation and provide access to research that may be relevant to their care.”

More about this trial

There are more eligibility criteria for this trial. There may be risks related to participating in clinical trials. The trial doctor can discuss these with you.

Participation in clinical trials is voluntary, and participants are free to leave at any time, for any reason. Participants may or may not directly benefit from being in the clinical trial, but they will help researchers learn more about the investigational medicine and CD.

You can learn more about this clinical trial at Merck’s clinical trial page.

References

  1. National Institute of Diabetes and Digestive and Kidney Diseases. Definition & facts for Crohn’s disease. Updated October 2025. Accessed May 1, 2026. https://www.niddk.nih.gov/health-information/digestive-diseases/crohns-disease/definition-facts
  2. Crocetti E, Bergamaschi W, Russo AG. Population-based incidence and prevalence of inflammatory bowel diseases in Milan (Northern Italy), and estimates for Italy. Eur J Gastroenterol Hepatol. 2021;33(1S suppl 1):e383-e389. doi:10.1097/MEG.0000000000002107
  3. Lewis JD, Parlett LE, Jonsson Funk ML, et al. Incidence, prevalence, and racial and ethnic distribution of inflammatory bowel disease in the United States. Gastroenterology. 2023;165(5):1197-1205.e2. doi:10.1053/j.gastro.2023.07.003
  4. Cleveland Clinic. What is the digestive system? October 25, 2024. Accessed June 16, 2026. https://my.clevelandclinic.org/health/body/7041-digestive-system
  5. Cleveland Clinic. Crohn’s disease: What it is, symptoms, causes & treatment. December 4, 2023. Accessed May 1, 2026. https://my.clevelandclinic.org/health/diseases/9357-crohns-disease
  6. CrohnsAndColitis.com. Crohn’s disease severity and progression. Accessed July 8, 2026. https://www.crohnsandcolitis.com/crohns/severity-and-progression
  7. Merck Clinical Trials. A study to evaluate the efficacy and safety of tulisokibart in participants with moderate to severe Crohn’s disease. Accessed May 7, 2026. https://www.merckclinicaltrials.com/trial/nct06430801/
  8. Merck. Let’s Talk Trials. Accessed May 27, 2026. https://www.merckclinicaltrials.com/Lets-Talk-Trials/

5 tips for traveling when you have a chronic disease

2026-08-13T08:01:00

(BPT) – Finding out you have a chronic illness is challenging, but it can be particularly traumatic when it happens far away from home. That’s exactly what happened to Gretchen when she was 23 years old during what was supposed to be a dream international trip.

A cruise across the Mediterranean took an unexpected turn when Gretchen suddenly became severely ill, experiencing decreased appetite and dehydration. She thought she might have a minor travel-related sickness or infection and visited the ship’s physician for care. After running a battery of tests, the doctor delivered a surprising diagnosis. Gretchen had Type 1 diabetes (T1D) and, at that moment, was experiencing diabetic ketoacidosis (DKA), a life-threatening condition that occurs in people with diabetes when ketone levels are too high. For people living with diabetes, their ketones reach dangerously high levels when their body is not able to use glucose as fuel due to a lack of insulin, so instead, the body breaks down fat too quickly, which in turn produces ketones in the blood stream.1 A DKA event, like the one Gretchen experienced, is how many people find out they have T1D, which accounts for about 20% to 40% of DKA cases.1

Ambiguous DKA symptoms can delay treatment

For people with diabetes who use insulin, elevated or high ketone levels can lead to DKA, a serious health condition that is on the rise.1 A study showed that between 2017 and 2024, DKA prevalence among people with Type 1 diabetes increased approximately 24%,2 rising from 50 to 62 cases per 1,000 individuals.2 DKA is particularly dangerous because in severe cases it can lead to a coma or death.1 Unfortunately, many patients don’t detect it early enough, mistaking their symptoms for other, more common illnesses like the flu, dehydration or food poisoning.4,5,6

According to Eden Miller, DO, a family practitioner and diabetologist, there are clear reasons behind this alarming trend. “Part of the problem lies in how difficult it can be to distinguish DKA symptoms from less serious, run-of-the-mill medical conditions,” said Dr. Miller. “The other part is the underutilization of ketone monitoring methods. While glucose monitoring has advanced, ketones and glucose do not always rise together, and current monitoring tools don’t provide continuous visibility into rising ketones. Together, these issues can delay critical treatment.”

This trend highlights a clear gap for people living with diabetes. Instead of patients feeling equipped with the insights they need to be proactive and prepared, they are left in a reactive state.

“Improving awareness of DKA and helping people understand what to do when ketones are rising are important opportunities to help reduce DKA risk,” said Miller.

Getting treated and gaining confidence

Initially overwhelmed by the diagnosis, once back in the U.S., Gretchen visited an endocrinologist who introduced her to modern diabetes management tools — like Abbott’s FreeStyle Libre 3 Plus sensor which continuously measures her glucose levels — and helped guide her through the initial steps of how to live with diabetes. While learning the basics of living with diabetes, Gretchen also learned about ketones, the importance of recognizing DKA symptoms and how to act quickly during a DKA event.

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“My diagnosis was a wake-up call, but it wasn’t a stop sign. Managing a chronic condition like diabetes doesn’t mean shrinking your world; it just means packing a little smarter. By taking control of my health and having a proactive plan, I’ve reclaimed my love for travel. I want other people to know that living with chronic illnesses shouldn’t keep you from making plans, booking trips and living fully.”

Tips to keep diabetes management top of mind for travel

Gretchen’s experience during her European holiday inspired her to create her own diabetes travel guide to help herself and others living with diabetes proactively plan and diligently monitor their condition, so their vacations stay on track. Below are her top tips for traveling safely and confidently with diabetes.

  1. Always stay hydrated: Drink plenty of water, especially when traveling in warm weather and during physical activity like walking through new cities.
  2. Pack smart and double up: It’s always a good idea to carry extra medications and supplies. This includes insulin, pumps, needles, automated insulin delivery (AID) infusion sets and ketone testing supplies — including blood or urine test strips. Be sure to check the expiration date before packing! Also, bringing a doctor’s note can help too in case you get stopped or questioned while traveling with your supplies.
  3. Monitor more, adjust often: Travel means changes to your routine. To make sure you stay on top of your diabetes management, check your glucose monitor, pumps and sensors more frequently.
  4. Know the signs, act fast: Signs that you may be experiencing a DKA event include extreme thirst, frequent urination, nausea, abdominal pain or fruity-smelling breath. If you experience any of these symptoms, check your glucose and test for ketones immediately.
  5. Seek care: When traveling, find the nearest pharmacy or urgent care in case you need medical attention during your trip.

Don’t let fear of managing diabetes keep you from seeing the world. Using these tips, you can stay prepared to explore new horizons safely and confidently.

If you or someone you know is living with diabetes, work with a healthcare provider to create a proactive DKA plan so you can feel confident in knowing what to do when ketones are rising or you are not feeling well. For more information about DKA, go to RisingKetones.com.

Sources:

The views expressed in this article should not be used for medical diagnosis or treatment or as a substitute for professional medical advice. Individual symptoms, situations and circumstances may vary.

For U.S. residents – Important Safety Information Product for prescription only, for Important Safety Information please visit FreeStyleLibre.us.

  1. Cleveland Clinic. Diabetes-Related Ketoacidosis (DKA). Accessed July 2026 from: https://my.clevelandclinic.org/health/diseases/21945-diabetic-ketoacidosis-dka.
  2. SHERR, J., WYSHAM, C., MEHTA, S., & VIRDI, N. (2026). 2977-LB: Trends in the prevalence of Diabetic ketoacidosis and severe hypoglycemia in type 1 diabetes. Diabetes, 75(Supplement_1). https://doi.org/10.2337/db26-2977-lb
  3. Umpierrez, G. E. Diabetes Care (2024). https://doi.org/10.2337/dci24-0032
  4. Dhatariya, et al. Lancet Diabetes & Endocrinology (2026): https://pubmed.ncbi.nlm.nih.gov/41381175/
  5. Virdi, N. Diabetes Technology & Therapeutics (2023). https://doi.org/10.1089/dia.2023.0149
  6. Nguyen, K. T. Journal of Diabetes Science and Technology (2022). https://doi.org/10.1177/19322968211042656