Holiday Survival Tips for the Person with Diabetes

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					                                                   Diabetes Alert:
                                                    Breaking News on the
                                                  Latest Diabetes Research

San Mateo County Employee Health & Fitness Program                           Jan 2005 / Feb 2005

                                                    Frequent contact with participants. The
The DPP‟s Lifestyle Intervention                    initial intervention took place over the course of
    In 2002, results from the lifestyle
                                                    six months and included both group and one-on-
intervention section of the Diabetes Prevention
                                                    one contact.
Program (DPP) started to be published and this
                                                    16-session core curriculum. Participants
inaugural issue of Diabetes Alert is to “alert”
                                                    attended 16 classes that taught behavioral self-
you to the most recent news from this research
                                                    management strategies for weight loss and
team. As a refresher, there were 1,079
                                                    physical activity.
participants who were 68% female, had a mean
                                                    Supervised physical activity sessions.
age of 50, an average body mass index (BMI) of
                                                    Supervised physical activity sessions were
34. The intervention resulted in a very
                                                    provided to help participants achieve their
successful 58% reduction in the incidence rate
                                                    minimum 150 minutes per week.
of diabetes. The two major goals of the initial
                                                    Tailored materials and strategies. Because
lifestyle program included –
                                                    46% of the participants came from minority
     7% Weight Loss
                                                    groups, the class materials and strategies were
Participants attended classes and worked with
                                                    tailored to address ethnic diversity.
their health care team to achieve a minimum of
7% weight loss. For example, if a participant
weighed 210 pounds then their first goal was to     Recent DPP News
lose 15 pounds (7% of 210 = 15).                        A follow up to the original DPP lifestyle
     150 minutes/week of exercise                  study was recently published which shed a bit
Participants also worked to include a minimum       more light on the factors related to the
of 150 minutes of physical activity per week.       participant’s success at achieving their weight
The type of exercise that was considered            loss and activity goals. The highlights from this
acceptable was anything similar in intensity to     most recent study include:
brisk walking.                                          37% met the weight loss goal long term.
                                                    Just over 1/3 of the original participants were
                                                    able to maintain the 7% weight loss goal in the
Key Lifestyle Intervention Features
                                                    long term.
    The methods used to help participants
                                                        67% met the activity goal long term. Just
achieve these weight loss and activity goals
                                                    over 2/3 of the original participants were able to
included the following key features.
                                                    maintain the 150 min/week of activity in the
Individual “lifestyle coach”. Each participant
                                                    long term.
had his/her own case manager who acted as a
                                                        Older age was associated with success.
lifestyle coach throughout the study.
                                                    Age was a predictor of both weight loss and
activity success, the older the participant, the    Diabetes Management ~ May „05
more likely they were to achieve their goals.           This class consists of two information-packed
    Self monitoring of diet linked to success.      sessions, each 4 ½ hours long, taught by Registered
Participants who kept food records and              Dietitian, Toni Bloom, MS, RD. The first class
monitored their intake were more successful         covers the types of Diabetes, complications,
with both their weight loss and exercise goals.     medications and lab tests. The second class is
                                                    devoted to nutrition management, meal planning and
Take Away Messages from the DPP                     carbohydrate counting.
   Use some of the following key messages               Redwood City:                 Belmont:
from the DPP to spur on your own diabetes               May 12 & 19                   May 10 & 17
prevention and/or care!                                 8am – 12:30pm                 8am – 12:30pm
                                                        455 County Ctr                222 W. 39th Ave
Lifestyle changes can help prevent diabetes.            Room 501                      Classroom 1
If you are pre-diabetic, two of the key things      Pre-registration required; call (408) 808-1333 or
you can do now to prevent diabetes is increase      email Class is conducted on
your activity and lose weight.                      County time with your supervisor’s approval.
Monitoring food intake is worth the effort.
Those that put an emphasis on tracking their        Diabetes Cooking Demonstration ~
intake were most successful, have you ever
                                                    Jan „05
tracked yours?                                          Start the New Year by attending this cooking
A case manager or “lifestyle coach” can help.       demonstration led by dietitian and diabetes educator
Call your physician, care team and/or insurance     Carolyn McCune. She’ll be sharing tips for quick
carrier and find out how you can get a coach!       and healthy diabetes meal preparation and offering
Major weight loss may not be necessary. A           you samples of recipes prepared in class.
loss of just 7% of your weight may be enough to
prevent and/or improve your diabetes.                       Redwood City:
Exercise does not have to be daily. You can                 January 26, 2005
accumulate 150 minutes per week however you                 12noon – 1:30pm
want, break it into manageable minutes!                     455 County Ctr, Room 101
You‟re never too old to change! The most
                                                         Class is limited to 30 people and pre-registration
successful people in the DPP were the older
                                                    is required; call (408) 808-1333 or email
participants so don’t let age delay your start! Class is conducted on
                                                    County time with your supervisor’s approval.

References –                                                     For more information:
Below are the two studies discussed in this issue           Employee Health & Fitness Program
of Diabetes Alert.                                 

Diabetes Prevention Program Research Group.
(2004) Achieving Weight and Activity Goals
Among Diabetes Prevention Program Lifestyle
Participants. Obesity Research, 12, 1426-1434.

Diabetes Prevention Program Research Group.
(2002) The Diabetes Prevention Program
(DPP): description of lifestyle intervention.
Diabetes Care, 25(12), 2165-2171.