Author, James  Evans, demonstrating the use of a "PAR COURSE" station. 

Click on titles below for some of Mr. Evans' previous articles. 

Speaking of Falls Again

Medicare Drug Coverage Made Simple

Stretching to Relieve Lower Back Pain

A Healthy Smile is More than Just Cosmetic

Exercise to Prevent Falling

Overmedication of Older Adults

PAR COURSE EXERCISE...Outdoor Exercise For Everyone

"Thingamajigs and Whatchumacallits"




© Copyright 2005,
American Senior Fitness









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Editor's Note: It's a question that has troubled many caring spouses: How can I persuade my mate to take better care with regard to a health problem? In the case described below, fitness expert Jim Evans determines that a "tough love" approach appears to be just what's needed to get through to this too happy-go-lucky loved one. Knowing the facts about one's special condition can inspire the motivation to adopt beneficial changes in attitude and lifestyle. People being individuals, different personalities will respond to different strategies. In some cases, an alternative approach might involve additional intervention by the patient's personal physician. As Jim notes below, yet another source of strength and guidance is the American Diabetes Association at (toll-free telephone number 800-232-3472).




Diminishing the Complications of Diabetes

Jim Evans


My husband was diagnosed with type 2 diabetes last year, but he doesn’t seem to be taking it very seriously. His doctor recommended that he lose weight, start exercising, and watch his eating habits, but so far he hasn’t done any of these things. He was supposed to stop smoking too, but he says cigars “don’t count.” I’m at my wit's end because he won’t listen to his doctor, and he won’t listen to me, and I’m afraid I’m going to be a widow before you know it. What can I do to get him to understand that ignoring his problem isn’t going to make it go away? By the way, he’s only 68, so he’s still relatively young.




You said it yourself – ignoring his problem will not make it go away. Your husband is playing a dangerous game with his life because diabetes is not something to take lightly. Perhaps some cold, hard facts will wake him up to the reality of his situation:

According to the American Diabetes Association, diabetes is the fifth-deadliest disease in the U.S. More than 200,000 people will die from diabetes and its complications this year. More than 65% of diabetics will die of heart disease or stroke (they are 2-4 times more likely than those without diabetes). Each year 12,000-24,000 people lose their sight because of diabetes, and it is the leading cause of new blindness in people 20-74 years of age. The risk of leg amputation is 15-40% greater for diabetics, and more than 82,000 people lose a foot or leg every year to the disease. Diabetics over 65 years of age are also twice as likely to be hospitalized for kidney infections, and diabetic nephropathy is the leading cause of kidney failure. Perhaps this will help him get the picture.

A study sponsored by the National Institutes of Health (NIH), the Diabetes Prevention Program, showed that lifestyle changes such as exercise, weight loss, and smoking cessation can significantly delay and even prevent diabetes. These same lifestyle changes are equally important in the treatment of diabetes for controlling glucose, blood pressure, and cholesterol levels. And you can tell your husband that, yes, cigars DO count. Cigars have a larger content of carcinogenic tars than cigarettes, and a higher amount of nicotine is absorbed through the oral mucous membranes than via a cigarette, increasing the risk of dental disease and head and neck cancers, in addition to the circulation problems already precipitated by diabetes.

Managing diabetes – like any other serious health problem – is largely a matter of personal responsibility, and if your husband does not take responsibility for his own health, he will very likely pay a steep price. Older diabetics who persist in ignoring common sense stand to face a greatly diminished quality of life in their later years. If he won’t change his lifestyle for himself, ask him if he will do it for his family. He owes you at least that much.

Jim Evans is a 38-year veteran of the health and fitness industry and a nationally recognized consultant on fitness for seniors. He is host of the popular radio talk show “Forever Young” on San Diego’s KCBQ 1170 AM ( and chairman of the advisory council for the Retired & Senior Volunteer Program (RSVP) of San Diego.

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