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Dialeb Review_Issue 1_Nov 2012 2

1. The Minister of Health considers diabetes one of the most important diseases of the modern era, affecting over 400 million people worldwide and its prevalence is increasing in Lebanon as well to 18% of the population by 2025. 2. The Ministry of Public Health considers diabetes a major health issue and has strengthened primary healthcare for managing the disease by implementing programs to raise quality of services provided at healthcare centers. 3. Proper prevention programs and lifestyle management can allow diabetes to become an ordinary chronic disease that people can live with through regular follow up and monitoring. 4. Facing diabetes requires enhanced partnership and coordination between relevant ministries, municipalities, and organizations from public and private sectors including DiaLeb to play a

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Minister’s LetterDiaLeb review Issue #01 | November 2012 01 DiaLeb National Diabetes Organization www.dialeb.org 0101 ‫الصحة‬ ‫وزير‬ ‫كلمة‬ ‫خليل‬ ‫حسن‬ ‫علي‬ ‫ثالثماية‬ ‫يصيب‬ ‫فهو‬ ،‫العصر‬ ‫أمراض‬ ‫أهم‬ ‫من‬ ‫السكري‬ ‫مرض‬ ‫يعترب‬ ‫أربعماية‬ ‫الرقم‬ ‫هذا‬ ‫ليصبح‬ ‫حاليا‬ ‫العامل‬ ‫يف‬ ‫شخص‬ ‫مليون‬ ‫يف‬ ‫تعاظما‬ ‫كذلك‬ ‫نشهد‬ ‫لبنان‬ ‫يف‬ .٢٠٢٥ ‫عام‬ ‫مليونا‬ ‫وخمسون‬ .‫السكان‬ ‫من‬ %١٨ ‫بالسكري‬ ‫اإلصابة‬ ‫معدالت‬ ‫مرتبط‬ ‫مرض‬ ‫إنه‬ .‫األطفال‬ ‫فيهم‬ ‫مبن‬ ‫األعمار‬ ‫كل‬ ‫يصيب‬ ‫مرض‬ ‫إنه‬ ‫التي‬ ‫الغذائية‬ ‫واألمناط‬ ‫نعيش‬ ‫التي‬ ‫احلياة‬ ‫بسلوكيات‬ ‫كبري‬ ‫حد‬ ‫إىل‬ ‫اإلقتصادية‬ ‫واألوضاع‬ ‫البيئية‬ ‫بالظروف‬ ‫أيضا‬ ‫ومرتبط‬ ‫منارس‬ ‫للمريض‬ ‫النفسية‬ ‫بالبيئة‬ ‫الرتباطه‬ ‫أيضا‬ ‫إضافة‬ ‫هذا‬ ‫والدولة‬ ‫للفرد‬ .‫وحميطه‬ ‫مستوى‬ ‫لرفع‬ ‫يبذل‬ ‫وجهد‬ ‫عمل‬ ‫كل‬ ‫من‬ ‫جتعل‬ ‫احلقائق‬ ‫هذه‬ ‫إن‬ ‫والتخفيف‬ ‫منه‬ ‫الوقاية‬ ‫وبوسائل‬ ‫السكري‬ ‫مبرض‬ ‫املواطنني‬ ‫ثقافة‬ ‫هذه‬ ‫إن‬ ،‫للمريض‬ ‫يسببها‬ ‫التي‬ ‫اخلطرة‬ ‫البالغة‬ ‫اإلشراكات‬ ‫من‬ ‫أهلية‬ ‫جمعية‬ ‫أو‬ ‫مؤسسة‬ ‫لكل‬ ‫والشكر‬ ‫للتقدير‬ ‫تدفعنا‬ ‫احلقائق‬ ‫دوام‬ ‫لكم‬ ‫متمنني‬ DiaLeb - ‫للسكري‬ ‫الوطني‬ ‫كالتجمع‬ ‫نشطة‬ .‫والنجاح‬ ‫العطاء‬ ‫يف‬ ‫أساسية‬ ‫أمور‬ ‫جملة‬ ‫على‬ ‫نشدد‬ ‫أن‬ ‫املناسبة‬ ‫هذه‬ ‫يف‬ ‫يهمنا‬ .‫السكري‬ ‫مرض‬ ‫مع‬ ‫تعاملنا‬ ‫صحة‬ ‫قضية‬ ‫املرض‬ ‫هذا‬ ‫نعترب‬ ‫العامة‬ ‫الصحة‬ ‫وزارة‬ ‫يف‬ ‫إننا‬ .١ ‫يسجل‬ ‫حيث‬ ‫الطبي‬ ‫الصعيد‬ ‫على‬ ‫أهمية‬ ‫من‬ ‫ميثله‬ ‫ملا‬ ‫عامة‬ ‫وحاالت‬ ‫األطراف‬ ‫وبرت‬ ‫املفتوح‬ ‫القلب‬ ‫عمليات‬ ‫من‬ %٨٠ – ٧٠ ‫بالتطور‬ ‫مرتبطة‬ ‫حاالت‬ ‫كلها‬ ‫العني‬ ‫شبكة‬ ‫وتلف‬ ‫الكلوي‬ ‫القصور‬ . ‫السكري‬ ‫مرض‬ ‫السلبي‬ ‫التوجه‬ ‫عديدة‬ ‫سنوات‬ ‫ومنذ‬ ‫عززت‬ ‫العامة‬ ‫الصحة‬ ‫وزارة‬ ‫إن‬ .٢ ‫واعتربنا‬ ‫األولية‬ ‫الصحية‬ ‫الرعاية‬ ‫نحو‬ ‫املرض‬ ‫مع‬ ‫التعامل‬ ‫يف‬ ‫من‬ ‫فعالية‬ ‫واألكرث‬ ‫كلفة‬ ‫واألقل‬ ‫األقصر‬ ‫الطريق‬ ‫متثل‬ ‫أنها‬ ‫ننفذ‬ ‫ونحن‬ ‫الصحية‬ ‫املراكز‬ ‫خاصة‬ ‫الرعائية‬ ‫املؤسسات‬ ‫خالل‬ ‫التي‬ ‫اخلدمات‬ ‫نوعية‬ ‫وحتسني‬ ‫لرفع‬ ‫لها‬ ‫اعتماد‬ ‫برنامج‬ ‫حاليا‬ ‫وتعاونا‬ ‫للسكري‬ ‫الوطني‬ ‫الربنامج‬ ‫إلنشاء‬ ‫أوال‬ ‫فتوجهنا‬ .‫تقدمها‬ ‫على‬ ‫أيضا‬ ‫وعملنا‬ ‫السكري‬ ‫ملرض‬ ‫طبيا‬ ‫بروتوكوال‬ ‫إلصدار‬ ‫معه‬ ‫املواطنني‬ ‫ثقافة‬ ‫تعزيز‬ ‫وعلى‬ ‫للمرض‬ ‫املبكر‬ ‫االكتشاف‬ ‫برنامج‬ ‫به‬ ‫لإلصابة‬ ‫املعرضني‬ ‫وأولئك‬ ‫باملرض‬ ‫املصابني‬ ‫وخاصة‬ .‫للمرضى‬ ‫واألنسولني‬ ‫الالزمة‬ ‫األدوية‬ ‫ووفرنا‬ ‫برامج‬ ‫مع‬ ‫ايجابيًا‬ ‫يتفاعل‬ ‫أنه‬ ‫املرض‬ ‫لهذا‬ ‫األساسية‬ ‫امليزة‬ ‫إن‬ .٣ ‫متابعة‬ ‫وبالتايل‬ ‫معه‬ ‫التعايش‬ ‫ميكن‬ ‫عاديا‬ ‫مرضا‬ ‫ليصبح‬ ‫الوقاية‬ .‫عادي‬ ‫بشكل‬ ‫واالنتاج‬ ‫والعمل‬ ‫احلياة‬ ‫تعزيز‬ ‫يف‬ ‫يكمن‬ ‫السكري‬ ‫مرض‬ ‫مواجهة‬ ‫يف‬ ‫األساس‬ ‫التوجه‬ ‫إن‬ .٤ ،‫بيئة‬ ،‫شؤون‬ ،‫صحة‬ :‫املعنية‬ ‫الوزارات‬ ‫بني‬ ‫والتنسيق‬ ‫الشراكة‬ ‫والقطاع‬ ‫العامة‬ ‫الضامنة‬ ‫والهيئات‬ ،‫وبلديات‬ ‫داخلية‬ ،‫تربية‬ - ‫للسكري‬ ‫الوطني‬ ‫كالتجمع‬ ‫األهلية‬ ‫واملنظمات‬ ‫اخلاص‬ ‫ألطباء‬ ‫اللبنانية‬ ‫اجلمعية‬ ‫وبالذات‬ ‫املهنية‬ ‫والنقابات‬ DiaLeb ‫كل‬ .‫الداعمة‬ ‫الدولية‬ ‫واملنظمات‬ ‫والسكري‬ ‫الصماء‬ ‫الغدد‬ ‫يف‬ ‫ودورا‬ ‫مكانا‬ ‫لها‬ ‫جتد‬ ‫أن‬ ‫قادرة‬ ‫مؤسسسة‬ ‫وكل‬ ‫إنسان‬ .‫السكري‬ ‫مرض‬ ‫مكافحة‬ ‫وبرامج‬ ‫حمالت‬ ‫على‬‫اإلعالم‬‫وسائل‬‫تلعبه‬‫الذي‬‫الذي‬‫للدور‬‫خاصة‬‫أهمية‬‫نويل‬‫إننا‬.٥ ‫عموم‬ ‫إىل‬ ‫والثقافة‬ ‫الكلمة‬ ‫عبور‬ ‫جسر‬ ‫فهي‬ ‫أنواعها‬ ‫اختالف‬ .‫املواطنني‬ ‫مستمرة‬ ‫عملية‬ ‫دوما‬ ‫تبقى‬ ‫أن‬ ‫يجب‬ ‫السكري‬ ‫مرض‬ ‫مواجهة‬ ‫إن‬ ‫طويل‬ ‫الطريق‬ .‫واإلمكانات‬ ‫اجلهد‬ ‫من‬ ‫الكثري‬ ‫تتطلب‬ ‫أنها‬ ‫مبا‬ ‫الصحة‬ ‫يف‬ ‫املواطن‬ ‫حق‬ ‫تثبيت‬ ‫إىل‬ ‫يوما‬ ‫لنصل‬ ‫سوية‬ ‫سنسلكه‬ .‫اجليدة‬ ‫على‬ DiaLeb - ‫للسكري‬ ‫الوطني‬ ‫التجمع‬ ‫جمعية‬ ‫ألهنىء‬ ‫أعود‬ ‫لكم‬ ‫ومربوك‬ ‫نشاطاتها‬ ‫يف‬ ‫والتوفيق‬ ‫النجاح‬ ‫لها‬ ‫متمنيا‬ ‫نشاطها‬ .DiaLeb Review ‫جملتكم‬ ‫من‬ ‫األول‬ ‫العدد‬
The meter that thinks for itself www.facebook.com/AccuChekLebanon Help Line: 01 388 488 www.accu-chekarabia.com
DiaLeb National Diabetes Organization www.dialeb.org President’s Letter ‫الرئيس‬ ‫من‬‫كلمة‬ ‫معلوف‬ ‫قاصوف‬ ‫جاكلين‬ .‫د‬ ‫رخة‬ َ‫والص‬ ‫عادي‬ ‫الهدف‬ َ‫أن‬ ‫قال‬ ‫من‬ ‫لكن‬ ‫ة‬َ‫ي‬‫عاد‬ ً‫بداية‬ ‫تكن‬ ‫مل‬ ‫ًا‬ َ‫مرض‬ ‫ونه‬ َ‫يسم‬ ‫ما‬ ‫مع‬ ‫طويل‬ ٍ‫ر‬‫مشوا‬ ‫بداية‬ ‫يف‬ ‫نحن‬ ‫ة؟‬َ‫ي‬‫عاد‬ ‫العامل‬ ‫يف‬ ‫املاليني‬ ‫مئات‬ ‫تصيب‬ ً‫حقيقة‬ ‫َه‬‫ن‬‫لك‬ ً‫حالة‬ ‫أو‬ ً‫داء‬ ‫أو‬ ‫أصبحت‬ ‫لهذا‬ .‫يدرون‬ ‫وال‬ ‫مصابون‬ ‫غريهم‬ ‫املاليني‬ ‫من‬ ٌ‫ومئات‬ ‫ة‬ َ‫وملح‬ ‫شديدة‬ ‫حاجة‬ ‫َها‬‫ن‬‫لك‬ ،‫حالة‬ ‫فقط‬ ‫ليست‬ ‫تنا‬َ‫ي‬‫جمع‬ .‫خدمتها‬ ‫يف‬ ‫َدون‬‫ن‬‫جم‬ ‫ونحن‬ ‫ونحن‬ ‫وأنتم‬ ‫طويلة‬ ‫رب‬ َ‫والد‬ ،‫َمة‬‫ل‬‫متأ‬ ‫َاس‬‫ن‬‫وال‬ ‫كثرية‬ ‫يات‬ َ‫َحد‬‫ت‬‫ال‬ .‫سالة‬َ‫وبالر‬ ‫بكم‬ ‫كبري‬ ‫وقلبنا‬ ‫كبرية‬ ‫أهدافنا‬ .‫معًا‬ ‫نسريها‬ .DiaLeb Review ‫من‬ ‫ل‬َ‫األو‬ ‫العدد‬ ‫أيديكم‬ ‫بني‬ ‫نضع‬ ‫اليوم‬ ‫كما‬ .‫ودراسات‬ ‫ة‬َ‫ي‬‫ح‬ ‫وشهادات‬ ‫وزوايا‬ ‫مقاالت‬ ‫ستقرأون‬ ‫فيه‬ .‫ﱢفة‬‫ق‬‫ومث‬‫داعمة‬،‫متواصلة‬‫نشاطات‬‫ورعن‬ َ‫الص‬‫َم‬‫ل‬‫تتك‬‫وسوف‬ ‫ع‬ َ‫جم‬َ‫ت‬‫لل‬ ‫ة‬َ‫ل‬‫جم‬ ‫فكرة‬ ‫ولدت‬ ‫“عندما‬ ‫ملئ‬ ‫ة‬َ‫ي‬‫بكيف‬ ‫تباحثنا‬ ‫كري‬ َ‫للس‬ ‫الوطني‬ ‫إلهام‬ ‫مصدر‬ ‫تكون‬ ‫ى‬َ‫ت‬‫ح‬ ‫فحات‬ َ‫الص‬ ”.‫توعية‬ ‫وصرخة‬ ‫ضمري‬ ‫وصوت‬ DiaLeb review Issue #01 | November 2012 0303 ‫تباحثنا‬ ‫كري‬ َ‫للس‬ ‫الوطني‬ ‫ع‬ َ‫َجم‬‫ت‬‫لل‬ ‫َة‬‫ل‬‫جم‬ ‫فكرة‬ ‫ولدت‬ ‫عندما‬ ‫ضمري‬‫وصوت‬‫إلهام‬‫مصدر‬‫تكون‬‫َى‬‫ت‬‫ح‬‫فحات‬ َ‫الص‬‫ملئ‬‫ة‬َ‫ي‬‫بكيف‬ ‫أمام‬ ‫أنفسنا‬ ‫جند‬ ‫بها‬ ‫العمل‬ ‫بدء‬ ‫بعد‬ ‫بنا‬ ‫وإذا‬ ...‫توعية‬ ‫وصرخة‬ .‫واألنشطة‬ ‫املواضيع‬ ‫من‬ ‫واسع‬ ‫ﱟ‬‫م‬‫ك‬ ‫بني‬ ‫اليوم‬ ‫هو‬ ‫وها‬ ‫كأحالمنا‬ ‫يكرب‬ ‫ل‬َ‫األو‬ ‫عددنا‬ ‫بدا‬ ‫لهذا‬ ‫ني‬ّ‫ي‬‫اإلختصاص‬ ‫من‬ ‫ومشكور‬ ‫واسع‬ ‫دعم‬ ‫بفضل‬ ‫أيديكم‬ ‫بوالدة‬ ‫ساهم‬ ‫من‬ ‫وكل‬ ‫واملعلنني‬ ‫عني‬َ‫واملتطو‬ ‫والعاملني‬ .DiaLeb Review ‫كبرية‬ ‫اجلهود‬ َ‫أن‬ ‫لعلمنا‬ ‫املوجودات‬ ‫مع‬ ‫ات‬َ‫ي‬‫اإلمكان‬ ‫َا‬‫ن‬‫قار‬ ‫إن‬ ‫كانت‬ ‫املعوقات‬ َ‫أن‬ ‫لعلمنا‬ ‫احلاالت‬ ‫درسنا‬ ‫وإن‬ .‫أكرب‬ ‫والقلوب‬ ‫اجلهة‬ ‫ومن‬ .‫والعارفون‬ ‫العاملون‬ ٬‫املال‬ ٬‫الوقت‬ :‫كثرية‬ ‫من‬ ‫الكثري‬ ‫ويلزمه‬ ‫ومتواصل‬ ‫ﱞ‬‫ق‬‫شا‬ ٬‫كبري‬ ‫العمل‬ ٬‫األخرى‬ .‫واملتابعة‬ ‫اإلحرتاف‬ : ٌ‫فرح‬ ‫أيضًا‬ ‫َه‬‫ن‬‫ولك‬ ‫وحسب‬ ‫واجبًا‬ ‫ليس‬ ‫اإللتزام‬ َ‫فإن‬ ٬‫لهذا‬ ٬‫األسلوب‬ ‫وتطوير‬ ‫األمل‬ ‫وجتميل‬ ٬‫املعاناة‬ ‫تخفيف‬ ‫فرح‬ .‫اإلنسان‬ ‫ورفع‬ ‫أتت‬ ‫أن‬ ‫إىل‬ ‫حلمًا‬ ‫ى‬َ‫ت‬‫ح‬ ‫يكن‬ ‫مل‬ ‫كري‬ َ‫للس‬ ‫الوطني‬ ‫ع‬ َ‫جم‬َ‫ت‬‫ال‬ ‫ما‬ ‫منها‬ ‫كثرية‬ ٌ‫أحالم‬ ‫منها‬ ‫لتنمو‬ ‫حقيقة‬ ‫فصار‬ ‫اعة‬ َ‫الس‬ .‫الكثري‬ ‫وبعد‬ ‫ق‬ َ‫حتق‬
‫الرسالة‬ ‫املتضررين‬ ‫األشخاص‬ ‫حياة‬ ‫حتسني‬ ‫أجل‬ ‫من‬ ‫من‬ ‫للوقاية‬ ‫ومساعدتهم‬ ‫السكري‬ ‫داء‬ ‫من‬ ‫منط‬ ‫التباع‬ ‫تشجيعهم‬ ‫خالل‬ ‫من‬ ‫املرض‬ ‫هذا‬ ‫الصلة‬ ‫ذات‬ ‫القضايا‬ ‫ومعاجلة‬ ،‫صحي‬ ‫حياة‬ ،‫والنفسية‬ ‫اجلسدية‬ ‫الصحية‬ ‫املريض‬ ‫بحياة‬ ‫أفضل‬ ‫فهم‬ ‫اجل‬ ‫من‬ ‫املعلومات‬ ‫ونشر‬ ‫وتطوير‬ .‫السكري‬ ‫بداء‬ ‫مباشرة‬ ‫صلة‬ ‫ذات‬ ‫لالمراض‬ ‫األهداف‬ ‫أهداف‬ ‫ووضع‬ ‫الوعي‬ ‫مستوى‬ ‫رفع‬ • ‫يتعلق‬ ‫فيما‬ ‫جيد‬ ‫بشكل‬ ‫مصممة‬ .‫السكري‬ ‫داء‬ ‫ومكافحة‬ ‫الوقاية‬ ‫إىل‬ ‫باحلاجة‬ • ‫واملواد‬ ‫الطبية‬ ‫املعلومات‬ ‫نشر‬ • .‫املناسبة‬ ‫التعليمية‬ ‫حياتهم‬ ‫حتسني‬ ‫على‬ ‫املتضررين‬ ‫مساعدة‬ • .‫والغذائية‬ ‫الصحية‬ ‫الرعاية‬ ‫جودة‬ ‫وتعزيز‬ ‫املدين‬ ‫اجملتمع‬ ‫يف‬ ‫وخدمات‬ ‫برامج‬ ‫تقدمي‬ • .‫السكري‬ ‫لداء‬ ‫املعرضني‬ ‫خاصة‬ ‫للسكان‬ ‫فعالية‬ ‫وزيادة‬ ‫البحوث‬ ‫جمال‬ ‫يف‬ ‫املساعدة‬ • .‫احليوي‬ ‫الطب‬ ‫دراسات‬
DiaLeb National Diabetes Organization www.dialeb.org Editor’s Letter Editorial Sylvie Maalouf Issa It has been two years since we officially began operations, and I am amazed and inspired by what we have accomplished! From a small duo, we have grown to a team of dedicated staff, volunteers and supporters who share our mission and passion for increasing awareness about diabetes, and enhancing the lives of all those affected by this widespread disease. It is a dream come true! Being diagnosed with Type 1 Diabetes five years ago, was confusing and isolating. I knew nothing about the disease or the fact that a healthy young adult like me was susceptible to it. It took time to learn how to give myself insulin shots, count carbohydrates and adjust to the new lifestyle. My diabetes care team, endocrinologist, nurses, podiatrist, optometrist, dietician, and other doctors were essential in helping me get through diagnosis and adapting to my new life. However, as anyone living with diabetes knows, it is a chronic lifetime condition which requires continuous management and care throughout every day of your life. This can be exhausting and take a toll on the most optimistic and educated of patients. I found that I craved to talk to someone like me -someone who understood- and I wanted additional information beyond what I obtained from doctor visits, which would allow me to live a happy life with diabetes. This is where the idea of DiaLeb was born: a patient association which would help all those living with diabetes in Lebanon. This vision was taken further to prevent the staggering rise in this disease by promoting healthy lifestyles and creating awareness about the need for early diagnosis and preventive care. The DiaLeb team has been working hard to serve the community and continues to come up with new and creative ideas in order to promote awareness. We have held over 20 successful events at schools, universities, companies, and municipalitiesalloverLebanon,andhadseveralTVandradio appearances. We have participated in the Beirut Marathon for two consecutive years as we focus on the importance of physical activity to prevent and manage diabetes. We have begun training programs for students of nutrition sciences with several universities and private education sessions for diabetes patients. And the list goes on. The overwhelming positive response we have received within the short time we have been operational has reconfirmed that there is a real need for bringing awareness about diabetes and providing support for those affected by the disease in Lebanon. However, we could not be where we are today, nor reach our goals without the support of our donors and volunteers, and from the bottom of my heart, and on behalf of our small yet ambitious association, I would like to thank all of you who have made DiaLeb the success it is today. The road is still long and we are still at the beginning; and I look forward to working harder, reaching more people and having a larger impact! “Being diagnosed with Type 1 Diabetes five years ago, was confusing and isolating.” Welcome to the first issue of DiaLeb Review, a magazine that highlights the National Diabetes Organization’s activities over the past year and brings you information about diabetes from professionals in the healthcare field. DiaLeb review Issue #01 | November 2012 0505
DiaLeb National Diabetes Organization www.dialeb.org ContentsDiaLeb review Issue #01 | November 2012 07 01 03 04 05 08 09 10 12 13 14 16 17 18 22 23 24 25 26 28 30 31 32 33 34 35 35 36 38 39 40 41 41 42 43 44 46 46 47 48 50 51 52 54 56 57 60 60 Minister’s Letter EVENT: University Lecture AUCE EVENT: University Lecture Antonine University President’s Letter EVENT: University Lecture Haigazian University EVENT: Sayedat Ras el Metn Association DiaLeb’s Mission & Vision EVENT: DiaLeb’s 1st Annual Gala Dinner EVENT: Municipality of Zahle Editorial EVENT: Beirut Marathon 2011 EVENT: Fouad Shehab Command & Staff College Article: Diabetes Mellitus EVENT: World Diabetes Congress EVENT: Music Festival Zouk Mikael Article: Screening & Prevention EVENT: Municipality of Zouk EVENT: The Silent Killer Pax Radio Article: Management of Diabetes EVENT: School Lecture IC Ain Aar EVENT: Patient Education Conversation Maps Article: Gastrointestinal Complications EVENT: Municipality of Halat EVENT: University Lecture Saint Joseph University Article: Diabetes & Peripheral Arterial Disease EVENT: Al Korban Al Moqaddas Association EVENT: National NGO Fair Article: Diabetes & Kidney Disease EVENT: Mother’s Day Brunch EVENT: Rally Paper Article: Diabetes & Nutrition EVENT: Bayt al Fan, Tripoli DiaLeb in the Media Article: Diabetes & Fitness Event: School Lecture German School Next Issue & Upcoming Programs & Events Testimonials: Living with Diabetes Event: Helping Hands Association Legal Info Event: Diabetes, Women & Pregnancy EVENT: Municipality of Baabdath Contributors & Committees Event: Registration for Beirut Marathon 2011 Event: Qatar Diabetes Asociation Support DiaLeb Event: School Lecture Sagesse High School Event: IDF - MENA Workshop
ArticleDiaLeb review Issue #01 | November 2012 08 DiaLeb National Diabetes Organization www.dialeb.org What is diabetes mellitus? ‘Diabetes mellitus’ or ‘sugar diabetes’ refers to a problem in the body’s metabolism which results in high level of sugar (glucose) in the blood, the normal level of fasting glucose be- ing between 70-100 mg/dL; in diabetes, it is higher than 126 mg/dL. How common is it? Diabetes constitutes a world epidemic, with the highest rates of rise occurring in the Mid- dle-East. In Lebanon, a study conducted in 2005, estimated that one in six adults above age 40 years has diabetes. How to recognize diabetes mellitus? Half of the people who have adult-type of dia- betes do not know it or feel it. It is only when the blood sugar increases above 180 mg/dL on the long run that symptoms may develop; these are increased urination, increased thirst and hunger, weight loss, fatigue, blurry vi- sion, and burning in feet. How we diagnose it? The diagnosis of diabetes mellitus is based on a blood test: for fasting, if two levels are above 126 mg/dL, the diagnosis is made in adults and children. Also, we can rely on the blood test for hemoglobin A1C which reflects the average blood glucose levels in the past 3 months. If the level is above 6.5%, we can usually make the diagnosis. Occasionally, if there are symptoms, a random glucose level above 200 mg/dL is also diagnostic. It is important to note that these numbers do not apply to diabetes of pregnancy (or gestational). When should you do a diabetes test? And how? Since diabetes may not give symptoms, everyone above 45 years of age should do a fasting glucose or hemoglobin A1C test, at least once every 3 years; and once a year if there are risk factors. People who have symptoms should do a dia- betes test immediately; and people who have risk factors such as strong family history, or obesity, or other associated health problems such as hypertension, lipid excess, should do the above test at an even younger age. What are the different diabetes types (briefly type 1, type 2, gestational, other)? The American Diabetes Association classifies diabetes mellitus into 4 categories: Type 1 Diabetes, is characterized by the pan- creas not making enough insulin. Most type 1 diabetes occurs in younger age group and it usually gives symptoms rapidly. The treat- ment of type 1 diabetes is INSULIN FOR LIFE to replace the pancreas’s secretions. Type 2 Diabetes, is characterized by the pan- creas making some insulin, but the body not responding well to it. This type is the much more common type. It is linked to obesity and lack of exercise, and constitutes an epidemic. The treatment can be mixed (see below). Gestational diabetes, is diabetes which oc- curs during pregnancy due to all the changes in the hormones. Other types are more rare, and are secondary to other diseases. Why is it important to treat diabetes? It is important to treat type 1 and type 2 dia- betes to prevent complications from high sugar. The complications are on several or- gans, mainly: the retina of the eyes, the kid- neys, the vessels of the heart, and the feet. It is important to treat gestational diabetes mainly to prevent developmental abnormali- ties as the fetus is forming, and later in preg- nancy, to prevent the baby from growing too large, as this may cause him/her to have some metabolic problems at birth and later. Diabetes Mellitus The Very Basics! Mona Nasrallah, MD Assistant Professor of Endocrinology, Department of Internal Medicine American University of Beirut Medical Center (AUBMC) NOTE: All of the below information is intended to provide an overview ONLY about diabetes; it is important to refer to your doctor, diabetes educator, and dietician for actual management. What are some pearls about diabetes therapy? • Since almost everything can affect blood sugar, education regarding diabetes (no matter what type) and lifestyle adherence are pillars in successful management. • The treatment for both type 1 and type 2 diabetes is LIFE-LONG, as these are chronic conditions. The management may change according to the different phases in life, but the principles remain the same. • As already emphasized, the ONLY currently available treatment for type 1 diabetes is insulin. • The treatment for type 2 diabetes can be pills which improve insulin or the response to it. Also, as mentioned, losing some weight and exercising greatly improves the response to pills. • Other than blood sugar control, it is also very important to pay attention to other factors related to complications of diabetes, such as keeping blood pressure and choles- terol under check; and doing regular eye and foot examinations. • The treatment in gestational diabetes can be limited to pregnancy; however the mother will need to always be careful in keeping a healthy weight as she will be at risk to de- velop type 2 diabetes later in life. • Whenever we treat diabetes, it is important to learn how to manage hypoglycemia or low blood sugar. What is hypoglycemia? Hypoglycemia refers to low blood sugar level, below 70 mg/dL, with or without symptoms. The symptoms are dizziness, shakiness, sweating, extreme hunger, and palpitations. It is important to recognize low blood sugar to prevent it from dropping even lower. If feeling low, one should always check with the dextrometer to confirm, whenever possible; then, take one glass of water with 3 teaspoons of sugar, or half a cup of juice; and recheck glucose 15 minutes later.
ArticleDiaLeb review Issue #01 | November 2012 09 DiaLeb National Diabetes Organization www.dialeb.org sidered 126 (mg/dL) and with that val- ue, the patient will need to come in and have a second test done. Diabetes is con- firmed with two separate values greater than126 mg/dl. The ADA has recognised recently HBA1c as a valid screening tool. HBA1C values above 6.5% are diagnostic of diabetes. ADA has published online a risk calculator: http://www.diabetes. org/diabetes-basics/prevention/dia- betes-risk-test. Patients are encouraged to check their risk and discuss with their physicians about the screening strategy to adopt. Type II Diabetes is defined as an eleva- tion in blood glucose resulting from re- sistance to insulin action and deficit in insulin secretion. Diabetes is associated with other metabolic disturbances such as hyperlipidemia and hypertension. Diabetes is a major cause of cardiovas- cular mortality and morbidity. It is as- sociated with a variety of disabling and life threatening complications such as nephropathy, the renal complication of diabetes, retinopathy, the retinal com- plication, neuropathy which is a source of disabling pain, hypotension and gas- tro intestinal symptoms. Diabetics are at higher risk of foot ulcers leading in some cases to amputation of lower limbs. They are more prone to infections, surgery complications and even get depressed more frequently. Tight control of diabetes and of associ- ated risk factors has been shown to re- duce complications. Early intervention achieves tight control easier. Screening is the key for early diagnosis. Table 1 shows major screening recommenda- tions. Screening is generally recom- mended in high risk populations i.e.: age>45, family history, overweight, obe- sity, steroids. Screening relies mainly on fasting blood sugar. The normal range is typically below 100 mg/dL. People who have values above this threshold are at high risk and should monitor their blood sugar regularly. Abnormal is con- Screening & Prevention of Type II Diabetes Patients at high risk or those with pre di- abetes (sugar values are above 100 mg/dl but less than 126 or HBA1C between 5.7 and 6.4%) should be followed up care- fully. Evidence has shown that intensive lifestyle modifications, increased physi- cal activity, and to a lesser degree phar- macologic treatment reduce the risk of developing subsequent diabetes. The identification of this group of patients is a shared responsibility between primary care physicians, endocrinologists, and patients. Identification can reduce dia- betes prevalence and may help reduce the burden of this disease. Table 1. Screening Recommendations for Diabetes ADA Testing to detect type 2 diabetes should be considered in asymptomatic adults with a BMI of 25 kg per m2 or greater and one or more additional risk factors for diabetes. Additional risk factors include physical inactivity; hypertension; HDL cholesterol level of less than 35 mg per dL (0.91 mmol per L) or a triglyceride level of greater than 250 mg per dL (2.82 mmol per L); history of CV disease; A1C level of 5.7 percent or greater; IGT or IFG on previous testing; first-degree relative with diabetes; member of a high-risk ethnic group; in women, history of gestational diabetes or delivery of a baby greater than 4.05 kg (9 lb), or history of PCOS; other conditions associated with insulin resistance (e.g., severe obesity, acanthosisnigricans). In persons without risk factors, testing should begin at 45 years of age. If test results are normal, repeat testing should be performed at least every three years. USPSTF All adults with a sustained blood pressure of greater than 135/80 mm Hg should be screened for diabetes. Current evidence is insufficient to assess balance of benefits and harms of routine screening for type 2 diabetes in asymptomatic, normotensive patients. Marouan Zoghbi, MD Family Medicine Specialist Clinical Instructor, USJ
ArticleDiaLeb review Issue #01 | November 2012 10 DiaLeb National Diabetes Organization www.dialeb.org a fractured bone or nerve damage, both of which heal without permanent prob- lems in the majority of babies. That is why some doctors may recommend that women with suspected large babies give birth by cesarean section. Shortly after birth, some babies may have low blood sugar (hypoglycemia), jaundice, poly- cythemia (an increase in the number of red cells in the blood), hypocalcemia (low calcium in the blood), breathing problems at birth (the lungs of babies whose mothers have diabetes tend to mature a bit later) and even stillbirth (death of baby before delivery) in the last two months of pregnancy. Finally, women with GD are at increased risk for developing preeclampsia, a disease char- acterized by high blood pressure and edema. GD goes away after birth, but it does increase the risk of a woman for de- veloping diabetes later in life. One third of women who had GD will continue to have diabetes. For women diagnosed with diabetes before pregnancy, medical help should be sought before getting pregnant. This preconception visit is essential since high dose folic acid should be started and tight blood sugar control (glycosyl- ated hemoglobin levels Hb A1C <6.1%) should be ensured before pregnancy. Women with pre-gestational diabe- tes are at increased risk of abortion, polyhydramnios (excessive amniotic fluid), birth defects, stillbirth, and sev- eral complications in their babies like hypoglycemia, respiratory problems, growth restriction (low birth weights), M ost cases of diabetes in preg- nancy (90%) are gestational diabetes (GD) which begins or is first recognized during pregnancy. The remaining are patients diagnosed with diabetes before pregnancy. Tight blood sugar control during pregnancy is the key for an optimal pregnancy out- come in either type of diabetes since poor blood sugar control can have seri- ous short- and long-term consequences for both the mother and the baby. GD affects ~7% of expectant mothers, making it one of the most common health problems of pregnancy. For few moms-to-be, the pancreas can’t keep up with the increased insulin demand during pregnancy, and therefore blood glucose levels rise too high, resulting in GD which usually has no symptoms. That’s why pregnant women are usually screened for diabetes at 24-28 weeks. In those at high risk for diabetes (obese, GD in a previous pregnancy, family his- tory of diabetes and sugar in their urine test), screening is done at the 1st pre- natal visit and repeated at 24-28 weeks. If the screening test is positive, a con- firmatory test is then performed. Most women with GD go on to have healthy babies. Dietary changes and exercise may be enough to keep the blood sugar levels under control, but sometimes medications are needed. Artificial sweet- eners may be safely used in moderate amounts. Complications of uncon- trolled GD include overly large babies where the baby’s shoulders may get stuck during delivery. This can result in Management of Diabetes in Pregnancy hypoglycemia, hypomagnesemia, poly- cythemia, hyperbilirubinemia (high bilirubin levels), and increased risk for the baby of inheriting diabetes. Wom- en are at increased risk of delivering by cesarean and of having preterm labor and preeclampsia. To help reduce these risks, the patient should follow a meal plan and a liberal exercise program and should test blood sugar and take her medications, usually insulin and more recently oral hypoglycemics. She will have to come for more frequent prenatal visits than the usual. The recommended daily caloric intake is 30 kcal/kg and may be distributed as: 10–20% at break- fast; 20–30% at lunch; 30–40% at din- ner; and up to 30% for snacks, especially a bedtime snack to reduce hypoglycemia at night. The goals of blood sugar con- trol are 60-90 mg/dl before breakfast and 120 mg/dl 2 hours after meals. In case of hypoglycemia, a glass of milk is prefera- ble to fruit juices containing high levels of glucose. A fetal ultrasound and echo- cardiogram (an ultrasound that focuses on the baby’s heart) are usually ordered because the risk of birth defects, espe- cially heart defects. Other tests include: fetal heart monitoring (non-stress tests) to check for his well-being and one or more ultrasounds during 3rd trimester to monitor baby’s growth. Nowadays, with adequate follow up and tight blood sugar control, favorable pregnancy outcomes can be attained in women with pre-gestational and gesta- tional diabetes. Anwar Nassar, MD Professor of Obstetrics and Gynecology – Interim Chairman American University of Beirut Medical Center (AUBMC) C M Y CM MY CY CMY K
ArticleDiaLeb review Issue #01 | November 2012 12 DiaLeb National Diabetes Organization www.dialeb.org Diabetes mellitus can affect anywhere is the gastrointestinal (GI) tract from the esophagus to the ano-rectal area. The most common GI complications of diabetes include gastroparesis (lazy stomach or delayed gastric emptying), intestinal enteropathy (which can cause diarrhea, constipation, and fe- cal incontinence), and nonalcoholic fatty liver disease. These complica- tions and their symptoms are often caused by abnormal gastrointestinal motility, which is a consequence of diabetic autonomic neuropathy. Such complications are associated with poor blood glucose control and not necessarily the duration of diabetes. Esophageal manifestations include abnormal movements, spontane- ous contractions, and impaired lower esophageal sphincter tone, result in heartburn and difficulty swallowing (dysphagia). Gastroparesis or delayed gastric emptying is a common con- sequence of diabetes. Patients with gastroparesis may present with early satiety, nausea, vomiting, bloating, postprandial fullness, or upper ab- dominal pain. Delayed gastric empty- ing contributes to poor blood glucose control and may be the first indica- tion that a patient is developing gas- troparesis. Intestinal enteropathy in Gastrointestinal Complications of Diabetes Cecilio R. Azar, MD Clinical Associate, GI Division AUB-MC Head of GI Division, M.E.I.H patients with diabetes may present as constipation, diarrhea, or fecal in- continence. Constipation is one of the most common complications of diabetes. Almost half of patients with diabetes reported constipation or in- creased use of laxatives. Patients may also develop diarrhea which leads to malnutrition, and weight loss. Some- times anti-diabetic medications (such as metformin) can cause diarrhea. Nonalcoholic fatty liver disease is the term used to describe a liver condition in patients who have a pathology re- sembling alcohol-induced liver injury but lack a history of significant alcohol consumption. It is often associated with diabetes and obesity. In some cas- es, nonalcoholic fatty liver disease may progress with varying degrees of in- flammation, in rare cases to cirrhosis. So in summary, most gastrointestinal complications can be avoided and controlled by strict normalization of blood glucose levels. “Patients with gastroparesis may present with early satiety, nausea, vomiting, bloating, postprandial fullness, or upper abdominal pain.”
ArticleDiaLeb review Issue #01 | November 2012 13 DiaLeb National Diabetes Organization www.dialeb.org Most people with diabetes and PAD do not have symptoms. Some individuals may experience mild leg pain or trouble walk- ing and attribute it as a sign of increasing age. The most common symptom of PAD is called intermittent claudication. It is de- fined as pain, cramping, or aching in the buttocks, thighs and usually in the calves. The pain appears during walking and is relieved by rest. This pain is reproducible every time the person walks and is usu- ally relieved by the same amount of time at rest. This is a sign that an arterial narrow- ing or blockage exists in the leg and less blood is reaching the muscles thus causing pain. More extreme presentations of PAD include numbness, tingling, coldness in the lower legs or feet and pain even at rest. For individuals with the most severe block- ages, skin ulcers, non-healing wounds, or even gangrene can occur. The ankle brachial index (ABI) is a simple test used to diagnose and characterize the severity of PAD. This test compares the blood pressure in the ankle to the blood pressure in the arm. If the blood pressure Peripheral arterial disease, or PAD, occurs when blood vessels in the legs become narrowed or blocked when extra cholesterol and other fats circulating in the blood collect in the walls of the arteries and form the atherosclerotic plaque. This process is called atherosclerosis and can be caused by many factors, such as smoking, high cholesterol and diabetes. It can occur in almost any artery and usually involves multiple arteries at the same time. Over time, plaque hardens within and around the artery walls, and may reduce the blood flow to the legs and feet. Diabetes increases the likelihood of developing PAD. In general, it is estimated that 1 out of every 3 individuals with diabetes over the age of 50 has a form of PAD. Diabetes alone puts individuals at risk for PAD. However, the risk is greater with factors such as smoking, high blood pressure, elevated cholesterol, being overweight, lack of physical activity, age over 50 years, and a personal or family history of heart disease or stroke. What you need to know about Diabetes & Peripheral Arterial Disease in the ankle is lower than the arm, it can be a sign of PAD. The American Diabetes Association recommends that people with diabetes over the age of 50 have an ABI to test for PAD. Other more sophisticated tests can be used for the diagnosis and pa- tient evaluation. The arterial Doppler or ultrasound exam uses sound waves to pro- duce images of the flow of blood or to de- lineate the vessel itself. Arteriograms, com- puted axial tomography (CT) scans, and magnetic resonance angiography (MRA) use dye, X-rays and new imaging modali- ties and scanning techniques to show the blood vessels and their blockages. Medical studies have demonstrated that regular walking exercise can help improve the symptoms of PAD. Medications can also have a positive effect. Other important beneficial steps include: quit smoking, control your blood sugar and achieve a target hemoglobin A1C less than 7%, control your blood pressure and reduce your bad LDL cholesterol to less than 100 mg/dl. In some cases more invasive procedures are used to treat PAD. For instance, balloon angioplasty is a minimally invasive procedure in which a small tube with a balloon is inserted and threaded into the affected artery. The balloon is then inflated, stretching and opening the narrowed artery, and then removed. A stent may be left in place to help maintain the artery open. Some instances require open surgery. In this case, a procedure is done to either open the affected artery or bypass the blockage using a patient’s own vein taken from another part of the body or a synthetic tube graft material. You should discuss your treatment options with your physician. Taking care of your diabetes and the con- ditions that accompany it can lower your chances of developing symptoms of PAD. Joseph J. Naoum, MD Assistant Professor of Surgery | Lebanese American University (LAU) Division of Vascular & Endovascular Surgery, University Medical Center Rizk Hospital (UMCRH)
ArticleDiaLeb review Issue #01 | November 2012 14 DiaLeb National Diabetes Organization www.dialeb.org Diabetic nephropathy is kidney disease or damage that can occur in people with diabetes. Causes, incidence, and risk factors Each kidney is made of hundreds of thousands of small units called neph- rons that filter your blood and help re- move waste from your body. In people with diabetes, these neph- rons thicken and slowly become scarred over time even before any symptoms begin. The exact cause is unknown. However, kidney damage is more likely if there is poor control of diabetes and high blood pressure. Family history and eth- nicity may also play a role. Not everyone with diabetes develops this kidney problem. People with diabetes who smoke and those with Type 1 diabetes that started before age 20 have a higher risk for kid- ney problems. Symptoms Often, symptoms can occur 5-10 years after the kidney damage had started. People who have more severe kidney disease may have symptoms such as constant fatigue, general ill feeling, headache, nausea and vomiting, poor appetite, and swelling of the legs. Signs and tests Your doctor can order tests to detect signs of kidney problems in the early stages. Once a year, you should have a urine test to look for a protein called al- bumin leaking into the urine Too much of this protein leaking is often a sign of kidney damage. High blood pressure often goes along with diabetic nephropathy. You may have high blood pressure that begins quickly or is hard to control. Your doc- tor will also check your BUN and Serum creatinine every year. In case of doubt, a kidney biopsy con- firms the diagnosis. Treatment In early stages, kidney damage can be slowed with treatment. Keeping your blood pressure under control (below 130/80) is one of the best ways to slow kidney damage. Eating a low-fat diet, taking drugs to control blood cholesterol, and getting regular exercise can also help prevent or slow kidney damage. Diabetes & Kidney Disease You can also slow kidney damage by controlling your blood sugar levels, which you can do by: • Eating a healthy diet • Regularly taking insulin or other medicines your doctor prescribes. • Knowing the basic steps for managing your blood sugar levels at home. • Checking your blood sugar levels and keeping a record of them. To protect your kidneys, remember the following: • Tell your doctor about your diabetes before having an MRI, CT scan, or other imaging test in which you receive a contrast dye. These dyes can further damage the kidneys. • Always talk to your health care provider before taking any drugs since some can damage the kidneys. • Know the signs of urinary tract infec- tions and get treated right away. Expectations (prognosis) Diabetic kidney disease is a major cause of sickness and death in people with diabetes. It can lead to the need for di- alysis or a kidney transplant. Thus it is very important to consult your doctor about your diabetes and if there is any kidney involvement from it. Walid Aboujaoude, MD Hypertension and Kidney Diseases specialist Head of Nephrology Division at MEIH, Bsalim, Lebanon
Article er forget to have legumes in moder- ation (ex: beans) for they are a good source of fibers and proteins. Milk and yogurt are an important component of your meal since they are rich in protein, calcium, vitamins D, A, some B vitamins and others. However, it is better to have skimmed milk which is low in saturated fat that is bad for your heart and vessels. Fruits and vegetables contain a signif- icant amount of vitamins, minerals and fibers and they (especially veg- etables) should be present abundantly throughout the day. TIP. Rule of colors: Try to have various colors of fruits and vegeta- bles every day since every color cor- responds to a certain antioxidant beneficial to your health. Orange, yellow, purple, red, green are all col- ors that help you prevent disease. As for proteins, we recommend high biological value proteins found in grilled fish, lean meat, and grilled chicken breast with skin removed before cooking. “Good fat” (mono- unsaturated fat) is quite abundant in our traditional Mediterranean diet es- pecially in olive oil, avocado and nuts. “What am I going to eat now?!” A common question we hear from overwhelmed and newly diagnosed patients. The so called “complex” disease re- quires in fact simple rules to control glycemia and delay, better yet prevent the complications we all know. Simple rules involve frequent meetings with the physician, healthy eating habits and regular physical activity. In regards to good nutrition, it is all about moderation, variety and plan- ning. A nutritious day is based on 3 healthy meals with 2-3 snacks be- tween meals. Tip. Try not to skip breakfast for this is linked to increased insulin resistance. A healthy meal includes all food groups: dairy, proteins, grains, fat, fruits and vegetables. Grains (bread, rice, etc.) are nothing to be afraid of because, if chosen carefully, will give you energy and provide you with essential nutrients. Tip. Try to opt toward whole grains such as whole bread and nev- DiaLeb review Issue #01 | November 2012 016 DiaLeb National Diabetes Organization www.dialeb.org Tip. Try to include sources of good fat in moderation and avoid bad fat (saturated and trans) found in margarine, ghee, butter, biscuits, processed food. We add some water… Now your meal is ready to eat: A variety of vegetables and fruits, whole grains, good fat, skimmed milk, fluids, and a good source of protein. One more thing to complete all this… Exercise, Exercise, Exercise!Physicalactivityisessentialto managing diabetes. These guidelines serve as general information for the management of diabetes as well as for the general population to stay healthy and prevent overweight, a leading cause of diabetes (Type 2). At the end, the most reliable resource for you is your healthcare team of physicians and dietitians. Finally, to our dismay as healthcare professionals, diabetes prevalence is dangerously increasing despite that now we know much about the dis- ease’s prevention and management and even more by the day. A team work of doctors, fitness consultants, community workers, and dietitians will certainly be of great benefit to prevent and control diabetes. Diabetes A complex disease, yet simple nutrition rules DiaLeb review Issue #01 | November 2012 01616 Layal Al Hanna Masters in Human Nutrition USJ
DiaLeb National Diabetes Organization www.dialeb.org Article Having diabetes was never a barrier to actively enjoying sports, exercise and fitness training in general. People with Diabetes have accomplished some of the highest sporting achievements in many high-level competitions and world championships. Sports, or exercise of any kind, are an essential part of diabetes management, and it can help in many ways especially by making it easier for the body to use insulin, lowering the risk of complications, tension and stress and controlling your weight. Remember that better fitness means bet- ter response to insulin and better control of blood sugar levels. Below, the two main training catego- ries that all individuals need to be involved in despite the common life obstacles: Time management, long working hours, and minor medical situations 1- Strength training: In scientific studies, it has been found that strength training such as weight lifting improves insulin sensitivity in those individuals with diabetes to the same extent that aerobic exercise does. Extended periods of strength training improve blood sugar control. In fact, in those people with diabe- tes, strength training in combination with aerobic exercise may be even more beneficial. Talk to your doctor before you start any exercise program. 2- Cardiovascular training: Also known as cardio training, such as walking, jogging or biking, involves exercise in which a person’s heart rate increases to a higher rate than normal. This type of workout, also called aero- bic exercise, can be especially benefi- cial for people with diabetes because it can help burn extra glucose in the body and decrease insulin resistance. As always, people with diabetes should keep their doctors well informed of any- thing that can affect their health. Exer- cise falls into this category. Talk to your doctor about what kind of exercise is best for you, and be sure to discuss any questions or concerns that arise as your exercise program progresses especially staying alert of any signs or symptoms of hypoglycemia and hyperglycemia. P.S. As with any type of exercise, al- ways warm up before exercising and then take time to cool down afterward. Finally, I would like to congratulate DiaLeb on the first issue of “DiaLeb Review”, and express my honor of be- ing part of the DiaLeb team. Diabetes & Fitness Get Fit… Stay Fit!!! DiaLeb review Issue #01 | November 2012 01717 Amine Dib International Fitness Expert AFAA – ACE – ACSM certified
TestimonialsDiaLeb review Issue #01 | November 2012 18 DiaLeb National Diabetes Organization www.dialeb.org Living with Diabetes Type I Diabetes Testimonials HERA EID “My diabetes story has started on February 27th 2011… when I suddenly found out that my blood sugar was very high (5.23 g) and I was suffering from diabetic ketoacidosis. Being diagnosed with Type I diabetes was a shock that changed my life in so many ways. The moment I knew I’m diabetic was cruel but the moment my doctor told me that I need a rest of 2 months was a moment that I can never describe… it suddenly felt like everything was taken away from me because I had to drop all my courses at university, stop my dance and tennis practices. Without the moral support and motivation it’s not possible for someone to move on and be able to control his diabetes. This is what my doctor always keeps telling me; “Hera your diabetes will never control you, but you will control it”. Today I have the courage to say that I’m diabetic. I’m not ashamed of my diabetes and when I introduce myself to someone I tell them that I’m diabetic and I answer their questions which sometimes surprise me because I can see how much we need knowledge and how important is to have organizations like DiaLeb. Diabetes is a chronic disease that needs a lifetime treatment with insulin, but it is ok and it would not stop anything in my life… but I just need to be positive and talk about it or else how can I ask for awareness campaigns, for researches, for cure, for support, for motivation, medical and nutrition information. How I can I encourage DiaLeb for its cause if I’m not able to start from myself and accept the fact that I’m diabetic? I answer people’s questions with a very positive spirit and correct some myths about diabetes. As well as I like to share my experience with people maybe that way they can learn something from it. Every single day of my life is a challenge for me and I learn something new and I even get more and more motivated to encourage the DiaLeb cause because we need that in our societies… What I learned most from my diabetes is that in our lives we will always be subjected to changes either good or bad, we just need to be prepared and be able to pass the reorientation state until it becomes part of our lifestyles … my diabetes made me stronger and today after almost 2 years I can tell you that I’m a very positive, hopeful, happy, confident and grateful person sharing my experience with you. I would also like to thank each and every person who stood by my side in times of need, my dear friends, my doctor, my sisters, and mostly my parents who keep on motivating me and giving me the power and courage to strengthen my faith and be patient.
DiaLeb National Diabetes Organization www.dialeb.org Wissam Mortada Sabiha Zein Yeghia Gurunian “I’d like to start my story, as a 14 year old kid, who had started his life on a day where diabetes Type I was a word that made me laugh at first. Then with time I began to understand what it meant and took the worst approach: rejection... However every challenge in life needs that first step in order to get out of trouble and surpass it. I understood that I could not keep going like I was. I needed to make a change, and although it was difficult, I succeeded throughout the years. Today, I’m 21, and I do thank God, and all the healthcare professionals who were next to me from the beginning when I could not understand my new self, and helped me in difficult times. I know without their support and help it could have been much worse. In the end I’d like to thank you DiaLeb for presenting me as one of your members, and I’m glad to know you all and appreciate your hard work, it is definitely needed.” “It all started 3 years ago, when I was always feeling weak, thirsty, and lost 10kg... Yes I was diagnosed with Type I diabetes. I got sad about it for the first week, then the diet started and I started to miss the sweet life: candy, doughnuts, chocolates, etc . Many times I cursed my luck. However, one month after this incident my friend got diagnosed with leukemia, thus I understood there are worse situations than mine and I decided to get in control. I consulted Dr. Mirey, a professor in nutrition, who taught me how to count my carbohydrates and after perfecting this, I was able to go back to the gym; I gained 8kg. Despite all the improvements, I still had questions to be answered, that’s where a colleague who has diabetes, Hera, stepped in. She introduced me to DiaLeb. I really felt a sense of belonging there, and was happy to know the important work that the association does. Now I live a pretty healthy life, even healthier than my friends. There’s an old saying: “you are what you eat”.” “Diabetes is all about management!!! I got diagnosed when I was 30 years old. It was a big shock to me at this time to know that I have Type I diabetes and I should take four injections a day in order to survive and stay healthy, although there is no history of diabetes in our family! I was in Germany at that time and I was lucky enough to be surrounded with a lovely endocrinologist and friendly diabetes educators to get me out of my shock. They helped me understand what diabetes is and how I should manage it. I learned how to count carbs, eat healthy food and exercise every day. After all, my family, friends and doctor’s support made me feel at ease and their support was important to absorb this matter. It’s true that diabetes is a chronic disease but it is a manageable disease at the same time. All a person diagnosed with diabetes needs to do is to watch what they eat, to exercise daily and to test A1C levels every 3 months. At the end I would like to thank my family, friends and my diabetes educator “Heidi” for all their support, and a special thanks to DiaLeb organization for their big efforts in spreading diabetes awareness all around Lebanon. We are in the most need to have such awareness programs to let people understand what diabetes is and how it could be prevented and managed.” TestimonialsDiaLeb review Issue #01 | November 2012 19
EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 22 Labib Ghulmiyah, MD, presented highlyvaluableinformationaboutthe types of diabetes, its prevalence in the community in general and focused on its effects on women and pregnancy in particular. Then, Mrs. Sylvie Issa, Managing Director of DiaLeb, also presented her experience with Type 1 Diabetes and how she went through her recent and first pregnancy. The doctor-patient exchange proved to be very engaging and provided the audi- ence with different perspectives on living and managing diabetes. Launching its awareness activities, The National Diabetes Organization, DiaLeb, held its first speaker event entitled “Diabetes and its Effects on Women & Pregnancy”. Political, diplomatic and social per- sonalities attended the event, which they found to be very informative and insightful. Dr. Jackie Maalouf, Presi- dent of DiaLeb, opened the discussion with a presentation about the mission and objectives of the organization, as well as its plans for the near future. Diabetes and its effects on Women & Pregnancy LOCATION Al Yarz Leisure Club Conference Room, Level 0 GENRE Speaker Event GUEST SPEAKER Dr. Labib Ghulmiyah, MD Maternal & Fetal Medicine at AUBMC 23.09.11
EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 23 13.10.11 22.10.11 29.10.11 During the registration period for the Beirut Marathon 2011, The National Diabetes Organization, DiaLeb, was in action for many days at City Mall. DiaLeb team members and many volunteers full of excitement and commitment were ready to introduce people to DiaLeb and register them at the Beirut Marathon under DiaLeb’s name. Moreover, on October 29 there was a collaboration between DiaLeb, Beirut Marathon and Gatorade in the presence of Mrs. May El Khalil, President of the Beirut Marathon Association. The event ended up being very positive and successful, having many people registered under DiaLeb’s name and supporting the cause of raising and spreading awareness. LOCATION City Mall Registration for the Beirut Marathon 2011
EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 24 LOCATION Sagesse High School (SHS) Ain Saade GENRE Lecture GUEST SPEAKER Ms. Cosette Fakih MSc, LD from AUB 27.10.11 School Lecture Series at Sagesse High School DiaLeb kicked-off its “School Lecture Series”, a main part of its awareness program, with a presentation at Sagesse High School (SHS), Ain Saade. Cosette Fakih, MsC, LD, AUB made two separate presenta- tions to students of the Intermediate and Secondary Divi- sions. During the lectures, which were directed to a full auditorium of students, Ms. Fakih explained what diabetes is, the different types, how it is diagnosed, and how it is managed and treated. She also focused on good nutrition practices that can help prevent the onset of diabetes, and provided the students with key steps to begin leading a healthier lifestyle. Students were interested and engaged, and the prolonged Q&A session demonstrated this. The students interacted with the speaker at the end of the session and gave very positive feedback, acknowledging the importance of DiaLeb’s initiative.
EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 25 LOCATION American University of Culture and Education (AUCE) Badaro Branch GENRE Lecture GUEST SPEAKER Mrs. Mirey Karavetian MSc from AUB SPONSOR Sanofi 14.11.11 University Lecture Series at AUCE DiaLeb kicked off its “University Lec- ture Series”, a part of its Diabetes in the Classroom awareness program, with a presentation at the American University of Culture and Education (AUCE), Badaro branch. The event took take place between 11:00 a.m. and 12:30 p.m. Mirey Karavetian, MsC, AUB present- ed on what diabetes is, the different types, how it is diagnosed, and how it is managed and treated. Mrs. Kara- vetian also advised students on good nutrition practices that can help pre- vent the onset of Type 2 diabetes, and provided the students with key steps to begin leading a healthier lifestyle. Free glucose testing was provided to all students by Sanofi. This event was closed for AUCE students, professors and staff only.
EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 26 LOCATION Haigazian University GENRE Lecture GUEST SPEAKER Mrs. Mirey Karavetian MSc from AUB 15.11.11 University Lecture Series at Haigazian University On November 11, 2011, DiaLeb hosted a presentation at Haigazian University, as part of its “University Lecture Se- ries”, a branch of its Diabetes in the Classroom awareness program, under the title: “Diabetes: Awareness & Preven- tion”, at 12:00 p.m. Mirey Karavetian, MsC, AUB, presented on what diabetes is, the different types, how it is diagnosed, and how it is managed and treated. She also advised students on good nutrition and lifestyle practices that can help prevent the onset of diabetes, and provided the students with key steps to begin leading a healthier lifestyle. Ms. Hera Eid, student at Haigazian gave a personal testimo- ny of her life after being diagnosed with Type 1 diabetes. This event was closed for Haigazian University students, professors and staff only.
EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 28 LOCATION Metropolitan Hotel, Sin el Fil GENRE Gala Dinner GUEST SPEAKER HE Minister of Health, Mr. Ali Hassan Khalil 17.11.11 DiaLeb’s 1st Annual Fundraising Gala Dinner On November 17, 2011, the National Diabetes Organization, DiaLeb, a newly established non-for-profit orga- nization focused on diabetes, held its first Annual Fundraising Gala Dinner under the patronage of His Excellency Minister of Health, Mr. Ali Hassan Khalil. The dinner took place at the Dubai Hall of the Metropolitan Hotel in Sin El Fil, and was attended by sev- eral political, diplomatic and social personalities as well as many profes- sionals of the field. Dr. Jackie Kassouf Maalouf, President and Founder of DiaLeb welcomed all the guests and thanked them for their generous support of DiaLeb. HE Minister of Health, Mr. Ali Hassan Khalilspoketoattendeesabouttheim- portance of such patient associations in promoting awareness and enhanc- ing the life of patients in Lebanon. Mrs. Sylvie Maalouf Issa, Managing Director gave a brief overview of DiaLeb, its mission and objectives, and described its recent activities and future programs for 2012. Finally, Ms. Hera Eid gave a short per- sonal story of her life with diabetes and the importance of the presence of an association like DiaLeb in pro- viding patients with the support and help they need. The Gala Dinner included a good en- tertainment program. DiaLeb has put together an ambitious program and the organization is com- mitted to bringing awareness to this disease which affects so many in Leba- non and the world.
EventEventDiaLeb review Issue #01 | November 2012 029 DiaLeb National Diabetes Organization www.dialeb.org DiaLeb review Issue #01 | November 2012 02929
EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 30 LOCATION Beirut, Lebanon GENRE Marathon SUPPORTERS Sagesse High School 27.11.11 Beirut Marathon 2011 DiaLeb participated in the Beirut Marathon 2011 with the slogan “Take the first step towards a healthier, more active you”. A very successful event in which students and teachers from Sagesse High School ran under DiaLeb’s name and supported its cause in promoting diabetes awareness and mostly in encouraging physical activities which is an es- sential part in diabetes care and prevention. Also, many volunteers contributed in this event where they ran and cheered with DiaLeb. DiaLeb at the Beirut Marathon 2011 had a full active, positive and cheerful day with all the volunteers and participants who were running for one same cause: promoting diabetes awareness.
EventDiaLeb review Issue #01 | November 2012 31 DiaLeb National Diabetes Organization www.dialeb.org LOCATION Dubai International Exhibition and Convention Centre, Dubai, UAE GENRE Congress World Diabetes Congress International Diabetes Federation DiaLeb, represented by its President Dr. Jackie Maalouf, was present at the World Diabetes Congress held between December 4 & December 8, 2011 in Dubai, UAE. A total of 15,100 participants were present, making this Congress the largest in the International Diabetes Federation (IDF) history. Delegatesfromover172countriestook part in numerous sessions and showed their organizations. Congress speakers totaled 1,500, the highest amount of speakers ever at an IDF Congress. 04.12.11 08.12.11
EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 32 LOCATION Youth and Culture Center of the Zouk Mikaël Municipality GENRE Conference GUEST SPEAKER Dr. Najla Khoueiry SPONSOR Sanofi 23.12.11 Community Awareness at Municipality of Zouk DiaLeb kicked off its Community Awareness Program with an educa- tional event held at the Youth and Culture Center of the Zouk Mikaël Municipality. The conference entitled Diabetes, Education and Prevention (Type 2), was presented by Dr. Najla Khoueiry. Many constituents of the Zouk area attended the event, as well as others from outside the area. The Q&A session that followed Dr. Khouery’s presentation was lively and informative and clearly demonstrated the need for awareness regarding Type 2 Diabetes in the Lebanese communi- ty. The event was well attended with over 50 guests. Moreover, attendees were then given freeglucosetestingprovidedbySanofi and treated to a low carbohydrate and sugar free snack.
EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 33 LOCATION International College (IC) Ain Aar GENRE Lecture GUEST SPEAKER Ms. Cosette Fakih MSc, LD from AUB 09.01.12 School Lecture Series at IC Ain Aar DiaLeb held its first event of 2012 with a special presenta- tion at International College (IC), Ain Aar. The event fell under the “School Lecture Series”, a main part of DiaLeb’s awareness program. This was a special presentation made to about 90 first grade students at the request of the school’s administration. Guest speaker Cosette Fakih, MSc, LD from AUB, made a simple, visual presentation about Type 1 Diabetes in chil- dren and used drawings and anecdotes to reach the kids. Ms. Fakih explained what diabetes is and how it is managed and treated in children in a tailor-made presentation for such a young target audience. All students who participated were given a certificate of participation in appreciation for their good behavior and attention.
EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org LOCATION St. Georges Church, Halat Municipaiity GENRE Conference GUEST SPEAKER Dr. Antoine Boulous SPONSORS Sanofi Johnson & Johnson - OneTouch 24.02.12 Community Awareness at Municipality of Halat 34 As part of its Community Awareness Program, DiaLeb held a conference entitled Diabetes, Education and Pre- vention (Type 2) at the Municipal- ity of Halat. The conference was pre- sented by Dr. Antoine Boulous and organized with the assistance of the Municipality. Many constituents of the Halat area attended the event, as well as others from outside the area. The Q&A ses- sion that followed Dr. Boulou’s pre- sentation was lively and informative and clearly demonstrated the need for awareness regarding Type 2 Diabe- tes in the Lebanese community. The event was well attended with close to 200 guests who were given free glu- cose testing provided by Sanofi and treated to a low carbohydrate and sug- ar free snack. Also, a raffle took place which saw seven lucky winners win a free One- Touch® Select glucose test kit.
Event DiaLeb National Diabetes Organization www.dialeb.org DiaLeb review Issue #01 | November 2012 03535 LOCATION Al Yarz Leisure Club, Baabda GENRE Brunch GUEST SPEAKER Mrs. Arlette Bouez 21.03.12 Dr. Jackie Maalouf, President of DiaLeb, was present at the Mother’s Day Brunch, at Al Yarz Leisure Club, Baabda on March 21, 2012. The ladies committee at Al Yarz Club organized the event and the dietitian Mrs. Arlette Bouez gave a presentation about nutrition habits and healthy eating. Dr. Maalouf gave a motivational speech about diabetes and DiaLeb’s mission, objectives and activities. The event was attended by approximately 150 people. LOCATION Anti Rosa Restaurant, Antelias GENRE Lecture SPONSOR Roche - Accuchek 20.05.11 Al Korban Al Moqaddas Association Annual Gathering Dr. Jackie Maalouf, President of DiaLeb, was present at the annual gathering of the “Al Korban Al Moqaddas” Association at Anti Rosa Restaurant, Antelias. Dr. Maalouf gave a motivational speech about diabetes and DiaLeb and gave away a few glucometers to some people affected with diabetes whose names were provided by the head of the association, Mrs. Yvonne Maalouf. The glucometers were offered by Roche - Accucheck. The event was attended by 250 people approximately. Mother’s Day Brunch at AlYarz Leisure Club
EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 36 As part of its Community Awareness Program, DiaLeb held a conference entitled “Type II Diabetes: Education and Prevention” at Bayt Al Fan, Al Mina, Tripoli. The event was also organized with the assistance of the Lebanese Women’s Association (LBWA) and the “Al 3azem wa al Sa3ada” association. Mrs. Leila Karami welcomed the at- tendance and highlighted the impor- tance of awareness in the subject of diabetes and thanked DiaLeb for of- fering such valuable information to this important city of the north. Dr. Jackie Maalouf, President of DiaLeb, talked about the mission and vision of the National Diabetes Organization DiaLeb. Mrs. Cosette Fakih presented many important details about nutri- tion facts related to diabetes. The Q&A session that followed Mrs. Fakih’s presentation was lively and informative and clearly demonstrated the need for awareness regarding Type 2 diabetes in the Lebanese community. Community Awareness at Bayt Al Fan, Tripoli LOCATION Bayt Al Fan, Al Mina Tripoli GENRE Conference GUEST SPEAKER Ms. Cosette Fakih MSc, LD from AUB SPONSORS Sanofi Roche - Accuchek 31.03.12 Many constituents of the Tripoli area attended the event, including the President of the Red Cross Tripoli with some members, as well as other active associations from the area. The event was well attended with close to 70 guests. Attendees were given free Lactacid Bottles provided by Sanofi and treat- ed to a low carbohydrate and sugar free snack. Also, 7 Accuchek glucose meters provided by Roche were dis- tributed to the associations and dia- betic people from the attendance.
EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 38 LOCATION German School, Dohat el Hoss GENRE Lecture GUEST SPEAKER Ms. Layal Al Hanna MSc from USJ 05.04.12 DiaLeb presented another awareness session under its “School Lecture Series”, with a presentation at the German School, Dohat el Hoss campus. The lecture was given by Ms. Layal Al Hanna to grade 8 students at the request of the school, as part of their Biology class curriculum which was at the time covering digestive disorders. Ms. Layal explained to the students what diabetes is, the different types, how it is diagnosed, and how it is managed and treated. She focused on good nutrition practices that can help prevent the onset of diabetes, and provided the students with key steps to leading healthier lifestyle. Students were interested and engaged, and the prolonged Q&A session demonstrated this. The students interacted with the speaker at the end of the session and gave very positive feedback, acknowledging the importance of DiaLeb’s initiative. School Lecture Series at German School
EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 39 LOCATION Helping Hand Association Beirut, Meeting Room GENRE Conference GUEST SPEAKER Ms. Layal Al Hanna MSc from USJ 20.04.12 DiaLeb gave a presentation to the members of the Helping Hand Association entitled: “Type II Diabetes: Education and Prevention”. The presentation was held at the Helping Hand meeting room facing the Grand Serail at 3:30 pm. Ms. Layal Al Hanna presented on what diabetes is, the dif- ferent types, and how it is diagnosed, treated and managed. Later, she provided the ladies with very important infor- mation on good nutrition practices to help prevent and manage diabetes. The event was closed to Helping Hands members only. Type 2 Diabetes Education & Prevention at Helping Hand Association
EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 40 21.04.12 LOCATION Municipality of Baabdath GENRE Conference GUEST SPEAKER Dr. Elizabeth Abou Jaoude SPONSORS Sanofi Roche - Accuchek Community Awareness at Municipality of Baabdath As part of its Community Awareness Program, DiaLeb held an event on Saturday, April 21, 2012, at Baabdath Municipality. The conference en- titled “Type II Diabetes: Education and Prevention” was presented by Dr. Elizabeth Abou Jaoude specialized in Diabetes and chronic diseases and organized with the assistance of the Baabdath Municipality. The President of the municipality council, Mr. Imad Labaky attended the event, and thanked DiaLeb for offering such valuable events to the community. The Q&A session that fol- lowed Dr. Abou Jaoude’s presentation was lively and informative and clearly demonstrated the need for awareness regarding Type 2 diabetes in the Leba- nese community. The event was well attended with close to 70 guests. The free glucose screening was pro- vided by Sanofi and the attendees were then treated to a low carbohy- drate and sugar-free snack. Also, 6 Accu-chek machines where handed to diabetic people whose names were provided by the municipality.
DiaLeb National Diabetes Organization www.dialeb.org EventDiaLeb review Issue #01 | November 2012 04141 DiaLeb National Diabetes Organization www.dialeb.org DiaLeb review Issue #01 | November 2012 04141 Upon the invitation of Dr. Abdulla Al-Hamaq, the ExecutiveDirectorofQatarDiabetesAssociation(QDA), Dr. Jackie Maalouf, President of DiaLeb, visited the QDA offices and met with several professionals of the QDA team in order to exchange information in the field of community work related to diabetes. DiaLeb National Diabetes Organization www.dialeb.org On Friday and Saturday May 25 and 26, 2012, DiaLeb, represented by Dr. Jackie Maalouf, President of the association, was present at the IDF-MENA workshop that was held at Golden Tulip Hotel, Beirut and organized by Dr. Mohamad Sandid. Professor Morsi Arab and Professor Adel El Sayed represented the IDF in the workshop and both had speeches about the IDF and updates in the field. Dr. Maalouf gave a presentation on behalf of NGOs and suggested the translation of the IDF website into Arabic especially since 19 countries members of the IDF-MENA are Arabic speakers. The suggestion was well accepted among IDF representatives. LOCATION Golden Tulip Hotel, Beirut GENRE Workshop 25.05.12 26.05.12 LOCATION Building of the Qatar Diabetes Association (QDA), Qatar GENRE Meeting 23.05.12 Visit toQatar Diabetes Association IDF–MENA Workshop
EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 42 LOCATION Auditorium of Antonine University, Riyak-Bekaa GENRE Radio Program GUEST SPEAKER Ms. Layal Al Hanna MSc from USJ SPONSOR Roche - Accuchek 06.06.12 University Lecture Series at Antonine University At the auditorium of the Antonine University in Riyak-Bekaa, Ms. Layal Al Hanna, presented a lecture under the title: “Diabetes: Awareness and Prevention”. The event took place from 11:00 am to 12:30 pm where Ms. Layal provided students with an overview of what diabetes is, the different types, how it is diagnosed, and how it is managed and treated. Morover, our guest speaker advised students on good nutrition and lifestyle practices that can help prevent the onset of diabetes, and provided them with key steps to begin leading a healthier lifestyle. Following the lecture, free glucose testing for all students was provided by Roche, and performed by four volunteer members of the Red Cross, Zahle. Four glucose machines, courte- sy of Accuchek, were distributed: two were given to the University infirma- ry, and the remaining two machines to the Red Cross, Zahle. The event was well attended with around 120 students and the discus- sion was lively and informative.
EventDiaLeb review Issue #01 | November 2012 43 DiaLeb National Diabetes Organization www.dialeb.org LOCATION Sayedat Ras El Metn Association GENRE Conference GUEST SPEAKERS Ms. Layal Al Hanna MSc from USJ SPONSORS Sanofi, Diet Diary, Roche - Accuchek 07.06.12 Type 2 Diabetes Education & Prevention at Sayedat Ras El Metn Association DiaLeb held an event entitled: “Type II Diabetes: Education and Prevention” presented by Ms. Layal Al Hanna, MS in Human Nutrition from USJ at the Sayedat Ras El Metn Association. Mrs. Mona Ghazal welcomed the attendance and high- lighted the importance of awareness in the subject of dia- betes and thanked DiaLeb for offering such valuable in- formation to this important city of the north. Dr. Jackie Maalouf, President of DiaLeb, talked about the mission and vision of the National Diabetes Organization, DiaLeb. Mrs. Sylvie Maalouf, Managing Director of DiaLeb wel- comed and thanked all in attendance and provided them with her live testimonial living with diabetes and the rea- sons and idea behind founding DiaLeb. Ms. Layal Al Han- na presented many important details about nutrition facts related to diabetes. The event was well attended with close to 70 guests who were given free Lactacyd Bottles provided by Sanofi and treated to a low carbohydrate and sugar free snack from Diet Diary. Also, seven Accuchek glucose meters provided by Roche were distributed to identified people with diabetes in need from those attending. One glucose meter was provided for the medical office of the association.
EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 44 LOCATION Conference Room of Municipality of Zahle, Zahle GENRE Conference GUEST SPEAKER Dr. Ali Mrad SPONSORS Sanofi Johnson & Johnson - OneTouch 12.06.12 Community Awareness at Municipality of Zahle DiaLeb held a further event as part of its Community Awareness Program at the Municipality of Zahle, in the Bekaa. Again the conference was entitled “Diabetes, Education and Prevention (Type 2)”. The employees of the municipality were treated to an educational presentation by Dr. Ali Mrad who presented the different types of diabetes, how it is diagnosed and treated and some of the common myths regarding the disease. A free glucose screening test was provided by Sanofi, and for the first time, a follow-up HbA1C test was performed to those with a high glucose spot reading, which usually is performed via a blood test in a laboratory. However, Sanofi provided a new machine which provides an accurate result within minutes, offering a great service to the attendees. Inaddition,6OneTouch®glucosemetersprovidedbyFattal were given away to identified members from the audience who have diabetes. At the end a healthy low-carbohydrate cocktail was offered to close to over 50 participants who were exposed to this rich and enlightening event.
EventDiaLeb review Issue #01 | November 2012 04646 LOCATION Ministry of Defense, Baabda GENRE Lecture GUEST SPEAKERS Dr. Elizabeth Abou Jaoude Mrs. Ranwa Abou Antoun 04.06.12 DiaLeb National Diabetes Organization www.dialeb.org DiaLeb’s team was present at the music festival, on June 22, 2012 at the Roman Amphitheater upon the invitation of the “Youth & Culture Center”, Zouk Mikael Municipality. DiaLeb was one of the few NGOs present at the event to remind people of the importance of diabetes awareness at cultural events. The event involved many bands and singers.Afreeglucosetestingwasprovidedandperformed by OneTouch Select - LifeScan for the attendees. LOCATION Ancient Roman Amphitheater, Zouk Mikael GENRE Festival SPONSOR Johnson & Johnson - OneTouch 22.06.12 Diabetes Awareness Fouad Shehab Command & Staff College DiaLeb held a diabetes awareness session at “Fouad Shehab Command and Staff College” (Kuliyat Al Arkan Aluuliya), Ministry of Defense, Baabda on June 4, 2012. The event included an overview about DiaLeb and activities presented by Dr. Jackie Maalouf, President of DiaLeb.Italsoinvolvedapresentationbyendocrinologist Dr. Elizabeth Abou Jaoude who talked about diabetes, diagnosis, types, and medical management. Mrs. Ranwa Abou Antoun, nutritionist, then explained the nutritional management of diabetes with emphasis on good nutrition habits and regular physical activity. The presentations were very interactive and showed the interest of the attendees. The event was followed by a healthy, low calories, low carbohydrates, and sugar-free cocktail. 70 Generals from the Lebanese army as well as a few Generals from Jordan, Kuwait, and KSA attended the conference. Music Festival Zouk Mikael
EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org The Silent Killer Prevention & Treatment 47 LOCATION Radio Pax, Zahle GENRE Radio Program SPONSORS Fattal Johnson & Johnson - OneTouch 20.09.12 As part of its awareness program, DiaLeb held a radio event entitled the “Silent killer - Prevention & Treatment”. The program aired live on Radio Pax during the weekly show “Leizim Ne7ke” between 6:00 - 7:30 pm. Present during the show was Dr. Jackie Kassouf Maalouf, who discussed the reason behind founding DiaLeb, as well as our mission, vision and objectives, Ms. Layal Al Hanna, Awareness Program Coordinator & Nutritionist at DiaLeb, and Ms. Hera Eid, who gave a life testimonial about her case with Type 1 diabetes. In addition, a short phone call was made to Mrs. Sylvie Maalouf Issa, Managing Director of DiaLeb, who also discussed the idea behind founding DiaLeb, her personal story with Type 1 diabetes and provided a life testimony of beingawomanwithdiabeteswhohashadhealthychildren. Listeners were able to ask questions and receive valuable information regarding nutrition and the best choices for preventing, and managing diabetes. During the program, trivia questions about diabetes were asked, and those who called in with the right answer received a OneTouch®Select glucose meter, courtesy of Johnson & Johnson. Also, free glucose testing sponsored by OneTouch was provided to anyone who came to the radio premises throughout the duration of the program and 6 OneTouch glucose meters provided by Fattal were given away to identified members from the audience who have diabetes.
EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 48 Patient Education with Conversation Maps LOCATION DialLeb Office, Jdeideh GENRE Education Session SPONSOR Lilly Diabetes 27.09.12 DiaLeb, in collaboration with the diabetes educators of Lilly Diabetes, organized a patient education session using the highly interactive Diabetes Conversation Map Tool. Diabetes Con- versations is a patient-focused pro- gram developed to improve patient understanding, self-management and enhance patient-healthcare profes- sional interaction. The Diabetes Con- versation Maps are highly visual and interactive diabetes educational tools created by Healthy Interactions in collaboration with the International Diabetes Federation (IDF) and spon- sored by Lilly Diabetes. TheConversationmapscoverdifferent topics including how diabetes works, starting insulin, healthy eating and keeping active, living with diabetes and diabetes complications. The session was given to a small group of around 6-8 patients which have relevant similar backgrounds.. The group discussion was very interactive where hearing the challenges and suc- cesses of each other helped the people living with diabetes recognize that they are not alone on this journey and can build confidence and take owner- ship of their diabetes management.
EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org LOCATION Campus of Medical Sciences at USJ, Ashrafiyeh GENRE Lecture GUEST SPEAKERS Ms. Layal Al Hanna MSc from USJ 50 16.10.12 University Lecture Series at Saint Joseph University DiaLeb held an educational session including case study analysis with graduate nutrition students at Saint Joseph University (USJ), Ashrafiyeh. The session was held on Tuesday, October 16, 2012 in collaboration with Mrs. Nathalie Yaghi (USJ). The program included a brief overview about DiaLeb and events, presented by Dr. Jackie Maalouf, President of DiaLeb, followed by our awareness program coordinator and nutritionist Ms. Layal Al Hanna, who presented anoverviewaboutnutritionfordiabetes and a case study analysis for Type 1 diabetes with carbohydrate counting. The session lasted 2 hours with inter- active case study analysis and diabetes management information.
EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 51 LOCATION La Sagesse University Furn El Chebbak GENRE Fair 23.10.12 National NGO Fair at La Sagesse University DiaLeb participated on October 23, 2012 in the First National NGO Fair that gathered more than 100 NGOs in Lebanon and International NGOs at La Sagesse University, centre Qadmous, Furn El Chebbak. It was an interactive hectic whole day program from 11:00 a.m. till 8:00 p.m and was mainly intended for University Students. During the fair, Dr. Jackie Maalouf, President of DiaLeb, presented an overview about DiaLeb. Free glucose testing was performed to the attendees with immediate nutrition questions answered.
EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 52 Rally Paper with Mouvement des Jeunes d’Orient LOCATION Zahle GENRE Rally Paper SPONSOR Roche - Accuchek 28.10.12 On Sunday, October 28, 2012 a Rally Paper was organized by Mr. Toni Abou Naoum, head of “Mouvement des Jeunes d’Orient” (MJO) Zahle, in collaboration with DiaLeb. Around 200 students participated in the 13-station rally and answered a list of questions each station related to general knowledge and diabetes basics. DiaLeb team was present throughout the event that aired live on Radio Pax. Atthelaststationoftherallylocatedat the Lebanese Red Cross, Zahle center, a free glucose testing, sponsored by Accuchek, was performed by the Lebanese Red Cross Members to all attendees. Later on, all attendees were treated to lunch during which awards were presented to the winners. Dr. Jackie Maalouf,PresidentofDiaLeb,received with great pleasure an appreciation award from MJO.
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In the MediaDiaLeb review Issue #01 | November 2012 54 DiaLeb National Diabetes Organization www.dialeb.org DiaLeb in the Media November 2011 DiaLeb acknowledges the role of media in raising awareness and culture in our society. Therefore, DiaLeb had several appearances in the media to increase diabetes awareness and to announce its series of events for the World Diabetes Month, November 2011. Dr. Jackie Maalouf, President of DiaLeb, and Mrs. Sylvie Maalouf, Managing Director of DiaLeb, represented the NGO on various TV channels during their daily and weekly shows: LBC, MTV, Orbit, OTV, Télé Liban and Télé Lumière.
Look forward to our next issue of DiaLeb Review which will feature new programs and activities! New Programs DiaLeb has recently launched a series of new programs, including: • Private educational sessions for people affected with type 1 and type 2 diabetes mellitus at our offices, Jdeideh • Community Internship Program for graduate students in nutrition from the Lebanese American University • Special educational sessions for graduate students in nutrition (emphasis on diabetes management) • Online programs and interactive tools • Gatherings for type 1 diabetes patients with professionals (doctors and dietitians) to share experiences and learn more about specific concerns related to diabetes management • Diabetes awareness sessions for employees in the corporate sector DiaLeb will also continue to raise awareness regarding diabetes prevention in schools, universities, NGOs, municipalities and where diabetes awareness is needed all over Lebanon. Next IssueDiaLeb review Issue #01 | November 2012 56 DiaLeb National Diabetes Organization www.dialeb.org Upcoming Activities: World Diabetes Month, November 2012 Throughout the first week of November Media interviews LBC, Orbit, MTV, OTV, Future, Télé Lumière... November 10th EDL diabetes forum at Monroe Hotel, Beirut. November 11th Beirut Marathon with Sagesse High School students and employees from Fattal. November 13th LAU awareness event followed by glucose testing, Byblos Campus November 14th LAU awareness event followed by glucose testing, Beirut Campus. Two Consecutive diabetes awareness sessions at Arope Insurance offices, Verdun. November 17th Diabetes Forum at Chatila camp (LAU/Dialeb), free glucose screening. November 20th USEK awareness event followed by glucose testing, Kaslik Campus. November 27th Second Fundraising Gala Dinner at Phoenicia Hotel, Beirut. Keep visiting our website www.dialeb.org and Facebook page http://www.facebook.com/DiaLebOrg for updates.
‫يف‬ ‫املؤسسون‬ ‫األعضاء‬ :‫هم‬ ‫للسكري‬ ‫الوطني‬ ‫التجمع‬ ‫القاصوف‬ ‫وديع‬ ‫جاكلني‬ :‫الرئيس‬ ‫اندراوس‬ ‫الياس‬ ‫سليم‬ :‫املدير‬ ‫زعرور‬ ‫يوسف‬ ‫د.باتريك‬ :‫عامة‬ ‫عالقات‬ ‫حنوش‬ ‫جميل‬ ‫ميشال‬ ‫احملامي‬ :‫السر‬ ‫أمني‬ ‫املعلوف‬ ‫جورج‬ ‫سيلفي‬ ‫السيدة‬ :‫الصندوق‬ ‫أمني‬ Legal InfoDiaLeb review Issue #01 | November 2012 05757 DiaLeb National Diabetes Organization www.dialeb.org
Legal InfoDiaLeb review Issue #01 | November 2012 58 DiaLeb National Diabetes Organization www.dialeb.org
Legal InfoDiaLeb review Issue #01 | November 2012 59 DiaLeb National Diabetes Organization www.dialeb.org
Thank you to all our advertisers and contributors. All advertising proceeds go towards supporting DiaLeb’s mission. DiaLeb, National Diabetes Organization, and DiaLeb Review are registered trademarks. All contents of this publication are the sole right of DiaLeb and may not be reproduced. All correspondences should be addressed to: George Maalouf Center, Al Bareed St., Jdeideh Lebanon, P.O.Box 90-316 Tel/Fax: +961 1 88 88 74, Email: info@dialeb.org www.dialeb.org ‫واللجان‬ ‫املساهمون‬ ‫والتصميم‬ ‫الفكرة‬ Platform Agency ‫الفيديو‬ / ‫الفوتوغرايف‬ ‫التصوير‬ ‫صوايا‬ ‫بيار‬ ‫استوديو‬ ‫الطباعة‬ ‫الطباعة‬ ‫فن‬ ‫اجلميل‬ ‫مطبعة‬ ‫القانونية‬ ‫اإلستشارة‬ ‫للمحاماة‬ ‫حنوش‬ ‫احملاسبة‬ ‫مستشارون‬ ‫مكتب‬ ‫اإلعالمية‬ ‫اللجنة‬ ‫ناعسه‬ ‫ليليان‬ ،‫منصور‬ ‫ريتا‬ ،‫معوض‬ ‫روال‬ ‫العامة‬ ‫العالقات‬ ‫جلنة‬ ‫اﻠﻠﻪ‬ ‫العبد‬ ‫رهف‬ ،‫معلوف‬ ‫جوين‬ ،‫حلود‬ ‫ألني‬ ‫األسطا‬ ‫نقوال‬ ،‫نعوم‬ ‫ابو‬ ‫طوين‬ ،‫حلو‬ ‫روال‬ ‫التربعات‬ ‫جمع‬ ‫جلنة‬ ‫معلوف‬ ‫قاصوف‬ ‫جاكي‬ ،‫املر‬ ‫ألني‬ ،‫عيسى‬ ‫الربتو‬ ‫صعب‬ ‫أبي‬ ‫رمزي‬ ،‫نعوم‬ ‫دوللي‬ ،‫معلوف‬ ‫جورج‬ ‫خليل‬ ‫فادي‬ ،‫معلوف‬ ‫سيلفي‬ ‫اﻹجتماعية‬ ‫اللجنة‬ ‫بارود‬ ‫جانيت‬ ،‫لبكي‬ ‫بوال‬ ،‫الغاوي‬ ‫إليزابيث‬ ‫املر‬ ‫مي‬ ،‫يعقوب‬ ‫لبيب‬ ،‫قربان‬ ‫ريتا‬ ‫الشباب‬ ‫جلنة‬ ‫الدين‬ ‫فخر‬ ‫غاييل‬ ،‫صوايا‬ ‫باتريك‬ ،‫املر‬ ‫ايلما‬ ،‫عيد‬ ‫هريا‬ ،‫شكرشي‬ ‫حممد‬ ،‫معلوف‬ ‫كريستني‬ ‫غورونيان‬ ‫يغيى‬ ،‫مرتضى‬ ‫وسام‬ ‫املتعاونون‬ ‫والسكري‬ ‫الصماء‬ ‫الغدد‬ ‫أطباء‬ ‫جودة‬ ‫أبو‬ ‫اليزابيت‬ .‫د‬ ،‫نصراهلل‬ ‫منى‬ .‫د‬ ‫مراد‬ ‫علي‬ .‫د‬ ،‫طفيلي‬ ‫حال‬ .‫د‬ ،‫بولس‬ ‫أنطوان‬ .‫د‬ ‫خويري‬ ‫جنال‬ .‫د‬ ‫املتعاونون‬ ‫األطباء‬ )‫العيون‬ ‫(طب‬ ‫دنيا‬ ‫ابراهيم‬ .‫د‬ )‫وتوليد‬ ‫نسائية‬ ‫(أمراض‬ ‫نصار‬ ‫أنور‬ .‫د‬ )‫شرايني‬ - ‫(جراحة‬ ‫نعوم‬ ‫جوزف‬ .‫د‬ )‫الهضمي‬ ‫اجلهاز‬ ‫(أمراض‬ ‫عازار‬ ‫سيسيليو‬ .‫د‬ )‫شرايني‬ - ‫(جراحة‬ ‫مبارك‬ ‫عصام‬ .‫د‬ )‫وتوليد‬ ‫نسائية‬ ‫(أمراض‬ ‫غلمية‬ ‫لبيب‬ .‫د‬ )‫العائلة‬ ‫(طب‬ ‫الزغبي‬ ‫مروان‬ .‫د‬ )‫وكلى‬ ‫دم‬ ‫ضغط‬ ‫(اختصاص‬ ‫جودة‬ ‫أبو‬ ‫وليد‬ .‫د‬ ‫املتعاونون‬ ‫التغذية‬ ‫اختصاصيو‬ ‫فقيه‬ ‫كوزيت‬ ،‫أنطون‬ ‫أبو‬ ‫رنوى‬ ،‫األسطا‬ ‫دميا‬ ‫باسيل‬ ‫مايا‬ .‫د‬ ، ‫جوده‬ ‫أبو‬ ‫مايا‬ ،‫احلنا‬ ‫ليال‬ ‫ياغي‬ ‫ناتايل‬ ،‫كارافيتيان‬ ‫مرياي‬ * Now you too can support DiaLeb’s cause. Your donations can make a BIG impact on the awareness and prevention of diabetes! We count on your support. For your donations: CONTACT DIALEB FOR MORE INFOrmation: Email: info@dialeb.org • Tel/Fax: +961 1 88 88 74 Account Holder National Diabetes Organization - DiaLeb ACCOUNT NUMBER 007-426519-001 Bank Credit Libanais, Bauchrieh Branch IBAN LB26005300CAUSD0007426519001
DiaLeb National Diabetes Organization www.dialeb.org
Dialeb Review_Issue 1_Nov 2012 2

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Dialeb Review_Issue 1_Nov 2012 2

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    Minister’s LetterDiaLeb review Issue #01 | November 2012 01 DiaLeb National Diabetes Organization www.dialeb.org 0101 ‫الصحة‬ ‫وزير‬ ‫كلمة‬ ‫خليل‬ ‫حسن‬ ‫علي‬ ‫ثالثماية‬ ‫يصيب‬ ‫فهو‬ ،‫العصر‬ ‫أمراض‬ ‫أهم‬ ‫من‬ ‫السكري‬ ‫مرض‬ ‫يعترب‬ ‫أربعماية‬ ‫الرقم‬ ‫هذا‬ ‫ليصبح‬ ‫حاليا‬ ‫العامل‬ ‫يف‬ ‫شخص‬ ‫مليون‬ ‫يف‬ ‫تعاظما‬ ‫كذلك‬ ‫نشهد‬ ‫لبنان‬ ‫يف‬ .٢٠٢٥ ‫عام‬ ‫مليونا‬ ‫وخمسون‬ .‫السكان‬ ‫من‬ %١٨ ‫بالسكري‬ ‫اإلصابة‬ ‫معدالت‬ ‫مرتبط‬ ‫مرض‬ ‫إنه‬ .‫األطفال‬ ‫فيهم‬ ‫مبن‬ ‫األعمار‬ ‫كل‬ ‫يصيب‬ ‫مرض‬ ‫إنه‬ ‫التي‬ ‫الغذائية‬ ‫واألمناط‬ ‫نعيش‬ ‫التي‬ ‫احلياة‬ ‫بسلوكيات‬ ‫كبري‬ ‫حد‬ ‫إىل‬ ‫اإلقتصادية‬ ‫واألوضاع‬ ‫البيئية‬ ‫بالظروف‬ ‫أيضا‬ ‫ومرتبط‬ ‫منارس‬ ‫للمريض‬ ‫النفسية‬ ‫بالبيئة‬ ‫الرتباطه‬ ‫أيضا‬ ‫إضافة‬ ‫هذا‬ ‫والدولة‬ ‫للفرد‬ .‫وحميطه‬ ‫مستوى‬ ‫لرفع‬ ‫يبذل‬ ‫وجهد‬ ‫عمل‬ ‫كل‬ ‫من‬ ‫جتعل‬ ‫احلقائق‬ ‫هذه‬ ‫إن‬ ‫والتخفيف‬ ‫منه‬ ‫الوقاية‬ ‫وبوسائل‬ ‫السكري‬ ‫مبرض‬ ‫املواطنني‬ ‫ثقافة‬ ‫هذه‬ ‫إن‬ ،‫للمريض‬ ‫يسببها‬ ‫التي‬ ‫اخلطرة‬ ‫البالغة‬ ‫اإلشراكات‬ ‫من‬ ‫أهلية‬ ‫جمعية‬ ‫أو‬ ‫مؤسسة‬ ‫لكل‬ ‫والشكر‬ ‫للتقدير‬ ‫تدفعنا‬ ‫احلقائق‬ ‫دوام‬ ‫لكم‬ ‫متمنني‬ DiaLeb - ‫للسكري‬ ‫الوطني‬ ‫كالتجمع‬ ‫نشطة‬ .‫والنجاح‬ ‫العطاء‬ ‫يف‬ ‫أساسية‬ ‫أمور‬ ‫جملة‬ ‫على‬ ‫نشدد‬ ‫أن‬ ‫املناسبة‬ ‫هذه‬ ‫يف‬ ‫يهمنا‬ .‫السكري‬ ‫مرض‬ ‫مع‬ ‫تعاملنا‬ ‫صحة‬ ‫قضية‬ ‫املرض‬ ‫هذا‬ ‫نعترب‬ ‫العامة‬ ‫الصحة‬ ‫وزارة‬ ‫يف‬ ‫إننا‬ .١ ‫يسجل‬ ‫حيث‬ ‫الطبي‬ ‫الصعيد‬ ‫على‬ ‫أهمية‬ ‫من‬ ‫ميثله‬ ‫ملا‬ ‫عامة‬ ‫وحاالت‬ ‫األطراف‬ ‫وبرت‬ ‫املفتوح‬ ‫القلب‬ ‫عمليات‬ ‫من‬ %٨٠ – ٧٠ ‫بالتطور‬ ‫مرتبطة‬ ‫حاالت‬ ‫كلها‬ ‫العني‬ ‫شبكة‬ ‫وتلف‬ ‫الكلوي‬ ‫القصور‬ . ‫السكري‬ ‫مرض‬ ‫السلبي‬ ‫التوجه‬ ‫عديدة‬ ‫سنوات‬ ‫ومنذ‬ ‫عززت‬ ‫العامة‬ ‫الصحة‬ ‫وزارة‬ ‫إن‬ .٢ ‫واعتربنا‬ ‫األولية‬ ‫الصحية‬ ‫الرعاية‬ ‫نحو‬ ‫املرض‬ ‫مع‬ ‫التعامل‬ ‫يف‬ ‫من‬ ‫فعالية‬ ‫واألكرث‬ ‫كلفة‬ ‫واألقل‬ ‫األقصر‬ ‫الطريق‬ ‫متثل‬ ‫أنها‬ ‫ننفذ‬ ‫ونحن‬ ‫الصحية‬ ‫املراكز‬ ‫خاصة‬ ‫الرعائية‬ ‫املؤسسات‬ ‫خالل‬ ‫التي‬ ‫اخلدمات‬ ‫نوعية‬ ‫وحتسني‬ ‫لرفع‬ ‫لها‬ ‫اعتماد‬ ‫برنامج‬ ‫حاليا‬ ‫وتعاونا‬ ‫للسكري‬ ‫الوطني‬ ‫الربنامج‬ ‫إلنشاء‬ ‫أوال‬ ‫فتوجهنا‬ .‫تقدمها‬ ‫على‬ ‫أيضا‬ ‫وعملنا‬ ‫السكري‬ ‫ملرض‬ ‫طبيا‬ ‫بروتوكوال‬ ‫إلصدار‬ ‫معه‬ ‫املواطنني‬ ‫ثقافة‬ ‫تعزيز‬ ‫وعلى‬ ‫للمرض‬ ‫املبكر‬ ‫االكتشاف‬ ‫برنامج‬ ‫به‬ ‫لإلصابة‬ ‫املعرضني‬ ‫وأولئك‬ ‫باملرض‬ ‫املصابني‬ ‫وخاصة‬ .‫للمرضى‬ ‫واألنسولني‬ ‫الالزمة‬ ‫األدوية‬ ‫ووفرنا‬ ‫برامج‬ ‫مع‬ ‫ايجابيًا‬ ‫يتفاعل‬ ‫أنه‬ ‫املرض‬ ‫لهذا‬ ‫األساسية‬ ‫امليزة‬ ‫إن‬ .٣ ‫متابعة‬ ‫وبالتايل‬ ‫معه‬ ‫التعايش‬ ‫ميكن‬ ‫عاديا‬ ‫مرضا‬ ‫ليصبح‬ ‫الوقاية‬ .‫عادي‬ ‫بشكل‬ ‫واالنتاج‬ ‫والعمل‬ ‫احلياة‬ ‫تعزيز‬ ‫يف‬ ‫يكمن‬ ‫السكري‬ ‫مرض‬ ‫مواجهة‬ ‫يف‬ ‫األساس‬ ‫التوجه‬ ‫إن‬ .٤ ،‫بيئة‬ ،‫شؤون‬ ،‫صحة‬ :‫املعنية‬ ‫الوزارات‬ ‫بني‬ ‫والتنسيق‬ ‫الشراكة‬ ‫والقطاع‬ ‫العامة‬ ‫الضامنة‬ ‫والهيئات‬ ،‫وبلديات‬ ‫داخلية‬ ،‫تربية‬ - ‫للسكري‬ ‫الوطني‬ ‫كالتجمع‬ ‫األهلية‬ ‫واملنظمات‬ ‫اخلاص‬ ‫ألطباء‬ ‫اللبنانية‬ ‫اجلمعية‬ ‫وبالذات‬ ‫املهنية‬ ‫والنقابات‬ DiaLeb ‫كل‬ .‫الداعمة‬ ‫الدولية‬ ‫واملنظمات‬ ‫والسكري‬ ‫الصماء‬ ‫الغدد‬ ‫يف‬ ‫ودورا‬ ‫مكانا‬ ‫لها‬ ‫جتد‬ ‫أن‬ ‫قادرة‬ ‫مؤسسسة‬ ‫وكل‬ ‫إنسان‬ .‫السكري‬ ‫مرض‬ ‫مكافحة‬ ‫وبرامج‬ ‫حمالت‬ ‫على‬‫اإلعالم‬‫وسائل‬‫تلعبه‬‫الذي‬‫الذي‬‫للدور‬‫خاصة‬‫أهمية‬‫نويل‬‫إننا‬.٥ ‫عموم‬ ‫إىل‬ ‫والثقافة‬ ‫الكلمة‬ ‫عبور‬ ‫جسر‬ ‫فهي‬ ‫أنواعها‬ ‫اختالف‬ .‫املواطنني‬ ‫مستمرة‬ ‫عملية‬ ‫دوما‬ ‫تبقى‬ ‫أن‬ ‫يجب‬ ‫السكري‬ ‫مرض‬ ‫مواجهة‬ ‫إن‬ ‫طويل‬ ‫الطريق‬ .‫واإلمكانات‬ ‫اجلهد‬ ‫من‬ ‫الكثري‬ ‫تتطلب‬ ‫أنها‬ ‫مبا‬ ‫الصحة‬ ‫يف‬ ‫املواطن‬ ‫حق‬ ‫تثبيت‬ ‫إىل‬ ‫يوما‬ ‫لنصل‬ ‫سوية‬ ‫سنسلكه‬ .‫اجليدة‬ ‫على‬ DiaLeb - ‫للسكري‬ ‫الوطني‬ ‫التجمع‬ ‫جمعية‬ ‫ألهنىء‬ ‫أعود‬ ‫لكم‬ ‫ومربوك‬ ‫نشاطاتها‬ ‫يف‬ ‫والتوفيق‬ ‫النجاح‬ ‫لها‬ ‫متمنيا‬ ‫نشاطها‬ .DiaLeb Review ‫جملتكم‬ ‫من‬ ‫األول‬ ‫العدد‬
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    The meter thatthinks for itself www.facebook.com/AccuChekLebanon Help Line: 01 388 488 www.accu-chekarabia.com
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    DiaLeb National DiabetesOrganization www.dialeb.org President’s Letter ‫الرئيس‬ ‫من‬‫كلمة‬ ‫معلوف‬ ‫قاصوف‬ ‫جاكلين‬ .‫د‬ ‫رخة‬ َ‫والص‬ ‫عادي‬ ‫الهدف‬ َ‫أن‬ ‫قال‬ ‫من‬ ‫لكن‬ ‫ة‬َ‫ي‬‫عاد‬ ً‫بداية‬ ‫تكن‬ ‫مل‬ ‫ًا‬ َ‫مرض‬ ‫ونه‬ َ‫يسم‬ ‫ما‬ ‫مع‬ ‫طويل‬ ٍ‫ر‬‫مشوا‬ ‫بداية‬ ‫يف‬ ‫نحن‬ ‫ة؟‬َ‫ي‬‫عاد‬ ‫العامل‬ ‫يف‬ ‫املاليني‬ ‫مئات‬ ‫تصيب‬ ً‫حقيقة‬ ‫َه‬‫ن‬‫لك‬ ً‫حالة‬ ‫أو‬ ً‫داء‬ ‫أو‬ ‫أصبحت‬ ‫لهذا‬ .‫يدرون‬ ‫وال‬ ‫مصابون‬ ‫غريهم‬ ‫املاليني‬ ‫من‬ ٌ‫ومئات‬ ‫ة‬ َ‫وملح‬ ‫شديدة‬ ‫حاجة‬ ‫َها‬‫ن‬‫لك‬ ،‫حالة‬ ‫فقط‬ ‫ليست‬ ‫تنا‬َ‫ي‬‫جمع‬ .‫خدمتها‬ ‫يف‬ ‫َدون‬‫ن‬‫جم‬ ‫ونحن‬ ‫ونحن‬ ‫وأنتم‬ ‫طويلة‬ ‫رب‬ َ‫والد‬ ،‫َمة‬‫ل‬‫متأ‬ ‫َاس‬‫ن‬‫وال‬ ‫كثرية‬ ‫يات‬ َ‫َحد‬‫ت‬‫ال‬ .‫سالة‬َ‫وبالر‬ ‫بكم‬ ‫كبري‬ ‫وقلبنا‬ ‫كبرية‬ ‫أهدافنا‬ .‫معًا‬ ‫نسريها‬ .DiaLeb Review ‫من‬ ‫ل‬َ‫األو‬ ‫العدد‬ ‫أيديكم‬ ‫بني‬ ‫نضع‬ ‫اليوم‬ ‫كما‬ .‫ودراسات‬ ‫ة‬َ‫ي‬‫ح‬ ‫وشهادات‬ ‫وزوايا‬ ‫مقاالت‬ ‫ستقرأون‬ ‫فيه‬ .‫ﱢفة‬‫ق‬‫ومث‬‫داعمة‬،‫متواصلة‬‫نشاطات‬‫ورعن‬ َ‫الص‬‫َم‬‫ل‬‫تتك‬‫وسوف‬ ‫ع‬ َ‫جم‬َ‫ت‬‫لل‬ ‫ة‬َ‫ل‬‫جم‬ ‫فكرة‬ ‫ولدت‬ ‫“عندما‬ ‫ملئ‬ ‫ة‬َ‫ي‬‫بكيف‬ ‫تباحثنا‬ ‫كري‬ َ‫للس‬ ‫الوطني‬ ‫إلهام‬ ‫مصدر‬ ‫تكون‬ ‫ى‬َ‫ت‬‫ح‬ ‫فحات‬ َ‫الص‬ ”.‫توعية‬ ‫وصرخة‬ ‫ضمري‬ ‫وصوت‬ DiaLeb review Issue #01 | November 2012 0303 ‫تباحثنا‬ ‫كري‬ َ‫للس‬ ‫الوطني‬ ‫ع‬ َ‫َجم‬‫ت‬‫لل‬ ‫َة‬‫ل‬‫جم‬ ‫فكرة‬ ‫ولدت‬ ‫عندما‬ ‫ضمري‬‫وصوت‬‫إلهام‬‫مصدر‬‫تكون‬‫َى‬‫ت‬‫ح‬‫فحات‬ َ‫الص‬‫ملئ‬‫ة‬َ‫ي‬‫بكيف‬ ‫أمام‬ ‫أنفسنا‬ ‫جند‬ ‫بها‬ ‫العمل‬ ‫بدء‬ ‫بعد‬ ‫بنا‬ ‫وإذا‬ ...‫توعية‬ ‫وصرخة‬ .‫واألنشطة‬ ‫املواضيع‬ ‫من‬ ‫واسع‬ ‫ﱟ‬‫م‬‫ك‬ ‫بني‬ ‫اليوم‬ ‫هو‬ ‫وها‬ ‫كأحالمنا‬ ‫يكرب‬ ‫ل‬َ‫األو‬ ‫عددنا‬ ‫بدا‬ ‫لهذا‬ ‫ني‬ّ‫ي‬‫اإلختصاص‬ ‫من‬ ‫ومشكور‬ ‫واسع‬ ‫دعم‬ ‫بفضل‬ ‫أيديكم‬ ‫بوالدة‬ ‫ساهم‬ ‫من‬ ‫وكل‬ ‫واملعلنني‬ ‫عني‬َ‫واملتطو‬ ‫والعاملني‬ .DiaLeb Review ‫كبرية‬ ‫اجلهود‬ َ‫أن‬ ‫لعلمنا‬ ‫املوجودات‬ ‫مع‬ ‫ات‬َ‫ي‬‫اإلمكان‬ ‫َا‬‫ن‬‫قار‬ ‫إن‬ ‫كانت‬ ‫املعوقات‬ َ‫أن‬ ‫لعلمنا‬ ‫احلاالت‬ ‫درسنا‬ ‫وإن‬ .‫أكرب‬ ‫والقلوب‬ ‫اجلهة‬ ‫ومن‬ .‫والعارفون‬ ‫العاملون‬ ٬‫املال‬ ٬‫الوقت‬ :‫كثرية‬ ‫من‬ ‫الكثري‬ ‫ويلزمه‬ ‫ومتواصل‬ ‫ﱞ‬‫ق‬‫شا‬ ٬‫كبري‬ ‫العمل‬ ٬‫األخرى‬ .‫واملتابعة‬ ‫اإلحرتاف‬ : ٌ‫فرح‬ ‫أيضًا‬ ‫َه‬‫ن‬‫ولك‬ ‫وحسب‬ ‫واجبًا‬ ‫ليس‬ ‫اإللتزام‬ َ‫فإن‬ ٬‫لهذا‬ ٬‫األسلوب‬ ‫وتطوير‬ ‫األمل‬ ‫وجتميل‬ ٬‫املعاناة‬ ‫تخفيف‬ ‫فرح‬ .‫اإلنسان‬ ‫ورفع‬ ‫أتت‬ ‫أن‬ ‫إىل‬ ‫حلمًا‬ ‫ى‬َ‫ت‬‫ح‬ ‫يكن‬ ‫مل‬ ‫كري‬ َ‫للس‬ ‫الوطني‬ ‫ع‬ َ‫جم‬َ‫ت‬‫ال‬ ‫ما‬ ‫منها‬ ‫كثرية‬ ٌ‫أحالم‬ ‫منها‬ ‫لتنمو‬ ‫حقيقة‬ ‫فصار‬ ‫اعة‬ َ‫الس‬ .‫الكثري‬ ‫وبعد‬ ‫ق‬ َ‫حتق‬
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    ‫الرسالة‬ ‫املتضررين‬ ‫األشخاص‬ ‫حياة‬‫حتسني‬ ‫أجل‬ ‫من‬ ‫من‬ ‫للوقاية‬ ‫ومساعدتهم‬ ‫السكري‬ ‫داء‬ ‫من‬ ‫منط‬ ‫التباع‬ ‫تشجيعهم‬ ‫خالل‬ ‫من‬ ‫املرض‬ ‫هذا‬ ‫الصلة‬ ‫ذات‬ ‫القضايا‬ ‫ومعاجلة‬ ،‫صحي‬ ‫حياة‬ ،‫والنفسية‬ ‫اجلسدية‬ ‫الصحية‬ ‫املريض‬ ‫بحياة‬ ‫أفضل‬ ‫فهم‬ ‫اجل‬ ‫من‬ ‫املعلومات‬ ‫ونشر‬ ‫وتطوير‬ .‫السكري‬ ‫بداء‬ ‫مباشرة‬ ‫صلة‬ ‫ذات‬ ‫لالمراض‬ ‫األهداف‬ ‫أهداف‬ ‫ووضع‬ ‫الوعي‬ ‫مستوى‬ ‫رفع‬ • ‫يتعلق‬ ‫فيما‬ ‫جيد‬ ‫بشكل‬ ‫مصممة‬ .‫السكري‬ ‫داء‬ ‫ومكافحة‬ ‫الوقاية‬ ‫إىل‬ ‫باحلاجة‬ • ‫واملواد‬ ‫الطبية‬ ‫املعلومات‬ ‫نشر‬ • .‫املناسبة‬ ‫التعليمية‬ ‫حياتهم‬ ‫حتسني‬ ‫على‬ ‫املتضررين‬ ‫مساعدة‬ • .‫والغذائية‬ ‫الصحية‬ ‫الرعاية‬ ‫جودة‬ ‫وتعزيز‬ ‫املدين‬ ‫اجملتمع‬ ‫يف‬ ‫وخدمات‬ ‫برامج‬ ‫تقدمي‬ • .‫السكري‬ ‫لداء‬ ‫املعرضني‬ ‫خاصة‬ ‫للسكان‬ ‫فعالية‬ ‫وزيادة‬ ‫البحوث‬ ‫جمال‬ ‫يف‬ ‫املساعدة‬ • .‫احليوي‬ ‫الطب‬ ‫دراسات‬
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    DiaLeb National DiabetesOrganization www.dialeb.org Editor’s Letter Editorial Sylvie Maalouf Issa It has been two years since we officially began operations, and I am amazed and inspired by what we have accomplished! From a small duo, we have grown to a team of dedicated staff, volunteers and supporters who share our mission and passion for increasing awareness about diabetes, and enhancing the lives of all those affected by this widespread disease. It is a dream come true! Being diagnosed with Type 1 Diabetes five years ago, was confusing and isolating. I knew nothing about the disease or the fact that a healthy young adult like me was susceptible to it. It took time to learn how to give myself insulin shots, count carbohydrates and adjust to the new lifestyle. My diabetes care team, endocrinologist, nurses, podiatrist, optometrist, dietician, and other doctors were essential in helping me get through diagnosis and adapting to my new life. However, as anyone living with diabetes knows, it is a chronic lifetime condition which requires continuous management and care throughout every day of your life. This can be exhausting and take a toll on the most optimistic and educated of patients. I found that I craved to talk to someone like me -someone who understood- and I wanted additional information beyond what I obtained from doctor visits, which would allow me to live a happy life with diabetes. This is where the idea of DiaLeb was born: a patient association which would help all those living with diabetes in Lebanon. This vision was taken further to prevent the staggering rise in this disease by promoting healthy lifestyles and creating awareness about the need for early diagnosis and preventive care. The DiaLeb team has been working hard to serve the community and continues to come up with new and creative ideas in order to promote awareness. We have held over 20 successful events at schools, universities, companies, and municipalitiesalloverLebanon,andhadseveralTVandradio appearances. We have participated in the Beirut Marathon for two consecutive years as we focus on the importance of physical activity to prevent and manage diabetes. We have begun training programs for students of nutrition sciences with several universities and private education sessions for diabetes patients. And the list goes on. The overwhelming positive response we have received within the short time we have been operational has reconfirmed that there is a real need for bringing awareness about diabetes and providing support for those affected by the disease in Lebanon. However, we could not be where we are today, nor reach our goals without the support of our donors and volunteers, and from the bottom of my heart, and on behalf of our small yet ambitious association, I would like to thank all of you who have made DiaLeb the success it is today. The road is still long and we are still at the beginning; and I look forward to working harder, reaching more people and having a larger impact! “Being diagnosed with Type 1 Diabetes five years ago, was confusing and isolating.” Welcome to the first issue of DiaLeb Review, a magazine that highlights the National Diabetes Organization’s activities over the past year and brings you information about diabetes from professionals in the healthcare field. DiaLeb review Issue #01 | November 2012 0505
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    DiaLeb National DiabetesOrganization www.dialeb.org ContentsDiaLeb review Issue #01 | November 2012 07 01 03 04 05 08 09 10 12 13 14 16 17 18 22 23 24 25 26 28 30 31 32 33 34 35 35 36 38 39 40 41 41 42 43 44 46 46 47 48 50 51 52 54 56 57 60 60 Minister’s Letter EVENT: University Lecture AUCE EVENT: University Lecture Antonine University President’s Letter EVENT: University Lecture Haigazian University EVENT: Sayedat Ras el Metn Association DiaLeb’s Mission & Vision EVENT: DiaLeb’s 1st Annual Gala Dinner EVENT: Municipality of Zahle Editorial EVENT: Beirut Marathon 2011 EVENT: Fouad Shehab Command & Staff College Article: Diabetes Mellitus EVENT: World Diabetes Congress EVENT: Music Festival Zouk Mikael Article: Screening & Prevention EVENT: Municipality of Zouk EVENT: The Silent Killer Pax Radio Article: Management of Diabetes EVENT: School Lecture IC Ain Aar EVENT: Patient Education Conversation Maps Article: Gastrointestinal Complications EVENT: Municipality of Halat EVENT: University Lecture Saint Joseph University Article: Diabetes & Peripheral Arterial Disease EVENT: Al Korban Al Moqaddas Association EVENT: National NGO Fair Article: Diabetes & Kidney Disease EVENT: Mother’s Day Brunch EVENT: Rally Paper Article: Diabetes & Nutrition EVENT: Bayt al Fan, Tripoli DiaLeb in the Media Article: Diabetes & Fitness Event: School Lecture German School Next Issue & Upcoming Programs & Events Testimonials: Living with Diabetes Event: Helping Hands Association Legal Info Event: Diabetes, Women & Pregnancy EVENT: Municipality of Baabdath Contributors & Committees Event: Registration for Beirut Marathon 2011 Event: Qatar Diabetes Asociation Support DiaLeb Event: School Lecture Sagesse High School Event: IDF - MENA Workshop
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    ArticleDiaLeb review Issue #01 | November 2012 08 DiaLeb National Diabetes Organization www.dialeb.org What is diabetes mellitus? ‘Diabetes mellitus’ or ‘sugar diabetes’ refers to a problem in the body’s metabolism which results in high level of sugar (glucose) in the blood, the normal level of fasting glucose be- ing between 70-100 mg/dL; in diabetes, it is higher than 126 mg/dL. How common is it? Diabetes constitutes a world epidemic, with the highest rates of rise occurring in the Mid- dle-East. In Lebanon, a study conducted in 2005, estimated that one in six adults above age 40 years has diabetes. How to recognize diabetes mellitus? Half of the people who have adult-type of dia- betes do not know it or feel it. It is only when the blood sugar increases above 180 mg/dL on the long run that symptoms may develop; these are increased urination, increased thirst and hunger, weight loss, fatigue, blurry vi- sion, and burning in feet. How we diagnose it? The diagnosis of diabetes mellitus is based on a blood test: for fasting, if two levels are above 126 mg/dL, the diagnosis is made in adults and children. Also, we can rely on the blood test for hemoglobin A1C which reflects the average blood glucose levels in the past 3 months. If the level is above 6.5%, we can usually make the diagnosis. Occasionally, if there are symptoms, a random glucose level above 200 mg/dL is also diagnostic. It is important to note that these numbers do not apply to diabetes of pregnancy (or gestational). When should you do a diabetes test? And how? Since diabetes may not give symptoms, everyone above 45 years of age should do a fasting glucose or hemoglobin A1C test, at least once every 3 years; and once a year if there are risk factors. People who have symptoms should do a dia- betes test immediately; and people who have risk factors such as strong family history, or obesity, or other associated health problems such as hypertension, lipid excess, should do the above test at an even younger age. What are the different diabetes types (briefly type 1, type 2, gestational, other)? The American Diabetes Association classifies diabetes mellitus into 4 categories: Type 1 Diabetes, is characterized by the pan- creas not making enough insulin. Most type 1 diabetes occurs in younger age group and it usually gives symptoms rapidly. The treat- ment of type 1 diabetes is INSULIN FOR LIFE to replace the pancreas’s secretions. Type 2 Diabetes, is characterized by the pan- creas making some insulin, but the body not responding well to it. This type is the much more common type. It is linked to obesity and lack of exercise, and constitutes an epidemic. The treatment can be mixed (see below). Gestational diabetes, is diabetes which oc- curs during pregnancy due to all the changes in the hormones. Other types are more rare, and are secondary to other diseases. Why is it important to treat diabetes? It is important to treat type 1 and type 2 dia- betes to prevent complications from high sugar. The complications are on several or- gans, mainly: the retina of the eyes, the kid- neys, the vessels of the heart, and the feet. It is important to treat gestational diabetes mainly to prevent developmental abnormali- ties as the fetus is forming, and later in preg- nancy, to prevent the baby from growing too large, as this may cause him/her to have some metabolic problems at birth and later. Diabetes Mellitus The Very Basics! Mona Nasrallah, MD Assistant Professor of Endocrinology, Department of Internal Medicine American University of Beirut Medical Center (AUBMC) NOTE: All of the below information is intended to provide an overview ONLY about diabetes; it is important to refer to your doctor, diabetes educator, and dietician for actual management. What are some pearls about diabetes therapy? • Since almost everything can affect blood sugar, education regarding diabetes (no matter what type) and lifestyle adherence are pillars in successful management. • The treatment for both type 1 and type 2 diabetes is LIFE-LONG, as these are chronic conditions. The management may change according to the different phases in life, but the principles remain the same. • As already emphasized, the ONLY currently available treatment for type 1 diabetes is insulin. • The treatment for type 2 diabetes can be pills which improve insulin or the response to it. Also, as mentioned, losing some weight and exercising greatly improves the response to pills. • Other than blood sugar control, it is also very important to pay attention to other factors related to complications of diabetes, such as keeping blood pressure and choles- terol under check; and doing regular eye and foot examinations. • The treatment in gestational diabetes can be limited to pregnancy; however the mother will need to always be careful in keeping a healthy weight as she will be at risk to de- velop type 2 diabetes later in life. • Whenever we treat diabetes, it is important to learn how to manage hypoglycemia or low blood sugar. What is hypoglycemia? Hypoglycemia refers to low blood sugar level, below 70 mg/dL, with or without symptoms. The symptoms are dizziness, shakiness, sweating, extreme hunger, and palpitations. It is important to recognize low blood sugar to prevent it from dropping even lower. If feeling low, one should always check with the dextrometer to confirm, whenever possible; then, take one glass of water with 3 teaspoons of sugar, or half a cup of juice; and recheck glucose 15 minutes later.
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    ArticleDiaLeb review Issue #01 | November 2012 09 DiaLeb National Diabetes Organization www.dialeb.org sidered 126 (mg/dL) and with that val- ue, the patient will need to come in and have a second test done. Diabetes is con- firmed with two separate values greater than126 mg/dl. The ADA has recognised recently HBA1c as a valid screening tool. HBA1C values above 6.5% are diagnostic of diabetes. ADA has published online a risk calculator: http://www.diabetes. org/diabetes-basics/prevention/dia- betes-risk-test. Patients are encouraged to check their risk and discuss with their physicians about the screening strategy to adopt. Type II Diabetes is defined as an eleva- tion in blood glucose resulting from re- sistance to insulin action and deficit in insulin secretion. Diabetes is associated with other metabolic disturbances such as hyperlipidemia and hypertension. Diabetes is a major cause of cardiovas- cular mortality and morbidity. It is as- sociated with a variety of disabling and life threatening complications such as nephropathy, the renal complication of diabetes, retinopathy, the retinal com- plication, neuropathy which is a source of disabling pain, hypotension and gas- tro intestinal symptoms. Diabetics are at higher risk of foot ulcers leading in some cases to amputation of lower limbs. They are more prone to infections, surgery complications and even get depressed more frequently. Tight control of diabetes and of associ- ated risk factors has been shown to re- duce complications. Early intervention achieves tight control easier. Screening is the key for early diagnosis. Table 1 shows major screening recommenda- tions. Screening is generally recom- mended in high risk populations i.e.: age>45, family history, overweight, obe- sity, steroids. Screening relies mainly on fasting blood sugar. The normal range is typically below 100 mg/dL. People who have values above this threshold are at high risk and should monitor their blood sugar regularly. Abnormal is con- Screening & Prevention of Type II Diabetes Patients at high risk or those with pre di- abetes (sugar values are above 100 mg/dl but less than 126 or HBA1C between 5.7 and 6.4%) should be followed up care- fully. Evidence has shown that intensive lifestyle modifications, increased physi- cal activity, and to a lesser degree phar- macologic treatment reduce the risk of developing subsequent diabetes. The identification of this group of patients is a shared responsibility between primary care physicians, endocrinologists, and patients. Identification can reduce dia- betes prevalence and may help reduce the burden of this disease. Table 1. Screening Recommendations for Diabetes ADA Testing to detect type 2 diabetes should be considered in asymptomatic adults with a BMI of 25 kg per m2 or greater and one or more additional risk factors for diabetes. Additional risk factors include physical inactivity; hypertension; HDL cholesterol level of less than 35 mg per dL (0.91 mmol per L) or a triglyceride level of greater than 250 mg per dL (2.82 mmol per L); history of CV disease; A1C level of 5.7 percent or greater; IGT or IFG on previous testing; first-degree relative with diabetes; member of a high-risk ethnic group; in women, history of gestational diabetes or delivery of a baby greater than 4.05 kg (9 lb), or history of PCOS; other conditions associated with insulin resistance (e.g., severe obesity, acanthosisnigricans). In persons without risk factors, testing should begin at 45 years of age. If test results are normal, repeat testing should be performed at least every three years. USPSTF All adults with a sustained blood pressure of greater than 135/80 mm Hg should be screened for diabetes. Current evidence is insufficient to assess balance of benefits and harms of routine screening for type 2 diabetes in asymptomatic, normotensive patients. Marouan Zoghbi, MD Family Medicine Specialist Clinical Instructor, USJ
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    ArticleDiaLeb review Issue #01 | November 2012 10 DiaLeb National Diabetes Organization www.dialeb.org a fractured bone or nerve damage, both of which heal without permanent prob- lems in the majority of babies. That is why some doctors may recommend that women with suspected large babies give birth by cesarean section. Shortly after birth, some babies may have low blood sugar (hypoglycemia), jaundice, poly- cythemia (an increase in the number of red cells in the blood), hypocalcemia (low calcium in the blood), breathing problems at birth (the lungs of babies whose mothers have diabetes tend to mature a bit later) and even stillbirth (death of baby before delivery) in the last two months of pregnancy. Finally, women with GD are at increased risk for developing preeclampsia, a disease char- acterized by high blood pressure and edema. GD goes away after birth, but it does increase the risk of a woman for de- veloping diabetes later in life. One third of women who had GD will continue to have diabetes. For women diagnosed with diabetes before pregnancy, medical help should be sought before getting pregnant. This preconception visit is essential since high dose folic acid should be started and tight blood sugar control (glycosyl- ated hemoglobin levels Hb A1C <6.1%) should be ensured before pregnancy. Women with pre-gestational diabe- tes are at increased risk of abortion, polyhydramnios (excessive amniotic fluid), birth defects, stillbirth, and sev- eral complications in their babies like hypoglycemia, respiratory problems, growth restriction (low birth weights), M ost cases of diabetes in preg- nancy (90%) are gestational diabetes (GD) which begins or is first recognized during pregnancy. The remaining are patients diagnosed with diabetes before pregnancy. Tight blood sugar control during pregnancy is the key for an optimal pregnancy out- come in either type of diabetes since poor blood sugar control can have seri- ous short- and long-term consequences for both the mother and the baby. GD affects ~7% of expectant mothers, making it one of the most common health problems of pregnancy. For few moms-to-be, the pancreas can’t keep up with the increased insulin demand during pregnancy, and therefore blood glucose levels rise too high, resulting in GD which usually has no symptoms. That’s why pregnant women are usually screened for diabetes at 24-28 weeks. In those at high risk for diabetes (obese, GD in a previous pregnancy, family his- tory of diabetes and sugar in their urine test), screening is done at the 1st pre- natal visit and repeated at 24-28 weeks. If the screening test is positive, a con- firmatory test is then performed. Most women with GD go on to have healthy babies. Dietary changes and exercise may be enough to keep the blood sugar levels under control, but sometimes medications are needed. Artificial sweet- eners may be safely used in moderate amounts. Complications of uncon- trolled GD include overly large babies where the baby’s shoulders may get stuck during delivery. This can result in Management of Diabetes in Pregnancy hypoglycemia, hypomagnesemia, poly- cythemia, hyperbilirubinemia (high bilirubin levels), and increased risk for the baby of inheriting diabetes. Wom- en are at increased risk of delivering by cesarean and of having preterm labor and preeclampsia. To help reduce these risks, the patient should follow a meal plan and a liberal exercise program and should test blood sugar and take her medications, usually insulin and more recently oral hypoglycemics. She will have to come for more frequent prenatal visits than the usual. The recommended daily caloric intake is 30 kcal/kg and may be distributed as: 10–20% at break- fast; 20–30% at lunch; 30–40% at din- ner; and up to 30% for snacks, especially a bedtime snack to reduce hypoglycemia at night. The goals of blood sugar con- trol are 60-90 mg/dl before breakfast and 120 mg/dl 2 hours after meals. In case of hypoglycemia, a glass of milk is prefera- ble to fruit juices containing high levels of glucose. A fetal ultrasound and echo- cardiogram (an ultrasound that focuses on the baby’s heart) are usually ordered because the risk of birth defects, espe- cially heart defects. Other tests include: fetal heart monitoring (non-stress tests) to check for his well-being and one or more ultrasounds during 3rd trimester to monitor baby’s growth. Nowadays, with adequate follow up and tight blood sugar control, favorable pregnancy outcomes can be attained in women with pre-gestational and gesta- tional diabetes. Anwar Nassar, MD Professor of Obstetrics and Gynecology – Interim Chairman American University of Beirut Medical Center (AUBMC) C M Y CM MY CY CMY K
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    ArticleDiaLeb review Issue #01 | November 2012 12 DiaLeb National Diabetes Organization www.dialeb.org Diabetes mellitus can affect anywhere is the gastrointestinal (GI) tract from the esophagus to the ano-rectal area. The most common GI complications of diabetes include gastroparesis (lazy stomach or delayed gastric emptying), intestinal enteropathy (which can cause diarrhea, constipation, and fe- cal incontinence), and nonalcoholic fatty liver disease. These complica- tions and their symptoms are often caused by abnormal gastrointestinal motility, which is a consequence of diabetic autonomic neuropathy. Such complications are associated with poor blood glucose control and not necessarily the duration of diabetes. Esophageal manifestations include abnormal movements, spontane- ous contractions, and impaired lower esophageal sphincter tone, result in heartburn and difficulty swallowing (dysphagia). Gastroparesis or delayed gastric emptying is a common con- sequence of diabetes. Patients with gastroparesis may present with early satiety, nausea, vomiting, bloating, postprandial fullness, or upper ab- dominal pain. Delayed gastric empty- ing contributes to poor blood glucose control and may be the first indica- tion that a patient is developing gas- troparesis. Intestinal enteropathy in Gastrointestinal Complications of Diabetes Cecilio R. Azar, MD Clinical Associate, GI Division AUB-MC Head of GI Division, M.E.I.H patients with diabetes may present as constipation, diarrhea, or fecal in- continence. Constipation is one of the most common complications of diabetes. Almost half of patients with diabetes reported constipation or in- creased use of laxatives. Patients may also develop diarrhea which leads to malnutrition, and weight loss. Some- times anti-diabetic medications (such as metformin) can cause diarrhea. Nonalcoholic fatty liver disease is the term used to describe a liver condition in patients who have a pathology re- sembling alcohol-induced liver injury but lack a history of significant alcohol consumption. It is often associated with diabetes and obesity. In some cas- es, nonalcoholic fatty liver disease may progress with varying degrees of in- flammation, in rare cases to cirrhosis. So in summary, most gastrointestinal complications can be avoided and controlled by strict normalization of blood glucose levels. “Patients with gastroparesis may present with early satiety, nausea, vomiting, bloating, postprandial fullness, or upper abdominal pain.”
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    ArticleDiaLeb review Issue #01 | November 2012 13 DiaLeb National Diabetes Organization www.dialeb.org Most people with diabetes and PAD do not have symptoms. Some individuals may experience mild leg pain or trouble walk- ing and attribute it as a sign of increasing age. The most common symptom of PAD is called intermittent claudication. It is de- fined as pain, cramping, or aching in the buttocks, thighs and usually in the calves. The pain appears during walking and is relieved by rest. This pain is reproducible every time the person walks and is usu- ally relieved by the same amount of time at rest. This is a sign that an arterial narrow- ing or blockage exists in the leg and less blood is reaching the muscles thus causing pain. More extreme presentations of PAD include numbness, tingling, coldness in the lower legs or feet and pain even at rest. For individuals with the most severe block- ages, skin ulcers, non-healing wounds, or even gangrene can occur. The ankle brachial index (ABI) is a simple test used to diagnose and characterize the severity of PAD. This test compares the blood pressure in the ankle to the blood pressure in the arm. If the blood pressure Peripheral arterial disease, or PAD, occurs when blood vessels in the legs become narrowed or blocked when extra cholesterol and other fats circulating in the blood collect in the walls of the arteries and form the atherosclerotic plaque. This process is called atherosclerosis and can be caused by many factors, such as smoking, high cholesterol and diabetes. It can occur in almost any artery and usually involves multiple arteries at the same time. Over time, plaque hardens within and around the artery walls, and may reduce the blood flow to the legs and feet. Diabetes increases the likelihood of developing PAD. In general, it is estimated that 1 out of every 3 individuals with diabetes over the age of 50 has a form of PAD. Diabetes alone puts individuals at risk for PAD. However, the risk is greater with factors such as smoking, high blood pressure, elevated cholesterol, being overweight, lack of physical activity, age over 50 years, and a personal or family history of heart disease or stroke. What you need to know about Diabetes & Peripheral Arterial Disease in the ankle is lower than the arm, it can be a sign of PAD. The American Diabetes Association recommends that people with diabetes over the age of 50 have an ABI to test for PAD. Other more sophisticated tests can be used for the diagnosis and pa- tient evaluation. The arterial Doppler or ultrasound exam uses sound waves to pro- duce images of the flow of blood or to de- lineate the vessel itself. Arteriograms, com- puted axial tomography (CT) scans, and magnetic resonance angiography (MRA) use dye, X-rays and new imaging modali- ties and scanning techniques to show the blood vessels and their blockages. Medical studies have demonstrated that regular walking exercise can help improve the symptoms of PAD. Medications can also have a positive effect. Other important beneficial steps include: quit smoking, control your blood sugar and achieve a target hemoglobin A1C less than 7%, control your blood pressure and reduce your bad LDL cholesterol to less than 100 mg/dl. In some cases more invasive procedures are used to treat PAD. For instance, balloon angioplasty is a minimally invasive procedure in which a small tube with a balloon is inserted and threaded into the affected artery. The balloon is then inflated, stretching and opening the narrowed artery, and then removed. A stent may be left in place to help maintain the artery open. Some instances require open surgery. In this case, a procedure is done to either open the affected artery or bypass the blockage using a patient’s own vein taken from another part of the body or a synthetic tube graft material. You should discuss your treatment options with your physician. Taking care of your diabetes and the con- ditions that accompany it can lower your chances of developing symptoms of PAD. Joseph J. Naoum, MD Assistant Professor of Surgery | Lebanese American University (LAU) Division of Vascular & Endovascular Surgery, University Medical Center Rizk Hospital (UMCRH)
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    ArticleDiaLeb review Issue #01 | November 2012 14 DiaLeb National Diabetes Organization www.dialeb.org Diabetic nephropathy is kidney disease or damage that can occur in people with diabetes. Causes, incidence, and risk factors Each kidney is made of hundreds of thousands of small units called neph- rons that filter your blood and help re- move waste from your body. In people with diabetes, these neph- rons thicken and slowly become scarred over time even before any symptoms begin. The exact cause is unknown. However, kidney damage is more likely if there is poor control of diabetes and high blood pressure. Family history and eth- nicity may also play a role. Not everyone with diabetes develops this kidney problem. People with diabetes who smoke and those with Type 1 diabetes that started before age 20 have a higher risk for kid- ney problems. Symptoms Often, symptoms can occur 5-10 years after the kidney damage had started. People who have more severe kidney disease may have symptoms such as constant fatigue, general ill feeling, headache, nausea and vomiting, poor appetite, and swelling of the legs. Signs and tests Your doctor can order tests to detect signs of kidney problems in the early stages. Once a year, you should have a urine test to look for a protein called al- bumin leaking into the urine Too much of this protein leaking is often a sign of kidney damage. High blood pressure often goes along with diabetic nephropathy. You may have high blood pressure that begins quickly or is hard to control. Your doc- tor will also check your BUN and Serum creatinine every year. In case of doubt, a kidney biopsy con- firms the diagnosis. Treatment In early stages, kidney damage can be slowed with treatment. Keeping your blood pressure under control (below 130/80) is one of the best ways to slow kidney damage. Eating a low-fat diet, taking drugs to control blood cholesterol, and getting regular exercise can also help prevent or slow kidney damage. Diabetes & Kidney Disease You can also slow kidney damage by controlling your blood sugar levels, which you can do by: • Eating a healthy diet • Regularly taking insulin or other medicines your doctor prescribes. • Knowing the basic steps for managing your blood sugar levels at home. • Checking your blood sugar levels and keeping a record of them. To protect your kidneys, remember the following: • Tell your doctor about your diabetes before having an MRI, CT scan, or other imaging test in which you receive a contrast dye. These dyes can further damage the kidneys. • Always talk to your health care provider before taking any drugs since some can damage the kidneys. • Know the signs of urinary tract infec- tions and get treated right away. Expectations (prognosis) Diabetic kidney disease is a major cause of sickness and death in people with diabetes. It can lead to the need for di- alysis or a kidney transplant. Thus it is very important to consult your doctor about your diabetes and if there is any kidney involvement from it. Walid Aboujaoude, MD Hypertension and Kidney Diseases specialist Head of Nephrology Division at MEIH, Bsalim, Lebanon
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    Article er forget tohave legumes in moder- ation (ex: beans) for they are a good source of fibers and proteins. Milk and yogurt are an important component of your meal since they are rich in protein, calcium, vitamins D, A, some B vitamins and others. However, it is better to have skimmed milk which is low in saturated fat that is bad for your heart and vessels. Fruits and vegetables contain a signif- icant amount of vitamins, minerals and fibers and they (especially veg- etables) should be present abundantly throughout the day. TIP. Rule of colors: Try to have various colors of fruits and vegeta- bles every day since every color cor- responds to a certain antioxidant beneficial to your health. Orange, yellow, purple, red, green are all col- ors that help you prevent disease. As for proteins, we recommend high biological value proteins found in grilled fish, lean meat, and grilled chicken breast with skin removed before cooking. “Good fat” (mono- unsaturated fat) is quite abundant in our traditional Mediterranean diet es- pecially in olive oil, avocado and nuts. “What am I going to eat now?!” A common question we hear from overwhelmed and newly diagnosed patients. The so called “complex” disease re- quires in fact simple rules to control glycemia and delay, better yet prevent the complications we all know. Simple rules involve frequent meetings with the physician, healthy eating habits and regular physical activity. In regards to good nutrition, it is all about moderation, variety and plan- ning. A nutritious day is based on 3 healthy meals with 2-3 snacks be- tween meals. Tip. Try not to skip breakfast for this is linked to increased insulin resistance. A healthy meal includes all food groups: dairy, proteins, grains, fat, fruits and vegetables. Grains (bread, rice, etc.) are nothing to be afraid of because, if chosen carefully, will give you energy and provide you with essential nutrients. Tip. Try to opt toward whole grains such as whole bread and nev- DiaLeb review Issue #01 | November 2012 016 DiaLeb National Diabetes Organization www.dialeb.org Tip. Try to include sources of good fat in moderation and avoid bad fat (saturated and trans) found in margarine, ghee, butter, biscuits, processed food. We add some water… Now your meal is ready to eat: A variety of vegetables and fruits, whole grains, good fat, skimmed milk, fluids, and a good source of protein. One more thing to complete all this… Exercise, Exercise, Exercise!Physicalactivityisessentialto managing diabetes. These guidelines serve as general information for the management of diabetes as well as for the general population to stay healthy and prevent overweight, a leading cause of diabetes (Type 2). At the end, the most reliable resource for you is your healthcare team of physicians and dietitians. Finally, to our dismay as healthcare professionals, diabetes prevalence is dangerously increasing despite that now we know much about the dis- ease’s prevention and management and even more by the day. A team work of doctors, fitness consultants, community workers, and dietitians will certainly be of great benefit to prevent and control diabetes. Diabetes A complex disease, yet simple nutrition rules DiaLeb review Issue #01 | November 2012 01616 Layal Al Hanna Masters in Human Nutrition USJ
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    DiaLeb National DiabetesOrganization www.dialeb.org Article Having diabetes was never a barrier to actively enjoying sports, exercise and fitness training in general. People with Diabetes have accomplished some of the highest sporting achievements in many high-level competitions and world championships. Sports, or exercise of any kind, are an essential part of diabetes management, and it can help in many ways especially by making it easier for the body to use insulin, lowering the risk of complications, tension and stress and controlling your weight. Remember that better fitness means bet- ter response to insulin and better control of blood sugar levels. Below, the two main training catego- ries that all individuals need to be involved in despite the common life obstacles: Time management, long working hours, and minor medical situations 1- Strength training: In scientific studies, it has been found that strength training such as weight lifting improves insulin sensitivity in those individuals with diabetes to the same extent that aerobic exercise does. Extended periods of strength training improve blood sugar control. In fact, in those people with diabe- tes, strength training in combination with aerobic exercise may be even more beneficial. Talk to your doctor before you start any exercise program. 2- Cardiovascular training: Also known as cardio training, such as walking, jogging or biking, involves exercise in which a person’s heart rate increases to a higher rate than normal. This type of workout, also called aero- bic exercise, can be especially benefi- cial for people with diabetes because it can help burn extra glucose in the body and decrease insulin resistance. As always, people with diabetes should keep their doctors well informed of any- thing that can affect their health. Exer- cise falls into this category. Talk to your doctor about what kind of exercise is best for you, and be sure to discuss any questions or concerns that arise as your exercise program progresses especially staying alert of any signs or symptoms of hypoglycemia and hyperglycemia. P.S. As with any type of exercise, al- ways warm up before exercising and then take time to cool down afterward. Finally, I would like to congratulate DiaLeb on the first issue of “DiaLeb Review”, and express my honor of be- ing part of the DiaLeb team. Diabetes & Fitness Get Fit… Stay Fit!!! DiaLeb review Issue #01 | November 2012 01717 Amine Dib International Fitness Expert AFAA – ACE – ACSM certified
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    TestimonialsDiaLeb review Issue #01 | November 2012 18 DiaLeb National Diabetes Organization www.dialeb.org Living with Diabetes Type I Diabetes Testimonials HERA EID “My diabetes story has started on February 27th 2011… when I suddenly found out that my blood sugar was very high (5.23 g) and I was suffering from diabetic ketoacidosis. Being diagnosed with Type I diabetes was a shock that changed my life in so many ways. The moment I knew I’m diabetic was cruel but the moment my doctor told me that I need a rest of 2 months was a moment that I can never describe… it suddenly felt like everything was taken away from me because I had to drop all my courses at university, stop my dance and tennis practices. Without the moral support and motivation it’s not possible for someone to move on and be able to control his diabetes. This is what my doctor always keeps telling me; “Hera your diabetes will never control you, but you will control it”. Today I have the courage to say that I’m diabetic. I’m not ashamed of my diabetes and when I introduce myself to someone I tell them that I’m diabetic and I answer their questions which sometimes surprise me because I can see how much we need knowledge and how important is to have organizations like DiaLeb. Diabetes is a chronic disease that needs a lifetime treatment with insulin, but it is ok and it would not stop anything in my life… but I just need to be positive and talk about it or else how can I ask for awareness campaigns, for researches, for cure, for support, for motivation, medical and nutrition information. How I can I encourage DiaLeb for its cause if I’m not able to start from myself and accept the fact that I’m diabetic? I answer people’s questions with a very positive spirit and correct some myths about diabetes. As well as I like to share my experience with people maybe that way they can learn something from it. Every single day of my life is a challenge for me and I learn something new and I even get more and more motivated to encourage the DiaLeb cause because we need that in our societies… What I learned most from my diabetes is that in our lives we will always be subjected to changes either good or bad, we just need to be prepared and be able to pass the reorientation state until it becomes part of our lifestyles … my diabetes made me stronger and today after almost 2 years I can tell you that I’m a very positive, hopeful, happy, confident and grateful person sharing my experience with you. I would also like to thank each and every person who stood by my side in times of need, my dear friends, my doctor, my sisters, and mostly my parents who keep on motivating me and giving me the power and courage to strengthen my faith and be patient.
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    DiaLeb National DiabetesOrganization www.dialeb.org Wissam Mortada Sabiha Zein Yeghia Gurunian “I’d like to start my story, as a 14 year old kid, who had started his life on a day where diabetes Type I was a word that made me laugh at first. Then with time I began to understand what it meant and took the worst approach: rejection... However every challenge in life needs that first step in order to get out of trouble and surpass it. I understood that I could not keep going like I was. I needed to make a change, and although it was difficult, I succeeded throughout the years. Today, I’m 21, and I do thank God, and all the healthcare professionals who were next to me from the beginning when I could not understand my new self, and helped me in difficult times. I know without their support and help it could have been much worse. In the end I’d like to thank you DiaLeb for presenting me as one of your members, and I’m glad to know you all and appreciate your hard work, it is definitely needed.” “It all started 3 years ago, when I was always feeling weak, thirsty, and lost 10kg... Yes I was diagnosed with Type I diabetes. I got sad about it for the first week, then the diet started and I started to miss the sweet life: candy, doughnuts, chocolates, etc . Many times I cursed my luck. However, one month after this incident my friend got diagnosed with leukemia, thus I understood there are worse situations than mine and I decided to get in control. I consulted Dr. Mirey, a professor in nutrition, who taught me how to count my carbohydrates and after perfecting this, I was able to go back to the gym; I gained 8kg. Despite all the improvements, I still had questions to be answered, that’s where a colleague who has diabetes, Hera, stepped in. She introduced me to DiaLeb. I really felt a sense of belonging there, and was happy to know the important work that the association does. Now I live a pretty healthy life, even healthier than my friends. There’s an old saying: “you are what you eat”.” “Diabetes is all about management!!! I got diagnosed when I was 30 years old. It was a big shock to me at this time to know that I have Type I diabetes and I should take four injections a day in order to survive and stay healthy, although there is no history of diabetes in our family! I was in Germany at that time and I was lucky enough to be surrounded with a lovely endocrinologist and friendly diabetes educators to get me out of my shock. They helped me understand what diabetes is and how I should manage it. I learned how to count carbs, eat healthy food and exercise every day. After all, my family, friends and doctor’s support made me feel at ease and their support was important to absorb this matter. It’s true that diabetes is a chronic disease but it is a manageable disease at the same time. All a person diagnosed with diabetes needs to do is to watch what they eat, to exercise daily and to test A1C levels every 3 months. At the end I would like to thank my family, friends and my diabetes educator “Heidi” for all their support, and a special thanks to DiaLeb organization for their big efforts in spreading diabetes awareness all around Lebanon. We are in the most need to have such awareness programs to let people understand what diabetes is and how it could be prevented and managed.” TestimonialsDiaLeb review Issue #01 | November 2012 19
  • 24.
    EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 22 Labib Ghulmiyah, MD, presented highlyvaluableinformationaboutthe types of diabetes, its prevalence in the community in general and focused on its effects on women and pregnancy in particular. Then, Mrs. Sylvie Issa, Managing Director of DiaLeb, also presented her experience with Type 1 Diabetes and how she went through her recent and first pregnancy. The doctor-patient exchange proved to be very engaging and provided the audi- ence with different perspectives on living and managing diabetes. Launching its awareness activities, The National Diabetes Organization, DiaLeb, held its first speaker event entitled “Diabetes and its Effects on Women & Pregnancy”. Political, diplomatic and social per- sonalities attended the event, which they found to be very informative and insightful. Dr. Jackie Maalouf, Presi- dent of DiaLeb, opened the discussion with a presentation about the mission and objectives of the organization, as well as its plans for the near future. Diabetes and its effects on Women & Pregnancy LOCATION Al Yarz Leisure Club Conference Room, Level 0 GENRE Speaker Event GUEST SPEAKER Dr. Labib Ghulmiyah, MD Maternal & Fetal Medicine at AUBMC 23.09.11
  • 25.
    EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 23 13.10.11 22.10.11 29.10.11 During the registration period for the Beirut Marathon 2011, The National Diabetes Organization, DiaLeb, was in action for many days at City Mall. DiaLeb team members and many volunteers full of excitement and commitment were ready to introduce people to DiaLeb and register them at the Beirut Marathon under DiaLeb’s name. Moreover, on October 29 there was a collaboration between DiaLeb, Beirut Marathon and Gatorade in the presence of Mrs. May El Khalil, President of the Beirut Marathon Association. The event ended up being very positive and successful, having many people registered under DiaLeb’s name and supporting the cause of raising and spreading awareness. LOCATION City Mall Registration for the Beirut Marathon 2011
  • 26.
    EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 24 LOCATION Sagesse High School (SHS) Ain Saade GENRE Lecture GUEST SPEAKER Ms. Cosette Fakih MSc, LD from AUB 27.10.11 School Lecture Series at Sagesse High School DiaLeb kicked-off its “School Lecture Series”, a main part of its awareness program, with a presentation at Sagesse High School (SHS), Ain Saade. Cosette Fakih, MsC, LD, AUB made two separate presenta- tions to students of the Intermediate and Secondary Divi- sions. During the lectures, which were directed to a full auditorium of students, Ms. Fakih explained what diabetes is, the different types, how it is diagnosed, and how it is managed and treated. She also focused on good nutrition practices that can help prevent the onset of diabetes, and provided the students with key steps to begin leading a healthier lifestyle. Students were interested and engaged, and the prolonged Q&A session demonstrated this. The students interacted with the speaker at the end of the session and gave very positive feedback, acknowledging the importance of DiaLeb’s initiative.
  • 27.
    EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 25 LOCATION American University of Culture and Education (AUCE) Badaro Branch GENRE Lecture GUEST SPEAKER Mrs. Mirey Karavetian MSc from AUB SPONSOR Sanofi 14.11.11 University Lecture Series at AUCE DiaLeb kicked off its “University Lec- ture Series”, a part of its Diabetes in the Classroom awareness program, with a presentation at the American University of Culture and Education (AUCE), Badaro branch. The event took take place between 11:00 a.m. and 12:30 p.m. Mirey Karavetian, MsC, AUB present- ed on what diabetes is, the different types, how it is diagnosed, and how it is managed and treated. Mrs. Kara- vetian also advised students on good nutrition practices that can help pre- vent the onset of Type 2 diabetes, and provided the students with key steps to begin leading a healthier lifestyle. Free glucose testing was provided to all students by Sanofi. This event was closed for AUCE students, professors and staff only.
  • 28.
    EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 26 LOCATION Haigazian University GENRE Lecture GUEST SPEAKER Mrs. Mirey Karavetian MSc from AUB 15.11.11 University Lecture Series at Haigazian University On November 11, 2011, DiaLeb hosted a presentation at Haigazian University, as part of its “University Lecture Se- ries”, a branch of its Diabetes in the Classroom awareness program, under the title: “Diabetes: Awareness & Preven- tion”, at 12:00 p.m. Mirey Karavetian, MsC, AUB, presented on what diabetes is, the different types, how it is diagnosed, and how it is managed and treated. She also advised students on good nutrition and lifestyle practices that can help prevent the onset of diabetes, and provided the students with key steps to begin leading a healthier lifestyle. Ms. Hera Eid, student at Haigazian gave a personal testimo- ny of her life after being diagnosed with Type 1 diabetes. This event was closed for Haigazian University students, professors and staff only.
  • 30.
    EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 28 LOCATION Metropolitan Hotel, Sin el Fil GENRE Gala Dinner GUEST SPEAKER HE Minister of Health, Mr. Ali Hassan Khalil 17.11.11 DiaLeb’s 1st Annual Fundraising Gala Dinner On November 17, 2011, the National Diabetes Organization, DiaLeb, a newly established non-for-profit orga- nization focused on diabetes, held its first Annual Fundraising Gala Dinner under the patronage of His Excellency Minister of Health, Mr. Ali Hassan Khalil. The dinner took place at the Dubai Hall of the Metropolitan Hotel in Sin El Fil, and was attended by sev- eral political, diplomatic and social personalities as well as many profes- sionals of the field. Dr. Jackie Kassouf Maalouf, President and Founder of DiaLeb welcomed all the guests and thanked them for their generous support of DiaLeb. HE Minister of Health, Mr. Ali Hassan Khalilspoketoattendeesabouttheim- portance of such patient associations in promoting awareness and enhanc- ing the life of patients in Lebanon. Mrs. Sylvie Maalouf Issa, Managing Director gave a brief overview of DiaLeb, its mission and objectives, and described its recent activities and future programs for 2012. Finally, Ms. Hera Eid gave a short per- sonal story of her life with diabetes and the importance of the presence of an association like DiaLeb in pro- viding patients with the support and help they need. The Gala Dinner included a good en- tertainment program. DiaLeb has put together an ambitious program and the organization is com- mitted to bringing awareness to this disease which affects so many in Leba- non and the world.
  • 31.
    EventEventDiaLeb review Issue #01 | November 2012 029 DiaLeb National Diabetes Organization www.dialeb.org DiaLeb review Issue #01 | November 2012 02929
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    EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 30 LOCATION Beirut, Lebanon GENRE Marathon SUPPORTERS Sagesse High School 27.11.11 Beirut Marathon 2011 DiaLeb participated in the Beirut Marathon 2011 with the slogan “Take the first step towards a healthier, more active you”. A very successful event in which students and teachers from Sagesse High School ran under DiaLeb’s name and supported its cause in promoting diabetes awareness and mostly in encouraging physical activities which is an es- sential part in diabetes care and prevention. Also, many volunteers contributed in this event where they ran and cheered with DiaLeb. DiaLeb at the Beirut Marathon 2011 had a full active, positive and cheerful day with all the volunteers and participants who were running for one same cause: promoting diabetes awareness.
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    EventDiaLeb review Issue #01 | November 2012 31 DiaLeb National Diabetes Organization www.dialeb.org LOCATION Dubai International Exhibition and Convention Centre, Dubai, UAE GENRE Congress World Diabetes Congress International Diabetes Federation DiaLeb, represented by its President Dr. Jackie Maalouf, was present at the World Diabetes Congress held between December 4 & December 8, 2011 in Dubai, UAE. A total of 15,100 participants were present, making this Congress the largest in the International Diabetes Federation (IDF) history. Delegatesfromover172countriestook part in numerous sessions and showed their organizations. Congress speakers totaled 1,500, the highest amount of speakers ever at an IDF Congress. 04.12.11 08.12.11
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    EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 32 LOCATION Youth and Culture Center of the Zouk Mikaël Municipality GENRE Conference GUEST SPEAKER Dr. Najla Khoueiry SPONSOR Sanofi 23.12.11 Community Awareness at Municipality of Zouk DiaLeb kicked off its Community Awareness Program with an educa- tional event held at the Youth and Culture Center of the Zouk Mikaël Municipality. The conference entitled Diabetes, Education and Prevention (Type 2), was presented by Dr. Najla Khoueiry. Many constituents of the Zouk area attended the event, as well as others from outside the area. The Q&A session that followed Dr. Khouery’s presentation was lively and informative and clearly demonstrated the need for awareness regarding Type 2 Diabetes in the Lebanese communi- ty. The event was well attended with over 50 guests. Moreover, attendees were then given freeglucosetestingprovidedbySanofi and treated to a low carbohydrate and sugar free snack.
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    EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 33 LOCATION International College (IC) Ain Aar GENRE Lecture GUEST SPEAKER Ms. Cosette Fakih MSc, LD from AUB 09.01.12 School Lecture Series at IC Ain Aar DiaLeb held its first event of 2012 with a special presenta- tion at International College (IC), Ain Aar. The event fell under the “School Lecture Series”, a main part of DiaLeb’s awareness program. This was a special presentation made to about 90 first grade students at the request of the school’s administration. Guest speaker Cosette Fakih, MSc, LD from AUB, made a simple, visual presentation about Type 1 Diabetes in chil- dren and used drawings and anecdotes to reach the kids. Ms. Fakih explained what diabetes is and how it is managed and treated in children in a tailor-made presentation for such a young target audience. All students who participated were given a certificate of participation in appreciation for their good behavior and attention.
  • 36.
    EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org LOCATION St. Georges Church, Halat Municipaiity GENRE Conference GUEST SPEAKER Dr. Antoine Boulous SPONSORS Sanofi Johnson & Johnson - OneTouch 24.02.12 Community Awareness at Municipality of Halat 34 As part of its Community Awareness Program, DiaLeb held a conference entitled Diabetes, Education and Pre- vention (Type 2) at the Municipal- ity of Halat. The conference was pre- sented by Dr. Antoine Boulous and organized with the assistance of the Municipality. Many constituents of the Halat area attended the event, as well as others from outside the area. The Q&A ses- sion that followed Dr. Boulou’s pre- sentation was lively and informative and clearly demonstrated the need for awareness regarding Type 2 Diabe- tes in the Lebanese community. The event was well attended with close to 200 guests who were given free glu- cose testing provided by Sanofi and treated to a low carbohydrate and sug- ar free snack. Also, a raffle took place which saw seven lucky winners win a free One- Touch® Select glucose test kit.
  • 37.
    Event DiaLeb National DiabetesOrganization www.dialeb.org DiaLeb review Issue #01 | November 2012 03535 LOCATION Al Yarz Leisure Club, Baabda GENRE Brunch GUEST SPEAKER Mrs. Arlette Bouez 21.03.12 Dr. Jackie Maalouf, President of DiaLeb, was present at the Mother’s Day Brunch, at Al Yarz Leisure Club, Baabda on March 21, 2012. The ladies committee at Al Yarz Club organized the event and the dietitian Mrs. Arlette Bouez gave a presentation about nutrition habits and healthy eating. Dr. Maalouf gave a motivational speech about diabetes and DiaLeb’s mission, objectives and activities. The event was attended by approximately 150 people. LOCATION Anti Rosa Restaurant, Antelias GENRE Lecture SPONSOR Roche - Accuchek 20.05.11 Al Korban Al Moqaddas Association Annual Gathering Dr. Jackie Maalouf, President of DiaLeb, was present at the annual gathering of the “Al Korban Al Moqaddas” Association at Anti Rosa Restaurant, Antelias. Dr. Maalouf gave a motivational speech about diabetes and DiaLeb and gave away a few glucometers to some people affected with diabetes whose names were provided by the head of the association, Mrs. Yvonne Maalouf. The glucometers were offered by Roche - Accucheck. The event was attended by 250 people approximately. Mother’s Day Brunch at AlYarz Leisure Club
  • 38.
    EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 36 As part of its Community Awareness Program, DiaLeb held a conference entitled “Type II Diabetes: Education and Prevention” at Bayt Al Fan, Al Mina, Tripoli. The event was also organized with the assistance of the Lebanese Women’s Association (LBWA) and the “Al 3azem wa al Sa3ada” association. Mrs. Leila Karami welcomed the at- tendance and highlighted the impor- tance of awareness in the subject of diabetes and thanked DiaLeb for of- fering such valuable information to this important city of the north. Dr. Jackie Maalouf, President of DiaLeb, talked about the mission and vision of the National Diabetes Organization DiaLeb. Mrs. Cosette Fakih presented many important details about nutri- tion facts related to diabetes. The Q&A session that followed Mrs. Fakih’s presentation was lively and informative and clearly demonstrated the need for awareness regarding Type 2 diabetes in the Lebanese community. Community Awareness at Bayt Al Fan, Tripoli LOCATION Bayt Al Fan, Al Mina Tripoli GENRE Conference GUEST SPEAKER Ms. Cosette Fakih MSc, LD from AUB SPONSORS Sanofi Roche - Accuchek 31.03.12 Many constituents of the Tripoli area attended the event, including the President of the Red Cross Tripoli with some members, as well as other active associations from the area. The event was well attended with close to 70 guests. Attendees were given free Lactacid Bottles provided by Sanofi and treat- ed to a low carbohydrate and sugar free snack. Also, 7 Accuchek glucose meters provided by Roche were dis- tributed to the associations and dia- betic people from the attendance.
  • 40.
    EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 38 LOCATION German School, Dohat el Hoss GENRE Lecture GUEST SPEAKER Ms. Layal Al Hanna MSc from USJ 05.04.12 DiaLeb presented another awareness session under its “School Lecture Series”, with a presentation at the German School, Dohat el Hoss campus. The lecture was given by Ms. Layal Al Hanna to grade 8 students at the request of the school, as part of their Biology class curriculum which was at the time covering digestive disorders. Ms. Layal explained to the students what diabetes is, the different types, how it is diagnosed, and how it is managed and treated. She focused on good nutrition practices that can help prevent the onset of diabetes, and provided the students with key steps to leading healthier lifestyle. Students were interested and engaged, and the prolonged Q&A session demonstrated this. The students interacted with the speaker at the end of the session and gave very positive feedback, acknowledging the importance of DiaLeb’s initiative. School Lecture Series at German School
  • 41.
    EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 39 LOCATION Helping Hand Association Beirut, Meeting Room GENRE Conference GUEST SPEAKER Ms. Layal Al Hanna MSc from USJ 20.04.12 DiaLeb gave a presentation to the members of the Helping Hand Association entitled: “Type II Diabetes: Education and Prevention”. The presentation was held at the Helping Hand meeting room facing the Grand Serail at 3:30 pm. Ms. Layal Al Hanna presented on what diabetes is, the dif- ferent types, and how it is diagnosed, treated and managed. Later, she provided the ladies with very important infor- mation on good nutrition practices to help prevent and manage diabetes. The event was closed to Helping Hands members only. Type 2 Diabetes Education & Prevention at Helping Hand Association
  • 42.
    EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 40 21.04.12 LOCATION Municipality of Baabdath GENRE Conference GUEST SPEAKER Dr. Elizabeth Abou Jaoude SPONSORS Sanofi Roche - Accuchek Community Awareness at Municipality of Baabdath As part of its Community Awareness Program, DiaLeb held an event on Saturday, April 21, 2012, at Baabdath Municipality. The conference en- titled “Type II Diabetes: Education and Prevention” was presented by Dr. Elizabeth Abou Jaoude specialized in Diabetes and chronic diseases and organized with the assistance of the Baabdath Municipality. The President of the municipality council, Mr. Imad Labaky attended the event, and thanked DiaLeb for offering such valuable events to the community. The Q&A session that fol- lowed Dr. Abou Jaoude’s presentation was lively and informative and clearly demonstrated the need for awareness regarding Type 2 diabetes in the Leba- nese community. The event was well attended with close to 70 guests. The free glucose screening was pro- vided by Sanofi and the attendees were then treated to a low carbohy- drate and sugar-free snack. Also, 6 Accu-chek machines where handed to diabetic people whose names were provided by the municipality.
  • 43.
    DiaLeb National DiabetesOrganization www.dialeb.org EventDiaLeb review Issue #01 | November 2012 04141 DiaLeb National Diabetes Organization www.dialeb.org DiaLeb review Issue #01 | November 2012 04141 Upon the invitation of Dr. Abdulla Al-Hamaq, the ExecutiveDirectorofQatarDiabetesAssociation(QDA), Dr. Jackie Maalouf, President of DiaLeb, visited the QDA offices and met with several professionals of the QDA team in order to exchange information in the field of community work related to diabetes. DiaLeb National Diabetes Organization www.dialeb.org On Friday and Saturday May 25 and 26, 2012, DiaLeb, represented by Dr. Jackie Maalouf, President of the association, was present at the IDF-MENA workshop that was held at Golden Tulip Hotel, Beirut and organized by Dr. Mohamad Sandid. Professor Morsi Arab and Professor Adel El Sayed represented the IDF in the workshop and both had speeches about the IDF and updates in the field. Dr. Maalouf gave a presentation on behalf of NGOs and suggested the translation of the IDF website into Arabic especially since 19 countries members of the IDF-MENA are Arabic speakers. The suggestion was well accepted among IDF representatives. LOCATION Golden Tulip Hotel, Beirut GENRE Workshop 25.05.12 26.05.12 LOCATION Building of the Qatar Diabetes Association (QDA), Qatar GENRE Meeting 23.05.12 Visit toQatar Diabetes Association IDF–MENA Workshop
  • 44.
    EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 42 LOCATION Auditorium of Antonine University, Riyak-Bekaa GENRE Radio Program GUEST SPEAKER Ms. Layal Al Hanna MSc from USJ SPONSOR Roche - Accuchek 06.06.12 University Lecture Series at Antonine University At the auditorium of the Antonine University in Riyak-Bekaa, Ms. Layal Al Hanna, presented a lecture under the title: “Diabetes: Awareness and Prevention”. The event took place from 11:00 am to 12:30 pm where Ms. Layal provided students with an overview of what diabetes is, the different types, how it is diagnosed, and how it is managed and treated. Morover, our guest speaker advised students on good nutrition and lifestyle practices that can help prevent the onset of diabetes, and provided them with key steps to begin leading a healthier lifestyle. Following the lecture, free glucose testing for all students was provided by Roche, and performed by four volunteer members of the Red Cross, Zahle. Four glucose machines, courte- sy of Accuchek, were distributed: two were given to the University infirma- ry, and the remaining two machines to the Red Cross, Zahle. The event was well attended with around 120 students and the discus- sion was lively and informative.
  • 45.
    EventDiaLeb review Issue #01 | November 2012 43 DiaLeb National Diabetes Organization www.dialeb.org LOCATION Sayedat Ras El Metn Association GENRE Conference GUEST SPEAKERS Ms. Layal Al Hanna MSc from USJ SPONSORS Sanofi, Diet Diary, Roche - Accuchek 07.06.12 Type 2 Diabetes Education & Prevention at Sayedat Ras El Metn Association DiaLeb held an event entitled: “Type II Diabetes: Education and Prevention” presented by Ms. Layal Al Hanna, MS in Human Nutrition from USJ at the Sayedat Ras El Metn Association. Mrs. Mona Ghazal welcomed the attendance and high- lighted the importance of awareness in the subject of dia- betes and thanked DiaLeb for offering such valuable in- formation to this important city of the north. Dr. Jackie Maalouf, President of DiaLeb, talked about the mission and vision of the National Diabetes Organization, DiaLeb. Mrs. Sylvie Maalouf, Managing Director of DiaLeb wel- comed and thanked all in attendance and provided them with her live testimonial living with diabetes and the rea- sons and idea behind founding DiaLeb. Ms. Layal Al Han- na presented many important details about nutrition facts related to diabetes. The event was well attended with close to 70 guests who were given free Lactacyd Bottles provided by Sanofi and treated to a low carbohydrate and sugar free snack from Diet Diary. Also, seven Accuchek glucose meters provided by Roche were distributed to identified people with diabetes in need from those attending. One glucose meter was provided for the medical office of the association.
  • 46.
    EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 44 LOCATION Conference Room of Municipality of Zahle, Zahle GENRE Conference GUEST SPEAKER Dr. Ali Mrad SPONSORS Sanofi Johnson & Johnson - OneTouch 12.06.12 Community Awareness at Municipality of Zahle DiaLeb held a further event as part of its Community Awareness Program at the Municipality of Zahle, in the Bekaa. Again the conference was entitled “Diabetes, Education and Prevention (Type 2)”. The employees of the municipality were treated to an educational presentation by Dr. Ali Mrad who presented the different types of diabetes, how it is diagnosed and treated and some of the common myths regarding the disease. A free glucose screening test was provided by Sanofi, and for the first time, a follow-up HbA1C test was performed to those with a high glucose spot reading, which usually is performed via a blood test in a laboratory. However, Sanofi provided a new machine which provides an accurate result within minutes, offering a great service to the attendees. Inaddition,6OneTouch®glucosemetersprovidedbyFattal were given away to identified members from the audience who have diabetes. At the end a healthy low-carbohydrate cocktail was offered to close to over 50 participants who were exposed to this rich and enlightening event.
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    EventDiaLeb review Issue #01 | November 2012 04646 LOCATION Ministry of Defense, Baabda GENRE Lecture GUEST SPEAKERS Dr. Elizabeth Abou Jaoude Mrs. Ranwa Abou Antoun 04.06.12 DiaLeb National Diabetes Organization www.dialeb.org DiaLeb’s team was present at the music festival, on June 22, 2012 at the Roman Amphitheater upon the invitation of the “Youth & Culture Center”, Zouk Mikael Municipality. DiaLeb was one of the few NGOs present at the event to remind people of the importance of diabetes awareness at cultural events. The event involved many bands and singers.Afreeglucosetestingwasprovidedandperformed by OneTouch Select - LifeScan for the attendees. LOCATION Ancient Roman Amphitheater, Zouk Mikael GENRE Festival SPONSOR Johnson & Johnson - OneTouch 22.06.12 Diabetes Awareness Fouad Shehab Command & Staff College DiaLeb held a diabetes awareness session at “Fouad Shehab Command and Staff College” (Kuliyat Al Arkan Aluuliya), Ministry of Defense, Baabda on June 4, 2012. The event included an overview about DiaLeb and activities presented by Dr. Jackie Maalouf, President of DiaLeb.Italsoinvolvedapresentationbyendocrinologist Dr. Elizabeth Abou Jaoude who talked about diabetes, diagnosis, types, and medical management. Mrs. Ranwa Abou Antoun, nutritionist, then explained the nutritional management of diabetes with emphasis on good nutrition habits and regular physical activity. The presentations were very interactive and showed the interest of the attendees. The event was followed by a healthy, low calories, low carbohydrates, and sugar-free cocktail. 70 Generals from the Lebanese army as well as a few Generals from Jordan, Kuwait, and KSA attended the conference. Music Festival Zouk Mikael
  • 49.
    EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org The Silent Killer Prevention & Treatment 47 LOCATION Radio Pax, Zahle GENRE Radio Program SPONSORS Fattal Johnson & Johnson - OneTouch 20.09.12 As part of its awareness program, DiaLeb held a radio event entitled the “Silent killer - Prevention & Treatment”. The program aired live on Radio Pax during the weekly show “Leizim Ne7ke” between 6:00 - 7:30 pm. Present during the show was Dr. Jackie Kassouf Maalouf, who discussed the reason behind founding DiaLeb, as well as our mission, vision and objectives, Ms. Layal Al Hanna, Awareness Program Coordinator & Nutritionist at DiaLeb, and Ms. Hera Eid, who gave a life testimonial about her case with Type 1 diabetes. In addition, a short phone call was made to Mrs. Sylvie Maalouf Issa, Managing Director of DiaLeb, who also discussed the idea behind founding DiaLeb, her personal story with Type 1 diabetes and provided a life testimony of beingawomanwithdiabeteswhohashadhealthychildren. Listeners were able to ask questions and receive valuable information regarding nutrition and the best choices for preventing, and managing diabetes. During the program, trivia questions about diabetes were asked, and those who called in with the right answer received a OneTouch®Select glucose meter, courtesy of Johnson & Johnson. Also, free glucose testing sponsored by OneTouch was provided to anyone who came to the radio premises throughout the duration of the program and 6 OneTouch glucose meters provided by Fattal were given away to identified members from the audience who have diabetes.
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    EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 48 Patient Education with Conversation Maps LOCATION DialLeb Office, Jdeideh GENRE Education Session SPONSOR Lilly Diabetes 27.09.12 DiaLeb, in collaboration with the diabetes educators of Lilly Diabetes, organized a patient education session using the highly interactive Diabetes Conversation Map Tool. Diabetes Con- versations is a patient-focused pro- gram developed to improve patient understanding, self-management and enhance patient-healthcare profes- sional interaction. The Diabetes Con- versation Maps are highly visual and interactive diabetes educational tools created by Healthy Interactions in collaboration with the International Diabetes Federation (IDF) and spon- sored by Lilly Diabetes. TheConversationmapscoverdifferent topics including how diabetes works, starting insulin, healthy eating and keeping active, living with diabetes and diabetes complications. The session was given to a small group of around 6-8 patients which have relevant similar backgrounds.. The group discussion was very interactive where hearing the challenges and suc- cesses of each other helped the people living with diabetes recognize that they are not alone on this journey and can build confidence and take owner- ship of their diabetes management.
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    EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org LOCATION Campus of Medical Sciences at USJ, Ashrafiyeh GENRE Lecture GUEST SPEAKERS Ms. Layal Al Hanna MSc from USJ 50 16.10.12 University Lecture Series at Saint Joseph University DiaLeb held an educational session including case study analysis with graduate nutrition students at Saint Joseph University (USJ), Ashrafiyeh. The session was held on Tuesday, October 16, 2012 in collaboration with Mrs. Nathalie Yaghi (USJ). The program included a brief overview about DiaLeb and events, presented by Dr. Jackie Maalouf, President of DiaLeb, followed by our awareness program coordinator and nutritionist Ms. Layal Al Hanna, who presented anoverviewaboutnutritionfordiabetes and a case study analysis for Type 1 diabetes with carbohydrate counting. The session lasted 2 hours with inter- active case study analysis and diabetes management information.
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    EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 51 LOCATION La Sagesse University Furn El Chebbak GENRE Fair 23.10.12 National NGO Fair at La Sagesse University DiaLeb participated on October 23, 2012 in the First National NGO Fair that gathered more than 100 NGOs in Lebanon and International NGOs at La Sagesse University, centre Qadmous, Furn El Chebbak. It was an interactive hectic whole day program from 11:00 a.m. till 8:00 p.m and was mainly intended for University Students. During the fair, Dr. Jackie Maalouf, President of DiaLeb, presented an overview about DiaLeb. Free glucose testing was performed to the attendees with immediate nutrition questions answered.
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    EventDiaLeb review Issue #01 | November 2012 DiaLeb National Diabetes Organization www.dialeb.org 52 Rally Paper with Mouvement des Jeunes d’Orient LOCATION Zahle GENRE Rally Paper SPONSOR Roche - Accuchek 28.10.12 On Sunday, October 28, 2012 a Rally Paper was organized by Mr. Toni Abou Naoum, head of “Mouvement des Jeunes d’Orient” (MJO) Zahle, in collaboration with DiaLeb. Around 200 students participated in the 13-station rally and answered a list of questions each station related to general knowledge and diabetes basics. DiaLeb team was present throughout the event that aired live on Radio Pax. Atthelaststationoftherallylocatedat the Lebanese Red Cross, Zahle center, a free glucose testing, sponsored by Accuchek, was performed by the Lebanese Red Cross Members to all attendees. Later on, all attendees were treated to lunch during which awards were presented to the winners. Dr. Jackie Maalouf,PresidentofDiaLeb,received with great pleasure an appreciation award from MJO.
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    Can I requesta quotation from AROPE Insurance on the go? Can I have all my Insurance details saved in 1 place? When is my car inspection due? Where is the nearest gas station? Introducing the first of its kind Insurance Mobile App in Lebanon. AROPE App is your Ultimate All-In-One tool to Stay Up-To-Date! DOWNLOAD IT NOWDOWNLOAD IT NOW to your smartphone for FREE: www.arope.com Stay App To Date Scan the QR code to download the app Available on App Store, Google Play and BlackBerry App World
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    In the MediaDiaLebreview Issue #01 | November 2012 54 DiaLeb National Diabetes Organization www.dialeb.org DiaLeb in the Media November 2011 DiaLeb acknowledges the role of media in raising awareness and culture in our society. Therefore, DiaLeb had several appearances in the media to increase diabetes awareness and to announce its series of events for the World Diabetes Month, November 2011. Dr. Jackie Maalouf, President of DiaLeb, and Mrs. Sylvie Maalouf, Managing Director of DiaLeb, represented the NGO on various TV channels during their daily and weekly shows: LBC, MTV, Orbit, OTV, Télé Liban and Télé Lumière.
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    Look forward to ournext issue of DiaLeb Review which will feature new programs and activities! New Programs DiaLeb has recently launched a series of new programs, including: • Private educational sessions for people affected with type 1 and type 2 diabetes mellitus at our offices, Jdeideh • Community Internship Program for graduate students in nutrition from the Lebanese American University • Special educational sessions for graduate students in nutrition (emphasis on diabetes management) • Online programs and interactive tools • Gatherings for type 1 diabetes patients with professionals (doctors and dietitians) to share experiences and learn more about specific concerns related to diabetes management • Diabetes awareness sessions for employees in the corporate sector DiaLeb will also continue to raise awareness regarding diabetes prevention in schools, universities, NGOs, municipalities and where diabetes awareness is needed all over Lebanon. Next IssueDiaLeb review Issue #01 | November 2012 56 DiaLeb National Diabetes Organization www.dialeb.org Upcoming Activities: World Diabetes Month, November 2012 Throughout the first week of November Media interviews LBC, Orbit, MTV, OTV, Future, Télé Lumière... November 10th EDL diabetes forum at Monroe Hotel, Beirut. November 11th Beirut Marathon with Sagesse High School students and employees from Fattal. November 13th LAU awareness event followed by glucose testing, Byblos Campus November 14th LAU awareness event followed by glucose testing, Beirut Campus. Two Consecutive diabetes awareness sessions at Arope Insurance offices, Verdun. November 17th Diabetes Forum at Chatila camp (LAU/Dialeb), free glucose screening. November 20th USEK awareness event followed by glucose testing, Kaslik Campus. November 27th Second Fundraising Gala Dinner at Phoenicia Hotel, Beirut. Keep visiting our website www.dialeb.org and Facebook page http://www.facebook.com/DiaLebOrg for updates.
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    ‫يف‬ ‫املؤسسون‬ ‫األعضاء‬ :‫هم‬‫للسكري‬ ‫الوطني‬ ‫التجمع‬ ‫القاصوف‬ ‫وديع‬ ‫جاكلني‬ :‫الرئيس‬ ‫اندراوس‬ ‫الياس‬ ‫سليم‬ :‫املدير‬ ‫زعرور‬ ‫يوسف‬ ‫د.باتريك‬ :‫عامة‬ ‫عالقات‬ ‫حنوش‬ ‫جميل‬ ‫ميشال‬ ‫احملامي‬ :‫السر‬ ‫أمني‬ ‫املعلوف‬ ‫جورج‬ ‫سيلفي‬ ‫السيدة‬ :‫الصندوق‬ ‫أمني‬ Legal InfoDiaLeb review Issue #01 | November 2012 05757 DiaLeb National Diabetes Organization www.dialeb.org
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    Legal InfoDiaLeb review Issue #01 | November 2012 58 DiaLeb National Diabetes Organization www.dialeb.org
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    Legal InfoDiaLeb review Issue #01 | November 2012 59 DiaLeb National Diabetes Organization www.dialeb.org
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    Thank you toall our advertisers and contributors. All advertising proceeds go towards supporting DiaLeb’s mission. DiaLeb, National Diabetes Organization, and DiaLeb Review are registered trademarks. All contents of this publication are the sole right of DiaLeb and may not be reproduced. All correspondences should be addressed to: George Maalouf Center, Al Bareed St., Jdeideh Lebanon, P.O.Box 90-316 Tel/Fax: +961 1 88 88 74, Email: [email protected] www.dialeb.org ‫واللجان‬ ‫املساهمون‬ ‫والتصميم‬ ‫الفكرة‬ Platform Agency ‫الفيديو‬ / ‫الفوتوغرايف‬ ‫التصوير‬ ‫صوايا‬ ‫بيار‬ ‫استوديو‬ ‫الطباعة‬ ‫الطباعة‬ ‫فن‬ ‫اجلميل‬ ‫مطبعة‬ ‫القانونية‬ ‫اإلستشارة‬ ‫للمحاماة‬ ‫حنوش‬ ‫احملاسبة‬ ‫مستشارون‬ ‫مكتب‬ ‫اإلعالمية‬ ‫اللجنة‬ ‫ناعسه‬ ‫ليليان‬ ،‫منصور‬ ‫ريتا‬ ،‫معوض‬ ‫روال‬ ‫العامة‬ ‫العالقات‬ ‫جلنة‬ ‫اﻠﻠﻪ‬ ‫العبد‬ ‫رهف‬ ،‫معلوف‬ ‫جوين‬ ،‫حلود‬ ‫ألني‬ ‫األسطا‬ ‫نقوال‬ ،‫نعوم‬ ‫ابو‬ ‫طوين‬ ،‫حلو‬ ‫روال‬ ‫التربعات‬ ‫جمع‬ ‫جلنة‬ ‫معلوف‬ ‫قاصوف‬ ‫جاكي‬ ،‫املر‬ ‫ألني‬ ،‫عيسى‬ ‫الربتو‬ ‫صعب‬ ‫أبي‬ ‫رمزي‬ ،‫نعوم‬ ‫دوللي‬ ،‫معلوف‬ ‫جورج‬ ‫خليل‬ ‫فادي‬ ،‫معلوف‬ ‫سيلفي‬ ‫اﻹجتماعية‬ ‫اللجنة‬ ‫بارود‬ ‫جانيت‬ ،‫لبكي‬ ‫بوال‬ ،‫الغاوي‬ ‫إليزابيث‬ ‫املر‬ ‫مي‬ ،‫يعقوب‬ ‫لبيب‬ ،‫قربان‬ ‫ريتا‬ ‫الشباب‬ ‫جلنة‬ ‫الدين‬ ‫فخر‬ ‫غاييل‬ ،‫صوايا‬ ‫باتريك‬ ،‫املر‬ ‫ايلما‬ ،‫عيد‬ ‫هريا‬ ،‫شكرشي‬ ‫حممد‬ ،‫معلوف‬ ‫كريستني‬ ‫غورونيان‬ ‫يغيى‬ ،‫مرتضى‬ ‫وسام‬ ‫املتعاونون‬ ‫والسكري‬ ‫الصماء‬ ‫الغدد‬ ‫أطباء‬ ‫جودة‬ ‫أبو‬ ‫اليزابيت‬ .‫د‬ ،‫نصراهلل‬ ‫منى‬ .‫د‬ ‫مراد‬ ‫علي‬ .‫د‬ ،‫طفيلي‬ ‫حال‬ .‫د‬ ،‫بولس‬ ‫أنطوان‬ .‫د‬ ‫خويري‬ ‫جنال‬ .‫د‬ ‫املتعاونون‬ ‫األطباء‬ )‫العيون‬ ‫(طب‬ ‫دنيا‬ ‫ابراهيم‬ .‫د‬ )‫وتوليد‬ ‫نسائية‬ ‫(أمراض‬ ‫نصار‬ ‫أنور‬ .‫د‬ )‫شرايني‬ - ‫(جراحة‬ ‫نعوم‬ ‫جوزف‬ .‫د‬ )‫الهضمي‬ ‫اجلهاز‬ ‫(أمراض‬ ‫عازار‬ ‫سيسيليو‬ .‫د‬ )‫شرايني‬ - ‫(جراحة‬ ‫مبارك‬ ‫عصام‬ .‫د‬ )‫وتوليد‬ ‫نسائية‬ ‫(أمراض‬ ‫غلمية‬ ‫لبيب‬ .‫د‬ )‫العائلة‬ ‫(طب‬ ‫الزغبي‬ ‫مروان‬ .‫د‬ )‫وكلى‬ ‫دم‬ ‫ضغط‬ ‫(اختصاص‬ ‫جودة‬ ‫أبو‬ ‫وليد‬ .‫د‬ ‫املتعاونون‬ ‫التغذية‬ ‫اختصاصيو‬ ‫فقيه‬ ‫كوزيت‬ ،‫أنطون‬ ‫أبو‬ ‫رنوى‬ ،‫األسطا‬ ‫دميا‬ ‫باسيل‬ ‫مايا‬ .‫د‬ ، ‫جوده‬ ‫أبو‬ ‫مايا‬ ،‫احلنا‬ ‫ليال‬ ‫ياغي‬ ‫ناتايل‬ ،‫كارافيتيان‬ ‫مرياي‬ * Now you too can support DiaLeb’s cause. Your donations can make a BIG impact on the awareness and prevention of diabetes! We count on your support. For your donations: CONTACT DIALEB FOR MORE INFOrmation: Email: [email protected] • Tel/Fax: +961 1 88 88 74 Account Holder National Diabetes Organization - DiaLeb ACCOUNT NUMBER 007-426519-001 Bank Credit Libanais, Bauchrieh Branch IBAN LB26005300CAUSD0007426519001
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    DiaLeb National DiabetesOrganization www.dialeb.org