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November is American Diabetes Month®.
Consider these facts: 24 million children and adults in the USA live with diabetes; 57 million Americans are at risk for type 2 diabetes; and 1 out of every 3 children born today will face a future with diabetes if current trends continue. About 60-70% of people with diabetes have mild to severe forms of nerve damage that could result in pain in the feet or hands, slowed digestion, sexual dysfunction, and other nerve problems. The rate of amputation for people with diabetes is 10 times higher than for people without diabetes, and two out of three people with diabetes die from heart disease or stroke. The cost of caring for someone with diabetes is $1 out of every $5 in our total healthcare costs.
I assume that these facts should inspire you to consider current lifestyles.
Read on for tips and resources to optimize your health and decrease the risk of diabetes.
Michelle
Michelle Collie, PT, DPT, MS, OCS
The care at its best E-Newsletter is designed to provide ongoing fitness, injury and disease prevention tips to help you stay healthy. In addition, program, community and staffing updates will be available. Please feel free to email me directly with comments and suggestions.
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Performance PT Food Drive Performance is collecting non-perishable food items for the Rhode Island Community Food Bank in all 6 of our locations! We will be taking donations until mid to late November. To see a list of the Food Bank's most needed items, please click here. Thank you in advance for your generosity!
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Increased Physical Activity and Weight Reduction Linked With Reduction in Type 2 Diabetes
In a 10-year study, intensive lifestyle changes aimed at modest weight loss reduced the rate of developing type 2 diabetes by 34% compared with placebo in people at high risk for the disease, according to researchers at the National Institute of Health's (NIH) National Institute of Diabetes and Digestive and Kidney Diseases.

Participants randomly assigned to make lifestyle changes also benefited by lowering blood pressure and triglyceride levels. For details on the study please click here. Intensive lifestyle changes consisted of lowering fat and calories in the diet and increasing regular physical activity to 150 minutes per week. So what are you waiting for?
Join the Lets Get Physical Program! |
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The staff at Performance entertained patients and supported The RI Food Bank by dressing up for Halloween.
For more pictures click here
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My Health Advisor: Calculate Your Risk of Type 2 Diabetes, Heart Disease and Stroke

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America Behind in Steps
New research using pedometers to track steps taken shows Americans are thousands of steps behind other countries when it comes to daily physical activity. Americans, on average, took 5,117 steps a day, which is far short of the averages in western Australia (9,695 steps), Switzerland (9,650 steps) and Japan (7,168 steps). This is equivalent to about 30 to 40 minutes of walking each day. Notably, the countries that reported high average daily steps also have lower obesity rates that range from 3 percent to 16 percent. By comparison, about 34 percent of adults in the United States are obese.
It is recommended that people to take at least 10,000 steps a day to maintain good health, which is equal to about five miles of walking. For more information click here 
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Are Your Taking a Good Multi-Vitamin?
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Heads Up: Concussion in Youth Sports
Consider completing this free online course to keep athletes safe from concussion. Encourage coaches also to take this course in an effort to keep our kids safe.

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