mens health handbook

8/8/2019 Mens Health Handbook

1/36

The Modern Mans Guide To

L g W ll w t d b t


2/36

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.


3/36

[ 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


4/36

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


5/36

[ 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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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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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


9/36

[ 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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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


11/36

[ 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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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


14/36


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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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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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 .


19/36

[ 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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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


21/36

[ 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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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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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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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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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 .


29/36


30/36


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 !


32/36


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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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


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.


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)

mens health handbook

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