Thursday, August 19, 2010

Diabetes' Terrible Toll Largely Preventable

A friend whose daughter has type 1 (juvenile diabetes) asked why I was so interested in the subject. I've seen the effects of uncontrolled type 2 diabetes on friends and relatives. Congestive heart failure, kidney failure requiring dialysis, neuropathy resulting in multiple amputations, infections and gangrene, among others. A terrible, painful, and debilitating disease.

Exercise can help reduce the risk of developing diabetes by 58%, according to researchers at Imperial College London Diabetes Centre (ICLDC), Dr Maha Taysir Barakat, Medical & Research Director and consultant endocrinologist of ICLDC and Suhail Mahmoud Al Ansari of Mubadala Healthcare and chairman of ICLDC.

Dr Maha stressed that dieting without exercise does not fully protect a person from developing diabetes. "Brisk walking for 30 minutes a day reduces a person's chances of developing diabetes, that's why it's terribly important for people to remain active throughout the year." In fact, says Dr. Maha, "The good news is that 80% of type 2 diabetes is preventable with increased physical activity and a healthy diet."

Recent IDF figures cited by Dr. Maha suggest that 285 million people globally live with diabetes, and 80-90% suffer from type 2 diabetes (adult onset).

A healthy diet combined with any form of brisk exercise will help reduce the chances of developing type 2 diabetes, or manage the implications of the disease. Watch your diet and stay active -- don't become a statistic!

Tuesday, August 17, 2010

The Terrible Toll of Diabetes in US

Do you know anyone with diabetes? Do you know someone who is borderline? Does that person watch his/her diet, exercise and monitor glucose values? The people I know with Type 1 (Juvenile) Diabetes do all these things, bravely managing their condition, without missing any of life's opportunities. However, the people I know (and am related to) with Type 2 (Adult Onset) Diabetes are another situation altogether.

Those I know personally with Type 2 Diabetes tend to be older, overweight, inactive (or sedentary), eat very poor diets, do not manage their glucose as directed by their doctors, and suffer the consequences.

Ever wonder why Type 2 Diabetes is in the media so often, or why doctors so insistently harangue patients on the verge to be more vigilant? A report* published in Endocrinology News over the weekend highlights the enormous toll diabetes is taking on the US health care system:
  • In 2008, the US spent $83 BILLION on hospitalizations for diabetes
  • In other words, 23% of the total cost for ALL conditions
  • 1 in 5 (20%) of all hospitalizations were diabetes related
  • On average, a diabetes related hospitalization costs 25% more than other conditions
  • The South has the highest rate of hospitalizations for diabetes
If you know anyone who has suffered from neuropathy resulting in sores, infections or amputations, someone who has lapsed into a glucose coma, or dialysis or other related diseases, you know the toll diabetes takes on the body. Don't become a statistic -- eat well, stay active, and watch your weight.

* This AHRQ News and Numbers is based on data in Hospital Stays for Patients with Diabetes, 2008 (http://www.hcup-us.ahrq.gov/reports/statbriefs/sb93.pdf). The report uses statistics from the 2008 Nationwide Impatient Sample, a part of AHRQ's Healthcare Cost and Utilization Project.

Friday, August 13, 2010

Friday the 13th -- Join Our "Happy Hour"

Open Leg Rocker
Today is Friday the 13th, considered to be a day of bad luck by many. In fact, 18-20 million Americans may alter how they do business, where they go and even whether or not they get out of bed. 

Don't be one of those people -- join us for "Happy Hour" -- we have space available today. Call or Email if you're available this afternoon and would like to join our Pilates party.

Tuesday, August 10, 2010

Friday "Happy Hour"

Happy Hour June 2010
I teach a duet every Friday afternoon. My partner in crime, Laura, recruited her friend, Alice. The two of them are so fun, fearless, friendly, and supportive -- that I feel better after their session. They are so welcoming, they frequently "host" another client, turning their duet into a trio and sharing the fun.

We sometimes take pictures....the good ones are posted to FaceBook. Check it out. And start your own Pilates Happy Hour.

Tuesday, August 3, 2010

Buyer Beware - Do Your Pilates Due Diligence

When I moved to Charleston, most people didn't know what Pilates was, or had experienced a fusion version of Mat Pilates (Yogilates, PiYo, Body Flow), on a yoga mat, so had no concept of Pilates apparatus. Several have since commented they know now -- based on a equipment informercial on cable TV. Whether you're thinking about adding equipment to your home gym, taking classes at a local studio or learning more about Pilates, do due diligence.

Long Stretch on Reformer
If you're thinking about buying apparatus, make sure to understand the purpose and function and that you, or someone who can teach you, are qualified to safely use the equipment. Know the dimensions, weight and how much clearance is needed on all sides, including when in use. If this seems obvious or crazy, search the "for sale" section of craigslist -- there are dozens of items listed that have never been out of the box or rarely used. Buyers didn't have enough room, didn't know how to use, didn't get a good workout (i.e. didn't know how to use the equipment), or were overwhelmed watching a DVD and figuring out the intricacies of the apparatus. A DVD may be helpful, but probably won't be descriptive enough to walk a new user through the exercises, since watching the screen and doing the exercises at the same time isn't possible.

Make sure the seller is reputable and selling what they claim. This week, a woman in California was convicted of importing and trafficking counterfeit Bowflex, Beachbody and Maiibu Pilates equipment (all brands featured in infomercials). Her sentence was 90 years in jail and $12 million in fines, so she must have sold a sizable quantity before she was caught.

Peak Pilates Wunda Chair
Most importantly, be sure to understand all the safety guidelines and the potential consequences. The simplest pieces of Pilates equipment often appear to be the most benign, when in fact, they are the most difficult and most likely for a newcomer to sustain an injury.

An easier way to get a great workout is to find a local Pilates studio. Not only will the studio offer private, small-group and class sessions utilizing the apparatus that caught the buyer's eye, but several other pieces as well. Different apparatus provide a more well-rounded, balanced and comprehensive workout, as each apparatus has its own purpose and provides particular challenges for the client. Most studios have high-quality, name-brand equipment (Peak Pilates, Balanced Body, Gratz, Pilates Designs by Basil). 

Most studios have high-quality, name brand equipment, but not all. Shortly after I moved to Charleston, I found a studio that paid a local carpenter to make equipment for them. The owner selected a particular wood for the "look," to match the interior design of the studio. Although the equipment looked similar to name brand equipment, within 6 months, the equipment began falling apart mid-session, to the horror of instructors and clients, and at least one client was injured. The same studio had wall-mounted tower units that were installed incorrectly, and pulling away from the wall. Be sure to ask the studio about their equipment and maintenance. Some studios purchase rollaway or portable equipment from reputable manufacturers to reduce equipment costs. There is nothing wrong with this, as long as the equipment is properly used, installed and maintained, but it may not feel as sturdy or be as comfortable as higher-end models.

Tree on Ladder Barrel
Another advantage to studio equipment is that it's combined with personalized instruction by teachers with hundreds of hours of training and years of experience. With an instructor guiding the client through the exercises, the individual not only learns about the equipment and the exercises, but also receives cues from the instructor to improve his/her form and experience a better workout. Remember, instructors are people, and studios are run by people, so if one doesn't work for you, try another. It's a relationship -- clients need to feel supported, respected, comfortable and safe.

When calling or visiting a studio, ask about their equipment and teacher training, safety guidelines, etc. If you're not satisfied that the studio is knowledgeable and safety-conscious, or that the equipment is high-quality, installed correctly and well-maintained, or the instructors are well-trained and conscientious, keep looking.

Do due diligence. Know what you're paying for and understand how to make the most of it, whether it's home equipment or lessons in a studio.