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Diabetes educators: Putting patients in the driver's seat | Total Health

Dana Stainbrook is used to meet people who feel overwhelmed. "There is a lot of denial with diabetes … minimizing…

Dana Stainbrook is used to meet people who feel overwhelmed.

“There is a lot of denial with diabetes … minimizing it and thinking it’s really not a problem,” said Stainbrook, a nurse and diabetes educator with Washington Health System.

But Stainbrook’s work with patients through the Diabetes Education & Management Program helps people who are both newly diagnosed and who have been living with diabetes for decades.

The majority of diabetes cases in the United States are Type 2, which means patients have insulin resistance, but their bodies can still produce insulin. Stainbrook’s first order of business is to focus on a healthy lifestyle and to let them know that they are in the driver’s seat when it comes to managing their diabetes.

“Lifestyle, healthy eating and exercising is always going to help blood sugar management , “She said.” I always try to tell them that they are in the driver’s seat, because it’s what they do everyday that makes all the difference in the world with their outcomes. “

The problem, she said, is That Type 2 diabetes is a progressive disease. By the time someone is diagnosed, they have lost about 50 percent of their beta cells, which are the cells in the pancreas that make insulin.

“They will continue to lose about five percent more every year, so it’s a gradual loss of the body’s ability to produce insulin, “said Stainbrook. “So what works today is not going to be working five years from now, and it’s not unusual for them to require additional oral medication as time goes by and eventually requires insulin.”

Stainbrook gives two new diabetes patient is the importance of healthy eating and increasing physical activity.

“That can be a 1

0-minute walk after a meal or a thirty minute walk every day,” she said. “They do not have to spend money on a gym membership. De beste øvelser du kan gjøre, er at du hater all øvelse, så jeg forteller dem (å) finner den som er minst objektionable for dem. De trenger for å behandle motion som en medicinering. ”

Som det er så enkelt som å parkere på parkeringsplassen eller å gå i butikken, tar du trinnene i stedet for heisen og øker antallet av totaltrinn gjennom hele dagen make a remarkable difference in reducing insulin resistance and increasing blood sugar control, Stainbrook said.

Once patients get moving, they need to focus on their diet. Men, hva Stainbrook anbefaler for en spiseplan bør ikke betraktes som en “diett.”

“Jeg forteller folk alle sammen i familien bør være å spise som jeg forteller deg å spise,” Stainbrook sa. “It’s not a diet. It’s the way everyone in America should be eating. Fresh whole foods, fresh and frozen fruits, vegetables and meats – try to stay away from the bags, boxes and cans, and keep it simple as far as the number of ingredients in the product. That’s just healthy eating for everybody. “

As for managing sugar and carbohydrates, Stainbrook has some simple rules. She tells patients that when they look at labels, look at total carbohydrates and not just the grams of sugar.

“If you’re avoiding all carbs, all that’s left is protein and fat. That’s not always good, she said. “Remember that fruits and vegetables are good carbs because they have plenty of fiber and nutrients. Carbs turn to sugar, so if they eat too many carbs, their sugar will run high despite medication or insulin. “

Similarly, eating too few carbs can lower blood sugar too much, so consistency is the key with carbohydrate intake. 19659002] Stainbrook said we tend to eat what’s fast and convenient. Ef þú ert með köku á kökum, þá muntu það frekar en að taka tíma í að skíra upp grænmeti eða peel carrots. These tips include keeping fresh, healthy snacks in abundance and ready to eat. She tells patients that no food is forbidden, but it’s all about moderation.


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Celeste Van Kirk / Observer-Reporter

In this file photo, Andie Lugg shows cooking class attendees how to make a healthy bean salad at the Wilfred R. Cameron Wellness Center. Dana Stainbrook says eating healthy is a key to controlling blood sugar levels.


“Obviously, cake and ice cream are not good, but it’s up to serving size,” she said.

One more tip: she warns not to drink your carbs in soda and sweetened drinks, which can shoot blood sugar quickly and not add any nutrition. Artificial sweeteners are better than regular sugar for diabetics, but having sweet drinks can also cause you to crave them even more.

Stainbrook said the diabetes education program offers individual and group education and includes a diabetes prevention class. Program is designed for people who have an immediate family member and that increases their risk, “she adds. “The WHS prevention class meets weekly for 16 weeks, then moves into monthly meetings and is meant to help prevent diabetes.

“If you can prevent a disease as opposed to treating it, that saves everyone’s money and their health,” said Stainbrook.

Here’s the best advice for patients, do not feel helpless or hopeless. There are many resources available to help you manage diabetes and there are plenty of people willing and able to help with medical advice as well as coping with the emotional aspect of the disease.

Stainbrook said, “I had a lady tell me last week she had had diabetes for 30 years, and she said, ‘You’re the first person who has given me hope that I can actually do this on my own and I can make things better.’ “

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