I had hoped that the summertime would give us time to reflect and relax with a slower pace and offer less responsibility. This definitely has not been the case. I have recently instructed several patients who are under a great deal of stress whether it is related to family issues, work, finances, or their own health problems.
There are a few diabetes articles that I keep bookmarked on my laptop because I am always going to them as a reference point for information. Similarly, I do the same with some of the diabetes publications that I get in the mail, especially if I find something that I can share with a patient or co-worker.
According to the National Institutes of Health, the rate of pre-diabetes has climbed to 86 million Americans over the age of 20 in 2012. 51% of those people are over the age of 65. Just two years ago in 2010, the rate was 79 million. This huge rise is also evident in people developing diabetes type 2. Unfortunately not all insurance plans cover education or management skills classes for pre-diabetes including Medicare and Medicare Advantage plans even though the rate is extremely high in seniors. It makes sense to educate everyone with pre-diabetes since over half of those will progress to diabetes type 2 if lifestyle changes are not made. Let's review what pre-diabetes is and ways to reduce the risk of developing diabetes type 2.
Last week I re-educated a darling couple for the 3rd time to help them gain blood glucose control. They have only relied on their A1C results up to this point since they refused to test themselves daily. I have seen many patients with diabetes over my 25-year career, but these two had every excuse NOT to make changes to improve their diabetes control and overall health. That day's session focused specifically on blood glucose testing. Some of their excuses were legitimate while other reasons were just plain silly.
The lazy days of summer can cause easy weight gain and elevated sugars, since many people like to stay out of the hot kitchen and either grab a quick meal or enjoy a full dining experience. Realize that dining out is all about choices, and it is up to you to make the best ones if you want to control your blood sugars. Let's explore some easy ways to have fun, enjoy the meal and make good choices.