Lecture 22: Management of Diabetes - Lifestyle and Exercise/Healthy Living

Question 1

definition of a healthy lifestyle

Answer 1

Healthy living happens when physical and mental health are in balance or functioning well in a person.

Question 2

Describe diabulimia (T1DE)

Answer 2

• reducing insulin to control weight
• may involve binging behaviours
• relatively common
• usually associated with poor glycaemic control
• recurrent DKA
• insulin omission (20% of women omit insulin to control weight at some point)
• high morbidity and mortality

Question 3

alcohol and diabetes: things to consider

Answer 3

• same limit as general population
• more than 2-3 units at one time increases hypo risk

Question 4

list the benefits of exercise

Answer 4

• CV benefit
• reduces cancer risk
• consumes energy
• builds lean tissue and consumes fat
• improves strength, endurance, balance and flexibility
• improves mood and self-esteem
• can be sociable

Question 5

diabetes and exercise: things to consider

Answer 5

• reduce insulin before and after (up to 24hrs)
• reduction hypo risk
• eat more (appropriate carbohydrate)
• use different insulin regimen (maximise flexibility)

Question 6

smoking increases the risk of diabetes by how many x

Answer 6

1.5x

Question 7

diabetes and driving: considerations

Answer 7

• patients on insulin should be advised to check their glucose within 2 hours of starting driving and 2 hourly during long car journeys and should always carry carbs in the car.