Diabetes Type 2: Lifestyle – Risk Factors (Nursing)

by Rhonda Lawes, PhD, RN

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    00:00 Now we're getting personal.

    00:02 We're gonna start talking about lifestyle.

    00:05 And this is when your patients are going to get a little bit uncomfortable.

    00:09 You see, the first factor is a person's weight.

    00:11 So if they're overweight or obese, we know that this adds another layer of risk to developing type 2.

    00:18 Let me explain why.

    00:20 It's not just as simple as "Oh, it's not healthy to have extra weight." But adipose tissue kind of has a mind of its own, for lack of a better term.

    00:28 It ends up having this messed up production of two things, hormones and cytokines.

    00:35 Now because this is out of whack, you have this adipose tissue, the students have weird things with hormones, and cytokines.

    00:42 That's what they think contributes to insulin resistance.

    00:46 Insulin resistance leads to type 2.

    00:50 So it's just not about body shaming.

    00:52 We're talking about someone who has extra adipose tissue.

    00:55 We know that this puts them at increased risk to develop insulin resistance and there for type 2.

    01:02 Now, sedentary lifestyle.

    01:04 That's why we got this person kicked back on the couch, which is where we all love to be relaxed and comfortable.

    01:10 But if a client makes this a lifestyle, this is going to put them at an increased risk for adipose tissue.

    01:15 That makes sense.

    01:17 But here's something else about exercise that you may not have been aware of.

    01:20 Exercise actually helps the cells in the muscles become more willing to uptake or receive glucose from the bloodstream.

    01:29 Hey, let that sink in because burpees suck, cardio suck on some days, You just don't feel like doing it.

    01:37 But it's not because it burns through your energy that will benefit you so much.

    01:41 Someone who exercises regularly, their cells are going to be more efficient.

    01:46 They're going to be more willing, they're going to be more engaged in taking glucose from the bloodstream and getting it inside the cells.

    01:54 What do you end up with? Lower blood sugar's, lower risk.

    01:58 So we recommend that you exercise more than three times a week.

    02:03 Okay, so at least 30 minutes of movement, getting your heart rate up.

    02:07 That's what we're going to recommend for each of our clients.

    02:10 Keep in mind, we're not talking about running a marathon or becoming a triathlete, being active and getting your heart rate up whatever that takes for that patient's body and their current functional status, that's what we're after.

    02:23 Okay, so first we talked about can you remember the previous category? Right, family.

    02:28 This is lifestyle.

    02:31 Cool.

    02:32 Okay, we talked about lifestyle.

    02:34 So what does adipose tissue do that puts you in an increased risk for insulin resistance? What level of activity do I need to have to not be considered a sedentary lifestyle? How many times a week should you exercise? Good. Now you're starting to make that content your own.

    02:54 so when you work with your patients, and you encourage them, you don't discipline, you don't judge, you increase them to take small steps towards making progress in each of these lifestyle areas.

    About the Lecture

    The lecture Diabetes Type 2: Lifestyle – Risk Factors (Nursing) by Rhonda Lawes, PhD, RN is from the course Diabetes Type 1 and 2: Introduction and Risk Factors (Nursing).

    Included Quiz Questions

    1. Hormones and cytokines
    2. Insulin and beta cells
    3. Enzymes and cytokines
    4. Islets of Langerhans and hormones

    Author of lecture Diabetes Type 2: Lifestyle – Risk Factors (Nursing)

     Rhonda Lawes, PhD, RN

    Rhonda Lawes, PhD, RN

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