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 email@example.com. 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! firstname.lastname@example.org. 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. www.co.sanmateo.ca.us/eps/hf 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.