Diabetes Guidelines

Part 2

BUT ALL CAN BE PREVENTABLE.

(Continued from Part 1) Although these startling numbers represent undeniable facts and a reflection of the real suffering the majority of diabetics go through BUT THIS DOES NOT HAVE TO BE YOUR FATE.

YES YOU CAN PREVENT ALL THESE DEADLY COMPLICATIONS!!!

Now I got you thinking!! “ Wait a minute! Are you saying that as a diabetic I have a say in avoiding all of these horrible outcomes?”

THIS IS A BIG ABSOLUTELY YES!!! AND WE (health professionals) HAVE THE EVIDENCE TO PROVE IT.

If it weren’t the case then you would not be receiving this report and I would not have spent the last 21 years during my pharmacy practice successfully counseling patients on how to do so and would not have spent the last 4 years of my life writing “Lifestyle Makeover for Diabetics” which gives ALL diabetics (newly diagnosed or not) ALL the tools they need to manage ALL aspects of diabetes control, prevent its complications, enjoy and expect a natural lifespan and best quality of life, ALL in a single volume.

If diabetes and its deadly complications were not manageable and preventable then the American Diabetes Association (www.diabetes.org), the World Health Organization (www.who.int) and all other governmental health agencies would not be making every effort and take every opportunity with whatever means at their disposal to send the message out that diabetes is manageable and preventable.

The next question that could cross your mind would be: “If diabetes and complications are manageable and preventable then why are these devastating statistics so high, why the numbers keep on climbing and what is fueling all this?”

Answer: The main culprits fueling this ever growing epidemic and making it worse is none other than EXCESS WEIGHT, INACTIVITY and SMOKING.

Yes, people own daily choices, misinformed actions or inactions are the main contributors to this terrible outcome. What people bring home from food stores, what snacks they choose at home or work, how much activity they do during each day or the total lack of it are highly contributing factors. Whether people make any uninformed personal decisions about their medications, whether they appropriately monitor or don’t monitor their vital and crucially important parameters which could lead to blood sugar, cholesterol and blood pressure levels rising unnoticed and unleashing a fury of deadly complications.

Whether diabetics lead highly stressful lives and not do anything about it combined to whether they are smokers and continue to smoke, whether they take no actions or misinformed actions or buy into the “Diet” myth as solutions to their excessive weight, whether they buy into myths that diabetics have to be deprived of sweets for the rest of their lives (as a consequence most lash out and they start overeating sweets and everything else) and whether they act like their health is solely the responsibility of their doctor, ARE ALL PREVENTABLE FATAL FACTORS that each and every diabetic CAN AND MUST change to their favor.

During my 20 years in pharmacy practice, I passionately cared, counseled and helped people who are diabetics, have other chronic conditions such as high cholesterol and blood pressure, heart disease and those who are smokers, obese and have excess weight and leading a sedentary lifestyle.

Out of all these conditions, diabetics have to worry about many more issues and act on them all at the same time before they can bring diabetes complications to a halt. Not only that but the vast majority of diabetics suffer from any or all of the chronic diseases (mentioned in the previous paragraph) and to add fuel to the fire the overwhelming majority make unfavorable lifestyle choices, which to no one’s surprise worsens diabetes control. These are all complex and numerous issues for any layperson to deal with.

The end result brings the sad reality that out of every 10 diabetics ONLY 1 or 2 diabetics have their condition under control. The rest suffer deadly complications, succumb to diabetes and become part of the heart breaking statistics mentioned previously. These were sad findings that I witnessed every day during my pharmacy practice and are confirmed by reliable statistics.

I am no bearer of bad news or using scare tactics. I am not here to deliver glooming and bad news either and this is no scare tactic. I am just delivering reality, facts and a lot of hope.

Hope? You might ask! How can there be hope after all this bad news? Yes, I am here to tell you that YOU can control diabetes and bring it under control and prevent ALL of its deadly complications.

(To be continued in Part 3)

For more detailed information on any of these topics log on to: www.LifestyleMakeoverEbook.com and check out these information packed lifesaving book and e-book volumes: LIFESTYLE MAKEOVER FOR DIABETICS AND PRE-DIABETICS and 4 other e-books: Lifestyle Makeover: Sex, Stress, and Alcohol , Lifestyle Makeover for All Couch Potatoes , Lifestyle Makeover: Defeat High Cholesterol and Blood Pressure , and Lifestyle Makeover for all Tobacco Users . The author of this article is also the author of these volumes

Test your knowledge on these various issues and take a simple True and False quiz by logging on to: www.LifestyleMakeoverEbook.com

Copyright © 2008 by George Tohme All rights reserved.

George Tohme
http://www.articlesbase.com/health-articles/the-5-common-deadly-mistakes-diabetics-make-and-how-to-avoid-them-part-2-684189.html

Back in March of 2005 the results of the Diabetes Prevention Program were released by the American Diabetes Association. This study was conducted nationwide at 25 medical centers and tracked thousands of potential diabetics who were given a lose the fat diabetic diet and exercise plan. Everyone in the study group was pre-diabetic, meaning they all suffered from high blood sugar levels that were higher then normal but not in the diabetic range. Half of all people diagnosed with pre-diabetes will eventually become type 2 diabetics if left untreated.

There were two groups of people is this study. One half of the participants were given only dietary recommendations to follow. The other half were given the same diet but were also asked to exercise 5 times a week for at least 30 minutes per day.

The results of this study were unexpected. Those pre-diabetics who exercised along with following the diabetic diet reduced by 58% their risk of developing diabetes. The reason for this was simple; they lost weight because of these lifestyle changes. Researchers found that exercising and losing weight had the direct effect of lowering blood sugar levels to normal, which wasn’t thought to be possible.

It is thought that weight loss for those with pre-diabetes helps prevent the onset of diabetes but it also helps to reverse the damage to insulin producing cells caused by obesity. Depending on how much you weigh it was found that losing 5% to 7% of your body weight can make a difference.

The key to this diet is eating healthy foods that not help the pre-diabetic lose weight but also keep the weight off. The American Diabetes Association recommends a daily diet that consists of the following.

* Grain – 6-11 servings per day (Bread, Cereal, Rice, Pasta)
* Vegetables – 3-5 servings per day
* Fruits – 2-4 servings per day
* Milk – 2-3 servings per day
* Meat – 4-6 ounces per day (Meat, eggs, fish, dried beans, nuts and peanut butter)
* Fats, Sweets, Alcohol – Occasional treats

Not only is this diet recommended for diabetes but it is also endorsed by the American Heart Association to help combat the risks for heart disease. This points out how important it is to eat healthy and follow a fat loss diabetic diet and exercise program.

Andrew Bicknell

When the topic of women’s health care is raised, the first disease that comes to mind is probably breast cancer. But surprisingly, that’s not the number one health care issue confronting women today. In fact, heart disease kills more women each year than all forms of cancer combined. By knowing the most significant risks in women’s health care and what you can do to combat these health care issues, women of all ages can take a proactive approach to leading healthier lives.

The #1 Women’s Health Care Issue: Heart Disease More than 489,000 American women lose their lives each year as a result of heart attacks, strokes, and other cardiovascular diseases. In fact, more women than men die from heart disease each year. Until recently, little research focused on women and heart disease, but the good news is that’s no longer the case. From research into the effects of hormone replacement therapy on heart health to studies of how cholesterol-lowering medications work in women, there’s an unprecedented increase in the amount of information available to women working to live with and ward off heart disease.

Experts at the Mayo Clinic offer simple common sense advice to women (and men) in the fight against heart disease: don’t smoke, eat a diet low in fat and rich in fruits, vegetables, whole grains, and low-fat dairy products, exercise at least 30 to 60 minutes a week, and maintain a healthy weight.

In addition, they encourage women to see their family doctor each year for a physical which includes blood pressure and cholesterol screenings. Studies indicate that there is a 46% increase in stroke risk for women for each 7.5 mm HG increase in their diastolic blood pressure, so monitoring blood pressure and controlling hypertension are vital.

Women who suffer migraines, are pregnant, have atrial fibrillation and those with the auto-immune disease Lupus also appear to run a greater stroke risk. Diabetes is another women’s health care issue with a direct impact on heart health. The American Heart Association notes women with diabetes have a two to six times greater risk of heart disease and heart attack and are at a significantly greater risk of suffering a stroke. All of these risk factors make an annual visit with your doctor one of the best ways women can manage and improve the health of their hearts.

Cancer Concerns: The Second Deadliest Health Care Issue Women Face While breast cancer is often at the top of the list of health care issues for women, several other types of cancers also pose a significant threat to women’s health. In this country, one in eight women will be diagnosed with breast cancer during her lifetime according to current data which means that a little more than 2 million women are currently living with breast cancer in the U.S. But melanoma, a form of skin cancer, actually kills more young women than any other cancer according to statistics provided by the Skin Cancer Foundation. In fact, melanoma is the most common form of cancer in women between the ages of 25 and 29 and its incidence has tripled in women under 40 in the last thirty years.

Ovarian cancer is another women’s health care concern. Usually symptomless until it is widespread, this disease is the fourth most frequent cause of death for American women. The American Cancer Society estimates 26,000 new cases of ovarian cancer diagnosed each year. Unfortunately, there are few definitive screening tests that detect this disease, but experts advise a thorough annual gynecological exam and for women to be alert to pelvic pain and pressure, low back discomfort, mild nausea, and an increase in constipation or gas. A serum CA-125 blood test can detect certain forms of ovarian cancer, but the test is not accurate enough to be used as a routine screening tool.

The rate of women suffering from cervical cancer has dropped a great deal over the years, thanks in part to the increase in the number of women who get an annual Pap smear which can indicate the presence of abnormal cells on the cervix. It’s a strong argument for making sure you never skip your Pap smear. Women who have had Human Papillomaviruses (HPVs), herpes simplex virus, those with suppressed immune systems, and those who have had multiple sexual partners run a greater risk of cervical cancer. On the prevention front, a recent trial of a vaccine against cervical cancer was 100% effective in the short term at blocking the disease.

Psychological Well-being: A Growing Health Care Issue for Women In the field of women’s health care, psychological problems, which include eating disorders, depression, and anxiety disorders, affect millions of American women. From coping skills to medications to alternative and complementary medical approaches, there is a growing body of knowledge being brought to bear on this important health care issue.

More than 19 million people in the United States, the greatest percentage being women, live with anxiety disorders that disrupt their lives. The different types of disorders within this group include generalized anxiety disorder, panic disorder, obsessive-compulsive disorder, and phobias. Treatment options include talk therapy and a wide range of medications that can quell the symptoms of the condition. Many women also combine alternative approaches to treatment such as acupuncture, meditation, and diet modification with traditional forms of treatment.

According to the American Psychological Association, women are almost twice as likely to suffer from major depression as men. In fact, some experts in the field have called depression the most significant mental health risk for women, especially those in their childbearing and rearing years. Studies have found that married women and mothers are especially vulnerable to depression. It’s important for a woman who feels she may be suffering from depression to be carefully evaluated by a physician because the source of the depressive symptoms could be birth control pills, hormone replacement therapy, or thyroid disease. Treatment for depression, like most other psychological conditions, includes talk therapy and medications. Some women also find relief in alternative medicine with herbal supplements, meditation, and other complementary techniques.

Though many of the women who struggle with eating disorders are in their teens and twenties, these conditions also affect women at other stages in their lives. Anorexia, bulimia, and binge eating are the most well-known forms of eating disorders. Statistics show that one out of every one hundred girls between the ages of 10 and 20 is anorexic, 4% of college-aged women are bulimic, and 1% of women are binge eaters. The root causes of these diseases include stress at home and at school or work, depression and anxiety, major life changes like a divorce or death, and physical and sexual abuse. Breaking out of the cycle of eating disorders requires a combined approach to this health care issue including psychological treatment, nutrition counseling, and in some cases, hospitalization.

A Holistic Approach to Women’s Health Care As women become more proactive about their health, many seek a holistic approach to improving their well-being and fighting disease. But coordinating information among several health care providers, keeping on top of the latest breakthroughs in health, and finding the United States’ best doctors is a daunting task for any women.

Some are turning to private professional health care advocates, like those available at PinnacleCare, to help them achieve their goal of a whole-woman centered approach to health care issues. From compiling and electronically storing comprehensive medical records to researching treatment options and providing accelerated access to the United States’ top doctors, PinnacleCare’s health advocates make a holistic approach to health care possible.

"I passionately believe that what our PinnacleCare Members experience is the way healthcare ought to be delivered," explains John Hutchins, PinnacleCare’s Managing Director. "The healthcare system has gotten so complex that most people are at a loss to find their way through it without professional guidance and objective counsel."

www.thearticlepad.com

published articles

R.Gitcher
http://www.articlesbase.com/health-articles/womens-health-care-742933.html

Carbs are a part of nearly every dieter’s vocabulary. A number of diets are famous for fighting carb consumption. But you should know that not every carbohydrate is created alike. While it is true that you can lose weight by cutting carbs, carbs are also necessary for a good diet.

To begin with, we should define our terms. Carbs are derived from a number of different sources. They are present in bread, pasta, fruits, and vegetables. There are also a number of different types of carbs. For instance, carbs come in the form of sugars, starches, and fiber.

For the most part, the digestive system divides carbs into sugar molecules which can be taken into the bloodstream. The majority of carbs are transformed into glucose or blood sugar. In this way, carbs provide energy for our bodies.Those who lack sufficient carbs in their diet may suffer from fatigue.

Carbs can be filled with nutrients. For instance, fruit contains vitamins A and C, fiber, and folate. Vegetables are also a good vitamin and fiber source; in fact, they usually contain a greater variety of minerals than other foods do. Whole grains can provide you with fiber, protein, and B vitamins. Legumes can provide you with protein, iron, and potassium.

But carbs can also be potentially bad for your health. For instance, cookies, potato chips, and soft drinks also contain carbs in the form of sugar and flour. You should know that refined carbohydrates have been linked with diabetes and heart diseases, making these carbs a dangerous choice.

There are a number of good reasons to ban these carbs from your diet. For instance, they are extremely high in calories and offer little in the way of nutrients. Because they contain no fiber, they will not keep you satiated. In fact, such carbs offer you zero nutrients, but plenty of fat.

Therefore, you should avoid processed grains and sugars. Instead, eat whole grains, fruits, and vegetables to maximize your nutritional intake.Instead of eliminating carbs completely from your diet, simply ban those that increase the size of your waistline.

There is another way to think about carbs. You can generally divide them into two categories: simple and complex. A simple carb, such as sugar, promotes weight gain. As a result, you should select low-sugar foods, especially low-sugar beverages. In contrast, complex carbohydrates promote weight loss.

Health experts recommend that dieters consume between 55 and 65 percent of their calories from these types of carbs. Such carbs include fruits and vegetables and a number of other natural foods.

But it isn’t enough to simply eat fruits and vegetables. You also need to avoid fattening sauces and condiments such as mayonnaise and butter. By adding butter to your broccoli or mayonnaise to your potatoes, you can raise the calorie amount exponentially, sabotaging your diet.

The U.S. Department of Agriculture promotes a food pyramid that recommends as many as eleven servings of bread, pasta, and cereal. However, a number of dieticians are suggesting that Americans should cut the carbs – period. In one poll, 81 percent of the respondents said they were abiding by a low-carb diet.

It is interesting to point out that neither the American Heart Association nor the American Diabetes Association believes that the glycemic index should be considered when following a weight loss plan. While the Diabetes Association concedes that various foods offer different glycemic responses, the Association’s leaders believe the most critical factor is the number of carbs rather than the form of the carbs consumed.

Granted, dietary information about carbs can be confusing. However, a number of dieticians say that, while you might not want to cut carbs out of your diet entirely, you should eat carbs only in moderation.

Health experts also say that you should limit your carb intake to good carbs and pass up the bad ones.By following such a plan, you should have energy – but you shouldn’t pack on the weight. It may be difficult at first to follow such a diet plan, since many of us are conditioned to eat bad carbs in order to elevate our moods. In time, however, you may find that you enjoy the fruits and vegetables you’re eating, and you may not even miss those tortilla chips.

Paul Hata
http://www.articlesbase.com/nutrition-articles/carbs-the-good-the-bad-and-the-healthy-523043.html

Nowadays, almost all of the products that are purchased like food and drinks have labels containing necessary nutrition information. The necessary nutrition facts include servings per container, serving size, calories per serving, calories from fat, total fat, polyunsaturated fat, potassium, sodium, cholesterol content, dietary fibres, carbohydrates, protein content and sugars.

Additional facts on nutrition include mineral content which are solid homogenous and inorganic substances that are found in nature. Vitamin-content is also an important part of each label.

Additional ingredients may also be included on the list. Most of these nutrition data are based on a 2,000-2,500 calorie diet.

Breaking the Common Notion

Scientific knowledge and nutrition are the bases for nutrition facts. Most consumers are confused over carbohydrates and calorie-content on foods. Some have the notion that carbohydrates cause weight gain when in fact, carbs are meant to fuel the body by powering up each cell. Carbohydrates are made up of oxygen, hydrogen and carbon. Carbohydrates are found in foods such as vegetables, milk, honey, fruits, syrups, sugars, and grains.

Tips on Reading Labels

It would surprise you that reading food labels also involves basic computations such as subtraction, addition, multiplication and division. Knowing how to read labels on foods will enable you to make a knowledgeable decision as to whether or not a certain product would be beneficial for you.

It is always best to read food labels from top to bottom. The top portion often lists the amount which makes up a single serving. The next figure lists the total servings that are included in the package. Moving down the list, you would notice that you will see the exact amount of calories, fat, sodium and other nutrients. To the right of these nutrients, you would find the percentage of daily value that is required for these nutrients.

Not all of these percentages apply to you (or even to a majority of people) so don’t get too concerned over the percentages. What you should be looking for are the vitamins and minerals that the product contains.

When you are concerned about weight loss, you must be concerned about the number of calories that each product would contribute. The sodium content is the next thing that you should be worried about (eating too much sodium would make your body store extra fluid, thus, you will look bloated).

Understanding Daily Values

Daily values are an important part of the nutrition label. They are the best guide that you can have toward healthy eating and they can replace the U.S. Recommended Daily Allowances. Daily values are listed for 2,000-2,500 calorie consumption each day. If you are required to eat less, then your personal daily value may be lower (if you are required to eat more, then your daily values should also be properly adjusted).

The percentage of daily value is a good tool to check a food’s nutrient content. According to the USFDA, the American Heart Association, and the American Diabetes Association, these are the nutrient daily values for 2,000 and 2,500 calorie consumptions:

Total fat
Less than 65 grams for 2,000 calorie diets
Less than 80 grams for 2,500 calorie diets

Saturated fat
Less than 20 grams
Less than 25 grams

Cholesterol
Less than 300 milligrams for both diets

Total carbohydrate
Less than 300 grams
Less than 375 grams

Sodium
Less than 2,400 milligrams for both calorie diets

Fibre
25 grams
30 grams

Understanding the contents of labels would be tantamount to knowing the value of nutrition that you would be consuming so take time to read the next time you purchase any type of food.

Benedict Smythe

Cardiovascular care in America is spiraling out of control.  We are now spending more than one hundred billion dollars a year for treatment and management of cardiovascular catastrophes (heart attack, stroke and diseases of the vascular system). This extraordinary amount of money is spent on victims of a disease that is largely preventable.

In The Great American Heart Hoax I have outlined the problems of cardiovascular care in America that is draining our healthcare dollars and contributing to our financial collapse.  In addition, I point out key areas of wasteful spending on expensive and risky diagnostic studies as well as procedures that are of no benefit to the millions of Americans who fall prey to the cardiovascular intervention industry.  What may surprise you is what you believed to be the ultimate of cardiac care in this country is often unnecessary and dangerous.

Examples of inappropriate cardiovascular care are summarized below:

1. Coronary angioplasty and stent insertion: While coronary angioplasty (the opening up of a blocked artery with a catheter device) and stent placement can be indicated and potentially lifesaving in acute coronary syndromes such as heart attacks, utilizing this technology in stable patients who have coronary blockages is inappropriate and has never been shown to reduce the risk of future heart attack or prolong life as compared to more conservative therapy (lifestyle changes and medications as indicated).  Indeed balloon angioplasty and stent placement can often lead to an increase in cardiovascular morbidity and mortality compared to an intensive prevention approach.  Despite this well-researched fact the cardiovascular intervention industry continues like a freight-train out of control.  This year over one million stents will be inserted in patients across America and many of these procedures are clearly not indicated.
2. Heart bypass surgery (also called coronary artery bypass graft surgery): like catheter-based intervention, heart bypass surgery is clearly indicated in select unstable patients, however bypass surgery is over-utilized in the majority of patients with obstructive coronary artery disease.  Major clinical trials have failed to show a benefit in clinical outcome in the vast majority of stable patients treated with bypass surgery.
3. CT-Scans: While CT scans are often necessary in unstable patients in the emergency room as a diagnostic modality, the proliferation of this technology to screen Americans for coronary artery disease is inappropriate and leads to a depletion of our valuable health care dollars.    There is no evidence that subjecting yourself to a CT scan will lower your risk of having a heart attack or prolong your life.  Most disturbing is the fact that these procedures subject unsuspecting men and women to excessive radiation exposure which stays with them for a lifetime and increases their risk of cancer.  At the end of the day ask yourself the following question: do I need to pay a large sum of money and be bombarded with a significant dose of radiation just to be told to do what I should be doing anyway?   Follow a healthy-lifestyle with optimal nutrition, regular exercise, stress management and smoking cessation.
4. Stress-nuclear studies: As with CT scans, stress nuclear studies are expensive and lead to significant amounts of radiation exposure via intravenous radioisotopes.  These tests should be avoided in the stable population.  If a stress test is recommended with imaging why not choose a stress-echo study which is less expensive than a stress-nuclear study and utilizes harmless sound waves to provide similar information?
5. Cardiac catheterization: Another expensive diagnostic tool that carries a multitude of significant risks.  These risks are justified in unstable patients however this procedure should not be performed indiscriminately on stable individuals.

The Solution

There is a better road we can walk down that will provide us with a lifetime of heart health.   This road is called progress road and it costs a fraction of the journey down the dead-end road, with excessive interventions and diagnostic studies that don’t improve clinical outcome.  Progress road is truly the biggest bang for the buck! 

Progress road utilizes clinically proven prevention rather than needless intervention to keep us healthy and lowers our health care costs that cripple the financial health of America thereby impeding our ability to compete in a global economy. 

It consists of:

1. A heart- healthy Mediterranean-style diet.
2. Regular exercise:  30 minutes of walking should be considered a daily routine.
3. Stress management:  Simple techniques such as yoga, breathing exercise or relaxation response training can serve to lower our blood pressure and pulse and protect us from vascular insults such as heart attacks and strokes.
4. Control cholesterol:  Following a Mediterranean-style diet will significantly lower cholesterol levels in the majority of Americans.  Judicious use of medications such as generic statins could also be utilized if required.
5. Blood pressure control:  Blood pressure can be managed with lifestyle changes (Mediterranean diet, exercise, smoking cessation and stress management).  Blood pressure medication should be used in select patients if lifestyle changes do not achieve goal.
6. Avoid metabolic syndrome and diabetes:  again diet and exercise are key to prevent or reverse these conditions.
7. Achieve ideal body weight.
8. Lower inflammation and oxidative stress: a Mediterranean diet, regular exercise, weight control, avoiding pollution and pesticides, good oral hygiene (daily flossing) all serve to lower inflammation and free radical induced oxidative stress that leads to cardiovascular disease.
9. Have a routine physical exam with comprehensive blood work: an ongoing relationship with your personal treating physician to discuss prevention strategies is key. Get the proper screening blood studies to uncover hidden risk of cardiovascular disease.
10. Avoid unnecessary procedures that increase the cost of medical care and do not lead to improved clinical outcomes.

At this critical juncture, we have to decide what is best for the health and wealth of the citizens of this country.  Will it be business as usual with indiscriminate utilization of diagnostic and interventional procedures that cost billions and don’t improve the overall health of Americans or do we want a health care system that is affordable and delivers preventive care that gives us the biggest bang for our buck?  I think the answer is clear.  The Great American Heart Hoax chronicles all that is wrong with our current health care system for cardiovascular treatment and it also delivers a concise, practical and clinically proven 10- step approach that can lead us to the promise land of affordable health care, fewer heart attacks and strokes and freedom from a misguided cardiovascular intervention industry that is sabotaging our financial and medical well-being.

Copyright © 2009 Michael Ozner, M.D., author of The Great American Heart Hoax: Lifesaving Advice Your Doctor Should Tell You About Heart Disease Prevention (But Probably Never Will)

Author Bio
Michael Ozner, MD, FACC, FAHA, author of The Great American Heart Hoax: Lifesaving Advice Your Doctor Should Tell You About Heart Disease Prevention (But Probably Never Will), is one of America’s leading advocates for heart disease prevention. Dr. Ozner is a board-certified cardiologist, a Fellow of the American College of Cardiology and of the American Heart Association, medical director of Wellness & Prevention at Baptist Health South Florida and a well-known regional and national speaker in the field of preventive cardiology. He is the medical director of the Cardiovascular Prevention Institute of South Florida and symposium director for “Cardiovascular Disease Prevention,” an annual international meeting highlighting advances in preventive cardiology. He was the recipient of the 2008 American Heart Association Humanitarian Award. Dr. Ozner is also the author of the BenBella Books title The Miami Mediterranean Diet.

Michael Ozner, Md, Facc, Faha
http://www.articlesbase.com/health-articles/the-great-american-heart-hoax-economic-and-political-implications-738679.html

To compare the role of glibenclamide and pioglitazone drugs in type 11 non- insulin dependent diabetes mellitus patients.

Introduction:-

Diabetes comes from the greek word for ‘SIPHON” which one is the first term and implies for a lot of urine is made .The trm “mellitus” comes from a laton word, “met” which means “honey” and was used because the urine was sweet (Wheeler,2004)

Diabetic ketaocidosis is one of life threatening condition requiring some data hospitalization and treatment. Recognition of this condition is of almost importance, because even small delays can have an impact on survival (Nattrass, 2006). Hypoglycaemia are involved in insulin induced episodes in individuals with diabetes. Probably the major factor prescribing, insulin treated patient from achieving the glucose targets needed to prevent diabetic complications. The incidence of hypoglycaemia reflects the inadequancy of current mathods of insulin delievery which lead ot inappropriately high insulin concentration, particularly some persons after eating more foods at night onset of blindness and also a major risk factor heart disease and stroke

(Heller, 2003).

TYPES OF DIABETE MELLITUS

Type II diabetes is a complex metabolic disorder associated with, b -cells dysfunction and with varying degree of insulin resistance primary pathogenic factors leading insulin resistance leading to type 2 diabetes and decreased insulin, secretion which arise from abnormalities with in liver, skeletal muscle and pancreatic b -cells (charles & clark, 1996).

GESTATIONAL DIABETUS MELLITUS

SECONDARY DIABETUS MELLITUS:

Secondary diabetes is due to disease of the pancreatic and endocrime system, genetic disorders, or exposure to chemical agents.

Type – I diabetes formerly known as insluin dependent diabetes mellitus (IDDM), is characterized by the destruction of the pancreatic beta cells that produces inslulin

Type – I diabetes formerly known as insulin dependent diabetes(IDDM),is characterized by the destruction of pancreatic beta cells that produces insulin.Type-1 diabetes occures most often in children and young adults but it can occures at any age.(Anderson et al 2007).

Type-11 diabetes is not straight uprward. A pancreas that does not produce enough insulin. Liver that release too much glucose,muscle cells that do not readily take in glucose.(Carren 2008)

Many genetic factors are involved in the development of diabetes.Because of new genetic methodology researchers are closers to identifying all of the cadidate gene for both non –insulin dependent and insulin dependent diabetes(Bernhard,1995).

Woman who had gestation diabetes are more likely to develop Type-11diabetes themselves.Pergnant women with diabetes are another disadvantaged group.They need much more intensive antenatal care and close monitoring of blood sugar,blood pressure and weight.(jawed2006)

Over weight children the progression of child obesity into adulthood is associated with early develop of complications, including IgpG2 diabetes and cardiovascular disease.Type diabetes is the most common clinical form of diabetes accountingforabout 90% of all cases,it is currently undergoing world wide epidemic. Type 11diabetes mellitus is caused by body’s infective use of insulin, it is often results from excess body weight and physical inactivity(WHO 2007).

PREVALACES& IINCIDENCE

:

Diabetes mellitus increases with aging, in 200 the prevalance of diabetes,it was estimated to be 0.19% people<20 years old and 8.6% in people>20 years old.There is considered geographic variation in the incidence of both type-1 and type-11 diabetes mellitus.Scavandinvian has the highest incidence of type-1 diabetes mellitus e.g in Finland, the incidence is 35/100,000 per year the pacific rim has a much lower rate in japan and china the incidence is 1 to 3/100,00 per year of type-1 diabetes mellitus, Northern Europe and the United States share an intermediate rate (8to17/100,000 per year).The prevalence of type 11 diabeties mellitus is highest in certain pacific island, intermediate in countries such as India and the United States, and relatively low in Russia and China.This variability is likely due to genetic, beharioral and enviromental factors(Power 2005).Diabettes mellitus prevalance also arises among different ethic population within a given countries it is common inall ethnic groups its prevalance increased with age and more than 5% of individuals of more than 65 years of age have diabetes mellitus (David Owerback 1988).The World wide prevalence of diabetes mellitus has risen dramatically over past two decades.The prevalence of type11 diabettes mellitus is expected, type 11 diabetes mellitus is more prevalent among Hispanies Native Americas,African,American,and Asians, pacific Islanders than in non- Hispanic whites,the incidence is essentially equal in woman and men in all populations. Type 11 diabetes is becoming increasingly common because people are living longer,and the prevalence of diabetes increases with age it is also seen more frequently now than before in young people, in association with the rising prevalenceof childhood obesity although type11 diabetes still countries with the estimated nubers of cases of diabetes in 2000and 2030.

Rank Country

2000 Individuals country with diabetes (milloins)

Country

2030 Individuals with diabtes (Million)

India

31.7

India

79.47

China

20.8

China

42.3

USA

17.7

USA

30.3

Indonesia

8.4

Indonesia

21.3

Japan

6.8

Pakistan

13.9

Pakistan

5.2

Brazil

11.3

Russian federation

4.6

Bangladesh

11.1

Brazil

4.6

Japan

8.9

Italy

4.3

Philippines

7.8

Bangladesh

3.2

Egypt

6.7

(Wareham& FOROUHI 2OO6)

DRUG TREATMENT OF DIABETIES MELLITUS

:

Biguanides lower blood glucose, they increase glucose uptake and utilize in skeletal muscle there by reducing insulin resistance, and reduce hepatic glucose production (gluconeogenesis).Lower blood glucose, addionally reduces low denisity and very low denisity lipoproteins (LDL and VLDL) respectively. Metformin has a half life of about 3 hours and is excreted unchanged in the urine.Clinically metformin used in type 2 diabetic who are obese and who fail treatment with diet alone.Adverse effects are produced dose related gastrointestinal disturbances e.g anorexia,diarrhoea,nausea,lactic acidosis rare but potentially fatal toxic effect.(Dale,2003).

Improving insulin sensitivity by activating certain genes involved in fat synthesis and carbohydrate metabolism Rosigilitazone and Piogiltazone are currently approved.Thiazolidinediones. Thiazolidinediones do not cause hypoglycemia when used alone,although they are usually taken in combination with sulfonylurease.

In some incouraging studies, thaiazolidiniones have produced very favorable effects on the heart, including reducing blood pressure and improving triglycerides and cholestrol levels including increasing HDL level,the good cholestrol. They may also block a molecule called 11 Best HSK that may play a significant role in metabolic syndrome,as well as diabetes type11. One study also sugessted that Rosiglitazone may even improve beta cells functions and so help prevent progression of diabetes.Anemia, weight gain, increased risk of fluid buildup, may worson heart failure.Troglitazone,was withdrawn after a few reports of heart failure.Liver failure abd death.Current Thiazoldinediones don not appear to pose the same effects on the liver although there have been a few reports of liver injury.

In patients with dietry failur the choice of a sulfonylurea agent or insulin therapy has been controversial and empric in favour of insulin therapy are the studies, who reported marked improvement post receptor diagnostic after intensive short term therapy in untreated type 2 diabetes mellitus (Scarlett et al,1984) Sulfonylureas further classified into two groups or generations based on their potency,duration,drug interaction,side effects profiles. Sulfonylureas enhance insulin action in cells in culture and stimulate the synthesis of glucose transporters (Jacobes et al 1998).A sulfonylurea drug should normally be the insulin secretagogue of choice, NICE (National Institute for Clinical Excellence) also recommends that a generic ,drug should be perscribed (Scsade et al1998).

RESEARCH DESIGN AND MATERIAL AND METHODS:

This study was conducted in the deprtment of Pharmacololgy and Therapeutics,Basic Medical Science Institute,Jinnah,Postgraduate Medical Centre,karachi under kind supervision od DRr:GhulamRsool Mashori,Associate Professoer and Head OF Department Of Pharmacology and Therapeutics in colloboration with Medical Outpatient Department Unit111 and Filter Clinic, Medical Department, JPMC,Karachi.

Seventy NIDDM (type-II)diabetic patients were initially enrolled in the study from the filter clinic/ out patient department Medical Unit III ,and diabetic clinic.Out of this 60 diabetic patients were associated in whole period of study, remaining 10 patients were dropped due to poor comlpiance or change in residential place.All the patients were divided in two main groups,groupI and in group II these patients were selected in this study according of inclusion and exclusion criteria.

INCLUSION CRITERIA

:

• Newly diagnose patients of non Insulin Dependent Diabtes Mellitus.
• Diagnsed patients of diabetes also including having no any history medication.
• Having either sex of age between 30 to 60 years.
• Diagnosed patients who were Non Insulin Depedent Diabetes Mellitus who were treated with Pioglitazone.
• Diagnosed patients who were Non Imsulin Depedent Mellitus, who were treated with drug Glibenclamide.

EXCLUSION CRIRERIA

:

• Patients suffering from blood pressure.
• Patients suffering from liver disease.
• Patients suffering from cardiac disease.
• Pregnancies and lactating women.
• Patient suffering from renal disorders.
• Patients having serious complications.

MATERIAL:

1. Lacets.
2. Lancet Hlder(Abbots easy touch TM2 lot 03 Asee).
3. Glucometer(Medisense) optilim one touch(Abbotts).
4. Blood glucose nest trpis (IVD for Invitro diagnostic use (Abbott Labortries,Medisense UK Ltd,Abigngdon,Ox14ITR,Masde in UK). Stored between minimum 30?, (4°-30° C) and Maximum 40°C (39°-86°F).
5. Weight Machine Model No 1101 Lot No.312. TANTIATA.

DRUGS

Tab:Daonil 5 mg (Aventis Pharma)

Drug category:Sulphonylurea.

Generic Name: Glibenclamide.

MFGLIC:No.000007 RegistrationNO.000220

MFG Date:0-06

EXP Date:7-10

Lot NO:B230

Tab:piozer (Hilton Pharm) PvtLTd.

Tab:Poizer 15mg

Drug category:Thaiazolinedione.

Generic Name:Pioglitazone Hydrochloride.

MFG LIC: O.000136 Registration No.03270

MFG Date:3-06

EXP Date:3-o9

Lot No:6287

Tab: Poizer (Hilton Pharma)pvt ltd.

PARAMETERS:

Fasting Blood Sugar (FBS).

Random Blood Sugar (RBS).

Weight.

Key words:Diabetes mellitus,Non-insulin diabetes mellitus,Insulin depedent diabetes mellitus, Daonil,poizer,Insulin.

RESULTS:

Table 1

Weight and Blood Sugar level observed on baseline day 0

In group1 and group11

Group 1

Group 11

Pioglitazone n=27

Glibenclamide n=33

Weight

63.37

+ 2.25

¯

62.7

+ 15.56

¯

Fasting Blood Sugar

172.7

+ 13.32

¯

188.42

+ 12.o5

¯

Random Blood Sugar

285.11

+ 15 .532

¯

284.18

+ 17.07

¯

All Values are expressed in Means± SEM.

FIGURE-1 weight and blood sugar levels observed on baseline (day-o)

In table No shpwing the weight (KG’S) and blood sugar (msg/dl0 levels which is observed on baseline (day-0) in both groups 9group: 1 & group11)

Group: 1 Weight in (Kg’s) mean + SEM) IS 63.37±2.25 Fasting blood sugar 172.7±13.32,and Random

blood sugar 285.11±15.32

Group:11

Weight (KG’s0 (mean +SEM)62.7±1.56 Fasting blood sugar (mg/dl0 188.42±12.05, Random blood sugar is 284.18±17.03.

Figure 2: showing the weight and blood sugar levels observed in base line (day-0) in group: 1 and group 11 weight in 9kg’s) its mean values are 63.37,62.7, Fasting blood sugar in (mg/dl) is 172.71, 188.42 Random blood sugar (mg/dl) is 285.11 &284.18.

TABLE: 2

Peroidic Observation In All Parameters Group1

Goup1(Pioglitazon) n=27

P-value

Day-0

Day-45

Day-90

Day-0to45

Day-45-90

Weight

63.37

±2.25

63.63

±2.26

63.63

±2.23

>0.05

(NS)

>0.05

(NS)

Fasting blood sugar

172.7

±13.32

165.04

±8.98

153.37

±7.59

>0.05

(NS)

0.05

(NS)

Randomblood sugar

285.11

±15.32

279.78

±13.63

255.56

±12.65

>0.05

(NS)

>0.05

(NS)

All values are expressed in Mean±SEM .(NS) Non significant.

Showing the periodic observations in all parameters in group 1 (piogiltazone) (n+27) weight P.value (day 0 to day 45)>0.05 (NS). Fasting blood sugar >0.05 (NS) Random blood sugar >0.05 (NS) P.values day 90 weight >0.05 (N.S), FBS>0.05 (N.S) 7RBS >0.05(N.S) NON SIGNIFICANT

FIGURE:2 Showing the periodic observation in all parameters in group 1 on day0 day 45& day-90.Mean values in weight (Kg) is 63.37,63.26,63.63, fbs (mg/dl) 172.7,165.04,153.37,RBS(mg/dl) 285.11,279.78,255.56.

TABLE NO3

Peroidic Observation in All Parameters Group11

Group 11 (Glibenclamide)

N=33

P-value

Day-0

Day-45

Day-90

Day-0 to 45

Day-45 to 90

Weight

62.7

±1.56

65.64

±2.10

64.55

±1.92

>0.05(NS)

0.05(NS0

Fasting blood sugar

188.42

±12.05

168.45

±10.99

140.06

±5.68

>0.05(NS)

>0.05(S)

Random blood sugar

284.18

±17.03

220.12

±13.39

170.94

±5.80

<0.005 (MS)

0.002(MS0

(s) significant, (MS) moderate significant

All values are expressed in Mean±SEM.

Table No3:

Showing the periodic observation in all parameter in goup:11, Group:11 containing drug (Glibenclamide),no of patients (n=33).It’s P-value on day 0 to day 45 on weight >0.05(NS),FBS>0.05(N.S) RBS<0.005 (MS) <0.01- AND DAY 45 TO DAY 90 WEIGHT >0.05 (NS) FBS (0.05) RBS <0.002(M.S0 moderately significant.

Figure 3:Shwing the periodic observations in all parameters in Group 11 weight 62.7,65.64,64.55,FBS (MG/DL) 188.42,168.45 140.06,RBS(mg/dl) 284.18 220.12, 170.94 (on day-0-day 45 to 90).

DISCUSSION:

In Denmark Beck-Nielsenet al,skillman TG (1981) published studies demonstation that glyburide increased he number of receptors on the monocytes of patients with type 11 diabetes mellitus. Some patients were treated with diet and in cobination of second generation sulfonyureas agents Wie. The numbers of insulin receptors all patients were measured before and after the treatment.Intrvenous glucose test shows the persistent impairent of insulin secretion afterthe starting of drug therapy.However those patient who were on drug Pioglitazone some results were obtained of insulin secretion in the impairment in early drug drug therapy.Clinical observations have suggested that the second generation sulfonylureas may exert their effects by potentiating insulin released by other primary stimulators Insulin secreting drug.

According to the study of WilliamC Dukworth et al(1972), aftr the chronic treatment with sulfonylureas it is well documented that plasma insulin levels were decreased in response to oral glucose load. This apparently occures even though glucose tolerance is improved over pre-treatment, levels,present study clearly support that study.

The result og group 11 correlates with the research conducted by Bonnie &Kimmel (2005) produces the same results as FBS reduces from baseline, and at the end of study,with an overall 23.44%,reduction,while with the results showed at the end of study peroid p-value were (p<0,001).

Similarly Michael Alvarsson et al (2003) conducted a similar type of study and the found and overall changes of change of 22.11% in Fbs and 40.88% in Rbs at the end of trial p-value were (p<0.001).

However a study conducted by (Stone &Brown in (2003) didnot match to our results in the parameter of FBS and observer a reduction of 26.22%.

CONCLUSION:

In the light of study discussion it is obiovus the glibenclamide was more effective,tolerable and safer than pioglitzone in a short duration.Diabetes Mellitus is chronic prolong disease for whole life.Poor community can afford it easily,on base of marketing of this drug in pakistan diabetes patients easily go and purchase economically,in fact ,mostly people buy it from pharmacy without dr’s perscription,because pharmacist and patient both of know about this disease.Just like dispirin as analgesic,it is famous anti-diabetic drug in our states as compared of other anti-diabetic drugs.

REFERNCES:

1. Anderson J,Kendall,Perryman.S etal,”Diet and Diabettes” Diabetes 2006,16(3):17-19-
2. Bui H- Type 1 diabetes in childhood-Medicine 2006,3 ,1-3
3. Bernhard –Diabetes-type 11 diabetes mellitus Diabetes care 1995,19(100:12-17-
4. Clark CM-Oral therapyin type11 diabetes-pharmacological properties and clinical use of current use of currently available agents-Diabetes spectrum 1998,11(4):211-221.
5. Carren M.Types of Diabetes mellitus-Diabettes 2006 10 (3),07-
6. David Owerback NJ-Prevalence in diabetes population-Diabetes 1988,02(6):31-32
7. Dale MM,-Treatment of Diabetes mellitus –pharmacology 20035th edition:287-391.
8. Heller SR –Hypoglycemic in diabetes Ketoacidosis and hypoglycemic-Medicine 2006:34(03):102-110.
9. Jawad F Untraveling the mystry of Diabetes’Diabetes 2006;15(3):13-15.
10. Jacobes D-Insulin-Diabetes 1998;6(3);1160126.
11. Lambert and Bingliy-basic facts-medicine 2006,34(6):3-7.
12. Natters M-Ketoacdosis and hyperglycemia-Medicine 2006;34(3):104-106.
13. Power AC-Epidemiology of type11 diabetes Basic facts of diabetes –Diabetes 2005;1(1)7-9
14. Scarlet Oral therapy in type 11 diabetes sulfonylureas 1984;16(10);3-9.
15. Schade DS et al A placebo controlled randomized study of glimepiride in patients of Diabetes mellitus- Diabetes 19998, 38(7);636-641.
16. Warchman and Forouhi-Epidimology of Diabetes- Diabetes basic facts- Medicine 2006 ;34(2);57-60
17. Wheeler Gd- Aaccident dicovery led to the noble prize for canadian reseachers,2005,01-02.
18. WHO Report-Health-Diabetes Mellitus-Defiition and types of Diabetes 2007;1:1-4.

lalaghulamrasool bhurgri

Men with diabetes face much more several health concerns, that including increased risk of heart attacks and strokes and impotence (not being able to having or keep an erection though).

Above the age of 50 the likelihood of having other difficulties with an erection occurs in an approximately 50-60% of men with the problem of diabetes.  In reality  men over 70, 90% have erectile dysfunction problems so far .

Diagnosed and controlled  diabetes can be effectively managed to minimise its impact on your health and well being. You can  even prevent or delay diabetes complications those like damage to eye sight and nerve damage to the fingers and toes.  However many men do not realise  just they suffer from the disease.  Around one third of the men population with diabetes are not aware of their
illness.

Diabetes Signs and other Symptoms

If you find yourself with any of these following symptoms, it is really important  that you visit your doctor or health practitioner and get tested for diabetes problem:

â?¢  feeling tired often
â?¢  frequent urination (specially at night)
â?¢  being very thirsty most of time
â?¢  weight loss problems
â?¢  blurry eyesight problems
â?¢  recurring skin, other gum, or bladder infections
â?¢  sores that heal comparatively slowly
â?¢  dry, and itchy skin
â?¢  loss of feeling or tingling in that your feet

Type 1 and Type 2 Diabetes

There are few other different kinds of diabetes:

â?¢ Type 1 diabetes is generally first diagnosed in children, teenagers, or young adults.
â?¢ Type 2 diabetes is the other most common form of diabetes. People can even develop it at any age, but it is often diagnosed in the  later life and is in much more common found in men who are over weight and do little exercise.

What is Diabetes?

Most of the food that we eat is turned into glucose (sugar) for our bodies to use for energy production . The pancreas makes insulin that  which helps sugar get right into the cells. When you have diabetes problems then your body either doesnâ??t make enough insulin or just canâ??t use the insulin it does to make. This causes sugar to build up in your blood then. Over the years  high blood sugar leads to other  problems like heart disease, stroke, blindness, kidney disease, nerve problems, gum infections, and amputations problem.

Diabetes-Related Problems in Men

Men with diabetes suffer more from some  other diabetes-related health problems than women. The American Diabetes Association reports that here:
â?¢ In people who develop diabetes before the age of 30 in context  men develop retinopathy (a vision disorder that can lead to  blindness problems ) more quickly than women in either .

â?¢ Having the major symptoms of peripheral vascular disease (pain in the thigh, calf, or buttocks during exercise) is linked to a two- to three-fold increased risk of the coronary heart disease, stroke, or cardiac failure in men with diabetes problems.
â?¢ Amputation rates from diabetes-related problems that are 1.4 to 2.7 times higher in men than women with diabetes.

dr rony
http://www.articlesbase.com/health-articles/diabetes-risk-for-men-722820.html

Incidence of Type II diabetes and Impaired Glucose Tolerance (IGT) is rising around the world. According to the International Diabetes Federation, 7 million people develop diabetes each year, at the rate of 2 people every 10 seconds! It is believed that up to 50% of people with diabetes are undiagnosed, and in some less developed countries, that number could be as high as 80%. This amazing number can be attributed to the slow onset of type II diabetes. People may not notice the progression of their symptoms, which include tiredness, thirst, constant hunger, frequent urination, blurred vision, weight loss, weakness, repeated infections and poor wound healing. Another factor that may contribute to the rise in type II diabetes cases is increased affluence. Increased income to spend on food, cars and other labor saving appliances leads to a fatter, less active society- two of the key factors that contribute to type II diabetes. This disease can have many serious complications if not managed, but many people do not understand how serious it is. Why? Because many people with diabetes look healthy. Yet, late diagnosis or poor management can lead to deterioration of vision and blindness, kidney damage and failure, angina and heart attacks, painful feet and paralysis, and foot ulcers and poor circulation to the legs and feet- the result of which can be amputation.

ARE YOU AT RISK?

            People with diabetes do not make insulin, or it does not work the way it should. In healthy people, insulin works with the food you eat to deliver glucose to your cells for energy. People with diabetes have high blood glucose levels, because the insulin is not facilitating transport of glucose into your cells. This explains the symptoms and complications of diabetes: your body does not have the energy to perform its necessary tasks! While there is a genetic susceptibility, studies have also noted that dietary composition, physical activity, and low birth weight contribute to the onset of type II diabetes.

People at risk are:

·         Over 40 years old

·         Have (or have had) a blood relative with diabetes

·         Have (or have had) diabetes during pregnancy

·         Don’t exercise regularly, or have a sedentary lifestyle

·         Are obese (waist measurement over 100cm for men, 95 cm for women)

·         Have high blood pressure or take blood pressure medication

·         Have a history of heart attack, angina, paralysis, stroke

·         Women with polycystic ovary syndrome who are obese (cysts on ovaries, irregular periods, problems with excess facial and body hair and acne)

·         Have previously had abnormal blood glucose levels (impaired glucose tolerance or impaired fasting glucose)

·         Were born in Southern Europe, the Middle East, South East Asia; are Polynesian or Asian Indian

·         Have two or more of the following symptoms:

1.      excessive urination

2.      constant thirst

3.      unexplained weight loss

4.      numbness or tingling in legs or feet

5.      blurred vision

6.      constant fatigue

7.      itching skin or frequent skin infections

Diabetes claims the lives of one person every 10 seconds, and people with type II diabetes die an average of 5-10 years earlier than those without it. Don’t let this disease claim any more lives! UP TO 80% OF TYPE II DIABETES IS PREVENTABLE AND MANAGEABLE BY LOSING WEIGHT, INCREASING ACTIVITY AND EATING A HEALTHY DIET! If you are at risk, see your doctor for a blood test!

For more information about diabetes, its symptoms and risk factors, visit The American Diabetes Association website at www.diabetes.org or Societa Italiana di Diabetologia www.siditalia.it/.  For more information about what is being done to combat diabetes, the search for a cure, and ways to donate, visit www.idf.org.

Frank Napoli
http://www.articlesbase.com/health-articles/incidence-of-type-ii-diabetes-rises-are-you-at-risk-666708.html

Type 2 diabetes is becoming a widespread disease that is overtaking the US. According to data collected by The American Diabetes Association, by the year 2030, as many as 70 million Americans will have prediabetes and 22 million will have type 2 diabetes.

Thankfully, in many cases, type 2 diabetes can be prevented. Here are some ways to make yourself less at risk.

Lower Your BMI

The higher your BMI (Body Mass Index) the more chance you have of developing type 2 diabetes. In fact, having a high BMI is one of the biggest risk factors for developing the disease. According to The American Diabetes Association 3 out of 10 people who are diagnosed with type 2 diabetes are overweight. 6 out of the 10 were obese. Lowering your BMI, even just a little, can dramatically lower your chances of developing the disease.

Up Your Exercise

Stationary people are much more likely to develop type two diabetes. In fact, data from the April 2003 Nurses’ Health Study concluded that every additional 2 hours of television a day leads to a 14 percent increase in type 2 diabetes. You can avoid this risk by getting up from the couch and starting a daily walking routine. If you just have to watch your programs why not exercise or walk in place while you enjoy the story line?

Lower Your Sugar

Lowering your sugar intake can also be a great way to fight the risk of developing type 2 diabetes. Studies show that having high-normal blood sugar levels can increase the chance of developing type 2 diabetes by 50 percent within 10 years time.

Start cutting back on sugar slowly. Going cold turkey can be a jar to the system and can lead to withdrawals. You may start by cutting out one soda a day this week and that afternoon candy bar next week.

Even small steps can boost your overall health and lower your chances of developing type 2 diabetes. Make an effort to make yourself healthier today and reap the benefits tomorrow. Ebooks such as this Turbulence Training review can help you learn more about how to get healthier and prevent diabetes.

Aaron Patterson