Laura Hieronymus - The Diabetes 2-Month Turnaround: A Safe, Effective, and Scientifically Sound Approach to Getting Your Diabetes Back On Track

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2017 by the American Diabetes Association, Inc. All Rights Reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including duplication, recording, or any information storage and retrieval system, without the prior written permission of the American Diabetes Association.

Printed in the United States of America
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The suggestions and information contained in this publication are generally consistent with the Standards of Medical Care in Diabetes and other policies of the American Diabetes Association, but they do not represent the policy or position of the Association or any of its boards or committees. Reasonable steps have been taken to ensure the accuracy of the information presented. However, the American Diabetes Association cannot ensure the safety or efficacy of any product or service described in this publication. Individuals are advised to consult a physician or other appropriate health care professional before undertaking any diet or exercise program or taking any medication referred to in this publication. Professionals must use and apply their own professional judgment, experience, and training and should not rely solely on the information contained in this publication before prescribing any diet, exercise, or medication. The American Diabetes Associationits officers, directors, employees, volunteers, and membersassumes no responsibility or liability for personal or other injury, loss, or damage that may result from the suggestions or information in this publication.

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DOI: 10.2337/9781580405669

Library of Congress Cataloging-in-Publication Data
Names: Hieronymus, Laura, author. | Griffin, Stacy, author.
Title: The diabetes 2-month turnaround / Laura Hieronymus, Stacy Griffin.
Description: Alexandria : American Diabetes Association, [2017] | Includes
bibliographical references and index.
Identifiers: LCCN 2016032332 | ISBN 9781580405669 (paperback)
Subjects: LCSH: DiabetesPopular works. | DiabetesTreatmentPopular
works. | Weight lossPopular works. | ExercisePopular works. | BISAC:
HEALTH & FITNESS / Diseases / Diabetes. | HEALTH & FITNESS / Healthy
Living. | HEALTH & FITNESS / Weight Loss. | HEALTH & FITNESS / Exercise.
Classification: LCC RC660.4 .H542 2017 | DDC 616.4/62406dc23
LC record available at https://lccn.loc.gov/2016032332
eISBN: 978-1-58040-685-7

To my husband, GD, whom I can always count on, and our daughters, Kelly and Lindsayyou are the most positive and beautiful young women I know.

Laura

To the people who have inspired me throughout the years, including my mentor Laura, my many colleagues, patients, and last, but not least, my wonderful family.

Stacy

To our friend, mentor, and colleague, the late Patti Geil, thank you for your supportive influence and for teaching us to carry on.

Laura & Stacy

Reviewers & Contributors

The authors would like to thank the reviewers for their careful reading of the manuscript and their insightful comments and suggestions.
Susan Braithwaite, MD
Martha Funnell, MS, RN, CDE
Tami A. Ross, RD, LD, MLDE, CDE
Sloane Mendelsohn, MS, RD, Associate Director, Nutrition, ADA
Jennifer Fassbender, Associate Director, Physical Fitness, ADA
Sheri Colberg-Ochs, Consultant, ADA

The authors would like to thank the following contributors to 8 Weeks to Maximizing Diabetes Control (2008).
Christine Tobin, MBA, MSN, RN, CDE, Co-author of original version
John V. Borders, MD, FACP, Internal Medicine Specialist
Edward I. Galaid, MD, MPH, Internal Medicine/Preventive Medicine Specialist
Patti B. Geil, MS, RD, FADA, CDE, Diabetes Nutrition Educator
Kristina D. Humphries, MD, Endocrinology and Metabolism Specialist
Carol B. Peddicord, MD, Internal Medicine Specialist

Table of Contents

Type 2 DiabetesChanging Your Behavior

No Time Like the PresentGetting Started

Diabetes Self-ManagementSet Goals

Making ProgressPractice Positive Skills

Halfway ThereWhats Changed?

Tackling IssuesMaking Adjustments

Stay on TopSharpen Your Skills

SuccessesLook at the Big Picture

Moving ForwardTwo Months & Beyond

Look How Far Youve Come!

While diabetes is one of the oldest diseases known to man, in the last 10 to 15 years the number of new type 2 diabetes diagnoses has far exceeded experts predictions. Type 2 diabetes accounts for nearly 95% of all diabetes diagnoses, and while it was once known as adult-onset diabetes, it is now being diagnosed in a much younger population, including children and adolescents. Although its encouraging that the amount of new diagnoses in the United States has begun to decline, the numbers are still very high. Nearly 28 million Americans are living with type 2 diabetes, and another 86 million have prediabetes, a serious health condition where blood glucose levels are higher than normal, but not high enough for a diabetes diagnosis. Prediabetes increases a persons risk of type 2 diabetes and other chronic diseases.

When type 2 diabetes isnt managed properly, it can lead to a higher risk for serious and often life-threatening complications. The triple threat of poorly managed diabetes, uncontrolled blood pressure, and abnormal cholesterol levels increases those individuals risk for heart attacks and strokes as well as blindness, kidney failure, and nerve disease. But it doesnt have to be this way! Diabetes complications can be prevented! Medical research has shown that by taking an active role in managing your blood glucose levels, blood pressure, and cholesterol, you can potentially avoid these complications and live a full life.

Working closely with an interdisciplinary team of health-care professionals with expertise in medical care, nutrition, physical activity, pharmacy, and teaching self-care skills is the best way to manage your diabetes and prevent complications from arising. You are a key member of that diabetes care team.

The Diabetes 2-Month Turnaround combines current diabetes research with the authors shared experience of more than 50 years as diabetes educators. This user-friendly book provides practical, comprehensive, step-by-step guidance along a two-month journey to better manage your diabetes. While written primarily for adults, many tips in this books may be applicable to younger individuals as well.

As a health-care professional committed to excellence in diabetes care, I encourage you to stay educated, maintain a positive outlook, and always keep the advice of your diabetes care team close to your heart.

Tami A. Ross, RD, LD, MLDE, CDE