{"id":28494,"date":"2020-01-07T08:00:38","date_gmt":"2020-01-07T15:00:38","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=28494"},"modified":"2024-08-05T13:16:45","modified_gmt":"2024-08-05T19:16:45","slug":"prediabetes-range-prevent-type-two-diabetes","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/prediabetes-range-prevent-type-two-diabetes\/","title":{"rendered":"Prediabetes range: When you are getting a little too close to type 2 diabetes"},"content":{"rendered":"
<\/div>

A motorcycle accident at age 20 left Rick Hawkins, now 65, with limited use of his legs. It never stopped him from pursuing his passions, like working on cars or camping.<\/p>\n

\"Rich
Rick Hawkins and Sue Bordwell enjoy an active retirement of camping and car shows but decided they needed to focus a bit more on a healthy lifestyle so they took the Diabetes Prevention Program together at UCHealth. Photo by Kati Blocker, UCHealth.<\/figcaption><\/figure>\n

As he began to enjoy the relaxing and social life of retirement, though, Hawkins gained some weight and lost some mobility \u2014 that is, until he decided to sign up for the Diabetes Prevention Program through UCHealth. There, he shed the extra pounds he\u2019d put on over the past few years and reduced the risk for further limitations that diabetes might have imposed.<\/p>\n

Life as a paraplegic<\/strong><\/h3>\n

Hawkins loves classic vehicles. He attended Denver Automotive School but after the accident, he pursued electronics and computer web design degrees while maintaining his passion for cars.<\/p>\n

As a young man, he managed to get around on crutches but as he got older, he needed his wheelchair more.<\/p>\n

To learn more about prediabetes classes in northern Colorado and if you qualify for Diabetes Prevention Program, call Teresa at 970.495.8777 for more information or to register.\u00a0<\/strong><\/p>\n

Learn more about diabetes classes near you<\/a> in other areas of Colorado.<\/p>\n

Medicare covers the Diabetes Prevention Program under the Part B or C (Medicare Advantage) as a once-in-a-lifetime benefit. <\/div>\n

\u201cI\u2019d used my arms to get in and out of my chair, so I could work on my cars,\u201d Hawkins explained.<\/p>\n

Having access to a freight scale at his job, Hawkins would wheel himself onto the scale to get a weight: 255 pounds. Then he subtracted the weight of his 34-pound wheelchair to get an accurate body weight.<\/p>\n

In retirement, he spent more time in his chair and his body and his mobility began to change.<\/p>\n

\u201cI was having trouble getting my shoes on because of a big blob here,\u201d he said, gesturing to his stomach.<\/p>\n

Like many, recognizing deteriorating health is a lot easier than taking action to be healthier.<\/p>\n

Health procrastination<\/strong><\/h3>\n

One day, Hawkins and Sue Bordwell \u2014 who\u2019s been by Hawkins\u2019 side for 17 years \u2014 \u00a0and a relative went to an appointment at UCHealth Heart and Vascular Clinic \u2013 Harmony Campus. As they waited, Hawkins noticed a scale in the corner and wheeled himself onto the platform. The display read 269 pounds.<\/p>\n

Hawkins couldn\u2019t believe it, even after he subtracted the weight of his wheelchair. He\u2019d always been around 220 pounds \u2014 no wonder he wasn\u2019t able to get his shoes on by himself anymore, he thought.<\/p>\n

Meanwhile, Bordwell also was thinking about her health. She cooked fairly healthy meals, they didn\u2019t drink soda or smoke cigarettes, and she only drank alcohol on occasion (though Hawkins does enjoy an occasional craft beer).<\/p>\n

Admittedly, the couple indulged in less healthy foods while on car-club road trips and eating out with friends. That lifestyle had an effect on Bordwell\u2019s A1C level, which her doctor said was at 5.7%.<\/p>\n

What is A1C and prediabetes range?<\/strong><\/h3>\n

To monitor diabetes risk, physicians look at a patient\u2019s A1C result, which is a measurement of the average blood sugar level over three months.<\/p>\n

Levels ranging between 5.7% to 6.4% are in the \u201cprediabetes\u201d range, while 6.5% or higher is diagnostic for Type 2 diabetes.<\/p>\n

Unlike Type 1 diabetes, in which the body does not produce insulin, Type 2 diabetes arises when the body makes less insulin and stops using it properly \u2014 often called insulin-resistant diabetes. Type 2 is the most common form of diabetes, and most people who have it have metabolic syndrome, with elevated blood sugar, high blood pressure, high cholesterol and increased abdominal girth.<\/p>\n

Type 2 is treated with lifestyle changes and often requires medication and insulin to keep blood sugar under control.<\/p>\n

But just a 5 to 7% weight loss can lower the risk for developing Type 2 diabetes by 58%, and that reduction jumps to 71% for those over the age of 60, according to National Diabetes Prevention Program<\/a> research.<\/p>\n

How do I prevent type 2 diabetes?<\/strong><\/h3>\n

With her doctor\u2019s concerns on her mind, Bordwell clicked on a story link<\/a> about a Cheyenne, Wyoming, man who had taken a diabetes prevention program at UCHealth in northern Colorado and reduced his risk for diabetes.<\/p>\n

As she helped Hawkins get his shoes on, she decided to bring it up. He didn\u2019t reject the idea at all.<\/p>\n

\u201cIt was something we could do together because of the year-long commitment,\u201d he said. \u201cI didn\u2019t know my (A1C) level at that time, but I knew I could learn better health habits.\u201d<\/p>\n

Getting signed up for DPP<\/strong><\/h3>\n

The Diabetes Prevention Program is a Center for Disease Control and Prevention-recognized lifestyle change program, proven to prevent or delay Type 2 diabetes. An A1C in the prediabetes range is one criterion for enrollment and other health risks are considered as well. The program is a once in a lifetime covered benefit by Medicare.<\/p>\n

Since Bordwell\u2019s A1C level was in the prediabetes range and she was already on Medicare, she easily qualified for the program. Hawkins\u2019 Medicare wouldn\u2019t pay for his program, though, since his A1C level was only at 4.7%. But he decided to sign up anyway and pay the program fee himself.<\/p>\n

UCHealth\u2019s self-pay rate for the Diabetes Prevention Program is comparable to the Medicare rate, and it offers payment plans.<\/p>\n

\u201cI didn\u2019t want to be a fat guy in a wheelchair anymore \u2014 it was hard to get around,\u201d Hawkins admitted.<\/p>\n

The diabetes prevention class<\/strong><\/h3>\n

The class meets 24 times over the course of 12 months — weekly for the first 13 classes, covering nutrition and physical activity, with a strong focus on making lasting behavioral changes. Then class then meets less frequently, every two weeks, then every three weeks, and monthly for the last six months.<\/p>\n

\u201cIt wasn\u2019t so much about weight loss but me being more aware this year of what I was putting in my mouth,\u201d Hawkins said.<\/p>\n

But that \u201creal awareness\u201d Hawkins achieved did in fact help him lose weight \u2014 about four pounds per week for the first couple of months. He admitted his biggest change that first month was to eliminate beer.<\/p>\n

\"Rich
Rick Hawkins and Sue Bordwell enjoy an active retirement of camping and car shows. Photo by Kati Blocker, UCHealth.<\/figcaption><\/figure>\n

\u201cI just wanted to see if I could do it,\u201d he said with a grin.<\/p>\n

Making habit-forming changes to address prediabetes<\/strong><\/h3>\n

But he and Bordwell made other lifestyle modifications as well. First off, Hawkins said that after the first month with no alcohol, he now limits his enjoyment of beer to two when he goes out with friends.<\/p>\n

\u201cI eat a lot more salads too,\u201d he said, adding that instead of automatically saying, \u201cYes, I\u2019ll take the fries with that,\u201d he asks for other options and picks a healthier choice.<\/p>\n

\u201cAnd we stopped eating so much bread and are getting more exercise,\u201d Bordwell added.<\/p>\n

\u201cThe goals of the (diabetes prevention) program are to increase physical activity to at least 150 minutes per week<\/a> and achieve weight loss of just 5% of their starting body weight,\u201d said Jenifer Bowman, a registered dietitian who serves as the class instructor and lifestyle coach.<\/p>\n

Although Hawkins can\u2019t do the same types of exercises that Bordwell can, the class provided him with alternative exercises. And with the lost weight and added exercise, Hawkins said he\u2019s feeling much better.<\/p>\n

\u201cEven though Rick (Hawkins) has a disability that limits his choices for physical activity, he was able to increase his activity within his own abilities to achieve the exercise goal of the program,\u201d Bowman said. \u201cHis efforts and achievements served as motivation for the other class participants, including myself.\u201d<\/p>\n

Eleven months into the program, Hawkins has gone from 235 pounds to 210 pounds.<\/p>\n

In it together for the long haul<\/strong><\/h3>\n

Bowman said Hawkins had the mindset that helps people succeed in DPP.<\/p>\n

\u201cInstead of comparing ourselves to others, focusing on our weaknesses and placing limitations on our abilities, we should take a more positive approach and start with what is doable and achievable \u2014 then see where this takes us,\u201d she said.<\/p>\n

The class structure \u2014 a set group of people meeting for a year, building camaraderie through sharing challenges and successes \u2014 makes the commitment not so cumbersome.<\/p>\n

\u201cWe laugh together, catch up \u2014 like old friends,\u201d Bordwell said.<\/p>\n

And having each other\u2019s support has also made things easier.<\/p>\n

Continuing to keep diabetes prevention top of mind<\/strong><\/h3>\n

As their program nears its end, Hawkins and Bordwell admit they\u2019ll have to continue to make their health a priority to maintain the progress they\u2019ve made. The holiday season wasn\u2019t easy, and some weight returned. The two said they\u2019ll work on the skills they learned together. Bordwell also has the option of returning to class for a second year.<\/p>\n

\u201cMedicare will cover the second year of classes as long as the participant meets and maintains at least a 5% weight loss from their starting weight,\u201d said Teresa Reichert, data (and class registration) coordinator for UCHealth Diabetes and Medical Nutrition Therapy<\/a> in northern Colorado.<\/p>\n

If a person opts for a second year, Medicare requires attendance at a minimum of two classes each quarter.<\/p>\n

\u201cThey can choose from different class topics offered in the second year as a refresher and extra support from the lifestyle coach,\u201d she said.<\/p>\n

Bordwell is not sure she\u2019ll take advantage of the second year, but she and Hawkins are in agreement that the past year has moved them toward a more enjoyable \u2014 and healthy \u2014 retirement.<\/p>\n","protected":false},"excerpt":{"rendered":"

A motorcycle accident at age 20 left Rick Hawkins, now 65, with limited use of his legs. It never stopped him from pursuing his passions, like working on cars or camping. As he began to enjoy the relaxing and social life of retirement, though, Hawkins gained some weight and lost some mobility \u2014 that is, […]<\/p>\n","protected":false},"author":2164,"featured_media":28496,"comment_status":"closed","ping_status":"closed","sticky":true,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[6],"tags":[4750,708,3921,988,200,271,3853,1046,3997,2333,9187,9171,2099],"class_list":["post-28494","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-healthy-living","tag-access-to-care","tag-adults-65-plus","tag-community-benefits-report","tag-diabetes-endocrinology-care","tag-diabetes-prevention","tag-exercise","tag-health-insurance","tag-health-screening","tag-medicare-help","tag-mindfulness","tag-readysetco","tag-senior-care","tag-uchealth-diabetes-and-medical-nutrition-therapy"],"acf":[],"yoast_head":"\nPrediabetes range: How to prevent type 2 diabetes - UCHealth Today<\/title>\n<meta name=\"description\" content=\"This couple had a retirement of camping and car shows but were in the prediabetes range. 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