sweet life magazine issue 5

Issue 05Summer 2012

Living with an insulin pump

Outdoor family fun

• Delicious healthy recipes• Useful diabetic info• Expert advice

DiabetesMonth

Celebrate

www.sweetlifemag.co.za

Life can be Sweet, with diabeteS

Your quarterly dose of:

Festive eating (tips)

Free!Take one

now

SLM05_Cover.indd 1 2012/10/11 4:11 PM

Experience what’s possible.

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This Nanovember, things just keep getting better and better! The Good news is that Accu-Chek is running a promotion!

Better yet, when you buy 2 tins of Accu-Chek Performa strips, you stand to win 1 of 20 grocery vouchers valued at R1000 each!Best of all, with every purchase, R1 will be donated to Diabetes South Africa.

Roche Products (Pty) LTD, Diagnostic Division, PO Box 1927, Randburg Toll free: 080-Diabetes (Dial 080-34-22-38-37) www.accu-chek.co.za / www.diabetes.co.zaACCU-CHEK PERFORMA NANO is a trademark of Roche. © Roche Diagnostics Ref: PERF120811

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1 of 20 grocery vouchers











valued at R1000 each!












Visit www.nanovember.co.za for competition terms and conditions.

For more information contact your Healthcare Professional

Scan this tag using your cellphone and follow the instructions on how to enter.

Get your mobile app at www.trustatag.mobi

SMS the last four digits of the two barcodes on the packs to 32003, and follow the instructions on the SMS reply.

or

Competition runs from 1st to 30th November 2012. Only at participating pharmacies.

1391_Performa Nano Advert 210x148 Sweetlife.indd 1 2012/09/07 8:38 AM

Welcom

eAnd a very Happy National Diabetes Month to all of you!

03

Hello!EDITORBridget McNulty

ART DIRECTORMark Peddle

PUBLISHERClaire Barnardo

ADVERTISING SALESTFWcc - Tessa and Anthony Fenton-Wells

CONTRIBUTORSAlistair Palmer, Anette Thompson, Caroline Gardner, Dr Dale Harrison, Emile Scholtz, Gareth Murray, Genevieve Jardine, Jeske Wellmann, Jeannie Berg, Martin Salkow, Dr Neville Wellington, Nicole McCreedy, Sarah Hall, Shi-ara Pillay, Shirley Desmond.

ADVERTISING ENQUIRIESBox 52301, Kenilworth 7745. Tel: 021 761 2840. Fax: 021 761 0442. Cell: 082 320 0014. Email: [email protected]

EDITORIAL ENQUIRIESPO Box 12651, Mill St, 8010. Tel: 021 424 7470. Email: [email protected]

COPYRIGHTPublished by The Editors Publishing House CC. Copyright The Editors Publishing House CC. All rights reserved. Reproduction in whole or part is prohibited without prior permission of the Editor.

COMPETITION RULESWinners will be randomly selected and notified by telephone or email, and must agree to have their names published online. Prizes are not transferable and cannot be exchanged for cash. The judge’s decision is final and no correspondence will be entered into.

The views and opinions expressed in this magazine are those of the contributors and not necessarily those of Sweet Life. Always consult a specialist before making any changes to your diet or medicine.

PS: Want to make sure you get your free copy of Sweet Life every quarter? Find your nearest Clicks Clinic on page 4.

What better month to celebrate living a healthy life with diabetes than in November, National Diabetes Month? I can’t wait for you to see what we have in store for you.

This issue is all about easy ways to celebrate living with diabetes - from fabulous healthy recipes to expert tips and advice from our wonderful Panel of Experts (who make sure all the information we share with you is 100% correct) and a couple of really special features. One of the questions we always get asked is what life with the insulin pump is actually like - so we found out for you, by inter-viewing three happy insulin pump users. We also meet Shiara Pillay, an inspiring Type 1 diabetic, and give you some great ideas for getting outdoors and being active this summer. There are all kinds of events happening this month to celebrate diabe-tes, and we hope to see you at one of them!

Have something you want to share? Come and chat to us on the community blog: www.sweetlifemag.co.za/community or send me an email: [email protected]

What makes the Sweet Life community so special is that we’re all in this together... Let’s celebrate that fact!

I look forward to chatting to you soon.

Until next time,

Bridget McNulty Editor

SLM05_Eds_Letter.indd 1 2012/10/11 1:40 PM

Com

mun

ity Sweet Life, now available

at Clicks Clinics!

04

Free!Sign up

now.

Pg.4

look at

diabetes

Expert advice, delicious recipes,

interesting facts and all you need to

know to live a sweet life with diabetes.

A fresh

Issue 01

Summer 2011

www.sweetlife

mag.co.za

LifE can bE SwEEt, with diabEtES

It’s National Diabetes Month, which means that you’ll be able to get your copy of Sweet Life from a Clicks Clinic or support group near you.

What to do

Go to your nearest Clicks Clinic or your local support group and ask for a copy of Sweet Life. Your free copy of Sweet Life will be waiting for you in November, February, May and August. Simply ask the clinic sister or your support group leader for a copy, and you’ll be given your FREE Sweet Life magazine. Or you can read it online at www.sweetlifemag.co.za

Why don’t we post any more?

We want you to get the support you need for your diabetes. Ask questions, have blood tests, get your feet checked and make sure you’re on the right medication - all of this can be done at a Clicks Clinic. So every 3 months we want you to take charge of your diabetes, march into a clinic or your local support group, and pick up your FREE copy of Sweet Life magazine.

sweet life available at clicks

clinics

Issue 02

autumn 2012

Free!Sign up

now.

Pg.5

Small changes can make a big difference.

Our expert advice, tasty recipes and

helpful facts let you live a sweet life

life withdiabetes

Simplify



Issue 03winter 2012

Free!Sign up

now.

Pg.5

Great family recipes,

expert advice, interesting

articles and all the facts

you need to live a happy

life with diabetes.

life anddiabetesFamily



Issue 04Spring 2012

Free!Get your

copy.

Pg.4

Special report on the low carb diet, delicious Spring recipes, expert advice,

and everything you need to live a healthy, active life with diabetes.

Diabeteson the move

Get active!



Issue 05Summer 2012

Living with an insulin pump

Outdoor family fun

• Delicious healthy recipes• Useful diabetic info• Expert advice

DiabetesMonth

Celebrate



Your quarterly dose of:

Festive eating (tips)

Free!Take one now

SLM05_Community.indd 1 2012/10/11 7:19 PM

Com

munity

05

Western CapeBLUE ROUTE TokaiCANAL WALK MilnertonCAPE GATE BrackenfellCAVENDISH CONNECT ClaremontCONSTANTIAEDGEMEADGARDENSGARDEN ROUTE MALL GeorgeGLENGARIFF Sea PointGOLDEN ACRE Cape TownGUGULETHUHERMANUSKENILWORTH CENTRE KenilworthLANGEBERG MALL Mossel BayLONG BEACH MALL NoordhoekMELKBOSSTRANDMOUNTAIN MILL WorcesterN1 CITY GOODWOODOUDTSHOORNPAARLPAROWPINELANDSPLETTENBERG BAYPLUMSTEADPROMENADE Mitchells PlainSOMERSET MALL Somerset WestSONEIKE KuilsriverSTELLENBOSCHTABLEVIEWTYGERVALLEY BellvilleV&A WATERFRONT Cape TownVANGATE MALL AthloneVREDENBURG WEST COAST VILLAGE Tableview

GautengALBERTONATTERBURY Faerie Glen, Pretoria BALFOUR PARK Highlands North, JHBBROOKLYN MALL Niemuckleneuk, PretoriaCARNIVAL MALL Dalspark, BrakpanCENTURION CENTRE Centurion, PretoriaCLEARWATER MALL RoodepoortCOLUMBINE SqUARE Columbine, JHBCORNWALL VIEW Elarduspark, PretoriaCRESTA CENTRE Cresta, JHBEASTGATE Bedfordview EDENMEADOW EdenvaleGEzINA GALLERIES Gezina, PretoriaJABULANI MALL Soweto, JHBJACARANDA CENTRE Rietfontein, PretoriaKRUGERSDORPKILLARNEY MALL KillarneyKOLONADE CENTRE Montana, PretoriaLAKESIDE MALL BenoniLAMBTON GermistonMAPONYA MALL Soweto, JHBMENLYN RETAIL Newlands, PretoriaMONTANA CROSSING Montana, PretoriaNORKEM MALL, Kempton ParkNORTHGATE Honeydew, RandburgNORTHVAAL ARCADE PretoriaRIVERSIDE BOULEVARD VanderbijlparkROSEBANK PHARMACY Rosebank, JHBSANDTON CITY Sandton, JHBSANRIDGE SqUARE Midrand, JHBSOUTHGATE Mondeor, JHBSPRINGSTHE GLEN Oakdene, JHBVILLAGE VIEW Bedfordview, JHBWELTEVREDEN PARKWONDERPARK CENTRE AkasiaWOODHILL Moreleta Park

find your nearest clicks clinic below:

LimpopoCYCAD Bendor, PolokwaneSTANDARD BANK SqUARE PolokwanePOLOKWANE CBD Polokwane

MpumalangaHIGHVELD MALL WitbankKLIPFONTEIN WitbankMIDWATER CENTRE Aerorand Middelburg

Northern CapeDIAMOND PAVILION Monument Heights, Kimberley


Com

mun

ity

06

KZNBLUFF Wentworth DurbanAMAJUBA NewcastleRICHARDS BAYGATEWAY Umhlanga RocksHIBISCUS MALL MargateLA LUCIA Durban LADYSMITHLIBERTY MIDLANDS MALL PietermaritzburgMALVERN Queensburgh, DurbanMUSGRAVE CENTRE MUSGRAVEPAVILION Westville, DurbanPINETOWN Pinetown, DurbanSOUTHWAY MALL SeaviewSHELLY BEACHVICTORIA ROAD PietermaritzburgWESTVILLE MALL Westville

North WestKLERKSDORPMAFIKENGMOOI RIVERPOTCHEFSTROOMWATERFALL MALL RustenburgWILKOPPIES Klerksdorp

Free StateBAYSWATER PHARMACY BloemfonteinBETHLEHEMGOLDFIELDS MALL WelkomLANGHOVEN PARK BloemfonteinLIBERTY MALL WelkomFICHARDT PARK PHARMACY BloemfonteinLOCH LOGAN BloemfonteinMIMOSA MALL Bloemfontein

Contact us:

SwazilandTHE GABLES EzulwiniBHUNU MALL ManziniSWAzI PLAzA Mbabane

Web www.sweetlifemag.co.za

Email [email protected]

Mobi

Postal:

www.sweetlife.mobi

Diabetic south africans

sweet_life_mag

PO box 12651, Mill st, 8010, western cape

Eastern CapeBEACON BAY East LondonGRAHAMSTOWN GrahamstownGREENACRES Newton Park, PEKING WILLIAMS TOWNKNYSNASUNRIDGE VILLAGE Sunridge, PEVINCENT PARK East LondonKABEGA PARK PEWALMER PARK Walmer, PE

Faaiza Paruk Bsc Dietetics (Hons) is a dietician in Joburg.

Dr. Gabaza Ngobeni is a GP in Diepkloof, Soweto.

Dr. zaheer Ba-yat is a specialist endocrinologist in Gauteng.

Dr. Joel Dave is a senior specialist at UCT & Groote Schuur

Meet some of our experts:

Does your support group need copies of Sweet Life? Get in touch and we’ll make sure you get them.

Meet the whole panel at: sweetlifemag.co.za


FutureLife_SLM05_Ad.indd 1 2012/10/11 7:42 PM

Watch your weight:Most people tend to gain about 2-5kgs over the festive season only to make a New Year’s Resolution to lose it again. Prevention is better than cure, so make it your goal not to gain any weight this festive season.

Treat yourself:Using your bonus money to buy special treats is tempting – nothing says Christmas like mince pies or brandy pudding. This year, why not use your money to buy healthy treat alternatives: exotic fruit, nuts, lean biltong or diabetic biscuits. Better yet, spoil yourself with non-edible treats like a magazine, a new recipe book or a pair of running shoes.

Get active:Use your free time and the sunny weather to try a new activity. Play a game of tennis, hire a bike, do that hike you’ve always wanted to do. Take the focus off food and get adventurous. Touring a new city on foot or playing with the kids on the beach allows you to burn off kilojoules and improves your body’s ability to use insulin more effectively. The result? Better blood sugar control.

Re-gift the chocolates:It’s the season of giving and granny’s homemade biscuits or that box of chocolates can become very tempting. The truth is that you don’t have to eat

the whole box in order to celebrate or appreciate the gift. This year rather re-gift the

biscuits and spoil someone else.

Fun festive food“With Christmas coming up I know I’m going to want to eat what I shouldn’t… What are the ‘safe’ foods to snack on at parties?” Jabu Hlazo

from our community:

Have a question for our dietician? Ask us on our website, Facebook page or mobi site and you could be in the next issue!

The festive season is a great time of year when the hard work is over and it’s time for fun and feasting. The question is, how do you celebrate with everyone else, but still maintain healthy blood glucose levels? Here are some holiday points to ponder.

Ask

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SLM05_Ask_the_Dietician.indd 1 2012/10/11 1:07 PM

Ask the D

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Plan ahead:During the festive season the social calendar fills up. Be wise and plan around your daily ‘eating commitments’. It’s still important to eat regular meals (even while on holiday) and you may need to adjust meal sizes and snacks around social engagements. For example, if you know that you have a family braai in the afternoon, you may want to plan a light lunch with a healthy snack just before you leave to help stabilize blood sugar levels and avoid binging on snacks. When invited out, offer to contribute to the meal and bring your own healthy alternative. You’ll be amazed how grateful people are when you arrive with an extra plate of fresh veggies and dip, or a fresh green salad or diabetic-friendly dessert.

Watch the alcohol:Holiday celebrations often involve excessive drinking, which can send blood glucose levels soaring with an inevitable crash in the early hours of the morning. Be sensible and opt for alternatives like light beer or light wine, and watch how much you drink: the recommended amount is two alcoholic drinks per day for men and one per day for women. Never drink on an empty stomach and don’t drink and drive. There is more at stake than just your blood glucose levels.

Party tricks:If the festive season means endless office parties and end of year functions, don’t hesitate to find out more about the food. Chat to the person in charge of catering the office party to ensure there will be snacks like chicken pieces, fruit kebabs, diced vegetables and sandwiches, as well as diet drinks and light alcohol. For restaurant dining, phone ahead for the menu and decide what to order so you’re not tempted when you get there. If you choose wisely and stick to reasonable portions, you’ll get through the festive season just fine.

Want to win a copy of The Complete Nutri-tional Solution to Diabetes by Ria Catsicas? Send your full name and address to:

Email [email protected]

Post PO Box 12651, Mill Street, 8010, Western Cape

WinOne of 3 copies of this book!

Ask the expert:Genevieve Jardine

From myself, Genevieve Jardine, I wish you and your family a fantastic festive season filled with flavour, fun and family.

Ria Catsicas has a Bsc (Hons) in Dietetics from the University of North West, a BA (Psychology) from Unisa

and is working towards a Masters degree in Nutrition, specialising in diabetes.

She is registered with the Health Professions Council of South Africa and is a member of

the Association of Dietetics in South Africa and the Society of Obesity in South Africa.More about the authorThe book is suitable for all diabetes sufferers (Type 1 and 2) as well as anyone diagnosed with pre-diabetes.Weight loss and maintenance are dealt with, as is the importance of regular physical activity.

A chapter is dedicated to the special needs of children and adolescents with diabetes.

Healthy eating is promoted by suggestions for weekly meal plans, while a recipe section

includes over 40 recipes suitable for the whole family ranging from breakfast to dessert.

Uncontrolled diabetes can lead to serious health problems, but

understanding the condition makes it easier to manage.

The Complete Nutritional Solution to Diabetes moves from diagnosis

to how to achieve correct glucose levels and maintain an optimum

weight through diet and exercise. Nutrition is the key to managing

glucose levels and the book covers topics such as carbohydrates, the

glglycaemic index, the role of proteins and fats, artificial sweeteners, and

how to incorporate whole grains into your diet.

The first book of its kind, with comprehensive

information on the effects of food and nutrition

on the management of diabetes.

The Complete Nutritional Solution to Diabetes,

by Ria Catsicas

SLM05_Ask_the_Dietician.indd 2 2012/10/11 1:07 PM

Now that we drink a shake before our sport events we fi nd we have so much more energy and we don’t run out of steam.

USE THIS VOUCHER TO RECEIVE A

10% DISCOUNTON THE DIABETIC PLUS MINI-MEAL SHAKE!Valid from 1/11/2012 to 31/01/2013

This voucher may be redeemed at any of our stockists and at selected Clicks stores. This voucher may not be redeemed for cash. Only one voucher per transaction is allowed. Misuse of this voucher in any way constitutes fraud. This voucher

cannot be replaced if lost. For any queries please contact +27 82 555 9811.

Visit diabeticplus.co.za to find a stockist near you.

FRUITY FROZEN LOLLIES (SERVES 2)Ingredients:600g of fresh strawberries1 sachet (35g) Diabetic Plus, strawberry flavour300ml skim milkCrushed ice cubesPreparation:1. In a blender, mix the Diabetic Plus and water. Once well mixed, add the strawberries and blend until not quite pureed. 2. Pour the mixture into ice lolly mould and freeze until set.3. You can add 600g of other fruit such as apples, pears, peaches and berries for a different flavour.

DELICIOUS NEW RECIPE!

9 909802 331361

GI FOUNDATION

Simplify your life.

SPECIFICALLY FORMULATED FOR PEOPLEWITH DIABETES:

Diabetic Plus MultivitaminDiabetic Plus Lifestyle Balance ComplexDiabetic Plus Mini-meal Shake

*This meal plan and recipe has been specifically formulated for Diabetic Plus by Anne Till & Associates.

Low GI is low energy release.

Low GI means: Energy levels sustained for longer

Feel full for longer

No spikes in blood glucose

WeightLoss Meal PlanNo. 4

Often foods

BREAKFAST CINNAMON AND ALMOND OATS

1 Protein of Dairy Unit 1 cup fat free milk (250ml), added to oats

1 Fruit or Starch Unit ½ cup of cooked oats (120g)

1 Fat Unit 4 almonds raw, unsaltedOther accompaniments and suggestions Season the oats with cinnamon as desired

MORNING SNACK SNACK

1 Fruit Unit Mix 3 scoops (35g) of Diabetic Plus Vanilla shake with 300 ml ice cold water in a blender, together with a pear.

LUNCH TUNA AND CORN SALAD

2 Protein Units 1 tin tuna in spring water, drained1 Starch Unit ½ cup corn (90g), added to the saladWith Vegetables or Salads, unlimited mix lettuce, grated carrot, spring onions and red pepper1 Fat Unit 1 tbs of olive oil (5ml to dress salad)

Other accompaniments and suggestions Dress salad with lemon juice and balsamic vinegar and season with black pepper and chilli flakes as desired

AFTERNOON SNACK SNACK

1 Protein of Dairy Unit 1 Diabetic Plus fruity frozen lolly (recipe on opposite page)

DINNER ROAST CHICKEN WITH ROAST VEGETABLES

2 Protein Units 1 medium chicken breast (80g) skin removed1 Starch or Fruit Unit ½ small sweet potato (90g)Vegetables or Salads as desired Butternuts, brinjals, onions, baby marrows and mushroom

1 Fat Unit 1 tbs canola / olive oil (5ml)

Other accompaniments and suggestions Combine vegetables and sweet potato Mix with oil and season with black pepper before roasting.

EVENING SNACK SNACK

1 Fruit or Starch Unit 1 ½ cups popcorn (Air popped and Unsalted)

Par

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Partner’s Corner“My husband is a diabetic, and I would like to know

how long it takes before diabetes affects your liver? Should I be worrying about him?” Alicia Greenway.

Dear Alicia,You’re wise to think about steps to protect your husband’s liver – diabetes is a lifelong condition that affects the liver and vice versa. Being informed is the first step towards ensuring good liver health. Those with diabetes are at higher risk of non-alcoholic fatty liver disease, a condition in which extra fat builds up in the liver even if you drink little or no alcohol.

Other medical conditions related to diabetes — including obesity, high cholesterol and high blood pressure — also raise the risk of non-alcoholic fatty liver disease. Diabetes does not cause fatty liver disease, but the two tend to occur in the same people because the same conditions cause both problems. Good control of blood sugar, maintaining a healthy weight and having regular check-ups can help reduce the risk of liver problems.

Strategies for protection against fatty liver disease include: • Working with your health care

team towards good control of your blood sugar.

• Losing weight if necessary, and trying to maintain a healthy weight.

• Reducing high blood pressure.• Keeping your cholesterol low.• Not drinking too much alcohol.

Then, let’s talk about worry. Having a partner with diabetes puts unique strains on a relationship, but it can also bring you closer together. Here are some golden rules for rising to the challenge:• Make room for negative emotions• Get support from others• Commit to nurturing your relationship• Set shared goals• Communicate• Listen

You can do it if you work together.

Ask the expert:

Fortunately, diabetes in itself does not damage the liver, but the cause of Type 2 diabetes (usually obesity) can cause the liver to take up too much fat. This is damaging, but can be reversed with weight loss as well as diets with low GI carbohydrates and reduced fat.

Dr Neville Wellington, GP

SLM05_Partners_Corner.indd 1 2012/10/11 1:52 PM

New

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Changing lives throughawarenessTwo eager students from the University of Stellenbosch took Sweet Life magazine into new homes.

What to do this Diabetes Awareness Month:

Cycle 4 DiabetesWho? Dr Jacques Van Staden and a team will cycle from Joburg to George to raise fundsWhat? A 48 hour cycle challenge fund-raiserWhere? Joburg to Georgewww.teamc4d.co.za

Bongi Ngema-Zuma Foundation WalkWho? Bongi Ngema-Zuma Foundation WalkWhat? A fun 5km walk to promote positive diabetes awarenessWhere? Alexandra Township

Global Diabetes WalkWho? Diabetes SAWhat? 5km walk and wellness expoWhere? Durban beach-front amphitheatrewww.globaldiabetesrun-walkdurban.blogspot.com/

8-10 November: 17 November:28 October:

The views and opinions expressed on this page are those of the interviewee and not necessarily those of Sweet Life magazine. Always consult a specialist before making any changes to your diet or medicine.

• Most patients thought fast food had caused their diabetes.

• Most had no idea of the possible complications of diabetes.

• Most patients wanted to change their diet, but couldn’t afford healthier food options.

• All patients confirmed that they were taking their medication. But

when compared to clinic records, it seemed that some had not even fetched their medication.

• Few of the patients had glucome-ters and as a result waited months before checking their sugar.

• All of them were thrilled to receive Sweet Life and were excited to try to make changes in their lives.

As part of their community project, Diana Griffiths and

Lize de Klerk (both fourth year medical students) chose to look at Type 2 diabetes in the rural town of McGregor in the Western Cape. The area they looked at has 853 diabetic patients in the Langeberg District, and they used Sweet Life magazine as a way to inspire and educate patients. Diana and Lize interviewed

16 patients through home visits and handed out the magazine to promote good health. Their aim was to get to grips with exactly what patients knew about diabetes, as well as how their lifestyle choices had an impact on their illness. They assessed how a person’s lack of understanding about diabetes can lead to poor compliance, bad lifestyle choices and more complications.

What they found:

SLM05_News.indd 1 2012/10/11 3:25 PM

A happy life with diabetesIf you met Shiara Pillay, a happy, healthy and confident 17-year-old who loves Art and wants to study Law, you wouldn’t guess that she had a chronic condition. But Shiara is a Type 1 diabetic. She just doesn’t let it get her down.WORDS: BRIDGET MCNULTY PHOTOS: MARK PEDDLE

When did you find out you were diabetic?When I was in Grade 4 and just about to turn 10. It wasn’t too horrible a diagnosis in comparison to some – my parents noticed that I was losing an extreme amount of weight, I was very dehydrated and waking up in the night to pee – all the classic symptoms. Then one morning I threw up and they took me to the doctor. I was in hospital for a week and since then I’ve figured out how to live as normal a life as possible with diabetes. The hardest thing to get used to was not being able to eat sweets!

How has diabetes changed your daily life?I think I’m obviously way more healthy than I would have been because I have to watch what I eat. I have a great diabetes team, and they’ve helped me to adjust my medication and my meals so that it’s not too inconvenient

at school. It’s also handy that sport is compulsory, so I have to exercise! I do netball in the wintertime and in summer I do tennis. I still get ups and downs, obviously, but I’ve just started carb counting and I think that should help. I like the idea of being able to eat everything in moderation.

Can you tell us about your involvement in Youth Camps?Two years ago I became a helper leader at the Diabetes SA Youth Camps, I heard about them from the Red Cross Children’s Hospital. They hold children’s camps twice a year, and family camps too. It’s a great way for kids to meet other diabetics – I really enjoyed that. They called me back to do a family camp – they’re for new diabetics, so the whole family can go and talk about how to deal with diabetes. There are all kinds of fun activities and education and exercise and games.

SLM05_Inspiring_Story.indd 1 2012/10/11 3:27 PM

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Inspiring

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I was there to help get group activities going, and make sure nobody felt left out, and to answer any questions the families had.

How do you think these camps help those with diabetes?It helps to know that there are others in the same situation, it reminds you that you’re not alone. It really helped me to meet other people who have to think about the same things every day. I also think diabetes education is so important – new diabetics especially need to know what helps and what doesn’t, what you can eat, how you should exercise, how you feel when you’re low or high. It’s nice for me to share my experiences too. I do have bad days, it’s annoying to have to inject every day, but you just have to make the best of it.

What advice would you offer to other diabetics?Just do it – you can’t get out of it. If you look after yourself it’ll be better for you in the long run, it’s for your benefit. And it makes you healthier too!

What makes your life sweet?Just being happy – when things are going well and the sun is shining!

Diabetes Youth Camps

Family Camp is held annually for families of newly-diagnosed children. Parents attend workshops and there’s a programme for the kids. It’s subsi-dised by Diabetes SA and parents pay a nominal fee.When: 2013 dates to be confirmed

Kiddies Camp is for children aged 7-12 and happens yearly. Organisations assist with a children’s programme. Parents join in on the Sunday for a braai. Sponsored by Diabetes SA and Reach for a Dream.When: 8-10 March 2013

Youth Camp is for children aged 13-18 and solely sponsored by Youth With Diabetes. There is sponsorship for children whose parents cannot afford the full amount. They also offer leadership training.When: 2013 dates to be confirmedContact: Allison on 011 712 6000

Contact: Margot on 021 425 4440 for info on both camps

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The insulin pumpWe chat to three people who use an insulin pump every day, and find out what it’s really like to live with. What made you decide to switch to a pump? MS: After realising that I couldn’t get proper control with a basal/bolus insulin regimen (6 injections a day), I was offered the option to try out a pump. The results I had been trying so hard to attain were finally a reality!SD: I was not achieving optimal blood sugar control, even with a lot of effort on my part, and I decided I needed to make a change. I had been encouraged to use the pump earlier but at that stage couldn’t get my head around having to be continuously at-tached to a machine for 24 hours. I did a lot of research on insulin pumps and weighed up all the pros and cons for myself. I think

it also helped that I was given a pump and infusion sets to try out, and I realized I could live with something attached to me 24/7 – I was hardly aware it was there and it was easy to hide in my clothes.GM: The flexibility of lifestyle with the pump convinced me to switch. I also had constant lows on injections (I hate high blood glucose levels) which made me hypo unaware (not knowing that my blood sugar was low).

How has your life changed since using the pump? MS: It’s definitely changed for the better. My daily control is really good, I no longer

Shirley Desmond is a

29-year-old dietician from Durban, and has

had Type 1 diabetes for 9 years. She uses the

Roche Accu-Chek Combo system.

11/2 yrs

Gareth Murray is a medi-

cal sales rep for Merck pharmaceuticals. He is

22 years old and has had Type 1 diabetes for 12 and a half years. He uses the Medtronic 754 pump with

continuous glucose monitoring.

5yrs

Martin Salkow is a sales executive at Porsche Centre in

Johannesburg. He’s had Type 1 diabetes for the past 22 years and uses the Accu-Chek Spirit

Pump system.

4yrs

SLM05_Special_Feature.indd 1 2012/10/11 2:14 PM

Special Feature

17

wake up with high blood sugars, and I can adjust my insulin when doing exercise or on sick days with ease.SD: I have much better blood sugar control and I feel much better since being on the pump – less erratic blood sugar levels do wonders for my energy levels and moods. I also find it easier to control my blood sugar levels before, during and after exercise as I can change my short acting basal rates and give less or more insulin as needed, rather than taking a long acting basal insulin once a day. It’s also pretty great only having to change my infusion set every 3 days: 1 needle every 3 days and my insulin is delivered at the touch of a button.GM: My mind is more at ease – if I suffer from hyperglycaemic episodes or hypoglycaemia, my sensor will sound an alarm and let me know what’s happening, almost through a real time experience (10-15 minute delay in blood sugar levels).

What’s the hardest thing about living with a pump? MS: The initial adjustment. Having to wear something all day long and having to sleep with it – it doesn’t bother me now, though. Most of the time, I forget that it’s there.SD: This is a hard question to answer because going on to the pump was the best thing I did for my diabetes. But I will say: don’t expect perfect results as soon as you start using a pump. As much as it allows more freedom, it is also a lot of hard work and you only get the results you want with the effort you put in. It also requires working with your diabetic team and testing your blood sugar

a lot, especially in the beginning. GM: The hardest thing for me is how quickly you can develop ketones as the pump supplies you only with short acting insulin continuously (no long acting insulin as a back-ground), so when you disconnect the pump, you have a 4 hour range to get insulin or risk ketoacidosis.

Does your medical aid cover it? MS:My medical aid does cover it, but you have to be on the higher plans for them to do this.SD: Yes, this is a tricky one. A pump is expensive and monthly consuma-bles are also very expensive. You’ll need a motivation from your doctor and the medical aid board will review your request. My medical aid eventually did cover it and all the consumables. It took a lot of fighting on my part, but it was what I wanted for myself so I was willing to put in the effort. You may have to be willing to cover some of the expenses if they don’t cover you fully.GM: Medical aid does cover it, but a higher priority scheme makes it a lot easier, alongside a recom-mendation from your doctor. It is expensive – around the R28 000 mark, so you need to make sure your medical aid covers it before you decide to go on the pump.

Questions:Questions about the insulin pump? Comments on this interview? Let us know on www.sweetlifemag.co.za/community

SLM05_Special_Feature.indd 2 2012/10/11 2:14 PM

Ask the expert:

“Every diabetic needs to ask themselves each year: ‘Do I have retinopathy - yes or no?’ “

Dr Dale Harrison, OphthalmologistHea

lthy

Livi

ngEye disease is a major risk for people living with diabetes, so we asked Emile Scholtz to round up all the facts you need to keep bright-eyed and bushy tailed.

10 fast facts about eyecare

20

Of the eye complications associated with diabetes, diabetic retinopathy is the most common, but cataracts and glaucoma are also possibly serious consequences of poorly controlled diabetes.

Diabetic retinopathy is a condition affecting the retina (the light-sensitive area at the back of the eye) and is caused by damage to the blood vessels. People with both Type 1 and Type 2 diabetes need to be on the look-out, and the longer a person has been living with diabetes, the greater the risk.

Glaucoma is caused by the excessive pressure of

fluid inside the eye and leads to optic nerve damage. Diabetes makes you twice as likely to develop glaucoma.

If you experience any changes in your vision, contact your doctor immediately.

Have your blood pressure checked at least twice a year – a blood pressure of under 130/80 is safest for people with diabetes.

Extra caution and additional eye exams are necessary for pregnant women with diabetes.

A typical eye exam is painless and usually involves viewing a chart to check your eyesight at a distance, testing the pressure inside the eye, and having drops placed in your eyes to widen the pupils and inspect the interior of the eye.

Leaking or irregular blood vessels and swelling of the retina are early

symptoms of diabetic retinopathy. A thorough eye exam at least once a year with an eye specialist will identify any warning signs early.

4 72

Some symptoms to be on the alert for are: bad

vision in dim lighting, blind spots, double vision or floating spots, blurry vision, pain in the eyes or headaches, and poor peripheral vision.

Eye disease can often progress without any symptoms, so be sure to keep appointments with your eye care specialist and prevent complications by managing your blood sugar and blood pressure levels carefully.

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SLM05_Healthy_living_BM.indd 1 2012/10/11 2:16 PM

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Want to enjoy the warmer days in new ways? Claire Barnardo has some great ideas.

Outdoor family fun

Summer is finally here, so be sure to make the most of it! It’s time to cut your jeans into shorts, pack your beach bag and celebrate the longer days. Get into the swing of summer by trying something new with friends and family. Here are a couple of great ideas:

Unwind in natureWelcome in the heat by heading outdoors. Whether it’s to the beach, climbing a mountain, walking through a forest or playing in a park, there’s no better way to enjoy the summer weather than by being in nature.

Magical marketsLooking for a new way to do breakfast or lunch? Meet your friends at a market and indulge in something fresh, organic and delicious. While you’re there, you can shop for arts and crafts and stock up on your holiday gifts too.

“A life without love is like a year without summer.” Swedish Proverb

SLM05_Lifestyle.indd 1 2012/10/11 2:39 PM

Lifestyle

23

Hot finds

Open air concertsAnother way to celebrate the sum-mer is by heading to an outdoor concert. Whether it’s musicians in the botanical gardens, a weekend festival, or a play in an amphithea-tre, there are all kinds of musical treats to choose from.

Picnic perfectionThe great weather makes pic-nics the best way to meet up with friends and family. Shake things up by changing the time of day – have a breakfast picnic or meet for sundowners somewhere with a beautiful view. Keep the kids busy with games while you put your feet up and enjoy a holiday read. Don’t forget to pack healthy snacks!

Fruit pickingWant to spend the day on a farm? Plan a self-picking adventure and pick your own cherries, strawber-ries, figs, or peaches. This is a fantastic way to enjoy fresh air and summer fruit. Just be sure to check the weather beforehand!

Raise your glassWhy not make your own diabetic-friendly iced tea, lemonade, or ginger beer this summer? You could also arrange a tea-tasting for friends in your garden, with a selec-tion of flavoured teas in pretty cups. Or toast to holiday freedom with sugar-free champagne... The options are endless for diabetic-friendly celebrations!

Summer concerts• Kirstenbosch Summer Concerts (Cape Town) - 021 761 2866• Carols by candlelight in the Botanic Gardens (Durban) - 031 322 4021• Johannesburg Zoo (Joburg) - 011 646 2000

Fruit picking• Tangaroa Strawberry Farm (Hartebeespoort) - 012 207 1116• Camdeboo Peach Farm (Johannesburg) - 082 495 1151• Klondyke Cherry Farm (Ceres) - 023 312 1521• Hoogwater Fig Farm (Ceres) - 083 762 2803

Get more great tips: www.mylifeorganised.co.za

Ask the expert:

“Start your day earlier, and I mean from 5:30am! Set your alarm, rise with the sun and enjoy that pre-dawn calm. Go for a walk, soak up the morning sounds, meditate, or even just drink your coffee on the lawn outside. Appreciate the gift of summer by having an extra hour or two to spend on yourself.”

Ciska Thurman, Lifestyle Manager

SLM05_Lifestyle.indd 2 2012/10/11 2:39 PM

Have a ballthis summerThis is the season to be outdoors socialising in the sunshine, not running on a treadmill in the gym. Nicole McCreedy tells us how to get started.

Wor

k It O

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24

Touch rugby

It is like rugby – the ball is passed backwards during play. But in touch rugby you don’t tackle your opponent, you touch the person running with the ball on any part of their body, clothing or the ball. Once touched, the player in possession of the ball returns to the mark where the touch occurred and performs a ‘rollball’. Facing the defending try-line, the player rolls the ball between their legs. After six touches the ball is handed over from the attacking to the defending team and the game starts again from the halfway line in the centre of the field. The aim is to score a touchdown over the defending team’s try-line. Five to six players are on one team at a time, and a game lasts forty minutes a side.

Rounders

You need a tennis ball, bat and six players per team. A match has two in-nings so each team can bat and bowl. An innings ends when the last batter is caught out. Each person gets a chance to bat. When bowling, the ball must not bounce, must be above the batter’s knee, below the batter’s head, and not at the batter’s body. The batter hits the ball and runs in a circle of markers. A ‘rounder’ is when the batter makes the entire circuit in one hit of the ball. The team with the most rounders wins. A batter is out if the ball is caught before it hits the ground or if the ball is fielded before the batter reaches a marker. A batter who has missed the ball can run to the first marker and then continue to the next three when the next batsman strikes the ball. Only one person can stand at a base at a time.

The beauty of ball sports is that they’re easy to learn. Simply find an open space to play, organize some equipment, teams, and learn a few basic rules. You’ll soon be laughing your way to better health.

SLM05_Work_It_Out_02.indd 1 2012/10/11 2:49 PM

Soccer

It’s as simple as kicking the ball around with mates. Players dribble the ball on the ground, kicking it to pass to each other. There are usually 11 players per team. The goalkeeper is the only player allowed to use his/her hands. Teams are made up of defenders, midfielders and forwards. Two defenders patrol the left and right area while the two central defenders

play in the middle. The midfielders play both defence and attack. Forward positions score the goals. The centre forwards play in the middle flanked on each side by a wing. Be aware of the offside rule! If you are behind the other team’s defenders without the ball, you are offside. But if the ball is kicked past the defenders, you can pass them. Laduuuuuuma!

Work It O

ut

Shoes or barefoot?A person living with diabetes should not walk or run barefoot. Even well controlled, highly active people who don’t have any complications can experience a delay in healing if their skin punctures or cracks. This is a po-tential entry point for infection. Wear footwear that most closely resembles barefoot benefits. ‘Barefoot-like’ sports shoes allow maximum flexibil-ity and give the feet the most natural workout. The benefits are improved blood flow to the feet and lower limbs, which feeds nerves and muscles during exercise. Ensure shoes are wide enough and the correct size, and invest in good quality socks.

Keep these tips in mind when playing outdoor sports:• A sport-specific warm up is essential.

Try and focus on the muscle groups you’re about to use and make sure that you pay particular attention to those during your warm up. If you’re about to play soccer, try to loosen up the ankle joints, stretch the groin muscles and do a short running warm up.

• Wear supportive footwear that cushions the rest of your body as you run.

• Make sure you have enough water for the whole game. Keep fast act-ing snacks handy as you may use up more energy than you think.

Ask the expert: Ask the expert:Anette Thompson, Podiatrist

Sarah Hall, Biokineticist

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SLM05_Work_It_Out_02.indd 2 2012/10/11 2:49 PM

Easy summersolutions

26

Take all the stress out of entertaining friends and family this holiday with these delicious, healthy recipes for breakfast, lunch and dinner.Choose from our budget-friendly or fabulously foodie options and whip up a meal to remember - that just so happens to be good for you. Celebrations all round!

FOOD EDITOR: CAROLINE GARDNER

PHOTOS: MARK PEDDLE

SLM05_Good_Food.indd 1 2012/10/11 2:56 PM

Cinnamon bircher muesli

½ cup rolled oats ¼ cup low-fat plain yoghurt¾ cup low-fat milk 1 ½ Granny Smith apples, grated½ t ground cinnamon1T desiccated coconut

Mix all the ingredients in a medium mixing bowl. Cover and chill overnight. Serve with a few slices of strawberries.

1 packet cherry tomatoes4 spring onions, finely chopped1 chilli, finely chopped1/3 cup basil, tornSalt and milled pepper4 large eggs 4 t low-fat milk4 slices low GI toast, to serve

Preheat oven to 180°C.Halve the cherry tomatoes and mix with onions, chilli, basil and seasoning.Divide the mixture into 4 greased ovenproof ramekins (grease with a dash of canola oil).Crack an egg over the tomato tumble in each ramekin and add 1 t milk to each. Place the ramekins in a shallow basin of water, covered by tin foil.Bake for 12 to 15 mins, until the whites have set and the yolk is to your liking.Serve with toasted low GI toast.

Breakfast

4g

protein

453kJ

energy

15g 7.5carb GL

2.6g 44fat GI

per portion

13g

protein

979kJ

energy

15g 8carb GL

10g 44fat GI

per portion

Baked Mediterranean eggs

Budget

R8average cost:serves: 4

Foodie


27


Minute prego rolls

1 T olive oilJuice of 1 lemon 1 bay leaf2 garlic cloves, crushed1 red chilli, chopped4T red wineSalt and milled pepper4 minute steaks1 red pepper, sliced 1 carrot, grated 1 packet cherry tomatoes, halved1T chopped fresh thyme4 wholewheat bread rolls, toasted

Mix first six ingredients and season. Pour over steaks and marinate for 30 mins.Heat a dash of oil. Fry steaks for 1 to 2 mins on each side.Remove steaks from pan and boil marinade vigorously for 2 mins.Toss in vegetables and thyme, and cook until soft. Season.Top toasted rolls with steak and tomatoes. Spoon over extra sauce and serve with a large leafy green salad.

41g

protein

1762kJ

energy

23g 14carb GL

16g 58*fat GI

per portion

39g

protein

1306kJ

energy

6g 5carb GL

12g 42fat GI

per portion

Juice of 1 lemon3 garlic cloves, crushed1 chilli, finely chopped2T origanum, finely chopped2T white balsamic vinegar 2T olive oilSalt and milled pepper3 cups broccoli florets3 chicken breasts, thinly sliced1 packet sugar snap peas, finely sliced1 packet mixed sprouts1 packet baby spinach2 carrots, shaved in ribbons1 cup cucumber, dicedMilled pepper

Preheat oven to 180°C.Toss lemon, garlic, chilli, origanum, vinegar and oil in a bowl. Season and whisk to form a marinade.Mix broccoli and chicken through marinade. Roast broccoli for 10 mins,

then add chicken and roast until cooked through (10 to 15 mins).Toss broccoli and chicken with sugar snap peas, sprouts, spinach, carrots and cucumber. Season with pepper and serve.

Chicken summer salad

Lunch Budget


Foodie


*(Calculations done on "regular bread" with GI of 70+)

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1 sweet potato, peeled and diced4-5 baby potatoes, chopped in half2 onions, 1 diced and 1 grated2 cups low sodium chicken stock1 pinch salt and milled pepper3T chopped thyme2 t ground cumin2 garlic cloves, crushed Juice and peel of ½ a lemon ½ Granny Smith apple, grated200g pork mince200g chicken mince1/2 cup low GI breadcrumbsFlour to dust2T oil

35g

protein

1789kJ

energy

40g 20carb GL

13g 50fat GI

per portion

4 pieces hakeSalt and milled pepper¼ cup self-raising flour1 dash olive oil1 small knob butter1 onion, chopped2 t fresh rosemary, finely chopped2 t dried chilli flakes2 cloves garlic, finely slicedJuice of ½ an orange Juice of 1 lemon1 packet courgettes and patty pans, halved1 sweet potato, washed and dried, skin on2T olive oilA pinch of cayenne pepperA pinch of saltA pinch of freshly ground black pepper

Fresh fish and spicy chips

Preheat the oven to 220°C. Cut the potatoes in ½ cm thick slices. Mix the oil and seasonings, and add sliced potatoes. Toss to coat. Place in a single layer on a lined baking tray. Bake until lightly browned and crisp, about 30 mins.Fry onion, chilli and rosemary until soft. Add garlic, lemon and orange and simmer for 10 mins to form a sauce.

Rinse fish fillets, pat dry with paper towel, and season. Cover and refrigerate for 1 hour.Dust fish in seasoned flour and shake off excess.Heat oil and butter, add fish and cook for about 3 mins on each side until golden.Pour sauce over fish and serve with grilled courgettes and sweet potato crisps.

DinnerTasty meatballs and mash

24g

protein

1348kJ

energy

29g 15carb GL

12g 52fat GI

per portion

Place potatoes, diced onion and stock in a saucepan and simmer until cooked through. Drain, season and mash until smooth.Mix grated onion,herbs, lemon, apple, mince and

breadcrumbs together.Shape into meatballs and dust in flour. Heat oil in a non-stick pan and fry meatballs in batches.Serve with mash, steamed broccoli and carrots.

Budget


Foodie


29


½ roll defrosted puff pastry1 small knob melted butter1 ½ nectarines (or peaches), sliced2 granadillas4 spoons plain low-fat yoghurt

Holiday fruit tarts

Dessert

3g

protein

510kJ

energy

11g 6carb GL

7g 52fat GI

per portion

Treat


Using a cookie cutter, cut out puff pastry rounds. Using a slightly smaller cutter, make a dent in the round to form a border.Bake at 220°C until crisp, golden and puffed.

Slice nectarines and toss with granadilla pulp. Arrange fruit in the puffed rounds and serve topped with a spoonful of natural yoghurt.Yum!

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Ask the expert:

“There are more challenges for children with diabetes during the festive season. Parents should try and get children involved with all aspects of planning for the celebrations. Try to take the focus off food and on to the entertainment - like treasure hunts or egg-and-spoon races.”

Esme Paulsen, Diabetes Nurse Educater

Get creative!

Fun Frames

What you need:• 1 sheet of craft foam / pair of scissors /

magnets / photo sleeve / craft glue• Decorative odds and ends: foam cut-outs,

beads, buttons, jewels or shells

Use a photo sleeve from an old album and cut it out. Insert your photo into the sleeve.

Choose the shape for your frame. A rectangular snap-shot size is a simple option to start with.

Apply glue on to the white side of the magnet and stick it to the back of your frame. Let glue dry.

Decorate the outer foam to suit the person you are making the gift for. Ta da! Instant gift!

Wrap it up

This year, get creative and make your own wrapping paper. It’s more afford-able, and eco-friendly too! Simply scout around your home for any paper or brown bags that can be re-used. You could even use old magazines, or simply buy some cheap, recycled brown paper. Decorate the paper with different potato stamps, hand prints, or words - then wrap your gifts. Beautiful!

The end of the year means it’s time to give gifts. We’ve found an easy-to-make craft that kids will love. Claire Barnardo shows us how...

Stencil your shape on the craft foam and cut it out. Stick the sleeve on to it with craft glue.

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SLM05_Kids.indd 1 2012/10/11 1:43 PM

The perfect workday lunch.

Juice (60ml) and grated peel of 1 lemon 1 tbsp (30ml) olive oil 1 tsp (5ml) PnP white sugar3 tbsp (45ml) parsley1/³ cup (80ml) PnP basil1 chilli, chopped1 tbsp (15ml) white balsamic vinegar Salt and milled pepper1 packet bacon, fat removed and diced 1 red onion, sliced, blanched in hot water and squeezed dry 1 can (410g) cannellini beans 251g drained and rinsed1 packet (80g) salad leaves2 cups (500ml) diced cucumber70g PnP fat free Danish feta cheese, crumbled

Blitz together lemon juice and peel, olive oil, sugar, parsley, basil, chilli and vinegar. Season.Fry bacon until crispy, drain on kitchen paper and set aside. Toss bacon, dressing and onion together and mix with beans, salad leaves and cucumber. Serve topped with feta cheese.

GET IT TOGETHER

Serves 4

Great idea:

+ +5 steps to manage your diabetes 1. Consume wholegrain

cereals and legumes regularly, limit your intake of animal fats and moderately increase monounsaturated fats such as olive oil and avocado. Exercise regularly.

2. Eat a variety of vegetables as they have a low glycaemic load – fi ll half your plate at each meal with vegetables.

1072kJENERGYPER SERVING

9gPROTEIN

PER SERVING

16gFAT

PER SERVING

22gCARBSPER SERVING

ZESTY CANNELLINIBEAN AND BACONSALAD

Stir through shredded,cooked chicken.

Great for low GI snacking.

1 tbsp (30ml) olive oil1 onion, fi nely chopped3-4 PnP garlic cloves, unpeeled1 tsp (5ml) PnP paprika2 tsp (10ml) ground cumin1 can (410g) chickpeas, 224g drained and rinsedJuice (30ml) of ½ lemonSalt and milled pepper1/³ cup (80ml) tahini paste½ cup (125ml) PnP plain fat free yoghurt½ tbsp (7ml) sesame seedsCayenne pepper, to taste

Heat oil in a saucepan and sauté onion, garlic, paprika and cumin over a low heat until tender. Blend with chickpeas (setting a few aside), lemon juice, seasoning, tahini paste and yoghurt until smooth.Transfer into a serving bowl and scatter with reserved chickpeas and sesame seeds. Top with a dash of cayenne pepper and a drizzle of olive oil. Serve with vegetable crudités and toasted pita breads or wholewheat crackers.

Serves 4Contact Pick n Pay's dietitian at the Health Hotline with your nutrition-related queries.Also go to www.pnp.co.za/healthcorner and chat to Terry Health Guru on the Pick n Pay Facebook page.

Recipes and images courtesy of Fresh Living magazine

+ +3. Remember that sweet-

corn, potatoes and sweet potatoes count as starch – it is critical to control their portion sizes.

4. ALL fruits can be eaten and should be included in the diet. Aim for 3-5 portions a day but have no more than 1 serving at a time.

5. All diabetics should see a registered dietitian and follow an indivi-dualised eating plan – visit www.adsa.org.za for a registered dietitian in your area.

932kJENERGYPER SERVING

19gPROTEIN

PER SERVING

8gFAT

PER SERVING

20gCARB

PER SERVING

GARLICKY HUMMUS

Last

Wor

d“Smile, breathe, go slowly.”Thich Nhat Hanh

SLM05_Last_Word.indd 1 2012/10/11 3:02 PM

The biggest threat to your health comes from within - take a standDiabetes is defined as having blood glucose levels above a predefined normal range.

Exposure to higher than normal blood glucose levels over years causes damage. High blood pressure, High cholesterol and smoking accelerate the process. Type 2 diabetes in its early stages and pre-diabetes in particular are curable and reversible with weight loss and exercise.

Typically in type 2 diabetes the pancreas fails over time and insulin is required.Insulin is the elixir of life but with it comes weight gain. Increased weight leads to greater degrees of insulin resistance and inflammation in the body. To keep blood sugars controlled the dose of insulin is increased further and the vicious cycle continues. What can you do to avoid this cycle or to escape it if you are already in it. Overweight and obesity are the precursors of type 2 diabetes in the majority of people. Intervening at this stage with a daily exercise program alone can prevent or delay the onset of diabetes even if you have a family history. Exercise is best performed on a daily basis. One needs to be realistic about your ability to establish and maintain an exercise program that fits your life and your schedule. “1 actual home exercise day under the belt is worth 2 in the gym”. Even more beneficial than exercise is weight loss. Weight loss of just 5% has marked benefits in reducing the risk of progression from pre-diabetes to diabetes. The secret to weight loss is to stick to a low calorie eating plan. For people with insulin resistance or diabetes, a low carbohydrate based calorie restricted plan is most beneficial. High-fat high-carbohydrate foods are packed full of calories and also stimulate inflammation in the hours after they are consumed adding to the inflammation generated by the fat cells. These foods also spike the

blood glucose level which promotes inflammation, strains the pancreas, and may lead to carbohydrate cravings as the blood glucose levels drop back to normal. What else can you do? In recent years it has become clear that inflammation may form the foundation for the majority of the common lifestyle diseases. The root causes of this inflammation include our modern westernized diet, aggravated by overweight and obesity and a possible imbalance in our gut bacteria. Fat cells do far more than store energy and insulate us. These highly metabolically active cells also produce pro-inflammatory chemicals that are linked to the development of insulin resistance, a precursor of diabetes. Storage of extra calories creates larger and more metabolically active and damaging fat cells. The chemicals produced aggravate high blood pressure and also increase your risk of clot formation and heart attacks as well as certain cancers. Research has shown that our changing environment is responsible for the epidemic rise in lifestyle diseases and our intestinal system forms our largest interface with this toxic environment. An unbalanced gut flora adds fuel to the metabolic fire by increasing energy harvesting from the food we eat, directing incoming calories to be stored as fat and promoting inflammation.

The modern diet is deficient in beneficial anti-inflammatory Omega-3’s and overloaded with pro-inflamma-tory Omega-6 fatty acids. Clinical evidence suggests that EPA and DHA (eicosapentaenoic acid and docosahexaenoic acid, the two omega-3 fatty acids found in fish oil) help reduce risk factors for heart disease, including high cholesterol and high blood pressure. Micronutrients, vitamins and trace elements have been shown to improve insulin sensitivity, reduce inflammation or protect against cancer and heart disease. These include chromium picolinate, folic acid, vitamin D and E. Symbio-D is a unique dietary supplement combination of Vitamins, Omega-3 and Pro-biotics.

Symbio-D was designed, developed and clinically tested in South Africa. Each of the components was selected to target the root causes of inflammation and reduce the collateral damage caused by the excesses and deficiencies of a modern diet and lifestyle and aggravated by overweight and obesity. 50-100% of people developing type 2 diabetes have a first degree relative who has diabetes. Look around at your family members and friends- who are at risk. Who needs a gentle push or a pull towards a healthier future?Lead by example, choose Symbio-D.By Dr David Segal MB ChB (University of the Witwatersrand), FAAP (USA), FACE(USA)

Novo Nordisk advert:Layout 1 2012/08/07 5:20 PM Page 1

sweet life magazine issue 5

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