diabetic living: 10 ways to protect your heart

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MAR-APR 2017CONTENTSFEATURES THRIVE14 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.WELLBEING28 human embryonic cells for diabetesTreatments associated with stem cells have been gaining immense popularity. Heres 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 men

DiabeticLivingOnline.in

MAR-APR 2017CONTENTSFOOD 66 WHATS IN SEASON: ASPARAGUSThis 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: ITALIANOur made-over classics are light in calories and carbohydrate but full of flavour in every bite.76 A HEALTHY CATCHYoull 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 SEASONIts 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

Q2I 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.If you are on oral medicines you may test your blood sugar less frequently, but not so if youre on insulin.

It is part of the cure to want to be cured.Roman philosopher SenecaMANAGE10 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

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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. AIDis more of a description of what they do.SDL: 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. 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 WEANSWEREDMINUTESWITHCOURTNEY LIASHOW 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. Well 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.

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NEW DIABETICMEDICATIONS What are the different medicines on offer for the treatment and control of diabetes? Our expert lays downDiabetes 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. Its important to keep them healthy for a smooth life.

Its not what we do onceits what we do once a dayday in and day outevery day that brings lasting change into our lives.FITNESS

NewEXERCISES FOR THE SEASON

NUTRITION

Life is too short not to eat raw and its even shorter if you dont.

NAVIGATING THE NEW NUTRITION LABEL

FATTY ACIDSIS YOURORGANICPURCHASE SAFE ?

Pull up a chair. Take a taste. Come join us. Life is so endlessly delicious.FOOD

Asparagus WHATS IN SEASON

Grilled Asparagus-Onion Crostini

TABLE FOR ITALIAN

White Bean Ragout,

A HealthyCATCH

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.