From the first Annual Health Disparities Conference at Teacher's College, Columbia University,NYC--2002 by Raymond Zakhari, NP Metro Medical Direct

1. Diabesity: The goal of achieving optimum glycemic control through the use of stages of change (SOC), motivational interviewing (MI), and relapse Prevention (RP). Raymond Zakhari, NP Metro Medical Direct

3. Significance 1) Heart Disease: 696,947 3) Stroke: 162,672 6) Diabetes: 73,249 CDC: 2002 http://www.cdc.gov/nchs/fastats/lcod.htm

4. The only people who truly welcome change are wet babies!! If you want to understand something, try to change it! ( Kurt Lewin 1951)

8. Type 2 Diabetes ? ? What comes to mind?

13. Stages Of Change Precontemplator “ I feel fine. Your test must be wrong.” “ Your not even a doctor” “ Those medicines all have side effects worse than this disease that you claim I have” “ There is no way I can make all those changes” “ What difference does it make? We all have to go sometime, and if I go, I want to go happy.” “ I’ve tried before and I can’t do it.”

23. The individual’s state of health and well-being are multivariable in nature– While anyone can write the right prescription to fix the numbers, the prudent clinician must not focus merely on what those numbers represent, but who those numbers represent.

31. References Collins, R.L. (2005) Relapse Prevention for Eating Disorders and Obesity . In Marlatt, G.A. & Donovan, D.M., Relapse Prevention: Maintenance strategies in the Treatment of Addictive Beahviors (248- 269). New York: The Guilford Press.