Managing Teens and Insulin Resistance.pptVIP

Managing Teens and Insulin Resistance Henry Anhalt, DO, CDE Director, Pediatric Endocrinology and Diabetes Saint Barnabas Medical Center Livingston, NJ WHAT IS INSULIN RESISTANCE? Long associated with type 2 diabetes a known risk factor for heart disease occurs when the body does not properly use insulin to metabolize blood glucose when insulin fails to enable cells to admit glucose, necessary for cells energy production. glucose then builds up in the blood, and additional insulin is required TYPE 2 DIABETES-A CARTOON REVIEW Coping Skills Accept what I cannot change Strive to change what I can Attempt to learn all I can Set realistic goals Seek support of others Hope for new insight Healthy Eating Finding the Right Balance DIABETES “TRIAD” NUTRITION How do we choose our food? Taste and enjoyment Tradition and custom Convenience Mood Hunger Cost Health and nutrition Ask Yourself... Are you at your best weight? Are your blood sugars usually within target range? Is your cholesterol below 200? Do you have a meal plan which you usually follow? Is your meal plan varied? Enjoyable? Why is healthy eating important? Blood sugar control Reduces risks of complications Cholesterol Blood pressure Kidney disease Weight control Feel good Meal planning questions:True or False General Guidelines Fat / Alcohol Your meal plan (carb goal) is…. Based on the way you usually eat Designed to help improve your control Planned to space out carbohydrates Changeable… if it doesn’t work What about “fast foods”? Look for healthy choices Learn what is in the food Watch out for hidden fats Exercise Moving Toward Better Blood Glucose Control DIABETES “TRIAD” EXERCISE Exercise benefits for diabetes control Weight loss / Weight control Helps insulin work better Uses glucose for energy Lowers blood glucose (in minutes) Improves A1c (in weeks) Why bother to exercise? Medical blood pressure, cholesterol, triglycerides, weight, A1c Quality of life fitness,