What is Diabetes?  
Diabetes is a serious chronic condition that can affect the entire body. According to the National Health Survey 2017-2018, 1.2 million people are affected by Diabetes in Australia. Approximately one in six Australians over the age of 25 have prediabetes.  

Diabetes requires daily self-care and can have a significant impact on the quality of life and reduce life expectancy. There is no current cure for diabetes but you can minimise impacts on your quality of life through early diagnosis and effective treatment.  

There are 3 Main Types of Diabetes 

• Type 1 Diabetes – is an autoimmune condition in which the immune system is activated to destroy cells in the pancreas, resulting in decreased insulin production.  Type 1 diabetes is not linked to modifiable lifestyle factors, there is no cure and it cannot be prevented. This tends to be diagnosed during childhood.
• Type 2 Diabetes – is a condition in which the body becomes resistant to normal effects of insulin. The pancreas gradually loses the capacity to produce enough insulin. Type 2 diabetes can be caused by a combination of genetic and lifestyle factors.
• Gestational diabetes – it is diagnosed when higher than normal blood glucose levels first appear during pregnancy. This is the fastest growing type of diabetes in Australia. All pregnant women should be screened for gestational diabetes.  

If you have any of these symptoms do not hesitate to ask your GP by simply booking an appointment using the link below

Prevention 
Type 1 diabetes cannot be prevented.  
People at risk of type 2 diabetes can delay or even prevent the condition by:

• Maintaining a healthy weight 
• Regular physical activity 
• Making healthy food choices 
• Managing blood pressure 
• Managing cholesterol levels 
• Not smoking. 

Early diabetes often has no symptoms; therefore, screening is vital. Your GP can organise a diabetes risk assessment. Everyone over the age of 40 should be having a diabetes risk assessment at least every 3 years. Your GP will take a medical history and physical examination and may recommend a fasting blood test. Some people should have screening earlier in life or more often, your GP can advise if you fall in to a higher risk category.  

If diabetes, or pre-diabetes, is diagnosed, a dietitian and an exercise program are invaluable tools in diabetes management.  

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Have you met your local NUVO Health clinic in-house Dietitian? 

The Lifestyle Dietitian are a team of compassionate Accredited Practising Dietitians here to help you at NUVO Health. They are dedicated to supporting you in managing your health conditions through food and nutrition. Each of our Dietitians work across a range of health areas (including Type 2 Diabetes, insulin resistance, heart disease, weight management, PCOS, gastrointestinal conditions and hypertension) and recognise that patients are all unique with their own health goals and challenges. They are dedicated to understanding your individual circumstances and empowering you to make sustainable health behaviour and lifestyle change.  

If you would benefit from individualised dietary advice and support from an Accredited Practising Dietitian, book an appointment with one of the Dietitians from The Lifestyle Dietitian online or in-house at your local NUVO Health clinic. If you have private health insurance cover or a Medicare plan you may be eligible for rebates on your appointment.  

For a limited time, the team at The Lifestyle Dietitian are offering $50 off for your first appointment. 

RECIPE:  

Are you looking for a simple diabetes-friendly recipe that isn’t just nutritious but also delicious? The team at The Lifestyle Dietitian have put together an easy recipe to help manage your blood sugar levels whilst still enjoying a satisfying meal. 

Healthy Burrito Bowl 

With plenty of flavour, zest and spice, this recipe will soon become a family favourite for “Friday Fiesta” nights at home! 

Ingredients: (Serves 6) 

• 500g extra lean beef or pork mince 
• 1 tbsp smoked paprika 
• 1 tbsp garlic powder 
• 1x 400g can black beans, drained and rinsed 
• 1x 400g can corn, drained and rinsed 
• 1 red onion, chopped 
• 1 red capsicum, chopped 
• 2 fresh tomato, chopped 
• ½ bunch fresh coriander, chopped 
• Extra virgin olive oil 
• 1 avocado  
• 1x lime  
• Basmati rice, to serve 
• Chilli flakes (optional) 

Method: 

1. Cook the rice according to the instructions on the packet and set aside.  
2. Heat a large fry pan over medium heat. Add 1 tbsp olive oil and cook mince for 1 to 2 minutes. Add the paprika and garlic powder and continue cooking until golden brown.  Add the black beans and stir for a further 1 to 2 minutes until heated.  
3. Heat a second large frying pan. Add 1 tbsp olive oil with the red onion, capsicum and corn. Cook until slightly charred.  
4. Make the guacamole in a separate bowl by smashing the avocado with the juice of half of the lime. Mix in chilli flakes if using. 
5. To assemble, arrange the rice, vegetables and meat and bean mixture in individual bowls (see image). Top with fresh tomato, coriander and guacamole. Slice the remaining lime into wedges and add to the bowls. Enjoy! 

After more tips for controlling blood sugar levels through good food? Learn these simple swaps when cooking or try a new Dietitian-approved healthy snack this week. Click here to read more articles and recipes written by our team of Accredited Practising Dietitians from The Lifestyle Dietitian 

Kind Regards,
The team at Randwick Doctors Medical Centre

Sources: 
https://www.diabetesaustralia.com.au/ 
https://www.abs.gov.au/statistics/health/health-conditions-and-risks/national-health-survey-first-results/latest-release 

Don’t forget to get your travel vaccinations so that your trip is enjoyable and free of adverse health concerns!  

By getting vaccinated, you are protecting yourself against infectious diseases while you’re traveling. It also helps to ensure that you don’t bring infectious diseases home to your family and friends. 
https://wwwnc.cdc.gov/travel/destinations/list

Did you know that different countries have different vaccination requirements? 

We recommend that you visit your GP to get your vaccination at least 6 to 12 weeks before you leave Australia. You may need several doses of a vaccine to achieve full immunity and your body will also need time to develop full immunity. 

Get medical advice from your GP 

Your personal situation can affect your health risks overseas. You need medical advice tailored to you, even if you’re usually fit and healthy. 
Only your GP can advise what vaccinations and preventative health measures you should take. See your GP to find out what is right for you. 

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References: 
https://www.health.gov.au/health-topics/immunisation/when-to-get-vaccinated/immunisation-for-travel 
https://www.smartraveller.gov.au/before-you-go/health/vaccinations?#vaccinations 
https://www1.health.gov.au/internet/main/publishing.nsf/Content/ohp-humanbiosecurity 
https://healthwaymedical.com/travel-vaccinations-why-is-it-important/ 
https://wwwnc.cdc.gov/travel/destinations/list 

Dear Patients, 

Hope you are well. Autumn has arrived so has the start of the flu season. Although we could get flu at any time of the year, the spread is more prevalent when the weather cools down. The peak of flu season in Australia is usually June to September.  

The last two flu seasons have been unusual in Australia due to the covid-19 pandemic; we have not seen many influenza cases and there has been lower uptake of the vaccine. Now that the borders are open and life is returning to normal, health experts are predicting a more severe flu season in 2022.  

What is the flu or Influenza? 
The Flu or Influenza is an acute viral illness. It is a highly contagious disease that mainly affects the respiratory system. It is caused by influenza viruses classified as type A, B or C. Only influenza A and B viruses are included in seasonal influenza vaccines as they cause the majority of disease in humans. 

How the virus spreads?  
Influenza spreads easily, mainly through large particle droplets produced by sneezing and coughing. Droplets containing the influenza virus also settle onto surfaces, and the virus can then pass from hands to the nose, mouth or eyes. People with influenza can be infectious to others from 24 hours before symptoms start until 1 week after the start of symptoms. In previously healthy individuals, symptoms typically subside within 5–8 days. 

Symptoms 
Influenza symptoms usually have a sudden onset. The most common symptoms are:  

• fever  
• dry non-productive cough  
• nasal congestion  
• headache  
• sore throat  
• body aches, fatigue and feeling generally unwell          

Older adults and young children can be more severely affected and develop atypical symptoms.  

Prevention 

• Vaccination is the best protection against influenza and its complications 
• Practising hand hygiene and cough etiquette (such as covering the nose and mouth when coughing or sneezing) can help reduce the chances of getting and passing on the influenza virus.  
• People who are sick with influenza should stay home from work, school and social gatherings to prevent close contact with and transmission to other people. 

Why is it necessary to receive another dose of the influenza vaccine each year? 
The influenza virus changes frequently. Each year, the dominant strains differ and a new vaccine is created to target the current strains. The vaccine is most effective for the first 3-4 months after vaccination (though it is expected to continue to offer some protection after this period).  

Can influenza vaccines cause the influenza? 
There is no live virus in the influenza shot, so you cannot get influenza from the vaccine. The vaccine can cause some mild “flu-like” side effects such as body aches, fever and fatigue which may be mistakenly thought to be an influenza infection. 

Who should be vaccinated? 
Annual influenza vaccination is recommended for all people aged ≥6 months unless contraindicated (refer to link for Contraindications).  

Influenza vaccination is strongly recommended for anyone travelling overseas in 2022.  

Free vaccine 
There are a number of groups that are at increased risk of influenza and its complications. Influenza vaccination is strongly recommended and funded on the National Immunisation Program for the following groups:  

• Children 6 months to 5 years of age 
• Aboriginal and/or Torres Strait Islander people 
• Pregnant women (during any stage of pregnancy) 
• Adults ≥ 65 years of age – this age group receive different version of the vaccine which is designed to increase the immune response to the vaccine  
• All individuals aged ≥ 5 years with medical risk conditions (Please refer to link)  

If you are not eligible for the free vaccine, the cost of one vaccine is $25.00. 

To book an appointment, please click the button below. 

Kind Regards, 

The Team from Randwick Doctors Medical Centre

Sources:  

• Influenza vaccines for Australians: https://www.ncirs.org.au/sites/default/files/2022-03/Influenza-fact-sheet_March-2022%20update_FINAL.pdf 
• Seasonal influenza vaccination 2022: https://www.health.nsw.gov.au/immunisation/Pages/flu.aspx  
• ATAGI Statement on the Administration of Seasonal Influenza Vaccines in 2022: https://www.health.gov.au/sites/default/files/documents/2022/02/atagi-advice-on-seasonal-influenza-vaccines-in-2022.pdf  

Dear Patients,

With the change of seasons into Autumn, the team from Randwick Doctors Medical Centre would like to share some information on Vitamin D to ensure you maintain your optimum health to live your best life.  

What is Vitamin D? 

Vitamin D is a nutrient you need for good health. It helps your body absorb calcium, one of the main building blocks for strong bones. Together with calcium, Vitamin D helps protect you from developing osteoporosis, a disease that thins and weakens the bones and makes them more likely to break. Your body needs Vitamin D for other functions too. Your muscles need it to move, and your nerves need it to carry messages between your brain and your body. Your immune system needs Vitamin D to fight off invading bacteria and viruses. 

Sources of Vitamin D 

Small amounts of the Vitamin D you need can be obtained through food (about 5 – 10 per cent).  

• Vitamin D is added to many breakfast cereals and to some brands of orange juice, yogurt, margarine, and other food products. 
• Fatty fish (like trout, salmon, tuna, and mackerel) and fish liver oils are among the best natural sources of Vitamin D. 
• Beef liver, egg yolks, and cheese have small amounts of Vitamin D. 
• Mushrooms provide a little Vitamin D. 
• Ultraviolet (UV) radiation from the sun (90%). Your body makes Vitamin D when your bare skin is exposed to the sun. Most people get at least some Vitamin D this way. However, clouds, pollution, old age, and having dark-coloured skin reduce the amount of Vitamin D your skin makes. Also, your skin does not make Vitamin D from sunlight through a window.  

What happens if I don’t have enough Vitamin D? 

Factors such as lockdown, working from home, decrease in exercise and outdoor activities have may lead to Vitamin D deficiency.  

Vitamin D deficiency does not always have obvious symptoms but without treatment there can be significant health effects. These can include bone and muscle pain and softening of the bones – such as rickets (in children) and osteomalacia (in adults) which can make bones easy to fracture or break.  

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Which adult groups are at high risk of Vitamin D deficiency? 

• Older or disabled people in low-level and high-level residential care, particularly those who are housebound, hospitalised community-dwelling geriatric patients. 
• Dark-skinned people of either sex 
• People with a disability or chronic disease (eg: multiple sclerosis) 
• Fair-skinned people and those at risk of skin cancer and avoid sun exposure 
• People working in an enclosed environment, such as office workers, factory or warehouse workers or night-shift workers. 

Do I need a Vitamin D Test? 

Vitamin D deficiency is done through a simple blood test by measuring a form of Vitamin D in your blood named 25-hydroxynitamin D (25-OHD).  

You may need a Vitamin D test if: 

• you are at risk of Vitamin D deficiency or 
• you have abnormal levels of calcium, phosphate or magnesium in your blood 
• you have bone problems 
• you have diseases that might result in, or be caused by, too much or too little Vitamin D  
• you have problems with your parathyroid gland 

Please check with your doctor whether you need a Vitamin D test. 

Source: National Institutes of Health 
Source: Health Direct 
Source: The Medical Journal of Australia

Best wishes,

The Team from Randwick Doctors Medical Centre

Dear Patients,

The team from Randwick Doctors Medical Centre hopes you are staying safe and well, especially for those who are going back to the office or school. With the wide adoption of Rapid Antigen Tests (‘RAT’), following are some basic information about RAT from the NSW Health Department.  

Rapid Antigen Test (RAT) 

What happens if I get a positive RAT result? 

If you get a positive RAT result and unsure of the next step, you may follow the guideline below. 

Test result	Symptoms	Exposure risk	Next step
		Known or unknown contact	You are a confirmed case, follow the advice for people testing positive for COVID-19
	Or	Known high risk or household contact	You are a confirmed case, follow the advice for people testing positive for COVID-19
		No known contact	You may be a confirmed case. Take another rapid antigen test within 24 hours or have a PCR test

What type of RAT should I use? 

The Therapeutic Goods Administration provides a full list of RAT kits approved in Australia and how to use each one correctly. Please refer to https://www.tga.gov.au/covid-19-rapid-antigen-self-tests-are-approved-australia 

How do I use a RAT kit? 

Each RAT differs slightly so please follow the instructions of the RAT you are using. NSW Health has provided a quick video on how to use a basic nasal test. Click Here to watch the video.  

Can I eat or drink before using a saliva sample RAT? 

The answer is, “No. NSW Health recommends you do not eat, drink or brush your teeth for at least 30 minutes before doing a saliva rapid antigen test. This will ensure a clean sample is taken.” 

For full information on RAT for Covid-19 from the NSW Health, please refer to: 

https://www.nsw.gov.au/covid-19/stay-safe/rapid-antigen-tests-for-covid-19

How do I register a positive RAT result? 

From 12 January 2022, people who test positive to a Covid-19 RAT at home must register with Service NSW. You do not need to register if you have had: 

• A negative or invalid RAT result 
• A positive PCR test in the 28 days before your positive RAT 

To understand your eligibility, what you need and how to register, please refer to: 

https://www.service.nsw.gov.au/transaction/register-positive-rapid-antigen-test-result

Booster Eligibility 

You are eligible for a booster vaccination if you: 

• are fully vaccinated (have received 2 doses of a COVID-19 vaccine), 
• are aged 16 and over, and 
• have received your second dose of a COVID-19 vaccine at least 3 months ago. 

For further information please see the NSW Government website Here. 

Welcoming New Doctors at Our Practice 

Please join us to welcome our new doctor in the clinic. We attached his bio and area of special interest.  Please do not hesitate to contact us should you like to know more about our doctors or book an appointment Here.

Please take care and stay safe.  

Best wishes, 

The Team from Randwick Doctors Medical Centre