UAE DIABETES NETWORK

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Comment by Hayaa on October 20, 2009 at 6:02am

National Diabetes Guidelines UAE.pdf

Comment by BEBO on June 19, 2009 at 1:48pm

Hi Haya,

I am with the pump. I am afraid that your diary will not work with me. With the pump you can view the bolus or carb you've taken and the units also. Ita an emazing buddy. It took me 6 moths to get to know it better but i am happy with it now. I use to do all what you'r doing by doing charts and following them up. i live in dubai and i can give you my doctor contact if you want to..... Keep the good work..

Comment by Hayaa on April 19, 2009 at 10:19pm

Dear All;
please find attached my complete version of Diabetes Blood Sugar Diary.
It is very useful to keep track of your blood sugars , total carbs eaten , etcccc...
If you have questions ; do not hesitate contacting me...
You can also send me your filled diaries ; I can help you achieving your target Blood sugars.

Diabetes Diary - Blanc.xlsx

Comment by Hayaa on April 15, 2009 at 11:31pm

Hi Noor!
thanks for joining my group.

I advise you to order Dr. Bernstein's Diabetes Solution from Amazon.
It is a must read for all diabetics; it changed my life and the life of many others.
He is Diabetic himself since over 65 years! and the guru for Low Carb Diabetes Management...You can find some chapters of the book online. http://www.diabetes-solution.net/

Comment by noor on April 14, 2009 at 1:56pm

Hello Hayaa,
thanks for the invite,i see you talked about Low-carbbohydrate!
that's realy will help me.
thanks.

Comment by Hayaa on March 29, 2009 at 3:23am

DIABETES IN UNITED ARAB EMIRATES

The United Arab Emirates (UAE) form part of the Arabian peninsular with a population of about 4 million. One of the major health care challenges is the lack of national data, however, it is known that UAE has the second highest prevalence of diabetes worldwide with 25% of the population affected. Deaths related to diabetes are a serious problem and relate to genetic disposition, obesity, a sedentary lifestyle and physical inactivity, with a high genetic susceptibility to insulin resistance. Diabetics have a higher prevalence and more severe forms of periodontal disease which leads to an impaired quality of life and to oral functional disability. Periodontal disease is frequently overlooked as a complication of diabetes and there are few referrals from physicians or endocrinologists to dentists. There is a similar lack of data in UAE on oral health. Recommendations include strategies that focus on prevention of diabetes, improved awareness about diabetes at professional level and in the community, highlighting the importance of oral health.

The United Arab Emirates are witnessing a diabetes explosion, with approximately 25 per cent of the population now suffering from the disease.

The conclusion was drawn from statistics revealed at the Arab Health Congress Show by experts from Imperial College London Diabetes Centre. Diabetes is being recognized as a major problem in the UAE.

Further statistics reportedly show that 40 per cent of 60 plus residents have diabetes, and the disease causes 75 per cent of deaths amongst UAE nationals.

The medical and research director at the ICLDC, reportedly commented: "Diabetes is currently the fastest growing debilitating disease in the world. In the UAE it is estimated that one out of five people aged 20 to 79 lives with this disease, while a similar percentage of the population is at risk of developing it.
This year, the UAE ranked 2nd highest worldwide for diabetes prevalence."

Diabetes Mellitus (type 2) is currently one of the most prevalent disease in the UAE. According to recent media reports, 1 out of every 4 people in the UAE is diabetic, with a staggering 25 per cent prevalence rate among UAE nationals.

It is a rapidly growing metabolic disease and worldwide, takes an ever-increasing proportion of national healthcare budgets. Recent studies from Saudi Arabia and the Persian Gulf showed that diabetes prevalence ranges between 15 to 25 per cent and that diabetes accounts for between five to ten per cent of each nation’s health budget. In addition, many type 2 diabetes patients are not diagnosed or not in control of their blood glucose, leaving them at an increased risk of diabetes related complications.

Article from AME News:

Harvard Medical School Dubai Center launch Diabetes program with CME conference
Harvard Medical School Dubai Center Institute for Postgraduate Education and Research (HMSDC), a member of Mohammed Bin Rashid Al Maktoum Academic Medical Center, in collaboration with Dubai Healthcare City (DHCC), a member of Tatweer, today launched the first initiative of their Diabetes 2009 campaign in the form of a national continuing medical education (CME) course 'Diabetes Update 2009'.

Approximately 25%, or about 1.75 million individuals in the UAE, are affected with diabetes.

This is what experts from DHCC, Sheikh Khalifa Medical City, United Arab Emirates University, Joslin Diabetes Center, and Moorfields Eye Center reminded us today in a CME course, which took place in Grand Hyatt, Dubai.

'UAE has the second highest prevalence of diabetes worldwide with 25% of the population being affected. Diabetes has been an increasingly difficult medical management issue in the Emirati population,' warned Dr Ajay Singh, Chief Academic Officer of HMSDC. 'Kidney failure, heart disease, high blood pressure, amputations and blindness are complications of diabetes. Increasing awareness of the relationship between Diabetes Mellitus, its risk factors and complications, remains at the forefront of HMSDC's medical education endeavors.'

Dr Ayesha Abdullah, Vice President of DHCC said, 'By bringing together leading experts, we expect the course will influence policy makers and local health authorities to make the fight against diabetes a higher priority. We also hope that it will help healthcare professionals towards improving the quality of life of people with diabetes in the UAE.'

The Congress also presented the opportunity to share, at a national level, the latest scientific advances and knowledge on more practical aspects such as education, treatment and raising awareness in the field of diabetes. The program addressed a broad spectrum of diabetes-related issues such as Basic Science; Clinical Advances; Education and Care; Epidemiology and Public Health; Living with Diabetes, and Diabetes in UAE.

Platforms for discussion varied from state-of-the-art lectures to interact-with-expert sessions, including panel discussion and one-to-one communications. HMSDC designated this educational activity a maximum of 6.5 CME credit hours.

The objective of HMSDC's 2009 Diabetes initiative is to engage professionals and the public with this important health issue but also to help develop strategies that will serve to prevent diabetes and to offer optimum healthcare and education for people with the condition.

Comment by Hayaa on March 26, 2009 at 4:14am

Low-carbohydrate diets and exercise

Over the past several years, 2 reviews focused on LCKD (Low Carb Ketogenic Diet) and exercise have been published.

One of these reviews concluded that sub-maximal endurance performance can be sustained despite the virtual exclusion of carbohydrate from the human diet(46). The other review addressed the intramuscular enzyme adaptation that occurs with these diets (47).

Several important issues arise in the consideration of LCKD
studies in general and of exercise studies in particular:

1) the time allowed for keto-adaptation
2) the use of electrolyte supplementation and
3) the amount of protein intake.

To try to examine the first issue, we can consider the multiple studies comparing low carbohydrate with high-carbohydrate diets to test the hypothesis that “carbohydrate loading” can enhance physical performance.

None of the studies that support this hypothesis maintained the LCD for 2 wk (48), and most maintained the LCDs for 7 d (49). No studies have carefully examined the process or duration
of keto-adaptation, but clinical observation suggests that it probably takes from 2 to 4 wk for keto-adaptation to occur.(Means body will use energy from Fat adipositas and fat acids instead from Carbs and muscle)

The second issue has to do with the maintenance of adequate mineral supplementation as long as the ketogenic state is maintained.
One group of investigators provided supplements containing 3–5 g sodium/d and 2–3 g potassium/d and found that circulatory competence during sub-maximal exercise was sustained.
These supplements also allowed the subjects to achieve nitrogen balance, which had not been achieved in studies that did not use supplements (20).

The third issue affecting physical performance is adequate
protein intake. It is generally accepted that the preservation of
LBM and of physical performance during any degree of energy
restriction occurs when protein is in the range of 1.2 to 1.7 g kg
reference body wt1 d1.
The use of the mid-range value of 1.5g kg1 d1 for adults with reference weights ranging from 60 to 80 kg, this translates into total daily protein intakes of 90 to 120 g/d. When adequate protein intake is expressed in the context of total daily energy expenditures of 2000 to 3000 kcal/d,15% of
daily energy expenditure should be provided as protein.

Further research on exercising under conditions of LCDs is
needed. These studies may be optimized by careful attention to
the time needed for keto-adaptation, to mineral supplementation,
and to the daily protein dose.

Therapeutic use of ketogenic diets should not limit most forms of physical activity, with the caveat that anaerobic performance (ie, weight lifting or sprinting) maybe limited by lower-muscle glycogen concentrations.

Comment by Hayaa on March 25, 2009 at 9:56pm

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