diabetes connect winter 2011 nsw lowres final

7/31/2019 Diabetes Connect Winter 2011 NSW Lowres Final

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a trip to theoptometristW d wbr

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What you can Do topRotect youR sight | page 24

diabetes management and healthy living

WinteR 2011 | $5.80

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3/23

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betic retinopathy is prevalentp to 25 per cent of people withbetes in Australia and yet thetre for Eye Research reports98 per cent of vision loss dueiabetes can be prevented.

s means that with the right toolsinformation you can take stepsrevent retinopathy and other

mplications, and I hope thison-healthy edition of Diabetesnnect will give you an excellentd start.

m foods that help maintaind eye health (page 16 andpes on page 20) to makinge you know what tests yourometrist should be offeringd our feature from pagethere are many ways to be

active.

your eyes arent just aboutr sight, as demonstrated byAustralian researcher whodiscovered a way to identify

betic neuropathy just by lookingthe eye (page 32). What an

azing discovery.

At Australian Diabetes Council,we understand that many ofour members have alreadyexperienced some vision loss.You can log on to our website tofind a range of audio informationsheets under our About Diabetessection on the homepage, and aPDF version of Diabetes Connectis available for those who prefer toenlarge the fonts on their computerscreens. Email [email protected] tofind out more.

And, in honour of our focuson vision health, wed like toannounce a new body font forDiabetes Connect, Helvetica Neue,which was chosen based on yourfeedback. You may also noticethat the paper has changed fromglossy to matte, which reportedlyenhances readability. We hope thishelps improve your experience.

As always, Id love to hear fromyou. If you have any commentsyoud like to share with me or ourreaders about vision health oryour personal experience, pleaseemail me at diabetesconnect@

australiandiabetescouncil.com.

Thanks for reading and stay warm,happy and healthy thiswinter. Dont forget yourflu shot!

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DiaBetes connectWinter 2011


4/23

accepted by our health professionalsthat this is what can happen tosome, particularly people who havehad to live with diabetes from sucha young age and are growing intoadulthood.

Of course we young people withdiabetes are not going to talk toour doctors about illicit drugsbecause doing drugs we know is notaccepted in the medical world. Wealso dont want to be told that whatwe are doing is wrong. We knowthat. It is up to the individual to beaware of the consequences of whatcould happen.

This article is telling me that HPsare becoming more aware howhard it really is to live every day withdiabetes and why sometimes peopleturn to drugs. Maybe the HPs arebecoming more open minded andless judgemental, which personallyI think is much needed. Drug taking

is such a scary subject but it isreality and hopefully will continueto be more openly discussed andunderstood. Well done; this is amuch needed article and more likeit would be fantastic to see!caRoline hill, via email

foNts aNd ColoursIn reply to your query as to font sizeon page four of the autumn editionof Diabetes Connect, could I vote forchoice 2, Helvetica Neue, please.

In regard to colours and overlappingof print, I have noticed in previousissues that sometimes that was aproblem (or more of an annoyance)to read, but in this issue, whateveryou did, keep doing that; noproblems at all in reading any page.

Congratulations on a very readable,interesting magazine, which I havefound helpful.noel caRRoll, via email

eCeive diabetes CoNNeCt eleCtroNiCallyyou would like your copy of the magazine as aDF that you can enlarge for ease of reading, [email protected].

Write to usSend your letters to [email protected] or Editor, DiabetesConnect GPO Box 9824 Sydney NSW 2001.

kiNg it easiere recently been diagnosedtype 2 diabetes so I havelooking for as many diabetes-

dly recipes as possible. Iughly enjoyed the Diabetesect magazine and found it very

mative.

k you for the informationarded to me. It is making mystment much easier with all theort I am receiving.

wishes on continuing your great.th myles, via email

Nks, beat it PrograMwriting to congratulate the BEATogram that has been introducede Diabetes Support Centre ate. As I understand this is a firstis centre and I have found it to

ery helpful.

ld also like to take thisrtunity to praise the personnel

are looking after these sessions,y Georgia and supported by

g Biara, including are alsoand Joel; with enthusiasm andcation they are eager to assistntly guiding every individualrding to their specific needs.

Furthermore, I would like tocompliment their pleasantpersonalities, for their knowledge,their utmost professionalismand their ability to communicateeffectively with everyone.shavaRsh BeDRossian, syDneynsW

stayiNg foCusedI just wanted to write to expressmy thanks for your magazine. It isvery encouraging to have such aninformative guide to this difficultcondition. In this day of free-flowinginformation on the internet, it issometimes difficult to divide thewheat from the chaff when it comesto medical claims. It seems that allsorts of people, including those withno science-based medical training,can claim to cure everything fromdiabetes to AIDS and cancer! And allfor the one low payment (hurry -send money today!!).

Of course, when the pressure of anincurable or terminal illness is on us,we can be talked into trying thingswhich would make our otherwise

rational minds pause. We need tostay focused.

Your magazine has, in myexperience, never fallen pray to theclaims of pseudo-science. You show

a high level of evidence-based factsand sensible advice for sufferers ofdiabetes. You should be applaudedfor this, and I hope it is ever so.tom kenneDy, stanmoRe nsW

PleNty of suPPort iN NtThe article titled Managing a BigCondition in a Small Town [autumn2011] is very misleading. I too am adiabetic (stage 2 insulin dependant),living in Alice Springs for over 40years.

I have nothing but praise for thededicated staff of both the NTHealth Department and HealthyLiving NT who have looked after myhealth for many years. In no sensehave I ever felt isolated from helpwhen I needed it.

The description in the article depictsa town bereft of support for peoplewith diabetes which cannot befurther from the truth.DaviD hooD, via email

drugs aNd diabetesI think it is excellent that an article

regarding illicit drugs and diabeteswas printed in Diabetes Connect[summer 2010].

It is also great that it has beenacknowledged and somewhat

lighteD By the font suRvey!

have no idea how delighted I am to have this [new ontice] survey being done! Fancy magazine onts are becomingbane o my lie! My choice is Helvetica Neue - wonderul! Love the magazine! Christine Smith, Eglinton NSW

letters

h iers

PROTECTINGYOUREYESWINTERWARMUPSRecipesthatwill warmyourappetite withouts trayingfromyourh ealthyeatingp lanPAGE15

FOOD FORYOUREYESDo somefo ods affectyoureyesight?PAGE1 8

ATRIP TOTHEOPTOMETRISTWhatyoushould knowbefore yougoPAGE26

WHATYOU CAN DOTOPROTECTYOURSIGHT| PAGE 24

DIABETESMANAGEMENTANDHEALTHYLIVING

WINTER2011|$5 .80

ProfessorNathan

Efron finds keyto neuropathycuremayb einthe eyes

Page 32

Fm h i

The days are shorter and thecooler days have slowly crept inso this winter edition of DiabeteConnect should give you anexcuse to curl up with a warmdrink, maybe a baked apple fromthe recipes on page 16, and getsome more healthy tips from outeam of health professionals.

Thanks for all of yourfeedback about the fonts,it was very helpful! Wehope you find the new fonteasier to read as a result.

letters

DiaBetes connect.


Prince of Wales Hospital

Level 10, Parkes Building East

High St. Randwick, NSW 2031

This study has been approved by Bellberry HREC, Ref no:2010-1operates within Australian & International guidelines for medical re

MOT114479 Print Version 3, 13 April,2011.

People with diabetes commonly experience slow stomach emptying(a condition called gastroparesis).

Slow stomach emptying can cause:

Nausea and vomiting Bloating and feeling excessively full after a meal Belly visibly larger Loss of appetite Abdominal pain or discomfort

GSK is currently developing a new medicine to treat delayed stomach emptying in people with d

You may be eligible to participate if you:

Have Type I or 2 Diabetes

Are male or female, between 18-80 (inclusive) years Have a minimum 3 month history of slow stomach emptying Have any of the symptoms listed in the description above

The time commitment for this trial will be about 2 1/2 months.This includes: 9 visits to the unit during that time, regular phone calls to discuss your progresskeeping a daily diary

M LE&FEMA EP OPLEWITH IA ETES UIRE

STUDY TO EVALUATE THE

SAFETY, TOLERABILITY

AND EFFECTS OF A NEW

MEDICINE IN PEOPLE WITH

DIABETES WITH SLOW

STOMACH EMPTYING.

Our trial participants are reimbursed for

their time, travel costs and inconvenience

More information CALL 1800 475 [email protected] Or visit www.gsk.com.au/mru


5/23

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WiNdoWs to your health aNdCoMPliCatioNs

Your eyes are often referred to as the windows tothe soul. For many people, changes in the eye andeyesight may also be a window into their health andthe discovery of type 2 diabetes.

If you have high blood gluclose levels (BGLs), forexample, it can change the fluid balance aroundthe eye. This fluid shift can affect the shape of theeyes lens and therefore your eyesight.

It can be resolved with good diabetes managementand normalising BGLs. If BGLs are left unchecked,these changes may be more permanent in the formof diabetic retinopathy.

high bgls CaN lead to otherMiCrovasCular CoMPliCatioNs

Continuously high BGLs cause damage to the tiny(micro) blood vessels in organs throughout thebody and cause microvascular complications.

all MiCrovasCular CoMPli CatioNsliNked

All microvascular complicationsretinopathy(eye disease), neuropathy (nerve disease) andnephropathy (kidney disease)are linked because

consistently high BGLs damage vessels throughoutthe body in a similar way and at a similar rate.

its all haPPeNiNg at oNCe

That means high BGLs are doing damage to thekidneys, nerves and eyes at the same time. Theonly difference is that different organs can sustaindifferent amounts of damage before symptoms arenoticeable.

Your blood pressure, osteoporosis, osteoarthritisand even gout are linked as well.

MiCrovasCular daMage to the kidNeysaffeCts your blood Pressur e

Microvascular damage to the kidneys will adverselyaffect your blood pressure because your kidneysplay an important role in regulating it. Consistently

high pressures (especially at rest) can causedamage to all of the organs in the body, includingthe kidneys, further affecting their function.

daMaged kidNeys CaN lead to boNeCoMPliCatioNs

The kidneys also activate vitamin D, packaging itin a form that helps our bones absorb calcium. Weneed the kidneys to be strong to strengthen ourbones and aid in the prevention of osteoporosisand osteoarthritis.


DiaBetes connect.

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g c:Know whatand how things affect your BGLsand then aim to maintain BGLswithin the target range.

g : Arrange and keepregular screening appointmentswith your doctors and specialists.

CoMPliCatioNs

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p!Because the body is so interconnected, thesame prevention formula applies for mostcomplications.

CoMPliCatioNs

daMaged kidNeys CaN lead to gout

Gout is a disease where uric acid builds up in thebody, and your kidneys have the responsibility offiltering it from your system.

If the kidneys are damaged through high BGLsand/or high blood pressure, uric acid can build upwithin the body and crystallise. Uric acid crystalsare attracted to the cartilage in our joints and withthem, bring a lot of water into the joint capsule aswell. These crystals act like sandpaper in the joint,quickly and painfully wearing away cartilage.

Couple this with the extra fluid in the joints and heypresto, the pain and swelling associated with goutand there is our kneebone connection.

it CaN all be PreveNted

Knowing now that everything is connected, youmay be able to see why minimising, managingand possibly avoiding chronic disease andcomplications all require a similar formula: Beactive, eat healthy, know as much as you canabout healthy living and get tested regularly.


6/23

a m g

10

Chances are i you have hado sort out a discriminatory

concern due to your diabetes,Mark Greenberg would havebeen there to answer your

call. Ater 40 years o workingas a practising solicitor inSouth Arica, Mark broughthis legal background toAustralian Diabetes Council in2001. He not only looks aterhe organisations contracts,eases and agreements, buthe also ocuses on makingsure members are beingreated airly in a sometimes

unair world.

Over the years Mark has seen avariety of discrimination cases,however one area seems to standout from all the others.

By far the most problemselate to discrimination at the

workplace, Mark said.

Perhaps one of the most effectiveand memorable cases was whatMark refers to as the ambulancecase.

A member with diabetes wasnitially refused employment as anambulance driver because of hisdiabetes.

The employer deemed him unfito do the job because of thencreased risk a hypo may place

on an emergency situation andwhile driving.

Despite tremendous opposition,the member was determined andpursued the matter, Mark said.

Through his persistence, thesituation went to court andeventually ruled in his favour.

As a result he got the job withNew South Wales AmbulanceServices and this had a rippleeffect on many other individuals inmany other industries.

Since the ruling in that case,others with well-controlleddiabetes have been able to applyfor jobs in the military, the navy,the police force, fire brigade andwith the ambulance services andsucceed.

puBlic unaWaRenessChange doesnt always come thateasily though.

Mark said hes seen the same

problems recur again and again inworkplace discrimination as wellas in getting insurance coverage.

There is a public unawareness ofwhat diabetes involves, he said.

People tend to either brush it offas something meaningless or theythink it is something horrific.

There hasnt been a significantchange in attitude from these

people who dont understandit, so our job is to continue toeducate them and step in whenpeople arent being treated f airly.

If an employee comes to Markwith a discrimination concern,Mark contacts the employer todiscuss the matter and reliesheavily on the support andrecommendations of the personsmedical advisers.

Most of the time the situation isresolved, but if not the membercan, with Marks help, eithercontact the New South Wales

Anti-Discrimination Board whocan provide a lawyer, or he orshe can pay for the services of asolicitor.

moRe than Just aDvisingI also spend a lot of time actingas a therapist, Mark said with asmile.

Sometimes all people need todo is speak to someone who willlisten, and thats what Im here for

too.

Hlpig o pso o

has a ippl c ha hlps

ma mo, sch as ih h

cas ha allod a pso

ih dias o ok ih

h amlac sics.

Rob Palmer | TV Presenter | Living with Type 1 diabetes

Ask your Healthcare Professional about the FreeStyle Lite Blood

Glucose Monitoring System today. For more information visit our

website at www.abbottdiabetescare.com.au

Accuracy is really important to me.

Thats why I use the FreeStyle Lite.*

MAKE A DIFFERENCE

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FreeStyle Lite and ZipWik are registered trademarks of the Abbott Group of Companies in various jurisdictions. Information contained herein is for distribution outside of the USonly. Abbott Diabetes Care, 666 Doncaster Road, Doncaster VIC 3108. ABN 95 000 180 389 MSE101224120723 ADC0157/CONN

ZipWik tab

The advanced ZipWik strip design draws in a tiny sample of blood,

which gives me a fast and accurate reading that I can trust.*

DiaBetes connect.



7/23

exerCise + fitNess

helpful WeBsitesThe guide is trained to provide instructions on theenvironment, terrain and any obstacles through avoice communication system worn by each person.

oheR activitiesWater skiing, lawn bowls, sailing, goalball, bowling,gymnastics, cycling and almost anything you canthink of is still possible.

The important thing in many ventures if yourevisually impaired is to do it with someone you trustor through a credible sporting organisation. With theright precautions you can stay active and continue toenjoy your favourite activities.

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Living an active liestyle has a multitudeo beneits or people with diabetes, soAccredited Exercise Physio logist BRO NWYNPENNY did some investigating to ind outhow those with vision limitations can stillparticipate in their avourite physical activity.

With diabetes being one of the leading causes ofvision loss in Australia, its helpful to know someways to get active if you or someone you know hasvision limitations.

Here are just a few examples but almost any activitys still possible with a little bit of effort and planning.

WalkingUse assistive aids if you have them or take along ariend or relative who can help guide you.

He or she should describe the environment youren, where roads and traffic are, identify potential triphazards or over-hanging branches and keep watchor anything else that might come your way.

sWimmingTake someone along who can help guide you wherehe lane is and how to get in and out of the pool.

The Blind Sporting Association of NSW suggestscounting your strokes to identify how many you needto take until you reach the wall.

golfA sighted caddie can help direct you towards thegreen, make sure you are lined up correctly with thetee and explain the course layout and environment.

Some golf courses also offer blind or visuallyimpaired social golf competitions.

cRicketA modified version of cricket is played right aroundAustralia for those with vision limitations.

Players bat and bowl using a ball that makes a soundand use the sound as a guide.

Your guide, friend or coach can also use a pole togently tap you on the shoulder just before you get tothe end.

skiingSkiers who are blind or visuallyimpaired often ski with a guidewho wears a brightly colouredvest.

Bd Graham Coulton and his guide/caddy Sue Carpenter,

both from NSW, receive the blind golfs version of the

famous British Open claret jug. Together they won the

2010 British Blind Golf Open Championship by two

strokes.

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Did you know you can now renewyour membership online? Just visit:www.australiandiabetescouncil.com

Click through to the Members Area

Click Renew Your Membership

Then follow the steps on the page.

Its that easy!

You can also receive

this magazine by email!

It saves money, saves trees with added bonus that you can enlarg

to a size that suits you.

To receive Diabetes Connect via email,

contact the Membership team on1300 DIABETES (1300 342 238)or email us at :[email protected].

RENEW ONLINE EMAIL CONNEC&

golfwww.blindgol.com.au

cRicketwww.blindcricketaustralia.com.au

laWn BoWlswww.blindbowls.org.au

sailingwww.blindsailingaustralia.org

tenpin BoWlingwww.blindtenpinbowling.org

actwww.visact.org.au

neW south Waleswww.nican.com.au

south austRaliawww.blindsportssa.org.au

nationalwww.blindsports.com.au

CoMPliCatioNs


8/23

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shoulD i cut out sugaR?

QIm a type 2 now usinginsulin. My wife hasrecently read Sweet Poisonby David Gillespie and hasbecome a fanatical supporterof his ideas to the pointwhere she wont eat anyrecipe that contains sugar,dried fruit or even things like

sweet soy sauce or balsamicvinegar. What do you think

about his theories?

aObsessive avoidance of anykind of sugarincludingructoseis unnecessary and may

be counter-productive. We shouldenjoy sugars in moderation as partof a healthy balanced diet.

Most of the research Gillespiequotes in his books has beenconducted on small rodents whoare fed very large quantities ofpure fructosea sugar found

naturally in fruit that is nearly twiceas sweet as table sugar (sucrose).

The rodents are fed up to60 per cent of their total dailykilojoule intake as pure fructose. Incomparison, the average Australianeats 55-60 grams of total (naturallyoccurring and added in the form

of sucrose) fructose a day, whichis roughly 10 per cent of our dailykilojoule intakea fraction of whatthey usually feed the rodents.

In fact, one recent review of 42human studies found that eatingless than 100 grams of purefructose a day, when comparedto an equivalent amount of othersugars or starch, had no effecton fasting triglycerides or bodyweight, but improved glycatedhaemoglobin (HbA1c) levels.

Consumption of total sugars hasactually decreased in Australia by16 per cent since 1980.

Over the same period inAustralia, rates of overweightand obesity have approximatelydoubled, suggesting thatexcessive sugar consumption isnot a likely cause.

Research suggests that thereis a sugar-fat seesaw: the lower apersons sugar intake the higherhis or her fat intake.

Because sugars provide lessthan half the kilojoules as fat, thiscan potentially lead to problems ifpeople obsessively avoid sugars.

Its not sugar thats the problem,but a combination of otherunhealthy habits that result in poorhealth.

honey anD cinnamon

QI am 61 and wasdiagnosed with type2 diabetes two years ago.I have read articles abouthoney and cinnamon reducingcholesterol, and was wondering

if it has a positive or negative

effect on both conditions?

aIt is generally notrecommended that peoplewith diabetes use honey for theircholesterol management becausethe amount needed to benefit yourcholesterol (70 grams a day) willlikely raise your blood glucoselevels (BGLs), which would becounter productive. A couple ofteaspoons of honey each day onfood (e.g., breakfast cereals) ordrinks (e.g., tea) instead of refinedsugar is of course fine for mostpeople with diabetes but it wonthave any effect on your bloodcholesterol levels.

Cassia cinnamon may makebody cells more sensitive toinsulin; however the jury is stillout as to whether it has any realbenefits for BGLs.

One clinical trial reported thatcassia cinnamon lowered total

cholesterol, LDL cholesterol, andtriglycerides, but two other trialshave not found any beneficialeffects.

Enjoy cinnamon as a tastyingredient in a variety of dishes butdont expect to see therapeuticbenefits.

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food + diet

DiaBetes connect.



9/23

CookIng For dIabetes

A new addition to the well-known Womens Weeklycookbook series is Cookingor Diabetes, released thismonth and now available rom

Australian Diabetes Council.

All recipes havebeen checkedby AustralianDiabetes Councilto be sure theyrenot only rightfor people withdiabetes, but

good enough forthe whole family.

A range ofbreakfasts, lunches, light meals,mains and a few desserts makesCooking for Diabetes a one-stopsource of ideas for the entire daywith a 7-day menu planner takingall the hard work out of planningyour familys meals for the comingweek.

This beautifully illustrated 120page book containing 84 differentrecipes, each with a nutritionalanalysis, is excellent value at just$12.95.

To purchase a copy call your stateor territory diabetes organisationon 1300 136 588 and dont forgetto ask about a special membersdiscount.* Its also available innewsagents, supermarkets or

online at www.acpbooks.com.au.

The recipes on these pages arereproduced from Cooking forDiabetes with kind permissionfrom ACP Books. Photography byStuart Scott.

*If not stocked by your state or territory

diabetes organisation, phone National

Publications on 02 9527 1951 (postage

applies).

carrot and lentil soup WithcaraWay toasts

w Preparation/cooking time: 55 minutes

(+ refrigeration)ngredients (serves 4)

2 cups (300g) rozen mixed berries

4 large apples (800g)

4 cardamom pods

cup (140g) yogurt

2 teaspoons honey

Method1. Place berries in ine sieve set over smallbowl, cover; thaw in rerigerator overnight.

2. Preheat oven to 160C/325F.

3. Core unpeeled apples about three-quarters o the way down rom stem end,making hole 4cm (1 inches) in diameter.Use small sharp knie to score aroundcircumerence o each apple. Make smalldeep cut in base o each apple; insert onecardamom pod into each cut.

4. Pack three-quarters o the berries irmlynto apples; place apples in small bakingdish. Bake, uncovered, about 45 minutes or

until apples are just tender.5. Meanwhile, mash remaining berrieswith a ork in small bowl; stir in yogurt andhoney.

6. Serve apples with yogurt mixture.

Nutrition data per serve

Energy 556kJ; 133Cal; 3.9g protein;1g total at; 0g saturated at; 25g totalcarbohydrate; 4.8g ibre; 35mg sodium. GI:ow

food + diet food + diet

DiaBetes connect.


Preparation/cooking time:1 hour 30 minutes

Ingredients (serves 6)

1 cup (250ml) salt-reducedvegetable stock

2 large brown onions(400g), chopped inely

2 cloves garlic, crushed

1 tablespoon ground cumin

6 large carrots (1kg),chopped coarsely

2 trimmed celery stalks(200g), chopped coarsely

1.375 litres (5 cups) water

cup (100g) brown lentils

cup (125ml) buttermilk

caraway toasts

6 slices (270g) wholemeal bread

cup (25g) inely gratedparmesan cheese


1 teaspoon caraway seeds

2 tablespoons inely choppedresh lat-lea parsley

Method1. Combine cup (125ml) o thestock, onion, garlic and cumin inlarge saucepan; cook, stirring,until onion sotens. Add carrot

and celery; cook, stirring, or 5minutes. Add remaining stock andthe water; bring to the boil. Reduceheat; simmer, uncovered, about20 minutes or until vegetables aretender. Cool mixture 10 minutes.

2. Blend or process mixture, inbatches, until smooth. Returnmixture to pan; add lentils. Simmer,uncovered, about 20 minutes oruntil lentils are tender.

3. Meanwhile, make carawaytoasts.

4. Remove soup rom heat; stirin buttermilk. Serve with carawaytoasts.

caraway toasts

Preheat grill (broiler). Place bread,in single layer, on oven trays;

cook under grill until brownedlightly on one side. Sprinklecombined cheese, garlic, seedsand parsley over untoasted sideso bread; cook under grill untilbrowned lightly. Cut in hal.


Energy 1091kJ; 261Cal; 13.7gprotein; 3.4g total at; 1.4g saturatedat; 37.8g total carbohydrate (owhich 4g are sugars); 12.6g ibre;433mg sodium. GI: medium

cheese and herb egg-White omelettePreparation/cooking time: 35 minutesIngredients (serves 4)

12 egg whites

4 green onions (scallions), sliced thinly

cup inely chopped resh chives

cup inely chopped resh chervil

cup inely chopped resh lat-lea parsley

cup (40g) coarsely grated reduced-atcheddar cheese

cup (35g) coarsely grated reduced-at mozzarella cheese

4 slices (180g) soy-linseed bread, toasted

Method1. Preheat grill (broiler).

2. Beat a quarter o the egg whites in small bowl withelectric mixer until sot peaks orm; old in a quarter o thecombined onion and herbs.

3. Pour mixture into 20cm (8inch) heated lightly oilednon-stick rying pan; cook, uncovered, over low heat untilomelette is browned lightly underneath.

4. Sprinkle a quarter o the combined cheeses on hal othe omelette. Place pan under preheated grill (broiler) untilcheese begins to melt and omelette sets; old omeletteover to completely cover cheese. Careully slide ontoserving plate; cover to keep warm.

5. Repeat process three times with remaining egg white,onion and herb mixture, and cheese. Serve omelettes withtoast and extra chopped herbs.


Energy 823kJ; 197Cal; 21.5g protein; 3g totalat; 1.5g saturated at; 18.7g total carbohydrate;4g ibre; 389mg sodium. GI: low

Dietitians tip:For extra fibreadd half

of a grilled tomatotothis dish.


10/23

DiaBetes connect.


DiaBetes connect.


We often miss the connectionbetween carbohydrates andvision loss, but for peoplewith diabetes its important tokeep this on the radar.

Vision loss with diabetesoccurs when persistentlyhigh blood glucose levels(BGLs) damage the vesselsin the eyes. What raisesBGLs? Carbohydrates area big co ntributor. However,carbohydrates provide anabundance of nutrients andfibre and should not beavoided to reduce BGLs. Itsmore important to considerthe quantity and type ofcarbohydrate you have.

high gi CarbsThe glycemic index (GI) ofa carbohydrate food tellsus more about the type ofcarbohydrate. Potatoes,white bread and jasmine riceare often said to be no-nos,usually because they have ahigher GI. This means theyraise BGLs more quickly dueto a faster absorption rateand can increase your chanceof elevated BGLs and HbA1c(a three months average ofBGLs) if eaten regularly. Such

elevations increase the risksof complications associatedwith diabetes, includingvision loss.

loW gi CarbsOn the other hand, thereare lower GI foods such assome wholegrain breadsand cereals, basmati rice,pasta, orange flesh sweetpotato, Carisma potato,legumes, reduced fat dairy

and many fruits that can bebeneficial to your health.These foods have a slowerabsorption rate and thereforeallow steady, slower risesin BGLs. This may improveBGLs and HbA1c andactually reduces the risk ofcomplications such as visionloss. Total carbohydrateamount however is still veryimportant.

to Carb or Not toCarb?Carbohydrates are not theenemy, however for peoplewith diabetes it is harder tomanage BGLs when theyreeaten in large amounts.

A well-balanced diet thatincludes healthy carbohydratesis recommended to reduce

your risk of complications.

It is important to includea portioned amount ofcarbohydrates at all mealsand spread these evenlythroughout the day.

To help work out how muchyour body requires, speakto an accredited practisingdietitian by calling 1300 342238.

f d ?

Age-related maculardegeneration (AMD) is themost common cause oblindness in developedcountries and recent studiessuggest early AMD is morecommon in people withdiabetes. It causes a losso clear, central vision byaecting the macula, the parto the eye that allows you tosee ine detail.

The good newsis thatt can be prevented. One of thebest ways to prevent or stop theprogression of AMD in addition

o getting regular eye exams ishrough eating a balanced diet

and maintaining healthy bloodglucose levels (BGLs).

Accredited Practising DietitianKATIE ALLISON gives us threehealthy eating tips on maintaininggood eye health.

1get your oMega-3Studies suggest diets richin omega-3 fatty acids may beprotective against AMD. This isdue to the high levels of omega-3fatty acids found within the eyesretina, which assist cell renewaland development.

Rich sources of omega-3 includeoily fish such as mackerel andsalmon, as well as walnuts andflaxseeds.

2eat your fruits aNdveggies! Nutrients such as vitamin C,vitamin E, zinc, lutein andzeaxanthin have been shown

to play an important role byprotecting the retina fromoxidative damage. People whoeat a diet high in omega-3 fattyacids along with citrus fruits andgreen leafy vegetables have beenshown to have a decreased riskof AMD.

Lutein and zeaxanthin in particularcan be found in foods such asegg yolks, broccoli, spinach andother leafy greens.

3stiCk to loWer gifoodsFoods with a low glycemic

index (GI) such as pasta, lentils,yoghurt, corn and many fruitscause BGLs to rise gradually.This could avoid surges that mayeventually cause damage to themacular.

get theM CheCkedYou may not be aware ofany obvious symptoms of aprogressing eye disease so itsimportant that you have your eyeschecked by a health professionalonce a year. Treatment is availablefor earlier stages of AMD andother vision complications.

food + dietfood + diet

S pag 20 oga cip idas!

W ?Could your sot spot or hot chips, white rice and othercarbohydrates be putting you at greater risk or visioncomplications? Accredited Practising Dietitian LAMEESKAOUTARANI tells us more.

A a glac:fooDs foR healthy eyes

Omga-3s: oil ish,als ad laxsds

Cis is

La gs adgg olks

Lo GI oods


11/23

DiaBetes connect.


food + dietfood + diet food + diet

Easy on the eyesr

t w

. . . !

l w ,

, wPreparation time: 15 minutesCooking time: 5 minutesIngredients (serves 6)

300g dried linguini (wholemeal iyou can ind it)

2 tablespoons olive oil


1 small red chilli, minced

300g broccoli lorets

cup green olives

cup walnut pieces

200g cooked crab meat (cannedand drained is ine)

2 tablespoons 93% at-ree

cheeseas inely grated aspossible

Method1. Cook the linguini in boiling water as perinstructions on the pack; strain and keep warm.

2. While the pasta cooks, heat the oil in a largepan and add the garlic, chilli and broccolitossand stir until the broccoli is starting to go brilliantlygreen. Tip in the olives and walnuts and stir tocombine.

3. Add the cooked, warm linguini and stir well. Tipin the crab meat and gently tossthe crab meatdoes not need cooking so it only needs to becombined with the other ingredients.

4. Serve in large individual bowls with the cheesesprinkled over. A mixed-lea salad dressed withlime juice makes a perect accompaniment.

Nutrition data per serve (based on 6 serves)

Energy 1470kJ; 346Cal; 14g protein;15g total at; 1.5g saturated at; 40g total

carbohydrate (o which 4g are sugars);5g ibre; 240mg sodium. GI: low

fRom HeALtHy LIvInG & entertAInInG: tHe Peter

HOwArD COLLeCtIOn

These recipes are reproduced romHealthy Living & Entertaining: The Peter Howard Collection ($35)and Diabetes: Eat & Enjoy fourth edition ($39.95) with the kind permission o New Holland Publishers.

There are many more great recipes in these books, which you can purchase by phoning 1300136 588 and dont orget to ask about a members discount. I not stocked by your state orterritory diabetes organisation, phone National Publications on 02 9527 1951 (postage applies).

indian lamb in spinach saucePreparation/cooking time: 1 hour 30 minutesIngredients (serves 4)

6 ripe tomatoes or 440g (15oz)can tomatoes

1 tablespoon oil

2 cloves garlic, inely chopped

2 teaspoons inely chopped reshginger

2 resh green or red chillies, inelychopped, or 1 teaspoon mincedchillies

Salt to taste (optional)

500g (1lb) lean lamb, diced

1 teaspoon garam masala

500g (1lb) rozen spinach, thawed,or 2 bunches resh spinach,

inely chopped

Method1. Blend tomatoes in a ood processor.

2. Heat oil in saucepan, add garlic, ginger, chillies andsalt. Cook, stirring, or two minutes.3.Add lamb, mix well, cover and cook over lowheat or 3040 minutes or until lamb is tender. Stiroccasionally.4.Add tomatoes and cook or a urther 10 minutes.5.Add spices and simmer gently or 10 minutes.6.Add spinach and simmer or a urther our minutes.


Energy 1267kJ; 303Cal; 33g protein; 14g totalat; 4.6g saturated at; 6g total carbohydrate;9g ibre; 233mg sodium. GI: low

fRom DIAbeteS: eAt & enjOy fOurtH eDItIOn

Diiias ip:To reduce the at andsaturated at content o this dish, trymaking it with kangaroo instead o lamb.


12/23

food + diet

DiaBetes connect.


Dietitianstip: Lentils are an excellent source of soluble fibre, which canhelp

to manage your cholesterol levels. Managingyour cholesterol levels can help to

slow oravoid the development of retinopathy.

gatfolunch

odinn!

By kate guthRie

Kate is anAccreditedPractising Dietitianat AustralianDiabetes Council.

rcip o o!

This recipe is a quick

favourite of mine for those

who cook for one or two

people!

tuna moRnayPreparation time: 5 minutes

ngredients (serves 2)

1 teaspoon salt reduced margarine

1 tablespoon plain white lour cup reduced at milk

cup reduced atshredded cheese

1 stalk celery

1 cup o rozen pea and corn mix

210g tuna in spring water

2 tablespoon chopped parsley

Method1. In a small saucepan, melt themargarine; stir in the plain lour andcook or one minute. Gradually addn the milk, stirring until sauce issmooth. Continue to stir until sauceboils and thickens.

2. Add in tuna, celery and rozenvegetables. Stir constantly untilboiling. Spoon into a small ovenproo dish and top with gratedcheese.

3. Bake in a preheated oven at

180C or 10-15 minutes or untilgolden brown and heated through.

4. Top with resh parsley to serve.


Energy 1447kJ; 341Cal; Protein 43g; Fat11g; Saturated Fat 3g; Carbohydrate15g; Fibre 5g; Sodium 370mg

Preparation time: 3 minutes

Ingredients (serves 3)100g 97% at-ree chocolate swirl

ice-cream

150g very ripe Cavendish bananas

75g kiwi ruit, peeled

1 tablespoon lemon juice

2 cups skim milk

teaspoon powdered cinnamon

MethodPut all ingredients, except the

cinnamon, into a blender and work

until combined. Pour and sprinklewith cinnamon.


Energy 730kJ; 172Cal; 9g protein;1.5g total at; 0.9g saturatedat; 30g total carbohydrate (owhich 27g are sugars); 33gibre; 100mg sodium. GI: low

fRom HeALtHy LIvInG &entertAInInG: tHe PeterHOwArD COLLeCtIOn

singapoRe nooDle soup

chocolate, Banana anD kiWi fRuitsmoothie

food + diet

Choosig oods ih a loGI ca hlp o maag

o lood glcos llsad ca p o dlah os o iopah.

s ip: For extra ibre andness serve with a side salad org lettuce, cucumber and tomato.


13/23

What are the symptoms?

Retinopathy often has nosymptoms in the earlierstages of the disease when itis most treatable. Thats whyits so important to get youreyes checked regularly by anoptometrist or ophthalmologist,who specialises in eye health.

syMPtoMs, if aNy, MayiNClude:

Blurred or hazy vision

Floaters and flashes

Seeing images as rippled(straight lines appear bent)

Sudden loss of vision

If left untreated, retinopathy cancause vision loss and usuallyaffects both eyes.

aLL eyes on you! Diabetes Connect, w w . h w w w w .

i r r, w d b ?

Diabetic retinopathy defined

Diabetic retinopathy is acommon complication ofdiabetes that affects the smallblood vessels of the retinatheight-sensitive layer at the backof the eyeputting the personat risk of partial or completevision loss. However, thegood news is its treatable ifdiscovered early.

Who is at risk?

Everyone with diabetes is atrisk of developing diabeticretinopathy, but those at thegreatest risk include peoplewho have had diabetes formany years or who have poorlycontrolled diabetes, people withkidney damage and those withhigh blood pressure or highcholesterol.

How often should I gettested?

Optometrist AssociationAustralia (NSW/ACT) CEO,Andrew McKinnon, saysthat its important to have acomprehensive eye examinationwhen you are first diagnosedwith diabetes, and theNational Health and MedicalResearch Council guidelinessuggest at least every twoyears after thatmore often ifrecommended by your healthteam.

If you are at greater risk ofdeveloping retinopathy, or ifretinopathy has been detected,you should have examinationsmore often.

Consult with your health team todetermine your individual needs.

Stages of retinopathy

NoN Proliferative retiNoPathy

This is the earlier stage of the disease, which often displaysno symptoms. The tiny blood vessels in the retina becomedamaged and cause bleeding, leaking of fluids and adecreased amount of oxygen reaching the retina.

Proliferative retiNoPathy

This is the more advanced stage of the disease. Newabnormal vessels develop on the surface of the retina and maygrow into the clear, gel-filled space in front of the retina calledthe vitreous.

These vessels are very fragile and bleed into the centre of theeye, causing severe vision problems. The vessels may alsoproduce large areas of scar tissue on the surface of the retinathat could cause the underlying retina to detach.

Macla odmaMacular oedema occurs when the small blood vessels aroundthe maculathe part of the retina that provides your centralvisionleak fluid. This damages the macula and eventuallyleads to blurry vision.

Andrew says that macula oedema is the most common causeof vision loss in people with diabetes and can develop at anystage of retinopathy.

What someone with normal vision

might see

What someone with diabetic

retinopathy might see

riopah cacas lid spos,lig, ad sid(piphal) isioloss. visio machag om da oda, o ommoig o ig.

DiaBetes connect.


rtinopathyis had to dtct

duin its mosttatabl phasunlss xamindbyan y

spcialist.

feature feature


14/23

t !

Roberta is at risk or visioncomplications because oher longevity o living with

diabetes. She has had type2 diabetes or the last 12years and has a historyo glaucoma in her amily.Because o her increasedrisk o glaucoma, Robertavisits with her optometristannually.

I was vaguely aware of the riskof diabetic retinopathy because

it was mentioned by myGP, however Im not reallysure what it is or what itssymptoms are, Robertasaid.

Robertas not alone.Many people with

diabetesunderstandthere may be

some risks,

but areunfamiliarwith whatthey are.

Learningmoreabout

diabetes complications likediabetic retinopathy can helpguide you in asking the rightquestions during a health exam.

Roberta said she noticed thatvisits with her current optometristlately seemed rushed and weretailored mostly to her prescriptionchanges.

Many optometrist officeshowever will offer comprehensiveexams that will test you forcomplications like glaucoma andretinopathy.

Its been interesting coming to[Dr Calligeros office] because Ithought this sort of equipmentwas only available if you visitedan ophthalmologist, Robertasaid.

Dr Calligeros says that beforemaking an appointment, call arange of optometrists first andask what tests are performed

and what method they use.

In addition to checkingyour vision and adjustingyour prescription, ask if theoptometrists offer the following:

retiNa CheCk

ei ip:Ask them whatequipment they use. Digitalequipment is available at many

optometrist offices, which isthe easiest way to test but maycost you a bit out of pocket(about $55). Some practicesare pushing for it to be coveredby Medicare because so manyoptometrists are converting tothis method of testing.

eye Pressure CheCk

ei ip: Ask them whatmethod they use. A machine thatuses a puff of air to check yourpressure is the most comfortablemethod for some because itavoids anything touching youreye or using local anaesthesiaeye drops.

Step 1

your baCkgrouNd

Dont leave anything out fromfamily and your own medicalhistory the information willhelp guide the optometrist tothe most appropriate diagnosiswhere its needed.

Roberta discussed with DrCalligeros her family history ofglaucoma, the medications shetakes for diabetes and recentimprovements to her health anddiabetes management.

Step 2

PresCriPtioN CheCk

The optometrist will performa standard vision test usingvarious lenses to determine yourprescription and any changes.

If you arent reaching optimalvision during the test withcorrective lenses, he or she willdetermine whether its due togeneral ageing or if there areadditional complications.

The optometrist will also checkyour eyes for signs of cataracts.

Roberta wasnt reaching optimalvision but was given the all-clearfrom Dr Calligeros.

Step 3

retiNa CheCk

The optometrist will use eithera digital camera or a methodof dilating your pupil to look forproblems with your retina.

In Robertas case, Dr Calligerostook a photo of her retinas usingdigital technology and placedthe image on a computer for herto see.

Your optometrist can keep theimage on file and compare

images in the coming yearsto identify any progressingcomplications and catchproblems early.

Roberta again was given theall-clear.

Step 4

eye Pressure CheCk

This procedure checks forglaucoma, which can occurmore often if you have diabetesbut can be treated if caughtearly.

The eye pressure test can bedone either with equipment thatexpresses a quick puff of air intothe eye or by giving the patientlocal anaesthesia drops andusing a tool that gently touchesthe cornea.

The former is considered themost convenient by somepatients but both are safe andmanageable.

Robertas pressure wasrecorded and her optometristwill compare the results nextyear. If it seems to be increasingat an unusual rate, she will be

tested by a glaucoma specialist.

For now, Roberta was given aclean bill of eye-health!

a k , x w . . .The digital test was very easy and interesting because you could look at the image enlarged on a computer screen. Mine showed a

bit of pigmentation so my optometrist will take images over the years to compare it, making sure that the spot doesnt change. The

eye pressure test with the puff of air was really easy! I definitely prefer this test to the test with the eye drops and dye.

Roberta Donnelly from Sydney has type 2

diabetes and a family history of glaucoma.

She gets her eyes checked every year.

When WoulD you neeDan ophthalmologist?

I your optometrist doesntoer some o the more

advanced retinal andglaucoma tests, chancesare an ophthalmologist will.

Ophthalmologists are medicaldoctors who specialisein eye and vision care.

They can perorm the ullspectrum o eye care, romprescribing glasses andcontact lenses to complexand delicate eye surgery.

l d:y W

, w ? Diabetes

Connect , k W, w r

d d e c

nww, s. t w

x.

featurefeature

DiaBetes connect.



15/23

feature

Eye disease can aect all peopleliving with diabetes, even theyoung and otherwise healthy. Youcan reduce your risk and severityo eye damage, but you have tostay on top o it. I learne d this thehard way.

I grew up with diabetes and wasdiligent about getting regulareye screenings until I movedto London for a few years. Mydiabetes team and regularreviews were then replaced withlots of travel!

When I returned home, a routineeye check turned my life upsidedown. I was 26 years old andat risk of losing my sight. I hadadvanced retinopathy.

I hadnt shown any symptoms(most people dont), andproblems with my kidneys wereaccelerating my risk of visioncomplications.

My specialist recommendedthat I immediately enter thetreatment phase for my eyesand I received laser therapy.

The laser essentially decreasesthe overall oxygen requirementsof the retina (the vessels arent

treated at all as this wouldcause a haemorrhage in theeye) leading to regression of thenew blood vessels.

I am now four years post mylaser treatment and at mylast check-up I was given twothumbs up; there has been norecurrence.

I was one of the lucky onesthetreatment saved my sight. ButI have maintained a very closerelationship ever since with mydiabetes team and we all worktogether to aim for my bestoutcomes.

WheN Was your last eyeCheCk?

Regular eye screening is crucialno matter what your age. If it isnot carried out and retinopathyis left untreated it can progressto the stages where vision lossand even blindness can occur. Ascary thought for all, even moreso if youre young.

If advanced or proliferativeretinopathy is present it isimperative to get treatment.Dont put it off; it can help saveyour sight!

k W

w

w 1

w

x.

i Was 26

and at

risk of

losing

my sight

Good o know . . .

Over 98% o vision

loss can be preventedin people with diabeteswith proper managementand treatment.

Studies have oundthat controlling elevatedblood pressure andcholesterol can reducethe risk o vision loss.

Studies have also ound

that intensive managemento blood glucose levelscan help reduce therisk o developing eyedisease by 76% andor those with someeye disease intensivemanagement can slowthe progression by 54%.


Sweet Talk My Life with Diabetes is a six-part TV series that

explores how prominent Australians have overcome the challenges of

diabetes to achieve success.

ACCU-C

HEKandACCU-

CHEKMO

BILEaretrademarksofRoche

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2011Roche

.Forpeoplewithdiabetestakinginsulin

.Useonlyasdirected

.Consultyourhealthc

areprofessionalforadvice

.ROCD0240/DC05/11

The Accu-ChekMobile meter is

absolutely magic.

Its all-in-one

and painless.

Experience whats possible.Roche Diagnostics Australia Pty Ltd. 31 Victoria Avenue,Castle Hill NSW 2154. ABN 29 003 001 205

Barbara Holborow haddreams. First, she had toconquer type 1 diabetes.As a teenager, Barbara Holborow just wanted to be like

everyone else. When she couldnt be, she made the decision

to conquer one of the greatest challenges of her life.

Today, after 65 years of living with diabetes,

Barbara has achieved a successful career as a

Childrens Court Magistrate, author, public speaker

and has been honoured with the Order of Australia

Medal and the Kellion award. She is one of thelongest surviving Australians with type 1 diabetes.

Heartbreaking news

Barbara became ill in 1943, at 13 years of age.

In those days, people didnt really know what the

symptoms of diabetes were. First, I had chickenpox

and I became very ill, she recalls. I was drinking

copious amounts of water. Her parents sent her to

the countryside to recover, however her health didnt

improve, so Barbara was taken to see a doctor,

who confirmed she had type 1 diabetes. I had never

seen my dad cry, but that night, he put his head in his

arms, and cried, I felt so guilty, like it was my fault,

she remembers.

A defining momentAt first I didnt understand the implications. I really

thought youd have some medicine, youd get over

it, and theyd send you home. Little did I know that I

was going to be having injections for the rest of my

life. Making sacrifices was difficult for Barbara.

I wanted to eat like everyone else and play games

like other children. Then my grandmother said

You can sit there and cry for the rest of your life,

or you can get up and just get on with it. It was

tough love. So I made the choice to accept that I had

to live with my condition. Since that day, Ive never letmy diabetes get between me and where I was going,

she says triumphantly.

Gaining the upper handI had plans and dreams, and if I was going to be

successful, I had to stay well, says Barbara. I eat

regularly, and only foods that wont interfere with

my sugar levels. Ive also learnt to relax and step back

from stressful situations. Managing diabetes has

come a long way since Barbara was first diagnosed,

when it was more primitive, difficult and painful than

it is today. Now, Barbara tests her blood glucose

regularly using the Accu-Chek Mobile meter,

which she describes as absolute magic.Its all-in-one, strip-free so no waste, its easy,

fast, and painless, she says.

Barbaras advice

Its very important that your blood sugar levels are

stable. Youve got to be in control of your diabetes,

and not let it control you, Barbara says. Stick to

your diet, have proper doses of insulin, and test

regularly. With the help of the Accu-Chek Mobile,

testing is so discreet, much easier, and faster,

so I believe people would actually want to test more

regularly. This will help keep their diabetes in control

and ensure it doesnt control them.

Conquering diabetes

I think my diabetes has made me the person I am.

If I wasnt a diabetic, I would be a very different

person. And I believe I would not have achieved

what I have achieved. Ive had to conquer

diabetes. And Ive conquered it many times!

For more on Barbara, or to win1of 500 Sweet Talk DVDs, log ontowww.sweettalkdiabetes.com

Or go to www.accu-chek.com.au for information on

Accu-Chek products.


16/23

16 July 2011

year, Diabetes Awarenessk will focus on prevention ofetes and its complications withecic spotlight on eye healthprevention of vision loss.

e and visit us at one of our eventsk to our health professionals,ding Credentialed Diabetesators, Accredited Exerciseologist and Accredited Practicingtians, and pick up an information

klet on diabetes and eye health.

nday, 11 July 2011tin Place, Sydney CBD

esday, 12 July 2011eld RSL

dnesday, 13 Julympbelltown Catholic Club

ursday, 14 Julyrpool Catholic Club

day, 15 Julykstown Sports Club

DiabetesAwareness

Week

For more information call us on

dawrW

brdw:

md 11 J 2011.............................................MARTIN PLACE 9AM - 3PMVisit our information centre andwatch exercise and cookingpresentations from the stage.

Plus, meet at the stage at 11amfor a group walk through theBotanic Gardens!

AUSTRALIAN DIABETESCOUNCIL WAGGA WAGGARESOURCE CENTRE 9AM-5PMInformation day! Come andhave your blood glucose meterchecked and get a 10 minuteconsultation with one of our healthprofessionals.

td 12 J 2011................................................FAIRFIELD RSL 9AM-5PMTalk to our health professionals atthe information stand hosted inthe club.

CONISTON COMMUNITYCENTRE 9AM-5PMVisit us at the centre for aninformation session hosted bydiabetes educators, dietitians andexercise physiologists.

Wdd 13 J 2011..........................................CAMPBELLTOWN CATHOLICCLUB 9AM-5PMTalk to our health professionals atthe information stand hosted inthe club.

AUSTRALIAN DIABETESCOUNCIL WOLLONGONGRESOURCE CENTRE 9AM-5PMCome and get your free bloodglucose meter check.

WAGGA WAGGA LIBRARY10AM-2PMHealth professionals willbe available to answer yourquestions and distribute a rangeof material.

trd 14 J 2011...........................................LIVERPOOL CATHOLIC CLUB9AM-5PMTalk to our health professionals atthe information stand hosted inthe club.

WALLSEND LIBRARY 10AM-2PMHealth professional will beavailable to answer yourquestions and distribure a rangeof material.

frd 15 J 2011...........................................BANKSTOWN SPORTS CLUB9AM-5PMTalk to our health professionals atthe information stand hosted inthe club.

AUSTRALIAN DIABETESCOUNCIL NEWCASTLERESOURCE CENTRE 9am-5pmInformation day! Come andhave your blood glucose meterchecked and get a 10 minuteconsultation with one of our healthprofessionals.

policy

conference

d s

Australian Diabetes Councilwill host a conference atNSW Parliament Houseduring Diabetes AwarenessWeek with attendeesincluding politicians,health policy makersand administrators andresearchers in diabetes fromaround the world.

Through this conference

we hope to influence keydecision makers to drivepolicy for diabetes acrossNew South Wales.

wa o ko mo?Call 1300 342 238

fuNdraisiNg + eveNts

DiaBetes connect.


17/23

Diabetic neuropathy is acommon, potentially debilitating,complication o diabetes thatdamages the nerves in the bodyrom continuously high bloodglucose levels. It aects abouthal o people with diabeteso varying degrees, potentiallyeading to ulcerations and evenamputation.

What if we told you that youroptometrist (yes, optometrist)may soon be able to perform asimple eye test to detect diabeticneuropathy at its earliest, most

reatable stages?Professor Nathan Efron ofBrisbane has stumbled upona discovery that could lead toexactly that.

Professor Efron, who has type2 diabetes himself, said hewas researching how contactenses affect the eye when heaccidentally discovered the newmethod of detecting diabeticneuropathy.

Using the extreme magnificationof a special corneal confocalmicroscope, he was able to seefine, snaking nerves in the corneathat had never been seen before.

In patients with diabeticneuropathy, we see fewer nervesthat are not as bright and morewiggly, he said.

The discovery led him to examinethe links between the nerves inthe eyes and nerves in the restof the body, with the hope todevelop a simple eye test thatpinpoints neuropathy at a very

early stage.

The tests would be quick,painless and can be performedrepeatedly, which isnt possiblewith the existing skin biopsytests, Professor Efron said.

hoW NeuroPathy isMeasured NoW

Neuropathy is typically measuredthrough skin biopsies from the

foot in addition to other teststhat can take up to a weekto complete. It is usually notdiscovered until serious damagehas already been done.

ProPosed NeW Methods oftestiNg

With the new tests, the resultswould come back in just a matterof minutes and would be part ofyour routine eye exam.

Patients would receive a dropof anaesthetic in the eye so amicroscope can capture a 20

second movie for analysis.

Other tests are being looked atsuch as a non-contact methodthat would measure the effects ofnerve degeneration by projectingtiny puffs of air into the eye.

the beNefits of CatChiNgNeuroPathy early

As with virtually all medicalproblems, the earlier it is

ReseaRchthat coulDhelp cuReneuRopathyBrb rrr d w d r

r

detected, the greater chancethere is that it can be rectified,Professor Efron said.

Diabetic neuropathys symptomsoften occur gradually so by thetime you may realise there is anissue, it has already progressedto the more damaging stages thatcould result in things like ulcers,amputation, incontinence andother serious conditions.

Catching it early means youcan start treatment beforecomplications like that occur orget worse.

Current treatment involveskeeping your diabetes andassociated risk factors like yourblood pressure and blood glucoselevels under control, and newdrugs are being developed thataim to cure diabetic neuropathy.

Professor Efron says that whenthe drugs are ready to come ontothe market, we will, using ourmethod, be able to detect nervedegeneration early and thenhopefully cure it.

Professor Efrons research is sosignificant that he was honouredwith the Glenn A. Fry Lecture

Award from the AmericanAcademy of Optometry lastNovember.

More than anything, I feel luckyto have made the discovery. I justhappened to be in the right placeat the right time with the right

idea, he said.

hoW loNg before its areality?

Researchers in Brisbane arealready using the new eye tests toevaluate patients with neuropathyas are researchers in Manchester,UK, and Toronto, Canada.However it could be five to 10years before the tests are widelyadopted as routine procedures.

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researChresearCh


call foR nomination of DiRectoRs

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18/23

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12 Glucostix Reagent Strips 50 Pack

104 MWD Pen Sensor Electrode Strips 50 Pack

Registrants using Glucostix or MWD products should r ing the NDSS on

1300 136 588 to discuss options or a meter upgrade.

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45.36 Clinitest Tablets 36 Pack

30.5 Clinistix Strips 50 Pack

The National Diabetes Services Scheme (NDSS) is an initiative of the Australian Governmentadministered by Diabetes Australia. The NDSS agent in New South Wales is Australian DiabetesCouncil. In NSW, syringes and disposable needles under this scheme are co-funded by the NSWDepartment of Health.

NeWs + iNforMatioNrograMs + iNitiatives

The Indigenous and Remote Eye HealthService (IRIS) is an initiative o the AustralianSociety o Ophthalmologists (ASO) and theCommonwealth Government. Five milliondollars has been granted over our years inorder to reine existing eye health systems,streamline access to unding and improve thecoordination between health proessionals.

traNslatioN!They want to make sure that if youre living in a ruralor less accessible area your eye care specialists arealking to each other, referring to the same notes

and maintaining a coordinated approach so that youbenefit with healthier vision.

Where is the Curr eNt ProbleM?RIS National Chairman, Brisbane ophthalmologistDr Mark Loane, explained that problems in somesystems occur when one health professional may failo pass on patient information.

For example, an optometrist may fit a patient fornew glasses but might not pass on other informationo the patients ophthalmologist that might lead to

earlier diagnosis of a more serious condition.

On the other hand, the ophthalmologistmay also not pass on valuablenformation to the patients optometrist.

Technology is getting to the stage nowwhere whole systems can be analysedand everyone can refer to the samenotes, he said.

MProviNg existiNg systeMsDr Loane said theyre not trying to reinvent thewheel but instead trying to polish systems thatalready exist.

There are a number of health professionals involvedn delivering eye health services throughout thecountry including optometrists, ophthalmologists,

general practitioners and the Flying Doctor serviceall working with the government and of course thepatients themselves.

We want to create a coordinated eye healthapproach involving all of these health professionalservices to people in Australia in or close to their owncommunities.

What do We thiNk?Principle Health Strategy Executive at AustralianDiabetes Council, Dr Lilian Jackson, says theprogram has potential to improve patient care.

I believe that improved communication betweenhealth professionals certainly could lead to betteroutcomes for patients, she said.

Those involved in IRIS are working hard to make asmuch positive change as possible in the four yearsthat its funded, Dr Loane said.

We are very aware that whatever we put into placecould pave the way for future eye healthcare, so webetter try and get it right the first time.

Diabetes Connect w

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A Western Australia study ound 31% o indigenousAustralians with diabetes had retinopathy, compared

with 20% o non-indigenous Australians.

One likely culprit: Diiculty o access into rural areas.

Dr Mark Loane (at

rear) stands with a

group of patients in

Cape York after they

received cataract

surgery.

DiaBetes connect.



19/23

rograMs + iNitiatives

get connecteD -linking life & type 1

a d c

w 1 (18-35 ).

maRch event a success!

The Linking Life & Type One information night inMarch brought young adults living with type 1diabetes together to meet, mingle and learn moreabout type 1 management.

Professor Stephen Twigg spoke about fittingdiabetes into a busy, young-adult life, stressingthe importance of self management and having asolid support team.

Matt Vogel, a triathlete living with type 1 diabetes,reaffirmed the importance of a team approachthrough his story about cycling across Americaand winning the Team Type 1 cycling race.

Australian Diabetes Council sends its thanksto Professor Stephen Twigg and Matt Vogel forcoming to share their stories.

The next information night is scheduled for 16June and is focused on insulin pump therapywith Dr Sophie Chan and the team from RNSHDiabetes Centre.

Call the customer care line for more informationon upcoming type 1 events: 1300 342 238.

PrograMs + iNitiative

About 50 participants attended the event in March

to learn more about type 1 diabetes management

and meet others managing the condition. Australian

Diabetes Council staff are looking forward to continuing

these events so check back with us about upcoming

sessions.

yvonne sutton - 60 yeaRs

& Eric Sutton - significant carefor 50 years

Yvonne was diagnosed with type1 diabetes at the age o 16 whenshe had been craving chocolateand drinking lots o water.

Yvonnes GP organised or herimmediate admission to hospital

ollowing her diagnosis; she then continued toattend a diabetes clinic. Yvonne loves gardeningand reading and doing her needlework whenshe can. Eric began caring or Yvonne in 1957ater they were married. This March, Yvonne waspresented with her gold Kellion Medal and Eric withhis certiicate o recognition or being her carer or50 years..

michael DoDDs - 50 yeaRs& Jann Dodds - Significant carefor 30 years

Michael was diagnosed with type1 diabetes at the very young ageof four. He helped others withdiabetes as a young adult whenhe worked with a youth group

known as the Injectables. Together with thesiblings of the young people with diabetes, theInjectables enjoyed many tenpin bowling events.

At the age of 20 Michael became a board memberof the Diabetic Association of NSW, serving forone year and playing his part in the organisationthat is today Australian Diabetes Council. ThisMarch, Michael was presented with his silverKellion Medal and Jann with her certificate ofrecognition for being Michaels loyal carer.

Australian Diabetes Council congratulates therecipients and their families and wishes them wellwith their continued journey.

If you or anyone you know would like to apply fora Kellion Victory Medal, please contact MargaretBouhabib, Manager, Support Groups on1300 342 238.

p

w 50 The Kellion Victory Medal is a tribute toClaude Kellion, a man who played animportant role in the establishment oa source o private unding or diabetesresearch and prevention. The awardrecognises a persons victory over diabetesand his or her success in managing it.

Claude was committed to the care and support ofall people with diabetes, and for many years theKellion Diabetes Foundation was the only privatesource of funding for diabetes research in Australia.

All Australians who have had diabetes for 50 yearsor more are eligible for a Kellion Victory Medal.

Along with the emotional rollercoaster that occurswhen a person is first diagnosed with diabetes,

recipients of the Kellion Victory Medal grew upbefore home glucose monitoring and would haveendured injections with primitive, old-fashioned,heavy needles.

With the help of family, they tested their bloodglucose levels by boiling their urine with a liquidknown as Benedict solution over a Bunsen burner.

CertifiCate of reCogNitioN for CarersAustralian Diabetes Council realises, too, thesignificant role that is played by carers in themanagement of a persons diabetes.

The carers certificate recognises many yearsof love, dedication and support and the positivedifference they make to their friend or familymembers life.

maRilyn shaRp - 50 yeaRs

Marilyn was diagnosed with type1 diabetes on the day beore her15th birthday. She was admittedinto hospital in pain with what wasthought to be a burst appendixbut instead it was ound thatMarilyn had diabetes. Marilyns

dad, Lawrence ODonnell, was proud to be therewhen Marilyn was presented with her silver KellionMedal last September. Marilyn said that she hasmanaged her diabetes well and has lived a veryactive lie.

linDy schaefeR anD ann coe- 60 yeaRsIt was with some sadness that

Ann Coe accepted a certiicate orecognition this January on behalo her late twin sister, Lindy, orsurviving diabetes or almost 60years. During that time Ann wasLindys main carer and was also presented with acertiicate o recognition or being Lindys carer oralmost 60 years. Lindy was diagnosed with type1 diabetes at the age of 34 when she had juststarted a new job.

John staveRt - 50 yeaRs

At the age o 14, instead oattending a jamboree or the dayas a member o the Boy Scouts,John was being diagnosed withtype 1 diabetes. As the Convenoro the Australian Diabetes CouncilHornsby Support Group, John

continues to provide support to other peoplewith diabetes in his local community. He has alsovolunteered with the Rural Fire Service or almost30 years. John was presented with his silver KellionMedal in February at a support group meeting.

Joe BaueRhuit - 50 yeaRs

Joe was diagnosed with type 1diabetes as a young adult. Hiswie, Margaret, has been a big parto Joes diabetes journey and willsoon be receiving a certiicate orecognition. Joe is looking orwardto being presented with his 60 yeargold Kellion Medal and has cheekily asked to receiveit beore his good riend, John Stavert (above). Thereis just a little bit o healthy competition there!

DiaBetes connect.



20/23

NeWs + iNforMatioN

or w brb:h

Db saWhats on offer

Diabetes SA has beendelivering services to peoplewith diabetes and theirfamilies in South Australiasince 1953. Membersreceive free access anddiscounts to over 30different education programsincluding supermarkettours and exercise classesrun weekly. Members alsoreceive 20% off all DiabetesSA product purchasesfrom the retail shop.

Whats new

Its even easier now totake advantage of memberbenefits through the launchof the new Diabetes SAwebsite at www.diabetessa.com.au. It provides a one-stop shop for productorders, diabetes information,education sessions, memberspecials and much more.

Db actWhats new

Diabetes ACT has recentlybecome the 20th DAFNE(Dose Adjustment forNormal Eating) centre in

Australia. DAFNE is a trainingprogram in flexible insulinmanagement to enabledietary freedom in peoplewith type 1 diabetes. TheDAFNE approach has beenshown to lead to sustainedimprovements in treatmentsatisfaction, psychologicalwellbeing and improvedglycaemic control withoutworsening hypoglycaemia.

The skills training approach inDAFNE enables participantsto match insulin doses tounrestricted food choiceswhile keeping their bloodglucose close to normal. TheDAFNE course in Canberrawill be offered by DACT thismonth with plans to offer sixmonthly courses in the future.

arDb cWhats new

Australian Diabetes Councilcommitted $5 million over thenext five years last Novemberto the establishment of aChair of Diabetes at theUniversity of Sydneys Centrefor Obesity, Diabetes and

Cardiovascular Disease.

Vitality Workplace Health

Vitality is a workplace healthylifestyle program that bringsexperts to your workplace toprovide healthy living advice.

Beat It program

Beat It is a progressiveexercise program aimedat reducing your risk ofdiabetes, heart disease,stroke and cancer. Beat Ittrainers are certified andtrained by Australian DiabetesCouncil health professionals.

h l ntWhats on offer: Healthy Living NT offers a range of services for peoplewith diabetes and related chronic conditions such as: membershipservices, advocacy and lobbying, diabetes and cardiac education, accessto subsidised products by the NDSS, support groups, a free syringeprogram, access to an extensive range of products and literature and more.

A glimpse at diabetes services: Type 2 diabetes and impaired glucose tolerance Getting Started Goup;Gestational diabetes education sessions; Type 1 diabetes education and support for adults and children.

A glimpse at cardiac services: Inpatient hospital education; Healthy Heart Program including exerciseand education; Maintenance program including education and ongoing exercise classes; Individualconsults; Pre-procedure consults for people travelling interstate for a cardiac procedure.

www.db.. | www.db-.. |www.rdb . | www..r.

NeWs + iNforMatioN

anotheR Reason to kickthe haBit

This March, scientists reportedhe first strong evidencemplicating nicotine as the mainculprit responsible for persistentlyelevated blood glucose levelsand the resulting increased risk ofserious health complicationsinpeople who have diabetes andsmoke.

n a presentation at a meeting ofhe American Chemical SocietyACS), they said the discoveryalso may have implications for

people withdiabetes whoare usingnicotine-replacementtherapy forextendedperiods in anattempt to stopsmoking.

you aRe What youRmotheR ate

A new Universityof Cambridgestudy providesimportant insightinto why childrenborn to motherswho consumedan unhealthy

diet during pregnancy have anincreased risk of type 2 diabeteslater in life.

Previous research has shown thata certain gene plays an importantrole both during developmentof the pancreas and later in theproduction of insulin.

The researchers hypothesisedand found that diet duringpregnancy influences theexpression of this gene later inlife, thereby influencing the risk ofdiabetes.

potential anti-ReJectionDRug foR insulin celltRansplantation

Australian scientists at SydneysGarvan Institute of MedicalResearch have developed areagent with the potential toprevent rejection of transplantedinsulin-producing cells into peoplewith type 1 diabetes one ofthe most promising immunologydevelopments in recent years.

The researchers said that if thedrug works in people as it has inmice then they would only have totake the drug for a brief time aftersurgery, and then the transplantwould be fine for life.

The drug is stillundergoingtesting andis not yetavailable to thepublic.

DiaBetes connect.


21/23

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5 6 7

8 9

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15

20

16 17 18

19

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25

26 27 28

29 30 3231

33

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Across

2. Small, urry Australian marsupial6. Conclude, entire8. Old, not resh9. To do charitable or helpul work

without pay10. Bus station11. Untamed, savage13. Shameless, bold14. Author o Cloudstreet, Tim...17. Spectacles19. Modest, reserved in manner20. Upward thrust, encouragement22. New Zealand city hit by earthquake

in 201126. Track running through SA and NT28. Tropical ruit29. Popular social networking website31. Root vegetable33. Federal Treasurer, Wayne...34. Body organs that lter fuid35. Artists tripod

Down

1. Australian boxing great, Lionel...2. Smooth or clean eathers3. Oer or consideration or action,

propose4. Very small5. Royal Wedding couple, William and...7. Bushranger in the Uralla region,

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time o going to print), Black...23. Predator o the ocean24. Funny25. Corn kernel exploded by heat27. Become visible30. Sot French cheese32. Say

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DiaBetes connect cRossWoRD puzzle(wr b d b )

o LIgHteroN the lighter side

There were a couple o errors inthe autumn 2011 Diabetes Connectcrossword. Please accept ourapologies we clearly didnt have oucoee that day!

#2 down, Question: path, course.Answer: Track.

#8 across, Answer: 4WD.

The mysterious white boxes comingo #15 across were included bymistake!

This time there are more questionsand answers or you to really getstuck into, and we promise theyre althere!

crosswordCorrectio

oN the lighter side

DiaBetes connect.


This March, not only didPeter Allott achieve a lielong

goal o participating in theNew Zealand Ironmanevent, but he also raisedsigniicant unds or a causevery close to his heart.

Peters father has type 1 diabetesand so he is familiar with thechallenges involved in managinghe condition. He said he sawhe Ironman competition as

an opportunity to help othersaffected by diabetes.

After nine months of earlymorning training sessions, Petercompleted the race in 12 hours,hree minutes and 11 seconds.

The feeling of coming down thatinishing chute and seeing [myamily], and crossing through theinishing arches was one of the

proudest moments of my life,

Peter said.

With support from friends andamily, Peter raised an amazing

$10,522!

Australian Diabetes Councilwould like to thank Peter and hisriends and family for supporting

our cause. Congratulations onhe enormous achievement of

completing the New Zealandronman.

Ronman RaisesoveR $10k foRDiaBetes

W ?

cash RaffleWinneRsAustralian DiabetesCouncils irst cash raleraised $110,000!

Money raised will providefinancial assistance to diabetesprograms such as childrenscamps and educationalresources and events.

The winners of the raffle were:

first PriZe ($20,000)

Mr Robert Hallahan

seCoNd ChaNCe draW(iPod shuffle)

Mr Victor Quintanilla

Buzz Ball12 novemBeR

Help bring diabetes tolight at the annual BuzzBall this November atthe Grand Ballroom,Westin Hotel Sydney.

The gala event will feature liveauction items, raffles and some

great entertainment with everydollar raised going towardsAustralian Diabetes Councilswork to make a positive differencein the lives of people livingwith or at risk of diabetes.

tiCkets

Tickets are just $250 per personor $2500 for a table of 10.

To book your seat,email [email protected].

JunioR hunteRcamp 3-6 July

The Hunter Camp is orchildren aged 8-13.

About 40 children with type1 diabetes will attend a four-day camp to increase diabetesknowledge, gain confidence,develop skills in giving injections,manage pumps, and learn moreabout hypoglycaemia, monitoringand making healthy food choices.

For more informationcall 02 4929 6970.

Buzz Day16 septemBeR

Once again we will behitting the streets to sellBuzz Day products to raiseunds or support andresearch in diabetes.

There will be a great range ofproducts from super cute BuzzBears to functional pens andkey rings. If you are interestedin volunteering to sell itemson the day or to take a box ofmerchandise to sell to yourfriends, family and colleaguesplease email us at [email protected].


22/23

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@. gpo bx 9824 s nsW 2001.

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to puRchase a copy of any of the listeD Books, call

youR state oR teRRitoRy DiaBetes oRganisation on 1300136 588 anD Dont foRget to ask aBout special memBeRs

Discounts. if not stockeD By youR state oR teRR itoRy,

contact the national puBlications Divisio n 02 9527 1951oR [email protected]. minimum $8 postage applies.

error iN autuMNs ProduCt listiNg

There was an error in the autumn edition ofDiabetes Connect regar

diabetes connect winter 2011 nsw lowres final

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