Diabetic Living Australia — July-August 2017

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JULY

9


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your


liver


Email your questions to:
[email protected]
Post: Diabetic Living, Q&A: Health,
GPO Box 7805, Sydney, NSW 2001.

Dr Sultan Linjawi, endocrinologist

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National Diabetes


Week
Diabetes Australia’s National
Diabetes Week kicks off
July 9! Get involved in the
fun, or connect to others
living with diabetes at
diabetesaustralia.com.au, or
by phoning 1300 136 588.





According to the
Mayo Clinic, having
type 1 or 2 diabetes
increases your risk
of developing non-
alcoholic fatty liver
disease – this is where
excess fat builds up in
your liver, even if you
rarely or never take
a tipple. Fatty liver
disease is linked to
an increased risk of
liver inflammation
or scarring (cirrhosis),
as well as liver cancer
and heart disease,
so it’s key that you
practise good self-
care in order to avoid
it. This includes:
● Working with
your care team to
achieve good blood
glucose control
● Maintaining a
healthy body weight
● Reducing high
blood pressure
● Keeping your “bad”
LDL cholesterol and
triglycerides (blood
fats) within the limits
recommended by
your care team
● Avoiding drinking
excessive amounts
of alcohol.

Can you tell me about Bydureon?

Dr Linjawi says: Bydureon* is a drug
recently added to the Pharmaceutical
Benefits Scheme (PBS). It is a weekly
version of Byetta (exenatide) – a
twice-daily injection that has been
available for five years. Both work by
imitating a naturally occurring
hormone called GLP-1 that we all
make after eating. GLP-1 increases
insulin production when your blood
glucose is high, reduces the amount
of glucose your liver releases, and
reduces appetite, too. With attention
to an appropriate diet, your blood
glucose should improve on Bydureon,
and there may be some weight loss.
To decide if it’s right for you, chat to
your GP, diabetes nurse or specialist. 
Good to know Administering
Bydureon can be cumbersome. It
involves mixing two substances with
the consistency of honey – this can
take a while to mix properly. It needs
a larger needle than Byetta or insulin.
Some people may notice lumps under
the skin that can last a few months.
These will eventually settle. ➤

diabetic living JULY/AUGUST 2017 11
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