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Risks Associated With the Development of Gestational Diabetes

Gestational diabetes mellitus (GDM) appears to be on the rise in the US, with the CDC suggesting that the prevalence of GDM may be as high as 9.2%. The disease is defined as the onset of impaired glucose intolerance during pregnancy as diagnosed from a glucose screening test (also called a glucose challenge test or GCT) between 24 and 28 weeks. Pregnant women who develop GDM are at higher risk of complications during pregnancy and delivery, and the fetus may develop macrosomia, and neonatal hypoglycemia. In addition, women who develop GDM have a greater than 7-fold increased risk of developing type 2 diabetes later in life. There’s some suggestion that babies born to mothers with GDM have a greater risk of developing impaired glucose tolerance.


Are You Asking the Right Questions of Your Geriatric Clients?

In the world of medical and mainstream fitness, assessment methods and tools abound.  We like to pre-test and post-test and record our findings to show positive change toward the betterment of our clients’ general health.  But what about their well-being?  Are we asking them how they are really doing on that day and in general?  Should we probe further or would that be invasive and make our older client feel uncomfortable and possibly interrogated?  

couple coastline

The Simple 7 – Bucket #7: My Spirit, Inspired to Aspire

The Simple 7 Training Buckets That Build My Buffer: Suppleness/Stability, Speed (Gait), Skills, Strength, Stamina, Specificity, Spirit

Let’s focus on spirit. My soul, my psyche. My purpose, meaning and relevance. My reasons to get up in the morning. My attitudes, perceptions and mindset that take charge of my day and my life’s journey. In this context, a wise and ‘seasoned spirit’, a gritty spirit, one that is tenacious, persistent and committed to prepping and pre-habbing for the long haul; one that drives the mindset of invest early to earn our healthspan, to nudge it up tight to our lifespan.

The New Map of LifeTM, created by the Stanford Center on Longevity supports this ‘spirit’ through six principles:

  1. New roles and opportunities must be created so that people experience purpose, belonging, and worth; relevance.
  2. Education must be a lifelong pursuit; not necessarily FORMAL.
  3. Working longer should occur in multigenerational contexts; if by choice.
  4. Money. Opportunities to earn and save must be available throughout life to ensure financial security; plan for a 100-year lifespan.
  5. Advances in the science of aging must be distributed broadly in the population; we need to stay knowledgeable and own our decisions.
  6. Physical health and the prevention of disease is critical to achieving the promise longevity presents; fortify our buffer. . .

The New MapTM encompasses the physical, social, intellectual, emotional, environmental, spiritual, and vocational/occupational dimensions of well-being. They are inter-related, rarely in perfect balance, and evolve with life lessons and experiences. Like the Simple 7 Buckets, each one plays a significant role in surviving and thriving. All require cultivation through daily practices, habits and patterns AND stimulating growth opportunities.

This column focuses on the physical dimension. The FIVE pillars of:

  1. Movement,
  2. Food-Drink,
  3. Rest-Recovery-Regeneration,
  4. Stress-to-Survive+Thrive, and
  5. Purpose-relevance-meaning all bolster the 7 dimensions of overall health and wellbeing.

Our Movement pillar is grounded in the Simple 7 buckets of Suppleness-Stability, Speed (Gait), Skills, Strength, Stamina, Specificity and Spirit, all of which boost my BUFFER, that space, that barrier between succumbing to the effects of aging per se, and pro-actively resisting and retaliating. It’s also the cushion between the GO in my chosen activities, and the BLOW, injury.

6 principles, 7 dimensions, 5 pillars and 7 buckets … we’ve got it! As we restore and refill Buckets #1-6, let’s shift our focus to Bucket #7, the most potent of all.

Bucket #7 is SPIRIT

“We don’t stop playing because we grow old; we grow old because we stop playing. Don’t be the first to grow old!” I’m not sure who said this, but it resonated with me over 30 years ago.

FUN is not frivolous, nor is it just for kids. Activities that bring joy and learning fertilize the brain, neutering boredom and stagnation.

Of the 7 Training Buckets, the Spirit bucket rules the roost. Our mindset towards aging matters. One of positivity and purpose has been unequivocally shown to extend the healthspan, sometimes more so than the physical factors. Coaches, military leaders and emergency services personnel repeatedly observe that ‘psychology trumps physiology’ even when physically mismatched. Upbeat and positive beats doom and gloom hands-down. Resilient folks bounce back, and some do it over and over again. They resonate hope, are flexible, optimistic, show gratitude and goodwill, accept what cannot be changed, then respond accordingly and do the work. [Chip Conley, The Modern Elder]

Aristotle stated that the body is perfect at 35, the soul at 50. Hippocrates said that we peak at 56 years. He had no clue that we had another 30-50 years to go, exactly why our longevity mindset needs an overhaul.

From Lou Holtz, former Notre Dame football coach, “we’re either growing or dying.” Growth lies in pushing out of our comfort zone, beyond the physical. Our vehicle will eventually call it quits, but we can optimize our life’s ride with DAILY use and regular maintenance, allowing us to deny the slide and ramp up our ride. AND BEST OF ALL, we set the stage for our kids and grandkids, a wellspring into a long and resilient adventure. This is the new spirit of an uncharted journey, ripe with opportunities to care, share, contribute and thrive along the way.

Re-WIREment is replacing retirement today, filling Act III with opportunities to learn, grow and discover. Time-affluence, control over schedules and priorities is a bonus, allowing the 60+er to re-imagine and reboot.

My Spirit Check-Up

YES = 1 point: “I just do it; that’s me.”
NO: “Not in my thought process.”

  1. I more often than not choose the uncomfortable, like walking, climbing, getting off the couch or training, even when I don’t feel like it.
  2. I value the benefits of physical labor and choose it; I rarely hire out for chores like shoveling, digging, landscaping, etc.
  3. I seek out physical projects and work with my hands; it challenges my brain.
  4. I look towards the future with enthusiasm and optimism, and plan to ……; I thrive on ‘what’s next’ and prep and prehab accordingly.
  5. I take reasonable, not stupid risks; guaranteed safety is unachievable and stifling.
  6. I strive to beef up all my dimensions and pillars 85% of the time, but certainly enjoy treats and breaks.
  7. I rely on medications ONLY when absolutely necessary, and only when I have exhausted a full-blown restoration effort of my pillars and buckets.
  8. I get up every morning with a purpose and enthusiasm, and am truly grateful for that.
  9. BONUS: I TRAIN so I CAN do ALL the things that I NEED and LIKE to do year-round with confidence and competence.


  • GREEN: 8+ optimistic and doing the work; in perpetual prep and pre-hab.
  • YELLOW: 4-7 some slips and slides; reverse course now.
  • RED: 0-3 it’s never too late for a mindset makeover, one tiny step at a time; start with the easiest one first. Add 5:00 to walking your dog today.

Why should I care?

  • My mindset towards my future shapes my behaviors.
  • Stuff happens. Murphy WILL strike. Accidents, illnesses and tragedies WILL happen. So, we either boost our buffer system to bounce back faster and stronger, or succumb to the long-term effects of complacency in spirit, mind and body.
  • There is a difference between ‘feeling comfortable’ and ‘being complacent’; complacency breeds boredom, and boredom shuts down learning and growth.
  • Complacency can lead to apathy, or indifference, and is associated with neuron death and brain shrinkage, sadness and depression.
  • I can redirect my aging journey NOW, and CAN have stamina, energy, vitality, vim and vigor for decades to come; I CAN dodge and delay frailty, lethargy, fatigue and lifestyle-related chronic diseases, and fire up my ‘seasoned spirit’.
  • People, 80%ish, quit doing what they love to do, because of joint-muscle-soft tissue reasons and loss of movement confidence, not disease.
  • Then there’s this: “You are too old to ….……. you’ll get hurt. You’re NOT 25 anymore, ya know! What are you trying to prove?” If you are competent and confident, don’t let anyone break your wise and seasoned spirit. “We don’t live to be safe; we live safely to LIVE life to the fullest.”
  • What fires together, wires, together. What syncs, links. Keep doing what makes you tick. Fertilize the brain with the NEW, to knock out boredom from the same old.
  • Movement and exercise are the closest thing to a magic bullet in the anti-aging arsenal. Our gero-scientists look to the basic mechanisms of how exercise functions to facilitate good health, steering anti-aging pharmaceuticals onto a similar course

Common Sense Solutions

My game of life, my prep and pre-hab! I CAN bend the trajectory of my aging curve. I buy-in, or opt-out. “I will see and feel change, if I make change.”

If I want to feel younger, I can choose to MOVE and DO. Movement is as vital to surviving and thriving as food and water. Movement sabbaticals are out, unless I am ‘dog-tired’ from physical labor, or struck by illness or injury.

Check-in with the doctor and dentist. Do everything possible to preserve vision, hearing and that inner ear gyroscope, those senses necessary to move freely with confidence.

Continue doing those things that make you ‘tick’. Add some new ones, too! TRAIN so you CAN!” Repair and refill all 6 training buckets.

DAILY, WALK a lot and often. Accumulate 6-10K steps per day. Include 30:00 of continuous BRISK walking. Walk tall with a springy step.

At HOME, do chores and tasks willingly. Include multiple positions, speeds and loads. Do the inconvenient and uncomfortable sometimes. Go barefoot to keep the feet smart.

Screen-bound, break away every 30 minutes; reach up, bend and rotate; counter text-neck.

Physical labor with a positive attitude gives us a huge bang. The trades, service vocations, shoveling snow, chopping and stacking wood, or raking stone and gravel all get the heart pumping, the whole body moving, and the brain firing and re-wiring.

At PLAY, its’ all seasons, GO! Choose something that provides joy, that keeps you moving. Mountain bike, hike, skate-XC ski, snowshoe, golf, DANCE!

TRAIN to fill gaps and holes. ‘0’ physical labor and no physical hobbies, interests, sports or activities combined with the ill-effects of screens, sitting, tech-postures and a soft, cushy lifestyle is a recipe for disability and dependence.

The purpose of training is to move, feel and perform better now, and for the long haul. It must transfer first to my overall health and well-being, and secondly to the robustness of my buckets for MY game of life, care-giving and emergencies. So TRAIN and change!

In closing, ponder this: “It’s never too late to start, but it’s better to never stop.”

Hardiness of Heath: My Top 10 Tips – Join me for my upcoming webinar

Nurture the cardiovascular system through fortifying the five pillars of resilience, durability and robustness for the long haul.  We strive for the heart to go, the blood to flow, the brain to know, so that we can continue to grow… optimizing our health span for our game of life.

Let’s remember that the cardiovascular system is ONE of seven integrated systems, and that you and your client are a sum total of spirit, mind and body.  Keep your focus on filling-up a glass that’s half-full, not half-empty.

Join me in an update on the most impactful DAILY habits, patterns and practices that fortify and preserve our hardiness pillars.  Our stamina, our cardio-respiratory fitness is our energy bucket. It gives us our GO, our vim, vigor and vitality for living our lives to the fullest, for decades to come.  This presentation is packed with dynamic DOs, not doom-and-gloom don’ts.  Pack that mind-space with positive buffer-boosting DO-ables to become more hardy of heart, mind and spirit.


Article reprinted with permission from Pat VanGalen.

Pat VanGalen, MS, launched her professional career 40+ years ago in physical education and coaching, then spent the next 10 years in corporate-industrial fitness, health promotion, cardiac rehab and injury risk reduction programming design, implementation and management. ​In 1990, Pat expanded her services to designing and teaching personal training and group exercise certification courses. ​Pat has been a trainer and instructor prior to the existence of certifications. Her rehab-to-performance experience makes her a dynamic, informative and very inspiring speaker, trainer, teacher and coach. 


The Effect of Stress on Balance

Balance is a critical component to human movement and independence. It is essential to strength train and practice balance exercises on a regular basis. We always talk about age related balance issues but stress is rarely ever mentioned as a risk factor when it comes to balance. It is imperative to visually and physically assess all clients who come to you with acute, severe, or chronic stress. In this article we would talk about age related balance issues and Psychogenic Gait Disorder which is a balance disorder caused by stress and trauma.


Movement as ‘Medicine’ for Special Health Conditions

Not all health conditions are equal in essence. Some are more challenging than others in their symptoms, and in recovery. Not only can these conditions be long drawn and debilitating, posing substantial impediments to daily performance and independent functioning, but may require prolonged specialized treatments and intensive care as well. This has a negative impact beyond just physical wellbeing. It also corrodes mental health and resilience towards overcoming the disease/ condition in particular, and in living a fuller life in general. So how about exploring empowering tools, in addition to the medical, that aid better quality- of-life outcomes? 

Hungry woman

New Year’s Resolutions and Eating Disorders

The beginning of every new year is flooded with talk of resolutions. The clean slate associated with a brand new calendar often inspires us to make changes in our lifestyles.  Typically, these resolutions are centered around health, and in many cases, the emphasis is on weight loss.  For those who struggle with eating disorders, this time of year can be especially difficult. 


The Secret To Improving Mental Health With Physical Activity 

When I first entered the field of performance coaching, terms like building resilience, develop focused attention, manage sustainable energy levels and strengthen our emotional intelligence were sought after areas of development not only in elite athletic training; but also, executive development. 

As the demands of life rise for our clients, the best way we can support them is by designing health and fitness routines that combine all the elements of health and performance.  Our clients are seeking our expertise on how to “feel” better physically, mentally and emotionally. And the one tool that links the mind, body and brain is BREATH.