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COVID 19 YOUR VACCINE QUESTIONS ANSWERED p109

A U S T R A L I A N

JENNA’S STORY
“My gestational


diabetes turned
into type 1”p118

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Swap! DESSERTS
meet es can
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rewards p8

KALE,
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MAY/JUN 2021, $8.50, NZ $9.20

ARE YOUR AFFAIRS


MAKE SURE YOU’RE READY FOR ANYTHING IN ORDER? p106

#FQSFQBSFE
ONSALENOW
Available to purchase where all good books are sold and at
aremediabooks.com.au or bhgshop.com.au
A U S T R A L I A N
YOUR VACCINE QUESTIONS ANSWERED p109
109

118 JENNA’S STORY


“My gestational


diabetes turned
into type 1”p118

XBSN
ZPVVQ 37
XJOUFS
EJTIFT
ONE POT
WONDERS

SUPER
SOUPS

FRUITY
Swap DESSERTS

88 meet!
Small change
s can
reap big weight
rewards p88
-loss

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MEATBALL
SOUP p37
8)&3&
5)&3&Ä4

38
"8*--
MAKE SURE YOU’RE READY FOR ANYTHING
ARE YOUR AFFAIRS
IN ORDER? p106
106
100 #FQSFQBSFE

FOOD
16 5 days, 5 dinners
24 Straight to the table All you SPECIAL
need is one pot to create OFFER nd
128 a
fabulous family meals! Turn to page
Diabetic
30 Smooth operator Enjoy a subscribe to hance
ur c
pick-me-up any time of the day Living , for yo re in
31 3 ways with lentils Discover to win a sha
$25,000!
how versatile they really are
36 Souped up Winter’s here and
MAY/JUNE 2021

DPOUFOUT
so are our favourite recipes
42 Vegie BBQ Skip the meat and
enjoy a new take on the grill
46 Skin health A day’s worth of
skin-boosting dishes 106 Will power Take responsibility
50 Healthier family favourites and get your affairs in order
PHOTOGRAPHY IMMEDIATE MEDIA. LOUISE LISTER, JAMES MOFFAT; STYLING ANNETTE FORREST,

Classic dishes, remade 109 COVID-19 vaccine Your


56 Take-to-work lunches Why buy questions answered
out when you can whip up these 112 Marking a milestone
KATE BROWN, OLIVIA BLACKMORE; PHOTOCHEFS REBECCA CLANCY, AMAL WEBSTER

59 Porridge toppers Kickstart your Celebrating 100 years of insulin


morning in a new way 114 6 steps to a fitter you How, and
64 Dessert dream land Don’t miss why, to get moving
out on these fruitalicious treats 120 Smart servings Rethink portions

LIVING WELL MY STORY


82 Sleep & diabetes Their 116 ‘I couldn’t read the subtitles
relationship and why it matters on TV’
86 The Miracle Pill The secret’s out
- movement makes the difference
88 Small changes, big results 4
REGULARS
Privacy notice
34
Easy food swaps make a big 5 Editor’s note
difference on the scale, and off
91 The downlow on keto What is it
6
8
Just diagnosed
Your healthy life 67
and is it right for you? 14 Diabetes hero
95 7 things Hidradenitis suppurativa 75 About our food
96 Diabetic mastopathy V 76 Cook’s tips
breast cancer Do you know 78 Menu plan
the difference? 121 Puzzles
100 Ready for anything Fire, flood, 124 Feel better in 5
or pandemic – it’s time to get 127 Recipe index
you and your family prepared 130 Postcard
OUR EXPERTS
Dr Kate Marsh
THE TEAM Dietitian & diabetes educator
Editor ALIX DAVIS Kate, who has type 1, is in private
Creative Director HANNAH BLACKMORE
Art Director LESLEY JHOTY practice in Sydney; drkatemarsh.com.au
Designer LISA EMMANUEL
Features Writer ELLIE GRIFFITHS Dr Sultan Linjawi
Food Editor ALISON ROBERTS Endocrinologist
Dietitian SHANNON LAVERY
A diabetes specialist, Sultan has a clinic
ADVERTISING & MARKETING in Queensland; drsultanlinjawi.com
Commercial Brand Manager RHYL HEAVENER
Rhyl.Heavener@aremedia.com.au Dr Janine Clarke
Marketing Director LOUISE CANKETT
Psychologist
Senior Marketing Manager JILLIAN HOGAN
Janine is in private practice at Mend
PRODUCTION Psychology and The Sydney ACT Centre;
Production Manager DANIELLA KOLACH mendpsychology.com.au
Ad Controller DOMINIC ROY

ARE MEDIA GROUP


Elissa Renouf
Chief Executive Officer BRENDON HILL Type 1 parent
Director of Sales ANDREW COOK Elissa is the owner of Diabete-ezy
Finance Director DAVID LOEFFLER and a mum of four kids with type 1;
Customer Director SALLY EAGLE
diabete-ezy.com
Publisher NICOLE BYERS
Circulation Executive DARIYA KAING
General Manager Media Solutions JANE WATERHOUSE Rachel Freeman
Diabetes educator
MEREDITH INTERNATIONAL Rachel is the mum of a child with type 1,
Chairman and Chief Executive Officer STEPHEN M LACY
Chief Development Officer JOHN S ZIESER
and also works at the Australian Diabetes
Meredith International Director MIKE LOVELL Educators Association; adea.com.au.

ARE MEDIA PRIVACY NOTICE Danielle Veldhoen


This issue of Diabetic Living is published by Are Media Pty Limited (Are Media). Are Media may use and disclose your information
in accordance with our Privacy Policy, including to provide you with your requested products or services and to keep you Podiatrist
informed of other Are Media publications, products, services and events. Our Privacy Policy is located at www.aremedia.com. Danielle works at Flinders Medical
au/privacy/. It also sets out on how you can access or correct your personal information and lodge a complaint. Are Media may
disclose your personal information offshore to its owners, joint venture partners, service providers and agents located Centre, South Australia.
throughout the world, including in New Zealand, USA, the Philippines and the European Union. In addition, this issue may
contain Reader Offers, being offers, competitions or surveys. Reader Offers may require you to provide personal information to
enter or to take part. Personal information collected for Reader Offers may be disclosed by us to service providers assisting Are Drew Harrisberg
Media in the conduct of the Reader Offer and to other organisations providing special prizes or offers that are part of the Reader Exercise physiologist
Offer. An opt-out choice is provided with a Reader Offer. Unless you exercise that opt-out choice, personal information collected
for Reader Offers may also be disclosed by us to other organisations for use by them to inform you about other products, & diabetes educator
services or events or to give to other organisations that may use this information for this purpose. If you require further Drew, who has type 1, offers online
information, please contact Are Media’s Privacy Officer either by email at privacyofficer@aremedia.com.au or mail at
Privacy Officer, Are Media Pty Limited, 54 Park Street, Sydney NSW 2000. coaching/consultations and specialises
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Website: www.magshop.com.au
welcome

Cool nights
need soup!
As Autumn slips into Winter my mind (and
stomach) turns to thoughts of soup. It really is
the perfect food – heating your hands as you

47 clasp a bowl or mug, warming you from the inside


out after a cold day and filling you up with plenty of healthy ingredients.
Bonus points – it’s easy to make and ideal to freeze in portions so your future

45 self will thank you on a busy night when cooking dinner just isn’t going to
happen! Turn to page 36 for our delicious soup feature and you’ll find a couple
of others scattered through the issue as well. I know I’ll be starting with our
cover star and working (and slurping) my way through all of them.
Another favourite meal of mine is a one-pot dinner. What’s not to love
about a meal that maximises flavour and minimises washing up? Take a look
at our selection of warming one-pots from page 24 as well as family favourites
starting on page 50 that we’ve revamped to make both delicious and healthy.
Of course, we haven’t forgotten about dessert and you’ll find some fruit-
focussed treats on page 64.
The COVID-19 vaccine has been available for a few months now and some
of you may have received yours already, while others are still waiting or may
NEXT
ISSUE have questions. We’ve answered your FAQs on page 109 in simple, easy-to-
ON SALE understand language – no faffing about. The year that was 2020 was a good
24 JUN reminder to all of us about how important it is to be prepared for whatever life
may throw at us. Take a look at Ready for Anything from page 100 for some
ideas about how to prepare for, and cope with, an unexpected setback.
Mum-of-three Jenna Carroll certainly had to roll with the punches when
she was diagnosed with type 1 after the birth of her third child. While it’s only
early days and Jenna is still getting used to managing her diabetes, she’s
determined that it won’t define her. You can read Jenna’s inspiring story on
page 118.
I love hearing what you think of the magazine – after
all, we create it for you - so please get in touch via email

61
or Facebook.
Alix Davis,
Editor
We’d love to hear from you!
We want to hear your stories, answer your questions and share the love with other readers

facebook.com/ instagram.com/
diabeticliving@aremedia.com.au diabeticliving.com.au DiabeticLivingAU diabeticliving

Diabetes Australia and JDRF are proud to support Diabetic Living. While all care has been taken in the preparation of the articles in this
magazine, they should only be used as a guide, as neither Are Media Pty Limited nor Diabetes Australia is able to provide specific medical
advice for people with diabetes or related conditions. Before following
any health advice given in this magazine, please consult your healthcare
professional. Recipes that are gluten free or have gluten-free options
have been approved by Coeliac Australia.

diabetic living MAY/JUNE 2021 5


JUST
diagnosed
A diagnosis of diabetes can be scary at first – don't panic, we're here to help
START
HERE

%*"#&5&4
Getting your head around
“diabetes lingo”? Read on...
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6 MAY/JUNE 2021 diabetic living


5:1&5:1& '00%
What’s the difference?
Type 1 is an auto-immune condition caused .:5)4
by a combination of genetics and unknown FOR PWD
factors. It accounts for 10 per cent of all
diabetes, and occurs when the body’s
immune system destroys the cells in the It's my
pancreas that produce insulin, the hormone sweet tooth!
that’s vital for converting glucose into It’s not that simple. While
energy. People living with type 1 diabetes type 1 is triggered by
need touse insulin to reduce the level genetics and unknown
of glucose circulating in their blood. factors, type 2 is caused by
a mix of genetics and
Type 2 is caused by a combination of lifestyle factors. One of
genetics and lifestyle factors. It accounts those is being overweight,
for 85-90 per cent of all diabetes, and is but it’s not just sugar that
a progressive condition where the body causes that. Plus, if you are
becomes resistant to the normal effects overweight, that’s only a
of insulin, or where the pancreas slowly risk factor, not a direct
loses its ability to produce enough of the cause of type 2.
hormone – both of which leave too much
glucose in the blood. Lifestyle modifications
or medication (and sometimes both) are No more
used to manage type 2 diabetes. chocolate!
False. As long as chocolate,
or other foods containing
added or natural sugars, are
5BLFUIJTUPIFBSU eaten as part of a healthy
meal plan or combined

1 YOU’RE
NOT ALONE
About 280 Aussies
2 IT'S YOUR
MOVE
Continuing or
3 WE’RE HERE
Wondering
where to start?
with exercise, people with
diabetes can definitely still
enjoy them in moderation.
develop diabetes starting regular Combined with Talk to your GP or dietitian
every day – one physical activity will advice from your for more info.
person every five help lower your healthcare team,
minutes. And for short- and long-term you’ve made a great
every four people BGLs and can also first step. In this
Ugh. A
‘special diet’
WORDS KAREN FITTALL; PHOTOGRAPHY GETTY IMAGES

diagnosed, someone help certain diabetes (and every!) issue


else is living with medications work of Diabetic Living, Not really. These days
diabetes but doesn’t more effectively. Plus, you’ll find practical, ‘healthy eating’ for people
know. The longer along with a healthy helpful advice, who have diabetes is no
diabetes goes diet, losing weight expert responses different to the ‘healthy
undiagnosed, – as little as 5 per cent to questions that eating’ guidelines
the more it can of your body weight might sound familiar recommended for the
impact your – can also have a and a whole heap of general population. You
overall health. positive impact. healthy recipes. ■ don’t need to prepare
separate meals or buy
special food – the recipes
Losing just 5 per cent of your body in DL are designed
for everyone.
weight can have a positive impact. * That’s People With Diabetes
YOUR
healthy life
The latest & global news on diabetes, bone health, fitness and podcasts

GET BACK
ON TRACK
The NDSS has recently
launched a new campaign
‘Back On Track’ to encourage
people to reconnect with
their diabetes management.
Researchers found that over
one third of Aboriginal and
Torres Strait Islander people
said “COVID has had a
negative personal impact that
has affected their connection
to culture and their mental
and physical health”. Due to
the year that was 2020, many
people with diabetes may not
be managing their condition
as well as they would have
if there were less significant
disruptions. Visit ndss.com.au
for more information.
If you have not consulted
your healthcare team
recently, be sure to book
in and get on top of your
diabetes once again.
&

SH
Q
AA R
SK DR MA

You’re Not Broken I have type 2 diabetes


By Dr Sarah Woodhouse and have recently been
Penguin, $34.99 diagnosed with high
Approximately 70-80 cholesterol. My GP has
per cent of women will given me 3 months to
experience a traumatic Diabetes & see if I can lower it with
event at least once in their Heart Attacks dietary changes, before
life. Trauma has a way of considering medication,
Fiona Stanley Hospital’s cardiologist but I am confused about
trapping us in cycles of Dr Girish Dwivedi has recently been
dysfunctional behaviour, what I should and shouldn’t
awarded the Jamie Cripps 2021 be eating. Can you help?
negative thoughts and Research Grant for a world-leading
feelings, but with research diabetes-heart attack trial. Research
psychologist Dr Sarah Kate says: There are many
shows that someone with diabetes is up dietary changes you can make
Woodhouse’s book, you to four times more likely to experience a
can better understand to help with cholesterol
heart attack or stroke; and further, those lowering. These include
trauma, how it affects you who have recently experienced cardiac
and those around you, replacing saturated fat (found in
arrest have a substantially increased animal foods, palm and coconut
how to find freedom from risk of recurrent heart attack or death.
your trauma and more. oil) with polyunsaturated and
Researchers previously found in a small monounsaturated fats (found
non-randomised study that those foods such as nuts, seeds,
with type 2, who had a heart attack, avocado and olive oil) and
and started the SGLT2i medication, increasing intake of soluble
empagliflozin, before being discharged fibre (in food such as oats,
from hospital experienced a reduced risk barley, legumes and psyllium
of heart failure. This funding will allow husks), nuts and soy foods.
WA researchers to conduct a larger, Incorporating plant sterols (in
randomised study, and further pave the fortified foods or supplements)
way for a nation-wide trial. For more can also help. In fact, one study
info, visit diabetesresearchwa.com.au found that the combination of
How To Make these dietary changes lowered
Anything Gluten Free cholesterol levels a similar
By Becky Excell amount to a low dose of
Hardie Grant Books, $39.99 OVER 124,000 PEOPLE cholesterol-lowering

UNDER
medication.
Food writer Becky Excell
However, it would be
shares over 100 recipes
worthwhile seeing an Accredited
with all the tips and

THE AGE
Practising Dietitian (APD), who
tricks to truly unlock all
can help you in developing an
those glutenous foods
individualised eating plan to

OF 40
you’ve been missing.
both lower your cholesterol
Whether you’re looking
and manage your diabetes.
for a proper chicken chow
mein or a freshly made Dr Kate Marsh, advanced accredited
French baguette, there’s HAVE DIABETES. practising dietitian and credentialled
something for every meal! ~ Diabetes Australia (national survey 2020) diabetes educator

diabetic living MAY/JUNE 2021 9


your healthy life

New prescriptions
On the 1 February 2021, the
national legislation changed the
requirement for doctors to provide
prescriptions with the active
ingredient name, rather than
the brand name – for example,
a prescription for Ventolin will
now say the active ingredient:
salbutamol. This long overdue
change in Australia will provide
fewer medication errors by doctors
and patients, and further simplify
how we talk about medications.
Regardless of the brand you choose
to purchase, the drugs will contain
the exact same active ingredient;
however, they may come in
different strengths (this will still
be listed on your prescription).
If you’re confused, ask your GP or
specialist to clarify prescriptions.

WEIGHT
CHALLENGES
MOST COMMON
26
PER CENT OF PEOPLE
WITH DIABETES BELIEVE
THE STEREOTYPES AND
IN THESE KIDS ATTITUDES OF OTHER
A new report released by the Australian PEOPLE ABOUT DIABETES
Institute of Health and Welfare (AIHW) NEGATIVELY IMPACTS
shows some groups of Australian THEIR MENTAL HEALTH.
children and adolescents, aged 2-17, ~ Diabetes Australia (national survey 2020)
are more likely to be overweight
or obese. The latest national data
concluded these certain population groups are most
likely to be Aboriginal and Torres Strait Islanders,
those with a disability, those living in Inner regional
areas and those living in the lowest socioeconomic
areas. This excess weight can massively increase the
risk factor of individuals to develop type 2 diabetes,
cardiovascular disease, some musculoskeletal
conditions and some cancers.
If you are concerned about your or your child’s health
and wellbeing, discuss with your healthcare team.
Q A
&A S
A S K E LIS

My 9 year old son started


inter-school sport (soccer)
this term. We find later that
PUMP UP THE JAM night and sometimes even
the next morning he will
The first-of-its-kind study – published in go very low. Is this normal?
the American Journal of Physiology-Heart
and Circulatory Physiology – has found Elissa says: I experienced very
more frequent exercise breaks improve similar with my sons when they
blood flow and vessel dilation. People were playing school and extra-
curricular sports like footy.
with type 2 diabetes are known to have
I found that even if their BGL
a higher risk of developing heart disease reading was fairly normal after
and reduced vascular (blood vessel) they played, they would regularly
function, and by decreasing their time go low anywhere within the next
spent sitting they can increase their 24 hours seemingly out of
blood vessel health. While researchers nowhere. I use to make sure my
kids tested immediately after the
looked into the different effects of
game and every few hours after
shorter, more frequent and longer, less- strenuous activity. This could be
frequent exercise breaks, their findings something to discuss with your
suggest more frequent, shorter breaks son’s endocrinologist and/or
from sitting may be more beneficial. diabetes educator for medical
advice regarding insulin rates
post-sport.
If your child uses an insulin
pump, an endocrinologist can
GET A GRIP assist with adjusting the rates
on sport days if they think it’s
Scientists from Bristol and Eastern Finland have published their appropriate. In the meantime,
findings in the Annals of Medicine Journal, which found handgrip what used to help me and what
strength could identify people at high risk of type 2. Studying I would suggest is that you log
776 men and women without a history of diabetes and your son’s BGL readings for the
aged 60-72, over the course of 20 years, they concluded 24 hours following soccer so you
that although the population was predominantly older or his endocrinologist can notice
Caucasians, the individuals were able to halve their if there’s a certain pattern and
risk of developing type 2 by simply increasing make changes to his rates for
handgrip strength – especially women. Further future exercise days.
studies on age groups and population to follow. Also pack low-GI rice cakes or
a muesli bar to eat after, to help
keep BGL’s within normal range.

Elissa Renouf, owner of Diabete-ezy and


mum of four kids with type 1. Her range
of convenient diabetes products is
available at diabete-ezy.com

diabetic living MAY/JUNE 2021 11


your healthy life

Q E
&A

L
AS K R AC H

I have type 1 diabetes


and have started using
a CGM (continuous
glucose monitor). The
really high glucose
levels after I eat are
worrying me. How
high is too high?

Rachel says: If you were


only checking your blood
glucose levels previously
at the 2 hour post-meal
EASIER GESTATIONAL DIABETES TEST time point, you would have
not been seeing these high
During the initial lockdown in 2020, there was a push to reduce readings soon after eating.
any unnecessary exposure to COVID in pregnant women, especially The carbohydrate foods
when required to sit for a few hours within a pathology lab for that you eat will increase
your BGLs. Carbohydrate
the gestational diabetes (GD) test. This prompted Queensland
foods vary in the time they
researchers to develop an easier and quicker alternative to the take to break down and for
3-hour test; where they identified about four out of five women the glucose to enter your
could avoid the full test by simply taking a single-fasting blood bloodstream. Your insulin
test. This change to testing reduces the burden on pathology labs, will also take 10-15 minutes
hospitals and clinicians. Researchers are hoping this change to GD to start working.
Everyone is different and
testing will be implemented permanently.

WORDS ELLIE GRIFFITHS; PHOTOGRAPHY GETTY IMAGES, ADOBE STOCK


will digest food differently.
It is recommended you

ALL PRICES ARE A GUIDE ONLY – CORRECT AT TIME OF PRINTING


continue to only worry
about your blood glucose
Could diabetes be levels around the 2 hour
a thing of the past? post-meal time, and don’t
worry about your levels
Researchers from Monash before the 2 hour time
University believe they have point. Your glucose levels
unlocked the key for naturally will go up after you eat
producing insulin in people with and it can be a bit of a
diabetes. The study published shock if you haven’t seen
in Regenerative Medicine found this before.
that they could reverse the If your levels aren’t where
gene that instructs the insulin- you would like them to be
producing cells to stop working, two hours after you eat,
to help the body repair. This make sure you check in with
discovery sparks hope that the your diabetes care team.
body of a person with diabetes
may have the ability to heal Rachel Freeman, diabetes educator
itself. More research to follow.

12 MAY/JUNE 2021 diabetic living


Transforming lives through the power of trust
Steve began to lose his vision at the age “Heath has given me the freedom and
of 25 as a result of Diabetic Retinopathy. confidence to be a much more involved
Initially, he had surgery and learned to use member of the community. My self-esteem
a white cane, but knew he wanted a Guide has improved dramatically and I have been
Dog to enable him to live a life of greater able to have a more active role throughout
independence and confidence. That’s when my daughter’s primary school years.”
Steve spoke to Guide Dogs Australia and For over 60 years, Guide Dogs Australia
it wasn’t long before he was matched with has supported people with low vision or
his first working Guide Dog. blindness. To achieve this, trust must be at
Heath is Steve’s third Guide Dog. Every day, the heart of everything we do, from the trust
Steve puts his trust in Heath to help him our Clients put in us to provide the support
overcome barriers and achieve his goals. and care they need, to the trust between
a Client and their Guide Dog. This trust also
extends to everyday Australians just like you
who so generously contribute around 75%
of our funding to help us transform lives.
You too can make a life-changing difference
and give people like Steve the gift of
independence, freedom and most of all,
trust. Simply use the envelope insert to send
your donation or donate securely online at
guidedogs.com.au/trust2021
F
or the first two years, I
think I was really ignorant
to how diabetes affects
Tristan’s life,” says 26-year-
old Ash, whose partner of four-
years has type 1. “He’s very
happy-go-lucky, and doesn’t talk
about it if he’s had a bad night
sleep, or if he’s feeling drained. But
because he never made it seem like
a big deal, I mirrored his attitude,
without really understanding what
he was going through.” Although
there were moments when Tristan,
29, would ask Ash to grab him a
Coke when he felt his sugars drop,
she’d only ever had passing
interactions with people with
diabetes, so she didn’t know what
living with diabetes meant.
However, when they moved
in together in 2019, the mirror
was shattered. “We woke up one
morning, and Tristan wasn’t getting
out of bed,” she recalls. “I thought he
was just tired, so I left him to sleep
while I got ready for work. When he
finally got out of bed, he was doing
bizarre things - like opening doors
Ash and and cupboards, walking in circles,
Tristan
and speaking in incoherent
sentences - and then he couldn’t
even hold himself up.

Putting her
“Initially, I thought he was
kidding around - if you knew us,
you’d understand - but it dawned

BEST
on me pretty quickly that something
was very, very wrong... and I had
no idea how to fix it.
“Back then, I didn’t know the
difference between a low or a high,

FOOT
or how to treat either one; but in my
head giving him a soft drink was the
easiest thing I could do, so I gave him
a Lucozade and hoped for the best.
“As soon as he came-to, I just burst

FORWARD into tears. I was so overwhelmed and


scared. I couldn’t believe this was
what diabetes was like, and I had
The Diabetic’s Girlfriend, Ashley Hanger, is on track been so unaware all those years.”
This led Ash to dive head-first
to fundraise $10k for Diabetes Australia while she into learning everything she could
starts a new platform for people with diabetes about diabetes. “The way I see it,
diabetes hero
when I have a bad day at work,
Tristan does everything in his
power to turn the day around
- whether that’s making dinner,
or buying me flowers,” she says.
“So, when diabetes is being a
little gremlin, why shouldn’t
I do everything I can to take
some of that weight from
Tristan’s shoulders too?”
This led Ash to seek a space
to unload her worries and fears
away from Tristan. “I never
wanted him to think diabetes was
a burden – it hasn’t ever been, not
once.” However, she struggled to
find someone who shared her
experiences of living with someone
with diabetes. So Ash created her explains. “The more people we can
own blog and Instagram as ‘The created a community for all. “I get talk to about diabetes, the further we
Diabetic’s Girlfriend’. “It feels selfish messages every week from people can spread awareness and
to say, but supporting someone with who finally feel validated in the guilt understanding on a larger scale. So I
a chronic illness puts a great deal of they’re feeling too, and are reassured created some funky blue socks with
responsibility on your shoulders,” that the anxiety will lighten with multi-colour needles, and some
she says. “Sometimes it feels like time, as we all try to better white socks with ‘get pricked’ printed
it’s your duty to keep someone alive. understand diabetes together.” on the side for a cheeky statement.”
When you’re living with a diabetic, With this support, in October Ash has also recently launching a
you’re their safety net, the final 2020, Ash decided to begin new platform. “I started Stripped
frontier. And then there’s the fundraising $10,000 in 10 months Supply as a place Gen Z diabetics
feelings of guilt, because you’re for Diabetes Australia through could discuss the topics that are
someone who’s perfectly healthy, Adventure All Stars. “It’s a way for uncomfortable to talk about,” she
and you’re not able to take away the me to make a difference on a larger says. “The kind of stuff you don’t
pain diabetes sometimes causes.” scale and feel like I’m contributing to want to ask your parents or your GP
Since sharing her journey, Ash has bettering the lives of people just like – like sex, dating, body confidence
been overwhelmed with the number Tristan,” she says. Despite COVID, and even mental health.”
WORDS ELLIE GRIFFITHS; PHOTOGRAPHY SUPPLIED BY ASHLEY HANGER

of people who also love Ash has been able to host a Her vision for Stripped Supply
someone with diabetes movie fundraiser and (www.stripped.supply), is for it to
and as a result has You can barbecues at local football also become a place that can help
check out her competitions in automate how someone manages
progress of $10k Brisbane. their diabetes. “I think there’s so
in 10 months at However, it’s her much more support we can be
diabetesaustralia funky socks that have offering 20-something diabetics,
fundraiser.raisely.com/ been the real kicker! At who are navigating how diabetes will
thediabeticsgirlfriend
the gym Ash works for, fit into their new adult life,” she says.
they encourage people to “Big things are coming – that’s all I
wear their best socks, on can say!”
Funky Sock Friday, and donate
money for a charity. Witnessing first
hand just how many people love a
funky pair of socks, this sparked an You can purchase a pair
Ash’s
funky sock idea. “I wanted to create some needle of funky diabetes socks from
fundraiser socks that might strike up a thediabeticsgirlfriend.com/
conversation at the gym,” she funky-socks. ■

diabetic living MAY/JUNE 2021 15


How our
food works
for you
see page 75

5 DAYS
5 DINNERS
Enjoy these delicious new recipes,
featuring sesame-crusted tuna with
miso dressing, a lemon, spinach pilaf
and more. Midweek just got tasty!
LOWERCARB
OPTION
Reduce the couscous
to 40g and add 1 cup
of small cauliflower
florets with the
stock in Step 3.
MONDAY
CHICKEN, COUSCOUS
AND HARISSA BROTH
PREP 10 MINS COOK 35 MINS
SERVES 2 AS A MAIN

1 tsp olive oil


2 (125g each) skinless chicken
thigh fillets, trimmed
Freshly ground black pepper
1 small brown onion, thinly sliced
1 head baby fennel, thinly sliced
1 clove garlic, sliced
1 Tbsp harissa paste
100g Blu Gourmet Pearl Cous Cous
250ml (1 cup) salt-reduced
chicken stock
250ml (1 cup) water
150g silverbeet, inner core
removed, shredded

1 Heat the oil in a deep, non-stick


frying pan over medium-high heat.
Add the chicken and cook for 5-6
minutes on each side until really
caramelised and cooked through.
Transfer to a plate, cover loosely
with foil and set aside to rest until
cool enough to handle. Shred.
2 Add onion, fennel and garlic to
pan. Season with pepper. Cook,
stirring occasionally, for 10 minutes
or until vegetables are soft. Stir in
the harissa and couscous and cook,
stirring, until all grains are coated.
3 Add the stock and water to pan
and simmer for 10 minutes. Stir in
silverbeet and shredded chicken.
Cook for a further 5 minutes. Serve.
Nutrition info
PER SERVE 1770kJ, protein 32g,
total fat 10g (sat. fat 2g), carbs 47g,
fibre 8g, sodium
$/Carb
exchanges
/GI estimate low

LCO
PER SERVE (lower-carb option)
1370kJ, protein 30g, total fat 10g
(sat. fat 2g), carbs 26g, fibre 7g,
sodium $/Carb
exchanges0/GI estimate low
TUESDAY GFO LC

SESAME-CRUSTED TUNA ½ red onion, finely sliced 4 Heat the sesame oil in a large
WITH MISO DRESSING 1 red chilli, finely chopped non-stick frying pan over medium-
PREP 15 MINS COOK 5 MINS ½ bunch coriander, leaves torn high heat. Add the tuna and cook
SERVES 2 AS A MAIN for 30 seconds on each side, just to
1 To make the dressing, put the sear and toast the sesame seeds.
2 x 150g tuna steaks
miso and water in a small bowl,
3 Tbsp sesame seeds 5 Divide the salad between two
whisking to dissolve. Stir in the
2 tsp sesame oil plates and top with the tuna. Serve.
rice vinegar and ginger. Season
DRESSING with pepper. Nutrition info
1 Tbsp miso paste or gluten free PER SERVE 1810kJ, protein 49g,
2 Put all the salad ingredients into
miso paste total fat 19g (sat. fat 3g), carbs 13g,
a large bowl. Add the dressing
2½ Tbsp water fibre 9g, sodium '!2Carb
and toss gently to combine.
1 Tbsp rice wine vinegar exchanges2GI estimate low
3cm piece ginger, finely grated 3 Cut the tuna steaks into 3cm 2Gluten-free option2Lower carb
Freshly ground black pepper fingers, then put the sesame seeds
onto a plate and roll over the tuna
SALAD
pieces to cover all the sides.
1 Little Gem lettuce, cored,
cut into chunky pieces
100g sugar snap peas
4 radishes, quartered
75g frozen shelled edamame,
defrosted
Boost your
Vitamin
D intake
by placing
your
mushrooms
in direct
sunlight
for 1 hour
before
cooking.
Vegie sausage,
spinach & mushroom
fry with pesto toast
Recipe, page 20
mains

WEDNESDAY LC

VEGIE SAUSAGE, 1 Heat the oil in a medium non- separate ramekins or small cups.
SPINACH & MUSHROOM stick frying pan over medium-high Once the water is at a gentle
FRY WITH PESTO TOAST heat. Add the mushrooms and simmer, carefully pour the eggs
PREP 10 MINS COOK 10 MINS cook, stirring often, for 5-10 from their cups into the water
SERVES 2 AS A MAIN minutes or until the moisture and simmer gently for 2 minutes
has evaporated and the or until the whites are set.
1 tsp extra-virgin olive oil
mushrooms soften.
250g mushrooms, sliced 4 Spoon the mushrooms, sausage
2 Sanitarium Vegie Delights 2 Break the sausages into small pieces and spinach onto two plates.
Vegie Sausages pieces straight into the pan. Add the sourdough slices, spread
1 clove garlic, sliced Cook for 2-3 minutes, stirring with some pesto and topped with
50g baby spinach leaves occasionally, or until starting to a poached egg. Serve.
2 Tbsp pesto crisp. Add the garlic and cook,
Nutrition info
2 x 60g eggs stirring, for 1 minute. Stir through
PER SERVE 1870kJ, protein 27g,
2 slices (40g each) wholemeal the spinach and cook, stirring, or
total fat 26g (sat. fat 5g), carbs
sourdough, toasted until the spinach starts to wilt.
21g, fibre 7g, sodium 573mg
3 Bring a large saucepan of water ;Carb exchanges 1½
to the boil. Crack the eggs into ;GI estimate .18;Lower carb

THURSDAY
VEGETARIAN KALE EGGPLANT ‘BACON’ 3 Meanwhile, tip kale into large
CAESAR SALAD WITH 1 eggplant bowl and add lemon juice and
EGGPLANT ‘BACON’ 2 Tbsp sugar free maple syrup black pepper. Massage really well
PREP 15 MINS COOK 15 MINS 2 tsp smoked paprika with clean hands; set aside for 10
SERVES 2 AS A MAIN 1 tsp garlic granules minutes. Mix mayonnaise, mustard,
yeast flakes, soy sauce and water in a
2 x 40g slices wholemeal
1 To make the eggplant ‘bacon’, small bowl. Add to kale; toss to coat.
sourdough bread or gluten-free
preheat oven to 170°C (fan-forced).

ADDITIONAL INFORMATION ALISON ROBERTS, SHANNON LAVERY (DIETITIAN)


bread, cut into small cubes 3 Divide the dressed kale between
Line two baking trays with baking
1 Tbsp extra virgin olive oil two plates. Break the aubergine
paper. Use a mandoline or sharp
150g kale, centre ribs removed ‘bacon’ into shards and sprinkle
knife to very thinly slice the
Juice of 1 lemon on top with the croutons. Serve.
eggplant into long lengthways
Freshly ground black pepper COOK’S TIP Nutritional yeast flakes
slices. Mix the maple syrup, paprika
2 Tbsp 97% fat-free mayonnaise are available from the health food
and garlic granules in a small bowl.
or gluten-free mayonnaise section of the supermarket.
Put the slices on the lined trays and
2 tsp Dijon mustard or gluten-free
spray lightly with cooking spray. Nutrition info
RECIPES & PHOTOGRAPHY IMMEDIATE MEDIA;

mustard
Cook in oven for 10-15 minutes
1 Tbsp nutritional yeast flakes PER SERVE 1380kJ, protein 12g,
or until beginning to crisp, then
(see Cook’s Tip) total fat 12g (sat. fat 2g), carbs
brush with the maple syrup
3 tsp salt-reduced soy sauce 33g, fibre 13g, sodium 769mg
mixture and cook for another
or gluten-free soy sauce ;Carb exchanges 2
5 minutes or until really crisp.
1 Tbsp water ;GI estimate low
2 Line a third tray with baking
paper. Toss the bread cubes and oil PER SERVE (with ½ cup chickpeas)
and spread out in a single layer 1790kJ, protein 18g, total fat 14g
over the lined tray. Bake for (sat. fat 3g), carbs 45g, fibre 17g,
10-12 minutes or until the cubes sodium/);Carb exchanges 3
are golden and toasted. ;GI estimate low

20 MAY/JUNE 2021 diabetic living


HEALTH TIP
To boost the protein
content, try topping each
serve with ½ cup no-added
salt canned chickpeas.

Nutritional yeast flakes are deactivated


yeast left over from beermaking that have a
cheese-like flavour, often used to add umami
to vegan and vegetarian recipes.
FRIDAY GFO

PRESERVED LEMON, 1 Heat the oil in a large saucepan or COOK’S TIP Replace the preserved
SPINACH AND CHERRY casserole dish over medium heat. lemon with the zest and juice
TOMATO PILAF Add the onion and cook, stirring of ½ a lemon.
PREP 10 MINS COOK 40 MINS occasionally, for 10 minutes or
SERVES 2 AS A MAIN until the onion is very soft. Add Nutrition info
the garlic, ginger and paprika. PER SERVE 1150kJ, protein 7g,
1 tsp olive oil Cook, stirring, for 1 minute. Stir in total fat 3g (sat. fat 1g), carbs 50g,
1 brown onion, finely chopped the lemon, cinnamon stick and rice, fibre 7g, sodium '!4Carb
1 clove garlic, sliced making sure every grain is coated in exchanges
54GI estimate low
2cm piece ginger, finely chopped the oil. Pour in the vegetable stock 4Gluten-free option
1 tsp smoked paprika and water. Bring to the boil.
¼ preserved lemon, rinsed to
PER SERVE (with shredded
remove excess salt, pith and 2 Toss in the spinach and cherry
chicken) 1470kJ, protein 22g,
seeds removed, finely tomatoes, stir briefly and the cover.
total fat 5g (sat. fat 1g), carbs 50g,
chopped (see Cook’s Tip) Reduce heat to medium-low and
fibre 7g, sodium '!4Carb
½ cinnamon stick cook, covered, for 20 minutes.
exchanges
54GI estimate low
100g basmati rice Remove the lid and stir through
4Gluten-free option ■
250ml (1 cup) salt-reduced the parsley, adding a splash
vegetable stock or of water if it looks a little dry.
gluten-free vegetable stock Season with pepper and serve.
125ml (½ cup) water
70g baby spinach leaves HEALTH TIP
250g punnet cherry tomatoes To boost the protein content,
¼ small bunch flat-leaf parsley, try mixing in 100g shredded
finely chopped cooked chicken breast in the
Freshly ground black pepper final 5 minutes of cooking.
SHOPPING LIST
GROCERY ❏ 1 bunch radishes
❏ 70g tube harissa ❏ 1 red chilli
❏ 500ml carton salt- ❏ 50g baby spinach
reduced chicken leaves
stock ❏ 1 bunch kale
❏ 100g pkt sesame ❏ 1 eggplant

LEFTOVERS seeds
❏ 150ml bottle
❏ 1 bunch flat-leaf
parsley
Not sure what to do with the remaining food?
sesame oil ❏ 250g mushrooms
Take inspiration from these tasty tips
❏ 200g jar miso paste
SAUSAGES ❏ 400g pkt Blu Gourmet SEAFOOD
GROCERY ❏ 2 x 150g tuna steaks
HARISSA
Pan-fry or BBQ and Pearl Cous Cous
Use in dressings, soups
serve with steamed ❏ 250ml bottle rice
or casseroles.
vegies and mashed
wine vinegar MEAT & POULTRY
potato.
❏ 190g jar pesto ❏ 2 x 125g skinless
SESAME SEEDS
YEAST FLAKES ❏ 200g pkt Macro chicken thigh fillets
Toast and sprinkle
over salads.
Sprinkle over popcorn
nutritional yeast ❏ 250g lean pork
or pasta or stir into
flakes mince
SESAME OIL soups to add that
Use in dressings extra flavour hit.
or add a little to the BAKERY PANTRY
end of your stir-fry to ❏ 1 loaf seeded ❏ Olive oil
add a flavour hit. FRUIT & VEG sourdough ❏ Extra virgin olive oil
MISO SILVERBEET & KALE ❏ 2 x 60g eggs
Use in soups, dressings Shred and add to pasta
CHILLED ❏ 3 cloves garlic
sauces or in the last
or use to marinate
❏ 300g pkt Sanitarium ❏ Salt-reduced soy
fish/tofu. 5-10 minutes of
making a soup. Vegie Delights Vegie sauce
COUSCOUS Sausages ❏ 97% fat free
GINGER
Cook and use in mayonnaise
a roasted vegie salad Grate and use in
dressings and soups; FREEZER ❏ Dijon mustard
with a balsamic dressing.
or place a few thin ❏ 400g pkt frozen ❏ Sugar-free maple
RICE VINEGAR (unpeeled) slices with syrup
Use in dressings and
edamame
a few fresh mint leaves ❏ Smoked paprika
to make sushi rice. and a slice of lemon
❏ Garlic granules
in a mug of boiling water FRUIT &
PESTO ❏ Cinnamon stick
Use on pizzas or and drink before VEGETABLES ❏ Freshly ground black
going to bed.
toasted sandwiches. ❏ 1 small brown onion
pepper
BREAD RADISHES ❏ 1 brown onion
Slice and place in Thinly slice or quarter ❏ 1 head baby fennel
and use in salads or part
a resealable freezer bag, ❏ 1 bunch silverbeet
of a combination of
expel any air and seal.
vegies to serve with ❏ Small knob ginger
Keep in the freezer
a healthy dip. ❏ 1 Little Gem Lettuce
for 3 months.
❏ 100g sugar snap peas
PARSLEY
EDAMAME
Use whole leaves in ❏ 1 lemon
Eat as a snack or use in
stir-fries or noodle salads. salads or finely chop
and add to soups
or casseroles.

diabetic living MAY/JUNE 2021 23


Try tasty one-pots for all the
family – these winter warmers
are hearty, wholesome and
simple to make

STRAIGHT TO

How our
food works
for you
see page 75
LOWERCARB
OPTION
Drop the bread
and stir 1 large
carrot, sliced
and steamed in
before serving.

Creamy
pear & pork
Recipe, page 27

THE TABLE
Cook’s Tips
If you can’t get your hands on
preserved lemons, replace the 2
quarters of preserved lemon with
the finely grated zest and juice of 1
lemon in the paste. To serve, simply
use a zester to get thin strips of
lemon zest to sprinkle
over the top.
comfort food
GFO
CREAMY PEAR & PORK 1 Heat half of the oil in a medium 3 Add the pear slices to the pan and
PREP 10 MINS COOK 50 MINS heavy-based saucepan or stir well. Cover and cook for a further
SERVES 4 AS A MAIN flameproof casserole dish over high 10 minutes. Stir through the cream
heat. Season the pork with pepper and add season with pepper. Divide
2 Tbsp olive oil
and add to the pan. Cook, turning between serving bowls and serve
400g pork loin steak, trimmed
often, for 3-4 minutes or until with crusty bread and broccolini.
of fat, cut into strips
golden brown. Transfer to a plate.
Freshly ground black pepper Nutrition info
Reduce the heat to medium and add
2 brown onions, sliced PER SERVE 2060kJ, protein 31g,
the remaining oil and the onion to
2 cloves garlic, crushed total fat 17g (sat. fat 5g), carbs 40g,
the pan. Cook, stirring occasionally,
Small bunch sage, leaves chopped fibre 7g, sodium
+%6Carb
for 8-10 minutes or until the onion
2 Tbsp plain flour or gluten-free exchanges
7 6GI estimate
softens. Add the garlic and cook,
plain flour +#"'2+6Gluten-free option
stirring, for 1 minute.
500ml bottle apple or pear cider
2 Add the sage and flour to the pan GFO LCO
2 pears, unpeeled, cored and each
cut into 8 slices and cook, stirring, for 1 minute. PER SERVE 1750kJ (lower-carb
100ml light thickened cream Increase the heat to high and pour option), protein 28g, total fat 16g
2 (70g) crusty bread rolls or gluten- in the cider. Simmer for 4 minutes. (sat. fat 5g), carbs 26g, fibre 7g,
free rolls, broken into pieces Return the pork and juices to the sodium +%6Carb
1 bunch of broccolini, steamed, pan. Reduce heat to medium-low exchanges 7 6GI estimate low
to serve and cook, covered, for 10 minutes. 6Gluten-free option

GFO
SPICED CHICKEN AND 3cm piece fresh ginger, grated Heat over medium heat. Add spice
SWEET POTATO STEW 4 cloves garlic, crushed paste and cook, stirring, for about
PREP 15 MINS COOK 40 MINS 400g can no-added-salt chopped 5 minutes or until the paste thickens.
SERVES 4 AS A MAIN tomatoes Add the chicken and cook, turning
1 quarter preserved lemon, rinsed occasionally, for 8-10 minutes or
600g orange sweet potato,
to remove excess salt, seeds until the chicken starts to colour.
cut into chunks
removed, chopped Pour over the stock. Cover and bring
200g baby spinach leaves
to the boil. Reduce heat to medium
1 Tbsp olive oil 1 Put the sweet potatoes in a large,
and simmer, stirring occasionally,
8 (800g) skinless and boneless deep saucepan; cover with boiling
for 10 minutes or until the chicken
chicken thigh fillets, water. Cover and bring to boil over
is cooked (to check cut into one of
trimmed of fat high heat. Reduce heat to medium
the thighs and make sure it’s white
250ml (1 cup) salt-reduced chicken and simmer, partially covered,
throughout with no sign of pink).
stock or gluten-free stock for 15 minutes or until tender.
250ml (1 cup) water 4 Season the dish with pepper.
2 Meanwhile, put all the ingredients
Freshly ground black pepper Add the sweet potato and simmer
for the spice paste in the bowl of
1 Tbsp pumpkin seeds, toasted for 5 minutes. Roughly chop the
a food processor. Cover and
2 quarters preserved lemon, rinsed spinach and add to the stew.
blend until smooth. Set aside.
to remove excess salt, seeds 5 Scatter over the pumpkin seeds
removed, chopped 3 Put the spinach in a large colander
and preserved lemon pieces and
2 small (50g each) naan breads, in the sink. Pour the sweet potatoes
serve with warm naan bread.
warmed, halved, to serve and their cooking water over the
colander to drain the potatoes Nutrition info
SPICE PASTE and wilt the spinach at the same PER SERVE 2050kJ, protein 45g,
2 brown onions, chopped time. Set aside to steam dry. total fat 16g (sat. fat 4g), carbs
1 red chilli, chopped (deseeded
3 Return saucepan to the heat (no 36g, fibre 9g, sodium 601mg
if you don’t want it too hot)
need to wash it first) and add the oil. 6Carb exchanges
7 6GI
1 tsp paprika
estimate*-46Gluten-free option

diabetic living MAY/JUNE 2021 27


comfort food

GFO
MOROCCAN CHICKEN
ONE POT
PREP 20 MINS COOK 50 MINS
SERVES 6 AS A MAIN

3 Tbsp olive oil


600g skinless chicken breast
fillets, trimmed of fat
Freshly ground black pepper
2 brown onions, 1 roughly
chopped, 1 sliced
100g tomatoes
100g fresh ginger, roughly
chopped
3 cloves garlic
1 tsp ground turmeric
1 Tbsp ground cumin
1 Tbsp ground coriander
1 Tbsp ground cinnamon
1 large butternut pumpkin,
deseeded, cut into large chunks LOWERCARB
600ml salt-reduced chicken stock OPTION
or gluten-free stock Drop the couscous
2 Tbsp light brown soft sugar and dried cherries.
2 Tbsp red wine vinegar Serve on a bed of
100g dried cherries or dried cauliflower rice
cranberries (~¾ cup per serve).
1 small red onion, finely chopped
Zest of 1 lemon

ADDITIONAL INFORMATION ALISON ROBERTS, SHANNON LAVERY (DIETITIAN)


Handful small mint leaves
100g reduced-fat feta, crumbled
until the onion softens. Add the 6 To serve, combine the red onion,
2 cups cooked couscous
turmeric, cumin, coriander and lemon zest, mint and feta in a bowl.
6 Tbsp fat-free natural yoghurt
cinnamon and cook, stirring, for Scatter over the dish and serve
1 Heat 2 Tbsp of the oil in a large 1 minute. Add the tomato mixture with the couscous and yoghurt.
heavy-based saucepan over and cook, stirring, for 2 minutes.
Nutrition info
medium-high heat. Season
4 Return chicken to pan with PER SERVE 2050kJ, protein 35g,
the chicken with pepper and
pumpkin, stock, sugar and vinegar.
RECIPES & PHOTOGRAPHY IMMEDIATE MEDIA;

total fat 15g (sat. fat 4g), carbs 50g,


add to the pan. Cook, turning
Bring to a simmer over medium fibre 7g, sodium 516mg
occasionally, or until browned
heat. Reduce heat to medium-low 5Carb exchanges 3½
all over. Transfer to a plate.
and simmer for 30 minutes until 5GI estimate medium
2 Place the chopped onion, the chicken is cooked through.
tomatoes, ginger and garlic in the GFO LCO
5 Use tongs to transfer the chicken
bowl of a small food processor. Cover PER SERVE (lower-carb option)
to a dish. Stir the cherries into
and process until a rough paste. 1580kJ, protein 34g, total fat 15g
the pan. Continue to simmer the
(sat. fat 4g), carbs 23g, fibre 7g,
3 Heat the remaining oil in the sauce to thicken while you shred
sodium (#5Carb
saucepan over medium heat. Add the chicken into bite-sized chunks.
exchanges6 5GI estimate low
the sliced onion and cook, stirring Stir the chicken back into the sauce
5Gluten-free option
occasionally, for 7-8 minutes or and season with pepper.

28 MAY/JUNE 2021 diabetic living


GFO
CHICKEN &
MUSHROOM RISOTTO
PREP 15 MINS COOK 35 MINS
12 asparagus spears, steamed,
SERVES 6 AS A MAIN
to serve
60g light margarine 12 broccolini stalks, steamed,
2 brown onions, finely to serve
chopped 3 large carrots, sliced, steamed,
2 thyme sprigs, leaves picked to serve
300g button mushrooms
1 Heat the margarine in a large 3 Once most of the stock has been
(or a combination of
heavy-based saucepan over low absorbed and the rice is nearly
mushrooms), sliced
heat. Add the onion and cook, cooked, add the chicken and stir to
300g arborio rice
stirring occasionally, for 10 minutes warm through. Season well with
1L (4 cups) salt-reduced chicken
or until the onion is very soft. Stir pepper and stir in the parsley and
stock or gluten-free stock
in the thyme and mushrooms. parmesan. Serve scattered with
500ml (2 cups) water
Cook, stirring often, for 5 minutes. extra parmesan, if you like.
200g skinless cooked chicken
Add the rice and stir to coat. Nutrition info
breast, cut into chunks
Freshly ground black pepper 2 Ladle in a quarter of the stock PER SERVE 1580kJ, protein 22g,
1 small bunch flat-leaf parsley, and continue cooking, stirring total fat 9g (sat. fat 4g), carbs 47g,
finely chopped occasionally and topping up with fibre 7g, sodium &!3Carb
50g grated parmesan, plus extra more stock as it absorbs (you may exchanges
3GI estimate
to serve (optional) not need to use all the stock). &#.&3Gluten-free option ■
drinks
GF
BLUEBERRY CRUSH
Put 2 Tbsp reduced-fat Greek
natural yoghurt, 80g (½ cup)
blueberries 150ml coconut
GF water and 3 ice cubes in a
blender. Cover and blend until
DATE AND ALMOND smooth. Serves 1 (as a snack).
Put 1 Tbsp almond spread, ½
Nutrition info
chopped frozen banana, 150ml
PER SERVE 422kJ, protein 4g,
almond milk, 2 pitted chopped
total fat 1g (sat. fat 1g), carbs
dates and 1 tsp psyllium husk in
18g, fibre 4g, sodium 100mg
a blender. Cover and blend until
.Carb exchanges 1
smooth. Serve immediately.
.GI estimate"%,.Gluten free
Serves 1 (as a breakfast).
Nutrition info
PER SERVE 1070kJ, protein 3g,

SMOOTH
total fat 13g (sat. fat 2g), carbs
29g, fibre 7g, sodium 156mg
.Carb exchanges .GI
estimate"%,.Gluten free

OPERATOR
Smoothies are a healthy and refreshing
pick-me-up for any time of the day

GF LC
GREEN GIANT

INFORMATION ALISON ROBERTS, SHANNON LAVERY (DIETITIAN)


Put a handful of baby spinach GF
leaves, ¼ chopped avocado,

RECIPES & PHOTOGRAPHY IMMEDIATE MEDIA; ADDITIONAL


¼ chopped frozen banana, TOTALLY TROPICAL
1 chopped kiwi fruit, 150ml chilled Put ¼ chopped mango, 3 chunks
unsweetened apple juice and juice of pineapple and 2 Tbsp coconut
of half a lime in a blender. Cover yoghurt in a blender. Add 150ml
and blend until smooth. Serves 1 coconut water and 3 ice cubes.
(as a light meal or light breakfast). Cover and blend until smooth.
Serves 1 (as a snack).
Nutrition info
PER SERVE 738kJ, protein 3g, Nutrition info
total fat 6g (sat. fat 1g), carbs 23g, PER SERVE 586kJ, protein 3g,
fibre 8g, sodium
#.Carb total fat 3g (sat. fat 2g), carbs
exchanges/ .GI estimate low 26g, fibre 2g, sodium 69mg
.Gluten free.Lower carb .Carb exchanges/ .GI
estimate"%,.Gluten free ■

30 MAY/JUNE 2021 diabetic living




8
":
4 - & 5 * -
/
4

Turn everyday ingredients


into something special with
these inventive recipes
spotlight

GFO
GREEN LENTIL 1 Put the onion, celery and parsnips
HARISSA SOUP in a large saucepan with the oil.
PREP 20 MINS COOK 40 MINS Cook, stirring often, over low heat
SERVES 4 AS A MAIN for 10 minutes or until the onion
is very soft. Add the garlic and
1 large brown onion, finely
coriander stalks. Cook, stirring,
chopped
for 1 minute. Add the ground
2 celery sticks, finely chopped
coriander, turmeric, cinnamon and
2 large parsnips, finely chopped
harissa. Cook, stirring for 1 minute.
2 Tbsp olive oil
2 cloves garlic, crushed 2 Add the lentils, stock and water
1 bunch coriander, leaves to the pan. Cover and bring to a
and stalks separated, simmer over high heat. Reduce
stalks finely sliced heat to low and cook, covered,
2 tsp ground coriander for 10 minutes. Add the leeks and
1 tsp ground turmeric continue to cook for 10 minutes
1 tsp ground cinnamon or until the lentils are just tender
1 Tbsp harissa or gluten-free but still retain a little bite.
harissa 3 Remove the lid from the soup and
150g dried green lentils stir through the chickpeas and kale.
625ml (2½ cups) salt-reduced Simmer gently until the kale leaves
vegetable stock or just wilt. Season well with pepper
gluten-free stock and some of the lemon juice from
375ml (1½ cups) water the wedges. Roughly chop the
2 leeks, halved lengthways, coriander leaves and stir through.
cleaned, finely chopped If the soup is too thick, top up with
420g can salt-reduced chickpeas, just-boiled water from the kettle
drained and rinsed and check again for seasoning.
50g kale, thick stalks discarded,
leaves shredded 4 Ladle soup between bowls. Serve
Freshly ground black pepper with the remaining lemon wedges
1 lemon, cut into wedges on the side to squeeze over.
Nutrition info
PER SERVE 1650kJ, protein 19g,
total fat 13g (sat. fat 2g), carbs
41g, fibre 16g, sodium 591mg
2Carb exchanges 32GI estimate
How our $'/2Gluten-free option
food works
for you
see page 75

32 MAY/JUNE 2021 diabetic living


Time to up your toasted sandwich game
with these cheesy quesadillas
spotlight
GFO
LENTIL, CHEESE AND 1 Preheat oven to 180°C (fan- wrap firmly down on top to make
SHALLOT QUESADILLAS forced). Line a baking tray with two quesadillas.
PREP 15 MINS COOK 20 MINS baking paper. Trim the green
4 Heat a large non-stick frying pan
SERVES 4 ½ PER SERVE; shallots, then toss with 1 tsp oil over medium heat and wipe with
AS A LIGHT MEAL and spread over the lined tray. an oiled paper towel. Fry one
8 green shallots Roast for 8-10 minutes or until they quesadilla at a time, pressing into
1 tsp olive oil, plus 1 tsp start to soften. When done, reduce pan, for 2-4 minutes until evenly
extra for frying the oven temperature to 100°C toasted and crisp, and the cheese
1 x 400g no-added-salt brown (fan-forced), for keeping the is starting to melt. Flip and repeat
lentils, drained and rinsed well finished quesadillas warm. on the other side. Once finished,
2 Tbsp tomato purée 2 Tip the lentils into a bowl. carefully slide the quesadilla onto
2 tsp ground cumin Add the tomato purée, cumin the lined tray. Keep warm in the
1 tsp dried oregano and oregano. Use a potato masher low oven while you make the rest.
Juice of ¼ a lime to mash together. You want it 5 Cut each quesadillas into
4 Old El Paso Wholegrain Tortilla chunky, but mashed enough so quarters, serving 2 quarters per
or gluten-free tortillas
that the mixture starts to stick to person. Top with jalapeños and
125g grated reduced-fat
itself. Add lime juice and stir well. drizzle with the hot sauce.
tasty cheese
Eat dunked in the yoghurt.
1 green jalapeño, sliced, to serve 3 Lay out two of the wraps on
1 tsp hot sauce, per person, the work surface. Put half Nutrition info
to serve of the lentil mixture on each, PER SERVE 1450kJ, protein 20g,
4 Tbsp reduced-fat Greek and mash or spread to cover. total fat 14g (sat. fat 7g), carbs
natural yoghurt Add 2 roasted green shallots per 32g, fibre 7g, sodium 733mg
wrap, then scatter the cheese ACarb exchanges AGI estimate
over thickly. Press a second 25=AGluten-free option

GFO
SPICED LENTIL, PUFFED 1 small red onion, finely chopped 3 Place the lentils in a bowl.
RICE & CUCUMBER SALAD 100g pomegranate seeds Add the tamarind dressing and
PREP 15 MINS COOK 5 MINS or 20g Ocean Spray 50% toss to combine. Fold through
ADDITIONAL INFORMATION ALISON ROBERTS, SHANNON LAVERY (DIETITIAN)

SERVES 4 AS A LIGHT MEAL less sugar Craisins the cucumber chunks with
150g reduced-fat natural yoghurt, the coriander and mint, most
250g cooked puy lentils
to serve of the red onion and most of
1 tsp cumin seeds
the pomegranate seeds. Just
1 Tbsp tamarind paste
1 Spread the lentils over a platter. before you eat, toss through the
or gluten-free tamarind paste
Set aside. Toast the cumin seeds spiced puffed rice. Scatter the
2 tsp brown sugar
in a small dry non-stick frying remaining onion and pomegranate
3 Tbsp fresh lemon juice
pan over medium heat, stirring, seeds over the top. Drizzle over
1 tsp freshly grated ginger
for 1-2 minutes or until fragrant. the yoghurt. Serve.
RECIPES & PHOTOGRAPHY IMMEDIATE MEDIA;

1 Tbsp olive oil


Transfer to a bowl. Add the
1 tsp mild curry powder or COOK’S TIP Rice puffs are
tamarind paste, sugar, lemon juice,
gluten-free curry powder available in the Indian section
ginger and oil. Whisk to combine.
Pinch ground chillies of the supermarket.
2 tsp olive oil 2 Put the curry powder and ground
Nutrition info
50g puffed rice (see Cook’s Tip) chillies in the dry frying pan. Cook,
PER SERVE 1240kJ, protein 11g,
½ cucumber, cut into chunks stirring, for 10 seconds then add
total fat 9g (sat. fat 2g), carbs 38g,
Small bunch of coriander, the oil and puffed rice. Cook over
fibre 8g, sodium
3-ACarb
roughly chopped medium-low heat until the rice
exchanges BAGI estimate low
½ small bunch of mint, leaves is covered in the spices and
AGluten-free option ■
picked and torn lightly toasted. Cool on a plate.

diabetic living MAY/JUNE 2021 35


souped
Elevate the humble bowl of soup to
a starring role with these inventive,
cockle-warming recipes
up
How our
food works
for you
see page 75

Creamy salmon
& potato soup
Recipe, page 39
Kale, risoni &
meatball soup
Recipe, page 40
winter favourites

GFO LC
CREAMY SALMON
& POTATO SOUP
PREP 15 MINS COOK 40 MINS
SERVES 4 AS A LIGHT MEAL

25g light margarine


1 large brown onion, chopped
1 large leek, chopped, rinsed Soups are an excellent way
and drained
300g floury potatoes, cut into
to boost your vegetable intake.
bite-sized chunks
375ml (1½ cups) salt-reduced
Each of these soups contain
chicken stock or gluten-free at least two serves of
stock
375ml (1½ cups) water vegetables per serve.
80ml (/ cup) light thickened
cream
70g (/ cup) Greek natural
yoghurt
250g hot-smoked salmon, skin
removed and broken into flakes
Ground white pepper
2 Tbsp chopped chives
2 Tbsp chopped flat-leaf parsley
SPICED PUMPKIN, 2 Scoop half the pumpkin from
1 Melt the margarine in a large SPINACH & LENTIL SOUP the tin and put in a saucepan.
saucepan over medium heat. PREP 10 MINS Add the lentils and the stock.
Add the onion and leek and COOK 1 HOUR 10 MINS Bring to the boil over high heat.
cook, stirring occasionally, for SERVES 6 AS A LIGHT MEAL Reduce heat to medium and
15-20 minutes or until really soft. simmer, stirring occasionally,
400g butternut pumpkin, peeled
Add the potatoes and cook, stirring, for 35-40 minutes, adding the
and deseeded, cut into chunks
for 1 minute. Pour in the stock and bulghur for the last 10 minutes.
2 Tbsp olive oil
water. Bring to a simmer. Cook for
2½ tsp cumin seeds, toasted 3 Use a wooden spoon to mash
10-15 minutes or until the potatoes
300g dried puy lentils some of the pumpkin pieces in
are tender. Use a potato masher
1L (4 cups) salt-reduced the soup. Stir the spinach, lemon
to roughly crush a third of the
vegetable stock zest and juice, water and remaining
potatoes in the pan. Stir in the
75g bulghur (cracked wheat) pumpkin into the soup. Cook,
cream, yoghurt and salmon. Season
200g baby spinach leaves, stirring, over medium heat
with white pepper. Return to a
chopped until heated through.
simmer and cook for 2-3 minutes
Zest and juice of ½ lemon
or until the fish is heated through. 4 Divide soup between serving
500ml (2 cups) water
2 Remove the pan from the heat 4 Tbsp reduced-fat natural bowls. Serve with a dollop of
and stir in the chives and parsley. yoghurt, whisked until smooth yoghurt and a sprinkle of the
Serve in warm bowls. remaining cumin seeds.
1 Preheat oven to 200°C (fan-
Nutrition info forced). Line a roasting tin with Nutrition info
PER SERVE 1300kJ, protein 18g, baking paper. Put pumpkin in tin PER SERVE 1360kJ, protein 17g,
total fat 18g (sat. fat 6g), carbs 17g, and drizzle with the oil. Sprinkle total fat 8g (sat. fat 2g), carbs
fibre 4g, sodium
/);Carb over 2 tsp of cumin seeds. Toss to 39g, fibre 9g, sodium 476mg
exchanges;GI estimate medium combine. Roast pumpkin for 25 ;Carb exchanges 2½
;Gluten-free option;Lower carb minutes or until golden and tender. ;GI estimate low

diabetic living MAY/JUNE 2021 39


winter favourites

LC
KALE, RISONI 1 egg yolk (from 60g egg) occasionally, for 6-7 minutes,
& MEATBALL SOUP 2 Tbsp chopped flat-leaf parsley stirring occasionally, or until
PREP 15 MINS COOK 30 MINS ½ clove garlic, crushed golden brown and caramelised.
SERVES 4 AS A LIGHT MEAL 2 Tbsp finely grated parmesan Stir in the garlic and chilli.
2 tsp olive oil Cook, stirring, for 2 minutes.
1 Tbsp olive oil
2 brown onions, finely chopped 1 To make the meatballs, break up 3 Add the stock, water, kale,
1 clove garlic, crushed the soaked bread into a bowl. Add risoni and meatballs to the pan.
1-2 red chillies, finely chopped the pork mince, egg yolk, parsley, Simmer for 15-20 minutes
500ml (2 cups) salt-reduced garlic and parmesan. Mix until well or until the risoni and kale
chicken stock combined. Roll the mixture into are cooked. Sprinkle over
500ml (2 cups) water 24 marble-sized balls. Heat the the parmesan, to serve.
200g kale, inner rib removed, oil in a large non-stick frying pan
Nutrition info
roughly chopped over medium-high heat. Add the
PER SERVE 1370kJ, protein
3 Tbsp risoni meatballs and cook for 2-3 minutes,
26g, total fat 16g (sat. fat 5g),
40g grated parmesan turning often, or until browned and
carbs 20g, fibre 5g, sodium
cooked through. Transfer to a plate.
MEATBALLS 614mg& %! 1½
1 crustless slice wholemeal bread, 2 Heat the oil in the same frying 6GI estimate(+26Lower carb
drizzled with 2 Tbsp skim milk pan over medium heat. Add
250g lean pork mince the onion and cook, stirring

GFO LC
CARROT & CORIANDER 2 Tbsp olive oil a non-stick baking tray and

ADDITIONAL INFORMATION ALISON ROBERTS, SHANNON LAVERY (DIETITIAN)


SOUP WITH SPICY 1 Tbsp ras el hanout bake for 10-15 minutes or
FLATBREAD CROUTONS Freshly ground black pepper until crisp and golden.
PREP 15 MINS COOK 40 MINS 1 Heat the oil in a saucepan over 3 Use a hand held blender or
SERVE 4 AS A LIGHT MEAL
medium heat. Add the onion pour soup into a blender and
1 Tbsp olive oil and cook, stirring occasionally, whizz until smooth. Stir in most
1 brown onion, chopped for 6-7 minutes or until the onion of the fresh coriander. Season
1 tsp ground coriander softens. Add the ground coriander, with pepper. Serve topped with
½ tsp ground cumin cumin and turmeric. Cook, stirring, croutons and an extra sprinkle
RECIPES & PHOTOGRAPHY IMMEDIATE MEDIA;

½ tsp ground turmeric for 1 minute. Add the carrots, of fresh coriander, if you like.
500g carrots, chopped potato and stock. Cover and bring
Nutrition info
1 floury potato, chopped to the boil over high heat. Reduce
PER SERVE 1070kJ, protein 4g,
500ml (2 cups) salt-reduced heat to medium and simmer for
total fat 15g (sat. fat 3g), carbs
vegetable stock or 25-30 minutes or until the
23g, fibre 8g, sodium 462mg
gluten-free stock vegetables are tender.
6 %! 1½
500ml (2 cups) water 2 Meanwhile, to make the croutons, 6GI estimate medium
1 bunch coriander, chopped preheat oven to 180°C (fan-forced). 6Gluten-free option
CROUTONS Cut the flatbreads into bite-sized 6Lower carb ■
2 small (30g each) flatbreads, pieces then toss in the oil, ras el
pitas or gluten-free bread hanout and pepper. Spread over

40 MAY/JUNE 2021 diabetic living


Cook’s Tip
Ras el hanout is a North
African spice blend that gives
an extra kick to the crunchy
croutons. It is available online
and in selected supermarkets.
You can replace it with
Morrocan Spice Mix.
vegie

How our
food works
for you
see page 75
LOWERCARB
OPTION
Spiced halloumi & Switch out the
pineapple burger burger buns for
with zingy slaw 1 Little Gem Lettuce,
divided into
Recipe, page 44 4 lettuce cups.

bbq
Being a vegetarian or eating well doesn’t mean you should
miss out on a BBQ – try these healthier, meat-free recipes
BARBECUE SALAD PIZZA shallots with a little oil. Add the 5 Pile the charred vegetables on top
PREP 25 MINS COOK 20 MINS vegetables to the barbecue and of the dough. Drizzle over some of
SERVES 3 AS A MAIN cook until charred (broccolini will the dressing (leaving some to dip the
take the longest) for 8-10 minutes crusts) and scatter over the toasted
PIZZA DOUGH or until tender, removing walnuts and lemon zest. Serve.
200g white bread flour, vegetables as they are ready.
plus extra for dusting
Nutrition info
4 Roll the dough out on a lightly PER SERVE 1730kJ, protein 17g,
½ tsp dried yeast
floured surface until about 30cm total fat 12g (sat. fat 1g), carbs 55g,
120ml lukewarm water
in diameter. Flour a large piece of fibre 9g, sodium 115mg
TOPPING foil and put the dough on top and 8Carb exchanges 3½
3 Little Gem lettuces, carefully place on the barbecue. 8GI estimate medium
halved lengthways Put the lid on the barbecue and
200g broccolini cook the dough, with the lid
6 green shallots, trimmed on throughout, for 6-8 minutes.
Olive oil, for brushing Remove and transfer to a board.
30g walnuts, toasted,
roughly chopped
Cook’s Tip
If you can’t find any
Zest of 1 lemon buttermilk, add 1 tsp fresh
DRESSING lemon juice to 1/3 cup milk.
Stand for 5 minutes.
80ml (/ cup) buttermilk
Stir and use.
(see Cook’s Tip)
2 Tbsp Greek-style reduced-fat
natural yoghurt
1 tsp Dijon mustard
½ clove garlic, crushed
Juice of 1 lemon
Freshly ground black pepper
1 To make the pizza dough,
combine the flour and yeast in
a large bowl. Pour in the warm
water and use a flat-bladed knife
to mix until starts to come together
to form a ball. Turn dough out onto
a lightly floured surface and knead
to form a smooth dough. Return
the dough to the bowl. Cover with
a clean tea towel and set aside
somewhere warm for about 45
minutes, or until the dough has
doubled in size (the dough can
be made the night ahead and
kept, covered, in the fridge).
2 To make the dressing, put the
buttermilk, yoghurt, mustard
and garlic in a small bowl. Whisk
to combine. Add lemon juice
to taste. Season with pepper.
3 Preheat a barbecue grill or plate
on high. Brush the cut side of the
lettuce, broccolini and green
food in focus

GFO LC
½ tsp wholegrain mustard
VEGIE KEBABS WITH
or gluten-free mustard
AVOCADO DRESSING
120g bag rocket, watercress
PREP 30 MINS COOK 10 MINS remaining oil
and spinach salad
SERVES 4 AS A MAIN
2 Tbsp toasted mixed seeds and mustard
2 cloves garlic, crushed together in a bowl.
1 Put the garlic, chilli flakes,
1 tsp chilli flakes Add the rocket salad
rosemary and 2 Tbsp of the
3 rosemary sprigs, finely chopped and toasted seeds.
oil in a bowl. Stir well. Thread
3 Tbsp olive oil Toss to combine.
alternative pieces of mushroom,
Freshly ground black pepper
peach, zucchini and red onion 3 Add the skewers to the
4 portobello mushrooms,
onto each of 8 metal skewers barbecue and cook for 4-5 minutes
cut into quarters
– you can get two pieces of each side or until cooked through
4 peaches, stone removed,
everything on each. Brush the and nicely charred. Pile onto a platter
cut into quarters
kebabs with the flavoured olive oil and serve with the avocado dressing
2 large zucchinis, each cut
and season with pepper. Set aside. and salad on the side.
into 8 chunks
2 large red onions, cut into 2 Preheat barbecue grill on high. Nutrition info
8 wedges (leave the root on) Put the avocado, water and half PER SERVE 1500kJ, protein 10g,
1 avocado the lemon juice in a small food total fat 23g (sat. fat 3g), carbs 19g,
50ml water processor. Cover and process fibre 14g, sodium
*$8Carb
Juice of 1 lemon until smooth. Season with pepper. exchanges98GI estimate low
Freshly ground black pepper Whisk the remaining lemon juice, 8Gluten-free option8Lower carb

GFO
SPICED HALLOUMI 1 Preheat barbecue grill or plate 3 Assemble your burgers with
& PINEAPPLE BURGER on medium-high. Put the cabbage, the buns. Start with a handful
WITH ZINGY SLAW carrot, radish and coriander in of the slaw, then add haloumi
PREP 20 MINS COOK 5 MINS a bowl. Pour over the lime juice. and pineapple. Serve with the

ADDITIONAL INFORMATION ALISON ROBERTS, SHANNON LAVERY (DIETITIAN)


SERVES 2 AS A MAIN Add 2 tsp oil, the chilli flakes and remaining slaw on the side.
pepper. Give everything a good
½ red cabbage, finely shredded Nutrition info
mix with your hands. Place in
2 carrots, coarsely grated PER SERVE (with burger bun)
an airtight container in the fridge
100g radishes, trimmed, thinly 1780kJ, protein 15g, total
until ready to use (can be made
sliced into rounds fat 19g (sat. fat 7g), carbs 39g,
a few hours ahead).
1 small bunch coriander, leaves fibre 16g, sodium 747mg
chopped 2 Mix remaining oil with chipotle 8Carb exchanges 2½
Juice of 2 limes sauce in a small bowl. Coat haloumi 8GI estimate low
RECIPES & PHOTOGRAPHY IMMEDIATE MEDIA;

1 Tbsp olive oil slices in the mixture. Put haloumi 8Gluten-free option
Pinch chilli flakes slices on a sheet of foil and put
Freshly ground black pepper on the barbecue with pineapple GFO LCO
1 Tbsp chipotle sauce (or use a searing hot chargrill if PER SERVE (lower-carb option;
60g salt-reduced haloumi, cooking inside). Cook for 2 minutes with lettuce buns) 1430kJ,
cut into 4 slices on each side until cheese is golden, protein 12g, total fat 18g
2 small slices fresh pineapple and the pineapple is beginning (sat. fat 7g), carbs 25g,
2 small (35g each) seeded burger to caramelise. Brush buns with fibre 14g, sodium 520mg
buns or gluten-free buns, remaining chipotle oil, then place 8Carb exchanges 1½
cut in half, to serve the burger buns, if using, cut-side 8GI estimate low
down, on the barbecue for the last 8Gluten-free option ■
30 seconds of cooking to toast.

44 MAY/JUNE 2021 diabetic living


Cook’s Tip
The skewers can be
made and kept in the
fridge the day before.

Combine your favourite


fruit and veg onto an
appetising grilled kebab
3 RECIPES FOR

SKIN
HEALTH
We give you a day’s meal plan packed full of
ingredients that are good for your skin

Breakfast How our


food works
GFO LC
for you
see page 75

CURRIED BROCCOLINI & toss to combine. Season with


BOILED EGGS ON TOAST pepper. Spread out over the lined
PREP 10 MINS COOK 15 MINS tray. Roast for 12 minutes or until Eating eggs for
SERVES 2 AS A BREAKFAST the broccolini is tender.
breakfast will
½ tsp ground turmeric 2 Meanwhile, bring a small not only help keep
1 tsp garam masala saucepan of water to the boil.
2 tsp olive oil Lower in the eggs and boil for 6
you full, they are
200g broccolini, ends trimmed minutes. Immediately rinse under a great source
Freshly ground black pepper cold water. Peel and halve the eggs. of protein and
2 x 60g eggs 3 Spread the toast with the vitamin A which
2 slices (40g each) wholemeal
sourdough, toasted
yoghurt. Top each slice with the helps improve
roasted broccolini and an egg.
or gluten-free bread Scatter over the pomegranate
skin quality.
1 Tbsp natural yoghurt seeds and serve. Pomegranate seeds
1 Tbsp pomegranate seeds
Nutrition info contain polyphenols
1 Preheat oven to 180°C (fan-
PER SERVE 1120kJ, protein 16g, which may help
forced). Line a baking tray with
baking paper. Combine the
total fat 12g (sat. fat 3g), carbs 22g, protect against
fibre 6g, sodium
*%5Carb signs of ageing.
turmeric, garam masala and oil
exchanges 65GI estimate low
in a bowl. Add the broccolini and
5Gluten-free option5Lower carb
in one day

Lunch
GF LC This lunch contains all 5 serves of vegetables
AVOCADO HUMMUS to reach your 5-a-day goal! Brightly coloured
& VEGIE STICKS vegetables supply beta-carotene to the body
START TO FINISH 10 MINS which is converted into skin-friendly vitamin A.
SERVES 2 AS A LIGHT MEAL
Avocado is rich in mono-unsaturated fats and
1 avocado, peeled and stone
vitamin E, which help to maintain healthy skin.
removed
½ x 420g can drained no-added-
salt chickpeas, drained
1 clove garlic, crushed
Pinch chilli flakes, plus extra
to serve
Juice of 1 lime
Freshly ground black pepper
Handful coriander leaves
2 carrots, cut into strips
2 capsicum, cut into strips
160g sugar snap peas
1 Put the avocado, chickpeas,
garlic and lime juice in the
bowl of a small food
processor. Season with
pepper. Blend until smooth.
2 Spoon the avocado hummus
into a serving bowl. Top with
the coriander leaves and
extra chilli flakes. Serve with
the carrot, capsicum and
sugar snap peas.
Nutrition info
PER SERVE 930kJ,
protein 9g, total fat
8g (sat. fat 1g), carbs 20g,
fibre 18g, sodium 93mg
0Carb exchanges 1½
0GI estimate low
0Gluten free0Lower carb

Cook’s Tip
Great made the night
before and packed into
a small airtight container
to take to work
for lunch.

48 MAY/JUNE 2021 diabetic living


LOWERCARB
OPTION
Swap brown
rice for 200g
cooked quinoa.

Dinner
GF
ROAST CHICKEN
THIGHS WITH BROWN
RICE & SALSA VERDE
PREP 10 MINS COOK 35 MINS
SERVES 2 AS A MAIN

3 (280g) small boneless skinless


chicken thigh fillets, each
cut in half, trimmed This salsa verde is packed with vitamin C,
Freshly ground black pepper which boosts collagen production and improves
1½ Tbsp olive oil iron absorption from the chicken thighs.
ADDITIONAL INFORMATION ALISON ROBERTS, SHANNON LAVERY (DIETITIAN)

2 cloves garlic, bashed


½ bunch coriander
½ small bunch flat-leaf parsley
1 drained anchovy fillet
2 tsp drained capers lemon juice and remaining oil in Nutrition info
Zest and juice of ½ a lemon the bowl of a small food processor. PER SERVE 2180kJ, protein 34g,
200g pre-cooked brown rice Season with pepper. Process until total fat 24g (sat. fat 5g), carbs
200g baby spinach leaves finely chopped. Set aside. 38g, fibre 9g, sodium 334mg
RECIPES & PHOTOGRAPHY IMMEDIATE MEDIA;

1 large carrot, sliced, steamed, 5Carb exchanges 2½


3 Once the chicken is cooked,
to serve 5GI estimate medium
remove the pan from the oven
1 Preheat oven to 180°C (fan- and squeeze the garlic out of 5Gluten free
forced). Line a large roasting pan their skins. Add the rice and use
GF LCO
with baking paper. Season the a wooden spoon to break it up.
chicken with pepper and rub with Add the spinach and lemon zest PER SERVE 1900kJ, protein 34g,
2 tsp oil. Place in the pan with the and toss to combine. Return to total fat 23g (sat. fat 5g), carbs 22g,
garlic and roast for 25-30 minutes the oven for 5 minutes. fibre 10g, sodium 337mg
or until the chicken is tender. 5Carb exchanges 1½
4 Divide chicken rice between 5GI estimate'*25Gluten free
2 Meanwhile, put the coriander, serving bowls and top each with 5Lower-carb option ■
parsley, anchovy fillet, capers, a dollop of the salsa verde.
Classic crowd-pleasing dishes made a little lighter

HEALTHIER
LOWERCARB
OPTION
Swap the regular
pasta for 250g
Atkins Low Carb
Penne.

Pumpkin &
pesto pasta
Recipe, page 52

FAMILY
FAVOURITES
Prawn fried rice
Recipe, page 53

How our
food works
for you
see page 75
makeover

Pumpkins are a good source


of carotenoids, which can be
converted to Vitamin A in the
body to support your eye health,
immune system and skin.

GF
occasionally, for 15 minutes. Tip
HEALTHY TIKKA MASALA
into a bowl and wipe out the pan.
PREP 15 MINS COOK 55 MINS
SERVES 4 AS A MAIN 3 Add the remaining oil to the pan
and heat over medium heat. Add
1 large brown onion, chopped
the chicken and cook, turning
4 large cloves garlic
occasionally, for 5-7 minutes or
3cm piece ginger
until lightly browned. Stir in the
2 Tbsp olive oil
cumin, garam masala, coriander,
600g skinless chicken breast
turmeric and cayenne. Cook,
fillets, trimmed of fat,
stirring, for 1 minute. Return the
cut into chunks
onion mixture to the pan with the
2 tsp ground cumin
tomatoes and 1 can full of water.
2 tsp garam masala
Bring to the boil over high heat.
2 tsp ground coriander
Reduce heat to medium and
2 tsp ground turmeric
simmer for 15 minutes.
1 tsp cayenne pepper
400g can no-added-salt 4 Stir the almond meal and spinach
chopped tomatoes in the pan. Cook for a further
40g almond meal 10 minutes. Season with pepper.
200g baby spinach leaves Stir through the yoghurt and
Freshly ground black pepper coriander. Serve with the rice.
3 Tbsp fat-free natural yoghurt
Nutrition info
½ small bunch coriander,
PER SERVE 1960kJ, protein 42g,
chopped
total fat 19g (sat. fat 3g), carbs 30g,
100g brown basmati rice,
fibre 7g, sodium (#4Carb
cooked following packet
exchanges 4GI estimate low
directions, to serve
4Gluten free
1 Put the onion, garlic and ginger
GF LCO
in the bowl of a small food
processor. Cover and process PER SERVE 1730kJ, protein 43g,
until a smooth paste is formed. total fat 18g (sat. fat 3g), carbs 16g,
fibre 8g, sodium (#4Carb
2 Heat 1 Tbsp of the oil in a
exchanges4GI estimate low
flameproof and ovenproof casserole
4Gluten free4Lower-carb option
dish over medium heat. Add the
onion mixture and cook, stirring

52 MAY/JUNE 2021 diabetic living


GFO
PRAWN FRIED RICE
PREP 15 MINS COOK 25 MINS
SERVES 4 AS A MAIN

250g long-grain brown rice


200g frozen peas
150g snow peas
1½ Tbsp olive oil
1 large brown onion,
LOWERCARB
finely chopped
OPTION
Omit the brown 2 cloves garlic, crushed
rice. Serve on 3cm piece ginger, finely grated
bed of cooked 300g green prawns, peeled
cauliflower rice and deveined
(1 cup per serve). 3 x 60g eggs, whisked
2 tsp sesame seeds
1 Tbsp salt-reduced soy sauce
or gluten-free soy sauce
2 tsp rice wine vinegar
4 green shallots, trimmed
and sliced
1 Cook the rice following packet
instructions. Bring a small saucepan
of water the boil. Add the snow
peas and peas and cook for
1 minute. Drain well and set
aside with the rice.
2 Meanwhile, heat the oil in a large
non-stick frying pan or wok over
medium heat. Add the onion and
cook, stirring often, for 10 minutes
or until golden brown. Add the
garlic and ginger and cook,
stirring, for 1 minute.
3 Add the snow peas and peas to
Healthy
the pan. Cook, tossing often, for
Tikka Masala
5 minutes. Add the prawns and cook
Recipe, page 54
for a further 2 minutes. Stir the rice
into the pan then push everything
to one side. Pour the whisked eggs
into the empty side of the pan and
stir to scramble them. Add the
sesame seeds, soy sauce and vinegar
to the pan. Toss to combine. Sprinkle
with the green shallots. Serve.
Nutrition info
PER SERVE 1880kJ, protein 24g,
total fat 14g (sat. fat 3g), carbs 53g,
fibre 8g, sodium
 % 0Carb
exchanges
10GI estimate
%",%0Gluten-free option
makeover

GFO

PUMPKIN & PESTO PASTA 1 Preheat oven to 180°C (fan- cooking water, then toss with
PREP 15 MINS COOK 25 MINS forced). Line a baking tray with the pesto and pumpkin and
SERVES 4 AS A MAIN baking paper. Toss the pumpkin enough water to loosen the sauce.
cubes, 1½ Tbsp oil and freshly Top with the parmesan shavings.
1 small (750g) butternut pumpkin, ground black pepper in a bowl.
peeled, deseeded, cut into Nutrition info
Spread out in a single layer
2cm cubes PER SERVE 2010kJ, protein 15g,
on the lined tray. Roast for
3 Tbsp olive oil total fat 20g (sat. fat 4g), carbs
20-25 minutes or until tender.
Freshly ground black pepper 55g, fibre 7g, sodium 128mg
1 large bunch flat-leaf parsley 2 Put the parsley, basil, cashew =Carb exchanges >=GI estimate
1 large bunch basil nuts, garlic, lemon zest and /29=Gluten-free option
20g unsalted cashew nuts, juice and chilli (if using) in
LCO
toasted and chopped a small food processor, along with
1 clove garlic, crushed the remaining oil and a splash of PER SERVE 1970kJ, protein 39g,
Zest and juice of 1 lemon water. Process until very smooth. total fat 21g (sat. fat 5g), carbs 26g,
Season with pepper. fibre 13g, sodium 0*=Carb
1 tsp chilli flakes (optional)
exchanges >=GI estimate low
250g dried pasta or 3 Meanwhile, cook the pasta
=Lower-carb option
gluten-free pasta following packet instructions.
30g parmesan shavings Drain, reserving a little of the

GFO LC
SWEDISH MEATBALLS 2 large carrots, sliced and 3 Heat remaining oil in frying pan

ADDITIONAL INFORMATION ALISON ROBERTS, SHANNON LAVERY (DIETITIAN)


PREP 10 MINS + COOLING AND steamed, to serve over medium heat. Add meatballs
15 MINS CHILLING COOK 25 MINS 1 tsp cranberry sauce, and cook, turning often, for
SERVES 4 AS A MAIN per person, to serve 5 minutes or until golden. Bring
stock to boil in a small saucepan.
2 Tbsp olive oil 1 Put 1 tablespoon oil in a large
Pour stock over meatballs and
1 brown onion, finely chopped non-stick frying pan over medium
simmer for 8-10 minutes or until
1 small clove garlic, finely grated heat. Add the onion and cook,
it has reduced a little. Stir through
375g lean pork mince stirring often, for 10 minutes
the mustard and yoghurt.
1 egg yolk (from 60g egg) or until the onion is soft and
RECIPES & PHOTOGRAPHY IMMEDIATE MEDIA;

50g fresh wholemeal translucent. Add the garlic 4 Steam bok choy for 5 minutes
breadcrumbs (made from day and cook, stirring, for 1 minute. or until tender. Serve meatballs
old bread) or gluten-free Set aside to cool. with the bok choy, carrots and
breadcrumbs cranberry sauce.
2 Put the cooled onions, pork
Pinch ground nutmeg
mince, egg yolk, breadcrumbs Nutrition info
300ml salt-reduced beef stock
and a pinch of nutmeg in a bowl. PER SERVE 1310kJ, protein 27g,
or gluten-free stock
Use your hands to mix until well total fat 15g (sat. fat 3g), carbs 15g,
2 tsp Dijon mustard or gluten-free
combined. Form the mixture fibre 7g, sodium 0*=Carb
mustard
into 12 balls and place on a plate. exchanges =GI estimate low
2 Tbsp fat-free natural yoghurt
Cover and put in the fridge for =Gluten-free option
2 bunches baby bok choy,
15 minutes to chill. =Lower carb ■
trimmed, coarsely shredded

54 MAY/JUNE 2021 diabetic living


Cook’s Tip
Try replacing the pork
mince with chicken mince
and the Dijon mustard
with wholegrain
mustard.
take-to-work
LUNCHES GFO
CORONATION
How our CHICKEN SALAD
food works
START TO FINISH 10 MINS
for you SERVES 2 AS A LIGHT MEAL
see page 75
2 Tbsp reduced-fat Greek-style
natural yoghurt
1 tsp curry powder or
Prep for the week ahead with these three healthy gluten-free curry powder
meals, all made from one base roast chicken recipe 1 tsp mango chutney or
gluten-free chutney
½ lemon, zested and cut
into 2 wedges
BASE RECIPE: over the chicken and season Freshly ground black pepper
ROAST CHICKEN WITH with pepper. Place in a large 125g pre-cooked brown rice
MEDITERRANEAN VEG roasting pan and put in the 120g shredded roast chicken
PREP 10 MINS COOK 1 HOUR oven. Immediately turn down (see recipe, left)
SERVES 6 FEEDS 2 PEOPLE OVER the temperature to 180°C 2 roasted red onions
3 DAYS IN THE LUNCHBOXES; (fan-forced). Line a second (see recipe, left)
AS A LIGHT MEAL roasting pan with baking paper. 1 large zucchini, peeled into
1 lemon, halved 2 Roast the chicken for ribbons
1.4kg whole fresh chicken, 20 minutes. Add the vegetables 1 small bunch coriander,
rinsed, patted dry with paper in their separate piles and the roughly chopped
towel, excess fat removed garlic to the second lined pan. 1 Tbsp flaked almonds
2½ Tbsp olive oil Toss the vegetables in the 1 Put the yoghurt,
Freshly ground black pepper remaining olive oil and roast curry powder, mango
1 eggplant, cut into large for a further 40 minutes. chutney and lemon
chunks zest in a large bowl.
2 capsicum, cut into large 3 Set the chicken aside to
cool. Once cool remove the Season with pepper.
chunks Toss until well
4 cloves garlic skin and discard. Remove
all the meat from the chicken combined. Add the rice
2 red onions, cut into wedges and toss to combine.
and shred. Place the chicken
1 Preheat oven to 220°C and vegetables in separate 2 Add the chicken, onion,
(fan-forced). Push the lemon airtight containers in the zucchini and most of the
halves inside the chicken. fridge for meal prep for coriander to the bowl. Toss to
Rub 1½ Tbsp of the oil all the next few days. combine. Divide the mixture
between two containers.
Cook’s Tip
Try replacing the rocket
with baby spinach leaves
and the butter beans
with chickpeas.

Sprinkle over the remaining


coriander and almonds. Place a
lemon wedge in each container.
Cover and keep in the fridge until
needed.
Nutrition info
PER SERVE 1630kJ, protein 25g,
total fat 16g (sat. fat 3g), carbs 33g,
fibre 8g, sodium,&8Carb
GF LC
exchanges 8GI estimate
,$#(4,8Gluten-free option CHICKEN WITH SPANISH-STYLE
BUTTER BEANS
GFO LCO START TO FINISH 5 MINS SERVES 2 AS A LIGHT MEAL
PER SERVE (lower-carb option) LOWERCARB 2 roasted cloves garlic (see recipe, opposite)
1470kJ, protein 25g, total OPTION 1 Tbsp olive oil
fat 16g (sat. fat 3g), carbs 23g, Swap rice for
Zest and juice of half a lemon
fibre 9g, sodium,&8Carb 125g cooked
quinoa. ½ tsp smoked paprika
exchanges 1½8GI estimate low
Freshly ground black pepper
8Gluten-free option
400g can no-added-salt butter beans,
drained and rinsed
2 roasted capsicums (see recipe, opposite)
150g cherry tomatoes, halved
100g rocket leaves
120g shredded roast chicken
(see recipe, opposite)
25g reduced-fat feta
1 Squeeze the garlic out of skins into a large bowl.
Add the oil, lemon zest and juice and paprika.
Season with pepper. Whisk to combine.
2 Add the beans, capsicum, tomatoes and rocket
to the bowl. Toss to combine. Divide between
airtight containers. Top with the chicken and
crumble over the feta. Place in fridge until needed.
Nutrition info
PER SERVE 1690kJ, protein 31g, total fat 17g
(sat. fat 4g), carbs 23g, fibre 15g, sodium 254mg
8Carb exchanges 1½8GI estimate low
8Gluten free8Lower carb
light meal

Cook’s Tip
Try replacing the GFO LC
mint with coriander
and the cucumber
SESAME CHICKEN
with capsicum strips. NOODLES
START TO FINISH 10 MINS
SERVES 2 AS A LIGHT MEAL

1 Tbsp tahini
Juice of 1 lime
2 tsp salt-reduced soy sauce
or gluten-free soy sauce
2 roasted cloves garlic
(see recipe, page 56)
1 tsp sesame oil
½ tsp chilli flakes,
plus extra to serve
100g cooked fresh rice noodles
(prepared following packet
directions)
120g shredded roast chicken
(see recipe, page 56)
1 roasted eggplant
(see recipe, page 56)
1 carrot, grated
½ cucumber, seeds removed,
cut into half moons
½ small bunch mint, roughly
chopped

ADDITIONAL INFORMATION ALISON ROBERTS, SHANNON LAVERY (DIETITIAN)


1 Put tahini, lime juice, soy sauce,
flesh from roasted garlic, sesame
oil and chilli flakes in a large bowl.
Whisk to combine. Add enough
water to make a creamy dressing.
2 Add the noodles, chicken,
eggplant and carrot to the bowl.
Fresh rice noodles have a Toss to combine. Add the cucumber
RECIPES & PHOTOGRAPHY IMMEDIATE MEDIA;

lower glycemic index (GI), and mint and toss gently to


combine. Divide between two
meaning carbs will break containers. Sprinkle over a few
extra chilli flakes. Place in the
down slowly, keeping you fridge until needed.

feeling fuller for longer! Nutrition info


PER SERVE 1470kJ, protein 23g,
total fat 14g (sat. fat 2g), carbs 26g,
fibre 13g, sodium 
'!3Carb
exchanges 1½3GI estimate low
3Gluten-free option3Lower carb ■

58 MAY/JUNE 2021 diabetic living


Jazz up your morning
oats with one of these
tempting topping ideas

Porridge
toppers
How our
food works
for you
see page 75

Maple
pum
p kin,
bac
on
&b
l ue
be
rr y
Re
cip
e

,p
ag
e6
1
breakfast

BANANA COLADA
START TO FINISH 5 MINS
SERVES 2 AS A BREAKFAST

Make 2 serves of porridge. Split a banana


lengthways and place one half on top
of each bowl of porridge. Squeeze over
a little lime juice and top each bowl
with 1 Tbsp Siggis coconut yoghurt,
1 Tbsp toasted coconut shavings
and a maraschino or glacé cherry.
Nutrition info
PER SERVE 1140kJ, protein 13g, total
fat 7g (sat. fat 4g), carbs 37g, fibre 5g,
sodium +&8Carb exchanges 2½
8GI estimate low

LC

BASIC PORRIDGE
START TO FINISH 10 MINS
SERVES 1 AS PART OF A BREAKFAST

Combine 4½ Tbsp rolled oats and


160ml (²/ cup) skim milk in a small
saucepan over medium heat. Cook,
stirring often, until the milk comes
to simmer. Simmer, stirring often, for
6-7 minutes or until the oats are tender.
Nutrition info
PER SERVE 685kJ, protein 10g,
total fat 3g (sat. fat 1g), carbs 24g, HEALTH TIP
fibre 3g, sodium +&8Carb Opt for short-cut bacon
exchanges 98GI estimate low and trim all visible fat before
cooking in a non-stick pan or on
8Lower carb
a hot barbeque grill until crispy.

60 MAY/JUNE 2021 diabetic living


PLUM, RAISIN & GRANOLA
PREP 5 MINS COOK 30 MINS
SERVES 2 AS A BREAKFAST

Preheat oven to 160°C (fan-forced).


Halve and stone 2 plums. Place
cut-side up in a small dish and drizzle
with 2 tsp honey and 2 Tbsp water.
Bake for 15 mins. Mix 30g rolled
oats with 2 tsp honey, 2 tsp olive oil,
½ tsp ground cinnamon and a small
handful of raisins. Squash together
to make clumps (like a crumble
mixture), then scatter over the
plums. Return to the oven for another
15 minutes. Meanwhile, make 2 serves
of porridge. Top the porridge with the
granola and baked plums, then drizzle
over any excess juice from the dish.
Nutrition info
PER SERVE 1500kJ, protein 12g,
total fat 9g (sat. fat 2g), carbs 54g,
fibre 6g, sodium 70mg
:Carb exchanges 3½
:GI estimate low

MAPLE PUMPKIN,
BACON & BLUEBERRY
PREP 10 MINS COOK 30 MINS
SERVES 4 AS A BREAKFAST

Preheat oven to 180°C (fan-forced).


Toss 200g chopped butternut pumpkin
with 2 tsp olive oil and ½ tsp ground
cinnamon. Roast on a baking tray lined
with baking paper for 25 minutes.
Crumble 80g cooked crispy bacon
over the pumpkin, add 1 cup
blueberries and drizzle with 2 Tbsp
sugar-free maple syrup. Return to the
oven for 5 minutes until the pumpkin
is caramelised and the blueberries look
plump and juicy. Meanwhile, make
4 serves of porridge. Top porridge with
pumpkin, bacon and blueberries, and
drizzle with a little extra maple syrup.
Nutrition info
PER SERVE 1150kJ, protein 17g,
total fat 7g (sat. fat 2g), carbs 31g,
fibre 5g, sodium ,&:Carb
exchanges :GI estimate low
breakfast

VANILLA POACHED in the liquid for up to one week).


PEARS WITH ALMOND Meanwhile, make 2 serves of
PREP 10 MINS COOK 20 MINS porridge. Mix 1 Tbsp almond
SERVES 2 AS A BREAKFAST spread with enough poached
pear liquid to form a drizzling
Peel, halve and core 2 small pears.
consistency, then spoon over the
Mix 100g caster sugar, the juice
porridge and top the bowls with Cook’s Tip
of ½ a lemon and 200ml water in a Rolled oats are a good
the pears. Scatter with toasted
small saucepan. Halve a vanilla pod source of soluble fibre
flaked almonds. which can help lower
and scrape the seeds into the pan,
then add the pod (alternatively, use Nutrition info blood cholesterol
levels.
1 tsp vanilla bean paste). Heat until PER SERVE 1490kJ, protein 11g,
sugar has dissolved. Add pears and total fat 7g (sat. fat 1g), carbs 55g,
cover surface with a circle of baking fibre 9g, sodium +%9Carb
paper (this will ensure the pears exchanges 3½9GI estimate
cook through evenly). Cook for medium ■
15-20 minutes until the pears feel
soft when poked with a knife. Set
aside to cool. (Can be kept chilled

62 MAY/JUNE 2021 diabetic living


snacks

LOWER Avoid 3.30-itis with these quick, easy,

-CARB lower-carb and low GI snacks using


the humble chickpea

SNACKS
GFO LC
BASIC CURRIED GF LC
ROAST CHICKPEAS
CURRIED
PREP 5 MINS COOK 20 MINS GF LC
SERVES 10 AS A SNACK HUMMUS
GFO LC CHICKPEA START TO
2 x 420g cans no-added salt BOMBAY MIX FINISH 5 MINS
chickpeas CURRY LEAF PREP 5 MINS SERVES 1 AS A SNACK
1½ Tbsp olive oil POPCORN COOK 10 MINS Use a hand held
1 tsp caraway seeds PREP 5 MINS SERVES 1 AS A SNACK
blender or small food
1 tsp mustard seeds COOK 5 MINS
Mix 60g curried processor to blitz 60g
Freshly ground black pepper SERVES 1 AS A SNACK
chickpeas with curried chickpeas
1 Tbsp curry powder
Mix 80g curried 1 Tbsp unsalted with the juice of ½
or gluten-free curry powder
chickpeas with a peanuts. Spread lime, 2 tsp tahini, and
ADDITIONAL INFORMATION ALISON ROBERTS, SHANNON LAVERY (DIETITIAN)

handful of lightly over a small baking a handful of coriander


1 Preheat oven to 180°C (fan-
salted popcorn, tray and bake in leaves, adding enough
forced). Drain the chickpeas and
a few fresh curry oven preheated to water until you get
pat dry with a tea towel to remove
leaves and 1 tsp curry 180°C (fan-forced) to your desired
as much moisture as possible.
powder or gluten-free for 10 minutes. consistency. Season
2 Tip the chickpeas onto curry powder. Fry Mix with 1 tsp raisins. to taste with pepper.
a roasting tray. Drizzle over the mixture in ½ tsp Serve with ½ small
the oil, caraway seeds, mustard
Nutrition info
olive oil, cool slightly cucumber & half a small
RECIPES & PHOTOGRAPHY IMMEDIATE MEDIA;

seeds and pepper. Toss to combine. PER SERVE 596kJ,


and dig in. carrot, cut into sticks.
Roast for 20 minutes or until the protein 6g, total
chickpeas are golden brown.
Nutrition info fat 9g (sat. fat 1g), Nutrition info
PER SERVE 528kJ, carbs 9g, fibre 4g, PER SERVE 677kJ,
3 Add the curry powder to the protein 4g, total fat 7g sodium 19mg protein 6g, total
chickpeas and toss to combine. (sat. fat 1g), carbs 8g, 9Carb exchanges ½ fat 10g (sat. fat 1g),
Nutrition info fibre 6g, sodium 52mg 9GI estimate low carbs 9g, fibre 8g,
PER SERVE 263kJ, protein 3g, 9Carb exchanges ½ 9Gluten free sodium 56mg
total fat 3g (sat. fat 1g), carbs 5g, 9GI estimate low 9Lower carb 9Carb exchanges ½
fibre 3g, sodium ,&9Carb 9Gluten-free option 9GI estimate low
exchanges :9GI estimate low 9Lower carb 9Gluten free
9Gluten-free option9Lower carb 9Lower carb ■

diabetic living MAY/JUNE 2021 63


Cook’s Tip
If you don’t have an
pan, the
ovenproof frying
ed in a
apple can be cook
, then the
medium saucepan
d to an
mixture transferre
rinkle with
ovenproof dish. Sp
ed crumble
crumble. The cook
e fridge
can be stored in th
for up to 3 days.

Time to enter

DESSERT
dream
LAND Dip a spoon
into a sweet
fruity finish
Apple crumble
Recipe, page 68

How our
food works
for you
see page 75
Poached pears with
espresso syrup
Recipe, page 68

Cook’s Tip ers


ut waf
Watch the hazeln
ey can
while baking, as th
afers can
burn easily. The w
ead and
be made a day ah
store in an airtight
container.
dessert

Cook’s Tip
can be
Remaining plums
ast muesli
served with breakf
cream or
or with low-fat ice-
t. The cake is
custard for desser
y it is made.
best eaten the da
be stored in
Leftover cake can
ner for up
an airtight contai
to 2 days.

Oat & plum tea cake


Recipe, page 70

diabetic living MAY/JUNE 2021 67


dessert
GFO

POACHED PEARS WITH on the tray. Bake for 8 minutes or


ESPRESSO SYRUP until golden and crisp around the
PREP 15 MINS COOK 40 MINS edges. Cool on a wire rack.
SERVES 2 AS AN OCCASIONAL
2 Place the pears in a medium
DESSERT
saucepan with enough water to
2 small pears (360g), peeled, cover. Bring to the boil over high
stems left intact heat. Reduce heat to medium and
1 vanilla bean, halved lengthways simmer, uncovered, for 30 minutes
1 Tbsp dark brown sugar or until pears are tender. Drain pears,
½ tsp instant coffee granules reserving 1 cup of cooking liquid.
HAZELNUT WAFERS 3 Combine the reserved cooking
1 egg white (from 60g egg) liquid, vanilla bean and sugar in
2 Tbsp caster sugar the same pan. Bring to the boil,
1 Tbsp hazelnut meal stirring, over high heat. Add coffee
1 Tbsp plain flour or gluten-free and reduce heat to medium. Cook’s Tip
conut
plain flour Simmer, uncovered, for 10 minutes Add any leftover co
curries.
15g light margarine, melted or until the syrup thickens slightly. milk to stir-fries or
,
Keep custard cups
ge
4 Drizzle the syrup over the pears. covered, in the frid
1 To make the hazelnut wafers, for up to 2 days .
Serve with the wafers.
preheat oven to 180°C (fan-forced).
Use an 11cm round cutter to draw Nutrition info
six circles on the baking paper. PER SERVE 1090kJ, protein 4g,
Place the paper on a baking tray. total fat 6g (sat. fat 2g), carbs 41g,
Combine all ingredients in a small fibre 5g, sodium -';Carb
bowl. Spread mixture over circles exchanges <;GI estimate
medium;Gluten-free option

APPLE CRUMBLE 2 Place the apple, water, ginger


PREP 15 MINS COOK 30 MINS and lemon zest in a 22cm
SERVES 6 AS AN OCCASIONAL stoveproof and ovenproof
DESSERT frying pan. Cook, covered,
over medium heat, for 5 minutes
600g (4 medium) apples, peeled,
or until apple is just tender.
cored, thickly sliced
Remove pan from the heat.
60ml (¼ cup) water
1 tsp grated fresh ginger 3 Meanwhile, use your fingertips
1 tsp grated lemon zest to rub the spread into flour and
30g light margarine cinnamon in a small bowl. Stir
2 Tbsp plain wholemeal flour in the oats, sugar and almonds.
1 tsp ground cinnamon Sprinkle crumble mixture over
2 Tbsp rolled oats fruit in the pan.
1 Tbsp white sugar
4 Bake for 25 minutes or until
20g (¼ cup) flaked almonds
golden. Dust with sifted icing
1 tsp icing sugar
sugar and serve with ice-cream.
6 x 50g scoops no-added-sugar
vanilla ice-cream Nutrition info
PER SERVE 800kJ, protein 5g,
1 Preheat oven to 200°C (fan- total fat 6g (sat. fat 2g), carbs 24g,
forced). fibre 6g, sodium -';Carb
exchanges<;GI estimate low

68 MAY/JUNE 2021 diabetic living


GFO

LIME & COCONUT


CUSTARD CUPS
PREP 10 MINS + 4 HOURS SETTING
COOK 5 MINS
SERVES 6 AS A DESSERT

1 tsp powdered gelatine


60ml (¼ cup) water
2 tsp custard powder or gluten-
free custard powder
125ml (½ cup) light coconut milk
1 tsp finely grated lime zest
80ml (1/3 cup) strained fresh
lime juice
2 x 60g eggs, separated
75g (1/3 cup) caster sugar
2 Tbsp desiccated coconut
1 tsp finely grated (or strips)
lime zest, extra

1 Sprinkle gelatine over the water


in a small microwave-safe bowl.
Set aside for 3 minutes. Microwave
on high/100% for 20 seconds or
until gelatine is dissolved. Set
aside to cool slightly.
2 Place custard powder, coconut
milk, lime zest and juice, egg yolks
and sugar in a small heatproof
bowl over a small saucepan of
simmering water. Whisk until
mixture is thick and creamy.
Remove from heat and stir
through gelatine mixture.
3 Use electric beaters to whisk
egg whites in a small bowl until
firm peaks form. Fold into the
custard mixture. Divide mixture
among six x 125ml (½ cup)
ramekins. Place in the fridge for 4
hours or until set. Serve sprinkled
with coconut and extra lime rind.
PER SERVE 472kJ, protein 3g,
total fat 5g (sat. fat 3g), carbs
14g, fibre 1g, sodium 40mg
<Carb exchanges <GI estimate
/'&+6/<Gluten-free option
dessert

APPLE TART
PREP 15 MINS COOK 25 MINS
SERVES 4 AS A DESSERT

3 sheets filo pastry


Plums contain phenol 450g (3 medium) pink-skinned
apples, unpeeled
antioxidants that help protect 1 Tbsp fresh lemon juice
your body’s cells from oxidative 2 tsp cornflour
½ tsp mixed spice
damage which may reduce your 90g (1/3 cup) reduced-fat Greek-
style natural yoghurt
risk of some chronic diseases. 125g punnet raspberries
1 Tbsp micro mint or small
mint leaves, optional
1 Tbsp honey
OAT & PLUM TEA CAKE 3 Meanwhile, reserve 1 Tbsp of
PREP 15 MINS 1 Preheat oven to 200°C (fan-
the oats. Combine the sugar and
COOK 1 HOUR 5 MINS forced). Lightly spray an oven
cinnamon in a small bowl. Reserve
SERVES 12 AS AN tray with cooking spray.
1 tsp of cinnamon sugar mixture.
OCCASIONAL DESSERT
2 Layer pastry sheets, spraying
4 Use electric beaters to beat spread
700g container plums each sheet lightly with cooking
and cinnamon sugar mixture in a
in natural juice spray. Cut pastry in half crossways;
small bowl until pale and creamy.
45g (½ cup) quick-cooking oats place one half on top of the other.
Add eggs, one at a time, beating
75g (1/3 cup) caster sugar Cut pastry into quarters and
until well combined. Stir in the
1 tsp ground cinnamon place on the tray.
flour, remaining oats, buttermilk
125g light margarine
and reduced syrup until well 3 Core and finely chop one of the
2 x 60g eggs
combined. Pour mixture into the apples. Combine chopped apple
225g (1½ cups) self-raising
lined pan. Arrange the plums on top, with the lemon juice, cornflour
flour, sifted
cut-side down, then sprinkle with and mixed spice in a small,
250ml (1 cup) buttermilk
almonds and reserved oats. microwave-safe bowl. Microwave
(see Cook’s Tip p74)
on high (100%) for 1 minute
1 Tbsp flaked almonds 5 Bake cake for 55 minutes or until
or until the apple has softened
a skewer inserted in the centre
slightly. Sprinkle the apple
1 Preheat oven to 160°C (fan- comes out clean. Sprinkle with
mixture over pastry quarters,
forced). Grease and line base and reserved cinnamon sugar mixture.
leaving a 2cm border.
side of a 22cm (base measurement) Set aside to cool in pan. Cut cake
springform pan with baking paper. into 12 equal slices to serve. 4 Core, halve and thinly slice
remaining apples. Arrange slices,
2 Drain the plums, reserving COOK’S TIP Remaining plums can
overlapping slightly, on apple
250ml (1 cup) juice. Halve and be served with breakfast muesli or
mixture. Fold in pastry edges.
remove stones from 8 plums. with low-fat ice-cream or custard
(Reserve remaining plums for for dessert. The cake is best eaten 5 Bake tarts for 20 minutes or
another use.) Place reserved juice the day it is made. Leftover cake until pastry is crisp and golden.
in a small saucepan. Bring to the can be stored in an airtight Serve with yoghurt, raspberries
boil over high heat. Reduce heat to container for up to 2 days. and mint. Drizzle over the honey.
medium and simmer for 10 minutes Nutrition info Nutrition info
or until the syrup has reduced by
PER SERVE 940kJ, protein 5g, PER SERVE 675kJ, protein 3g,
half. Remove the pan from heat
total fat 7g (sat. fat 3g), carbs 36g, total fat 1g (sat. fat 0g), carbs 31g,
and set aside to cool syrup
fibre 2g, sodium
2,@Carb fibre 5g, sodium2,@Carb
to room temperature.
exchanges
A@GI estimate high exchanges
@GI estimate low

70 MAY/JUNE 2021 diabetic living


Cook’s Tip es
appl
We used Pink Lady
s can
in this recipe. Tart
ead.
be made a day ah
Store, covered, in
the fridge.
Cook’s Tip
ade on
The cake is best m
This is
the day of serving.
special
a lovely cake for a
having
occasion, or when
around
family and friends
.
for lunch or dinner

Pecan & pear


spiced souffle cake
Recipe, page 74
dessert

Orange blossom
panna cotta
Recipe, page 74

diabetic living MAY/JUNE 2021 73


dessert

PECAN & PEAR SPICED 1 Preheat oven to 170°C (fan- 10 minutes or until ribbons form
SOUFFLE CAKE forced). Line an oven tray with when beaters are lifted. Sift the
PREP 15 MINS COOK 1 HOUR baking paper. Grease and line combined flours over the egg
SERVES 10 AS AN OCCASIONAL base and side of a 22cm mixture. Add the ground pecans
DESSERT springform cake tin. and margarine. Use a large whisk
to gently incorporate ingredients.
2 medium (460g) pears, 2 Place pears, skin-side up, on
unpeeled, halved lengthways lined tray. Roast for 40 minutes. 6 Pour the batter into the tin.
80g (2/3 cup) pecans Bake cake on lower oven shelf
3 Meanwhile, place pecans on a
4 x 60g eggs for 20 minutes. Cool in tin for
separate tray. Roast on another oven
90g (¼ cup) honey 5 minutes before turning,
shelf for the last 5 minutes of pear
1 tsp vanilla bean paste top-side up, onto a wire rack
roasting time. Set aside to cool.
¾ tsp ground nutmeg to cool completely. Cut the cake
½ tsp ground cinnamon 4 Process ½ cup of the pecans into 10 equal slices and sprinkle
¼ tsp ground cloves in a small food processor until with the reserved pecans. Serve
2 Tbsp wholemeal plain flour finely ground. Coarsely chop one cake slice and two pear
1 Tbsp cornflour the remaining pecans. Set aside. wedges per person with
40g light margarine, melted, Cut each pear half into 5 wedges a drizzle of yoghurt.
cooled (to make 20 wedges in total);
removing the core if you like.
Nutrition info
90g (/ cup) reduced-fat Greek-
PER SERVE 755kJ, protein 5g,
style natural yoghurt 5 Use an electric mixer to whisk total fat 10g (sat. fat 2g), carbs 16g,
the eggs, honey, vanilla bean paste, fibre 3g, sodium 1+?Carb
nutmeg, cinnamon and cloves for exchanges
?GI estimate medium

STYLING ANNETTE FORREST, KATE BROWN, OLIVIA BLACKMORE; PHOTOCHEFS REBECCA CLANCY, AMAL WEBSTER
RECIPES ALISON ROBERTS, SHANNON LAVERY (DIETITIAN); PHOTOGRAPHY LOUISE LISTER, JAMES MOFFAT;
Share these dishes with friends or family,
or enjoy the occasional bite yourself
GF
ORANGE BLOSSOM 2 Place the milk and sugar in a orange segments and drizzle
PANNA COTTA small saucepan. Stir over medium with the stevia.
PREP 15 MINS + 4 HOURS SETTING heat until the sugar dissolves. COOK’S TIP’S
COOK 5 MINS Bring just to a simmer. Remove • Panna cotta can be made up
SERVES 4 AS A DESSERT the pan from the heat. to 2 days ahead. Store, covered,
3 Sprinkle the gelatine over the in the fridge.
80ml (/ cup) skim milk boiling water in a small heatproof • If you can’t you get buttermilk,
2 Tbsp caster sugar bowl. Stir until gelatine dissolves. you can make your own. Add
3 tsp powdered gelatine Stir gelatine into the milk mixture 3 tsp fresh lemon juice to
1 Tbsp boiling water with the orange blossom water. 1 cup milk. Stir and set aside
3 tsp orange blossom water for 5 minutes.
Stir in the buttermilk. Pour mixture
410ml (12/3 cups) buttermilk
evenly between the moulds. Nutrition info
(see Cook’s Tips)
Place in the fridge for 4 hours PER SERVE 535kJ, protein 7g,
1 small (180g) orange, skin and
or until set, preferably overnight. total fat 2g (sat. fat 1g), carbs 19g,
white pith removed, segmented
1 Tbsp Stevia sweet liquid 4 To serve, gently insert the tip fibre 1g, sodium1+?Carb
exchanges
@?GI estimate low
with agave of a small knife between panna
?Gluten free ■
cotta and the dariole moulds
1 Lightly spray 4 x 125ml (½ cup) to create an air pocket, then
dariole moulds with cooking spray. carefully turn out. Top with

74 MAY/JUNE 2021 diabetic living


Our food
explained
GFO LC
Every recipe in Diabetic Living Nutrition info
is carefully created to help you PER SERVE 1120kJ,
enjoy a healthy, balanced diet protein 16g, total fat 12g (sat.
fat 3g), carbs 22g, fibre 6g,
sodium /)=Carb
exchanges ?=GI estimate
Our Nutrition Info boxes sit .19=Gluten-free option
alongside each recipe. Use =Lower carb
them to track your nutritional
requirements, as well as count
carbs, carb exchanges and find out Optional ingredients
whether a recipe is low-, medium- Whenever we list an ingredient Curried broccolini &
boiled eggs on toast
or high-GI, or gluten-free. Easy! as optional, it isn’t included in Recipe, page 46
the nutrition analysis and it’s
Serves 2 (as a main) up to you if you want to use it.
We show you whether a food is Lower-carb option
designed to be a between-meals Choice of ingredients When possible we will provide an
snack, breakfast, lunch (a lighter When we give you the choice ingredient substitution from the
main) or dinner (the main meal of two different ingredients, main recipe to reduce the carbs
of the day). When we say, “as we analyse only the first one. to less than 2 carb exchanges for
an occasional dish”, it should a main or light meal and less than
only be eaten as a treat, such Carb exchanges 1 carb exchange for a snack or
as once a fortnight. Using exchanges makes counting dessert. Nutrition information for
carbs easier: one exchange = 15g this variation will be included, but
Brand names of carbs. Aim for 1-2 exchanges please note the finished product
We often use product names to in every snack and 1-4 exchanges will vary slightly from what is
make it easier to find nutritionally in each meal. presented in the recipe picture. ■
suitable brands when shopping.

Sugar or sugar substitute


In some dishes, you can use either
 CUT OUT & KEEP

sugar or a sugar substitute. In YOUR DAILY To maintain your weight* To lose weight*
these cases, we give you the
ALLOWANCE Kilojoules 8700kJ Kilojoules 6000kJ
PHOTOGRAPHY IMMEDIATE MEDIA

nutrition analysis for both. Protein 80g Protein 65g


GUIDE Total fat 70g Total fat 45g
Granulated sugar substitute
Most sugar substitutes on the With this guide, Saturated fat 24g Saturated fat 15g
market measure spoon for spoon, you can create
Carbs 270g Carbs 180g
rather than weight. For example, the perfect eating
plan for your Fibre 30g Fibre 30g
if the recipe uses 220g (1 cup) of
sugar, you would replace this with 1 needs Sodium Less than 2000mg Sodium Less than 2000mg
cup of granulated sugar substitute. * These figures are a guide only. To find out your individual nutritional needs, please see your dietitian.
Cook,
eat, enjoy
Discover our supermarket favourite, learn
kitchen hints, try some quick and easy
recipes, all from food editor Alison Roberts

Kitchen Tips
Buying and storing some aroma and pungency then
dried spices and herbs. they should be ok to use.
Try to buy smaller quantities For whole spices, like
of dried herbs and spices and use cinnamon sticks, just break
the ‘best before date’ to guide a piece off and smell.
you on its freshness. Dried herbs For dried herbs, just rub
and spices all contain volatile together with your thumb and
oils that will evaporate over finger, if the aroma is pleasant
time and with that the flavour then the herb should be okay.
and aroma lessens. If it smells musty and like grass
The best way to check if your it is probably time to replace it.
dried herbs and spices are okay Try to store you dried herbs
is a little different depending and spices in a cool, dark place
on whether it is a ground or out of direct sunlight.
whole spice or dried herbs.
For ground spices, simply
smell them and if you can detect
FRUITY
SECOND SNACK IDEAS
BREKKIE
Toast 1 large (45g)
slice wholemeal GFO GFO GF
or grain PEACH AND FRUITY SKEWERS MANGO AND
sourdough RICOTTA BAGEL Cut one small apple CARDAMOM LASSI
bread (45g) Top half a toasted plain into small chunks, halve Put 120g (2 cheeks)
or gluten-free bagel or gluten-free 4 strawberries and cut fresh or drained
bread. Top with ½ bagel with 2 Tbsp light 1 small pear into chunks. canned mango, 250ml
mashed avocado ricotta. Top with 4 slices Thread between skewers. (1 cup) skim milk, 260g
(seasoned with drained canned peaches Drizzle fruit with 20g (1 cup) low-fat natural
pepper and a little in natural juices and melted dark chocolate yoghurt and a pinch
lemon juice) Top a sprinkle of ground or gluten-free dark of ground cinnamon
with a handful of cinnamon. Drizzle with chocolate and sprinkle in a blender. Blend
spinach or rocket ½ tsp honey and serve. with a little toasted until smooth. Serves 2.
leaves, 3 slices
Serves 1. coconut. Serves 2.
ripe tomato and
PER SERVE 663kJ,
20g crumbled
PER SERVE 655kJ, PER SERVE 618kJ, protein 14g, total fat 0g
marinated feta.
protein 8g, total fat 3g protein 1g, total fat 3g (sat. fat 0g), carbs 24g,
Serves 1.
(sat. fat 2g), carbs 23g, (sat. fat 2g), carbs 24g, fibre 1g, sodium 159mg
GFO LC fibre 2g, sodium 244mg fibre 5g, sodium 6mg ECarb exchanges 1½
PER SERVE 1210kJ,
ECarb exchanges 1½ ECarb exchanges 1½ EGI estimate low
protein 11g, total EGI estimate high EGI estimate low EGluten free
fat 17g (sat. fat 5g), EGluten-free option EGluten-free option
carbs 19g, fibre
10g, sodium
 61ECarb SUPERMARKET CRUSH
RECIPES ALISON ROBERTS, SHANNON LAVERY (DIETITIAN); PHOTOGRAPHY ADOBE STOCK

exchanges 1½ Nexba has come out with two good-for-


EGI estimate low you Apple Cider Vinegar (ACV) flavours:
EGluten-free Watermelon Raspberry and Creaming Soda.
option There is evidence to suggest ACV can help
ELower carb with managing BGLs. Mixed with purified
sparkling water, natural flavours, natural
sweetener and robust probiotics, these tasty
ALL PRICES ARE A GUIDE ONLY – CORRECT AT TIME OF PRINTING

drinks are also sugar and carb free! Available


from Woolworths, $8.55 (pack of 4). ■

PRODUCT REVIEW
Looking for something different to wrap your
favourite fillings in? Keep an eye out for Simson’s
Better For You Wraps. Each wrap contains no more
than 1 carb exchange (15g) and are super high in fibre
with at least 6g per wrap, helping you feel fuller for
longer! Plus they are lower in sodium (salt) than most
supermarket wraps. Our favourites are the Wholegrain
Super Barley, Lite Low Carb Super Grains and High
Protein Low Carb varieties. They’re also great to use
as a pizza base for your favourite healthy toppings.
Available from Coles, $5.

diabetic living MAY/JUNE 2021 77


Plan your week,
Wondering SUNDAY MONDAY TUESDAY WEDNESDAY
what to eat
this week? Try
these delicious
meal ideas

H2O Start each day with a glass of water. You should have 6-10 glasses a day,

Breakfast
Check out our range of delicious porridge toppers
(frompage 59) for a tasty, low GI start to your day!

Optional Mango & 1 cup fruit salad 1 piece fresh fruit Peach & ricotta
cardamom lassi bagel (page 77)
snack (page 77)

Lunch Spiced lentil, puffed


rice & cucumber

WORDS SHANNON LAVERY (DIETITIAN); PHOTOGRAPHY IMMEDIATE MEDIA, ADOBE STOCK


salad (page 35) We have your work lunches sorted with some easy meal prep

Optional Curried hummus Basic curried roast Rice cake topped Chickpea Bombay
(page 63) chickpeas (page 63) with 20g cheese & mix (page 63)
snack sliced tomato

Dinner Swedish meatballs Chicken, couscous Sesame-crusted Vegie sausage,


(page 54) & harissa broth tuna with miso spinach &
Pictured above (page 17) dressing (page 18) mushroom fry
Pictured above Pictured above with pesto toast
(page 20)
Pictured above

Alcohol If you choose to drink, stick to 1-2 standard drinks per day. It’s also a good idea to

1 piece fresh fruit 170g tub Chobani 4 canned apricot 2 fresh dates
Optional yoghurt halves & ½ cup
dessert warm low-fat
custard

Exercise Aim for 20-60 minutes of moderate exercise each day.

78 MAY/JUNE 2021 diabetic living


it’s easy! MYTH BUSTING:
BUTTER VS MARGARINE?
These days it can be difficult
to determine fact from fiction,
THURSDAY FRIDAY SATURDAY with nutrition information
being thrown at you left right
and center. Unfortunately,
not all claims are backed by
clinical nutrition science, so it
is important to always check
the source of your information
before making changes in your
daily eating habits.
A hot topic these days is
depending on your exercise levels. butter VS margarine. So, to clear
up some confusion here are
2 Weet-bix with ¾ cup 60 second Curried broccoli a few quick facts:
skim milk & 1 small brekkie (page 77) & boiled eggs on Q Butter is based on animal
sliced banana toast (page 46)
fats and is high in unhealthy
saturated fats which can
This menu planner has been created by a dietitian and exercise physiologist for the average person with diabetes. If you have special needs,

cause an increase in blood


please consult your own dietitian. Check the product packaging or the nutrition info boxes near our recipes for nutritional analysis.

170g tub Chobani 1 piece Fruity skewers cholesterol levels.


yoghurt fresh fruit (page 77) Q Margarine is based on plant
oils which are typically high
in healthy mono-unsaturated
Avocado hummus and poly-unsaturated fats
& vegie sticks (except for palm and coconut
options! Turn to page 56 to get started. (page 48) oil). These healthy fats can help
lower cholesterol levels and
are beneficial for heart and
brain health.
30g unsalted Curry leaf popcorn 30g unsalted
Q Trans fats area a type of fat
mixed nuts (page 63) mixed nuts
that are produced in the
processing of a healthy fat
and can have a negative effect
Vegetarian kale Preserved lemon, Roast chicken thighs
on your health in a similar
Caesar salad with spinach & cherry with brown rice &
eggplant ‘bacon’ tomato pilaf (page 22) salsa verde (page 49) manner to saturated fats.
(page 20) Pictured above Pictured above In some countries trans fats
Pictured above are found in margarine,
fortunately Australian produced
margarines contain less than
1 per cent trans fats, compared
have a couple of alcohol-free days a week. to butters that contain on
average 4 per cent trans fats.
1 cup fruit salad ½ cup warm mixed 1 cup warm skim
berries & 1 scoop milk & 1 tsp milo
no added sugar ice OUR VERDICT
cream We recommend using a a healthy
Australian made mono- or poly-
Always discuss your exercise plans with your doctor first. unsaturated based margarine
as your day-to-day spread. ■
Made in Australia
Wellness is the
connection
of two paths:
knowledge
and action.
PHOTOGRAPHY GETTY IMAGES
THE
RELATIONSHIP
BETWEEN
SLEEP &
DIABETES
AND WHY
IT MATTERS
DL dietitian and diabetes educator Dr Kate
Marsh explains why you should prioritise getting
enough sleep and what you can do to improve
your sleep habits
your health

Getting enough sleep is important


for your health (including blood
glucose and insulin levels) and
your weight. Lack of sleep can worsen
insulin resistance, increase blood
glucose levels, and impact hormones
that affect your appetite and weight.

The link between sleep


and diabetes risk
Several studies have shown that both
short sleep duration and poor-
quality sleep can increase the risk of
developing type 2 diabetes. While
the mechanisms are not completely
understood, poor sleep has been
shown to worsen insulin resistance,
the underlying problem in type 2
diabetes, and impair glucose
tolerance. Lack of sleep also affects
WORDS DR KATE MARSH; PHOTOGRAPHY GETTY IMAGES
appetite hormones and weight, and
carrying excess weight is a strong Sleep apnoea and diabetes
risk factor for type 2 diabetes. Obstructive sleep apnoea (OSA) is a condition where a person’s breathing
repeatedly stops during sleep. It occurs because of partial or complete
How diabetes can blockage of their airway while sleeping. Someone with OSA may stop
affect your sleep breathing for anywhere between a few seconds and 90 seconds at a time.
Having diabetes can also affect your These episodes (known as apnoeas) can occur up to hundreds of times
sleep. In fact, studies have shown each night, depending on the severity of the problem. OSA occurs more
commonly in people with diabetes (both type 1 and type 2) and
that people with both type 1 and
untreated OSA can increase the risk of developing type 2 diabetes.
type 2 diabetes more commonly Common symptoms include snoring, pauses in breathing while asleep
report poor-quality sleep compared (often noticed by others), waking up gasping or choking, morning
to people without diabetes. headaches, waking with a dry mouth and excessive daytime sleepiness. If
There are many reasons having you think you might have sleep apnoea, it is important to see your
diabetes may affect your sleep, doctor, who can refer you for further investigations.
including:
Q the need to get up to go to the
toilet overnight because of
elevated blood glucose levels.
Q restless leg syndrome, which is
more common in people with
type 2 diabetes.
Q pain associated with peripheral Tips for improving
neuropathy (nerve damage), your sleep
which is often worse at night.
Q disturbance from insulin pump adults with type 1 diabetes, shorter Q Prioritise sleep – the first
and continuous glucose monitor self-reported sleep duration and step in getting better sleep is
alerts and alarms - as helpful as poor self-reported sleep quality to recognise the importance
this technology is for alerting were associated with higher HbA1c and to make it a priority.
wearers to potentially dangerous levels. Q Keep a regular sleep
schedule, including on
low and high blood glucose Poor sleep has also been
weekends and holidays.
levels, diabetes devices can also associated with increased fatigue Q Try to get some bright light
be a common cause of sleep and daytime sleepiness, increased in the morning and aim for
disturbance. mood disturbances and decreased dim lights at night. Use
Q hypoglycemia (low blood glucose quality of life, and may affect your lamps in your bedroom in
level) – not only can the ability and motivation to self- the evening rather than
symptoms wake you up, but you manage your diabetes well. bright overhead lights. Light
is an important regulator of
then need to treat the hypo and
our sleep-wake cycles.
wait until blood glucose levels The importance of sleep Q Avoid screens before bed –
have returned to a safe range for weight management this includes TV, computers,
before going back to sleep. Many studies have found a link tablets, phones and back-lit
Q obstructive sleep apnoea (OSA), between inadequate sleep and risk e-readers. If you can’t get
which is more common in both of overweight or obesity. Lack of away from your screens,
type 1 and type 2 diabetes. sleep leads to hormonal changes consider blue light blocking
Q insomnia, which refers to which influence weight, including tools such as glasses that
filter blue light or apps you
difficulties getting to sleep and reduced insulin sensitivity and can install on your devices
staying asleep, has also been altered levels of appetite hormones such as flu.x (justgetflux.
found to be more common in (such as ghrelin and leptin) which com) or Twilight (twilight.
people with type 2 diabetes. influences hunger and appetite. urbandroid.org). Some
If your sleep is being disturbed by Being tired also makes it harder to devices also have a ‘night
any of these factors, speak to your get enthusiastic about exercising mode’ you can switch on.
doctor or diabetes educator about and eating well. Q Exercise regularly, especially
in the morning, but avoid
how you might address them.
heavy exercise late at night.
The bottom line Q Avoid stimulants (caffeine or
How poor sleep can Lack of sleep and poor-quality sleep nicotine) before bed.
affect your diabetes can worsen insulin sensitivity, Q Avoid or limit alcohol – you
management make it more difficult to manage might think a glass or two
Not only can having diabetes your diabetes and weight, and can helps you to relax and fall
impact your sleep, but poor sleep increase type 2 diabetes risk in asleep, but drinking alcohol
has been shown to worsen
can have negative effects on your those without diabetes. Having
sleep quality.
diabetes management. A review of diabetes can also negatively impact Q Keep your bedroom cool,
15 studies in people with type 2 your sleep. Getting a good nights’ dark, and quiet.
diabetes found that both long and sleep can help with diabetes Q Remove distractions from
short sleep duration and poor sleep management and is essential for the bedroom.Keep your
quality were associated with an your overall health and wellbeing. phone outside your room, or
increased HbA1c level (a measure Prioritising sleep should be an turn off notifications and
of average glucose levels over the important part of your diabetes switch it to flight mode. ■
past 2-3 months). Similarly, in management plan.

diabetic living MAY/JUNE 2021 85


The Why a sedentary world is getting it all wrong

MIRACLE
Pill

Small Doses

I
n his new book The Miracle medically costly chronic conditions
Pill, journalist Peter Walker Have Big Impacts of the modern era.
wonders why fitness and sport Dr Richard Mackenzie knows more A lot of his work involves using
is more ubiquitous than ever than most people about the ways isotopes, adapted elements which
but at the same time, one in two activity can affect the human body. can be easily traced through the body
adults isn’t getting enough He has worked with elite cyclists, to try to see the effects of activity at
exercise. The answer is simple: in the laboratory where the former a cellular level. But sitting in the
activity became exercise and we marathon world record holder Paula student café at Roehampton
stopped moving. Fortunately, Radcliffe had her fitness tested. University in southwest London,
Peter’s investigations discover His current research examines a noisy, airy space with decidedly
that even a small amount how a lack of movement can make un-London views onto playing
of activity results in almost people intolerant to insulin, and thus fields and then the green expanse
immediate improvements. develop type 2 diabetes, one of the of Richmond Park in the distance,
He explains more in this extract. most prevalent, destructive and Mackenzie is cheerfully honest about

86 MAY/JUNE 2021 diabetic living


book extract

how much he has so far discovered form of bespoke treatment based


about these biological fundamentals. around the metabolic profile TAKE ACTION
The science is, he says, ‘very of individual patients. Try, if you can, to roughly tally
how much activity you amass
challenging – even the whole-body Other studies led by Mackenzie
in an average week – how many
level isn’t really understood’. examine how activity reverses the minutes of moderate and/or
Mackenzie is perhaps being unduly diabetic starting point. This involves vigorous movement. There are
modest, given the potential future taking a volunteer and infusing them lots of useful web pages which
benefits of his research. One strand with higher-than-usual levels of give a full list of what activities
examines how certain proteins insulin to mimic the effects of count. You might be surprised
might act as what he calls ‘a negative pre-diabetes, balanced with a careful how it all adds up, or you might
counter-dose of glucose to make sure realise you are, officially, inactive.
feedback loop’ to push people into
And when you are walking,
type 2 diabetes. This is the lifestyle- they don’t slip into a diabetic coma. think about trying to do so
related variant of diabetes, distinct ‘You might laugh,’ Mackenzie says briskly. Remember the adage
from type 1, which is a lifelong as he explains this to me. ‘But we about being to speak but not
autoimmune condition. Type 2 do make sure no one is harmed.’ necessarily sing.
diabetes begins when the tissues in Once this artificial pre-diabetic
someone’s body stop responding state is induced, the subject starts astonishing aspects of physical
properly to insulin, the hormone exercising, and Mackenzie and movement: for all the harm caused
central to the maintenance of his team observe the way activity by its absence, more or less the very
healthy blood sugar levels, putting improves their body’s ability to moment you start to use your body
them into what is called pre-diabetes. process glucose. I ask him how long again, it feels the benefits.
Mackenzie’s efforts focus on how it takes – a few hours, perhaps a day? For decades, the conventional
some people with pre-diabetes then He replies with a smile: ‘You can see wisdom was that for activity to
move to the full-blown condition, the effects begin within seconds. have much of a health-restoring
with the ensuing regime of
medication and possible serious
complications, and others do not. There are very, very few people
He has recruited a test group of
pre-diabetic people with the hope
that exercise won’t help.
of observing various protein
interactions which then cause one It’s that quick. The subjects can effect it had to be at least reasonably
or the other outcome. The eventual become pre-diabetic, if you like, vigorous and fairly regular. These
aim, which Mackenzie concedes and then revert to healthy before ideas are now being rapidly
is ‘a long way off’, could be some they leave the lab.’ It is not only the rethought, in part due to the advent
timescale which is exaggeratedly of sophisticated electronic activity
tiny – is the range of movement trackers, like the one I borrowed,
needed to have a metabolic effect. which have helped researchers to
Mackenzie explains: ‘As we’re properly measure limited amounts
infusing the insulin, even modest of low-level movement and follow
things like giggling, using muscles the health outcomes. Another
that allow you to laugh, mean that we emerging consensus dispenses with
have to infuse more glucose because the assumption that activity has to
those muscles are responding very last a certain period of time, arguing
well to the insulin. And it always that even the briefest bursts can
PHOTOGRAPHY GETTY IMAGES

works. There are very, very few be beneficial. This is the new, and
people that exercise won’t help.’ hopeful, world of inactivity advice.
Cutting-edge studies about Yes, if you can reach well-known
This is an edited extract the cellular process of glucose targets like 10,000 steps a day or
from The Miracle Pill by intolerance might seem a bit 150 minutes of activity a week, that’s
Peter Walker. Published distanced from this book’s story great. But in terms of both amount
by Simon & Schuster, of everyday activity. But they and intensity, just about anything is
RRP $32.99. illustrate one of the most better than nothing at all. ■
SMALL CHANGES

BIG
RESULTS
Eating well doesn’t have to mean totally overhauling your diet. Making
just a few small swaps to your usual meals and snacks can really add
up. To lose 0.5-1.0kg per week you need to reduce your energy intake
by around 2100-4200 kilojoules per day. If you usually have three
meals and two snacks, that means shaving 420-840kj off each meal
and snack. Here are some simple swaps you can make, which when
repeated consistently, will lead to big results over time.

These changes
o n’t on ly cu t kilojoules
w
uce
but will also red
WORDS DR KATE MARSH

dium
saturated fat, so
ars
and added sug
and boost
fibre intake
BREAKFAST
SWAP SWAP SWAP SWAP
2 slices of 2 fried eggs ham & cheese 200g Farmers
Tip Top Café and 2 rashers croissant to 2 slices Union Greek Style
Raisin loaf of bacon of wholegrain toast Natural Yoghurt

▼ ▼ ▼ ▼
WITH WITH WITH WITH
2 slices of 2 poached eggs, grilled 2 tablespoons of 200g Chobani
regular Tip Top tomato, sauteed low-fat ricotta and Low Fat Plain
Raisin Toast mushrooms and baby a sliced tomato Yoghurt
spinach

SAVE SAVE SAVE SAVE


740kj around 810kj almost 400kj almost 580kj

LUNCH
SWAP SWAP SWAP SWAP
Maggi 2 Minute Meat pie Helgas Traditional Woolworths
Noodles Chicken Wholemeal wrap Chicken &
Single Cup Caesar Bowl
▼ ▼ ▼ ▼
WITH WITH WITH WITH
La Zuppa Chicken Super Nature Pasta Simsons Pantry Woolworths
Noodle Microwave Beef & Chia Whole Grain Super Greek Salad Bowl
Soup Bowl Meatballs meal Barley wrap

SAVE SAVE SAVE SAVE


680kj 710kj almost 440kj almost 440kj

DRINKS
SWAP SWAP SWAP SWAP
Medium size latte Medium size Boost Regular-size Chatime Small hot chocolate
with full-fat milk Blueberry Blast Coconut Milky Iced (full-fat milk,
Tea (no sugar) no cream)
▼ ▼ ▼ ▼
WITH WITH WITH WITH
Small skim Medium Two Regular Fresh Small skim
latte & Five blend Jasmine Tea cappuccino

SAVE SAVE SAVE SAVE


more than 400kj over 700kj 560kj close to 500kj
nutrition

SNACKS
SWAP SWAP SWAP SWAP
Magnum Classic regular-size average slice of 50g packet of
Ice-Cream Bar Mars Bar banana bread potato chips

▼ ▼ ▼ ▼
WITH WITH WITH WITH
Magnum Mini fun-size medium 25g packet of roasted
Classic Bar version banana chickpeas

SAVE SAVE SAVE SAVE


420kj 670kj almost 400kj 650kj

DINNER
SWAP SWAP SWAP SWAP
Swap 100g of regular 100g serve of Ayam coconut 1 cup of boiled
beef mince oven chips cream white rice

▼ ▼ ▼ ▼
WITH WITH WITH WITH
100g red kidney beans Medium (150g) jacket Ayam lite coconut milk 1 cup of
in your favourite potato with a dollop of in your curry pearl barley
Mexican meal Greek yoghurt

SAVE SAVE SAVE SAVE


530kj 610kj 470kj per 100mls 420kj

EATING OUT
SWAP SWAP SWAP SWAP
McDonalds Big Mac Meal Sumo Salad large-size Guzman and Gomez Spicy Nandos ¼ chicken,
with medium fries and Chicken Ceasar salad Ground Beef Nachos regular chips and
Coke regular coleslaw
▼ ▼ ▼ ▼
WITH WITH WITH WITH
Snack Wrap with small regular-size Chicken Spicy Grilled Chicken 4 chicken tenderloins, reg
fries and water Kaleslaw Burrito Bowl corn on the cob & regular
peri-peri grilled broccolini

SAVE SAVE SAVE SAVE


2440 kj 1400kj 2050kj 1810kj
✱ The energy content of some fast foods means that making smart
switches can really add up, particularly if you eat out regularly.

90 MAY/JUNE 2021 diabetic living


THE DOWNLOW ON

Keto - you may have heard of it, you may have tried it or you
may know someone who swears by it. So what is this miraculous
diet? Can you really lose as many kilos as some people claim?
And will it impact your blood glucose levels? Dietitian Susie
Burrell is here to tell you what you need to know.
WHAT IS KETO?
‘Keto’ refers to ketosis, a metabolic state in which the body’s energy is
coming from ketones, which are produced when fat is burnt as the
dominant fuel as opposed to glucose from carbohydrate. Ketosis is used
as an energy system when carbohydrate intake is extremely low. It’s a
survival mechanism to help ensure we do not starve and can live off our
own fat stores when energy intake from carbohydrate is low. Keto has
been used as a dietary treatment for a number of medical conditions.

THE KETO DIET NEED TO KNOW


The keto diet is designed to shift While this may sound amazing,
the body into a state of fat burning there are some important specifics
by keeping carbohydrate intake to know about the keto diet. Firstly,
exceptionally low (less than 10-20% as ketosis is not the body’s default
of total energy, or as little as 20g of metabolic process, when
total carbohydrates per day). When carbohydrate intake is dramatically
the body is in ketosis, fat is reduced it takes a number of days
metabolised at a much faster rate to actually achieve ketosis. It is not
than is usually seen when just a matter of cutting your carbs Did you
carbohydrates are the primary for a couple of meals. Rather, once know?
energy source. As a result, weight you eliminate carbs from your diet Yes! Green beans are
losses of more than 2kg a week can it takes some time for glycogen suitable for a very low
be observed. stores in the muscles to be depleted carbohydrate diet when
and for ketosis to be induced, 2-3 eaten in moderation.
days at least. As the body shifts
from glucose or carbohydrate
metabolism into ketosis, a number
of symptoms can be experienced THE GOOD THINGS
including headaches, cravings, If you can follow a keto diet, the
fluctuating blood glucose levels and results can be dramatic, especially if
fatigue. It is generally not a you have a lot of weight to lose.
pleasant process. Some people have achieved weight
It is actually not very easy to loss of 5-7 kilos a week! For those
achieve ketosis. The specific who like to eat fatty foods,
requirement for ketosis is that the including cream, cheese, nuts and
majority of calories are coming oily fish, they can find this diet
from fats (at least 70% of total relatively easy to follow. Adherents
calories). As the foods that are may also find that the keto diet aids
mostly fat are limited to oils, seeds, hunger management, with higher-
nuts and avocado, the number of fat foods helping to keep them full
foods you can eat on a keto diet is and less vulnerable to fluctuating
extremely limited - think oils, blood glucose levels. Over time
avocado, oily fish, salad greens, though, there is evidence to show
nuts, cheese, cream and a couple of that there may be significant
other high-fat, low-carb foods. This improvements in both glucose and
also means no pasta, bread, rice, insulin levels, secondary to
cereal, grains, fruits or non-leafy significant weight loss in some
green vegies, ever. individuals.
nutrition

WHO IS KETO
BEST FOR?
Any diet will work if you can follow
it but without doubt the greatest
issue with keto is that it is difficult
to follow, especially long term. WHAT ABOUT
Remember keto means very, very KETO AND
little carbohydrate long term - this DIABETES?
means literally no fruit, bread, While there is much
cereal, rice, pasta or vegies. Very talk about low-carb
few people, in general, are happy to and keto diets having
eat this way for an extended period the ability to reverse
of time. diabetes, a closer look
at the scientific
evidence shows there
WHERE DO PEOPLE are very few studies
GO WRONG? that have assessed the
Many people confuse keto with low safety and long term
carb and simply replace their carbs outcomes of those who
with extra protein and vegies. This use the keto diet as a
is not keto, keto is a high-fat diet treatment for their
not just a low-carb one. The most diabetes. Indeed there
common reason that keto does not are some studies which
work is because fat intake is too show positive results,
low, and protein intake from dairy, but there are just as
THE NOT-SO- meat, chicken and fish is too high. many that do not, and
GOOD THINGS Keto may also not work if overall so the role keto diets
While the results of keto can be calorie intake is too high. This is should play in diabetes
dramatic, it is hard to follow, common in small women who need management remain
especially when you are eating away to strike a balance between a unknown. In saying
from home, as the food options are high-fat diet and also a diet that is that, for individuals
exceptionally limited. The low calorie controlled. This can be a who are under the care
intake of grains, fruits and vegies tricky balance if you do not have a of a medical specialist
can result in a low intake of dietary lot of weight to lose and have a or dietitian who
fibre which in turn can impact gut small frame. specialises in the area,
comfort and cause constipation. you are always best to
There are also a few side effects follow their
including bad breath and individualised
lightheadedness. recommendations for
you, which may
include carbohydrate-
modified diets
including keto.

diabetic living MAY/JUNE 2021 93


nutrition

GETTING STARTED
If you have diabetes, it is vital that
you get advice from your dietitian
or endocrinologist before you
attempt keto, as medication doses
often need to be adjusted and
monitored to account for the
dramatic reduction in carb intake.
In general, most people will benefit
from seeing a dietitian to develop a
version of keto that is specific to
them. The next best option is to
monitor your own diet using a
program such as ‘myfitnesspal’ to
ensure that your diet is reaching
the targets of just 20-50g of carbs
in total and 70% of energy from fat
overall. In my experience those
with diabetes benefit just as much
Did you
from diets that have slightly higher know?
carbohydrate intakes as they do Olives are about 80%
water and 10-15% fat.
from an extreme keto approach.
Olive oil is 100% fat.

THE DIETITIAN’S
VERDICT
Keto diets have been used
medically for many years but in my
experience they are difficult to
In my clinical practice I get
follow. In my clinical practice I get
the best results with keto for larger
the best results with keto for
males who are happy to eat loads of larger males who are happy
fat. For women, and most people, I
think there are better diets out to eat loads of fat.
there, that focus on eating a lot
more fresh foods, to utilise for
sustainable weight loss. ■
WORDS SUSIE BURRELL; PHOTOGRAPHY ADOBE STOCK

SAMPLE DAY ON KETO


BREAKFAST LUNCH SNACK
1 slice low- Mixed salad 30g mixed nuts
carb toast, leaves, 50g
½ avocado, smoked salmon, DINNER
2 slices tomato ½ avocado, 150g salmon
¼ cup shaved or tuna fillet,
SNACK Parmesan cheese, zucchini
40g cheese, ½ 1 tbsp olive pasta with
cup strawberries oil dressing cream sauce

94 MAY/JUNE 2021 diabetic living


xxxxxxxx

7 1
NEED-TO-KNOW FACTS ABOUT…

DIABETES &
YOUR SKIN
Diabetes and an inflammatory skin condition
called hidradenitis suppurativa can go hand
in hand. Find out why, what hidradenitis
suppurativa is and what to do if you develop it.

Hidradenitis suppurativa
(HS) causes small painful
lumps to form under the skin.
A result of the sweat glands
becoming blocked, these boil-like
nodules often progress to redness
and swelling, before starting to
leak pus. They can go on to form
difficult-to-heal open wounds and
4 Insulin resistance may
explain the link. While the
exact cause of HS isn’t known,
certain things increase the risk of
it developing including smoking,
being overweight and if there’s a
family history of the condition.
Thanks to the complex role insulin
plays in maintaining healthy skin,
5 A common type 2 diabetes
medication can also help to
treat HS. Metformin has been
shown to help control HS, most
likely thanks to the way it helps to
reduce insulin resistance. Other
treatments include antibacterial
washes, antibiotics and
corticosteroids. Severe cases
often require surgery. HS isn’t
curable but it’s usually controllable
with treatment.

6 There’s no known way of


preventing HS. Because
doctors don’t have all the answers
about what causes HS, how to
prevent it hasn’t been discovered
yet, either. But there are things you
can do to lower your risk, including
achieving and maintaining a
healthy weight and not smoking.
in some cases, even lead to severe insulin resistance is also a known And if you do develop HS, as well
and disfiguring scarring. risk factor. In fact, research as using any treatments you’re
shows that more than prescribed, you may be able to

2 It only affects specific areas


of skin. HS mainly occurs
in areas where sweat glands are
one in three people
with HS also have
insulin resistance.
lessen its symptoms by wearing
loose-fitting clothes and quitting
shaving the affected areas.
located, like the armpits and the
WORDS KAREN FITTALL; PHOTOGRAPHY GETTY IMAGES

groin and genital area. Between


the buttocks and below the breasts
are other common sites.
7 See your doctor
if you’re worried.
Timely treatment of the
It can affect single or inflammation that HS can
multiple areas of skin lead to plays a key role in
at the same time. helping to prevent the
condition from progressing

3 There’s a relationship
between diabetes and
HS. According to a 2019 review
and causing scarring. So,
if you notice something
on your skin that worries
study, type 2 diabetes is more you, ask your doctor for a
prevalent in people who have referral to a dermatologist
HS compared to people who who’ll be able to diagnose
don’t have the skin condition. HS or rule it out. ■

diabetic living MAY/JUNE 2021 95


%*"#&5*$
."4501"5):

What is diabetic
mastopathy?
Diabetic mastopathy is a

%0:06 complication of diabetes


characterised by lumps that
develop in the breast. It is a benign
,/085)& breast condition, but can be
misdiagnosed as breast cancer.

%*''&3&/$&  Who does it affect?


It most commonly affects
premenopausal women with
Learn about a little-known breast condition type 1 diabetes, with the incidence
reported to be as high as 13 per
that mimics breast cancer, and only affects cent. It can also occur in men and
people with diabetes, with specialist breast in people with type 2 diabetes who
surgeon Dr Mary Ling are often insulin dependent.
#3&"45
7 $"/$&3

Dr Mary Ling is a
specialist breast
surgeon servicing the
Central Coast and
Newcastle area.
See her breast blog at
drmaryling.com.au
for information on
weight loss for cancer,
What causes it? tips to reduce drinking
It is not known what causes (related to 1 in 5
How is it diagnosed? breast cancers)
diabetic mastopathy. Having a Breast lumps are assessed by
persistent high blood glucose level and much more.
the “triple test” which includes
and diabetic-related complications, clinical examination, imaging
such as kidney disease and with mammogram and ultrasound
neuropathy, is associated with and biopsy. It is not possible to tell
the development of the condition. the difference between diabetic What is the treatment?
mastopathy and breast cancer Once the diagnosis is confirmed,
What are the signs? on clinical examination and on the lumps do not require surgical
Diabetic mastopathy presents as imaging, so a core biopsy is always removal and can be monitored.
a breast lump that is non-tender, required for diagnosis. Surgery to Diabetic mastopathy does not
mobile and firm to hard in remove the lump, an excisional increase your risk of breast
consistency. It can be solitary biopsy, is recommended when cancer. The lumps do not
or multiple, and can affect breast cancer cannot be progress to become cancer, and
both breasts. confidently excluded. tend to recur after surgical removal.
health check

EVERYDAY MOMENTS
TO CHECK YOUR
BREASTS

THE MIRROR CHECK


Inspect your breasts with
arms by your side, behind
your head and then hands
on hips. At each step, look
for any dimpling of the skin
or pulling in of the nipple, as
well as any changes in shape,
size or colour of your breasts
(including your nipples).

THE LYING
DOWN CHECK
Lying on your back helps
flatten your breast tissue,
making it easier to examine.
Use the pads of your three

#3&"45$"3& middle fingers moving


around the entire breast in a
circular pattern. Cover the

"/%%*"#&5&4 entire breast area from your


breastbone to your armpit
and from the bottom of your
It is important to continue to your breasts normally look and feel, breast to your collarbone.
PHOTOGRAPHY GETTY IMAGES, ADOBE STOCK

Feel for any lumps or


be breast aware after a diagnosis and therefore you are more likely
thickened areas.
of diabetic mastopathy, and see to notice any unusual changes.
your doctor if new lumps appear. It is also recommended that
Breast cancer is still a much women over the age of 50 have
more common condition a screening mammogram every
than mastopathy, affecting 2 years. Mammograms can pick
1 in 7 women. Weight gain up breast cancer when it is the size
after menopause is a of a grain of rice, years before a
significant risk factor. lump can be felt. Breast cancer is
Being breast aware means highly treatable if diagnosed early, THE SHOWER CHECK
checking your breasts regularly with 99 per cent survival for Use the same technique for
so that you are familiar with how early-stage breast cancer. The Lying Down Check. ■

98 MAY/JUNE 2021 diabetic living


advertorial

as a diet supplement – particularly


to fuel high intensity exercise and to
aid the growth and repair of muscle
tissue – rather than as a meal
replacement. While protein shakes
are, as the name suggests, rich in
protein, they’re not nutritionally
complete. On the other hand, meal
replacement shakes are designed
to help people lose weight by
being portion controlled as well
as providing protein, fibre, healthy
fats, carbohydrates and a mixture
of vitamins and minerals.

Q Can I use meal replacement


shakes even if I’m not trying
to lose weight?
A Absolutely. You might like to use
a shake to replace a meal every
now and then for convenience
when you need a quick meal
or snack on the go; because

ASK AN EXPERT you know it’s portion controlled


and nutritionally complete so it
takes the hassle out of preparing
something from scratch; or
Accredited Practising Dietitian Savina Rego answers
because – provided you choose
some questions about weight loss, what to bear in mind the right shake – it’s a source of
if you have type 2 diabetes and why helping the scales high-quality protein, which can be
shift isn’t the only use for meal replacement shakes. useful to help control your hunger
levels. They can also be useful for
maintaining a healthy weight after
Q I’ve got type 2 diabetes – can is something you should talk to weight loss, too. And I know other
I use meal replacement shakes your doctor, dietitian or diabetes people even find them really useful
to lose weight? educator about before you start as a way of maintaining energy and
A According to a few different using them, particularly if you nutrients after dental surgery. ■
research studies, including one plan on using them as a total meal
published in The Lancet (medical replacement, otherwise known
journal), meal replacement shakes as a very low calorie diet (VLCD).
can not only help people living VLCDs tend to be relatively low in
with type 2 diabetes lose weight, carbohydrates, so your diabetes
they can be useful when you’re medication may need to be
trying to achieve rapid weight loss, adjusted in order to prevent hypos.
PHOTOGRAPHY GETTY IMAGES

perhaps to prepare for surgery,


to help alleviate joint pain or to Q I see a lot of people using
help gain better control of your protein powders and shakes
diabetes, quickly. But just as there’s to lose weight. What’s the
no one-size-fits-all approach to difference between these
successful weight loss, whether and meal replacement shakes?
meal replacement shakes are A The short story is that protein
suitable for you and your diabetes shakes are designed to be used
Remember the Scout motto,
“Be Prepared”? It still applies as an adult.
Here’s how to brush up on your diabetes
preparedness plan so you’re ready for
whatever comes your way
in an emergency

A
s a nurse and certified diabetes care and
education specialist Joe Trotter is
always telling patients to be prepared
for anything. That was on his mind in
March 2020, he says, when it gradually
became clear he hadn’t followed his own advice.
“There was more and more news about [COVID],
and it seemed to be escalating,” recalls Trotter, who has
type 1 himself. Living in a big city, he’d always taken its
resources for granted, assuming that if he ever needed
something in a pinch, “I’d just go out and get it.”
That calculus changed with the pandemic bearing
down. If he was going to suggest to patients that stocking
up on critical supplies was in their best interest, Trotter
realised there was no reason that advice shouldn’t also
apply to himself. “I realised I should probably do some
planning ahead; that maybe I should take preparedness
a little more seriously, and not only for COVID, Why You Need a Plan
but for emergencies in general.” While emergency situations can be difficult for
Toward that end, Trotter says, he bought finger-stick anyone, they’re often especially challenging
glucose monitors and test strips he could use if there for those with diabetes, says Karl Nadolsky,
came a time when his primary CGM wasn’t available. He a spokesperson for the American Association
worried that his pump, which is charged by USB, would of Clinical Endocrinologists and a clinical
no longer work if the power went out, so he contacted his endocrinologist at Spectrum Health in
provider and secured a prescription for a long-acting Grand Rapids, Michigan. “It depends on the
insulin he could use if he needed to adopt a basal-bolus type of diabetes you have, and on the kinds
routine. He made sure he had extra pen needles on hand, of medications you’re on, but you have to be
and he bought extra batteries for all of his devices. And thinking about the potential for complications
he spent some time refreshing his regular medicine when something big like a natural disaster
cabinet, replenishing his shelves with basic necessities happens that’s out of your control.”
like ibuprofen, cold and sinus medications, and first-aid Whether it’s a virus, bushfire, flood, or cyclone,
supplies like alcohol swabs and Band-Aids. an emergency that affects large swathes of the
Finally, Trotter says, he started stashing snacks. population can disrupt your regular care plan.
It wasn’t that he thought that COVID-19 might lead Aside from drastic changes, like a forced
to food shortages or a run on essential medicines, evacuation or shelter-in-place order, emergencies
but he didn’t want to take his chances, he recalls. can cause smaller, longer-term impacts such as
“Honestly, you never know what’s going to happen. localised medication and supply shortages or
I just decided these were relatively easy things for me to road closures that make it harder to get to stores
do, and that I’d rather be ready than caught unprepared.” and doctors’ appointments.
Still, Nadolsky says, if you’ve given thought to
such scenarios – and you’ve taken the time, like
Trotter did, to assess your personal
Maybe I should take circumstances and health-related risks – you
can make things significantly easier on yourself
preparedness a little should they actually occur. “For any type of broad
emergency,” he notes, “it’s so critical you have a
more seriously, and not plan in place so you’re not trying to figure out
what to do at the last minute.”
only for COVID, but for So where should you begin and what should
emergencies in general your plan include? Here’s what Nadolsky and
other experts have to say.

102 MAY/JUNE 2021 diabetic living


Take Care of Your Health Now
Before you look to the future, Nadolsky recommends, start by taking stock of what you’re
currently doing well. Are you finding time for regular exercise? Are you getting enough
sleep and eating a nutritious diet? If you’re leading a relatively healthy lifestyle today,
you’ll be in a better position to manage your diabetes, he explains. “Your goal should
be to optimise the condition, because that can help prevent complications.”
If you’re among those who could use a boost in this regard, work with your healthcare
team to identify your personal risks and the actions you can take to mitigate them. That
might mean making changes to what you eat or asking a friend or family member to join
you on daily walks. (If outdoor exercise is inconvenient or impossible, consider trying a
fitness app or video and doing your workouts from home.) For some people, a self-care
upgrade might include activities for reducing or managing stress – like art, yoga, or
meditation – while for others it might involve trying new social pursuits to create
a sense of community and build new relationships. Follow your interests, experts
recommend, and be open to developing new ones that promise to improve your health.
Last, Nadolsky says, stay on top of your regular doctors’ appointments to ensure your
medications are what they should be. Should an emergency arise, he notes, you don’t
want to find – when it’s too late – that the regimen you’re on is no longer adequate,
or that the prescription you have is outdated. “Take care of the details while you
can now, and you’ll set yourself up for success later,” he says.
Also talk to your providers Among the items not to forget:
about ensuring you’ll have the glucagon for hypoglycemia (if you
medications you need in the take insulin) as well as fast-acting
event that a major emergency carbs; snacks like dried fruits and
prevents you from getting protein bars; extra needles and
prescription refills on time. Marty other testing and insulin-delivery
Irons, a pharmacist and certified supplies; and any oral medications
diabetes care and education you take on a regular basis.
specialist, recommends Also include a written list of
accumulating a three-months’ all current medications and doses,
supply of insulin and then rotating as well as the times you normally
Build Your Emergency your inventory in your refrigerator take them, and include the contact
Team – and Your Supply so you’re always using your oldest information for your key providers
insulin first (most insulin is dated and your primary and backup
of Emergency Medicine to last about two years before first pharmacies.
Once you’ve taken steps to fortify usage). To do so, he notes, may
your health, it’s time to do the same take 12 months or more. “Just
with your medical team. Talk to try to get your refill as early as
your providers about their plans possible, and start to slowly
for different emergencies, and build a stockpile.” Emergency
ask them specifically how they’ll Other advice from Irons: In Preparedness
approach diabetes management. addition to the pharmacy you Resources
(If you found that during the early regularly use, get your personal Looking for more
months of the coronavirus information and insurance information?
pandemic your information on The following organisations
providers were file at a backup provide resources and
guidance that can help you
hard to reach or
unresponsive,
Build a “diabetes pharmacy
you’re likely to
put together a custom
diabetes emergency
ask them if kit” with at turn preparedness plan.
they’ve made to during an You can find videos,
any changes to least one week’s emergency checklists, and downloads
improve their
services in such
worth of critical (where
a close family
at these websites.

situations in
the future.)
diabetes supplies member lives,
for example). ADEA
Make a list of “That just adea.com.au/resources-2/
disaster-planning-and-
any medical-office phone numbers gives you some flexibility, so if
management/resources-for-
you may need, as well as any something happens [and you’re people-with-diabetes/
backup or emergency numbers. forced to leave home] your
Can you email your provider or medications or prescriptions can be Diabetes Australia
message them through their portal transferred very readily,” he says. diabetesaustralia.com.au/
if the electricity is out or the Finally, Irons recommends living-with-diabetes/diabetes-
phones stop working? Do they building a “diabetes kit”: a container healthy/be-prepared/
have a system in place where you with at least one week’s worth of
NDSS
can access telemedicine if you can’t critical diabetes supplies. “It’s your
ndss.com.au/living-with-
see your doctor in person? Find out ‘go bag’ with everything but the diabetes/health-management/
what they plan to do if they can’t insulin or GLP-1 medications,” emergencies-and-diabetes/
hold normal office hours. What which should remain refrigerated
will they offer instead? until the last minute, Irons says.
in an emergency

Shore Up Your
Social Support
Joe Trotter, for his part, made it
through the hardest weeks of
COVID-19 without tapping any of the
emergency supplies he assembled at
the start of the pandemic. Like a lot
of people, however, he leaned on
family and friends, and that’s a
strategy he’d recommend to anyone
with diabetes. “Having social support
is always important for any chronic
condition, just so you don’t feel alone,”
he says. As you work on your
emergency plan, he suggests, make
a list of the people you know you can
turn to and talk to when the going gets
rough – or whenever you crave a little
human contact. Also be sure to write
down their numbers (in case your
phone dies), and tell them that they’re
in your plans so they know that you
feel your relationship is valuable.
Stock Up on Other Supplies At Emory Healthcare, Trotter notes,
One only has to remember the “panic buying” at the start of the he talks about the need for social
COVID-19 pandemic (toilet paper, anyone?) to understand the support with many of the people he
importance of stocking up prior to any emergency. Hoarding sees. And in the months since COVID
supplies is not recommended, nor is it feasible if you have limited first came on the scene? He and his
space. But you can make sure you have extras of a few key staples colleagues are still conveying the
ADDITIONAL INFORMATION ALISON ROBERTS, SHANNON LAVERY (DIETITIAN)

– especially those you depend on to manage your diabetes. importance of emergency


Focus on what you’d need if you were confined to your home preparedness, he says, “But now we’re
for several weeks (include items for entertainment), but also on definitely giving it a little more weight
what you’d take with you in an evacuation. For your emergency kit, because I think we’ve all seen how
the NDSS recommends packing a Hypoglycaemia kit – including jelly important it really is.” ■
beans, glucose tablets, cans of soft drink, a glucagon kit and a supply
of nonperishable foods – and at least a three-day supply of bottled
water. First-aid supplies, extra clothing, and extra batteries and
RECIPES & PHOTOGRAPHY IMMEDIATE MEDIA;

chargers also make their list, as do a few less-obvious items,


like a pen and notepad for recording blood glucose levels and
tracking your general state of health.
At home, replenish any over-the-counter medications that
are in low supply, and ensure you have what you need for personal
hygiene. And aim to stock your pantry with shelf-stable and
nutritious foods so you can continue preparing healthy meals for as
long as you’re prevented from getting to the store. Among the items
recommended by registered dietitians: canned beans, vegetables,
and fruits (in their own juice); brown rice and whole-grain pasta;
canned tuna or chicken; and bags of nuts and seeds you can add
to meals or eat on their own when you need an energy boost.

diabetic living MAY/JUNE 2021 105


WILL
power Planning for your future now,
whatever your age, can give you
peace of mind, protect your family
and avoid legal hassles down the track

F
aced with the prospect of planning for life’s These can be thorny
worst-case scenarios – losing your physical topics, with families
or mental faculties, being unable to make perhaps feeling uncomfortable
decisions or care for yourself and, of course, about raising questions relating
your death – most of us prefer to climb into bed to money, ailing health or personal
and pull the blankets over our head. independence with their ageing
The plain fact is, when it comes to these big issues, relatives. Yet, without the proper
most of us are worryingly unprepared, according to paperwork in place, families (and friends)
recent surveys. As a nation, it seems that far too few can find themselves in legal limbo. For instance,
of us have made a will or set in place arrangements they would be powerless to act in the best interests
for others to take over decision-making and manage of their loved one in cases where illness or injury has
our financial affairs if we become unable to. left that person unable to make their own decisions.
Research undertaken by the NSW Government ‘We like to believe things only happen to other
also showed that, while 85 per centof adults with people and that somehow we are invincible, but the
ageing parents expected to be involved in some truth is we are not, and we should all prepare for the
aspect of decision-making for them: future,’ says NSW Minister for Ageing, John Ajaka,
who launched the ‘Get it in black and white’

71% 64% 58%


community drive in 2013, to urge people
to consider the issue.
‘Planning for later life is like having an insurance
had not had not had not policy in place, except it covers your health and financial
discussed with spoken about discussed requirements, and ensures your loved ones are looked
their parents what medical the making after when you are no longer around,’ he says.
about how their treatment they or content So it’s time to throw off the blankets, face up to
finances would would or would of wills. the facts and put in place arrangements for the big
be managed. not want. three essentials – your will, power of attorney and
guardianship. This way, you and your family will not
get caught up in all the potential crossfire of trying
to negotiate a legal minefield. The requirements for
each of these aspects may vary from state to state,
so it’s best you get advice from your solicitor.

MAKE YOUR WILL


Everyone over the age of 18 should have a will,
as dying intestate (without a will) creates all sorts
of complications that your loved ones don’t need
when they are grieving. Dying intestate means the
We like to government becomes involved in your estate – that is,
all of your assets at the time of your death – and makes
believe things the final decision on how it is distributed. There are
slight differences between states and territories, so
only happen to make sure you are aware of your government’s position.
You may think your financial affairs are pretty
other people uncomplicated and that how your assets are to be
and that dispersed after you have gone should be fairly obvious,
but if you haven’t written it down in a document –
somehow we signed by witnesses – your best intentions amount
to nothing. Everything needs to be set out clearly
are invincible and unequivocally.

ORGANISE YOUR ESTATE

GET A SOLICITOR TAKE ADVICE MIND THE KIDS CHOOSE WISELY


If you don’t already It can be tempting to In the event of your Every estate has
have a trusted legal grab one of those ‘off death, and if your an executor. Some
advisor, it’s time the shelf’ legal will children are minors, people nominate
to find one. Ask kits online or from nominate guardians the public trustee,
friends and family for the newsagent and, who can look after but most use a
recommendations at a pinch, it might them until they trusted friend.
or contact The Law serve the purpose. come of age. Ask the Being an executor
Society or Institute However, as you get nominees first and, should be relatively
in your state to older and accumulate ideally, have them straightforward, but
find a practising more assets, and come to a meeting if things get messy,
solicitor in possibly children, with your solicitor. You the will be involved.
your area. you’ll need a solicitor can also anticipate Generally, though,
to help you make a that your kids will be an executor’s biggest
legally binding will. adults at the time of task is organising
your death, so if that the funeral, locating
is the case, you can set the will and ensuring
out how your estate the deceased’s wishes
is to be dispersed. are carried out.
need to know

Where to start...
Your first step is to talk to your loved ones
and draw up a list of likely executors,
POWER OF ATTORNEY guardians and holders of power of attorney.
Approach your nominees to explain what
Granting a person power of attorney gives them is required of them and to see whether
a measure of control over your financial affairs, they’re willing to take on the task.
so you need to choose carefully. Again, this is not Once you have appointed a person for each
something you should do without legal advice. desired role, you then meet with your solicitor,
There are two types of power of attorney: who will draw up the appropriate paperwork.
Q General power of attorney, which gives a person Taking these simple steps will give you control
access and control over your financial affairs. over your life, peace of mind and confidence
that, should you lose your faculties, there are
It becomes invalid upon your death or if you lose
trusted people who will look after your affairs.
the mental capacity to make your own decisions.
Q Enduring power of attorney, which continues
to operate if you are unable to manage your affairs
due to mental or physical incapacity. This type
of attorney gives great control to the holder, ENDURING GUARDIANSHIP
so don’t enter into it lightly. An enduring power of attorney does not give the
Most people choose a life partner or trusted family holder rights over decisions about your health or
friend to be their power of attorney. This person medical treatment. For this, you need an enduring
needs to accompany you when you meet with your guardian.
solicitor. At the meeting, your solicitor will set out If you are mentally impaired through, say, Alzheimer’s
the responsibilities and legal obligations of the person or a stroke, the guardian can decide on medical
holding the power of attorney. This includes keeping treatment or even where you will live.
their own money and assets separate from the The medical side of it can get tricky, as doctors
person they’re representing. have ethical standards they must follow and they
Your enduring power of attorney must act in good can overrule the guardian. If you haven’t appointed
faith and in your best interests. Their decisions are a guardian, the states have guardian services that can
open to challenge and applications can be made by take over your affairs. This is not an ideal situation
concerned parties, such as close relatives, to revoke and can be avoided if a friend or loved one has been
the power of attorney. given guardianship.

FOR THE SAKE OF YOUR HEALTH…


WORDS ALAN KENNEDY; PHOTOGRAPHY GETTY IMAGES

TALK IT THROUGH PUT IT IN WRITING INVOLVE AN EXPERT


The person you appoint as It will make decision-making For a better understanding of
your enduring guardian must less stressful for your enduring medical options and a doctor’s
be absolutely clear about your guardian if you draw up a living professional obligations,
wishes. As this is a position will dealing with such issues as consider involving your family
of great responsibility, it’s best the extent of treatment you should doctor in discussions. It’s also
decided in consultation with receive if you’re unable to make a good idea to set out your
your solicitor and loved ones. a competent decision. wishes on organ donation. ■

108 MAY/JUNE 2021 diabetic living


FAQS
ABOUT
THE

From whether it’s safe, to


how effective it is and if it’s
mandatory, here’s what you
need to know about the
COVID-19 vaccine.
T
he COVID-19 vaccine
rollout kicked off in
Australia in late February.
A few months on you’ve
probably still got questions or
concerns, even if it’s only
wondering when it’ll be your turn to
get vaccinated. So, whether you’ve
already received yours, are looking
forward to getting it or are still
feeling a little hesitant, we’ve
answered some common vaccine-
related questions.

Q. There’s hardly any


coronavirus in Australia. Why
should I get vaccinated?
People with diabetes have a higher
risk of experiencing serious, and
even deadly, illness if they catch
COVID-19. As a result, Australia’s
peak diabetes organisations are
encouraging all Australian adults
with diabetes to get vaccinated as
soon as it’s available to them. But
it’s also an important thing to do to
help protect others. Once a large
number of Australians are Getting vaccinated is also
vaccinated it’s hoped that this will
decrease both the spread of an important thing to do
COVID-19 in the community and
the lock-downs that can disrupt
to help protect others
people’s healthcare.

Q. Do I have to get the shortcuts have been taken around after you’ve had the COVID-19
COVID-19 vaccine? testing and safety assessment. vaccine. This isn’t cause for alarm
Like all vaccinations in Australia, Australia’s Therapeutic Goods and while you should keep a close
getting a COVID-19 vaccine is Administration (TGA) has eye on your levels, experts from
voluntary. In future it’s possible rigorously assessed all potential Australia’s Baker Heart and
that vaccination may be a COVID-19 vaccines for safety, Diabetes Institute advise simply
requirement to travel to certain quality and effectiveness. As a sticking to your sick-day plan if you
destinations or for people working result, the two vaccines that the experience this side effect.
in high-risk workplaces. TGA has currently approved for use
in Australia – the AstraZeneca and Q. Will I need to stop taking
PHOTOGRAPHY GETTY IMAGES

Q. The vaccines were developed Pfizer vaccines – are safe. And any medications because of the
pretty quickly. Are they safe? they’re suitable for adults living COVID-19 vaccine?
Collaboration between researchers, with diabetes, too. The general advice is that you
scientists and manufacturers all shouldn’t stop taking any of your
around the world, as well as Q. Will the COVID-19 vaccine regular medications due to the
unprecedented global funding has affect my diabetes? COVID-19 vaccine. However, if
sped up the development of Like any vaccine, your blood glucose you’re taking an anticoagulant, or
COVID-19 vaccines. But no levels might rise for a couple of days blood thinner, you should talk to
need to know

haven’t been vaccinated yet you can


find out more by visiting health.
gov.au and clicking on the
COVID-19 vaccines link.

Q. Can I get COVID-19 from a


COVID-19 vaccine?
The COVID-19 vaccines that have
been approved in Australia don’t
contain live virus so they can’t give
you COVID-19. Some of the side
effects that may occur from the
vaccinations, like mild fatigue,
mimic symptoms of COVID-19.

Q. I’ve heard rumours that the


vaccine can alter your DNA. Is
that true?
No. COVID-19 vaccines can’t and
won’t alter your DNA. It’s likely this
rumour started because some
vaccines, including the Pfizer
vaccine, contain a fragment of
something called messenger RNA,
or mRNA, which is a form of
genetic code that instructs your
body to make an immune response
against COVID-19. mRNA doesn’t
do anything to your DNA.

Q. If I have a COVID-19
vaccine will I still need the flu
vaccine this year?
The COVID-19 vaccines don’t
your doctor before getting the COVID-19, with the Pfizer vaccine provide protection from influenza,
vaccine. The same applies if you’re likely to be slightly more effective. or the flu, and vice versa. If you are
taking an immunosuppressant So far evidence also suggests that going to get the flu vaccine this
medication – you don’t need to stop both vaccines will be effective year it needs to be administered at
taking your medication but you against new variants of the least 14 days before or after your
should discuss the timing of your coronavirus. COVID-19 vaccine. The immunity
vaccination with your doctor. It’s offered by the flu vaccine is most
also important to note that based Q. Can I choose which effective in the three or four
on the current evidence there’s no vaccine I have? months after vaccination so given
reason to say no to getting a No. The vaccine you’ll be offered Australia’s flu season typically runs
COVID-19 vaccine if you have an will be the one that’s available when from June to September, experts
autoimmune disease. it’s your turn to be vaccinated. suggest getting vaccinated in May
There are numerous phases to the if you haven’t already. ■
Q. Are the vaccines effective? vaccine rollout in Australia and it
Clinical trials show that the Pfizer was announced earlier this year that
and AstraZeneca vaccines are both adults living with diabetes would be For more information visit
very effective at stopping people included in phase 1b, which www.health.gov.au covid19vaccines
becoming sick if they catch commenced in late March. If you or call 1800 020 080

diabetic living MAY/JUNE 2021 111


Marking a
milestone
2021 marks 100 years since
insulin was first discovered.
While a lot has improved in the
management of diabetes since
then, researchers have even bigger
hopes for the future.

Despite being 100 years old, the Leonard Thompson who’d been are taking the opportunity to push
discovery of insulin is still regarded diagnosed with diabetes two years for ‘more’. For example, JDRF, a
as one of the biggest breakthroughs earlier. A pharmaceutical company foundation that funds type 1
in medical history. Proof? It’s no began producing insulin diabetes research here in Australia,
coincidence that the date of World commercially the following year launched its #MoveTheNeedle
Diabetes Day, which occurs on and the rest is history. campaign, acknowledging why 100
November 14 every year, is the One hundred years on and today, years is such a significant milestone
birthday of Frederic Banting, one of 432,000 insulin injections are given while at the same time highlighting
the researchers who made the every single day in Australia to the fact that there’s still a lot of
discovery working in a lab at regulate blood glucose levels, with work to do.
Canada’s University of Toronto insulin remaining the mainstay of Promisingly though, the work is
in 1921. treatment for people living with already very much in progress. At
In short, identifying insulin and type 1 diabetes, which includes the moment, JDRF alone is funding
the role it plays in diabetes was a around 120,000 Australians. more than 50 type 1 diabetes
game changer. Just a few months To commemorate insulin’s research projects around the nation,
later in January 1922, the first 100-year anniversary, diabetes projects that focus on either curing
injection of insulin was given to a awareness, advocacy and research type 1 or improving the lives of
person, a 14-year old boy called organisations all around the world people living with it.
news

A world-first clinical There may be two


HERE ARE A trial to stop the subtypes of type
HANDFUL OF THE immune system from 1 diabetes.
destroying insulin- That’s according to
MOST EXCITING producing cells has researchers in the UK
AND PROMISING been launched. who have discovered that
RESEARCH Called the BANDIT people who are diagnosed
The link between gut
BREAKTHROUGHS Trial, it’s being performed when they’re under seven
bacteria and diabetes
THAT HAVE MADE by researchers at St is being uncovered. years old seem to have a
HEADLINES Vincent’s Institute of different form of the
Last year the results of
RECENTLY. Medical Research (SVI) in disease than people aged
a worldwide study
Melbourne. “When type 1 13 and over. It’s a
revealed that islet
diabetes is first significant discovery in
autoantibodies – those
diagnosed, there is a terms of the development
chemical markers in the
substantial number of of new type 1 treatments,
blood that indicate
A population insulin-producing cells because it means some
diabetes risk – develop at
screening program still present,” says SVI’s may be more effective
a young age and that
for type 1 is in the Professor Helen Thomas. than others, depending
children who develop
pipeline for Australia. The aim of the trial is on your age.
them have a different
A pilot study to screen to determine whether a
combination of gut
Australian children from drug called baricitinib,
bacteria than children A protein that may
the general population which is currently used to
who don’t. Plus, early play a role in diabetes
and without a family treat rheumatoid
results from a University complications has
history of type 1 diabetes, arthritis, will protect the
of Queensland study been identified.
is underway. Funded by insulin-producing cells Research out of
designed to investigate a
JDRF and being run by from immune attack. Monash University
diet-based therapy for
the University of Sydney, “This would allow people suggests that when a
type 1 diabetes not only
the screening tool the who have recently been protein known by the
suggest that a fibre-based
study is using looks for diagnosed with the acronym RAGE is missing
diet can modify the gut
chemical markers in the disease to continue to from cells in the body, it
bacteria of people living
blood, called islet produce insulin for a offers some protection
with type 1, it may even
autoantibodies, that longer period to improve against the development
benefit blood glucose
indicate a person is likely their glucose control.” of common complications
management, too.
Launched at the end of of type 1 diabetes, like
WORDS: KAREN FITTALL, PHOTORAPHY: ADOBE STOCK

to develop type 1 even


when they’re free of last year, the two-year kidney, eye and heart
symptoms. Being able to trial is open to disease. The University’s
diagnose type 1 diabetes Australians aged between research team have
at a much earlier stage 12-30 who have been uncovered new ways to
would significantly diagnosed with type 1 target RAGE, which
reduce the risk of diabetic diabetes in the last 100 means it could play an
ketoacidosis, a serious days, with enrolment important role in the
complication that can expected to close in 2022. prevention of diabetes-
lead to diabetic coma. If For more info visit related complications
the study is successful, svi.edu.au/bandit. in future. ■
researchers hope to
expand to a national
screening program.

diabetic living MAY/JUNE 2021 113


6
STEPS
TO A
FITTER
YOU
Moving more is essential for
keeping your type 2 on track.
You’ll love the side effects of
losing weight and feeling great!
ONE

W
hether it’s
taking the Give your GP
dog for a the heads up
walk or Before you start any
lifting weights in the ad new exercise program,
break of your favourite it’s important to check
TV show, every little bit in with your GP or
of physical activity counts endocrinologist to confirm
towards getting the scales you’re physically and
and your BGLs moving medically able to exercise.
in the right direction. Your care team can also
In every issue we give help you understand how
you lots of recipes and exercise will affect your
information about meals BGLs and whether your
that will give your diabetes medication, food intake
management a healthy lift, or insulin will need to be
the next step is to make adjusted when you begin.
regular exercise part of Once you’ve got the all
your natural routine. clear, seek advice and a
Why? Because exercising program to suit you from
improves the sensitivity an exercise physiologist
of your cells to insulin and or a trainer recommended
increases the uptake of by your GP or diabetes
glucose from your educator.
bloodstream.
‘That means you will feel TWO
less tired and you will have Start gently
lower circulating glucose and build on
levels,’ says accredited your success
exercise physiologist Armarego stresses that
Christine Armarego. everyone is different in
‘High BGLs are the cause their relationship to
of diabetes complications, exercise – we all have
so regular exercise exercise baggage of good
prevents complications. or bad experiences that
‘Every bout of exercise we carry around with us.
you do improves your Starting small is a proven
insulin sensitivity for up way of overcoming this
to 48 hours, peaking at baggage and of developing
24 hours. Exercising daily a new and positive
will have the optimal relationship with training.
effect, but if you can’t For example, Armarego
manage that, aim to says she might start a
exercise every second day.’ client who is fearful of
Feeling daunted by the or resistant to exercise
idea of starting an exercise with simple activities such
program – and sticking to as sit-to-stand (sitting in
it? Just follow our simple, a chair and standing up),
step-by-step guide… walking up and down the
hallway, and using light
hand weights to build
arm strength.
exercise

Exercising
with mobility
issues
Think that working out
will be too hard? It’s time
to think again…

If you have mobility


issues, exercise can
help build muscles that
take the pressure off
joints and improve
balance. Here’s how:

If you have Arthritis:


Exercise physiologist
Christine Armarego
recommends water-
based activities for
people with arthritis;
as water takes the
strain of supporting
body weight out of the
equation. She also uses
A combination of cardio cardio and strength will
have the greatest positive
resistance training to
build muscles for
and strength will have the effects on your general
health, BGLs, stress
dynamic stability.
‘Having stronger
greatest positive effects levels and weight. muscles around the
This is because exerting joint helps to keep
The boost you get from “You just need to make your cardiovascular system it in better alignment
and prevents the
increasing your activity sure you have your stuff improves its capacity
progression of
and from becoming more ready in a bag. Then if a – meaning you won’t get arthritis,’ she says.
comfortable with exercise meeting gets cancelled, out of breath as often and

LISA URQUHART (DIETITIAN); PHOTOGRAPHY GETTY IMAGES, ADOBE STOCK


will fuel you as you you can go to the pool your risk of heart disease If you have
progress to the next phase. or the gym.”’ (which can be elevated Neuropathy

WORDS NATALIE FILATOFF, DR KATE MARSH, CHRISTINE ARMAREGO,


Armarego also suggests by having type 2) will be (nerve damage):
THREE finding your optimal time dramatically lowered. ‘I recommend a
Discover what’s of the day to exercise, In fact, the World Heart program of balance
retraining at home.
right for you whether that’s early Federation says, ‘Studies
If you’ve lost some
Tune in to your own morning before the day show that doing more feeling in your feet, you
exercise preferences. starts getting busy, or than 150 minutes of can train your muscles
‘If you can stick to a in the early evening just moderate physical activity, and vision to
home-based program, before you cook dinner. or an hour of vigorous compensate,’ says
that’s brilliant, but if you Try exercising at physical activity every Armarego.
need to go to a class, find different times of the day week, will reduce your In addition, a
resistance-training
one locally that’s at your until you find a timeslot risk of coronary disease
program will burn
level and that will help that works for you. by about 30 per cent.’ kilojoules and get your
you feel motivated and Strength training – BGLs on a more even
supported,’ says Armarego. FOUR using light weights, keel while regaining
‘Some people with Cardio + Strength resistance bands or your the confidence to use
chaotic routines have to = Best results own body weight – makes your feet and legs for
work out their schedule The fitness experts agree your muscles draw glucose more aerobic activities.
on the fly. I say to them, that a combination of from your bloodstream
to power that exertion.
Toned muscles also store Ask a Dietitian
glucose more effectively Want to know the best ways to fuel your body before
and use more blood a workout? Dietitian Lisa Urquhart is here to help.
glucose even when you’re
Healthy eating and exercise can both help to
not exercising – a win for
manage blood glucose levels (BGLs) and therefore
BGLs and for weight benefit people with type 2.
management. However, I often see people overcompensate
According to a 2013 with bigger meals or extra snacks when they start
Austrian study, ‘Resistance an exercise program. This results in higher BGLs and
training is increasingly often weight gain. To avoid this, aim for three meals
establishing itself as and 2-3 balanced snacks each day.
Try not to have a large meal directly before you
an effective measure to
exercise as this can cause stomach upsets. If you’re
improve overall metabolic hungry and feel you need to eat, have a small low-GI
health and reduce snack such as an apple or a tub of low-fat yoghurt.
metabolic risk factors Most people don’t need sports drinks before or
in diabetic patients.’ during exercise, unless you’re doing intense aerobic
Even better? Both cardio exercise for more than an hour. Sports drinks tend WATER WISE
and resistance training to be high in sugar and may counteract the benefits It’s important to be
of working out. My advice is to stick to water. hydrated before you
boost your production
exercise, but don’t
of endorphins and other drink too much water
hormones that reduce just before you work
stress and help to relieve out because it may
mild depression. make you feel sluggish.

FIVE
Learn to love
housework
We’ve become so used to
TUB TIME
thinking of work in the A 200ml tub of low-fat
house and garden as APPLE OF MY EYE yoghurt gives a boost of
drudgery – but it’s a If it’s been a while since your last meal, grab protein and low-GI carbs
secret source of incidental an apple. It’s the perfect snack before you work – perfect fuel for building
exercise, kilojoule burn out, providing low-GI carbs to keep you going. muscles before or after
and satisfaction. exercise, particularly
Tasks such as mopping resistance training.
and vacuuming and are valuable activity that it has the opportunity
(burning 180kJ per 15 boosters in lives which are to show us our mastery,’
minutes), window cleaning increasingly spent sitting. says Armarego. ‘As we
(142kJ per 15 minutes) Think of these chores as make small and
and digging and weeding providing little add-ons continuous progress, we It’s the first step to
(142kJ per 15 minutes)* to your activity program. master something, and feeling confident to try
They help to keep your that brings us joy.’ new things and set even
glucose fires burning, People who exercise bigger goals – such as
your waist trim and your regularly say mini being able to swim a
*Kilojule burn is home looking gorgeous! milestones, such as kilometre, cycle a hilly
based on a 68kg walking a bit further route without stopping,
woman and will vary SIX everyday or riding just or walk a famous race such
depending on weight Keep yourself that little bit faster on a as Sydney’s City2Surf.
and activity speed.
challenged stationary bicycle in the Before you know it,
‘One of the beautiful gym, give them the buzz you’ll be off on a lifetime’s
things about exercise is to continue. adventure in activity! ■

diabetic living MAY/JUNE 2021 117


After

U
ntil last year, I’d always
assumed type 1
diabetes was only
diagnosed in children.
And I certainly never thought for
a moment that it was to blame for
the symptoms I was experiencing.
“In fact, even though I’d had
gestational diabetes with two of
my three children, when I started
to feel really tired and noticed that
I was drinking water like a fish and
needing to go to the toilet a lot
more, I didn’t think ‘diabetes’ at all.
“I’d given birth to Gracie, my
youngest child, a few weeks earlier
and had been having a bit of
trouble feeding her, so I’d started
pumping my milk for her instead.
I just put what I was experiencing
down to being a ‘pumping mum’.
“But when I noticed my eyes had
started playing up so that my vision
was a bit blurry, I rang my doctor
to make an appointment. I wasn’t
Jenna with her particularly worried but I knew
husband Dwayne. something was wrong when I
couldn’t read the subtitles on TV
properly. Then, the afternoon
before my doctor’s appointment

I knew something I couldn’t see a car that was just


a few feet in front of me. I was
rushed to hospital where I was
told my blood glucose level was
was wrong when I incredibly high. I was heading into
diabetic ketoacidosis and it was a
wonder I was still conscious.”

couldn’t read the Back to the beginning


“In 2016 when I was pregnant

subtitles on TV. with my second child, Jorji, a


fasting glucose test indicated
I had gestational diabetes – just.
I managed it with diet and my
2020 was a big year for everyone, but for [glucose] levels never really went
32-year-old Jenna Carroll it delivered more crazy, but at about 36 weeks they
than its fair share of changes including a new did start to creep up a little.
Eventually I was induced and after
baby and, two months later, being told she Jorji was born, my glucose levels
had type 1. It’s been a life-changing diagnosis returned to normal and I forgot
but she refuses to let it define her all about diabetes.
my story: type 1

Before

they admitted me to hospital and


even though I knew they’d had to
use insulin to lower it, I was still
thinking ‘well, if anything, it’ll
be type 2’ and that I’d be able
to control it by making some
tweaks to my diet.
“But when they made it clear that
I had type 1 diabetes, my heart
sank. I knew that was a different
ball game. So yes, 2020 was quite
the year. My husband works in the
bush and his workplace was burnt
down in the fires and he’s also part
of the local fire brigade. Then we
Jenna and Dwayne
with their children, Jack (7),
had Gracie, COVID hit and finally
Jorji (4) and Gracie (1). I was diagnosed with diabetes.
“A year or so later, I’m now
“Then, when I was 28 weeks on multi-day insulin injections,
pregnant with Gracie, I just scraped anything between six and eight
into the gestational diabetes a day. And I feel like I’m on a bit
category once again. It never really of a daily rollercoaster, trying to
caused any physical symptoms but calculate everything from carbs
I was concerned because it was my to insulin units and I struggle
second experience with gestational with a lot of hypos.
AS TOLD TO KAREN FITTALL; PHOTOGRAPHY ROSLYN CLARE PHOTOGRAPHY;

diabetes, so I worked really hard “It’s like there are one hundred
on what I ate. This time around decisions that I have to make now
though I eventually ended up on that I never had to think about
night-time insulin and that made before. And I’ll do exactly the
everything seem more real and same thing one day to another
ADDITIONAL PHOTOGRAPHY SUPPLIED BY JENNA CARROLL

more serious. Suddenly I was and get a totally different result.


injecting myself, which felt quite At the moment all of that still
confronting. makes me a bit sad.
“But once Gracie was born in
Coming to terms “But my healthcare team are
February 2020 my glucose levels with type 1 amazing. And while my first
went back to normal again. I came “Being told I had type 1 diabetes thought when I was diagnosed
off insulin and when I tested myself was a complete shock. When I was was ‘it’s my fault’ or that I’d done
a week after her birth, everything diagnosed with gestational diabetes this to myself somehow, I now
was fine. for the second time, my doctor did know that’s not the case at all.
“That’s part of why I didn’t for tell me that it meant I now had a “I’ve also grown to understand
one moment think ‘diabetes’ when higher risk of developing type 2 that it’s incredibly important not
I started to feel horrible just a few diabetes at some stage but type 1 to be too hard on yourself and to
weeks later – that and the fact that had never been mentioned. not let a medical diagnosis like
both times when I’d had gestational “Even after I’d been told that my this define you. It’s something
diabetes I never really felt ‘yuck’.” blood glucose was so high when I’m working on every day.” ■

diabetic living MAY/JUNE 2021 119


SMART
SERVINGS
Rethink how you serve your meals and snacks
and you’ll become a portion pro in no time

WORDS JULIE KENDRICK; PHOTOGRAPHY BLAINE MOATS; STYLING SUE MITCHELL


SEE THE SERVING crowd, but these can also lead you to like nuts in bulk, then repackages
“At home, I measure out a perfect feel like you’re portioning out a small them into single-serving containers.
portion of food or drink to see how amount when you’re really taking She snagged a glass food-storage
it looks in my dishes,” says Jill more than your ideal serving. Break container set on sale, so now it’s easy
Weisenberger, author of Diabetes out those dessert plates you’re saving to fill up the containers all at once.
Weight Loss: Week by Week. “This way for special occasions. Treat yourself Some of her serving-size go-tos: a
I’ll know in advance that, say, my like a guest – arrange your portions handful of almonds fits in a baby-
portion of wine is up to a specific on one of those smaller plates. food-size jar, ¼ cup of hummus
design etched into the glass. You can You’ll feel indulged, not deprived. or guacamole fills a 40g container,
do the same for ice cream, cereal – and a serving of defrosted edamame
really for any food and dish that has BUY BIG, PACKAGE SMALL in the pod fits in a 1½ cup bowl.
markings of some sort.” To become a Weisenberger suggests pre-
pro eyeballer, measure out your ideal portioning foods into single-serving PILE ON THE VEGIES
serving size – best determined with baggies or containers. “For example, Every time you serve yourself a meal,
the help of your health care team – if your ideal portion of crackers is six, think “vegies first,” advises Boe.
for foods, such as berries, rice, soup, put six crackers each into several Load your plate with big portions
and fish, a few times each month. baggies and pop [them] back into of fresh vegies, then add in moderate
their original box.” Voilà – perfect helpings of lean protein and healthy
REPURPOSE PETITE PLATES grab-and-go snacks. To save money, fats. This way, you’ll naturally crowd
Giant bowls and jumbo serving certified health coach Carrie Boe, out space that might be taken up
utensils may make it easier to serve a type 2, buys healthy ingredients by less-nutritious options. ■

120 MAY/JUNE 2021 diabetic living


YOUR PUZZLES
Grab a cuppa and a comfy chair – it’s time to put your brainpower to the test.

CODE CRACKER
Each number in the grid represents a different letter of the alphabet and
it’s your task to decode them all. We have given you three letters to start you
on your way, so you can see that T=9, L=11, and R=15. You can record each
letter as you work it out in the letter checker at the bottom of the grid.

                  

         

                 

         

                  

        

                  

     

                  

        

                  

         

                 

         

                  

1 2 3 4 5 6 7 8 9 10 11 12 13
T L
14 15 16 17 18 19 20 21 22 23 24 25 26
R
puzzles

SUDOKU
Place the numbers 1-9 in each horizontal and vertical line, noting each
number can only appear once in each of the nine 3 x 3 squares.


   
   
  
 
 
  
 
  

CHUNKY CROSSWORD
Sharpen your pencil and show what you know.
For solutions, see page 126

22 Related to the eye (5) 41 Glasses (colloq) (5)


ACROSS
24 --- de plume, pen-name (3) 42 Eggs (3)
1 Drink (8)
26 Home of voodoo (5) 43 --- Republic, Prague’s
6 Dwight ---, former US
28 --- Blumenthal, celebrity country (5)
president (10) chef (6) 45 Legal (5)
13 Dodge, sidestep (5) 29 Bram ---, Dracula author (6) 46 Clumsy fool (3)
14 Hair elastic (9) 31 Small dining room (7) 48 Proposed (9)
15 As stated above (5) 32 Word that reads the same 51 Remodel (7)
16 Novice driver signs (1-6) backwards and forwards (10) 53 Native to Norway (5)
18 Device used to remove 34 Dance interpretation of 54 --- Wheel, spinning
moisture from tresses (9) music (10) firework (9)
19 --- Baba and the Forty 37 Underground prison (7) 55 Earlier than, before (5)
Thieves, folk tale (3) 38 Left the building (6) 56 French city (10)
20 Jot down (5) 39 Pure, virtuous (6) 57 Unselfishly giving (8)

122 MAY/JUNE 2021 diabetic living


         

 

  

   

       

   

   



  



    

      

  

 

DOWN 10 Additional, bonus (5) 35 Beloved (10)


2 Electronic message (5) 11 Communion of travellers (10) 36 Sun blockout cream
3 Day before (3) 12 Confident, optimistic (8) ingredient (4)
4 Auditor (8) 17 Female family group who 37 Mark down (8)
5 Within ---, in audible range (7) had hits in the 1980s such 40 Number considered
6 Boredom, lethargy (5) as Neutron Dance and unlucky (8)
7 Delight in the suffering of I’m So Excited (3,7,7) 44 Swirling (7)
others (13) 21 Rudeness (9) 47 Blacksmith’s fire (5)
8 Impoverished, poor (5) 23 Birthday treat (4) 49 Fashion label (5)
9 Expression meaning that 25 Marshy (5) 50 Scaled rows of seating (5)
someone, or something, 27 Inherent, essential (9) 52 French goodbye (5)
is truly ancient and has 30 Moody, sensitive (13) 55 For each (3)
been around for a long 33 Animated film about
time (5,4,3,5) a chameleon (5)
1 CHECK YOUR
CONNECTIONS
Third on Maslow’s hierarchy of needs
is a sense of belonging – and although
this is a necessity not everyone has it.
The key to achieving this basic need is
through good friendships. While you
may think some of the people in your
life are good friends, there are times

FEEL
they make you feel frustrated and
lonely when you realise they only call
on you when they need something.
More often than not, these

BETTER
relationships are more draining than
purposeful.
If this is the case, it’s time to
reevaluate those in your circle. Healthy

IN FIVE
friendships allow you to be your
authentic self and they should be
supportive and accepting of your
diabetes and your goals… even on your
bad days. Having good friends helps to
Big changes start with simple steps. reduce stress, loneliness and social
isolation, increases physical and
Try these ideas to help improve emotional support, and overall helps
your wellbeing you to become a better person.
Looking for new friends? Head to a
hobby class, community event or
volunteering opportunity – you never
know who you might connect with.

MENTAL HEALTH CHECK


Are you concerned about your mental health or the mental health
of those around you? You’re not alone. A new Uswitch study has
revealed mental health is Australia’s biggest health concern. This
study concluded 75 per cent of mobile users increased the usage of
health apps during 2020, with apps Headspace and Calm being the
two most popular. While health apps like these play an important
role in tracking wellbeing, they have also increased the ability to
stay focused and accountabile for achieving goals.
Not tech savvy? Start with writing down a realistic and specific goal
- such as “meditate for 10 minutes every day” - on a piece of paper
that can be placed in constant sight (such as on your fridge, your
door or your mirror). If possible, get a friend or loved one to hold
you accountable by checking in daily or weekly on your goal.
3
STREEEEEEETCH!
There’s more to stretching than rolling
out of bed lifting your arms up. In fact,
a 10 minute stretch has the ability to
help more than you may think. Every
time you feel your eyes glazing over, or
your mind is racing too much, it’s time
to take a break from your screen or
from work, step away from the task at
hand and take a moment to stretch. As
we age, our joints lose their range of
motion, and the poor posture that
comes with a sedentary lifestyle
doesn’t help. Stretching improves this
range, and further increases your
circulation (blood flow) and muscle
length, while decreasing muscle
tightness and pain. Plus, stretching
makes every day tasks – such as
squatting to sit down or stand up
– much easier.
Not sure where to start? A
physiotherapist can provide you with
relevant exercises to increase your
range of motion. But keep in mind,
stretching should never be painful. If
it is, talk to your physio.
good advice

COUNT THE
SMALL WINS
Whether you’re newly diagnosed or a
diabetes-veteran, diabetes is a tricky
beast. However, it is important to
4
keep a positive note on your ability to
manage your diabetes and look after
yourself in order to reduce the risk of
burning out. Whether you have a
large win (such as staying within
range during a busy week) or a small
win (you remembered to check your
BGLs), it is important to celebrate it.

5
Celebrating the small wins
increases your confidence as it proves
what you are capable of. It is also
important to remember that the

WORDS ELLIE GRIFFITHS; PHOTOGRAPHY GETTY IMAGES,


success of your bigger goals don’t
happen overnight, and while it can
take a while to reach it, it’s focusing TIME TO CLEAN UP
on those smaller achievements that Are you feeling overwhelmed by all your “things”, as well as your

ADOBE STOCK, CALM: THE MEDITATION APP


will help you to move forward and get diabetes? Then you may need to declutter. When you have an
your mind and body in a good place. overabundance of possessions, it can impact you on a psychological
level, more than you may realise. Psychologists from Princeton
University found that clutter reduces your ability to focus on a given
task; while researchers at the University of Navarra found that
volunteers in a messy environment to input data were more likely to
Top Tip make more mistakes than those in a tidy environment. This doesn’t
This doesn’t have to just just translate to work-oriented tasks, but it can impact your
apply to diabetes, you can personal life too with errors potentially being made with regards to
apply this to every
aspect of your life.
your diabetes. Watch Tidying Up with Marie Kondo or Get Organized
with The Home Edit, both on Netflix for inspiration. ■

Turn upside down for puzzle solutions X


26
E
25
K
24
U
23
F
22
H
21
P
20
B
19
Y
18
S
17
C
16
W R
15 14
I O L N T Z A D Q J V M G
50 Tiers, 52 Adieu, 55 Per. 13 12 11 10 9 8 7 6 5 4 3 2 1

37 Discount, 40 Thirteen, 44 Eddying, 47 Forge, 49 Gucci,          R E S I S T D D E R S O R E R D O A D


30 Temperamental, 33 Rango, 35 Sweetheart, 36 Zinc, E N D N S R U E E E
21 Insolence, 23 Cake, 25 Muddy, 27 Intrinsic,          R S E W E R E U S E I O L I T R T R
W V E M O G L D A E
11 Fellowship, 12 Positive, 17 The Pointer Sisters,          O C E A N S A D H O G A F E D R O C H
7 Schadenfreude, 8 Needy, 9 Older than the hills, 10 Extra, I R E K A E W E T
        
Down: 2 Email, 3 Eve, 4 Assessor, 5 Earshot, 6 Ennui, B R O L G A S S O O N P T O P B A T I
56 Versailles, 57 Generous.          G N E O E L
48 Suggested, 51 Reshape, 53 Norse, 54 Catherine, 55 Prior, W E E V I L X I C O N O B A R L E I S
         G O D O A W E E L
39 Chaste, 41 Specs, 42 Ova, 43 Czech, 45 Licit, 46 Oaf,
32 Palindrome, 34 Eurythmics, 37 Dungeon, 38 Exited,          H U M O U R B I E N T T O R T A M R E
E U L E U R O A B C
24 Nom, 26 Haiti, 28 Heston, 29 Stoker, 31 Dinette,          S M B A C K K S P A I Z B R E A Q U
15 Ditto, 16 L-plates, 18 Hairdryer, 19 Ali, 20 Write, 22 Optic,          O L X U S P A E Y D
Across: 1 Beverage, 6 Eisenhower, 13 Evade, 14 Scrunchie, S T A Y E D J O I N S C K E D E N D E

Crossword Sudoku Code Cracker


puzzles solutions
126 MAY/JUNE 2021 diabetic living
index

BREAKFAST  Curried hummus  Preserved lemon, spinach


& TOPPERS  Curry leaf popcorn and cherry tomato pilaf
 Banana colada  Fruity skewers  Pumpkin & pesto pasta
 Basic porridge  Green giant smoothie
 Curried broccolini & boiled  Kale, risoni & meatball  Roast chicken thighs with
eggs on toast soup brown rice & salsa verde
 Date and almond  Lentil, cheese and shallot  Sesame-crusted tuna with
smoothie quesadillas miso dressing
 Maple pumpkin, bacon  Mango and cardamom  Spiced chicken and sweet
& blueberry lassi potato stew
 Plum, raisin & granola  Peach and ricotta bagel  Spiced halloumi & pineapple
 Vanilla poached pears with  Roast chicken with burger with zingy slaw
almond Mediterranean veg  Swedish meatballs
 60-second brekkie  Sesame chicken noodles  Vegetarian kale caesar salad
 Spiced lentil, puffed rice with eggplant ‘bacon’
LIGHT MEALS, & cucumber salad  Vegie kebabs with avocado
SNACKS, SIDES  Spiced pumpkin, spinach dressing
& STARTERS & lentil soup  Vegie sausage, spinach
 Avocado hummus & vegie  Totally tropical smoothie & mushroom fry with
sticks pesto toast
 Basic curried roast MAINS
chickpeas  Barbecue salad pizza DESSERTS
 Blueberry crush  Chicken & mushroom risotto  Apple crumble
smoothie  Chicken, couscous and  Apple tart
 Carrot & coriander soup harissa broth  Lime & coconut
with spicy flatbread  Creamy pear & pork custard cups
croutons  Green lentil harissa  Oat & plum tea cake
 Chicken with Spanish-style soup  Orange blossom
butter beans  Healthy tikka masala panna cotta
 Chickpea bombay mix  Moroccan chicken  Pecan & pear spiced
 Coronation chicken salad one pot souffle cake
 Creamy salmon & potato  Prawn fried rice  Poached pears with
soup espresso syrup

KEY Freezable Gluten free Gluten-free option Vegetarian Lower carb Lower-carb option

COOKING All our recipes are designed for a fan-forced oven. If you have a conventional oven, you’ll need to
increase the temperature by 10-20°C, depending on your oven. All recipes are tested in a 1000W microwave oven.
FREEZING Pack individual serves into airtight containers. Label with the recipe name and date. Main meals
will generally freeze for three to six months, with three being optimal. To reheat, put the dish in the fridge overnight
to defrost (never leave it on the bench overnight) or defrost on low/30% in the microwave. Reheat on the stove, in
the oven, or microwave it on medium/50%, depending on the dish.
GLUTEN FREE When a recipe ingredient is tagged ‘gluten free’ it may either be branded gluten free or gluten
free by ingredient – please check the label to ensure the product is suitable for you. Note: Some spices carry a ‘may
contain’ statement. It is important to check the label of packaged products to ensure they are gluten free.
LOWER CARB When a recipe is tagged ‘lower carb’ it means it is less than 2 carb exchanges for a main or light meal
and less than 1 carb exchange for a snack or dessert. This may be beneficial for people who are trying to control their type 2
with diet and/or medication. If you are on insulin and planning to follow a lower-carb diet, speak to your care team first.
LOWER-CARB OPTION When possible we will provide an ingredient substitution from the main recipe to reduce
the carbs to less than 2 carb exchanges for a main or light meal and less than 1 carb exchange for a snack or dessert.

diabetic living MAY/JUNE 2021 127


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postcards

Saturday, training to do it all again I do think that successful


two nights a week and still allowing adjustments happen in small
for a few beers and somewhat sloppy increments so this is the plan.
diet along the way to a hopeful I’ll focus on the few activities that

PHOTOGRAPHY DAVID THOMPSON (PORTRAIT); ADDITIONAL PHOTOGRAPHY GETTY IMAGES


appointment with a grand final in don’t punish my knee for starters:
September. swimming, rowing and bike. I won’t
This year I’ve realised that the go hell for leather and lose the desire
metaphorical snow didn’t melt in in a week but will introduce mini
the same way I would have liked sessions that sparsely populate each

T
he cold creeps up on you over summer and the winter pelt of fortnight. I’ll target a few regular
pretty darn fast, as does a slightly rotund gut line is still in days where abstaining from a frosty
the realisation that your the picture… and here comes the ale won’t feel like a punishment and
plan of retaining any cold. Again. little by little, maybe even reduce
summer fitness has holes all I think that this year, because the food portion sizes so that I don’t
through it. dream of full-contact sport is well spend half the day feeling like I’ve
It’s a tough life fact to grapple with and truly over, I am going to have to just eaten.
and many a middle-aged snapped aim at hitting the brakes on a few These are all goals of course and I
knee ligament or Achilles tendon behaviours that put me where I am am not kidding myself that the road
will lend support to the realisation on the scales of kilo climbing and to success won’t have a few swerves,
that the days of competitive winter also ignite the fuse on activity that curves and bumps, but it sure as
sport are over for me. I’ve seen two may be a bit kinder to this not-so- houses beats the road I’m currently
mates snap an Achilles playing recent model of man. travelling. The days are shorter and
over-40s basketball and another do I do have a sloppy arthritic knee the air cooler and one of the best
his while playing mixed netball. and may enjoy a couple more ales ways I see to warm things up is to
What were you thinking, men? than Peter Perfect recommends but I get moving. Hopefully the only holes
In the past, glorious, youthful am a long way from giving up on the in my rejigged fitness plan will be
weekends would have me running mind and body I spent so long the ones reappearing in the tail of
to the edge of my endurance on a enjoying before now. my belt. ■

The winter pelt


With competitive sport behind him, Rob Palmer has decided to take a
kinder, gentler and more sustainable approach to exercise this season
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