NACCHO Aboriginal Health and #Diabetes : @raykellyfitness Too Deadly for Diabetes program gives hope to Bourke NSW resident who was ‘waiting to die’

“A lot of health professionals in the country still believe type two diabetes isn’t reversible or that you can’t go into remission,

My program, tailored to suit the lifestyle and culture of the Bourke participants, was not claiming to cure the disease but manage the impacts.

We say remission rather than cure because once people put weight back on, especially around the liver and pancreas area, they will get diabetes again so it’s a bit like cancer in that respect,”

Now thanks to a program called Too Deadly for Diabetes, Barbara Flick, the CEO of the Bourke Aboriginal Health Service , Margaret Grimes  and a group of 26 other Bourke residents are tackling the disease head on.

It’s a simple program of monitored diet and exercise under the guidance of Sydney exercise physiologist Ray Kelly — and the women said

Ms Flick asked him to come to Bourke after seeing him speak at a National Aboriginal Community Health Organisation conference.d their lives had changed dramatically.

Looking forward to life

Ms Flick has been planning on running another program for the local community in June.

She said she had worked in health for 47 years, including a role as a national indigenous health advisor, and said she was blown away by what she had witnessed in Bourke.

“A number of us have gone off blood pressure medication, we’ve lost weight and we’re all feeling so much better so excited about life and planning for the future and looking forward to their grandchildren growing up.”

Photo: Barbara Flick, Joanne Edwards, George Orcher and Julie Knight have all lost more than 10kg and significantly reduced their blood sugar levels. (Supplied: Too Deadly for Diabetes)

Visit Ray Kelly Fitness website HERE

From ABC New England

By Jennifer Ingall

Margaret Grimes says she was simply waiting to die after years of living with type 2 diabetes.

“I’m over giving myself needles every day, every night at the moment it’s just like I’m living for the needles,” said the 59-year-old woman from Bourke in Western NSW.

“I don’t really have a life at the moment. I’m trapped by this diabetes — I honestly am trapped.”

She was diagnosed more than 20 years ago and is not alone in her despair over life with the disease.

Barbara Flick, the chief executive officer of the Bourke Aboriginal Health Service, was diagnosed in 1986.

“It’s been daily torture for me, and the information I used to get which is still being given out today I never saw any improvement in my condition,” said Ms Flick.

“I believed that my life journey was to move on to renal failure and die. I believed that was my path,” she said.

Taking control of their destiny

Ms Flick’s mother died 10 years ago from complications from diabetes. She recalled her mother challenged her on her death bed not to succumb to the disease.

“I’ve lost fifteen kilos and my blood sugar levels are normal. I’ve gone from having five insulin injections a day to one small one in the morning and one small one at night,” said Ms Flick.

The most dramatic change has been for Ms Grimes, who has gone from four insulin injections a day to none and her sugar level readings have dropped from 17 to between six and seven.

Photo: Kangaroo soup: The program tailors meals to meet cultural needs. (Supplied: Ray Kelly)

“My doctor, he couldn’t be happier either — he couldn’t believe when I’d take my little book in and show him my readings,” she said.

Ms Flick asked him to come to Bourke after seeing him speak at a National Aboriginal Community Health Organisation conference.

“A lot of health professionals in the country still believe type two diabetes isn’t reversible or that you can’t go into remission,” said Mr Kelly.

He said his program, tailored to suit the lifestyle and culture of the Bourke participants, was not claiming to cure the disease but manage the impacts.

“We say remission rather than cure because once people put weight back on, especially around the liver and pancreas area, they will get diabetes again so it’s a bit like cancer in that respect,” he said.

Aboriginal people most affected by diabetes

These monumental wins for the two women were small by comparison to battles others still face.

Aboriginal and Torres Strait Islander people were almost four times more likely than non-Indigenous Australians to have diabetes, according to Diabetes Australia.

That’s little comfort for those who have it. Nor are figures from a 2016 Grattan Institute report showing only a quarter of the nearly one million Australians diagnosed with type 2 diabetes get the monitoring and treatment recommended for their condition.

Disease specialist Professor Paul Zimmett said despite a world class reputation for treatment and management of the disease, more needed to be done.

“We certainly have to do much better for our Indigenous community, they have one of the highest rates of diabetes in the world, they’ve got some of the highest rates of complications of diabetes.”

The Monash University professor of diabetes co-chaired a national diabetes strategy advisory group in 2014 and is Victoria’s Senior Australian of the Year.

Professor Zimmett acknowledged Australia’s medical care of the disease was equal to anywhere in the world, but there were remote and rural areas who weren’t benefitting because of a lack of resources.

“If you can prevent many complications of diabetes, kidney disease, eye disease, the need for dialysis, there’s huge cost savings,” he said.

He said he was disappointed the government failed to implement many of the group’s recommendations, including the need for longitudinal studies.

“To monitor the risk factors and new cases and deaths from diabetes, heart disease and kidney disease so that we actually know what is happening with the money that is pouring in for prevention,” he said.

The Federal Government might be hesitating, but not so Professor Alex Brown, team leader of Aboriginal Health Research at the South Australia Health and Medical Research Institute, who is three years into a comprehensive study of Aboriginal and Torres Strait Islander communities.

“We hope to recruit about 4000 people to track over years to understand what the causes of diabetes, and the complications of diabetes are,” said Professor Brown.

The study involves initial screening including eyes, hearts and kidneys and then annual follow ups.

“This could answer things about the development of diabetes in Indigenous populations here in Australia,” he said.

 

NACCHO Aboriginal Health and #Sugartax : @4Corners #Tippingthescales: #4corners Sugar, politics and what’s making us fat #rethinksugarydrinks @janemartinopc @OPCAustralia

On Monday night Four Corners investigates the power of Big Sugar and its influence on public policy.

“How did the entire world get this fat, this fast? Did everyone just become a bunch of gluttons and sloths?”  Doctor

The figures are startling. Today, 60% of Australian adults are classified as overweight or obese. By 2025 that figure is expected to rise to 80%.

“It’s the stuff of despair. Personally, when I see some of these young people, it’s almost hard to imagine that we’ve got to this point.”  Surgeon

Many point the finger at sugar – which we’re consuming in enormous amounts – and the food and drink industry that makes and sells the products fuelled by it.

Tipping the scales, reported by Michael Brissenden and presented by Sarah Ferguson, goes to air on Monday 30th of April at 8.30pm. It is replayed on Tuesday 1st of May at 1.00pm and Wednesday 2nd at 11.20pm.

It can also be seen on ABC NEWS channel on Saturday at 8.10pm AEST, ABC iview and at abc.net.au/4corners.

See Preview Video here

 ” In 2012-13, Aboriginal and Torres Strait Islander people 2 years and over consumed an average of 75 grams of free sugars per day (equivalent to 18 teaspoons of white sugar)1. Added sugars made up the majority of free sugar intakes with an average of 68 grams (or 16 teaspoons) consumed and an additional 7 grams of free sugars came from honey and fruit juice. “

NACCHO post – ABS Report abs-indigenous-consumption-of-added-sugars 

Amata was an alcohol-free community, but some years earlier its population of just under 400 people had been consuming 40,000 litres of soft drink annually.

The thing that I say in community meetings all the time is that, the reason we’re doing this is so that the young children now do not end up going down the same track of diabetes, kidney failure, dialysis machines and early death, which is the track that many, many people out here are on now,”

NACCHO Post : Mai Wiru, meaning good health, and managed by long-time community consultant John Tregenza.

See Previous NACCHO Post Aboriginal Health and Sugar TV Doco: APY community and the Mai Wiru Sugar Challenge Foundation

4 Corners Press Release

“This isn’t about, as the food industry put it, people making their own choices and therefore determining what their weight will be. It is not as simple as that, and the science is very clear.” Surgeon

Despite doctors’ calls for urgent action, there’s been fierce resistance by the industry to measures aimed at changing what we eat and drink, like the proposed introduction of a sugar tax.

“We know about the health impact, but there’s something that’s restricting us, and it’s industry.”  Public health advocate

On Monday night Four Corners investigates the power of Big Sugar and its influence on public policy.

“The reality is that industry is, by and large, making most of the policy. Public health is brought in, so that we can have the least worse solution.”  Public health advocate

From its role in shutting down debate about a possible sugar tax to its involvement in the controversial health star rating system, the industry has been remarkably successful in getting its way.

“We are encouraged by the government here in Australia, and indeed the opposition here in Australia, who continue to look to the evidence base and continue to reject this type of tax as some sort of silver bullet or whatnot to solve what is a really complex problem, and that is our nation’s collective expanding waistline.” Industry spokesperson

We reveal the tactics employed by the industry and the access it enjoys at a time when health professionals say we are in a national obesity crisis.

“We cannot leave it up to the food industry to solve this. They have an imperative to make a profit for their shareholders. They don’t have an imperative to create a healthy, active Australia.”  Health advocate

NACCHO post – Sixty-three per cent of Australian adults and 27 per cent of our children are overweight or obese.

 “This is not surprising when you look at our environment – our kids are bombarded with advertising for junk food, high-sugar drinks are cheaper than water, and sugar and saturated fat are hiding in so-called ‘healthy’ foods. Making a healthy choice has never been more difficult.

The annual cost of overweight and obesity in Australia in 2011-12 was estimated to be $8.6 billion in direct and indirect costs such as GP services, hospital care, absenteeism and government subsidies.1 “

 OPC Executive Manager Jane Martin 

BACKGROUND

 ” This campaign is straightforward – sugary drinks are no good for our health. It’s calling on people to drink water instead of sugary drinks.’

Aboriginal and Torres Strait Islander people in Cape York experience a disproportionate burden of chronic disease compared to other Australians.’

‘Regular consumption of sugary drinks is associated with increased energy intake and in turn, weight gain and obesity. It is well established that obesity is a leading risk factor for diabetes, kidney disease, heart disease and some cancers. Consumption of sugary drinks is also associated with poor dental health.

Water is the best drink for everyone – it doesn’t have any sugar and keeps our bodies healthy.’

Apunipima Public Health Advisor Dr Mark Wenitong

Read over 48 NACCHO articles Health and Nutrition HERE

https://nacchocommunique.com/category/nutrition-healthy-foods/

Read over 24 NACCHO articles Sugar Tax HERE  

https://nacchocommunique.com/category/sugar-

NACCHO Aboriginal Health @VACCHO_org @Apunipima join major 2018 health groups campaign @Live Lighter #RethinkSugaryDrink launching ad showing heavy health cost of cheap $1 frozen drinks

NACCHO Aboriginal Health #Junkfood #Sugarydrinks #Sugartax @AMAPresident says Advertising and marketing of #junkfood and #sugarydrinks to children should be banned

NACCHO Aboriginal Health @VACCHO_org @Apunipima join major 2018 health groups campaign @Live Lighter #RethinkSugaryDrink launching ad showing heavy health cost of cheap $1 frozen drinks

 

“A cheeky, graphic counter-campaign taking on cheap frozen drink promotions like $1 Slurpees and Frozen Cokes has hit Victorian bus and tram stops to urge Australians to rethink their sugary drink. 

Rather than tempt viewers with a frosty, frozen drink, the “Don’t Be Sucked In” campaign from LiveLighter and Rethink Sugary Drink, an alliance of 18 leading health agencies, shows a person sipping on a large cup of bulging toxic fat. “

NACCHO has published over 150 various articles about sugar , obesity etc

Craig Sinclair, Chair of Cancer Council Australia’s Public Health Committee, said while this graphic advertisement isn’t easy to look at, it clearly illustrates the risks of drinking too many sugary drinks.

“Frozen drinks in particular contain ridiculous amounts of added sugar – even more than a standard soft drink.”

“A mega $3 Slurpee contains more than 20 teaspoons of sugar.

That’s the same amount of sugar as nearly eight lemonade icy poles, and more than three times the maximum recommended by the World Health Organisation of six teaspoons a dayi.”

“At this time of year it’s almost impossible to escape the enormous amount of advertising and promotions for frozen drink specials on TV, social media and public transport,” Mr Sinclair said.

“These cheap frozen drinks might seem refreshing on a hot day, but we want people to realise they could easily be sucking down an entire week’s worth of sugar in a single sitting.”

A large frozen drink from most outlets costs just $1 – a deal that major outlets like 7-Eleven, McDonald’s, Hungry Jacks and KFC promote heavily.

LiveLighter campaign manager and dietitian Alison McAleese said drinking a large Slurpee every day this summer could result in nearly 2kg of weight gain in a year if these extra kilojoules aren’t burnt

“This summer, Aussies could be slurping their way towards weight gain, obesity and toxic fat, increasing their risk of 13 types of cancer, type 2 diabetes, heart and kidney disease, stroke and tooth decay,” Ms McAleese said.

“When nearly two thirds of Aussie adults and a third of kids are overweight or obese, it’s completely irresponsible for these companies to be actively promoting excessive consumption of drinks completely overloaded with sugar.

“And while this campaign focuses on the weight-related health risks, we can’t ignore the fact that sugary drinks are also a leading cause of tooth decay in Australia, with nearly half of children aged 2– 16 drinking soft drink every day.ii 

“We’re hoping once people realise just how unhealthy these frozen drinks are, they consider looking to other options to cool off.

“Water is ideal, but even one lemonade icy pole, with 2.7tsp of sugar, is a far better option than a Slurpee or Frozen Coke.”

Mr Sinclair said a health levy on sugary drinks is one of the policy tools needed to help address the growing impact of weight and diet-related health problems in Australia.

“Not only can a 20% health levy help deter people from these cheap and very unhealthy drinks, it will help recover some of the significant costs associated with obesity and the increasing burden this puts on our public health care system,” he said.

This advertising will hit bus and tram stops around Victoria this week and will run for two weeks. #

 

FROZEN DRINKS: More  FACTSiii 

About LiveLighter: LiveLighter® is a public health education campaign encouraging Australian adults to lead healthier lives by changing what they eat and drink, and being more active.

In Victoria, the campaign is delivered by Cancer Council Victoria and Heart Foundation Victoria. In Western Australia, LiveLighter is delivered by Heart Foundation WA and Cancer Council WA.

For more healthy tips, recipes and advice visit

www.livelighter.com.au

About Rethink Sugary Drink: Rethink Sugary Drink is a partnership between the Apunipima Cape York Health Council, Australian Dental Association, Australian Dental and Oral Health Therapists’ Association, Cancer Council Australia, Dental Health Services Victoria, Dental Hygienists Association of Australia, Diabetes Australia, Healthier Workplace WA, Kidney Health Australia, LiveLighter, The Mai Wiru Sugar Challenge Foundation, Nutrition Australia, Obesity Policy Coalition, Stroke Foundation, Parents’ Voice, the Victorian Aboriginal Community Controlled Health Organisation (VACCHO) and the YMCA to raise awareness of the amount of sugar in sugar-sweetened beverages and encourage Australians to reduce their consumption.

Visit www.rethinksugarydrink.org.au for more information.

NACCHO Aboriginal Health #Junkfood #Sugarydrinks #Sugartax @AMAPresident says Advertising and marketing of #junkfood and #sugarydrinks to children should be banned

 

 ” Poor nutrition has been linked to the reduced health outcomes experienced by Aboriginal and Torres Strait Islander people, contributing to conditions known to disproportionately affect this population, including type 2 diabetes, kidney disease and some cancers.

Twenty two per cent of Aboriginal and Torres Strait Islander people live in a household that has, in the past 12 months, run out of food and not been able to purchase more. Food insecurity increases for Aboriginal and Torres Strait Islander people who live in remote areas.

Efforts to Close the Gap must recognise the potential impacts of improved nutrition on health outcomes, as well as the implications of food insecurity “

AMA Position Statement on Nutrition 2018

Download AMA Position Statement on Nutrition 2018

Advertising and marketing of junk food and sugary drinks to children should be banned, and a tax on sugar-sweetened beverages should be introduced as a matter of priority, the AMA says.

Releasing the AMA Position Statement on Nutrition 2018, AMA President, Dr Michael Gannon, said today that eating habits and attitudes toward food are established in early childhood.

“Improving the nutrition and eating habits of Australians must become a priority for all levels of government,” Dr Gannon said.

“Governments should consider the full complement of measures available to them to support improved nutrition, from increased nutrition education and food literacy programs through to mandatory food fortification, price signals to influence consumption, and restrictions on food and beverage advertising to children.

“Eating habits and attitudes start early, and if we can establish healthy habits from the start, it is much more likely that they will continue throughout adolescence and into adulthood.

“The AMA is alarmed by the continued, targeted marketing of unhealthy foods and drinks to children.

“Children are easily influenced, and this marketing – which takes place across all media platforms, from radio and television to online, social media, and apps – undermines healthy food education and makes eating junk food seem normal.

“Advertising and marketing unhealthy food and drink to children should be prohibited altogether, and the loophole that allows children to be exposed to junk food and alcohol advertising during coverage of sporting events must be closed.

“The food industry claims to subscribe to a voluntary code, but the reality is that this kind of advertising is increasing. The AMA calls on the food industry to stop this practice immediately.”

The Position Statement also calls for increased nutrition education and support to be provided to new or expecting parents, and notes that good nutrition during pregnancy is also vital.

It recognises that eating habits can be affected by practices at institutions such as child care centres, schools, hospitals, and aged care homes.

“Whether people are admitted to hospital or just visiting a friend or family member, they can be very receptive to messages from doctors and other health workers about healthy eating,” Dr Gannon said.

“Hospitals and other health facilities must provide healthy food options for residents, visitors, and employees.

“Vending machines containing sugary drinks and unhealthy food options should be removed from all health care settings, and replaced with machines offering only healthy options.

“Water should be the default beverage option, including at fast food restaurants in combination meals where soft drinks are typically provided as the beverage.”

NACCHO Campaign 2013 : We should health advice from the fast food industry !

Key Recommendations:

·         Advertising and marketing of unhealthy food and beverages to children to be prohibited.

·         Water to be provided as the default beverage option, and a tax on sugar-sweetened beverages to be introduced.

·         Healthy foods to be provided in all health care settings, and vending machines containing unhealthy food and drinks to be removed.

·         Better food labelling to improve consumers’ ability to distinguish between naturally occurring and added sugars.

·         Regular review and updating of national dietary guidelines and associated clinical guidelines to reflect new and emerging evidence.

·         Continued uptake of the Health Star Rating system, as well as refinement to ensure it provides shoppers with the most pertinent information.

Aboriginal and Torres Strait Islander people

Food insecurity

Food insecurity occurs when people have difficulty or are unable to access appropriate amounts of food.13

It has been estimated that four per cent of Australians experience food insecurity,14 though it is likely the extent of the problem is much higher.

Food insecurity is associated with a range of factors, including unstable living situations, geographic isolation and poor health.

It is more prevalent in already disadvantaged communities. In households with limited incomes, food budgets can be seen as discretionary and less of a priority.

This can result in disrupted eating habits and an over-reliance on less nutritious foods.

Food insecurity can have significant health implications, such as increased hospitalisation and iron deficiency anemia (in children) and increased kidney disease, type 2 diabetes and mental health issues (among adolescents and adults).

Poor nutrition has been linked to the reduced health outcomes experienced by Aboriginal and Torres Strait Islander people, contributing to conditions known to disproportionately affect this population, including type 2 diabetes, kidney disease and some cancers.16

Twenty two per cent of Aboriginal and Torres Strait Islander people live in a household that has, in the past 12 months, run out of food and not been able to purchase more. Food insecurity increases for Aboriginal and Torres Strait Islander people who live in remote areas.17

Efforts to Close the Gap must recognise the potential impacts of improved nutrition on health outcomes, as well as the implications of food insecurity. The development and implementation of potential solutions must be led by Aboriginal and Torres Strait Islander people.

The nutrition of Aboriginal and Torres Strait Islander people living in remote communities may be heavily dependent on Outback Stores. The 2009 Parliamentary Inquiry ‘Everybody’s Business: Remote Aboriginal and Torres Strait Community Stores’ resulted in a number of practical recommendations to increase the availability and affordability of healthy foods in Outback Stores, many of which have not been implemented.

Recommendation

These Stores, in consultation with local communities, should prioritise and facilitate access to affordable nutritious foods.

The AMA Position Statement on Nutrition 2018 is available at https://ama.com.au/position-statement/nutrition-2018

 

NACCHO Aboriginal #ChooseHealth wishes you a very Healthy Xmas and #sugarfree 2018 New Year #SugaryDrinksProperNoGood

 ”  This campaign is straightforward – sugary drinks are no good for our health.It’s calling on people to drink water instead of sugary drinks.’

Aboriginal and Torres Strait Islander people in Cape York and throughout all our communities experience a disproportionate burden of chronic disease compared to other Australians.’

‘Regular consumption of sugary drinks is associated with increased energy intake and in turn, weight gain and obesity. It is well established that obesity is a leading risk factor for diabetes, kidney disease, heart disease and some cancers. Consumption of sugary drinks is also associated with poor dental health.

Water is the best drink for everyone – it doesn’t have any sugar and keeps our bodies healthy.’

Apunipima Public Health Advisor Dr Mark Wenitong

WATCH Apunipima Video HERE

“We tell ‘em kids drink more water; stop the sugar. It’s good for all us mob”

Read over 30 NACCHO articles Health and Nutrition HERE

https://nacchocommunique.com/category/nutrition-healthy-foods/

 ” Let’s be honest, most countries and communities (and especially Aboriginal and Torres Strait Islanders ) now face serious health challenges from obesity.

Even more concerning, so do our kids.

While no single mission will be the panacea to a complex problem, using 2017 to set a new healthy goal of giving sugar the kick would be a great start.

Understand sugar, be aware of it, minimise it and see it for what it is – a special treat for a rare occasion.

This New Year’s, make breaking up with sugar your planned resolution.

“Hey sugar – it’s not me, it’s you…”

Alessandro R Demaio  Global Health Doctor; Co-Founded NCDFREE & festival21; Assoc. Researcher, University of Copenhagen and NACCHO supporter ( First Published 2016 see in full below )

 

We recommend the Government establish obesity prevention as a national priority, with a national taskforce, sustained funding and evaluation of key measures including:

  • Laws to stop exposure of children to unhealthy food and drink marketing on free to air television until 9.30 pm
  • Mandatory healthy food star rating from July 2019 along with stronger food reformulation targets
  • A national activity strategy to promote walking, cycling and public transport use
  • A 20 per cent health levy on sugary drinks

Australia enjoys enviable health outcomes but that is unlikely to last if we continue to experience among the world’s highest levels of obesity.

 CEO of the Consumers Health Forum, Leanne Wells

NACCHO Aboriginal #HealthStarRating and #Nutrition @KenWyattMP Free healthy choices food app will dial up good tucker

” Weight gain spikes sharply during the Christmas and New Year holiday period with more than half of the weight we gain during our lifetime explained just by the period between mid-November and mid-January.

Public Health Advocacy Institute of WA

 ” Labels that warn people about the risks of drinking soft drinks and other sugar-sweetened beverages can lower obesity and overweight prevalence, suggests a new Johns Hopkins Bloomberg School of Public Health study.

The study used computer modelling to simulate daily activities like food and beverage shopping of the populations of three U.S. cities – Baltimore, San Francisco and Philadelphia.

It found that warning labels in locations that sell sugary drinks, including grocery and corner stores, reduced both obesity and overweight prevalence in the three cities, declines that the authors say were attributable to the reduced caloric intake.

The virtual warning labels contained messaging noting how added sugar contributes to tooth decay, obesity and diabetes.

The findings, which were published online December 14 in the American Journal of Preventive Medicine, demonstrates how warning labels can result in modest but statistically significant reductions in sugary drink consumption and obesity and overweight prevalence.”

Diabetes Queensland : Warning labels can help reduce sugary drinks consumption and obesity, new study suggests

 

Global recognition is building for the very real health concerns posed by large and increasing quantities of hidden sugar in our diets. This near-ubiquitous additive found in products from pasta sauces to mayonnaise has been in the headlines and in our discussions.

The seemingly innocuous sweet treat raises eyebrows from community groups to policy makers – and change is in the air.

Let’s review some of the sugar-coated headers from 2016 :

  • The global obesity epidemic continued to build while more than two-in-three Australian adults faced overweight or obesity – and almost one in four of our children.
  • Science around sugary drinks further solidified, with consumption now linked to obesity, childhood obesity, heart disease, diabetes (type-2), dental caries and even lower fertility.
  • Australians were estimated to consume a staggering 76 litres of sugary drinks each since January alone, and new reports highlighted that as much as 15% of the crippling health costs associated with obesity could result from sugary drinks consumption.
  • Meanwhile around the planet, more countries took sound policy measures to reduce sugar consumption in their citizens. France, Belgium, Hungary, Finland, Chile, the UK, Ireland, South Africa and many parts of the United States implemented, continued or planned the implementation of pricing policies for sugary drinks.

In short, the over-consumption of sugar is now well recognised as a public health challenge everywhere.

With all this in mind and a New Year ahead, it’s time to put big words into local action. With resolutions brewing, here are seven helpful tips to breaking up with sugar in 2017.

1. Understand sugar

When it comes to sugar, things can get pretty confusing. Below, I shed some light on the common misunderstandings, but let’s recheck sugar itself – in simplest terms.

Sugar is a type of refined carbohydrate and a source of calories in our diet. Our body uses sugar and other sources of calories as energy, and any sugar that is not used is eventually stored as fat in our liver or on our bellies.

“Free sugars” are those added to products or concentrated in the products – either by us or by the manufacturer. They don’t include sugars in whole fruits and vegetables, but more on that later. For a range of health reasons, the World Health Organization recommends we get just 5% of our daily calories from free sugars. For a fully grown man or woman, this equates to a recommended limit to sugar consumption of roughly 25 grams – or 6 teaspoons. For women, it’s a little less again.

Consume more than this, and our risk of health problems rises.

2. Quit soft drinks

With 16 teaspoons of sugar in a single bottle serving – that’s more than 64 grams – there’s nothing “soft” about soft drinks. Including all carbonated drinks, flavoured milks and energy drinks with any added sugars, as well as fruit drinks and juices, sugary drinks are a great place to focus your efforts for a healthier 2018. Sugary drinks provide no nutritional value to our diets and yet are a major source of calories.

sugartax

What’s more concerning, evidence suggests that when we drink calories in the form of sugary drinks, our brains don’t recognise these calories in the same way as with foods. They don’t make us feel “full” and could even make us hungrier – so we end up eating (and drinking) more. In this way, liquid calories can be seen as even more troubling than other forms of junk foods. Combine this with studies that suggest the pleasure (and sugar spike) provided by sugary drinks may make them hard to give up – and it’s not difficult to see why many of us are drinking higher amounts, more often and in larger servings. This also makes cutting down harder.

The outcome is that anything up to one-seventh of the entire public cost of obesity in Australia could now result from sugary drinks. In other words, cut out the sugary drinks and you’ll be doing your own health a favour – and the health of our federal and state budgets.

3. Eat fruit, not juice

When it’s wrapped in a peel or a skin, fruit sugars are not a challenge to our health. In fact, the sugars in fruit are nature’s way of encouraging us to eat the fruit to begin with. Fruits like oranges, apples and pears contain important fibres. The “roughage” in our foods, this fibre is healthy in many ways but there are three in particular I will focus on. First, it slows our eating down; it is easy to drink a glass of juice squeezed from 7 apples, but much harder to eat those seven pieces whole. Second, it makes us feel full or satiated. And third, it slows the release of the sugars contained in fruit into our blood streams, thus allowing our bodies to react and use the energy appropriately, reducing our chances of weight gain and possibly even diabetes.

Juice, on the other hand, involves the removal of most of those fibres and even the loss of some of the important vitamins. What we don’t lose though, is the 21 grams or more than five teaspoons of sugar in each glass.

In short, eat fruit as a snack with confidence. But enjoy whole fruit, not juice.

4. Sugar by any other name

High-fructose corn syrup, invert sugar, malt sugar and molasses – they all mean one thing: sugar.

As the public awakens to the health challenges posed by sugar, the industry turns to new ways to confuse consumers and make ‘breaking up’ more difficult. One such way is to use the many alternative names for sugar – instead of the ‘s’ word itself. Be on the lookout for:

Evaporated cane juice, golden syrup, malt syrup, sucrose, fruit juice concentrate, dextrose and more…

5. Eat whole foods where possible

Tomato sauce, mayonnaise, salad dressings, gravies, taco sauces, savoury biscuits and breakfast cereals – these are just some of the many foods now often packed with hidden, added sugars.

A study found that 74% of packaged foods in an average American supermarket contain added sugars – and there is little evidence to suggest Australia would be dramatically different. Added to food to make it more enjoyable, and moreish, the next tip when avoiding such a ubiquitous additive is to eat whole foods.

It’s hard to hide sugar in plain flour, or a tomato, or frozen peas. Buying and cooking with mostly whole foods – not products – is a great way to ensure you and your family are not consuming added sugars unaware.

6. See beyond (un)healthy claims

Words like “wholesome”, “natural” and “healthy” are clad on many of our favourite ingredients. Sadly, they don’t mean much.

Even products that are full of sugar, like breakfast cereals and energy bars, often carry claims that aim to confuse and seduce us into purchase. Be wary – and be sure to turn the package over and read the ingredients and nutrition labelling where possible (and if time permits).

7. Be okay with sometimes

The final but crucial message in all of this is that eating or drinking sugar is not a sin. Sugar is still a part of our lives and something to enjoy in moderation. The occasional piece of cake, or late night chocolate – despite the popular narrative painted by industry to undermine efforts for true pricing on sugar – these occasional sweet treats are not the driving challenge for obesity. The problem is that sugary drinks, and sugar in our foods, have become every day occurrences.

With this in mind, let’s not demonise sugar but instead let’s see it for what it is. Enjoy some juice or bubbles from time to time but make water the default on an everyday basis. With the average can of cola containing 39 grams or 9 teaspoons of sugar, be OK with sometimes.

Bitter truth

Let’s be honest, We now face serious health challenges from obesity.

Even more concerning, so do our kids.

Learn more about our ACCHO making Deadly Choices

 

NACCHO Aboriginal Health and #Nutrition : Download Guide , Posters , Activity sheets @MenziesResearch SHOP@RIC (Stores Healthy Options Project at Remote Indigenous Communities )

 

” This guide presents information on the consumer education strategy used in the SHOP@RIC study.

SHOP@RIC (Stores Healthy Options Project at Remote Indigenous Communities) is one of four studies in the world to provide evidence on the effect of a price discount with and without nutrition education on food purchasing.”

Download Guide Here :  SHOP_RIC_Consumer_Education_Guide

Read over 35 NACCHO Aboriginal Health and Nutrition articles HERE

This study is the largest nutrition-related trial to be conducted with remote Aboriginal communities in Australia.

It provides an example of a successful collaboration between communities, retailers, health professionals and academics.

Many people participated in making SHOP@RIC the success that it was.

See full resources website

The SHOP@RIC consumer education strategy was delivered with a price discount on fresh and frozen fruit, vegetables, artificially sweetened soft drinks and water.

We hope that the information presented here will inspire readers to use the consumer education strategy resources and the evaluation tools we have made available on the Menzies School of Health Research website.

Below are six poster options for download.

This should be read in conjunction with SHOP@RIC Consumer Education Guide.

Title SHOP@RIC consumer education posters
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SHOP@RIC poster theme 1
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SHOP@RIC poster theme 2 (landscape)
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SHOP@RIC poster theme 3
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SHOP@RIC poster theme 4
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SHOP@RIC poster theme 5 (landscape)
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SHOP@RIC poster theme 6

Below are several web activity sheet options for download.

This should be read in conjunction with SHOP@RIC Consumer Education Guide.

Title SHOP@RIC consumer activity sheets
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SHOP@RIC activity sheet – beverages theme 1
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SHOP@RIC activity sheet – beverages theme 2
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SHOP@RIC activity sheet – beverages theme 3
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SHOP@RIC activity sheet – beverages theme 4
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SHOP@RIC activity sheet – beverages theme 5
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SHOP@RIC activity sheet – beverages theme 6
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SHOP@RIC activity sheet – fruit and veg theme 1
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SHOP@RIC activity sheet – fruit and veg theme 2
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SHOP@RIC activity sheet – fruit and veg theme 3
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SHOP@RIC activity sheet – fruit and veg theme 4
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SHOP@RIC activity sheet – fruit and veg theme 5
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SHOP@RIC activity sheet – fruit and veg theme 6

NACCHO Aboriginal Male Health @KenWyattMP A Brave Young Aboriginal Dad’s Lifesaving Messages #diabetes #obesity, leading to #heart and #kidney failure.

“Jason strongly but humbly tells it like it is, there is no self-pity, just heartfelt statements of fact that apply to all Australians.

He pleads for everyone to re-think alcohol and drug use, including a special message for our Indigenous mob.

His words should be heeded by everyone but also reinforce my top Indigenous health priorities: Men’s health, kidney, eye and ear health, maternal and child health and reducing preventable hospital admissions.

His key message is for everybody, especially men, to look after themselves, so they can be there for their families and friends for as long as possible”

Indigenous Health Minister Ken Wyatt AM paid tribute to his cousin’s bravery, talent, compassion and legacy.

Read over 330 NACCHO Aboriginal Male Health articles published by over the past 5 years

A heartbreaking video message has been released today, realising Jason Bartlett’s dying wish to raise awareness of the importance of men taking personal responsibility for their health.

View Jason’s Video Here

The 36 year old singer, songwriter and former television music show star recorded the video nine days before he passed away in Royal Perth Hospital in June, from complications of diabetes and obesity, leading to heart and kidney failure.

“In 2009, Jason made it through to the Top 24 on Australian Idol and continued his career after the show, writing, recording and performing with the popular Bartlett Brothers band,” Minister Wyatt said.

“We lost Jason shortly after he made the brave but agonising decision to cease dialysis. His final words are haunting and hard-hitting and ones he wanted every Australian to hear.

“His vision was always to change the world for the better through his music but his dream became to get the health message out.”

In the video, titled “Passing on Wisdom: Jason’s Diabetes Story”, the father of two tells how he was diagnosed with diabetes at 19 years of age. A combination of lack of health education and ignoring the danger signs gradually lead to a tragic sequence of chronic conditions that eventually took his sight and his mobility.

His key message is for everybody, especially men, to look after themselves, so they can be there for their families and friends for as long as possible.

“He wants all of us to take personal responsibility, listen to our loved ones and take advice from doctors and health professionals,” said the Minister.

“Jason says that looking after ourselves is an essential part of giving love to those around us.

“All of us are privileged to have shared in his amazing life and now we’re determined to share his quest to save the lives of others, through his message.

“If it can help just one person to make life-changing choices, Australia will be better for it, but I am sure his story will help many more consider changes that will lengthen and potentially save their lives.

“I’m joining with Jason’s family in encouraging everyone to watch his video, listen to his story and share it on social media, especially with those you love.”

Photo: Jason Bartlett’s wife Jaimee, brother Phil and family members launched the video with Indigenous Health Minister Ken Wyatt. (Supplied: Family)

The video was produced by Jason Bartlett’s family, the University of Western Australia’s WA Centre for Rural Health, and media organisation Health Communication Resources.

It can also be shared from the WA Centre for Rural Health’s YouTube channel, at https://youtu.be/RcbQmILeDTs with a subtitled version at https://youtu.be/TvC1Tv6Z6zU

 

NACCHO Aboriginal Health @AHPC_VU #AusHealthTracker report outlines growing health divide between the have and have nots

 ” Australia’s Health Tracker by Socio-Economic Status, a new report from the Australian Health Policy Collaboration at Victoria University, shows close links between socio-economic disadvantage and poor health as the gap widens between the have and have not’s.

Ten million Australians in low socio-economic brackets are at high risk of dying early from chronic disease, an alarming snapshot of the nation’s health shows

Australians sitting in the lowest SES bracket are:

  • Four times more likely to die from diabetes
  • Three times more likely to die from a respiratory disease
  • Two and a half times more likely to die from cardiovascular disease
  • Seventy per cent more likely to suicide and
  • Sixty per cent more likely to die from cancer.

People in lower SES brackets have higher risks of diabetes, heart disease, cancer, and depression.  

AHPC Director Rosemary Calder said the health divide in relation to chronic disease and risk factors is stark.

Download the Report

australias-health-tracker-by-socioeconomic-status

Chronic disease claimed the lives of 49,227 people before the age of 75 in lower socio-economic groups in the past four years – more than the capacity of the Sydney Cricket Ground.

“This is the story here, we are seeing working families struggle due to skyrocketing costs of housing, utilities and food and this is having a significant effect on their health outcomes,” she said.

Those often referred to as the working poor are at much greater risk of poor health, more likely to be obese, less likely to do exercise and much more likely to smoke, Professor Calder said.

Australia’s Health Tracker by Socio-Economic Status is not just about the health of communities who are most disadvantaged it alarmingly shows that the health of 40 per cent of Australians with low incomes – the working poor – is in jeopardy.”

“Being socially and economically disadvantaged is not only bad for your health it’s also much more likely to kill you,” Professor Calder said. “Our report shows not everyone has a fair go at living a long, healthy and prosperous life.”

But it’s not just the disadvantaged at risk. Australia’s Health Tracker data also shows alcohol is being consumed at risky levels in higher socio-economic groups. High cholesterol is another risk factor that affects the advantaged while rates of high blood pressure is evenly spread across all socio-economic groups.

Part 2 Public Health Association of Australia (PHAA)

This week Public Health Association of Australia (PHAA) co-hosted the launch of Australia’s Health Tracker by Socio-Economic Status (SES), a new report by the Australian Health Policy Collaboration at Victoria University.

The report highlights the growing health disparities in Australia which correlate closely with socio-economic status. Those in the lowest SES bracket experience significantly poorer health compared to those in the middle and highest brackets.

Michael Moore, CEO of the PHAA said, “One of the key principles underpinning the work of the PHAA is the social determinants of health.

The Health Tracker is a clear illustration of these determinants at work. Those who experience social and economic disadvantage also experience a much higher risk of non-communicable disease such as diabetes, respiratory disease, heart disease and cancer. They are also much more likely to experience serious mental health issues.”

“These health conditions are often long-term and eventually result in an earlier death. This research illustrates that disadvantaged Australians are indeed more likely to die from one of these diseases. The report paints a stark picture of how one’s place on the social and economic ladder has a direct impact on life expectancy,” Mr Moore said.

The report shows that 40% of Australians on low incomes are currently experiencing decreased health.

Such poor health outcomes can be attributed to multiple factors including lack of access to healthcare, poor nutrition, high rates of obesity, and high smoking rates. The rising cost of living from the increasing prices of housing, utilities and food is also manifesting in poorer health outcomes in the population.

Mr Moore said, “Every year chronic disease is claiming the lives of thousands of Australians under 75 in lower socio-economic groups at an alarming rate. However, this is not adequately accounted for in our national health policy and programs. Instead of prioritising our most vulnerable, we are applying one-size-fits-all health policies.”

“Ultimately, the focus ought to be significantly increased funding in preventive health, as this is the simplest, most effective and economically sound solution. Currently, Australia invests a pathetic 1.5% of its health budget on preventive health measures and programs.

It really needs to be 5% of health spending as a bare minimum, and we are unlikely to see a meaningful reduction of chronic disease without this investment,” Mr Moore added.

“At present, one in two Australians have a chronic disease, and many have more than one condition. The good news is that almost a third of this could be entirely prevented with greater investment in public health initiatives designed to reduce obesity, smoking, and alcohol consumption as well as increasing physical activity,” Mr Moore concluded.

Part 3 Are we dooming our children to a darker health future?

Latest figures on the diet and lifestyle of Australia’s children signal a troubling future for their health unless governments implement an effective national response , the Consumers Health Forum says.

“The Australia’s Health Tracker statistics released today should disturb us all as they indicate that many children now have higher risk factors for poor health than their parents,” the CEO of the Consumers Health Forum, Leanne Wells, said. “In many instances the risk factors are even worse for Indigenous children.

“The danger signals for our children are showing that in crucial aspects children are already following less healthy lifestyles and diets than their parents, in areas like physical activity and consumption of junk food and too much sugar.

“For instance, 70.8 per cent of children aged 5 – 11 years are not meeting physical activity recommendations and that compares with 44.5 per cent of adults. A brighter feature in the otherwise bleak picture for Indigenous children is that fewer, 40.5 per cent, do not meet the physical activity target.  But when it comes to children who are overweight or obese, 32.8 per cent of Indigenous children are in this category compared to 25.6 per cent for children overall in this age group.

“More than 70 per cent of children aged 9 – 13 years consume too much sugar compared to 47.8 per cent of adults.

“Is Australian society dooming its children too shorter, less healthy lives by failing to take the steps now that we need to take to encourage more physical activity and discourage unhealthy food and drink consumption?

“The picture portrayed in the Health Tracker data compiled by the Australian Health Policy Collaboration highlights the need for a systemic national approach to focus on common risk factors, tackling health inequities and disparities.

“Both medical leader, Dr Mukesh Haikerwal, and financial guru Alan Kohler, told the National Press Club launch of the new report today that stronger preventive health measures would save our society billions in reducing illness and early death and avoidable hospital costs.  As Mr Kohler said, “sugar in my view needs to be more expensive” to reflect its cost to health care.

“Currently Australia dedicates only 1.5 per cent of its health expenditure to prevention which could help reduce the widespread incidence of chronic disease that afflicts one in every two Australians.  What is needed now would not bankrupt the budget. But it would represent a healthy investment in Australia’s future,” Ms Wells said.

“We need to rethink prevention and take a longer-term view about where we should be investing in health.”

 

 

 

Aboriginal Women’s Health @DiabetesAus #Diabetes #WDD2017 Our #SuperSHEroStrong Karen West Gidgee Healing ACCHO Mt Isa QLD

 ” It’s World Diabetes Day today and around the global, we’re acknowledging the extraordinary effort of women who are living with or caring for someone with diabetes.

Diabetes doesn’t take a break & neither do our Diabetes Super SHEroes! Who’s your SuperSHEro?

Our Hero : Karen West Gidgee Healing ACCHO Mt Isa QLD

Aboriginal and Torres Strait Islander people are almost four times more likely than non-Indigenous Australians to have diabetes or pre-diabetes. Improving the lives of people affected by all types of diabetes and those at risk among Aboriginal and Torres Strait Islander communities is a priority for Diabetes Australia.

You can reduce the risk of developing type 2 diabetes by eating a more healthy diet and being physically active which will help maintain a healthy weight to keep your sugar (glucose) levels normal and your body strong.

If you have any worries about diabetes, check the symptoms below and find out more from your Aboriginal Health Worker, Health Clinic/Community Centre, Aboriginal Medical Service or doctor.

See Part 2 Below

Part 1 : Gestational diabetes – the epidemic posing an immediate threat to thousands of pregnancies, and a future threat to the health of mothers, babies and families.

NACCHO has published over 130 articles Aboriginal Health and Diabetes over the past 5 years

https://nacchocommunique.com/category/diabetes/

Health experts this week warned of the alarming increase in gestational diabetes which in the past 12 months has affected 38,000 Australian women during pregnancy.

“In the last ten years, more than 200,000 women have developed gestational diabetes. Latest projections show that over the next decade more than 500,000 women could develop gestational diabetes during pregnancy,” said Professor Greg Johnson, CEO of Diabetes Australia

14 November was World Diabetes Day and Diabetes Australia has warned that gestational diabetes is now the fastest growing type of diabetes in Australia.

“Importantly, gestational diabetes poses a dual threat – firstly without appropriate management and care, it can be a serious risk to mother and baby during the pregnancy, and secondly it poses a serious future risk for both mother and baby developing type 2 diabetes and other health issues,” he said.

“After gestational diabetes, women are at high risk of developing type 2 diabetes and children born to mothers who have gestational diabetes are also at an increased risk of being overweight or obese, or developing type 2 diabetes later in life.”

“The alarming increase in number of women developing gestational diabetes presents an intergenerational diabetes issue and threatens to make the type 2 diabetes epidemic even bigger in future.”

“Our latest projections suggest that gestational diabetes could trigger over 250,000 women to develop type 2 diabetes or prediabetes in the coming decade.”

“Developing gestational diabetes is one of the biggest risk factors for type 2 diabetes and we need to ensure Australian mums and families get the support they need after gestational diabetes to reduce their risk of type 2 diabetes. We need to break this intergenerational cycle of diabetes.”

A/Professor Alison Nankervis, an Endocrinologist at the Royal Melbourne and Royal Women’s Hospital said the short term complications for mother and baby can be serious, but the risk of complications can be reduced with good treatment and care.

“Gestational diabetes is a form of diabetes that occurs during pregnancy and usually goes away after the baby is born. The abnormal blood glucose levels can affect both the mother and baby,” A/Professor Nankervis said.

“The condition makes pregnancy higher risk for both. Babies born to mothers with gestational diabetes are more likely to be born prematurely or via C-section, be larger babies, have shoulder dystocia and a range of other complications.”

“Women with gestational diabetes may need intensive glucose management to avoid serious problems. But with the best possible management and care, the risks can be reduced and women can avoid complications.”

A/ Prof Nankervis said growth in gestational diabetes was already putting pressure on health services with the number of women with the condition doubling at the Royal Women’s Hospital since 2014.

“There are a number of factors contributing to the growing rates of gestational diabetes including the age women are falling pregnant, the changing ethnic makeup of Australia’s society, and the weight of women when they fall pregnant. The growth of gestational diabetes has been exacerbated by recent lowering of the diagnostic threshold,” she said.

Professor Johnson said diabetes in pregnancy was a major priority in the Australian National Diabetes Strategy 2016-20 but there was still no clarity on the implementation plans from the Australian Government and the State and Territory Governments.

“New approaches are needed for pre-pregnancy, during pregnancy, and after pregnancy,” said Professor Johnson.

“There needs to be help for women to be a healthy weight before pregnancy. We need to improve access to diabetes education and support for women with gestational diabetes during pregnancy as well as ensuring they are getting the care and support they need after the birth.”

“This includes seeing their GP for follow up testing to detect type 2 diabetes or prediabetes, and access to type 2 diabetes prevention programs and health professionals including diabetes educators, dietitians and exercise physiologists who can help with lifestyle management to reduce their risk of type 2 diabetes.”

“Sitting back and doing nothing is not an option. This is an avalanche that will bury the health system if we don’t act,” he said.

Melbourne mum Karla Jennings developed gestational diabetes during pregnancy and subsequently developed type 2 diabetes at the young age of 30.

“I had great support while I was managing gestational diabetes but it wasn’t enough to prevent me from developing type 2 diabetes,” she said.

“The day of my type 2 diabetes diagnosis was devastating. I cried and I cried for days.”

“It was much harder for me to accept than being diagnosed with gestational diabetes but I am determined to manage diabetes and keep living my life.”

“I do think it is critical that Australia does more to support mums like me and help reduce the number of people diagnosed with type 2 diabetes in the future.”

Diabetes Australia is the national body for people affected by all types of diabetes and those at risk. Diabetes Australia is committed to reducing the impact of diabetes.

We work in partnership with diabetes health professionals, researchers and the community to minimise the impact of diabetes.

PART 2

Aboriginal and Torres Strait Islanders

Aboriginal and Torres Strait Islander people are almost four times more likely than non-Indigenous Australians to have diabetes or pre-diabetes. Improving the lives of people affected by all types of diabetes and those at risk among Aboriginal and Torres Strait Islander communities is a priority for Diabetes Australia.

Watch the short video below for a quick guide to the benefits of the National Diabetes Services Scheme (NDSS).

You can reduce the risk of developing type 2 diabetes by eating a more healthy diet and being physically active which will help maintain a healthy weight to keep your sugar (glucose) levels normal and your body strong.

If you have any worries about diabetes, check the symptoms below and find out more from your Aboriginal Health Worker, Health Clinic/Community Centre, Aboriginal Medical Service or doctor.

The following information is from the ‘Keep Culture Life & Family Strong; Know Early About Diabetes’ flipcharts for Indigenous Australians. It is of a general nature only and should not be substituted for medical advice or used to alter medical therapy. It does not replace consultations with qualified healthcare professionals to meet your individual medical

The ‘Keep Culture Life & Family Strong; Know Early About Diabetes’ resource was originally developed by Healthy Living NT with funding provided by the Department of Health and Ageing through Diabetes Australia. The reprinting and distribution of the most recent addition has been made possible with funding by the National Diabetes Services Scheme (NDSS) – an initiative of the Australian Government administered by Diabetes Australia.

How do you feel? (Symptoms)

If you have any of the following symptoms you should talk to your doctor, health worker or nurse.

  • Feeling tired or weak
  • Go to the toilet a lot
  • Feeling thirsty
  • Leg cramps
  • Feeling itchy
  • Sores and boils that won’t heal
  • Blurry vision
  • Pins and needles
  • Feeling grumpy or angry.

Through a simple test, a doctor can find out if they’re the result of diabetes.

What is it? (About diabetes)

Sugar (glucose) gives your body energy. The sugar (glucose) moves from your blood into your muscles with something called insulin. With diabetes your insulin isn’t working properly, so the sugar (glucose) doesn’t get into your muscles and body easily and there is too much sugar (glucose) in your blood.

Everyone has a little bit of sugar (glucose) in their blood. The optimum sugar (glucose) level is between 4 to 6 mmol/L (after fasting).

Sugar (glucose) is fuel that comes from some of the food you eat and drink. It gives your body energy to do all sorts of things:

  • Walk
  • Think
  • Play sports
  • Hunt
  • Work
  • Rake
  • Gardening
  • Resting.

To help the sugar (glucose) move into your muscles and body cells your body needs something called insulin. Insulin is made in the pancreas – a body part which is near your stomach.

Insulin helps keep your sugar (glucose) levels normal.

With diabetes, the insulin isn’t helping the sugar (glucose) move from your body into your muscles and body cells. So it stays and builds in your body, making your blood sugar (glucose) level high.

Type 2 Diabetes

There are different types of diabetes. A lot of Aboriginal and Torres Strait Islanders have type 2 diabetes. Type 2 is when your body stops the insulin working properly.

Fat bellies, not being active enough, eating a big mob of fatty food can stop the insulin working properly in your body.

Being active, eating healthy and being a healthy weight can help your insulin work better to keep your sugar (glucose) normal. Sometimes people might need to take tablets and insulin everyday to keep their sugar (glucose) levels normal.

Gestational Diabetes

Another type of diabetes is gestational diabetes. This happens when you are pregnant, but not all women get it. It goes away after pregnancy but you and your baby can get type 2 diabetes later in life.

Pre Diabetes

There is also Pre Diabetes or Impaired Glucose Tolerance (IGT). This happens when your sugar (glucose) level is high, but not high enough to be called diabetes. It doesn’t mean you have diabetes now, but it does mean you might get it later. Being active and eating healthy you can slow down the start of type 2 diabetes.

Type 1 Diabetes

Some Aboriginal and Torres Strait Islanders have type 1 diabetes. This usually happens in kids and teenagers. Type 1 diabetes is when your body kills the insulin making part in the pancreas and no insulin is made in your body. To give the body the insulin it needs, insulin injections are needed every day for the rest of their life.

What do I do? (Management of diabetes)

When there is too much sugar (glucose) in your blood it damages your heart, kidneys, feet, eyes and nerves.

You can keep your sugar (glucose) levels normal by:

Eating healthy

  • Have plenty of bush tucker and have shop foods and home cooked meals that are low in fat, sugar and salt.
  • Have something from each of the core food groups every day. They give you energy, fight sickness and help care for your body to keep it strong.
  • Drink plenty of water.

Avoiding and eat less fat, sugar and salt

  • Eat less fat as it makes you put on weight and gives you problems with your heart.
  • Pick meat with no fat or only small bits of fat on it. Cut the fat off the meat and take the skin off chicken.
  • Drain the juices (fat) after cooking meat and scoop out the fat from the top of stews.
  • Avoid cooking with or having fats like butter, oil, margarine or dripping.
  • It is better to boil, steam, stew, grill, microwave or stir-fry food.

Being a healthy weight (not too fat and not too skinny)

  • Do this by eating less, eating healthy and being more active.

Keeping active

  • It helps you lose weight and keep it off and it keeps you healthy.
  • It helps your insulin to work properly.
  • Walk, job, play sport, hunt, garden, work around the place.
  • Be active for 30 minutes or more every day OR do 10 minutes 3 times a day.

Taking your medicine

  • Take your medicine at the times the doctor tells you.
  • Take them with or after eating in the morning, afternoon and supper time every day.
  • Refill your medicine box in the morning (get some more medicine before it gets low and so you don’t run out).
  • Take your medicine with you when you go to see family, walkabout or away from home.
  • Put your medicines somewhere cool, dry and safe so they won’t go bad.
  • Keep your medicines out of reach of kids.

Remember to:

  • Have your check-ups with your doctor, health worker or nurse. Have regular check-ups for your eyes, feet, kidneys, blood pressure, skin and teeth. If you notice anything different about your body talk to your doctor, health worker or nurse.
  • Check your sugar (glucose) levels at the times your doctor, health worker or nurse tells you.
  • See your doctor, health worker or nurse straight away if you feel sick.
  • Check your feet and skin for sores and/or cracks every day.

Why take medicine for? (Medications for diabetes)

Indigenous

Diabetes medicine helps to keep your body strong and well and it helps to keep your sugar (glucose) levels normal.

When eating healthy, being active and being a healthy weight isn’t working at keeping your sugar (glucose) levels normal, you might need to take tablets and/or insulin.

The doctor might put you on tablets called Metformin to help your insulin work better and to lower the amount of sugar (glucose) in your blood.

After a while the pancreas gets tired from working too hard and can’t make enough insulin, so your doctor might put you on tablets called Sulphonylurea. This medicine helps your body make more insulin.

Or, after awhile, the doctor might need to add another lot of tablets called Glitazone or Acarbose.

Remember to have your medicine with or after eating, in the morning, afternoon or supper time. Take them at the time the doctor tells you to.

All tablets work differently and some can have side effects.

If the following problems don’t go away or if you are still worried about them, then talk to your doctor.

  • Feel sick like you want to vomit (nausea)
  • A sore belly
  • Diarrhoea
  • Sugar (glucose) levels going too low
  • Have fluid build-up (retention)

When your sugar (glucose) levels get too high and stays high the doctor might put you on tablets and give you insulin.

  • Having insulin doesn’t mean you have type 1 diabetes.
  • Insulin isn’t like tablets so it shouldn’t be swallowed.
  • You inject the insulin under your skin in different places on your belly.

Talk to your doctor, health worker or nurse about insulin and what is right for you.

Having too much insulin or taking too many Sulphonylurea tablets can make your sugar (glucose) levels go too low (under 3) and make you hypo (hypoglycaemia).

You can also go hypo (hypoglycaemia) if you are:

  • Not eating, not eating enough or eating too late
  • Being extra active
  • Drinking grog (alcohol).

You might not feel anything when you have a hypo (hypoglycaemia), but sometimes you might feel:

  • Shaky
  • Hungry
  • Get headaches
  • Weak
  • Confused
  • Angry
  • Talk like you’re drunk when you’re not
  • Sweaty.

When you have these feelings or think you are having a hypo (hypoglycaemia), get your sugar (glucose) level up fast by drinking or eating something sweet.

Keep your sugar (glucose) level normal and stop having another hypo (hypoglycaemia) by eating a sandwich or meal after you have something sweet.

Remember, after taking your tablets or insulin:

  • Keep them somewhere cool, dry and safe (maybe in the fridge at home or at the clinic) so that they won’t go bad
  • Keep them out of reach of children
  • Get rid of your syringes/needles and finger pricking needles by putting them in a “sharps container” or “hard plastic” empty container with a lid (see if the clinic has one).

Remember when you go see family, walkabout or are away for home take your tablets and/or insulin with you.

Why me? (Risk factors)

Nobody knows how or why some people get diabetes but there are some things we know that can add to your chances of getting it. You have more chance of getting it when you are Aboriginal or Torres Strait Islander, but not all Aboriginal or Torres Strait Islande people have diabetes.

Aboriginal or Torres Strait Islander people live different to how they used to live. Changes that add to your chances of getting diabetes are:

  • Not as active
  • More overweight
  • Eating fatty salty, sugary foods.

People living the old way were:

  • Active
  • Leaner and fit
  • Eating healthy food (bush tucker).

Other chances of getting diabetes include:

  • It is in your family tree or when someone in your family has diabetes
  • You had diabetes when pregnant
  • You get older
  • You eat too much and you eat too many fatty and sugary foods
  • You are overweight
  • You are not active enough
  • You have pancreatitis (a sickness of the pancreas).

There are things you can’t change or stop you from getting diabetes:

  • It’s in your family
  • You are Aboriginal or Torres Strait Islander
  • You are pregnant with diabetes
  • You are getting older.

The things you can do to slow down the start of diabetes:

  • Eat healthy and be a healthy weight
  • Be active
  • Don’t drink too much grog.

Nobody knows why or how people get diabetes. After a while it can damage your heart, kidneys, eyes, feet and nerves making you really sick.

Talk to your doctor, clinic, nurse or health worker about having a test to find out if you have diabetes. You can’t always feel it or see it happening, so you might not kn

NACCHO Aboriginal Health #Sugartax News : @Apunipima Dr Mark Wenitong launches #SugaryDrinksProperNoGood

 

 ” This campaign is straightforward – sugary drinks are no good for our health.It’s calling on people to drink water instead of sugary drinks.’

Aboriginal and Torres Strait Islander people in Cape York experience a disproportionate burden of chronic disease compared to other Australians.’

‘Regular consumption of sugary drinks is associated with increased energy intake and in turn, weight gain and obesity. It is well established that obesity is a leading risk factor for diabetes, kidney disease, heart disease and some cancers. Consumption of sugary drinks is also associated with poor dental health.

Water is the best drink for everyone – it doesn’t have any sugar and keeps our bodies healthy.’

Apunipima Public Health Advisor Dr Mark Wenitong

Read over 30 NACCHO articles Health and Nutrition HERE

https://nacchocommunique.com/category/nutrition-healthy-foods/

Read over 15 NACCHO articles Sugar Tax HERE  

https://nacchocommunique.com/category/sugar-tax/

Apunipima Cape York Health Council  launched its Sugary Drinks Proper No Good – Drink More Water Youfla social marketing campaign on Thursday 2 November.

The campaign was developed with, and for, Aboriginal and Torres Strait Islander people of Cape York, and is supported by the national Rethink Sugary Drink Alliance – a group of organisations, including Apunipima, Diabetes Australia and the Cancer Council, concerned about the health impacts of sugary drinks.

The launch will see the campaign webpage (part of the Rethink Sugary Drink website) go live, and the release of three videos featuring NRL legend Scotty Prince inviting people to Drink More Water Youfla.

Channel 7 News Coverage

#SugaryDrinksProperNoGood and #DrinkMoreWaterYoufla.

VIEW HERE

Media was invited to Apunipima’s Cairns office where the three clips were distributed, a sugary drinks display set up, and Apunipima Public Health Medical Advisor Dr Mark Wenitong was for interview and photos opportunities.

‘This campaign is straightforward – sugary drinks are no good for our health. It’s calling on people to drink water instead of sugary drinks like soft drinks, sports drinks and fruit drinks,’ Dr Wenitong said.

Head of Prevention at Cancer Council Victoria and spokesperson for Rethink Sugary Drink Alliance Craig Sinclair said Apunipima’s campaign was prevention – focused and could save lives.

‘This is a vitally important campaign that has the capacity to not only improve lives but save them.’

‘It may sound simple, but cutting out sugary drinks can have a big impact on your health. Sugary drinks are key contributor to being overweight or obese which puts you at risk of cancer, heart disease, type 2 diabetes, stroke, and kidney disease. Apunipima Cape York Health Council is to be congratulated for taking this innovative prevention-led approach.’

The campaign was funded by the Australian government via the Northern Queensland Primary Health Network (NQPHN).

‘We’re pleased to be supporting Apunipima in this comprehensive health promotion initiative to address consumption of sugary drinks, which are one of the key contributors to overweight and obesity,’ said NQPHN CEO Mr Robin Moore.

‘Apunipima have a strong track record of developing and undertaking effective health promotion initiatives for our local communities, and are a key agency improving the skills and knowledge of the health promotion workforce across the region.’

‘NQPHN is committed to helping to close the gap and we are confident this initiative will make a significant contribution to that goal.’

Prominent Far Northern doctor calls for Australian sugar tax

A PROMINENT doctor has reignited calls for a sugar tax, in order to prevent the Far North’s chronic disease rate from climbing even higher.

Apunipima Cape York Health Council has launched a federally-funded social media campaign, to discourage Aboriginal and Torres Strait Islander people from consuming sugary drinks.

The “Sugary Drinks Proper No Good — Drink More Water Youfla” campaign, featuring videos by NRL legend Scotty Prince.

It calls on people to drink water instead of sugary drinks, like soft drinks, sports drinks, and fruit drinks.

The campaign has been launched to tackle the high rate of chronic diseases in the Far North such as Type 2 diabetes and heart disease.

Apunipima public health medical advisor Dr Mark Wenitong said a sugar tax placed on junk food and beverages would go a long way to helping reduce this rate.

“We’ve seen this happen in a few South American countries, in Mexico,” he said.

“If those countries can introduce (a sugar tax) as a health benefit to their population, then I don’t see why we can’t.

“I know the beverage industry will often say ‘this will affect the most disadvantaged people, because they’ll have to pay’, our answer to that is, it’s killing most disadvantaged people already, because they’ve got higher risk factors.

“It affects their chronic disease status more than other people in Australia.”

Cairns Hospital, earlier this year, became one of the first hospitals in Queensland to implement strategies to restrict patient and staff access to soft drinks.

Vending machines and the two cafes at the hospital only sell sugar-free soft drinks.

Dr Wenitong said the Cairns and Hinterland Hospital and Health Service should go an extra step by restricting other junk food being sold at its facilities, like chocolate bars and chips.

“At some stage, I think they’ll have to think about the accessibility of those things, particularly for younger people,” he said.

“I don’t think it’s a bad idea, by at least making them less visible and less accessible, so kids just don’t see them and want them.”

CHHHS executive director Tina Chinery said they had received no complaints from patients, staff or visitors when their healthier drink strategy was rolled out earlier this year.

“Healthcare facilities play an important role in promoting the health and wellbeing of patients, staff and visitors,” she said.

“Cairns Hospital is leading by example and creating environments that support patients, staff and visitors to make healthy choices easy.”