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  Chat Transcript
Open Q&A/Diabetes Month – Joy Valvano, C.D.E. and special guest Kelly Muller from the American Diabetes Association, November 14, 2012

 Joy at Unity:
 Welcome to the Unity Diabetes Online Community! I’m Joy Valvano, a certified diabetes educator at the Unity Diabetes Center. I’ll be hosting today’s chat with Kelly Mueller, our special guest from the American Diabetes Association. This is diabetes month and we’re glad you could join us today. We’re excited to answer all of your diabetes-related questions.
 Joy at Unity:
 Before we get started let me just tell you how we’ll address your questions and comments today. I answer questions one at a time, in the order that they are posted to the site, and there might be a slight delay as I respond to each question.
 Joy at Unity:
 It may take a few minutes for me to type answers to your questions, so please stay logged-in to the chat to see my response, even if it takes a few minutes. And you might need to refresh every few minutes to keep up with the latest posts in the chat if you switch to another application on your computer. Let’s get started.
 Kelly @ ADA:
 Good evening and thank you for having me.
 Joy at Unity:
 Welcome Kelly, How did the ADA event go last night?
 Kelly @ ADA:
 It was great. We had a large turnout and many wonderful questions from the group.
 Joy at Unity:
 Any highlights you would like to share?
  Kelly @ ADA:
 The movie, HBO's "The Weight of the Nation" is an important resource for starting to think about what we can all do to improve our health.
   Kelly @ ADA:
 One of the best parts of the evening was during the question and answer time.
   Kelly @ ADA:
 I think that we all want a "magic pill" that will solve our problems but it was certainly inspiring to hear from Brad Heutmaker who has successfully made changes and improved his management of diabetes.
   Kelly @ ADA:
 Six years ago he weighed 260 pounds and was diagnosed with diabetes.
   Kelly @ ADA:
 He and his wife made some important changes and he is now off all of his medications.
   Kelly @ ADA:
 Together, they lost 75 pounds!
 Joy at Unity:
 Wow - that is inspiring, how did they do it?
  Kelly @ ADA:
 They started with small changes and then just kept challenging themselves to more.
 Kelly @ ADA:
 He began walking around the block for exercise and as he lost the weight, we began extending his walk and eventually jogging.
 Kelly @ ADA:
 He has now completed a marathon.
 Kelly @ ADA:
 They made changes to their eating habits as well.
 Joy at Unity:
 That's great, do you think that's typical for people with diabetes? Can anyone do it?
  Kelly @ ADA:
 They increased the amount of vegetables that they ate and watched their portion sizes
   Kelly @ ADA:
 I think that anyone can make changes to improve their health.
 Kelly @ ADA:
 As Dr. Bingham said, last night, by losing weight and improving your diet and exercise routine, you will be better able to manage your diabetes.
  Joy at Unity:
 Do you think exercise or weight loss is more important?
 Kelly @ ADA:
 You may not be off all medications (as that is a very individualized need) but you will certainly feel better and be better able to manage your diabetes.
 Kelly @ ADA:
 I think that exercise is more important. Health outcomes are so personal. Jean Bauch, R.D., C.D.E., C.P.T., Director, Unity Diabetes Center, said last night that it is all about what works for the individual.
 sassy35:
 What are ways that you can get started on an exercise program if you don't already have one?
 Kelly @ ADA:
 Some people may exercise and lose weight right away and some people may not see a dramatic change on the outside but overall it will improve your health.
  Kelly @ ADA:
 Hi, sassy35. I think it is important to set small goals.
 Joy at Unity:
For prediabetes a 7% weight loss, which is about 10-15 pounds for most people, can help bring blood sugars back down into the normal range.
 sassy35:
 How long should you plan that it takes to loose that 7%?
 Kelly @ ADA:
 There are a lot of great exercise resources out there. Visit www.diabetes.org for some tips or just start with a walk.
 Joy at Unity:
 Usually 2-4 months; losing about 1-2 pounds per week, with small dietary and lifestyle change that you can maintain overtime.
  Kelly @ ADA:
 Lifestyle change is the key.
 Joy at Unity:
Exercise recommendation along with the 7% weight loss is to include 150 minutes of moderate exercise per week like walking; that could be 30 minutes of walking 5 times per week.
 Joy at Unity:
 People with type 2 diabetes also greatly benefit from the weight loss and exercise – both help reduce insulin resistance or help your insulin move sugar out of the blood into the cells more efficiently.
 sassy35:
 Are there any support groups that you can join? It's always easier to stick to a new routine with a buddy.
 Kelly @ ADA:
 There are a lot of different groups around Rochester. Unity Diabetes Center has a great community and the ADA has programs called "Red Striders" and "Red Riders."
 Joy at Unity:
 Unity Diabetes Center and the Y of Rochester both offer Diabetes Prevention Programs for people diagnosed with pre-diabetes; Unity also offers Managing Diabetes Classes and Plant-based nutrition classes. Call (585) 368-4560 for more information.
  Kelly @ ADA:
 You can find out more about the ADA groups by calling (585) 458-3040.
 Joy at Unity:
 Kelly, are there any other ADA resources you would like to share tonight?
 Kelly @ ADA:
 Yes, we have a lot of information on nutrition available at www.diabetes.org as well as a program for people who are newly diagnosed with Type 2 called "Living with Type 2."
 Kelly @ ADA:
 You can sign up for that free program at www.diabetes.org/living.
 Kelly @ ADA:
 We are always available for support and to answer questions at (585) 458-3040 as well.
 Joy at Unity:
 That’s all the time we have for today. We’ve really enjoyed our conversation and hope that we were able to provide some insight for you. If we didn’t get to your question today or if you think of another question later on – feel free to jump into the conversation in the forum, or submit a question using our “Ask an expert” feature. Be sure to join us for our next chat Wednesday, November 28 with Sharon Spear, C.D.E. and Lynda Campbell, R.N., who is a licensed message therapist.
 Joy at Unity:
 Thank you Kelly for joining us from the American Diabetes Association!
 Kelly @ ADA:
 You are welcome, thank you for having me.
 
 
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