The Diabetic MERRY CHRISTMAS AND HAPPY NEW YEAR Issue No: 11 Date: December 2005 The best and most informative diabetic newsletter on the Isle of Man Leading from the Front A Charity registered in the Isle of Man. Charity number 894. Web: www.diabetes.org.im e-mail: firstname.lastname@example.org e-mail: email@example.com Death toll in Pakistan is now more than the total population of the Isle of Man Please return all loaned blood pressure machines to the Centre as other patients require them If you are on the net keep an eye on your e-mail for your newsletter What has happened to the disabled legislation? In this issue Dr Khan and Pakistan * Dr Khan and Pakistan With the devastating events unfolding * RETURN ALL LOANED BLOOD in Pakistan The Diabetic decided to PRESSURE MACHINES * E-mail interview Dr Emran Khan the Consultant * The Disabled parking debate Physician, Diabetologist and * What is happening to our Disability Law Endocrinologist at the Manx Diabetes * The Christmas Message Centre, who has family and friends back * Wanted home. * Effective Diabetes Management * The Goose offering * Christmas Traditions and where they came from * DisabledGo * The Pneumo Jab * You think you have Petrol problems? * The Obesity Update * Diabetes Nursing Service * The Budding Journalist * The Chairman's Report * The last Laugh Feegans Lounge 8 Victoria Street Opening shortly at Feegan’s Lounge The Presentation in the UK. The Hot Spot Deli Café Dr Emran Khan & Mrs Zarmina Khan Eat in and Takeaway Meals with the Manx Flag and the Or buy from the Deli Counter representative of Edhi International Broadband internet Access Foundation UK. Tel: - 44(0) 1624 679280 www.feegan.com Happy Christmas to all Just imagine, the death toll in Pakistan is now over 85,000 people. This is more than the total population Thank you very much for your of the Isle of Man. With one blow they generous donation of £32,768 (thirty two have lost more than everyone living on thousand seven hundred and sixty eight the Island. pounds only) in form of approximately Dr Khan, alive to the needs of his 300 cheques which will be utilised for countrymen, and knowing the existing the victims of the earthquake disaster in problems on the ground, from family Pakistan and Kashmir. friends and hospital reports, decided to Receipts to the individuals will be sent raise monies and instituted a relief within the next few days. appeal that started on Manx Radio and The people of the Isle of Man and its snowballed out of all expectations, with Government has shown generosity to the backing, the generosity and pure Edhi International Foundation UK for humanity of the Isle of Man population. supporting our cause towards building a Dr Khan‟s appeal reached all those new orphanage in Muzzafarabad. who during his five years on the Island God bless you all for raising such a benefited from his expertise, care and substantial amount, and we hope the concern for the Manx Diabetic. people of the Isle of Man will continue to They in turn, responded to the support our cause. Dr Khan played a necessity of his countrymen, and his very important role, in raising this Island friends rallied to his cause. amount for which our foundation is very Dr Khan explained that his mail bag thankful. has been extraordinary, and the Yours sincerely comments expressed in the thousands of Signed letters he has received have shown him On Behalf of that he was not alone, and that his many Edhi International Foundation UK. patients and friends did not take him for granted, but were grateful for him being (If anyone would like a copy of this on the Island. letter we would be delighted to send Like he was there for them in their them one on request. Please enclose a time of need, they had stood up to be stamped addressed envelope). counted in his hour of distress. At the time of the hand over, in Dr Khan pointed out that he had London, to the charity of his choice, chosen this charity because he had first Edhi International Foundation UK he hand knowledge of what they did in and his wife Zarmina were able to Pakistan, they had very little overheads present them with £32,768.00 on behalf and the fact that the charity works at of the Manx people. ground level. The following is the contents of a Since his return from the presentation letter (which The Diabetic has had sight in London the £32,768 has risen to a of) handed to Dr Khan by Edhi total of over £35,000. International Foundation UK thanking Dr Khan emphasised that the problem the Isle of Man people for their is still on going, and the catastrophic generosity, and reads: conditions that now exist in Pakistan will be aggravated with the advent of winter. Dear Dr Khan Many more people are at risk of dying Donation of £32,768 from the very harsh conditions winter will bring. without the appropriate Centre and have not bothered to return shelter and food being readily available. it? He had heard that in just one hospital We have been asked by the staff at the there were 150 paraplegics as a direct Manx Diabetes Centre to bring to the consequence of the Earthquake, which is notice, of all those patients who have an intolerable burden on a Hospital with blood pressure machines to please return limited facilities. them to the Centre as they are urgently Because of the number of children needed for other patients. that have been orphaned he is hoping to This now presents a very real shortage have an orphanage opened in the name of expensive equipment loaned in good of the Isle of Man if enough funds faith. It must be realised that these become available. machines are expensive, and if you do Dr Khan intends to continue his fund not return them they will have to be raising efforts and is devising ways replaced. and means to go about it and continue to These machines are lent to patients on raise funds. a two or four week basis, but then it is He is extremely grateful to the Manx expected that they must be returned as people for coming forward and donating they DO NOT BELONG TO YOU. so generously to aid the Pakistan This is an urgent matter. We have disaster. suggested to the Centre that they send a Dr Khan is also grateful to the Isle of letter asking for their return within 7 Man Government for its donation of days and failing this the offending £100,000 to Oxfam for the Pakistan patient should be sent a bill for the Appeal. FULL amount of the Blood Pressure Dr Khan has always helped us and it Monitor replacement. is only proper that in turn we support his You know who you are, so get your endeavours. skates on and take them down to the The Diabetic wishes him well in his Centre as quickly as possible. like relief fund appeal and we shall keep you yesterday. posted as to how things develop. It is a disgrace to take advantage of Remember that the story may be out the facilities of the Manx Diabetes of our television screens, but the very Centre and your fellow diabetic patients, real problems still exist. who need to make use of what you, Our best wishes go to him, his family without logic or reason are holding on and friends, and this year when we sit to, and depriving your fellow patients of around a table with our own family and the same facility that was graciously our friends, let us spare a little thought extended to you. for those who are disadvantaged, and Remember the staff know who you those who through no fault of their own are. Please pay strict attention to their cannot enjoy, what we, on the Isle of requests. Man take for granted. Notice on the loo’s in a Restaurant in RETURN ALL BLOOD Tobago called the Mango Trees. PRESSURE MACHINES Men’s Loo: Man Go Do you still have a Blood Pressure In the ladies loo: Wo Man Go Monitor on loan from the Manx Diabetes E-mail The Disabled Parking Due to the popularity of The Diabetic Debate. Newsletter and the numbers that are On the Night of Monday 7th being printed, we have been asked by November Mr Phil Braidwood, the members to send it to them by e-mail in Minister for Transport rang the an endeavour to save the high postage Chairman to inform him that the Pole at and printing costs. Regent Street had been taken away. This we are trying to do with The following day, Tuesday, in the members that we know have e-mail. House of Keys, a question from Mr If you have internet access all you Houghton MHK had been set down for have to do is: - answer asking the Minister for a) Log on to www.diabetes.org.im Transport, “Why has your department b) When it comes up click at the not removed the pole which is heading that says NEWSLETTER. obstructing a disabled parking space in c) When all the Newsletters come up Regent Street Douglas?” This was a please go to the last Newsletter. question that was do wn for written This will be No. 11 which is the answer, so we thought we would print it December 2005 issue. just in case our readers were not aware d) Then just use your normal of its contents. procedure to PRINT. Mr Braidwood in his written answer Those of you who receive it printed explained that: “I can advise that the and have net facilities please send us pole referred to has been removed. I can your e-mail address so that we can, as also advise that my Department has from the March issue send it to you this recently reviewed the provision of way. disabled parking facilities in Regent Remember you can contact us via Street and now proposes to remove and firstname.lastname@example.org or telephone relocate the 3 spaces to the former bus (01624) 613702. It is just that the stop outside Admiral House on Loch number of Newsletters now being Promenade. This will, in my printed and sent out is overwhelming our Department‟s opinion, make access to physical resources. these spaces easier and they will still be As we have pointed out before, we within walking distance of the Regent have been approached by many Street Post Office.” members in an endeavour to save the The Diabetic would like to thank Mr high cost of postage, paper, envelopes Braidwood for his prompt action, and and above all the cost of printing. sincerely trust that when these three Naturally you are at liberty to print as disabled parking spaces come into line, many copies as you like and send them that his department puts the poles at the to, or just give them to friends. beginning or at the end of a bay, and not The Editor of The Diabetic looks in the middle, which was the original forward to hearing from you. object of the problem, as otherwise we shall be back to square one, no one being Do Arachnophobes able to get out of their cars once again. have their own website? The Minister and the Chairman did discuss other venues with a similar problem but the Minister explained that he was under the impression that Regent are we having similar legislation Street was the only problem pole. The implemented on the Isle of Man to Chairman respectfully agreed to disagree safeguard the Manx Disabled?” with the Minister. We seem to have asked this question So the Editor thought he might just before but have as yet not had a reply. show Mr Braidwood another parking June 2004 was the first time that the bay, of the many, with a Pole in the Minister was approached by “The middle, which makes it impossible to get Diabetic”, for an overview of what the out, if you are properly parked. Isle of Man Government intended to do in response to the UK Acts that were coming into effect on the 1st October, 2004. So whilst we wait for a reply, we might as well have a very quick run through of the main points of what the Law says across the water. There are two Acts of Parliament - The Disability Discrimination Act 1995 and The Disability Rights Commission (DRC) Act 1999. that introduce and This is Prospect Terrace provide a means of enforcing rights preventing discrimination against The Regent Street pole was mooted in disabled people. the House in May last when the then The UK Disability Discrimination Act Minister for Transport promised to aims to end the discrimination which resolve it. many disabled people face. It has taken till November, 6 Months The Act gives disabled people rights and another question in the House for in the areas of employment, access to the situation to be resolved. Let us see goods, facilities and services, and with how long it takes the Department to sort landlords having to provide disabled this one out. facilities in their properties whether The Diabetic has started counting. buying or renting land or property. It also allows the British Government to set minimum standards so that Only in America disabled people can use public transport. Do they have drive-up ATM machines The act defines a disabled person as with someone with “a physical or mental Braille lettering. impairment which has a substantial and long-term adverse effect on his or her ability to carry out normal day-to-day What is happening to our activities”. disability Law From 1st October 2004 new duties Now that we have the Disability under the DDA will affect all employers Rights Commission (DRC) act in full with fewer that 15 employees and operation in the United Kingdom, we anyone who provides a service to the ask the Question once again: - “When public. The provisions include those that discriminate against disabled pupils, require employers to consider making students and adult learners. changes to the physical features of the It also provides for schools to plan to premises that they occupy in order to increase accessibility to premises for enable free access for disabled persons. disabled pupils. There are two ways that an employer The Diabetic believes that our might discriminate against a disabled Government has a lot of catching up to employee or job applicant. do. a) by treating them less favourably This is a very important and necessary than an able person because of their provision of facilities for disabled disability, or b) by not making people, and we sincerely trust that in the reasonable adjustments. not too distant future the disabled on the Discrimination against disabled Island, will, without delay, be rewarded people by trade organisations is also with similar strong and decisive covered as is Access to Goods and legislation as their counterparts now Services. enjoy across the water. Though some adjustments have The Isle of Man Disabled gradually been in force since 1996, the Discrimination Law or by whatever Title final stage, which means service it shall come into force, has been a long providers may have to consider making time coming, and we hope that our permanent physical adjustments to their Legislators will give it the priority and premises, came into force on 1st October the urgency it deserves for its 2004. introduction, before the next election. The new duties will apply to service providers where physical features make access to their services impossible or The three wise men brought gifts from unreasonably difficult for disabled the orient, so even their presents were people. It will be up to the service made in China and Taiwan provider to ensure that if they cannot provide their service at their premises, Christmas Message by the then they have to provide it elsewhere to make certain that the disabled person is Rev. John Guilford. attended to. The Rev John Guildford is a Trustee The Act is so comprehensive that it of the Friends of the Manx Diabetes also applies to those who are self Centre. employed and do not have premises. Once again he rises to the occasion to Please remember that disabled does bring us his annual Christmas message not mean that a person must be in a “It seems incredible that another year wheelchair, this Law covers all kinds of has passed and it is time, once again, for disability, including people with autism our Christmas message! 2005, though, and poor sight. has been quite a year in the Guilford The UK act also provides for an household, a special year, one not to be improvement in the standard of forgotten. Why? Well in January we Education for Children with Special were given the gift of a child; our first Educational Needs and makes it grandchild, Joshua Jacob. Trish and I unlawful for education providers to were told that we would enjoy being grandparents, but nothing could have prepared us for the joy Josh has brought same way, by giving us the gift of the into our lives; he has turned our world Christmas baby, God invites us to have a upside down! personal relationship with Him and in so doing to discover His will for our lives and our world. I am reminded of the famous painting by Holman Hunt; I believe Hunt painted three versions of the painting, one of which hangs in St Paul‟s Cathedral. Hunt portrays Jesus as the light of the world standing outside a door that is covered in thorns and brambles and has clearly not been opened for some considerable time. Jesus is knocking on The Rev John Guilford and Josh the door; he can‟t enter because there is no handle on the outside. We have to There is quite a correlation between our open the door and invite him in. As we experiences this year and the event we celebrate Christmas this year, perhaps hold the Christmas season to celebrate. we can give some thought as to whether In a very personal way Josh has brought we need to open that door and invite light into our lives, but the arrival of the Jesus into our lives? child that we remember on the 25th I wish you and your loved ones a December, brings light to the whole healthy, happy and peaceful Christmas world. Josh, as I have already said, has and an exciting New Year”. turned our personal world upside down, Jesus, if we will listen to him, will turn Carol singers have changed since we everybody‟s world upside down. were children, now they charge £1 for None of us can be happy with what is going on in the world. I catalogued a few miming and £2 to sing live. things last year and in 2005 things have certainly not improved too much. The terrible happenings in London in July, WANTED the continual bombings in Iraq and the The Manx Diabetes Centre are Middle East, the sabre rattling from wanting to set up a display of past and countries such as Iran, the increase of present equipment to show how the care violent crime in our cities, and if that of diabetes has improved over the years. isn‟t enough the world has to put up with In looking for old equipment the staff the natural disasters like those at the Centre invite all diabetics on the experienced by Pakistan, Mexico and Isle of Man to donate or to lend to the The US. Centre their old testing equipment. It may be that we believe ourselves If you have any equipment that you incapable of making a difference, but think might be of use for this display this isn‟t true. However to change our please hand it in at the Manx Diabetes world a good place to start is with Centre reception, marked for ALLAN ourselves. Trish and I can of course have not forgetting your name address and a personal relationship with Josh. In the telephone number. Please also indicate whether you want to donate it, or just loan it to the barriers to achieving recommended proposed display. Many thanks. treatment goals for diabetes management. Despite increasingly stringent clinical The Goose Offering practice guidelines, more than 60 percent of those with type 2 diabetes currently have glucose levels above the recommended targets, putting them at increased risk for serious complications such as cardiovascular disease, the leading cause of diabetes related death. Because of the progressive nature of type 2 diabetes, the longer patients remain uncontrolled, the more extensive the diabetes related damage such as Blindness and Kidney failure, and the harder it is to keep glucose levels in The Goose in our Garden check. Needles to say that with the vast This Goose in our garden did land. majority of people with type 2 diabetes Where it came from, no one can not at recommended treatment goals the understand. stakes are high. It may be it was telling us Because of this they claim that a sense that Christmas was on hand. of urgency and proactive management We fed it and let it go strategies are now required to get more We explained it was a stupid thing to do patients to recommended goals. In some other place she would not have The Global Partnership for Effective been so lucky. Diabetes Management has issued what For in our house we did prefer the turkey they term “10 Practical Steps to Better When she had rested, Glucose Control”. But not before, she had been told to be These 10 Practical steps to better more careful where she alighted. Glucose Control can be accessed at their With blessings and good wishes off she website. www.diabetespressoffice.com flew At the end of August, the total number So that she could celebrate Christmas of British Citizens diagnosed with Type and live anew. 2 Diabetes for the first time exceeded two million. Effective Diabetes Management. Christmas Traditions and In the face of an emerging worldwide where they came from epidemic of type 2 diabetes the Global Who is Father Christmas? Partnership for Effective Diabetes He‟s based on a real person, St Management has launched the first Nicholas a bishop who once lived in Global recommendations designed to what is now Turkey. He became well help physicians overcome common established as Santa in the 1920‟s. Why does Santa come down Chimneys He later developed the Christmas and why do you hang stockings. Cracker from this humble beginning. The legend is that St Nicholas Traditionally why do we eat turkey? dropped a purse of money down a In the old days people eat peacock, chimney and it landed in a stocking that swan or boar‟s head. In the 18th century was hanging out to dry. it was Henry the VIII who began eating The Christmas Card how did it turkey, but it didn‟t catch on until originate? Victorian times when turkey or goose The custom of sending Christmas became popular. Today over 90% of us Cards was started in the UK in 1843 by eat turkey on Christmas day. Sir Henry Cole a civil Servant. Why are there twelve days of The first postal deliveries with the Christmas? penny post had started three years before There are twelve days of Christmas and Sir Henry was keen for people to use because this is how long it took the three the service. He commissioned a friend wise men to visit Jesus in the manger, John Horsley to design the first card and It was not until 500 years later that the sold them for one shilling each. They names of Casper, Melchior and depicted Nativity scenes. Balthasar became linked with Christmas. As the years went by, Christmas cards The Twelve days of Christmas are become more popular. They started to be from Christmas Day to the 6th January, massed produced in about 1860. In the Epiphany. Victorian times snow scenes and robins Why do we celebrate Christmas on the became more popular as the postmen at 25th December? the time wore red uniforms and were No one really knows It could be that nicknamed “Robin Postmen”. the Roman mid-winter festival called Why does Rudolf have a Red Nose? Saturnalia and the winter solstice took This was created by the US place at about this time of year department store Montgomery Ward in It was not until 200 years after the 1939 for its Christmas Promotion. birth of Christ that his birthday was Why do we give presents? celebrated, and not until 440AD that the We give presents because we are 25th December was given as his official imitating the Three Kings that brought birth date. presents to Jesus in the stable. Gold Why are mince pies not made from represents a gift for a king, Frankincense mince? is a gift of worship and Myrrh is a sign In the middle ages they were really of mortality. mince pies. They were made from mince What about the Christmas cracker? pheasant, rabbit, poultry. Apples, raisins, This was really adapted from the and candid peel. Eventually the meat French custom of wrapping sugared was left out altogether. Aren‟t you almonds and other sweets and twisting lucky? Incidentally its supposed to be them in coloured tissue paper. good luck to eat one mince pie on each Pastry Chef Tom Smith on a visit to of the Twelve days of Christmas. Paris noticed them and when back in Do you know what classifies a white London sold the idea of bonbons in Christmas? paper containing a romantic note called a We are told that there have only been “Kiss Moto”. seven white Christmases in the United Kingdom during the 20th Century. go out, you will have at your fingertips This is how a white Christmas is the disabled facilities that the venue you classified to be a White Christmas. If a propose visiting has to offer. snowflake falls in a dish on the roof of DisabledGo has been expanding with the London Weather Centre during the tremendous success across the UK and is 24 hours of the 25th December, it is currently working in partnership with 40 officially a white Christmas. pioneering local authorities to produce No wonder there have been only access guides to different towns and seven in the past one hundred years, cities. someone must have missed them. By the The guides are very detailed and will time they got onto the roof the be available free of charge on the snowflake had melted. DisabledGo website at Talk about catching a falling star? www.disabledgo.info Would Santa be able to give all the Thanks to the support and vision of children presents by himself? the Isle of Man Government in looking By the way, it has been calculated that after and trying to minimise the poor old Santa would need 200,000 problems of its disabled citizens, reindeer flying at 200,000 times the DisabledGo is now coming to the Isle of speed of sound to deliver a present to Man. every child on earth. Trained researchers have been He would have to visit 1,000 homes surveying 1,200 venues across the per second, carry 500,000 tons of gifts at Island, covering everything from a speed of 3.6 million miles per hour. libraries to nightclubs, restaurants to Scientists have worked this out. Some places of interest. people will go to any lengths to draw The idea of the access guide is to „tell attention to themselves at Christmas. it as it is‟ so that people can decide for Interested? For a full breakdown visit. themselves what is suitable for their www.religioustolerance.org/santa2,htm specific needs. Every venue included in the access guide is visited in person by a trained Promise your eyes a researcher and the research template White Christmas used has been developed in consultation Don’t drink too much alcohol. with hundreds of groups of, and for disabled people. This makes DisabledGo unique. To have a skeet at what the website DisabledGo looks like in the United Kingdom, please We did mention DisabledGo in our log on to their website last Newsletter so we are just giving you www.disabledgo.info an update of what is what, and notice of Alternately, if you want more the now changed date that the website information or would like to nominate will be up and running. any venue to be looked at, please As you already know, DisabledGo is contact, Anna Borthwick, the an award winning information service Partnership Manager on her e-mail at designed to empower disabled people to email@example.com or on get out and do what they want to do. Telephone 01438 842710. By accessing DisabledGo before you DisabledGo – Isle of Man will now be price of petrol once more. launched in February 2006. We had to put the price up, because From that date all systems for the Isle our fuel reserves have run low. of Man disabled will be DisabledGo. Admittedly we have not been able to check the levels of our oil reserves The Pneumo Jab recently. If you are 65 or over, you will by now This is because our oil is situated in know that all surgeries on the Isle of Texas, The Gulf of Mexico, Saudi Man have issued their elderly patients Arabia and Iraq, whilst our Dipstick is in with leaflets asking them to make sure Washington.” that they get their pneumo jab. Many thanks, keep them coming. If you have not heard of it, then please get in touch with your surgery so that The Obesity Update they can advise you of what it is all A report by the Department of Works about. Everyone aged 65 and over and Pensions on the 17th October last, should now be immunised to help admits that the war on child obesity is protect them against pneumococcal being lost in the United Kingdom. infection which can cause diseases such These failures in the battle against as pneumonia, septicaemia (blood child obesity and poverty are attributed poisoning) and meningitis. to the fact that the quality of health and The leaflet describes these diseases education between Britain‟s richest and and explains how you can protect poorest groups is widening. yourself by having the pneumo vaccine. At a conference organised by Oxfam It also has a question and answer and the Trade Union Congress on the section that will cover all your queries. same date Labour MP Mr Ed Ball said, So if you haven‟t had one yet, get in “We cannot call for an end to world touch with you surgery. poverty if we cannot take the necessary actions to end child poverty in our own Be Alert backyard”. The Island needs lots of lerts. Meanwhile the World Health However if you think we already have Organisation claims that deaths from too many lerts, then be a loof diabetes will soar by a quarter over the next decade as the number of overweight Britons continues to rise. You think you have Petrol The report points out that 76% of men Problems. and 69% of women are now overweight. Once again Matt in Edinburgh has The report urges governments, the come up with the goods, and knows why food industry and even city planners to we are having to pay more for our petrol. make changes to combat obesity. He has heard on the grapevine that the The Diabetic sincerely hopes that the US Government, after the Katrina and powers that be on the Isle of Man, take Rita debacle apologised to all US urgent action on this all important issue. Citizens for having to put up the price of Not only to save our citizens from petrol once again. unnecessary long term complications, This time their excuse was: but to save the Isle of Man Health “We are sorry for having to put up the Services massive amounts of monies in future budgets. come from another source, hence the necessity to have regular injections of insulin in order to control the sugar You know that it’s time to go when the levels. cannibals are picking parsley The Blood sugar rises after every meal, and without insulin to restrain it there would be no control. That is why Diabetes Nursing Service diabetics who do not produce insulin We would like to remind you that the must have an injection prior to having a Manx Diabetes Centre has a Diabetes meal, or just after, so that they can bring Nursing Service telephone advice line. the sugar level down to normal, by This service, at the Centre can be giving themselves an extra insulin boost contacted on Telephone 650860. to convert sugar to energy and thus make Please understand that for obvious it available for use by the body cells. reasons this service is only available on We are now going to briefly look at Mondays to Fridays from 8.30 to 9.30 the causes of non insulin diabetes, Type am and from 1.30 to 2.30pm if you want 2 diabetes or maturity onset diabetes. to speak to a Nurse. This usually appears in people over Outside these hours please just leave a the age of 40, But this has been message. aggravated with the obesity explosion Also please remember that the above we are now experiencing. How common number is not an emergency number, so this condition is and how it relates to if your call is urgent please contact your obesity is considered a major cause of GP. the present increase in type 2 diabetes. The wonderful staff at the Manx However now it is appearing more Diabetes Centre are there to help you, so and more in obese children. please ensure that you only use this In type 2 diabetes the pancreas does number when you need advice. not make enough insulin. The insulin is ineffective and the condition is made The Budding Journalist worse by obesity and inactivity. Hi there, three months have elapsed In simple terms if you are overweight and its me again. Did I say three months, this means there is more of you and my gosh it‟s Christmas again. How time consequently you need more insulin. flies. Oh well, let us put more thoughts Therefore your pancreas has to work to paper. harder. It stands to reason that if there is Let usstart from where we left off. less of you, you are going to need less Let us have a look at Type 1 diabetes. insulin and there is less work for your Under normal circumstances, the pancreas to do. sugar in the Blood comes from the food If you are physically fit, this does not that we eat. This is used by the mean that you are ready to take part in individual body cells and used in the the Olympic Games, but if you are production of energy. Any excess sugar reasonably active, then that will tend to in the blood is stored either in the liver make your body more receptive to for later use, or in the fat stores of the insulin and again your pancreas has less body. work. Without the pancreas producing If your pancreas is made to work very insulin to police the sugar, insulin must hard for these reasons, for a long period much discouraged when they were, after of time, it will naturally get tired and they had set up and paid their rent worn out and it eventually will not make money, thrown out of the Onchan enough insulin. So in effect tests have Community Centre for being a Charity. proved that many people with non During December the Group are about insulin dependant diabetes are to made donations to the Centre of 4 overweight. Digital cameras for the Podiatrist Obesity is an increasing health Department for when they are on home problem and of course the risk of visits, and an Audio Doppler for the diabetes increases with increasing Antenatal diabetic clinic. weight. At our AGM in May a presentation In the next issue we shall talk about was made to Dr Alison Blackman for her the causes of Obesity. formidable work in the development of So until then have a good Christmas Diabetes Care on the Isle of Man, and a happy new year. Remember all the The Diabetic, our Newsletter has best people are diabetic so don‟t overdo continued to lead from the front, and is it during the festivities. Enjoy, and look at the cutting edge of the fight for the after yourselves. T.T.F.N. welfare of all diabetics on the Isle of Man.. The Chairman’s Report It has grown from strength to strength, Once again this has been a year of with well over 250 copies being printed consolidation and the Group as usual has every quarter, and is now found at all been to the fore of Diabetes care and medical outlets that matter. diabetic problems on the Isle of Man Naturally the costs of printing and . postage has soared. In an effort to help, members have asked for the Newsletter to be sent them by e-mail in an effort to save some of the high cost of postage and printing. As from this December quarter Newsletter your Committee are instituting this option. This is being done with a link to our The Chairman website at www.diabetes.org.im another first for the Group. We have continued to build on 2004 Our website continues to be well and all members must be congratulated received, and we have reports from all for their support and endeavour during over the world that it is being visited and the past year read in particular the Newsletters posted Our ladies continue to raise monies on the site. for the Group with Car boot sales and We thank Harry at Fagan‟s lounge for fairs. his had work in maintaining our website We would like to take this opportunity to such a high standard. to thank all those that have donated to The Group has continued to be invited the Group which makes donations in by the Lions to the Blood Testing days equipment to the Centre possible all over the Island. Our ladies were very annoyed, but not As reported in our Newsletter we have We would like to thank the Chief been able to collate enough information Minister Mr Donald Gelling for his to provide statistics . prompt and decisive intervention on In our September quarter Newsletter behalf of our elderly community. we were able to give statistical forecasts The Group fought and got the on the diabetic population of the Isle of Minister for Health and Social Security Man. to bring over IT personnel from the UK We sincerely hope that the DHSS will to resolve the problems with the have taken on board. these alarming Diamond Register, figures. We are very pleased to inform you We have continued to fight on behalf that The Register is now operational and of amputees on the Isle of Man, for the the Group would like to thank Mr Steve facilities at the Prosthetic and Orthotic Rodan for his prompt action. Department personnel to attend clinics The Friends of the Manx Diabetes on the Island once every week instead of Centre is not here just to push and argue once every three weeks. for better facilities for the Diabetic it is In May the Group was invited to also here to propose and help where attend the public meeting of the possible. Chronically Sick and Disabled persons It is not a question of only wanting, Committee and representations were but of giving in return. made to this effect, and for the In this connection the Group during Committee to take the matter up with the the course of the year proposed a system DHSS. to obviate waiting lists and also because We are grateful to them for pursuing of the problems being experience with the matter and at the present time this is insurance and E111 whilst travelling in still on going. EU countries, a proposal was also made The Friends of the Manx Diabetes to the DHSS for them to run a local Centre will continue to press and will insurance facility for the Manx People. not rest until such time as we have The Minister took our proposal to the properly resolved this contentious issue. Treasury but we were informed that they We expect that the matter will have did not have any mandate for such a been favourably resolved by the time of proposal. our AGM Nonetheless, hopefully it is still on the As some of you may have been aware table, just in case at a future date the the bus service through Westmoreland Government at some stage were to put it Road was arbitrarily withdrawn, and to the House and thereby create the those who had to attend the many clinics mandate that they need. at the Old Noble‟s Hospital, were being Following the Committee meeting dropped at the Terrance and had to walk with members of the Social Services of all the way to the Old Hospital. the DHSS, we are pleased to inform our Strong representations were made in members that they took on board many the appropriate quarter with a copy to of our suggestions and they have put the Chief Minister. some into practice and continued to care The Chief Minister intervened and for the elderly in our community. within three days of our letter he had the As pointed out at the beginning of the Bus service reinstated. Newsletter the Pole at Regent Street at long last has been move, and we would To all, many thanks for your help, like to thank the Minister Mr Phil words of assurance and encouragement Braidwood, for his intervention with his during 2005 which makes the efforts of new department, and we look forward to your Group that much easier. similar action to remove all the other May your God be always with you. ones that impinge ingress and egress by disabled people from their cars. The Last Laugh The Chairman of The Friends of the A Vicar and a Taxi Driver died on the Manx Diabetes Centre, was invited to same day. participate in a focus Group for the Naturally they went up to heaven at Discharge Project Team at Nobles the same time. Hospital. The object was to discuss the When they arrived at the Pearly Gates problems with the present discharge an Angel was waiting for them. process of patients, suggestions and The Angel without hesitation said to improvements and what needs to change. the Taxi Driver “you go right in”. As you can appreciate we cannot But the Angel told the Vicar that he enumerate everything that has been done had to wait. by your Group during the Course of the The Vicar was most indignant, he Year as I would run out of space. For remonstrated with the Angel: that you shall have to come to our “I have been preaching the virtues of Annual General Meeting in May next your religion all my life, I am an year. educated man, the Taxi Driver does not I would however not like to leave you have as many degrees as I have, yet you without thanking the Committee for their let him just walk into Heaven, and you wonderful and onerous work during stop me, Why am I being treated like 2005. this?” My special thanks however must go to “Well” said the Angel. “When you Mr John Houghton MHK, one of our preached, everyone went to sleep, but Trustees, for his invaluable help when the Taxi Driver drove, everyone guidance and intervention in the House prayed”. during the course of the year for the diabetic patients on the Isle of Man. Without his help nothing could have May all your troubles during the been possible. coming year last as long as your We cannot close without saying a big New Year Resolutions. thank you to all the Staff at the Manx Diabetes Centre who have worked like Trojans during the course of the year. This Newsletter is published by the Sometimes looking after our diabetic Friends of the Manx Diabetes Centre. community, under very trying Carryn Laare Chingys Shugyr Vannin circumstances. Let us hope that during (01624) 613702 The Support Group of 2006 we do not deliberately miss any of the Manx Diabetes Centre. our appointments at the Centre. All monies collected from whatever From January to the end of October source by the Group will be spent on the they have had 180 new patients referred Isle of Man for the benefit and well- to the Centre from GP surgeries being of the diabetic patient and their medical carers.