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.