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Diabetes, Fitness, Exercise, Physio, Dietary, Dublin 6, Rathmines

The Personal Health Diabetes Programme

Everybody is scared at the start when it comes to embarking on a new journey! The Personal Health Diabetes programme is no different. We thought we were gentle, approachable, understanding and compassionate people!! But what we didn’t consider was that people with Type 2 Diabetes are petrified about making small changes in their lifestyle. Most participants have waited for years before contemplating and finally making some small changes. But they are all delighted once they start and most comment that they wish it happened sooner.

Guilt and Stigma

When we have got to know our participants after a few weeks, often people have mentioned carrying a guilt and stigma with them for developing a condition like Type 2 Diabetes. The condition is lifestyle related, so they feel they have let themselves down in some way. The reality here is that feelings of guilt and stigma are futile. What is important is to take action now and make small but attainable changes to your lifestyle. Former Chair of International Diabetes Federation, Dr Tony O’Sullivan has visited us here to assess the Personal Health Diabetes programme and was impressed, commenting  ‘This programme is suitable for anyone living with diabetes and will really contribute to better control of the condition’.

Sociable and Friendly

Our participants are a lovely sociable gang. 

Diabetes, Health, Fitness, Exercise, Dublin 6, Rathmines

They meet regularly on Tuesday afternoons in clinic and despite the chats and giggles, they get their work done. The fitness levels, size and shape differs from person to person but all are accommodated. The one non negotiable is that they do some good honest work, ending up a little sweaty and breathless (don’t worry nobody crawls out the door!).

What does Type 2 Diabetes programme involve?

Mark Hynes (Chartered Physiotherapist) is running the Type 2 Diabetes programme along with our Dietitian Caoimhe O’Leary. They are doing a brilliant job! 

Dietary, Dietitian, Diabetes          Diabetes, Fitness, Exercise, Physio, Dietary, Dublin 6, Rathmines

The programme involves turning up on Tuesday afternoons at 5pm. Once an initial screening is complete the client is cleared for progress and the fun begins. The exercise classes (4 per month) last approximately 40 minutes in total. Caoimhe also runs a monthly workshop discussing practical and non sacrificial changes to enable healthy eating.

What are the benefits?

Some people choose to test their progress every few months and this has given participants great feedback.  Some see changes in blood sugar levels. Others experience weight loss. Most improve on strength scores and stability. Others feel steadier on their feet and more confident. Most describe greater energy levels. Crucially, as healthcare professionals we see a group reducing the risks associated with the condition. It is a hugely rewarding experience for all concerned.

What do I wear, what do I do, what happens in general??

People tend to arrive a few minutes beforehand in comfortable, exercise clothing. For those arriving from work , there are clean and spacious changing rooms with showers and storage. During each class there is a warm up , some strength training, balance and co-ordination tasks, some short sharp bursts of activity (High Intensity Intervals), some stretching and functional movements, and plenty of advice about pacing yourself. Turn up people! You’ll be glad you did!

Personal Health – GP Education Evening

GP Education Evening

On Feb 02, 2016 the Medical Advisory Board of Personal Health convened for and education evening to discuss our unique project. Our Chairman – Professor Michael Brennan (Mayo Clinic, USA) – cited the Lifestyle Health program in Mayo Clinic as a template to give us direction and purpose.

Despite the numerous hurdles to innovation in Irish healthcare, one year later we have a flourishing clinic. Our dynamic team of healthcare professionals are making a real difference for patients in South Dublin. 

To celebrate our 1st birthday we invited Dublin based GPs to an education evening. Hosted by Professor Donal O’Shea and Professor Michael Brennan, an interactive discussion highlighted the many support resources our clinic provides. These include our Exercise and Dietary Programmes for people with Chronic conditions. Classes up and running so far cover Diabetes, MS, Parkinson’s, Pink Ribbon and Tai Chi. Over the coming weeks, classes for osteoporosis and stroke patients will begin.

Local GPs have started to refer patients for our programmes, particularly in the area of chronic health management. This has provided a great boost in morale among our fellow health professionals in South Dublin. The collegiate atmosphere has helped to provide best support for relevant patients. 

Dietitian, Dublin 6, Caoimhe McDonald

Take control of your IBS don’t let it control you – By Caoimhe Mc Donald

Dietitian, Dublin 6, Caoimhe McDonald

“Take control of your IBS don’t let it control you”   

Irritable bowel syndrome (IBS) is a chronic and relapsing bowel disorder. It affects up to 20% of adults and adolescents as well as children. It is 1.5 times more common in women than in men.  Symptoms include:

Dietitian, Dublin 6, Caoimhe McDonald

  • abdominal pain
  • bloating
  • constipation
  • diarrhoea
  • flatulence
  • poor appetite
  • indigestion

It is important to note that many conditions have symptoms that can mimic IBS. Inflammatory bowel disease, coeliac disease and microscopic colitis are a few. It is important that the diagnosis of IBS has been carried out, coeliac disease has been ruled-out and alarm features are absent.

Many people have had symptoms of IBS all their lives and done nothing about it. It is so often put down to having “a sensitive tummy”. As a Dietitian, I would estimate 60 – 70% of my patients suffer with IBS. It is very common for people to come to a dietitian for a different reason and drop it into conversation when discussing their diet. People wonder how it has become so much more common these days. However, when asked about their family history many report one or both of their parents have avoided a food for years as it “doesn’t agree with them”. 

Irritable Bowel, Dietitian, Rathmines

The truth is, more people feel comfortable discussing their digestive health and doing something about it. People live busy lives that can often be stressful and many are now more conscious of their diet and looking after their health. I have seen patients with such severe symptoms it has a huge impact on their quality of life. They are unable to attend work, they fear getting public transport, avoid social activities or not sleeping at night as a result. Why live with something like this when symptoms can be managed effectively?

Multifactorial

The exact cause of IBS is not known and it is thought to be multifactorial. Suggested causes may be; a previous gastrointestinal infection, prolonged antibiotic use, stress, medication, alcohol, poor diet and lifestyle factors. Two thirds of IBS patients perceive their symptoms are related to food. Symptoms can come and go and may be exacerbated in stressful situations which can make it difficult to identify the exact triggers.

So how do people go about managing their symptoms of IBS?

Dietitian, Dublin 6, Caoimhe McDonald

  • Medical management using anti-diarrhoeals, anti-spasmodics, laxatives or low dose antidepressants
  • Self-help – 7% treat themselves with no medical supervision
  • Herbal remedies
  • Psychological guidance
  • Probiotics
  • Lifestyle changes
  • Dietary guidance

Diet assessment and adjustment by a qualified dietitian is so important in the management of IBS. Many patients prefer dietary management rather than a reliance on medication. As a dietitian specialising in digestive health, it is very rewarding to see a patients’ symptoms improve. With guidance on diet, meal pattern, lifestyle factors and stress management, people will notice improvements. Some may immediately feel better after increasing fibre in the diet, increasing fluid and introducing exercise. Others may find eliminating certain foods beneficial or the use of a probiotic.

FODMAP Diet

There is a growing interest in restriction of short chain fermentable carbohydrates called FODMAPs (fermentable, oligosaccharides, disaccharides, mono-saccharides and polyols….a mouthful I know!) for IBS management. The low FODMAP diet is an exclusion diet specifically for patients with IBS which has been supported by 30 clinical studies. Research has shown that limiting these foods (high in FODMAPS) can alleviate the symptoms associated with IBS.  The low FODMAP diet should be done under the supervision of a dietitian as exclusion diets are at risk of nutritional inadequacy.

If you feel you could benefit from seeing a dietitian in relation to digestive health or any other dietary issue contact Caoimhe McDonald at Personal Health. Caoimhe has worked with patients with IBS for years and can help you identify the triggers for your IBS. Caoimhe will provide meal suggestions, recipes and shopping lists to make sure your diet is still balanced and you are getting all the nutrients you need.

In Conclusion, diet is not always the cause. It can be just one contributing factor to IBS. For many, stress management may be the best solution. Contact the Personal Health team to make an appointment with Consultant Dietitian Caoimhe McDonald or Psychotherapist Susan Duffy on 01 4964002.

Personal Health, Rather Road, Chronic Health intervention

Surprise Your Bones….

Exercise for Osteoporosis

Medically Led Fitness

Responsible Exercise for Osteoperosis

When I was training as a student in Cork University Hospital our lead Clinical Educator, Fiona, had a stock phrase for helping patients with Osteoporosis.

‘Surprise your Bones’ said Fiona regularly, in a gentle Scottish lilt. Whether it was her accent or it’s ‘catchiness’, the phrase seemed to stick!

Fiona was a Clinical Specialist in the area and really believed in the positive benefits of exercise for Osteoporosis. The tricky part is knowing what are the correct exercises, what are the safe ones and what needs to be avoided. The even trickier part is making a class relevant/enjoyable to a 60 year old lady. We know you would rather be on the golf course or anywhere else!

Medically Led Fitness Osteoperosis Classes

Exercise can be responsible and good fun

Personal Health Exercise Classes

At Personal Health, our Chartered Physiotherapists manage a nice happy medium in this class. We aim for the whole thing to be enjoyable, sociable and challenging enough to ‘surprise the bones’ into shape.

Typically Osteoporosis affects females far more than males, usually over the age of 55. It is diagnosed by DEXA scan which is able to measure bone density. This is usually through imaging of the hip bone.

For those managing Osteoporosis it tends to be a quiet process. There’s typically no pain, and one might only be alerted to it’s complexities when in the A&E room after something has caused a fracture.

Areas such as the base of the thumb/ wrist and hip are more vulnerable for fracture. This is based on the age and activity profile of those diagnosed with the disease. Similarly a focussed approach to improving balance and/or falls prevention can be a smart way to approach the condition.

Frequently an osteoporotic patient will be undergoing ‘medical’ management of the condition by taking prescribed tablets –  ’Calcichew’- or something similar. It has various classifications in terms of severity. Often patients opt for a sustained (but finite) period of injection therapy as treatment. These injections aim to increase the strength of cortical bone structure in addition to the focussed dietary and exercise interventions.

Personal Health Dublin 6

Chronic disease is just a definition not a life sentence

Medically Led Fitness

In Personal Health our Medically Led Fitness programmes are geared towards optimising chronic health issues. By definition, ‘chronic’ relates to time and duration – not severity.

So with a chronic diagnosis like Osteoporosis, you have the power to successfully thrive. At Personal Health, we provide a helping hand, some time and a refreshing enjoyable approach to managing your chronic health issue.

2 things about 5 things that tell you nothing…Really Efficiently

Bygone Blissful Days of Youth

Well the world is all about data apparently. Big Data…. The internet of things…. Is it a wearable? What’s your elevator pitch in less than four words? Are you sustainable? Social Media lifestyle.

Recently I saw a post on Facebook talking about something distant. Life as a child. The simplicity of it all.

‘I would fake being asleep so my Dad would carry me to bed. When I swallowed fruit seeds I was scared to death a tree would start to grow in my tummy…..’ I thought the moon followed my car. I would watch two drops of rain roll down the window and pretend it was a race.

The wistful bygone days. Not very data driven. And so the struggle began. Please disassociate from silliness. Keep abreast of cellular level changes in everything.
Never stand still.

 

IMG_2117

But I still like a giggle….most of all when I’m stressed out???

At Personal Health we are about balance.

If you want measurables we’ve got them. In fact our measurables are better than any entry-level analysis you will get in any Commercial Gym in Ireland.
We are not a gym you see, we are medical professionals trying to sustainably improve your systemic health. How U is that for a USP?
If you’ve got some health problems….Please contact us.

 

Contact us....

Contact us….

 

Prescription

Exercise with freedom and joy.

Savour your wine and let the taste buds dance with your pistachio ice cream.

If you exercise twice a week (anywhere on earth) for 30 minutes at a time …..you have reduced your risk of heart attack by up to 50%. Fact.
Bet your High Performance Officer didn’t mention that.
Yes, add some cauliflower to your plate. Filter it on Instagram(Guilty!) …..Just don’t weigh it!

IMG_3717
This mediocrity is not for some…..

You are fully entitled to wear a Fitbit during a gym class. A Heart Rate monitor (bpm) will fluctuate with exertion. Some other ‘wearable’ will measure your punch power (kilowatts). A Carbon fibre floor plate will gauge your ground contact time (milliseconds) and something else will have your concentric muscle torque (Nm) sorted simultaneously.

2 things about 5 things that tell you nothing….. really efficiently.

That’s more like High Performance. And we don’t do that. Despite the fact it sounds great.
High Performance environments are stress inducing, often on purpose. Cortisol tends to identify rather easily who wants to run and who wants to fight. Usually it involves elite level performers dedicated to their pursuit in a full time professional and handsomely remunerated environment.

Sometimes it is joy-less. I’ve been involved in it for nearly 15 years in a sporting capacity. The good days outweigh the bad. But not by much.

HP is all over the Corporate environment too. Mediated by Wellness tools of course and an occasional banana on your desk. It’s progressive at times but there’s a tipping point. You know where it is.

Personal NCT

If you want measurables, why not measure your internal health?
A personal MOT for you and your lifestyle, not the car, or the company.

God knows there’s enough going on with your body breaking down, relationships, kids and mortgage.
You are smart enough to perform highly all day in work…. You know exactly what to do next.
When those two raindrops were rolling down the window you were measuring them after all.
But didn’t you enjoy the race?

 

Diet, Nutrition, weight, dietitian, dublin 6

Diet, Nutrition…. what is all the fuss about?

Diet, Nutrition…. what is all the fuss about?

what is nutrition

 

When giving presentations I often ask my audience “why do you think diet is so important?”.

Various responses are given; “to lose weight”, “prevent heart problems”,“ prevent diabetes” which are all true but they are long term effects of good nutrition. It is amazing to see how few people think about the short term effects of eating a healthy balanced diet.

We are living busy lives trying to juggle family life, work, friends, exercise to say nothing of diet. Few people have time to sit down and think about their diet and how it affects them.

balanced diet

 

Eating a balanced diet in addition to having regular meals throughout the day can:

  • Boost your energy levels
  • Prevent sugar cravings
  • Protect your digestive health
  • Stop that sluggish feeling after a heavy meal
  • Prevent low mood
  • Boost your immune system
  • Improve your concentration levels
  • Encourage self esteem

Reduce risk

In addition to the short term effects of good nutrition, in the long run a healthy diet can reduce your risk of developing:

  • Obesity
  • Diabetes
  • High cholesterol
  • High blood pressure
  • Cancer
  • Stroke
  • Osteoporosis
  • Anaemia
  • Diverticulitis
  • Irritable bowel syndrome

In fact, many illnesses can be as a result of our genes which we can do nothing about. However, we are in control of modifiable risk factors such as our diet and physical activity and can reduce the risk of various diseases.

How can Personal Health help you to achieve a healthy diet?

Finally, our Consultant Dietitian can assist you and help you to improve your diet by;

  • identifying your specific nutritional needs
  • providing dietary and lifestyle advice tailored to your needs
  • coupled with developing tailored resources such as recipes, meal plans, shopping lists to help you to achieve your goals too
  • providing encouragement and motivation in a supportive, non-judgemental environment.

Diet teamCall us to find out more.

Phone 01 496 4002                                                                      

Email: info@personalhealth.ie

Website: www.personalhealth.ie