Share mySugr reports with your healthcare professional

Roche Diabetes Care is pleased to offer you free access to the mySugr Pro app during the ongoing COVID-19 pandemic.


Roche Diabetes Care is offering their support to you and the healthcare system during this time by providing six months of free access for adults with diabetes to our diabetes management app, mySugr Pro*.

Free access to this app (usually R539,99 per year) will help your experience of digital/telephone appointments by digitally providing blood glucose monitoring information to your healthcare professional.

You can download the mySugr app to your smartphone and unlock the Pro version using the activation code.

Once you have mySugr Pro installed, you can download a report and send it to your healthcare professional via email.

This app allows you to enter blood glucose results from any device and is already used by more than two million registered users worldwide1.

For more information on this offer, please visit:

www.accu-chek.co.za/mysugr-pro-offer

*T&C’s apply

To check if you have a compatible smart phone please contact the Roche Diabetes Care Customer Centre on +27 (11) 504 4677.


References 

1:  Play store and Apple store November 2019



		

Visit the Accu-Chek website at www.accu-chek.co.za

Roche Diabetes Care South Africa (Pty) Ltd. Hertford Office Park, Building E, No 90 Bekker Road, Midrand, 1686, South Africa. Email: info@accu-chek.co.za; Call Toll Free: 080-34-22-38-37 (SA only); +27 (11) 504 4677 (Other countries)

ACCU-CHEK is a trademark of Roche. mySugr is the trademark of GmbH.

©2020 Roche Diabetes Care.

LCHAT200430

The flu vaccine – frequently asked questions

We get all your frequently asked questions regarding the flu vaccine answered by Abbott Laboratories.


Flu vaccine

Seasonal changes are upon us, and so is flu season. Now, more than ever we should protect ourselves and our families against flu.

What is flu?

Flu is easily confused with a cold. Flu is a viral infection that causes serious respiratory tract infections. The symptoms are like cold symptoms, except that the onset is very sudden. One morning you may be well, and that afternoon you’re running a high fever and feel really ill3.

How is it spread?

  • Via droplets when infected people cough or sneeze near you3.
  • When you touch infected surfaces and then touch your eyes, mouth or nose straight afterwards3.
  • Flu spreads easily in crowded spaces, such as child care centres, schools, office buildings and public transportation.

High-risk groups include3,4

  • The elderly
  • People with existing medical conditions, such as diabetes and cancer.
  • Nursing home residents
  • People with immune deficiencies, such as HIV+
  • Pregnant women
  • Obese people
  • Children over six months

Why should I get vaccinated annually?

Flu viruses change, and every year the flu vaccine is altered to match the viruses expected to circulate that year3.

What are the symptoms of influenza?

  • Runny nose3
  • Aches and pains3
  • Vomiting5
  • Diarrhoea (runny stomach)5
  • Fever3
  • Tiredness3
  • Coughing3
  • Sore throat3

How does the flu vaccine work?

The vaccine is made up of a small inactive part of that season’s flu virus. Being inactive, it cannot infect your body with the virus, yet it allows your body to make antibodies to fight the flu.  In that way, you’re building up immunity to the flu virus6.

What can I do to protect myself, my family and loved ones?

  • Get vaccinated with the seasonal flu vaccine3.
  • You can also protect yourself and others by practicing good personal hygiene e.g. washing your hands and flushing away used tissues3.

Can catching the flu cause other illnesses or complications?

Yes, it could. This is especially true for children and adults that are considered high-risk3.

Complications can include3

  • Pneumonia
  • Bronchitis
  • Asthma flare-ups
  • Heart problems
  • Ear infections

Remember flu facts

F – Fever

A – Aches and pains

C – Chills

T – Tiredness

S – Sudden onset of illness


References:

  1. Smart Syringe System; Data on file.
  2. Van de Witte SV, Nauta J, Giezeman-Smits KM, de Voogd JM. Trivalent inactivated subunit influenza vaccine: 30-year experience of safety and immunogenicity. Trials in Vaccinology 2012;1:42–48.
  3. Influenza (flu). Mayoclinic [online]. Accessed 23/10/2018. Available at: https://www.mayoclinic.org/diseases-conditions/flu/symptoms-causes/syc-20351719.
  4. 4.Flu Care in Day Care: The Impact of Vaccination Requirements. National Foundation for Infectious Diseases. Published January 2015. Accessed 05/11/2018. Available at: http://www.nfid.org/day-care-report.
  5. Influenza FAQ document – 2017. National Institute for Communicable Diseases. Accessed  05/11/2018.  Available at: http://www.nicd.ac.za/index.php/influenza/.
  6. Stöppler MC. Flu Vaccine (Influenza Immunization or Flu shot). MedicineNet [online]. Reviewed 18/09/2018. Accessed 19/11/2018. Available at: https://www.medicinenet.com/flu_vaccination/article.htm#what_is_influenza_flu.

Abbott Laboratories S.A. (Pty) Ltd
Reg. No. 1940/014043/07
Abbott Place, 219 Golf Club Terrace,
Constantia Kloof, 1709
Tel No.: 011 858 2000


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Elizabeth Gunther – Surfing the waves of diabetes

Elizabeth Gunther talks about living with Type 1 diabetes, her kombucha business, Tea of Life, and her love for surfing and her dogs.


Elizabeth Gunther (35) lives in Muizenberg, Cape Town with a house mate and her ‘two incredible dogs’.


Living her best life

Currently, my life consists of building my business, Tea of Life; walking my dogs; surfing; and managing my Type 1 diabetes. I am single and don’t want any children as I would not know where to find the time!

I do, however, spend a lot of time with my friends and family who are extremely supportive of my chronic illness. Though, it has been said that I was friendlier before having diabetes.

When I surf, I mostly go with a friend in case I experience a low episode. My housemate is also very empathetic and cares about whether I make the correct food choices.

Diagnosis

At the age of 21, I was diagnosed with Type 1 diabetes. It was about a year after I worked on a cruise line as a beauty therapist. Two years before that I was involved in a car accident. To this day, I am not sure why I got it. No one in my family has had diabetes.

Family feasting

We always lived very healthy lives as children. We ate fruit salad, nuts and lentil soup versus braai broodjies, lamb, and malva pudding.

Feasting for my family was getting fish and chips once every second month; Sunday drives for Marcel’s English Toffee Frozen Yoghurt; as well as my dad’s health rusks, banana clusters and incredible carrot cake with loads of pecan nuts!

I always had a weakness for sweet things but to find a packet of biscuits or a Cadbury’s slab in our house was as rare as winning the lotto.

Insulin

Throughout a day, I use more or less 16 units of Apidra and 20 units of Tresiba at night. To test my glucose levels, I vary between Optium and Contour machines. I realise this might be slightly outdated. But, my endocrinologist does not suggest the insulin pump as I surf whenever I get the opportunity.

Kombucha lowers glucose levels

My passion for kombucha started about 10 years ago when I attended a kombucha workshop in Knysna. I instantly savoured the taste, not being aware of the extensive health benefits of this fermented tea.

Soon I discovered that kombucha lowered my blood glucose levels. So much so that I needed to inject less insulin. Fermented foods slow down the digestion of carbohydrates thus stabilising blood glucose levels.

I started feeling great within my body. It radiated my skin and gave me a natural energy boost that was fantastic at that stage. The words of Kris Carr, a wellness activist and cancer survivor, “Gut health is the key to overall health” started making sense to me after introducing the probiotic health beverage into my diet.

And now I run my own kombucha business, Tea of Life.

Feasting as a person living with diabetes

Feasting for me is drinking good Double Flat Whites at carefully selected coffee shops or making my own. I also enjoy dark chocolate and luckily those two things do not increase my glucose levels too much.

Cooking balanced meals with all five food groups as a single person is not that easy. When I visit my parents, and eat home-cooked meals, my glucose levels are way more balanced.

Most times no one would ever know I have diabetes, except an intimate partner. It definitely is hard for a partner of someone living with diabetes and at times frightening. Hence why I have two dogs. It is way less stressful!

I have been to many psychologists to help me cope with the ups and downs of this disease and it has helped as much as it can. I think most people living with diabetes are rebellious (in my experience of talking to many of them) and something about this disease is meant to change that.

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Breakfast: making the most of your day

Registered dietitian, Raeesa Seedat, educates us on why our choice of breakfast is so important.


Importance of breakfast

Breakfast is an important part of the diet that contributes significantly towards daily nutrient intakes. Consumption of breakfast leads to positive health behaviour, improved stress management, feeling energetic, and making less unhealthy snack choices.

Skipping breakfast results in fatigue, sub-optimal concentration levels, as well as an increased risk for developing obesity. In people living with diabetes, skipping breakfast can have negative consequences. Studies show that breakfast skipping is associated with increased average blood glucose, poor glycaemic control and increased HbA1C levels.

Skipping breakfast can also lead to an increase in energy intake in the form of lunch, snacks and supper. Achieving and maintaining blood glucose targets is the primary objective for diabetic treatment. Carbohydrate intake is the determining factor in whether this objective is achieved.

Carbohydrates

In all meals, carbohydrates are an important part of a healthy balanced diet. The amount and quality of carbohydrates directly impacts blood glucose levels.

Refined starches and sugars from processed foods are linked with weight gain and poor glycaemic control. These include white bread, white rice, potatoes, certain breakfast cereals and crackers, refined pastas, chips and crisps, sugar sweetened beverages, sweets, muffins and sweetened baked goods.

It is recommended that added sugars, refined and processed carbohydrates be restricted in favour of high-fibre and low-glycaemic index (GI) carbohydrates. The low-GI concept describes how foods consumed impact blood glucose levels.

Food sources of carbohydrates with a low-glycaemic Index (foods with a GI-level below 50) should provide the main source of energy in a diabetic diet. It is recommended they provide 40-50% of the daily energy intake.

Carbohydrates that have a low-GI are gradually absorbed into the bloodstream. This leads to improved control of blood glucose levels after eating as well as optimal insulin release. It is recommended that a diet with a low-GI content be consumed to aid treatment of diabetes, coronary heart disease and possibly obesity.

 A low-GI diet is characterised by:

  • Increased intake of wholegrains, nuts, legumes, fruit and vegetables.
  • Decreased intake of potatoes, white rice, white bread, cookies, cakes, sweets, sugar sweetened beverages and sugar coated breakfast cereals.

Fibre

Dietary fibre is defined as the carbohydrate found in food products that is not digested by the stomach or absorbed in the gastrointestinal tract. Fibre has multiple benefits for the human body. It keeps the digestive tract healthy, lowers cholesterol levels, helps control blood glucose levels and promotes a healthier colon by increasing good gut bacteria.

For people living with diabetes, a high-fibre intake is associated with improved outcomes, better satiety (keeps you fuller for longer) and prevents obesity. It may also prevent heart disease, constipation and colon cancer.

The recommendations for fibre intake are as follows: 20 to 35 grams of fibre from raw vegetables and unprocessed grains. High-fibre carbohydrate sources includes legumes, wholegrain breads and cereals, whole fruits and vegetables. These should be included as part of the daily carbohydrate intake.

The goal of 20 grams or greater of fibre per day may be difficult to achieve for some, as large amounts of fibre may cause bloating and gas. Fibre should be slowly incorporated into the diet if one is not accustomed to large amounts of fibre in the diet.

What to eat for breakfast

It is strongly suggested that wholegrain be added to your morning meal. This may be in the form of a porridge or cereals. Look for options that list whole wheat, whole oats, or other wholegrain first on the ingredient list without added sugars.

Choose breakfast cereals with greater than 6 grams of fibre per 100 grams.  Ready-to-eat breakfast cereals are highly-processed and have a very little to no fibre.

Oats and oat bran

Oat bran is a cereal product that has been receiving increasing attention.  Originating from oat grain or oat flakes, fragmented and separated to remove the starchy endosperm from the fibre containing fractions, it is nutrient rich.

It is particularly high in soluble fibre which helps control blood glucose levels and lower cholesterol. The substance found in oats responsible for this effect is β-glucans. It binds to water to form a gel inside the digestive tract, thereby increasing the viscosity of the food and delaying gastric emptying.

This delayed absorption of nutrients also means that carbohydrates are absorbed slower, leading to improved blood glucose levels after meals. Oat bran may be consumed daily as a breakfast cereal and can also be added to soups or be used in baking as a partial substitute for flour.

Conclusion

Do not skip meals, especially breakfast. Include a high-fibre, low-GI breakfast cereal, such as oats, oat bran or bran flakes daily. Avoid poor quality carbohydrates that are sugar-rich and processed. Consume a healthy balanced diet including high-fibre, low-GI carbohydrates.

MEET THE EXPERT


Raeesa Seedat is a registered dietitian, based in the northern suburbs of the Western Cape. She is very passionate about dietary management of disease with the application of clinical research and science. She also has a special interest in chronic conditions, such as diabetes, cardiovascular disease as well as gastroenterology.


Header image by FreePik

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20th Annual Al Bawasil Children’s Diabetes Camp

Sister Barbara Chinyerere and her son, Joshua (9), who has Type 1 diabetes give feedback after attending the 20th Annual Al Bawasil Children’s Diabetes Camp, in Doho, Qatar.


Invitation to 20th Annual Al Bawasil Children’s Diabetes Camp

Diabetes South Africa (DSA) was invited to attend the 20th Annual Al Bawasil Children’s Diabetes Camp, in Doho, Qatar. This took place from 21 to 26 December 2019. Sister Barbara Chinyerere and her son, Joshua (9), who has Type 1 diabetes, attended on behalf of DSA.

Sponsorship

Barbara and Joshua are active members of DSA’s T1 Youth Warriors committee, helping DSA to organise events and outreaches for youth with Type 1 diabetes.

The Qatar Diabetes Association sponsored mother and son to attend the annual camp for children aged 7 – 11 years with Type 1 diabetes.

Barbara’s feedback

Three words: it’s was awesome! We left on Sunday evening. The camp had started on Saturday but there was a delay with my visa. We arrived on Day 3, just in time to join the outing.

There were around 40 local children and another 30 or so children from other countries, like Tunisia, Iran, Sudan and South Africa. Joshua and myself were the first South Africans to attend. Most countries represented had a supervisor and two kids.

The programme started early with prayers. Medical teams were always available, in case any help was needed. These teams consisted of students, doctors, dietitians and nurses with a male volunteer leading each team.

All the children were placed in teams. The outings were all educational; we went to the beach where we spent the day playing games, riding camels and doing quizzes.

The next outing was to the museum where we learnt about Islamic history, the origins of the culture, and saw various statues and ornaments. We enjoyed lunch at the park that day.

KidZania

On the next day, we went to KidZania, a children’s amusement park. Kids can choose from more than 60 real-life fun activities, such as doctor, dentist, police officer, firefighter, actor and singer, etc., in a safe and secured kid-sized city. Designed by educators, for children aged 1-14, KidZania blends learning and reality with entertainment.

Here the group of children got to experience a range of different careers. Children must get involved, get tasks and experience. I must say this was Joshua’s favourite. We then went for a train rides around the area.

Evenings were loaded with diabetic-related board games and small workshops. Food would be delivered at the outings and the food was on point! Even back at the camp side we were stayed, which is a student res. It was impeccable!

Freestyle Libre machines

The Qatar Diabetes Association ensures that all children living with Type 1 diabetes has the best of care. The government sponsors Freestyle Libre machines for children under 12 to 15 years of age. They are very strict on carb-counting and their readings are not in mmol/L like in South Africa.

The last day all the children had to perform skits. They got certificates for attending and the winning team got medals. Families from around joined the closing ceremony. The Qatar Diabetes Association gave a gift to DSA. In their culture, visitors are presented with gifts.

Thank you to DSA for choosing Joshua and myself to experience this once in a lifetime opportunity. We learnt so much and had a blast.

DSA News Autumn 2020

DSA Western Cape news

Kayamandi Diabetes Community Wellness Group


The DSA Western Cape branch visited the Kayamandi Diabetes Community Wellness Group in Stellenbosch on 17 March.

This group meets regularly at the Kayamandi Community Library. It is ably run by Sr Luleka Mzuzu and Nonhanha Batweni. They organise speakers, glucose screening and discussions relating to diabetes.

At the time of the visit, Sr Luleka spoke about keeping safe and well during the Covid-19 pandemic, giving vital information to the 20 people who attended.

Margot McCumisky spoke to the group about the importance of managing your diabetes, self-motivation, and setting goals to improve your health. She ended the talk by encouraging the group to keep learning about diabetes and creating community awareness and encouraging one another.

DSA Port Elizabeth news

Young Guns


In September 2017, Paula Thom, a young adult who has diabetes, revived the group for Type1’s. They decided to call themselves the Young Guns.

The ages vary from toddlers to young adults. Their families and siblings play an important part in their lives. The Young Guns meet at different venues each month to enjoy fun activities and have time to share their experiences and feelings with their peers.

The mothers and guardians gather nearby to share how they cope with a child who has diabetes. One mother has two daughters who both have diabetes.

Some of the activities include a day at the beach, an afternoon at the movies, Ten Pin bowling, day hikes and going out for brunch or lunch, or having fun at the trampoline park.

This year another young adult Type 1, Darren Badenhuizen, has been elected as the male leader of the Young Guns. We are proud of the way they share and care for each other and grow in learning how to live and enjoy life.

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Des Davey – A change in medication has given me better health

Des Davey shares his story of how a change in medication, due to changing from private to public healthcare, has improved his management of his diabetes.


Des Davey (62) lives in JHB South, Gauteng. He is divorced and has three adult sons and one grandson.

Des was diagnosed with Type 2 diabetes around 30 years ago. At that time, he was on a medical aid and was prescribed insulin and metformin. The doctors informed Des that his lifestyle had to change; he admits he was drinking alcohol most days.

He adds that it was hard to change eating habits as he couldn’t afford the healthier food that tends to be more expensive. Though, he did try to cut out sugary cold-drinks and changed his diet as much as he could.

In 2007, Des moved to Johannesburg from Pinetown and consulted a new doctor. He was prescribed Lantus and metformin. Since then he has managed his glucose levels but unfortunately not with the best results.

Changing to a public hospital

Last year around September, Des had to stop his medical aid due to financial reasons. This meant that Des wasn’t taking any medication for his diabetes. For three months, his blood glucose levels sky-rocketed to 20 and he suffered many headaches and became listless.

In December, he decided to go to a public clinic. His blood glucose and blood pressure were checked; his glucose level was sitting at 18. He was informed by the nurse that she can’t prescribe insulin so he would have to go to a public hospital. She did, however, assist him with blood pressure medication.

In January this year, Des went to a public hospital in the south of Johannesburg. “I knew I needed help and couldn’t carry on without medication. So, I had to endure the long wait of a file being opened and all that. But, thereafter, I was pleasantly surprised at how smooth everything went. Once my file was open, my blood glucose and blood pressure was checked and then I waited a while to see a doctor. I showed the doctor my previous script from when I was on medical aid,” Des explains.

The doctor then informed Des that as a government hospital, a lot of the medication he was on, they don’t stock. So, she would prescribe him medications they do stock, accordingly to her assessment of him.

Change in medication

Des was prescribed Austell Metformin, and Actraphane insulin flexi pens (contains both fast-acting (soluble) and long-acting (isophane) insulin). He administers 30 units of insulin a day and takes metformin twice daily.

Since taking the new medication, his glucose level readings have been excellent. “I saw a difference within a week. It has been between 4 and the highest, it has been is 7. This morning, it was 4,4. That is compared to 13 and 19 that I was getting when I wasn’t taking any medication,” Des explains.

Motivated and managing glucose levels well

Since the improvement in Des’ glucose readings, the 62-year-old grandfather checks his glucose levels every morning. “Before that I would only check maybe twice a week. Seeing the good readings motivates me to check every day. The reason I only checked once or twice a week is I knew that it was going to be high and that upset me,” explains Des.

Des goes on to say that he is not only motivated to manage his diabetes better but he is also feeling much better. “I feel healthier!”

Des is happy with the service and care he gets at the public hospital and will have his three-monthly check-up appointment with the doctor this month.

MEET OUR EDITOR


Laurelle Williams is the Editor at Word for Word Media. She graduated from AFDA with a Bachelor of Arts Honours degree in Live Performance. She has a love for storytelling and sharing emotions through the power of words. Her aim is to educate, encourage and most of all show there is always hope. Feel free to email Laurelle on editor@diabetesfocus.co.za


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Fabulite™ Vegetable Curry

A vegetable curry that’s quick and easy.


Ingredients

  • 1 cup cooked basmati rice
  • 2 cups cooked chickpeas
  • 2 cups vegetable stock
  • 1 tspn curry powder
  • ¼ cup Fabulite™ plain yoghurt
  • 2 tspn fresh parsley for garnish

Method

  1. Add the vegetable stock and curry powder to the pot of chickpeas.
  2. Let it simmer for 10 mins and add your Fabulite plain yoghurt.
  3. Dish rice and chickpea curry on a plate and enjoy.

For more information please visits www.lactalis.co.za


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Feeling, family and feasting

Everything we do is intertwined with all things surrounding family, especially feasting. This can leave us feeling utterly satiated, or sometimes utterly guilty. All aspects of our lives should include feeling good and enjoying the positive health benefits without the long-term risks.


Feeling

Health costs associated with chronic medications, surgeries, prolonged hospital stays and rehabilitation places a large financial burden and poses significant challenge for healthcare systems and the global economy. It has been said that 5-20% of all health spending is utilised for the management of diabetes1.

Most people know of that feeling of having a bad day which often leads to reach for a quick pick-me-up snack which gives immediate gratification and seems quite pleasurable at the time. However, over time this affects our health in quite drastic ways.

Feel-good activity

An even better ’feel-good’ activity can be attained with moderate physical activity. Physical activity is often described as medicine, and not only has few risks and almost no side effects, but rather excellent long-term benefits.

Fitter, stronger people feel more capable in activities of daily living, perform better at work or play, have better cognitive ability, better psychosocial interaction, have more energy, and lower risks of other co-morbidities.

In fact, it is recommended by the World Health Organisation that every person get at least 30 minutes of moderate-intensity exercise per day or 150 minutes per week.

Just one bout of exercise of moderate intensity for 30 minutes would give you an immediate boost to your system, lowering blood glucose levels and blood pressure, better sleep, and releases endorphins, known as ‘feel-good hormones which helps lift mood and combats stress.

So, instead of feeling your way through the kitchen cupboards for a sugary snack, rather feel your way towards your workout gear. If restrictions to exercise are leaving you feeling frustrated, then consult a biokineticist who can assess, prescribe rehabilitation and get you back to your preferred choice of activity to get you to your health goals and ‘feeling’ fit.

Supervision by a biokineticist

Due to the many considerations and concerns when it comes to exercise training for people living with diabetes, it is recommended that exercise is done with the supervision by a qualified health professional, such as a biokineticist.

Biokineticists are qualified health professionals responsible for rehabilitation of persons with chronic, orthopaedic and neurological conditions through individualised exercise prescription. They are specifically trained and educated to work with individuals affected by chronic and non-communicable diseases, such as diabetes.

Correct exercise prescription from a biokineticist has consistently shown to improve glucose uptake, increase insulin sensitivity, improve circulation and reduce risk of complications, such as cardiovascular disease. It also plays a large role in weight reduction, which is an important component of diabetes management and prevention.

Family

Fluctuations in blood glucose can also be incredibly difficult and frustrating to deal with. This means it can also have an impact on your immediate family who are alongside your day to day choices and frustrations.

Medical expenses also place a huge financial burden on the individuals and their families. If health status declines further and disability, such as blindness, amputation, stroke or heart attack, occurs; this would have an impact on the whole family, and even caregiving may be needed. This is a significant liability for families to bear and may have further financial implications.

Incorporate exercise as daily living

Sometimes people living with diabetes will need to rely on close surveillance by their family to help keep their health monitoring in check, or to assist someone suffering with a hyper/hypoglycaemic attack.

Symptoms of hyperglycaemia (thirstiness, blurred vision, weakness, nausea, vomiting and coma) and hypoglycaemia (fatigue, shakiness, dizziness and loss of consciousness) can have a huge impact on daily living.

One of the keys to positive family involvement is to instil healthy lifestyle habits, such as exercise or recreational physical activity for the entire family.

Exercise and physical activity is for everybody, of every age. Children love to play. Most of their play involves movement and vigorous exercise, so it’s a perfect opportunity for families to engage in physical activity whilst engaging in play with their children. This helps with healthy quality time and bonding, and teaches children that exercise is an important part of day-to-day life. Children learn lifestyle habits from an early age from their parents, so the earlier a family starts this lifestyle habit, the better.

The recommended amount of exercise necessary for children is around 60 minutes per day. The elderly might not be as inclined to start exercising, but once the health improvements begin to be noticeable, it is hugely motivating.

The same specification of exercise for adults of 150 minutes per week still applies for the elderly. Specific exercise prescription will need to be considered for the age, preference, and capability of each person. From children to grandparents, from recreation to elite sportsman, a biokineticist can help create individualised rehabilitation or prescription.

Feasting

The saying “A moment on the lips, a lifetime on the hips”describes our love/hate relationship with unhealthy eating. Type 2 diabetes is mostly considered as a lifestyle disease which occurs because of poor lifestyle choices, including smoking, physical inactivity and poor diet.

Therefore, one of the most effective management strategies for Type 2 diabetes is lifestyle change to better manage weight and promote optimal health. Such changes include improving diet by reducing intake of refined sugar and increasing intake of fruits, vegetable and wholegrains, smoking cessation, as well as committing to regular exercise and physical activity.

‘Feasting’ or bingeing on foods and drink that are high in sugar is largely to blame for the diabetes epidemic and no amount of exercise can make up for these poor dietary choices.

Feasting often appeals to our search for ‘feeling good’. It’s most often also associated with family time and celebration. Unfortunately feasting also seems to be rather excessive as opposed to necessary. It also tends to be focused on large portions and taste instead of healthy nutrition.

You can’t outrun a bad diet

It takes approximately 42 minutes of brisk-walking to burn off the calories from your average chocolate bar. One sugary soft drink would require a walk for 26 minutes, and two slices of a large pizza would require 1 hour and 23 minutes to work off. Basically, one can’t outrun a bad diet. Therefore, committing to making sustainable changes to your diets is of such importance.

Choice is king

Diabetes is a condition faced by many people across the globe. It has many burdens on the individual level, but also affects families and the global economy.

However, it is easily manageable through lifestyle changes, including making better dietary choices and participating in regular exercise and physical activity. To reduce global healthcare costs and the prevalence of this devastating condition, we encourage you all to make the first step to a healthier lifestyle, and visit a biokineticist near you.

For more information on where to find a biokineticist or on the profession itself, visit www.biokineticssa.org.za or call 012 6441506.


References

 Edition, S. (2015). IDF Diabetes Atlas, the Seventh Edition. Retrieved from http://www.diabetesatlas.org/resources/2015-atlas.html

Manuscript, A. (2012). The Psychological Impact of Living With Diabetes. Changes, 29(6), 997–1003. https://doi.org/10.1016/j.biotechadv.2011.08.021.Secreted

Roglic, G. (2016). WHO Global report on diabetes: A summary. International Journal of Noncommunicable Diseases, 1(1), 3. https://doi.org/10.4103/2468-8827.184853 Han Cho, 2015


Written by Tayla Ross, Robert Evans and Wendy Vermaak on behalf of The Biokinetics Association of South Africa (BASA).


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