Lifestyle/healthy living with diabetes Flashcards
What is meant by a healthy lifestyle?
Eat well and balanced diet don't smoke regular physical activity moderate alcohol no recreational drugs good work/life balance dealing with stress
Change that happens when you are diagnosed with diabetes
medication/injections blood testing diet/weight loss physical activity hypos illness travel, hobbies, work friends and family
Problems with young people and diabetes
want to be same as peers festivals sex/contraception learning to drive tattoos/piercings leaving home recreational drugs nights out/alcohol
Healthy eating and diabetes
no diabetes diet
can eat simple CHO in moderation
Dietary consideration in diabetes
CHO is main consideration in maintaining glycaemic control
weight loss
lipids/bp
Glycaemic index
a figure representing the relative ability of a carbohydrate food to increase the level of glucose in the blood
Importance of CHO counting in type 1 DM
quick acting insulin dose
dose to cover CHO in food
correction dose if [BG] is high
need to know how many units of insulin for 10g CHO for you!
Eating disorders in type 1 DM
common - young women diabulimia miss insulin doses recurrent DKA high morbidity and mortality
Does alcohol increase or decrease glycogenolysis?
reduces
Why does alcohol lead to a rise and then rapid fall in [BG]?
a lot of calories - high
reduce glycogenolysis
Alcohol limit for diabetes
same as general population
more than 2-3 units raises risk of a hypo
Advice for recreational drugs
Avoid measure [BG] avoid dehydration do not omit insulin/CHO munchies and control
Recommended levels of exercise in genera population
2.5 -3 hours moderate/week
75 mins vigorous per week
strength training
Children exercise recommendation
60 mins a day
How do we help people increase physical activity?
talk about it
community/school/government
accessibility
facilities
