Jogging safety tips

Jogging provides the perfect opportunity to keep fit and enjoy the outdoors, however, it is important for runners to keep road safety top of mind while heading out on foot. Imperial Road Safety share five jogging safety tips.


Road safety should not only be a priority for motorists; it is of even more importance for runners, who are exposed to all kind of risks – one of which are unaware and/or reckless drivers. So, before you head out for your next jog, here are jogging safety tips to keep top of mind.

Leave a message

Before you head out for your jog, make sure that there is always someone who knows where you are going. We live in a digitally connected world that has made it easy to inform someone of your whereabouts. Let your family, friends or even your next-door neighbour know you have stepped out for a jog, and give them details on your planned route.

Run on the same side as oncoming traffic

While out on the road, run facing the oncoming traffic; this assists motorists, approaching your direction, in being able to see you better. Also, if anything happens in front of you, you can react quicker and possibly avoid accidents as opposed to having your back against traffic.

Wear visible clothes

The importance of being highly visible while running cannot be stressed enough. Always ensure that you wear high-visibility, brightly coloured clothing, irrespective of what time of day you are taking a jog.

For those who prefer jogging in the evenings, invest in a headlamp or handheld jogging torch so you can see where you’re going. The other road users will see you, and more importantly, avoid knocking you over.

Obey the rules of the road

While jogging, it’s often easy to forget the normal rules of the road. Therefore, it is important to be more alert while on the road. Obey the rules of the road. Remember motorists have the right of way in South Africa, unless you are running in an estate or complex that has a specific running track. More importantly, don’t forget to look right, look left, and right again before running across a road.Ā Ā Ā 

Avoid wearing earphones

Most joggers prefer to play their favourite tunes to keep them motivated. However, this can have dangerous consequences. How are you able to hear anything around you, including approaching vehicles and hooters, if you have music playing full blast in your ears?

If you can’t do without your headphones, lower the volume instead. Keep it at a level that still allows you to hear what is going on around you. Another consideration is to only wear your earphones in one ear, leaving the other ear free of sound and able to identify any alerts.

jogging safety tips

The IMPERIAL Road Safety programme aims to create a sustainable and viable way of changing the perceptions and behaviours of road users, to encourageĀ responsible road usage in South Africa from grass root level upwards.


Foot ulcers can be prevented


The increasing global incidence of diabetes brings with it an increase in diabetes complications. Those affecting the feet are probably the most feared. These complications, such as foot ulcers, are very serious, extremely costly and can be devastating if they end in amputation.


The complications of diabetes, such as foot ulcers, can be prevented or delayed when people with diabetes play an active role in their own care and education about their condition. Education helps in the early recognition of complications and the ability to act appropriately.

What causes foot ulcers?

The most common causes of diabetic foot ulcers (DFU) are nerve damage, poor blood supply, poor footwear, foot deformities and injury.

When nerves are damaged, it is known as peripheral neuropathy. There isĀ a reduced feeling, or feeling may be absent altogether.

Changes in the blood vessels will reduce the volume of blood delivered to a specific part of the body, in this case the feet. This is known as peripheral vascular disease. Both peripheral neuropathyĀ  and peripheral vascular diseaseĀ canĀ be present at the same time.

When feeling is reduced or absent, a person with diabetes may injure his or her foot without being aware of the injury until it presents with: an infection, moisture oozing from the foot, odour or swelling. Sometimes family members become aware of these symptoms and then investigate.

Claw toes.


foot ulcer

Diabetic foot ulcer.

 

 

 

 

 

 

Neuropathy alters the speed of blood flow in the foot and wasting of the muscles. It leads to weakness of the foot and changes the shape of the toes and leads to abnormally high pressures on the foot.

Good blood supply to the feet keep the tissues and muscles strong and healthy. If the supply is inadequate, the foot becomes more susceptible to injury and healing is also prolonged.

Poor footwear

Most foot ulcers are caused by poor footwear. Foot ulcers develop where pressure is the highest. Hard skin or callus is a sign of pressure and walking on callus increases the pressure on the hard skin – like walking on a stone. The neuropathic foot won’t feel the pressure or the pain.

Feet self-examination

The importance of feet self-examination cannot be overemphasised. This is best done daily, and if abnormalities are observed, action must be taken.

Healthcare professionals can assist the diabetic patient by doing feet inspection and education at the same time. If one foot has an injury or ulcer, inspection of the healthy foot is also important.

How to spot foot ulcers

A foot ulcer may present as a dark spot that resembles a splinter under the skin. Once the hard skin is removed, the ulcer is exposed.

Foot ulcers may look like small holes surrounded by a halo of pale skin. When the hole is examined, a larger ulcer is found that was hidden under the skin. This is known as undermining.

Undermining can be compared to a table that has a solid surface on the top, with a large open space underneath.

Examination and treatment of these lesions are best done by trained healthcare professionals. No bathroom surgery.

Wound care

Once diabetic foot ulcers have been diagnosed, a wound nurse who specialises in advanced wound management can assist with wound care and the correct selection of treatment.

The choice of dressing must promote wound healing and be appropriate for a diabetic foot. It must treat infection, absorb exudate (moisture oozing from a wound), protect the surrounding skin, may have to treat devitalised or dead tissue, and must be soft enough to not add pressure to the area.

Other modalities that can be used to enhance wound healing:

  • Spray application of haemoglobin.
  • Subatmospheric Pressure Therapy – negative pressure wound therapy also known as Vacuum Assisted Closure (VAC)).
  • Total Contact Casting (TCC).
  • Application of protease modulators.
  • Protein Rich Plasma Therapy.

Blood sugar control

Blood sugar control is essential to assist wound healing. The body’s ability to fight infection is reduced in a high sugar environment because the white blood cells become ā€˜lethargic’ and slow to fight invading microorganisms. If an infection is suspected, it is best to consult a doctor for antibiotics as soon as possible.

Multi-disciplinary team approach

The best approach to help heal diabetic foot ulcers is to have a multi-disciplinary team. The wound nurse will treat the foot ulcers while the vascular surgeon will assess and treat the blood supply. The vascular surgeon/general surgeon will clean the wound by removing dead tissue so that viable tissue is exposed and healing can be quicker. The podiatrist will look at and treat any abnormal shape of the foot or problems with the gait. An orthotist can prescribe or make footwear for the diabetic foot. And, the diabetologist and the diabetes nurse educator managesĀ blood sugar control.

Diabetic foot ulcers can be prevented, but the time to act is now. Once diabetes has been diagnosed, it is best to have an assessment done by the various diabetes professionals in the team to establish a baseline to work from. Having a baseline means including the person with diabetes because various goals can be set to work towards. Such a goal may be to normalise blood sugar levels to encourage healing and to prevent more complications.

MEET OUR EXPERT

Ziets Roets is a private nurse practitioner in Advanced Wound, Lymphoedema Management and Integrative Nursing Practice. Pinetown, KZN Cell: 076 242 5050

No Bake Coconut & Vanilla Cheesecake


Thistlewood products are ideal for the health conscious consumer and suitable for persons with diabetes.Ā 


Makes approximately 8 mini cheesecakes
1 serving = 1 mini cheesecake with 1 teaspoon jam
This recipe is inspired byĀ Everyday Diabetic Recipes

Ingredients

  • 450g fat-free cream cheese, softened
  • 1 packet sugar-free instant vanilla pudding mix
  • 3/4 cup fat-free plain yogurt
  • 1 cup skim milk
  • 1 teaspoon coconut extract
  • 170g of mixed berry low GI Thistlewood biscuits, crushed
  • 2 Tbsp. melted coconut oil (give or take)
  • Thistlewood Red Cherry ā€œSugar freeā€ jam (no added sugar, sweetened with sorbitol)
M11224-THISTLEWOOD-COTTAGE-LOGO
The Thistlewood range is available in all Dischem pharmacies, select Super Spars, Checkers Hypers, select Pick n Pay stores andĀ The Centre for Diabetes and Endocrinology.

Method

  1. Crush or lightly blitz your Thistlewood biscuits to form a crumb. Mix the crumbs and coconut oil together until combined. Add 2 loosely-packed tablespoons of crumb to the bottom of each mould or serving dish, and use your fingers or a spoon to pack it down firmly.
  2. In a medium bowl, stir cream cheese with a spoon until soft. Add dry instant pudding mix, yogurt, skim milk, and 1 teaspoon coconut extract. Mix well with a wire whisk. Spread mixture evenly onto the crumb. Cover and refrigerate 2 hours, or until firmly set.
  3. Serve with a healthy teaspoon of Thistlewood Red Cherry ā€œSugar freeā€ jam (no added sugar, sweetened with sorbitol).

You can use any one of our yummy Thistlewood no added sugar (sucrose) jams to tantalize your taste buds. Available in Strawberry, Apricot, Marmalade, Raspberry, Gooseberry & Cherry.

www.thistlewood.co.zaĀ  thistlewood@futurenet.co.zaĀ  033 386 3636 / 011 467 2147

Like Us? Follow Us! @thistlewoodprod

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Delicious cottage cheese flapjacks


Thistlewood products are ideal for the health conscious consumer and suitable for persons with diabetes.Ā 


Makes approximately 12 – 15 flapjacks Ā Ā 
1 serving = 3 flapjacks with 1 tablespoon jam
This recipe is inspired byĀ byĀ dietician, Leanne Katzenellenbogen

Ingredients

  • 1 cup low-GI oats
  • 250 g low-fat chunky cottage cheese
  • extra large egg
  • 3 egg whites
  • 4 sticks of Stevia
  • 1/2 tsp vanilla extract
  • Olive oil cooking spray
  • favourite sugar-free Thistlewood Jam
M11224-THISTLEWOOD-COTTAGE-LOGO

The Thistlewood range is available in all Dischem pharmacies, select Super Spars, Checkers Hypers, select Pick n Pay stores andĀ The Centre for Diabetes and Endocrinology.

Method

  1. Put oats into a blender, or food processor and blitz to a grainy batter.
  2. Add remaining ingredients, and process into a batter. Leave to rest for about half an hour, at room temperature.
  3. Heat non-stick skillet over medium heat. (Use a little non-stick olive oil cooking spray to help keep from sticking).
  4. Pour tablespoons per flapjack into pan & allow to cook until small bubbles form (about 4-5mins) then flip & allow to cook the same on the otherside.
  5. Serve with your favourite sugar-free Thistlewood jam (which is suitable for Type 1 diabetes).

www.thistlewood.co.zaĀ  thistlewood@futurenet.co.zaĀ  033 386 3636 / 011 467 2147

Like Us? Follow Us! @thistlewoodprod

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Healthy and easy ways to make smoothies for people living with diabetes

Brought to you by: FUTURELIFEĀ®


Smoothies are one of those foods that have stayed popular and remained on the food trend list for the last few years. Everywhere you look; restaurants, recipe books, food blogs and Pinterest are filled with the most delicious smoothie recipes and a simple google search on smoothies can pull through pages and pages of articles and recipes, but needless to say, looking through all this information can be a pretty daunting task. For those of you who don’t know anything about smoothies…you are in luck, here is all the information you need to know about making a nutritious smoothie.


WHAT AREĀ SMOOTHIES?

A smoothie is a blended drink made from a combination of fruits and/or vegetables; a liquid such as milk, a milk alternative, yogurt or juice and ice.1 Smoothies can vary in thickness depending on the ratio of solid to liquid ingredients used.

WHY ARE SMOOTHIES A GREAT ADDITION TO YOUR DAY?

As smoothies contain a combination of foods and are a great way to boost your nutrition in one meal. They often contain beneficial vitamins, minerals, antioxidants, fibre as well as healthy fats and protein. Smoothies are versatile, and if made correctly they can be had as a meal, snack or healthy treat.

There are endless combinations of ingredients that you can use to make smoothies, therefore it’s difficult to get bored. Smoothies are also quick and easy to prepare. Just put all the ingredients into a blender and ā€˜voila’ you have a nutrient dense meal.

ARE SMOOTHIES SAFE FOR INDIVIDUALS LIVING WITH DIABETES?

Living with diabetes doesn’t mean you need to deny yourself all the foods you love, but it is still important to ensure that you make healthier food choices. As smoothies contain many ingredients, they can often be high in sugar, carbohydrates and calories which can cause havoc on blood sugar levels. Therefore, it’s important to choose your ingredients carefully and keep an eye on how much you drink at a time.

HOW TO MAKE A ā€˜DIABETIC-FRIENDLY’ SMOOTHIE

1. Choose your produce

Most smoothie recipes call for the addition of a selection of fruits. Fruits are high in vitamins, minerals, fibre, antioxidants and natural sugars. Any seasonal fruit of your choice can be used but make sure include fruits of different colours. Examples include all berries, apples, pear, melon, nectarine, citrus, kiwi and plums etc. Watch your portion of the following fruits as they contain more sugar per portion e.g. banana’s, grapes, figs, paw paw, melon and dried fruit.

If you are going to include other carbohydrate sources in your smoothie, such as dairy or a cereal product e.g. FUTURELIFEĀ® or oats, it is suggested you only include 1/2 – 1 fruit portion per smoothie.

One fruit portion = 1 tennis ball size fruit OR 2 golf ball size fruit OR ½ cup
People often forget about adding vegetables to smoothies. Vegetables also contain fewer carbohydrates than fruit therefore are helpful in keeping the total carbohydrate of the smoothie down. Including vegetables in your smoothie is a quick and convenient way to include more vegetables into your day. Any of the green vegetables such as kale, spinach, broccoli, cucumber and avocado are great additions to any smoothie as they contain little carbohydrates. Be careful of starchy vegetables such as carrots or beetroot. Some recipes also call for cooked vegetables like sweet potato or legumes that contribute to fibre content, texture and taste.

One vegetable portion = 1 cup raw vegetables OR ½ cup cooked
Natural sugars, found in fruits and starchy vegetables, also cause spikes in your blood sugar levels if too much is eaten at once. Remember to count the fruit and starchy vegetables you blend into your smoothies as part of your daily fruit allowance. This will ensure you don’t overdo it on carbohydrates.

2. Add your liquid

There are many choices when it comes to liquids, many people just add water or ice. Including plain, unsweetened dairy such yoghurt or milk not only contributes calcium and vitamin D which is important for bone health but also increases the protein content. This helps to lower the Glycaemic index (GI) of the whole smoothie (refer to article on GI & GL),2 which helps to prevent spikes in blood sugar levels.2,3 Bear in mind that dairy also contains carbohydrates, therefore contributing to the total carbohydrate content of the smoothie.

For dairy free options include a non-sweetened milk alternative such as soy, almond, rice, hemp, or a little bit of coconut milk. Other recipes also call for fruit juice, however for people living with diabetes, fruit juice isn’t recommended as it contains natural sugars but no fibre. Remember these smoothies contain multiple ingredients that contain carbohydrates, fruit juice will push the carbohydrate content up quickly.

3. Boost nutrition
Protein & Fat
Including a source of protein and fat in your smoothie is helpful as they both slow the rate at which the meal leaves the stomach. This slows down the absorption of the sugars into your blood which prevents spikes in blood sugar levels.

  • Ways to boost the protein content would be to add a protein powder such as whey and /or casein which is milk based or a plant based protein powder include hemp, soy, brown rice, and pea.
  • Include the following healthy fats in your smoothie: 1 small handful of nuts, 1 – 2 Tablespoons of seeds, ½ small avocado (gives your smoothie a creamy texture), 1 tablespoon of sugar free nut butter and 1 teaspoon of seed oils e.g. coconut, flaxseed, macadamia or olive.

Other tips:

  • Whole grains can also be a useful addition to the smoothie as they contribute texture and boost the nutritionals by adding vitamins, minerals, fibre, and protein and are low GI. Oats or oat bran are a great option. Remember to watch portions as they will contribute to the carbohydrate content
  • Don’t add extra sweeteners; remember fruits and dairy contain natural sugars already.
  • Remember to consider the carbohydrate content of the total smoothie. This should be no more than 1 – 3 carbohydrate exchanges depending on if it’s a meal or snack.

WHERE DOES FUTURELIFEĀ® FIT IN?
FUTURELIFEĀ® products are a great addition to any smoothie as they contain nutrients that are useful when looking at the steps for making diabetic friendly recipes above. They are high in protein, fibre, healthy fats and omega-3. Many of our products are also enriched with vitamins and minerals; contain the prebiotic inulin and MODUCAREĀ® which supports the immune system. Our products are also quick and easy to prepare, just add water or milk.

FUTURELIFEĀ® Smart foodā„¢, FUTURELIFEĀ® HIGH PROTEIN Smart foodā„¢ and ZERO Smart foodā„¢ are the recommended products to add to any smoothie. While all are high in protein and fibre, low GI and nutrient dense, FUTURELIFEĀ® HIGH PROTEIN Smart foodā„¢ has the highest protein content of 30 g per 100g. It contains SmartProtein3D which is a combination of soy, casein and whey protein, and has the lowest carbohydrate content and GI of all our products. FUTURELIFEĀ® ZERO Smart foodā„¢ is free of cane sugar and contains Smart Sweetness, a combination of Stevia, Erythritol and Sucralose. All 3 offering great benefits despite your preferences.


How to make a diabetic friendly smoothie:

ONE

Choose your produce. Include both fruit and vegetables and stick to portions

One fruit portion = 1 tennis ball size fruit OR 2 golf ball size fruit OR ½ cup

One vegetable portion = 1 cup raw vegetables OR ½ cup cooked

TWO

Add your liquid e.g. water, milk, yoghurt or dairy free option such as unsweetened soy, almond or coconut milk

THREE

Boost the nutritionals with a source of protein and fat

FOUR

Consider the carbohydrate content of the total smoothie


There you have it, see how simple it is to make your own smoothie. Remember by following these principles above you can adapt any smoothie recipe into one that is suitable for people living with diabetes. Included below are some easy recipes containing FUTURELIFEĀ® products for those living with diabetes. Consult with your dietitian or diabetic nurse educator if you have any questions. For more delicious smoothie recipes, nutritional advice, health tips, Diabetes meal plans and more, visit www.futurelife.co.za


Try our healthy and easy recipes!

FUTURELIFEĀ® Mixed Berries and Mint Crush

FUTURELIFEĀ® HIGH PROTEIN Mocha Smoothie

Overnight FUTURELIFEĀ® Smart OatsĀ®

Ingredients

  • 50 g FUTURELIFEĀ® Smart OatsĀ®
  • 1/2 cup milk
  • 1 Tbsp. Yoghurt
  • Berries
  • 1 Tbsp. Chia seeds

Method

  1. Add your FUTURELIFEĀ® Smart OatsĀ® and milk to a bowl and mix well.
  2. Pour half mixture in a jar, spoon over some slices up fresh berries.
  3. Pour over remainder of oats mixture.
  4. Place in fridge overnight.
  5. In the morning top with yoghurt, chia seeds and sliced berries.

For more information on the product used in this recipe visit: http://futurelife.co.za/product/futurelife-smart-oats/


FUTURELIFEĀ® Mixed Berries and Mint Crush

Ingredients

  • 1/3 cup mixed frozen berries
  • 125 ml plain fat free / low fat yoghurt
  • 125 ml water
  • 40 g or 4 Tbsp. FUTURELIFEĀ® Smart foodā„¢
  • 1 cup of ice
  • 5 g fresh mint

Method

  1. Place all ingredients into a blender and blend for 30 seconds.

For more information on the product used in this recipe visit: http://futurelife.co.za/product/futurelife-high-energy-smart-food/


FUTURELIFEĀ® HIGH PROTEIN Mocha Smoothie

Ingredients

  • ½ cup of coffee, already prepared
  • ½ cup low-fat or fat-free yoghurt (vanilla)
  • 1 handful of ice
  • 50 g (5 heaped Tbsp.) of FUTURELIFEĀ® HIGH PROTEIN Smart foodā„¢ Chocolate

Method

  1. Add all the ingredients to a blender and blend on full power until smooth.

Serves 1 – meal |Ā Serves 2- snack


For more information on the product used in this recipe visit: http://futurelife.co.za/product/futurelife-high-protein-smart-food/


FUTURELIFEĀ® HIGH PROTEIN Smart foodā„¢ MUFFINS

Ingredients

  • 200ml (4/5 cup) FUTURELIFEĀ®HIGH PROTEIN Smart foodā„¢
  • 250ml (1 cup) whole wheat flour
  • 5ml (1 tsp) salt
  • 20ml (4 tsp) baking powder
  • 15ml (1 Tbsp.) sugar
  • 1 egg
  • 60ml (4 Tbsp.) butter/margarine/coconut oil
  • 250ml (1 cup) low fat milk
  • 1 tsp of low sugar low salt peanut butter for each muffin’s centre

*Optional: Grate 1 cup carrot or apples and a few Tbsp. of seeds to the wet ingredients.

Method

  1. Pre-heat the oven to 200°C and grease a muffin tin.
  2. Mix all the dry ingredients together.
  3. Whisk egg. Add the butter/margarine/coconut oil and milk to the beaten egg and whisk until combined.
  4. Add wet ingredients to dry ingredient and fold together until just combined.
  5. Spoon equal amounts of batter into greased muffin tin. Spoon a teaspoon of peanut butter into each centre of the muffins.
  6. Bake for 15 – 20 minutes.
  7. Freeze in an airtight bag or enjoy fresh.

* Make a batch and freeze. To defrost leave to thaw at room temperature.


For more information on the product used in this recipe visit: http://futurelife.co.za/product/futurelife-high-protein-smart-food/