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Day to day lifestyle habits have a significant impact on peoples’ health. Consider using the Client-Centered Counseling skills you’ve developed to encourage healthy lifestyle choices in your clients.
Consider the following resources to expand your knowledge of client centred counseling:
- Understanding Stages of Change
- Shoo, A. Motivational Interviewing in the Prevention and Management of Chronic Disease: Improving Physical Activity and Exercise in Line with Choice Theory.International Journal of Reality Therapy, 2008 Vol 27 (2):26-29.
- Welch G, Rose G, Ernst D. Motivational Interviewing and Diabetes: What Is It, How Is It Used, and Does It Work? Diabetes Spectrum January 2006 vol. 19 no. 1 5-11 http://spectrum.diabetesjournals.org/content/19/1/5.full.
- Tips for addressing challenges when teaching groups
- How to Initiate a Behavior Change in 3 Minutes (AHS audio/visual short session) https://connect.ucalgary.ca/behaviour and the one page summary slide.
- ABSORB Training (self register) and choose Change and Motivation: Part 1 and Part 2
Nutrition therapy and counselling are an integral part of the treatment and self-management of diabetes.
The goals of nutrition therapy are to maintain or improve quality of life and nutritional and physiological health; and to prevent and treat acute and long-term complications of diabetes, associated comorbid conditions and concomitant disorders.
We hope to have a more detailed Medical Nutrition Therapy page soon. In the meantime, please consider the following links in our Topics Catalogue:
Physical activity can help people with diabetes achieve a variety of goals, including increased cardiorespiratory fitness, increased vigour, improved glycemic control, decreased insulin resistance, improved lipid profile, blood pressure reduction and maintenance of weight loss.
Both aerobic and resistance exercise are beneficial for patients with diabetes, and it is optimal to do both types of exercise. At least 150 minutes per week of aerobic exercise, plus at least two sessions per week of resistance exercise, is recommended.
Click here for our Topics Catalogue with resources for how you can help your clients meet their physical activity goals.
Research is increasingly demonstrating a relationship between mental health disorders and diabetes.
There’s a high correlation between diabetes and people with serious mental illnesses, particularly those with depressive symptoms or syndromes. The mechanisms behind these relationships are multifactorial. Some evidence shows that treatment for mental health disorders may actually increase the risk of diabetes, particularly when second-generation (atypical) antipsychotic agents are prescribed. Biochemical changes due to the mental health disorders themselves also may play a role. Lifestyle changes and symptoms of mental health disorders are also likely to contribute.
More is on it's way to help you with your client's psychosocial concerns. For now, please check out our Topics Catalogue for useful resources.
Self-monitoring of glucose levels can serve as a useful adjunct to other measures of glycemia, including A1C.
Most people with diabetes will benefit from glucose monitoring for a variety of individual reasons. Glucose monitoring is the only way to confirm, and appropriately treat, hypoglycemia. It can provide feedback on the results of lifestyle and pharmacological treatments, and increase patient empowerment and adherence to treatment.
Click here for more detailed information on Glucose Monitoring in the Topics Catalogue.
Smoking, in individuals with diabetes, is an independent risk factor for all-cause mortality. It increases the risk of myocardial infarction (MI) 3-fold, stroke by 30%, progression to end stage renal disease, and is associated with poorer glycemic control.
Quitting smoking reduces cardiovascular disease risk, reduces the risk of renal disease and improves glycemic control.