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Dr. Jeffrey Mechanick Part 3, Simplifying Aspects of Diabetes Care

Dr. Jeffrey Mechanick talks with Diabetes in Control Publisher Steve Freed at the 2016 AACE Meeting. In part 3 of this Exclusive Interview, Simplifying Aspects of Diabetes Care, Dr. Mechanick explains how he disseminates diabetes care information to his patients in an easy-to-understand manner over time.

Dr. Jeffrey Mechanick, MD, FACP, FACE, FNLA is the Clinical Professor of Medicine and Director of Metabolic Support in the Division of Endocrinology, Diabetes and Bone Disease at the Icahn School of Medicine at Mount Sinai, NY. Dr. Mechanick was chosen president of the American College of Endocrinology (ACE) in May 2016, an office he will hold for one year. His current research interests are in nutrition and metabolic support, lifestyle and obesity medicine, and network analysis of complex systems.

Transcript of this video segment:

Steve Freed: What you just said, if I was a patient, and you told me, this is the thing that we’re going to discuss, the things that I would have to know, I would run out of that room so fast because most people, if you throw too much at them, they are going to walk away with nothing. How do you do it in your practice? Do you do it over a year? You certainly can’t do it within 10-15 minutes. How do you get all that information so it’s effective for that patient?

Dr. Mechanick: So these are all the very obvious and important questions. How do you translate something that most people haven’t been formally trained on? Something that a lot of people, and when I say people, I mean health care professionals, particularly physicians and clinical endocrinologists, are really struggling to find their footing with this. The answer is quite simple, you speak to patients like people. Use common language, not terribly sophisticated or technical. So it starts off with “what do you eat?”, “what did you have for breakfast yesterday?” And you compile an understanding of what their eating pattern actually is now. Then you slowly morph it. You slowly adjust it into an evidence-based healthy eating pattern that you as the expert know. So you establish were you are at point A. You know where you want to be at point B. But just like you said, you don’t have to get there all at one time. You can take your time with it. It can be a recurring theme over a sequence of visits. It doesn’t all have to be accomplished in one visit. Isn’t that really what we do in diabetes care anyway? We can’t accomplish all aspects of comprehensive diabetes care in one visit, or initial visit. You prioritize what you want to do, it really takes some time to change the culture of health for that patient with diabetes so that they can be healthier. It extends far beyond simply having target glycemic control.


To view other segments in this video series:

Part 1: Nutrition and Lifestyle
Part 2: Effective Diet Discussions