Hi. I am new to this forum. My belief is that prevention is preferable to disease management. In my research there are few good prevention programs that help people make the lifestyle changes required. My questions are why is that? Where do current programs fall short? What would a good program include and what would entice people to commit to lifestyle changes before they developed Type 2 Mellitus? Thoughts?
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Diabetes Prevention Programs.
- Thread starter DebsIWMC
- Start Date
Mr_Pot
Well-Known Member
Very few people take a diagnosis of pre-diabetes seriously and do anything about it. Maybe it needs a better name like "diabetes onset" or something to make people realise they will have diabetes if they don't make a change to their lifestyle.
S
serenity648
Guest
I was told, by my doctor, that pre-diabetes is nothing to worry about.
ickihun
Master
I believe nothing would have made a difference for me.
Ive had superb diet, exercised and took medications/stuck to appointments but my weight wouldnt budge. So I gave up. Twice.
No longer. I'm on tier3 for bariatric surgery and at last losing weight before op.
Just because doctors say lose weight doesnt make it happen if your body has forgotten how too.
Ive read somewhere that insulin cell pathway gets lost. I'm hoping mine has found a way at last.
Lost just under 3st since xmas now.
Ive had superb diet, exercised and took medications/stuck to appointments but my weight wouldnt budge. So I gave up. Twice.
No longer. I'm on tier3 for bariatric surgery and at last losing weight before op.
Just because doctors say lose weight doesnt make it happen if your body has forgotten how too.
Ive read somewhere that insulin cell pathway gets lost. I'm hoping mine has found a way at last.
Lost just under 3st since xmas now.
S
serenity648
Guest
what is making you lose weight now? 3 st is impressive.
ickihun
Master
Dietician believes off orilstat but only taking 1 tablet a day rather than 3 prescribed.
I wonder if metformin and correct amount of basal insulin. Well even mixed insulin in high doses without orilstat was giving me weight loss as bgs were excellent for hours.
Only excellent bgs day in day out without ANY spikes and with metformin taken religiously for few months has given me a chance. I think. Maybe.
A little part is getting worried incase sinister. I havent lost like this sedate ever. Ive had to exercise heavily twice a day on child portions over a decade ago to lose anything.
Honestly. I'm really unsure. Eating 150g carb with high protein diet with no badies and watching fat for orilstat.
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Why though do they do not take it seriously? Or what needs to happen to get them to take it seriously?
You say you have a suburb diet. When you tried to lose weight in the past (twice) how did you go about it? Either time did you follow a low carbohydrate/ low fat diet ? What help or guidance did you get at the time? If so why was it not effective?
Really? Would it have made a difference if the doctor had said it was something to worry about?
Really? Would it have made a difference if the doctor had said it was something to worry about?
mytype1.life
Well-Known Member
Hello.
I work for a company with a contract with the National Diabetes Prevention Programme. The main reasons for disengagement are as follows:
- Age = many of the patients referred to the programme are retired (70+) and feel it's too late to make changes
- Time = working patients struggle to commit if there are only weekday slots
- Location = many venues are not local to the patient which puts them off
- Lack of education = some patients feel there is nothing wrong, they are healthy now so why bother.
We use the phrase 'pre-diabetic' and that the patient is at risk of developing type 2 but it doesn't always help the referral.
I work for a company with a contract with the National Diabetes Prevention Programme. The main reasons for disengagement are as follows:
- Age = many of the patients referred to the programme are retired (70+) and feel it's too late to make changes
- Time = working patients struggle to commit if there are only weekday slots
- Location = many venues are not local to the patient which puts them off
- Lack of education = some patients feel there is nothing wrong, they are healthy now so why bother.
We use the phrase 'pre-diabetic' and that the patient is at risk of developing type 2 but it doesn't always help the referral.
S
serenity648
Guest
As i said - I did not realise it was something to take seriously as it was mentioned, years ago, as part of a checkup, as a throw away comment by my doctor. It wasnt until years later, when I changed practice, that the seriousness of my condition was brought to my attention, and then I immediately took action. By which time I had become actually diabetic.
So being told by the medical profession that pre-diabetes was serious would have been good, or even NOT being told that it wasnt something to worry about, would have helped.
ickihun
Master
Only difference to me now compared to 10yrs ago was I dont eat seeded bread now and I rarely eat porridge. Jacket potato never and I base my meals around a protein not a carb.
D
Deleted member 308541
Guest
They do this with MS and Alzheimer's so it would be a good idea if that was to happen for diabetes.
My GP at the time told me I was border line diabetic years ago, and start changing what I ate and drank. "Whooptee doo" I thought and kept on with my same life style.
ickihun
Master
Ouch! All good reasons there.
So huge room for improvement then.
Is there going to be a second attempt?
mytype1.life
Well-Known Member
It's an ongoing programme so I think the team are working on engagement 
ickihun
Master
Maybe lectures from people living with diabetes would shock them into a change?
Like cigarette (anti-smoking) campaign adverts on tv?
Like cigarette (anti-smoking) campaign adverts on tv?
mytype1.life
Well-Known Member
Yes I agree! The educators are good but hearing it from the people that actually have diabetes i think would make a difference.
S
serenity648
Guest
Would that include people who have halted or even reversed their diabetes and pre-diabetes through low carb diets? I do not mention high fat, as some of us (including me) have not raised our fats, simply ditch low fat processed food and use full fat foods, but less of them. This would give a demarcation from the knee jerk reaction of always grouping low carb and high fat into the same eating plan, which seem to make the medical profession shut their ears to any experience of success as mentioned numerous times on this forum.
mytype1.life
Well-Known Member
I'm not sure of how the session is delivered I just know the modules. It would be interesting to find out what advice is given.
