Presentation on theme: "Taking Steps to Prevent Type 2 Diabetes"— Presentation transcript:
1Taking Steps to Prevent Type 2 Diabetes Type 2 diabetes is serious, common, costly, and controllable. But we know from research that it can be delayed or prevented. This workshop is designed to teach you how to prevent or reduce your risks of developing type 2 diabetes.Among individuals at high risk for developing type 2 diabetes, structured programs such as this one emphasizing lifestyle changes including moderate weight loss (7% body weight) and regular physical activity (150 minutes per week) with dietary strategies including reduced calories and reduced intake of dietary fat, can reduce the risk for developing diabetes and are therefore recommended.
2What is Type 2 Diabetes?The body may make insulin but it doesn’t work effectivelySugar builds up in the blood, causing diabetesUncontrolled diabetes over a long period of time can lead to serious health problemsType 2 can be treated with healthy eating and increased physical activity and sometimes medicationsChecking blood sugars helps the person manage diabetes.
3Signs & Symptoms of Type 2 Diabetes ThirstHungerUnexplained tirednessMore urination than usualBlurred visionSores that won’t healDry itchy skinMany people have no symptomsSome people have some of the symptoms, some may have none and some will try to explain away their symptoms.
4Why is Type 2 Diabetes on the Increase? InactivityOverweightPoor eating habitsLiving longerIncrease in ethnic diversityLarger portion sizes
5Who Is At Risk? Age 45 or older Overweight Inactive Ethnic or minority populationFamily history of diabetesExcess abdominal fatHigh blood pressurePre-diabetesHigh blood fatsDarkening of the skinPolycystic ovary syndromeHistory of Gestational Diabetes or large babyExcess fat in the abdomen is an independent risk factor for disease.Women over 35 inches are at risk.Men over 40 inches are at risk.Darkening of the skin, back of the neck and skin folds is called acanthosis nigricans, it appears as dirty spots and can not be washed off.PCOS is a hormonal imbalance which may cause hyperinsulinemia, facial hair, overweight, infertilityGiving birth to a baby that weighs more than nine pounds.
6Could You be at Risk for Diabetes? Where do you start?ADA Risk Test (paper or online)Distribute a paper risk test of your choice and allow each participant to complete.Call DIABETES ( )
7What Was Your Score? Low Risk – 3 to 9 points Maintain healthy weight Regular exerciseKeep up the good workHigh Risk – 10+ pointsHigh risk for diabetesGo see your doctorTake steps to improve your scoreReview the ADA paper test and direct people to the bottom of the page where the score is located.Reference: Could You Have Diabetes Take the Test. Know the Score -014B
8Pre-DiabetesHigher than normal blood sugars, but not high enough to diagnose.Some people may think that pre-diabetes is borderline diabetes but there is no such diagnosis as a touch of sugar or borderline diabetes.Distribute the KDN pre-diabetes care tool.
9Diagnosis of Diabetes Normal, Fasting Pre-Diabetes, Fasting Diabetes, Below 100 mg/dlBetween mg/dlHigher than 126 mg/dl at 2 different times
10The Good News . . .Research shows that lifestyle changes can be very effective in preventing or delaying type 2 diabetes.NEWSLifestyle changes may reduce risk by 58%.A 5-10% weight loss.Exercising 30 minutes a day, 5 days a week for a total of 150 minutes per week.
11How Can You Reduce Your Risk? Get physically activeHealthy eatingWeight managementAdopt healthy habitsRegular check-upsManage stressRefer to an effective ongoing support program for weight loss of 5-10% of body weight, and increase physical activity to at least 150 minutes per week of moderate activity such as walking.Individuals who have prediabetes or diabetes should receive individualized medical nutritional therapy (MNT) as needed to achieve treatment goals, preferably provided by a registered dietitian familiar with the components of diabetes MNT.In overweight and obese insulin resistant individuals, modest weight loss has been shown to reduce insulin resistance. Thus, weight loss is recommended for all overweight or obese individuals who have or are at risk for diabetes.
12Getting Physically Active Aim for 150 minutes per week of moderate physical activity (example 30 minutes of exercise five days a week = 150 minutes)WalkingSwimmingDancingRunningBikingJoggingPhysical activity may be in increments of a minimum of 10 minutes, 3 times daily.It is important to include flexibility, strengthening and aerobic activity.Suggested Teaching Aids:Fat and muscle models
13Moving SafelyCheck with your doctor before you start an exercise programAlways warm up and cool down to prevent injuryStart out slowlyInvesting five minutes to warm up your muscles and an additional five minutes to cool down your muscles is important to prevent muscle injury.
14Make Exercise CountTalking and walking should be your rule– but no singing!Stop right away if you are dizzy, short of breath, sick to your stomach or in pain, seek medical helpWhen people exercise they should be able to talk with their walking partner comfortably but if they are able to sing they are not exercising hard enough to get the full benefit from their physical activity.
15Hints For Helping You Stick to Your Exercise Plan Choose an exercise you enjoyFind an exercise buddySet goals you can reachKeep the cost lowExercise won’t just happenYou have to plan for it!
16Healthy Eating Choose a variety of healthy foods Select smaller serving sizesEat 3 meals a day at regular timesMake each meal about the same sizeIt is important to space meals 4-5 hours apart.Resources:MyPyramid.govKDPCP-Nutrition BasicsServing Size HandoutSuggested Teaching Aids:Food ModelsExample of healthy plate
17Healthier Eating Habits Eat more whole grainsMore Matters® - choose more vegetables & fruitsChoose low fat foodsChoose low fat dairy and yogurtDrink more water and sugar-free beveragesFruits and Veggies - More Matters- try to eat 5-9 servings of vegetables and fruits each day.A low fat food is defined as one that has 3 grams of fat or less per 100 calories.
18Changing Eating Habits Use herbs and spices to limit sodiumChoose healthier dessertLow fat yogurt, fruitsChange recipes to reduce sugar and fatHandout- “How to Adapt Your Recipes”
19Weight ManagementIf overweight, losing 5-10% of body weight can reduce risks for Type 2 diabetesSafely lose weight with:Healthy eatingPhysical activityAmong individuals at high risk for developing type 2 diabetes structured programs that emphasize lifestyle changes that include moderate weight loss (7% body weight) and regular physical activity (150 minutes per week) with dietary strategies including reduce calories, reduce intake of dietary fat can reduce the risk for developing diabetes.Slowly losing weight leads to sustainable weight loss.
20Adopt Healthy Habits No tobacco Get plenty of sleep Wear your seatbelts/helmetsKeep up to date on immunizationsLimit alcohol intakeKey immunizations for people with diabetes include an annual flu shot and a pneumonia vaccine.
21Regular Check-upsSee your doctor at least once a year for a complete check-up.Recommended age/gender appropriate screeningsRegular dental and eye examsResource: Gender Specific Screenings per PHPR guidelinesFor example: Women: Stay Healthy at Any Age and Men: Stay Healthy at Any Age from the Dept of Health and Human Services/
22Manage Stress Take time to relax Pace yourself and your activities Get enough sleepMake time for funRegular physical activityEveryone has good stress and bad stress- it is when stress is out of balance that people have problems. People who get regular physical activity are more resilient to stress.Research shows that not getting enough sleep (about 7-8 hours for most people) can lead to chronic health problems.
23Get Support Make it goal to adopt healthier habits Include family and friendsKnow and use your community resourcesGive a list of community resources.
24Setting Personal Goals Choose small goalsBe specific, realistic and patientChoose goals you can controlUse non-food rewardsBuild on your successes
25Examples of Personal Goals Example of weight management goal:I will lose 5 pounds, in five weeks by cutting out 500 calories every day.Example of physical activity goal:I will begin walking for minutes per day, at least 5 days a week.Example of healthy habits goal:I will make an appointment for my regular check up by the end of this week.Give participants a chance to write their own personal goal.Goals should be written in positive language.They should be specific and measurable.
26Preventing type 2 diabetes If there was a vaccine to prevent diabetes would you take it?There is no vaccine to take to prevent diabetes but as research has shown Type Two diabetes can be prevented by investing in a healthy diet, daily physical activity, and stress management. Another way to prevent type two diabetes -- if you are overweight lose 5-10% of your current body weight.
27You Can Reduce Your Risk Get physically activeHealthy eatingWeight managementAdopt healthy habitsRegular check-upsManage stress27
28What Can You Do to Prevent Type 2 Diabetes REVIEW!Get Physically ActiveHealthy EatingWeight ManagementAdopt Healthy HabitsLets play diabetes feud!Ask the audience to list the major ways they can reduce their risk for type 2 diabetes.This game is played similarly to Family Feud – So you may say something like “the survey says”--- click on the color bar to reveal the answer.What Can You Do to Prevent Type 2 Diabetes REVIEW!Get Physically ActiveHealthy EatingWeight ManagementAdopt Healthy HabitsGet Regular CheckupsManage StressRegular Check-upsManage Stress