Family Members
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Shanaz (on father`s knee), 1969

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Shanaz (on father`s knee), 1969 Her oldest sister (left) and 2nd sister, 1969 Shanaz with 2nd sister, 1969
Shanaz`s Mum and Dad, 1969 Shanaz (front, 2nd from left), 1987 Shanaz, 2007
 
 
Interview 56 Shanaz

Family member and Diabetes Specialist Nurse
Born in Birmingham in 1966.


Overview: Shanaz works as Lead Nurse/ Diabetes Specialist Nurse on the UK Asian Diabetes Study, which is investigating the benefits of providing structured care, tailored to the needs of the South Asian community. Her father came to the UK from Pakistan in 1948 and was diagnosed with Type 2 diabetes in 1960. She has two older sisters who have both developed Type 2 diabetes in recent years. The experiences of her family and of her patients have convinced her that people with diabetes can live a long healthy life, provided that they adopt a healthy diet and take exercise.

There is also an interview with her brother Mushtaq.

Please note that Overview relates to date of recording 14 March 2007

 Short samples

1 When her father was diagnosed in 1960, there were not many Asian vegetables available in this country and no Asian diet sheets provided by hospitals, so her mother learnt how to cook boiled vegetables. [ 60 secs ]

2 The younger of her two older sisters was diagnosed in 2002, in her mid-fifties, and had to make major changes to her lifestyle. She bought a running machine, took up yoga and salsa dancing and gave up what Shanaz considered to be a very unhealthy diet. [ 61 secs ]

 
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01 Grew up Balsall Heath (Birmingham). Dad factory-worker arrived 1948. Mum arrived 1950. 2 brothers & 2 much older sisters. Dad born 1924; diagnosed aged 37. Mum cooked separate food
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02 Few Asian vegetables. No Asian diet sheets. Boiled vegetables. Dad compliant unlike Asian people I deal with now - & has avoided complications. On insulin for 5 years managed by my brother.
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03 Diabetes seen as no problem within family. Oldest sister diagnosed 4 years ago, other older sister 2 years ago. As I`m a DSN, I advised oldest sister. Diet first, then Metformin. Healthy Asian diet. Good control.
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04 GP monitors her. So do I close family.
Other sister`s family ate unhealthily. They`ve now changed diet.
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05 Oldest sister`s back problem makes exercise difficult. Swims. Other sister has changed most running machine, yoga, salsa.
Asian people keen to lose weight.
Family accepts mixed swimming. Some women-only sessions.
Qu`ran exempts elderly & ill from Ramadan fasting, but one sister tries.
Family experience shows normal life possible.
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06 I wanted to be doctor, but didn`t work out. First encountered diabetic patients when training as nurse, Selly Oak, 1988 piloted Project 2000 training. Old style nursing best. I lost job satisfaction & left wards.
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07 Nursing became less hands-on, more academic. Patients stay less long.
No MRSA with old aseptic techniques.
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08 Met one DSN during training (1987-91).
I became staff nurse on acute ward, with some diabetics.
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09 Then became practice nurse at GP`s surgery. Banding system - GPs paid for clinics. I set up clinics for different diseases, including diabetes. Learnt from drug reps & sitting in on other clinics. High Asian population Type 2. Screened everybody.
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10 Coped with numbers then because diagnostic criteria not so strict. Now looking for pre-diabetes & predisposition. Then diet-only regarded as mild.
I did education, using Asian languages & cultural knowledge.
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11 Got job as DSN Asian language required. Based at Birmingham hospital, working on wards, outpatients & in community. Educated families - Asian families manage patient`s diabetes.
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12 Asian people prone to diabetes genetically, & eat more & exercise less after coming to UK.
I was DSN 1995-2000, then helped set up UK Asian Diabetes pilot study, 2000-03.
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13 Pilot showed strategy improves control. Now larger study. I co-ordinate, & educate GPs & nurses. Only quarter time with patients.
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14 Myths re diabetes in Asian community e.g. re herbal remedies, & sugar causing diabetes.
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15 Younger generations read literature. Older women won`t go to gym, so suggest walking or exercise at home to music. Our PCT has Bhangra dancing & women-only exercise.
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16 I hold Ramadan & Hajj workshops for health professionals. Also cater for Hindus & Sikhs.
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17 6 generations in my family. In 1995, majority of Type 2 over 40. Now younger people developing Type 2. More fast food.
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18 Diabetes costs NHS. Professionals` attitudes have changed not just sugar, but a syndrome. Predicted by George Alberti.
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Transcript
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