how to control your blood sugar using lean six sigma - goleansixsigma.com
TRANSCRIPT
Operational Definitions
• A1C: Measure of the average blood glucose control over the past 3-4 months. The ideal range is <6%
• Blood Glucose Level: Measure of the amount of sugar in the blood at the time of testing. Normal pre-meal is 70-130 mg/dl
• Exercise Calories: Measure of the calories expended in a day in excess of a sedentary day
• Glycemic Index: Ranking of foods based on their immediate effect on blood glucose levels
• Type II Diabetes: Condition where either the body does not produce enough insulin or the cells ignore the insulin
Project Wins
• Improved daily average blood sugar from 205 mg/dl to 125 mg/dl.
• There was a 10 lb weight loss, and a loss of 2” in pants size
• The A1C reading measurement is a median of the past 120 days. A confirming A1C test is scheduled for the end of March. Baseline A1C was 8.1, the current is 7.6 and the desired is <6.
Project Results Summary
DMAIC Approach• Reviewed Voice of the Customer (VOC) and various
methodologies on how to best control blood sugar with Type II Diabetes
• Utilized past A1C measures to establish baseline
• Analyzed data; the AM reading were higher than PM readings
• Researched best activities for Blood Sugar control and proposed increase muscle activity
• Maintained results with fitness and training plan
Define Phase
• Attempting to control Type II diabetes with medications and diet has been unsuccessful
• Problem Statement: Blood sugar levels range from 200-220, they should be less than 135
• Goal: Increase physical activity to reduce average blood sugar levels to 100-135 or an A1C of <6
Measure Phase
• Baseline data collected from previous A1C tests, measurements indicated 2-3 month Blood Sugar average and 210 was used as the starting baseline
• Data obtained from historical register of a glucose meter
• Data was filtered by rounding to the nearest multiple of 5 to create a meaningful baseline data
Analyze Phase• The following charts were used to analyze the data and support
described tendencies:
• The histogram indicates the process essentially out of control.
• A scatter plot of the “data by day” displayed no apparent trend or relationship.
• A scatter plot of the “data by the hour of the day” indicated some trends.
• A Box and Whisker plot of the data comparing the AM and PM readings revealed the AM readings were more consistent. The PM plot indicated there was a potential for a successful improvement plan.
Improve Phase• What Was Learned?
• AM and PM readings indicated that the amount and type of activity had a direct effect on the Blood Sugar Level.
• What Was Accomplished?
• Activity would be the best and most measurable option in improving the process.
• 30-40 minutes of exercise with a heart rate of at least 150 BPM, plus 10- 20 minutes of resistance weight training.
Control Phase
• After the initial 30 days a decrease in the amount of exercise was attempted to determine if the trend would be maintained with less effort.
• It was determined that 5 days of exercise per week was required, allowing for two days of rest to maintain the blood sugar levels at the desired range.
Control Phase Next Steps
• Develop a program that includes medications, diet and exercise. The inclusion of exercise allows the body to transfer sugar from the blood to the muscles, increasing the body’s insulin-sensitivity.
• Maintain the plan and obtain a desired result. The viability and level of these reductions will not be known for another 4 months.
Get Project Details
For the full project details, visit our website: https://goleansixsigma.com/how-to-control-your-blood-sugar-using-lean-six-sigma/
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