November2014mag

NOVEMBER 2014

The official magazine of

Going Blue for Breakfast

South City Health Pharmacy

91 Kahikatea Drive, Hamilton

Phone 07-834 4266 — Fax 07-834 4267

Supporters of Diabetes NZ Waikato

We carry an extensive range

of supplies for people with

diabetes

Our trained staff are here to assist whatever your requirements

Talk with us first...Julie Bunn M.P.S. and the friendly staff

at

South City Health Pharmacy

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Volume 22 November 2014 Issue 6

Your Blood Pressure, The Silent KillerDiabetes NZ Waikato “Goes Blue for Breakfast”A Guide for Researching Health Concerns on the Internet

Indulging makesDieting Success more LikelyStudy Assails Misleading Health Claims about “Alternative” BeveragesBP Control has Benefits for Type 2s

Within Hamilton, telephone 838 0127 and let the office organise a ride for you.[PLEASE CALL EARLY RATHER THAN LATE]

Everybody WelcomeBring along your family, whanau and friends

A small plate for supper is greatly appreciated

TUESDAY 25 Novemberat 7.30 pm

in the

Chartwell Church Lounge(St Albans) Comries Road, Chartwell

CATHERINE SWIFTEducator for Athritis New Zealand

talking about arthritis and the link between diabetes and arthritisCome along and learn more.

Next Support Group Meeting...

Guest Speaker

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EASY ACCESS TO DNZ WAIKATO WEBSITEScan this Quick Response (QR) code with your iphone / ipad / or any device with a barcode scanning App, to be linked directly to the DNZ Waikato website.

the Committee wishes you and your

family a very joyous festive

season and look forward

to catching up with you

again in the New YearMurray, Joan, Sylvia, Robin, Tony, Tim,

Donna and Jenny.Please note the Society office will close at 4.00 pm on Friday 19 December and will reopen at 9.00 am

on Monday 12 January

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DO WE HAVE YOUR CORRECT EMAIL ADDRESS?This issue of Dietwrite is being emailed to all members whose email address we have on record.

IF YOU DID NOT RECEIVE YOUR COPY…then this was most likely due to one of two reasons:1 we don’t have your email address, or2 the email address we have on record is incorrect

PLEASE SEND AN EMAIL TO: [email protected] stating in the subject line “emailed magazine not received” and list your name and address details in the message field.

Also:IF YOU DID RECEIVE A COPY but are unable to open it…This may be due to your computer software not being up-to-date.

PLEASE SEND AN EMAIL TO: [email protected] stating in the subject line “can’t open emailed magazine” and list your name and address details in the message field. We may not be able to help you with this problem but it will enlighten us to the size of the problem.

So you’ve received and successfully opened your emailed copy of Dietwrite, but are not sure how to navigate through itTurning pages – just click your mouse to the left or right of the page, or use the left

or right arrow keys on your keyboard.To Zoom in (or out) – click your mouse on the page.To move around the page – move your mouse across the page in the direction you

want to scroll.

Happy Reading If you have enjoyed reading Dietwrite this way tell us about it. Send us an email ([email protected]) and let us know what you think.

FOOTNOTE: If you don’t have an email address and/or would prefer to continue getting a hard copy of Dietwrite, then do nothing and you will still continue to receive Dietwrite as usual.

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Diabetes NZ Waikato Branch Officers

President Murray DearVice President Joan LimmerSecretary Sylvia Baker Treasurer Robin FultonCommittee Tim Atkinson,

Javed Chaudry and Tony Hitchins Other personnelOffice Manager Donna VeField Officer Jenny WestDietwrite production & printing Tim and Mary AtkinsonWebsite Coordinator Peter CawkwellSupport Group Coordinator Jenny West Cultural Advisor Rangi Manihera

Diabetes NZ Waikato Postal Address: PO Box 4086, Hamilton, 3247

— Office Location — 16 Von Tempsky St,

Hamilton East, Hamilton, 3216(opposite Southern Cross Hospital)

Phone: 0-7-838 0127 Fax: 0-7-838 0807Email: [email protected]: diabeteswaikato.org

The office is attended 9.00 am – 4.00 pm

Monday, Wednesday & Friday(excluding public holidays)

Tuesday or Thursday by appointment onlyPublished by: Diabetes NZ Inc, Waikato Branch, PO Box 4086, Hamilton. Typeset, formatted and printed by: Fraser High School Print Services.

Our President ReflectsHello EveryoneI am pleased to advise that we

had a good attendance at our AGM. I was re-elected as President and Joan Limmer as Vice President. Tim Atkinson and Tony Hitchins were re-elected to the committee with Anna Cox and Kelly Taite elected as new committee members. Both Anna and Kelly have children with type 1 diabetes. Sylvia Baker and Robin Fulton did not stand for re-election but are continuing in their roles as volunteers until replacements can be found. In this regard we have advertised the positions of Secretary and Treasurer with Volunteering Waikato.

The low cost foot clinic has been very successful and it is proposed to continue this service next year subject to funding. This joint venture with

Arthritis New Zealand and Waikato Podiatry, sponsored by Pfizer, has identified gaps in the funded podiatry service available for people with diabetes.

Our main activity for Diabetes Awareness Week was “Go Blue for Breakfast” on World Diabetes Day, Friday 14 November. With Lions Club volunteers we handed out 300 goodie bags with healthy breakfast food items and diabetes information, between 7.30 and 9.30 am in the Civic Square, outside the Hamilton City Council building. There is good evidence that a healthy breakfast helps people with diabetes self-manage their condition.

Fundraising for the children’s camp in January 2015 has been most successful.

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FUNDINGWe are pleased to acknowledge

the following organisations that have provided funding for Diabetes NZ Waikato during the past 12 months.• COGS• Cambridge Union Parish Op Shop• Hamilton Workingmen’s Club• Regional Lions Clubs• NZ Lottery Grants Board• NZ Post• SKYCITY Hamilton Community Trust• The Page Trust• The Lion Foundation• The Waikato Lyceum Chartable Trust• Trust Waikato• Waikato WDFF Karamu Trust• WEL Energy Trust

Want a Print-out of your Test Meter Results?Diabetes NZ Waikato can now printout your blood glucose results for CareSens, and MediSense OPTIUM test meters

Go to:

Von Tempsky Street (0pp Southern Cross Hospital) Hamilton East

Check out our website at

www.diabeteswaikato. orgDISCLAIMER

The opinions expressed in stories and claims made in advertising materials presented in Dietwrite, are those of the authors and advertisers respectively and do not necessarily reflect the views of diabetes nz waikato unless so stated. Whilst every effort has been made to ensure the accuracy in this publication, we accept no liability for errors of fact or opinion expressed herein.

In addition to grants and donations, the Hamilton Golf Club raised nearly $5,000 from two charity golf tournaments. This has mainly been due to the efforts of Ian Schultz who has a son with type 1 diabetes.

I have just returned from two days in Wellington attending a Diabetes New Zealand Advisory Council meeting and the National Conference and AGM. The Advisory Council meeting was my last as I have now completed my two year term as Upper North Island Regional Representative. I will still represent Waikato branch on the Regional Committee.

This year, the National Conference was held as a one day event in conjunction with the AGM. I am pleased to report that Diabetes New Zealand continues to support the interests of people with diabetes at a national level, through consultations with the Ministry of Health, Pharmac, Members of Parliament, and other interested parties. The National Conference was well attended and concluded with a call to action from former All Black, Wayne (Buck) Shelford.

Murray Dear

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Want a Print-out of your Test Meter Results?Diabetes NZ Waikato can now printout your blood glucose results for CareSens, and MediSense OPTIUM test meters

Go to:


Oct 25, 2014: Blood pressure control may be more important than glycaemic control in preventing diabetes-related deaths, according to the results of a new study.

Researchers who headed the ADVANCE trial, the largest diabetes trial ever conducted, focused on high blood pressure and blood glucose control and the impact controlling both had on mortality rates for diabetes.

The study, which included patients from 20 different countries, focused on certain drugs – specifically Preterax to treat hypertension and Diamicron, a sulfonylurea to control blood glucose - to treat the complications associated with diabetes.

During the initial study – as well as during a follow-up six years later, researchers found that blood pressure control reduced both cardiovascular incidents and overall mortality for diabetes patients, while tight blood sugar control did not show similar benefits.

Previous studies have shown that diabetes patients with high blood pressure have a greater risk of complications, and that lowering hypertension could also reduce the risk of those complications.

Blood glucose levels, have long been associated with many of the complications associated with diabetes, but the results of the ADVANCE study may cause researchers to take a second look.

“Among pat ients wi th long-standing type 2 diabetes, blood pressure-lowering treatment with perindopril-indapamide resulted in small but significant long-term benefits in respect to mortality from any cause and from cardiovascular causes,” researchers summarized. “On the other hand, strict glycaemic control did not provide any long-term benefits with respect to mortality or major macrovascular events.”

The study appeared in the New England Journal of Medicine.

Source: diabeteshealth.com

Your Blood Pressure, The Silent KillerBy Brenda Neugent

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Taps No: CH3147

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Cover Story

Diabetes NZ Waikato “Goes Blue for Breakfast”

Diabetes NZ Waikato Branch celebrated World Diabetes Day on 14 November with a “Go Blue for Breakfast” at Hamilton’s Civic Square.

Commit tee m e m b e r s , volunteers and Field Off icer J e n n y We s t h a n d e d o u t 3 0 0 h e a l t h y breakfast bags between 7.30am and 9.00am to people passing through the Civic Square. Each bag contained Weetbix, donated fruit, a cracker & cheese snack, plus a bottle of water together with a national Diabetes magazine and information on healthy eating.

Hamilton Riverside, Hamilton Chartwell and Te Awamutu Rosetown, Lions Club members provided valuable assistance on the day collecting donations and handing out breakfast bags. The support of Lions Clubs New Zealand for World Diabetes Day is greatly appreciated.

Also in attendance on the day was Max Weinberg from Sport Waikato promoting

the Green Prescription programme and local Pharmaco representative Maree Burley. An advertorial was placed in the Hamilton Press to promote the event and Branch President Murray Dear was also interviewed on radio FreeFM.

The “healthy breakfast” message was appreciated by all those who received a bag on the day.

We would to extend a special thank you to our donated fruit sponsor, Sundale Fruit Orchards PickMee Apples.

Also a special thank you to the children who turned up to help before school: Teata Kohu Neha, Charlie Cox, Emily Cox, Madeline Cox and Thomas Srhoj.

Diabetes Field Officer, Jenny West (left), and some of her helpers setting up for “Go Blue for Breakfast” in Hamilton’s Civic Square.

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Items available from Diabetes NZ Waikato Accu-Chek Multiclix and replacement drum Lancets

CareSens Test Meters (a full range)

Test Wipes Health Socks Ladies and mens – both wool and cotton in

a variety of colours We have a BIG supply of winter socks in

store

Bed Socks - Woollen

Books - A range of cookbooks, including the NZ Diabetes Cookbook (by Simon and Alison Holst)

Foods - A range of Jams, Jellies, Chutney & Sauces

Glucose Products Dextro Tablets & Hypo-fit

Merino – Natural Lanolin Skin-Care products

PedometersPhone your order to 838 0127, or drop in to the office and let our staff help you

Visit us at

16 Von Tempsky Street (opposite the Southern Cross Hospital) Hamilton East

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Nov 6, 2014: What is the difference between “good carbs” and “bad carbs”? Is that ache in your side normal or a sign of cancer? Is blurry eyesight normal for people with diabetes, or should you start a carrot diet to improve your vision?

When you have diabetes, you are thrust into many medical mysteries. The disease is complicated and confusing. You need to have an understanding of hormones, nutrition, medicine, exercise, eyesight, foot health, and so much more. Where on the Internet can you find accurate answers to your health-related questions?Start with your doctor

Ask your doctors where they find the most up-to-date and reliable online information on diabetes-related concerns. Keep in mind that your provider might suggest websites that are geared toward medical professionals. If you come across an article that you have a hard time deciphering, take a copy to your next appointment and ask your doctor to help you interpret it.Look for credibility

First, an article is more credible

when it is current, not outdated. New research is constantly revealing new health-related findings and making old ideas obsolete. Second, seek out articles that are written by an experienced and educated writer. I’ve seen numerous questionable articles written by people who sign only a first name and don’t provide a link to their credentials. Anyone can write anything online, so be cautious. Finally, make sure that the article cites sources. Statistics are easily manufactured, so rely on articles that spell out where their information was found.Beware of advertisements disguised as articles

If an article attempts to sell you a solution to your problem, such as a medicine or a special pair of shoes, and you can buy that item directly from the article’s website, seek your information elsewhere. Reliable articles focus on an idea, like foot pain, and offer multiple potential solutions rather than propaganda supporting a product. Before you ever purchase a diabetes-related “fix,” talk to your healthcare provider to be sure that what you are planning to

SEARCHING FOR ANSWERS

A Guide to Researching Health Concerns on the InternetBy Rachel Garlinghouse

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buy is helpful and legitimate.Opinions are like noses; everybody has one

Even among articles written by medical professionals, there is a wide range of opinions about how to solve or better your medical situation. Some doctors are pro-herbal medicine. Others believe firmly in the assistance of the pharmaceutical industry. One dietician might swear by a low-carb diet, while

another insists that you can eat anything in moderation. Research often and extensively, and present your findings to your doctor to gain further insight.

The ultimate responsibility for your good health falls upon you. Using online articles is just one way that you can empower yourself. Choose whom you trust wisely and carefully, and educate yourself in confidence.


Indulging Makes Dieting Success More LikelyBy Brenda Neugent

Oct 14, 2014: If you’re trying to lose weight, depriving yourself of the foods you love may seem virtuous, but could make you more likely to fail in the long run.

Acco rd ing t o r ecen t research, dieters that indulged in occasional unhealthy treats were more likely to reach their goal weight than those who didn’t.

Weight Watchers surveyed 2,600 of its members – half of whom have lost at least 10 percent of their body weight – and found that three quarters of them planned treats during the week to help them stay on track, while a third incorporated a daily treat into their diet plans.

The majority of respondents – 94 percent – thought that treats made them more likely to stay on track, which is likely true given that half of those who did not include treats reported that they gained weight.

“The common misconception is that you need to deprive yourself of the food you love in order to see weight loss success,” said Zoe Griffiths of Weight Watchers UK. “But the reality is, as soon as you tell yourself that you can’t have that glass of wine in the evening or a dessert after dinner, you start to want it even more.”

Instead, by allowing treats, dieters learn how to sustain a healthy diet for life, making them more likely to not only lose weight, but also keep it off, she said.


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Aug 27, 2014: Berkeley, CA: While sales of sodas are slipping, the huge category of alternative sugary beverages, which includes energy, sports, tea and fruit drinks, is growing rapidly, bolstered by false and misleading health claims, according to a study just released by the University of California, Berkeley.

Researchers at the Atkins Centre for Weight and Health at UC Berkeley investigated the growing and often confusing list of supplements added to sugary drinks to determine their effects on their most common consumers – children and teens. Their findings: In most cases, they provide little or no health benefits. In some cases the added ingredients may actually be dangerous, and in virtually all cases, manufacturers attempt to put a “health halo” over what is an otherwise unhealthy sugary beverage.

“Despite the positive connotation surrounding energy and sports drinks, these products are essentially sodas without the carbonation,” says lead author Dr Patricia Crawford. “Rather than promote health as claimed in advertising, these drinks are putting our children’s health at risk.”

Crawford’s study takes the first comprehensive, scientific look at 21 popular sugary drinks touted by manufacturers as “health and strength enhancing” to understand their potential impact on the young people who primarily consume them. Across the board, the significant sugar and calories they deliver are very troublesome, and the study draws special attention to the additives that are typically marketed

as health and performance-enhancing: caffeine, non-caloric sweeteners, sodium, vitamins and minerals, and other supplements such as guarana, ginseng, taurine, gingko biloba and ginger extract.

Of these five, Crawford cautions, only ginger extract is classified as “likely safe” for children by the [US] National Institutes of Health, National Centre for Complementary and Alternative Medicine. The health impact of the majority of added ingredients has not been studied in children, and some have known harmful effects if consumed in high quantities by adults. Also of concern is the synergistic effect of these ingredients, in addition to the harmful amount of sugar they contain. Caffeine, for instance, when blended with guarana increases the physiological effects of the caffeine in the beverage.

Because caffeine is a mainstay of many of these products, marketers promote them as improving energy, concen t ra t ion , endurance , and performance. The study, however, documents that these beverages may have the opposite effect, increasing stress, nervousness, anxiety, headaches, insomnia, tremors, hallucinations, and

UC Berkeley Study Assails Misleading Health Claims about “Alternative” Beverages

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seizures, while reducing academic performance. In fact, over-consumption of these products has led to caffeine intoxication in teens, and contributed to elevated blood pressure, cardiac arrhythmia, and even death.

“Under the guise of offering the public more choices, beverage manufacturers are using a ‘health halo’ to attract increasingly health-conscious consumers of all ages back to sugary drinks,” says Dr. Harold Goldstein of the California Centre for Public Health Advocacy (CCPHA), which commissioned the study. “Their health marketing claims are the 21st-century equivalent of selling snake oil.”

I n m a n y c a s e s , b e v e r a g e manufacturers add ingredients that are popularly considered healthful, such as vitamins and minerals. However, they fail to inform consumers that these vitamins are best supplied through the average diet. As a result, the study says

people may be consuming vitamins and minerals at higher levels than necessary, while also adding significant amounts of liquid sugar to their diet.

Recently, a 14-member, national expert panel convened by the Robert Wood Johnson Foundation published its Recommendations for Healthier Beverages report recommending that the healthiest beverage choices for children

and adolescents are plain water, non-fat or low-fat milk, and 100-percent fruit or vegetable juice in small quan-tities. Crawford concludes: “The m a r k e t i n g o f

fortified beverages as beneficial or health-enhancing is premature at best and deceptive at worst. The beverages discussed in this report contain ingredients that have not been shown to provide the benefits that are claimed for them, and many of which have not been proven safe for consumption by youth.”


… over-consumption of these products has led to caffeine intoxication in

teens, and contributed to elevated blood pressure,

cardiac arrhythmia, and even death.

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Oct 28, 2014: A new study suggests that type 2 diabetics who want to avoid heart attacks or strokes should rigorously control their blood pressure. Doing so for an extended period of time seems to pay off years later.

Tight control of blood glucose levels, on the other hand, didn’t seem to have similar benefits for the subjects in the study. This finding may seem counterintuitive, given all that we know about the benefits of keeping A1C levels low. However, digging into the research gives us some clues about what’s going on here.

The patients followed by researchers had already completed an intensive, five-year clinical trial lowering blood pressure and blood sugar. That was called the ADVANCE trial, and it showed advantages to getting both numbers down. Scientists then wanted to find out if these benefits lasted after the trial was over. They followed the patients for nearly six more years.

There were long-lasting advantages for those who controlled their blood sugars. For one thing, they were less likely to have kidney problems or other complications from the disease.

“Probably the five years of

treatment we gave them led to changes in the kidney that continued to protect people for many years after,” said Dr Bruce Neal, a professor of medicine at the University of Sydney in Australia and one of the researchers.

However, in handling heart attacks and stroke risk, it looked as though lowering blood pressure was the most effective treatment for the study’s patients over the long haul. The target numbers were 135/75, and patients saw continued – although reduced – benefits years later.

It’s important to note that the subjects involved were not type 1 diabetics. There is direct evidence that shows tight glucose control can improve their cardiovascular health. However, the people involved in this

study weren’t even using insulin. They instead mostly took drugs called sulfonylureas. This older class of medication lowers blood sugars but has also been

Blood Pressure Control Has Long-term Benefits for Type 2sBy Clay Wirestone

There were long-lasting advantages for those who

controlled their blood sugars. For one thing, they were less likely to have kidney problems or other complications

from the disease.

Healthy Recipes Competition Send your favourite Healthy Low Cost Recipes to the Diabetes NZ Waikato branch and go into the draw to win a FREE book filled with the latest fiction.Email them to:[email protected]

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linked to increased issues with heart attacks and strokes.

According to Dr Joel Zonszein, director of the Clinical Diabetes Center at Montefiore Medical Center in New York, this means that more recent drugs for type 2 diabetics might have more benefits. “These newer drugs seem to be much friendlier in terms of heart attacks and strokes,” he said.

Perhaps the study should be summed up this way: While keeping your blood sugar under control is great – for all diabetics – that’s not necessarily the end of the story. If

you have other issues, like high blood pressure, it’s important to address them too. If it means taking another class of drugs to get those numbers down, so be it.

Chronic conditions like diabetes can be complicated to manage, so please consult with your health care providers and make informed decisions. It’s worthwhile advice for all of us,

The report appeared online recently in the New England Journal of Medicine.Source: diabeteshealth.com

page 16

Want a Printout of your Test Meter Results?Diabetes NZ Waikato can now printout your blood glucose results for CareSens, and MediSense OPTIUM test meters

Go to:


Oct 27, 2014: Younger people with diabetes are spending more time in their physician’s office, highlighting that not only is type 2 no longer a disease specific to older people, neither are the complications.

According to statistics from the Centres for Disease Control and Prevention, one in 10 doctor visits in 2010 was related to diabetes. Up 20 percent from 2005.

The greatest rise in doctor visits (in the US), according to the CDC, was among those ages 25 to 44, up 34 percent from 2005.

Almost 29 million Americans have diabetes, the CDC said, at a cost of about $245 billion a year. While type 1 is not related to lifestyle factors and makes up just 5 percent of cases, type 2 is linked to a sedentary lifestyle and obesity, and makes up 95 percent of all cases.

According to the statistics regarding doctor visits among all age groups, the majority of patients were being treated for multiple chronic conditions, making

treatment plans more complicated and more costly.

A majority of patients were also being prescribed multiple medications, with the number of prescriptions rising as patient age increased.

The report was compiled by the CDC’s National Centre for Health Statistics.

According to the CDC, diabetes was the seventh leading cause of death in the United States in both 2009 and 2010, and those with diabetes have medical expenses that are 2.3 times higher than those without diabetes.

“Regardless of age, patients with diabetes use extensive health resources, as evidenced by frequent visits to the doctor and extensive use of medications,” the report’s authors wrote. “Continuing to examine office-based physician visits by patients with diabetes is especially important given changes in standards of care that may influence such visits.”


CDC Finds Increase In Physician Visits Involving DiabetesBy Brenda Neugent

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HUNTLY Diabetes Support Group

is holding get-togethers for people with diabetes on

3rd Wednesday of each month

at 10.00 am in the

Huntly Workingmen’s Club,

Williams Street, HuntlyEveryone WelcomeFor Information, contact

Pamela Smith (07) 828 7757or, 021-165 0520

WAIHIDiabetes Support Group

is holding a get-together for people with diabetes on

2nd Monday of each month

at 10.00 am in the

The Olde HouseWaihi Baptist Church, 16 Gilmour St, Waihi

Everyone WelcomeFor Information, contact

Jessie Waugh 07-865 9273 or email, – [email protected]

MORRINSVILLE Diabetes Support Group


Last Monday in October

at 1.30 pm in the

Community House, Canada Street Street,

Morrinsville

Everyone WelcomeFor Information, contact Jenny West 022 426 1055

PUTARURU - TIRAU Diabetes Support Group

is holding a get-together for interested people on2nd Tuesday

in October & December at 1.30 pm

in theOverdale Community Centre

12 Overdale St, Putararu

Everyone WelcomeFor Information, contactJoyce Newman 07-883 7696

MERCURY BAYHealth Support Group


1st Thursday of each month

at 1.30 pmat

Social Services2 Cook Drive, Whitianga


Wendy Algie on 07-867 1333 or email: [email protected]

NGATEA-THAMES-HAURAKI Diabetes Support Group

is holding get-togethers for people with diabetes on1st Thursday of each month

at 1.30 pmat the

Richmond Village Conference Room, Thames


Brian Corr - 07-868 8551 or 027-292 2662

TAUMARANUI Diabetes Support Group

is holding a get-together for people with diabetes

TBA(Contact Lyn to find out when)

at 10.00 am at 18 Marae Street,

Taumaranui


Lyn Jackson 07-895 9081

CAMBRIDGEDiabetes Support Groupsis holding get-togethers for

people with diabetes on

Last Wednesday in November

at 1.30 pm in the

St John’s Hall, Fort Street Cambridge


TE AWAMUTU Diabetes Support Groups

is holding a support meeting for people with diabetes on

2nd Tuesday in November

at 7.00 pm in the Methodist Church

261 Banks Street,


Support Group Meeting Notices

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sportwaikato | p 07 858 5388 | e [email protected] | www.sportwaikato.org.nz

do You want to lead a more active

lifestYle, lose weight, be healthier

but don’t know where to start?

An active & well green prescription is a written prescription from your doctor or nurse about making some lifestyle changes that will improve your health. Sport Waikato staff provide the service.

What Tui can help you with*:• Work with you to set realistic goals• Help you overcome barriers and challenges to being active• Healthy eating on a budget• Ideas for being active at home and with the family General information about healthy eating and physical

activity• Helping you link up with cheap physical activity options in

your areaThis support typically runs over a 3-6 month period.

What’s expected of you?• You are ready to make a change to lead a healthier lifestyle• You want some support and motivation to get going

How can you get started?• Ask your GP or Nurse for a referral• OR contact Tui directly on 858 5388,

027 270 8867 email [email protected]

Tuidon’t wait anY longer... get on the programme todaY!* Active & Well doesn’t include a free membership to a gym or swimming pool and it is not a prescribed diet

this service is free

page 19

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Oct 30 , 2014 : A p rocedure designed to change how the body absorbs and processes glucose could help improve A1C numbers for those with type 2 diabetes, according to recent research.

Presenting at the 19th World Congress of International Federation for the Surgery of Obesity & Metabolic Disorders in Montreal, researchers said that a procedure that resurfaces the duodenum, the first part of the small intestine where food is broken down, could delay the need for insulin therapy and improve outcomes for those who have not responded well to oral diabetes medications.

Developed by Fractyl Labs, the non-invasive Revita Duodenal Mucosal Resurfacing (DMR) procedure involves the use of laser therapy to resurface a portion of the mucus cells lining the duodenum.

To test the benefits, doctors separated participants into two groups, with one receiving the treatment on a short segment of the duodenum while the other group received treatment on a longer segment.

Those who saw more of their duodenum resurfaced had improved A1C numbers, lower fasting glucose levels and improved weight loss compared to the other group, with the benefits lasting for at least six months following the procedure.

Experts believe that the procedure

was able to reverse some of the changes that diabetes triggers in the gastrointestinal tract, mimicking some of the benefits of bariatric surgery, without the invasiveness or cost. Revita DMR can be performed in an hour.

“Currently, doctors and patients struggle to keep diabetes and blood sugar levels under control, even with insulin therapy and numerous medicines available,” said Dr Manoel Galvao Neto, a bariatric surgeon based in Sao Paulo, Brazil. “We believe that diabetes is a digestive disease that can be treated procedurally without being the life-long burden that it is for most of the 400 million patients with the disease today.”

Studies in Europe and South America are set to begin in December, with United States-based studies set for 2016.

“If the data remain consistent with the early, highly encouraging results, we believe this could be the first scalable solution to reduce the burden of type 2 diabetes,” Neto said.


Duodenum Resurfacing Procedure Improves Type 2 Diabetes MarkersBy Brenda Neugent

page 22

Treats for the Festive Season

Cherry and Hazelnut Christmas Tree Biscuits

Prep Time: 20 minutes. Cooking Time: 25 Minutes. Makes: 30 (3 per serve as a snack)Ingredients

80g (½ cup) Wholemeal self-raising flour75g (½ cup) plain flour½ cup Equal Baking sweetener55g (1/3 cup) hazelnuts, finely chopped50g mixed glacé cherries, finely chopped3 egg whites, at room temperature

MethodPreheat oven to 150°C (fan-forced).

Line two baking trays with baking paper. Combine the wholemeal and plain flour with the Equal Baking in a medium bowl. Stir in the hazelnuts and cherries.

Using an electric beater, whisk the egg whites until soft peaks form. Add the egg whites to the flour mixture. Using a spoon, mix until combined and then, using your hands, form the mixture into a ball.

Turn the mixture out onto a lightly floured surface. Divide in two and roll

out dough between two lightly floured pieces of baking paper to 2-3mm thickness. Cut into shapes using a 75mm Christmas tree cookie cutter and place on to the lined trays. Repeat with the second half of the dough. Bring any remaining dough together, re-roll and cut in to trees.

Bake biscuits for 12-13 minutes or until a light golden brown. Set aside tray for 5 minutes and then transfer on to a wire rack to cool completely. Keep in an airtight container for up to one week.Nutritional Information per serve: Energy 467kJ, protein 3.7g, total fat 3.6g, carbohydrate 15.2g fibre 1.8g, sodium 70.2mg, GI medium.

Courtesy of ‘diabetic living’ magazineBerry and Pistachio Biscotti

If you can’t find dried berries, use any of your favourite dried fruit. Makes 26 slices. Time to make: 50 minutes

With the festive season upon us and the temptation to eat a little more than we should, we thought this was a perfect time to look at some festive recipes suitable for people with diabetes. Remember, none of these recipes are free foods, but the information that you need

to include them in your diet is with each of the recipes. So, have an enjoyable time sampling these recipes during this festive time.

page 23

Monday 17 November We meet in the main entrance foyer.

Please:Do leave your name and phone number on my voice mail.Do leave small children at home.DO bring your glasses - to read the small print on labels.

SUPERMARKET TOURSwith…

Alison Orchard Community Dietitian

Learn how to make the best food choices when shopping for that person with diabetes, high blood

pressure or high cholesterol. Tours take about one hour at…

Countdownin Anglesea Street, Hamilton

Phone Alison on…

0-7-838 3565 ext 22143

to book for one of the following toursstarting at 9.30 am

BOOKING IS ESSENTIALif no-one books in, there will

be no tour.

Ingredients3 egg whites1/3 cup (75g)caster sugar ½ cup (75g) plain flour ¼ cup (40g) wholemeal flour 80g pistachio nuts, shelled 75g dr ied berr ies ( t ry dr ied cranberries) ½ tsp orange rind, grated

MethodGrease and line a loaf tin measuring

19cm by 9cm (base). Preheat the oven to 180°C.

Using an electric beater, beat the egg whites until soft peaks form. Gradually add sugar and continue to beat until all the sugar is added.

Fold in the flours, pistachios, berries and orange rind until combined. Spoon into the tin and smooth the top.

Bake for 25-30 minutes or until the top is brown and firm. Leave in the tin to cool. Reduce oven temperature to 140°C.

Remove the loaf from the tin and use a serrated knife to slice the loaf into 5mm thick slices. Place the slices on a baking tray lined with baking paper and bake for 15-20 minutes until just firm. Cool on tray. Nutritional Information per serve: (2 slices) Energy 455kJ (108ca1s), Protein 3.1g, Total fat 3.5g, Carbs 16.2g, Fibre. 1.0g, Sodium 15mg

page 24

Can anyone define the difference between “Complete” and “Finished”?

Oct 20, 2014:While sodium intake is a concern for those with diabetes and can lead to high blood pressure and strokes, among other complications, a new study finds that most diabetics have no idea how much salt they should be eating – and many are taking in too much.

“Despite knowledge that a high salt diet is related to high blood pressure it was not a high level of concern for this population group,” said Kristy Gray, a researcher with the University of South Australia School of Pharmacy and Medical Science who co-authored the study.

More than 80 percent of 143 diabetes patients who responded to the survey knew that processed foods such as pizza were high in sodium, but only 30 percent considered white bread and cheese as

foods with high salt levels.Almost half of those surveyed were

more concerned about sugar, while 41 worried about saturated fat and 35 said that fat in general was their biggest concern. Only 10 of those surveyed viewed sodium as the nutrient that generated the most dietary concern.

Only six percent of those surveyed were aware of the recommended sodium intake for a diabetes-friendly diet, and although the majority of those surveyed read labels and purchased low-sodium products, most still took in too much. Women and those with type 1 diabetes had a lower salt intake than men and those with type 2, researchers said.

The research appeared in the journal Appetite


Study Finds Not All Diabetes Patients Know Enough about SodiumBy Brenda Neugent

No dictionary has ever been able to define the difference between “complete” and “finished”. However, in a linguistic conference, held in London England, and attended by some of the best linguistics in the world, Samsundar Balgobin, a Guyanese was the clever winner.

His final challenge was this. ‘Some say there is no difference between “complete” and “finished”. Please explain the difference in a way that is easy to understand.’

His response was: When you

marry the right woman, you are “complete”.

If you marry the wrong woman, you are “finished”.

And, when the right one catches you with the wrong one, you are “completely finished”.

His answer received a five minute standing ovation.

Pharmacy 547533 Grey Street

Diabetes NZ Waikato16 Von Tempsky Street

Pharmacists: Ian McMichael M.P.S. & Alice Littlewood M.P.S.

See us first!• Free diabetes test• FREE Flu injections for

people with diabetes• Medical laboratory

on site (blood tests, specimen collection etc)

• Diabetes Society• Registered Nurse for

injections (phone for further information)

• FREE Medication Management Service (phone for further information)

• FREE sharps disposal service

• Flu Immunisation• Cholesterol Testing• Easy Parking

Pharmacists: Ian M

cMichael M

.P.S. & A

lice Littlewood M

.P.S.533 G

rey Street • Ham

ilton East • Phone 839 0795 • Fax 834 0413—

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Supporting Diabetes N

Z Waikato —

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