{"id":2544,"date":"2015-11-10T12:28:35","date_gmt":"2015-11-10T17:28:35","guid":{"rendered":"https:\/\/mountainwise.org\/?p=2544"},"modified":"2015-11-17T08:31:19","modified_gmt":"2015-11-17T13:31:19","slug":"diabetes-physical-activity-prescription-nc","status":"publish","type":"post","link":"https:\/\/mountainwise.org\/es\/diabetes-physical-activity-prescription-nc\/","title":{"rendered":"Write Your Diabetes Patients a Prescription for Physical Activity"},"content":{"rendered":"<p><a href=\"https:\/\/mountainwise.org\/wp-content\/uploads\/2015\/11\/MountainConnectionsImage.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-large wp-image-2548\" src=\"https:\/\/mountainwise.org\/wp-content\/uploads\/2015\/11\/MountainConnectionsImage-682x1024.jpg\" alt=\"MountainConnectionsImage\" width=\"550\" height=\"825\" srcset=\"https:\/\/mountainwise.org\/wp-content\/uploads\/2015\/11\/MountainConnectionsImage-682x1024.jpg 682w, https:\/\/mountainwise.org\/wp-content\/uploads\/2015\/11\/MountainConnectionsImage-200x300.jpg 200w\" sizes=\"(max-width: 550px) 100vw, 550px\" \/><\/a><\/p>\n<p>We know physical activity (PA) is such an effective intervention for pre-diabetes and type 2 diabetes. Why? <a href=\"http:\/\/www.diabetes.org\/food-and-fitness\/fitness\/get-started-safely\/blood-glucose-control-and-exercise.html\" target=\"_blank\">Physical activity<\/a>:<\/p>\n<ul>\n<li>Makes it easier to control blood sugar, and controlled blood sugar means fewer long-term complications from diabetes<\/li>\n<li>Helps insulin work better, so muscles can use more glucose for fuel<\/li>\n<li>Helps muscles use glucose for fuel <em>without<\/em> insulin<\/li>\n<\/ul>\n<p><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC2992225\/\" target=\"_blank\">Studies<\/a> have shown that physical activity lowers type 2 diabetes risk by 58 percent, when combined with modest weight loss.<\/p>\n<p>As a medical professional you know exercise can make a huge difference for your diabetic patients. You probably recommend physical activity to your patients all the time.<\/p>\n<p>But do they do it? Do they actually increase their physical activity?<\/p>\n<p><!--more--><\/p>\n<h3>You Can Lead a Horse to Water&#8230;<\/h3>\n<p>In Western North Carolina, <a href=\"http:\/\/www.schs.state.nc.us\/data\/brfss\/2013\/west\/exerany2.html\" target=\"_blank\">roughly 28 percent of adults<\/a> reported <strong>not <\/strong>getting the recommended amount of daily exercise in 2013.<\/p>\n<p><a href=\"http:\/\/www.schs.state.nc.us\/data\/brfss\/2013\/west\/exerany2.html\" target=\"_blank\">And in the entire state<\/a>, 60 percent of diabetics reported <strong>not<\/strong> getting the recommended amount of daily aerobic activity, and 83 percent of diabetics reported not getting the recommended amount of strength training.<\/p>\n<p>How do we get these folks to increase their physical activity?<\/p>\n<h3>&#8230;But You Can\u2019t Make Him Drink (Right?)<\/h3>\n<p>The old saying goes, \u201cyou can lead a horse to water, but you can\u2019t make him drink.\u201d Wrong!<\/p>\n<p>This is where you can chime in to say,<\/p>\n<p><strong>\u201cUnless you salt the oats!\u201d<\/strong><\/p>\n<p>As a primary care provider, you can \u201csalt the oats\u201d by <strong>writing a prescription for exercise.<\/strong><\/p>\n<p>Writing prescriptions for lifestyle changes isn\u2019t a new practice, but it is an effective one. As John Whyte MD, MPH, wrote in <a href=\"http:\/\/www.huffingtonpost.com\/john-whyte-md-mph\/exercise-prescriptions_b_7113388.html\">a Huffington Post blog<\/a>,<\/p>\n<blockquote><p>In many ways, we feel the prescription validates the concerns we had about our symptoms, and it also underscores the importance of treatment&#8230;writing a prescription sends an important message &#8212; &#8220;This is a serious problem, and you need to do something about it!&#8221;<\/p><\/blockquote>\n<p>Exercise prescriptions don\u2019t just work for diabetes. They\u2019re also written for management of <a href=\"http:\/\/well.blogs.nytimes.com\/2011\/08\/31\/prescribing-exercise-to-treat-depression\/?_r=0\">depression<\/a>, <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3116747\/\">high blood pressure and heart disease<\/a>, and more.<\/p>\n<h3>Do Exercise Prescriptions Really Work?<\/h3>\n<p><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/19364999\" target=\"_blank\">A study from 2009<\/a>\u00a0had a group of patients\u00a0who was\u00a0given a prescription for exercise, and then a group\u00a0who was\u00a0just told to exercise. After six months, the prescription receivers had a 3.9% higher compliance rate than the control group.<\/p>\n<p><a href=\"http:\/\/www.webmd.com\/fitness-exercise\/20090417\/exercise-prescription-coming-your-way\" target=\"_blank\">In this\u00a0article<\/a>, Ann Yelmokas McDermott PhD, MS, LDN, who directs the Center for Obesity Prevention and Education, commented on the study, &#8220;Advice alone does not do it&#8230;it must be a customized and personalized prescription in order to get the best benefit.&#8221;<\/p>\n<blockquote><p>McDermott says exercise needs to be prescribed as thoroughly as a pill. McDermott says exercise needs to be prescribed as thoroughly as a pill.<br \/>\nDoctors &#8220;would never say [to a patient], &#8216;This medication is good, end of story.&#8217; You have to give the details for it to be valued. Why is it good? What&#8217;s it going to do? How do I take it?&#8221; McDermott says.<\/p><\/blockquote>\n<h3>Now It\u2019s Your Turn<\/h3>\n<p>Do you write exercise prescriptions for your patients? Alternatively, has your doctor written one for you? Did you follow it? Let us know in the comments.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>We know physical activity (PA) is such an effective intervention for pre-diabetes and type 2 diabetes. Why? Physical activity: Makes it easier to control blood sugar, and controlled blood sugar means fewer long-term complications from diabetes Helps insulin work better, so muscles can use more glucose for fuel Helps muscles use glucose for fuel without [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[4,33],"tags":[205,220,221,226],"class_list":["post-2544","post","type-post","status-publish","format-standard","hentry","category-active-living","category-mountainwise-news","tag-active-living-2","tag-diabetes","tag-mountainconnections","tag-mountainwise"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/mountainwise.org\/es\/wp-json\/wp\/v2\/posts\/2544","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mountainwise.org\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mountainwise.org\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mountainwise.org\/es\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/mountainwise.org\/es\/wp-json\/wp\/v2\/comments?post=2544"}],"version-history":[{"count":6,"href":"https:\/\/mountainwise.org\/es\/wp-json\/wp\/v2\/posts\/2544\/revisions"}],"predecessor-version":[{"id":2551,"href":"https:\/\/mountainwise.org\/es\/wp-json\/wp\/v2\/posts\/2544\/revisions\/2551"}],"wp:attachment":[{"href":"https:\/\/mountainwise.org\/es\/wp-json\/wp\/v2\/media?parent=2544"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mountainwise.org\/es\/wp-json\/wp\/v2\/categories?post=2544"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mountainwise.org\/es\/wp-json\/wp\/v2\/tags?post=2544"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}