Holiday Survival Tips for the Person with Diabetes by latenightwaitress

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									Diabetes Alert:
Breaking News on the Latest Diabetes Research
San Mateo County Employee Health & Fitness Program Jan 2005 / Feb 2005

The DPP‟s Lifestyle Intervention
In 2002, results from the lifestyle intervention section of the Diabetes Prevention Program (DPP) started to be published and this inaugural issue of Diabetes Alert is to “alert” you to the most recent news from this research team. As a refresher, there were 1,079 participants who were 68% female, had a mean age of 50, an average body mass index (BMI) of 34. The intervention resulted in a very successful 58% reduction in the incidence rate of diabetes. The two major goals of the initial lifestyle program included –  7% Weight Loss Participants attended classes and worked with 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 lose 15 pounds (7% of 210 = 15).  150 minutes/week of exercise Participants also worked to include a minimum of 150 minutes of physical activity per week. The type of exercise that was considered acceptable was anything similar in intensity to brisk walking.

Frequent contact with participants. The initial intervention took place over the course of six months and included both group and one-onone contact. 16-session core curriculum. Participants attended 16 classes that taught behavioral selfmanagement strategies for weight loss and physical activity. Supervised physical activity sessions. Supervised physical activity sessions were provided to help participants achieve their minimum 150 minutes per week. Tailored materials and strategies. Because 46% of the participants came from minority groups, the class materials and strategies were tailored to address ethnic diversity.

Recent DPP News
A follow up to the original DPP lifestyle study was recently published which shed a bit more light on the factors related to the participant’s success at achieving their weight loss and activity goals. The highlights from this most recent study include: 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 long term. 67% met the activity goal long term. Just over 2/3 of the original participants were able to maintain the 150 min/week of activity in the long term. Older age was associated with success. Age was a predictor of both weight loss and

Key Lifestyle Intervention Features
The methods used to help participants achieve these weight loss and activity goals included the following key features. Individual “lifestyle coach”. Each participant had his/her own case manager who acted as a lifestyle coach throughout the study.

activity success, the older the participant, the more likely they were to achieve their goals. Self monitoring of diet linked to success. Participants who kept food records and monitored their intake were more successful with both their weight loss and exercise goals.

Diabetes Management ~ May „05
This class consists of two information-packed sessions, each 4 ½ hours long, taught by Registered Dietitian, Toni Bloom, MS, RD. The first class covers the types of Diabetes, complications, medications and lab tests. The second class is devoted to nutrition management, meal planning and carbohydrate counting. Redwood City: May 12 & 19 8am – 12:30pm 455 County Ctr Room 501 Belmont: May 10 & 17 8am – 12:30pm 222 W. 39th Ave Classroom 1

Take Away Messages from the DPP
Use some of the following key messages from the DPP to spur on your own diabetes prevention and/or care! Lifestyle changes can help prevent diabetes. If you are pre-diabetic, two of the key things you can do now to prevent diabetes is increase your activity and lose weight. Monitoring food intake is worth the effort. Those that put an emphasis on tracking their intake were most successful, have you ever tracked yours? A case manager or “lifestyle coach” can help. Call your physician, care team and/or insurance carrier and find out how you can get a coach! Major weight loss may not be necessary. A loss of just 7% of your weight may be enough to prevent and/or improve your diabetes. Exercise does not have to be daily. You can accumulate 150 minutes per week however you want, break it into manageable minutes! You‟re never too old to change! The most successful people in the DPP were the older participants so don’t let age delay your start!

Pre-registration required; call (408) 808-1333 or email toni@tonibloom.com. Class is conducted on County time with your supervisor’s approval.

Diabetes Cooking Demonstration ~ Jan „05
Start the New Year by attending this cooking demonstration led by dietitian and diabetes educator Carolyn McCune. She’ll be sharing tips for quick and healthy diabetes meal preparation and offering you samples of recipes prepared in class. Redwood City: January 26, 2005 12noon – 1:30pm 455 County Ctr, Room 101 Class is limited to 30 people and pre-registration is required; call (408) 808-1333 or email toni@tonibloom.com. Class is conducted on County time with your supervisor’s approval. For more information: Employee Health & Fitness Program www.co.sanmateo.ca.us/eps/hf

References –
Below are the two studies discussed in this issue 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.


								
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