Recipe: Try Pho, a delicious soup with noodles, vegetables and chicken in a spicy broth.

From diabetes.org.uk

Vietnamese soup with noodles, vegetables and chicken in a spicy broth – a delicious meal in a bowl.

Just click on this link: https://www.diabetes.org.uk/Guide-to-diabetes/Recipes/Pho/?utm_source=bronto&utm_medium=email&utm_term=Image+-+Pho+recipe&utm_content=Image+-+Pho+recipe&utm_campaign=Enewsletter+March+2017

Type 1 Versus Type 2: Complications in Youth with Diabetes

From pharmacytimes.com

Young individuals with type 2 diabetes are more likely to develop condition-related complications than their type 1 counterparts. The results are part of the latest findings of the SEARCH for Diabetes Youth study, which was funded by the National Institutes of Health and the CDC, and conducted research regarding diabetes complications in young patients.

The study’s researchers noted that teens and young adults with type 2 diabetes are at an increased risk of developing kidney, nerve, and eye diseases than their peers with type 1 diabetes. Researchers gathered the results by evaluating youth with type 1 and type 2 diabetes, and examining how quickly and often they developed signs of complications.

Among the participants, those with type 2 diabetes exhibited signs of complications more often in nearly every measure than those with type 1. The findings showed:
 

• Nearly 20% developed a sign of kidney disease versus 6% with type 1
• About 18% developed nerve disease versus about 9% with type 1
• About 9% developed eye disease versus 6% with type 1
• Measures for hypertension and arterial stiffness were greater in those with type 2 diabetes, but close to equal for cardiovascular autonomic neuropathy.

Barbara Linder, MD, study author and senior advisor for childhood diabetes research at the NIH’s Institute of Diabetes and Digestive Kidney Disease, noted that the results challenge assumptions that young people don’t develop complications from diabetes.

“Particularly for youth with type 2, this research demonstrates the clear need to learn how to reduce or delay the debilitating complications of diabetes, itself a huge challenge for young people to manage,” Dr. Linder said in a press release.
The authors concluded that the study demonstrates a greater need for early monitoring for the development of complications among young adults and teens with diabetes so that health care providers can delay the onset of these complications.

http://www.pharmacytimes.com/resource-centers/diabetes/type-1-versus-type-2-complications-in-youth-with-diabetes

Exercise Guide: Workout Tips for People with Type 1 Diabetes

From pastemagazine.com

For those with type 1 diabetes, exercise comes with a different set of challenges. Insulin sensitivity, glucose metabolism and carbohydrate intake all become important factors. In order to help people with type 1 diabetes find a safe and efficient exercise routine, an international team of researchers published exercise and nutrition guidelines that help prevent fluctuations in blood sugar.
This set of guidelines is the first of its kind. For two years, the 21-person research team looked at data from clinical trials and studies in order to come up with a consensus on exercise management for those with type 1 diabetes.
The researchers found that regular exercise is key for individuals with type 1 diabetes. It can help decrease total daily insulin needs and can lead to fewer diabetes-related complications. But in order to exercise safely, patients must monitor their blood glucose levels before, during and after exercise as well as alter their insulin plan to match their increased physical activity. These precautions are taken in order to avoid hypoglycemia, or when sugar levels go too low.
Dr. Rémi Rabasa-Lhoret from the Montreal Clinical Research Institute says that “these guidelines fulfil a major unmet need to help patients with type 1 diabetes, and their healthcare professionals, to overcome the various barriers for exercise and this, in turn, should help them to achieve the multitude of health benefits that exercise affords.”

Here are some of the research team’s healthy exercise tips for those with type 1 diabetes:
• Monitoring glucose throughout exercise is essential.
• A blood glucose level between 7 to 10 mm/L is recommended when beginning exercise.
• Before exercise, ingest carbohydrates if insulin concentrations are high.
• Different types of exercise affect blood glucose levels differently.
• Resistance exercise, such as weight lifting or elastic resistance bands, is best for glucose stability.
• The risk of hypoglycemia is increased 24 hours after exercise.
• Insulin plans should be adjusted with increased exercise.

https://www.pastemagazine.com/articles/2017/02/exercise-guideline-for-people-with-type-1-diabetes.html

Childhood type 1 diabetes control improves again

From diabetestimes.co.uk

Diabetes control for children has improved for the sixth year running, according to the National Paediatric Diabetes Audit (NPDA).
The report, which looked at data from all 28,439 young people with diabetes in England and Wales, also showed the number of children attending essential care checks has also risen.
However, the audit did state there is still considerable variability providing care in terms of diabetes outcomes which require better working relationships, sharing of good practice and instigation of quality improvement strategies to improve care.
Dr Justin Warner, clinical lead for the NPDA and member of the Royal College of Paediatrics and Child Heath, said: “The fact that care for children with diabetes continues to significantly improve is excellent news and is what we aim to demonstrate when delivering this audit year on year.
“We want centres delivering paediatric diabetes care to learn from best practice, share good experience and improve results, so this is heartening to see.”
The data used in the report showed the following:

• The number of children and young people with type 1 diabetes achieving excellent diabetes control has increased from 17 per cent (2013/14) to 27 per cent (2015/16).
• The number of children and young people with type 1 diabetes with poor diabetes control fell from 24 per cent (2013/14) to 18 per cent (2015/16).
• Almost all children and young people with type 1 diabetes had an HbA1c (99 per cent) and a height and weight measured (98 per cent) during the audit year.
• Two thirds of young people underwent essential foot checks (66 per cent) compared with 55 per cent in the previous year.
• Two thirds (66 per cent) were screened for complications relating to their eyes (retinopathy screening), up from 64 per cent in the previous year.
• A total of 66 per cent were screened for kidney complications (urinary albumin), an improvement from 52 per cent in the previous year.

Dr Warner added: “The impact of the improvement in blood glucose levels over the last six years should not be underestimated and will reduce the risk of future complications significantly. The improvements reflect the massive amount of work and quality improvement provided by healthcare teams, parents and patients.
“This has been supported by high level strategies including the formation of the National Regional Networks1, the Best Practice Tariff in England2, Paediatric Diabetes Health Board investment in Wales3, Quality Assurance (peer review) programmes4, national and local Quality Improvement programmes5 and National Institute for Health and Care Excellence (NICE) guidance6.
“Furthermore, the improvements seen in completion of essential health checks – foot, eye and kidney disease screening – is excellent news and means that children and young people with diabetes are receiving improved care, reducing the risk of complications and allowing early recognition and intervention where necessary.”
Despite seeing improvements, the report also recognised there remain some deficiencies in care:
There remains considerable variability between centres across England and Wales providing care in terms of diabetes outcomes which require better working relationships, sharing of good practice and instigation of quality improvement strategies to improve care.

A total of 9.7 per cent of young people with type 1 diabetes are already demonstrating early signs of  kidney disease and 13.8 per cent show early signs of eye disease putting them at increased risk of kidney failure and blindness.

Children with type 1 diabetes were more likely to be overweight or obese compared to the general population.

Children and young people living in the most deprived areas were at increased risk of diabetes complications and poor diabetes control compared to those in the least deprived areas.

Two thirds of young people aged 12  and above with type 1 diabetes are not receiving all seven recommended health checks on an annual basis – HbA1c, height and weight, blood pressure, kidney function, eye screening, foot examination, and thyroid function

Although much less common in childhood, those with type 2 diabetes tend to come primarily from non-white ethnicity, are obese and have higher blood pressure compared to those with type 1 diabetes putting them at a higher risk of long-term complications.

The audit includes specific recommendations to commissioners of health services, diabetes networks, and paediatric diabetes centres, to address the inequalities across England and Wales.

http://diabetestimes.co.uk/childhood-diabetes-control-improves-again/

Stunning discovery: This simple diet could destroy diabetes

From babwnews.com

There is hope for sufferers of diabetes, as scientists have just discovered an amazingly simple diet that could be the cure that everyone is looking for.

A brand new diet may be the key to reversing the effects of diabetes, and it’s a surprisingly simple one that anyone can do, according to a new study published in the journal Cell. This “fasting” diet triggers the pancreas to regenerate itself and start working again to control blood sugar levels, and it was shown to work in animal experiments, reversing the symptoms of diabetes.
It’s an exciting find to be sure, and it could be a new treatment for the debilitating disease, but researchers are advising diabetics not to try it without medical advice. So far, scientists have only demonstrated it in mice, according to a statement from the University of Southern California.
The diet works by putting people for five days on a diet that is low in calories, protein and carbohydrates, but high in unsaturated fat, similar to that of a vegan diet with a lot of nuts and soups that tops out at 1,100 calories per day. After that five day period, they can spend 25 days eating what they want.
“Cycles of a fasting-mimicking diet and a normal diet essentially reprogrammed non-insulin-producing cells into insulin-producing cells,” said Valter Longo, who is also a professor of biological sciences at the USC Dornsife College of Letters, Arts and Sciences. “By activating the regeneration of pancreatic cells, we were able to rescue mice from late-stage type 1 and type 2 diabetes. We also reactivated insulin production in human pancreatic cells from type 1 diabetes patients.”

http://www.babwnews.com/2017/02/stunning-discovery-this-simple-diet-could-defeat-diabetes/

Be a diabetes champion for your family

From visaliatimesdelta.com

A champion is watched by many as a role model. Those watching may think, “I want to be like that person.”
Others are watching you thinking “I wish he/she didn’t do that because the diabetes is going to get worse faster.”
You may not even realize how many people see you as a role model in life. It may be your children, grandchildren, parents, other family members or friends, and neighbours.

Caring about your diabetes and taking action to keep diabetes in good control is an important part of a role model.
It does not mean you have to be perfect all the time, but know what are good choices and keep them in the forefront most of the time.
The only way you know if you are in control of your diabetes is by testing your blood sugar and knowing what those numbers mean.
Making appropriate choices to eat healthily, be active and take medications as prescribed are very important parts of managing diabetes and being a good role model for others.

As a person with diabetes, you have the opportunity to learn so much more about what is good for your body and what is not as desirable, whether it be food, exercise or medication.
Blood sugars should in most people stay between 80-140 mg/dl all the time. Learning how to interpret your numbers sometimes can take a few educational sessions with a diabetic educator regularly over time with regular follow-ups.
Diabetes will progress over time and can negatively impact your health and your day-to-day living in the future.
Check in regularly with your health care provider whether you are feeling good or poorly to be sure the diabetes is under control.
Knowing what you know about diabetes, how many people in your life can you influence to take control of their diabetes?
How many people are watching you see how to take better care of their own diabetes?
Attend community diabetes events to learn more about diabetes.

http://www.visaliatimesdelta.com/story/life/2017/02/26/diabetes-champion-family/98310076/

Travelling With Diabetes

From blackdoctor.org

Whether you travel for business or pleasure, local or international, when you have diabetes it’s important to plan ahead. The following tips will help you have a safe and hassle free trip.
Start Early
An early start is particularly important for overseas travel. Schedule an office visit with your health care provider 4 – 6 weeks before your scheduled departure date.
Bring your itinerary to discuss if you need to make changes in your diabetes routine. Time zone changes may require more or less diabetes medication. Eastward travel means a shorter day. If you take insulin, less may be needed. Westward travel means a longer day, and you may require more insulin.
Ask your health care provider for a letter outlining your diabetes regimen, including your diabetes and any other medicine you take. Your diabetes supplies should also be described in the letter.
Make sure you are up to date with immunizations.
Find out where to get medical care if needed when away from home.
Pack Properly
Take twice the amount of diabetes medicine and supplies that you would normally need, in case of travel delays. Better safe than sorry.
Glucose gels, tablets, candy, and regular soft drinks to relieve symptoms of hypoglycemia – low blood sugar.
Snacks such as breakfast bars, cheese crackers, granola bars, and trail milk to eat when meals are missed or delayed.
Keep snacks, glucose gel, or tablets with you.
If you use insulin, make sure you also pack a glucagon emergency kit.
Make sure you keep your prescriptions, health insurance card and emergency phone numbers handy including your doctor’s name and phone number.
Wear medical identification such as a Medic Alert necklace or bracelet that says you have diabetes.
Don’t forget to pack a first aid kit.
Road Trips
If travelling with insulin do not store it in the trunk, glove box, or near a window – it might overheat. If possible, carry a cooler in the car to keep insulin cool, but do not place insulin directly on ice or on a gel pack.
Air Travel
Plan to carry all your diabetes supplies in your carry-on luggage. Don’t risk a lost suitcase.
Have all syringes and insulin delivery systems (including vials of insulin) clearly marked with the pre-printed pharmacy label that identifies the medicine. The airline industry recommends that patients travel with their original pharmacy labelled packaging.
If you don’t want to walk through the metal detector with your insulin pump, tell a security officer that you are wearing an insulin pump and ask for a visual inspection of the pump and a security pat-down.
Keep your diabetes medications and emergency snacks with you at your seat – don’t store them in an overhead bin.
If using a vial and syringe to draw up your dose of insulin, don’t inject air into the bottle (the air on your plane will probably be pressurized).
Contact airlines for special meals if needed. However, you should always carry enough food to cover the entire flight time in case of delays or schedule changes.
If the airline offers a meal, ask when the meal will be served, so you know when to take your diabetes medicine.
Staying Healthy While Traveling
Reduce your risk of blood clots by moving around every hour or two.
Stick with your exercise routine. Be sure to get at least 150 minutes of physical activity each week.
Wash your hands often with soap and water.
Protect your feet. Be especially careful of the hot pavement by pools and hot sand on beaches.
Never go barefoot.

http://blackdoctor.org/512504/traveling-with-diabetes-2/