Diabetes Lifestyle Intervention

Diabetes Lifestyle Intervention

Lowering your daily blood sugar, reducing A1c, improving cholesterol levels and blood pressure in addition to lowering your total body weight will improve your overall health and boosts your fitness level which are the goal of our lifestyle intervention program. All our health and fitness professionals (Personal Trainers, Certified Diabetes Educator and Physical Therapist) come to you at your home or at your place of business.

Through systematic TLC- Therapeutic Lifestyle Changes we help our clients prevent diabetes, better manage and treat diabetes. This 12-week Diabetes Lifestyle Intensive Intervention Program is tailored to your health and medical status and wellness goals.

We work with your health care team:  We follow recommendations provided by your physician, Registered Dietician, Certified Diabetes Educator(CDE) or physical therapist and provide progress reports when requested.

For aging adults with diabetes our wellness care model is a proactive ‘vibrant aging’ care model we have established with the goal of improving an older adult’s ability to safely remain independent and at home. By providing a continuum of care through blood sugar management training and support, wellness, fitness, falls reduction, and physical therapy services we are promoting the concept of Aging in Place and long-term wellness. 

Research has shown that appropriate intervention through a carefully designed exercise training program paired with healthful nutrition can lower blood glucose and A1c, and can reduce / eliminate medication. Additional benefits experienced are improved blood pressure and cholesterol, reduced bone and joint problems, and reduced risk for developing diabetes related chronic conditions such as heart disease, stroke, cancer, P.A.D. and peripheral neuropathy.

12-week Diabetes Lifestyle Intervention Program includes:

  • Initial session (1hr.) with health fitness specialist to complete Health Medical History, Medical Release Request for Exercise, obtain baseline measurements and discuss wellness goals and barriers to exercise.
  • Initial diabetes lifestyle assessment session (1.5 hr.) with CDE and complete and discuss initial Diabetes Self-Assessment
  • Exercise prescription and exercise program design by health fitness specialist
  • 7 In-home or on-site personal training sessions
  • 8 Living with Diabetes Self-Management sessions with the CDE
  • Post-testing (1 hr.) with health fitness specialist
  • Diabetes Lifestyle Intervention Program summary

Healthy Eating, Exercise, Weight Management

Healthy eating paired with exercise are your tools to prevent and manage diabetes. In the initial 1.5 hr. session the CDE (Certified Diabetes Educator) will assess your use of your blood glucose monitor and work with you to decide on a path that will optimize your health outcomes. You will establish a long-term (12-weeks) goal. During each consecutive session (1 hr.) the CDE will coach you to develop self-management skills and set a new measurable goal will work towards accomplishing your long term goal.

Targeted exercise and physical activity

The American Diabetes Association recommends incorporating both aerobic and muscle strengthening exercise for managing Type 2 diabetes. People with diabetes benefit from resulting weight loss, muscle strength and improved general health from engaging in fun activities.

A comprehensive screening process begins with your completion of the Health Medical History Questionnaire. We request a Medical Release for Exercise from your healthcare provider which is required when you have been diagnosed with diabetes. This will help us develop the most appropriate exercise program. We also request your most recent blood test results showing Hemoglobin A1C, CHOL, HDL, LDL, TG. When you have additional medical conditions your exercise program will be aimed to benefit all these conditions.

A Baseline assessment allows us to develop your exercise prescription, design your exercise program, and with intermediate and post assessments we can track changes over time.

Aerobic exercise: Losing weight is one of the best things you can do to manage your Type 2 diabetes and to control your blood sugar. Burning body fat increases your body’s ability to use blood sugar by increasing insulin sensitivity.

Resistance training: Resistance training builds muscle tissue that not only improves your strength and stamina, those muscles will also boost blood glucose uptake and enhances your metabolism which helps you lose body fat. A higher metabolism burns more calories, even when you’re sleeping or sitting at your desk. Your muscles are a glucose burning powerhouse. The more muscle you have on the body the easier it will be able to control blood glucose.

Your first 4 weeks-Diabetes Lifestyle Intensive Intervention ProgramPilates Portrait

  • Initial assessment prescreening with personal trainer
  • Initial Diabetes Lifestyle Assessment with CDE (approximately 1.5 hour)
  • Four (4) in-home or at place of business Personal training sessions
  • Three (3) Living with Diabetes Blood Glucose Self-Management private sessions

Program details:

Initial program entry assessment/screening includes:

  • Medical Release for Exercise review
  • Health Medical History Questionnaire review
  • Review recent blood test (includes: Hemoglobin A1c, Chol, HDL, LDL, TG)
  • Measurements: vital signs, circumference measurements, BMI, body composition.
  • Exercise prescription development
  • Exercise program design
  • Nutrition/blood glucose management assessment review
  • Three (3)Living with Diabetes Blood Glucose Self-Management private sessions with CDE; each session includes previous session and goal review, setting new goal:
    • (#1)Healthy eating: You will learn about the sources of carbs and fat.  Discover how the preparation and timing of eating various foods effect blood glucose.  Your choices are wide
    • (#2)Being active: Develop an appropriate activity plan. Coordinate food and medicine to it. Balanced blood glucose will result
    • (#3)Monitoring your blood sugar: Finding how to, when, and why will give direct feedback on the effects of how your food, activity, and medications are working for you.
  •  Weekly measurement of body weight, measurement of resting blood pressure and pulse
  •  Monthly circumference measurements, BMI, height

Your second 4 weeks-Diabetes Lifestyle Intensive Intervention Program

  • Four (4) in-home or at place of business Personal Training sessions
  • Weekly body weight check, weekly blood pressure check
  • Three (3) Living with Diabetes Blood Glucose Self-Management private sessions with CDE; each session includes previous session and goal review, setting new goal:
    • (#4)Taking medication: Diabetes pills and insulin all have specific ways they work, and each with different side effects.  Learn the appropriate timing for each, and how to handle missed dosages, travel, storage, and being safe with them.
    • (#5)Problem solving: How do you handle the progressive and never-ending problem of diabetes?
    • (#6)Healthy coping: What type of rapid informed decision should a person make when they suddenly have a very low or high blood glucose, or are in sickness?
  • Weekly measurement of body weight, measurement of resting blood pressure and pulse
  • Monthly circumference measurements, BMI, height

 Your third 4 weeks-Diabetes Lifestyle Intensive Intervention Program

  • Two (2) in-home or at place of business Personal Training sessions
    • Includes post testing during last week and review of results during the last training session.
  • Two (2)Living with Diabetes Blood Glucose Self-Management private sessions with CDE; each session includes previous session and goal review, setting a new goal:
    • (#7) Reducing your risks for developing Diabetes Related Complications: Staying abreast of the most recent DM problems, and knowing how to prevent them
    • (#8) Follow-up session, program review: Assess the short term goals you’ve made.  Solidify your long term goal. Point yourself in the direction that will allow you to maximize your health in a very positive way through self-management.  
  • Weekly measurement of body weight, measurement of resting blood pressure and pulse
  • Monthly circumference measurements, BMI, height

 Your Living with Diabetes Lifestyle Maintenance Plan

  • Two (2) in-home or at place of business Personal Training sessions, includes:
    • exercise program review and when appropriate a program adjustment
    • weekly measurement of body weight, measurement of resting blood pressure and pulse
    • Monthly circumference measurements, BMI, height
  • One (1) Living with Diabetes Blood Glucose Self-Management private session

Feel free to call us for more information.