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VIDEO PRESENTATION
Millions in the populations have pre-diabetes and most of them don’t even know it. An individual is pre-diabetic when their blood sugar levels are higher than normal, but aren’t high enough to be diagnosed with type 2 diabetes. Pre-diabetes increases the risk of developing type 2 diabetes, heart disease, and stroke. In Spain, 22% of the fishermen and seafarers with overweight and 41% of those with obesity have pre-diabetes or diabetes. The fishermen have 2 times the risk for diabetes compared to the seafarers. Thankfully, you can reverse the physiological changes of pre-diabetes and we can help you. We have a supporting program with Zoom meetings every 4 weeks and weekly mail contacts starting with your health examination in the maritime medical clinics. Our 16 week pre-diabetes coaching program is designed to inspire and support seafarers to set your weight goals and to select your preferred fitness- and dietary programs. The program targets individuals with an A1c between 39-47 mmol/L (5,7%-6,4%) and who are currently not taking medication for diabetes. For a start only a few seafarers are carried through the 16 weeks program by the coach. A video will be prepared for announcement.

INVITATION TO THE SEAFARERS
Dear Seafarers,

With great respect for your important and hard work you do as a seafarer to bring all types of goods around in the world, you will need to stay healthy. Now, you have been diagnosed with pre-diabetes(T2D) you should know that this is not a serious disease, that can be prevented to be a more serious disease by changes of your food and physical exercise pattern. Pre-diabetes increases the risk of developing type 2 diabetes, heart disease, and stroke. Our 16 week pre-diabetes coaching program is designed to support you to change your daily food habbits and physical activities and get rid of diabetes and overweight. If you accept the invitation given by your maritime medical doctor, you will get in contact with a support person, a "coach" with further information.

TO THE MARITIME CLINICS
Dear Maritime Doctors,

As you know an increasing part of seafarers have overweight and pre-diabetes that can be changed to normal by early diagnose and early changing the type and pattern of the food and drink and physical activity. This is very difficult for the seafarers to do alone. Our program supports them in learning about pre-diabetes and how they can normalise pre-diabetes, hypertension and overweight by changing their pattern of physical activity and food and drink patterns. As a maritime medical doctor you will not use much extra time and probably no extra costs for laboratory you are allowed to take, but your collaboration is very important. If you want to participate in the project, you are kindly asked to identify just one seafarer for a start from your actual medical examinations with newly diagnosed pre-diabetes and ask him/her to participate. The interested seafarer is put in contact to one of our coaches, that will help them to normalise the pre-diabetes and probably also loose some kg weight over a 16 weeks course.

Thank you for your attention

Contact person: ______________________, WhatsApp______________


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