Impact of Exercise on Patients with Diabetes Mellitus. Learning Objectives. Exercise as a behavior!
|
|
- Anabel Knight
- 5 years ago
- Views:
Transcription
1 Impact of Exercise on Patients with Diabetes Mellitus Bret Goodpaster, Ph.D. Exercise Physiologist Assistant Professor of Medicine University of Pittsburgh Division of Endocrinology and Metabolism Learning Objectives After completing this section, you should be able to: 1. Recommend behavioral strategies for starting and maintaining an exercise program. 2. Develop general exercise guidelines and precautions for patients with special needs and concerns. 3. Compare the effects of exercise and insulin on blood glucose utilization. 4. Assess the impact of exercise on insulin requirements. 5. Discuss safety concerns for the general population as well as identify particular safety concerns for patients with diabetes participating in exercise. Exercise as a behavior! 1
2 Motivation: An Important Component of Behavior Change One of the most important motivational factors in becoming more physically active is to better understand WHY you want to make positive, healthy changes in your life. Remember, there are many reasons why people decide to become and stay active. What s important is that you know and believe in your own motivations for making these changes. Self-Awareness and Self- Monitoring The first step in making important lifestyle changes, including physical activity, is to know how active you are currently, in other words, to become MORE AWARE of the amount of activity you are doing. Self-Awareness and Self- Monitoring The best way to become more selfaware is to start SELF-MONITORING your activities. The best way to self-monitor is to WRITE DOWN or RECORD your activities every day. 2
3 Learning Activity Below are questions that are related to why you want to become a more physically active person. Please take a few minutes to think about each question as it relates to you and then write down your thoughts. We will discuss your answers and how we, as a group, could help each other with our motivations for activity. 1.What are the benefits that you believe you can get from becoming more physically active? 2. What are YOUR MAIN MOTIVATIONS for wanting to become more active? Why do YOU personally want to change? 3. How can others help you in making these changes? Excuses Individuals Give NOT To Exercise I do not have enough time I need the time for my family Work gets in the way I am feeling too down to exercise I am bored with exercising I am too old Suggestions to Overcome Some of Those Excuses Everyone is very busy. You have to plan to fit exercise into a busy schedule Get up earlier to get an exercise in Can give an energy boost for the rest of the day If you do not have time to fit a full 30 minutes of exercise in, you can break down your sessions into two 15-minute sessions or three 10-minute sessions 3
4 Suggestions to Overcome Some of Those Excuses Many families do have busy lifestyles. Spending time together is important, so why not do some activities as a family. Many people nowadays work long, hard hours lots of stress. Exercise can be used as a stress reliever. When feeling depressed or down, it is good to exercise. Exercise increases the serotonin levels in the brain. Getting bored switch up your exercise routine or find an exercise partner. Too Old Exercise is an ageless activity. Goals Negative thoughts regarding exercise may result from setting goals that are not realistic. If patients feel as if they are not meeting their physical activity goals, they may need to disengage from those goals and come up with new, more realistic goals. This is why each time goals are set, patients should take a step back and make sure that the goal is realistic and fits well with their overall abilities. 10 Ways to Stay Motivated to Exercise 1. Write out a weekly plan put your workout time on your to do list 2. Pick an exercise that you like 3. It is easy to make excuses Remember why the exercise program was started. Make your goal a priority in life 4. Think of all the positive things exercise can do for the body 5. Be patient. You will not magically see weight changes. Weight loss can be a slow process 4
5 10 Ways to Stay Motivated to Exercise 6. Keep track of progress and reward yourself for reaching goals 7. Use exercise as a social support 8. Listen to music and books on tape as you exercise 9. Use weight or resistance bands for strength training for part of a workout 10. Plan ahead for bad weather, traveling and house guests Learning Activity Here are some examples of different types of negative thoughts and how they can be modified to be positive thoughts related to realistic goals. Are any of these thoughts familiar? Learning Activity Below are some examples of negative versus positive thoughts about physical activity. Can you think of others? Negative Thought Types Good or Bad- Look at what I did. I didn t even walk today. I ll never get in shape. Some positive ways of thinking related to realistic goals. Create a Balance in Your Day. I slipped up one day, tomorrow I will put my shoes by the front door to remind myself to walk Excuses- Be Creative-It s Worth a Try. Its too cold to take a walk today. I will go walk at the mall today. I don t have the will power or the The sooner I go for a walk the more energy I energy to do this. will have. It takes effort to change! Should- Take Charge-It s Your Health! I am sick of writing in my Completing my physical activity log will help Physical activity log. Why am I doing this me to self-monitor my physical activity behaviors. anyway? Not As Good As- I Am Not Jane! Jane walked five times this week and This is not a competition. I will progress at a rate I only walked three times. that is safe for me and in line with my goals. Give Up- Reach Out to Support System- I cannot keep up with all this, I might Whenever I feel like giving up, I will call one of as well forget it. my social support buddies and ask for some help. I ll never be able to be an independent exerciser. 5
6 Exercise in Patients with Type 1 Diabetes Factors that Influence the Response to Physical Activity Metabolic control Intensity Duration Type of exercise Fitness level Nutritional state Time of last meal or snack Timing, type, and location of insulin injection Exercise and Insulin Additive Effects 6
7 Exercise Strategies in Patients with Type 1 Diabetes Decrease insulin peaking during exercise session Inject insulin in subcutaneous fat Blood glucose should be monitored before and after exercise Carry carbohydrate snack while active Exercise Strategies in Patients with Type 1 Diabetes Patient education is critical to increase awareness It may be important to avoid activity prior to bedtime During post activity (exercise) period Decrease insulin peaking Supplement carbohydrate Monitor blood glucose frequently Exercise Strategies in Patients with Type 1 Diabetes Snack Guidelines for People who use Insulin Determine pre-exercise blood glucose level Pay attention to time of exercise in relation to medication and previous meal Note that type, intensity, and duration of exercise may affect blood glucose responses Preference for or tolerance of solid vs. liquid carbohydrate 7
8 Post-activity, Delayed Onset Hypoglycemia Hypoglycemia occurring 4 or more hours following physical activity Moderate to high intensity with a duration > 30 minutes Results from: Increased insulin sensitivity and mobilization Increased glucose utilization Replenished of glycogen stores Evidence for a Vicious Cycle of Exercise and Hypoglycemia in Type 1 Diabetes A. C. Ertl, S. N. Davis, Diabetes/Metabolism Research and Reviews, 2004 Health Related Quality of Life in Patients with Long-Standing Type 1 Diabetes: Benefits of Regular Physical Training Cardiovascular fitness Insulin requirements Weisenger et al
9 Practical Advice Regarding Exercise and Type 1 Diabetes Reducing pre-exercise insulin levels and adjusting carbohydrate intake prior to, during, and following prolonged moderate exercise in conjunction with close self-monitoring of blood glucose, are essential to avoid the vicious cycle of blunted counterregulatory responses to exercise and hypoglycemia. To this end, prior exposures to bouts of hypoglycemia should be minimized, and exercise should be standardized to enable the patient to understand their individual responses to a given mode, intensity, and duration of physical activity. A. C. Ertl, S. N. Davis, Diabetes/Metabolism Research and Reviews, Assuring Participant Safety Working with trained and certified staff can help to get participants started and to maintain effective programs. Safe, friendly, non-threatening environment. Properly lighted with acceptable walking surface. Assuring Participant Safety Signs and Symptoms Think heart attack or stroke CHEST PAIN or DISCOMFORT SHORTNESS OF BREATH DIZZYIESS WEAKNESS or NUMBNESS SWELLING OF BOTH ANKLES Signs can be subtle, particularly in women Teach participants signs Call patient s PCP or activate EMS 9
10 Assuring Participant Safety Keep track of exercise participant s progress. Since your last visit have you Seen a doctor? Changed your medications? Experienced Chest discomfort or angina? Rapid or irregular heartbeat? Shortness of breath or dizziness? > 4 pounds weight gain? Swellings of both ankles? Increase fatigue? Any other problems? Assuring Participant Safety Foot Care Particularly in individuals with diabetes or peripheral vascular disease Suggest proper footwear Teach participants to inspect feet regularly Recommend silica gel or air midsoles Polyester or polyester-cotton blend socks Non-weight-bearing exercise for individuals with foot ulcer Assuring Participant Safety Hypoglycemia (low blood sugar) Individuals with diabetes Teach participants to self-monitor blood sugar before and after sessions Have sweetened beverage or snack available for episodes of lightheadedness or hypoglycemia Exercise facilities to have glucometer Be familiar with use Glucose < 80 mg/dl give snack and recheck. If > 100 then continue with program Glucose > 240 postpone session 10
11 Exercise Induced Hypoglycemia On insulin or sulfonylureas, meglitinides, nateglinide Crossing Antarctica with Diabetes: Taking Diet, Exercise and Diabetes Management to the Extremes The Ultimate Walk The NovoLog Ultimate Walk to Cure Diabetes sought to raise funds for juvenile diabetes research by trekking to the South Pole. The money raised was distributed through the Juvenile Diabetes Research Foundation and Diabetes UK to help them find a cure for Type I diabetes. 11
12 Research Objectives of Expedition To determine energy balance and changes in body composition, physical fitness, blood lipid profile and glucose control in a 35-year-old man with type 1 diabetes mellitus (T1DM) during a ski trek across Antarctica. A 37-year-old man without diabetes (NOND) also completed this expedition. The Expedition Ambient temperature during the 62-day trek ranged between 27 o C and 5 o C, and altitude steadily rose from 824 m to 2,835 m at the South Pole. Each man pulled his own provisions on a 70 kg sledge an average of 8.9 hrs per day by skis. The Antarctic Diet The diet goal was: 6,514 kcals, 352 gm fat (47.6% kcals from fat) 12
13 Total Daily Energy Expenditure 5,590 Kcal/day 7,285 Kcal/day Type 1 diabetes Non-diabetic Exercise Resting Non-exercise activity Changes in Body Weight and Body Fat Kg Pre Post Type 1 diabetes Kg Pre Post Non-diabetic FFM FM T1DM NOND Pre Post Pre Post Weight (kg) Fat Mass (kg) % Body Fat Negative energy balance = weight loss Positive energy balance = weight gain Kcal/day T1DM NOND Energy Expenditure -5,590-7,285 Energy Intake 4,018 3,821 Energy Balance -1,572-3,464 13
14 Glucose control in a person with type 1 diabetes during extreme activity in an extreme environment HbA1C Pre Post Summary A person with type 1 diabetes is capable of performing exceptionally demanding physical activity. Despite the rather large amount of energy intake, however, the high daily energy expenditure dramatically reduced body weight. This energy imbalance, along with the inability to more frequently monitor blood glucose in extreme conditions, likely contributed to the slightly worsening blood glucose control. 14
15 Recommended Readings 1. A. C. Ertl, S. N. Davis, Diabetes/Metabolism Research and Reviews, Devlin J, Scheider S, Kriska A: Handbook in exercise in diabetes. Ruderman N, Ed. Alexandria, VA, American Diabetes Association, Sigal RJ, Kenny GP, Wasserman DH, Castaneda- Sceppa C: Physical activity/exercise and type 2 diabetes. Diabetes Care 27: ,
Learning Objectives. Impact of Exercise on Patients with Diabetes Mellitus. Definitions: Physical Activity and Health.
Impact of Exercise on Patients with Diabetes Mellitus Bret Goodpaster, Ph.D. Exercise Physiologist Professor of Medicine University of Pittsburgh Division of Endocrinology and Metabolism Learning Objectives
More informationImpact of Exercise on Patients with Diabetes Mellitus. Learning Objectives. Definitions Physical Activity and Health
Impact of Exercise on Patients with Diabetes Mellitus Bret Goodpaster, Ph.D. Exercise Physiologist Assistant Professor of Medicine University of Pittsburgh Division of Endocrinology and Metabolism Learning
More informationbased handouts define your level of readiness and provide
Get Moving Vermont! Welcome to Get Moving, a statewide incentive program for individuals and families to become more physically active. You don t have to be an athlete and there are no age or fitness level
More informationKeeping your diabetes support as mobile as you are,
Millions of people have diabetes. But we at Novo Nordisk know that managing diabetes is a personal journey. That is why we created the e-book Your guide to better office visits, with valuable insights
More informationMY PERSONAL ROADMAP WORKBOOK
FINALLY. Celebrate your successes, even the small ones! Learn from your efforts that don t turn out as you hoped or expected. If you do this, you can t fail! Set yourself up to succeed. Remember.. Most
More informationCardiac Rehabilitation in Heart Failure. Chatrchanok Rungratmaneemas M.D. Head of Cardiopulmonary Rehabilitation Center, CCIT
Cardiac Rehabilitation in Heart Failure Chatrchanok Rungratmaneemas M.D. Head of Cardiopulmonary Rehabilitation Center, CCIT PHYSIOLOGICAL CONSEQUENCES OF CHF AACVPR 2014 ACCF/AHA 2013 HF Guidelines
More informationA Guide to Help You Reduce and Stop Using Tobacco
Let s Talk Tobacco A Guide to Help You Reduce and Stop Using Tobacco Congratulations for taking this first step towards a healthier you! 1-866-710-QUIT (7848) albertaquits.ca It can be hard to stop using
More informationLiving well today...32 Hope for tomorrow...32
managing diabetes managing managing managing managing managing managing diabetes Scientific research continually increases our knowledge of diabetes and the tools to treat it. This chapter describes what
More informationPhysical Activity. Image 1
Physical Activity Acknowledgements: This protocol and associated curriculum materials were developed with support by Grant Numbers P60 MD000538 (NIH National Institute for Minority Health and Health Disparities),
More informationABOUT TYPE 2 DIABETES
ABOUT TYPE 2 DIABETES Because the more you know, the better you ll feel. What You ll Find Attitudes and Beliefs Type 2 Diabetes What Is It? Where You ll Find It Page 4-5 This booklet is designed to help
More informationLiving Well with Diabetes. Meeting 12. Welcome!
12-1 Welcome! Welcome back and congratulations! Today is a time to celebrate all of your accomplishments. For the past few months we have learned a great deal about managing diabetes. Today, we will talk
More informationHeart Healthy Living Tips
Diabetes and Heart Disease Awareness Healthy Living with Diabetes sm and Heart Healthy Living sm Wisconsin Newsletter Fall 2011 Heart Healthy Living Tips What do eating healthy, being active, maintaining
More informationFACTSHEET F18 COPING WITH TIREDNESS
COPING WITH TIREDNESS Many people with chest, heart and stroke conditions experience tiredness or fatigue. This factsheet explains some of the reasons why you might feel so tired. It also offers advice
More informationEnergy balance. Changing rate of energy expenditure
Energy balance Changing rate of energy expenditure 2 Physical activity and exercise Physical activity Occupational activity Physical Activity Exercise (business, work) Leisure activity (Recreational activities,
More informationHealthy Coping. Learning You Have Diabetes. Stress. Type of Stress
Healthy Coping Learning You Have Diabetes Learning you have diabetes changes your life forever. You may feel scared, shocked, angry or overwhelmed. You may not want to believe it. These are normal reactions.
More informationDiabetes and Heart Disease Awareness. Washington Newsletter Fall 2011
Diabetes and Heart Disease Awareness Healthy Living with Diabetes sm and Heart Healthy Living sm Washington Newsletter Fall 2011 Heart Disease What do a balanced diet, exercise, weight control and not
More informationCase Firstbeat Lifestyle Assessment
Case 2017 Firstbeat Lifestyle Assessment PRE-QUESTIONNAIRE REPORT Profile Case 2017 Measurement start date 09.01.2017 QUESTIONNAIRE RESULTS I think I am physically active enough to get health benefits.
More informationBe Physically Active. Key #7. It s Never Too Late to Start! Why Should You Be Active? Exercise Safely
Key #7 Be Physically Active It s Never Too Late to Start! Regular physical activity is an important component in healthy aging. It has been proven that regular activity is very beneficial to our health
More informationThe changes that patients make to their lifestyle, are as important a part of treatment as their medicines. 1
Healthy lifestyle The changes that patients make to their lifestyle, are as important a part of treatment as their medicines. 1 However, making lifestyle changes can be hard for any of us. We know that
More informationHeart Healthy Living Tips
Diabetes and Heart Disease Awareness Healthy Living with Diabetes sm and Heart Healthy Living sm Michigan Newsletter Fall 2011 Heart Healthy Living Tips What do eating healthy, being active, maintaining
More informationI want to improve balance
I want to improve balance Do these exercises several times throughout the day, increasing the time on each exercise as your balance and flexibility increase. If you are unsure about doing any of these
More informationTools for Life. Blood sugar basics.
Tools for Life. Blood sugar basics. OneTouch, Ultra, Ultra2, and UltraMini are registered trademarks, and Delica and DoubleSure are trademarks, of LifeScan, Inc. 2011 LifeScan, Inc. Milpitas, CA 95035
More informationFUEL YOUR COMPETITIVE SPIRIT NUTRITION & HYDRATION GUIDELINES FOR SERIOUS ATHLETES
FUEL YOUR COMPETITIVE SPIRIT NUTRITION & HYDRATION GUIDELINES FOR SERIOUS ATHLETES E N H A N C E Y O U R H Y D R A T I O N Adequate hydration is imperative when you re physically active. Otherwise, you
More informationModule 5. Exercise and Activity
Module 5 Exercise and Activity The Heart Failure Society of America (HFSA) is a non-profit organization of health care professionals and researchers who are dedicated to enhancing quality and duration
More informationSecrets to the Body of Your Life in 2017
Secrets to the Body of Your Life in 2017 YOU CAN HAVE RESULTS OR EXCUSES NOT BOTH. INTRO TO THIS LESSON Welcome to Lesson #3 of your BarStarzz Calisthenics Workshop! For any new comers, make sure you watch
More informationSleep & Relaxation. Session 1 Understanding Insomnia Sleep improvement techniques Try a new technique
Sleep & Relaxation Sleep & Relaxation Session 1 Understanding Insomnia Sleep improvement techniques Try a new technique Session 2 Dealing with unhelpful thoughts Putting these techniques together for better
More informationSession 16: Manage Your Stress
Session 16: Manage Your Stress Stress is part of life. However, you can learn better ways to take care of yourself when faced with stress. Stress is not always bad. Some stress can make life interesting
More informationSimple Start TM Diabetes Log Book
Learn about Diabetes & Earn rewards at the same time Simple Start TM Diabetes Log Book our engagement and rewards program that Empowers you through Education Learn how to manage your diabetes better with
More informationLiving a Healthier Life
For People With Diabetes Living a Healthier Life This health information is being provided for general educational purposes only. Your health care provider is the single best source of information regarding
More informationStanford Youth Diabetes Coaches Program Instructor Guide Class #1: What is Diabetes? What is a Diabetes Coach? Sample
Note to Instructors: YOU SHOULD HAVE ENOUGH COPIES OF THE QUIZ AND THE HOMEWORK TO PASS OUT TO EACH STUDENT. Be sure to use the NOTES view in Powerpoint for what to cover during class. It is important
More informationBeat. Adrenal Fatigue Naturally!
Beat Adrenal Fatigue Naturally! What is Adrenal Fatigue? Before we dive into adrenal fatigue, let s first start with the adrenal glands. The adrenal glands are glands that sit on top of the kidneys. They
More informationThe Diabetes Prevention Program's Lifestyle Change Program. Participant Notebook
The Diabetes Prevention Program's Lifestyle Change Program Participant Notebook The Diabetes Prevention Program's Lifestyle Change Program Your name: Your Lifestyle Coach is Address: Phone: Session 1A:
More informationPhysical Activity/Exercise Prescription with Diabetes
Physical Activity/Exercise Prescription with Diabetes B R AD H I NTERMEYER C E P A C SM S A NFORD H E ALTH C A RDIAC R E H AB A N D D I ABE TES E XE RCISE The adoption and maintenance of physical activity
More informationDiabetes. HED\ED:NS-BL 037-3rd
Diabetes HED\ED:NS-BL 037-3rd Diabetes Diabetes mellitus is an epidemic disease and based on a recent study published on 2011, the estimated number of affected people is 366 million worldwide and the number
More informationORIENTATION SAN FRANCISCO STOP SMOKING PROGRAM
ORIENTATION SAN FRANCISCO STOP SMOKING PROGRAM PURPOSE To introduce the program, tell the participants what to expect, and set an overall positive tone for the series. AGENDA Item Time 0.1 Acknowledgement
More informationTesting for a Reason:
Testing for a Reason: New Information About Type 2 Diabetes and Testing Your Blood Sugar A Guide for You Blood Sugar Testing Testing blood sugar at home using test strips and a meter is common practice
More informationStaying Fit With Kidney Disease
Staying Fit With Kidney Disease Many people with chronic kidney disease (CKD) are enjoying the improved health and increased physical strength that come from a regular exercise routine. You may want to
More informationSession 14: Overview. Quick Fact. Session 14: Make Social Cues Work for You. The Power of Social Cues. Dealing with Social Cues
Session 14: Overview The Power of Social Cues Social cues are occasions that trigger us to behave in a certain way when we re around other people. For example, watching a football game with friends is
More informationLesson 8 Setting Healthy Eating & Physical Activity Goals
Lesson 8 Setting Healthy Eating & Physical Activity Goals Overview In this lesson, students learn about goal setting. They review the activity sheets they filled out earlier to log their eating and activity
More informationHow To Prepare For And Pass The SFG/RKC Kettlebell Certification (10 Critical Rules For Success)
How To Prepare For And Pass The SFG/RKC Kettlebell Certification (10 Critical Rules For Success) I get a lot of questions about how to prepare for the SFG/RKC kettlebell certifications. With that said,
More informationElizabeth: Sure. Well, CDE stands for Certified Diabetes Educator
Transcript Title: Talk It Out With Tim Tim: Hello, everyone. I'm Tim. And welcome to "Talk It Out." Super: Lantus MENTOR Super: Tim Taking Lantus (insulin glargine injection) 100 Units/mL SoloSTAR since
More informationWellness 360 Online Nutrition Counseling* Session 6: Being Active A Way of Life
Wellness 360 Online Nutrition Counseling* Session 6: Being Active A Way of Life. powered by WELLSTAR 360 Session 6: Overview Be Active It s Your Choice! This session focuses on how to become more physically
More informationLEVEL 3. Training Program. Getting Started:
Training Program LEVEL3 Training Program ADVANCED page 2 Training Program TIPS page 7 We ve developed an Advanced Training Program (Level 3) to help you attain your weight-loss goal. The program is separated
More informationNUTRITION. Step 1: Self-Assessment Introduction and Directions
Step 1: Self-Assessment Introduction and Directions Nutrition is the study of nutrients in the food you eat and how your body processes those nutrients. Proper nutrition is critical to developing and maintaining
More informationLiving with Congestive Heart Failure
Living with Congestive Heart Failure Introduction Congestive heart failure, also known as chronic heart failure, is a common condition that affects millions of people every year. It is possible to control
More informationSTAYING FIT WITH KIDNEY DISEASE
STAYING FIT WITH KIDNEY DISEASE www.kidney.org Introduction Regular exercise is important for everyone and that includes people with kidney disease. Regular exercise will help you feel better, stronger,
More informationType 2 Diabetes. Care for your body today for a healthier tomorrow
Type 2 Diabetes Care for your body today for a healthier tomorrow Understanding diabetes You may already know that having diabetes means you have too much sugar in your blood. Why do you have high blood
More informationCardio Blaster. for Wellness Warriors
Cardio Blaster for Wellness Warriors How to find your Resting Heart Rate: 1. Step 1 Take your pulse first thing in the morning before engaging in any significant activity. Because the resting heart rate
More information10 myths about type 2 diabetes By Anne Bokma
10 myths about type 2 diabetes By Anne Bokma While people with type 2 diabetes need to learn everything they can about their condition in order to manage it as best they can, sometimes they also need to
More informationLiving with Congestive Heart Failure
Living with Congestive Heart Failure EPICORE CENTRE Division of Cardiology 213 Heritage Medical Research Centre University of Alberta Edmonton, AB T6G 2S2 Phone: (780) 492-8525 Fax: (780) 492-6059 Website:
More informationFITNESS PREPERATION PLAN
FITNESS PREPERATION PLAN Copyright 06 Kyle Gott YouTube, All rights reserved. OVERVIEW A large part of Air Force Basic Training, and the military in general, is physical fitness. You will be expected to
More information20944_Exercise Diary:20944_Exercise Diary 7/10/09 09:46 Page 1 Exercise Diary
Exercise Diary Name: Hospital number: Contact number for renal unit: Contents Page Introduction 4 Your clothing and trainers 5 Diet and fluid management 6 Starting your exercise programme 6 Tips for succeeding
More informationWHAT'S INSIDE INSIDE YOUR PROGRAM GUIDE The Pilates Workout Plan. 2. The Nutrition Plan. 3. Tools to Track Your Progress. 4.
Program Guide INSIDE YOUR PROGRAM GUIDE... 1. The Pilates Workout Plan 2. The Nutrition Plan 3. Tools to Track Your Progress 4. Program Tips 5. Getting Started WHAT'S 6. Pre-Program Action Items INSIDE
More informationType 1 Diabetes & Continuous Glucose Monitoring. Dr Sheila Cook Director of Diabetes & Endocrinology Toowoomba Hospital
Type 1 Diabetes & Continuous Glucose Monitoring Dr Sheila Cook Director of Diabetes & Endocrinology Toowoomba Hospital Let s consider the traditional diabetes clinic The Diabetes Clinic Whenever I check
More informationAs you have a degree of basic fitness and confidence, 3 months or so of training should prepare you for your challenge.
The one thing you should be reassured of is is nothing to be afraid of, as people from all walks of life register for the challenge. Although you don t have to be a Professional Athlete to walk, jog or
More informationPersonal Fitness Plan [Type the document subtitle] 3/10/2014 Class Period MW T/TH
Personal Fitness Plan [Type the document subtitle] 3/10/2014 Class Period MW T/TH MY PERSONAL FITNESS PLAN CONTRACT Fitness Contract for Self I,, am going to make a commitment to helping build lifelong
More informationSession 14: Take Charge of Your Lifestyle
Session 14: Take Charge of Your Lifestyle In GLB, you have learned: 1. Many facts about healthy eating and being more physically active. 2. What makes it hard to change long-standing lifestyle behaviors.
More informationSession 0A: Welcome to the Look AHEAD Lifestyle Program. Session 0B: Welcome to the Look AHEAD Lifestyle Program
Look AHEAD Program All sessions include a weigh in and homework review at the beginning of the session. Starting with session 8, muscle stretches and exercises are included at the close of each session.
More informationHow to be a successful Tour de Cure cyclist with diabetes
How to be a successful Tour de Cure cyclist with diabetes Presented by TeamWILD Athletics: Set a Goal. Join Our Team. Change Your Life. Message from Mari Ruddy Founder of the Red Rider Recognition Program
More informationCOPD & Managing Your Disease at Home
COPD & Managing Your Disease at Home Oxygen and Activity The importance of activity: Activity is important for everyone. When you have COPD your activity level may be low because breathing is difficult
More informationCardiac Rehabilitation Centre Pre-Admission Recommendations
Cardiac Rehabilitation Centre Pre-Admission Recommendations The following recommendations are for individuals who have been referred to the Cardiac Rehabilitation Centre (CRC) and have temporarily been
More informationSession 3 or 6: Being Active: A Way of Life.
Session 3 or 6: Being Active: A Way of Life. You can find the time to be active. Set aside one block of time every day to be active. When can you set aside 20 to 30 minutes to do an activity you like?
More informationMotatapu Ultra Marathon
Motatapu Ultra Marathon PLAYING THE LONG GAME How to pace yourself over your Ultra marathon SMILE WHILE YOU RUN Because running should be enjoyable GET READY Follow Team CP's training guide to be awesome
More informationX-Plain Exercising For a Healthy Life Reference Summary
X-Plain Exercising For a Healthy Life Reference Summary Introduction By exercising and becoming more active, you can improve your health. People who are not physically active are much more likely to develop
More informationPERSONAL FITNESS PLAN
PERSONAL FITNESS PLAN Name Date 1 MY PERSONAL FITNESS PLAN CONTRACT Fitness Contract for Self I,, am going to make a commitment to helping build lifelong fitness and nutrition habits that will aid me in
More information8 Week Program: Intermediate
8 Week Program: Intermediate Introduction The Program This program has been developed by an Exercise Physiologist to provide individuals at all fitness levels with a comprehensive exercise program that
More informationGet Fit For Life. Exercise DVD Companion Booklet
Adapted with permission from the booklet produced by the Employee Education System in collaboration with the Office of Veterans Health Communications and the VA National Center for Health Promotion and
More informationLittle #NOSBoss Program (Beginner)
INTRO Right! If you re reading this you ve already taken the first step towards getting into an active lifestyle. Congratulations! From here on it s all easy going! (That s not entirely true ) To help
More informationPRESS RELEASE. November is Diabetes Awareness Month Severity/Epidemic and Risk Factors of Diabetes
November 7, 2012- (Part 1 in a series of 5) November is Diabetes Awareness Month Severity/Epidemic and Risk Factors of Diabetes Data released from the American Diabetes Association have found almost 26
More informationManaging my diabetes. a pictorial guide
Managing my diabetes a pictorial guide This booklet explains the steps to staying well with diabetes. It is intended to be used with the help of your health professionals. Diabetes WA is a member based
More informationInsulin Pump Therapy. WakeMed Children s Endocrinology & Diabetes WakeMed Health & Hospitals Version 1.3, rev 5/21/13 MP
Insulin Pump Therapy WakeMed Children s Endocrinology & Diabetes Overview What is an insulin pump? What are the advantages and disadvantages of an insulin pump? Lifestyle Changes Food Management Exercise
More informationThe Heart Truth : A National Campaign
Welcome The Heart Truth : A National Campaign Helping women, especially women ages 40 to 60, understand their risk of heart disease and take action to protect their heart health Sponsored by the National
More informationDiabetes Mellitus Type 2
Diabetes Mellitus Type 2 What is it? Diabetes is a common health problem in the U.S. and the world. In diabetes, the body does not use the food it digests well. It is hard for the body to use carbohydrates
More informationSmoking Cessation Self-Management Plan and Care Plan
Smoking Cessation Self-Management Plan and Care Plan I understand the following items will be beneficial to the treatment of my tobacco abuse, have discussed this with my provider and I agree to implement
More informationType 1 Diabetes - Pediatrics
Type 1 Diabetes - Pediatrics Introduction Type 1 diabetes prevents the body from removing sugar from the blood stream normally. Diabetes can lead to serious health problems if it is not treated. Currently
More informationFemale Fat Loss Over 40 Rapid Fat Loss Program
21 Day Rapid Fat Loss Nutrition How do you feel about dragging those extra pounds around? Are you motivated enough to take action? If losing that extra weight was easy, then everyone would have the body
More informations PERSONAL FITNESS PLAN
s PERSONAL FITNESS PLAN Name Period Teacher Year Due Date: http://www.cnusd.k12.ca.us/page/22178 7 th Grade Standards: 3.3, 3.4, 3.6, 4.1, 4.2, 4.3 8 th Grade Standards: 3.2, 3.3, 3.5, 4.1, 4.2, 4.3 1
More informationFUEL YOUR COMPETITIVE SPIRIT NUTRITION AND HYDRATION GUIDELINES FOR SERIOUS ATHLETICS
FUEL YOUR COMPETITIVE SPIRIT NUTRITION AND HYDRATION GUIDELINES FOR SERIOUS ATHLETICS ELEVATE YOUR ENERGY Carbohydrates Are King Just like automobiles, our bodies require energy to perform. Carbohydrates
More informationWalking Guidelines for People with Cancer to Use While in the Hospital
PATIENT EDUCATION patienteducation.osumc.edu Walking Guidelines for People with Cancer to Use While in the Hospital Exercise such as walking has several positive benefits for people dealing with the side
More informationRecord-Keeping Charts
In this appendix, we have provided some useful charts for you so you can record information that s important to manage your diabetes. Use these charts to keep track of the information not only for yourself,
More informationCOPD. Living With Long-Term Lung Disease. COPD is a lung disease that. makes it harder to breathe. Doctors can help people
Living With Long-Term Lung Disease COPD is a lung disease that makes it harder to breathe. Doctors can help people with COPD feel better, live more active lives, and slow the damage to their lungs. The
More informationA quick guide to diabetes for people changing from tablets to insulin (type 2 diabetes) Diabetes and Endocrinology Patient Information Leaflet
A quick guide to diabetes for people changing from tablets to insulin (type 2 diabetes) Diabetes and Endocrinology Patient Information Leaflet What is diabetes? Diabetes is a condition where the amount
More informationEducation How to Avoid Getting Sick While in Training
1 Education How to Avoid Getting Sick While in Training https://www.trainingpeaks.com/blog/how-to-avoid-getting-sick-while-intraining/?utm_source=tpr&utm_medium=email&utm_content=coach&utm_campaign=2017_11_
More informationSinclair Community College, Division of Allied Health Technologies
Sinclair Community College, Division of Allied Health Technologies Health Promotion for Community Health Workers Cardiovascular disease, stroke, and cancer Class #9 Heart Failure (date) Course Objectives:
More informationWhat You Can Do About a Lung Disease Called COPD
GLOBAL INITIATIVE FOR CHRONIC OBSTRUCTIVE LUNG DISEASE What You Can Do About a Lung Disease Called COPD Adults may have COPD if they have trouble breathing or a cough that will not go away. BASED ON THE
More informationGET READY PACING YOURSELF SMILE WHILE YOU RUN. 3 key tips to develop your performance. Because running should be enjoyable
Motatapu Marathon PACING YOURSELF 3 key tips to develop your performance GET READY Follow Team CP's training guide to be awesome on raceday SMILE WHILE YOU RUN Because running should be enjoyable Your
More informationSuper: Consult with your physician or registered dietitian before making any diet changes.
Transcript Title: Cooking Right With Noemi Noemi: Hi there. I'm Noemi [Super: (by Noemi) Lantus Mentor], and this is Martha [Super: (by Martha) Registered Dietician] Super: Noemi Taking Lantus (insulin
More informationChoosing Life: empowerment, Action, Results! CLEAR Menu Sessions. Adherence 1: Understanding My Medications and Adherence
Choosing Life: empowerment, Action, Results! CLEAR Menu Sessions Adherence 1: Understanding My Medications and Adherence This page intentionally left blank. Understanding My Medications and Adherence Session
More informationExercise and Activity
Exercise and Activity Goals To understand the benefits of an exercise program To plan a program that balances exercise, food intake, and in some instances, diabetes medications Your objectives 1. List
More informationMotatapu Miners Trail
Motatapu Miners Trail PACING YOURSELF 3 key tips to develop your performance GET READY Follow Team CP's training guide to be awesome on raceday SMILE WHILE YOU RUN Because running should be enjoyable Your
More informationHere are a few ideas to help you cope and get through this learning period:
Coping with Diabetes When you have diabetes you may feel unwell and have to deal with the fact that you have a life long disease. You also have to learn about taking care of yourself. You play an active
More informationTraining tips for a trekking challenge. Believe you can. Introduction
Training tips for a trekking challenge Introduction The one thing you should be reassured of is our trekking challenges are nothing to be afraid of, as people from all walks of life register for our challenges.
More informationManage Diabetes with Small Changes
In This Issue: } Manage with Small Changes } The Role of Your Educator } Prediabetes: A Call to Action } Insulin and : Your Questions Answered Manage with Small Changes One man learns simple ways to keep
More informationTrack Your Magic Number
Find Your Magic Weight Loss Number Do you know how many calories you need to be consuming for WEIGHT LOSS? Not knowing how many calories you are supposed to consume per day is like driving from Atlanta
More informationCardiac Rehabilitation
Cardiac Rehabilitation Home Exercise Programme Information for patients Active Programmes Patient s name: Start date: page of What is the home exercise programme? The home exercise programme can be followed
More informationSelf-Care: Following Your Treatment Plan and Dealing with Your Symptoms. Module 4
Self-Care: Following Your Treatment Plan and Dealing with Your Symptoms Module 4 Taking Charge of HEART FAILURE Contents Important Information 3 Taking Charge of Heart Failure 4 Following Your Treatment
More information8 Week Program: Experienced
8 Week Program: Experienced Introduction The Program This program has been developed by an Exercise Physiologist to provide individuals at all fitness levels with a comprehensive exercise program that
More informationStaying Active. Physical Activity and Benefits
Staying Active Physical Activity and Benefits Have a Stay-Active September It happens to everyone. The temperature drops and all of a sudden, sweatpants and comfort foods are calling your name. That s
More informationUnderstanding Diabetes
Patient Education Understanding Diabetes This handout describes diabetes, the complications related to the disease, and how you can prevent these complications. Blood Sugar Control Diabetes is a disease
More information