Download - Mens Health Handbook
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The Modern Mans Guide To
L g W ll w t d b t
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3 W t M M ?
5 d b t : T F ct
7 a g Y r k: T k t BMi d b t r k T t
11 M g g Y d : a L k tGl c C t l, Bl P ,L p W g t
13 s h lt impl c t : a L k th t d , K y d ey P bl m
20 s x l h lt : a L k t e ct ldy ct L w T t t
26 T C t G h lt :d t ex c
31 B c m g t M M !
33 r c t M M
T bl C t t
The Modern Mans Guide to Living Well with Diabetes p t by c t bl c t b t m s l y P m c t c l , i c.
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[ 3 ]
Who is The
M M ?
M t lw y b c m t blc g b t t lt ,
p t c l ly c t l k b t ,p x l lt . i g l,
m t b ct w m t k g c t lt , cl g
t g t ct w c y p t c p t g p t lt ct t .
M l l k ly t t k p m yp b l ty t m ly lt c
, w c c l t m l c ll lt c . T
tt t b lt t l lt y l
m t u t st t c mpt w m . 1
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am c d b t a c t : M h lt h b k
diFFerenCes BeTWeen
M W m h ltn
at t t t l t c t y, m w m q l l xp ct-
c . at t t c t c t y, w m xp ct t
tl m by g 7 y .2
F m 1980 t 1998, t mb p pl w w g w tb t w m l m w m . h w , 1999, t mb
m w t b t b g t c t t t t w m .
o ly b t l m y m w m g l p y c
m m k b t 30% w ct t y y t w m
t t ct g t w m t t t b t t c /gy c l g t.3
T m c g T M M c g m . h m c
lt c w t p ct ly m g g p l lt . a M M w tb t t xp ct t t p t
w ll t ll m ll t k wb t b t . h t c ll g
m l t t w m g t b ttm g c t t t g t ll lt .
n h t t mp t c t g lt y t, g tt g g l x c
c g t .
n h k t m t b t c t pp t m m ly
, c mm c t g l lyw t lt c p .
n h t t t t k g m ll t p tb tt m g b t t t -
l k c -m b t c m k b gc q l ty l t t
p t .
co-morbidity The presenceo one or more disorders
(or diseases) in addition to a
primary disease or disorder
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[ 5 ]
Typ 1 b t lly g c l y g lt , wp ly k w j l - t
b t . i typ 1 b t , t mmy t m tt ck t l -p c g c ll
t p c t b y tp c l . i l m t t
t c t g (gl c ),
t c t t gy ly l . C t c t
w t typ 1 b t cl yp glyc m(l w bl g m l ), k t c(b l - p gl c c m tl ttl l ) t t mm
c t y p bl m c l c .)
diaBeTes:
T F ct
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am c d b t a c t : M h lt h b k
F m ly k w lt- t l - p t b t , typ 2
b t c c c t t t ct
t b y b l ty t gl c tb y m l c . M t 90%
b t t u.s. typ 2. o 23m ll p pl (8.0%) t m t t
b t t u t st t lp c t ll m g 20 y l
b t .
One quarter o people who have
diabetes have not been diagnosed
by their physician. 4
Typ 2 b t cc t lt b t t ll w g ct :5
d c c t l , m t t lp y b y
gl c l c
a l t ty t c ll tb y t t ct l
P - b t c t t t tp t p t t l pm t typ 2b t . P - b t m t t bl
gl c l l g t m l b tt g g t b cl typ 2
b t . T pp x m t ly 57m ll lt t u t st t w
p - b t . W p - b t g , t c l t t l pm t
typ 2 b t . T g w t t td b t P t P g m, l g
p t t y p pl t g k typ 2 b t , w t t l tyl
t t c t x cc t k l p g b t by
58% t y . T c w g t 71% m g lt g
60 y l .6
T t kFor deveLoPinG TYPe 2 diaBeTes inCLude Men Who:
n a 45 y l
n a w g t b
n a a c am c , L t /h p c am c , n t am c ,
a am c P c c i l
n h m m ly m mb w t b t
n t y w t b t xp c ympt m , b t y xp c g bl , xt m t t, q t t
xpl w g t l , y l m k p t t y ct .
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[ 7 ]
M w b w g t t c k l p g typ 2
b t , g c l t l, t k , gbl p c y t .C tly, b t tw -t lt tu t st t w g t b
lm t - t b . T ll w gt b t bl by t
n t l i t t t h lt (nih) w g t b ty. BMi, B y M
i x, c lc l t by g p w g t k l g m by g t m t
q .
n o w g t = BMi 25 t 29.9 kg/m2
n ob ty = BMi 30 kg/m2 g t
assessinG
Y r k
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am c d b t a c t : M h lt h b k
M w w t t c t k typ 2 b t l m t t w g t
m k m ll, g l c g tt x c t c w g t. e
m t c g b y w g t c b gb t l g lt b t . st w
t t c g b y w g t by j t 5% t10% (t t j t 10 p mw g g 200 p ) c b t t lly
c t k b ty- l t ltc mpl c t , cl g b t .7
B y M i x (BMi)
29 31 34 36 39 41 43 46 48 51 53 56 58 60
27 29 31 34 36 38 40 43 45 47 49 52 54 56
25 27 29 31 34 36 38 40 42 44 46 48 50 52
23 25 27 29 31 33 35 37 39 41 43 45 47 49
22 24 26 27 29 31 33 35 37 38 40 42 44 46
21 22 24 26 28 29 31 33 34 36 38 40 41 43
19 21 23 24 26 27 29 31 32 34 36 37 39 40
18 20 21 23 24 26 27 29 30 32 34 35 37 38
17 19 20 22 23 24 26 27 29 30 32 33 35 36
16 18 19 20 22 23 24 26 27 28 30 31 33 34
15 17 18 19 21 22 23 24 26 27 28 30 31 32
15 16 17 18 20 21 22 23 24 26 27 28 29 30
14 15 16 17 19 20 21 22 23 24 25 27 28 2913 14 15 17 18 19 20 21 22 23 24 25 26 28
W g t P 120 130 140 150 160 170 180 190 200 210 220 230 240 250
h e
g t n F e e
t a n
d i n c e s
46
48
410
50
52
54
56
58
510
60
62
64
66
68
n t : T c t lt ( 20 y l )
u w g t
h lt y W g t
o w g t
ob
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[ 9 ]
T mpl t l c lp y t m y k g p - b t b t .F t, g t f w c t b l w, w t q t t l y c c l p .
s c , m tc t c l p w t k m g w t l g t g t.
d b t r k T t a y 43 y y g ?
Start
No Yes
M tc y p m t c tt k m g l t b l w.
Low Risk: B y w , yk g p - b t b t
l w. T lk t y ct b t w y t k p y k l w.
At Risk or Pre-diabetes: B y w , y t c k
g p - b t , w c m y blgl c l l g t m l b t t y t
g g t b g b t . o ly y ct c t ll y p -
b t . T lk t y ct t t lt t g k b t w y t c
y k l p g typ 2 b t .
Diabetes Risk: B y w , y t c k g typ 2
b t . h w , ly y ct c t ll y typ 2 b t . T lk t y
ct t t l t t g .
Yes
Yes
Yes
at y g t ( at-r kW g t C t), y
w g t q l t m tt t- k w g t?
a y 56 y y g ?*
* Y k b t p - b t p t l k ct cl g w g t, p y c l
ct ty, bl p .
d y m t , t ,t ( ), b t ( )
b t ?
a y C c (w t )?
h y b t l by ct t lt p l
t t y yp t( g bl p )?
at y g t ( at-r kW g t C t), y w g t
q l t m t tt- k w g t?
h y l pb t g p g cy?
NoYes
No
No
No
No
No
NoNo
Yes
Yes
Height Weight
4 10 (147 cm) 148 lbs (67.3 kg)
4 11 (150 cm) 153 lbs (69.5 kg)
5 0 (152 cm) 158 lbs (71.8 kg)
5 1 (155 cm) 164 lbs (74.5 kg)
5 2 (157 cm) 169 lbs (76.8 kg)
5 3 (160 cm) 175 lbs (79.5 kg)
5 4 (162 cm) 180 lbs (81.8 kg)
Height Weight
5 5 (165 cm) 186 lbs (84.5 kg)
5 6 (168 cm) 192 lbs (87.3 kg)
5 7 (170 cm) 198 lbs (90.0 kg)
5 8 (173 cm) 203 lbs (92.3 kg)
5 9 (175 cm) 209 lbs (95.0 kg)
5 10 (178 cm) 216 lbs (98.2 kg)
Height Weight
5 11 (180 cm) 222 lbs (100 .9 kg)
6 0 (183 cm) 228 lbs (103.6 kg)
6 1 (185 cm) 235 lbs (106.8 kg)
6 2 (188 cm) 241 lbs (109.5 kg)
6 3 (190 cm) 248 lbs (112.7 kg)
6 4 (193 cm) 254 lbs (115.5 kg)
at-r k W g t C t
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am c d b t a c t : M h lt h b k
n a lt w t b t t t t m 2-t -4 t m g tlt w t t b t
n d b t t l g c w c bl m g lt g 20-74
n M t 60% t m t c l w -l mb mp t t cc p pl w t
b t
n T t t c cy c mm m w t b t , g l ttyp ; 9 -t m w t typ 2
b t l w t t t 10
h mpl t p y c t k t lpm g y k b t :
n e t t c t , g t bl ,w l g , l w- t .
n G t t l t 30 m t x c c w lk g t l t t m w k.
n G t y bl gl c l l c ckg l ly, by y ct .
n K w y m ly b t t y c t w t y ct .
F t t ly, y c m k mpl l tylc g c t g lt y ,
g p y c l ct ty t y lyt , w k g t c lt y
b y w g t t lp t y blgl c l l t m l c y
k c mpl c t .11
a l ttl c g l g w y. i lt m t t t k t w tc y tt l w, M M c b
p ct t w c b ttm g k typ 2 b t .
L g t www.diabetes.org/menshealth c ll t am c d b t c ll c t
t 1-800-DIABETES .
C ll g y l t l m b tb t , t lk t y ct b t y
c c y m g t pt mc mpl t pp c t y lt
t t mp y ll q l ty l .
G t ct , g t m , t lk w t yct ! i t w , g t m !
Diabetes and Beyond Your Increased Risk forOther Medical Conditions 8
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[ 11 ]
M g g typ 2 b t m t mt g t mply c t ll g y blgl c , b c t t t t m tc t c l t p. h w , c gl c l l
t m l g , t t
t g y c t mp y lllt t l t y ,
p t c l ly by l g b t c -m b t t t c b l k t b t
c l mp ct y lt .
To e ectively manage diabetes , y l c c t ll g blgl c , c g k c mpl c -t m x m z g q l ty l by
c mm tt g t t ll w g ct t :12
n M t g g c t l bl gl c , bl p c l t l.n i t y g g c mpl c t ly p bl .n e c t g y l b t b t t c -m b t c b ty,
t x l ct ( .g. l w t t t ct l
y ct ).n d l p g p t p w t y lt c p .
ManaGinG
Typ 2 d b t
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am c d b t a c t : M h lt h b k
The ABCs of Diabetes
A is or A1C
Y a1C y g bl gl cl l t tw t t m t pb t t t. Y lt c p
t t t m w w ll y m g g y bl gl c . a g l lt 7 p c t bl m t p pl ,w c c p t g blgl c l l l t b t 150 mg/ L.T lp m g y bl gl c l l
y l :
n a k y lt c p t m t y a1C l l y t m t y m c t t py c g
y t m t g t tm t g lor tw c y y m t gt tm t g l t bl blgl c l l .
n W k w t y lt c t m tl p m g m t pl t k p
y g bl gl c y
t g t g .
B is or blood pressure
h g bl p y c mm mw t typ 2 b t . F m t m w t
b t , t g l t m t blp l t 130/80 mm hg. Y
lt c p l m t blp t c t b t t
y l w k w t y lt c t mt l p m g m t pl t k p ybl p y t g t g .
C is or cholesterol
h g c l t l t bl t c mm m w t typ 2 b t .
a c mpl t c l t l t t, t l p p l l p p l , cl t
m m t typ t ybl . T y :
n Low-density lipoprotein (LDL)cholesterol . s m t m c ll b
c l t l, t m c LdL y blc t cc m l t tty p t(pl q ) y t ( t -
cl ), w c c bl f w c l t t tt ck t k .
n High-density lipoprotein (HDL)cholesterol . s m t m c ll g c l t l b c t lp c y w yc l t l, hdL k p t p bl f w g m ly.
n
Triglycerides . T glyc ttyp t t bl . W y t,
y b y c t y c l t t t g t w y t t glyc ,
w c t t c ll ll t gy.
n Total cholesterol . T m ybl c l t l c t t.
W k w t y lt c t m t l p pl t k p yc l t l bl t c ck. T cl lt y t,
x c , t c l t l-l w g m c t .
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[ 13 ]
d b t c c - c g ltmpl c t l k t ,
m g k y m g . amp t t ,bl t c ll lt
m t p p ly g g t t g
b t . Y c t t b ck t cl ckw t c m t t c t ,
y t t ckl y b t -. T m t c mpl c t
b t cl :13
s impl c toF diaBeTes
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am c d b t a c t : M h lt h b k
Heart Disease and Stroke: i y b t , y t k g t
tt ck t k . T t k p pl w t
b t m t tw c t p plw t t b t . i ct, tw - t- -tp pl w t b t m t
t k .
C y t y c by w g bl ck g t bl l
t t g t y t. it t m t c mmm t . Y bl c
xyg t m t l t yt. Bl l t y t c
b c m p t lly t t lly bl ck by ttyp t . a t tt ck cc w t
bl pply t y t lyc c t . a t k cc w
bl l t p t y b ly c t by tty p t
bl cl t.
T g w t t y c t k t p tp t t , y
l y t tt ck t k , c y c c g t t
tt ck. L tyl c g , c c g w ly b g p y c lly ct ,
w ll t k g m c t , c lp.
Y c l w y k t tt ck t k by k p g y w g t y
aBC b t t g t w t w c c , p y c l ct ty, m c t .e y t p y t k w ll lp.
The closer your weight and ABC
numbers are to your targets, the betteryour chances o preventing diabetes-related complications like heart attackor stroke.
sm k g m j k ct ttt ck t k . C mb w t b t ,t bl w mmy. i y m k , g t
lp t q t.
B y t t w t p y c lct ty, c ck w t y lt c t m
t t w c ct t w ll b
y . T t k b t w y c m ct ty t y t . i y j t
t t g t, b g w t 5 m t y g lly m t m . T w k p t
g t t l b t 30 m t b cx c , c b k w lk g, m t y
t w k.
Blindness or Vision Problems : d b tc m g t bl l t y ,p t t lly l g t bl . P pl
w t b t g k bl t p pl w t t b t .B t m t p pl w b t
ly m y .
You can keep minor problems minor. And i you do develop a major problem,there are treatments that o ten work welli you begin them right away.
T y p bl m m t p c c t b t t p t y m g t t bl
l t b ck t y . r t p t y m c mm y b t
l g t m , y bl gl c blp t b g c t l.
Gl c m cc w p b l p t y . v g lly l t b c
t t m g . P plw t b t 40% m l k ly t
m gl c m t p pl w t tb t . T l g m
b t , t m c mm gl c m .r k l c w t g . T
l t tm t gl c m , cl gg t t c p t y
w ll g c l pt .
M y p pl w t t b t g t c t ct ,b t p pl w t b t 60% ml k ly t l p t y c t .
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[ 15 ]
P pl w t b t l t t g tc t ct t y g g t mp g t . W t c t ct , t y
cl l cl , bl ck g l g t. T lpp t l w t m l c t ct , w
gl t gl -c t ll y gl .
d t g t t g t l l t yx m by pt m t t p t lm l g t.
M y y p bl m l t t l t y c , b t ly t ct
t tm t t ly .
Nerve damage : n m gt m y b b t p ,t mp t t c . T y t ll ym cl w w t m . T y lc t l b y y t m t t g t , p
t y c t l ct . excgl c t m c j t w ll t t y bl l t t y
, p c lly t l g . T cc t gl g, mb , b g pt t lly b g t t t p t t
g p m t y g lly p pw .
About hal o all people with diabeteshave some orm o nerve damage. It is
more common in those who have had thedisease or a number o years.
n m g m b t c llb t c p t y ( w-roP- -t ).
it c l t m y k p bl m .
Theres a lot you can do to prevent ordelay nerve damage. And, i you alreadyhave diabetes-related nerve damage,these steps can prevent or delay urtherdamage and may lessen your symptoms.
n M l pl g, p y c l ct ty m c t , , ll c lp y
c y g gl c t g t g .
T tw w y t k p t ck ybl gl c l l :
n
u blood glucose meter t lp ym k c b t y-t - y c
n Get an A1C test ( l b t t) t l ttw c y t t y gbl gl c t p t 2-t - 3 m t .C ck g y bl gl c l l w llt ll y w t y b t c pl
w k g w t c g .
r p t y p bl g b t c -
p t y, c p mb yt. it p c lly mp t t t p t y
b k t k y t.
n i y p bl m , g t t tm tg t w y. Early treatment can help
prevent more problems later on .F x mpl , y t k c t
ct ly, t c lp p tmp t t .
n T k g c y t.Check your
eet every day. I you no longer caneel pain in your eet, you might not
notice a oot injury. Instead, useyour eyes to look or problems. i yc t t m, m t tb tt m y t. u y t
l t c l p t , b mp yk . L k , c t b k tk . al c ck c , c ll ,
bl t , , w ll g, g wt l t l ct . i t
y t c y t, g t lpm m ly m mb t ct .
n Protect your eet . i y t y, l t y k b t t b tw
y t . W ck t t tw ll w t m t.u w m w t t w y t,
y t m c lly t w .
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am c d b t a c t : M h lt h b k
n G t p c l . i y t p bl m , M c t
c m y p y . a k ylt c t m b t t.
n I you have diabetic neuropathy,talk to a diabetes clinical exerciseexpert who can guide you, as somephysical activities are not sa e orpeople with neuropathy.
n Make sure your health care providerchecks your eet at every visit.
Kidney Damage: T k y c tm ll t y bl l cl t t t
lt w t m y bl . d b t cm g t l c t lt g y t m.
s m g c l t k y l bl - t g k y ,q g ly k y t pl t.
F ct t t c f c k y
l pm t cl g t c , blgl c c t l, bl p .
The better you keep blood glucose andblood pressure under control, the lowerthe chance o getting kidney disease.
T k y w k t m k p t l g c p ll k y p c ympt m t l lm t ll
ct g . al , t ympt m k y t p c c. T t
ympt m k y t f
b l p. ot ympt m ck y cl l l p, p
pp t t , p t t m c , w k , c lty c c t t g.
d b t c k y c b p tby k p g bl gl c y t g t
g . r c w t t g blgl c c t l c t k ly
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[ 17 ]
k y c t k p g g t m k yp bl m by l .
a t mp t t ct t p t k y g bl p c t l.
h g bl p m t c ct t t t w c t p g .
Four ways to lower yourblood pressure are losing weight,eating less salt, avoiding alcoholand tobacco, and gettingregular exercise.
i t , m t m w t b t m c t t t t t g blp . s l typ bl pm c t c p c c lly p t ct tk y m g g m g .
It is vital to see yourhealth care team regularly.They can check your blood
pressure, urine ( or protein),
blood ( or waste products),and help you manageyour diabetes to protectyour kidneys.
Gum Disease : T m b ct y m t g t w t t
p pl e t . i t g m ttl
t y g m , y g t g m .n t m ? y y. h t ct .
n M t l ll lt t l tt ly t g g m .
n ab t 80% lt g m g t l .
n i y b t , y t gk g m p bl m . P bl
gl c c t l m k g m p bl m
m l k ly.
n G m c t t t y g .
r m mb , t l t y c t g t g m .
n K p y bl gl c c t l.
n B y t t tw c y.
n Fl y t t y y.
n L k ly g g m (bl g w y b ,
w ll g m )
n v t y t t t l t tw c y .
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am c d b t a c t : M h lt h b k
Depression : F l g w c w l m l. B t m p pl l
t t j t w t g w y. L
m p l . F l g t w y m t t y tw w k m g p .
at y g t m , m t p pl w tb t t p . B t
t w t t p pl w t b t g t k p t
p pl w t t b t . T y w b t w y t t .
T t ly b t m g m t
c b l . Y m y l l t p tm y m ly b c
ll t xt w k. Y m y l bxp c g ympt m c t
c t w t y b t t t yt k w x t g g
g .
i y c b t c mpl c t c m g , y g t bl
k p g y bl gl c l l w
y l k , y m y l l k y l gc t l y b t . e p c mm -
c t b tw y y lt ct m m y m k y l t t .
Depression can become a vicious cycle. It can block good diabetes sel -care.
i y p gy,c c y w ll c t k
g l bl gl c t t g x ct m c . i y l x y m y
- t. Y m y t l l k t g t ll.o c , t w ll ct y blgl c l l .
Spotting depression is the frst step.Getting help is the second.
Sleep Apnea : M y m w t typ 2b t l m b t ct l pp osa, b t g w
t w y bl ck w t m t t t l x g l p, t mt 10 c . Typ c lly osa
cc mp by l g. Y m ly p t m y t lk t y b t
y g, w t k p g t m w kt g t. o m yb y p t w j k b t y g t
c c t .
It is important to know that sleep apneais much more than keeping your lovedone awake at night; it can be dangerousto your health.
u t t l p p c c yk g g bl p
g t tt ck t k . sl p pc l c t k b t
t k w k- l t cc t g cc t . alt g y c
l p p , t g t k ctcl :
n B g m ln sm k gn B g o w g t b
i y t ll t t m yp t c mpl t t y l k
g t t , y l t lk t y lt
c p b t t t g t t m y m l p p .
st w t t p pl w t b t g t k p t p pl w t t b t .
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[ 19 ]
i y b l g lly, bl , w t mp ,
c ck t ympt m :
n Loss o pleasure. Y l gt k t t g t g y
t j y.
n Change in sleep patterns. Y t bl ll g l p,
y w k t g t g t,
y w t t l p m t
l, cl g g t y.
n Early to rise. Y w k pl t l c t t
g t b ck t l p.
n Change in appetite. Y tm l t y t .
n Trouble concentrating. Yc t w tc Tv p g m
t cl b c t t g t
l g g t t w y.
n Loss o energy. Y l tll t t m .
n Nervousness. Y l x y c t t t ll.
n Guilt. Y l y yt g g t w y t t
y b t t .
n
Morning sadness. Y lw t m g t y
t t t y.
n Suicidal thoughts. Y l yw t t t k g b tw y t t y l .
i y t m t ympt m , y j t
tw b t b l g b tw w k m , t t m t g t
lp. T lk t y ct b t t lp y t m t c y p t lt m c l c t l tyl ct .
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am c d b t a c t : M h lt h b k
s x mp t t p t l l t p , b t b t c ct
m x l . it mp t t t tt t t t j t m w t
b t m g t b xp c g x l
lt .
The Modern Approach Arm Yourself with Information
n L w t t t c t tw c c mm m w t typ 2 b t
m w t t b t .
n T ympt m l w t t t ccl m t t x,
ct l y ct , c m clm , p m l ck gy.
n L w t t t c l c ct ly ct ed. s m m w t
b t ed. L w t t t ed tw t m c l c tb t t l t . ed w mc l g k p ct .L w t t t c b c m c b g ympt m l t
b .
s x l h lt and Th e Modern Man
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[ 21 ]
n a x ty, t , p t t m ycc mp y b t c l mp ct y l b b l ty t g t
m t ct .
W t c m t m x l lt , tt mpl t t t lk b t t t m
g t p y c l b l ty t g t k p ct g t ct l t
x. T g w c t l kl w t t t , ct l y ct
p t t bl y w t ympt m t lk t y ct .
Low Testosterone
d y k w t t 13 m ll m m l w t t t 90%
m t t ?14 L w t t t c mm c t t t t g
g b c t ympt m m l t t c t . i y
typ 2 b t , y tw c l k ly t m l w t t t m
w t t b t .
T ympt m l w t t t ccl m t t x, ct l
y ct (ed), c l b y m ,
p m l ck gy. i y xp c g m t t x,
ed m lt pl ympt m t g t c l ck t x l ck
gy y l t lk t y ct .
L w t t t c b ly t t t . a t t g p t, t
a g d c cy t ag g M l(adaM) q t ( xt p g ) m y b
lp l g y l k l gl w t t t .
Y p y c c c ck y t t tl l w t mpl bl t t. i y
l w t t t t c b lyt t by y p y c . T lt tm t pt l bl c g l ,p tc j ct t t c t
m t t t t y b y.Y c l k b t l t t
c l g t l g t w p c l z t t g c t l k l w t t t .15
Among men with low testosterone levels, 70% reported EDand 63% reported low sex drive.
Common Symptoms of Low T and Diabetes
Low T signsand symptoms
Decreasedstrength
Loss of leanbody mass
Osteoporosis
Fatigue
Dpressed
moodDecreased sense
of well-being
Sexualdysfunction
Conditions Associated
with Diabetes
Insulinresistance
Abdominalbody fat
Elevated fastingglucose
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am c d b t a c t : M h lt h b k
Identifying Low Testosterone: The ADAM Questionnaire(Androgen Defciency in the Aging Male)
i y xp c g l ck t t x l ct ty, t k t adaMq t t w t y ct . i y w y t q t 1 7
y 3 t q t , y m y l w t t t y l y ct .
1. Do you have a decrease in libido (sex drive)? Yes No
2. Do you have a lack of energy? Yes No
3. Do you have a decrease in strength and/or endurance? Yes No
4. Have you lost height? Yes No
5. Have you noticed a decreased enjoyment of life Yes No
6. Are you sad and/or grumpy? Yes No
7. Are your erections less strong? Yes No
8. Have you noticed a recent deterioration in your ability to play sports? Yes No
9. Are you falling asleep after dinner? Yes No
10. Has there been a recent deterioration in your work performance? Yes No
The ADAM Questionnaire is used with permission rom Morley et al.
Quick Facts on Sexual Health
M w t c c c t , c b ty, b t yp t , m l k ly t l w t t t c mp t t m . T g l w t t t :18
n 2.3 times higher for men with obesity
n 2.0 times higher for men with diabetes
n 1.8 times higher for men with hypertension
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[ 23 ]
Erectile Dysfunction
Over hal o all men with diabetesover age 50 report problems with ED,and on average men with diabetesdevelop ED 10 to 15 years earlierthan men without it. 17
W y c t bt ct t x c t k p ct l g g
t g x, t c ll ct ly ct . e ct l y ct (ed)
q tly ympt m c lm g / l w t t t . o t m ,
bl l t p cb c m m g .
L tyl c c t t c t b t t t c l p bl m l c
t c c ed. sm k g, b gw g t, b g ct c
c t b t t ed. exp t b l t tp yc l g c l ct c t ,
x ty, g lt, p , l w l - t m, x l l c 10 t 20
p c t ed c .
a ct b g w t y m t lt m l t , b t . imp l m t
b l c l c t m cl
t p t l x w c c blf w. T b pl y k y l t gg g t t t b y
t t c ct , b g g w tl g x l xc t m t. L w
t t t m y m b t ty m t l c mp t g g
ct t m y b t c lp tl g t ed.
Simple steps to decrease thelikelihood o sexual dys unction:
n s y ct g l c ck p
m c l c g t t ( .g. blgl c , c l t l, BMi t t t ).
n L m t t lc l t m l g
n d t m k
n ex c g l ly
n r c t
n G t g l p
n d l w t x ty p
n i y b t , k p y aBC c ck.
a w ty pt x t t t g ct l
y ct , cl g p c pt m c t , mplm c c l c , g y p yc l g c l c l g.
ed t m l p t g tt g l , t t
pp t ll m w b t .
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am c d b t a c t : M h lt h b k
Sexual Health and Emotions
em t l ct c t w t x l
l g t l t w x ly ct . T cl :
n d pn a x tyn stn F t gn P c mm c t c f ct
w t y p t
s x l m t l t j tmp ct y ; t y ct y p l
l t p c c t c ll g t t, t m cy, cl . Y m y
l t t w t w m t lly p y c lly b c y m y t l
j ym t y m y lw t c m t p m g x lly.Y p t m y w y l g
t t, y t w t t p t mw t m ly.
T t g m y mp ct y l - t m t l - t m y p t .
i l ty, y m y t b l g t t,b t m y b t t , m y l ck t gyt l ll m ly bl g t , m y j t t
t x l t m cy. i tt t y c l y c c ,
y j ym t l y m l .o tw ly, y m g t p j ct c t
m g , b t y m y t l l k ym p. Y p ct ty t w k c
l c b c l ck l - t m c c .19
u t g w y x l lt cb ct by b t , t , c -
c l l w t t t l lc lp y y lt c pm g t mp t t l
cc lly.20
T ll w g x mpl w t y y p t m y b xp c g:
L B b b t g t 25 y , b t l t ly t g c g .
B b w g w t typ 2 b t xp c g ympt m
l w t t t .
Bob says: I avoid physical contact with Lois because I dont want herto think I am interested in having sex. I go to bed early or turn the
TV on until she alls to sleep. I dont want to have to say not tonight
again. I eel inadequate as a man. I never know i I can per orm,
much less satis y Lois. There has to be a better way to deal with this.
Lois says: I eel rejected and shut out. I eel responsible or hislack o interest in having sex. Maybe Im not attractive anymore.We never discuss this because it would hurt Bobs eelings. I avoid
doing anything romantic because I dont want to add to the problem.
Should I lose weight or dye my hair? I just dont know what to do.
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[ 25 ]
W t B b L xp c g c mm , w t ctc mm c t t g c
t , t m y b c lt t c t. T ll w g m gg t
l g w t x l b mct ly:
n r l z t lt , t tt ck y m c l ty.
n M k pp tm t w t y ct c mpl t p y c l, cl g
pp p t t t x l ltc t .
n s y l g w t y p tw t t l g b ck; g t w kt g t t t t m.
n op ly tly y c ll-g c c w t y p y c .
W l t t lw y mpl ym g t t k t k w t bw y y m g t b xp c g x l
, t mpl t p t t y ct k t l t .
T lk w t y ct t y xt t y t k t t y m y b xp c g
ct l y ct , p x ty.
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am c d b t a c t : M h lt h b k
a lt y t g l p y c l ct ty t c t t M M
t k g c g b t . alt g t l tt w , t t t b
c mpl c t . i t p t, t p plw t b t w y t ct . T g
t wm m . P plw t b t t w tc w t t y t
t y t m k lt y c c , b t ccl t t w t pl g
t m l t y t. T t - zt ll b t t. e yt g
l z y m f x b l ty pl g y m l .
Want a hot pastrami sandwich? Ask the waiter at your avorite diner to swap out the bee with turkey pastrami
and asked or baked chipsinstead o ried.
The CornersTones oF Good heaLTh:
n t t P y c l act ty
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[ 27 ]
T p h lt y e t g
What you eat and drink and what you dont eat and drink makes a difference in your health. e t g m g
t g t bl y l t t t c lp mp y
lt m y c k c c t c c .M t b l c t w tc w m c y t. 21
Find a local store or deli with healthy food choices t w y tw k w y c t p t p ck p b k t y k pp t t m
g t y l c . i y pl t m , y m l k ly t
m k lt y c c .
Be prepared with healthy snacks t g t t g t g b t , w , ck m t g m c . st lt y l k
c t , m c t , t g c , t t t y c .
Did you know that 3,500 excess calories adds one pound of body fat? i y t typ c l t l c (tw bl c b g , l g
, c k ) y w ll c m 1,800 c l
p t j t m l! Y c m l t t j t t y g( g ll c ck w c , ppl , t k m ll c c m
c ) ly 600 c l .
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am c d b t a c t : M h lt h b k
A Good Breakfast is aGood Start
W y w k p t m g, yb y b t g, g g w t t
, g t y w l p.e t g b k t m y b k-t -
t g y b y b tgy t y t ct . st t g t
y w t m gy m y ll lb tt t g t t y.
By t g b k t, y w ll l mt b l l k ly t t l t
t y. i y t y g t l w g t,t t y t c t c l t l
w y by k pp g b k t.
Studies have shown that most people who have lost weight and kept it o eat break ast every day.
st l w t t lt w t lt y b k t m c t g
t w k y t t w t.
P pl w t b k t g t l py, t m p y g tt t ,
t t t m j k l t t y.22
Want to make the most o eating right at the o fce?G t t 1-2 p c t g t w t m l g t x c :
n s t y l m 10 m t ly t t t y g t w t j mp g
j ck by t tc g w lk g t g t bl ck g t
t t t t y y y b t .
n e c y, w t c mp t , t k 15-20 m t x c
w l y t ck t t c . T y g q t , l g l t m
c l w l y g m l m t c c c ll .
What Does Healthy Eating Really Mean? h lt l t g m :
n e t g ty . i cl g t bl , t, w l g ,- t y l m t m t b t t t .
n T y g t t t t m c t m c typ .
n sp c g y m l ly t g t t y. T y t
k pp g m l .
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am c d b t a c t : M h lt h b k
Exercise and Fitness
T tw b c typ x c t t
c lp y b m p y c lly t.T y :
n Aerobic B k w lk g, g, k g,b k g, w mm g, k g, b k tb ll,
tc. T typ ct t tc t t b t g
k p t m l t xtp t m , lly 20 m t .
Tip: Try walking around the o fce totalk to people you work with, instead
o sending an e-mail. You will become more visible to your co-workers and get a quick answer with some quickexercise too!
n Anaerobic W g t l t g p t t ct t t t lp t b l m cl .
T typ ct ty l tp t x c ll w byp t.
Tip: Try sprinting rom your couch to
your backyard 2-3 times duringcommercials while you are watchingyou avorite 30 minute TV show.Challenge your kids to see who can doit the most. You will get some exercise,have un and prevent a run to there rigerator!
M t 50 p c t am c m w m t g t g p y c l ct tyt p lt b t . F c g
p y c l ct ty m y b w b t y y m ly. st t by xpl g y
t t p y c l ct ty t
m ly. a k t m t pp t y t t y m ly t
x c w t y . T y t pl c l
ct t t t l b g ct ,t . st t y x c p g m l wly
t y t c g l g tt g 30m t x c m t y . T m y
m l k l t t t m , b t y cb k t p t g t t y. T k y t g t y t t p t y tm t t 15 t 20 m t .
it t t k l t t m m y, b t t t k c mm tm t. F w y t
t y p l g , c c tt gt g , w mm g, w lk g, j gg g.23
n sk p t t m -m g c go or a walk around the o fceor outside t t p k g l t.
n Park your car a greater distance m t t c t w k t k
cc l .
n Carry your own groceries mt t .
n Take the stairs w p bl .
n Get some resh air! B yt Tv w b g , g t
w t m ly m mb t k 10-m t w lk t bl ck.
n Do some sit-ups, pushups, squats or jumping jacks while watching TV.
n d g l t m b k tb ll g m ,
challenge your kids or buddies to aone-on-one game cc , b k tb ll
t t .
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[ 31 ]
Remember: h lt t m ly tb c ; t l tyl .
W t t g tt g g l p, l x gt t l y, j y g bby,
t mp t t t t k t m t b gt y l .
T k t p t b l c w k, m , pl y. P y tt t t y lt , m k lt y l g p t y l .st t m ll c y w kw y b k t y m l
t w t w l M M ?
BeCoMinG
T M M !
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am c d b t a c t : M h lt h b k
M M w t b t c p y c l,x l m t l lt c ll g .
T y, t c t c l t t m tw t m g b t c -m b t
t t p t m t c k tc t c t b kl t. Tc q c t b g m
, c mp ct y lt ll q l ty l . alw y m mb
t t t M M k t m t
c t m t b t lt k w t t m ll, mpl t p c b g mp ct b l ty t m g w
lt . it t t b c lt t t kt g t t l l bl t lp
mp y lt . r m mb t : g tct , g t m , t lk w t y
lt c t m y y q tb t y b t y ll b t p
cl t b g M M
Your Old Routine
7:30am G t p, g b q ckw t t .
a l, y b y y
y t g t m g.
12:30pm G b l c tt l c l C b t.
7:00pm s t w t w t b g c p t w tct g m .
The Modern Routine
7:00am G t p l ttl ly, y w t p p t p
b y g t t w , yt k t t m lt y b k t.
Y k w w m c b tt y l
g t y, g tt g p l ttl
ly w t t.
12:30pm M t y p t l c t l c l t t t t
lt y q ck l c pt .
Y g t g t m l m c
t m t t lk.
7:00pm P t t g m y
p l t w l yg w lk. Y l k g tt g t
x c , , b c t g m
g , y w lk b
y k w t.
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[ 33 ]
Decide to Live Better
The American Diabetes Associationis Here to Help You.
T am c d b t a c t (ada) t t l g p t ltg z t p g b t c ,
m t , c cy. T m t a c t t p t c
b t t mp t l llp pl ct by b t . T l ll tm , t ada c , p bl
c t c g , p m t t c t p pl w t b t ,
t m l , lt p l tp bl c. T a c t l ct ly
l c t g c t c c t g t p pl w t b t .
r cFor The Modern Man WiTh diaBeTes
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am c d b t a c t : M h lt h b k
1-800-DIABETES
ada p t t t t n t lC ll C t (1-800-diaBeTes 1-800-342-2383) y p lg t m t b t w ll ada p g m t .
Diabetes.orgo w b t , www. b t . g , tl g t t ct b t t t
t t. F m m t b t t t , g t b t . g/ t t .
Decide To Fight DiabetesT i d c T F g t d b t sM c mp g m t am c d b t
a c t k t p p pl t llt l m k b tt c c
w t c m t p t g m g gt . T c mp g l gt mp w am c t b c m c
t c g t m l ct t t pp t ada m .
Diabetes PHDd b t Phd (P l h lt d c )
p w l w k m t t l.it c b t xpl t ct w ty lt c t t ,
cl g l g w g t, t pp g m k g, t k g c t m c t . i
t p t m t cc t ltm t t y , d b t Phd w ll k
y t c t p l lt c . Yw ll b k t t m c m t
y c b t y lt t y:g t, w g t, c l t l l l , bl
p g , l t l t y x m,c t m c t , a1C, tc. i tt m , d b t Phd w ll t m p l z r lt o w y ,
w g y c t k b t( y t t), t tt ck, t k ,k y l , w ll t y
c mpl c t . By c g g c t
bl y p l , l k t pp gm k g, l g w g t, t k g m c t ,
g tt g g l t x m tc., y w ll bbl t w m k g t c g
w l ct y t lt .
My Food AdvisorMyF a q t t t lt t c lp w t b t m g m t
t t . T ck g w t y t clp m g y b t t
p t t t c mpl c t . Lb t t typ m km l pl g y w tMyF a . F t cl :
n expl 5000 t .n s c t b by tt g y w
c t c b y t 4t t t .
n s c lt lt t .n e ly p t c b , t 20
t t t y t y.n
B w c p c by c tt t y l ct.
n s m l & c p t yp l c p b x.
v t My F a t:b t . g/my
IsItLowT.comi itL wT.c m c mp W b tt t p y-t - t
m t l w t t t , cl g
t g ympt m t c t ,w t g t tm t pt
l bl m . T L w T Q zt t W b t p l
m t ympt m c t w tl w t t t . sp w p ctt m l p t g m l wt t t w ll l b t m l g
w t y c t lk b t t c t .
Resources available to you include:
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[ 35 ]
1 a pt m B tt, a, t. l., Bl p t M h lt a G t h lt y L tyl ,i t . Pg iii
2 ttp://www.m lt tw k. g/ m . tml. acc a g t 1, 2008.
3 ttp://www.m lt tw k. g/ m . tml . acc a g t 1, 2008.
4 CdC n t l d b t F ct s t. 2007.
5 a pt m am c d b t a c t , www. b t . g. acc J ly 5, 2008.
6 T d b t P t P g m: d g m t cl c l t l t p t typ 2 b t . Diabetes Care 22:623634, 1999
7 W g t-c t l i m t n tw k, st t t c r l t t o w g t ob ty, niddK,www.w . k. .g / t t t c / x. tm. acc J ly 15, 2008
8 CdC n t l d b t F ct s t. 2007.
9 G m M, T m MC, P g t p l s, s p K, M c c rJ, Cl k s, Z j c Jd,J m G. L w t t t l l c mm c t w t l t c m w t b t .The Journal o Clinical Endocrinology & Metabolism , v l. 93, n 5,1834-1840
10 d s, t. l., F q t occ c hyp g t p c hyp g m Typ 2d b t , The Journal o Clinical Endocrinology & Metabolism , v l. 89, n 11 5462-5468
11 T m l t J, L t m J, e k JG, v ll TT, h m l h, il -P kk P, K -K k m s, L k M, L t a, r t M, s lm v, u t p M: P t typ 2 b t m ll t by c g l tyl m g bj ct w t mp gl ct l c . N Engl J Med 344:13431350, 2001
12 a pt m n t l d b t e c t P g m, G g P c pl d b t C ,P b 99-4343, ap l 2004.
13 CdC n t l d b t F ct s t. 2007.
14 d s, t. l., F q t occ c hyp g t p c hyp g m Typ 2d b t , The Journal o Clinical Endocrinology & Metabolism , v l. 89, n 11 5462-5468
15 www.k y. k. .g /k /p b / mp t c . acc a g t 14, 2008
16 M ll g T, F ck MF, Z w QC, st m g a, McW t C. P l c yp g m m l g t l t 45 y : t hiM t y. International Journal o Clinical Practice .
2006; 60(7): 762-769.
17 ttp://www.m lt tw k. g/ m . tml. acc a g t 14, 2008
18 M ll g T, F ck MF, Z w QC, st m g a, McW t C. P l c yp g m m l g t l t 45 y : t hiM t y. International Journal o Clinical Practice .J ly 2006; 60 (7) 762-769.
19 T ml J W g t d. imp ct ct l y ct t b q t t tm t w tl l: q l t t t y BMJ 2004; 0: bmj.38044.662176.ee 1
20 a pt m B tt, a, t. l., Bl p t M h lt a G t h lt y L tyl ,pg 21-22
21 www.c c.g / m ly/t p g .p . acc a g t 3, 2008.
22 a pt m ttp:/ /www.p m t . t/ m p g /k /p /6128.p . acc a g t 1, 2008.
23 www.c c.g / m ly/t p g .p . acc a g t 3, 2008.
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1701 n t B g st t al x , va 22311
1800diaBeTes (18003422383)