Monday , July 26 2021

Diabetes educator: Place the patient in the driver's seat | Total Health



Stainbrook's funds were used to meet people who felt overwhelmed.

"There is a lot of resistance with diabetes … minimizing it and thinking it's really not a problem," said Stainbrook, a nurse and diabetes educator with the Washington Health System.

But Stainbrook's work with patients through the Diabetes Education & Management Program helps people newly diagnosed and who have lived 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. The first sequence of Stainbrook's business is to focus on a healthy lifestyle and tell them that they are in the driver's seat when it comes to managing their diabetes.

"Lifestyle, healthy eating and exercise will always help blood sugar management," he said. "I always try to tell them that they are in the driver's seat, because that's what they do every day that makes all the difference in the world with their results."

The problem, he said, is that type 2 diabetes is a progressive disease. When someone is diagnosed, they have lost about 50 percent of their beta cells, which are cells in the pancreas that produce insulin.

"They will continue to lose about five percent more every year, so that is a gradual loss of the body's ability to produce insulin," Stainbrook said. "So what works right now won't work five years from now, and it's not uncommon for them to need additional oral drugs over time and eventually need insulin."

The first piece of information Stainbrook gave to new diabetic patients was the importance of healthy eating and increasing physical activity.

"It can run 10 minutes after eating or thirty minutes walking every day," he said. "They don't need to spend money on gym membership. The best exercise to do is what you enjoy, and if you hate all practice, I tell them (to) find the most unpleasant for them. They need to treat exercise like medicine. "

Something as simple as parking at the end of a parking lot or walking in a shop, taking steps instead of an elevator and increasing the total number of steps throughout the day can make an incredible difference in reducing insulin resistance and increasing blood sugar control. , Said Stainbrook.

After the patient moves, they must then focus on their diet. However, what Stainbrook recommends for a meal plan should not be considered a "diet."

"I told people in the family to eat as I told you to eat," Stainbrook said. "This is not a diet. This is how everyone in America must eat. Fresh fresh food, fresh and frozen fruits, vegetables and meat – try to stay away from bags, boxes and cans, and keep it as simple as the amount of ingredients in the product. It's just healthy eating for everyone. "

To manage sugar and carbohydrates, Stainbrook has a few simple rules. He told patients that when they saw the label, see total carbohydrates and not just grams of sugar.

"If you avoid all carbohydrates, all that remains is protein and fat. That's not always good, "he said. "Remember that fruits and vegetables are good carbohydrates because they have lots of fiber and nutrients. Carbohydrates turn into sugar, so if they eat too much carbohydrate, their sugar will be high even though the drug or insulin. "

Likewise, eating too few carbohydrates can reduce blood sugar too much, so consistency is the key to carbohydrate intake.

Stainbrook said we tend to eat what is fast and convenient. If you have a bag of cake at the counter, you will eat it instead of taking the time to cut vegetables or peel the carrots. The tips include maintaining large amounts of healthy, fresh snacks and ready to eat. He told patients that no food was prohibited, but that was all about moderation.

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Peanut Salad

Celeste Van Kirk / Observer-Reporter

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


"Certainly, cakes and ice cream are not good, but it's up to portion size," he said.

One more tip: he warns against drinking your carbohydrates in sodas and sugary drinks, which can fire blood sugar quickly and not add any nutrients. Artificial sweeteners are better than ordinary sugar for diabetics, but having sweet drinks can also cause you to crave them more.

Stainbrook said the diabetes education program offered individual and group education and included diabetes prevention classes.

"This program is designed for people who have close family members and that increases their risk," he added. "This is a weight loss program but also for people who have a family history of disease or other indicators for diabetes."

WHS prevention classes meet every week for 16 weeks, then move to monthly meetings and are intended to help prevent diabetes.

"If you can prevent disease compared to treating it, it will save everyone's money and health," Stainbrook said.

The best advice for patients is not to feel hopeless or hopeless. There are many resources available to help you manage diabetes and there are many people who are willing and able to help with medical advice and overcome the emotional aspects of the disease.

Stainbrook said, "I have a woman who told me last week that she had diabetes for 30 years, and she said," You are the first person to give me hope that I can really do this myself and I can make things better. & # 39; "


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