may2014

MAY 2014

The official magazine of

Steph McKenzie – a diabetic in a hurry

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

Volume 22 May 2014 Issue 3

Adults with diabetes and the risk of seasonal influenzaSteph McKenzie – a diabetic in a hurry!Introducing our new Field OfficerA Bolus Bonus

Promising results reported for new insulinLife with Type 2: Our hard drives are fullRisk of kidney failure in diabetics nearly doubled with major depression

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 27 Mayat 7.30 pm

in the

Chartwell Church Lounge(St Albans) Comries Road, Chartwell

JILLENE PETERSAssociate at Harkness Henry Lawyers

talking about Enduring Powers of AttorneyCome along and learn more.

Next Support Group Meeting...

Guest Speaker

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 24 Juneat 7.30 pm

in the

Chartwell Church Lounge(St Albans) Comries Road, Chartwell

DEE GOUNDARIntern Pharmacist at Radius Davies Corner Pharmacytalking about Medications and devices for Diabetes control

Come along and learn more.

Guest Speaker

April’s Support Group Meeting...

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.

Apr 27, 2014: According to the results of a new study, working-age adults with type 2 diabetes are at an especially increased risk of doctor visits, hospitalisations and death from the flu, making an annual vaccine all the more important for this at-risk group.

Researchers f rom Mani toba, Canada, looked at more than 160,000 subjects of an average age of 50.5 and found that those with diabetes were as likely as those who were elderly to develop complications from flu-related symptoms - and six times more likely to die - than those without diabetes. Working age was identified as age 65 or less for the parameters of the study.

Diabetes can lead to a weakened immune system, experts say, which makes those with the disease more vulnerable. The Centres for Disease Control and Prevention (CDC) estimates that those with diabetes are three times more likely to be hospitalized with the flu. Having the flu can lead to elevated blood glucose as well as flu-related complications such as pneumonia, according to flu.gov, making it more important than ever to keep a close eye on blood sugar levels, and check it as often as possible. “Feeling tired from the flu can mask symptoms of low blood glucose and high blood glucose,” said diabetes educator Debby Johnson in an interview with US News and World Report.

Experts say getting a flu vaccine is important protection, and recommend

an injection, since the nasal vaccine have been found to be unsafe for those with diabetes.

“Guidelines calling for influenza vaccinations in diabetics, in addition to elderly, adults implicitly single out working-age adults with diabetes,” said Darren Lau of the School of Public Health at the University of Alberta. “We found that working-age adults with diabetes appear more susceptible to serious influenza-attributable illness.

“These findings represent the strongest available evidence for targeting diabetes as an indication for influenza vaccination, irrespective of age.”

For diabetics who do get the flu, WebMD.com suggests reading cold and flu medication labels carefully before taking them since they may be high in sugar - especially the liquid medicines - which can lead to elevated blood sugar.

Source: diabeteshealth.com

Adults with diabetes and the risk of seasonal influenzaBy Brenda Neugent

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 VeFeild Officer Jenny WestDietwrite production & printing Tim and Mary AtkinsonWebsite Coordinator Peter CawkwellSupport Group Coordinator Joan Limmer 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.orgThe office is attended

9.00 am – 4.00 pmMonday, 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 Service Centre.

Our President ReflectsHello EveryoneI am pleased to advise that our new

part time Field Officer, Jenny West, joined us on 14 April. Jenny will initially be working 15 hours per week and already has a busy workload. Our Vice President, Joan Limmer, is helping Jenny to develop her role. Jenny has Type 1 diabetes and consequently has a good knowledge of what is required to live a healthy life with diabetes.

We have had a busy couple of months, attending support group meetings throughout the region and giving diabetes presentations to community organisations. We also had a stand at the Waikato Show Wellness Expo from 11 to 13 April with Joan Limmer and her team of volunteers providing diabetes information to over 100 people. We accepted an invitation from Seddon Park Funeral Home to have a stand at

their expo on 11 and 12 April and subsequently received a welcome donation from them.

The youth com-mittee has been active organizing a successful white water rafting event for teens, in conjunction with Tauranga youth on Sunday 30 March.

Our Office Manager, Donna Ve, has responded to many requests for information on the services we can provide for people affected by diabetes.

In my role as Upper North Island Regional Representative, I chaired a Regional Committee meeting in Auckland on 22 March and attended a National Advisory Council meeting in Wellington on 2 May. While these meetings are very worthwhile they do involve a lot of time and work.

I am also Diabetes Consumer

Representative for the Waikato DHB and attended a teleconference on 7 April with the Ministry of Health. This teleconference was also attended by representatives of the three local Primary Health Organisations and it was pleasing to hear of their initiatives to improve diabetes services.

At very short notice we received a request from the Stroke Foundation for office space. We were able to assist and have since welcomed the Stroke Foundation as a tenant. This is a good fit as strokes can be a complication of diabetes.

Also, I’m pleased to advise that the pilot low-cost foot clinic, in conjunction with Arthritis New Zealand, will commence on Friday 30 May. There is further information regarding this service in this issue of Dietwrite.

On a final note, we are considering the development of an electronic version of Dietwrite using a special “easy to read” software programme. We will be emailing a sample of this issue of Dietwrite to a number of of our members as a trial, together with a small questionaire. We would appreciate it very much if as many of the questionaires as possible could be completed and emailed back to us.

Thank you.

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• Diabetes Youth NZ (Lottery Grant)• Regional Lions Clubs• Hamilton City Council• NZ Lottery Grants Board• NZ Post• Pak ‘n Save, Clarence Street• SKYCITY Hamilton Community Trust• The Page Trust• Waipa District Council• Waikato Local Diabetes Team• 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.

Murray Dear

Cover Story

When Steph McKenzie first started cycling she had to literally re-learn how to ride a bike.

A number of years later she is one of this country’s most exciting sprinting talents.

The bubbly teenager came from a gymnastics background, but the rigours of the sport meant she was making weekly visits to an osteopath.

Her osteopath was also a cyclist and he believed McKenzie had the ideal build for cycling.

The only problem was, McKenzie had basically forgotten how to ride a bike.

She turned up to a track session armed with little more than some curiosity after watching Sarah Ulmer win Olympic gold on the television.

“I hadn’t ridden a bike for ages. I used to do the Weet-Bix triathlon and that sort of thing. It was fun, an adrenalin rush.

“I think the second time on the track I got up to the top and that was fun.”

McKenzie became involved in a Peter Snell programme and was almost immediately marked down as a sprinter.

A talented athlete, in 2008 McKenzie started dabbling in weightlifting to improve her strength and did so well that she was considered a lifter for the future if she had chosen to continue with the sport.

Now, however, she’s on the fast track to international cycling stardom.

She won silver at the junior world

championships in Italy in 2010 in the team sprint, an eye-catching result given McKenzie still has a year left at junior level and was sent to the event to gain experience.

Also in 2010 she won the under-19 sprint final at the Oceania championships in Adelaide and took out three titles at the March national championships in Invercargill.

Making McKenzie’s growing reputation even more special is the fact she is a type-1 diabetic.

She has been living with the illness for a number of years, having to spend time hooked up to an intravenous bag every few days to maintain her insulin levels.

“I think it’s taught me more about my

Steph McKenzie – a diabetic in a hurry!

Steph McKenzie with the four gold and one silver medals she won at the

Nationals this year.

body, how it works. Being a diabetic, if I’m high, it produces more lactic acid. It hasn’t been a disadvantage, I’ve learnt from it.”

McKenzie is sometimes called on to speak to children and other groups about her life with diabetes and it is something she enjoys.

“It’s another motivator, I like inspiring the kids.”

McKenzie has had Ulmer as a mentor during her career and loves the messages she receives from the New Zealand cycling great, while she also counts Australian world and Olympic champion sprinter Anna Meares as a friend and role model.

McKenzie hopes to one day be racing on the same stage.

- Fairfax NZ News (abridged)Steph McKenzie recently joined the

Diabetes NZ Waikato Youth Group, having moved from Southland to Cambridge so as to be near the newly built Avantidrome, as a role model and mentor for children with diabetes.

An elite cyclist with the Novo

Nordisk Women’s Cycling Team and winner of four national titles at the National Championships held at the Avantidrome, Cambridge in March.

“The highlight of this year’s elite track nationals has been winning my four national titles on the new Avantidrome and showing local residents what the sport it all about,” says Steph. “I have been told by many people that they want to give it a go!”

“What is next on the cards for me is going to be confirmed within the next few weeks, the performances at Nationals will decide the 2014 Commonwealth Games team. So if I make the team I expect to be involved in a short build up in Europe, racing at World Cup qualifying events, and making our final preparations before heading to Glasgow in July.

“A recent quote I came across during one of my sport psych lectures, which can be applied to anything, is as follows: “It’s not what happens to you that matters, but how you react to it” – Epicititus a Greek Philosopher.”

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Hi, my name is Jenny West and I feel privileged to serve you as your new regional Diabetes Field Officer. My journey with diabetes began at age eight when my sister aged eleven was diagnosed with type one just after we moved to New Zealand from Scotland. It was a major adjustment for our family but Mum and Dad were determined for my sister to lead the life she wanted and, with support, self-manage.

In my twenties, after finishing my degree, I moved to Wellington and began working for the Government as a Business Policy Adviser, specialising in occupational health. A few month after my 28th birthday I had lost some weight and work had paid for a new pair of glasses due to what we thought was eye strain from computer use. A week later, and after a night of unquenchable thirst, I was also diagnosed with type one diabetes.

Ten years on and back in the Waikato my husband and I have been able to have (thanks to wonderful diabetes antenatal teams and NICU support) two healthy, vibrant children. Since having my children I have worked part time for Weight Watchers and more recently, Midlands Health Network, who provide management services to 70% of Waikato GPs.

I am very excited about fulfilling my new role at Diabetes NZ Waikato and hope to:• enhance the provision of information

and support to all people with diabetes, and their whanau, to assist self-management

• enhance and build upon support groups

• help Diabetes NZ support the medical community with the increasing number of people being diagnosed and requiring assistanceI encourage you all to reach out for

support to self-manage so we can get on with life. I like the analogy that likens having diabetes with driving “We still drive the car, we just have a manual rather than an automatic”. We may have to manually control our blood glucose but it allows us to still get on with life.

Introducing our new Field Officer

If you are over 50, help prevent the debilitating consequences of Shingles by getting a Zostavax vaccine. Come to the pharmacy and talk with one of our pharmacists or nurses.

Mar 31, 2014: The iPhone is taking a seat at the dinner table.

Studies done with people with type 1 diabetes using automated bolus calculators (ABC’s) which are available in a number of glucose meters (Accu-Chek®, Aviva Expert® and FreeStyle Insulux® are just a few) have proven effective in preventing hypoglycaemia. Those using insulin pumps probably have the ABC already integrated into their devices.

But now, (cliché alert), there’s an app for that.

Currently, there 84 different insulin calculator apps available on iTunes and all are designed to assist in helping find the correct bolus (insulin needed for a specific meal). In a general sense, they all work the same way with a setup for customizing the carbohydrate-to-insulin ratio, total carbohydrates in the meal, along with

current and target glucose levels.The new technology is being looked

at as a way to improve an unsettling statistic: Only 30 percent of all people with diabetes who are taking medication-pills and/or insulin-are able to hit targeted glucose levels. And there’s a lot of that new technology in use: Between 2011 and 2012, the number of downloaded health-related apps more than doubled, from 127 million to 247 million


A Bolus BonusPat Piper

Do you have arthritis or diabetes? You are invited to a

Fridays 30 May, 27 June & 25 JulyDiabetes NZ Waikato Branch 16 Von Tempsky Street Hamilton

Appointments available 9.30 am – 12.30 pm

These clinics are for people with any form of arthritis who may have concerns about their feet, or people with diabetes who have not had their feet checked in the last year. You will be able to see a podiatrist, an arthritis educator, and a diabetes field officer. You will also be able to have a uric acid test to check for gout.

For more information or to register, phone Catherine Swift on (07) 829 4538. Or email [email protected].

$10 for members of Arthritis New Zealand or Diabetes NZ Waikato Branch $20 for everybody else

www.arthritis.org.nz

In association with Diabetes NZ Waikato Branch & Waikato Podiatry

Continued on page 14

Mar 17, 2014: A new kind of long-acting insulin, developed by pharmaceutical giant Sanofi, has shown promising results in clinical trials, according to information released by the company.

The investigational insulin, called U300, is based on the glargine molecule, which is also used in Sanofi’s Lantus brand. But U300 works for a longer time than Lantus, reduces blood sugar more consistently (the research term for this is that it has a “flatter profile”) and produces fewer hypoglycaemic episodes.

“We are encouraged by these results, which suggest that U300 could be a viable treatment option for a wide

range of people with type 1 and type 2 diabetes,” said Pierre Chancel, a senior vice president at Sanofi.

The most notable news from the results was the drop in hypoglycaemia. Among a group of type 2 diabetics already using long-acting insulin, 23 percent fewer patients had overnight lows on U300, compared with those using Lantus. That’s a noticeable – and notable – difference.

On average, participants in the study were 58 years old and been diagnosed with diabetes for nearly 13 years. They were studied over a period of six months. Researchers also found that low-blood sugar events during the day were also cut

Promising results reported for new insulin Clay Wirestone

HUNTLY Diabetes Support Group

is holding get-togethers for people with diabetes on

Third 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

Second 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]

PUTARURU - TIRAU Diabetes Support Group

is holding a get-together for interested people on

2nd Tuesday in June, August,

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

is holding get-togethers for people with diabetes onFirst Thursday of

each monthat 1.30 pm

at

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 onFirst Thursday of

each monthat 1.30 pm

at theRichmond 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

TE AWAMUTU Diabetes Support Groups

is holding a support meeting for people with diabetes on

2nd Tuesday in May, July, Sept & Nov at 1.30 pm

in the Methodist Church 261 Banks Street,

PLUS a SPECIAL MEETINGat 3 pm on

TUESDAY 20 MAYin the Highfield Residential Rest Home

Guest Speaker: Kate Griffen, Mobile Pharmacist

Everyone WelcomeFor Information, contact Jenny West 022 426 1055

Support Group Meeting Notices

NEW EDITOR WANTEDThe current editor of Dietwrite, who has enjoyed producing our magazine for more than 20 years, feels that the time has come to retire.

We are looking for the person who feels they would enjoy the challenge of taking Dietwrite into the 21st century.You would need to be conversant with, and have, suitable computer software to produce six issues of Dietwrite per year. Be keen on researching for interesting and appropriate articles for reproduction in Dietwrite, and be prepared to work with the staff and committee of Diabetes NZ Waikato Branch.

If you are interested in this position, contact:

Phone 07-838 0127 or email [email protected]

in the group treated with U300 insulin.“Reducing the risk of hypoglycaemic

events is imperative for effective management of diabetes, and (this trial) suggests that U300 reduces the risk of these events, even in a challenging patient population who have been on high basal insulin doses and oral medications without being able to achieve their treatment targets,” said researcher Hannele Yki-Jarvinen of the University of Helsinki, Finland.

Sanofi has a pressing reason to develop new types of insulin. According to Bloomberg News, Lantus will lose its patent protection next year. While that doesn’t mean that generic Lantus will flood the market (such drugs face barriers in the United States, although quasi-generics called biosimilars are available overseas), the company wants to protect itself.

Richard Parkes of Deutsche Bank AG in London told Bloomberg that “the ideal situation for them is they’ve got

something that’s Lantus, but slightly better. That allows you to protect a significant portion of your franchise from biosimilar risk.”

The drug could pay off handsomely, too. According to Bloomberg, analysts from Berenberg Bank and Sanford C. Bernstein & Co. said that U300 sales could total $1 billion by 2018.

For people with diabetes, it can be tough to know what to make of these numbers. For better or worse, pharmaceutical companies aren’t nonprofits. They’re out to make money, and one way that can be done is by pursuing improvements to existing drugs. Not every therapy can be a breakthrough blockbuster, and the development of truly new drugs can be a breathtakingly expensive and time-consuming process.

If a slightly better insulin helps people with diabetes lower their blood sugars safely, who can argue with that?


April 26, 2014: Life as an older type 2 isn’t always about diabetes. There are also the traditional problems that come with getting up in years: “Did you sleep OK, Dearie?” “Doesn’t that sun feel good on the joints?” “I’ve really started to like salsa lately. Must be my taste buds seeing if they can still be shocked.”

So it came as a great consolation a few days ago when I read a news item that said it’s a mistake to think that the brain slows down as people age because it’s losing its power. The truth, according to a German research team, is that people’s brains are somewhat like a computer’s hard drive: The more information that’s been stored on it, the longer it takes to find it. It isn’t a problem of ability or in te l l igence; it’s a problem of retrieval.

N o w t h a t ’ s not only a great c o n s o l a t i o n , i t m a k e s p e r f e c t sense. Most older people I know are very much at the height of their mental powers (and senses of humour), but they also carry around years of stashed experiences and memories. Think of their brains as a 50-layer cake, each layer made of a different ingredient – milk chocolate, lemon, strawberry, mango, dark chocolate, coconut, and so on. But all of those layers have to be squeezed within the standard height of a cake (or normal brain structure).

Now imagine a younger person’s l a y e r - c a k e b r a i n , w h i c h m a y have only 10 layers because he has

fewer experiences and memories. Then ask each person to access a particular layer that stores a set of facts, such as, “What was the name of the character in Titanic who romanced his girlfriend by propping her up on the bow of the ship?” It’s likely the younger person is going to be able to scan his 10 layers more quickly than the older person scans his 50 and come up with the name, Jack Dawson.

Not only does the older person have to scan more layers to find the right information, the answer is mixed in with a lot of other facts about

the Titanic – that the millionaire Molly Brown, later the subject of a Broadway musical, was aboard that night; that the Titanic had two sister ships, Britannic (which was originally to be named “Gigantic”), which struck a mine and sank in World War I, and Olympic, which enjoyed a long disaster-free run before being scrapped in 1935; and that a writer named Morgan Robinson wrote a novel in 1898, Futility, or the Wreck of the Titan, about the Titan, the greatest ocean liner ever built, which on her maiden voyage to America hits an iceberg and sinks.

The older person has to filter through all

Life with Type 2: Our hard drives are fullPatrick Totty

… that people’s brains are somewhat like a

computer’s hard drive: The more information

that’s been stored on it, the longer it takes to find it.

Risk of kidney failure in diabetics nearly doubles with major depressionBrenda Neugent

that stuff before arriving at Jack Dawson.This “my brain is stuffed and I can’t get

data out” condition applies to diabetes, too. By the time any of us have had type 2 for a few years, we have a lot of information, both scientific and personal, stashed in our heads. Some of it is contradictory, so the deer-in-the-headlights look we may flash when somebody asks us a simple question about our disease is because we have to dig through heaps and heaps of data to compile an informative answer.

Also, because we have diabetes, which

we’ve been told has all sorts of bad side effects, we may start to believe that our difficulty accessing our cranial hard drive is one of them. It could be, although I’ve met few older diabetics who come across as confused or addled – at least no more so than most seniors.

So, hats off to those Dutch researchers – or was it German? I can’t recall – who brought us the reassuring news about something or other, that should make all us elders feel good.


Apr 15, 2014: If you have type 2 diabetes and also suffer from depression, you may want to keep an even closer eye on your kidney health.

According to the results of a new study, diabetics who also suffer from severe depression – the kind that makes it difficult to work, sleep or enjoy activities with friends and family – have nearly twice the risk of kidney failure.

A mind-body link has already been established between diabetes and depression, and those diagnosed with diabetes are more likely to also suffer from depression. Experts believe that the higher levels of stress hormones that are associated with depression – including cortisol – play a role in the elevated blood sugar levels that lead to insulin resistance and diabetes.

This study is the first time kidney disease – most commonly caused by diabetes – has also been addressed.

Researchers studied 3,886 adults with diabetes, 8.4 percent of them with symptoms of major depression and 8.4 percent with minor depressive symptoms.

During follow ups over almost 10 years, 87 of them developed kidney failure, with the majority of them coming from the group with major symptoms of depression. Minor depression was not linked to an increased risk.

“This is the first study to show that major depressive symptoms are associated with a higher risk of kidney failure in patients with diabetes,” said Dr Margaret Yu of the University of Washington in Seattle, who headed the study. “As an observational cohort study, we can only identify an association between major depressive symptoms and kidney failure; additional studies are needed to determine whether treatment of depression can reduce the risk of kidney failure.”

In addition to diabetes, depression has previously been linked to heart disease, osteoporosis and some forms of cancer, which is believed to be caused by higher levels of cytokines, which hinder the body’s ability to fight off malignant cells.


Bubble and Squeak FrittataServes 4: Time to make 35 minutesIngredients

4 tsp olive oil1 onion, sliced2 cloves of garlic, crushed250g cooked potato, diced1 cup diced cooked carrotOil spray2 cups cabbage or Brussel sprouts200g lean meat – roast beef or roast chickenPinch of nutmegPinch of paprika7 eggsChopped fresh parsley to garnish

MethodHeat a large non-stick frying pan with

half of the oil and cook onion and garlic until softened.

Add potatoes and carrots with the remaining oil, using a little spray oil if necessary. Cook 3-4 minute. Add cabbage, pressing down into pan, and a little spray oil. Cook for a few minutes.

Add meat and season with nutmeg and paprika.

Beat eggs with a fork and pour into pan. Swirl pan until egg is evenly distributed and the base has begun to set. Keep tilting pan so that uncooked egg settles around the pan edges. Remove from the heat when the base has firmed and the surface is softly set.

To brown the top, place the frittata under a preheated grill for a few minutes.

Slice frittata into wedges, and garnish

with parsley and serve.Nutritional Information per serve: Energy 1460kJ, Total fat 20g, carbs 20g, fibre 4g, sodium 200mg.

Crispy Vegetable Cakes with SteakServes 4: Time to make 25 minutes.Ingredients

800g kumera, cooked and mashed (orange kumera works best).Oil spray1 tsp chilli powder, curry powder, or Moroccan seasoning1 onion, finely chopped2 courgettes, grated or chopped2 carrots, grated or chopped1 cup corn kernels½ cup breadcrumbs4 small lean beef steaks, about 100g each

MethodPlace mash in large bowl. Heat a

non-stick frying pan with a little oil spray. Cook onion until softened. Add chosen seasoning and cook for a few more minutes.

Spray pan with a little more oil and add grated (or chopped) vegetables. Cook for 3-4 minutes. Add to kumera mash, mix well and stir in corn.

Divide mixture into eight even-sized patties. Toss in breadcrumbs. Heat a non-stick frying pan with a little more oil spray and cook half of the cakes for 4 minutes each side until lightly golden. Repeat for the remaining cakes.

Keep warm while steaks are pan-

Delightfully Delicious Recipes

Monday 16 JuneMonday 14 July

Monday 18 AugustWe 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.

fried with a little more spray oil. Serve two cakes with each steak and a little salad.Nutritional Information per serve: Energy 2080kJ, Total fat 10g, carbs 70g fibre 9g, sodium 220mg.

Cheesy Ham and Corn Mini MuffinsMakes 24: Time to make, 20 minutes – these are really popular with the kids.Ingrdients

Cooking spray oil2 cups self-raising flour1 pinch of salt1 large cup of grated courgette1 cup (220g) fresh, frozen or canned corn kernels75g ham, diced½ cup grated reduced-fat cheddar cheese200ml trim milk1 egg80ml (1/3 cup) sunflower oil

MethodPreheat oven to 180°C. Spray a 24-

hole mini-muffin tin with oil.Sift flour and salt into a large bowl.

Add courgettes, corn, ham and cheese. Stir to combine. Set aside.

In a separate bowl whisk together milk, eggs and sunflower oil. Stir wet ingredients into dry ingredients until just combined.

Divide mixture among muffin holes. Bake for 12 minutes or until golden and cooked through.Nutritional Information per serve: Energy 390kJ, Total fat 5g, carbs 10g, fibre 1g, sodium 130mg.

Source: Healthy Food Guide

APPLICATION FOR MEMBERSHIP OF DIABETES NEW ZEALANDAre you currently a member, or do you know of someone who could benefit from being a member?By joining Diabetes New Zealand you are able to access services and information from your local branch, Diabetes NZ Waikato.Name: _________________________________________________________ (first names) (family name)

Address: _______________________________________________________ _________________________________ Post code: ____________Postal address if different to above: ________________________________ _________________________________ Post code: ____________

Gender: Male FemaleContact phone number: __________________________________________Email address: __________________________________________________Date of birth: ___________________________________________________Occupation: ____________________________________________________Ethnicity: ______________________________________________________

If anyone in your family has diabetes we invite you to share their details with us. This will allow us to be able to provide you with more relevant information.

Diabetes: You Child Partner Other ___________________

No

Type 1 Type 2 Gestational diabetes

Please join me as a member of Diabetes New Zealand, Waikato Branch. My cheque for $_____________________is enclosed; OR, charge my Visa/Mastercard:Name on card: __________________________________________________Expiry date: ____________________________________________________

Card Number: Signature: ______________________________________________________

Please forward to: Diabetes New Zealand PO Box 12441 Wellington, 6144

Membership Fees: (waged) $35.00 (unwaged) $27.50

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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may2014

Documents

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