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Too Deadly for Diabetes
Ray Kelly
BA (Ex. Sc.) MTeach AEP AES
Acknowledgement
I would like to acknowledge the Ngunnawal people, the traditional
owners of the land on which we meet today and pay my respects to
their elders both past and present.
Yaama!
Gulbiyaay ngindaayuu
Ray Kelly
BA (Hmn Mvt) Mteach AEP AES
• Kamilaroi
• Accredited Exercise Physiologist
• Masters in Teaching
• 26 years experience
• Preparing athletes for World Champs, and Olympics
• 2 Winners on The Biggest Loser
• The Contender Australia
• Published author x 2 books
• Chronic Disease Clinics
• Rapid Loss Program
• Lecturer to Health Professionals, PT’s and Sports Coaches
• Commenced PhD
Type 2 Diabetes
• 85% of all diabetics
• Affects 1.7m Australians
• Every 5 diag, 4 undiag
• 3,000,000 by 2025
• Indigenous 3 x more likely
*Diabetes: the silent pandemic and its impact on Australia (Baker IDI, 2012)
What Do We Know?
• Weight contributes (Esp Visceral)
• Any Weight Loss Improves
• Meds increase over time
• Lifestyle > Meds
• Food intake matters
• Exercise improves
• Obstacles include:
• Expense of food
• No time
• Cost of gym membership
• Can’t cook, etc
Why Can’t Our People Do This?
• Just need to:
• Follow the dietary guidelines
• Increase activity
Right????
This is a problem for all in the western
world!
• Often lose very little weight
• Still progress in medications over time
• Are regularly told “You’re a diabetic for life”
People get the attitude of
‘Why bother!’
Cost of Diabetes
(per person, per year)
• $4,025 if no complications (BP, Chol, Eyes, Kidneys, etc)
• Can rise to as much as $9,645
* Chronic failure in primary care (Grattan Institute, 2016)
* Diabetes: the silent pandemic and its impact on Australia (Baker IDI, 2012)
The Current Treatments
All medical centres across Australia:
• Less than 50% achieve target blood sugars
• Only 20% achieve target sugars and BP
*Chronic Failure in Primary Care (Grattan Institute, 2016)
This is with specialists, medications, dieticians, physiologists
and more at the GP’s disposal!
What’s the Problem?
• Food advice is often vague
• Exercise advice is often unrealistic
• No improvements on the scales
• No motivation
• Dose is given, and patients eat to sustain
that dose….until meds increase…repeat
• Patients taught to LIVE WITH DIABETES!
‘Experts’ say:
• Very complicated
• Tough to treat
Their answer: medications and surgery
But then we have research and programs that blow all
that out of the water!
Current ResearchPiloting a Remission Strategy in Type 2 Diabetes: Results of a Randomized Controlled Trial (McInnes, Smith, et al., 2017)
• 70.4% achieved normal sugars
• 40% achieved full/partial remission
A Novel Intervention Including Individualized Nutritional Recommendations Reduces Hemoglobin A1c Level, Medication
Use, and Weight in Type 2 Diabetes (McKenzie, Hallberg, et al., 2017)
• 87% reduced or eliminated insulin
• HbA1c 6.6
Effect of an Intensive Lifestyle Intervention on Glycemic Control in Patients With Type 2 Diabetes: A Randomized Clinical
Trial (Johansen, MacDonald, et al., 2017)
• Researchers report minimal results….but
• 73.5% had reduction or elimination of meds
• HbA1c 6.3
Diabetes: the silent pandemic and its impact on Australia (Baker IDI, 2012)
• Targeting obesity can reduce the incidence of type 2 diabetes in Australia by over 40%.
Too Deadly For Diabetes
• Avg 12-17kg in 10 weeks
• Fresh Food, Plenty of it!
• Patients Save $50-$150 per week
• Simple Exercise
• Strategies for Modern Lifestyle
• Designed for ALL Chronic Diseases
• Email (Video) Education Course
• Daily Motivational Video SMS
• ‘Cheap Eats’ - $47 for all meals!
• Medications Reduced!
Programs
• Arnott’s
• 53 employees, avg start weight 95kg
• 643kg lost in 10 weeks (12%BW)
• 37 with hypertension, down to 3!
• Still within 0.6kg at 6 months
• GWS Giants
• 30 fans, avg start weight 106kg
• 380kg in 8 weeks (12.1%BW)
• 14 with hypertension, down to 0!
Cost Savings
For every 100 patients:
Savings of $382,500 - $944,500
Every Year!!!!
* Chronic failure in primary care (Grattan Institute, 2016)
* Diabetes: the silent pandemic and its impact on Australia (Baker IDI, 2012)
Profile 1 - Tom
• 62yrs
• Awabakal
• Oral and insulin
• 5 heart and hypertensive meds
• Drank 1 bottle red/day!
• Lost 50kg, off ALL MEDICATIONS
• Kept it off 6yrs so far
* Don’t have to be perfect!
Profile 2 - Jason
• 33yrs old
• Wiradjuri
• Blood Sugars 49
• In ICU for 4 days
• Left hospital on oral meds plus 1 x Lantus
and 3 x Novorapid each day
• After 2 days on the program, 3 x Novorapid removed!
* Don’t have to be perfect!
Profile 3 - Kim
• 28 years on insulin
• Bundjalung
• 59yrs old
• Lost 7kg
• Reduced insulin by 50% in 10 weeks
* Don’t have to be perfect!
It’s Up To Us!
Let’s show them how it’s done!
• The research is there to support
• This works!
• Low cost!
• How much of your funding goes to weight related chronic disease?
• For what outcomes?
So why wait?
Ray Kelly
Ray@RayKellyFitness.com.au
0447 972 172
Conference Special
The first 10 AMS to sign up will receive a 50% discount for the next 12 months!
Facebook: @RayKellyFitness
Twitter: @RayKellyFitness
Instagram: @RayKellyFitness

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Ray Kelly

  • 1. Too Deadly for Diabetes Ray Kelly BA (Ex. Sc.) MTeach AEP AES
  • 2. Acknowledgement I would like to acknowledge the Ngunnawal people, the traditional owners of the land on which we meet today and pay my respects to their elders both past and present.
  • 4. Ray Kelly BA (Hmn Mvt) Mteach AEP AES • Kamilaroi • Accredited Exercise Physiologist • Masters in Teaching • 26 years experience • Preparing athletes for World Champs, and Olympics • 2 Winners on The Biggest Loser • The Contender Australia • Published author x 2 books • Chronic Disease Clinics • Rapid Loss Program • Lecturer to Health Professionals, PT’s and Sports Coaches • Commenced PhD
  • 5. Type 2 Diabetes • 85% of all diabetics • Affects 1.7m Australians • Every 5 diag, 4 undiag • 3,000,000 by 2025 • Indigenous 3 x more likely *Diabetes: the silent pandemic and its impact on Australia (Baker IDI, 2012)
  • 6. What Do We Know? • Weight contributes (Esp Visceral) • Any Weight Loss Improves • Meds increase over time • Lifestyle > Meds • Food intake matters • Exercise improves • Obstacles include: • Expense of food • No time • Cost of gym membership • Can’t cook, etc
  • 7. Why Can’t Our People Do This? • Just need to: • Follow the dietary guidelines • Increase activity Right????
  • 8. This is a problem for all in the western world! • Often lose very little weight • Still progress in medications over time • Are regularly told “You’re a diabetic for life” People get the attitude of ‘Why bother!’
  • 9. Cost of Diabetes (per person, per year) • $4,025 if no complications (BP, Chol, Eyes, Kidneys, etc) • Can rise to as much as $9,645 * Chronic failure in primary care (Grattan Institute, 2016) * Diabetes: the silent pandemic and its impact on Australia (Baker IDI, 2012)
  • 10. The Current Treatments All medical centres across Australia: • Less than 50% achieve target blood sugars • Only 20% achieve target sugars and BP *Chronic Failure in Primary Care (Grattan Institute, 2016) This is with specialists, medications, dieticians, physiologists and more at the GP’s disposal!
  • 11. What’s the Problem? • Food advice is often vague • Exercise advice is often unrealistic • No improvements on the scales • No motivation • Dose is given, and patients eat to sustain that dose….until meds increase…repeat • Patients taught to LIVE WITH DIABETES!
  • 12. ‘Experts’ say: • Very complicated • Tough to treat Their answer: medications and surgery But then we have research and programs that blow all that out of the water!
  • 13. Current ResearchPiloting a Remission Strategy in Type 2 Diabetes: Results of a Randomized Controlled Trial (McInnes, Smith, et al., 2017) • 70.4% achieved normal sugars • 40% achieved full/partial remission A Novel Intervention Including Individualized Nutritional Recommendations Reduces Hemoglobin A1c Level, Medication Use, and Weight in Type 2 Diabetes (McKenzie, Hallberg, et al., 2017) • 87% reduced or eliminated insulin • HbA1c 6.6 Effect of an Intensive Lifestyle Intervention on Glycemic Control in Patients With Type 2 Diabetes: A Randomized Clinical Trial (Johansen, MacDonald, et al., 2017) • Researchers report minimal results….but • 73.5% had reduction or elimination of meds • HbA1c 6.3 Diabetes: the silent pandemic and its impact on Australia (Baker IDI, 2012) • Targeting obesity can reduce the incidence of type 2 diabetes in Australia by over 40%.
  • 14. Too Deadly For Diabetes • Avg 12-17kg in 10 weeks • Fresh Food, Plenty of it! • Patients Save $50-$150 per week • Simple Exercise • Strategies for Modern Lifestyle • Designed for ALL Chronic Diseases • Email (Video) Education Course • Daily Motivational Video SMS • ‘Cheap Eats’ - $47 for all meals! • Medications Reduced!
  • 15. Programs • Arnott’s • 53 employees, avg start weight 95kg • 643kg lost in 10 weeks (12%BW) • 37 with hypertension, down to 3! • Still within 0.6kg at 6 months • GWS Giants • 30 fans, avg start weight 106kg • 380kg in 8 weeks (12.1%BW) • 14 with hypertension, down to 0!
  • 16. Cost Savings For every 100 patients: Savings of $382,500 - $944,500 Every Year!!!! * Chronic failure in primary care (Grattan Institute, 2016) * Diabetes: the silent pandemic and its impact on Australia (Baker IDI, 2012)
  • 17. Profile 1 - Tom • 62yrs • Awabakal • Oral and insulin • 5 heart and hypertensive meds • Drank 1 bottle red/day! • Lost 50kg, off ALL MEDICATIONS • Kept it off 6yrs so far * Don’t have to be perfect!
  • 18. Profile 2 - Jason • 33yrs old • Wiradjuri • Blood Sugars 49 • In ICU for 4 days • Left hospital on oral meds plus 1 x Lantus and 3 x Novorapid each day • After 2 days on the program, 3 x Novorapid removed! * Don’t have to be perfect!
  • 19. Profile 3 - Kim • 28 years on insulin • Bundjalung • 59yrs old • Lost 7kg • Reduced insulin by 50% in 10 weeks * Don’t have to be perfect!
  • 20. It’s Up To Us! Let’s show them how it’s done! • The research is there to support • This works! • Low cost! • How much of your funding goes to weight related chronic disease? • For what outcomes? So why wait?
  • 21. Ray Kelly Ray@RayKellyFitness.com.au 0447 972 172 Conference Special The first 10 AMS to sign up will receive a 50% discount for the next 12 months! Facebook: @RayKellyFitness Twitter: @RayKellyFitness Instagram: @RayKellyFitness