Diabetes diet

Questions and answers about the best diabetes diet.

To snack or not to snack?

Ask the dietician: Genevieve Jardine

From our community: “My average blood sugar over the past few months was higher than it should have been, so I’m trying really hard not to eat the wrong foods. Any tips for healthy snacks?” Lynnae Daniel

Getting creative with your snacks can really help make your daily meal plan more exciting. We all get into a rut with our meal choices, and adding different (healthy) snacks can improve variety, colour, flavour and even add valuable nutrients to your daily intake.

Not every person with diabetes needs to snack. Some people are happy with three square meals a day, while others prefer small snacks throughout the day. Your unique eating style largely depends on your own natural eating patterns, medication, blood sugar control, and how active you are.

Remember: If you go for more than 4 or 5 hours between meals you may need to snack in order to prevent your blood sugar from dropping too low. But snacking on the wrong kind of food can cause blood sugar levels to rise and also cause unwanted weight gain.

So what does a healthy snack look like?

  • A snack should be between 300 to 600 kilojoules otherwise it is more like a meal.
  • Snacking is a good chance to increase your vegetable or fruit intake (remember, the aim is 5 servings of vegetables a day).
  • Plate your snack to help control portion size: don’t eat straight out of a bag, box or packet – or straight from the fridge!
  • Portion your snacks into snack-size packets, or buy suitable snack portions.

Ask yourself: are you actually hungry? Don’t snack because you’re bored, stressed or worried.

Healthy snack ideas:

  • One piece of fruit (carb 15g, fat 0g, 300kj)
  • 100ml low-fat flavoured yogurt (carb 16g, fat 2g, 400kj)
  • 2 cups popped popcorn sprinkled with fat-free parmesan cheese (carb 15g, fat 7g, 636kj)
  • 30g lean biltong (carb 0.7 g, fat 2g, 346kj)
  • 3 Provitas or 2 Ryvitas with cottage cheese, tomato and gherkin (carb 20g, fat 2g, 382kj)
  • ½ an apple with 20g sliced low-fat cheese (carb 8g, fat 5g, 430kj)
  • Raw veggies (carrot sticks, cucumber, baby tomatoes, gherkins, baby corn, snap peas) with cottage cheese, hummus or avocado dip (carb 8g, fat 7g, 540kj)
  • 30g nuts/seeds (carb 3g, fat 14g, 735kj)
    Tip: Nuts and seeds are high in fat and kilojoules. However, the type of fat is much healthier than that found in a chocolate bar.

Unhealthy snack choices:

  • 50g bar of chocolate (carb 30g, fat 12g and 1120kj)
  • 30g packet of potato crisps (carb 24g, fat 12g, 766kj)
  • 300ml bottle of drinking yoghurt (carb 45g, fat 5.6g, 1140kj)
  • 25g packet of sweets (carb 18g, fat 0g, 316kj)
    Tip: It might seem like this snack is within the recommended carb, fat and kilojoule allowance, but they are empty kilojoules with no fibre and very little vitamins and minerals.

Snacking for exercise:

Remember that exercise can also cause low blood glucose. It is important to check blood glucose before and after you exercise. People react differently to exercise depending on the type, duration and intensity: some people see a rapid drop and others an increase in blood sugar levels, so it is important to test and see what your individual response is.

As always, you should see a dietician to help you plan suitable snacks for different situations. Fresh snack ideas can bring a sense of fun into your daily eating plan.

What does this food label mean?

Ask the dietician: Genevieve Jardine

From the community: “I would like to understand the nutritional information printed on food labels – I’m new to it all and don’t know what I should and shouldn’t be looking for.” Lynnette Hitchcock.

Food labels are certainly not the simple list of ingredients they used to be – they’ve evolved into complicated beasts that don’t make sense to most people. So what information is actually useful? What makes you decide to put a product into your trolley?

Let’s take a look at an example: Jungle Energy Bar (Yoghurt)

At the top of the label is the nutritional breakdown for 100g/ml and the breakdown per serving size. Make sure that you read the label clearly and understand the difference – this example is clear because it gives the nutrients for 100g and for the 40g bar.

There should also be a list of ingredients with the highest ingredient by weight listed first. You can then check the nutritional value of a particular ingredient by referring to the nutrition information panel.

Energy

When it comes to Energy, look at the serving size. This energy bar contains 760kj per bar. People with diabetes who are trying to manage their weight should compare total energy of a few products to get perspective. For example, this energy bar is a snack, but when you compare it to the energy content of an apple (273Kj) or low-fat yoghurt (425Kj) you will notice that it contains twice the amount of kilojoules. There is no reference for energy content because you have to take into account your total energy intake across the day.

Protein

The Protein content per serving may come with a percentage next to it (not found on this example). This is merely to indicate how much of the product contributes to the recommended daily allowance of the average individual: about 55g protein per day.

Carbohydrate

This is important for diabetics, especially those who are carbohydrate counting or watching their carbohydrate intake. On most labels you will see two categories “Total Carbohydrates” and “of which are sugar”. This information can be tricky to interpret: the total amount of carb is more important than how much sugar and starch there is, as all sugar and starch eventually ends up as glucose in your blood stream. The “sugar” indicated on the food label could mean added sugar or natural sugars found in the food. If we look at the list of ingredients, we see that oats appear first (highest in weight) followed by sugar and golden syrup. This would indicate that oats make up most of the carbohydrate amount, with a smaller contribution made from sugar and golden syrup. The sugar is therefore added sugar.

If you look at the label, there are 25g of total carbohydrate in the energy bar. 15g of carb is one portion, so this energy bar is closer to two servings (30g) of carbohydrate. The bar therefore has a much higher carb content than an apple, 3 Provitas or 100ml low-fat flavoured yoghurt – all 1 carb.

Fat

When looking at the fat content, take a look at the values per 100g/ml. Take note of the total fat content and then the saturated fat and trans fatty acid.

For a product to be labeled “low-fat” there needs to be less than 3g of total fat per 100g (solids) or 1,5g per 100ml (liquids). Fat-free means less than 0,5 g total fat per 100 g/ml.

Saturated fat is part of total fat and is a key player in raising cholesterol. Low saturated fat is less than 1.5g per 100g (solids) or 0.75g per 100ml (liquids). This energy bar is not low in fat or saturated fat.

Trans fatty acids have a similarly harmful affect and also lower your HDL (good) cholesterol. For a product to be called “trans fat free” there should be less than 0,1g per 100g/ml.

Fibre

Fibre is very important to help improve gastro-intestinal health, prevent cancers, help lower cholesterol and delay the release of glucose into the blood stream. It also helps you feel fuller for longer. These are all very positive benefits which make a high fibre product very desirable. The recommended daily intake for fibre is 25g per day (for women) and 30 to 45g per day (for men). As a general estimate, a high fibre product would be more than 5g of fibre per 100g. This energy bar just makes the grade.

Sodium

Sodium comes from salt: a high salt intake has been linked to raised blood pressure in some people. The recommended daily intake of salt is 240 to 300mg per day. A low sodium product should contain less than 120mg per 100g. A sodium free product should contain less than 5mg per 100g. This energy bar is not too bad.

Results:

So overall how does the energy bar fair? The energy and total carbohydrate content of the energy bar are similar to that of a Bar One chocolate, with slightly less total fat. On the plus side the fibre content is good and the sodium content is low. I would suggest this energy bar as a treat.

Diabetic Q&A

Have a question about healthy living and nutrition? Ask us here and we’ll get an answer for you!

How does exercise impact my blood sugar?

Regular activity is as key a part of managing diabetes as proper meal planning, regular monitoring and taking medication as prescribed. When you are active, your cells become more sensitive to insulin, which means that your body can work more efficiently. During exercise your cells also remove glucose from the blood using a mechanism totally separate from insulin. So, not only does exercising consistently lower blood glucose, it also improves your blood glucose control overall.

Top tip:

Get moving and get the most out of your exercise routine by incorporating strength training (to build muscle and body structure), cardiovascular training (to improve heart health) and flexibility training (to ensure supple limbs and range of movement).

How often can I eat eggs?

Eggs are relatively high in cholesterol, yet there is now enough evidence to suggest that we can eat an egg a day without a detrimental effect on our blood cholesterol levels

The South African food-based dietary guidelines allow for 4 eggs per week and here’s why:

  • Eggs are a source of protein and several essential nutrients.
  • Although eggs are relatively high in cholesterol – 210mg per large egg (50g) – they have a low saturated fat content.
  • Many of the studies linking eggs to high blood cholesterol levels and poor heart health are now criticized and considered to be weak.
  • New evidence suggests that eating eggs is associated with satiety (feeling fuller for longer), good weight management and better diet quality.

So, if you enjoy eggs, go ahead, include them in your diet.

Just remember:

  • Prepare your eggs with no extra fat by boiling, poaching or scrambling them.
  • Limit your egg intake to 1 egg per day. And, if you have raised blood cholesterol levels, limit your intake of animal fats and increase your vegetable, fruit and fibre intake.
  • Egg whites contain no cholesterol. So, if a recipe calls for a few eggs, moderate your cholesterol intake by using two egg whites in place of one whole egg.

This information was brought to you by www.picknpay.co.za

Pick n Pay is committed to promoting health and wellbeing among South Africans and employs the services of a registered dietician to provide food and nutrition related advice to the public. For your nutrition and health related queries, contact healthhotline@pnp.co.za or toll free on 0800 11 22 88

For more fantastic information on diabetes and nutrition, visit Pick n Pay’s Health Corner.

Halaal Health Foods

If you’re struggling to find Halaal health food, we may have the answer! Check out the new business that has recently launched in Cape Town and keep your eyes peeled on the second issue of Sweet Life 2016 for an in-depth interview with the founders…

nadia-rayghana

New wellness brand, Bene-Vita (meaning good life), has proved to have a winning recipe with the launch of a range of Low Carb High Fat (LCHF) products aimed at the Halaal community.
The current range comprises a series of ready-to-make products such as breads (health and Macadamia), savoury muffins, pizza, cakes, and chocolate brownies, and a nutty granola, which are all suitable for those who are Banting.  More importantly, they are of nutritious value to diabetics as well as those prone to gluten sensitivity, ADD, and ADHD.

Since launching at the Southern Suburbs Neighbourhood store, ‘All Good Foods’ in Claremont, the brand has been well received and has now expanded its range to include freshly made LCHF wraps and pizza bases.

Bene-Vita was founded by two busy working mothers who were looking for Halaal foodstuffs that could help them create ‘balanced eating’ for themselves and their growing families. Nadia Matthews and Rayghana Khan, both qualified Somatologists, also wanted to help address lifestyle diseases such as diabetes, that are growing in prevalence among the Muslim community, known for their ‘sweet tooth.’
Says Matthews: “We spent some considerable time looking for the right partners to help us create a series of products that could deliver the right nutritional and health benefits but not compromise on taste.  The result is Bene-Vita and we have both been blown away with the overwhelmingly positive response we have received so far.”

“Such is the demand, we are also looking at stocking ready-made Macadamia flan cases which can be used for baking dessert and savoury meals, as well as Banting friendly chocolates and energy bars, as the extent of what we can offer is practically limitless” commented Khan.
The products are currently available through the shop located in Iman Haroom road, right in the heart of the community they are looking to assist, and also online via their website.  But, accordingly to both, this is just the beginning.  “We are already investigating export orders for

our products,” confirmed Amodien, “the market for Halaal healthfoods is growing and we would like to grow along with it.  We believe can provide one of the key healthfood solutions to our global community and are excited about the future prospects of what could be a truly ‘glocal’ brand” concluded Amodien.

For more information please see www.bene-vita.co.za

Tips for Weight Gain with Diabetes

Morning to you all,

I’m a Type 1 diabetic and have accepted this chronic condition well.

My only problem with it is a loss of weight. I never wanted to be slim ever in my life, but now there’s no way I can maintain my body to get it back to my normal weight.

Do you have any healthy weight gain tips?

Thanks,

– Thahtoow

The Low Carb Diet Debate

Two years ago, we published an article in Sweet Life magazine about the low carb diet, and got input from Professor Tim Noakes, endocrinologist Dr Joel Dave and dietician Genevieve Jardine.

Pick n Pay are one of our sponsors, and they re-published the article here (take a read if your memory needs refreshing!)

But I see that Professor Noakes also commented on the article, and I’d like to open up a discussion based on his comments (copied below) – namely, what do you think of this definition of hunger, and our addiction to food?

low carb diet debateImage credit

—————

TIm Noakes here: Thanks for these generally positive comments and the agreement that patients with diabetes need to restrict their carbohydrate intake if they are to optimise their glucose control and delay or perhaps even prevent the arterial and other complications of this condition. Two small points however.

First I do not base my advice on my personal experience but on my detailed 2.5 year review of the literature. In my considered opinion and as someone with Type 2 diabetes (so the decisions I make directly effect me) the evidence is beyond doubt – the key management choice in diabetes is to eat a very very low carbohydrate diet – the lower the better. So I try to restrict my carbohydrate intake to less than 25 grams a day. Would I on a moment to moment basis each day avoid carbohydrates other than if I was convinced by the science that this is the best for me (and for all others with my condition)? Why show such discipline if I did not believe it was really really necessary? I have the disease and this is what I do and why. Others who do not have the disease have much less incentive really to understand the disease and how it should be managed.

Second, this eating plan is easy to follow and to sustain for a number of reasons: First it has simple rules. Second there is no need to count calories and worry about portion sizes. Third, the reason is because one removes the addictive processed foods from the diet. Addictive food choices are what drive obesity and make it impossible to stick to weight loss diets that do not remove ALL addictive foods. Fourth this diet works because it removes “hunger” which in most people is not real hunger but rather an addictive need to ingest highly palatable (and addictive) foods every 3 hours or so.

It will be wonderful when dieticians realise that the key in weight control is the control of appetite. If a diet leaves you perpetually hungry and feeling deprived it will fail. Eating a high fat/high protein low carbohydrate diet cures addictive eating and returns the control of food intake to the way it should be – that is a biological response to internal bodily cues of when energy is needed, that is when you need to eat. Once you return hunger to its rightly place, the excess weight just melts off and one returns to one’s biologically appropriate weight.

Instead if you try to lose weight by continuing to include some of the same addictive foods in your diet, it will be impossible to sustain the weight loss forever. For like the smoker or the alcoholic, eventually the addiction will take over again and all the weight will be regained. With return of self-doubt and shame etc. Which is really sad because the solution is so simple. But it is the solution that no one seems prepared to give to patients seeking a cure for their obesity.

So the key to health is to avoid eating the highly palatable, addictive, over-processed foods which lead ultimately in predisposed individuals to obesity, diabetes and a host of other chronic medical conditions.

What do you think?

Does Magnesium Lower the Risk of Diabetes?

magnesiumDo you take magnesium supplements, or eat enough food high in magnesium? A recent study has shown that enough magnesium in the diet could help to prevent hypertension (high blood pressure) and high blood sugar… And even reduce the risk of diabetes!

Foods rich in magnesium:

  • Bananas (in moderation)
  • Dark chocolate (in moderation)
  • Raw spinach (in abundance)
  • Brown rice (in moderation)
  • Almonds (unroasted, unsalted)

Here’s more about the study, courtesy of Diabecinn.

—-

A recent study has revealed that sufficient magnesium intake may help prevent the onset of pre-diabetes conditions such as hypertension and high blood sugar and possibly help avoid the disease itself.

The study was conducted by Tufts University in Massachusetts, US, on 2582 participants over seven years and found 37% who had a high intake of magnesium had less risk of developing diabetes, while 32% who already had the precursor conditions were less likely to develop diabetes.

Magnesium contributes to the body’s overall health including the maintenance of bones and teeth, normal muscle function, normal psychological function, tissue formation and a host of other functions, according to the SA Medicines Control Council’s health supplement guidelines endorsed by the Department of Health.

The World Health Organisation (WHO) estimates that 75% of US citizens are magnesium deficient and in SA the average magnesium intake is almost 40% below the recommended daily allowance.

Pharmacist, Giulia Criscuolo recommends the following to help stabilise blood sugar levels:

  1. Eat low GI foods. They help release energy slowly and help one feel fuller, longer.
  2. Eat breakfast and smaller, healthy meals more frequently to help stabilise blood sugar levels.
  3. Get at least eight hours sleep a night as sleep deprivation may impact negatively on blood sugar and insulin levels.
  4. Avoid sugar, artificial sweeteners and refined carbohydrates as they cause spikes in blood sugar levels.
  5. Reduce intake of stimulants such as caffeine, nicotine and alcohol as they also cause a spike in blood sugar.
  6. Exercise. Aim for a minimum of 30 minutes of physical activity every day.
  7. Increase your magnesium and cinnamon intake: Foods like spinach, nuts, leafy greens, avocados and fish, are high in magnesium. Try nutritional food supplement Diabecinn Extra which contains a water-based cinnamon extract (ZN112), antioxidants, vitamins and minerals such as vitamin A, C, E, selenium, zinc and magnesium which may help lower the risk of diabetes. It assists non-insulin-dependent diabetics reduce high blood sugar levels by up to 29%. Available at Dis-Chem, Clicks and all major pharmacies.

Exercising with Diabetes

We asked FUTURELIFE dietician Bridget Lamont to give us some tips on exercising with diabetes. Here’s what she had to say…

 

The benefit of regular physical activity is well known to many. It is recommended that adults aim for at least 30 minutes of exercise 5 days a week. Exercise not only has many health benefits and is especially good for people living with Diabetes. Exercising helps to reduce blood sugar levels and also insulin requirements for up to 24 hours. It is however very important to be prepared with the correct snacks before, during and after exercise so that your blood sugars do not drop too low (i.e. hypoglycaemia).

Before you exercise:

If you are going to exercise for only 30 minutes, it is not usually necessary to snack before the time. However if you are planning to exercise for 60-90 minutes, it is a good idea to have a small carbohydrate snack 1 hour before you exercise containing 15g of carbohydrates. For example, this could be a slice of bread, ½ a FUTURELIFE® High Energy Bar, 1 small fruit, 3 provita crakcers or 4 Super C sweets. It is best to check your blood sugar level before you exercise though. If it is more than 10mmol/l, you will not need a snack.

If you are going to exercise for more than 90 minutes, your muscle glycogen stores will get depleted and you therefore need more carbohydrates. Once again it is best to check your blood sugar level before you exercise to see how much carbohydrates you need to take as your pre-training snack 1 hour before exercise. See below for a guideline:

 

Blood Sugar level Recommended Snack
<  6mmol/l Have 50g Low GI Carbohydrates e.g.

1 Whole wheat sandwich ( with protein) + 1 fruit, OR 1 Cup whole wheat cereal + 250ml fat free milk, OR 50g FutureLife Smart Food + 250ml fat free milk, OR 75g FutureLife Smart Food + water

7-10mmol/l Have 15 – 25g Low GI Carbohydrates e.g.

1 Fruit OR 1 Sandwich (with protein) OR 50g FutureLife Smart Food + water

10-15 mmol/l No snack is needed before exercise
> 15mmol/l DO NOT EXERCISE.

Please note that if you are on rapid acting insulin you do not need to inject insulin for the snack you have before exercise, only for your main meals of the day.

  • During exercise:

When exercising for more than 90 minutes you should aim to have 30-60g of High GI Carbohydrates every hour. This is roughly equal to having 400-800ml of a glucose drink containing 5-10g carbohydrates per 100ml every hour. If you are exercising for less than an hour, rather have water. 30-60 g of High GI Carbohydrate could also include 1 ½ – 2 FUTURELIFE® High energy bars, 8 – 16 wine gums or other small chewy sweets or 1-2 carbohydrate gel (depending on the make of the gel).

  • After exercise:

After endurance exercise of more than 90 minutes you should have a recovery drink or meal within 30-60 minutes after exercise. Aim to have 1g of High GI carbohydrates per kg of body weight to restore muscle and liver glycogen stores. This is only necessary if you are exercising again the next day or if your blood sugar levels are low or dropping rapidly after the event. You can aim to have around 600-1000ml of a glucose drink within 30-60 minutes and then have your next healthy low GI meal within 2 hours after exercise. Great post exercise snacks include flavoured milk, FUTURELIFE® High Protein Lite bar or a Low GI sandwich with some form of protein (e.g. chicken).

It might also be necessary to alter your Insulin requirements on the day of the endurance event lasting more than 90 minutes. It is best to inject your insulin into the non-exercising muscles. For instance, if you are running or cycling, rather inject into your abdomen than your legs or arms. You can decrease your rapid acting insulin with your meal before the event by 30-50%. Try to have this meal 2-3hrs before the event.  If you take your insulin too close to the time you start exercising, it might peak while you are exercising, resulting in a low. You can also reduce your rapid acting insulin with your meal after the event by 30% to prevent low blood sugar which can still occur up to 4 hours after exercise. If you will be exercising for more than 5 hours you can also reduce your long acting insulin the night before the event with 30-40%.

Please note that this information is only a guideline, it is still best to consult your Doctor, Diabetes Educator or Dietitian to calculate your individual requirements.

 WIN a hamper of FUTURELIFE by entering our competition here!

Two Meals Better Than 6 for Type 2 Diabetes?

Small meals

The latest diabetes-related research suggests that those who have Type 2 diabetes may reap more benefit from eating two large meals a day, rather than the traditional view of six smaller meals. Pippa Stephens from the BBC, reports that the new research from Prague was conducted using two samples sets of 27 people. One group was fed two meals a day – breakfast and lunch – and the other group was fed six smaller meals. The number of calories contained in both groups’ meals were equal. At the end of the study, the volunteers who had been eating two meals a day were found to have lost more weight and have lower blood sugar levels. Previous diabetic diet regimes were based on the assumption that eating small amounts of food regularly would be more beneficial in controlling levels of blood sugar. The Czech research calls this into question.

How the study quantifies the new claim

Kathleen Lees details the specific nature of the tests. The study was undertaken by researchers at the Diabetes Centre, at the Institute for Experimental and Clinical Medicine in Prague. Researchers selected “54 patients between the ages of 30 and 70. Participants were initially divided into two equal groups, and followed a diet that either consisted of six smaller meals or two larger ones, both containing around 1,700 calories, to include 50-55% of energy from carbohydrate and under 30% of energy from fat. Three months later, the groups switched their diet regimens.”  Diabetes.co.uk noted that although all participants lost some weight, “the 2 meal diet was more effective, resulting in an average 3.7kg weight loss compared with a 2.3kg weight loss on the 6 meal diet.” Those on the two meal diet also experienced greater improvement in fasting plasma glucose levels. The study also noted that “reductions in HbA1c were modestly improved in both groups by around 0.25% (3 mmol/mol).”

Drug assistance

In South Africa, this new research could be used to great effect following last year’s announcement that the canagliflozin drug would be made available to treat those suffering from Type 2 diabetes. Jo Willey reports that the drug, also known as Invokana, “cuts blood sugar levels in people for who diet and lifestyle measures or other blood sugar-lowering medicines do not work well enough” and “blocks the re-absorption of glucose in the kidneys, which is instead passed in the urine.” Whilst the drug’s availability in Africa, America and Asia was confirmed last year, it has only just recently been approved for use in the European Union, where it is being hailed as an important and welcome announcement for those with Type 2 diabetes. Center Watch reports that research is underway in multiple global locations, including several in South Africa, “assess the effectiveness of the co-administration of canagliflozin and metformin extended release (XR) compared with canagliflozin alone, and metformin XR alone in patients with Type 2 diabetes.” This study is sponsored by the drug’s manufacturer, Janssen, and aims to be completed in 11 months.

According to Diabetes.co.uk, “people who are diagnosed with a chronic physical health problem such as diabetes are 3 times more likely to be diagnosed with depression than people without it.” Prescribed anti-depressants are a common treatment for depression, but can have negative effects, including addiction. There is plenty of guidance available online to help friends and family find the right support and treatment for a loved one. Rehabilitation organisation, We Do Recover, run a number of rehabilitation centres across South Africa, including Johannesburg, Cape Town and Pretoria.

Whilst the new developments in the treatment of Type 2 diabetes is undoubtedly welcome news to those with the condition, as well as their friends and family. It should be borne in mind, however, that the research in Prague was undertaken with a relatively small sample set. A great deal of further study needs to be undertaken to refine what has been learned from that study. Likewise, although canagliflozin has been made available, research into its use, and its use as combined with other drugs is ongoing. Despite this, there is no doubt that treatment for Type 2 diatbetes is most definitely looking up.

– by Lily McCann

References

“2 larger meals beats 6 much smaller meals for type 2 diabetes.” Diabetes.co.uk. http://www.diabetes.co.uk/news/2014/may/2-larger-meals-beats-6-much-smaller-meals-for-type-2-diabetes-95702186.html (accessed May 17, 2014).

“Addiction, Durban.” Johannesburg Rehab Centre. http://wedorecover.com/sa-rehab-centres/johannesburg.html (accessed May 17, 2014).

“Clinical Trial Details.” A clinical trial to evaluate treatments using Canagliflozin 100 mg, Canagliflozin 300 mg and Metformin XR for patients with Diabetes Mellitus, Type 2. http://www.centerwatch.com/clinical-trials/listings (accessed May 17, 2014).

“Diabetes and Depression.” Diabetes.co.uk. http://www.diabetes.co.uk/diabetes-and-depression.html (accessed May 17, 2014).

Lees, Kathleen. “Could Two Large Meals Help Better Manage Type 2 Diabetes than Six Snacks?.” Science World Report. http://www.scienceworldreport.com/articles/14765/20140516/could-two-large-meals-help-better-manage-type-2-diabetes-than-six-snacks.htm (accessed May 17, 2014).

“News.” Latest Data for Type 2 Diabetes Treatment INVOKANA (canagliflozin) to be Presented at American Diabetes Association Annual Meeting. https://www.jnj.com/news/all/latest-data-for-type-2-diabetes-treatment-invokana-canagliflozin-to-be-presented-at-american-diabetes-association-annual-meeting (accessed May 17, 2014).

Stephens, Pippa. “Two meals a day ‘effective’ to treat type 2 diabetes.” BBC News. http://www.bbc.co.uk/news/health-27422547 (accessed May 17, 2014).

“Your Guide to Xanax Detox Centers and Programs” Detox.net. http://www.detox.net/articles/xanax-detox/ (accessed May 17, 2014).

(image from here)

 

Do you take diabetic supplements?

vitamins

Would you like to stand a chance to WIN a 6 month supply of diabetic supplements? Of course you would!

Simply head over to www.sweetlifemag.co.za/win and fill in the 5 question survey before this Friday at 9am to stand a chance to win.

Do you take supplements? Which ones? How much would you pay for them? Head on over to www.sweetlifemag.co.za/win to answer these questions and you could be getting lucky…