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Transcript of Take Action on Diabetes
ActionLIVE A HEALTHY LIFETAKE
GET THE FACTSYour feet and diabetes
EAT MORE FIBREThe ancient artichoke, the heart of goodness
ISSUE 1 | NOVEMBER 2014
Abdul Redha talks about living with diabetes
YOUR
FREE
COPY
I choose to live well with diabetes.
ON DIABETES
5 Fibre rich foods
WALK YOURSELF FIT!Need inspiration? Look inside.
Use the QR code to view the magazine online.
&
Take Action on Diabetes October 2014
Action on Diabetes: SENIOR PROJECT MANAGER Herluf Nis Tomsen ASSISTANT PROJECT MANAGER Adham Salem
Published in association with Action on Diabetes and our partners the Supreme Council of Health, Hamad Medical Corporation, Primary
Health Care Corporation, Qatar Diabetes Association-Qatar Foundation, Maersk Oil and Novo Nordisk. Published by Last Mile, Denmark
ACCOUNT DIRECTOR Craig Ludwig EDITOR Nicole McCreedy ART DIRECTOR Bianca Nagel
Copyright© Action on Diabetes. All rights reserved. While all precautions have been taken to ensure accuracy of information, neither the
editor and publisher, nor Last Mile can be held liable for inaccuracies, injury or damage that may arise.
WHAT WE DOAction on Diabetes has three primary focus areas
summarised in the following activities:
1. Raising awareness around diabetes, its risk factors and complications
Action on Diabetes organises events throughout
the year where members of the public can be
tested for type 2 diabetes. Education is also given
on diabetes and how to avoid diabetes by living a
healthy lifestyle.
2. Providing diabetes education and training for healthcare professionals
Workshops and training courses are offered on an
ongoing basis to healthcare professionals to help
them to improve their knowledge of diabetes and
how to manage the condition.
3. Promoting research on diabetes and sharing that knowledge with diabetes community
Action on Diabetes supports research activities in
Qatar on diabetes to ensure that decision-makers
have the information they need to make informed
choices around diabetes treatment and care.
Action on Diabetes is a partnership between the Supreme Council of Health, the Hamad Medical Corporation, Primary Health Care Corporation, Qatar Diabetes Association – member of Qatar Foundation, Maersk Oil Qatar and world leader in diabetes care Novo Nordisk. The unique partnership setup helps the Qatari authorities raise awareness of diabetes, help those at risk to avoid it, and give people already living with diabetes advice on managing their health better.
To learn more visit: www.action-on-diabetes.qa
Action on Diabetes
ESTABLISHED TO HELP DELIVER THE EMIR’S VISION OF A HEALTHY QATAR.
Use the QR code to watch videos from the events on your mobile phone.
November 2014 Take Action on Diabetes 1
What’s in this issue
COVERPHOTOGRAPHER MR
AHMED TAHA COVER PROFILE ABDUL
REDHA SHOT ON LOCATION
AT MR ABDO’S VILLA IN AL WAKRA
Diabetes CommunityWhat’s coming up?
Check out some of the events that are happening over
the next few months.
Editors’ letter
Welcome to our first issue. Read ‘A word from the
editors’ for a peak of what is inside.
In the know
The inside scoop on the latest information for
managing diabetes.
Ask the experts
Your questions about diabetes answered.
Your HealthGet the facts
How to care for your feet with diabetes.
Fitness & FoodMove more
Walk yourself fit! Advice on getting started with a
walking programme.
Eat right
5 fibre rich foods to add to your diet. Try our tasty
stuffed artichoke recipe.
Your QDA
15th International, Al Bawasil Camp.
Type 1 diabetes
Helping children learn about type 1 diabetes
FEATURE I choose to live well with diabetes
We interview Abdul Redha about his
lifelong journey with diabetes.
SUBSCRIBE TO TAKE ACTION ON DIABETESVisit www.action-on-diabetes.qa to subscribe and receive an email
with a link to every new issue.
ActionTAKE
ON DIABETES
2
3
4
5
10
11
14
18
20
6Artichokes, a vegetable from ancient times, are a powerhouse of fibre and nutrients.
Every year Qatar Diabetes Foundation organises a camp for children with type 1 diabetes.
14
20
2 Take Action on Diabetes November 2014
What’s coming up?CHECK OUT SOME OF THE EVENTS THAT ARE HAPPENING OVER THE NEXT FEW MONTHS.
DIABETES SCREENING & AWARENESS VILLAGE14 & 15 November 2014
Bring your family for a fun-filled outing to the Katara Cultural Village, a two-day event organised by Action on Diabetes to drive public awareness of diabetes. Learn about healthy lifestyle choices, watch live cooking demonstrations and much more.
FREE DIABETES SCREENING
BEAT DIABETES – JOIN THE WALK 14 November 2014
The Qatar Diabetes Association annual walkathon to mark World Diabetes Day will take place at the Aspire Zone on Friday 14 November 2014. The walk will take place from 3pm. Register beforehand at the Aspire Park tent.
FREE T-SHIRTS, CAPS,
HEALTH SNACKS
AND WATER FOR
PARTICIPANTS
MAERSK OIL & QP CHALLENGE15 & 16 November 2014
Thirty teams from different companies and organisations in Qatar will again compete over two exhilarating days, raising money for and awareness of the Action on Diabetes partnership.
5 STAGES, 30 TEAMS,
2 DAYS, 1 WINNER
AL BAWASIL CAMP 30 January to 5 February
2015
The 15th international Al Bawasil Camp, a weeklong meet for children with diabetes, will be held at the Aspire Academy from 30 January to 5 February 2015. The camp is a safe environment for children with diabetes, to teach them how to self-control diabetes.
OVER 60 CHILDREN FROM
VARIOUS COUNTRIES
INCLUDING QATAR TAKE
PART IN THE CAMP
EACH YEAR
SCHOOLS OLYMPIC PROGRAM19 & 29 March 2015
The Qatar Olympic Committee in partnership with the Supreme Education Council is hosting the 8th annual Schools Olympic Program (SOP). The program develops and promotes fitness and a healthy lifestyle by organizing multisport competitions among the schools of Qatar with students ranging from 5 to 18 years.
SIX MONTH INTRASCHOOL
COMPETITION BEGINS IN
SEPTEMBER,
FINALS HELD IN MARCH
Remember that 14 November is World Diabetes Day.
To learn more visit http://www.idf.org/worlddiabetesday
DIABETES COMMUNITY
November 2014 Take Action on Diabetes 3
OUR FIRST ISSUE!
Living with diabetes can be a daily challenge. It involves learning to
manage your condition on your own.
However, you are not alone.
There are a lot people, just like you, who have diabetes and understand what it is like to try to maintain good blood sugar control each day. Many healthcare professionals and people with specialised expertise in Qatar are also dedicated to helping you live better with diabetes.
Take Action magazine is a resource on diabetes for you and those who support you from day-to-day. The pages of the magazine are crammed with news, good advice and interesting stories to motivate you in your daily journey with diabetes. Read our cover profile on Abdul Redha, retired engineer and father of six, who
shared his lifelong journey with diabetes with us for inspiration (see page 6 to 9).
It is our hope that this magazine will become your magazine and that you will become an active member in building a diabetes community with us. Sign up online to become part of the community on the magazine’s website (http://aodnews.com/magazine) or send us an email ([email protected]), so that we can keep in touch between issues.
We look forward to hearing what you think of our first issue.
A word from the editors
CONNECT WITH US
Facebook https://www.facebook.com/ Actionondiabetes
Twitter https://twitter.com/Action_Diabetes
YouTube www.youtube.com/user/ActiononDiabetes
What is a QR code?A QR code is an easy way to access pages on the Internet. It is like a shortcut link you can use instead of typing the
website URL into your browser.
How does it work?Download a QR code reader/scanner application to your smartphone. When you spot a QR code, open the app, place your phone camera over the QR code and snap a ‘photo’. That should take you to the page.
DIABETES COMMUNITY
Dr. Walaa Fattah Mahmood Al-Chetachi, Dr. Badriya Al Malki (SCH)Manal Musallam Othman, Joanna Butler (HMC)Dr. Fawziya Ali Khalaf A. Al-Khalaf, Hilalia Ahmed (PHCC)Dr.Abdullah Al Hamaq, Katie Nahas (QDA-QF)
4 Take Action on Diabetes November 2014
THE DIABETESMINE™ TEST KITCHEN
The first-ever video product review hub created specifically by and for people whose lives are affected by diabetes. Hear what others have to say about mobile apps, insulin delivery and blood sugar measuring devices available for diabetes management and much more.
Watch the reviews:
http://www.diabetesmine.com/test-kitchen-categories
In the know...THE INSIDE SCOOP ON THE LATEST INFORMATION FOR MANAGING DIABETES.
DIABETES AWARENESS SURVEY
Action on Diabetes has commissioned two Diabetes Awareness Surveys since the programme began in 2011 to gauge how much people living in Qatar know of diabetes, its risk factors and related complications. The most recent survey from 2013, which interviewed 300 people, shows that there has been an improvement in the level of diabetes awareness since the first survey in 2011.
GLOOKO DIABETES MANAGEMENT APP
Download Glooko to your Android or iPhone to help you manage your diabetes over time. You can upload your blood sugar (glucose) readings directly from your meter to the app, which has a food database of over 200,000 foods that automatically allows you to log the carb content of your food. Create a record of your numbers and view the statistics breakdown anytime in graph form. Track your goals and share the information with your doctor.
Get it now: http://www.glooko.com
43%of those interviewed who did not have diabetes were at high risk of developing the condition, the Diabetes Awareness Survey 2013 revealed. This is a 3% increase from 2011. Factors that put individuals at high risk are a family history of diabetes, high blood sugar (gestational diabetes) and poor nutrition during pregnancy, being overweight, physical inactivity, eating unhealthily and smoking.
DIABETES COMMUNITY
November 2014 Take Action on Diabetes 5
Dr Mahmoud Zirie is the Head of Endocrinology, Diabetes and Metabolism Unit at HMC.
Dr Mohsin Mismar is the Manager of Adult Health Division at PHCC.
Ask the experts
WHY DO I NEED TO CHECK MY BLOOD SUGAR LEVELS?
Testing your blood sugar levels is an important tool when managing your diabetes and preventing long-term complications. Keeping a record or log of your results is vital. It can help you understand how diet, exercise and other factors, such as illness or stress affect your blood sugar levels. Monitoring will also assist you to identify when your blood sugar levels are out of range of your target values (either too high or too low). Consult with your doctor on adjusting your medication if this is the case.
I HAVE NEUROPATHY (NERVE DAMAGE). ARE THERE WAYS THAT I CAN TREAT OR RELIEVE THE PAIN I AM EXPERIENCING?
You are not alone. One in four people with diabetes experience nerve pain. Focus on controlling your blood sugar because continued high blood sugar is toxic for your nerves. Good blood sugar control can stop or even reverse the damage in some cases. Exercise regularly to improve the blood flow to your leg and foot nerves. Walking may help to prevent nerve damage in people with diabetes and prevent nerve damage from getting more severe.
QA&
THE EXPERTS
WE ASKED
DIABETES COMMUNITY
DO YOU HAVE A QUESTION?Email us at: [email protected]
6 Take Action on Diabetes November 2014
COVER PROFILE
I don’t regret a lot of things in my life, except one and that is smoking.
November 2014 Take Action on Diabetes 7
I choose to live well with diabetes“BECAUSE I HAVE DIABETES, I KNOW THAT I MUST TAKE CARE OF MY HEALTH. IF I DO NOT, THEN I MAY DEVELOP DIABETES-RELATED COMPLICATIONS SUCH AS A HEART ATTACK, KIDNEY DISEASE OR LOSE MY EYESIGHT.”
COVER PROFILE
D iagnosed with type 2 diabetes in his early
twenties, the retired engineer and father of six children, explains that the worry for him is that then he will become a burden to his family. Heart disease is a major complication for people with diabetes. Abdul knows from experience how serious a heart problem can be – twenty years ago he had double-bypass surgery. A heavy smoker with a demanding career, Abdul was forced to re-evaluate some of his lifestyle habits when it was discovered that he had a severe blockage to his left and right heart artery that needed to be operated. Stress together
with smoking and diabetes are known to significantly increase the risk of heart disease and can be fatal. “I don’t regret a lot of things in my life,” he reckons, “except one and that is smoking.” A habit he has since quit.
Family history
If you have a family member with diabetes, it is more likely that you will develop the condition. Abdul’s mother had diabetes and so do two of his brothers. Type 2 diabetes is usually diagnosed later in life. It is only by chance that Abdul found out at such a young age of his condition. He is fortunate for the early
discovery. Many people do not become aware that they have type 2 diabetes until it is too late and complications begin to develop. The International Diabetes Federation estimates that in Qatar as many as 40% of people who have type 2 diabetes are unaware of their condition.
Maintaining good blood
sugar control
Abdul is dependent on insulin. Considered to be a patient with good blood sugar control, he makes sure to eat five times per day and either walk or swim twice daily, for twenty minutes each, to keep his blood sugar levels within
*former Managing Director of Qatar Foundation
Abdul Redha*:
I don’t regret a lot of things in my life, except one and that is smoking.
8 Take Action on Diabetes November 2014
a normal range. “This,” he says, “is a lifestyle that is with me all the time.” When it comes to managing his diabetes, he has a simple, practical approach: “do everything, eat everything, but do it in moderation.”
1. Educate yourself
The key to successfully managing diabetes boils down to three things according to Abdul: “Self-education, discipline and patience.” The first element to controlling your diabetes is to educate yourself well about your health condition. “I started going to school before there was electricity in our home,” says Abdul, “and there weren’t any libraries available. Today there is a lot of information that can easily be accessed
about diabetes on the internet from home. Read as much as you can about your health condition.”
2. Use technology
Technology has provided us both the means to educate ourselves more readily and a wide range of new tools for managing diabetes. Today, Abdul uses an insulin pump to manage his blood sugar levels, which he carries in the pocket of his thobe. He has made a small hole in the pocket of his tunic for the tube from the insulin pump to go through to where it connects to his body. Except for when Abdul checks the monitor, the device is not noticeable; in his view it is the same as carrying a mobile phone with you.
There are many new scientific discoveries and tools today to help a person with diabetes to live longer and better without complications. Therefore, asks Adbor, “why not take that opportunity and learn how to use resources such as food labels and smartphone applications that are available, literally, at your fingertips?” Speak to you healthcare provider; they will be able to guide you where to get accurate information.
3. Be disciplined and have
patience
You must be disciplined with yourself. Living a healthy lifestyle requires making certain choices, which may not be easy at first, and require self-
COVER PROFILE
November 2014 Take Action on Diabetes 9
How you can make a difference for your familyYou may not be able to do
anything about your family history,
but you can adopt a healthier
lifestyle for your family that will
make a difference. Studies have
found that by making simple
lifestyle changes, people with pre-
diabetes can reduce their risk of
developing diabetes by 58%.
Children develop the habits at
a young age that they will carry
with them for a lifetime, so start
by teaching them to make good
choices early on.
• 1 in 7 chance of developing diabetes if your parent is diagnosed before the age of 50, compared to a 1 in 13 chance if your parent is diagnosed after that age2.
Diabetes may be in your genes. But, genes alone are not enough to trigger the onset of diabetes. Lifestyle is also an important factor. Choosing to eat healthily, exercising regularly and avoiding smoking can help you prevent type 2 diabetes.
• 70% if both your mother and father have diabetes
• 40% if either your mother or father has diabetes
WHAT IS THE RISK?
This shows the closer the relative, the greater the risk for type 2 diabetes. Your risk increases by1:
discipline. You also need to learn to be patient with yourself. There are times when it may be uncomfortable or awkward – particularly if you have to inject with insulin – be patient.
In the end, Abdul concludes that it is about deciding to live each day well: “To me it does not matter how long I live, it is the quality of the life I live that matters.”
INSULIN PUMPSWant to know more about insulin pumps? Get information on our magazine website – http://aodnews.com/magazine
GET HELP TO STOP SMOKING
Smoking cessation clinics at the Primary Health Care Corporation (PHCC) and Hamad Medical Corporation (HMC) help smokers to quit with a combined programme including pharmacotherapy with advice and behavioural support.
Vist http://stopsmoking.hamad.qa or call PHCC on 44174411 to learn more.
Smoking and diabetes both increase the risk of heart disease in very similar ways, and so when combined, they greatly increase the chances of suffering from a heart- related condition such as a heart attack or stroke.
COVER PROFILE
1. Lyssenko, V. and Laakso, M. 2013. Genetic Screening for the Risk of type 2 diabetes. Worthless or valuable? Diabetes Care. Vol. 36(2): 120-1262. American Diabetes Association. The Genetics of Diabetes
10 Take Action on Diabetes November 2014
YOUR HEALTH
LOW BLOOD SUGAR: WHAT IS IT? • If your blood glucose level falls below 70 mg/dl then you have ‘low blood sugar’.
• The medical term for low blood sugar is hypoglycaemia, often called a ‘hypo’.
Waiting to treat low blood sugar is not safe. It is important to treat low blood sugar quickly to stop blood sugar levels from falling even lower. Failure to treat symptoms can cause you to lose consciousness and result in accidents, injuries, coma and death. Emergency treatment is required if consciousness is lost.
LOW BLOOD SUGAR CAN DEVELOP QUICKLY IN PEOPLE WITH DIABETES WHO ARE TAKING INSULIN AND HAVE SERIOUS CONSEQUENCES
WHY ACTION MUST BE TAKEN QUICKLY
WHAT YOU NEED TO KNOW ABOUT LOW BLOOD SUGAR
Don’t ignore early warning
signs take action
promptly.
November 2014 Take Action on Diabetes 11
1. John Hopkins Medicine. Hypoglycemia. 2. Mayo Clinic. Hypoglycemia.
Find out how to treat low blood sugar at http://aodnews.com/magazine
WHAT HAPPENS WHEN YOU HAVE LOW BLOOD SUGAR?By learning more about the symptoms of low blood sugar, you can take steps to help avoid episodes form occurring. Symptoms usually appear when a person’s blood sugar level falls below 70 mg/dL. They may be mild, moderate or severe.
WHAT YOU NEED TO KNOW ABOUT LOW BLOOD SUGAR
Tell friends, relatives and
colleagues at work about symptoms of low blood sugar and
how they can help.
CHECKLIST A few useful tips to help with low blood sugar
Always carry glucose sugar tablets
3
Wear a diabetes identification bracelet or necklace
3
Don’t, walk or swim long distances alone
3
Check blood sugar before driving – avoid driving if it’s low.
3
YOUR HEALTH
Low blood sugar can be caused by:
Missing a meal or snack
Eating less or later than usual
Exercising more than usual
Too much insulin
Too many tablets for diabetes
Fasting
Stress
Hot weather
Mild symptoms:
Hunger
Sweating
Dizziness
Trembling
Moderate symptoms:
Headache
Confusion
Moodiness
Nervousness/feeling anxious
Don’t ignore early warning
signs take action
promptly.
12 Take Action on Diabetes November 2014
Every 30 seconds a leg is lost due to
diabetes somewhere in the world. The
majority of which could have been
avoided.
Having diabetes means that you need
pay special attention to your feet.
What’s the problem?
Diabetes can cause nerve damage
(known as neuropathy) and
circulation problems. You may not
notice a foot injury like a blister or
callus if you have nerve damage as
your feet are less sensitive to pain,
heat or cold. While, poor blood
flow means that it is hard for a sore
or infection to heal. With diabetes
a small foot injury can therefore
become big worry. At worse, it can
lead to amputation.
1. www.nytimes.com/health/guides/disease/type-2-diabetes/complications.html2. www.medscape.com/viewarticle/822192
Get the factsYOUR FEET AND DIABETES
of people with diabetes face serious foot-related complications in their lifetime1.15%
Blister
Ingrown toenail
Corn or callus
Bunions
Dry or cracked skin
Fungal infections like
Athletes foot
Discoloration85% of amputations
can be avoided2.
WHAT MUST I CHECK FOR?
54321How can I look after my feet?
YOUR HEALTH
Care for your feet and toenails – wash, dry
well and moisturise
Inspect feet for cuts, bruises, swelling or
any discoloration
Wear shoes and socks that
fit properly
Never walk
barefoot
Visit your doctor once
a year for a foot exam
November 2014 Take Action on Diabetes 13
Walk yourself fit!
THERE IS NO QUESTION, WALKING IS GOOD FOR EVERYONE - ESPECIALLY IF YOU HAVE DIABETES.
MOVE MOREMOVE MORE
14 Take Action on Diabetes November 2014
Apart from being one of
the easiest ways to get
fit, walking also boosts
energy levels, fights fat, and
protects your heart. It also
improves blood pressure,
while lowering cholesterol,
stress levels, and depression.
Exercise is nearly as
important as diet when
managing diabetes. But the
idea of beginning a fitness
programme may seem
overwhelming. That is why
walking is a great place to
start, because all it takes
are a few extra steps a day
to make a positive impact
on your health. The first
step is simple - find ways to
increase the number of steps
you take throughout the day.
Take more steps each day
1. Climb stairs rather
than use an elevator or
escalator.
2. When possible, walk up
the escalator rather than
riding up.
3. Park at the far end of
every parking lot.
4. Take short walks during
work breaks.
5. Stand up and walk in
place during advertising
breaks on television.
Beginning a walking programmeOnce you feel comfortable
to take the next steps, plan
a more structured walking
programme:
1. Invest in good shoes and socks - it is very
important to look after
you feet with diabetes.
Get a pair of comfortable,
well-fitting shoes and
socks. A podiatrist can
help you make the right
choices.
2. Plan your route –
choose a place to walk
where you feel safe and
the ground fairly level.
3. Warm up and cool down
– do a few stretching exercises before and
afterwards.
4. Move correctly – maintain
good posture when
walking.
5. Build stamina over time – do 15 minutes
of walking at a time for
the first week. Do five
minutes of each: slow
warm up, slightly brisker
pace and easy cool
down. Gradually add on
a few minutes to your
routine per week.
6. Invite a friend to
join – connecting with
people you enjoy being
around will also motivate
your carry on with your
programme.
Get hold of a pedometer or download an app onto your smartphone to count your steps.
Hold your head high
Move your shoulders naturally
© MAYO FOUNDATION FOR MEDICAL EDUCATION AND RESEARCH. ALL RIGHTS RESERVED
HOW TO WALK CORRECTLY
Look forward, not at the ground.
Keep your chin parallel to the ground
Gently tighten your stomach muscles.
Walk smoothly, rolling your foot from heel to toe.
Swing your arms freely with a slight bend in your elbows.
Keep your back straight, not arched forward or backward.
MOVE MORE
November 2014 Take Action on Diabetes 15
30 minutes per day, five times
per week is the recommended
amount of exercise you need!
Join the step into
health programme
initiated by Aspire
Zone by registering
via the website to
become a member.
Log your daily totals
online and get
feedback on your
progress. Aspire
Zone will provide free
online assistance,
a pedometer, and
support for analysing
your results and
answering any
questions you may
have.
Find out more about
the walking club at
participating malls
from the Hyatt Plaza
from the Customer
Service Desk.
Choose comfortable shoes that do not rub anywhere. Avoid shoes that are too loose, which can cause blisters, or are too tight. Before and after you walk, carefully inspect your feet, especially in between your toes. Wear white socks – bleeding from damaged skin will be more easily noticeable. Deal with injuries immediately.
MOVE MOREMOVE MORE
16 Take Action on Diabetes November 2014
Eat morefibrePeople living with diabetes
are encouraged to follow a
high fibre diet. Eat a fibre
rich diet to reduce your
risk of chronic diseases and
improve your overall health.
A high fibre meal will help
you feel full sooner and can
assist you in controlling the
rise of your blood sugar
after your meal. It is advised
to take around 24 -35
grams of fibre per day.
Fibre can be found in
whole grains, legumes, fruit
and vegetables. Include as
many different choices as
you can.
EAT RIGHT
November 2014 Take Action on Diabetes 17
5 fibre rich foodsFIBRE IS GOOD FOR DIGESTION, LOW ON CALORIES AND WILL KEEP YOU FULL FOR LONGER.
ARTICHOKE
Artichokes are a great way to
increase your fibre intake. One
cup of the cooked vegetable
contains 10.3 grams of fibre and
provides you with a total of 14.3
grams of carbs in a medium
size portion. Artichokes are a
versatile addition to your diet
and can be prepared in several
healthy ways – steam with
a sauce on the side, stuffed,
grilled, in a salad or use in
salads and other hot dishes.
BULGUR
Bulgur is another
whole grain nutritious
carbohydrate choice..
With much of the bran
layer preserved Bulgur
has more fibre and B
vitamins than refined
grains. One cup of Bulgur
has 8 grams of fibre 33
grams of carb and 150
calories. Easy recipes for
Bulgur can be found on
the American Diabetes
Association website
and Mediterranean cook
books.
BROWN RICE
Brown Rice is a healthy option for a carbohydrate
source in your main meal. Although similar in
carbohydrate content to white rice, brown rice has
a lower impact on your blood sugar values. Due
to its minimal processing brown rice provides you
with essential B vitamins.
One cup of cooked brown rice contains
45 grams of carbohydrate, 3.5 grams
of fibre and 218 calories.
LENTILS
Super rich in fibre, lentils are
a great source of protein, B
vitamins, iron, and other minerals.
Lentils help to reduce blood
cholesterol since it contains
high levels of soluble fibre. One
cup of cooked lentils has about
15 grams of fibre, 40 grams of
carbohydrates and 230 calories.
APPLES
Apples are usually easily
available and a good source
of fibre. Eat the peel, it is an
important source of fibre and
nutrients like phytochemicals,
which are known to have a
strong antioxidant activity
One small apple has 77 calories
with 20 grams of carb and 3.6 grams of fibre.
MOVE MOREEAT RIGHT
18 Take Action on Diabetes November 2014
What’s for dinner?
Where do you spend your summer holidays?I like to travel to my
homeland Armenia with
my culinary colleagues
to discover natural, fresh
ingredients from villages
and farms to use in our
recipes.
Where do you get your inspiration?When I travel to
different countries I
enjoy finding out about
healthy local dishes.
What is your current favourite ingredient?Artichoke. It is one of
the oldest vegetables
in the world, but lately
we often skip using
artichoke in cooking
because they seem
difficult to prepare.
Artichoke ideas• Raw with extra-virgin olive oil and
lemon juice, as they do in Italy.• Warm, drizzled with olive oil and
sprinkled with sea salt and pepper.
5 MINUTES WITH CHEF
ZARMIG HALLADJIAN
1. Before cooking, make sure to cut off the stem.
2. Trim off the very sharp leaf tips and use your finger
to slightly open the leaves, allowing it to cook more
effectively.
3. Boil or steam for 8 to 10 minutes. When it’s cooked
the petal near the centre pulls out easily.
How to prepare artichokes
EAT RIGHT
November 2014 Take Action on Diabetes 19
ROASTED STUFFED ARTICHOKES
Ingredients6 cups water 1/4 cup lemon juice
2 large fresh artichokes
2 slices whole wheat bread
3 cloves garlic
2 tablespoons freshly grated
parmesan cheese
2 tablespoons chopped fresh parsley1/4 teaspoon ground black pepper
1 tablespoon olive oil
Instructions1. Preheat the oven to 375 degrees
Fahrenheit (190° Celsius)
2. Add water and lemon juice (to
prevent browning) to a large pot
and bring to a boil.
3. Peel off the first layer of the outer
leaves of the artichoke and cut in
half lengthwise.
4. Spoon out the hairs in the center
(the choke), but leave the flesh of
the artichoke intact. Put into the
boiling water for 5 minutes.
5. Take the artichokes out of the
boiling water and place cut side
up in a baking dish.
6. Add the whole wheat bread,
garlic, parmesan cheese, parsley,
and ground black pepper to a
food processor and blend until
crumbs. Drizzle in the olive oil
while blending to make the
stuffing. Take a spoonful of filling
out and squeeze it in your palm;
if it stays together it’s ready.
7. Divide the stuffing evenly among
each artichoke half, pressing it in
to the artichoke.
8. Place on the middle rack of the
oven and bake for 30 minutes or
until topping is golden brown.
NUTRITIONAL FACTS
Serving size : 1/2 artichoke
Calories : 180
Carbohydrate : 18g
Protein : 5g
Fat : 10g
Dietary fibre : 6g
Sodium : 185mg
MOVE MOREEAT RIGHT
Prep time:
10 minutes
This recipe
serves 4
20 Take Action on Diabetes November 2014
15th International Al Bawasil Camp
30 January
to
5 February
2015
TYPE 1 DIABETES
November 2014 Take Action on Diabetes 21
Where will it be held?
The camp is organised
by Qatar Diabetes
Association (QDA),
supported by Action on
Diabetes as well as the
Eljaish Sports Club and
others. The next camp
will be held at the Aspire
Zone complex in Doha.
Who will be there?
Over 60 children with
type 1 diabetes from
countries like Lebanon,
Yemen, Bahrain,
Pakistan, Sudan,
Palestine, Iraq, Libya,
Uganda, United Arab
Emirates, Saudi Arabia,
Kuwait, Oman, Jordan,
Iran and Qatar.
Interested in finding out
more? Email QDA-QF at
The mission of this camp is to create a safe and loving environment for children with diabetes, to teach them how to self manage diabetes and avoid its complications in order to reach their full potential. Abdullah Al Hamaq, Director, QDA-QF
The Al Bawasil camp
is a weeklong meet for
children with type 1
diabetes to help them
learn about how to live
with their condition.
Interactive programmes,
including medical
workshops are delivered
in an entertaining,
simple, easy and
understandable way for
the children.
MOVE MORETYPE 1 DIABETES
22 Take Action on Diabetes November 2014
Learn about Type 1 diabetes
Exercise is good for your child and there is no reason why they can’t enjoy the same activities their friends do. They must just keep in mind:
BE SAFEll To have a snack or change their insulin dose when they exercise – this will help keep good balancell If they feel unwell during exercise to stop and tell an adult.
WHEN EXERCISINGll Test their blood sugar before and during exercise to make sure they do not have low blood sugar, especially if exercising for more than 30 minutes.
BE PREPARED
ll Give them a sports drink, fruit juice, glucose tablets or sweets to have with them in case their blood sugar gets low.
WHEN YOUR CHILD HAS TYPE 1 DIABETES IT IS IMPORTANT FOR THEM TO LEARN TO KEEP THE BALANCE RIGHT BETWEEN FOOD, INSULIN AND BEING PHYSICALLY ACTIVE.
Test your child – ask them to fill in the blanks below. Do they need help? Let them follow the maze to find the answer.
5 by 5 orthogonal maze
Copyright © 2014 JGB Service, http://www.mazegenerator.net/
5 by 5 orthogonal maze
Copyright © 2014 JGB Service, http://www.mazegenerator.net/
COMMON FOODS THAT
INCREASE BLOOD SUGAR
Sweets, Fatayer, Potatoes,
Fruit juice,
ACTIVITIES THAT
DECREASE BLOOD SUGAR
Playing, Dancing, Running,
Swimming,
Find the answer hereFind the answer here
Insulin / Physical activity lowers blood sugar
Foodincreases
blood sugar
TYPE 1 DIABETES
1. American Diabetes Association. Exercise and Type 1 diabetes.
November 2014 Take Action on Diabetes 23
WHEN? 15th and 16th
November 2014.
WHERE? Fuwairit
beach area.
WHERE DOES THE MONEY RAISED GO?All proceeds raised by
participants of this team
challenge event will
be donated to Qatar’s
Action on Diabetes
partnership, thereby
generating vital funds
to support diabetes
research, education and
awareness programmes.
MAERSK OIL & QP CHALLENGE
TWO ADVENTUROUS DAYS ON THE QATARI COASTLINE WHERE EACH TEAM WILL NEED TO COMBINE PHYSICAL ACTIVITY WITH GREAT TEAM SKILLS.
5 STAGES, 30 TEAMS, 2 DAYS, 1 WINNER30 teams will compete against each other over 2 exhilarating days and 5 stages. To win the event, teams will need to combine mental agility with strong physical performance and great team work. Participants will find themselves orienteering by GPS, completing construction projects, navigating in the desert at night and solving complex team problems.
FIND OUT MORE: http://www.maerskoilandqpchallenge.com/the-challenge/
LEARN MOREwww.action-on-diabetes.qa