SelfManagement

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Self-Management

• Recruit technique
• No known cardiac disease (not candidates for
  healthy heart)
• Able to attend sessions and exercise
• Self recruitment by letter

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Self-Management

• Partnership with Kinesiologists.ca
• Registered Kinesiologists with interest in
  chronic disease management
• Cost covered by Fraser Health Authority
• Goal is for achievement of
• better BS control through exercise
• independence in exercise program
• support of group/benefits of working with others
  in CDM

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• Education Session
• Education session
• Cardiovascular Fitness, Body Composition, and
  Blood were analyzed
• The session was held at Fitness 2000 in Burnaby,
  conveniently located near North Road Medical.
  Discussion included the effects of exercise on
  type II diabetes as well as general exercise
  guidelines, emphasizing appropriate intensity,
  duration, technique and progression.
• Our five participant group were supplied with
  workbooks and supervised by 2 Registered
  Kinesiologists. Emphasis was placed on patient
  independence and social cohesion.
• Workbook information was introduced during the
  first session and reinforced each week during
  supervised sessions and follow up calls.
• Goals
• Provide the skills and knowledge required to
  Manage Diabetes through an independent exercise
  program.
• Foster the confidence and support necessary to
  maintain a structured exercise program
• Allow flexibility to increase adherence

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• Independence Progression
• Week 1 Testing session, 2 supervised 90 minute,
  1 independent 90 minute session
• Week 2 2 supervised, sessions, 1 independent
  session
• Week 3-5 1 supervised session and 2 independent
  sessions
• Week 6 2 independent sessions, 1 supervised
  session, Testing session
• Session Skeleton
• 30 minutes cardiovascular training
• 45 minutes resistance training
• 15 minutes stretching
• Outcome
• Excellent adherence to exercise and group-work on
  unsupervised sessions

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Average Weight Lifted per Session
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Pre and Post Average Skin Folds
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Average Body Composition
Average Body Composition Figures
72.86
58.20
26.46
20.60
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HR Response to Power output
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Predicted VO2 Max
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Summary of Objective Results
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Summary of Subjective Results

• Pre
• An average of 2.4 limitations to daily living
  tasks was reported prior to the program.
• 80 of patients reported never receiving exercise
  instruction education.

• Post
• Reported daily limitations decreased 50 to 1.2
  per patient.
• 100 reported improved general health.
• All participants reported feeling very
  comfortable and confident completing their
  assigned exercises independently.

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Self-Management

• Follow-up sessions
• Informal follow-up at office visits
• periodic group re-evaluation at 3/6/9/12 month
  intervals
• Future
• multiple groups in multiple locales
• self sustainable with referrals from
  public/MDs/Community