Guest Blog:Thanks Teacher

Our guest poet, Maureen Campey, has written another great poem about Parenting a child with diabetes. This time, Maureen has written about her teenage son starting a new year of High School, one of those momentous hurdles that we all face as parents.

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Here are Maureen’s wise words.

Sending our kids back to school always brings its own set of worries and frustrations. My T1 14yr old has gone back to a new set of teachers. He seems pretty cool with it all. My ‘coping mechanism’ seems to have become, Writing Poetry! Weird, I know but it helps me get it out of my system. I hope you don’t mind if I share!

Dear Teacher

Hi, hello, it’s me again.
Please don’t roll your eyes!
I’m not a helicopter parent,
I come in peace!

I need to explain
That my child will be carrying an invisible pancreas.
You won’t even know it’s there.
He will carry it with him wherever he goes.
He will do its job and look after it
But sometimes he may grow a little weary.
Your help may be needed as he mustn’t let go of this tiresome load.

Scared? Don’t be!
Imagine how he feels all day, every day
Yet he keeps on going.
Your job is small and help is at hand for you.

My child must calculate many things at the same time.
He must think like a pancreas.
Can you imagine?
As well as trying to learn,
He must anticipate the effect of every action and piece of food
Whilst travelling from class to class, and teacher to teacher.
No mean feat!

I will make sure you are given the knowledge you need.
I ask that you are willing to accept your role.
Let him be and don’t become a helicopter teacher.
He is not perfect.
Do not expect gratitude,
There will be no immediate reward for what you do
But know that he will go on to live a full life
Having learnt from you that this burden can be shared.

You will never know the gift you have given my child
But please know that I will be forever in your debt.

Maureen Campey

giving love
The gift of the Future..
 

 

 

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Christmas kindness and mindfulness

Christmas: season of abundance
Christmas: season of abundance
Christmas: season of abundance

Christmas can be a tricky time for people with diabetes. As the dietitian for Diabetes Counselling Online I’d like to remind you all to be kind to yourself over the Christmas period and remember that diabetes is not a game of perfect – it’s what you do most of the time that makes the difference, especially as we’re doing it for the rest of our lives. In today’s blog I’d like to share some ideas by other dietitians and offer a few tips that will hopefully help you to be mindful of your wellbeing this Christmas/New Year period.

As we all have different types of diabetes, using different or no medications, and with so many variations in our day to day lives, I encourage you to check with your health professional before making any changes to your usual routine. These tips are meant as a guideline, so please use good sense in applying them.

Let’s start with a couple of previous Diabetes Counselling Online blogs I’ve written on food for Christmas.

A fresh look at the Christmas meal reminds us that we can choose to provide foods that although Christmassy, do not need to be laden with fat, salt and sugar.

Colours of Christmas – enjoying the festive foods with no regrets helps us to understand about shopping for Christmas treats, and a whole lot more including these great Christmassy food comparisons that help make your choices more mindful.

Did you know that:

  • A cupful of halved fresh apricots (155g) has only 10g carb (half a serve) and 265kJ/64 calories.
  • A cupful of cherries without seeds (145g) has 15.8g carb (one serve) and 363kJ/87 calories.
  • A cupful of strawberries with no stems (150g) has only 6g carb (possibly not worth counting!) and 162kJ/39 calories.
  • A scoop of low-fat vanilla icecream (50g) has 11.4g of low-GI carb and 258kJ/62 calories.

Compared with:

  • 1 small slice of a Christmas fruit pudding (50g) has 30.4g carb (2 serves) and 785jK/188 calories (plus loads of saturated fat and sodium)
  • 1 small fruit mince pie (40g) has 26.8g carb (2 serves) and 802kJ/192 calories (plus loads of fat and sodium too)

Dietitian Christmas articles

Speaking of being mindful, these next few blogs are written by Accredited Practising Dietitians (APDs) that focus on choices (not diabetes choices, but healthier choices) and there are some great tips in them that I’d like to share with you.

First up, I love these mantras by APD Deb Blakley from this article in The Scoop on Nutrition. Deb reminds us that we should enjoy ourselves at Christmas. Deb says it’s all about good food and good company. Her mantras are very sensible to ensure that we remain kind to ourselves and to others.

The Australian Healthy Food Guide magazine has also shared a few Christmassy articles to help us to maintain our health while we enjoy the Christmas celebrations. This one by APD Caitlin Reid provides 21 tips to stay healthy over the festive season. That’s a lot of tips! Have a read as even if only one or two mean something to you, then you’ll be in a better place.

This one by APD Zoe Wilson is entitled ‘Surviving the Silly Season’. In it Zoe offers 3 quick tips to help you make it through to the New Year without regrets.

And the last of the Australian Healthy Food Guide blogs is by APD Brooke Longfield who talks about managing alcoholic intake which we know adds empty calories as well as disrupting our diabetes management. Brooke has some very helpful ideas here.

Last but not least is a blog by APD Megan McClintock. I have to say this is my favourite one because its focus is on kindness and mindfulness which is something that can be so powerful when we’re managing a chronic health condition such as diabetes. Megan shows us which questions we should be asking ourselves and reminds us that there’s no point feeling guilt or being negative with our thoughts about food. She also provides 6 very practical tips to help.

Wow! That was a BIG read. I hope you found some tips in there that mean something to you and will help you to be kind to yourself and others. In summary it’s about choosing what you have at home and enjoying it mindfully without beating yourself up, and balancing your extra food enjoyment at Christmas with plenty of activity which has benefits of it’s own. Our main focus should be being kind to ourselves and others, enjoying the social aspects of being with family and friends and using any time off to recharge our batteries for a good start to the new year.

Wishing you and your families a wonderfully happy Christmas filled with love and laughter. Sally :)

Sally is the Social Media Dietitian with Diabetes Counselling Online, owner of her private practice (Marchini Nutrition), and has had type 1 diabetes for close to 40 years and coeliac disease for many years too. You can access a linked list of all Sally’s Diabetes Counselling Online blogs here.

 

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Making 2&5 easy

Perino Duets

We’re all so busy these days. How on Earth are we meant to able to consider our health and getting enough fruit and vegetables (our 2&5) into the meals we eat?

Often I see clients who, when I take their diet histories, they don’t even start to consider foods like fruit and vegetables until so late in the day that it’s actually too late to get enough of those important plant nutrients. Or when they’re doing it they find them so unappealing that there’s no incentive to make them want to eat more.

In this blog I hope to help you find it easier to get them all in and enjoy them, which in turn will help you to improve your own wellbeing, diabetes health, mental health, heart health and so much more!

The Australian Dietary Guidelines tells us:

“There are many nutritional, societal, culinary and environmental reasons to ensure that vegetables, including legumes/beans, and fruit are a major component of Australian dietary patterns. These foods are nutrient dense, relatively low in energy (kilojoules) and are good sources of minerals and vitamins (such as magnesium, vitamin C and folate), dietary fibre and a range of phytochemicals including carotenoids. Many of the sub-components of foods and their relationships have not been studied in detail, and it is expected that other sub-components – and their biological effects – are still to be discovered.”

From a diabetes point of view, they’ll help improve our immune system, mental health, good cholesterol, bowel health and help with weight management (just to name a few benefits!).

Perhaps a good start would be to look at ideas to include them in your meals across the day, and then provide you with some easy recipes – some of my personal favourites, and I encourage you to share your personal favourites below too in case they inspire someone else to enjoy more of these wonderful foods.

A good starting point is to know what the guideline is and how much a serve is. This snip from the Australian Dietary Guidelines for Adults brochure provides a pretty clear picture.

fruit andveg serves

One of my best tips is to break up the intake of these foods across the day so that you’re not left with large amounts required at the end. Personally I aim to get 2-3 serves of vegetables at lunchtime and another 2-3 for dinner, and I one of my fruit serves at breakfast and one as a snack later in the day. But there are no rules about this. Here are some ideas that might help you.

Breakfast

Weekday breakfasts usually need to be fast to prepare and eat. So a bowl of high fibre cereal with a serve of fruit is one easy way to get you off to a good start. Think bananas, strawberries, blueberries. A milk based smoothie also works well here, as does multigrain toast with peanut butter and a squashed banana.

frozen banana and berry smoothie2

On weekends with a little more time, why not wilt some baby spinach leaves and panfry mushrooms and tomato, served on toast with an egg. Remembering that one medium sized tomato equals a serve, and half a cup of cooked veg (the mushrooms and wilted spinach) is another serve, you’re off to a great start with two vegetable serves already under your belt.

Lunch

I love lunchtimes in my office. I take the various ingredients to build my favourite salad and set aside an hour to build and eat it while I check my email and Facebook. My salads include mixed leaves, baby tomatoes (various colours if they’re available), Lebanese cucumber, onion, half a cup of 4 bean mix and a quarter of an avocado. That gives me around 3 vegetable serves and I salivate over every mouthful.

salad

Of course leftover are also a top idea for lunch, especially ones high in vegetable ingredient, and can be served with baby spinach leaves to lift them.

And if you’re in a massive hurry and can only have time to make a sandwich, pile on the salad and take some extra veg in a box to nibble on with your sandwich. I just adore the flavour in the grape or Perino tomatoes, and cooked and cooled asparagus (in season at the moment) are such a treat flavourwise – I even enjoy it raw!

Perino Duets

Dinner

A good place to start here is to remember the plate model, in that half your plate should be non-starchy veg or salad.

I’ll provide ideas below on some yummy ways you can make this happen. It is definitely the easiest meal to get those extra serves in, so 2-3 shouldn’t be a challenge at all.

Snacks

Of course a piece of fruit is an excellent snack, remembering you’re aiming for 2 per day, so if you’ve had one with your breakfast you only need one later in the day too. For us with diabetes they’re better off eaten at separate times to keep our BGLs more stable.

Five easy ideas to enjoy your vegetables

  1. Simply steamed or microwaved to an ‘al-dente’ texture (ie not overcooked) mixed vegetables of your choice such as broccoli, zucchini, green beans and peas. Dress with the juice of a lemon, a finely chopped clove of garlic, extra virgin olive oil (equal amount to the lemon juice) and salt and pepper to taste. Delicious!
  2. Start with a tin of tomatoes and add flavours such as garlic, anchovies and chilli. Then just add your choice of veggies and simmer in the sauce for 5 minutes or until they’re an al-dente texture (not overcooked). Tasty!
  3. Take a bowl and add a huge variety of vegetables such as mushrooms, cherry tomatoes, capsicum, zucchini, pumpkin, beans, whole garlic cloves, onion and toss them in some extra virgin olive oil with fresh or dried oregano and salt and pepper to taste. Tip them into a baking tray lined with baking paper (for easy washing up) and roast at 180 degrees Celsius for about 30 mins. Also wonderful with crumbled feta cheese tossed through at the end, and delicious cold the next day for leftover lunches!
  4. Soups and stews are such an obvious choice for those who find it hard to enjoy their veggies as all you need to do is add a whole load of mixed veggies into a large pot, cover with stock, simmer for 20-30 minutes and blend with your desired flavourings. How easy is that?!
  5. Last but not least, if you have left over steamed vegetables it’s so easy to reinvigorate them by adding them into a mix of a few beaten eggs and some cheese and a few extra fresh herbs, baked for 30 mins at 180 degrees to make a frittata that will ‘Wow’ your guests. Also fabulous for next day lunches to help get your vegetable serves in. Yummo!

leftover omelette finished product

That’s probably enough to cover in this blog. I’ve give you quite a lot to consider. As mentioned, we’d love you to share your favourite ways of enjoying vegetables, and let’s talk about them more in our Diabetes Counselling Online groups such as Diabetes and Food – let’s celebrate it!, Diabetes Weight Matters and Men Living with Diabetes among others.

Sally is the Social Media Dietitian with Diabetes Counselling Online, owner of her private practice (Marchini Nutrition), and has had type 1 diabetes for close to 40 years and coeliac disease for many years too. You can access a linked list of all Sally’s Diabetes Counselling Online blogs here.

 

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Research: why does it matter? The Endia study

pregnant happy couple
As the parent of someone with Type 1 diabetes, it can seem that the only organisation in the world doing research into diabetes is the International Charity, Juvenile Diabetes Research Foundation, or as it is more usually known nowadays, the JDRF. For many years, I have ‘walked for the cure’ hoping that one day it would happen. And of course many people connected by Type 1 diabetes, all over the world, are supporting JDRF, working, hoping for the day ‘the cure’ will come.
However, it is good to know that there are many other wonderful organisations undertaking vital research to assist people managing Living with diabetes, and researching possible ‘triggers’, causes, and even treatments, including some that are based right here in Australia.
One of these is a very interesting Australian study known as ENDIA, or “environmental determinants of islet autoimmunity”
We have posted information about this wonderful Australian Study before, but we have many new members who may be unaware of it. One of our Facebook Closed Group ‘Pregnancy and Parenting’ members has asked if we can ‘share’ the links here, hoping to get some more people to commit to the study. Note it is Australia only.
“Hello Helen, I am a member of one of your diabetes closed groups on FB. I have a son who is T1 and has been so since he was 18 months old (he is now 9). Here is a link about the ENDIA study that is being conducted around Australia. We are part of this study and it is about Type 1 diabetes in children. For example, studying what the ‘trigger’ could be for the onset of T1; studying using cord blood to prevent or delay the onset of T1; and studying whether cord blood can be used in assisting T1 children to ‘kick start’ the pancreas. One positive is that being part of this study the storage of cord blood is very cheap. Here is the link, and I hope you do post it, thank you so much”
Thanks to our group member for her story.
Helen
Helen Wilde
Senior Counsellor
Helen has been the parent of someone with diabetes since 1979. She has lived with Type 2 diabetes herself since 2001, and has been a Counsellor with the service since 2002.
www.endia.org.au/about/the-endia-study
The ENDIA study | ENDIA
www.endia.org.au
We are asking women who are pregnant and have Type 1 Diabetes themselves or have a family member with Type 1 Diabetes who would be a first-degree relative of the baby, i.e. the baby’s father or the baby’s older sibling, to consider participating.
The ENDIA study | ENDIAendia.org.auThere is also a Facebook group which you may like to visit, here is the link: https://www.facebook.com/endiastudy?fref=ts

The ENDIA study | ENDIA
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Juggling Wellness and Diabetes

dreamstime_m_14314725 (2)

I’m writing this personal kind of blog on a Saturday. I love Saturdays. They encompass lots of things I love to do which all contribute to my wellbeing. This morning I was out on my run and because it’s Saturday and lovely Spring weather lots of my neighbours were also out and about. Nearly everyone I ‘ran’ into made the comment about how well I looked. I had at least 3 such comments this morning and they inspired me to share with you what I believe to be the key to being well with diabetes, or what works for me anyway.

This is important to me because I have diabetes and I’m turning 50 next year, so I know that if I don’t focus on being well myself I’m in a higher risk group to lose my wellness that is so important to me. I want to do all I can to hold onto it for as long as I can, so I can enjoy more of this wonderful life. I’m also passionate about helping others to be well too to the best of their ability, so here goes!

Sleep

Every Saturday I get to sleep in. Yay! To catch up on a few hours I may have missed through the busy-ness of my week. Time to give my body a chance to repair and relax. I usually get to sleep in until around 8am, which is a big improvement on my 6-6.30am starts on other days of the week. The only thing that stops me from doing this is waking early with a hypo, but this morning my BGLs behaved themselves. :) This week I found an awesome article in The Conversation on the importance of sleep which I encourage you to read. It’s just so important for our wellbeing, and especially so for us with diabetes.

Eating Well

As a dietitian you would know that I am particularly passionate on this topic! This is the only topic in today’s blog that I’m qualified to talk about as a health professional, and it’s such an important one! The Australian Dietary Guidelines that we follow actually makes the comment, “Diet is arguably the single most important behavioural risk factor that can be improved to have a significant impact on health.” It is something that I think about, read up on and focus on every day.

Today I started with my fibre rich, low-GI and high nutrient breakfast, a combination of two cereals that enjoy eating together topped with skim milk. I had a banana for morning tea and a delicious bowl of vegetable and low-GI carb rich Minestrone soup. This afternoon I’ll probably have a snack of a handful of nuts and another piece of fruit. We have a delicious lean meat and vegetable rich stir-fry planned which we’ll serve with plain Basmati rice, and I’ve marked out my favourite Black Cherry yogurt for dessert.

Minestrone

I know that I’m getting the nutrients I need to be well each day, and I’m sure it must also reflect in my outward appearance when I’m out on my run, makeup free in my daggy running shorts too lol

Regular Exercise

Nice segway to the exercise! Also lots of evidence here to support wellbeing, reducing inflammation, improving mental health and keeping our BGLs more stable. You may know that I’m a golfer. I try to play 18 holes in a comp twice a week, and 9 holes if I have time as a break in my day on a Friday. On the days I’m not golfing I do my best to get in at least the minimum recommended 30 minutes of moderate physical activity. Usually I try for 45 minutes. Since I’ve been doing this I have noticed a big improvement in the stability of my glycemic control as my fitness has improved. It’s so worth the effort even when you don’t really feel like it!

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Family Time/Love

I’m incredibly fortunate to have so much love and support from my family, but I guess it works both ways in that I also love and support them! I believe that love and giving love is an important part of wellbeing. We hug each other a lot in our household, and in the wider family too. Have you hugged someone today and told them you love them?

Family

Being sociable

Although I was out on my run, I enjoy stopping along the way on a Saturday as I have more time available to me to chat with my lovely neighbours in the suburb I live in. I chat with the children, and the parents, and the older people, and the neighbours who are my friends. To me this is important as I feel loved within my community too, and I know that I’m helping some of these people to feel loved too <3

Hard Work

I enjoy working. It keeps my brain active. It gives me a purpose and keeps me inspired each day to stay well and make the most of my life. The lovely Helen Wilde called me a workaholic this week, which made me think. You know I probably am a workaholic, but that’s because I love what I do and it makes me happy to help other people to be well. But I honestly try very hard to keep a balance with the other important factors in my life.

For those of you who are lucky to be retired or not have to ‘work’ as such I would encourage some kind of volunteer role as it can really be so rewarding and contribute to your wellness. We have some awesome volunteers who help us out at Diabetes Counselling Online. You can read more about our team and some of our ambassadors here. They’re so important in making our charitable organisation what it is.

Keeping the Balance

Of course, being Saturday, I also have household chores to do, preparation cooking for the week ahead, and I might even fit in a quiet hour of reading a book. It’s always a good day, and means I really relax and enjoy myself on my day of rest (and golf) Sunday. :)

If you try to imagine all these aspects (including any others you may have yourself) as a number of balls that you’re juggling, I believe that remaining well is all about keeping a balance amongst them. Sometimes you need to drop one ball to keep the others going smoothly, but don’t forget it and go back to collect it as soon as you can. I don’t see diabetes as one of those balls – it’s just part of me and often influences how I manage some of those balls/aspects.

Hopefully some of this will inspire you to focus on keeping your balls in the juggle, and know where you can make some positive changes to improve your own wellness. Diabetes Counselling Online actually has a whole section on the website on Diabetes & Wellbeing. Check it out!

You know we’re here to help. With love, Sally.

Sally is the Social Media Dietitian with Diabetes Counselling Online, owner of her private practice (Marchini Nutrition), and has had type 1 diabetes for close to 40 years and coeliac disease for many years too. You can access a list of all Sally’s Diabetes Counselling Online blogs here.

 

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