On 25th April,  the pharmaceutical company Merck launched their new documentary, A Touch of Sugar, at the Tribeca Film Festival.

The documentary is narrated by the award-winning actress Viola Davis who has a strong family history of type 2 diabetes and who herself is pre-diabetic.

The World Health Organisation has reported that in 2014, 422 million people worldwide were living with diabetes. The majority of these patients, about 90%,  are living with type 2 diabetes.

Type 2 diabetes is now considered by many to be an epidemic and the film, A Touch of Sugar, delves into this chronic condition by telling the story of the many people who have been affected. The film features interviews with patients, family members, doctors, advocates and thought leaders to raise awareness of diabetes, its impact on society and the importance of focusing on underserved communities.

You can watch the trailer for the documentary below:

A Touch of Sugar Trailer from A Touch of Sugar on Vimeo.

A Touch of Sugar is part of Merck’s program,  ‘America’s Diabetes Challenge: Get to Your Goals’ which encourages type 2 diabetics to work with their doctors to reach a number of health goals.

You can reduce your risk of developing type 2 diabetes by maintaining a healthy weight, eating a healthy diet and taking part in at least 150 minutes of physical activity every week. If you have diabetes, speak to your doctor about the lifestyle changes that you can make to ensure that you’re managing your condition effectively.

In St Kitts and Nevis, diabetes is also a major health challenge, you can read about this here

We have started facilitating regular chronic disease self-management courses. These courses have been developed by Stanford University and have been proven to help those living with chronic conditions such as diabetes live well despite their condition.

If you live in St Kitts and Nevis and would like to learn more about managing chronic diseases, you can register to attend our next chronic disease self-management course, by sending us an email.

The black community has a higher risk of developing type 2 diabetes and this increased risk was thought to be due to a combination of factors with genetics playing a significant role.

 In a study recently published in JAMA it has been shown that there is no genetic reason linking black people to an increased risk of diabetes. The increase in risk is due to lifestyle factors like obesity.

This study looked at 4,251 black and white men and women, aged 18 to 30 without diabetes.  Forty-nine per cent were black (2,066 participants) and 54% were women (2,304 participants). Participants were followed for an average of 25 years and over time 504 cases of diabetes were identified – 189 white participants and 315 black partcipants developed type 2 diabetes.

The study found that overall black men and women were more likely to develop diabetes but when they took into account factors like biology, neighbourhood, psycho-social, socioeconomic and behavioural, both black and white people had the same risk of developing type 2 diabetes.  If there was an underlying genetic reason then when all those factors were taken into account then there would have still been an increased risk seen in black men and women.

When exploring what specific factors increased black people’s risk of type 2 diabetes they found that factors that were modifiable were the main culprits – body weight, waist size, blood sugar level, blood pressure and others.

Researcher Prof Mercedes Carnethon said:

“Obesity is driving these differences. The findings surprised us, because for the past 20 years there was a narrative that there must be something we haven’t found that was causing this higher rate. Blacks gained more weight over time. It was the accumulation of this and other risk factors that eliminated the so-called mysterious cause of the disparity.”

The findings for this study are empowering, in a way, as it means that clear steps can be taken to reduce the high risk seen in the black community by promoting a healthy lifestyle with lead study author Michael Bancks stating:

“To eliminate the higher rate of diabetes, everybody needs to have access to healthy foods, safe spaces for physical activity and equal economic opportunity to have enough money to afford these things and live in communities that offer this.”

The focus now has to be on ensuring that more black people live a healthy lifestyle so that health inequalities like this can be addressed. This means delving into the social and economic inequalities which may act as barriers to living a healthy lifestyle.

This week scientists in the Netherlands published the results of their research exploring social isolation and type 2 diabetes. They assessed whether particular aspects of a person’s social network like the size of their social network, how often they are in contact with friends and family, the types of relationships they are in and whether they live alone are linked to pre-diabetes, a new diagnosis of diabetes or a previous diagnosis of diabetes.

Their research looked at people between the ages of 40 and 75 living in the south Netherlands. The study is still ongoing and the aim is to recruit 10,000 participants by the end of the study period.

This current piece of work includes 2861 people with an average age of 60, 57% were not diabetic and 43% of the participants either had pre-diabetes, a new diagnosis of diabetes or had previously been diagnosed with diabetes.

They found that the more socially isolated a person was (i.e. the smaller their social network was) the more likely they were to have a recent or previous diagnosis of type 2 diabetes.  They found  that for each fewer network member in a social group there was a 12% higher chance of being newly diagnosed with type 2 diabetes and a 8% higher chance of having a previous diagnosis in women; in men it was 10% and 5% respectively.

In women they found that higher percentages of social network members living within walking distance and higher percentages of household members were linked to newly and previously diagnosed diabetes.  Researchers concluded that for women “a more centralised social network was associated with type 2 diabetes.”

In men, living alone was associated with significantly higher odds (59% higher odds) of being newly diagnosed with diabetes or being previously diagnosed. In women there was no association between living alone and diabetes.

They also found that a lack of social participation was associated with a 60% higher chance of being pre-diabetic and a 112% higher chance of being previously diagnosed with type 2 diabetes in women. For men a lack of social participation was associated with a 42% higher chance of having a previous diagnosis of type 2 diabetes.

They also found that having more emotional support, practical support and support during sickness were all associated with lower odds of having type 2 diabetes.

What does all this mean??

Simply put, people who are lonely are more likely to develop diabetes. Therefore if we can focus on addressing loneliness we may be able to prevent type 2 diabetes in some people.

It isn’t clear why specifically there is a link between social isolation and diabetes but the researchers feel that their work suggests that:

 “High risk groups for type 2 diabetes should broaden their network and should be encouraged to make new friends, as well as become members of a club.”

Type 2 diabetes is more common in the black community and if we can identify whether  social isolation is also linked to diabetes in the black community then this could be an effective approach to  reducing the high risk in the black community.

The Lake Foundation teamed up with Diabetes UK in early 2017 to deliver a Diabetes Community Champions project in Croydon aimed at the black community.

Diabetes affects 1 in 13 people in Croydon with over 19,000 affected and an additional 6400 people who don’t know they have it. Diabetics are three times more likely to develop renal failure, 2.5 times more likely to develop heart failure and twice as likely to develop stroke. Additionally, in Croydon, 38% of amputations are in diabetics and 14% of sight loss occurs in diabetics.

There are a number of high risk groups in Croydon including the black community who are three times more likely to develop diabetes than their white counterparts and hence there is a need to focus on this community.

Diabetes costs Croydon £123.7M per year, these costs are related to treatment, management of complications and wider societal costs such as informal care, social care and lost productivity.

Through out project 17 diabetes community champions were recruited and trained and they have been able to reach hundreds of people with the key messages about diabetes and its prevention. The Lake Foundation has now moved to the Caribbean and Diabetes UK is continuing with this work. A full report will be available in 2018 but you can read a short update here.

The Lake Foundation has teamed up with Diabetes UK to run a 12 month Diabetes Community Champion project in Croydon that is aimed at the African and African-Caribbean community.   Through this project we’re hoping to raise awareness of diabetes and how it can be prevented, and for those with diabetes, provide information on  how best to manage their condition and secure better health outcomes.

We’re currently looking for volunteers to take on the role of Diabetes Community Champions.

Diabetes Community Champions will raise awareness of diabetes and this may involve giving presentations, hosting information tables at events, distributing leaflets and information, taking part in local radio interviews, writing blogs and exploring creative ways of engaging with the black community.  In addition volunteers, if interested, can work with local GPs to identify pre-diabetics and work with them on a one-to-one basis to reduce their risk through a behaviour change programme.

Community Champions can dedicate as much time as they are able to this project, but ideally we’d like volunteers to commit to at least 1 – 2 days a month to ensure we can make the most impact possible.

Full training will be provided to all volunteers.

If you’re interested in being a Diabetes Community Champion, please complete an online registration form here or email info@thelakefoundation.com for more information.

The Lake Foundation is delighted to announce that we have received a grant from Croydon Council to work in collaboration with Diabetes UK to run a Diabetes Community Champion project in Croydon

This grant will support the cost of running this project for a year which aims to raise awareness of diabetes amongst the African and African-Caribbean community in Croydon who are three times more likely to develop the condition. The project’s focus will be on encouraging people to make lifestyle changes to reduce their risk of developing diabetes and this will involve raising awareness throughout Croydon and also working closely with pre-diabetics.

We’ll be recruiting Diabetes Community Champions who will be fully trained and will become the lifeblood of the project by getting out in the community to reach as many people as possible.

We are very grateful to Croydon Council for supporting us to tackle this very important health issue in the black community and we look forward to working with Diabetes UK.

If you’re interested in becoming a Diabetes Community Champion, please email info@thelakefoundation.com for more information.

This week researchers from the University of Otago in New Zealand published the results from their study which showed that taking a short walk after a meal may be effective in controlling the blood glucose levels of type 2 diabetics.

The researchers conducted this study to expand on the current advice that regular physical activity is effective in diabetes management. They wanted to determine whether the timing of  physical activity in relation to meals enhances the benefit of physical activity.

How did the researchers explore this?

To explore this, researchers conducted a study with 41 adults with type 2 diabetes. Participants either took part in 30 minutes of physical activity every day or were advised to walk for 10 minutes after their main meal. Both of these scenarios met the t physical activity guidelines for people with type 2 diabetes.   The blood glucose level of participants was then  measured 3 hours after each main meal.

What did they find?

The researchers found that  blood glucose levels were 12% lower when participants had walked after their meals compared to if they had just carried out physical activity once a day.  They also determined that the improvement was enhanced after the evening meal (22%), as this is the meal where the most carbohydrate is eaten and when people are more inactive.

What were their conclusions?

The study concluded that

“The benefits relating to physical activity following meals suggests that current guidelines should be amended to specify post-meal activity, particularly when meals contain  a substantial amount of carbohydrate.”

The importance of this research

The black community is three times more likely to develop type 2 diabetes than their white counterparts and the African and Caribbean diet tends to be quite rich in carbohydrate so this research is helpful for black type 2 diabetics in understanding how they can manage their condition.

As well as following your doctor’s advice on the type of diet you should be consuming, as a type 2 diabetic, make sure you are engaging in enough physical activity and from the results of this research, taking a short walk after your main meal appears to be of benefit.

Reference

Reynolds, A.N., Mann, J.I., Williams, S. et al. Diabetologia (2016). doi:10.1007/s00125-016-4085-2

A study published yesterday by the Harvard T. H. Chan School of Public Health has found that a plant-based diet significantly reduces a person’s risk of developing type 2 diabetes, especially if that diet is rich in quality plant foods such as whole grains, fruits, vegetables, nuts and legumes.

The study found that just moderate changes in a person’s diet can lead to significant reduction in risk. They found that  people who maintained a plant-based diet that was low in animal foods were 20% less likely to develop type 2 diabetes and those that consumed a healthy version of a plant-based diet were 34% less likely to develop type 2 diabetes.

This study is very important to the black community as our community is at a higher risk of developing type 2 diabetes. The Lake Foundation encourages everyone to turn towards a more plant-based die to reduce their risk of this condition.

It’s World Health Day today and the theme is ‘Beat Diabetes’ with the World Health Organisation calling for global action to halt the rise in and improve care for people with diabetes.

The WHO reports that the number of people living with diabetes has almost quadrupled since 1980 with 422 million adults worldwide living with this condition.

As part of WHO’s work to tackle diabetes, they have published their first global report on diabetes. The report calls on governments to develop strategies that would enable their citizens to make healthy choices and to ensure that health systems are effective enough to diagnose diabetes early and care for people with the condition. It also encourages everyone to make the personal decision and commit to living a healthy lifestyle, so eating healthily, being physically active and maintaining a healthy weight, all of which can reduce risk of developing diabetes.

Diabetes is more common in the black community and it’s very important for the black community to pay attention today and follow all the advice being issued by organisers of the Beat Diabetes campaign – eat healthily; be active; if in doubt, get checked; and if you have diabetes, follow a treatment plan so you can live well.

You can download WHO’s full report below.

Yesterday, NHS England announced that up to 100,000 people in England will be offered places on their new diabetes prevention programme to stop them developing type 2 diabetes.

The programme will start this year in 27 locations offering 20,000 people the opportunity to enrol in the programme. The programme will be rolled out across England by 2020 giving up to 100,000 people access to this programme.

The NHS’s programme will give tailored, practical support to reduce a person’s risk of developing type two diabetes. This will include education on healthy eating and lifestyle, weight loss advice and tailored physical activity programmes.

The programme has been piloted in seven demonstrator sites over the past year. They  have been testing approaches to delivering  the programme and the results of this work has shaped the final programme to ensure the best results for patients.  The seven demonstrator sites are: Birmingham South and Central CCG, Bradford City CCG, Durham County Council, Herefordshire CCG/LA, Medway CCG/LA, Salford CCG/LA and Southwark Council and CCG.

We are delighted to hear of the rollout of this programme. The black community is at a higher risk of developing diabetes when compared to their white counterparts and this programme will be of huge benefit to our community. We strongly encourage the NHS to engage effectively with the black community and we strongly recommend that black people take part in this programme.

You can read more about NHS’s new Diabetes Prevention Programme here