Diabetic Living: 10 Ways to Protect Your Heart

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CONTENTS
MAR-APR 2017
FEATURES
THRIVE
14 10 ways to protect your heart The good news is
that staying heart-healthy can be fun. 17
automated insulin delivery, you need to know The
FDA has approved the first hybrid closed-loop
system, formerly called the artificial
pancreas. 20 new diabetic medication Different
medicines on offer for the treatment and control
of diabetes. 24 online session with A
doctor Interview with Dhruv Suyamprakasam,
founder and CEO of iCliniq.
WELLBEING
28 human embryonic cells for diabetes Treatments
associated with stem cells have been gaining
immense popularity. Heres how that works... 32
declutter your path to better health How to
target problem areas where clutter gets in the
way of your diabetes management goals? 37 the
bone of contention Conditions of bones may
deteriorate when coupled with diabetes. 40 low
sperm count concern Half of the infertility cases
in India are because of the quality of sperms in
men
DiabeticLivingOnline.in
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CONTENTS
MAR-APR 2017
FOOD
FITNESS
66 WHATS IN SEASON ASPARAGUS This low-carb,
versatile vegetables folate content may help
lower your risk of heart disease, and its fibre
keeps your gut in good health. 72 TABLE FOR TWO
ITALIAN Our made-over classics are light in
calories and carbohydrate but full of flavour in
every bite. 76 A HEALTHY CATCH Youll 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
SHUFFLE Made with rich dark chocolate, just one
truffle will satisfy a sweet craving.
44 HEALING GLUTEUS MAXIMUS The biggest of your
three butt muscles may be responsible for your
lower back issues. 48 NEW EXERCISES FOR THE
SEASON Its time to get fit with the latest
fitness regimes.
NUTRITION
54 NAVIGATING THE NEW NUTRITION LABEL As the
nutrition facts label receives a makeover, get
the dish 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-3 Omega 3 fatty
acids are one of the most essential nutrients for
the development of the human brain and body 62
TELL ME WHAT TO EAT A nutritious way to cut
calories is the editerranean diet, one of the
three dietary plans approved by the USDA.
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ASK YOUR EXPERT
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 youre taking insulin shots,
you may need to check more frequently, depending
on your physicians instructions.
Q1
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)
If you are on oral medicines you may test your
blood sugar less frequently, but not so if youre
on insulin.
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.
Q2
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It is part of the cure to want to be
cured. Roman philosopher Seneca
MANAGE
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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
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TECHNOLOGY
Automated Insulin Delivery What You Need to Know
The FDA approved the first hybrid closed-loop
system, formerly called the artificial
pancreas. To know more visit subscribe latest
issue www.tcg.media/
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YOU ASKED WE ANSWERED
HOW MUCH DOES IT COST?
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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.
MINUTES WITH COURTNEY LIAS
DL Describe your job? CL Im 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.
LIADL The FDA approved Medtronics 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.
Were willing to do that with the other
companies, too. DL Why call them AIDs? CL
Everyone has different expectations for the term
artificial pancreas. AID is more of a
description of what they do.S
WILL IT BE COVERED BY INSURANCE?
Medtronic is working with payers to get the AID
covered. Well know more when Medtronic releases
the product.
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.
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.
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NEW DIABETIC
MEDICATIONS
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.
What are the different medicines on offer for the
treatment and control of diabetes? Our expert
lays down
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WELLBEING
Recognizing that you are not where you want to
be is a starting point to begin changing your
life.
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THE BONE OF CONTENTION
Conditions of bones may further deteriorate when
coupled with diabetes. Its important to keep
them healthy for a smooth life.
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FITNESS
Its not what we do onceits what we do once a
dayday in and day outevery day that brings
lasting change into our lives.
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New EXERCISES FOR THE SEASON
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NUTRITION
Life is too short not to eat raw and its even
shorter if you dont.
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IS YOUR ORGANIC PURCHASE SAFE ?
FATTY ACIDS
NAVIGATING THE NEW NUTRITION LABEL
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FOOD
Pull up a chair. Take a taste. Come join us.
Life is so endlessly delicious.
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Grilled Asparagus-Onion Crostini
Asparagus WHATS IN SEASON
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White Bean Ragout,
TABLE FOR ITALIAN
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A Healthy CATCH
A BETTER SEAFOOD BOIL New Englands favourite
backyard party starts with heaps of seafood and
veggies thrown into one big pot over the fire.
Heres how to do it right.
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