Harvesting Your Nutritional Health : Dodging and managing diabetes and other chronic diseases. Michele Boehmer, MS, RD, IC
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1 Harvesting Your Nutritional Health : Dodging and managing diabetes and other chronic diseases. Michele Boehmer, MS, RD, IC Nutrition & Wellness / Diabetes Education
2 2 Chronic Disease Long Term Illnesses that to do not get better and do not go away on their own 9 out of 10 causes of death( State of MI website Oct 2016) Chances of developing a chronic disease are based on : Genetics Environment Lifestyle
3 3 Major Chronic Diseases Arthritis (Husband example) Asthma High Blood Pressure Cardiovascular/Heart Disease Diabetes High Cholesterol (My example) Kidney Disease Obesity Tobacco Usage
4 4 Top 10 Reasons for Ambulatory Care Hospitalizations of All Ages in 2014 (Michigan) Gastroenteritis (arthritis) Bacterial Pneumonia and Asthma (Asthma) Congestive Heart Failure (Cardiovascular Disease) Kidney/Urinary Infections (diabetes) Cellulitis (Obesity) Seizures (diabetes) Diabetes Dehydration (Kidney Disease) COPD (tobacco usage)
5 5 Chronic Disease Nationwide. 50% of adults have a chronic disease 33% of adults have 2 or more chronic diseases 75% of healthcare dollars THEN comes age 65 80% of adults have 2 or more chronic diseases
6 What are YOU wanting? 6
7 7
8 8 Short term goals-what brought you here today?
9 9 Smart Goal Example Should be related to the chronic disease Aim at connecting disease management and your real life behavior Not overly ambitious-obtainable Targeting a specific goal/behavior Smart Goal Example is I will check my blood sugar each morning before breakfast and record the result for the next 7 days. My reward will be nail polish.
10 What are you wanting? Long Term 10
11 11 Gather Your Goals and Harvest Your Health
12 12 Anti-Inflammatory Diet Aim for variety minimizing processed foods Meals balanced for your size: % from carbohydrates of whole grains, fruits & veggies 30% from fat focusing on omega 3 fatty acids such as salmon, flax seeds, chia seeds, ect % from protein including non-animal protein such as soy. Spice it up! Ginger, Tumeric, Cinnamon, Garlic.. Don t forget the important nutrient-water!
13 13
14 CONTROL the Disease. Have a PLAN! 14
15 SEARCH 15 Insights of Andrew Weil, M.D.
16 UP Health System-Marquette Nutrition & Wellness / Diabetes Education (906) Why is Diabetes Education Important? Diabetes & Pre-Diabetes Puts You at Risk for Additional Chronic Diseases
17 17 Type 1 Diabetes Auto-immune disorder where insulin producing cells are destroyed Daily insulin replacement is necessary for survival Relatively quick onset - usually in childhood Cause unknown, likely genetic and environmental factors
18 18 Type 2 Diabetes A metabolic disorder where the body becomes increasingly resistant to insulin Many therapies available Slow to progress, usually diagnosed in adults Cause unknown but risk factors include: Age Being overweight Inactivity Ethnicity Family history Previous history of gestational diabetes
19 Gestational Diabetes 19
20 20 Pre-Diabetes Blood sugar level is higher than normal but not yet high enough to be classified as type 2 diabetes. Without intervention, prediabetes is likely to become type 2 diabetes in 10 years or less. Long Term damage may already be starting. It s reversible! With healthy lifestyle changes such as eating healthy foods, including physical activity in your daily routine and maintaining a healthy weight.
21 21 Balance insulin with carbohydrate intake Most people have flexibility in WHAT & WHEN to eat MODERATION Protein! Healthy Fats! Fiber is your friend! AND BALANCE WITH ENERGY NEEDS! Diet Therapy
22 22 Hypoglycemia: Possible Signs & Symptoms Hunger Shakiness Weakness Paleness Blurry vision Mild Symptoms Sweating Anxiety Increased heart rate/palpitations Sleepiness Changed behavior Dilated pupils Moderate to Severe Symptoms Seizures Confusion Irritability/frustration Restlessness Extreme tiredness/fatigue Dazed appearance Inability to swallow Unconsciousness/coma
23 23 Hyperglycemia: Possible Signs &Symptoms Severe Symptoms Labored breathing Confused Very weak Unconscious Moderate Symptoms Dry mouth Stomach cramps Vomiting Nausea Mild Symptoms Lack of concentration Thirst Frequent urination Blurred vision Flushing of skin Increased hunger Sweet, fruity breath Weight loss Fatigue/sleepiness Stomach pains
24 Food Label 24
25 UP Health System-Marquette Nutrition & Wellness / Diabetes Education (906) Sarah Balko, RD, CDE Krysti Ostermeyer, RN, CDE Kim Hantz, RD, CDE Mike Parks, RN, DE Michele Boehmer, MS, RD, IC-a work in progress to become a CDE
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