MAR-APR 2017 CONTENTS FEATURE
S THRIVE
14 10 ways to protect your heartThe good news is that staying heart-healthy can be fun.17 automated insulin delivery, you need to knowThe FDA has approved the first hybrid closed-loop system, formerly called the artificial pancreas.20 new diabetic medicationDifferent medicines on offer for the treatment and control of diabetes.24 online session with A doctorInterview with Dhruv Suyamprakasam, founder and CEO of iCliniq.WELLBEI
NG28 human embryonic cells for diabetesTreatments associated with stem cells have been gaining immense popularity. Here’s how that works...32 declutter your path to better healthHow to target problem areas where clutter gets in the way of your diabetes management goals?37 the bone of contentionConditions of bones may deteriorate when coupled with diabetes.40 low sperm count concernHalf of the infertility cases in India are because of the quality of sperms in menDiabeticLivingOnline.in
MAR-APR 2017 CONTENTS FOOD
66 WHAT’S IN SEASON: ASPARAGUSThis low-carb, versatile vegetable’s folate content may help lower your risk of heart disease, and its fibre keeps your gut in good health.72 TABLE FOR TWO: ITALIANOur made-over classics are light in calories and carbohydrate but full of flavour in every bite.76 A HEALTHY CATCHYou’ll boost your heart health with omega-3 fats and lower your risk of type 2 diabetes with each bite of these foods from the sea.89 SWEET ENDING: TRUFFLE SHUFFLEMade with rich dark chocolate, just one truffle will satisfy a sweet craving.
DiabeticLivingOnline.in
FITNESS 44 HEALING GLUTEUS MAXIMUS The biggest of your three butt muscles may be responsible for your lower back issues. 48 NEW EXERCISES FOR THE SEASONIt’s time to get fit with the latest fitness regimes.
54 NAVIGATING THE NEW NUTRITION LABEL As the nutrition facts label receives a makeover, get thedish on changes and how they can help you make smarter choices.56 IS YOUR ORGANIC PURCHASE SAFE?Are the seemingly biotic goods and cosmetics all natural and safe for use?56 IS YOUR ORGANIC PURCHASE SAFE?Are the seemingly biotic goods and cosmetics all natural and safe for use?58 FATTY ACIDS: OMEGA-3Omega 3 fatty acids are one of the most essential nutrients for the development of the human brain and body 62 TELL ME WHAT TO EATA nutritious way to cut calories is the editerranean diet, one of the three dietary plans approved by the USDA.
NUTRITION
ASK YOUR EXPERT
Dr Anoop Misra Chairman, Fortis-C-DOC (Centre of Excellence for
Diabetes, Metabolic Diseases and
Endocrinology); Chairman, National Diabetes,Obesity
and Cholesterol Foundation (N-DOC)
How should I handle my diabetes when I am not feeling well and have no appetite? I have quit taking the medicine that releases insulin during meals, because I am not eating anything. Am I doing right?Food and blood sugars have a directly proportional relationship. Even if your appetite is low, medications need to be continued. However, you can adjust the dosages of your medications as advised by your physician. Your doctor may advise you to lower the ones which release insulin. It is important to take small and frequent meals and plenty of fluids when the appetite is low.
Q1
Q2
I was recently diagnosed with Type 2 diabetes. How long after my meal should I check my blood sugar levels?A holistic management of diabetes requires frequent monitoring of blood sugar levels to know whether your diabetes is on the right track. If you have been recently diagnosed with diabetes, then this becomes an important part of your routine. For the initial few weeks, it is important that you monitor blood glucose levels regularly. Generally, pre- and post-meal (two hours after start of the breakfast, lunch or dinner) sugars are checked. If you are on oral medication, you can check blood sugar less frequently. But if you’re taking insulin shots, you may need to check more frequently, depending on your physician’s instructions.
If you are on oral medicines you may test your
blood sugar less frequently, but
not so if you’re on insulin.
“It is part of the cure to want to be cured.”—Roman philosopher SenecaMANAGE
10 WAYS TO PROTECT YOUR HEART
Diabetes and heart issues often go hand in hand. The good news is that staying heart-healthy can be fun.
Tennis, anyone?
For more information visit the site:
www.diabeticlivingonline.in
TECHNOLOGY
The FDA approved the first hybrid closed-loop system, formerly called the artificial pancreas.To know more visit subscribe latest issue www.tcg.media/
Automated InsulinDelivery:What YouNeed to Know
10
LIADL: The FDA approved Medtronic’s AID in one-third the usual time. How?CL: We communicated well with Medtronic, made sure our expectations were clear and that we knew what their approach was, and we were all in agreement. We’re willing to do that with the other companies, too.DL: Why call them AIDs?CL: Everyone has different expectations for the term “artificial pancreas.” AIDis more of a description of what they do.S
DL: Describe your job?CL: I’m the director of an FDA division that regulates laboratory tests. One of its branches oversees diabetes diagnostic devices, regulating meters, CGMs, hemoglobin A1C tests, and these AIDs.
DL: What does the device-approval process look like?CL: We want to understand what PWDs deal with and how they use current devices. Then we work with product developers to help them do the best study possible. We use that data to determine device effectiveness and safety.
YOU ASKED WEANSWEREDMINUTES
WITHCOURTNEY LIAS
“HOW MUCH DOES IT COST?”
Pricing will be similar to other Medtronic pump systems. Patients on the MiniMed 630G will be first in line for the 670G and may receive a discount through the Medtronic Pathway Program. Learn more at medtronicdiabetes.com.
“WILL IT BE COVERED BY INSURANCE?”
Medtronic is working with payers to get the AID covered. We’ll know more when Medtronic releases the product.
“CAN IT BE USED BY TYPE 2 PATIENTS?”
The Medtronic 670G is approved for people with type 1 ages 14 and up. However, some companies plan to expand approval for their systems to people with type 2 on insulin therapy after receiving approval for type 1 use.
NEW DIABETIC
MEDICATIONS What are the
different medicines on offer for the treatment and
control of diabetes? Our expert lays
down…
Diabetes mellitus is a group of metabolic disorders characterised by hyperglycaemia or high blood sugar levels resulting directly from inadequate insulin secretion or defect in insulin action. Type 1 diabetes mellitus is an autoimmune disorder which results from the failure of the pancreas to produce enough insulin.Type 2 diabetes mellitus, which is more common, is primarily
a problem of progressively impaired glucose regulation due to a combination of dysfunctional pancreatic beta cells or insulin resistance, a condition in which cells fail to respond to insulin properly. Gestational diabetes is the third main form in pregnant women that occurs due to placental hormones reducing insulin sensitivity of cells.Obesity, especially abdominal obesity, is the
major risk factor for type 2 diabetes caused due to low fibre and highfat/carbohydrate diet and sedentary lifestyle. Indians, in particular, are at a high risk of developing diabetes and that too at a younger age. Apart from an ethnic background and family history of diabetes, impaired glucose tolerance and fasting glucose levels contribute to increased risk of type 2 diabetes.
“Recognizing that you are not where you want to be is a starting point to
begin changing your life.”
WELLBEING
THE BONE OF CONTENTION
Conditions of bones may further deteriorate when coupled with diabetes. It’s important to keep them healthy for a smooth life.
“It’s not what we do once—it’s what
we do once a day…day in and
day out…every day that brings lasting
change into our lives.”
FITNESS
NEW
EXERCISES FOR THE SEASON
NUTRITION“Life is too short not to eat raw and it’s even shorter if you
don’t.”
NAVIGATING THE NEW
NUTRITION LABEL
FATTY ACIDS
IS YOURORGANICPURCHASE SAFE ?
“Pull up a chair. Take a taste. Come join us.
Life is so endlessly delicious.”
FOOD
Asparagus
WHAT’S IN SEASON
Grilled Asparagus
-Onion Crostini
TABLE FOR ITALIAN
White Bean Ragout,
A HealthyCATCH A BETTER
SEAFOOD BOIL
New England’s favourite backyard party starts with heaps of seafood
and veggies thrown into one big pot
over the fire. Here’s how to do it right.
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