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GETTING BACK ON TRACK:
Top Ten Tips for 2012

Amy Campbell, MS, RD, CDE
THE BEST LAID PLANS…
           44% of Americans make New Year’s resolutions

           Top four resolutions
              Spend more time with family and friends
              Exercise
              Lose weight
              Stop smoking


           52% of resolution-makers feel confident they’ll
            achieve them…but only 12% will succeed

           Don’t be a statistic!

Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
1. KEEP IT FOCUSED, KEEP IT REAL
           Who’s more likely to succeed?
              Betty: I’m going to improve my diabetes control.
              Bob: I’m going to get my A1C checked and talk to my
               provider about how I can get it closer to goal.
              The cat




Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
2. START SMALL
        Don’t overdo it, don’t overthink it!
        Which goal makes the most sense?
              I’m going to go to the gym 7 days a week.
              I’m going to walk for 15 minutes during my lunch break
               Monday through Friday.




Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
3. GET SUPPORT
           Support can come in many forms:
                 Family
                 Friends
                 Co-workers
                 Healthcare team
                 Support groups
                 On-line communities (you guys!)




Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
4. GET YOUR DIABETES DUCKS IN A ROW
           Know your numbers: where you’re at, where you’re
            headed…
                 A1C
                 Blood pressure
                 Cholesterol
                 D (the vitamin, that is)
                 Eye exam
                 Foot exam
                 GFR (really, eGFR)




Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
5. LOOK FOR PATTERNS
        Check out your log book (or download your meter).
        What are the numbers telling you?

        Look for patterns of highs and lows




Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
6. CHECK YOUR BP AT HOME
        Two out of three adults with diabetes have high
         blood pressure.
        High blood pressure is silent…and dangerous.

        Buy a home BP monitor and keep a log of your
         readings.
        Your goal? Usually, less than 130/80.




Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
7. FLOSS EVERY DAY
        BG out of target range increases risk for oral health
         problems (gum disease, tooth loss)
        For less than $3.00, you can lower your risk of:
              Periodontal disease
              Heart disease




Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
8. TRY ONE NEW FOOD EACH WEEK
        Get out of your eating rut.
        Experiment with different, healthy foods:
                 Quinoa
                 Kefir
                 Black garlic
                 Ostrich
                 ______ (fill in the blank)




Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
9. TAKE IT UP A FLIGHT (LITERALLY)
           What other exercise:
                 Burns 8-11 calories per minute?
                 Helps you lose 6 pounds per year when you climb two
                  flights each day?
                 Raises HDL cholesterol?
                 Lowers blood pressure?
                 Tones your leg muscles?
                 Strengthens your bones?
                 Helps you live longer?
                 Gets you there faster?
                 Needs no special skill or equipment?
                 Is “green”? (only YOUR energy is burned!)

Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
10. GET YOUR ZZZ’S
           Less sleep means:
                 Higher A1C
                 Greater insulin resistance
                 Higher blood pressure
                 More weight (thanks to less leptin and more grehlin)
                 Higher risk for colds and flu
                 More grumpiness and irritability
                 Decreased focus
                 More motor vehicle accidents



             But too much sleep isn’t good, either…

Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
11. OKAY, ONE MORE…
           Practice homophily, or “love of the same”
                 People who have similar physical traits (e.g., body size,
                  age, gender) are more likely to adopt healthy habits
                  than those with different traits.
           What does this mean for you? Find a health buddy!




Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
LOOK AT THE GLASS HALF FULL…
        Optimism: a general personality disposition that
         favors positive outcomes and the anticipation of
         hopeful conclusions.
        Optimism can be learned. How?
              Learn as much as you can about your diabetes
              Practice positive self-talk
              Keep a journal…jot down what you’re grateful for
              Reach out




Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
QUESTIONS? THOUGHTS?




Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org

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Getting back on track. Strategies to honor our resolutions

  • 1. GETTING BACK ON TRACK: Top Ten Tips for 2012 Amy Campbell, MS, RD, CDE
  • 2. THE BEST LAID PLANS…  44% of Americans make New Year’s resolutions  Top four resolutions  Spend more time with family and friends  Exercise  Lose weight  Stop smoking  52% of resolution-makers feel confident they’ll achieve them…but only 12% will succeed  Don’t be a statistic! Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
  • 3. 1. KEEP IT FOCUSED, KEEP IT REAL  Who’s more likely to succeed?  Betty: I’m going to improve my diabetes control.  Bob: I’m going to get my A1C checked and talk to my provider about how I can get it closer to goal.  The cat Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
  • 4. 2. START SMALL  Don’t overdo it, don’t overthink it!  Which goal makes the most sense?  I’m going to go to the gym 7 days a week.  I’m going to walk for 15 minutes during my lunch break Monday through Friday. Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
  • 5. 3. GET SUPPORT  Support can come in many forms:  Family  Friends  Co-workers  Healthcare team  Support groups  On-line communities (you guys!) Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
  • 6. 4. GET YOUR DIABETES DUCKS IN A ROW  Know your numbers: where you’re at, where you’re headed…  A1C  Blood pressure  Cholesterol  D (the vitamin, that is)  Eye exam  Foot exam  GFR (really, eGFR) Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
  • 7. 5. LOOK FOR PATTERNS  Check out your log book (or download your meter).  What are the numbers telling you?  Look for patterns of highs and lows Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
  • 8. 6. CHECK YOUR BP AT HOME  Two out of three adults with diabetes have high blood pressure.  High blood pressure is silent…and dangerous.  Buy a home BP monitor and keep a log of your readings.  Your goal? Usually, less than 130/80. Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
  • 9. 7. FLOSS EVERY DAY  BG out of target range increases risk for oral health problems (gum disease, tooth loss)  For less than $3.00, you can lower your risk of:  Periodontal disease  Heart disease Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
  • 10. 8. TRY ONE NEW FOOD EACH WEEK  Get out of your eating rut.  Experiment with different, healthy foods:  Quinoa  Kefir  Black garlic  Ostrich  ______ (fill in the blank) Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
  • 11. 9. TAKE IT UP A FLIGHT (LITERALLY)  What other exercise:  Burns 8-11 calories per minute?  Helps you lose 6 pounds per year when you climb two flights each day?  Raises HDL cholesterol?  Lowers blood pressure?  Tones your leg muscles?  Strengthens your bones?  Helps you live longer?  Gets you there faster?  Needs no special skill or equipment?  Is “green”? (only YOUR energy is burned!) Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
  • 12. 10. GET YOUR ZZZ’S  Less sleep means:  Higher A1C  Greater insulin resistance  Higher blood pressure  More weight (thanks to less leptin and more grehlin)  Higher risk for colds and flu  More grumpiness and irritability  Decreased focus  More motor vehicle accidents But too much sleep isn’t good, either… Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
  • 13. 11. OKAY, ONE MORE…  Practice homophily, or “love of the same”  People who have similar physical traits (e.g., body size, age, gender) are more likely to adopt healthy habits than those with different traits.  What does this mean for you? Find a health buddy! Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
  • 14. LOOK AT THE GLASS HALF FULL…  Optimism: a general personality disposition that favors positive outcomes and the anticipation of hopeful conclusions.  Optimism can be learned. How?  Learn as much as you can about your diabetes  Practice positive self-talk  Keep a journal…jot down what you’re grateful for  Reach out Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org
  • 15. QUESTIONS? THOUGHTS? Copyright © 2012 by Joslin Diabetes Center. All rights reserved. www.joslin.org