We have heard that the CDC has estimated that if current trends continue, an astounding 1 in 3 Americans may have diabetes in the US by 2050.1
So, what can we do about this?
Virtually everyone knows - and has heard many times - that a healthy lifestyle is crucial to good health, including reducing the risk of developing diseases, like diabetes.
It is so easy to advise patients on therapeutic lifestyle changes. Patients have heard about these recommendations umpteen times, and a common response I hear (and I’m sure, you have as well) to an offer to have the patient see the dietitian or the diabetes educator is, “No, that’s OK. I know what to do; I just have to actually do it.”
But this isn’t something to check in with briefly during a follow-up visit once or twice a year in a few of the already time-pressed minutes in a typical follow-up appointment. It should not be the same recitation of recommendations, followed by a, “Yes, I know, but...”
It should not be, “Let’s send you to a class (we have in our system, a Preventing Diabetes Workshop that is a small, interactive group - not a lecture), yet it’s one-time and for 2 hours.”
So, what does the patient do 99% of the time they’re at work or at home? And how do we make this more real and regular?
Next: Make Daily Goals and Provide Resources
1. Boyle JP, Thompson TJ, Gregg EW, Barker LE, Williamson DF. Projection of the year 2050 burden of diabetes in the US adult population: dynamic modeling of incidence, mortality, and prediabetes prevalence. Popul Health Metr. 2010;8:29.