Diabetes Education Class
A simple way to lower blood sugar?
Ever attended diabetes
education classes? Maybe you're thinking about it? Or maybe you're
thinking about attending again? You're definitely on the right track.
The research described below shows that diabetes education classes
can help you maintain positive lifestyle changes TWO years
after the education. But . . .
This research also
highlights a glitch. A small, and dare I say
it, easy change you can make to improve your blood sugars. A
change that most people would not find difficult but . . . for some
reason, don't do. Read on.
In this research on
diabetic education . . .
One hundred and fifty
people with type 2 diabetes completed three days of diabetes
education classes that focused on diabetes self-management. They were
seen periodically for follow up for one year afterwards. At the end
of the year, it was shown that positive lifestyle changes were made
to eating habits (meal spacing, balance, less emotional eating,
reduced fats and reduced intakes of sweets), glucose testing,
exercise and even foot care. And yes, blood sugars and A1c results -
those three month average blood sugars - dropped signficantly. All
good news and no surprises, right?
The surprise is this.
Two years AFTER
the diabetes education classes, and one year after their last contact
with the diabetes team, these same folks maintained the lifestlye
changes they'd made after attending diabetes education classes. Yes!
Kept them. Without any nagging from diabetes educators!
The but . . . .
Yes, of course, there is
a 'but'. . . BUT . ..a year after finishing their follow-up with the
diabetes teams, their blood glucose levels and A1c results increased again.
Oh, you say. The
diabetes was progressing.
As a diabetes educator I
often tell people with type 2 diabetes that their pancreas is growing
older faster than the rest of them. So yes, blood sugars will change.
That's a nice way of saying they will go up. But, is this what
happened in this research?
Well, could be. It is a
possibility. After all. These folks had kept up their lifestyle
changes so what else could it be?
Well . . . the simple
thing that could reduce blood sugars.
There is something they
stopped doing so well. Something we don't often think of as
"lifestyle". Something that could reduce their blood
sugars. Something - dare I say it - SIMPLE.. . .
Enough suspense. . .
A year after leaving the
diabetes centre, and two years after completing diabetes education
classes, many of these people stopped regularly taking their diabetes
pills. No they didn't stop the pills altogether. They just stopped
taking them as regularly as they had been. That's it.
Interesting, isn't it?
As
hard as the lifestyle changes were - they maintained them!
As easy
as taking a pill is. . . well, that often fell by the wayside.
Why? No doubt each
person had their particular reason. However, the main thing to
consider here is that they regularly took that medicine when being
seen in a diabetes centre. When they were being reminded.
Does this mean you need
to live at the diabetes centre? No. Good gracious. There isn't room
now for diabetes centres to see everyone.
The takehome message
about diabetes education . . .
Is simply that diabetes
education does not need to be limited to the classroom. Regular
health reminders can do wonders for blood sugars - or for taking your
pills to help blood sugars. This is not the first research to suggest
that frequent health care reminders can benefit blood sugars, as well
as weight, cholesterol etc.
If you find yourself forgetting pills, can you
talk with pharmacist and MD about other possible options - eg. a one-a-day pill or moving some of the pills etc. Other options you might consider. . .
Can you . . .
Come up with
a way to remind yourself to regularly take your diabetes meds?
A
weekly or monthly note on your calendar? (make it a fun one!)
Permission
for your spouse to ask you or remind you (nicely now).
A
pill minder? (those plastic thingees with compartments for pills)
Leave
your pill bottle on top of your stack of plates?
Attend yearly
diabetes education classes?
If your A1c or average blood sugar rises,
before you blame your lifestyle you might take a look at your habits
with diabetes medications.
If you've got the
ability and will power to make and keep lifestyle changes like the
people in this study, then congratulate yourself. And go the step
further to include taking your diabetes medication regularly as an
important lifestyle change. Taking those little darn things could
hugely benefit your health, your future, your dreams.
How hard is it to
swallow that pill?
Good Luck, Good Health!
Related: Steps to Lower Blood Glucose
Didn't find what you want? The answer to your question is important. Please keep looking.
Reference: The Role
of Diabetes Education in Maintaining Lifestyle Changes. Can J
Diabetes.2005;29(3):193-202.
Leaving Benefits of Diabetes Education Class to go Home to How to Lower Blood Glucose Levels

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