DiabetesNov.14.12(Final)

7/29/2019 DiabetesNov.14.12(Final)

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SpcalWorld Diabetes Day

w e d n e S d AY , n o v e m b e r 1 4 , 2 0 1 2 section cDA

An informAtion feAture for CAnAdiAn diAbeteS ASSoCiAtion

ltimately, the great hopeor millions o people liv-ing with diabetes is a cure.

A cure would mean reedom tolive healthy lives ree rom theeects o diabetes and to enjoymany o the everyday thingsthat some Canadians take orgranted, says Michael Cloutier,president and CEO o the Cana-dian Diabetes Association.

Across the country, the Cana-dian Diabetes Association is lead-ing the ght against diabetes byhelping people with diabetes live

healthy lives while it works to nda cure. The Association provideseducation and services, advocateson behal o people with diabetes,supports research and translatesresearch into practical tools todeliver on its mission.

In act, more than nine millionCanadians are currently livingwith diabetes or prediabetes, andi trends continue, that numberwill continue to climb rapidly.According to Dr. Jan Hux, chiescientic advisor or the Associa-tion, an analysis conducted in On-tario in 2005 showed an alarming68 per cent increase in individualsliving with diabetes over a 10-yearperiod, ar exceeding predictions.Another study ound that almost70 per cent o the provinces

population had at least one majorrisk actor or the disease.Diabetes is a silent epidemic

that imposes a tremendousburden on the health o Canadi-ans and has the real potential tothreaten Canadas uture prosper-ity. In 2010, the disease cost about$11.7 billion and the CanadianDiabetes Association projectsthat cost will rise to $16 billion by2020. It threatens the sustain-ability o our health-care systemand could be potentially devastat-ing in both social and economicterms, says Mr. Cloutier.

The aging o Canadas popula-tion is one demographic driver orincreases in the number o peopleliving with diabetes, and improve-ments in lie expectancy or

people with diabetes are anothercontributor. But more so, it is thebehavioural changes o contem-porary society that are a catalyst

or increased risks such as a moresedentary liestyle, explains Dr.Hux.

Recent studies indicate thatthe neighbourhoods we live inare also an important but otenoverlooked risk actor. Researchconducted at St. Michaels Hos-pital in Toronto, or example,ound that residents o suburbanneighbourhoods, where thereis nowhere to walk to and youreorced to be dependent on a car,have a 50 per cent higher risk odiabetes compared with residents

o the most walkable neigh-bourhoods, says Dr. Hux. Otherresearch indicates that workplacestress and lack o job control arecontributing actors to diabetesrisk in working-age women.

Mr. Cloutier stresses thatsocioeconomic status and wherepeople live in Canada still signi-cantly aect the ability o thosewith diabetes to manage thedisease. Aordability and accessto diabetes medications, devices,supplies, public services and pro-grams varies considerably acrossprovincial jurisdictions, he says.Diabetes education, which isabsolutely critical or eectivesel-management, is not uniormacross jurisdictions, much less theentire country.

Next March, the Associationwill release its updated clinicalpractice guidelines, integratingand distilling the best and mostcurrent research evidence abouttreating diabetes. This will helpguide health-care proessionals intheir patient care rom screen-ing, prevention, diagnosis, care,management and education ortype 1, type 2, gestational diabetesand prediabetes. But tackling theburden o diabetes also requiresa signicant shit in governmentand private sector involvement,as well as widespread individualand societal change, says Mr.Cloutier.

Transorming health care de-livery rom an acute-care modelto a chronic-care ramework

presents an enormous chal-lenge to policy-makers workingto reduce health-care spending,says Dr. Hux. But ignoring the

challenge may actually cost more,she adds. We currently have agreat sickness-care system. Butor someone with diabetes, thereis no way that the appropriateacute care, prevention issues andattention to all o the risk actorsthat lead to complications canbe addressed in the typical brieprimary-care visit.

Policy changes can also helpimprove outcomes by ensuringaccess to medications, she says.Drug therapies or managingblood glucose, cholesterol and

blood pressure work togetherto reduce the complications odiabetes, but a recent survey sug-gested that 58 per cent o peoplewith diabetes skipped medicationbecause they cant aord it.

The good news is that it ispossible to reduce the impact odiabetes and increase the qualityo lie and lie expectancy orpeople living with the disease.In act, about 80 per cent odiabetes costs are attributableto its devastating complications,which include amputations,blindness, kidney ailure, heartattack, stroke, joint problems andinections. With recent advancesin treatment, these complicationsare largely preventable today. Imanaged correctly, under the su-

pervision o a proessional health-care team, people with diabetescan lead healthy and productivelives, Mr. Cloutier notes.

We are closer to nding a curethan ever beore, and that wouldchange the world or absolutelyeveryone, he adds.

Tim Potter

Living with diabetes for 19 years

Share your story & winat whatacuremeans2me.comcure

What would a

mean to you?for diabetes

We currently havea great sickness-caresystem. But for someonewith diabetes, there is noway that the appropriateacute care, preventionissues and attention toall of the risk factors thatlead to complicationscan be addressed in thetypical brief primary-carevisit.

Dr. Jan Huxis the chie scientifc advisor or theCanadian Diabetes Association

about

November is DiabetesAwareness Month:What would a cure meanto you?

With more than nine millionCanadians living with diabe-tes or prediabetes, chancesare, many Canadians knowsomeone living with thedisease.

To mark Diabetes Aware-ness Month, the CanadianDiabetes Association is in-troducing the What a CureMeans to Me campaign.The goal? To give a voice topeople living with diabetesin communities all over thecountry.

Getting involved in thecampaign is easy. Visitwww.whatacuremeans2me.comto register, and post a storyrom October 10 to November30, 2012, to be eligible to wina dream vacation or otherexciting prizes courtesy othe presenting sponsor. Fam-ily and riends can show theirsupport by sharing postedstories with their online com-

munities and by making adonation.Across the country, the

Canadian Diabetes Associ-ation is leading the ghtagainst diabetes by helpingpeople with diabetes livehealthy lives while we workto nd a cure.

For more inormation, visitwww.diabetes.ca,join us o n www.acebook.com/CanadianDiabetesAssociation,ollow us on Twitter@DiabetesAssoc, or call1-800-BANTING (226-8464).

Canadian pharmacies provide accessible diabetes risk assessment,care support. Page CDA 2Diabetes research initiatives underway show promise of preventingamputations and depression in people with diabetes. Page CDA 4

Does where you live increase your risk of diabetes? Page CDA 6

D-Camps provide memories, education to kids with diabetes.Page CDA 11

INSIDE

oNlINE?

To share your story and connectwith other people living withdiabetes, visitwww.whatacuremeans2me.com.

Ti rprt wa prdcd b RandaAntn Cmmnicatin Inc. (www.randaantn.cm) in cnjnctin wit t adrtiing dpartmnt T Gb and Mai. Ricard Dacn, Natina Bin Dpmnt Managr, [email protected].

2000: 4.2%

2012: 7.6%

2020: 10.8%

2000: $6.9 biin

2010: $11.7 biin

2020: $16 biin

2000-2010: 103%

2010-2020: 57%

2020-2030: 220%

of diabetes in Canada

of diabetes in Canada of diabetes in Canada(Prcntag diabt pranc incra)

The cost

The prevalence The rise

$1,900

9,000,000

1 in 3

Average annual

cost of diabetesper Canadian

Canadians livewith diabetes or

prediabetes

More than

Canadians will be

living with diabetes

or prediabetes

by 2020

Picture of an epidemic

souRCe: CANADIAN DIABeTes AssoCIATIoN


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s the demand or chronicdisease care increases,the Canadian Diabetes

Association, health-care proes-sionals and the private sector arecollaborating to bring diabetesprevention, education and treat-ment closer to home.

Constant monitoring and vigi-lance is needed to keep diabetesunder control. People with thedisease have to balance their oodintake and regular physical activ-ity with medication or insulininjections in order to reducetheir risk o developing visionloss, nerve damage, circulationproblems and lie-threateningheart disease. Understandably,they need all the assistance they

can get rom their health-careproessionals.That critical need is the reason

why Loblaw Companies Limitedhas partnered with the CanadianDiabetes Association to supportthe more than nine million Cana-dians with diabetes or prediabetesso they can manage their diseasein the community and to help toidentiy the estimated one mil-lion Canadians who are unawarethat they are living with type 2diabetes.

In 499 pharmacies located inLoblaw grocery stores (Zehrs, RealCanadian Superstore, AtlanticSuperstore and norills, amongothers), pharmacists engage cus-tomers who have been diagnosedwith or who may have risk actors

or diabetes, such as being over40, overweight and having a am-ily history o the disease.

The pharmacists may oer toperorm a complimentary riskassessment. I the risk is moder-ate to high, the pharmacist willencourage the customer to talkto his or her doctor about gettingtested or diabetes. Since 2011,more than 20,000 Canadianshave participated in the outreachprogram.

The best part is that thosecustomers can continue to stopby and speak to our pharmacistsor registered dietitians in privatepatient counselling rooms orongoing support, says DeanMiller, vice-president o pharmacyoperations, health and wellness

or Loblaw Companies Limited.

Loblaw has scheduled two spe-cial events in the coming weeksto help shoppers learn aboutdiabetes. On November 10, incollaboration with the CanadianDiabetes Association, dietitians inmore than 100 grocery stores willconduct Grocery Cart Checkups,engaging customers to talk aboutwhat they have in their carts, dis-cuss choices based on CanadasFood Guide and encourage themto try new oods. For example,

we hope to show shoppers the

dierences in nutrients betweenwhite and whole-grain bread, andhigh- and low-sodium content inoods, using the nutrition actstables on ood products, saysAlexis Williams, a registered di-etitian and director o health andwellness or Loblaw.

On the evening o November14, which is World Diabetes Day,ches in 110 Presidents ChoiceCooking Schools will preparediabetes-riendly holiday dishes,

such as sweet potato stacks,chicken mushroom rolls andpoached pears with crumble andcream.

Also starting in November, Lo-blaw will oer diabetes inorma-tion sessions in select commu-nity rooms across the country incollaboration with the CanadianDiabetes Association. Topics

include blood glucose monitor-ing, living well with diabetes andhealthy eating. The Associationis eectively collaborating withLoblaw to help support peopleliving with diabetes to bestmanage the disease, says KerryBruder, regional director or theCanadian Diabetes Association.

ince Geetha Aingaranwas diagnosed with type1 diabetes ve years ago,

shes had to careully track thenumber o carbs she consumesevery single day.

Recently, however, a new suiteo print and online resources,

including a mobile applicationhas made the job o managing hercondition much easier. Devel-oped by the Canadian DiabetesAssociation with unding rom thePublic Health Agency o Canada,Diabetes GPS resources are nowavailable online atwww.diabetesgps.ca and as an appor iPhones, BlackBerrys andandroid phones.

The Diabetes GPS app is agreat resource, as it allows me tomeasure the amount o carbs I ameating at each meal, so I can knowhow much insulin to inject, saysMs. Aingaran, 31. I also love howyou can write down your grocerylist on it.

People with diabetes can tracktheir carb and ood intake using

inormation rom Health CanadasNutrient File, a database listingthe calories, at, carbs, sodiumand other nutrients ound inmore than 5,000 oods and bever-ages. For easy shopping, theycan download recipes, with anaccompanying ingredient list.

Diabetes GPS also helps to identiyoods that have optimal GlycemicIndex (GI) ratings, such as sweetpotatoes, lentils and whole-graincereals and breads.

Last spring, the CanadianDiabetes Association tested theresources at six public education

events across Canada, includ-ing Vancouver, Surrey, Wind-sor, Toronto and Haliax. Ourmid-point evaluation resultshave shown that exposure to theGPS materials at our communitypilots have had a positive impacton peoples belie in their abilityto manage their diabetes. Manyhave reported increased con-dence in their sel-managementand increased quality o lie, saysLeanne Morgan, senior managero community programs and part-nerships at the Canadian DiabetesAssociation.

Diabetes GPS is intended orthose who have a higher risk odeveloping diabetes, such as inthe Chinese, South Asian andArican/Caribbean communities.

Online, users can watch cookingvideos to learn how to preparehealthy, tasty, low-carb and low-at recipes, such as curried bee orbutter chicken.

In addition to Englishand French, print resourcesand online content atwww.diabetesgps.ca are availablein traditional and simpliedChinese, Hindi, Punjabi andTamil. It is also expected to beoered in Urdu by the end o 2012.Brochures can be downloadedwith tips on healthy eating, dia-betes prevention and managingcholesterol, blood pressure andother risk actors or heart disease,which are potentially lie-threat-ening complications o diabetes.The person living with diabetes

is the most important part o thehealth-care team, and we knowthat making small changes toincrease physical activity andmaking better ood choices canmake a big dierence, says Ms.Morgan.

For more inormation, visitwww.diabetesgps.ca.

CDA 2 An informAtion feAture for CAnAdiAn diAbeteS ASSoCiAtion t h e g l o b e a n d m a i l w e d n e s d a Y, n o v e m b e r 1 4 , 2 0 1 2

WoRlD DIABeTes DAy

toolS

New electronic tool helps Canadians totake control of their diabetes

DIabEtES ChampIoN: pEtEr IDzErDa

eter Idzerda o London,Ont., recently celebratedhis 77th birthday along

with another remarkablemilestone: 50 years o livingwith diabetes. The CanadianDiabetes Association and NovoNordisk presented Mr. Idzerdawith a print o Banting House to

recognize his 50-year journey oninsulin.

While Mr. Idzerda can eel theimpact o diabetes on his healththrough declining eyesight andproblems with oot ulcers, he de-scribes his health as being pretty

good.He attributes that remarkableachievement to taking medicaladvice and maintaining a positiveattitude. Follow the instructionsand dont worry, live one day at atime. Live a harmonious lie anddont get too excited, keep smil-ing, he advises.

I you are experiencing symptomso diabetes including tingling,numbness or pain inyour hands or eet, requenturination or unusual thirst, itstime to get checked. Visitwww.diabetes.ca/getcheckednowor call 1-800-BANTING(226-8464) or more inormation.

about

Certifed diabetes

educators help alertCanadians to diabetes risk

Shoppers Drug Mart (Phar-maprix in Quebec) has more

than 450 health-care pro-

essionals who have takenextra training to becomeCertied Diabetes Educa-tors (CDEs). During themonth o November, the

CDEs will be disseminatingor ree the Public Health

Agency o Canadas CAN-RISK survey in many o the1,250 Shoppers stores acrossCanada to help customersdetermine their vulnerabilityto developing diabetes.

I a customer is deter-mined to be at risk, the CDEwill interpret the resul ts onthe spot and go over criti-cal liestyle actors, such ashealthy eating and physicalactivity that he or she mayneed to incorporate into his

or her lie. The pharmacistwill also colla borate withcustomers physicians tomake sure they get any medi-cal attention they need. Wehelp to make sure that thecircle o care is in place, saysJeannette Wang, senior vic e-president o proessional a-airs and services at ShoppersDrug Mart.

CDEs are also helping todeliver more in-depth carein 1,200 specialized clinicsto those already diagnosedwith diabetes. For ex ample,a CDE may take a bloodsample to ascertain whethera customers blood glucoseis under control, and i it is,oer reassurance that he or

she is on the right track.I blood glucose levels are

high, the CDE will spend timegoing over liestyle choicesand medication protocols.At the same time, a CDE maytake the opportunity to makerecommendations or eyeand oot care.

To date, more than 12,000Canadians have attendedsuch clinics. As pharma-cies expand their roles inthe community, they will beuniquely positioned to deliv-er more value-added servicesand, in turn, help rein in thesoaring costs o health care,adds Ms. Wang.

On the evening ofNovember 14, which isWorld Diabetes Day, chefsin 110 Presidents ChoiceCooking Schools willprepare diabetes-friendlyholiday dishes, such assweet potato stacks,chicken mushroom rollsand poached pears withcrumble and cream.

CommuNItIES

Stores offer diabetes education, monitoringand care in communities

At pharmacies in Loblaw grocery stories across Canada, customers can speak to pharmacists or registered dietitiansin private patient counselling rooms for ongoing support. PhoTo: suPPlIeD

im Potter was diagnosed

with type 1 diabetes at theage o 10, so or most o hislie, his days have been dened byblood glucose, carb counting andguring out how many injectionshe needs just to make it throughthe day. There are no days owhere I can eat what I want orskip my needles, he says. Imnever allowed to orget or even a

moment that I have diabetes.As a parent, he says, Im

aced with two separate con-cerns: that the impact diabeteshas on my physical health maykeep me rom seeing and experi-encing my kids as they growup, and the possibility o mychildren being diagnosed withdiabetes as well.

Diabetes is a hidden diseasethat does not discriminateand can strike anyone at anyage, Mr. Potter says. Once youhave diabetes, your whole liechanges. Its dicult to ndaordable insurance, and otenthe best o care is not coveredunder even the best o plans.For many people living withdiabetes, the cost o lie comes ata premium.

To Tim Potter, a cure ordiabetes would mean hope.To learn more about his andother stories, visitwww.whatacuremeans2me.com.

DIabEtES ChampIoN: tIm pottEr

Diabetes GPS, an e-tool developed by the Canadian Diabetes Association,enables Geetha Aingaran to track her carb intake and identify optimal foods.PhoTo: suPPlIeD

The person living withdiabetes is the mostimportant part of thehealth-care team, andwe know that makingsmall changes to increase

physical activity andmaking better foodchoices can make a bigdifference.

Leanne Morganis the senior manager o commu-nity programs and partnerships atthe Canadian Diabetes Associa-tion

Canada hasa higher rate of

diabetes prevalencethan other peer

countries


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An informAtion feAture for CAnAdiAn diAbeteS ASSoCiAtion CDA 3t h e g l o b e a n d m a i l w e d n e s d a Y, n o v e m b e r 1 4 , 2 0 1 2

Kate Slater, M.H.Sc., RDDietitian and Nutrition Expert,Kraft Canada

People with diabetes oten havequestions about snacks. Snacksare important to keep bloodglucose levels rom dropping andto sustain energy i there are morethan our to six hours betweenmeals. However, snacks can addextra calories and lead to weightgain i not chosen wisely. Here

are some tips to make the most oevery snack. There is no need to purchase

special snack oods i you havediabetes.

Include carbohydrate oodssince these raise blood glucose.Pay attention to the amountand type o carbohydrate thatis eaten throughout the day,and this includes snacks!

Include fbre or a combina-tion o fbre and protein. Bothfbre and protein help youeel uller longer and preventspikes in blood glucose levels.

Fibre is ound in whole-grainbreads, crackers, cereals, riceand pastas, lentils, beans,peas, vegetables and ruit.

Eat your fbre, dont drink it!Fruit and veggies contain lotso fbre, their juices do not.

Better-or-you protein choicesinclude lower-at milk and

yogurt, lean meats, fsh, eggs,nuts, and peanut and nutbutters.

Limit oods such as cakes,pastries, cookies, ice cream,pop, chips and candies theycontain carbohydrate but ewnutrients and little fbre.

Control portions! A snackshould not turn into a meal!Try using single serve contain-ers or portion out snacks aheado time to avoid mindlessmunching rom packages con-taining multiple servings.

Read labels Check or gramso carbohydrate and fbre perserving compare labels andchoose products with the mostfbre!

Snack when hungry Avoid

the urge to eat when bored,rustrated or stressed.

Plan ahead! Keep a variety onutritious snack oods on handor easy snacking on the go.

Prep: 15 minutesTotal Time: 1 hour 35 minutes(incl. cooling)Makes: 16 servings, 1 brownie

(41 g) each.

What You Need2 cups cooked quinoa, cooled125 g (1/2 o 250 g pkg.)PhiladelphiaLight Brick CreamCheese* Spread, sotened1/2 cup unsweetened cocoapowder1/2 cup skim milk1/3 cup packed brown sugarblend sugar replacement1/4 cup rerigerated pasteurizedegg whites1 Tbsp. Maxwell House InstantCoee Original Roast1 tsp. Magic Baking Powder1 square Bakers White Chocolate

Make It:HEAT oven to 350F.

PROCESS frst 7 ingredients inood processor until smooth.Add baking powder; processuntil well blended. Pour intoparchment-lined 8-inch squarepan; smooth top with spatula.BAKE 30 to 35 minutes or untiltoothpick inserted in centrecomes out with udgy crumbs.

Cool completely.MELTwhite chocolate as di-rected on package; drizzle overbrownies. Cool until frm.

How to Store:Store cooled brownies in airtightcontainer in rerigerator up to 5days.

How to Drizzle MeltedChocolate Over Brownies:Pour melted chocolate into smallresealable plastic bag; cut smallpiece o bottom corner o bag.Use to drizzle chocolate overbrownies.

Nutrition Inormation PerServing (1 brownie 41 g):calories 90; at 3.0 g (sat 1.5 g);chol 5 mg; sodium 75 mg;carb 12 g; fbre 1 g; sugars 4 g;protein 3 g; vitamin A 2%DV;calcium 4%DV; iron 6%DV.

Diabetes Food Choices:1 Carbohydrates, 1 Fats

*38% less at than regular

Snack-Smart!AN ADveRTIseMeNT feATuRe PReseNTeD By KRAfT

Our program oers ood and liestyle solutions

to help you better manage your health, including:

delicious recipes that ft your diabetes meal plan

inormation on nutrition, healthy eating,

dining out, stress reduction and exercise

emails with timely seasonal dishes and tips

helpul act sheets rom the

Canadian Diabetes Association

valuable coupons

presenting a solution to Living Well

Joining is easy and FREE!Visit kraftcanada.com/diabetes

or call 1.888.572.3803 today!

fndmoreideasatour

DiabetesCentrekraftcanada.com/

diabetes

Mochacchino Quinoa Bars

Canadian Diabetes Associationguidelines identiy, people withdiabetes should consume 25 to 50grams o fbre per day. Canadiansdo not get enough fbre, on aver-age, consuming only 14 grams aday.

Fibre is essential to diabetesmanagement since it helps to con-trol blood glucose. Fibre passes

through the body without beingbroken down into glucose andslows down the movement oood through the digestive tract.This results in a slower absorptiono glucose rom ood and reduces

blood glucose spikes ater a mealor snack, thereby helping withblood glucose control. In addition,fbre makes you eel uller orlonger, helps decrease blood pres-sure and LDL (lousy) cholesteroland regulates bowel movements.Include oods with fbre at everysnack and meal to get your 25 to50 grams a day.

A word o caution increaseyour fbre intake grad ually andat the same time increase theamount o water you drink. This

will help avoid constipation an dcramping.

Prep: 20 minutesMakes: 10 servings, 2 Tbsp.(30 ml) dip and 1/10 peppers(49 g) each.

What You Need:2 cups rozen edamame1/2 cup Krat Asian SesameDressing1/4 cup cold water2 green onions, coarsely chopped2 Tbsp. resh lemon juice1 Tbsp. minced gingerroot1 clove garlic1 each orange, red and yellowpepper, cut into strips

Make It:COOK edamame in boiling waterin saucepan 3 to 5 minutes or un-til crisp-tender; drain. Rinse withcold water; drain again. Place inood processor.ADD all remaining ingredientsexcept peppers; process untilsmooth.SERVE with peppers.

Special Extra:Add 1 tsp. wasabi to cooked eda-mame in ood processor beoreprocessing with other ingredi-ents as directed.

Make Ahead:Dip can be made ahead o time.Rerigerate up to 2 hours beoreserving.

Nutrition Inormation PerServing (2 Tbsp./30 ml):calories 80; at 4.5 g (sat 0.5 g);chol 0 mg; sodium 115 mg;carb 8 g; fbre 2 g; sugars 4 g;protein 3 g; vitamin A 8%DV;

vitamin C 90%DV;calcium 2%DV; iron 6%DV.

Diabetes Food Choices:1 Fats

Creamy Edamame Dip with Peppers

Fibre-licious!

Two Apple-Cheddar Bites (40 g) provide 15 g carbohydrate, 3 g fibre,4 g protein and 120 calories. For the recipe and more delicious snack ideas,visit www.kraftcanada.com/diabetes. PhoTo: suPPlIeD

Fibre is found in vegetables, fruits, wheat bran, whole grains and seeds,as well as legumes (peas, beans and lentils). PhoTo:IsToCKPhoTo.CoM


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WoRlD DIABeTes DAy

wo studies in Quebec areoering resh hope orpeople with diabetes.

Some 2,000 people with dia-betes rom various parts o theprovince are taking part in anongoing study headed by Dr. Nor-bert Schmitz, a researcher at theDouglas Mental Health Univer-sity Institute in Montreal. Thesestudies are exploring the link

between depression, disabilityand type 2 diabetes. Accord-ing to the Canadian DiabetesAssociations Clinical PracticeGuidelines, symptoms o de-pression are common in peoplewith diabetes compared withthe general population, andmajor depression is present inapproximately 15 per cent opeople with diabetes.

Even a low level o depressivesymptoms can lead to complica-tions such as heart disease, kid-ney disease and vision disorders,Dr. Schmitz says.

His two-part study, unded inpart by the Association, ques-tions participants each year ontheir mood, smoking, exercise,perceptions o neighbourhoodsaety, access to good ood andlevels o social contact and sup-port.

I a lot o people in theirneighbourhood smoke, itshard to stop, notes Dr. Schmitz.Smoking is a known risk ac-tor or uture complications odiabetes, he says, and typicalsmoking cessation programs may

not work on people living withdiabetes.Stress and depression make it

harder to quit, Dr. Schmitz says.Findings also show that whenthey have ew parks nearby,people are not able to take partin physical activity, while unsaeneighbourhoods can lead toisolation and ear. The associ-ated stress can cause those withdiabetes to ignore treatmentguidelines, become overweightand stop measuring their bloodglucose levels.

Dr. Schmitz hopes his nd-ings will lead to new treatment

approaches. We want changes ingovernment treatment guide-lines that will ocus on all aspectso lie, he explains. When wetalk about low blood glucoselevels, we need to take the pa-tients living environment intoaccount.

The study includes a ocus onpeople who live in disadvantagedneighbourhoods but neverthe-less are well, he adds. Increasedamily support, or example, isimportant inormation we canuse to assist others.

Another study looks at ways totreat complications o diabetesthat can lead to amputations. Ca-nadians living with diabetes are20 times more likely to be hos-

pitalized or limb amputationsthan those without the disease,Association statistics show.

Hal o all amputees with dia-betes die within ve years o suchsurgery rom heart and kidneycomplications, says Dr. PedroMiguel Geraldes, an assistantproessor at the University oSherbrooke.

Dr. Geraldes is studying how-high blood glucose intereres inhealing damaged blood vessels,and says hes had amazing re-sults. The removal o a particu-lar protein in blood generatesnew blood vessels in diabeticmice and prevents leg necrosis(death o living tissues or cells)and amputation, he says. His labhas identied the specic protein

involved, protein kinase C delta,which is activated by high bloodglucose levels in vascular cells.

Most amputations are causedby cholesterol plaque in theemoral (main leg) artery, Dr.Geraldes explains. This getsblocked, creating a loss o bloodsupply to the leg.

A persons body will normallycreate new blood vessels to goaround the blockage, but in pa-tients with diabetes this processis completely shut down.

For people living with dia-betes, a simple cut can becomeinected, cant heal because oblocked blood supply, and soonwe have to take o a toe. Thenit moves up, and oten will go tothe other leg, Dr. Geraldes says.

He estimates that within aboutve years, his research will leadto the testing o a new drug orblood vessel complications tohelp patients with diabetes.

In the last year alone, the Asso-ciation has provided more than$7 million to world-class diabetesresearch. For more inormation,visit www.diabetes.ca/research.

Amechi Nwachuku,Canadian Country Division Head,Bayer HealthCare, Diabetes Care,answers questions about livingwith diabetes.

Your diabetes care team recentlyunderwent a unique exercise tohelp you better understand thechallenges aced by people withdiabetes. What was the result?We elt our team could betterunderstand the experiences o thepeople we try to serve with ourproducts i they lived their lives asi they had diabetes. We simulatedmanagement o type 1 or type2 diabetes; we were randomly

diagnosed and simulated takingmedications, or insulin with a pen,pump or needle, based on ourdiagnosis.

We knew that at the end o amonth, the exercise would be overor us. But we still ound ourselvesgoing through stages o denial andanger it took weeks to get to astage o acceptance about the careregimes that diabetes demands.We could better understand whatit might be like or someone tocome to terms with the act thatthey have to live with diabetes orthe rest o their lie.

The experience let everyonewith a deeper appreciation o howmuch time people with diabetesspend managing their health. Andit made us even more passionate

about doing what we can to helpsimpliy that or them.Oten, there is a stigma att ached

to diabetes, because its associ-ated with an unhealthy liestyle.But this is a complex disease

with many actors outside o anindividuals control. In act, eel-ing guilt or shame can become aburden or a hurdle that preventspeople rom being able to makeneeded changes.

What are some o the strate-gies that your care team hasound most eective in helping

your customers manage theirdiabetes?The underlying objective orpeople with diabetes is to keeptheir blood glucose levels undercontrol. It comes back to eating

right, keeping active, takingmedication as directed, and ocourse, monitoring what all thesedierent things are doing to yourblood glucose.

Its important to recognize thatyoure not on your own, and toensure you get help rom healthproessionals and other people

who have diabetes. Make surethat youre working with yourdoctor, your certifed diabetes

educator and with your nutrition-ist, i you have one.

Making the changes necessaryto achieving a healthy liestylecan be overwhelming, but itsokay to make changes bit by bit.Over time, smaller, more manage-able changes oten amount to alarger transormation.

What are some eating strategiesthat you recommend or people

with diabetes, especially wheneating away rom home?As many restaurants serve largeportions, decide how much to eat

when your meal arrives, and havethe rest wrapped up to take homeor another meal.

Determine the right portionsize using your hands: two hand-

uls o vegetables; a palm-sizeportion o protein, as thick as

your little fnger; a carbohydrateportion the size o two fsts. Anyadded at should be no morethan the size o the tip o yourthumb.

Regular meal times are impor-tant or eective blood glucose

management, so its importantto manage the waiting that cancome with dining out. I you takeinsulin, base your injection timeon inormation about the time

your meal will arrive.I you eat away rom home

oten, the choices you make aremore important than i you dineout occasionally, as they will havea greater impact on your overallblood glucose control.

ExpErt opINIoN

Initiative helps corporate team experience life with diabetes

rESEarCh

Promise on the horizon for those dealing withdepression and amputations

DIabEtES ChampIoN: mark kErwIN

ark Kerwin was travelling

in Poland in 1994 whenhe began to rapidly loseweight and ound himsel dri nk-ing copious amounts o liquid.He made it back to Canadain December and went into adiabetes-induced coma.

Working with the CanadianDiabetes Association and hishealth-care team, however, Mr.Kerwin has progressed rom thatlie-threatening situation to nowrunning marathons or Team Di-abetes, a national program thatencourages participants to lead ahealthy and active liestyle whileraising unds and awareness orthe Canadian Diabetes Associa-tion.

It has been amazing, he sayso his journey. So many good

people have helped me. I amvery proactive: I try to eat thebest nutrition I can, and I workwith a personal trainer. I am als otrying to change work culturearound health and wellness,because it is where people spendmost o their time.

In January 2011, a riend askedMr. Kerwin to run a hal-mara-

thon. Id never been a runner,

but I thought it sounded like agreat way to get me out o mychair, he says.

Since then, hes run twohal-marathons and his rst ullmarathon in Brazil in July. Onhis 40th birthday, he ran theAround the Bay 30k in Hamil-ton. I nished in our hours and30 minutes, he reports.

His participation in Team Dia-betes has made him eel so muchmore connected to the diabetescommunity, he says. I decided Iwanted to raise $10 0,000 or th eCanadian Diabetes Associationthrough Team Diabetes.

He is already almost a quartero the way there. His goal is torun two marathons a year orTeam Diabetes, starting with the

Intertrust Cayman Islands Mara-thon in December.

For more inormation on howyou can achi eve your personalftness goals while making adierence or over nine millionCanadians living with diabetesor prediabetes, please visitwww.teamdiabetes.ca.

We want changes ingovernment treatmentguidelines that will focuson all aspects of life.When we talk about lowblood glucose levels, weneed to take the patientsliving environment intoaccount.

Dr. Norbert Schmitzis a a researcher at the DouglasMental Health University Institutein Montreal

Making the changesnecessary to achievinga healthy lifestyle canbe overwhelming,but its okay to makechanges bit by bit. Overtime, smaller, more

manageable changesoften amount to a largertransformation.

Bayers Canadian diabetes team spent a month living as if they had diabetes to better understand the care regimes diabetes management demands.PhoTo: suPPlIeD

Dr. Norbert Schmitz, a researcher at the Douglas Mental Health UniversityInstitute in Montreal, is leading a study that explores the li nk betweendepression, disability and type 2 diabetes. PhoTo: suPPlIeD

The majority ofdiabetes-related

complications canbe prevented


5/12

Want to takecontrol of

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Visit your local Shoppers Drug Mart Pharmacy today

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You can also speak with one of our CertifiedDiabetes Educators who can help you better

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To find a Certified Diabetes Educator

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shoppersdrugmart.ca/locator.


6/12

usty Goepel, a senior vicepresident at RaymondJames Ltd., is amiliar

to many Canadians throughhis role in the Vancouver 2010Olympics, where he served aschairman o the VancouverOrganizing Committee. But sincehis son Danny was diagnosedwith type 1 d iabetes at the a geo 18, Mr. Goepel has also been apassionate advocate and und-raiser or diabetes research ornearly 20 years.

It was traumatic and un-

expected, he says o his sonsdiagnosis. Danny had to nd

a new way o living, which ishard to do when you're away atschool and 18 years old. But hedealt with it very bravely andeectively.

Mr. Goepels dream and mis-sion is to see diabetes researchreceive the support required tond a cure. With riends such asphilanthropist Dr. Irving Barberand John Bowles, past-presi-dent o the Canadian DiabetesAssociation, Mr. Goepel hasworked to help the CanadianDiabetes Association raise undsor new research initiatives.

One o those initiatives, the IkeBarber Human Islet TransplantLaboratory, ocuses on genera-tion o insulin-producing cells.The Diabetes Research Programat the Child and Family Re-search Institute, led by Dr. BruceVerchere, investigates insulin-producing cells in the pancreasto determine why they stopworking in diabetes.

It is with the visionary sup-port o donors and volunteerleaders like Mr. Goepel that theCanadian Diabetes Associationis able to help people aectedby diabetes.

To hear more inspirational sto-ries rom people who aretruly making a dierence in

the fght against diabetes, go towww.whatacuremeans2me.com.

iagnosed with type 1 dia-betes as a child, 80-year-old Valerie Verity has

always reused to let the diseaseslow her down.

Today, Ms. Verity is a vibrant,gol-playing senior. In act, hergood health led to an invitationto share her liestyle secrets withexperts rom around the worldat a recent conerence o theCanadian Diabetes Association inVancouver. Naturally, I accepted

the invitation, Ms. Verity saysproudly. I do have a message.She credits both her ather and

a sage Montreal diabetes special-ist with helping her to beat theheavy odds against living such along and vigorous lie.

My ather told me to lookater mysel, lead my lie and thatI could do anything I wanted to.So I did. You simply do your bestwith it, she says.

Ms. Veritys specialist also gaveher precious advice: dont xateor obsess over reading too manydiabetes articles, amputationsand diabetes-related kidneydisease.

Ms. Verity has learned thesecret to healthy living. Today,her lie includes gol, walking,

reading and travelling, as wellas visits with her daughters andthree grandchildren.

The protocol or people newlydiagnosed with diabetes in the1930s diered rom today, Ms.Verity says. There are manyimportant things about the oldways that can apply today. Forexample, empowering onesel to

take control o his or her diabetes.They put me in the hospital

or 10 days, taught me about dietand how to give mysel insulinshots, and o I went.

Insulin checks were done usinga sample o urine in a test tube.A pill was dropped in, and the re-sulting shade o the sample wasmeasured against a colour chart.You didnt do it very oten, orthat reason, Ms. Verity says.You went home and lived.

Ms. Verity takes a personal-ized approach to managing herdiabetes. She battles low bloodglucose the same way she alwayshas: with a gulp o orange juiceor by crunching down on a candy.My children said I used to carrysugar cubes and they smelled omy perume.

For 60 years, Ms. Verity tookinsulin by needle twice a day.She now has the injections moreoten, ollowing recent medicaladvice to take a little insulin be-ore each meal and a long-actinginsulin once a day. The introduc-tion o long-acting insulin washuge, a real breakthrough, Ms.Verity notes. It lasts 24 hours, soyou always have insulin in yoursystem.

Ms. Verity sticks closely to thehigh-protein, low-at diet shewas advised to ollow when shewas young. Meat, chicken withno skin, eggs, limited butter andrestricted carbohydrates wereallowed. Whipped cream and icecream were orbidden.

I have ice cream once in awhile anyway, she chuckles.


WoRlD DIABeTes DAy

here is a regrettable lacko understanding aboutthe complex causes o

type 2 diabetes, says Dr. Jan Hux,chie scientic advisor or theCanadian Diabetes Association.Theres a signicant geneticcomponent to this illness people who are young, athleticand who eat well can still gettype 2 diabetes.

But even when socioeconomicconditions play a major actor inan individuals condition, thatmay not be a matter o choice,

she stresses.An example is a single mother

with two children, strugglingto make ends meet nancially,who is told by her doctor thatshe needs to exercise more. Shecant aord a gym membershipor even proper athletic shoes togo the gym, Dr. Hux explains.She might not eel sae walkingin her neighbourhood, particu-larly at night, and she cant a-ord babysitting or her children.

The relationship betweendiabetes and the environment

we live in is underscored by theToronto Diabetes Atlas, releasedin 2007, which analyzes morethan 100 data sources to identiysignicant disparities in diabetesprevalence between Torontoneighbourhoods.

Areas with high rates o diabe-tes were generally ound to be inthe suburbs, with reduced accessto ruit and vegetable stores,ewer amenities within walkingdistance, poorer access to publictransit and greater car depen-dency.

When those maps wereshown to economists, it was clearto them that diabetes was an eco-nomic illness, because the mostafuent neighbourhoods hadlow rates and the poorer suburbshad higher rates, says Dr. Hux.Urban planners saw it as adisease o planning, because thehighest rates are in the post-warneighbourhoods, where relianceon a car is assumed, resourcesor healthy living such as reshruits and vegetables and healthservices are less available andneighbourhoods are not walk-able. These ndings have beenreconrmed in a more recentstudy by Institute or ClinicalEvaluative Services (September2012), which noted a higher risk

o diabetes in neighbourhoodsthat arent pedestrian riendly.

These insights can really helpus think about how we can thendesign solutions, she notes.

One encouraging nding romthis project is an area on theeast side o downtown Torontowhere, despite high levels opoverty, the rates o diabetes aresurprisingly low. It reinorcesthe concept that i you havea walkable neighbourhood, iyou can access resh ruits andvegetables and i you have accessto good ree or subsidized recre-ation programs and health-careresources, some o the risk romnon-modiable actors can besignicantly mitigated, adds Dr.Hux.

rESEarCh

Examining the relationship betweenrisk and where you live

profIlE

Living life to the fullest: A personalizedapproach to managing diabetes

DIabEtES ChampIoN: ruSty GoEpEl

The introduction oflong-acting insulinwas huge, a realbreakthrough. It lasts24 hours, so you alwayshave insulin in yoursystem.

Valerie Verityis 80 years old and living withdiabetes

Recent research indicates that living in walkable neighbourhoods with access to fresh fruits andvegetables may help to mitigate diabetes risk. PhoTo: suPPlIeD

Now a healthy 80 years old, Valerie Verity was diagnosed with diabetes as a child. She never let it slow her down.PhoTo: suPPlIeD

When those maps wereshown to economists,it was clear to themthat diabetes was aneconomic illness...

Dr. Jan Huxis the chie scientifc advisor or theCanadian Diabetes Association

or Lynne Bridgmansamily, diabetes requiresa disciplined day balanc-

ing meals, insulin and activities.For her son Jamie, it has takenaway much o his indepen-dence: sleepovers, sports, campor school trips require adultsupervision and pricking hisnger to draw blood and test hisblood glucose level every couple

o hours.A severe blood glucose low

can mean brain damage or death,so whenever your child is outo your sight, you worry, saysMs. Bridgman, who helps newlydiagnosed amilies with diabeteslearn to cope with and managethe disease.

Programs and education orthe eective management otype 1 diabetes are scarce, shesays. Currently, most see theirdiabetes health team every three

months thats helpul and eec-tive, but its not enough.One o her dreams is that all

Canadians will learn to recognizethe symptoms o a blood glucoselow in people with diabetes sothey can help. They slowly startto become listless and appearout o it. Their words are slurredand they cant answer questionsbecause they cant think prop-erly, she explains.

The quickest remedy, i theperson is conscious, is to givethem sugar in any orm, suchas juice, honey, syrup or a sugarpacket, she says. They will mostlikely have sugar in their pockets,so look there rst.

Jamie, his sister and theirriends have raised over $6,000

in the last ve years or diabetesresearch by holding lemonadestands; nding, cleaning and sell-ing gol balls; and by walking andrunning in various events.

To learn more about creatingyour own undraising event andonline donation page, visitwww.diabetes.ca/myundraiser.

DIabEtES ChampIoN: lyNNE brIDGmaN

57%of Canadians with

diabetes cannot affordtheir medication and

supplies


7/12

AlltrademarksownedbyNo

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As a fitness trainer, Jonathan knows that the journey to personal success

requires commitment, goals and support to overcome challenges along the way.

Changing Diabetes is Novo Nordisks commitment to answer the needs of

people living with diabetes. Our Triple Bottom Line philosophy ensures we

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Discover how you can help create a healthier tomorrow at

changingdiabetes.com

JONATHAN CHARLESWORTHJonathan has type 1 diabetes


8/12

WorldDiabetesDay

For locations, dates and times for these events, visit our pharmacy.To find a pharmacy near you, visit drugstorepharmacy.ca

Wednesday, November 14th

6pm-8pm

Diabetes-friendlycooking classin our Presidents ChoiceCooking School.

(at select locations)

Grocery store toursfrom a dietitian(at select locations)

Blood Glucose Monitoring

at select locations, during themonth of November.

In collaboration with the

Presented by our pharmacist and

dietitian in our Presidents Choice

Cooking Schools/Community Rooms.

Ask our pharmacist for our diabetes month education booklet with valuable

coupons, recipes and helpful information.

Also available in Dominion stores in Newfoundland and Labrador only./ Trademarks of Loblaws Inc. and others. Used with permission. All rights reserved. 2012

YOUR HEALTH MATTERS HER

DiabetesInformation Session:

Participate in:


9/12

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WoRlD DIABeTes DAy

esearchers at Brock Uni-versity recently complet-ed a study o the diabetes

prevention program EveryoneJump, showing that participatingstudents were more physicallyactive and aware o nutrition thantheir control group peers.

Initially launched as a pilotproject in 2005 by Ophea andNovo Nordisk, Everyone Jumpstarted small in a handul oOntario schools. It has sinceexpanded to several thousandclassrooms across seven provinc-es; last year, 32,000 students romgrades one to six participated inthe activity-based program thateducates children about type 2diabetes and ways to prevent it.

We knew teachers liked it andthat the kids liked it, but until lastyear we didnt have any quanti-able data on the programs im-pact, says Jeremy Brace, managero corporate relations at NovoNordisk Canada, the oundingsponsor o Everyone Jump.

In early 2012, researchers atBrocks Centre or Healthy Devel-opment through Sport and Physi-cal Activity assessed whether stu-dents who took part in EveryoneJump were making healthier oodand activity choices.

The results were impressive:participating students were morephysically active (as measuredby a pedometer and sel-reports)and showed an increased knowl-edge o nutrition compared to the

control group.We were surprised to see sucha signicant improvement inphysical activity levels in such ashort time period, says researchcoordinator Lindsay Cline.

The nutrition piece alsoyielded some interesting results.While students who took part inEveryone Jump knew more about

nutrition and Canadas FoodGuide, researchers ound thatthere was no dierence betweenthe participating students and thecontrol group in terms o healthyeating choices.

Principal investigator Dr. JamesMadigo says this is not surprising,given that elementary studentstypically have limited controlover what they eat at the am-ily table. He notes that in theocus group comments, however,students who participated in theprogram talked about how theytried to infuence their parentsand siblings to make healthierchoices at the grocery store.

Dr. Madigo believes that theresults o the study emphasize

the powerul role o educationin shiting behaviour, somethingthat is now more importantthan ever. He says that health-care costs in Ontario alone areprojected to eat up 80 per cento the provinces budget by 2030,up rom 46 per cent today. Doingwhat we can to promote healthyliestyles is, he says, as much asocietal issue as it is an individualone the prevention piece iscritical.

The positive study results sup-port the continued expansiono the program, which Mr. Bracesays will be available or the rsttime to teachers and students inthe Yukon this year.

We had a sense that theprogram was doing good things,

he says. The results o theBrock study conrmed whatwe suspected to be true thatEveryone Jump is doing what itwas intended to and is helpingchildren move in a positive andhealthy direction.

For more inormation, visitwww.everyonejump.ca.

argaret Domingo is alongstanding an o theClothesline program,

which benefts the CanadianDiabetes Association. A donor ormany years, she believes that evensmall contributions o her gentlyused clothing, electronics andsmall household items can make abig dierence.

But this year, she also ound outwhat it meant to be on the receiv-ing end o an unexpected git,

when she won a trip to Walt DisneyWorld in Clotheslines Lies aTrip, Youre the Pilot nationalcampaign.

It was a dream come true,says Ms. Domingo, who took herhusband, 21-year-old daughterand her riend on the one-weekadventure in Orlando, Fla., whichmade them all eel like little kidsagain. Clearly the contest was

a hit or Clothesline too, as theorganization is currently runninga ollow up campaign, called BagIt. Donate It. Win It! which runsuntil November 30, with the samegrand prize.

To enter, Clothesline donorsjust need to book a FREE pickupbeore November 30;visit www.diabetes.ca/tripor more details.

O course, the biggest beneac-tor overall is the Association anddiabetes research. According to

Janelle Robertson, Clotheslinesexecutive director o businessoperations, last year Clotheslinenetted $10 million, all o which

went directly to the Association

and diabetes research, educa-tion and the D-Camps program,which sends 1,500 kids with type1 diabetes across the country toexperience camp and meet otherslike them.

Another winner is the envi-ronment, as Clothesline divertsmore than 46 million kilogramso clothing and household itemsrom Canadian landflls each year.That translates to a savings o 840million kilowatt hours o energy,says Ms. Robertson. We fguredout this year thats enough to drivea car 41,000 times around theplanet.

Started in 1985, the nationalClothesline program has 30ofces coast to coast and one inevery province except Quebec,and maintains more than 2,000drop-boxes across the country.Clothesline also works withschools, corporations, youthgroups and oers ree local

collections, where residents cancall to arrange a pickup in t heircommunity.

Ms. Robertson estimates thatthe Clothesline program will visittwo million Canadian homesthis year to collect donations andthat another our million Cana-dians will leave items at drop-boxes. The eedback we hear isabout the convenience o havingmultiple ways o donating, saysMs. Robertson. That encouragespeople to repeatedly donate.

By visiting www.diabetes.ca/dropbox, donors can type intheir postal code in order to fnd

convenient Clothesline drop-boxes in their community. Themain Clothesline websitewww.diabetes.ca/clotheslineoersa list o what items can be donat-ed, including clothing, all clothitems, kitchenware, ootwear,electronics and much more.Anything that an individual

would have in their home that

they no longer need but that is inreusable condition, explains Ms.Robertson.

The site also oers un waysto get involved, like becoming adrop-box host, and provides linksto learn more about diabetes andits prevention, the latest researchinitiatives and nutritional inor-

mation and recipes.

GIvING

Program turns recyclables into research

aCtIoN

Prevention programencouraging youth to improvephysical activity, diet

In addition to supporting diabetes research, Clothesline diverts more than 46 million kilograms of clothing and household items from landfills each year.PhoTo: suPPlIeD

Everyone Jump is an activity-based program that educates children abouttype 2 diabetes and ways to prevent it in several thousand classroomsacross seven provinces. PhoTo: suPPlIeD

In 2011, Clothesline netted$10 million, all of whichwent directly to theAssociation and diabetesresearch, education andthe D-Camps program,which sends 1,500 kids

with type 1 diabetesacross the country toexperience camp andmeet others like them.

Janelle Robertsonis Clotheslines executive director obusiness operations

3.3%

Average cost ofdiabetes to rise

per year in Canada


11/12

: I

The number of Canadians living with diabetes has

almost doubled over the last 10 years*. If we dont

act now, one in three people will be living with

diabetes or prediabetes by the end of this decade*.

At Sun Life Financial, we are concerned about the

impact of diabetes in Canada. We believe we have

a role to play in improving the lives of Canadians,

helping employers manage health plan costs, and

easing the pressure on our health care system.

Sun Lifes commitment starts today with the launch

of our new philanthropic focus on diabetes. We are

joining forceswith organizations acrossthe country

to raise awareness and promote prevention.

Join us by taking some simple steps to bring this

epidemic under control. Exercising more and eating

healthier are two changes you can make to lower

your risk and live a healthier, brighter life.

*Source: DIABETES: CANADA AT THE TIPPING POINT Charting a New Path

For tips and tools, visit BrighterLife.ca

Lifes brighter under the sun

A

BRIGHTERLIFE

WoRlD DIABeTes DAy

An informAtion feAture for CAnAdiAn diAbeteS ASSoCiAtion CDA 11t h e g l o b e a n d m a i l w e d n e s d a Y, n o v e m b e r 1 4 , 2 0 1 2

he 1953 opening o CampBanting in eastern Ontariomarked the beginning

o the Canadian Diabetes As-sociations camping tradition,which now includes 12 successulprograms across the country. Fromthe very beginning, D-Camps hasprovided children living with type1 diabetes with opportunities toenjoy a camp experience whilehaving all o their diabetes needsmonitored by medical proession-als to provide peace o mind orparents and children.

At home, in school or in theircommunity, children living withdiabetes oten eel alone or iso-lated. At camp, kids have the op-portunity to meet other children

who also live with diabetes.

Below, Madison Reitvelt, Jessica

Kotowich and Allison Amedickshare their experiences oD-Camps. As they report, eelinglike you are not alone is an incred-ibly empowering experience.

D-Camps is by ar the best experi-ence someone with diabetes canhave, says Allison Amedick, age15. It showed me that people myage have gone through the samethings as me. I have made lielongriends who understand the dailystruggles.

Next year will be Allisons lastyear at D-Camps. That makes me

sad, she says. Diabetes has had ahuge impact on my lie since I wasdiagnosed just over six years ago,and although I can do anythingmy riends without diabetes can

do, it comes with its own set ochallenges.

Something as simple as goingto bed, comes with worries, saysAllison. Youll never be certainthat youre going to wake up thenext morning. Allison and hermom have held community sales

with all the proceeds going to dia-

betes research, and or fve yearshave canvassed or the CanadianDiabetes Association. Her hope isthat, through education, Canadi-ans will come to better understanddiabetes.

For Madison Reitvelt, age 13, notall o the eects o diabetes havebeen negative. One o the posi-tives, she says, is that she gets togo to a c amp every year.

Many o the negative aspects oliving with diabetes as a teenagerstem rom a lack o knowledgeabout the disease, says Madison.There are a lot o misunderstand-ings. At school, even the teachersdont ully understand it, whichcan make it hard.

She and her amily have beenvery active in the diabetes com-munity, raising money or researchthrough a garage sale, birthdayparty, galas and walks. Madison isa Canadian Diabetes Associationchampion and has worked withher amily to advocate successullyor the introduction o an insulinpump program introduced earlierthis year in Manitoba.

For Madison, the highlight oevery year is D-Camps. Thereare many memories that meanso much to me: meeting peopleand making riends, doing all the

activities together and not beingsingled out. I I was at anothercamp, we certainly wouldnt all be

testing our blood glucose at thesame time.

Jessica Kotowich, age 12, isextremely conscientious aboutmanaging her diabetes. I alwayshave to be on a schedule or mealsand insulin times, she says.I you take really good care o

yoursel, you can live a long andhealthy lie.

But having diabetes can betough at times, she says. Youcant eat whatever you want

whenever. You cant sleep in onthe weekends because you need tobe up to take insulin by a certaintime.

Thats one o the reasons thatJessica looks orward to D-Campsevery year. It is un to meetpeople with the same liestyle tolook around and see how manypeople my age have diabetes.

Even better, she says, is mak-ing new riends who understand

what it is like to live with diabetes.Everyone at D-Camps treats youlike amily, and everyone workstogether as a team to have a un

week at camp.

The Canadian Diabetes Associa-tion would like to thank CN orits generous support o D-Camps.To learn more about how theCanadian Diabetes Associationis helping to provide a lie-changing camp experience orchildren with type 1 diabetes, visitwww.dcamps.ca.

Support

D-Camps empower and educate children

D-Camps provides a fun, safe learning experience for children with diabetes,along with many great memories. PhoTo: GooD GlAss MeDIA


12/12

he increasing number opeople with type 2 diabe-tes and prediabetes poses a

signifcant challenge to the health-care system o every cou ntry,says Dr. Gary Lewis, director othe Division o Endocrinologyand Metabolism at the Univer-sity Health Network (UHN) and

director o the Banting and BestDiabetes Centre at the Universityo Toronto.

The complications associatedwith diabetes include a high risko cardiovascular disease, blind-ness, amputation and kidneyailure, and the consequences omanaging these complications inan aging population are ormi-dable, he says.

At the same time, researchersare having tremendous successin developing new therapies,treating elevated blood glucoseand reducing complications, headds. Diabetes is a disease thatrequires a tremendous amount osel-management the good newsor people who have the disease isthat we can work together to help

keep them healthy.UHNs Banting and Best Diabe-

tes Clinic provides exemplary careto diabetes patients who havecomplex illnesses. In this regard,knowledge translation, or educa-tion, is an area that holds tremen-dous promise, says Dr. Lewis.Right now there is a signifcantgap between what we know worksand what is applied by health-careproviders and patients in every-

day lie.The clinic is sharing innovative

methods o patient education withamily physicians, pharmacists anddietitians. We are looking at waysto improve education and providebetter sel-management supportor people living with diabetes,through the development o more

user-riendly tools, including theuse o technology and social me-dia, he explains.

As part o this initiative, orexample, UHNs Centre or Globale-Health Innovation developedan iPhone app, called Bant. Itcaptures blood glucose data andencourages healthy behaviour byoering incentives or teens withtype 1 diabetes to ollow theirregimens.

UHN has a great legacy o diabe-tes research, starting with the frstclinical use o insulin at TorontoGeneral Hospital in 1922. Today,the network ocuses on highlyinnovative research programs that

will acilitate the translation o dis-coveries rom the lab to the clinic.For example, stem cell research at

UHNs McEwen Centre or Regener-ative Medicine has made signif-cant progress in creating humaninsulin-producing beta cells. The

goal o the research is to translatethis discovery into clinical applica-tion by transplanting insulin-pro-ducing cells into patients with type1 diabetes, eliminating the need orinsulin injections.

This research also holds prom-ise or type 2 diabetes, as we ur-ther understand the development

o the disease, says Dr. Lewis.Through a partnership with

UHN, Sun Lie Financial has an-nounced a major investment indiabetes research, care and educa-tion. Mary De Paoli, the executive

vice president o public and cor-porate aairs and chie marketingofcer o Sun Lie Financial, says,At Sun Lie, were concerned thatone-third o Canadians will be liv-ing with diabetes or prediabetes inless than a decade.

The University Health Networkhas been at the oreront o dia-betes research and care in Canadasince the groundbreaking discov-ery o insulin by Drs. Banting andBest in 1921, she says. Today, UHNhas one o the largest concentra-tions o diabetes clinical care,

research and educational activityin the world and certainly themost signifcant in Canada. UHNis on the cutting edge in the latest

advances in diabetes research, andin raising awareness about theprevention o this d isease.

As part o its commitment towellness in Canada, Sun Lie haschosen to make diabetes preven-tion and awareness a major ocuso its philanthropic eorts. Webelieve we can make a dierence

and improve the lives o Canadiansby making this commitment todiabetes prevention, says Ms. DePaoli. It is through awareness that

we will see a measurable dierencein our eort to curb the spread othis disease.

Sun Lie will bring specialinsights to the cause through theexpertise developed by providingbenefts and wellness programsto millions o Canadians. In ourbusiness, we have seen both thehuman costs and the fnancialcosts related to diabetes growingby 50 per cent in just fve years and these costs do not include allrelated conditions, says Ms. DePaoli. Together with UHN and Dr.Lewis, we have an opportunity tolook at innovative approaches to

preventing diabetes and makinga lasting impact on the lives o somany Canadians touched by thisdisease.

CollaboratIoN

Sun Life Financial-University Health Network partnership opensnew doors to research and prevention


WoRlD DIABeTes DAy

lia Rainbird was diag-nosed with type 1 diabe-tes at age nine. It is di-

cult to remember lie withoutit, she says. It aects me everyday, especially now that I am inth ki ld

Ms. Rainbird is committedto educating other Canadiansabout the realities o living withtype 1 diabetes. Recently, she

participated in a panel discus-sion organized by the CanadianDiabetes Association, sharingher experience with the parentso children with type 1 diabetes.

Shes also working with a so-cial worker to launch a supportgroup or people with diabetesin Newmarket, Ont., where shelives. It is an opportunity tobe able to talk one-on-one withother people who understandyour situati on, particularly theemotional aspects, says Ms.Rainbird. Depression is quitecommon among people withtype 1 diabetes. But even amongdoctors, there isnt a widespreadunderstanding o the emotionalissues associated with diabetes.Id like to help change that.

To fnd out more about theCanadian Diabetes Associationand local programs and ser-vices in your community, call1-800-BANTING (226-8464) ore-mail [email protected]. To readabout other people living withdiabetes, visit

h t

DIabEtES ChampIoN: alIa raINbIrD

Dr. Gary Lewis, the director of the Division of Endocrinology and Metabolism at the University Health Network, shows Bant, an app for managing diabetes, to kidney transplant patient Tanya Lee-son (centre), and Mary De Paoli, (l) the executive vice president of public and corporate affairs and chief marketing officer of Sun Life Financial, during Tanyas checkup at the Sun Life FinancialBanting and Best Clinic at Toronto General Hospital. PhoTo: PAul lAWReNCe

UHNs Banting andBest Diabetes Clinicprovides exemplary careto diabetes patientswho have complexillnesses. In this regard,knowledge translation,

or education, is an areathat holds tremendouspromise. Right nowthere is a significantgap between what weknow works and whatis applied by health-careproviders and patients ineveryday life.

Dr. Gary Lewisis the director o the Division oEndocrinology and Metabolismat the University Health Network(UHN) and director o the Bantingand Best Diabetes Centre at theUniversity o Toronto

our mother was right: Asmart start to the day in-cludes a nutritious break-

ast. This is true or everyone,but its especially important orpeople with diabetes, says BozicaPopovic, pharmacy manager at

Loblaws Princess Street store inKingston, Ont. A person withdiabetes who misses breakastcan end up with higher bloodglucose as the morning pro-gresses. The levels can remainthat way all day, and people whoare using insulin may require ahigher dose. On the other hand,those on oral medications whomiss breakast can experiencedangerously low blood glucoselevels, explains Ms. Popovic, acertied diabetes educator.

Lingering over a leisurelybreakast sounds like a lovelytreat, but it isnt a weekday op-tion or most o us. Rather, wereoten busy and time-crunched,and looking or breakast ideasthat are quick and easy. Fewbreakast oods are speedier tox than a bowl o cereal, buthave you looked at your super-markets cereal aisle lately? Mostoer a bewildering range oproducts.

When it comes to choosinga nutritious breakast in a box,Ms. Popovics top pick is un-

t d l th t t i

complex carbohydrates such aswhole grains, and at least vegrams o bre per serving. Whyunsweetened? You can alwayssweeten it to taste, she ex-plains, but you cant take awaysweetener that has already been

added.Its always a good idea tocheck the labels on any pack-aged ood you buy, but in thecereal aisle with its wealth ochoice reading nutrition labelsis a must-do. Look or the wordswhole grain (e.g., whole oats)on cereal labels, and opt orproducts where whole grainsappear near the top o the in-gredient list. Beware o productsmasquerading as whole grain red fags include the wordscracked wheat or multi-grain as theyre less nutritious thanwhole-grain cereals.

Shannon Richter is a regis-tered dietitian at Loblaws Mid-land Avenue and Princess Streetstores in Kingston, Ont., whoconducts store tours or peoplewith conditions such as diabetes.During the tours, she shows hercustomers how to read labels,what to look or, and other tipson choosing healthul products.In the cereal aisle, Ms. Richterguides customers with diabetestoward products that are low onth l i i d (GI) h

oatmeal and some bran-basedcereals. By contrast, high-GIcereals include cornfakes andcrisped rice cereal. Low-GI oodsraise blood glucose levels lessthan high-GI oods, and they doso more slowly.

As well as watching or sweet-ened cereals, its best to avoidthose with added dried ruit. Weadvise limiting the amount odried ruit you eat i you havediabetes, says Richter, as itsvery high in carbohydrate. Bet-ter to add a little resh ruit i youwant some natural s weetness inyour cereal, she su ggests.

One o the packaged cerealsthat contains the most driedruit is granola, a product thatmay seem a nutritious choice,but one that Ms. Richter advisespeople with diabetes to avoid.Granola is very dense andconcentrated, she explains. Iyou read the label, youll nd thesuggested serving size is smalland likely wont satisy you likea larger bowl o less dense ce-real. But, Ms. Richter concedes,granola can be a good topping tosprinkle sparingly on a bowl oyogurt.

For hearty and healthy breakastrecipes, visit www.diabetes.caReprinted with permission rom

i b i l

ChoICES

Cereal can be a great way to start the day;just be careful which one you choose

25%

22.7%

of people withdiabetes have

depression

of Canadians over 20years old with diabetes

have heart diseasecompared to 6%without diabetes

DiabetesNov.14.12(Final)

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