Purition – road testing a new wholefood protein shake! Is this a way to help you lose weight?

Purition - a wholefood protein shake
Purition – a wholefood protein shake

Purition is not a diet, it’s a nutritional upgrade” I was told.  Though, to be fair, I’m not 100% sure what that means.  But Purition deserves a hearing as they do have something interesting on offer.

However, a week or two ago, I received an email from a lady at Purition asking me if I’d like to try out the new their new protein shake.  Because it was a Friday afternoon I was feeling what might be called “PR friendly” so I said yes.

To my surprise a box arrived the next day.  This is not a comment about Purition by the dire standards of delivery services in the UK.  In it were six packets of their non-vegan Protein shake.  Purition do do a vegan product but I’ve not tried it so don’t want to comment.

Okay so what is Purition?  Just another protein shake?

Well the way Leanne their PR lady described it was as follow “Our product is a healthy, wholefood protein shake, that’s an alternative to junk filled meal replacements and artificial protein shakes. We only use clean and natural ingredients, absolutely no artificial nasties. 70% of the product is made from a blend of seeds and nuts, along with Madagascan vanilla pods and other natural ingredients for our flavours. It is much more than just a protein powder. The shakes provide a quick, low carb, low sugar breakfast smoothie or lunch when you don’t have time to cook. We care about nutrition and ensuring that people are aware about what they are eating, and what can be hidden in their food products.”

Which I translate from PRspeak to “If you have one for breakfast you won’t feel hungry till lunch”.  And as it weighs in at £12.99 for six packets seems quite reasonable price considering.  (For Americans it is about $16.00 at today’s rate while for those in the Eurozone would play around 15 Euros).  Though this is for what they describe as the trial box!  I expect it is more if you by on a regular basis.

Purition - bags of it
Purition – bags of it

Okay so does it work?   The answer has to be a resounding yes.  Both my wife and I had lunch late on both the days we tried the product and I can honestly say I felt no urge to eat for over five hours.  My wife backed this up and she had a morning of heavy meetings!

So yup it’s a winner from that point of view especially as it is seriously low in calories.

But there is a downside.

It tastes horrible and you get bits in your teeth.  My advice, for what’s worth, is to down it in one.  You can pretend you’re on a drinking bout somewhere just outside Tomsk rather than on a health kick.

So would I use it?  The answer is yes.  A few seconds of unpleasantness do help you lose a load of weight if used properly.   (They also tell me that it’s useful for recover after exercise).

I also asked if T2 diabetics can use Purition.  The answer came back “and I shall quote in full) “’Purition makes a great breakfast (or lunch) for anyone, not using insulin, to help regulate their blood sugar with their diet.

So for anyone diagnosed with a risk of developing type 2 diabetes or recently diagnosed with type 2 diabetes looking for a low-carb dietary intervention, widely regarded now as the only way to reverse T2 without medication.

Purition is safe to use if medicating with Metformin but should not be used by diabetics using insulin or insulin releasing tablets without medical supervision.

The slow release nutrients are low in sugar and carbs and will keep most people satisfied between meals without the need for snacking. Purition is all about setting the right foundations for a great food day.’

So there you have it.  I think it works.  If you have any question please use the comments section below and I’ll as Purition to reply!

Oh and if you want to try it you can pick it up here.

Many thanks!

Diabetes – What is Continuous Glucose Monitoring?

51979

Get your diabetes awareness tee shirt here.

What is Continuous Glucose Monitoring?

Continuous glucose monitoring (CGM) is a method of monitoring blood glucose levels through the use of a thin wire sensor placed just under the skin, which samples glucose levels every few minutes throughout the day. The information is transmitted to a device that enables the user to view the information in real time. The data is useful for individuals with diabetes who need to constantly monitor glucose readings in order to prevent dangerous highs or lows. CGM data is also stored for later upload to a computer to help evaluate trends and make treatment optimization.

Why Is It Important To Monitor Blood Glucose Levels?

Many people with diabetes may not have noticeable symptoms until their blood glucose levels are either too high or too low. Hyperglycemia occurs when blood glucose levels are too high. If left untreated, this can lead to more serious complications, such as ketoacidosis.

Alternatively, hypoglycemia occurs when blood glucose levels are too low. If hypoglycemia is left untreated, the individual may experience a seizure or lose consciousness. Blood glucose levels must be controlled in order to avoid serious complications of diabetes.

Monitoring Blood Glucose Levels With a Standard Blood Glucose Meter

The most traditional method of checking blood glucose levels is through the use of a small lancing device to prick the tip of the finger to obtain a drop of blood. The blood sample is inserted into a blood glucose meter, which then measures glucose levels. These meters provide a single data point in time, and are effective for many individuals with diabetes when used several times per day, including before and after meals. For individuals who may need to test their glucose levels more often, CGM may offer an easier and more effective solution than finger sticks alone.

Monitoring Blood Glucose Levels with a CGM

Continuous glucose monitoring is a blood glucose monitoring method that can provide more than 250 readings per day. Minimal finger-stick readings from a standard blood glucose monitor are still required to double check the CGM device accuracy.

All of these readings together provide a pattern of blood glucose levels that may identify trends. Healthcare providers can use these trends to understand fluctuating glucose levels and how they relate to:

●  The kinds of food a patient eats

●  The types of activity they do

●  Medications and dosages

Trends may also help reveal:

●  Fluctuations in glucose levels overnight, which are often undetected

●  Blood glucose spikes early in the morning

This information enables healthcare providers to understand the effectiveness of an individual’s current treatment plan, and to make adjustments when needed.

Making Continuous Glucose Monitoring More Convenient

A variety of insulin pumps now integrate with CGM systems, helping reduce the number of devices that have to be carried.  Newer models even have bright, color touchscreens like smartphones, making them simple to learn and use.

How Does Continuous Glucose Monitoring Work?

Continuous glucose monitoring uses a sensor that is placed under the skin of the abdomen for up to 7 days. The sensor reads the amount of glucose in the surrounding fluid using an enzyme called glucose oxidase, the same technology used for testing strips.

When glucose in the surrounding fluid interacts with glucose oxidase, the enzyme converts the glucose into hydrogen peroxide. The hydrogen peroxide reacts with platinum inside the sensor that then sends a signal to a transmitter. This signal is converted into a glucose reading.

Who Can Use Continuous Glucose Monitoring?

Individuals with diabetes who may benefit from the use of continuous glucose monitoring include those who:

●  Have unexplained extreme highs or lows in glucose levels

●  Have a diagnosis of gestational diabetes

●  Have consistent high or low blood glucose levels

●  Are currently using an insulin pump

Speak With Your Healthcare Provider

Continuous glucose monitoring systems may require extra training and practice to use the device properly. Speak with your healthcare provider and your diabetes management team to learn more about continuous glucose monitoring and to determine whether CGM would be an effective addition to your current diabetes management plan.

Resources:

http://www.niddk.nih.gov/health-information/health-topics/Diabetes/continuous-glucose-monitoring/Pages/index.aspx

http://www.webmd.com/diabetes/guide/continuous-glucose-monitoring

http://www.joslin.org/info/the_facts_about_continuous_glucose_monitoring.html

http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/checking-your-blood-glucose.html?referrer=https://www.google.com.mx/

http://www.brunet.ca/en/advices/the-importance-of-monitoring-blood-glucose-levels.html

http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/hyperglycemia.html?referrer=https://www.google.com.mx/

http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/hypoglycemia-low-blood.html

http://www.diabetesforecast.org/2014/05-may/anatomy-of-a-cgm-sensor.html?referrer=https://www.google.com.mx/

http://www.fauquierhealth.org/diabetes.diabetes_continuous_glucose_monitoring_right_for_me

Diabetes – Treatment , Complication and Prevention of Diabetes – An interview with Dr Max Pemberton

Diabetes - Treatment , Complication and Prevention of Diabetes - An interview with Dr Max Pemberton
Diabetes – Treatment , Complication and Prevention of Diabetes – An interview with Dr Max Pemberton

A few weeks ago we were delighted to be able to interview Dr Max Pemberton about the key questions many of us has about diabetes.

We covered one of these topics in a post a few days ago because we felt that the definition of type 1 , type 2, type 3 and type 1.5 (as well as gestational diabetes and pre-diabetes)  was important enough to cover in its own post. You can check it out here.

Today we want to look at the treatments and complication of diabetes. So we lined up Max for a few more questions.

Diabetes Treatments

Patient Talk:- What are the treatments available for diabetes?

Max Pemberton:- So in recent years there’s been loads of developments in the way that we manage diabetes. As well as making key lifestyle changes, people with both Type 1 and Type 2 diabetes often need additional treatments such as medication like insulin to control their diabetes as well as things like their blood pressure and their blood fats so that’s their cholesterol.

Complications of Diabetes

Patient Talk:- Would you be able to elaborate on some of the complications of diabetes?

Max Pemberton:- So this is really important and this is why we take blood glucose levels so seriously is because if particularly, people have high blood glucose levels over long periods of time, it can cause really serious physical health complications and they include things like damage to blood vessels so that people are at increased risk of strokes and heart attacks. It can also cause damage to the very fine delicate blood vessels so that can cause problems with people’s kidneys. It can also cause problems with people’s eyesight so a condition called diabetic retinopathy whereby the delicate blood vessels at the back of the eye have problems and it can result in blindness. In fact it’s the leading cause of blindness in the UK. It can also develop things to do with circulation in the legs, for example where people can develop ulcers and in really extreme circumstances the circulation is so bad that people actually have to have their legs amputated.

Diabetic retinopathy and Diabetic foot ulcers

Patient Talk:- Explain what diabetic retinopathy and diabetic ulcers are?

Max Pemberton:- Diabetic retinopathy as I say it’s the leading cause of blindness in the UK so it’s so important that people get checked for this. On the NHS, everybody with a diagnosis of diabetes is entitled to free eye checks and I cannot emphasise enough the importance of going regularly to the optician to get your eyesight checked and make sure that this isn’t happening. If it is happening there’s tweaks and changes that can happen to your medication. Better blood glucose control can help it and various other procedures that doctors can do but it really is absolutely key that people are getting this monitored and also the same with the diabetic ulcers – so foot ulcers where the skin breaks down and forms an open sore and because of the difficulties of circulation they can take a really long time to heal. Sometimes they can be started by very small, tiny cuts or relatively insignificant wounds and one of the problems with diabetes is that some of the change that happens to circulation can also affect the very fine delicate nerves that are in the bottom of the feet so that often people can have damage to their feet – they stand on a drawing pin for example – and because the nerves in their feet aren’t working quite as well as they should do, they don’t actually feel it, they don’t realise that they’ve caused any damage and then that over time can develop into an ulcer. So again that’s why it’s really important that people with a diagnosis of diabetes go regularly to the chiropodist or podiatrist and they are entitled to free foot care on the NHS.

Prevention of Diabetes

Patient Talk:- In terms of lifestyle, what can be done to prevent diabetes? Are there any suggestions or advice?

Max Pemberton:- So there’s a whole range of lifestyle changes that can be made. So losing weight is really important, doing regular exercise, and also if you know family members who have a diagnosis of diabetes already it is important that you go regularly to the doctor to see whether or not you need to get checked to see if you’ve got diabetes. It’s not always obvious when somebody first develops it. The kind of typical presentation, things like feeling thirsty or tired or weight loss, they only happen to about half of patients, the other half have diabetes and they’re not aware of it and it’s picked up on routine screening. If people want more information there’s a website that’s being setup specifically to help people understand this delicate balance that has to take place when you have diabetes between the high blood glucose and the low blood glucose levels and that website is www.diabeteshighsandlows.co.uk

Fear and shame leading to people with Type 2 diabetes risking future life threatening conditions

diabeteshighsandlows.co.uk
diabeteshighsandlows.co.uk
  • Research amongst patients with Type 2 Diabetes on insulin reveals how emotional and psychological factors are negatively impacting their condition
  • A quarter suffer from anxiety over getting hypos (low blood glucose levels) with more than 40% preferring to have high blood glucose levels instead of risking another hypo. This can lead to serious long term health risks
  • A new campaign launches today called ‘Diabetes Highs & Lows: Better Balance for a Better Future’ which highlights how emotional and psychological factors can have an impact on effective T2 diabetes management
  • The campaign includes the launch of a patient support website, DiabetesHighsAndLows.co.uk which is dedicated to helping patients with T2 diabetes better manage their blood glucose levels. The website is developed and funded by Sanofi.

A quarter of people with T2 diabetes feel anxious or fearful about ‘hypos’ (low blood glucose levels), with 42% preferring to have high blood glucose levels instead, despite the risk of life threatening conditions in the future.[i]

The findings also revealed that a significant proportion of patients with T2 diabetes believe that other people think they are to blame (15%), and some patients believe that other people think they are just greedy (14%) 1 . Likewise, 25% of patients with T2 diabetes only tell close friends, family or their healthcare professional about their diabetes, and 58% feel self-conscious or avoid injecting in front of other people, negative emotions are stopping people managing their condition properly.[i]

 Another Sanofi-funded study conducted in adults with Type 1 and Type 2 diabetes in the UK, and  published in the journal Diabetic Medicine, showed even modest improvement in blood glucose control could help prevent almost a million serious medical complications such as eye disease, kidney disease, foot ulcer and amputations, and potentially blindness, which could  avoid billions in future NHS costs.[ii]

With the UK having the worst control of T2 diabetes blood glucose levels in Europe[iii], Sanofi, who conducted the report, is launching a new patient support website to help the 52% of T2 diabetes patients who find it hard to balance their blood glucose levels.[i]

The Sanofi ‘Diabetes Highs and Lows: Better Balance for a Better future’ campaign aims to help people with Type 2 diabetes feel in control and positive about how they can balance their blood glucose levels. A new website, developed and funded by Sanofi has been launched, diabeteshighsandlows.co.uk, which includes key information on recognising and managing blood glucose highs and lows.

[i] Sanofi Data on File 2016. “Highs and lows: better balance for a better future” market research

[ii] Baxter et al, Estimating the impact of better management of glycaemic control in adults with Type 1 and Type 2 diabetes on the

number of clinical complications and the associated financial benefit. Diabetic Medicine (2016). DOI: 10.1111/dme.13062

[iii] Khunti K et al. Study of Once Daily Levemir (SOLVETM) insights into the timing of insulin initiation in people with poorly

controlled Type 2 diabetes in routine clinical practice. Diabetes, Obesity and Metabolism (2012)

Diabetes – so what are Type 1, Type 2, Type 3, Type 1.5 and gestational diabetes? (and pre-diabetes as well)

Doctor Max Pemberton
Doctor Max Pemberton

One of the big confusions, for a lot of people, is what are the different types of diabetes. In fact a lot of people have never heard of type 1.5 and type 3 diabetes. So we though we would ask Dr Max Pemberton who is an expert in this field!

He told us “I think this causes people a lot of confusion. There’s three main ones – Type 1, Type 2 and gestational diabetes and they’re all quite different. Type 1 diabetes is caused by an immune response whereby the body creates antibodies to the cells that make insulin in the pancreas, and it destroys those cells. So people with Type 1 diabetes no longer have the cells that make insulin, and so therefore they have low or no insulin in their blood.

Type 2 is quite different and that’s where the cells in the body have become resistant to the effects of insulin, so their body still makes insulin but the cells aren’t responding to it in the way that they should.

Now, gestational diabetes, that refers to a condition where women who are pregnant can sometimes develop diabetes and it’s just for the time that they are carrying a baby. So when they then give birth the majority of them, the diabetes then sort of passes. It’s really a response to being pregnant and the physical and hormonal changes that take place. People with gestational diabetes are at risk in the future of possibility developing diabetes but it is one of those things at the time, it then does go.

Now there’s these other terms that you mention, 1.5 and Type 3 and to be honest these complicate matters a bit. So all that 1.5 means really, it used to be thought that Type 1 diabetes affected people when they were very, very young and that’s when they first got diagnosed with it, and Type 2 was a result of lifestyle like being obese and so on, and that tended to happen when people were much older. Actually what they realised, that there is a group of people who despite might be relatively normal weight, they don’t have high cholesterol and so on and so on, so relatively physically healthy and yet still it’s often in their 40s or so they develop diabetes. So it’s not clear if it’s because of lifestyle changes, and it’s got a component probably of auto immune to it but it’s just presented much later, so it sits in-between Type 1 and Type 2 so they call it Type 1.2. To be honest I don’t think it is particularly helpful, I think it just confuses people.

Type 3 again I find it a slightly confusing term. It’s used by researchers just to talk about the evidence that shows that in some types of Alzheimer’s, the brain has become resistant to the effects of insulin. It’s just purely one of those scientific anomalies no one really quite understands quite what this means or the implications for either Alzheimer’s or indeed diabetes, but it’s one of these things you hear very occasional, sort of banded around usually within academic circles. It’s not something to worry about. Personally I definitely don’t think about Type 3 diabetes. The main three don’t forget are Type 1, Type 2 and gestational diabetes. ”

We also asked for a definition of pre-diabetes.  Max told up “Although there are three main types of diabetes, there’s also a stage before diabetes and that’s called pre-diabetes. It’s noticed impaired glucose tolerance and it’s a condition where your blood “