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	<title>Practice Improvement &#187; exercise</title>
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	<link>http://practiceimprovement.com.au</link>
	<description>TONY LEMBKE’S SITE FOR IMPROVEMENT, MEDICINE, TECHNOLOGY, PRODUCTIVITY</description>
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		<title>Lifestyle changes for Diabetes Prevention &#8211; Long term results</title>
		<link>http://practiceimprovement.com.au/2009/10/lifestyle-changes-for-diabetes-prevention-long-term-results/</link>
		<comments>http://practiceimprovement.com.au/2009/10/lifestyle-changes-for-diabetes-prevention-long-term-results/#comments</comments>
		<pubDate>Thu, 29 Oct 2009 13:24:29 +0000</pubDate>
		<dc:creator>Tony Lembke</dc:creator>
				<category><![CDATA[Clinical]]></category>
		<category><![CDATA[Lifestyle]]></category>
		<category><![CDATA[Prevention]]></category>
		<category><![CDATA[diabetes]]></category>
		<category><![CDATA[exercise]]></category>

		<guid isPermaLink="false">http://practiceimprovement.com.au/?p=413</guid>
		<description><![CDATA[10-year follow-up of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study : The Lancet: 
Lifestyle interventions for diabetes prevention continue to have benefits for patients 10 years down the track, according to recently published data from the Diabetes Prevention Program.
]]></description>
			<content:encoded><![CDATA[<p><a href="http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(09)61457-4/fulltext">10-year follow-up of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study : The Lancet</a>: </p>
<p>Lifestyle interventions for diabetes prevention continue to have benefits for patients 10 years down the track, according to recently published data from the Diabetes Prevention Program.</p>
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		<title>Lifestyle &#8211; Show and Tell</title>
		<link>http://practiceimprovement.com.au/2008/09/lifestyle-show-and-tell/</link>
		<comments>http://practiceimprovement.com.au/2008/09/lifestyle-show-and-tell/#comments</comments>
		<pubDate>Mon, 01 Sep 2008 13:29:24 +0000</pubDate>
		<dc:creator>Tony Lembke</dc:creator>
				<category><![CDATA[Lifestyle]]></category>
		<category><![CDATA[chd]]></category>
		<category><![CDATA[diabetes]]></category>
		<category><![CDATA[Diet]]></category>
		<category><![CDATA[exercise]]></category>

		<guid isPermaLink="false">http://practiceimprovement.com.au/?p=160</guid>
		<description><![CDATA[We do the real work in chronic disease management when we assist our patients to make lasting changes to their lifestyle.
We can benefit from better tools and teams to support us in this task.
What tools have you found useful? 
In the interests of &#8216;Sharing Generously and Stealing Shamelessly&#8217;, here is a preliminary list of some [...]]]></description>
			<content:encoded><![CDATA[<p>We do <strong>the real work</strong> in chronic disease management when we assist our patients to make lasting changes to their lifestyle.</p>
<p>We can benefit from better tools and teams to support us in this task.</p>
<p><em>What tools have you found useful?</em> </p>
<p>In the interests of &#8216;Sharing Generously and Stealing Shamelessly&#8217;, here is a preliminary list of some resources and ideas.</p>
<p>As suggestions come in, we&#8217;ll share them on this site.</p>
<fieldset>
<h2>Diabetes Life</h2>
<div style="text-align:center;"><img src="http://practiceimprovement.com.au/wp-content/uploads/2008/09/diabetesresources.jpg" alt="diabetesresources.jpg" border="0" width="618" height="188" /></div>
<p>Victorian pratices will know that <a href="http://diabeteslife.org.au">Diabetes Life</a> is a major diabetes prevention campaign of Diabetes Australia (Victoria) supported by the Vic government.</p>
<p>They have <a href="http://diabeteslife.org.au">a number of resources</a> available to download or to have sent to you. In particular, they have a neat <a href="http://203.89.242.73/dav/Default.aspx">online risk calculator</a><br />
</fieldset>
<fieldset>
<h2>Diabetes Report Card</h2>
<p>Terry Rose&#8217;s <a href="http://opsun.com.au/NPCC.htm">Clinic Manager</a> offers some cool tools.</p>
<p>David Richardson tells me that <em>five times</em> as many people responded positively to diabetes clinic invitations when the mailout included the patient&#8217;s individual diabetic &#8216;report card&#8217;.</p>
<p>Terry has an example <a href="http://opsun.com.au/Diabetes%20clinic.htm"> diabetes report card on his website</a><br />
</fieldset>
<fieldset>
<h2>CHD Risk Calculator</h2>
<p>The <a href="http://www.msd4gps.com.au">MSD site for GPs</a> has a well designed <a href="http://www.msd4gps.com.au//msd4gps/page.asp?e_page=456487&#038;article=456488">CHD risk calculator.</a></p>
<p>Show your patients how their risk changes as their cholesterol improves, or they stop smoking.</p>
<p>You will need an msd4gps password to view these pages.<br />
</fieldset>
<p><fieldset>
<img src="http://practiceimprovement.com.au/wp-content/uploads/2008/09/dinner.jpg" alt="dinner.jpg" border="0" width="100" height="75" align="left" Hspace="10" Vspace="10"/><br />
<h2>Dieting for Weight Loss</h2>
<p>Which diet achieves the best results?<br />
The NEJM (and the Health Report) have recently sort for the answer.</p>
<p>Report in <a href="http://stepup.org.au/2008/07/30/weight-loss-with-a-low-carbohydrate-mediterranean-or-low-fat-diet">stepUp.org.au</a>.</p>
</fieldset>
<fieldset>
<p><img src="http://practiceimprovement.com.au/wp-content/uploads/2008/09/pushup.jpg" alt="pushup.jpg" border="0" width="110" height="150" align="right" /><br />
<h2>One Hundred Push Ups</h2>
<p>Can you do one hundred push ups?<br />
I thought not!</p>
<p>(I can do them in six weeks &#8211; if I do three per day.)</p>
<p>However, in six weeks you will be able to do one hundred *consecutive*  push ups if you follow the program at <a href="http://hundredpushups.com">hundredpushups.com</a><br />
</fieldset>
<fieldset>
<h2>More?</h2>
<p>It would be great if you could share resources you have found by adding them in the comments below, or emailing them to me at tony@practiceimprovement.com.au<br />
</fieldset>
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		<title>Walking the Great Wall</title>
		<link>http://practiceimprovement.com.au/2008/08/walking-the-great-wall/</link>
		<comments>http://practiceimprovement.com.au/2008/08/walking-the-great-wall/#comments</comments>
		<pubDate>Tue, 12 Aug 2008 11:36:30 +0000</pubDate>
		<dc:creator>Tony Lembke</dc:creator>
				<category><![CDATA[Lifestyle]]></category>
		<category><![CDATA[exercise]]></category>
		<category><![CDATA[team]]></category>

		<guid isPermaLink="false">http://practiceimprovement.com.au/?p=151</guid>
		<description><![CDATA[How would you like to walk the full 3200km of the Great Wall of China?
That&#8217;s a mere 4 million steps.
Our clinic began our virtual journey last Friday.
We are well on our way to the first checkpoint, Zhangye.
There has been little thanks for my contribution of 16,900 steps (Rebecca our exercise physiologist has 74,000, and Alison [...]]]></description>
			<content:encoded><![CDATA[<p><img src="http://practiceimprovement.com.au/wp-content/uploads/2008/08/wall.jpg" alt="wall.jpg" border="0" width="276" height="284" align="right" />How would you like to walk the full 3200km of the Great Wall of China?</p>
<p>That&#8217;s a mere 4 million steps.</p>
<p>Our clinic began our virtual journey last Friday.</p>
<p>We are well on our way to the first checkpoint, Zhangye.</p>
<p>There has been little thanks for my contribution of 16,900 steps (Rebecca our exercise physiologist has 74,000, and Alison has 62,000 &#8211; after four days!)</p>
<p>The Great Wall of China is the latest 10000steps.org.au workplace challenge. </p>
<p>You provide each member of your practice team with a pedometer, and they enter their step count each day on the 10000steps.org.au website. </p>
<p>Although of course we never actually leave Alstonville, the site keeps track of our teams collective (virtual) progress &#8211; and points out sites of interest along the way.</p>
<p>We&#8217;ll keep our patients involved by displaying the map of our journey in the waiting room, and perhaps invite them to join a patient vs staff challenge.</p>
<p>Come on, get in the Olympic spirit. Any other clinics like a race?</p>
<p>Sign up at <a href="http://10000steps.org.au">http://10000steps.org.au</a></p>
<p>Aussie Aussie Aussie</p>
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