June 29, 2011 (San Diego) -- Most people with diabetes know the lifestyle changes they need to make to help control their condition but fail to follow through, according to findings of the largest nongovernmental study of its kind.
Nearly nine out of 10 (87%) of 3,867 people with type 2 diabetes surveyed knew that obesity can aggravate their disease. But only 70% said they had tried to lose weight in the previous year. And only one in three indicated they had maintained their desired weight for more than six months.
About one in five participants (17%) reported they prefer a pill to exercise and diet, and 5% said they didn’t even bother to try and stay healthy, says Andrew Green, MD, director of Midwestern Endocrinology in Overland Park, Kan.
When it came to exercise, 63% of respondents reported their doctor had recommended an increase in physical activity in the past 12 months. But only 13% said they were physically active within the last week.
"We thought that if people knew something caused adverse effects, they would change their behavior. But it turns out that is not true," Green tells WebMD.
Participants filled out eight-page questionnaires on their health and lifestyles.
Green presented results of the SHIELD (The Study to Help Improve Early Evaluation and Management of Risk Factors Leading to Diabetes) study at the annual meeting of the American Diabetes Association here.
The survey also showed that access to health care is not the problem, Green says. More than 80% of participants went to the doctor at least three times a year.
So if knowledge is not power, what should be done?
James R Gavin III, MD, PhD, clinical professor of medicine at Emory University School of Medicine in Atlanta, says, "SHIELD confirmed it is time we move well beyond awareness."
"The results contradict the widely held notion that [diabetes patients] who are well informed about their disease and have good access to health care are likely to favorably alter their lifestyles per their doctors' recommendations," says Gavin, who is also chair of the Partnership for a Healthier America, an initiative to fight childhood obesity.
What is needed, Green says, are new ways to motivate patients. That could include a tax on sugary drinks, more nutritious school lunches, and even insurance discounts for patients who improve their health, he says.
Get the latest Diabetes newsletter delivered to your inbox!
Your level is currently
If the level is below 70 or you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.
People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.
Congratulations on taking steps to manage your health.
However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.
Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.
Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.
One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.
Thank you for signing up for the WebMD Diabetes Newsletter!
You'll find tips and tricks as well as the latest news and research on Diabetes.
Did You Know Your Lifestyle Choices
Affect Your Blood Sugar?
Use the Blood Glucose Tracker to monitor
how well you manage your blood sugar over time.