ChairPerson : Mariam Agha MSc. MBPsS           Treasurer : Sunil Panchal           Secretary: Zain Agha PhD

=================================================================
Diabetes UK, Wellingborough Group:
As a diabetic UK group, we can offer opportunities for you to share experiences, if you wish, with others in your local area and keep up-to-date with diabetic care and management. For many, joining a group can be the first step in learning how to manage their diabetes.

==================================================================

Previous Meetings

JUNE 2015

BLOOD GLUCOSE LEVEL
Presenter: Dr. Anne Kilvert

We were very privileged to have Dr Anne Kilvert to come and talk to the group at our June meeting – she is the Diabetes Consultant at Northampton General Hospital.

Her talk mainly focused around high blood glucose levels and the associated risks.

The first point she made was that we shouldn’t just be concerned about a single high blood glucose reading, but what’s more important is how long we are exposed to high glucose levels. It is the case that our blood glucose levels will rise as a result of a meal (even with non-diabetics), but what’s important is how quickly we can reduce glucose levels – non diabetics do this much better than diabetics.

If we know that we’re going out for a meal, it may be necessary to adjust our medication to compensate (always consult your GP or Diabetes Nurse for help with this) for the type of food we’ll be eating and the impact the differing food and drink will have on increasing our blood glucose levels.

Just because you’re a diabetic doesn’t mean you shouldn’t go out for meals, special occasions or otherwise. But what’s probably more important is how you manage your diabetes on a day-to-day level.

It is a normal bodily function that glucose levels increase when we eat and drink, in fact, if it didn’t, we’d all have a problem. The danger is when we have insufficient levels of insulin available in the body to deal with the production of glucose resulting from the food or drink we’ve consumed – if glucose levels go too high this is known as ‘hyperglycaemia’ – don’t get confused with ‘hypoglycaemia’ which is where we have too lower levels of blood sugar; usually referred to as having a ‘hypo’.

It is a very complex process of how the body produces and consumes insulin in an effort to manage blood glucose levels - as a diabetic the main thing to keep in mind is not so much the occasional high blood glucose reading; remember we are all different and therefore we will all react differently to different foods and drink we consume, but the danger is where we experience high glucose readings over a long period of time.

It may be the case that a diabetic person is producing high levels of insulin but it’s not enough to deal with the amount of carbohydrate that they are consuming. It’s important to remember it’s not just about the amount of insulin we produce, but it’s also about how efficient our body is at absorbing insulin and glucose into the cell walls and therefore reducing blood glucose levels.

The previous comments are aimed at Type 2 diabetics who have a varying level of insulin production, not Type 1 diabetics who produce no insulin.

There are a number of tools available from the Diabetes UK, Wellingborough Group that can help you assess your risk factors; these include:
1. Diabetes Risk Score Sheet
2. Are you at risk of developing Type 2 diabetes leaflet?
3. Pre-Diabetes Self-referral – see below.
If you live within the Northamptonshire area you can refer yourself for a free consultation with the Northants Diabetes Multi-disciplinary Team. You can contact them on 01327 708113 or email diabetes.northants@nhs.net.

Diabetes UK, Wellingborough Group:
As a diabetic UK group, we can offer opportunities for you to share experiences, if you wish, with others in your local area and keep up-to-date with diabetic care and management. For many, joining a group can be the first step in learning how to manage their diabetes.

If you’d like to know more about the Wellingborough Group go to wellingboroughdiabetesgroup.co.uk or call 01933 385175 or 07446 173 088.

At the end of the Meeting, our Chairperson Mariam presented a Bouguet of Flowers on behalf of all of our Members to our Guest Speaker Dr. Anne Kilvert

We all thank Dr. Anne Kilvert.

Here is our Group Photo.


MAY 2015

DESMOND APPROACH
Presenter: Bernie Stribling

We were delighted to welcome Bernie Stribling, a nurse by background and Director of the DESMOND programme to our May meeting.
The DESMOND programme was developed to help people with Type 2 Diabetes. DESMOND is an acronym for Diabetes, Education, Self-management, for the Ongoing and Newly Diagnosed.

Bernie came to the meeting to discuss a broad range of diabetes related subjects and she handed out an information booklet called ‘My Diabetes Handbook’ – they were produced by the University Hospitals of Leicester.
Bernie asked the group to guess how many people within Leicester have been diagnosed with Type 2 Diabetes; there were several attempts, but no one guessed the correct figure of 60,000.
She asked for examples of problems that people were having in Northamptonshire when trying to manage their Diabetes. A number of people in the group said that they were struggling to get their GPs to prescribe testing strips; it was felt this was purely down to financial reasons. Bernie stressed that these individuals should go back to their GPs and insist on having the strips otherwise how could they possibly manage their Diabetes.

The main thrust of Bernie’s talk was about making small changes; this may be to either our diets or activity levels. A number of foods were placed on the table and we were asked to arrange them from the ‘highest’ to ‘lowest’ in terms of calorie levels. These examples included, a two finger KitKat, a portion of rice, a baked potato, a ketchup sachet, a bottle of Lucozade and a tin of full sugar Coka-Cola.

After much discussion the group did sort them from the highest to the lowest. However, Bernie revealed that actually they all shared the same level of calories. This exercise helped to demonstrate that small changes to diet can make a big difference. So instead of having a KitKat for lunch, have a baked potato; the benefits would be that the potato is more substantial and because the potato gets converted in to carbohydrate in the body and therefore would provide a much longer and steadier level of sugar release than the KitKat.
Other things to consider would be to reduce the number of spoons of sugar in tea / coffee; buy diet drinks not full sugar and ask yourself whether you could do without the ketchup in your bacon sandwich.

In the above picture you can see how much sugar each food or drink has, even though all of them have the same calories.

There are a number of tools available from the Diabetes UK, Wellingborough Group that can help you assess your risk factors; these include:

  • 1. Diabetes Risk Score Sheet
  • 2. Are you at risk of developing Type 2 diabetes leaflet?
  • 3. Pre-Diabetes Self-referral – see below.
If you live within the Northamptonshire area, you can refer yourself for a free consultation with the Northants Diabetes Multi-disciplinary Team. You can contact them on 01327 708113 or email diabetes.northants@nhs.net.

At the end of the Meeting, some of our Members with Bernie. As our Chairperson, Mariam Agha was absent, our Secretary Zain Agha presented a bouguet of flowers on behalf of all of our Members to our Guest Speaker Bernie Stribling.

We all thank Bernie

==================================================================

Wellingborough Roadshow

The 'Diabetes UK' Roadshow came to Wellingborough over 16/17th April 2014. The Roadshow gave people passing by an opportunity to have their risk of developing Type 2 Diabetes over the next 10 years assessed. This was achieved by asking a number of questions, such as age, family history of diabetes as well as taking some key measurements such as weight, height and waist measurement.

Where individuals were considered to be in the upper risk ranges, a letter was given to them to pass on to their GP for further investigation.

We risk assessed 140 people over the two days, with 95 people referred to their GP (68%). There was also a Dietician on the Roadshow who was able to provide guidance on diet to either reduce the risk of developing diabetes as well as providing helpful tips to either Type 1 and Type 2 diabetics.


February 2015g

ORAL MEDICATIONS
Presenters: Lauren Smith, Lorraine Wensor, Jayne Draper

The main theme of our February meeting was to look at Diabetic Oral Medication and what additional support is available to diabetics locally who are struggling to manage their diabetes and administering their medication

We were joined by Lorraine Wensor and Lauren Smith, both Specialist Diabetic nurses and Jane Draper a Senior Diabetic Support Worker

The presentation started with an explanation of the underlying pathology behind diabetes and the difference between Type1 and Type2. We learnt that Type1 diabetes tends to come on early in life as a result of the body not producing insulin. Type2 diabetes comes on later in life and is usually attributed to a reduction in insulin production and the body’s cells not being as efficient at absorbing insulin from the blood stream as it once was.

We learnt about some of the oral medications that are available and how they work on the body to combat high sugar levels. The main oral medication discussed was Metformin – this is the most common medication prescribed for diabetes not just because it’s very effective on reducing sugar levels, but it has also shown to provide some protection to the heart.

Metformin helps the body to absorb insulin better – the presenters used the analogy of our cells becoming like a rusty lock. Because they have become rusty they are not as efficient at opening the cell up and absorbing insulin from the blood stream.

One of the other medications discussed was Gliclazide. This medication is designed to encourage the pancreas to increase its output of insulin.
Getting the balance right between these types of medication can be tricky and may require trial and error.
If a patient isn’t able to manage their diabetes using a combination of the above they may be prescribed insulin injections?

Managing diabetes isn’t just about medication – it’s also about managing diet and taking exercise.

To help manage our diets better we were advised to take into account the following Top 10 Tips:

Eat 3 meals a day .... Include some starch in each meal
Cut down on high fat foods (cheese and animal fats)
Increase fruit and veg in our diets (5 to 7 per day)
Include beans and lentils
Increase Omega 3 fish oil
Reduce sugar – be careful when buying proceeded food.
Reduce salt intake to 6g a day
Reduce alcohol intake and don’t drink on an empty stomach
Avoid diabetic foods such as chocolate and jams

Finally Jane Draper discussed the importance of varying injection sites for those taking insulin. She suggested rotating injections around the belly-button like a clock. Starting at the twelve midday position and moving around until back at the 12.00 midday position again. She also advised injecting into the upper thigh and the lower part of the upper arm.

Jane explained that she is available to visit patients in their homes to evaluate their difficulties in managing their diabetes and can also provide practical advice on administering insulin – this service is available to anyone in Northamptonshire but needs a GP referral.

There are a number of tools available from the Diabetes UK, Wellingborough Group that can help you assess your risk factors; these include:
  • Diabetes Risk Score Sheet
  • Are you at risk of developing Type 2 diabetes leaflet?
  • Pre-Diabetes Self-referral – see below.
If you live within the Northamptonshire area you can refer yourself for a free consultation with the Northants Diabetes Multi-disciplinary Team. You can contact them on 01327 708113 or email diabetes.northants@nhs.net

Here are some Pics taken during the meeting:

After the Meeting our ChairPerson Mariam presenting Thank You Cards and Bouquets of Flowers
to our Guest Speakers Jayne Draper, Lauren Smith and Lorraine Wensor on behalf of all of our Members.

BACK


CONTACT US
wellingboroughdiabetesgroup@yahoo.co.uk
Ph: 01933 385175 Mobile: 07446 173 088


ChairPerson : Mariam Agha MSc. MBPsS           Treasurer : Sunil Panchal           Secretary: Zain Agha PhD