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Drop in Flu Clinic 6.30pm to 7.30pm 11th December 2019  - Who needs protection against flu?

Flu is more likely to be serious if you have a long-term health condition, are pregnant, or are 65 or older. Every year in Wales three-quarters of a million people have a flu vaccine. If any of the following apply to you, you are more likely to get complications from flu. So even if you feel healthy, you should have a flu vaccine if:

You are pregnant

You are aged 65 or over

You live in a residential or nursing home

You have a heart problem

You have a chest complaint or breathing difficulties, including asthma that needs regular steroid inhalers or tablets

You have kidney disease

You have lowered immunity due to disease or treatment (such as steroid or cancer treatment)

You have liver disease

You have had a stroke (or mini stroke)

You have diabetes

You have a neurological condition, for example multiple sclerosis (MS), cerebral palsy or post-polio syndrome

You have a problem with your spleen, for example sickle cell disease, or you have had your spleen removed

You have a body mass index (BMI) of 40 or more

Diabetes

Annual review

If you have either Type 1 or Type 2 diabetes  we need to see you at least annually at the surgery in our diabetes clinic.  We aim to make this annual review around the time of your birthday from April 2017 onwards.

Please make an initial appointment called a Step 1 diabetes appointment (20mins) with our Health care assistants, for a blood test and basic measurements.    We also need to send a fresh specimen of urine, so please bring this with you to this appointment if you can.

At your annual review half hour appointment, the first part will be with Helen who will check your feet to ensure that the sensation is intact and you have a good blood supply to them. We can refer you on to a foot specialist (podiatrist) if any issues are uncovered.

After this, you will have a 10 minute review with Anna Reijuterman our Advanced Nurse Practitioner who is a specialist in diabetes.  Anna will look at your results and will decide if we need to do more to help you manage your condition. She will explain the results of the tests and discuss what may be done to improve your diabetes control and reduce the risk of developing future diabetic complications.  Anna will also check to ensure that you are having your annual retinopathy checks (checks to the vessels in the back of your eyes). She will explain when to make your next appointment.

Review usually 6 months after the annual review but can be earlier (Interim follow up)

Please book in with Helen one of our Health care assistants for a Step 1 diabetes appointment (20mins).   If your blood sugar result or blood pressure is high or if you have any concerns, you will be offered a review with Anna our Nurse Practitioner. 

Ask about local courses for Diabetes Type 2 X-pert programmes (3hrs x6 weeks) and Diabetes self management Programme (2.5hrs a week x 6 weeks)  call 01554 899035 or email eppcymru.hyweldda@wales.nhs.uk  (all courses free and NHS organised.) 

Further advice about diabetes can be found at:

http://www.diabetes.co.uk/ 

https://www.diabetes.org.uk

NHS videos for people with Type 1 diabetes

NHS videos for people with Type 2 diabetes

NHS videos for ladies with gestational diabetes

Dietary advice:  There is some discrepancy between NHS dietary advice using the eatwell plate which recommends 1/3 of food intake be from carbohydrates and the low carbohydrate healthy fat lifestyle (LCHF).  Information on NHS current recommendations is found above and information on LCHF lifestyle is found below.  Warning if you are interested in trying the LCHF lifestyle you may need to reduce diabetic medications so please speak with us first.

Low carb programme through diabetes.co.uk

Low carbohydrate diet for beginners

Overview of low carbohydrate lifestyle for people with Type 2 diabetes

Teaspoons of sugar equivalent chart overview

Teaspoons of sugar equivalent chart for breads

Teaspoons of sugar equivalent for breakfast cereals

Teaspoons of sugar equivalent chart for fruits

Increasing physical activity can reduce your blood sugar levels,  please see Wellbeing & Physical activity link on this website

Link to Healthy food eating website here  Public Health collaboration UK (Charity).

 
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