Diabetes Guidelines

A road to avoid

If patients with pre-diabetes lose between 5 and 7% of their weight and they exercise half an hour every day, five days a week, the risk for developing diabetes type 2 Mellitus can be lowered by 60 percent in 3 years.

In Part I of these two articles I indicated that obesity is the major risk factor for Diabetes Type 2, also known as Diabetes Mellitus. To understand how obesity can take you to a diagnosis of diabetes type 2, let us check a few facts.

The first thing you need to be aware of is that obesity is what ignites the spark. The extra fat accumulated in your fat cells releases cytokines, a kind of proteins that cause inflammation. In particular, the abdominal fat and the one found around your internal organs such as the liver, the heart, etc, are the ones associated with inflammation, indicates Dr. Brent Wisse at the Department of Medicine, University of Washington, Seattle.

According to Dr. Wisse, the cells that form the fat tissue secrete a number of molecules that seem to send signals to your body parts; these molecules start the inflammatory process. These signals in turn cause resistance to insulin, a state where the glucose in the blood cannot get into the cells. Therefore, inflammation within your fat tissue may be a first step which results in diabetes and atherosclerosis.

As you can see, there is a relationship between obesity, the inflammatory process, and the appearance of resistance to insulin. These three factors are associated with a risk increase for developing diabetes type 2 or diabetes mellitus.

As insulin resistance increases, your body cells panic because they are not getting their food, glucose, and thinking the problem is not enough insulin in the blood, they call the pancreas to produce more, so that glucose can enter the cells. Obediently, the pancreas releases more insulin into the blood which does no good because the fat cells refuse to let glucose enter. Eventually, these irregularities cause the glucose level in the blood to go up after meals although at this stage it still remains normal before meals.

All this commotion causes the general level of glucose in the blood to go up little by little. Finally the pancreas gets exhausted with this back and forth glucose business and can not produce enough insulin to keep the glucose in the blood within normal levels. Of course, this process does not happen overnight; it may take between 5 and 10 years in an adult and the end result is pre-diabetes. The same process goes much faster in children.

When the pancreas cannot satisfy the demand for insulin, glucose in the blood will reach levels where your doctor will diagnose diabetes type 2. At this point, patients need oral medication to lower the glucose in the blood, help the system to release more insulin, and reduce insulin resistance.

With time, the production of insulin decreases even more and many patients with diabetes type 2 need insulin shots to control glucose. If the resistance to insulin continues for a long time, oral medication plus insulin shots could be necessary.

As you may also know, diabetes can lead to heart and kidney complications as well as nerve damage in the legs and the eyes. Most patients with diabetes die of heart attacks, a powerful reason to follow a balance diet that protects your heart.

Conclusion

I hope your understanding of how obesity can lead to diabetes mellitus type 2 helps you take the necessary measures to prevent this terrible disease. And if you are serious about losing weight, please, don’t embark in a crazy diet that offers you miracles in a few weeks because chances are it may not be a healthy diet and you will get those lost pounds back quite soon. Get yourself acquainted with the sound principles of healthy diets available to you. A good alternative is a Mediterranean diet since throughout many centuries this diet has protected the people of the Mediterranean basin from obesity, diabetes, heart disease, and many other chronic diseases.

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Last month when I went to see my doctor she ran an A1C test and said my results were high. This was after some 18 hours of fasting. She then told me to take Metformin, one with evening meal, and to start testing my glucose levels with a monitor 3 times a day before meals. I am over weight, but have never had any of the other type 2 diabetes symptoms: excessive thirst/urination, numbness, dizziness, etc. and my cholesterol/blood pressure reading are fine. Since then I have gone to a healthier diet (low proccessed carbs, little red meat, no snacking) and in 4 weeks of this, I have lost more than 10 pounds. All my glucose levels have been between 80-96. I had one 100 reading early one morning after 11 hours of no eating. I am worried about the original diagnosis because the new company I am working for is getting out of group coverage insurance and you know what a diagnosis o f dianbetes does to the cost of private health insurance. I’ll keep up the plan, but any ideas?
The powers that be at the company I work for have decided that they will no longer offer insurance, deciding instead to subsidize private converage at a rate much lower than what it will take for even the healthy to get medical insurance. With a diagnosis of diabetes as a pre-existing condition, I am worried I have been priced out of health insurance. I have NEVER in my adult life ever not had health insurance.

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bit.ly You have Questions. We have Answers. In this video, CDE Karen Vincent answers the question: Why is the A1C test now being use to diagnose diabetes? Check out more answers to diabetes management questions here: bit.ly

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how do you make your diabetes test normal so the doctor will think they made a mistake in diagnosis?
i dont want to be diabetic but i want to get doc off my back about sorting it as i cant face talking bout bulimia how do i make blood sugar normal or low to convince her shes wrong and to leave me alone.

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like how did it affect everyone? Thanks so much!!

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Researchers don’t have to rack their brains to figure out the whys and wherefores of the high Diabetes type 2, also known as Diabetes Mellitus, incidence that plagues us nowadays because the reason is quite obvious: our lifestyle. In general, our diet, our level of activity (none in many cases) and our size, have taken a turn for the worse and Type 2 Diabetes is the price many of us will end up paying for it.
The good news is that neither your lifestyle nor your risk of developing diabetes is cast in stone. You can stop diabetes by being physically active, following a balanced diet, and losing weight.
Metabolic syndrome or syndrome X
In addition to physical inactivity and obesity, two major risks for diabetes, we cannot forget other health risks such as high blood pressure, high LDL cholesterol and triglycerides, resistance to insulin, and low levels of HDL cholesterol, the good guy, that contribute to the alarming number of diabetes cases. All these health conditions form the Metabolic Syndrome or Syndrome X, a dangerous cocktail that according to many studies done during the last few years is a major risk factor for diabetes and cardiovascular disease.
Who is at risk for Diabetes Type 2?
To know if you are at risk for diabetes type 2 or diabetes Mellitus, check the following lines:
1. Your waist measures over 90 centimeters (35 inches) if you are a man, or 80 centimeters (32 inches) if you are a woman
2. Your blood pressure is over 120/80 mmHg
3. Your fasting blood sugar level (early in the morning, before having anything to eat) is over 100 mg/dl
4. Your LDL cholesterol level is over 100 mg/dl
5. Your HDL cholesterol is below 60 mg/dl
6. Your triglycerides level is over 150 mg/dl
If you have three or more of the above conditions, it means you have a metabolic syndrome and, as a result, a higher risk for diabetes, cardiovascular disease, or other pathologies.
Preventing obesity is crucial
According to the International Diabetes Federation, 80 percent of the people who have Diabetes Type 2 were overweight at the time of the diagnosis. So, if you are overweight but you have not had a Diabetes Diagnosis, you are lucky. However, be on the alert because those extra pounds can result in a pre-diabetes type II condition before you realize it.   
To know if you need to lose weight, check your Body Mass Index (BMI), an index of a person’s weight in relation to height. It is determined by dividing the weight (in kilograms) by the square of the height (in meters).
Key results:
BMI <18.5 = underweight
BMI 18.5 to 24.9 = healthy
BMI 25.0 to 29.9 = overweight
BMI more than 30 = obese
So, stop it!
The results of the National Diabetes Education Program conducted in the shows that patients can stop the road to diabetes type II by introducing simple, small lifestyle changes in their lives.   
Dr. Joanne Gallivant, executive director of the program at the National Institutes of Health, indicates: If patients with pre-diabetes lose between 5 to 7% of their weight and they exercise for half an hour a day, five days a week, the risk for developing diabetes can decrease by 60% in 3 years.

For example, if you weight 90 kilograms (198 lbs), losing weight, between 4 to 7 kilograms (9 to 15 lbs), can be quite beneficial for your health. People who participated in the study not only experimented a decrease in their level of blood glucose but they lowered their blood pressure, improved there lipid profile (cholesterol and triglycerides) and they end up needing less medication. The patients of the Program for the Prevention of Diabetes are now participating in another study to verify if by not gaining any more weight and exercising, they can stay away from Diabetes Type II.
Irish Stovall from Washington was 66 years old and had pre-diabetes when he joined the study. She weighted 105 kilograms and spent his days watching TV. Today she weights 20 kilos (44 lbs) less and has just turned 75. I do not have diabetes because I walk 8 kilometers a day, I eat fruits and vegetables and I eat low fat meals, she says.
Irish is a clear example of what a Prevention Program can accomplish. And if she could do it, so can you.
Next week will look at some of the steps that will get you closer and closer to type 2 diabetes.

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Do doctors/nurse normally say “Diabetes” to an old person when they find out the persons net egg value worth?

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In an annual supplement to the journal Diabetes Care, published Dec. 29 by the American Diabetes Association, the A1C test is given a prominent role in the 2010 guidelines for diabetes screening, diagnosis and prevention. At least 50 million adults and children in the US may be well on their way to developing type 2 diabetes, according to John Buse, MD, Ph.D., professor of medicine and endocrinology chief at the University of North Carolina at Chapel Hill. Buse is former ADA president for medicine and science and a member of the International Expert Committee whose report in July 2009 strongly recommended the A1C assay for Diabetes Diagnosis and for identifying people at high risk for diabetes. Read more at www.unchealthcare.org

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My son’s lab work indicates that he is NOT diabetic at this time but doctor says that his c-peptide count is higher than normal. My son is already on a diet and exercise program to lose weight but I don’t know if taking the metformin is really necessary. Does anyone have any advice?

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The typical reactions to a diagnosis are negative, but be sure that doesn’t stand in your way What you should know: •Take control of your blood sugar •Exercise regularly •Be vocal about your feelings on coping with the disease Related Videos: •Diabetes videos, www.youtube.com Related Health Articles: •Type 1 Diabetes Type 1 diabetes, also called insulin-dependent diabetes, is a disorder thatoccurs when your body produces little or no insulin… bit.ly •Type 2 Diabetes Today, diabetes afflicts over 20 million Americans — an increase of roughly 14 percent in just the past few years — and almost everyone knows at least one person who has it. But that doesn’t mean it’s well understood by most people. One out of three people with Type 2 diabetes isn’t aware that they have the condition, and even those who know they have it often aren’t sure how to control it… bit.ly •Checking Your Blood Sugar By testing your blood sugar regularly, you can track the effectiveness of your medication, make informed decisions about meals and exercise, and head off problems such as high blood sugar or low blood sugar (hypoglycemia) before it’s too late… bit.ly •Diet and Diabetes Can watching my diet help me control my diabetes?… bit.ly Related Products: The following are products sold by CVS/pharmacy that may be of interest to you: HealthiFeet Transdermal L-Arginine Diabetic Foot Cream $19.99 bit.ly Transcript Hi, I’m Erika Shephard and I’m a CVS Pharmacist. Coping with a Diabetes Diagnosis …

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