Diabetes Motivational Quotes

Let me describe how that same thought applies to the world of education. I recently joined a federal committee on incentives and accountability in public education. This is one aspect of social and market norms that I would like to explore in the years to come. Our task is to reexamine the “No Child Left Behind” policy, and to help find ways to motivate students, teachers, administrators, and parents. My feeling so far is that standardized testing and performance-based salaries are likely to push education from social norms to market norms. The United States already spends more money per student than any other Western society. Would it be wise to add more money? The same consideration applies to testing: we are already testing very frequently, and more testing is unlikely to improve the quality of education. I suspect that one answer lies in the realm of social norms. As we learned in our experiments, cash will take you only so far—social norms are the forces that can make a difference in the long run. Instead of focusing the attention of the teachers, parents, and kids on test scores, salaries, and competition, it might be better to instill in all of us a sense of purpose, mission, and pride in education. To do this we certainly can't take the path of market norms. The Beatles proclaimed some time ago that you “Can't Buy Me Love” and this also applies to the love of learning—you can't buy it; and if you try, you might chase it away. So how can we improve the educational system? We should probably first rethink school curricula, and link them in more obvious ways to social goals (elimination of poverty and crime, elevation of human rights, etc.), technological goals (boosting energy conservation, space exploration, nanotechnology, etc.), and medical goals (cures for cancer, diabetes, obesity, etc.) that we care about as a society. This way the students, teachers, and parents might see the larger point in education and become more enthusiastic and motivated about it. We should also work hard on making education a goal in itself, and stop confusing the number of hours students spend in school with the quality of the education they get. Kids can get excited about many things (baseball, for example), and it is our challenge as a society to make them want to know as much about Nobel laureates as they now know about baseball players. I am not suggesting that igniting a social passion for education is simple; but if we succeed in doing so, the value could be immense.

Talking to a child about future health issues is also not the correct course. First of all, it can scare the child and make her have excessive worry about herself. Unfortunately, we hear parents tell their children that they will get diabetes or have heart problems if they don’t lose weight. Secondly, the concept of future heart problems is too abstract, even for an adult, let alone a child. Worry about future health issues does not have the power to motivate behavior change. Feeling physically better in the moment has far more impact.

So how can we improve the educational system? We should probably first rethink school curricula, and link them in more obvious ways to social goals (elimination of poverty and crime, elevation of human rights, etc.), technological goals (boosting energy conservation, space exploration, nanotechnology, etc.), and medical goals (cures for cancer, diabetes, obesity, etc.) that we care about as a society. This way the students, teachers, and parents might see the larger point in education and become more enthusiastic and motivated about it. We should also work hard on making education a goal in itself, and stop confusing the number of hours students spend in school with the quality of the education they get.

So how can we improve the educational system? We should probably first rethink school curricula, and link them in more obvious ways to social goals (elimination of poverty and crime, elevation of human rights, etc.), technological goals (boosting energy conservation, space exploration, nanotechnology, etc.), and medical goals (cures for cancer, diabetes, obesity, etc.) that we care about as a society. This way the students, teachers, and parents might see the larger point in education and become more enthusiastic and motivated about it. We should also work hard on making education a goal in itself, and stop confusing the number of hours students spend in school with the quality of the education they get. Kids can get excited about many things (baseball, for example), and it is our challenge as a society to make them want to know as much about Nobel laureates as they now know about baseball players. I am not suggesting that igniting a social passion for education is simple; but if we succeed in doing so, the value could be immense.

Okay, time for action. Having gained an understanding of how the body works and why diabetes occurs, we can now look at how to get rid of it. In this chapter, I outline the “1,2,3” approach, originally designed to identify the cause of type 2 diabetes but found to be successful in real life. This is a simple program, with clearly defined stages—first, lose weight rapidly with a clear end point; second, reintroduce ordinary foods step by step; third, keep the weight down long term. A rapid weight loss phase followed by a stepped return to normal eating is very different from the standard advice of “slow and prolonged” of recent years. The 1,2,3 approach recognizes that losing weight is a distinct activity, separate from the matter of keeping the weight steady in the long term, and that there are many benefits from losing weight fast in the first instance. There are other approaches to losing weight. However, several high-quality studies have shown that going on an intensive rapid weight loss diet for a period is not only effective for most people but extraordinarily motivating. How to Do It Recognize the problem: If you have type 2 diabetes you have become too heavy for your body Write down your target weight: Usually a weight loss of around 33 pounds Recognize that food intake has to be decreased for 2–3 months: Think when it may suit you to do this Discuss with family and friends: Support is one of the secrets of success Decide: Do you really want to do this? Prepare for action: Clear the cupboards Action: Do it

Lack of internal union also makes itself known in the increased suffering, magnification of anxiety, absence of motivation, and lack of pleasure that accompany indecision and uncertainty. The inability to decide among ten things, even when they are desirable, is equivalent to torment by all of them. Without clear, well-defined, and noncontradictory goals, the sense of positive engagement that makes life worthwhile is very difficult to obtain. Clear goals limit and simplify the world, as well, reducing uncertainty, anxiety, shame, and the self-devouring physiological forces unleashed by stress. The poorly integrated person is thus volatile and directionless—and this is only the beginning. Sufficient volatility and lack of direction can rapidly conspire to produce the helplessness and depression characteristic of prolonged futility. This is not merely a psychological state. The physical consequences of depression, often preceded by excess secretion of the stress hormone cortisol, are essentially indistinguishable from rapid aging (weight gain, cardiovascular problems, diabetes, cancer, and Alzheimer’s).

SRT Once again, I hope you are filling in your sleep diary and that if you are doing SRT, your sleep efficiency is back up to near 85%, despite the fact that you are now spending more time in bed. If it is, reward yourself with another 20 minutes in bed. By now you should definitely be seeing improvements in the quality of your sleep, and you will be finding it easier to fall asleep and stay asleep. You should be feeling less tired during the day, which in turn will motivate you to do more of the exercises that I have been recommending. As I have said, most people will find that four weeks of SRT is enough to mend their sleep problems, although you can continue for up to eight – it very much depends on how you are getting on. Looking after your Old Friends If you have been eating meals from the recipe section in this book, I would also expect your gut microbiome to have changed radically, and for the better. Your levels of “good” bacteria should have increased, reducing inflammation and making you feel more cheerful, while the “bad” ones, that cause inflammation, will have been displaced. So keep munching those legumes! Remember that quite apart from the positive impact that these foods have on your sleep, they will also help cut your risk of type 2 diabetes, heart disease and dementia. Treat this way of eating as a way of life, not just a quick fix when it comes to improving your sleep. Eating for better health and weight loss As we have seen, if you are overweight

The sheer numbers associated with chronic disease, the magnitude of the medical and financial iceberg, make a mockery of this approach. The toll of the seven most common chronic diseases, in costs and lost productivity, was $4.2 trillion in the United States in 2012, up from $1.3 trillion in 2003.4 Chronic diseases account for more than 65% of corporate health-care costs. In a single year, there were almost 0.5 million new diabetes diagnoses for Americans ages twenty to forty-four, and 1 million new diabetics aged forty-five to sixty-five. Those are just the people who felt bad enough to see a doctor. The Centers for Disease Control estimate that 79 million Americans are pre-diabetic, which means their bodies are teetering on the edge of a disease that leads to blindness, kidney failure, nerve damage, and limb amputations if it isn’t controlled.5 Those people can be pulled back from the brink to some kind of normal future if they decide to make some significant changes in their lives. Unfortunately, 65% of employers in a large 2011 survey cited the difficulty of motivating employees to change their behavior as their top health-care challenge.

I know I don’t get it, in the sense that I don’t have diabetes, too, but…maybe I understand it a little, living with something persistent and beyond your control. You can’t take it off or walk away from it or lay it down for awhile. And even when you’ve become accustomed to its reality, when it’s not really bad or good, it just…is, sometimes it’s hard when you’re with others. When you feel that sense of difference and distance from them as you deal with the part of yourself that they don’t understand, that you have to think about in social situations and in your daily life in ways they don’t.

Going to doctors and getting a pill for every issue has a subconscious effect to avert personal responsibility, and the motivation for patients to earn back their health is lessened.

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