# How to help prediabetic friend with poor exercise habit **URL:** \ **Category:** New T2/MODY\ **Created:** [December 20, 2017, 4:20pm UTC](https://forum.fudiabetes.org/t/how-to-help-prediabetic-friend-with-poor-exercise-habit/3047 "2017-12-20T16:20:41Z")\ **Posts on this page:** 5\ **Page:** 1
**Author:** ![CatLady](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/catlady/32/36_2.png) [@CatLady](https://forum.fudiabetes.org/u/CatLady)\ **Post date:** [December 20, 2017, 4:20pm UTC](https://forum.fudiabetes.org/t/how-to-help-prediabetic-friend-with-poor-exercise-habit/3047/1 "2017-12-20T16:20:41Z")
Ha! But seriously: we have an older friend with a pre-diabetes DX and he has really slowed down socially and physically. So…which came first, changes in BG or his behavior? And, how best to help him stay active? ---
**Author:** ![Michel](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/michel/32/387_2.png) [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Post date:** [January 1, 2018, 6:31pm UTC](https://forum.fudiabetes.org/t/how-to-help-prediabetic-friend-with-poor-exercise-habit/3047/2 "2018-01-01T18:31:51Z")
Sorry for taking so long to read this thread. It happened while we were in Canada. The same thing happened to me while I was spending 80 hours a week working in startups. I started neglecting my health and my social life, gained a bunch of weight etc. My doctor put the fear of God into me at one time and made me realize the mistake I was making: this realization is what got me to radically change my exercise habits. From that experience, I would say that the three things that could make a difference to him would be: - Graphic representations of suppurating unhealing diabetes injuries and amputations - The ability to do exercise in a social context with friends: regular walks with dogs, biking, whatever sports activities he has in common with local friends. - Some help with better diet and cutting carbs ---
**Author:** ![CatLady](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/catlady/32/36_2.png) [@CatLady](https://forum.fudiabetes.org/u/CatLady)\ **Post date:** [January 1, 2018, 7:02pm UTC](https://forum.fudiabetes.org/t/how-to-help-prediabetic-friend-with-poor-exercise-habit/3047/3 "2018-01-01T19:02:36Z")
> [@Michel](#): > > Some help with better diet and cutting carbs And I have offered to talk about this with him… ---
**Author:** ![cardamom](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/cardamom/32/2622_2.png) [@cardamom](https://forum.fudiabetes.org/u/cardamom)\ **Post date:** [January 1, 2018, 11:23pm UTC](https://forum.fudiabetes.org/t/how-to-help-prediabetic-friend-with-poor-exercise-habit/3047/4 "2018-01-01T23:23:16Z")
It’s hard to make people want to take advice when they just don’t. For many people, thinking about making changes means accepting what’s going on and also facing a lot of uncomfortable things and activities. If he’s rejected your help already, my suggestion would be rather than offering suggestions, just asking him open-ended questions about how he’s feeling about it and validating that, reflecting back what you’re hearing. Advanced tactics for dealing with argumentative/defensive people: playing devil’s advocate, where you state things like, “well I guess there’s just nothing that can be done about that” giving the person opportunity to argue back against you by suggesting there are options, rather than arguing against you by shooting down your suggestions. If they mention something when you do that, DO NOT switch into advice-giving mode, even if relevant—instead be like, “huh, really—what would that look like?” These suggestions are all from Motivational Interviewing, which I highly recommend checking out as an empirically supported method of getting people to move along different stages of change (precontemplation, contemplation, preparation, action, maintenance) that occur as people face making behavior changes to improve health, whether quitting alcohol/drugs/smoking or taking up exercise or changing their diet or whatever really. > **[Motivational interviewing](https://en.wikipedia.org/wiki/Motivational_interviewing)** > > Motivational interviewing (MI) is a counseling approach developed in part by clinical psychologists William R. Miller and Stephen Rollnick. It is a directive, client-centered counseling style for eliciting behavior change by helping clients to explore and resolve ambivalence. Compared with non-directive counseling, it is more focused and goal-directed, and departs from traditional Rogerian client-centered therapy through this use of direction, in which therapists attempt to influence clients to c... > **[Transtheoretical model | Stages of change](https://en.wikipedia.org/wiki/Transtheoretical_model#Stages_of_change)** > > This construct refers to the temporal dimension of behavioural change. In the transtheoretical model, change is a "process involving progress through a series of stages": > 1.Precontemplation ("not ready") – "People are not intending to take action in the foreseeable future, and can be unaware that their behaviour is problematic" | > 2.Contemplation ("getting ready") – "People are beginning to recognize that their behaviour is problematic, and start to look at the pros and cons of their continued a... ---
**Author:** ![Michel](https://yyz2.discourse-cdn.com/flex030/user_avatar/forum.fudiabetes.org/michel/32/387_2.png) [@Michel](https://forum.fudiabetes.org/u/Michel)\ **Post date:** [January 1, 2018, 11:54pm UTC](https://forum.fudiabetes.org/t/how-to-help-prediabetic-friend-with-poor-exercise-habit/3047/5 "2018-01-01T23:54:03Z")
> [@cardamom](#): > > These suggestions are all from Motivational Interviewing, which I highly recommend checking out @cardamom, as an aside, I was fascinated by the sources you gave. I will definitely look into it!