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If you would like help with Stopping Smoking there are free services available locally - click here  http://www.helpmequit.wales/quit-now/

or Text: HMQ to 80818 (to get a call-back), or Freephone  08000852219   for more information or ask any staff to be referred.

Alternatively ask in Boots or Morrisons Pharmacies in Aberystwyth or Borth Pharmacy where this service is also provided free of charge.

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

 
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