Dr. Jeffrey Mechanick talks with Diabetes in Control Publisher Steve Freed at the 2016 AACE Meeting. In part 5 of this Exclusive Interview, Dr. Mechanick explains how he helps patients determine ways to improve their lifestyle.
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: I always feel that when they reach the stage of prediabetes you can do so much more with so much less to really have an impact on that person. It’s a matter of changing lifestyle. That is probably one of the hardest things that you can get a patient to do and that is to change the lifestyle. How do you accomplish that?
Dr. Mechanick: So first of all, you are absolutely correct about how important lifestyle is in this particular setting. As opposed to just, right out of the gate, going to a medication like Metformin. In all the algorithms, lifestyle is the initial step and it’s the step that’s concurrent with any add-ons within the algorithm, whether it’s pharmacotherapy, or in the case of severe obesity, bariatric surgery, you still have lifestyle as an important part. How do I do it? Again, I have a conversation. I establish what the eating patterns are and I work to formulate a healthy eating pattern. We talk about physical activity, what the capabilities are, what the cardiac status is, what the attitudes are towards physical activity. I ask questions about sleep, how well do you sleep? Here’s a little tip, a lot of patients will say, I don’t sleep well because I worry, I’m under so much stress. I have problems with my child, or problems with my marriage, or problems with finances or workplace. One of the tips is to schedule worry time. A little technique, a little tool. Just to schedule worry time. Other aspects of sleep hygiene that are evidenced-based that work. Other aspects of stress reduction, techniques for stress reduction. These are the conversations. But as I said before, they don’t all have to be done at one sitting, but they must be done as part of a therapeutic priority.
To view other segments in this video series: