Fall Prevention.

Fall PreventionFall Prevention. Is your vision putting you at risk for a deadly fall? The answer may surprise you. Falls are a leading cause of death in older adults.

Do you really want to go out with that kind of a bang? Not being able to distinguish, or maybe just being less likely to notice a hazard that causes a fall, is a problem that sneaks up on you.

 The quality of our vision diminishes with age slowly, and often goes unnoticed; or we may just rationalize symptoms away.

Fall Prevention

Starting at around 40 the lenses in our eyes become less elastic making it hard to focus up close. We eventually admit it and fix the problem with reading glasses. But that’s just the beginning. By around 50 we may think there’s not enough light in a room, or daylight conditions are immediately too bright when we go outside. In fact our pupils have gotten smaller, and our ability to adjust to changing light has slowed with age. So we require more light indoors, and transitions from dim to bright conditions become more difficult. We don’t usually think of aging eyesight as the cause. It’s easy to shrug off.

As we get older and contrast perception diminishes, making it harder to perceive stairs, curbs and other dangers, we blame shadows or glare. And worsening vision throws off our balance and proprioception (knowing where our bodies are in space). Combine imperfect vision with age related orthopedic issues and we’re set up for a life altering or life-ending event.Most of the time, the vision problem is easily corrected with a visit to an ophthalmologist and prescription for glasses. And if you do have a more serious issue, it can be detected and treated before vision loss occurs or gets worse. But remember, it sneaks up on you. So get a checkup even if you don’t think you need one.

In these times of social distancing and sheltering in place is a perfect time to focus on YOU and YOUR Health & Well-Being.

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It can make a big difference to keep your immune system strong. If you need some help, I have your back! Here’s a short video about my Health Coaching Technique how I have helped my clients achieve a balanced and Healthy Life. If you are ready to break the cycle of failed diets, exercise programs with no results or have low energy, high stress or persistent health issues, YOU HAVE COME TO THE RIGHT PLACE!


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Weight Loss Panic

Weight LossWhenever the weather gets warmer, the idea of putting on summer clothes generates a ton of weight loss panic! I get a lot of panicky emails asking about quick weight loss. Here are a couple of familiar ones.

Weight Loss Panic Solutions

Q: I need to lose 20 pounds. I am doing aerobics three times a week and watching my calories but I am losing so slowly, I was wondering if there is any other type of exercise that could help me lose weight faster? I am really getting frustrated and I am almost ready to just give up.

Frustrated

A. Try adding 2-3 days of weight training to the mix.

weight lossStudies show the winning formula is a combination of aerobic and weight training exercise. Moderate aerobic exercise burns calories while you are doing it and for a short time afterwards. Weight training burns calories too but it also increases your lean muscle mass. So as you add more muscle, you’ll burn more calories all day long. Research from Tufts University found that after 12 weeks of weight training, total calorie burning increased by about 15 percent which for an average adult, could amount to an extra 240 to 400 calories a day.

Q: I’m carrying about 10 extra pounds around my middle. I’ve got 12 weeks to get into my dress for my daughter’s wedding. I would hate to have to go out and buy a bigger size. Is there anything I can do to get rid of this belly by then?

A: As we get older, particularly after menopause, women tend to carry extra weight around the middle. This change in body shape puts you at higher risk for heart disease and cancer. So, it’s even more crucial to do something about it.

weight lossFortunately, it’s not as difficult as you think.

If you lose a pound a week, you’ll still have 2 weeks to spare, just in case you get a little hungry.

So, here’s a formula for losing the weight and toning up at the same time.

One pound = 3500 calories. So to lose one pound a week eliminate 500 calories each day (500 X 7 days = 3500 calories)

Eat 300 calories less, and do one half hour to one hour of aerobic exercise, like brisk walking, to burn the other 200. You might want to write down everything you eat for the next 3 days or so to help you figure out what you can do without. Or, simply cut your portions in half.

As for aerobic exercise, you don’t have to do the whole workout at once. Three 10-minute walks are just as effective as one half hour walk.

CRUNCH-banner-at-72-copy

You should also do some abdominal exercises about 20 a day to help tone up that belly as you lose weight. And, exercise actually picks up your metabolic rate so you burn more calories even after you’ve finished exercising.

Now, just try not to trip on your way up the aisle!

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Orthopedic Injuries: Prehab To Avoid Rehab

ORTHOPEDIC-INJURIES_web-4-iOrthopedic Injuries. Here’s one of mine. This picture is real. It was taken by my husband a few years ago.  That’s me unable to lower my arm without passing out. I’m on the phone with my orthopedist. Orthopedic Injuries are a real drag. This one took me 3 months to rehab.

Nobody wants to grow old, least of all boomers. But we’re turning 65 at the rate of 10,000 a day, and will be for the next 17 years.

We’re running a little scared. We want longevity, but we’re scared of losing our mobility and independence. So we’re trying to stay active, or get active, in order to avoid decrepitude. With that many older bodies on the move, orthopedic injuries are on the rise. Once you’re injured, there’s excellent treatment and rehab available

But there is a lot you can do to prevent orthopedic injuries.
If you want to stay active and mobile in the second half of your life, consider prehab today to avoid rehab tomorrow. Here’s a quick video to tell you more:

Who gets up in the morning thinking: I feel like getting a nice orthopedic injury today. What can I do to help that along? But we have them anyway, even if we’re disease free. We over use our bodies or use them wrong. We break hips and legs. We get strains and sprains. We get hurt at work, at home or playing sports.

Vintage Bodies Prone For Orthopedic Injuries 

No matter how active we’ve been, our bodies are not the same as they were when we were younger. They’ve got miles on them. And like vintage cars, it’s not wise to drive them flat out. Those of us, who’ve used our bodies for a living, know we’ve had to make adjustments for our aging muscles and joints. Many of us are favoring old injuries that have left those body parts weakened and vulnerable.

We may be nursing over use injuries from repetitive actions. These can be anything from back problems from years of standing all day, to shoulder issues from years of manual labor, to carpal tunnel syndrome from constant mouse pushing. But it doesn’t have to take years. Raking leaves, shoveling snow or playing tennis all weekend when you’re out of shape can be an express ticket to Overuse Ville. And being overweight puts extra stress on your musculoskeletal system. But, there’s a simple fix that can reduce your risk for orthopedic injuries, give you more energy, stamina and even help you live longer

Prehab to Avoid Orthopedic Injuries

Two Types of Prehab

There are two main types: general and sport-specific.

General Prehab for Daily Life

Every day, we run for the bus or the phone, load groceries in the car, pick up children or pets and a million other things we take for granted. These all carry a risk for injury and I’ll bet we can all remember being injured doing them. Luckily for most of us the, injuries were limited to a little pull or sprain. But people do fall and break bones, dislocate limbs, have heart attacks and worse because they’re not fit enough for that activity at that moment. Being inactive and overweight adds to the mix. A simple fitness and weight management program may be all you need to help prevent orthopedic injuries during everyday activities.

General rehab for daily living as part of a personal wellness program: looks at the body as a whole, and develops it as a whole to maximize quality of life. This often includes strength training, cardio conditioning and core training, as well as some proprioceptive exercises.

Avoid Orthopedic Injuries with Fall Prevention

Falls are the number one cause of injury death in people over 65. One in three people 65 plus will experience a fall each year. And poor proprioception, not knowing where your body is in space is a leading cause of falls. Proprioception degrades with age but proprioceptive exercise can slow that down and help prevent falls. Add exercises like Tai Chi, and balancing exercises to your fitness routine. They feel great to do and can help keep you vertical into old age.

Sport-Specific Prehab is designed to get you ready for the rigors of a particular sport or physical endeavor. Good activity specific exercises pay special attention to the body parts most involved in that activity or sport with regard to use and form without ignoring the concept of training the body as a whole. Sport specific training is available at many gyms and community centers.

So I hope you’ve become a believer in the little proverb I’ve coined to remind my clients “An ounce of prehab is worth a pound of rehab.”

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Wellness Mandala

Wellness: Life is a balancing act.
So I started thinking about wellness. What is wellness anyway?
It’s the absence of disease. If you are not sick you are well.
But it’s more than that isn’t it? It’s quality of life and for some it’s a balancing act; the balance of all things. I like this balance concept so I dug out one of my favorite balancing act tools:

Wellness Balancing Act Tool

The Mandala: the wheel of life. I wrote down all the types of wellness I could think of and ended up with 6 categories that I stuck on my Mandala to enable us to live well.

Here they are:
Physical Wellness
· Taking care of your body, eat right, exercise
· Visit your doctor regularly

Mental Wellness
· Keeping an open mind and trying to see other’s point of view
· Allowing your curiosity to take you to new places and learn new things.

Emotional Wellness
· Trying to keep a positive state of mind
· Cultivating self esteem
· Reaching out to others for support

Spiritual Wellness
· Recognizing your beliefs.
· Allowing your core values to direct your actions.

Social Wellness
· Developing positive inter-personal relationships at home and work
· Allowing yourself to give and receive love: to and from everyone that means that much to you including animals
· Participate in social situations; try not to stay on the sidelines.

Environmental Wellness
· Making your home environment peaceful, pleasant, safe and comfortable.
· Choosing an occupation and a workplace that doesn’t drive you nuts.
· Try to have a positive impact on our natural environment.
Recycle more, pollute less.

When the wheel is in balance it spins evenly. When even one of these categories is out of whack, the whole wheel starts to wobble.
So as a certified health coach I respectfully suggest you get rolling, get your balancing act together so you can live well.

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Clicking Joints: Should I Worry?

Clicking JointsClicking Joints: Should I worry? What are those clicking, popping and crackling sounds in my joints? Is it Arthritis? Have I overdosed on breakfast cereal? No, it’s probably Crepitus. Sounds like a precursor to decrepitude, but it’s not. Crepitus is just the word used to describe the clicking sounds.

In fact, in most cases, if there’s no pain associated with those sounds, it’s nothing to worry about. Many people live their whole lives with some clicking joints and popping without any ill effects.

 Clicking Joints?

Clicking Joints have closed bags of synovial fluid, called bursa, between them. They cushion joint movement so we can walk and work painlessly. That fluid has a little bit of air or gas dissolved in it. Through our daily movement, that gas can form a bubble or cavity in the bag. The fancy term is Cavitation.

When you move your knee, elbow or shoulder, the bubble bursts and makes a click or popping sound. Cracking your knuckles is a good example of breaking those bubbles on purpose. So, the rule of thumb is: no pain, no problem.

Snapping however is another story. That rubber band-like sound is often accompanied by pain. It’s a sign you have an injury, or that some muscle, nerve or connective tissue is out of place.

In this case you should see your doctor. A good way to promote healthy joints in general is to strengthen the muscles around them. Regular strength training can make a difference at any age. If you haven’t been exercising in a while, start slowly and build up. Last thing you want to do is hurt the joints you’re trying to strengthen.

So, what’s the takeaway here? Well, next time your friends have clicks and pops in their joints, you can tell them they probably have Crepitus!

TAKE CHARGE OF THEIR HEALTH NOW!

by Mirabai Holland MFA Certified Health Coach, Certified Exercise Physiologist.

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Stretching Routines: Gogi Tendon Organs ?

Stretching Routines: What Do Your Gogi Tendon Organs Have to do with it?

Stretching RoutinesStretching: What Do Your Gogi Tendon Organs Have To Do With It?  
Here’s a little video with the answer.
Have you tried to pick a coin up off the ground lately? How about tying your shoes? Have you switched to slip-ons? What about reaching over the coffee table to scoop some dip on the other side? Remember when you didn’t think twice about those maneuvers?
Sounds like decrepitude is setting in. Or maybe you’ve just lost some Flexibility.Flexibility is range of motion around your joints.
There are two types. Static flexibility – how far you can stretch and hold a body part, and dynamic flexibility – how much range of motion you have when you move.
Both are important. In fact I consider Flexibility one of the 3 main components of fitness, along with Aerobic Capacity and Muscle Strength.
I recommend a flexibility program that incorporates slow dynamic movements like Tai Chi, as well as static stretches like Yoga.But in my experience, Flexibility is the most ignored component of fitness. We do our Cardio and our Strength training but, unless we’re regular Yoga or Tai Chi, practitioners, Flexibility is not on the menu.
Why not? I think there are a couple of reasons. First, I think we don’t get it.It doesn’t make our muscles stronger or our figures shapelier. We don’t realize how valuable flexibility is until we try to do something we used to take for granted, like reach around to the back seat to get our sunglasses. Even then we toss it off with, “Well, I guess I’m getting older”. We somehow don’t connect with the thought, ” If I’d been doing a little stretching all these years, it wouldn’t have felt like I was going to rip something just then”.Secondly, there’s been lots of press about conflicting studies on the effectiveness or ineffectiveness of stretching.
Some studies say stretching improves athletic performance. Others say they’ve proved the exact opposite. Some studies say stretching helps prevent injury. Others say it has no effect on injury prevention. There’s enough conflicting buzz to make you not want to bother.That’s too bad because all that buzz masks the fact we do know stretching does help you gain and maintaining flexibility.
Does stretching help prevent injury or aid athletic performance? I DON’T CARE.
I want to stay flexible as I age. I want to be able to pick up coins, tie my shoes and grab my sunglasses. Give me my dose of flexibility training!Even if we were flexible as kids, as we get older, connective tissues, our tendons and ligaments, tend to lose water, shorten, and become stiffer. So we get less flexible. But it’s not too late.Even if you’re not interested in the fine practice of Yoga or Tai Chi, barring some medical issue, there’s a simple way to help hang on to the flexibility you have, and work on getting some of that youthful flexibility back. A few easy stretching exercises may be the difference between living tight and living flexible.I stretch every day. Easy for me to say, I teach a stretch class. But just a few minutes, three times a week, can make a real difference. I’ve seen students of mine go from really stiff to pretty darn flexible in a few months, without trying hard.

Stretching, when done right, feels delicious while you’re doing it, and even better when you’re done. The kind of stretching I do is relaxing and meditative. I find it melts my stress and energizes me while keeping me flexible. I’ve developed a stretch exercise technique I call Moving Free. It’s evolved some over the 30 years I’ve been teaching it. I use a fusion of modified static stretches from Dance, Yoga and classic fitness as well as dynamic movements adapted from Dance and Tai Chi and Kinesiology.

Here’s a video with some lower body stretches you can try at home.

As if that weren’t enough, There’s more to stretching than just flexibility. I think stretching is a form of meditation that creates a sense of well-being and promotes peace of mind. When I finish my stretching routine I have a more positive outlook as well as the feeling that my body is more alive, more accessible to me. Try it and see.

Chances are that pretty soon you’ll be able to find your shoes simply by looking down.

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Osteoporosis Prevention Diet

Osteoporosis Prevention DietOsteoporosis Prevention Diet? EEK! One more thing to worry about? Sounds like more bad news but it’s not. True, our bodies can lose up to 40% of their bone mass in the 10 years following menopause. And true, if we don’t do something we could easily end up with osteoporosis. But also true, the fix for this is both easy and delicious.

It’s important to get enough calcium, Vitamin D in your bone healthy diet.  As we age  bodies become less efficient at absorbing these nutrients.

Here are some recommendations.

If you’re 50 or over you should make sure you’re getting a total calcium intake of at least

1200 milligrams daily and a Vitamin D intake of at least 800 to 1000 units daily.

Osteoporosis Prevention Diet

Here are some sources of dietary calcium:

  •  Dairy Products including milk, yogurt and cheese
  • Nuts such as almonds and various green vegetables such as broccoli
  •  Fish with bones such as sardines, and mackerel and calcium fortified juices and cereals.

So, yogurt with fruit, almonds and maybe even a little cereal sounds like lunch. So does a salad with sardines, and a little raw broccoli. How about a nice piece of fish with a smaller salad. You might try some cheese and fruit with a glass of fruit juice. OK, wine. You get the idea. Get your calcium from food and you don’t have to take supplements. But if you do, most people have a better time digesting calcium citrate than calcium carbonate, but they both work fine.

Sources of Vitamin D include:

  • Fatty fishes such as salmon and mackerel and Vitamin D enriched milk, juices and cereals.
  • Although your skin can make vitamin D when exposed to sunlight, sun block prevents vitamin D production.

By now you’re making up your own healthy bones recipes so I don’t have to suggest a Salmon, mackerel, milk, fruit juice and cereal smoothie do I?

But if you’re like most people and wear sun block and don’t get enough D in your diet you’ll need to take a supplement to get your 800-1000 units of Vitamin D.

MORE Osteoporosis Prevention Diet  DO’s

Research suggests nutrients such as magnesium, potassium, Vitamins A, K & C found in certain veggies and fruits may help foster better bones. It is recommended to eat about 12 ounces of fruit and 16 ounces of veggies daily.

Here is a list for your concoctions:

  • Magnesium include: Raisins, potatoes, sweet potatoes, plaintains, squash, artichokes, beet and collard greens.
  • Potassium include: Oranges, orange juice, bananas, prunes, papaya, avocados and tomatoes.
  • Vitamin A: Mangoes, cantaloupe, carrots, sweet potatoes and spinach
  • Vitamin K: Spinach, brussels sprouts, cabbage, kale, collard, turnip and mustard greens.
  • Vitamin C: Oranges, pineapples, payayas, grapefruits, lemons, strawberries, red raspberries
  • Osteoporosis Prevention Diet NO’S

One bit of bad news is too much alcohol or caffeine can add to bone loss; and soft drinks particularly colas that have both caffeine and phosphorous (bad for your bones) may be a double whammy.

So that’s my quickie eating for your bones report. Don’t try that smoothie; it’s nasty.

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Osteoporosis: What Does Buying A Purse Have To Do With It?

We all have a lot to lose if we take a serious fall. Assuming we survive, the effects can be life altering. And if you have osteoporosis, what would have been a minor slip and fall for others, could have devastating consequences for you. Here’s a fall prevention video that should be of interest to anyone interested in staying upright.

Osteoporosis Fall Prevention Video

There’s a story that prompted me to post this video and write this article. Here it is.

OsteoporosisI have a friend who had been eyeballing this cute little red purse for a couple of months.  She didn’t need it but she wanted it and sort of became obsessed with it.

She’d visit it online and wave to it in the store. But, there’s no way she was going to buy that purse because wanting it that bad made her feel a little stupid.

Well, the darn thing went on sale the other day at 40-percent off and another 10-percent off with her store card. Now, of course, she had to have that red bag.

Apparently, so did every other woman in the United States. Because, she had it in her online shopping cart and by the time she got her credit card out, it was no longer available. It had been snatched right out of her cart.

She was furious. She felt violated. “How dare they sell MY red purse?”

She called the company.  They apologized and looked for one in their inventory anywhere. They gave her stores and a warehouse to call and reserve it before the last one could be sold. She called around for over an hour and finally got to someone who found one in California and ordered it for her.

As she was patting herself on the back for her investigative skills and persistence my friend had an aha! moment. She had recently been diagnosed with osteoporosis. Her doctor had given her a list of endocrinologists he’d be comfortable recommending but she hadn’t even looked at it, let alone researched it.

“I had been meaning to but I had been putting it off for no good reason. I thought why on earth don’t I apply that same purse passion to taking charge of my own health care?”

She thought about it for a minute and the answer she came up with unnerved her a little. “Health care is not sexy,”  Purses are sexy! Purses are sexier than being healthier and maybe living longer? Eek!

But health is sexy! Quality of life is sexy!

As she started to Google the doctors on the list, she began to sing a parody to that old rock song.
“I’m too sexy for my purse, too sexy for my mouse pad, but not too sexy for my doctor’s office. Maybe a little bit too sexy, but I’m goin’ anyway.”

I think perhaps my friend has touched a nerve in many of us. Would we really rather look good than to feel good?

Sure seems like it. I think it’s that very premise that prompted an ad agency to come up with a TV commercial for a dietary supplement featuring a sexy dancing X-ray skeleton of a baby boomer model that’s protecting her looks by protecting her bones.

It got my attention. If you can’t get them to do it for health, get them to do it for beauty. Twistedly brilliant!

So I guess, if beauty is your motivation, go for it; especially when the health comes with it.
But what do you do if you already have osteoporosis like my friend, or have low bone mass, or you just have the good sense to want to take of your bones?

Osteoporosis And Calcium

“Getting enough calcium in our diet is really important. The NOF recommends
an intake of 1,000 miligrams for adult women from age 50 or younger, and age 51 and older — 1,200 milligrams a day for adult women. If a woman isn’t paying enough attention to calcium in her diet she puts herself at risk. But more is not necessarily better when it comes to calcium. Neither women nor men should get more than about 2,000 milligrams a day.”

 Weight Bearing Exercise

Weight bearing exercise actually builds bone in youth and will help maintain bone.”As we get older the type of exercise changes a little bit. We still have to do some impact work but it has to be safe to avoid injury and falls so you want to add balance training, flexibility training, and safe movement to make sure the individual is able to stay active and healthy.”

So what’s the takeaway here? My takeaway is if you like standing on your own two feet, taking care of your bones is about as sexy as it gets.

by Mirabai Holland MFA Certified Health Coach, Certified Exercise Physiologist.

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Exercising With Asthma

Asthma is a chronic disease of the airways. Bronchial passages become inflamed and narrowed in response to triggers like cold air, exercise, smoke, pet dander, dust mites and stress. Breathing becomes labored and difficult and in extreme cases, asthma attacks can be fatal. Asthma affects about 25 million people in the US according to the National Institutes of health, and 300 million worldwide.

Check out this video on Exercising With Asthma!

In these times of social distancing and sheltering in place is a perfect time to focus on your health and well-being. It can make a big difference to keep your immune system strong. If you need some help, I have your back! Here’s a short video about my Health Coaching Technique how I have helped my clients achieve a balanced and Healthy Life.  https://www.mirabaiholland.com/health-coaching-one-session/

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TAKE CHARGE OF YOUR HEALTH!

Autumn Weight Loss Plan

EASE IN, BECOME MOBILE, GET STRONG, LIVE LONG!  LIVE LONG! For more info on health and wellness programs please visit www.mirabaiholland.com

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Exercise And Diabetes

Exercise and Diabetes

Exercise and Diabetes! Getting regular exercise is key to preventing and managing diabetes. Exercise decreases insulin resistance and helps to metabolize sugar. It also helps circulation, which can be a problem for diabetics. Other benefits include having more stamina, stronger muscles and bones, burning calories and even elevating your mood.

Exercise and Diabetes: Here are some tips to help you get the best results out of your exercise program.

    • Before starting anything new, check with your doctor to see what your normal blood sugar range should be and if there are any types of exercise you should avoid. For instance, weight training may be contraindicated if you have eye problems because it may raise blood pressure and rupture blood vessels in the eye.aerobic-kick.jpg
  • Test your blood sugar before and after exercising. Don’t start unless it’s in your normal range.
  • Activities that take you outside during hot or cold weather can affect blood sugar levels. If you find your levels are too low or too high, stop, and wait until they are in the appropriate range. Some diabetics find that exercise brings their blood sugar level too low (hypoglycemia). Some of the symptoms are sweating, anxiety, or feeling hungry. It’s important to always keep fruit juice handy just in case.
  • Wear shoes and socks that are supportive and comfortable. Make sure you have enough room to wiggle your toes so as to not to stop circulation.
  • Clothes like breathable cottons or micro fibers help wick away the sweat and keep you from overheating. In colder weather, dress in layers that you can peel off or put on as needed.
  • Drink water before, during and after exercise. You may not even feel that thirsty but not getting enough fluids can affect your blood sugar level.
  • Warm-up and cool-down at least five-ten minutes before and after exercise. Start your warm-up by doing low intensity movement like walking and end with it. Cool-down is a great time to stretch because your muscles are still warm.

diabetes-weighttrain.jpgExercise can increase quality of life for most diabetics and in many cases help keep the disease in check. Easy aerobics, easy strength or easy stretch exercise can help.

About Diabetes

People may be born with diabetes (Type 1), but most people who have it developed it after birth (Type 2). Overweight and obesity, a diet high in sugar and fat and low in vegetables, fruits, whole grains and beans and lack of regular exercise are major contributors to diabetes. Although Type 2 used to be diagnosed mostly in adults, it now is diagnosed frequently in children and teenagers.

According to the American Diabetes Association diabetes occurs when the body does not produce or properly use insulin. Insulin is a hormone that is needed to convert sugar, starches and other food into energy needed for daily life. Getting your blood glucose level tested as part of your annual checkup is important, particularly if you have pre-diabetes, a condition that occurs when a person’s blood glucose levels are higher than normal but not high enough for a diagnosis of type 2 diabetes. There are 41 million Americans who have pre-diabetes, in addition to the 20.8 million with diabetes. Research shows that exercise decreases body fat and helps normalize insulin levels.

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