Innholdsfortegnelse for May - June 2023 i Diabetic Living Australia

Called Teplizumab, it’s already been approved for use in the United States to delay the onset of stage 3 type 1 diabetes in both adults and children. By binding to specific immune system cells, the drug delays the progression to stage 3 type 1 diabetes, which is where a person has raised blood glucose and is symptomatic, by approximately two years and may reduce the decline in beta cell function for up to seven years. While Teplizumab doesn’t prevent type 1, the risk of long-term complications increases the longer someone has been living with it, so anything that delays its onset is beneficial. As stage 2 type 1 diabetes isn’t symptomatic, it’s thought it will be those with a family member living with type 1 and who can be genetically…

DIABETES AUSTRALIA This is the national body for people living with all types of diabetes and those who are at risk. Committed to reducing the impact of diabetes, online you’ll find a wide range of helpful information about everything from medications to preventing complications. Plus, if you become a member, you’ll have access to an online community forum, member-only events and webinars and health professionals that are just a phone call away. Visit diabetesaustralia.com.au. THE NATIONAL DIABETES SERVICES SCHEME (NDSS) An initiative of the Australian Government that’s administered by Diabetes Australia, as well as providing diabetes information and resources, importantly, the NDSS also delivers support services and subsidised diabetes products. To register, visit ndss.com.au or call the NDSS Helpline on 1800 637 700. AUSTRALIAN DIABETES EDUCATORS ASSOCIATION (ADEA) Consulting with a credentialled…

How our food works for you see page 90 FREEZING INSTRUCTIONS Cool completely. Freeze in individual portion sizes in freezeproof containers for up to 3 months. Defrost fully in the fridge, then reheat in a saucepan over low heat, adding a little more water if needed. GF LC Easy piri-piri pulled pork PREP 10 MINS (+ 1 HOUR MARINATING) COOK 3 HOURS SERVES 4 (AS PART OF A MAIN) 1 red chilli4 cloves garlic1 tbsp smoked paprika1 tbsp dried oregano1 tsp cumin seeds½ tsp dried chilli flakes, plus a pinch, to serve (optional)100ml red wine vinegar400g can no-added-salt chopped tomatoes800g piece skinless pork shoulder, trimmed of all fat200ml water Freshly ground black pepper 1 Place the chilli, garlic, paprika, oregano, cumin seeds, chilli flakes, red wine vinegar and tomatoes in…

How our food works for you see page 90 GFO CABBAGE ROLL ENCHILADAS PREP 25 MINS COOK 1 HOUR SERVES 4 (AS A MAIN) 1 tsp olive oil2 red capsicums, finely chopped500g extra-lean beef mince2 tbsp smoked paprika, plus extra, to serve1 tbsp ground cumin1 tbsp ground coriander400g can no-added-salt chopped tomatoes2 tbsp tomato purée1 tsp salt-reduced vegetable stock powder or gluten-free stock powder3 cloves garlic, finely grated1 red chilli, deseeded and finely chopped, plus extra, to serve2 x 420g cans no-added-salt black beans, undrained12 large savoy cabbage leaves150g low-fat natural yoghurt2 tbsp finely grated reduced-fat cheese Handful of chopped coriander and lime wedges, to serve 1 Heat the oil in a deep non-stick frying pan over medium heat. Add the capsicum and cook, stirring occasionally, for 4-5 minutes or…

GFO MICROWAVE SCRAMBLE EGGS PREP 5 MINS COOK 5 MINS SERVES 1 (AS A BREAKFAST) 2 x 60g eggs2 tbsp light milk Freshly ground black pepper2 slices wholemeal bread or gluten-free bread, toasted, to serve Handful baby spinach leaves, to serve¼ small avocado, sliced, to serve 1 Put the eggs and milk in a microwave safe jug. Season with pepper. Whisk well to combine. Cook in the microwave on High/100% for 30 seconds, then whisk again and return to the microwave for a further 30 seconds. 2 Whisk the eggs again, breaking up any lumps of egg. Microwave for a further 15 seconds, then whisk again. The eggs will be loose at this stage so serve them straightaway if this is how you like them. If you prefer your eggs…

Healthy eating is an important part of managing diabetes, yet for some of us, especially at the moment, budget can be a barrier to eating well. The good news is that despite increasing food costs, it is possible to eat well without breaking the bank. 1 PRIORITISE MEAL PLANNING Planning your meals for the week not only helps you eat well, but can also save you money. Start by working out the meals you plan to cook over the next week, determine which ingredients you already have, and write a shopping list for the things you still need to buy. This can help you save money by only buying what you need - just make sure you stick to your list when you head to the supermarket or do your online…

When you have type 1 diabetes, it’s important to see a variety of health professionals regularly to keep your health on track. The cost of seeing a diabetes health professional will depend on who you see and where they work. Most major public hospitals provide free public diabetes services. While services vary, you will generally have access to a range of diabetes health care professionals, including endocrinologists, diabetes educators and dietitians. You may choose to seek care through the private health system. In this case, you may find that different diabetes health care professionals charge varying levels of fees (depending on location and specialty), however, you should be partially reimbursed through Medicare or your health fund if you’re insured. You’ll be required to have regular blood tests and other pathology…

You’re smart. You already know that health is a marathon, not a sprint. But at times, you’ve been so blinded by the desire to lose weight, so motivated to break free from that ‘ick’ feeling in your body, that you go from never exercising to signing up for a 5am boot-camp (even though you hate circuit training). Or you return to a weight-loss method that once worked for you, only to find you can no longer stick to it, a common state called diet burnout. And so you oscillate from daily takeaway and boozy weekends to kale salads and nightly meditation. This is the all-too-familiar diet rollercoaster. In this chapter, we’ll talk about the things that keep you stuck on the diet rollercoaster, and how to get off at the…

DIABETES 101 Getting your head around “diabetes lingo”? Read on… • When should I test my blood glucose levels (BGLs)? This varies depending on the type of diabetes and your medication, but possible times include before meals, two hours after eating, before bed, before you exercise and if you’re feeling unwell. • What should my BGLs be? As a guide, if you have type 1 diabetes, a healthy target to aim for is 4-6mmol/L before you eat, and 4-8mmol/L two hours after starting a meal. If you have type 2 diabetes, aim for 6-8mmol/L before meals, and 6-10mmol/L two hours after starting a meal. Ask your doctor or Credentialled Diabetes Educator for more guidance. • What’s mmol/L? It stands for millimoles per litre of blood, and is how BGLs are…

INTUITIVE EATING Whether it be our time at school, work, or even just adhering to the social norms of meal times, we have learnt to eat according to the clock rather than listening to our bodies’ needs and eating to satisfy our individual hunger levels. This can lead to eating excess food and kilojoules, and can ultimately make health, weight and diabetes management more difficult. Intuitive eating is about becoming in tune with your own internal hunger and fullness cues and responding to them appropriately. Recent studies suggest it is linked to improved weight maintenance, selfesteem, body image and relationship with food. Hunger is an appropriate and normal feeling and indicates your body is in need of nourishment. But if you find yourself feeling hungry soon after your last meal,…

1 What is kidney disease? The kidneys filter waste products from the blood, which are then removed from the body through urine. Kidney disease occurs when the nephrons (tiny filtering units inside the kidneys) become damaged. Chronic Kidney Disease (CKD) refers to any condition that affects this cleaning process for 3 months or longer. 2 CKD and diabetes Kidney disease that is caused by diabetes is called Diabetic Kidney Disease (DKD) or Diabetic Nephropathy. Up to half of people with diabetes will end up with DKD. A patient’s risk of developing the disease is related to how long they’ve been living with diabetes. High blood glucose levels eventually damage the blood vessels, and when this damage occurs in the kidneys, it leads to DKD. 3 Symptoms You can lose up…

It was around my 18th birthday that I started to feel really unwell. I was lethargic, I had no energy and I felt like I was always sleeping. As someone who’d been a really active, sporty kid who was always bouncing around and played basketball every day after school, it was not only really hard to take, I just couldn’t work out what was going on. “I was also putting on weight, which I just put down to my body changing due to being in my late teens. But when my period stopped I finally went to see a doctor. “After a few tests, I was diagnosed with PCOS, or polycystic ovary syndrome, and was put on the Pill to help manage the symptoms. The trouble was, I didn’t really…

AND SAVE UP TO 35% FREE HOME DELIVERY Offer ends June 14th, 2023 SUBSCRIPTION ORDER FORM OFFER ENDS JUNE 14, 2023 SUBSCRIBING IS EASY 136 116 and quote M235DLM Monday to Friday 8am–6pm AEDST. Overseas dial +61 2 8667 5100 magshop.com.au/DL35 Send original or copy of this coupon (no stamp required) to: Magshop Reply Paid 5252 Sydney, NSW, 2000 M235COUP Savings based on 6 issue auto-renewal subscription and cover price of $8.99. After your first 6 issues your selected recurring payment option ensures your subscription will continue at $34.99 every 6 issues. You can cancel your subscription at any time and you will continue to receive magazines delivered through to the end of your billing period. We do not provide refunds on partial billing periods. Bonus issues are valid upon your first…

GROCERIES COUSCOUS Use in salads or to serve with your favourite curry or casserole. CHICKPEAS Toss in a little olive oil and spices and roast until crispy as a great snack. PASTA Use to make pasta salad – with lots of vegies, canned tuna in spring water and a herb and lemon dressing. PITA POCKETS Cut into wedges and bake in oven until crispy. Serve as a dipper alternative to crackers for dips. Fill leftover pockets with your favourite salad fillings. TAHINI Use in dressings or drizzle over roasted vegies. Spread a little over toasted wholegrain sourdough bread, top with sliced strawberries and a drizzle of honey. STOCK Use in sauces, soups or freeze in an airtight container for later use. CHIPOTLE SAUCE Drizzle over tacos, baked sweet potato or…

see page 90 How our food works for you GFO FR CORN CHOWDER PREP 10 MINS COOK 35 MINS SERVES 4 (AS A LIGHT MEAL) 1 tbsp olive oil1 small brown onion, chopped8 green shallots, diagonally sliced400g baby Zerella Spud Lite Potatoes, peeled and halved750ml (3 cups) saltreduced vegetable stock or gluten-free stock250ml (1 cup) water Freshly ground black pepper500g fresh corn kernels (see Cook’s tip)200ml light milk1 bunch chives, chopped 1 Heat the oil in a medium saucepan over medium heat. Add the onion and most of the green shallots (reserve about 2 tbsp). Cook, stirring often, for 6-8 minutes or until the onion softens. 2 Add the potatoes and cook, stirring often, for 4 minutes. Add the stock and water to the pan. Cover and bring to the…

There are times in a person’s journey with diabetes that it may be necessary to reclassify their diagnosis. Baker Heart and Diabetes Institute Diabetes Nurse Educator Jijimol Arun explains how misclassification happens and how important it is to get a diabetes diagnosis right. Increased thirst, increased urination, hunger and tiredness. These are all symptoms of type 2 diabetes. But, they are also symptoms of type 1 diabetes, which can make distinguishing between the two difficult. Then, throw in latent autoimmune diabetes in adulthood (LADA), a sub-group of type 1 diabetes, which has a slow onset and for which insulin may not be required early in its progression, and it is easy to see why some people may be misclassified as having type 2 diabetes when they may, in fact, have…

Meet Wegovy, the new once-weekly weightloss injection that research shows helps people lose significantly more body weight than those using diet and exercise alone. Hailed as a revolutionary weight-loss treatment, it works by acting like an appetite-suppressing hormone and, since its release in the US in mid-2021, a huge social media buzz has seen demand for Wegovy skyrocket. The thing to know though, is Wegovy isn’t actually completely new. Its active ingredient is something called semaglutide, which is already used to lower blood sugar in people living with type 2 diabetes thanks to the way it helps to control how the pancreas works. For that purpose, it’s sold under the name Ozempic. Apart from having different approved uses, the main difference between Ozempic and Wegovy is dosage, with Wegovy containing…

Continuous glucose monitoring (CGM) is an important tool that can help people with diabetes to monitor and manage their blood glucose levels, particularly for those who use insulin. The additional information provided by CGM can help you make informed decisions about how to adjust insulin doses and/or lifestyle habits, which in turn can help you better manage your diabetes. However, the amount of data provided by your CGM can be overwhelming and often hard to understand. We asked DL Mag dietitian and diabetes educator Dr Kate Marsh to explain how to make sense of the information provided by your CGM and how to use this data to help you in managing your diabetes. UNDERSTANDING YOUR CURRENT DATA How you view your current data will depend on which CGM device you…

CODE CRACKER Each number in the grid represents a different letter of the alphabet and it’s your task to decode them all. We have given you three letters to start you on your way, so you can see that P=1, N=2, and G=7. You can record each letter as you work it out in the letter checker at the bottom of the grid. CHUNKY CROSSWORD Sharpen your pencil and show what you know. For solutions, see page 127. ACROSS 11 Ghostly double of a living person (12) 12 Swift-running ruminant mammal (8) 13 John ---, The Beatles founder (6) 14 South American nation (9) 15 Frizzy 70s hairstyle (4) 16 Cash (5) 18 In a run-down state (9) 20 Number in an octet (5) 23 Closeness (8) 24 Easy and…