Wishing you the Season’s greetings.

                                   From the  

ALL WALES DIABETES PATIENTS REFERENCE  GROUP

NEWSLETTER FOR PEOPLE LIVING WITH DIABETES |Issue December 2020.


 
Season’s Greetings

I hope that you are all keeping well

This year has been a challenge for all of us who live with Diabetes during the Covid 19 Pandemic

As Christmas approaches, we are looking forward to spending some time with our Families, perhaps for the first time in a while.

It us remember all those Healthcare Professionals who have worked tirelessly to look after people who have developed Covid 19 and yet have continued to provide us with our Diabetes Care in these challenging times.

We have received care in a very different way to what we have previously been used to.

We also remember all those Social Care workers who provide care in Nursing and Residential Homes and those who provide care in individuals homes.

Carers who look after family members on a daily basis all year round.

I hope that all Children with diabetes and their families have a Fun Christmas and Santa brings them the things they have asked for.

I would like to wish you and your Families Seasons Greetings and hope that you all have a Happy and Healthy New Year in 2021.

Stay Safe

Wendy Gane MBE Chair AWDPRG                                                                                                                                               

Looking after your diabetes during the COVID-19 pandemic

Some diabetes services have been disrupted during the COVID-19 pandemic. The following is to help you look after yourself during this time.

 

 

 

 

Looking after yourself

 

Keep well by taking your usual medication as prescribed, following a healthy diet and taking regular exercise if you can, these are the most important things to do for your health.

 

Reduce your risk of catching COVID-19 infection by following all the local rules,

Frequent hand washing, maintaining social distancing and wearing a mask.

(see diabetes, org.uk/coronavirus for guidance)

 

Make sure you have a FREE influenza (flu)vaccine

This is really important to protect you from Flu at a time when COVID-19 is also a health risk.

This cab be arranged at your GP surgery.

 

This is a time of high stress and anxiety

Resources to help with this may be found at

This Food Factsheet is a public service of The British Dietetic Association (BDA) intended for information only.

It is not a substitute for proper medical diagnosis or dietary advice given by a dietitian. If you need to see

a dietitian, visit your GP for a referral or: www.freelancedietitians.org for a private dietitian. To check your

dietitian is registered check www.hcpc-uk.org

 

www.diabetespsychologymatters.com

 

BAME T2 Community Introduction

  www.medic.video/cv-bame

         BAME Helpline Wales is now open:  Mon - Fri 10:30am - 2:30pm

         Helpline advisors can provide information in:  By visiting the website:  www.bame.wales

    Call                           ­

0300 2225720                     Text 07537432416

 

 Seeking Help

 

Know when to call for help and who to call.

Both Primary care services and secondary care services are open for those who need it and changes have been made to make it safe to attend.

 

 Local Contact. Seek Help on this   contact number if

Your glucose levels become persistently higher than usual

You have frequent or recurrent hypoglycaemia (glucose levels below 4mmol/l.)

You are planning a pregnancy or are Pregnant

 

and are insure what to do about your diabetes medication.

 

 

Urgent Help required if you:

  are vomiting or unable to eat

  feel unwell

  become drowsy or breathless

  have abdominal pain

 have significant ketones

 

Contact your GP, NHS111 or in case of an emergency dial 999

 

 

  Using web addresses 

This Food Factsheet is a public service of The British Dietetic Association (BDA) intended for information only.

It is not a substitute for proper medical diagnosis or dietary advice given by a dietitian. If you need to see

a dietitian, visit your GP for a referral or: www.freelancedietitians.org for a private dietitian. To check your

dietitian is registered check www.hcpc-uk.org

                The symbol on the left   indicates where there is a web address for more information on the

           internet. Follow these steps to find the internet pages.

          Go to your internet homepage (Google chrome, e- explorer, Microsoft edge, Safari)

         Type the web address (exactly as it is written) Press the "enter" key on your keyboard

          REMEMBER, your local authority is there to help you too

               Examples include; access to food, collecting medicines   or support from voluntary groups.

               A list of telephone numbers for local authorities is attached.

          See the Welsh Government website at

          gov. wales/help-vulnerable-local-authorities- and-voluntary-groups.

         Looking after your eyes

         Diabetes Eye Screening Wales (DESW) is restarting.

         If you have a concern about your vision, please either contact your GP, your optician or your

         local eye emergency department.

This Food Factsheet is a public service of The British Dietetic Association (BDA) intended for information only.

It is not a substitute for proper medical diagnosis or dietary advice given by a dietitian. If you need to see

a dietitian, visit your GP for a referral or: www.freelancedietitians.org for a private dietitian. To check your

dietitian is registered check www.hcpc-uk.org

         www.phw.nhs.wales/services-and- teams/screening/diabetic-eye-screening-wales/

         screening-during-the-coronavirus-pandemic

 

              Pocket Medic Films

         Short films made in Wales by people with diabetes and

   their healthcare professionals. They help to support you with various aspects of your     diabetes.

This Food Factsheet is a public service of The British Dietetic Association (BDA) intended for information only.

It is not a substitute for proper medical diagnosis or dietary advice given by a dietitian. If you need to see

a dietitian, visit your GP for a referral or: www.freelancedietitians.org for a private dietitian. To check your

dietitian is registered check www.hcpc-uk.org

             Pre-diabetes www.medic.video/cv-pre Type 1 Diabetes www.medic.video/cv-type1

            Type 1 Teenagers   www.medic.video/cv-t1teen Type 2 Diabetes www.medic.video/cv-type2

             Gestational Diabetes www.medic.video/cv-gest   

 This information is provided to update you of policy on COVID-19 vaccination in the UK.

        It was announced on 2nd December that the Pfizer-BioNTech vaccine has been

       approved and will be being distributed across the UK as I write.

        The vaccine appears to be safe and well-tolerated, and there were no

        clinically    concerning safety observations. The data indicate high efficacy in all age    

        groups (16 years and over), including encouraging results in older adults.

        While there is some evidence to indicate high levels of short-term 

        protection from a single dose of vaccine, a two-dose vaccine schedule is currently advised

        in accordance with regulatory approval.  

         Vaccine priority groups: advice on 2 December 2020

        It is not possible to provide the vaccine to everyone at the same time so a priority list of groups

        has been devised as set out below:

  1    Residents in a care home for older adults and their carers

       2    All those 80 years of age and over

   Frontline health and social care workers

  3    All those 75 years of age and over

       4    All those 70 years of age and over

   Clinically extremely vulnerable individuals*

             All those 65 years of age and over

       6    All individuals aged 16 years to 64 years with underlying health conditions which

             put them at higher risk of serious disease and mortality

       7    All those 60 years of age and over

       8    All those 55 years of age and over

       9    All those 50 years of age and over

·        This advice on vaccination does not include pregnant women and those under the age of 16 years (see above)

          Other vaccines in development

          Other COVID-19 vaccines are in development, with some in late-stage trials.

          When sufficient data on vaccine safety and efficacy are available, these will be 

          Considered and the above details will be updated.

             At Christmas we’re often surrounded by masses of delicious food and drink. While there is no reason to feel guilty about enjoying yourself, it’s

worth remembering that, on average, people gain from1-5lbs (1-2.5kg) over this holiday period. But don’t despair, you can enjoy yourself and make healthier choices too




Try breakfast cereals, porridge, wholegrain bread/rolls, English muffins, scones, malt loaf, fruit bread and

bagels which are all good sources of energy to help get you through a busy morning and they’re all low in fat

too. Choose wholegrain varieties whenever possible to ensure a good fibre intake to keep you feeling full, so

you are less likely to snack throughout the morning. Adding fruit will boost your 5-a-day target, why not try

seasonal citrus fruit like satsumas and clementines, or stewed or baked apples with fresh/dried dates, figs

or cranberries. You could add a small 150ml glass of fruit juice or a fresh fruit smoothie. Vegetables such as

mushrooms or grilled tomatoes are tasty on toast or in an omelets and baked beans also count as one of

your 5-a-day! Fruit and veg are a great source of both

vitamins and low-fat yoghurt or milk (or non-dairy alternatives fortified with calcium e.g., soya or coconut milk) on cereal, to make porridge or added to a smoothie will give you calcium for strong teeth and bones.

Christmas meal

Starters Try smoked salmon, which is a good source of omega-3 fatty acids, needed to keep your heart healthy; melon or vegetable soup a further boost to your 5-a-daytarget.

Main course Turkey is low in fat and high in protein (helps your body grow and repair) so enjoy it.

Most of the fat is present in a cooked turkey will be found just under/ in the skin. Why not take the skin off before you tuck in? A side of salmon is also a great alternative to meat. If you are a vegetarian try a roasted vegetable medley with added nuts, seeds, beans or pulses for protein.

All the trimmings: Roast potatoes Use unsaturated vegetable oil like rapeseed or sunflower oil rather than goose fat or lard; try using a spray or brush which spreads less fat further and roast on a non-stick tray/foil. Cut the

potatoes into large chunks, as these absorb less fat than smaller ones. Fill up on vegetables Aim to cover at least

a third of your dinner plate with a variety of vegetables, such as unbuttered Brussels sprouts, peas and carrots which are all rich sources of vitamins, minerals and fibre to help protect against heart disease

and cancer. Cook for the shortest length of time possible in the smallest amount of water necessary, steam or microwave to keep all the nutrients in. As long as they are not covered in butter or any other fatty spreads, all vegetables are low in calories and fat and contribute to your 5-a-day.

Gravy, stuffing and sauces Use a chestnut and/or fruit-based stuffing and make bread sauce with low-fat milk. When making gravy why not use the water from your cooked vegetables? If using meat juices, let the Fat rise to the surface, then skim it off and use what’s left behind.

Pigs in blankets If you can’t resist these, grill or roast alongside your meat instead of frying so you can throw

away the extra fat.

Dessert Christmas pudding is packed with fruit and quite low

in fat, so to keep it this way, serve with low-fat custard

or crème fraiche. You could also prepare a fresh fruit

salad and serve with natural yoghurt. Homemade

mince-tarts with filo pastry are just as tasty as mince

pies with less pastry, so less fat!

Cheese and crackers

Cheese is creamy so you won’t need butter and a stronger cheese means you can go for a smaller portion. Lower-fat options include Edam, goats’ cheese, camembert or Danish blue. Choose wholegrain crackers or oatcakes.

It’s usually all the little extras that pile on the calories...Alcohol

Remember, drinks have calories too. Why not alternate your alcoholic drinks with non-alcoholic ones (remember if you are having fizzy drinks choose sugar free or diet varieties), or even better, offer to drive and

don’t drink alcohol. Try sparkling water with a few slices of seasonal fruit, or warm through some unsweetened

apple juice with spices for a non-alcoholic warm drink. Always have a jug of water on the table at mealtimes.

Snacks With all the tasty snacks around at Christmas it’s easy to over-indulge. So, if you can, keep tempting treats out of sight and make sure you have healthy options to hand.

Above all enjoy yourself!

Don’t forget that being active will help you work off those extra calories. Why not dance the night away around the Christmas Tree  and on Christmas day, wrap up warm and go for a walk after lunch.

Summary Christmas is a wonderful time to eat, drink and be merry - following these tips will help you have a good time without overindulging. After your main meal, go for a brisk walk to burn off the extra treats you couldn’t resist.

This Food Factsheet is a public service of The British Dietetic Association (BDA) intended for information only. It is not a substitute for proper medical diagnosis or dietary advice given by a dietitian. If you need to see a dietitian, contact Diabetes Specialist Nurse or your GP for a referral.     

 

   Chair of the All-Wales Reference group 

 Ms. Wendy Gane MBE

 Wendygane@gmail.com

 

 Deputy Chair Mr Rob Lee            

 Roblee7@btinternet.com

 

Newsletter Editor Mrs Yvonne Johns

Yvonne.johns@qteds.org.uk

 

 

 

 

 

 

 

 

   

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