Diabetes Connect Winter 2011 NSW Lowres Final

diabetes management and healthy living
WinteR 2011 | $5.80
What you can Do to pRotect youR sight | page 24
your eyes
Winter Warmups
Recipes that will warm your appetite without straying from your healthy eating plan
Page 15
protecting
Professor Nathan efron finds key to neuropathy cure may be in the eyes Page 32
food for your eyes

Do some foods affect your eyesight?
Page 18
a trip to the optometrist

What you should know before you go
Page 26
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froM the Ceo
CoNteNts
diabetes management and healthy living
message from the ceo

nicola stokes
MaNagiNg editor
InsIde
complications
kristen West
CoNtributors
although eyesight is not something we should take for granted, it tends to get pushed down our list of health priorities unless something goes wrong.
Diabetic retinopathy is prevalent in up to 25 per cent of people with diabetes in Australia and yet the Centre for Eye Research reports that 98 per cent of vision loss due to diabetes can be prevented. This means that with the right tools and information you can take steps to prevent retinopathy and other complications, and I hope this vision-healthy edition of Diabetes Connect will give you an excellent head start. From foods that help maintain good eye health (page 16 and recipes on page 20) to making sure you know what tests your optometrist should be offering (read our feature from page 24), there are many ways to be proactive. And your eyes arent just about your sight, as demonstrated by the Australian researcher who has discovered a way to identify diabetic neuropathy just by looking into the eye (page 32). What an amazing discovery.
At Australian Diabetes Council, we understand that many of our members have already experienced some vision loss. You can log on to our website to find a range of audio information sheets under our About Diabetes section on the homepage, and a PDF version of Diabetes Connect is available for those who prefer to enlarge the fonts on their computer screens. Email membership@ australiandiabetescouncil.com to find out more. And, in honour of our focus on vision health, wed like to announce a new body font for Diabetes Connect, Helvetica Neue, which was chosen based on your feedback. You may also notice that the paper has changed from glossy to matte, which reportedly enhances readability. We hope this helps improve your experience. As always, Id love to hear from you. If you have any comments youd like to share with me or our readers about vision health or your personal experience, please email me at diabetesconnect@ australiandiabetescouncil.com. Thanks for reading and stay warm, happy and healthy this winter. Dont forget your flu shot!
katie allison, dr alan barclay, margaret bouhabib, dr emmanuel calligeros, eleanor cant, dr John darcy, nathan efron, stephanie alarcon-garcia, kate guthrie, lamees kaoutarani, dr mark loane, bronwyn penny, Joel tuccia, kate Webb, carole Webster articles relating to diabetes management have been reviewed by relevant health professionals.
desigN aNd layout
features
Winter 2011
08
the kneebone is connected to the eyebone?
pg.24
aDvocacy
10
protecting your eyes

if youre at risk, what can you do about it?
advocating to make a difference
exeRcise + fitness
12
staying active even if youre visually impaired do some foods affect your eyesight? recipes for good eye health diabetes awareness Week improving eye health in less accessible areas latest kellion recipients Whats happening at australian diabetes council
kristen West
advertisiNg
fooD + Diet
18 20
trevor tye diabetes connect is published quarterly by australian diabetes council. 26 arundel st glebe nsW 2037 abn 84 001 363 766 charity number cfn 12458 gpo box 9824 sydney nsW 2001 phone: 1300 342 238 fax: (02) 9660 3633 email: diabetesconnect@ australiandiabetescouncil.com Website: australiandiabetescouncil.com claims by advertisers do not necessarily reflect the views of australian diabetes council unless so stated. all information is correct at time of printing and is intended to be a guide only for people with diabetes and their carers. it does not replace medical advice. any concerns which readers have about their diabetes and its treatment should be discussed with their doctor. if you would like diabetes connect in a plain envelope, call 1300 342 238. australian diabetes council 2011 may not be reproduced in whole or in part without prior permission.
pg.15
pRogRams + initiatives
30 34
Winter Warmups
recipes for the cooler days
36 40
pg.32
breakthrough research
brisbane researcher finds way to detect neuropathy through simple eye test
get connecteD
australian diabetes council plays a pivotal role in the management and prevention of diabetes both at home and in the workplace by challenging, listening, educating, advocating and funding research. Whenever and wherever it is needed. visit our website, australiandiabetescouncil.com, for access to the latest news, research, events and information. call us: 1300 DiaBetes (1300 342 238) email us: diabetesconnect@australiandiabetescouncil.com
DiaBetes connect Winter 2011
australiandiabetescouncil.com
DiaBetes connect
letters letters
DIABETES MANAGEMENT AND HEALTHY LIVING
letters
Let ters to the editor

DelighteD By the font suRvey! You have no idea how delighted I am to have this [new font choice] survey being done! Fancy magazine fonts are becoming the bane of my life! My choice is Helvetica Neue - wonderful! P.S. Love the magazine! Christine Smith, Eglinton NSW
MakiNg it easier I have recently been diagnosed with type 2 diabetes so I have been looking for as many diabetesfriendly recipes as possible. I thoroughly enjoyed the Diabetes Connect magazine and found it very informative. Thank you for the information forwarded to me. It is making my adjustment much easier with all the support I am receiving. Best wishes on continuing your great work. JuDith myles, via email thaNks, beat it PrograM I am writing to congratulate the BEAT IT program that has been introduced at the Diabetes Support Centre at Glebe. As I understand this is a first for this centre and I have found it to be very helpful. I would also like to take this opportunity to praise the personnel that are looking after these sessions, led by Georgia and supported by young Biara, including are also Erin and Joel; with enthusiasm and dedication they are eager to assist patiently guiding every individual according to their specific needs. Furthermore, I would like to compliment their pleasant personalities, for their knowledge, their utmost professionalism and their ability to communicate effectively with everyone. shavaRsh BeDRossian, syDney nsW stayiNg foCused I just wanted to write to express my thanks for your magazine. It is very encouraging to have such an informative guide to this difficult condition. In this day of free-flowing information on the internet, it is sometimes difficult to divide the wheat from the chaff when it comes to medical claims. It seems that all sorts of people, including those with no science-based medical training, can claim to cure everything from diabetes to AIDS and cancer! And all for the one low payment (hurry send money today!!). Of course, when the pressure of an incurable or terminal illness is on us, we can be talked into trying things which would make our otherwise rational minds pause. We need to stay focused. Your magazine has, in my experience, never fallen pray to the claims of pseudo-science. You show
WINTER 2011 | $5.80
accepted by our health professionals that this is what can happen to some, particularly people who have had to live with diabetes from such a young age and are growing into adulthood.
Professor Nathan Efron finds key to neuropathy cure may be in the eyes Page 32
WHAT YOU CAN DO TO PROTECT YOUR SIGHT | PAGE 24
YOUR EYES
Recipes that will warm your appetite without straying from your healthy eating plan
PAGE 15
PROTECTING
WINTER WARMUPS
is such a scary subject but it is reality and hopefully will continue to be more openly discussed and understood. Well done; this is a much needed article and more like it would be fantastic to see! caRoline hill, via email foNts aNd Colours In reply to your query as to font size on page four of the autumn edition of Diabetes Connect, could I vote for choice 2, Helvetica Neue, please. In regard to colours and overlapping of print, I have noticed in previous issues that sometimes that was a problem (or more of an annoyance) to read, but in this issue, whatever you did, keep doing that; no problems at all in reading any page. Congratulations on a very readable, interesting magazine, which I have found helpful. noel caRRoll, via email
From the editor

The days are shorter and the cooler days have slowly crept in, so this winter edition of Diabetes Connect should give you an excuse to curl up with a warm drink, maybe a baked apple from the recipes on page 16, and get some more healthy tips from our team of health professionals. Thanks for all of your feedback about the fonts, it was very helpful! We hope you find the new font easier to read as a result.
Do some foods affect your eyesight?

PAGE 18
FOOD FOR YOUR EYES
What you should know before you go

PAGE 26
A TRIP TO THE OPTOMETRIST
a high level of evidence-based facts and sensible advice for sufferers of diabetes. You should be applauded for this, and I hope it is ever so. tom kenneDy, stanmoRe nsW PleNty of suPPort iN Nt The article titled Managing a Big Condition in a Small Town [autumn 2011] is very misleading. I too am a diabetic (stage 2 insulin dependant), living in Alice Springs for over 40 years. I have nothing but praise for the dedicated staff of both the NT Health Department and Healthy Living NT who have looked after my health for many years. In no sense have I ever felt isolated from help when I needed it. The description in the article depicts a town bereft of support for people with diabetes which cannot be further from the truth. DaviD hooD, via email drugs aNd diabetes I think it is excellent that an article regarding illicit drugs and diabetes was printed in Diabetes Connect [summer 2010]. It is also great that it has been acknowledged and somewhat
Of course we young people with diabetes are not going to talk to our doctors about illicit drugs because doing drugs we know is not accepted in the medical world. We also dont want to be told that what we are doing is wrong. We know that. It is up to the individual to be aware of the consequences of what could happen. This article is telling me that HPs are becoming more aware how hard it really is to live every day with diabetes and why sometimes people turn to drugs. Maybe the HPs are becoming more open minded and less judgemental, which personally I think is much needed. Drug taking
MALE & FEMALE PEOPLE WITH DIABETES REQUIRED A L E I B

STUDY TO EVALUATE THE SAFETY, TOLERABILITY AND EFFECTS OF A NEW MEDICINE IN PEOPLE WITH DIABETES WITH SLOW STOMACH EMPTYING.
People with diabetes commonly experience slow stomach emptying (a condition called gastroparesis). Slow stomach emptying can cause: Nausea and vomiting Bloating and feeling excessively full after a meal Belly visibly larger Loss of appetite Abdominal pain or discomfort GSK is currently developing a new medicine to treat delayed stomach emptying in people with diabetes. You may be eligible to participate if you: Have Type I or 2 Diabetes Are male or female, between 18-80 (inclusive) years Have a minimum 3 month history of slow stomach emptying Have any of the symptoms listed in the description above The time commitment for this trial will be about 2 1/2 months. This includes: 9 visits to the unit during that time, regular phone calls to discuss your progress, keeping a daily diary
reCeive diabetes CoNNeCt eleCtroNiCally If you would like your copy of the magazine as a PDF that you can enlarge for ease of reading, email membership@australiandiabetescouncil.com.
Write to us Send your letters to diabetesconnect@ australiandiabetescouncil.com or Editor, Diabetes Connect GPO Box 9824 Sydney NSW 2001.
Our trial participants are reimbursed for their time, travel costs and inconvenience
More information CALL 1800 475 475 volunteers.4.trials@gsk.com Or visit www.gsk.com.au/mru
Prince of Wales Hospital Level 10, Parkes Building East High St. Randwick, NSW 2031
This study has been approved by Bellberry HREC, Ref no: 2010-12-828 and DiaBetes connect operates within Australian & International guidelines for medical research australiandiabetescouncil.com MOT114479 Print Version 3, 13 April, 2011.
CoMPliCatioNs
CoMPliCatioNs
the kneebone is connected to the . . . eyebone?

When it comes to the complications of diabetes we often think of them as completely separate and unrelated. but the body is so interconnected that any change in one system or organ can have a domino effect on the others. the good news is that the measures we take to reduce our risk of any complication will have positive effects on them all. accredited exercise physiologist Joel tuccia gives us an insight on how our eyes and other conditions connect.
prevention! prevention!
prevention!
Because the body is so interconnected, the same prevention formula applies for most complications.
be active and exercise regularly.
WiNdoWs to your health aNd CoMPliCatioNs Your eyes are often referred to as the windows to the soul. For many people, changes in the eye and eyesight may also be a window into their health and the discovery of type 2 diabetes. If you have high blood gluclose levels (BGLs), for example, it can change the fluid balance around the eye. This fluid shift can affect the shape of the eyes lens and therefore your eyesight. It can be resolved with good diabetes management and normalising BGLs. If BGLs are left unchecked, these changes may be more permanent in the form of diabetic retinopathy. high bgls CaN lead to other MiCrovasCular CoMPliCatioNs Continuously high BGLs cause damage to the tiny (micro) blood vessels in organs throughout the body and cause microvascular complications. all MiCrovasCular CoMPliCatioNs liNked All microvascular complicationsretinopathy (eye disease), neuropathy (nerve disease) and nephropathy (kidney disease)are linked because
consistently high BGLs damage vessels throughout the body in a similar way and at a similar rate. its all haPPeNiNg at oNCe That means high BGLs are doing damage to the kidneys, nerves and eyes at the same time. The only difference is that different organs can sustain different amounts of damage before symptoms are noticeable. Your blood pressure, osteoporosis, osteoarthritis and even gout are linked as well. MiCrovasCular daMage to the kidNeys affeCts your blood Pressure Microvascular damage to the kidneys will adversely affect your blood pressure because your kidneys play an important role in regulating it. Consistently high pressures (especially at rest) can cause damage to all of the organs in the body, including the kidneys, further affecting their function. daMaged kidNeys CaN lead to boNe CoMPliCatioNs The kidneys also activate vitamin D, packaging it in a form that helps our bones absorb calcium. We need the kidneys to be strong to strengthen our bones and aid in the prevention of osteoporosis and osteoarthritis.
daMaged kidNeys CaN lead to gout Gout is a disease where uric acid builds up in the body, and your kidneys have the responsibility of filtering it from your system. If the kidneys are damaged through high BGLs and/or high blood pressure, uric acid can build up within the body and crystallise. Uric acid crystals are attracted to the cartilage in our joints and with them, bring a lot of water into the joint capsule as well. These crystals act like sandpaper in the joint, quickly and painfully wearing away cartilage. Couple this with the extra fluid in the joints and hey presto, the pain and swelling associated with gout and there is our kneebone connection. it CaN all be PreveNted Knowing now that everything is connected, you may be able to see why minimising, managing and possibly avoiding chronic disease and complications all require a similar formula: Be active, eat healthy, know as much as you can about healthy living and get tested regularly.
eat a healthy, balanced diet. get educated: Know what and how things affect your BGLs and then aim to maintain BGLs within the target range.
get tested: Arrange and keep

regular screening appointments with your doctors and specialists.
Joel tuccia
Joel tuccia is an accredited exercise physiologist at australian diabetes council. he has been working with people with diabetes for over three years, helping them understand their condition and how exercise can make a positive difference to their health.
DiaBetes connect
advocating
Chances are if you have had to sort out a discriminatory concern due to your diabetes, Mark Greenberg would have been there to answer your call. After 40 years of working as a practising solicitor in South Africa, Mark brought his legal background to Australian Diabetes Council in 2001. He not only looks after the organisations contracts, leases and agreements, but he also focuses on making sure members are being treated fairly in a sometimes unfair world.
Over the years Mark has seen a variety of discrimination cases, however one area seems to stand out from all the others. By far the most problems relate to discrimination at the workplace, Mark said. Perhaps one of the most effective and memorable cases was what Mark refers to as the ambulance case. A member with diabetes was initially refused employment as an ambulance driver because of his diabetes. The employer deemed him unfit to do the job because of the increased risk a hypo may place on an emergency situation and while driving. Despite tremendous opposition, the member was determined and pursued the matter, Mark said. Through his persistence, the situation went to court and eventually ruled in his favour. As a result he got the job with New South Wales Ambulance Services and this had a ripple effect on many other individuals in many other industries. Since the ruling in that case, others with well-controlled diabetes have been able to apply for jobs in the military, the navy, the police force, fire brigade and with the ambulance services and succeed. puBlic unaWaReness Change doesnt always come that easily though. Mark said hes seen the same problems recur again and again in workplace discrimination as well as in getting insurance coverage. There is a public unawareness of what diabetes involves, he said. People tend to either brush it off as something meaningless or they think it is something horrific. There hasnt been a significant change in attitude from these
to make a difference
mark greenberg has been helping members for over 10 years
people who dont understand it, so our job is to continue to educate them and step in when people arent being treated fairly. If an employee comes to Mark with a discrimination concern, Mark contacts the employer to discuss the matter and relies heavily on the support and recommendations of the persons medical advisers. Most of the time the situation is resolved, but if not the member can, with Marks help, either contact the New South Wales Anti-Discrimination Board who can provide a lawyer, or he or she can pay for the services of a solicitor. moRe than Just aDvising I also spend a lot of time acting as a therapist, Mark said with a smile. Sometimes all people need to do is speak to someone who will listen, and thats what Im here for too.
Accuracy is really important to me. Thats why I use the FreeStyle Lite.*
Rob Palmer | TV Presenter | Living with Type 1 diabetes
ZipWik tab
The advanced ZipWik strip design draws in a tiny sample of blood, which gives me a fast and accurate reading that I can trust.*
Helping one person often has a ripple effect that helps many more, such as with the case that allowed a person with diabetes to work with the ambulance services.
Ask your Healthcare Professional about the FreeStyle Lite Blood Glucose Monitoring System today. For more information visit our website at www.abbottdiabetescare.com.au
MAKE A DIFFERENCE
*Accuracy data is provided in the instructions for use. Ask your healthcare professional how a FreeStyle Lite may help you. Always read the label and use only as directed. FreeStyle Lite and ZipWik are registered trademarks of the Abbott Group of Companies in various jurisdictions. Information contained herein is for distribution outside of the USA only. Abbott Diabetes Care, 666 Doncaster Road, Doncaster VIC 3108. ABN 95 000 180 389 MSE101224120723 ADC0157/CONN
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DiaBetes connect
11
exerCise + fitNess
CoMPliCatioNs
staying active even if youre visually impaired

During physical activity our eyesight helps us judge distance, balance and to better understand the environment we are moving in. for those who have limited or no vision, many activities can seem daunting. they dont have to be!
The guide is trained to provide instructions on the environment, terrain and any obstacles through a voice communication system worn by each person. Water skiing, lawn bowls, sailing, goalball, bowling, gymnastics, cycling and almost anything you can think of is still possible. The important thing in many ventures if youre visually impaired is to do it with someone you trust or through a credible sporting organisation. With the right precautions you can stay active and continue to enjoy your favourite activities.
helpful WeBsites
golf www.blindgolf.com.au cRicket www.blindcricketaustralia.com.au laWn BoWls www.blindbowls.org.au sailing www.blindsailingaustralia.org tenpin BoWling www.blindtenpinbowling.org
oheR activities
www.visact.org.au
act
neW south Wales

www.nican.com.au
Living an active lifestyle has a multitude of benefits for people with diabetes, so Accredited Exercise Physiologist BRONWYN PENNY did some investigating to find out how those with vision limitations can still participate in their favourite physical activity.
With diabetes being one of the leading causes of vision loss in Australia, its helpful to know some ways to get active if you or someone you know has vision limitations. Here are just a few examples but almost any activity is still possible with a little bit of effort and planning. Use assistive aids if you have them or take along a friend or relative who can help guide you. He or she should describe the environment youre in, where roads and traffic are, identify potential trip hazards or over-hanging branches and keep watch for anything else that might come your way.
The Blind Sporting Association of NSW suggests counting your strokes to identify how many you need to take until you reach the wall.
Blind golf champs

Graham Coulton and his guide/caddy Sue Carpenter, both from NSW, receive the blind golfs version of the famous British Open claret jug. Together they won the 2010 British Blind Golf Open Championship by two strokes.
south austRalia www.blindsportssa.org.au national www.blindsports.com.au
golf
A sighted caddie can help direct you towards the green, make sure you are lined up correctly with the tee and explain the course layout and environment. Some golf courses also offer blind or visually impaired social golf competitions.
A modified version of cricket is played right around Australia for those with vision limitations. Players bat and bowl using a ball that makes a sound and use the sound as a guide. Your guide, friend or coach can also use a pole to gently tap you on the shoulder just before you get to the end.
cRicket
RENEW ONLINE
Did you know you can now renew your membership online? Just visit: www.australiandiabetescouncil.com Click through to the Members Area Click Renew Your Membership Then follow the steps on the page. Its that easy!
&
EMAIL CONNECT
You can also receive this magazine by email!
It saves money, saves trees with the added bonus that you can enlarge it to a size that suits you.
To receive Diabetes Connect via email, contact the Membership team on 1300 DIABETES (1300 342 238) or email us at : membership@australiandiabetescouncil.com.
Walking
skiing
sWimming
Take someone along who can help guide you where the lane is and how to get in and out of the pool.
Skiers who are blind or visually impaired often ski with a guide who wears a brightly coloured vest.
goggles and eyewear should be appropriate for the conditions when youre skiing.
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ask alaN
food + diet
ask questions answered alan your health
dr alan barclay (bsc, grad dip dietetics, phd, apd an) is the chief scientific officer of glycemic index foundation and head of research at australian diabetes council. he completed his phd on carbohydrate and disease risk and has a keen interest in food law and therapeutic goods law. in addition to his full-time work, alan also runs a private practice in sydney where he helps people with diabetes on a regular basis.
shoulD i cut out sugaR?

Im a type 2 now using insulin. My wife has recently read Sweet Poison by David Gillespie and has become a fanatical supporter of his ideas to the point where she wont eat any recipe that contains sugar, dried fruit or even things like sweet soy sauce or balsamic vinegar. What do you think about his theories?
Obsessive avoidance of any kind of sugarincluding fructoseis unnecessary and may be counter-productive. We should enjoy sugars in moderation as part of a healthy balanced diet. Most of the research Gillespie quotes in his books has been conducted on small rodents who are fed very large quantities of pure fructosea sugar found naturally in fruit that is nearly twice as sweet as table sugar (sucrose). The rodents are fed up to 60 per cent of their total daily kilojoule intake as pure fructose. In comparison, the average Australian eats 55-60 grams of total (naturally occurring and added in the form
of sucrose) fructose a day, which is roughly 10 per cent of our daily kilojoule intakea fraction of what they usually feed the rodents. In fact, one recent review of 42 human studies found that eating less than 100 grams of pure fructose a day, when compared to an equivalent amount of other sugars or starch, had no effect on fasting triglycerides or body weight, but improved glycated haemoglobin (HbA1c) levels. Consumption of total sugars has actually decreased in Australia by 16 per cent since 1980. Over the same period in Australia, rates of overweight and obesity have approximately doubled, suggesting that excessive sugar consumption is not a likely cause. Research suggests that there is a sugar-fat seesaw: the lower a persons sugar intake the higher his or her fat intake. Because sugars provide less than half the kilojoules as fat, this can potentially lead to problems if people obsessively avoid sugars. Its not sugar thats the problem, but a combination of other unhealthy habits that result in poor health.
if it has a positive or negative effect on both conditions?
Winter
warm ups
craving comfort? these recipes will warm your appetite without straying from your healthy eating plan.
honey anD cinnamon

I am 61 and was diagnosed with type 2 diabetes two years ago. I have read articles about honey and cinnamon reducing cholesterol, and was wondering
It is generally not recommended that people with diabetes use honey for their cholesterol management because the amount needed to benefit your cholesterol (70 grams a day) will likely raise your blood glucose levels (BGLs), which would be counter productive. A couple of teaspoons of honey each day on food (e.g., breakfast cereals) or drinks (e.g., tea) instead of refined sugar is of course fine for most people with diabetes but it wont have any effect on your blood cholesterol levels. Cassia cinnamon may make body cells more sensitive to insulin; however the jury is still out as to whether it has any real benefits for BGLs. One clinical trial reported that cassia cinnamon lowered total cholesterol, LDL cholesterol, and triglycerides, but two other trials have not found any beneficial effects. Enjoy cinnamon as a tasty ingredient in a variety of dishes but dont expect to see therapeutic benefits.
Write to alan send your question to us at diabetesconnect@australiandiabetescouncil.com or diabetes connect
ask alan, gpo box 9824 sydney nsW 2001. each edition we will put the names of our ask alan contributors into a draw to win a free cookbook! please include your name, address and phone or email so we can contact the lucky winner.
Cheese and herb eggwhite omelette pg 16

DiaBetes connect
14
15
food + diet
food + diet
cheese and herb eggWhite omelette

Preparation/cooking time: 35 minutes Ingredients (serves 4) 12 egg whites 4 green onions (scallions), sliced thinly cup finely chopped fresh chives cup finely chopped fresh chervil cup finely chopped fresh flat-leaf parsley cup (40g) coarsely grated reduced-fat cheddar cheese cup (35g) coarsely grated reduced-fat mozzarella cheese 4 slices (180g) soy-linseed bread, toasted Method 1. Preheat grill (broiler). 2. Beat a quarter of the egg whites in small bowl with electric mixer until soft peaks form; fold in a quarter of the combined onion and herbs. 3. Pour mixture into 20cm (8inch) heated lightly oiled non-stick frying pan; cook, uncovered, over low heat until omelette is browned lightly underneath. 4. Sprinkle a quarter of the combined cheeses on half of the omelette. Place pan under preheated grill (broiler) until cheese begins to melt and omelette sets; fold omelette over to completely cover cheese. Carefully slide onto serving plate; cover to keep warm. 5. Repeat process three times with remaining egg white, onion and herb mixture, and cheese. Serve omelettes with toast and extra chopped herbs. Nutrition data per serve Energy 823kJ; 197Cal; 21.5g protein; 3g total fat; 1.5g saturated fat; 18.7g total carbohydrate; 4g fibre; 389mg sodium. GI: low
CookIng For dIabetes

A new addition to the wellknown Womens Weekly cookbook series is Cooking for Diabetes, released this month and now available from Australian Diabetes Council.
All recipes have been checked by Australian Diabetes Council to be sure theyre not only right for people with diabetes, but good enough for the whole family. A range of breakfasts, lunches, light meals, mains and a few desserts makes Cooking for Diabetes a one-stop source of ideas for the entire day with a 7-day menu planner taking all the hard work out of planning your familys meals for the coming week. This beautifully illustrated 120 page book containing 84 different recipes, each with a nutritional analysis, is excellent value at just $12.95. To purchase a copy call your state or territory diabetes organisation on 1300 136 588 and dont forget to ask about a special members discount.* Its also available in newsagents, supermarkets or online at www.acpbooks.com.au. The recipes on these pages are reproduced from Cooking for Diabetes with kind permission from ACP Books. Photography by Stuart Scott.
*If not stocked by your state or territory diabetes organisation, phone National Publications on 02 9527 1951 (postage applies).
baked apples with berries

Preparation/cooking time: 55 minutes (+ refrigeration) Ingredients (serves 4) 2 cups (300g) frozen mixed berries 4 large apples (800g) 4 cardamom pods cup (140g) yogurt 2 teaspoons honey Method 1. Place berries in fine sieve set over small bowl, cover; thaw in refrigerator overnight. 2. Preheat oven to 160C/325F. 3. Core unpeeled apples about threequarters of the way down from stem end, making hole 4cm (1 inches) in diameter. Use small sharp knife to score around circumference of each apple. Make small deep cut in base of each apple; insert one cardamom pod into each cut. 4. Pack three-quarters of the berries firmly into apples; place apples in small baking dish. Bake, uncovered, about 45 minutes or until apples are just tender. 5. Meanwhile, mash remaining berries with a fork in small bowl; stir in yogurt and honey. 6. Serve apples with yogurt mixture. Nutrition data per serve Energy 556kJ; 133Cal; 3.9g protein; 1g total fat; 0g saturated fat; 25g total carbohydrate; 4.8g fibre; 35mg sodium. GI: low
carrot and lentil soup With caraWay toasts

Preparation/cooking time: 1 hour 30 minutes Ingredients (serves 6) 1 cup (250ml) salt-reduced vegetable stock 2 large brown onions (400g), chopped finely 2 cloves garlic, crushed 1 tablespoon ground cumin 6 large carrots (1kg), chopped coarsely 2 trimmed celery stalks (200g), chopped coarsely 1.375 litres (5 cups) water cup (100g) brown lentils cup (125ml) buttermilk caraway toasts 6 slices (270g) wholemeal bread cup (25g) finely grated parmesan cheese 2 cloves garlic, crushed 1 teaspoon caraway seeds 2 tablespoons finely chopped fresh flat-leaf parsley Method 1. Combine cup (125ml) of the stock, onion, garlic and cumin in large saucepan; cook, stirring, until onion softens. Add carrot and celery; cook, stirring, for 5 minutes. Add remaining stock and the water; bring to the boil. Reduce heat; simmer, uncovered, about 20 minutes or until vegetables are tender. Cool mixture 10 minutes. 2. Blend or process mixture, in batches, until smooth. Return mixture to pan; add lentils. Simmer, uncovered, about 20 minutes or until lentils are tender. 3. Meanwhile, make caraway toasts. 4. Remove soup from heat; stir in buttermilk. Serve with caraway toasts. caraway toasts Preheat grill (broiler). Place bread, in single layer, on oven trays; cook under grill until browned lightly on one side. Sprinkle combined cheese, garlic, seeds and parsley over untoasted sides of bread; cook under grill until browned lightly. Cut in half. Nutrition data per serve Energy 1091kJ; 261Cal; 13.7g protein; 3.4g total fat; 1.4g saturated fat; 37.8g total carbohydrate (of which 4g are sugars); 12.6g fibre; 433mg sodium. GI: medium
of a grilled tomato to this dish.
Dietitians tip: For extra fibre add half
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food + diet
food + diet
At a glance:
fooDs foR healthy eyes
What about carbs?

Could your soft spot for hot chips, white rice and other carbohydrates be putting you at greater risk for vision complications? Accredited Practising Dietitian LAMEES KAOUTARANI tells us more.
We often miss the connection between carbohydrates and vision loss, but for people with diabetes its important to keep this on the radar. Vision loss with diabetes occurs when persistently high blood glucose levels (BGLs) damage the vessels in the eyes. What raises BGLs? Carbohydrates are a big contributor. However, carbohydrates provide an abundance of nutrients and fibre and should not be avoided to reduce BGLs. Its more important to consider the quantity and type of carbohydrate you have. high gi Carbs The glycemic index (GI) of a carbohydrate food tells us more about the type of carbohydrate. Potatoes, white bread and jasmine rice are often said to be no-nos, usually because they have a higher GI. This means they raise BGLs more quickly due to a faster absorption rate and can increase your chance of elevated BGLs and HbA1c (a three months average of BGLs) if eaten regularly. Such elevations increase the risks of complications associated with diabetes, including vision loss. loW gi Carbs On the other hand, there are lower GI foods such as some wholegrain breads and cereals, basmati rice, pasta, orange flesh sweet potato, Carisma potato, legumes, reduced fat dairy
food and your eyes

Age-related macular degeneration (AMD) is the most common cause of blindness in developed countries and recent studies suggest early AMD is more common in people with diabetes. It causes a loss of clear, central vision by affecting the macula, the part of the eye that allows you to see fine detail.
get your oMega-3 Studies suggest diets rich in omega-3 fatty acids may be protective against AMD. This is due to the high levels of omega-3 fatty acids found within the eyes retina, which assist cell renewal and development. Rich sources of omega-3 include oily fish such as mackerel and salmon, as well as walnuts and flaxseeds.
Omega-3s: oily fish, walnuts and flaxseeds
do some foods affect your eyesight?
stiCk to loWer gi foods Foods with a low glycemic index (GI) such as pasta, lentils, yoghurt, corn and many fruits cause BGLs to rise gradually. This could avoid surges that may eventually cause damage to the macular.
Citrus fruits
and many fruits that can be beneficial to your health. These foods have a slower absorption rate and therefore allow steady, slower rises in BGLs. This may improve BGLs and HbA1c and actually reduces the risk of complications such as vision loss. Total carbohydrate amount however is still very important. to Carb or Not to Carb? Carbohydrates are not the enemy, however for people with diabetes it is harder to manage BGLs when theyre eaten in large amounts. A well-balanced diet that includes healthy carbohydrates is recommended to reduce your risk of complications. It is important to include a portioned amount of carbohydrates at all meals and spread these evenly throughout the day. To help work out how much your body requires, speak to an accredited practising dietitian by calling 1300 342 238.
DiaBetes connect
it can be prevented. One of the best ways to prevent or stop the progression of AMD in addition to getting regular eye exams is through eating a balanced diet and maintaining healthy blood glucose levels (BGLs). Accredited Practising Dietitian KATIE ALLISON gives us three healthy eating tips on maintaining good eye health.
The good news is that
eat your fruits aNd veggies! Nutrients such as vitamin C, vitamin E, zinc, lutein and zeaxanthin have been shown to play an important role by protecting the retina from oxidative damage. People who eat a diet high in omega-3 fatty acids along with citrus fruits and green leafy vegetables have been shown to have a decreased risk of AMD. Lutein and zeaxanthin in particular can be found in foods such as egg yolks, broccoli, spinach and other leafy greens.
get theM CheCked You may not be aware of any obvious symptoms of a progressing eye disease so its important that you have your eyes checked by a health professional once a year. Treatment is available for earlier stages of AMD and other vision complications.
Leafy greens and egg yolks
See page 20 for great recipe ideas! Low GI foods
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food + diet
food + diet
Easy on the eyes

recipes for good eye health
the following recipes get the spotlight because they each contain some ingredients for healthy vision . . . plus they taste great!
linguini with broccoli, crab, olives and walnuts

Preparation time: 15 minutes Cooking time: 5 minutes Ingredients (serves 6) 300g dried linguini (wholemeal if you can find it) 2 tablespoons olive oil 3 cloves garlic, crushed 1 small red chilli, minced 300g broccoli florets cup green olives cup walnut pieces 200g cooked crab meat (canned and drained is fine) 2 tablespoons 93% fat-free cheeseas finely grated as possible Method 1. Cook the linguini in boiling water as per instructions on the pack; strain and keep warm. 2. While the pasta cooks, heat the oil in a large pan and add the garlic, chilli and broccolitoss and stir until the broccoli is starting to go brilliantly green. Tip in the olives and walnuts and stir to combine. 3. Add the cooked, warm linguini and stir well. Tip in the crab meat and gently tossthe crab meat does not need cooking so it only needs to be combined with the other ingredients. 4. Serve in large individual bowls with the cheese sprinkled over. A mixed-leaf salad dressed with lime juice makes a perfect accompaniment. Nutrition data per serve (based on 6 serves) Energy 1470kJ; 346Cal; 14g protein; 15g total fat; 1.5g saturated fat; 40g total carbohydrate (of which 4g are sugars); 5g fibre; 240mg sodium. GI: low
fRom HeALtHy LIvInG & entertAInInG: tHe Peter HOwArD COLLeCtIOn
indian lamb in spinach sauce

Preparation/cooking time: 1 hour 30 minutes Ingredients (serves 4) 6 ripe tomatoes or 440g (15oz) can tomatoes 1 tablespoon oil 2 cloves garlic, finely chopped 2 teaspoons finely chopped fresh ginger 2 fresh green or red chillies, finely chopped, or 1 teaspoon minced chillies Salt to taste (optional) 500g (1lb) lean lamb, diced 1 teaspoon garam masala 500g (1lb) frozen spinach, thawed, or 2 bunches fresh spinach, finely chopped Method 1. Blend tomatoes in a food processor. 2. Heat oil in saucepan, add garlic, ginger, chillies and salt. Cook, stirring, for two minutes. 3. Add lamb, mix well, cover and cook over low heat for 3040 minutes or until lamb is tender. Stir occasionally. 4. Add tomatoes and cook for a further 10 minutes. 5. Add spices and simmer gently for 10 minutes. 6. Add spinach and simmer for a further four minutes. Nutrition data per serve Energy 1267kJ; 303Cal; 33g protein; 14g total fat; 4.6g saturated fat; 6g total carbohydrate; 9g fibre; 233mg sodium. GI: low
saturated fat content of this dish, try making it with kangaroo instead of lamb.
Dietitians tip: To reduce the fat and
fRom DIAbeteS: eAt & enjOy fOurtH eDItIOn
These recipes are reproduced from Healthy Living & Entertaining: The Peter Howard Collection ($35) and Diabetes: Eat & Enjoy fourth edition ($39.95) with the kind permission of New Holland Publishers. There are many more great recipes in these books, which you can purchase by phoning 1300 136 588 and dont forget to ask about a members discount. If not stocked by your state or territory diabetes organisation, phone National Publications on 02 9527 1951 (postage applies).
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recipe for two!

By kate guthRie
Kate is an Accredited Practising Dietitian at Australian Diabetes Council. This recipe is a quick favourite of mine for those who cook for one or two people!
Choosing foods with a lower GI can help to manage your blood glucose levels and can prevent or delay the onset of retinopathy.
singapoRe nooDle soup
Preparation time/cooking time: 45 minutes Ingredients (serves 6) 2 teaspoons sesame oil 2 cloves garlic, crushed, or 1 teaspoon minced garlic teaspoon grated or minced fresh ginger 6 cups Basic homemade chicken stock 300g (10oz) green prawns, shelled and de-veined cup frozen corn 100g (3oz) fine egg noodles 180g (6oz) lean barbequed pork, cut into thin strips 1 cup bean sprouts, washed and drained 300g (10oz) spinach leaves, washed and dried 100g (3oz) canned water chestnuts, drained 1 cup Chinese broccoli teaspoon 5-spice powder 8 spring onions, trimmed and finely chopped cup finely diced cucumber Method
1. Heat oil and fry garlic and ginger
Tofu, carrot and lentil strudel

can help to to manage your cholesterol levels. Managing your cholesterol levels slow or avoid the development of retinopathy.
Preparation time: 10 minutes Cooking time: 45 minutes Ingredients (serves 4) 200g carrots, peeled and grated 150g firm tofu, diced cup precooked canned lentils, drained 10 pitted prunes 4 sheets filo pastry Spray canola oil 1 cup low-fat natural yoghurt 2 tablespoons fresh mint, chopped 1 teaspoon ground black pepper
Method 1. Preheat oven 180C (fan-forced 160C).
Dietitians tip: Lentils are an excellent source of soluble fibre, which can help
tuna moRnay
Preparation time: 5 minutes Ingredients (serves 2) 1 teaspoon salt reduced margarine 1 tablespoon plain white flour cup reduced fat milk cup reduced fat shredded cheese 1 stalk celery 1 cup of frozen pea and corn mix 210g tuna in spring water 2 tablespoon chopped parsley Method 1. In a small saucepan, melt the margarine; stir in the plain flour and cook for one minute. Gradually add in the milk, stirring until sauce is smooth. Continue to stir until sauce boils and thickens. 2. Add in tuna, celery and frozen vegetables. Stir constantly until boiling. Spoon into a small oven proof dish and top with grated cheese. 3. Bake in a preheated oven at 180C for 10-15 minutes or until golden brown and heated through. 4. Top with fresh parsley to serve.
until they start to brown. 2. Add the stock, prawns and corn and simmer 3 minutes. 3. Add noodles and simmer a further 5 minutes. 4. Add pork, bean sprouts, spinach, water chestnuts, broccoli and 5-spice powder and simmer 2 minutes. 5. Pour into a serving bowl and garnish with spring onions and cucumber. Nutrition data per serve Energy 864kJ; 207Cal; 22g protein; 3g total fat; 0.5g saturated fat; 19g total carbohydrate; 5g fibre; 217mg sodium. GI: low
From Diabetes: eat & enjoy fourth eDition
chocolate, Banana anD kiWi fRuit smoothie

Preparation time: 3 minutes Ingredients (serves 3) 100g 97% fat-free chocolate swirl ice-cream 150g very ripe Cavendish bananas 75g kiwi fruit, peeled 1 tablespoon lemon juice 2 cups skim milk teaspoon powdered cinnamon Method Put all ingredients, except the cinnamon, into a blender and work until combined. Pour and sprinkle with cinnamon. Nutrition data per serve Energy 730kJ; 172Cal; 9g protein; 1.5g total fat; 0.9g saturated fat; 30g total carbohydrate (of which 27g are sugars); 33g fibre; 100mg sodium. GI: low
fRom HeALtHy LIvInG & entertAInInG: tHe Peter HOwArD COLLeCtIOn
Combine the carrots, tofu and lentils and mix well. 2. Lay one sheet of pastry on the bench and spray lightly with oil. Top with another sheet and repeat until the pastry is all used. 3. Spoon the carrot filling down one side of the assembled pastry layers. Dot with prunes, roll and pull in the ends to make a sealed package. Lift onto a baking paper-lined baking tray, spray with a light coating of oil and bake until browned and crisp, about 3040 minutes.
Nutrition data per serve
Energy 860kJ; 202Cal; 12g protein; 4g total fat; 0.5g saturated fat; 27g total carbohydrate (of which 13g are sugars); 5g fibre; 290mg sodium. GI: low
From HealtHy living & entertaining: tHe Peter Howard ColleCtion
Kates tip: For extra fibre and freshness serve with a side salad of iceberg lettuce, cucumber and tomato.
Nutrition data per serve
Energy 1447kJ; 341Cal; Protein 43g; Fat 11g; Saturated Fat 3g; Carbohydrate 15g; Fibre 5g; Sodium 370mg
great for lunch or dinner!

DiaBetes connect
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feature
if youre at risk, what can you do about it?
aLL eyes on you!

in this edition of Diabetes Connect, we refer to ways you can improve your vision and prevent complications like diabetic retinopathy. here we tell you a bit more about what retinopathy is all about and why you need to know so much about it.
Diabetic retinopathy defined
Diabetic retinopathy is a common complication of diabetes that affects the small blood vessels of the retinathe light-sensitive layer at the back of the eyeputting the person at risk of partial or complete vision loss. However, the good news is its treatable if discovered early.
What someone with normal vision might see
What someone with diabetic retinopathy might see
retinopathy can cause blind spots, blurring, and side (peripheral) vision loss. vision may change from day to day, or even from morning to evening.
Who is at risk?
Everyone with diabetes is at risk of developing diabetic retinopathy, but those at the greatest risk include people who have had diabetes for many years or who have poorly controlled diabetes, people with kidney damage and those with high blood pressure or high cholesterol.
What are the symptoms?

Retinopathy often has no symptoms in the earlier stages of the disease when it is most treatable. Thats why its so important to get your eyes checked regularly by an optometrist or ophthalmologist, who specialises in eye health. syMPtoMs, if aNy, May iNClude:
How often should I get tested?

Optometrist Association Australia (NSW/ACT) CEO, Andrew McKinnon, says that its important to have a comprehensive eye examination when you are first diagnosed with diabetes, and the National Health and Medical Research Council guidelines suggest at least every two years after thatmore often if recommended by your health team. If you are at greater risk of developing retinopathy, or if retinopathy has been detected, you should have examinations more often. Consult with your health team to determine your individual needs.
Stages of retinopathy
NoN Proliferative retiNoPathy This is the earlier stage of the disease, which often displays no symptoms. The tiny blood vessels in the retina become damaged and cause bleeding, leaking of fluids and a decreased amount of oxygen reaching the retina. Proliferative retiNoPathy This is the more advanced stage of the disease. New abnormal vessels develop on the surface of the retina and may grow into the clear, gel-filled space in front of the retina called the vitreous. These vessels are very fragile and bleed into the centre of the eye, causing severe vision problems. The vessels may also produce large areas of scar tissue on the surface of the retina that could cause the underlying retina to detach.
Blurred or hazy vision Floaters and flashes Seeing images as rippled (straight lines appear bent) Sudden loss of vision
retinopathy is hard to detect during its most treatable phase unless examined by an eye specialist.
If left untreated, retinopathy can cause vision loss and usually affects both eyes.
Macular oedema
Macular oedema occurs when the small blood vessels around the maculathe part of the retina that provides your central visionleak fluid. This damages the macula and eventually leads to blurry vision. Andrew says that macula oedema is the most common cause of vision loss in people with diabetes and can develop at any stage of retinopathy.
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DiaBetes connect
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feature
feature
looking ahead: your optometrist visit

We keep emphasising the importance of getting your eyes checked, but what does that involve? Diabetes Connect editor, kristen West, goes along with roberta donnelly to optometrist dr emmanuel calligeros office in newtown, sydney. together they check out what should happen during a comprehensive eye exam.
Roberta is at risk for vision complications because of her longevity of living with diabetes. She has had type 2 diabetes for the last 12 years and has a history of glaucoma in her family. Because of her increased risk of glaucoma, Roberta visits with her optometrist annually.
I was vaguely aware of the risk of diabetic retinopathy because it was mentioned by my GP, however Im not really sure what it is or what its symptoms are, Roberta said. Robertas not alone. Many people with diabetes understand there may be some risks, but are unfamiliar with what they are. Learning more about Roberta Donnelly from Sydney has type 2 diabetes and a family history of glaucoma. She gets her eyes checked every year. diabetes complications like diabetic retinopathy can help guide you in asking the right questions during a health exam. Roberta said she noticed that visits with her current optometrist lately seemed rushed and were tailored mostly to her prescription changes. Many optometrist offices however will offer comprehensive exams that will test you for complications like glaucoma and retinopathy. Its been interesting coming to [Dr Calligeros office] because I thought this sort of equipment was only available if you visited an ophthalmologist, Roberta said. Dr Calligeros says that before making an appointment, call a range of optometrists first and ask what tests are performed and what method they use. In addition to checking your vision and adjusting your prescription, ask if the optometrists offer the following: optometrist offices, which is the easiest way to test but may cost you a bit out of pocket (about $55). Some practices are pushing for it to be covered by Medicare because so many optometrists are converting to this method of testing.
the exam!
Step 1
If you arent reaching optimal vision during the test with corrective lenses, he or she will determine whether its due to general ageing or if there are additional complications. The optometrist will also check your eyes for signs of cataracts.
Roberta again was given the all-clear.
Step 4
your baCkgrouNd Dont leave anything out from family and your own medical history the information will help guide the optometrist to the most appropriate diagnosis where its needed. Roberta discussed with Dr Calligeros her family history of glaucoma, the medications she takes for diabetes and recent improvements to her health and diabetes management.
Roberta wasnt reaching optimal vision but was given the all-clear from Dr Calligeros.
Step 3
eye Pressure CheCk This procedure checks for glaucoma, which can occur more often if you have diabetes but can be treated if caught early. The eye pressure test can be done either with equipment that expresses a quick puff of air into the eye or by giving the patient local anaesthesia drops and using a tool that gently touches the cornea. The former is considered the most convenient by some patients but both are safe and manageable. Robertas pressure was recorded and her optometrist will compare the results next year. If it seems to be increasing at an unusual rate, she will be tested by a glaucoma specialist. For now, Roberta was given a clean bill of eye-health!
eye Pressure CheCk

editors tip: Ask them what
method they use. A machine that uses a puff of air to check your pressure is the most comfortable method for some because it avoids anything touching your eye or using local anaesthesia eye drops.
retiNa CheCk
Step 2
The optometrist will use either a digital camera or a method of dilating your pupil to look for problems with your retina. In Robertas case, Dr Calligeros took a photo of her retinas using digital technology and placed the image on a computer for her to see.
When WoulD you neeD an ophthalmologist? If your optometrist doesnt offer some of the more advanced retinal and glaucoma tests, chances are an ophthalmologist will. Ophthalmologists are medical doctors who specialise in eye and vision care. They can perform the full spectrum of eye care, from prescribing glasses and contact lenses to complex and delicate eye surgery. PresCriPtioN CheCk The optometrist will perform a standard vision test using various lenses to determine your prescription and any changes.
Your optometrist can keep the image on file and compare images in the coming years to identify any progressing complications and catch problems early.
retiNa CheCk
editors tip: Ask them what
equipment they use. Digital equipment is available at many
although kristen does not have diabetes, she had her eyes examined as well . . . The digital test was very easy and interesting because you could look at the image enlarged on a computer screen. Mine showed a bit of pigmentation so my optometrist will take images over the years to compare it, making sure that the spot doesnt change. The eye pressure test with the puff of air was really easy! I definitely prefer this test to the test with the eye drops and dye.
DiaBetes connect
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feature
kate Webb gives us an inside story on how retinopathy affected her as a young person with type 1 diabetes and how you can learn from her experience.
When I returned home, a routine eye check turned my life upside down. I was 26 years old and at risk of losing my sight. I had advanced retinopathy. I hadnt shown any symptoms (most people dont), and problems with my kidneys were accelerating my risk of vision complications. My specialist recommended that I immediately enter the treatment phase for my eyes and I received laser therapy. The laser essentially decreases the overall oxygen requirements of the retina (the vessels arent
I was one of the lucky onesthe treatment saved my sight. But I have maintained a very close relationship ever since with my diabetes team and we all work together to aim for my best outcomes. WheN Was your last eye CheCk? Regular eye screening is crucial no matter what your age. If it is not carried out and retinopathy is left untreated it can progress to the stages where vision loss and even blindness can occur. A scary thought for all, even more so if youre young. If advanced or proliferative retinopathy is present it is imperative to get treatment. Dont put it off; it can help save your sight!
ACCU-CHEK and ACCU-CHEK MOBILE are trademarks of Roche. 2011 Roche. For people with diabetes taking insulin. Use only as directed. Consult your healthcare professional for advice. ROCD0240/DC 05/11
i Was 26 and at risk of losing my sight
Eye disease can affect all people living with diabetes, even the young and otherwise healthy. You can reduce your risk and severity of eye damage, but you have to stay on top of it. I learned this the hard way. I grew up with diabetes and was diligent about getting regular eye screenings until I moved to London for a few years. My diabetes team and regular reviews were then replaced with lots of travel!
treated at all as this would cause a haemorrhage in the eye) leading to regression of the new blood vessels. I am now four years post my laser treatment and at my last check-up I was given two thumbs up; there has been no recurrence.
Sweet Talk My Life with Diabetes is a six-part TV series that explores how prominent Australians have overcome the challenges of diabetes to achieve success.
Barbara Holborow had dreams. First, she had to conquer type 1 diabetes.
As a teenager, Barbara Holborow just wanted to be like everyone else. When she couldnt be, she made the decision to conquer one of the greatest challenges of her life.
Today, after 65 years of living with diabetes, Barbara has achieved a successful career as a Childrens Court Magistrate, author, public speaker and has been honoured with the Order of Australia Medal and the Kellion award. She is one of the longest surviving Australians with type 1 diabetes. come a long way since Barbara was rst diagnosed, when it was more primitive, difcult and painful than it is today. Now, Barbara tests her blood glucose regularly using the Accu-Chek Mobile meter, which she describes as absolute magic. Its all-in-one, strip-free so no waste, its easy, fast, and painless, she says.
Heartbreaking news
Barbara became ill in 1943, at 13 years of age. In those days, people didnt really know what the symptoms of diabetes were. First, I had chickenpox and I became very ill, she recalls. I was drinking copious amounts of water. Her parents sent her to the countryside to recover, however her health didnt improve, so Barbara was taken to see a doctor, who conrmed she had type 1 diabetes. I had never seen my dad cry, but that night, he put his head in his arms, and cried, I felt so guilty, like it was my fault, she remembers.
Barbaras advice
Its very important that your blood sugar levels are stable. Youve got to be in control of your diabetes, and not let it control you, Barbara says. Stick to your diet, have proper doses of insulin, and test regularly. With the help of the Accu-Chek Mobile, testing is so discreet, much easier, and faster, so I believe people would actually want to test more regularly. This will help keep their diabetes in control and ensure it doesnt control them.
The Accu-Chek Mobile meter is absolutely magic. Its all-in-one and painless.
A dening moment
At rst I didnt understand the implications. I really thought youd have some medicine, youd get over it, and theyd send you home. Little did I know that I was going to be having injections for the rest of my life. Making sacrices was difcult for Barbara. I wanted to eat like everyone else and play games like other children. Then my grandmother said You can sit there and cry for the rest of your life, or you can get up and just get on with it. It was tough love. So I made the choice to accept that I had to live with my condition. Since that day, Ive never let my diabetes get between me and where I was going, she says triumphantly.
Conquering diabetes
I think my diabetes has made me the person I am. If I wasnt a diabetic, I would be a very different person. And I believe I would not have achieved what I have achieved. Ive had to conquer diabetes. And Ive conquered it many times!
Good to know . . .
Over 98% of vision
loss can be prevented in people with diabetes with proper management and treatment. that intensive management of blood glucose levels can help reduce the risk of developing eye disease by 76% and for those with some eye disease intensive management can slow the progression by 54%.
Studies have also found
For more on Barbara, or to win 1 of 500 Sweet Talk DVDs, log onto www.sweettalkdiabetes.com Or go to www.accu-chek.com.au for information on Accu-Chek products.
Gaining the upper hand

I had plans and dreams, and if I was going to be successful, I had to stay well, says Barbara. I eat regularly, and only foods that wont interfere with my sugar levels. Ive also learnt to relax and step back from stressful situations. Managing diabetes has
that controlling elevated blood pressure and cholesterol can reduce the risk of vision loss.
Studies have found
Experience whats possible.

Roche Diagnostics Australia Pty Ltd. 31 Victoria Avenue, Castle Hill NSW 2154. ABN 29 003 001 205
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Diabetes Awareness Week

10-16 July 2011
This year, Diabetes Awareness Week will focus on prevention of diabetes and its complications with a specic spotlight on eye health and prevention of vision loss. Come and visit us at one of our events to talk to our health professionals, including Credentialed Diabetes Educators, Accredited Exercise Physiologist and Accredited Practicing Dietitians, and pick up an information booklet on diabetes and eye health.
fuNdraisiNg + eveNts
tuesday 12 July 2011
diabetes awareness Week

event breakdowns:
FAIRFIELD RSL 9AM-5PM Talk to our health professionals at the information stand hosted in the club.
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friday 15 July 2011
BANKSTOWN SPORTS CLUB 9AM-5PM Talk to our health professionals at the information stand hosted in the club. AUSTRALIAN DIABETES COUNCIL NEWCASTLE RESOURCE CENTRE 9am-5pm Information day! Come and have your blood glucose meter checked and get a 10 minute consultation with one of our health professionals.
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CONISTON COMMUNITY CENTRE 9AM-5PM Visit us at the centre for an information session hosted by diabetes educators, dietitians and exercise physiologists.
Wednesday 13 July 2011

CAMPBELLTOWN CATHOLIC CLUB 9AM-5PM Talk to our health professionals at the information stand hosted in the club. AUSTRALIAN DIABETES COUNCIL WOLLONGONG RESOURCE CENTRE 9AM-5PM Come and get your free blood glucose meter check. WAGGA WAGGA LIBRARY 10AM-2PM Health professionals will be available to answer your questions and distribute a range of material.
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policy conference
diabetes and sustainability
Monday, 11 July 2011 Martin Place, Sydney CBD Tuesday, 12 July 2011 Faireld RSL Wednesday, 13 July Campbelltown Catholic Club Thursday, 14 July Liverpool Catholic Club Friday, 15 July Bankstown Sports Club
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MARTIN PLACE 9AM - 3PM Visit our information centre and watch exercise and cooking presentations from the stage. Plus, meet at the stage at 11am for a group walk through the Botanic Gardens!
monday 11 July 2011
Australian Diabetes Council will host a conference at NSW Parliament House during Diabetes Awareness Week with attendees including politicians, health policy makers and administrators and researchers in diabetes from around the world. Through this conference we hope to influence key decision makers to drive policy for diabetes across New South Wales.
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thursday 14 July 2011

LIVERPOOL CATHOLIC CLUB 9AM-5PM Talk to our health professionals at the information stand hosted in the club. WALLSEND LIBRARY 10AM-2PM Health professional will be available to answer your questions and distribure a range of material.
For more information call us on
AUSTRALIAN DIABETES COUNCIL WAGGA WAGGA RESOURCE CENTRE 9AM-5PM Information day! Come and have your blood glucose meter checked and get a 10 minute consultation with one of our health professionals.
want to know more? Call 1300 342 238

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researCh
researCh
ReseaRch that coulD help cuRe neuRopathy

Brisbane researcher finds a way to detect neuropathy through a simple eye test
detected, the greater chance there is that it can be rectified, Professor Efron said. Diabetic neuropathys symptoms often occur gradually so by the time you may realise there is an issue, it has already progressed to the more damaging stages that could result in things like ulcers, amputation, incontinence and other serious conditions. Catching it early means you can start treatment before complications like that occur or get worse. Current treatment involves keeping your diabetes and associated risk factors like your blood pressure and blood glucose levels under control, and new drugs are being developed that aim to cure diabetic neuropathy. Professor Efron says that when the drugs are ready to come onto the market, we will, using our method, be able to detect nerve degeneration early and then hopefully cure it. Professor Efrons research is so significant that he was honoured with the Glenn A. Fry Lecture Award from the American Academy of Optometry last November. More than anything, I feel lucky to have made the discovery. I just happened to be in the right place at the right time with the right idea, he said. hoW loNg before its a reality? Researchers in Brisbane are already using the new eye tests to evaluate patients with neuropathy as are researchers in Manchester, UK, and Toronto, Canada. However it could be five to 10 years before the tests are widely adopted as routine procedures.
call foR nomination of DiRectoRs

the annual general meeting of australian Diabetes council will be held in november 2011. in accordance with clause 17.3 (b) of the constitution, one third of the Directors shall retire by rotation and may offer themselves for re-election. nominations are now being called for these positions on the Board of Directors. nominations must name the candidate and be signed by not less than two ordinary members. the person nominated must be an ordinary member and must consent to act if elected. a brief biography of 100 words as well as a recent head and shoulders photo should accompany the nomination. to make your nomination: nominations must be made to the secretary, australian Diabetes council, gpo Box 9824, sydney, 2001, and be received by 5pm 22 July 2011.
Diabetic neuropathy is a common, potentially debilitating, complication of diabetes that damages the nerves in the body from continuously high blood glucose levels. It affects about half of people with diabetes to varying degrees, potentially leading to ulcerations and even amputation.
What if we told you that your optometrist (yes, optometrist) may soon be able to perform a simple eye test to detect diabetic neuropathy at its earliest, most treatable stages? Professor Nathan Efron of Brisbane has stumbled upon a discovery that could lead to exactly that. Professor Efron, who has type 2 diabetes himself, said he was researching how contact lenses affect the eye when he accidentally discovered the new method of detecting diabetic neuropathy.
Using the extreme magnification of a special corneal confocal microscope, he was able to see fine, snaking nerves in the cornea that had never been seen before. In patients with diabetic neuropathy, we see fewer nerves that are not as bright and more wiggly, he said. The discovery led him to examine the links between the nerves in the eyes and nerves in the rest of the body, with the hope to develop a simple eye test that pinpoints neuropathy at a very early stage. The tests would be quick, painless and can be performed repeatedly, which isnt possible with the existing skin biopsy tests, Professor Efron said. hoW NeuroPathy is Measured NoW Neuropathy is typically measured through skin biopsies from the
foot in addition to other tests that can take up to a week to complete. It is usually not discovered until serious damage has already been done. ProPosed NeW Methods of testiNg With the new tests, the results would come back in just a matter of minutes and would be part of your routine eye exam. Patients would receive a drop of anaesthetic in the eye so a microscope can capture a 20 second movie for analysis. Other tests are being looked at such as a non-contact method that would measure the effects of nerve degeneration by projecting tiny puffs of air into the eye. the beNefits of CatChiNg NeuroPathy early As with virtually all medical problems, the earlier it is
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PrograMs + iNitiatives
NeWs + iNforMatioN
improving eye health in less accessible areas

in the last edition of Diabetes Connect we took a close look at the high rate of chronic health conditions in rural areas and identified a handful of initiatives aiming to lessen the burden. recently a new federal program has stepped up as well to improve the quality of eye healthcare for australians living in less accessible areas.
The Indigenous and Remote Eye Health Service (IRIS) is an initiative of the Australian Society of Ophthalmologists (ASO) and the Commonwealth Government. Five million dollars has been granted over four years in order to refine existing eye health systems, streamline access to funding and improve the coordination between health professionals.
traNslatioN! They want to make sure that if youre living in a rural or less accessible area your eye care specialists are talking to each other, referring to the same notes and maintaining a coordinated approach so that you benefit with healthier vision. Where is the CurreNt ProbleM? IRIS National Chairman, Brisbane ophthalmologist Dr Mark Loane, explained that problems in some systems occur when one health professional may fail to pass on patient information. For example, an optometrist may fit a patient for new glasses but might not pass on other information to the patients ophthalmologist that might lead to earlier diagnosis of a more serious condition. On the other hand, the ophthalmologist may also not pass on valuable information to the patients optometrist. Technology is getting to the stage now where whole systems can be analysed and everyone can refer to the same notes, he said. Dr Mark Loane (at rear) stands with a group of patients in Cape York after they received cataract surgery.
nDss product changes

The National Diabetes Services Scheme (NDSS) is an initiative of the Australian Government administered by Diabetes Australia. The NDSS agent in New South Wales is Australian Diabetes Council. In NSW, syringes and disposable needles under this scheme are co-funded by the NSW Department of Health.
New Products
general practitioners and the Flying Doctor service all working with the government and of course the patients themselves. We want to create a coordinated eye health approach involving all of these health professional services to people in Australia in or close to their own communities. What do We thiNk? Principle Health Strategy Executive at Australian Diabetes Council, Dr Lilian Jackson, says the program has potential to improve patient care. I believe that improved communication between health professionals certainly could lead to better outcomes for patients, she said. syringes
nDss number products 220 221 222 223 224 CM Safety Syringe (Retractable) CM Safety Syringe (Retractable) CM Safety Syringe (Retractable) CM Safety Syringe (Retractable) CM Safety Syringe (Retractable) 0.5ml 30G x 13mm 0.5ml 29G x 13mm 1.0ml 27G x 13mm 1.0ml 29G x 13mm 1.0ml 30G x 13mm Box size 100 Pack 100 Pack 100 Pack 100 Pack 100 Pack price Free Free Free Free Free
deletions
Blood glucose testing strips
nDss number products 12 104 Glucostix Reagent Strips MWD Pen Sensor Electrode Strips Box size 50 Pack 50 Pack
A Western Australia study found 31% of indigenous Australians with diabetes had retinopathy, compared with 20% of non-indigenous Australians. One likely culprit: Difficulty of access into rural areas.
Registrants using Glucostix or MWD products should ring the NDSS on 1300 136 588 to discuss options for a meter upgrade.
urine testing strips / tablets

nDss number products Box size 36 Pack 50 Pack
iMProviNg existiNg systeMs Dr Loane said theyre not trying to reinvent the wheel but instead trying to polish systems that already exist. There are a number of health professionals involved in delivering eye health services throughout the country including optometrists, ophthalmologists,
Those involved in IRIS are working hard to make as much positive change as possible in the four years that its funded, Dr Loane said. We are very aware that whatever we put into place could pave the way for future eye healthcare, so we better try and get it right the first time.
45.36 30.5
Clinitest Tablets Clinistix Strips
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DiaBetes connect
35
pausing to recognise those living with diabetes for over 50 years

The Kellion Victory Medal is a tribute to Claude Kellion, a man who played an important role in the establishment of a source of private funding for diabetes research and prevention. The award recognises a persons victory over diabetes and his or her success in managing it.
Claude was committed to the care and support of all people with diabetes, and for many years the Kellion Diabetes Foundation was the only private source of funding for diabetes research in Australia. All Australians who have had diabetes for 50 years or more are eligible for a Kellion Victory Medal. Along with the emotional rollercoaster that occurs when a person is first diagnosed with diabetes, recipients of the Kellion Victory Medal grew up before home glucose monitoring and would have endured injections with primitive, old-fashioned, heavy needles. With the help of family, they tested their blood glucose levels by boiling their urine with a liquid known as Benedict solution over a Bunsen burner. CertifiCate of reCogNitioN for Carers Australian Diabetes Council realises, too, the significant role that is played by carers in the management of a persons diabetes. The carers certificate recognises many years of love, dedication and support and the positive difference they make to their friend or family members life.
yvonne sutton - 60 yeaRs & Eric Sutton - significant care for 50 years Yvonne was diagnosed with type 1 diabetes at the age of 16 when she had been craving chocolate and drinking lots of water. Yvonnes GP organised for her immediate admission to hospital following her diagnosis; she then continued to attend a diabetes clinic. Yvonne loves gardening and reading and doing her needlework when she can. Eric began caring for Yvonne in 1957 after they were married. This March, Yvonne was presented with her gold Kellion Medal and Eric with his certificate of recognition for being her carer for 50 years..
get connecteD linking life & type 1

australian diabetes council holds information nights for young adults living with type 1 diabetes (18-35 yrs).
maRch event a success! The Linking Life & Type One information night in March brought young adults living with type 1 diabetes together to meet, mingle and learn more about type 1 management. Professor Stephen Twigg spoke about fitting diabetes into a busy, young-adult life, stressing the importance of self management and having a solid support team. Matt Vogel, a triathlete living with type 1 diabetes, reaffirmed the importance of a team approach through his story about cycling across America and winning the Team Type 1 cycling race. Australian Diabetes Council sends its thanks to Professor Stephen Twigg and Matt Vogel for coming to share their stories. The next information night is scheduled for 16 June and is focused on insulin pump therapy with Dr Sophie Chan and the team from RNSH Diabetes Centre. Call the customer care line for more information on upcoming type 1 events: 1300 342 238.
michael DoDDs - 50 yeaRs & Jann Dodds - Significant care for 30 years Michael was diagnosed with type 1 diabetes at the very young age of four. He helped others with diabetes as a young adult when he worked with a youth group known as the Injectables. Together with the siblings of the young people with diabetes, the Injectables enjoyed many tenpin bowling events. At the age of 20 Michael became a board member of the Diabetic Association of NSW, serving for one year and playing his part in the organisation that is today Australian Diabetes Council. This March, Michael was presented with his silver Kellion Medal and Jann with her certificate of recognition for being Michaels loyal carer.
maRilyn shaRp - 50 yeaRs Marilyn was diagnosed with type 1 diabetes on the day before her 15th birthday. She was admitted into hospital in pain with what was thought to be a burst appendix but instead it was found that Marilyn had diabetes. Marilyns dad, Lawrence ODonnell, was proud to be there when Marilyn was presented with her silver Kellion Medal last September. Marilyn said that she has managed her diabetes well and has lived a very active life. linDy schaefeR anD ann coe - 60 yeaRs It was with some sadness that Ann Coe accepted a certificate of recognition this January on behalf of her late twin sister, Lindy, for surviving diabetes for almost 60 years. During that time Ann was Lindys main carer and was also presented with a certificate of recognition for being Lindys carer for almost 60 years. Lindy was diagnosed with type 1 diabetes at the age of 34 when she had just started a new job.
John staveRt - 50 yeaRs At the age of 14, instead of attending a jamboree for the day as a member of the Boy Scouts, John was being diagnosed with type 1 diabetes. As the Convenor of the Australian Diabetes Council Hornsby Support Group, John continues to provide support to other people with diabetes in his local community. He has also volunteered with the Rural Fire Service for almost 30 years. John was presented with his silver Kellion Medal in February at a support group meeting. Joe BaueRhuit - 50 yeaRs Joe was diagnosed with type 1 diabetes as a young adult. His wife, Margaret, has been a big part of Joes diabetes journey and will soon be receiving a certificate of recognition. Joe is looking forward to being presented with his 60 year gold Kellion Medal and has cheekily asked to receive it before his good friend, John Stavert (above). There is just a little bit of healthy competition there!
Australian Diabetes Council congratulates the recipients and their families and wishes them well with their continued journey. If you or anyone you know would like to apply for a Kellion Victory Medal, please contact Margaret Bouhabib, Manager, Support Groups on 1300 342 238. About 50 participants attended the event in March to learn more about type 1 diabetes management and meet others managing the condition. Australian Diabetes Council staff are looking forward to continuing these events so check back with us about upcoming sessions.
DiaBetes connect
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NeWs + iNforMatioN
NeWs + iNforMatioN
anotheR Reason to kick the haBit

This March, scientists reported the first strong evidence implicating nicotine as the main culprit responsible for persistently elevated blood glucose levels and the resulting increased risk of serious health complicationsin people who have diabetes and smoke. In a presentation at a meeting of the American Chemical Society (ACS), they said the discovery also may have implications for people with diabetes who are using nicotinereplacement therapy for extended periods in an attempt to stop smoking.
you aRe What youR motheR ate

A new University of Cambridge study provides important insight into why children born to mothers who consumed an unhealthy diet during pregnancy have an increased risk of type 2 diabetes later in life. Previous research has shown that a certain gene plays an important role both during development of the pancreas and later in the production of insulin. The researchers hypothesised and found that diet during pregnancy influences the expression of this gene later in life, thereby influencing the risk of diabetes.
potential anti-ReJection DRug foR insulin cell tRansplantation

Australian scientists at Sydneys Garvan Institute of Medical Research have developed a reagent with the potential to prevent rejection of transplanted insulin-producing cells into people with type 1 diabetes one of the most promising immunology developments in recent years. The researchers said that if the drug works in people as it has in mice then they would only have to take the drug for a brief time after surgery, and then the transplant would be fine for life. The drug is still undergoing testing and is not yet available to the public.
organisational news blurbs: helping people close to you
Diabetes sa
Whats on offer Diabetes SA has been delivering services to people with diabetes and their families in South Australia since 1953. Members receive free access and discounts to over 30 different education programs including supermarket tours and exercise classes run weekly. Members also receive 20% off all Diabetes SA product purchases from the retail shop. Whats new Its even easier now to take advantage of member benefits through the launch of the new Diabetes SA website at www.diabetessa. com.au. It provides a onestop shop for product orders, diabetes information, education sessions, member specials and much more.
Diabetes act
Whats new Diabetes ACT has recently become the 20th DAFNE (Dose Adjustment for Normal Eating) centre in Australia. DAFNE is a training program in flexible insulin management to enable dietary freedom in people with type 1 diabetes. The DAFNE approach has been shown to lead to sustained improvements in treatment satisfaction, psychological wellbeing and improved glycaemic control without worsening hypoglycaemia. The skills training approach in DAFNE enables participants to match insulin doses to unrestricted food choices while keeping their blood glucose close to normal. The DAFNE course in Canberra will be offered by DACT this month with plans to offer six monthly courses in the future.
australian Diabetes council

Whats new Australian Diabetes Council committed $5 million over the next five years last November to the establishment of a Chair of Diabetes at the University of Sydneys Centre for Obesity, Diabetes and Cardiovascular Disease. Vitality Workplace Health Vitality is a workplace healthy lifestyle program that brings experts to your workplace to provide healthy living advice. Beat It program Beat It is a progressive exercise program aimed at reducing your risk of diabetes, heart disease, stroke and cancer. Beat It trainers are certified and trained by Australian Diabetes Council health professionals.
healthy living nt
Whats on offer: Healthy Living NT offers a range of services for people with diabetes and related chronic conditions such as: membership services, advocacy and lobbying, diabetes and cardiac education, access to subsidised products by the NDSS, support groups, a free syringe program, access to an extensive range of products and literature and more. A glimpse at diabetes services: Type 2 diabetes and impaired glucose tolerance Getting Started Goup; Gestational diabetes education sessions; Type 1 diabetes education and support for adults and children. A glimpse at cardiac services: Inpatient hospital education; Healthy Heart Program including exercise and education; Maintenance program including education and ongoing exercise classes; Individual consults; Pre-procedure consults for people travelling interstate for a cardiac procedure.
www.diabetessa.com.au | www.diabetes-act.com.au | www.australiandiabetescouncil.com | www.healthylivingnt.org.au

DiaBetes connect
39
oN the lighter side
Whats happening?
iRonman Raises oveR $10k foR DiaBetes JunioR hunteR camp 3-6 July
The Hunter Camp is for children aged 8-13.
About 40 children with type 1 diabetes will attend a fourday camp to increase diabetes knowledge, gain confidence, develop skills in giving injections, manage pumps, and learn more about hypoglycaemia, monitoring and making healthy food choices. For more information call 02 4929 6970.
on the LIgHter side

Buzz Day 16 septemBeR
Once again we will be hitting the streets to sell Buzz Day products to raise funds for support and research in diabetes.
DiaBetes connect cRossWoRD puzzle

(answers can be found on the bottom of this page)
Across 2. Small, furry Australian marsupial 6. Conclude, entire 8. Old, not fresh 9. To do charitable or helpful work without pay 10. Bus station 11. Untamed, savage 13. Shameless, bold 14. Author of Cloudstreet, Tim... 17. Spectacles 19. Modest, reserved in manner 20. Upward thrust, encouragement 22. New Zealand city hit by earthquake in 2011 26. Track running through SA and NT 28. Tropical fruit 29. Popular social networking website 31. Root vegetable 33. Federal Treasurer, Wayne... 34. Body organs that filter fluid 35. Artists tripod Down 1. Australian boxing great, Lionel... 2. Smooth or clean feathers 3. Offer for consideration or action, propose 4. Very small 5. Royal Wedding couple, William and... 7. Bushranger in the Uralla region, Captain... 9. Oath 12. State flower of New South Wales 14. German composer 15. City of the worlds largest tower 16. Sugar found naturally in fruit 18. The windows to the soul 19. The capital of Bangladesh 21. Racehorse with 13 straight wins (at time of going to print), Black... 23. Predator of the ocean 24. Funny 25. Corn kernel exploded by heat 27. Become visible 30. Soft French cheese 32. Say
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crossword Correction
There were a couple of errors in the autumn 2011 Diabetes Connect crossword. Please accept our apologies we clearly didnt have our coffee that day! #2 down, Question: path, course. Answer: Track. #8 across, Answer: 4WD. The mysterious white boxes coming off #15 across were included by mistake! This time there are more questions and answers for you to really get stuck into, and we promise theyre all there!
This March, not only did Peter Allott achieve a lifelong goal of participating in the New Zealand Ironman event, but he also raised significant funds for a cause very close to his heart.
Peters father has type 1 diabetes and so he is familiar with the challenges involved in managing the condition. He said he saw the Ironman competition as an opportunity to help others affected by diabetes. After nine months of early morning training sessions, Peter completed the race in 12 hours, three minutes and 11 seconds. The feeling of coming down that finishing chute and seeing [my family], and crossing through the finishing arches was one of the proudest moments of my life, Peter said. With support from friends and family, Peter raised an amazing $10,522! Australian Diabetes Council would like to thank Peter and his friends and family for supporting our cause. Congratulations on the enormous achievement of completing the New Zealand Ironman.
There will be a great range of products from super cute Buzz Bears to functional pens and key rings. If you are interested in volunteering to sell items on the day or to take a box of merchandise to sell to your friends, family and colleagues please email us at marketing@ australiandiabetescouncil.com.
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cash Raffle WinneRs

Australian Diabetes Councils first cash raffle raised $110,000!
Money raised will provide financial assistance to diabetes programs such as childrens camps and educational resources and events. The winners of the raffle were: first PriZe ($20,000) Mr Robert Hallahan seCoNd ChaNCe draW (iPod shuffle) Mr Victor Quintanilla
Buzz Ball 12 novemBeR

Help bring diabetes to light at the annual Buzz Ball this November at the Grand Ballroom, Westin Hotel Sydney.
The gala event will feature live auction items, raffles and some great entertainment with every dollar raised going towards Australian Diabetes Councils work to make a positive difference in the lives of people living with or at risk of diabetes. tiCkets Tickets are just $250 per person or $2500 for a table of 10. To book your seat, email buzzball@ australiandiabetescouncil.com.
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CrossWord aNsWers aCross: 2. PossuM 6. CoMPlete 8. stale 9. voluNteer 10. dePot 11. Wild 13. braZeN 14. WiNtoN 17. glasses 19. deMure 20. boost 22. ChristChurCh 26. oodNadatta 28. MaNgo 29. faCebook 31. Carrot 33. sWaN 34. kidNeys 35. easel doWN: 1. rose 2. PreeN 3. suggest 4. MiCro 5. CatheriNe 7. thuNderbolt 9. voW 12. Waratah 14. WagNer 15. dubai 16. fruCtose 18. eyes 19. dhaka 21. Caviar 23. shark 24. huMorous 25. PoPCorN 27. aPPear 30. brie 32. tell
DiaBetes connect
41
ProduCts
the last Word
available products
a closer look
your opinion matters

tell us what you think of products you use. email diabetesconnect@australiandiabetescouncil.com or mail gpo box 9824 sydney nsW 2001.
short rations
the new pbs changes are a form of rationing i dont find fair.
Theres no doubt that many of us take most things in life for granted. Theres always meat at the butcher, veggies at the green grocer, and in the supermarket there are thousands of goods on offer. What were not used to is rationing.
I remember my mother telling me about rationing during World War II. She talked about how you needed coupons to get the necessities of life like bread and milk. That may have been a long time ago but perhaps we could all benefit from a little selfrationing. For how many of the things we buy just go to cluttering up our homes? However there are some elements in our lives that should never be rationed. We should never scrimp or save on our health and wellbeing.
the last word by dr John darcy

Which is why I have been alarmed to learn about the governments new changes to the process of approving medications for subsidy under the Pharmaceutical Benefits Scheme (PBS). The PBS was set up to subsidise expensive medications. That meant if you needed a medication, you could get it affordably. You didnt need to be rich to get the medication you needed. Its a system that has worked pretty well since its introduction almost 50 years ago. Like so many things, the scheme also costs a lot of taxpayers money. Because of this it has come under increased scrutiny from the government to help bring the federal budget back to surplus. Scrutiny is not new to the PBS. Every medication added to the PBS has always been first reviewed by the Therapeutics Goods Administration (TGA) for safety and efficacy. It is then examined very closely by the Pharmaceutical Benefits Advisory Committee (PBAC) to determine whether its subsidy would benefit society and have a cost benefit to Australia. That is, will the drug save the country
good reads
Spine width 8mm
Other favourites
The Tra c Light Guide to Food Type 1 Diabetes
What Do surv ey you think?

Australian Diabetes Council is currently surveying members on their opinion of the new changes under the PBS. To participate, visit https://www.surveymonkey. com/s/PBSApprovalPolicy You can also write to Dr John at diabetesconnect@ australiandiabetescouncil. com money by preventing or treating illness, and how does that saving compare to the cost of the drug? Recently, in an effort to save money, the government has introduced changes to the PBS. Each of the new medications will now be considered by the Federal Cabinet while the experts at the PBAC, those who know all about medications, appear not to be recognised. This means that many life altering or life saving medications may not be subsidised. For those living with diabetes right now there are some good medications available in Australia. However there are others that are still only available overseas that would be very helpful for some people here to have. It is these new innovative medications that are now at risk of being excluded or delayed from listing on the PBS. It is an exercise in government cost cuttingor, essentially rationing our healthcare. This is a form of rationing I dont think is fair! What about you?
DiaBetes connect
The Traffic Light Guide series

guiDe to fooD has Been ReplaceD!
The Diabetes Education Centre Royal North Shore Hospital Paci c Hwy St Leonards NSW 2065 Australia
call 1300 136 588 to see if youR local DiaBetes oRganisation has these items oR something similaR in stock. if not stockeD, contact austRalian DiaBetes council 1300 342 238.
This practical, easy to use book has been developed and updated by the experienced sta of the Diabetes Education Centre and the Paediatric Diabetes and Endocrinology Service at Sydneys Royal North Shore Hospital.
The Tra c Light Guide to Food
It is designed to help those with diabetes and their families sort out the daily choices they need with con dence.
hot selleR:
DouBle D lollies - $2.60 These lollies taste great, have no artificial colours or flavours, a low glycemic index, are low in carbohydrates and fat, are cholesterol free and dental friendly. They contain isomalt - a sugar alternative safe for people with diabetes.
Type 2 Diabetes and Gestational Diabetes

CLINICAL RESEARCH UNIT
After more than 35 years, the popular New Traffic Light Guide to Food has been discontinued and replaced with three separate smaller guides one focusing on type 1 diabetes, another on type 2 and gestational diabetes and the third a handy pocketsized carbohydrate counter.
This practical, easy to use book has been developed and updated by the experienced sta of the Diabetes Education Centre and the Paediatric Diabetes and Endocrinology Service at Sydneys Royal North Shore Hospital. It is designed to help those with diabetes and their families sort out the daily choices they need with con dence.
Spine width 8mm


The new series continues to cover the many facets of diabetes management contained in the original book such as food and carbohydrates, the effects of food on blood glucose levels and a guide to the carbohydrate exchange system. However, the information is more specifically targeted, helping people with diabetes and their families sort out their daily food choices with confidence depending on the type of diabetes they have.
The Diabetes Education Centre Royal North Shore Hospital Paci c Hwy St Leonards NSW 2065 Australia
neW Jam flavouRs:

CLINICAL RESEARCH UNIT
284g st DalfouR Jams - $4.60

Try:
The Traffic Light Guide to Food Carbohydrate Counter
This practical, easy to use book has been developed and updated by the experienced staff of the Diabetes Education Centre at Sydneys Royal North Shore Hospital.
Cranberry with Blueberry

Carbohydrate Counter
It is designed to help those with diabetes and their families sort out the daily choices they need with confidence.
Blackberry Pineapple and Mango Kumquat Raspberry and Pomegranate
The carbohydrate counter is $15.95 and the other two books in the series $19.95 each.
DR John DaRcy
error iN autuMNs ProduCt listiNg There was an error in the autumn edition of Diabetes Connect regarding the Frio Insulin Wallet. TP014 Injector Wallet as listed in the autumn edition products page is suitable for carrying vials of insulin or two Innolet injectors but it is not suitable for carrying insulin injector pens. We apologise for any confusion.
to puRchase a copy of any of the listeD Books, call youR state oR teRRitoRy DiaBetes oRganisation on 1300 136 588 anD Dont foRget to ask aBout special memBeRs Discounts. if not stockeD By youR state oR teRRitoRy, contact the national puBlications Division 02 9527 1951 oR DapuBs@tpg.com.au. minimum $8 postage applies.
Dr John Darcy is a medical editor of the seven networks sunrise, as well as new idea and new idea television. he writes the audio blog health check for metropolitan and regional radio stations and produces and presents health matters. you can find out more about Dr John D'arcy at drjohndarcy.com
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Strip-free Accu-Chek Mobile system: A new way of testing your blood glucose.
Everything you need to test.

Only the Accu-Chek Mobile system combines a test cassette with 50 tests and a lancing device with a 6 lancet drum.
no worries!
www.accu-chek.com.au Accu-Chek Enquiry Line: 1800 251 816 For people with diabetes taking insulin. Use only as directed. Consult your healthcare professional for advice.
Roche Diagnostics Australia Pty Ltd 31 Victoria Avenue, Castle Hill NSW 2154 ABN 29 003 001 205 OHW ROCD0238/DC 05/11

Diabetes Connect Winter 2011 NSW Lowres Final

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diabetes management and healthy living

WinteR 2011 | $5.80

What you can Do to pRotect youR sight | page 24

food for your eyes

a trip to the optometrist

EASY TO LEARN EASY TO USE.

Introducing: BD Micro-Fine+ 4mm Pen Needle

Even Thinner Even Smaller

Our most comfortable injection experience ever1

Compared to BD 5mm and BD 8mm:

0.23mm (32G) x 4mm

froM the Ceo

diabetes management and healthy living

message from the ceo

the kneebone is connected to the eyebone?

protecting your eyes

advocating to make a difference

DiaBetes connect Winter 2011

Let ters to the editor

WINTER 2011 | $5.80

WHAT YOU CAN DO TO PROTECT YOUR SIGHT | PAGE 24

From the editor

Do some foods affect your eyesight?

FOOD FOR YOUR EYES

What you should know before you go

A TRIP TO THE OPTOMETRIST

MALE & FEMALE PEOPLE WITH DIABETES REQUIRED A L E I B

More information CALL 1800 475 475 volunteers.4.trials@gsk.com Or visit www.gsk.com.au/mru

DiaBetes connect Winter 2011

the kneebone is connected to the . . . eyebone?

be active and exercise regularly.

get tested: Arrange and keep

DiaBetes connect Winter 2010

DiaBetes connect Winter 2011

staying active even if youre visually impaired

neW south Wales

Blind golf champs

south austRalia www.blindsportssa.org.au national www.blindsports.com.au

ask questions answered alan your health

shoulD i cut out sugaR?

if it has a positive or negative effect on both conditions?

honey anD cinnamon

Write to alan send your question to us at diabetesconnect@australiandiabetescouncil.com or diabetes connect

Cheese and herb eggwhite omelette pg 16

cheese and herb eggWhite omelette

CookIng For dIabetes

baked apples with berries

carrot and lentil soup With caraWay toasts

of a grilled tomato to this dish.

Dietitians tip: For extra fibre add half

DiaBetes connect Winter 2011

What about carbs?

food and your eyes

Omega-3s: oily fish, walnuts and flaxseeds

do some foods affect your eyesight?

The good news is that

Leafy greens and egg yolks

See page 20 for great recipe ideas! Low GI foods

DiaBetes connect Winter 2011

Easy on the eyes

linguini with broccoli, crab, olives and walnuts

indian lamb in spinach sauce

Dietitians tip: To reduce the fat and