One of the most important aspects of diabetes management is to maintain a healthy body weight. Being overweight not only increases your risk of heart disease, stroke and some cancers, it also makes your diabetes harder to manage. Small changes in your diet such as reducing your portion sizes and swapping to low-fat dairy products can help you to achieve a healthy body weight and manage your diabetes.
This cross-sectional observational study used two surveys (see Multimedia Appendices 1 and 2), one for people with diabetes attending a secondary care diabetes outpatient clinic and the second for HPs (who treat people with diabetes) attending a national diabetes conference. Both surveys were multi-choice format, collected, and managed using REDCap electronic data capture tools. REDCap (Research Electronic Data Capture) is a secure, Web-based app designed to support data capture for research studies [24]. The survey questions were derived from criteria in the Mobile app rating scale [25] to address attitudes and practices of both the people with diabetes and HPs. The list of apps was compiled by searching Apple and Android App stores and included the first consecutive ten diabetes apps. We eliminated any apps not specific to diabetes by reviewing app store descriptions. We reviewed the main features from these apps to develop the list of app features. The patient survey asked responders to select any useful app features from a list. Responders could select more than one useful app feature. The HP survey listed app features and used a scale to assess usefulness of app features (from 1 [not at all useful] to 5 [extremely useful]) and their confidence in recommending apps (from 1 [not at all confident] to 5 [extremely confident]).
The American Diabetes Association launched its first official blog today to help put a face on a disease that kills more people each year than breast cancer and AIDS combined.  The blog, called Diabetes Stops Here: Living with Diabetes; Inspired to Stop It, aims to document the Stop Diabetes® movement by reaching and engaging the 23.6 million Americans living with diabetes as well as the 57 million who are at risk for developing type 2 diabetes. 
Sexual problems are common in the general population but people with diabetes are at an increased risk. The biological effects of diabetes can affect both men and women although the correlation between diabetes and sexual function in women is poorly understood. It is important to ask both male and female patients if they are experiencing any issues regarding their sexual functioning.
Overall, all five potential app features were considered useful, with more than 60% of responders selecting that these features were useful, very useful, or extremely useful on the scale of scale 1 (not at all useful) to 5 (extremely useful). Equally, the mean usefulness score was higher than 3 for all 5 features. Blood glucose and carbohydrate intake diaries were rated as being the most useful app feature (Figure 1), with the highest mean score of 3.64 (SD 0.948) for usefulness (Table 7).
The good news is that there are things you can do to prevent these diabetes-related problems, no matter your age. Taking action now will help with your later years, so you can live a healthy life and see your grandchildren grow into beautiful and healthy men and women. And, it’s the perfect time to think about this because National Grandparents Day is on Sunday.
Before my type1 insulin dependent diagnosis, I had a pancreas that worked, going out for dinner was ...really exciting. I didn’t even know what type one autoimmune disease was. Id pick whatever I wanted from the menu. Didn’t think of my blood sugars at all! Sitting at the table and I would drink my drink without a thought of what it will be doing when the drink rushes into my blood stream. I wouldn’t be calculating in my head if carbs totals and portion sizes are going to bring me into hyper or hypoglycaemia . I wouldn’t be hoping that the exercise id just done before going to the restaurant will change my blood glucose reading....Now....my pancreas hasn’t worked for 11years and while everyone’s chatting away at the table I’m half there in mind and half of me is not living in the moment of enjoying myself because I’m caught up in the complete intensity of trying to deal with my type one condition. Very overwhelming and my mind plays a 🤹‍♂️ juggling game where One ball is exercise, one ball is long and Quick acting insulin and one ball is carbs/food portion. Also, my will power either is good or it’s shocking. The others get their big portions while I’m still at bg testing stage and haven’t injected for the meal yet!! Everyone is trying each others food next to me and across the table. I have invisible blinkers on my eyes so I’m not aware of food sharing that’s going on. Once my food arrived it’s then that I can calculate how many units of my insulin that I inject depending on how many carbohydrates in the meal , making sure I inject in a different area to my lunchtime injection. Finally I begin to eat and the other people are almost finished their meal!!! I am a type one hero in more ways than one. See More
Results The reduction in HbA1c at nine months was significantly greater in the intervention group (mean −8.85 mmol/mol (standard deviation 14.84)) than in the control group (−3.96 mmol/mol (17.02); adjusted mean difference −4.23 (95% confidence interval −7.30 to −1.15), P=0.007). Of 21 secondary outcomes, only four showed statistically significant improvements in favour of the intervention group at nine months. Significant improvements were seen for foot care behaviour (adjusted mean difference 0.85 (95% confidence interval 0.40 to 1.29), P<0.001), overall diabetes support (0.26 (0.03 to 0.50), P=0.03), health status on the EQ-5D visual analogue scale (4.38 (0.44 to 8.33), P=0.03), and perceptions of illness identity (−0.54 (−1.04 to −0.03), P=0.04). High levels of satisfaction with SMS4BG were found, with 161 (95%) of 169 participants reporting it to be useful, and 164 (97%) willing to recommend the programme to other people with diabetes.
Pre-diabetes and type 2 diabetes are at epidemic proportions in New Zealand with the Auckland region over represented in certain populations. This programme works with those who have the highest rates of pre-diabetes and type 2 diabetes in Auckland creating that awareness and preventing diabetes where possible that is needed on a more intimate level within the community.
Along with a long list of other complications, gum disease can result from diabetes that is not properly controlled. The two main forms of gum disease are gingivitis and periodontitis. With gingivitis, the gums become red and swollen and may easily bleed. If not treated, this milder form of gum disease can become full-blown periodontitis, which is where the gums pull away from the teeth and infection takes a firm hold, leading to bone, tissue and tooth loss.
A total of 793 individuals were referred to the study and assessed for eligibility between June 2015 and November 2016. Of these, 366 were randomised to the intervention and control groups (n=183 each; fig 1). The final nine month follow-up assessments were completed in August 2017, with loss to follow-up (that is, no follow-up data on any outcome) low in both groups (overall 7/366=2%). A total of 12 participants (six per group) were excluded from the primary outcome analysis because of no follow-up HbA1c results after randomisation. Baseline characteristics of participants are presented in table 1, and no adverse events were recorded from the study or protocol deviations.
The average reduction of 4.2 mmol/mol (0.4%) in HbA1c seen in this study did not reach the level chosen to signify clinical significance in the initial power calculation (5.5 mmol/mol (0.5%) reduction in HbA1c). Therefore, this study is unable to conclude that the effects of the SMS4BG intervention are clinically significant. Although further investigation is needed, we believe the results have the potential to still be clinically relevant in practice, particularly among individuals with high levels of HbA1c, such as the participants with poorly controlled diabetes in this study. The unadjusted group difference on change in HbA1c from baseline was −5.89, −3.05 and −5.24 mmol/mol at three, six, and nine months, respectively. The main analysis, with adjustment for baseline value and stratification factors, showed a smaller treatment effect, although both results were significant at three and nine months. Similar results were found across major subgroups of interest despite the fact that these analyses were not specifically powered. These consistent findings led us to believe that the intervention shows promising effects on treating people with poorly controlled diabetes and warrants further investigation.
I am passionate about diabetes education, so when you purchase from the Diabetes Depot, you also have at your disposal the resources of a pharmacist, a Certified Diabetes Educator and a fellow pumper. I am a member of a Peterborough Family Health Team, where I have the opportunity to help clients manage their diabetes. I have given many lectures on the management and prevention of diabetes complications to both patient groups and health care professionals throughout Canada, and am the proud recipient of numerous awards for this work. I hope my effort to provide lower-cost insulin pump supplies to Canadians will help you, and I again invite you to contact me with your specific diabetes questions.
Understanding how food affects blood sugar level and constantly monitoring it is a way of life for those with diabetes. This largely involves the balance between the amount of insulin currently in the body at any given time and how the foods we eat change that it. At center stage for this daily drama are carbohydrates. Knowing the difference between how the various types of carbohydrates are processed by the body is key to maintaining blood sugar levels. (more…)
“It was fantastic for me to have all this information on the screen so I didn’t need to look it up. It means that I can see the latest results and any patterns that emerge on screen, without having to look them up, and yet I can interact with Ellen and the patient as I have a really good picture and good sound. At first, I was worried that the telehealth clinic would be too impersonal but it isn’t and the patients get quickly familiar with the setup and seeing and talking to me onscreen.”
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