p1 cree diabetes intro - dr6j45jk9xcmk.cloudfront.net · qhnbhtnlnmu(diabetes) nmgylnmu lnhp l pgnm...

1

(Diabetes)QhnbhtnlnmUnmgylnmU

lnhp l pgnm j<lovhdj gigyv.G bn,p , Qhnbhtnln,G ?*

• gwi cnhge>• gwi qwj>• bf (pwco> i<g x; mExco>) hgsaE;ihiMG

• .Kt bL<;M> i<g ep hpl Kxhinm mgyv.>

• cxjwkx>• gwi nbLE mf> h .v n,xpH pxo> ,h ,j tucoG cfy , Us;mH

• ,yvfJkU i<g x; , bxfcokU ,h ,j gw jlj

• vvMcoG i<g ,h ,nm oMsMG .vvH i<g .MfH

• pa> ,h ,j gw vydoH .t<f;T i<g x; ,h jnuE ,j bcvgG

boj h v<g.fJvH ep ewgnbH , bkvH

wnbhtnlnmoo> hj av boegyU] bktmnhH

b;Mnmp h uvgvH jv pgn, j<lUgrH ,

QhnbhtnlnmLH

*

hj jxvgonbU p yh .y QhnbhtnlnmU?

.y hmw hEj.vH ,nho ,dogjH cfy

pphvfJd i<g jv pphvgG h mgvlG

QhnbhtnlnmU ,h jv ;MnhfG i<g

gwijv bkvG ,nho lsgH jv nbnmvm-

fJG] ,;. hl<jtn,nmpN

ep x; j ak; uvm;U .y .vN .g .Ud#. 800]000 gwnbH h uvm;vH Qhnbhtnlnmoo>N

lnhU boy QhnbhtnlnmU?

akH h mgMpdH QhnbhtnlnmU (Type 1 Diabetes) , bnbwwnmG bn,p .v bk> i<g , bf .CxjG ,nho yh n,v mfG .y> ,h , fxkG .yElH t;o>N .yElH t; ,nho n,v nbnmvmn,yhH Qh> h mgnhH jt;HN jknmH xv .vco> .yElH t; nmvmn,yhH t;H ,h jv .KtcoH Qhnmt;N .w.yhU Qh> jknmH x; lnhU h tvkHlv .v yEhnmMkU ,; yh Ugn,ognhU jv nmvngyhH .yElH t;H .vN 10 % t<hnbhonbnpH bn,ohpH , j<hjH Qhnbhtnlnmoo> h Ugn,og;MvH jv v<g.fJvHN ep yh j<lUvhdH gUd .vcoH .y i<g gi lsvhdH jv nmvgonbHN ep nmp bn,p h wnboj , tvG .vco> .yN .; .ro> h bkvH Ugn,og;MnbH jv v<g.fJvHN

90% yh j<hnyH ,h hv<g.fJponbH snm qhnbhtnlnmU 2 (Type 2 Diabetes) h mgMpdH boy yh n,vj .yH ep fxbkU .yH .yElH t;o> i<g x; nmknmH ep jcjgbT .yElH t;N qhnbhtnlnmU 2 bf bk> cfy , bf jWbknmG q;V bf t<hnbhonbnpH bnbwqH , j<hjH ynbV h mq jfyjcoH mgn-moHN h j<hjH 2 QhnbhtnlnmU hj hEjgnbH jv tuyfmfJvH jv pphvgvH h mgvlvH i<g jv bkvvH gwiN ,; yh i<g Us;up h bcvgvH b<h> v<g.fJnbHN nmpgn, j<logyi .y fcvenm yMpmhoH av pgn, j<log 2 QhnbhtnlnmU h mw boevhdH “Staying Healthy - Managing Type 2 Diabetes” h bwg;nl> .gN

, j<hnbnbJG m<nl> pj<h> j<hT Qhnbhtnlnmoo>N 3.7 % lhG tMn, .y mfnbH m<nlnbH ,; yhnmp .d moonmb<jH 18% .y yh , mfG bnb m<nl> ohU mdl yE;V hf j<jhnyH Qhnbhtnlnmoo>N

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Content taken from the Canadian

Diabetes Association’s consumer

fact sheet, Diabetes.

2

QhnbhtnlnmU - nmgylnmU

;<gdUgnhU p .y QhnbhtnlnmU? ,h nhk<H , pphvmfJG bn,p h QhnbhtnlG tFngkH h mw yoco> nmknmH gxE;V:

• .dnmnb<xinmU h .vxf;G bn,p ,h , oMsMG nmknmH

• tdfnhJnm pph> b;MnmU• t<jw;H pph> b;MnmU• pa> ep j vyJ> m<nlnb ,nmFnbG (Erectile dysfunction)

• h .v oMsMkU ep hf bcfMyhU tMn, x; mw jknmH

nhk<H yh bn,p , pphvmfJG ep nbLE h mw yoco> nmknmH fxsgl – tMn, lnhp hj bktb> h Us;uonm bcfMGN

lnhp ynbV poKiUgnhj .g QhnbhtnlnmoH ? 40 ,gfxAiMkU i<g x; bnbMd] j piKog;MU jv bkkU 2 QhnbhtnlnmU] jUgn,og;MU jv pgn, j<logyU gs o<s xAUN q;V nmcV x; h pgn, j<lot;nmg":

• boj ynbV h yhdnbqlvH i<g h .KnbKlvH uvm;nbH Qhnbhtnlnmoo> gxE;V: jpp>] yhdnmkKH] mEcoE moonbH i<g ;gjkH yUdnbH

• hog tfJG bn,p – boj ynbV h yhgLvH .gnbH h mw gvncgLvH

• jqExU jojnhH] jvqpH] jt< , bknl Qhnbhtnlnmoo> i<g jp hj bk>

• jqExU lggnmU nbLE mfkU gxE;V jEjw;H] h .voMsMkU jknmH i<g jdfnhJ>

• ,ognmjG jvvwT p<xV yh ,;M;fG ,fcaE;oH bnbMd 4 kg qH (9 lbs) mgsxE;o;MG

• jqExU , jEhyU QhnbhtnlnmU rnhV ,j<;nbnbJkU

• , t<hhnmkU , .Kt yocoG jQhT jknmH rnhV , ppgn, j<lovhdH ,nho n,v m<coH bq" , QhnbhtnlnmkU

• , mEchtnlkU

• , syhtnlkU i<g x; ;gjk xtk

• i<g x; bq" .y hj mw t<h;nbci:

t<ckn,kxH , t<jhdH , b;MkU

, cc<dnm ovhqlkU

,h ,nm bf tucoG .tsiUvhoH bn,p

1

QhnbhtnlnmU nmvmn,nmplnbnmvm;kU lnhp QhnbhtnlnmoH

h QhnbhtnlvH rt<gm hm<com;nbH lnhp , nqxlvH bcvgnmo lnhp i<g Us;upN

mgnhU lsgyU jv n,vcom;kU] hdclog;MvHN

.Ejw;nm bs<lnmp

.g .v fcmhdnb: .Ud#. b;Mnm bs<lnmp] b;Mnm yMpmhU dbyoE (Ontario Health Insurance Plan (OHIP))

bn,ohU yh dclog;MG?

h b;MvH 65 hgsxAiMvH i<g x; bnbMd] hb;MvH 19

hgsxAiMvH i<g x; DcwEN

h b;MvH 20 xoE 64 ,gfxAiMvH .. b;Mnmp h bkvH:

QhnbhtnlnmU] tMn, h bmwpnhj t<jw;nm b;Mnmp h

yocom;ponbjN

tMn, h b;MvH ep nbLE , gfxAiMvHN

.g ,w pgn, j<log lnhp:

• ServiceOntario: 1-800-268-1154 .Ud#. b;Mnm bs<lnmp] (.Ud#. b<j x; .v)N s$Us: 416-314-5518

• i<g x; .g ,wn,cb www.health.gov.on.ca/english/public/pub/ohip/eyecare.html

l; b;Mnm bcvgnmp?

gs 12 oQqC xMT h pphvgonbooj .Ejw;nbnb] ;gjk

pphvmn,nmpN

h tsoMnm pphvgonbj tEjwnh jv Us;uU h hpnbcgH]

gs 12 oQqC xMT] ;gjk pphvmn,nmpN

hmw bmUs;m<H Us;.;nmkU ;gjkH Us;upHN

2

QhnbhtnlnmU nmvmn,nmp - b;Mnm bs<lnmoH h.v nmvmhnmkU mgnhnp .g nmgylnmp hQhnbhtnlvH .v

jUs;uoy i<g bcvgnmp

.g .v fcmhdnb: jv .jyH h .vcoH b;Mnm bs<lnmU h .v pphvmvH h jv b;MvH (Ministry of Health and

Long-Term Care)] .Ud#. Us;up h mw ccjfohdj dclog;MnmU (Ontario Drug Benefit Plan (ODB))

.g .v fcmhdnb: .Ud#. b;Mnm bs<lnmoH] h pphvbvH h b;Mov] s%$OkT Us;up h .v fcmhdj tp ;gH bs<lnmU (Trillium Drug Program)

bn,ohU yh dclog;MG?

h b;MvH nmvmn,nmoH h .v .FjtvH i<g x; 65 ,gfxAiMkU ,ExtH mwN

bn,ohU yh dclog;MG?

,h hj fx fcbjH .Usjoenbnb bg , bcfMvH] jfc,U jUs;uoy hpgn, j<jhd> gUd l mw n,vm;kU gi<com;kU jgcfMnm fcby;nmoHN

l; b;Mnm bcvgnmp?

Qhnbhtnlnm bcvgnmp] v<gmhp i<g v<gmhpA"] Qhnbhtnlnm Us;up h .v ;vcongkU] hmw cjgwhnmgkU jt;N

nmgylnmU: jqExU 65 ,gfxAiMkU i<g x; bnbMd] .Ud#. Us;uoH h .v fcmhdj] $16,018 ,o;H mExDH jfcby;MnmU i<g x; bnbMd i<g x; , yynmprH jnmjyhU $24,175] 100 nbg" bUg h .v .vxvhd> o<gT ak; xAUN jEnh yh $6.11 x; hfc,U jUs;uoyN jqExU yh nmp DcwE ,mgnhH $16,018 i<g x; , yynmohdH jnmjyhU $24,175 ep hUgn,og;MU jv cjfpH QokU o<gT onqg" $2.00 x; hfc,U jUs;uoyN

QhnbhtnlnbH b;Mnm bcvgnmp oxdMpdnb .g .Ud#. b;Mnm Us;up h mw phgn,Uvhdj:

• h ;vcongnonbj Us;up (Oral antidiabetic agents)

• v<gmhpAk (Insulins)

• t; h mw cjgwhnmgonbH bcvgnmp (Testing strips)

l; b;Mnm bcvgnmp?

h QhnbhtnlvH .gcvgonbnb] v<gmhpAk] v<gmhp]

Qhnbhtnlnm Us;up (hypoglycemics)] jt; h mw cjgwhnmgkU , ppgn,j<logyU (blood testing strips)N


• jGfgnmoH .v pgn, j<logy dclog;Mnbi] ;gjH h mw pphvgonbj nbxMG ,w pgn, j<logN .g ,wn,cb: www.mcss.gov.on.ca/mcss/english/ministry/regionaloffices

• Us;up h ccjfpG Us;uoht;H

• i<g x; .g ,wn,cb www.health.gov.on.ca/english/providers/program/drugs/odbf_mn.html


• 1-800-575-5386

• i<g x; .g ,wn,cb www.health.gov.on.ca/english/public/pub/drugs/trillium.html

3

.g .v fcmhdnb: .Ud#. b;Mnm bs<lnmp] h mw pphvmvH h jv b;MvH i<g y<jMnm bcvgnmp (Assistive Devices Program (ADP))

.g .v fcmhdnb: .Ud#. b;Mnm bs<lnmp] h jv b;MvH h mw pphvmvH] h y<jMvH bcvgnmp] QhnbhtnlnmU jv bc<lnmoH h .v cjfohdj (Canadian Diabetes Association)

bn,ohU yh dclog;MG?

h b;MvH 65 hgsxAiMvH i<g x; bnbMd] h v<g.fJvH gwiN

bnbwqH] .EhfKH] jWbknbH (type 1 diabetes) QhnbhtnlnmU h bkvH h dclog;MvH] xgy h ppgn, j<lothnmU] Qhnbhtnlnmp h bcfMhgjH Us;uonm bn,ohpHN

gwi h avmsdvH h QhnbhtnlvH i<g nmpnb> h pgn, j<loyhonbnpH jv dclog;MnbnlN

l; b;Mnm bcvgnmp?

$170 ,o;H tphnbU bn,p jv fcbH v<gmhp] v<gmhpA" h v<g.fJvH .vN

• boy nmp xgn,qhH h cjfohdH v<gmhonm bcvgnmU bnb bn,ohU nmp tMn, fc.efphonbU .ro> bcvgnmoo> $6,300 mgjgefphonbU bg .g .Ud#. b;Mnm bs<lnmoH , .vcoHN

• gs okpU xAU yh pphgn,ovhdnb .. jqExU ,h tucol QokoH h .v pphvgonbjN

• $2,400 ,o;H htoH bn,p hdclog;MG Qhnbhtnlnm bcvgnmp ,fcbH h .v nmvmG] inb yh cjfphonbU $600 ,o;H i<g toyhonbnp h .v nmvmG] .y yh xgn,qhH Qhnbhtnlnm v<gmhp bcvgnmp .v] jv .v tucojN

bn,ohU yh dclog;MG?

h QhnbhtnlvH h v<g.fJvH i<g h QhnbhtnlcovH h

jE;bnbJvHN

l; b;Mnm bcvgnmp?

• lhG bnbMd 75% yynm fcmhd> yh mgjdj h .v j<logyU gi<coH jQhT bcvgnmU $75 mgjd> i<g boy h bktyhH .y snm bcvgnmU QhnbhtnlnmU h vj jj<lUvhdH bcvgnmU ,nho yh ,gjdH $300 mgjd> nmp .y ,; yh gs okpU xAU QokU cjfphonbU .y .vN

• 75 % ,nho akH h mw cjgwhnmgkU jt;H bcvgnmp ,gjd> nbLE yh ak; xAU ,nho yh mgjdj , fcbyU $820N


• y<jMnm bcvgnmp: 1-800-268-6021 .Ud#. b;Mnm bs<lnmp] (.Ud#. b<j x; .v)N s$Us: 416-327-8804


• hifkU QhnbhtnlnmU bs<lnmU: 1-800-361-0796

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QhnbhtnlnmU nmvmn,nmp - b;Mnm bs<lnmoH h.v nmvmhnmkU mgnhnp .g nmgylnmp hQhnbhtnlvH .v

mgvlnmp h bcfMhgjH

tMg pphvvlnmU

mgvlnmp h bcfMhgjH h Qhnbhtnlov h uvbvH] Qhnbhtnlnm bcfMnmht;H (Diabetes Education Centres) h.v

pphvgonbj , pphvmvH h QhnbhtnlvHN b;Mnm bs<lnmoH .v fcmhdnb (OHIP)] xsE nmp .v fcbynbhonbU

Us;uo<nl h ccenbxGN pgn, j<log dc;og;Mnbi bnb Us;uoEnl> .vN h .v pgn, j<lothnmkU mw hnlvle .d

dl mw pgn, j<logyi lnhp .d mwn,cb DcwE hf yMpdnb ..N


• mgvlnmp h ccenbxG snb 1-877-510-510-2

• .g mwn,cb www.ontario.ca/eatright


• ServiceOntario: 1-800-268-1154 .Ud#. b;Mnm bs<lnmp] (.Ud#. b<j x; .v)N s$Us: 416-314-5518

.g .v fcmhdnb: .Ud#. b;Mnm bs<lnmoH (OHIP)

bn,ohU yh dclog;MG?

l; b;Mnm bcvgnmp

l; b;Mnm bcvgnmp?

Us;uU , mgQnbgG h Qhnbhtnlov tMn, x; h mw

pphvmG hQhnbhtnlG ep nmp fcbT , yvQtv .Ehqk

.y .Ud#. b;Mnm bs<lnmoHN

1

, bcvgonbH v<gmhpA"

lnhU boy v<gmhpA"?

.yH .v .wmfJyhU .y nmknm ox hccywhnbH tknmH i<g nbnmvgyhU t;H mdl ,h Jj jv wnbhtnlG bn,pN boj hQhnbtnlvH ep fx bk> .ro> oxo> .y> ep yh j tuco>] .y yh m<coH] bf .w.fJyhH t; Qh> ,nho yh n,v bf yocom;H h QhnbhtnlG] hf AonbxG] .dmnb<xiG] .dfnhJnbH] , bf jEjhdQH] oMfJnmo , ownbpvvlyhH] ,; yh pa> ,h ,j vyJG ,nmnmFnbG m<nlnbN

v<g.fJnmU boj gwi h v<g.fJvH (type 1 diabetes)

hQhnbhtnlvH ep j .wmfJyhoo> .yElH t; nmknmnbH] ,nho yh n,v v<g.fJvHN

v<g.fJnmU boj h QhnbhtnlvH (type 2 diabetes)

h QhnbhtnlvH hEjgnbH jv pphvgvH hm<cooH .Qhenb>] ,pphvgvH j mgvlvH] qwxnmU ccednmU] ,tsoM .fpjH .Us;uoenbnbN

q;V bfG .; hQhnbhtnlvH bfG v<g.fJnbH jv .v tuxgjH .qhenb> j<dUgnhU jv pphvgkU tMn, lnhp h mgQnbfhnmkU jv uJibyU ,h jv ownbpvm;kU QhnbhtnlnmUN buV h mwp;gonbj v<gmhp tnpwnp i<g n,gnp jv v<gmfJkUN

h bmwpnhj v<gmhpAk h QhnbhtnlvH .v

pph> ,wpnhnp v<gmhpAk] lmw n,vm;kU j mwp;gonbnp gi lmqpnhj]i<g gUgng l v<g.fJkU] jv n,vm;kU jQhT , pphvgkUN aknh i<g x;onq h v<g.fJU ak; jwh>] jv pphvgkU gi<coH jQhTN

v<gmhpAk pph> ,<conb gio;H bcfMyhj i<g x; gi<x nmcV bcfMyhj m<x , bf bcfMyhHN hf j<jodU gi<c , tvJkU] , bxgnmcivlkU] i<g h bmsgyU qwxnmp ,;g yh l j<logyU gisvlyh jv<hmhpA"N

jv bcfMyhH v<gmhU] v<g.fJ jqhH

ep nmp nev jt;kxHN axsE hj mw

v<g.fJU jknmH i<g giwpnmkU ,

bkkvkU .v nmvmn,yhU .y .vN

pp;nmpnhnp v<gmhp h bmwpnhj

jUs;uoT h j<logT l; l bcvgnbGN

2

, bcvgonbH v<gmhpA"

h mw j<dognhH jv pphvgkU h bm<coH jQhT

gwi pphvg gi<coH jQhT bjgJnmoHN

j<dognhU gwi .y jv sgyU] jv pphvgkU gi<coH bjgJnmoH mw] rnhV jwh>] pphnmco> gi<coH jQhT] ,;go n,v j<logyU goo;H l v<g.fJkU jv .v tucomfJkUN

j Us;uoT i<g Qhnbhtnlnmp h

bs<hgH hj hnlvy> v<gmlnmp]

gisvhdH , yynbAgonbj

v<gmhpAk i<g x; aakH ,

v<g.fJnblkUN

l; v<gmhU l tusg;kU?

,<x , tohnmkU v<gmhpA"] jUs;uoT nmp h j<logT jxyfMnmU h bmwpnhH] h mw pphvgkU jQhT bjgJnmoH mw] hgsxAiMkU] hmgvlkU] b;Mn,oeki] h bm<com;kU QokoH mdl y;EhdUgenmp .vN ep x; ak;pnhU v<gmhU h bcvgonbH tFngkH ,w pphgn,oyhonbU hnm toG v<gmhoo>N (hypoglycemia) mvhd> , pwconlcokUN

j Us;uoT h j<logT l; v<gmhoo> l bcvgnbGN jnuE pnbV h m<co .y pgn, j<lovlnmU l; v<gmhU lj bcvgkU i<g h bkvgonbU lggnmU jv b;MkiN i<g x; xsE sgyi , qwxkU , bvcoH lnhU jxyfMnmoHN

pgn, hnlvT jUs;uoT i<g x; QhnbhtnlnmU h bcfMhgH] hnlvlenmp bkki .y h mg<gonbH jv<g.fJnmUN v lvp.kU gilsgyU , bcvgkU v<gmhU] gi lsgyU i<g rnhV , UccokU ,jvcokU nbLEN

gUd yh lsgyU , v<g.fJkU?

v<gmhU jgcvgU , v<g.fJkU] yMpmhpf;H mwpnhnp bfG i<g x; xgn,qhH cjfohd> l .v b<jk<h> h jvn,fJehH xvqhH] bfG nho ,wpnhj v<gmhpN

• yMpmhpf;H h mwpnhj v<gmhp tso b;vncnb] tFng<jinb yh .g] gwi hj .v v<g.fJUN bfG bn,ohpH oQ i<g x; bnbMd ceggnbH boy yh n,vsgjH b<h> oQLjp;gonbooH h v<g.nblvH rnhV jwHN jqExU yh h oQoLjnhjj v<gmhp] aakH h mw xg,U v<gmhpA" jv v<g.fJkUN tnuognhnp .. ,bcvgonbj n,vm;ponbU ,dognhU i<g n,gU jv cceggonbjN

• bom bgt nbqhH hj b;hgonbj] b<jb<h> x; cjvn,cmlyhH v<gmhpA" bfG bn,ohpH bxg.;nbH .ro> .qhnbH] h .v v<gn,cmlcoH .y bgt .qhHN

• bf n,vp;gonbnp i<g v<gmhp buV] jv bxqx<hnb , jv vA hqj] ep yh jeqgU , v<g.fJkUN jqExU nmp h oQLjp;gonbH , v<g.fJkU] ggx<;V ,v<g.fJkU] hj yynmxg,U .g v<gmhoH v<gmhpAk] aknh x; jv v<g.fJkUN i<g x; jqV .y hsvhd> h .GfpyU jUs;uoyN

• xgn,qhH h cjfohdj v<gmhp tuconb ..] p<xV x; h botcom;U bn,p .QhT jv pm pphvgG bcvg> ro>N .gjwkxE xgn,qhH cjfohd> i<g h .vcjvn,cmlyhU v<gmhpA"] nbjV nmp .y jj<lU] jv bxqwU .y lnhU bnhnbV x; unhUN .y yh h mw xvfH v<gmhpA"] xMehoH mwpnhU h .v j<lovhdH goo;H ;cjfolyhH v<gmhpA"N jp jy;iU bp KjcJ> h .v .GgmlyhH v<gmhpA" jnbn,pEjpgonbU yh x; l .cnbpnmcoH h mw yynbEjiH] lggnmU nmpj tofJki rnhV , tfJkUN

hnlvT jUs;uoT l; v<gmhU l bcvgkUN nmgylnmU .y .v Dh<dcovhU the “Medication” .g mgnhUN

3

j b,wpnhj v<gmhpAk (hpg<jH hj p<;esvhdj)

l; v<gmhpA"(gightH)

gUd , bf bm<coH v<gmhpA"

h bmwohdj v<gmhpAk((xsE h bmwohdj h .gnmhgonbnp) .ysnm)

gi<x l v<g.fJkU

h jwcoH snm v<gmhpA" xMehoH h.v pphfMyhH (nbWkhtU)

hDnhxlcoH (nbWkhtU)

hfcjvhdj gi<x l v<g.fJkU (xjdkhtU)

hjnpxlkhtgonbH v<gmhpA" xMehoH h pphfMyhH (nbWkhtU ep KchtU)

jqV h yenmohdH v<gmhpA"] (xjdkhtU)

,o;H: tggG - okpuqC to;wE

ynbV h jnpicoH: U;gJtgp - q;tgp to;wE

,o;H h bcfMyhH: o<s - okpU xMehU fcmhoH

nev ncyw tvJkU i<g

nmovpyU jt;

30 o<stgp to;wE ncyw

tvJkU i<g nmovpyU jt;

b<h> , bf hnmwekU

jv<g.fJU i<g x; onq aknh

, jwhH] , jjWckH]

, bf hnmwekUN

b<h> aknh , jwhH i<g x;

onq aknh , jwhH

hj mw bwghtgonbj

v<gmhpAk hsvhd>

,o;H: bxgfcmhU xMehoH

ynbV hjnpicoH: oq i<g o<s fcmhU xMehoH

,o;H h bcfMyhH: U;ng<J tp bxg> fcmhU xMehoH

,o;H: akH i<g o<s fcmhU xMehoH

ynbV hjnpicoH: okpU i<g okpi> fcmhU xMehoH

,o;H h bcfMyhH nbLE: oki.qC fcmhU xMehoH

,o;H: q;tgp to;wE

ynbV hjnpicoH: ep lnhU yMpd>

,o;H h bcfMyhH nbLE: oqgp i. fcmhU xMehoH (PUf< 24 owgp i. fcmhU) OCxUt% 16-24 fcmhU xMehoH)

akH bJnbvhoE v<gmhpA"] jfcjchd> gijm<xgEjiH] hjwcoH , bcfMyhH v<gmhpA"] ;gjk i<g xsE h m<cojN

Apidra® (insulin glulisine)

Humalog® (insulin lispro)

NovoRapid® (insulin aspart)

Humulin®-R

Novolin®ge Toronto

Humulin®-N

Novolin®ge NPH

Lantus® (insulin glargine)

Levemir® (insulin detemir)

jqV h yenm xgcnbgonbH v<gmhpA" h fchtgonbj , nbpEjij

jqV hnbp<jognbj v<gmhpA" xMehoH

NPH

Humulin® (30/70)

Novolin®ge (30/70, 40/60, 50/50)

Humalog® Mix25 and Mix50

NovoMix 30

hifkU QhnbhtnlnmU nmgylnm yMpmhoH 2008 hj mw tnlU .. nmgylnmp] Insulin: Things you should know © 2008.

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Diabetes Association’s consumer fact sheet,

Insulin: Things you should know © 2008

, bcvgonbH v<gmhpA"

gi lsgyU , v<g.fJkU

• ynbsMpb tMn, lnhU ,sgyU , v<g.fJkU] goo;H tofJkU] l; v<gmhpA" bcvgkU] gi<x v<g.fJkU] goo;H bcfMyhH v<gmhpA"] gi<x yh ynbV bcfMyhHN

• v<gmhpA" hj bcbyU gjvvhoH cjfp .y 2°C i<g 10°C (35°F xoE 50°F) jv m<xv ghH yMpd> bUg bQnbvhowH v<gmhpAH gi<x ln,xpyU] gng yh pphvg 28 gsjwH hhpn,odUN

• hnmp h bnhfU v<gmhpA" ep i<g h mw jwdH hj b<gU 37°C i<g 98.6° FN

5.0 10 mmol/L.

1

,pphvgonbH QhnbhtnlnmU

lnhU boy QhnbhtnlnmU (blood glucose) ?

,nhoy gio;H ,gnhU Qh> jt;H go<x x; ,wN

gisgyU yh .y ,mw pphvgkU h

bm<coH t; (blood glucose levels) ?

bcvgnmU mgnhU l bcvgkU jt; , pgn, j<logyU gi<coH jjH] hj nqxhUyh .. Us;uoht;H] hnlvT .ro> h uvgG Qhnbhtnlnmoo>] l; l nqxlkUjEnh yh hj<jubyhnmU gi lsgyU , uvgkU .y ncyw jn,ggkUN

lnhU yh n,v pgn, j<logy l m<coH oQhT?

gwi , pphvgkU jQhT hg:

• gwi x; pphvg gi<xoH jQhT bjgJnmoH mdlN

• ,;go x; l .v j<logyU nrv gi<coH jQhT bjgJnmoHN

• giwpnmkU jxyfMnmoH i<g jUs;uotH hg mw yocomn,yhU gi<coj jQhnbhtnlnmoH gi<coH bjgJnmoHN

• hnmvm;U i<g h Us;ounm bcvbhpH .d mdl hnmvmnhH v pphvgkU i<g jv pphvgkU ,p;H h .fpyU jUs;uoy ,nho cfy ltucongkU h m<coH jt;N

jqExU Qhnbhtnlki] ;vg jv pmcoH jQhTN ,nho cfy ljnmvmfJkU h mw ownbpvvlyhH QhnbhtnlnmUN

h j;weG bn,p , .fohdoH .t;

, .fpyU jqhT oQfcmhU jEnh tvJkU bkgKnmoH mw

hnlvT h Qhnbhtnlov h pphvbG

lnhp:

• , .vhnmgkU jt; gil<xghtH;

• gilmwpnhj h mw cjgwhnmgkU jt;;

• lsgyU ,hMpyU jbcvgnmU jt; h .v pgn, j<logyU;

• , pgn, j<lgyU jv tucoH jgcvgnmU; i<g

• jv og cjfpyU bjgJnm lnhU xv jgcvgnmoHN

, pphgn,otvH h QhnbhtnlvH*

, pphvmvH h b;MvH h qhnbhtnlvH

A1C

≤7.0% 4.0 7.0 mmol/L

i<g i<g

i<g 5.0 8.0 mmol/L A1C h mw ppgn,ovhdH gi<coH QhnbhtnlnmU

.. bjgJnmp boj h jWknmvH hQhnbhtnlvH .v jv j<junbcgjH x; .v .yN ep nmp bnbwqH 12 hgsxAiMvH DcwE yh] h j<jnbnbJvH m<nlnbH yhN bkt Us;uU i<g bcvbhU h m<coj jQhT bjgJnmp .vN

*

2


,sgyU , pgn, j<logyU gi<coH jqhT rnhV , b;MkU

,<xco> jqhT , b;MkU] jUgn,og;MU yh v pgn, j<logyU gs oq i<gi. fcmhUN .fp jUs;uoy j<dognhU .y vsgyUN ,.gj;tkU nmp] hnlvT Us;uU jvj .fpyU .<svvhpA" hnmgyH l; l bcvgkUN .Kt wnbhtnp ..N

, b;MkU jv j<dognhU jv:

• tonl h boKyhj SK] ox"] hnmp nhCx] f] ep jK<dnbAk jc;com;U ..N

• Jx lnhp tv h tvyE;yhj] ,h ,j tvJkU .v;

• pnbV 15 grams t<gm tv lnhp htvtnbj jv .v yEhnmEh;kU;

• msd b;Mnmht;H cc;eki i<g jQnb<hdki gs oQ i<g i. fcmhU; i<g

• ,nho aknhU v<g.fJ bg , b;MkUN

bkt Us;uU goo;H htofJkU v<gmhpA" , b;MkUN

3

gi<coH jp jQhT?

, bf pwcoH jQhT ,nho yh ,<coH ,f bf pwcoH 4 mmol/L hf oojcoU (hypoglycemia)N

gogyv.G bn,p , pwcooH .QhT?

,nho l mgyv.kU:

• h ooloeU] hhj<nlcoU i<g yh hnm cnhe.yv.U

• h y;EhddU] hnm jwn,dU] hpphMU

• hnbpEnldU] ep nhk<H hj ytuiodU

• hwnbgU

• h ccjdmcoU

• h MhnaMcoU] hdnm<fnhpU

• hoptMU h mgyv.U howhicoU

• h j<jtspU i<g Ufvvn,c.lnmU h mgyvgU jsU i<g jdpoH hj<jtMU

lnhU hsvlyhH n,v pwcoH QhnbhtnlnmU (hypoglycemia) ?

,nho n,v pwcoH Qhnm t;:

• ,.Kt bL<;mfJkU

• n,K , nc<gnm tvJkU

• n,K bxwE jtvJU

• , .Kt .fpyU jUs;up

• tonlnmU , uvgkU

lggnmU x; h pwco> j Qhnm t;] nmcV yh tun,cbN jqExU yh nmp:

• nbnboj<jMcoki j tsiUvhoH] , jEnloekU

• ,h , bf j<jMkU

• , .vxf;kU

hUgn,oy> bn,p jv nmvm<H] l<fpV jEh h .v nmvhdH l; g;Mnmp i<g l; Us;up .fpyU .<xsoH h j<jhdH jv nbcgjH h av pvcm<jH MedicAlert® h mvhdHN

gi lsgyU jv ytun,cbyU , pwcoH oQhT?

pgn, j<log nev gi<coH jqhT] ,h yh nmp bkkU bcvgnmU bf nmvmfJkUN

tv i<g x; tonlco. hwnbH lnhU (15 grams):

• 15 g MnmfMG h mwpnhj h .v ton,cmhdH Qhnm t;

• 15 mL (3 teaspoons) i<g x; o<s tnbvq Qh>

• 175 mL (3/4 cup) h m<xghtgU , tonlkU F<

• 6 Life Savers® (1 = 2.5 g of carbohydrate)

• 15 mL akH , tnhoE benm Qh> heqhtH

a. 10] 15 to;wE] tp yh pgn, j<log gi<coH jQhT] ,h tucol tp:

• tp ;vg v pgn, j<logyU

• jqExU ak;fcmhU ,<xMpnhnl l mw tvJkU] ,; yh 15 grams i<g jv .ftkU tv bxwE lnhU KUonmV i<g x; x<jfqH ,; yh v<N

nmgylnmoH mgnhU QhnbhtnlnmU ppgnmj<logenmU] “Managing Your Blood Glucose” Dh<dcovhUN

, pphnmcoH jQhT xsE , m<coH

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Content taken from the Canadian Diabetes Association’s

consumer fact sheets, Managing Blood Glucose and

Lows and Highs: Blood Glucose Levels © 2008.


gi<coH h mEclcoH Qhnm t;] gigyv.ponbH?

mgnhU .g ynbsMpmhU h mw nmgylyhH .y .v] akH h mgMpdH c<ljohU hmw ynbsMpmhdj lnhp:

• p<xV hcnhgeU

• gwi jqwjU

• p<xV jgL<;MU

lnhU hsvlyhH jv m<xcoH Qhnbhtnlnm (hyperglycemia) mvhd> .y ?

boy n,v m<coH] h mgvlkU] h mw ytqtkU i<g jUs;uoy ,h hk<H , fxsgyUN, b;Mn,oekU i<g , borUgyU ,Eclco> jqhTN

lnhp lsgyU , mEclcoH oqhT?

pphvg hmgvlkU] h mgfMkU jyfMnmoH] .fp jUs;uoy] pphvg j QhnbhtnlnmU gi<coH bjgJnmoH] , mExcoH bkt Us;uU] bcvbhU:

• h bfohd> Uggs l .fpyU Us;up i<g yh v<gmhpA"

• h bmwp;gkU mgvlkU

• bf pjg qwxnmU i<g ccednmU jv .v ytucomfJkU

1

tMfnm pphvvlnmU

gwi cc.cong jy<jMp] jvvH

g;p .y ,sgyU ep j<lodU lnhU

xvfonlN

QhnbhtnlnmU i<g tMfnm pphvvlnmp

hQhnbhtnlvH .MfnbH ,w uvm;nbH .ro> bf yocom;nbH yhN

QhnbhtnlnmU yoxvlyhU oMsMnmoH (neuropathy) jv cahvyhU jv jlkU nbLE , mfkU jknmH] i<g h mw ctvnbH jt;] ,nho n,v nc<gnm jlG bn,pN jnuE yh .y ,mg<xiG bn,p bf ep oMsM> .MfH i<g .vvHN ,nho yh n,v ,h oMsMvH nbLE ,mw b;mfJvH .MfnbH i<g .vvnbH tso yh bf yvsg;U , bf tMdcooH h mw ypgooH hjw b;wH i<g x; x;coHN

giw tMg , pphvgonbj

gwi , pphvgjonbH lnhU mw tucom;ponbUN

tnbvwH xgb jgcvgnmp jMG .v] tEhw" yvwhU] joAvhU] stohU] hhE;n,cmhU ,h hnblnbH nbcenmU] oxd<g yh l mw n,vm;kU jv .GfpyU m<x Ugn,ogyiN gs jwh> pphvg jMg:

1. qa<dH hMp jMg] h u<jMG QC bcv] hnmp gw b;fg] hf cnhnb .y sgyiN

2. rnhV , oxnmMdk hhEln,cb hhE;n,pMo vbcvbG] ,h jv j<cjpMdk jqhHN

3. bn,UgT cnhb jMg] h mw oojMdkU i<gN

4. nhk<H pphvg jMg jv hpnbcgyU ,h nbLE jv prpnhj] nbcenmU bcvg jv hpnbcgU jgp<jMgoH i<g x; bcv bn,ohU jv hpnbcg jMgN

5. nmcV bf jv<gcnbg h mw ,ocoG jMfnmnbqh" i<g x; hmw xsajcokU bnhxJnmU b;hg h u<lhH snmN

6. nhk<H j<jJG jMfhMkU bf bcvg Qqm,nmlnhU joAvhoE ,h jv vAhwkUN

7. syb ,h htpnhH synhU jMfH i<g jph<jMgoH] hMg h mw xnlsyH] hnmp j oojMgoH sy<;p] , o<jMdkU hf .v cx;coUN

8. gs jwh> bgwhi i<g jv p,EhyU y<jMp] nbxmH yh bwhpH h j<hnbvH] lggnmu x;col jqh" hckdpnhU h mw t;nbH i<g tonbHN

Cre

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Content taken from the Canadian Diabetes

Association’s consumer fact sheet, Foot

Care: A step toward good health © 2008

2

tMfnm pphvvlnmU

go<x l nbcyG Us;uU i<g Us;uonm bcvbhU

• ;ggnmU cjMdcoki] jwdj jMg] ,t;coj] jEhg i<g x; jMfH nmcV nmgy> jUs;uoTN

• jqExU , j<cjqlcokU jMfH i<g joojMgoH] ,;gnmjG jEhM"] , .vv;tMdkU] ,WnhL cg<jMdwpUN Us;uU huvg> .y , m<com;kU i<g x; tMfhw" Us;uU] Us;uonm bcvghU .y h mpcfMGN ep jp jUgn,Ug;MT jv uvmfJkHN

• Us;uU h pgn, j<logT jMg i<g x; Us;uonm bcvghU aknh xAU .v] hnlvT Us;uU jv pgn, j<logH tMgnm oMsMnmoH .v jt; tMdconl nhk<H tMfH aknh , xAH sgN

• gng h UgnbcyG jUs;uoT lv;oH jgwhpH i<g x; Us;uonm bcvghU] hnlvT jv hpnbcgH jMgN

msgU heoQnbj y<jMp j<hN ,h h mExsgikj snb] ,h i<g jv cc;Eh;kU] Mv<hyUN .. snb nqxH h mw bgnblvH y<jMp .v nqxl] jv doqnm<hyU y<jMpN

msgU jEhnmH bwhpH rnhV fx<H hnbgpMdkiN

msgU ,Exfg jMg rnhV ,bxkUN

msgU gwi bkvMd<g voojMgoH i<g jA<;hpoH gwi pnbV rnhV , jwhH jv pmcyw;nbH j t; jMfH i<g j<hfHN

msgU qwx gwi jv cxt-vnbH jt; tMn, jknmHN

msgU gwi pphvg jMg i<g ;fp jMg ppgn, j<logyU jv jwdjN

hnmp j<h h mExsgikj y<jMp] hvAsgikj] vK< .y<jMp snb i<g x; hkq<jMpN

hnmp j<h lnhU hMvMvh;kU j<hfH gxE;V bwhpH i<g .jf;H h m<;covh bwhpH snbHN

hnmp eWMd] xshtH i<g] pgnm nqxl y<jMp xshtH h j<jhdj snbN

hnmp jwhtMhp i<g x; hjMMlyhj jMfHN

hnmp ay.hd<g jnuEN

hnmp xng] yvsvlyhU t;H .v ,h nhk<H ,ctSnbH tknmH boy yh , mjH bf jEjwhdnb tMg i<g x; t<hg ,h ,fxccH t; .dN

hnmp bn,p h uv,U jEhwk .y x; h mpcfMG .y hjsgTN

hQhnbhtnlvH h mw pphvgvH .Msnbnb hUgn,og;MvH jsgjH i<g ,h

nmgylnmU mgnhU .y tMfnm pphvvhU i<g Dh<dcovhU “Managing Your Feet” lnbcgyU .y .v bwg<ji>N

1

, phgn,ogyU xtnbhtnlnmU

hQhnbhtnlvH (type 2 diabetes) p<xV uvm;nbH .dmnb<xinmp] .dmkxk , jAcxlcoj] ,;y ynbV huvm;ponbHN tMn, tMdco> .y t; tdmH] jnmUfCxjH] bf bxqxlknb yh ,syhtnlkU .v] bf jxvd,U yh bn,ohU i<g j<jtco>N 80% bf ocm;nbH h QhnbhtnlvHN

hQhnbhtnlvH tFngkU ,w poKo yoconbH] .dmnb<xinbH] hfoxdMpdnb .g:

• mEchtnlnbH

• , gvAvH .v piKoMnbH (bUg ynbV nbgnbH)

• ,nho aEjE n,v mfvH ,h , qwxvH i<g ccedvH] mgvlnmoH i<g

• mEchtnlnmU

• syhtnlnmU

j pgn, j<lovhdH p jsyhtnlnmU?

hQhnbhtnlvH p<xV poKiMnbH jv jxvd,vH i<g j<jtcovH] n,K ,xtnbhtnlvH hyphtH LDL xtnbhtnlnmUN bvjU yh bf poKUg;MnbH tso ,EclcooH .d mdl LDLN

Qhnbhtnlki] gs o<s xAU pgn, j<log hi<xv syhtH jt; i<g yh gwi nmp boy ,g<xikUN

bkt Us;uU i<g x; Us;uonm bcvghpH] gilsgyU jv pwcongkU .y h xtnbhtnlkU LDLN .y h mg<xivH hsyhtnlvH Us;up tphonbH] ppvhg hgsfcaE;o;MkU] h mgvlkU] qwxnmUN

h mg<dj xtnbhtnlnmU j fx oMsvhdH

xtnbhtnlnmU: bf xinh> xt jt;H i<g nmkMH ,;y yh xtnbhtnlnmU h mwohdH: LDL i<g HDLN

• LDL (mndyhU hyoxvlyhH xt" jt;H): jv m<chtcoH yh hf .dmnb<xpU i<g j jcxlconbjt;kxkN

• HDL (mndyhU] htnphtH nmp .y t;): , mf m<xchtcoH tusvlyhU jdmH i<g jt;kxH (cardiovascular disease)N

HDL bjgJnmp bcgnp , bjvhdH gi<coH .y nmp , hpnbcvhdH xtnbhtnlnmUN

.y snm hxtnbhtnlG (Triglyceride): .w.yhU .g .v QhH i<g tonlnmoH i<g ;gjk tvt lnhpN

.dmnbxinmU t;kxH (Cardiovascular disease):

ownbpvvlyhU tdmH] tdmnmkxH bwV] bf bxqxl<gynhnp] , xtnbhtnlnmU hsvlyhH ep jqA<gn,<gyhU t; t;kxHN

hxngvH bn,ohpH i<g .oj.;nbnb hj

.dmnb<xiUv poKiUg;MnbHN

bkt jUs;uoT i<g Us;uonm bcvghpH

jv pwxgyU xtnbhtnlnmU ,h jv

poKocokU !

Cre

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fact sheet, Cholesterol and Diabetes.

2

, phgn,ogyU xtnbhtnlnmU

nmgylnmoH h mw j<lodU .y .v] xtnbhtnlnmU] “Blood Pressure and Cholesterol” QhnbhtnlnmU DhEdcovhoH mEchtnlnmU i<g xtnbhtnlnmUN

jfx sdU p , pphvgkU hyoxvlyhH LDL xtnbhtnlnmU ? hf pphvgH p jv tsoMnm pphvgkH .d mdl .dmnb<xinmoH ?

;gH lnhU lsgyU: hnl pwxg h tnphtH jt; HDL i<g hbmghtH] .y mgjvhdH bjgJnmoH 4.0 h m<co> ,tucoH h tnphtH t; HDL hnlvT Us;uU .d mdlN

boy h tucom;g" sgyU jv pwcongkU HDL htnphtH jt;N ,h hpl v tvkU hb; syj tvy:

• .. snb xtk bcvg ,tpn,kU i<g x; xsE ,dl: yE;w" xt' ;gH xt] xpG xt"

• tv pph> townm lnhp gx<;V b_OC< hnbnmkFkj] ;gH townm lnhU bxhs

• ,h tFf lnhp h bwfohdj ySooH wJmhU

• xpgnm lnhp gxE;V xpg] pph> snm lnhp

jqExU h yDhtH t; mEclcol] bkt Us;uU gi lsgyU jv pqbyU] Us;up , .fpyU] jv .v ytucongkU jxyfMnmU ,nho cfy lnmvmfJkU .y sgyi:

• hnmp t<gm .fp tonlnmU

• nhk<H pphvg h m<coH j qhnbhtnlnmU tMn, x; mw

• phgv h gsfcaE;o;MkU

• bcvg Qh> bxwE i<g ,h hKcj tvtnm lnhp gxE;V jq<dnbA"] MnmfK] hQhnbj hh<cj jjWcinlnmU

j tsoMnm pphvgU LDL p jv pwcongkU hyvpnhH xtnbhtnlnmU?

,, ep

UsfiU xtnbhtnlnmU Us;up hj mw toG Us;uU] Us;uonm bcvbhU

Ufx Ugs fcaE; vhiMU

Ufx Uj<cjM< pgH fc<nhmlnmoH mw

nhk<H opphvgU h mgvlkU] ,h i<g hsyj tvy , tvkU

,h hsyj lnhp otvU

h .Knbj tvy otvU (gxE;V .Knmbp;pU i<g ;gjk tvt lnhp)

odx tvU i<g tvyE;wk] toq gs jwh>

gwo oqwxU i<g UccegU gs jwh>

1

tonlnmU i<g QhnbhtnlnmU

j<lUdpnb> hisvlyhH tonlnmU] , QhnbhtnlG bn,p:

• ep jfx j<ldU lnhU hnmsgyU

• gvaAEjlyhU .y tonlnmU i<g jpq.;U hgsfcaE;vhiMkU jgotm;U yh , pphvgkU , QhnbhtnlnmkU

• jgf mEcht;nbU i<g bf .Q.enhnp lnhp jt;H l .v yyocom;kU

• jyvsg;U ,nmnFnbH pa> i<g x; m<nl>] bf bEj cjco> .y>

• bf ownbpvvlyhU jtsiUvhoH i<g j<;oH

• bf c;covlyhU jknmH] jv ;<gfnhU yh .y jv mjH , m<xcoH jQhT

• cfy nm<hg bf .q.ynhnp hboyj b;MnmU pph> hUJ%

• jgf xj<hdoeU i<g jgf bnhfMn,oeU

• jEjwnh bf ownbpgnp

Aog n,K t<gm tonlnbi i<g x; bf bSnmp mo;H h tonlkU]

hf yocom;U jQhnbhtnlnmoH ep hj bf pphvgU jv ytuxgyU

i<g ;gjk b;MnmoH hfw yocoUN

ep po yh hpl UhjtonhU?

ep nmp boy mngonbUN

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fact sheet, Alcohol and Diabetes.

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tonlnmU i<g QhnbhtnlnmU

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• nmgynmH nmv tonlyvH jv pphvm<jH gigyv.G bn,p , pwcooH .t;N

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b%@V S<

srs S<

srs i<g bqlnm S<†

360 mL (12 fl. oz)

360 mL (12 fl. oz) 360 mL (12 fl. oz)

360 mL (12 fl. oz)

140

100 50-75

90-97

10

5 11-15

2.5

45 mL (1.5 fl. oz) 98 0

45 mL (1.5 fl. oz) 163-190 17-21

150 mL (5 fl. oz) 150 mL (5 fl. oz) 150 mL (5 fl. oz)

102-108 231-243 9

1-2.5 17-21 1.6

360 mL (12 fl. oz) 360 mL (12 fl. oz)

310 210

48 26

240 mL (8 fl. oz) 240 mL (8 fl. oz) 240 mL (8 fl. oz) 240 mL (8 fl. oz) 240 mL (8 fl. oz)

240 mL (8 fl. oz) 240 mL (8 fl. oz)

2 84-120 0 84 110

41 116

0.2 22-31 0 22 25

9 26

Reference: Canadian Nutrient File, 2005 *Actual labels **Manufacturer †USDA, 2004 (Release 17)

tp pngn, j<logyi mwn,cb .g www.lrdg.net

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akH ,fchtgonbH h tonhgyU tonlnmU (13.6 g ,noo ,o;H ,gnhU tonlnbA" ak; tonhhU):x%: 360 mL (12 fl.oz) (5% m<xghtU tonlnmU)nb" hxsqhtH: 45 mL (1.5 fl.oz) (40% m<xv yEhnbhtU)nb": 150 mL (5 fl.oz) (12% ,<xv yEhnbhtU)

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1

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2


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3

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jv nbnmvm;nmkU .y , mw e<dLogyUN

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• ;gjk lnhp:

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Diabetes Association’s consumer fact

sheet, Managing Weight and Diabetes.


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1

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2

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Association’s consumer fact sheet, Physical

Activity and Diabetes © 2009.

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+ +

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• o<s h mwp;gU lnhU , tvkU hj mgMpdH hpg mgvlmnmoH Eating Well

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4


Association’s consumer fact sheet, Just

the Basics © 2009.

Cre

e C

atal

ogue

No.

0132

02 A

ugus

t 20

09 ©

Que

en’s

Pri

nter

for

Ont

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4


Association’s consumer fact sheet,

Staying Healthy with Diabetes.

Cre

e C

atal

ogue

No.

0131

50 A

ugus

t 20

09 ©

Que

en’s

Pri

nter

for

Ont

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, tsiMnm pphvgkU QhnbhtnlnmU

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, tucongkU jxyfMnmU - pphvmfJnmU QhnbhtnlnmU

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