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Taking Control of Type 2 Diabetes in Older Adults

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 07 Nov 2018   Posted by Patty Clark

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Age is no barrier to a healthy, active lifestyle. Regular physical activity and healthy eating improves general health and wellbeing. It also helps prevent and control Type 2 diabetes.
Much of the food we eat is broken down into glucose (sugar) which is used for energy. Diabetes is a disease that prevents the body from using glucose (sugar) properly. To use sugar, the body needs insulin, which is produced in the pancreas. With diabetes, the body does not produce enough insulin or has difficulty using the insulin it makes. Sugar builds up in the blood instead of being used as energy. If left untreated, high levels of blood sugar can slowly damage blood vessels and nerves. Complications may develop such as: loss of vision, cloudiness in the lens of the eye, kidney damage, nerve damage, increased risk of heart attack and stroke, high blood pressure, and impotence. However, if well managed, people can slow the progress of diabetes, and prevent or delay complications.

There are risk factors for Type 2 diabetes that can be changed:
 Being overweight, especially if most of the weight is carried around the middle
 Inactivity
 Alcohol
 Smoking
 Not eating well
 High cholesterol or high triglycerides

Lifestyle changes can help manage blood sugar levels and control diabetes. Specifically, physical activity can:
 lower blood sugar
 lower blood pressure
 relieve stress
 strengthen the heart
 increase lung capacity
 improve circulation
 help to sleep
 control weight and more

As a fitness practitioner it may be challenging to get older adults with diabetes to start an activity program. Here are a few suggestions to get this group moving, take control and better manage their type 2 Diabetes.
1. Initiate an introduction class for older adults living with diabetes, make it fun and sociable.
2. Find out what the participants are already doing, and encourage them to do more of that activity.
3. We want to make physical activity a part of their daily routine, but it must be enjoyable, fun, and social.
4. Encourage them to walk whenever they can.
5. Sometimes, people with diabetes can have nerve damage with a loss of sensation to their feet and hands. Make sure they treat their feet. They need a good pair of shoes for walking.
6. Have them start slowly, and build up gradually. Short, 10-minute bouts of activity all add up.
7. Gradually, over time, have individuals build up to a total of at least 150 minutes per week of moderate to vigorous intensity aerobic physical activity.
8. Make sure it is FUN, SOCIAL, and it MAKES THEM FEEL GOOD!

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Posted by Patty Clark
Patricia Clark is the National Executive Director with Active Aging Canada (formerly known as the Active Living Coalition for Older Adults – ALCOA). Patty has worked in the health and fitness field for 34 years in organizations both at the provincial and national level. In this time she has been a media spokesperson, made numerous presentations across Canada, and authored several articles relating to healthy lifestyle behaviours. Since joining ALCOA in 2007, she has been involved in developing health promotion resources on healthy active aging for both the practitioner and the public.


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