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Sunday, July 15, 2018

Princess Charlotte Just Clapped Back At Photographers, And It Was Awesome

BY WILL ASHTON  
Princess Charlotte is only three years old, and she already knows how to handle herself around pesky photographers. Before attending a christening for her younger brother, Prince Louis, on Monday, the young member of British royalty had some stern words for the photographers and videographers surrounding the Chapel Royal in St. James's Place. Holding her father Prince Williams' hand, the little princess wasn't afraid to let the photographers know they weren't invited inside, and while she's not even close to being in the double digits yet, she's totally ready to handle herself as a princess.

As it was reported by CBS News yesterday, before attending her youngest brother's christening, Princess Charlotte had the following words to say.

You're not coming.

It was an adorably blunt response that instantly won her over with fans of the royal family everywhere. We're used to princes and princesses being polite and considerate with the media, so this sweet little moment of sass from Princess Charlotte was a very cute instance of breaking the mold a bit. If her cutely cutting words weren't enough, Princess Charlotte added to the moment by continuing to stare down the photographers until she entered the religious building with the rest of her famous family, which also includes her duchess mother, Kate Middleton and her older brother, Prince George.

This video wasn't the only one of Princess Charlotte from her brother's christening. There is also another video of Charlotte and the rest of the royal family greeting a priest at the Chapel Royal. Additionally, it should be noted that the newlyweds Meghan Markle and Prince Harry were also in attendance for Prince Louis's big day, although Queen Elizabeth II and her husband, Prince Philip, were not able to make it to the christening event. In a statement released by the Buckingham Palace, Elizabeth and Philip claimed their absence was due to a scheduling mishap, and that it didn't relate to their health. So we can seemingly put any such concerns to rest.

It should also be noted that this is not the first time Princess Charlotte has thrown some sass around. She was recently recorded having a temper tantrum while boarding a helicopter. Naturally, such emotions are to be expected from a toddler, although it's unusual to see such sassinZess from a member of royalty. At the time of the tantrum, Princess Charlotte was a mere two years old, so such behavior is pretty common for someone her age.

It has been an eventful year for the Royal Family. Prince Louis was welcomed into the world back on April 23rd, shortly before Prince Harry and Meghan Markle were married on the world stage a little less than a month later. And it's not going to be slowing down for the most famous family in Britain anytime soon, as there is word of another Royal Wedding in the midst. Yep, as it was reported last month, Princess Eugenie is now engaged to her previously long-distance boyfriend, Jack Brooksbank. Their wedding is expected to take place later this year in the fall, presumably in September.
Hahahaha!!! Awesome , love it  , no one will ever walk over this young lady  as Dad would say , she has spunk  .

Maxy sez :How Hot and Cold Weather Affects Your Blood Sugar

Whether you're sweating or shivering, always take precautions to avoid temperature-related blood sugar spikes.
By Beth W. Orenstein
Medically Reviewed by Pat F. Bass III, MD, MPH
When temperatures start to get out of control, so can your blood sugar. Both hot and cold weather extremes can affect your testing equipment and your medications, and have a negative impact on your body’s ability to produce and use insulin.

Research shows that when it’s hot out, more people with diabetes end up in the ER and are hospitalized because of heat illness. The number of deaths in diabetes patients due to heat illness also increases in summer. Low temperatures can be an issue for people with diabetes as well.

But you don’t have to let the environment have the upper hand. Taking a few smart precautions can help you outsmart Mother Nature. Here are the adjustments to make depending on where you live and the weather forecast.
6 Tips to Survive the Summer Heat
Take these steps to keep your diabetes under control when the temperature soars:

Stay hydrated. Lori Roust, MD, an endocrinologist at the Mayo Clinic in Arizona, explains, “The problem is that in the heat, people tend to get dehydrated easily. When you’re dehydrated, you have higher concentrations of blood sugar because less blood flows through your kidneys. With less blood, your kidneys don’t work as efficiently to clear out any excess glucose (blood sugar) from your urine.” When it’s hot, be sure to drink plenty of water or sugar-free drinks. Don’t wait until you are thirsty to replenish fluids.

Store your medications properly. High summer temps can affect your diabetes medications, glucose meter, and diabetes test strips. “When it’s hot out, it’s easy for insulin and other drugs to become degraded,” Dr. Roust says. Be sure to store your medications properly — out of the extreme heat. Never leave them in your car on a sweltering summer day, for instance. “It could get up to 150 degrees inside your car,” warns Roust.

If you’re traveling, don’t forget to take your type 2 diabetes medicines with you. You may need to carry them in a cooler with an ice pack. Just be sure they’re not sitting directly on ice or the ice pack.

Stay out of the heat of the day. Exercise is an important part of diabetes management and blood sugar control. But you don’t want to be outside exercising during the hottest part of the day. “Get in your exercise first thing in the morning or once the sun goes down,” advises Angela Ginn, RD, a diabetes educator at the University of Maryland Center for Diabetes and Endocrinology and a spokeswoman for the Academy of Nutrition and Dietetics. Another option is to work out in an air-conditioned gym.

Know signs of low blood sugar. Some of the symptoms of heat exhaustion are similar to those of low blood sugar, or hypoglycemia. These include sweating, light-headedness, shakiness, and confusion. “You may think it’s the heat and not recognize that your blood sugar levels have fallen to dangerous lows,” Roust warns. Be aware of the warning signs of low blood sugar and keep some carbohydrates with you to eat if you need to raise your blood sugar. Have a plan for a medical emergency.

Test more often. You may need to test your blood sugar levels more frequently so that you can adjust your insulin and your diet as necessary. Talk with your diabetes educator about guidelines if you're unsure of the best schedule, Ginn says.

Mind your feet. People with diabetes are susceptible to problems with their feet. In the summer you face the temptation to go barefoot or wear open sandals that expose your toes … to trouble. Always wear shoes that fit well — even in warmer months — and at the end of the day, check your feet for any cuts, scrapes, blisters, or bruises. Don’t ignore injuries to your feet. Get medical treatment right away.

6 Ways to Winter-Proof Your Diabetes Care Plan
Freezing temps and inclement weather can make it more challenging to stay on top of diabetes. Here’s what to watch for during the colder months:

Keep your supplies out of the cold. Just like extreme heat, extreme cold can affect your insulin and cause your glucose monitor to stop working. Don’t leave supplies in a car when temperatures outside are below freezing.

Do your best to avoid getting sick. Winter is cold and flu season. When you’re sick, you’re stressed, and being under stress can raise your blood sugar. Also, when you don’t feel good, you’re likely to not eat properly. Wash your hands with soap and water often so that you don’t spread germs. Ginn recommends "diabetes patients have a sick-day kit at home and fill it with soup, sugar-free cough drops, tea — things that will make you feel better and that you can access easily.” Also, be sure to get vaccinated against the flu.

Avoid packing on the pounds. Managing type 2 diabetes during the holidays can be tricky. Many seasonal treats are loaded with carbohydrates that cause your blood sugar to rise. Plan your meals and pace your special treats so that you don’t greet spring a few pounds heavier. Even a small weight gain makes it more difficult to control your diabetes and blood sugar levels.

Keep an eye on your feet. Diabetes can cause a loss of feeling in your toes and feet. Protect them with the right winter footwear, especially in snow. Apply moisturizer to your feet to keep your skin healthy. Inspect them regularly, and if you notice an injury that doesn’t heal, seek medical attention. Don’t wait.

Warm your hands. “If your hands are cold, you may have to warm them up to get a good blood sugar reading,” Roust says. Wash them in warm water before testing.

Your meter will work best when it’s kept in a room where the temperature is between 50 and 104 degrees Fahrenheit.


Don’t skip your workouts. It can be hard to get motivated to exercise in winter. But exercise is an important part of keeping blood sugar in check. It helps if you dress in layers when you’re exercising outdoors in the cold. Or join a gym where you can work out indoors. Another option: Work in exercise at home by taking the stairs, lifting weights, and exercising to videos.

Wednesday, July 11, 2018

Maxy sez :7 Signs Your Blood Sugar Is Out of Control

Diana  RodriguezBy Diana Rodriguez Reviewed by Rosalyn Carson-DeWitt, MD
A Sometimes Silent Danger
When you have type 2 diabetes, your main goal should be controlling your blood glucose (sugar). If you don’t do this and glucose levels swing up and down, you run the risk of developing serious health problems such as stroke, heart disease, and nerve damage (neuropathy).

The tricky part is that with type 2 diabetes you might not feel it when blood sugar levels are too high; hyperglycemia feels different for everyone. “Not everyone will have the same symptoms, and some individuals have no symptoms at all,” says Lori Zanini, RD, CDE, a diabetes educator and former spokesperson for the Academy of Nutrition and Dietetics.

Because blood sugar management is so important to your overall health with type 2 diabetes, you need to take action if you think your levels may be out of control.

“Symptoms of uncontrolled diabetes may not appear until prolonged hyperglycemia has been present, explains Mary Ann Emanuele, MD, an endocrinologist, professor, and medical director of inpatient diabetes at Loyola University Medical Center in Maywood, Illinois. “It’s important for individuals with diabetes to monitor their glucose and adjust their medication based on the results.”

Keep an eye out for these seven key warning signs and symptoms that blood sugar is too high — and talk to your doctor about whether you need to adjust your management plan.
Being Extra Thirsty and Having to Urinate More than Usual
This is a common but not so obvious sign of blood sugar that is too high: feeling really thirsty and needing to drink more than usual. “Excessive urination, known as polyuria, occurs when glucose builds up in your blood, and your kidneys begin working harder to get rid of the extra glucose,” Zanini says. If your kidneys can’t keep up and adjust blood sugar so that it returns to a normal level, the excess sugar is flushed out of your body through urine, she adds. You may become dehydrated and get dizzy.
You’re Hungrier than Usual, but Losing Weight
Many people with uncontrolled high blood sugar find that they’re particularly hungry — a symptom known as polyphagia, according to the Nemours Foundation, a nation-wide nonprofit organization dedicated to children’s healthcare. And even though you’re eating more, you may be losing weight for no apparent reason, if your blood sugar levels are too high.

“Since your body is not getting energy from the preferred source, glucose, it has to turn to muscle and fat,” Zanini explains. “When your body starts breaking down muscle and fat for energy, you experience unintentional and unhealthy weight loss.” In addition to these changes in weight and appetite, you may notice weakness in your muscles and experience more frequent falls, Emanuele adds.
Tiredness and Fatigue
Fatigue and extreme tiredness are symptoms of uncontrolled blood sugar that you might not think are being caused by type 2 diabetes, the American Diabetes Association (ADA) says. “Simply put, when your body is not processing insulin properly or it doesn’t have sufficient amounts of insulin, the sugar is staying in our blood rather than getting into our cells to be used for energy,” Zanini says.
Blurry Vision
You may notice that your vision isn’t as clear as it used to be and that things may appear a bit blurry. High blood sugar levels can lead to swollen lenses in your eye from fluid leaking in, according to the Joslin Diabetes Center in Boston. This changes the shape of the lens, which makes it unable to properly focus, causing blurred vision. You may also find yourself having difficulty driving, struggling at work, and suffering from frequent headaches, Emanuele notes.
Sores That Heal Slowly
Cuts, scrapes, bruises, and other wounds heal more slowly because of uncontrolled blood sugar, according to the University of Maryland Medical Center. Diabetes causes nerve damage and affects circulation, especially in the lower legs and feet, which can slow down healing because there isn’t enough blood flow to the area, according to the American College of Foot and Ankle Surgeons. Even minor wounds are more prone to infections, which can become very serious and even result in amputations of the foot. You may notice drainage seeping onto your socks or an unpleasant smell if you develop a foot ulcer, notes the American Podiatric Medical Association.
Unusual Changes in Your Skin
Small pieces of extra skin, called skin tags, may form in the creases of skin, especially if you have diabetes and you’re trying to find ways to manage your weight, notes the American Diabetes Association (ADA). Dark, thick areas of soft skin (called acanthosis nigricans) may form on the back of the neck or hands, armpits, face, or other areas. These can be a sign of insulin resistance, Zanini says. Blisters, infections, and other discolorations and abnormalities of the skin can all be warning signs of high blood sugar. Check with your doctor if these skin changes develop.
Tingling and Numbness in Your Hands or Feet
Uncontrolled blood sugar can cause nerve damage called diabetic neuropathy. What you may notice is a tingling sensation or even numbness in your hands and feet, according to the National Institute of Diabetes and Digestive and Kidney Diseases. Some people experience pain in their hands and feet as well. Though neuropathy is most common in people who have had diabetes for a long time, it can occur in anyone with poorly controlled diabetes.

Monday, July 9, 2018

Maxy Sez :How to Keep Your Heart Fit



For optimum heart health, the American Heart Association recommends 30 minutes of moderate to vigorous aerobic exercise on most days of the week. If you can't get in 30 minutes all at once, you can divide your exercise routine into 10- or 15-minute segments. "Aerobic exercise improves heart and lung fitness and can impact many of the risk factors for heart disease," says Deb Sampson, RN, BC, clinical coordinator for cardiac rehabilitation at the Nebraska Medical Center in Omaha.
Walk It Out for Heart Health
Number one on the top 10 for aerobic exercise is walking. Walking is enjoyable, safe, inexpensive, and easy to fit into almost anyone's busy day. You can get in walking time by walking to work, walking to the grocery store, and walking around your neighborhood. Aerobic exercises are those that use large muscles in a continuous, rhythmical manner over time, and walking is a great example of that, says Sampson.
Exercise at Home by Climbing Stairs 
To get the maximum heart health benefit from any aerobic exercise, aim to reach between 50 and 85 percent of your maximum heart rate. Climbing stairs is an easy way to get into that target range, whether you do it at home or at the gym on a stair machine. To find your maximum heart rate, subtract your age from 220. If you don’t want to stop to count heartbeats, you can assume that you’re in your target rate if you can carry on a conversation while exercising without being too out of breath.
Go for a Bike Ride
The pumping motion of the large muscles in your legs is a great aerobic exercise for your heart. Either a road bike or a stationary bike will work for this exercise routine. Pedaling at home on a stationary bike can get you on the road to heart health when it’s too cold or too wet to cycle outside. The position of the seat and pedals are important to prevent injury when biking, so make sure your bike is properly adjusted for your body.
Take a Swim
Swimming is one of the best aerobic exercises around and the third-most popular sports activity in the United States, according to the U.S. Centers for Disease Control and Prevention. Two and a half hours of swimming per week will give you all the aerobic heart health benefits you need. Another advantage of this exercise routine is that swimming puts less stress on your bones and joints. That can be especially beneficial if you’re starting out a little overweight or have a joint condition such as arthritis.
Go for a Spin on the Elliptical Machine
Elliptical training machines are one of the fastest-growing aerobic exercise options. These machines are found in most fitness centers and are increasingly being purchased for exercise at home. The advantage of an elliptical machine for heart health is that it gives you both an upper- and lower-body workout at once. The elliptical leg motion mimics running with the lower impact of cycling. At the same time, the rhythmic arm movements get blood flowing to your back and shoulder muscles.
Dance to Your Heart's Content
Dancing your way to heart health makes for a rhythmic and aerobic exercise routine. All you need is good footwear, some space, and music that motivates you. A good aerobic beat is about 120 to 135 beats per minute. Dancing can range from high impact to low impact depending on your ability and preference, and you can dance with others in a class such as Zumba or exercise at home by yourself.
Chill Out With Tai Chi 
According to a recent survey from the National Institutes of Health, 2.3 million adults in America used tai chi as a low-impact aerobic exercise routine in the prior year. Tai chi is an ancient Chinese form of exercise based on the martial arts. It uses slow rhythmic body movements combined with deep breathing and concentration, which is why it’s also called a "moving meditation." This exercise routine is great for both mind and body, including heart health.
Stay Fit at Home With Wii Fit
Playing interactive video games is a great option for exercise at home. Studies show that Wii Fit boxing, tennis, and bowling could increase your heart rate enough to qualify as aerobic exercise. "The American College of Sports Medicine states that Wii Fit does provide an effective form of exercise," says Sampson. Remember that to meet physical activity guidelines, you will need to play for about 30 minutes five days a week.
Make a Splash With Water Aerobics
Like swimming, water aerobics offers the heart-health benefits of a good aerobic exercise workout without causing as much stress on the joints as other exercise routines might. If you have conditions such as arthritis, knee pain, or are overweight, water aerobics may be the perfect exercise for you. Water exercises have been shown to improve the use of joints in people with arthritis without worsening symptoms, according to the Centers for Disease Control and Prevention.

Other Great Benefits of Aerobic Exercise
It’s hard to find any other lifestyle habit that offers as many benefits as aerobic exercise. “Regular aerobic exercise helps control blood pressure, reduces stress and depression, improves cholesterol levels, helps weight loss and maintenance, decreases diabetic blood sugars, increases muscle and bone strength, and helps prevent blood clots,” says Sampson. Pick an aerobic exercise you can enjoy and stick with, and you’ll reap the benefits in more ways than you can imagine

Thursday, July 5, 2018

Maxy sez :Signs of High and Low Blood Sugar

Keeping blood sugar within healthy ranges is important with diabetes. Here's how to watch for and manage both high and low blood sugar levels.
By Karen Appold         Medically Reviewed by Bhargavi Patham, MD, PhD
One of the challenges of managing diabetes is maintaining consistent blood sugar (glucose) levels. Even with diligence, some situations can cause high blood sugar, or hyperglycemia, while others can bring on low blood sugar, or hypoglycemia. So it’s important to know the signs of both high and low levels, and what actions to take to bring them back within a desired range.

Monitoring your blood sugar levels with a glucose meter will do a lot to help you keep those levels steady and avoid the complications that can come with diabetes. According to the Mayo Clinic, how often you check your blood sugar level depends on many factors, including your age, the type and severity of your diabetes, the length of time that you've had the condition, and the presence of any diabetes-related complications.

About High Blood Sugar (Hyperglycemia)
Common signs of high blood sugar include frequent urination, fatigue, dry or itchy skin, feeling thirsty, more frequent infections, and eating more food but not gaining as much weight as usual, says Athena Philis-Tsimikas, MD of the Scripps Whittier Diabetes Institute in San Diego, California.

A blood sugar reading above 180 milligrams per deciliter (mg/dL) is considered above normal and can bring on these symptoms, although it’s possible to have high blood sugar without any symptoms, Dr. Philis-Tsimikas says. A reading above 300 mg/dL is considered severe. If your blood sugar is above 250 mg/dL for two days, Philis-Tsimikas advises informing your doctor and asking for specific treatment recommendations. Blood sugar levels above 300 mg/dL can cause nausea, drowsiness, blurred vision, confusion, and dizziness, especially when standing up from a sitting or lying position.

Ways to treat high blood sugar include:

Taking your prescribed medications as directed
Eating fewer carbohydrates with your meals
Exercising regularly with your doctor’s guidance
About Low Blood Sugar (Hypoglycemia)
When your blood sugar drops rapidly, or when the reading is 70 mg/dL or below if you take medications for diabetes, you may experience symptoms of low blood sugar such as shaking, sweating, rapid heartbeat, headache, hunger, weakness, fatigue, impaired vision, anxiety, irritability, and dizziness.

Blood sugar values that drop below 70 mg/dL are considered severe and can lead to more significant and dangerous issues such as difficulty concentrating, confusion, loss of consciousness, seizures, and even death. If you experience more than two blood sugar readings below 70 mg/dL in a week, notify your doctor and go over your treatment plan.

To treat blood sugar below 70 mg/dL, Philis-Tsimikas recommends one of these options (only one at a time):

Drink 1/2 to 1 cup of juice, skim milk, or regular soda OR
Chew five to six hard candies OR
Take four glucose tablets OR
Swallow one tube of glucose gel
Then, check your blood sugar in 15 minutes. If it’s still below 70 mg/dL, consume more sugar. If your symptoms don’t stop, call your doctor or seek medical attention. If your blood sugar returns to normal, be sure to eat at your next scheduled meal or snack .

Monday, July 2, 2018

Mexy sez : 10 Symptoms of Diabetes ---Back by Popular Demand

Many illnesses sometimes present with symptoms that are so subtle those experiencing them don't immediately suspect a problem, and diabetes is no exception. In fact, complications can outpace the appearance of symptoms, which is why it's important to detect and treat it quickly.

 A Burgeoning Medical Reality :
Diabetes is a metabolic disorder affecting nearly 10 percent of Americans. Costs related to the condition reached $245 billion in 2012 compared to $174 billion spent in 2007. Matt Petersen, the American Diabetes Association's managing director of medical information and professional engagement, attributes this rise partially to an aging population and obesity currently at epidemic levels. "I know of no other disease that's increasing at (about) 8 percent per year."

Complications from diabetes may be serious and range from kidney failure to leg and foot amputation from infections in those areas. Keeping your blood glucose (blood sugar levels stable and under control, along with healthy eating habits, is key to preventing these and other problems such as heart disease, blindness, and arm and leg neuropathies from nerve damage caused by cells receiving insufficient amounts of oxygen. 

Diabetes occurs in two different primary forms. Normally, the pancreas, a gland found behind the stomach, secretes insulin, a hormone that moves glucose into the cells. In Type I diabetes, an autoimmune condition, develops when the body attacks the only cells in the body that produce insulin, pancreatic beta cells. The primary risk factor for Type 1 is a parent or sibling with the disease. In Type II diabetes, insulin is present, but the body does not respond to or process it efficiently.

An analogy to illustrate the two types of diabetes: Imagine a gas pump with no gasoline supply or a pump that has gasoline but a malfunctioning delivery system. Neither can effectively fuel your car.
Here are 10 significant diabetes symptoms to be aware of: If you experience any of these, see your doctor:

Frequent Urination :
Excess sugar buildup in your bloodstream forces your kidneys to work harder to filter and absorb the overload. When it begins accumulating faster than the kidneys can filter it, that sugar, along with fluid from tissues gets excreted into urine, triggering more frequent trips to the restroom.

Another Gallon of Water, Please :
Excessive thirst is a secondary accompanying reaction to dehydration brought on by excessive urination. This can turn into a troublesome, self-perpetuating pathology cycle. As dehydration from tissue fluid loss increases thirst and volume of liquid consumed, the more fluid lost through increased urine output.

Can 't See Straight? See An M.D.:
Blurry vision can occur when excess sugar pulls fluid from the lenses of your eyes. This process can adversely affect the ability to focus and trigger retina-damaging new blood vessels. Floaters also can appear. Although experiencing vision changes at an early stage of diabetes is unusual, vision loss and blindness are possible but usually avoidable outcomes unless the condition goes undetected.

Gum Pain, Soreness and Swelling :
Diabetes may impair or weaken the ability to fight off infection, and this can manifest in gums and the bones that secure the teeth. Loosened teeth, receding gums and pus can form in pockets created by periodontal recession.
Feeling Fatigued?

Dehydration from increased urination can cause sufferers to feel tired. When the body is less able to use sugar for energy, fatigue is often the result.

Losing weight without trying? Always hungry? :
Urinating frequently carries sugar out of the body, and malfunctions related to diabetes may block the cells' ability to access the sugar in what is eaten, causing constant hunger. Rapid weight loss can result from this combination, particularly if Type 2 diabetes is the diagnosis.

Slow sore and wound healing may indicate the body's ability to fight off infection is weakened.

Patches of Darkened Skin :
Occurring in the body's creases and folds such as the armpits and neck, the condition acanthos nigricans manifests as patches of velvety, darkened skin and can be a sign of insulin resistance.

Hyperglycemia or High Blood Sugar:
Early symptoms can present as a bundle of the diabetes signs mentioned earlier, including increased thirst, frequent urination, fatigue, blurred vision and headache. When farther along, some hypoglycemia signs include shortness of breath, nausea and vomiting, dry mouth, fruity-smelling breath, abdominal pain, weakness, confusion and coma.

Other Indicators
Tingling/numbness in hands or feet  :
 Frequent yeast infections ;
Irritability or mood changes :
Facing a disease that needs constant management and vigilance is an arduous feat for the staunchest of souls. But exciting discoveries that more effectively treat this tough condition are well underway. Currently, UK researchers are studying advances in the use of an artificial pancreas in treating Type 1 diabetes.

There's no question diabetes requires significant lifestyle adjustments and increased attention to health, but understanding how effectively it can be controlled can go a long and encouraging way. Two examples in particular stand out. Actor Tom Hanks was recently diagnosed with Type 2 diabetes. He told Yahoo Movies, “I have high blood sugars, and Type 2 diabetes is not going to kill me. But I just have to eat right, and exercise, and lose weight, and watch what I eat, and I will be fine for the rest of my life.”

Television personality Sherri Shepherd also calls attention to the beneficial effects of nutrition and getting fit in treating diabetes. “I am a type-2 diabetic, and they took me off medication simply because I ate right and exercised. Diabetes is not like a cancer, where you go in for chemo and radiation. You can change a lot through a basic changing of habits,” Shepherd said in an interview with Essence.