For Physicians 

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Introduction

The Journey 2 Health is a year-long, science-based curriculum designed to help your patient reverse (or put into clinical remission) metabolic disease — especially Type 2 diabetes and pre-diabetes. Your help along your patient’s journey is greatly appreciated as he or she adopts a healthier lifestyle, and reduces or eliminates the need for medications and their attendant side effects.

How it works

Working with a dedicated, certified health coach, your patient is preparing to implement a significant lifestyle shift based upon its potential to optimize individual metabolic health. The Journey 2 Health curriculum provides general dietary, movement, and stress-reduction principles that individual patients choose to test in their own lives, using the J2H app and ongoing assessments of their metabolic health (including blood pressure, waist circumference, and presence of inflammatory symptoms) to judge the effects of these changes.

Your patient will discuss the specific changes he or she is implementing, generally centered on the following well-accepted themes:

  1. Eat Real Food: The healthiest foods are whole or minimally processed.

  2. No Added Sugar: Added sugar in all forms — sucrose, fructose, and various disguises found in processed foods — should be avoided.

  3. Eat Nothing White: Flours, cereals, pasta, bread, and other high glycemic index refined carbohydrates are best avoided.

  4. Move Well: Restoring mobility, building core strength, and mastering functional movement patterns are the foundation of safe and enjoyable physical activity.

  5. Live Well: Stress management, improved sleep, positive relationships, and leveraging one’s character strengths all help in the pursuit of lasting behavior change.

Patients generally choose to emphasize non-starchy (green/leafy/colorful) vegetables, meats, fish, and eggs, and unsweetened dairy products (if tolerated). Fruits, nuts, and starchy vegetables are either limited or avoided, especially at first.

what to expect

The first four to seven days of making this dietary shift are often challenging for patients, especially if they have been accustomed to frequent sweetened drinks and carbohydrate-rich meals. Sugar cravings and low energy are commonly reported during this adjustment period. These symptoms generally resolve within a week to ten days, and your patient’s health coach will be communicating closely with your patient during this transition.

Elimination of added sugars and refined, acellular carbohydrates reduces postprandial blood glucose spikes, and reduces the need for insulin. With decreased sugar intake, the need for hypoglycemic medications decreases.

Hypertension also tends to benefit from these lifestyle changes, so patients may experience a decreased need for antihypertensives.

How you can help

In addition to encouraging your patient’s adoption of healthier lifestyle choices, your guidance is appreciated in helping your patient avoid medication-induced hypoglycemia or hypotension in the setting of your patient’s efforts to improve his or her health.