Lifestyle Management Of Type II Diabetes

2y ago
6 Views
2 Downloads
5.31 MB
55 Pages
Last View : 22d ago
Last Download : 2m ago
Upload by : Allyson Cromer
Transcription

Lifestyle Management ofType II DiabetesMICHELLE HAUSER, MD, MPAINTERNAL MEDICINE-PRIMARY CAREPOSTDOCTORAL RESEARCH FELLOW, CVD PREVENTIONCERTIFIED CHEF & NUTRITION EDUCATOR

Reimagining Nutrition EducationAt Stanford Medical SchoolTim Dang2nd-yearMichelleHauserMD,MPAChefTracy Rydel,MDTina Cowan,Steven dner,PhD

Video demo of nutrition curriculum of the future!https://youtu.be/dYVNFl-GmLw?list PLB0AYRZmsMalYiSed-tF6oiw-LXr5wrJQ

Topics Brief Type II Diabetes Case/Screening/Diagnosis Review Insulin Resistance & Dyslipidemia Glycemic Index & Glycemic Load Whole vs. Highly-processed Foods Healthy Diet Principles Added Sugars / Hidden Sugars Reading Nutrition Labels Exercise Recommendations Culture & Counseling on Lifestyle Change Mobile Tools to Help with Diet & Weight Loss Food Insecurity Guide for Assistance in SCC

Healthy Lifestyle & Disease Prevention Having 5 healthy behaviors can prevent 80% chronicdiseases (like diabetes and CVD). Eat a Healthy Diet Maintain a Healthy Weight Don’t smoke Moderate Alcohol Intake Engage in Regular Physical Activity Unfortunately, only 1-10% of people have all 5 behaviors. Thisis where YOU come in!Sources: INTERHEART Study & Nurses Health Study II

Type II Diabetes Mellitus CaseHPI: 50-year-old female with class I obesity presents to your clinic forfollow-up after a hemoglobin A1c checked at yearly preventive visit was6.5%. She feels fine and has no symptoms.PMH: nonePSH: noneALL: noneMEDS: multivitaminFH: adopted/unknownSH: First-generation immigrant from Michoacán, Mexico who has lived inthis area with her husband for 25 years. She works locally as a middle schoolteacher. Catholic. Never smoker. Drinks 1 beer most nights.ROS: negative other than as noted above.

Type II Diabetes Mellitus Case How do you counsel this patient on lifestyle changes? Do you want to know anything else about this patientbefore you counsel them? TAKE 3-5 MIN TO DISCUSS AT YOUR TABLES

Type II Diabetes Mellitus Case How do you counsel this patient? Do you want to know anything else about this patientbefore you counsel them? What about habits & common comorbidities? History Dietary, exercise, smoking, alcohol habitsPhysical examBlood pressure BMI / Waist circumference Labs/Studies: (most will be discussed in your small groups) Lipid panel (Total cholesterol, LDL, HDL, Triglycerides)

Who to screen for DMII / Risk Factors Age 45 yrs. Overweight or Obese (BMI 25, BMI 30) DMII in a 1st degree relative Sedentary h/o gestational diabetes or delivering baby 9 lbs. HTN (BP 140/90) Dyslipidemia PCOS h/o vascular disease h/o A1c 5.7, impaired glucose tolerance, IFG

Diagnosing Type II Diabetes Hemoglobin A1c x 2 (or with FPG) 5.7 normal5.7-6.4 pre-diabetes 6.5 diabetes Fasting Plasma Glucose x 2 (or with A1c) 100 normal100-125 pre-diabetes (aka. Impaired fasting glucose, IFG) 125 diabetes 2-hr Oral Glucose Tolerance Test (OGTT) 140 normal140-199 IFG/pre-diabetes 200 mg/dL diabetes Classic symptoms of hyperglycemia Random plasmaglucose 200

Review: Insulin Resistance DEFINITION: blood glucose response to insulin is less thanit should be for a given level of insulin. Clinical Markers Pre-diabetes levels of labs we just discussed Triglyceride/HDL 3.5 Metabolic syndrome Weight loss may be greater on low-carb diet for those withinsulin resistance, and on a low-fat diet for insulin sensitivepatients

Review: Dyslipidemia Definition: any combination of high LDL and TG orlow HDL Optimal lipid levels for someone with DMII Low LDL-Cholesterol (Debate: ACC/AHA 2013** vs. other) Low Triglycerides ( 150) High HDL-Cholesterol ( 50 for women, 40 for men) Dyslipidemia

Oct 13, 2015 · Alternate GI/GL Index: International tables of glycemic index and glycemic load values: 2008. Atkinson et al., Diabetes Care. 2008 Dec;31(12):2281-3: On line Appendices (2,480 food items) Glycemic In

Related Documents:

Live a Wellness Lifestyle dōTERRA’s Wellness Lifestyle Pyramid illustrates how wellness is a combination of lifestyle and healthcare. When lifestyle is the focus, health is naturally achieved and maintained. Your daily habits make all the difference. As you live these principles and use dōTERRA’s powerful products, featured in the Daily

16. The time period for the Healthy Lifestyle Goal will be from July 1, 2020 – May 15, 2021. Healthy Lifestyle Portfolio 17. A Healthy Lifestyle Portfolio will be developed to document the competitor’s specific goal and efforts to practice a healthier lifestyle through exercise, nutrition, and/or avoiding risky behaviors. 18.

Thank you for your purchase of a Bose LIFESTYLE DVD home entertainment system. It will serve as the center of your home theater, providing superior audio performance for music and movies. There are four different systems, the LIFESTYLE 18 Series II, LIFESTYLE 28 Series II, LIFESTYLE 38, and th

Greenstone CL. A Commentary on Lifestyle Medicine Strategies for Risk Factor Reduction, Prevention, and Treatment of Coronary Artery Disease. Am J Lifestyle Med 2007; 1: 91-94 B. COMPARISON WITH OTHER NONTRADITIONAL TYPES OF MEDICINE Lifestyle Medicine is based on the recognition of the central role of lifestyle in many chronic disease

take the lifestyle option every time. Lifestyle is a dividend of prosperity. It is the Australian penchant for living in a small town beyond the metropolitan fringe and commuting back into town for work. Or, ultimate lifestyle, working locally. Or ultimate ultimate lifestyle, working in a city-funded job but from home. Oh what pure Australian .

lifestyle changes [8]. A healthy lifestyle is associated with keeping risk factors at low levels [9]. Intervention programmes for healthier lifestyle offered by primary health care services have been found to be feasible and effective for individ-ua

Guide to implement lifestyle audits in the Public Service 6 5. CLARIFICATION OF CONCEPTS Stephen Powell1 defines a lifestyle audit as, "the term commonly used by forensic auditors and management in companies to describe the tests that are performed to determine if the lifestyle of an employee is commensurate with that person's known income stream".

NATIONAL GYPSUM CO — Type FSK, Type FSK-G, Type FSW, Type FSW-3, Type FSW-5, Type FSW-G, Type FSK-C, Type FSW-C, Type FSMR-C, Type FSW-6, Type FSL 2K. Gypsum Board* — (As an alternate to Item 2) — 5/8 in. thick gypsum panels, with beveled, square, or tapered edges, applied either horizontally or vertically. Gypsum panels fastened to framing with 1-1/4 in. long Type W coarse