Low-carb diet to lose weight and control diabetes

From timesofindia.indiatimes.com

Cutting back on carbs is the first thing that comes to our minds when we decide to lose weight. Limiting your carb intake is a famous diet strategy as it doesn't just help one lose weight but also optimise health and help manage metabolic diseases. Here is all that you need to know about a low carb diet.

What exactly is a low-carb diet?

A low-carb diet, as the name suggests is a diet that limits your intake of foods high in carbohydrates. These foods include bread, pasta, biscuit, cake, sugar, etc. One is not just supposed to restrict the intake of these foods but replace these with low-carb options like spinach, cauliflower and other high fibre and protein-rich food items such as eggs, meat, cheese, nuts. fish and poultry.

A low-carb diet is effective for people trying to lose weight, are diabetic, pre-diabetic, who want to optimise their metabolism, heart health, cholesterol and triglyceride levels. A low carb diet is also known to improve the quality of life in advanced or metastatic cancer.

Low carb diet for weight loss

A low-carb diet has been extensively used to help people struggling with obesity and related metabolic disorders like diabetes. Obese people have a high prevalence of diabetes or metabolic syndrome. It has been observed when these people followed a low carb diet, they lost weight and improved their insulin sensitivity and triglyceride levels as compared to when on a calorie and fat-restricted diet.

Low carb diet and diabetes

Low carb diet can help manage diabetes in the long run. This diet is less stressful on the pancreas and insulin production as compared to high-carb diets. If the body runs out of stored carbs, the liver produces ketones, a type of fat that can be converted into energy.

Low carbs diet and cardiovascular health

Just like added sugar, extra carbs in the diet get converted into triglycerides and get stored as fat cells. Restricting carbs has been associated with low blood triglycerides levels.

Low carb diet for metabolic diseases

Women suffering from obesity and metabolic problems saw an improvement hormonally while following a low carb diet. Reducing carb intake has been found to lower circulating insulin levels, improve hormonal imbalance and resume ovulation and thus improve pregnancy rates compared to the regular diet. Most low carb diets have only 10 per cent calories coming from carbs. A typical low carb diet allows only 50-100 grams of carbs per day.

Do check with your doctor, before you go on a low-carb diet, especially if you have any heart condition.

https://timesofindia.indiatimes.com/life-style/health-fitness/diet/low-carb-diet-to-lose-weight-and-control-diabetes/photostory/85304068.cms

Embrace diabetes apps as part of technology-enabled practice

From healio.com

Diabetes apps as part of a technology-enabled practice can help people with diabetes achieve positive clinical outcomes and improve quality of life; however, there are no-one-size-fits all recommendations and not all apps add value.

Rachel Stahl

“We as diabetes care and education specialists need to be aware of what apps are out there and support our patients using apps, just as we do for other diabetes technologies,” Rachel Stahl, MS, RD, CDN, CDCES, staff associate in medicine in the division of endocrinology, diabetes and metabolism at New York Presbyterian Hospital, Weill Cornell Medicine, told Healio. “However, we also need to caution them about concerns, such as safety and privacy issues.”

Diabetes technology has evolved and dramatically improved care, and apps are a part of the evolution, Stahl said during a virtual presentation at the Association of Diabetes Care & Education Specialists annual conference. Apps, introduced with the first Apple iPhone in 2007, are still a new concept to some, but adoption is rapidly growing, Stahl said. Today, there are more than 318,000 mobile health apps available for download, covering general wellness and health management, displaying or downloading health data, or functioning as standalone medical devices.

“What started out as an interest in apps, soon became a necessity,” Stahl told Healio. “I get questions all the time from patients asking me about what apps I recommend or coming to me already using apps.”

Diabetes apps bring with them many benefits, such as reducing friction for gathering health data, providing decision support, driving patient engagement and enhancing care through more collaboration between the person with diabetes and the diabetes care and education specialist or other providers, Stahl said. Apps also provided advanced analytics, allowing for personalized insights based on retrospective food or insulin data, and pattern recognition to avoid high or low glucose values.

Apps also can bring disadvantages, such as privacy, security and safety concerns.

“Unlike a medical device like a [continuous glucose monitor] or an insulin pump, the majority of apps are not regulated by a governing body, like the FDA,” Stahl said. “Without oversight or regulation comes higher risk. The app may not perform the advertised function, it may present potential cybersecurity risks, or it may lack safeguards to prevent harmful mistakes from operational error.”

Additionally, Stahl said, simply recommending an app may not be helpful.

“In fact, one study showed that over 75% of apps are used once after being downloaded, and then never used again,” Stahl told Healio. “This underscores the need for the diabetes care and education specialist to not only assist the patient in app selection, but to support its use through ongoing education and follow-up to help improve outcomes.”

The diabetes care and education specialist can play a role in the successful use of apps by following four steps:

• Assist with app selection and individualize recommendations. “Just as with all diabetes care, recommending apps requires an individualized, patient-centred approach rather than a one-size-fits-all philosophy,” Stahl said. “Consider the health literacy and numeracy of your patient.”
• Onboard “live” or remotely. “Support the person to download, register and customize the app,” Stahl said. “Maybe it helps them enter their goals or connects with one of their diabetes devices. Taking those extra moments to set them up shows we care and can help them get the most out of it.”
• Discuss potential privacy and safety concerns. “Patients need to be aware of risks,” Stahl said.
• Provide ongoing education, training and follow-up.

“Remember, the data from apps is just information,” Stahl said. “This indicates the important role the diabetes care and education specialist has in educating the patient with diabetes about successful integration of apps. The bottom line is apps are here to stay. Now is the time to get ahead of the curve.”

https://www.healio.com/news/endocrinology/20210815/embrace-diabetes-apps-as-part-of-technologyenabled-practice

Type 2 diabetes: Reading the grave warning sign of blood sugar damage visible on your toes

From timesnownews.com

People with diabetes are more likely than those without diabetes to have foot problems because this condition damages the nerves. Watch out for signs given in article below

Treat your foot with utmost care if you suffer from diabetes

Photo Credit: iStock Images 

Key Highlights

• Diabetes is a condition that must be managed well. Your feet and skin can develop sores and infections.

• You should ensure that your feet are well cared for as wounds on the feet or legs that do not heal properly may necessitate amputation.

• There are signs on the feet that should alert you about raised blood sugar.

Diabetes is a condition that is related to the problem of the body's inability to respond well to insulin. What is Insulin? This is a hormone produced in the pancreas by special cells, called beta cells. The pancreas is a gland that is located below and behind the stomach. Insulin is secreted by the pancreas into the bloodstream and is needed to move blood sugar (glucose) into cells for storage and future use.

When you have type 2 diabetes, your fat, liver, and muscle cells do not respond correctly to insulin - a hormone produced in the pancreas to help move blood sugar (glucose) into cells - where it is stored and later used for energy.

This unsatisfactory response to insulin is called insulin resistance. As a result, blood sugar does not get into these cells to be stored for energy and instead builds up in the blood - causing a dangerous health condition called hyperglycaemia. 

The body is unable to use glucose for energy. This leads to the symptoms of type 2 diabetes.

Type 2 diabetes is not some condition that the body acquires overnight. It usually develops slowly over time. Since increased fat makes it harder for the body to use insulin the correct way, most people have their condition of obesity or excess weight issues to blame for the onset of the disease.

But that does not mean non-obese or normal-weight people do not get diabetes. But these are mostly people of older ages. Other factors that can cause Type 2 Diabetes are family history and genes, and lifestyle factors like low activity level, poor diet, and excess body weight around the waist.

People with diabetes are more likely than those without diabetes to have foot problems because this condition damages the nerves. Nerves play a big role in carrying the sensation of touch, pressure, pain, heat, or cold to the extremities of the body - including the feet. This nerve damage is called Diabetic Neuropathy. 

Due to this nerve damage, a lot of times, people suffering from diabetes are unable to notice a foot injury until they have severe damage to the skin and tissue below, or until they suffer a case of severe infection.

Change in the shape of toes is a warning sign:
Diabetes type 2 can often slip under the radar until high blood sugar levels start wreaking havoc on the body. The change in the shape of your toes can be one signal you can catch - a sign that diabetes has caused nerve damage, says a report in Express.co.uk. 

It cites a warning by Doctor Prash Vas, Consultant in Diabetes and Diabetes Food Medicine at London Bridge Hospital who says that diabetic neuropathy most often damages nerves in your legs and feet; a tell-tale sign of which can be observed on your toes. Clawing of toes can signal advanced nerve damage, warned Doctor Prash.

A Claw toe is a condition characterised by the toes bending into a shape similar to a claw. High blood sugar can also cause other damages to your feet. Diabetes can cause the wasting of the small muscles in the feet, build-up of skin over pressure points of the sole, and some individuals may experience balance issues, says the Express report.

Prone to injuries that go unnoticed until too late:
It does not just steal one's capacity to sense, Diabetes can also damage blood vessels. With hampered blood circulation - the farthest part of the foot is rendered most vulnerable. Due to diabetes that lowers immunity and healing power, even small sores or breaks in the skin may become deeper skin sores (ulcers). 

Diabetics have to be very conscious of the state of their foot as many a time, the affected limb may need to be amputated if these skin ulcers do not heal or become larger, deeper, or infected.

Diabetic persons' foot care regime:

1. Make it a bath-time routine every day. Check your feet for any nerve or blood vessel damage
2. All minor infections must be treated immediately
3. Avoid cracks from dryness of skins, use prescribed moisturisers on feet
4. Your footwear should be suitable for your condition, seek the doctor's advice
5. Quit smoking if you already haven't
6. Keep your blood sugar under acceptable limits
7. Acquire an appointment with the doctor at least twice a year to learn if you have nerve damage
8. The doctor can also check if your feet have calluses, bunions or hammertoes and you must get them treated immediately if found.
    

Disclaimer: Tips and suggestions mentioned in the article are for general information purpose only and should not be construed as professional medical advice. Always consult your doctor or a dietician before starting any fitness programme or making any changes to your diet.

https://www.timesnownews.com/health/article/type-2-diabetes-reading-the-grave-warning-sign-on-your-toes-of-blood-sugar-damage/798264

What Are the Stages of Diabetes?

From healthline.com

By Eleesha Lockett

Diabetes is an umbrella term for three primary conditions: type 1 diabetes, type 2 diabetes, and gestational diabetes. According to guidelines established by experts in the field, there are multiple stages of diabetes, each of which are defined by physiological changes within the body.

In this article, we’ll explore the stages of type 1 and type 2 diabetes as defined by diabetes experts, as well as information about long-term diabetes management.

What experts say

Within the past decade, professional organizations, like the American Diabetes Association (ADA) and the American Association of Clinical Endocrinologists (AACE), have created guidelines that outline the various stages of diabetes development.

According to the literature on these guidelines, understanding the various stages of diabetes can allow physicians and patients to take a more comprehensive approach to preventive care and disease management.

Below, we’ve outlined the various stages of beta cell dysfunction, type 1 diabetes, and type 2 diabetes, as established by current experts in the field of diabetes research.

Stages of type 1 diabetes

In 2015, the ADA released a joint statement with the JDRF and Endocrine Society outlining the various stages of type 1 diabetes. Using the guideline below, clinicians can more easily diagnose this condition at an earlier stage, even when symptoms might not be present.

It’s important to note that type 1 diabetes is an autoimmune disease where the immune system attacks and destroys beta cells in the pancreas, which are responsible for producing insulin.

Pre-Stage 1

In this stage, genetic analysis can help identify underlying genotypes that are commonly associated with type 1 diabetes.

According to the research, a specific region on chromosome six – called the HLA region – is associated with up to 50 percent of the risk for developing this condition. Other factors, like having a sibling or close relative with type 1 diabetes, can also increase disease risk.

Stage 1

In this stage, at least one diabetes-related autoantibody is present in the blood. At this point, these autoantibodies have already begun to attack the beta cells in the pancreas. But blood sugar levels still remain within the normal range, and no symptoms are present.

Stage 2

In this stage, at least two or more diabetes-related autoantibodies are present in the blood. As the beta cells continue to be destroyed by the immune system, a lack of insulin leads to rising blood sugar levels due to glucose intolerance. Although beta cell dysfunction is more serious at this stage, there are still no symptoms yet.

Stage 3

In this stage, there’s a significant loss of beta cells due to autoimmunity and symptoms are present, resulting in a type 1 diabetes diagnosis. During this stage, the symptoms of type 1 diabetes may include:

• excessive hunger or thirst
• blurry vision
• severe fatigue
• frequent urination
• unexplained weight loss

Stages of type 2 diabetes

In 2018, the AACE created the dysglycaemia-based chronic disease (DBCD) multimorbidity care model. Much like the previous guidelines above from 2015, the DBCD care model helps clinicians take preventative steps to reduce type 2 diabetes complications.

Stage 1

This stage, defined as insulin resistance, is where muscle, fat, and liver cells become resistant to insulin and have trouble bringing glucose into the cell. But the pancreas compensates for this by producing more insulin, which helps keep blood sugar levels within normal range.

Stage 2

In this stage, also known as prediabetes, cells become so insulin resistant that the extra insulin isn’t enough to lower blood sugar levels back to normal. In some cases, beta cell dysfunction may also be present. During this stage, blood glucose levels remain higher than normal, but not high enough to be classified as diabetes.

Stage 3

In this stage, blood sugar levels remain abnormally high, leading to a diagnosis of type 2 diabetes. Both insulin resistance and beta cell dysfunction can lead to high blood sugar levels in type 2 diabetes. Without treatment, these elevated levels can cause long-term damage to the body.

Stage 4

In this stage, vascular complications can occur as a result of high blood sugar. As blood sugar levels remain high, damage can occur within the vascular system, leading to potential complications like:

• albuminuria
• chronic kidney disease
• coronary artery disease
• heart failure
• peripheral neuropathy
• stroke

What is end-stage diabetes?

While “end-stage diabetes” isn’t a commonly used term, diabetes can lead to what’s known as end-stage diabetic complications, or advanced complications. In people with diabetes, advanced complications, like end-stage renal disease, occur after many years of living with diabetes.

A study from 2019 found that microvascular complications from diabetes, like nephropathy, increase risk for cardiovascular events and death in people with type 1.

How to manage diabetes

While there’s no cure for diabetes, it can be managed through the appropriate treatment, which may include medications, dietary changes, and lifestyle interventions.

• Medications. Medications for diabetes can include insulin injections, amylinomimetic drugs, alpha-glucosidase inhibitors, and other drugs that help keep blood sugar levels stable. In many cases, medications for high cholesterol, high blood pressure, and heart health are also used to help reduce the risk of complications.
• Dietary changes. Dietary changes for diabetes involve guidelines to help keep blood sugar, blood pressure, and cholesterol levels balanced. When you have diabetes, it’s important to focus on eating a diet high in whole foods, like fruits, vegetables, whole grains, and lean protein. It’s also important to limit your intake of foods that are high in:
  • sugar
  • salt
  • saturated fat
  • trans fat
• Lifestyle interventions. Lifestyle interventions for diabetes begin with proper management of the condition. This includes regularly checking your blood glucose, blood pressure, and cholesterol levels. When possible, you should try to get at least 30 minutes or more per day of physical activity. If you smoke or drink alcohol regularly, consider cutting back.

Although it can feel overwhelming to manage a chronic health condition like diabetes, your healthcare team is there to help you create a diabetes treatment plan that works best for you.

When to seek care

If you’re concerned about managing your diabetes, the first step is to reach out to your doctor or care team to create a diabetes treatment plan. Depending on your diagnosis and personal needs, your treatment plan may include reaching out to:

• an endocrinologist, who can help you manage your blood sugar levels
• a dietitian, who can suggest dietary changes to help manage your blood sugar, blood pressure, and cholesterol levels
• a specialist doctor, like a dentist or ophthalmologist, who can help you manage potential diabetes complications
• a certified diabetes care and education specialist (CDCES), who can provide education and support to better manage your condition

Takeaway

According to experts in the field of diabetes research, diabetes staging plays an important role in the prevention, diagnosis, and treatment of diabetes. Understanding the various stages of both type 1 and type 2 diabetes allows physicians and patients to see the progression of the disease so that treatment and long-term management can be improved.

If you’ve been diagnosed with diabetes, it’s important to stay educated about your condition so that you can more easily manage it in the long-term.

https://www.healthline.com/health/diabetes/stages-of-diabetes

What is diabetes distress and burnout?

From diabetes.org.uk

Diabetes distress is what some people feel when they’re overwhelmed by the relentlessness of diabetes. This can lead to diabetes burnout.

The way you react to things and the emotions you feel can vary for different people. You might feel frustrated, guilty, sad or worried. Sometimes you might feel all of these emotions and more from time to time. Feeling this way about your diabetes is understandable and it’s a natural reaction for anyone that’s been diagnosed with a long-term health condition. Knowing some of the signs can help you start to manage these feelings.

Lots of people feel like this sometimes but it’s important you get help. If you don’t get support to help you cope, you’re more likely to reach burnout and that can be really serious.

Signs and symptoms of diabetes distress

There’s no right or wrong way to feel, but there are some signs that things are getting too much. It can help to be aware of these – you could think about talking to your family or friends about them too:

• feeling angry about diabetes and frustrated about the demands of managing it
• worrying about not taking enough care of your diabetes but not feeling motivated to change
• avoiding going to appointments or checking you blood sugars
• making unhealthy food choices regularly 
• feeling alone and isolated.

“I think the hardest thing was as soon as you start checking your sugars and you don’t watch them go down, that just becomes blow after blow every day. It’s not something you deal with every three months when you get your blood test result, it’s something you’re dealing with on a daily basis, so it’s taken me a long time to get used to doing sugar readings and accepting them.” 

Marianne, who’s felt diabetes distress

Is diabetes distress the same as depression? 

Diabetes distress isn’t the same as depression. Diabetes distress is when a person feels frustrated, defeated or overwhelmed by diabetes. These feelings can come and go. And it doesn’t mean that you have these feelings about other parts of your life. 

But diabetes distress can turn into depression if you have these feelings for a while and they aren’t going away. If you think you might be depressed, we have more information and support about depression to help you. You’re not alone in this.

How common is diabetes distress? 

Diabetes distress is actually really common. It’s a completely natural reaction to looking after diabetes all day, every day.

It doesn’t matter what type of diabetes you have – anyone can feel diabetes distress and a lot of people feel it more than once. It is slightly more common for people who take insulin.

The most common reason for feeling diabetes distress is worrying about getting complications in the future or feeling anxious if managing your diabetes goes off track.

What helps with diabetes distress and burnout

If you’re feeling like this, it’s important to remember that it happens to a lot of people and that you shouldn’t blame yourself. Diabetes is hard to manage and nobody has a perfect relationship with it. 

Remember that your blood sugar levels are just a number. They’re not a reflection of who you are or how much effort you’ve put into managing your diabetes that day or week.

Be kind to yourself

Try to let go of really high expectations on things like blood test results and set smaller, more realistic goals. 

It can also help to stop using phrases like ‘good’ or ‘bad’ blood sugar – as this can constantly feel like you’ve done something wrong. Talk about high or low blood sugar instead.

Taking time for yourself, like booking a massage or setting an evening aside for a long bath can help you relax. 

Take a break 

Sometimes you might need to take a proper break, for more than a few hours or a day. Although you can’t completely ignore your diabetes, taking a break means you spend a bit less time and energy on it. This could mean relaxing your targets a bit or reducing how many times you check your bloods each day. 

But you need to talk to your healthcare team about this first. They’ll be able to help you make some small changes to your routine safely. It’s also important they know you’re feeling distressed so they can continue to help if this doesn’t work.  

Talk about how you feel

Talk to your friends and family about how you feel and how they can support you – you might feel like a weight has been lifted from your shoulders.

Or talk to other people with diabetes – it can help to know that you’re not alone. Our online support forum is a great place to talk about diabetes with loads of people who are ready to chat or just listen.

Get support from a healthcare professional 

Your healthcare team are there to support you with the physical and emotional side of diabetes. So talk to your healthcare team if you’re feeling any sort of diabetes distress. Together you’ll be able to make plans that can reduce your distress, like making small changes to your diabetes routine or going on an education course. 

You might also want to speak to a psychological specialist to help you cope or adjust to life with diabetes. You can ask your healthcare team to refer you, or if you live in England you can search for your local Improving Access to Psychological Therapies (IAPT) team and contact them directly. IAPT services aren’t available across the UK.

What is diabetes burnout?

Feeling burnout because of diabetes can be different for everyone, but it can mean you stop taking care of yourself and your diabetes. For some people, this means skipping insulin doses or not taking your tablets. Some describe it as hitting a wall or giving up.
 
Having diabetes distress for a long stretch of time can lead to burnout, so that’s why it’s so important you recognise the signs and can access the right kind of support when you need it most.

https://www.diabetes.org.uk/guide-to-diabetes/emotions/diabetes-burnout?utm_source=bronto&utm_medium=email&utm_term=Read+our+advice&utm_campaign=Enewsletter+August+2021

Is It OK If I Drink Coffee?

By James Schofield

In my chiropractic office I get asked many questions. Usually, I am asked about how to help with musculoskeletal problems. I personally, have an interest and have studied a good bit about nutrition. Many of my patients know this and will ask me questions on the subject.

Recently a patient asked me: "Is it OK if I drink coffee?" Since I drink coffee a couple times a week, I didn't see any harm in it, but I wasn't sure if there was a nutritional benefit, so I did some research. This article will discuss nutritional benefits of moderate coffee drinking.

Coffee is one of the most popular and consumed beverages on the planet. I found that there is quite a bit of scientific documentation on the benefits of drinking coffee. Most of the studies noted that moderate coffee drinking (one to three cups/day) was optimal. However, some showed that drinking more than 3 cups a day was even better.

I was surprised to find a 2015 study showing the association of coffee consumption (decaffeinated and caffeinated) linked to increased life longevity. The study included tens of thousands of men and women and found that regular coffee drinkers (one to five cups a day) had less risk for an early death. I found it interesting that those who consumed more than 5 cups of coffee a day did not necessarily show increased longevity.

The Journal of the American Medical Association Oncology, September 2020 found that caffeinated and decaffeinated coffee seem to benefit patients with colorectal cancer. This study of 1171 patients tracked their coffee consumption for five years. It was observed that those who consumed 2 to 3 cups of coffee per day had not only an increased survival rate but that their cancer was less likely to progress.

In 2019 scientist used MRIs of the brain to look for amyloid plaque build-up, which is a feature found in dementia and Alzheimer's disease. The study involving 411 seniors, without cognitive impairment, found that those consuming two or more cups of coffee per day had lower brain levels of amyloid. This suggests a reduced risk for dementia and Alzheimer's disease.

There were also studies showing that moderate coffee drinking may benefit those with type 2 diabetes, liver cancer, endometrial cancer, prostate cancer and cardiovascular disease.

I believe everyone should take these findings and adapt them to their personal preferences and benefit. I know that if I drink coffee every day I do not do well. I get jittery, and don't sleep well.

I seem to do just fine with green tea (which has its own benefits) and alternate days of coffee with days of tea. I also periodically like to take some days without any caffeine consumption.

Take this article and utilize it in whatever way you feel is optimal for you. Don't be afraid to do your own research on the benefits of coffee and other caffeinated beverages. Also, if you are interested in other topics on nutrition there is a plethora of science research that you can investigate. Have fun with it!

https://ezinearticles.com/?Is-It-OK-If-I-Drink-Coffee&id=10478476

The importance of sleep for people with diabetes

From northern-scot.co.uk

PEOPLE with diabetes have been urged to be aware of the importance of sleep in dealing with their condition.

Getting a good sleep at night is vital for your health.

The past months have been difficult for everybody but for people with diabetes and other long-term conditions, it has been especially difficult, says Jenny Hirst of the InDependent Diabetes Trust.

It has also been an anxious time for people with diabetes for several reasons, for example because they have been unable to have their routine health checks. This can result in difficulty sleeping.

Jenny added: "Many of us have the odd restless night and although it may leave us feeling tired and irritable the next day, it does not have the negative impact that long-term disturbed or poor quality sleep has on our health.

"Most of us need between 7 and 9 hours sleep per night and getting more or less than these amounts can be the cause of a range of health problems, some of which are more serious than others. They can include sleep apnoea, heart disease, obesity, stress and depression."

For people with diabetes, good sleep is crucial

The InDependent Diabetes Trust has published a new booklet - "Diabetes – The Importance of Sleep", which discusses the benefits of improving the quality of sleep, how to get more sleep and also changing habits to try to make longer term improvements.

The booklet also discusses Restless Leg Syndrome, a common disorder that can affect anyone and causes people to want to move their legs, again this can lead to long sleepless nights.

"We can help people to learn more about their diabetes and sleep and how to look after themselves through our free our booklets.

"All our booklets are free. They can obtain copies of Diabetes – The Importance of Sleep and any of our other booklets by contacting IDDT: telephone 01604 622837 or email: jenny@iddtinternational.org"

https://www.northern-scot.co.uk/news/important-to-get-good-sleep-if-you-have-diabetes-247039/

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