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Diabetes Has Reached Epidemic Proportions

The Diabetes Epidemic : What Is Diabetes And Why Is It A Problem? [article]

The Diabetes Epidemic : What Is Diabetes And Why Is It A Problem? [article]

This is the first of three articles on diabetes. This article looks at how blood sugar is normally controlled and what happens in Diabetes. It also covers why Diabetes is such a problem. The next two articles will look at Type 1 and Type 2 Diabetes seperately and in more depth. Diabetes is a disease that has reached epidemic proportions both internationally and within New Zealand. It is the leading cause of blindness, kidney failure and lower limb amputations in the world. So what is this horrible disease? How do we get it? And let’s face it – we are personal trainers not physiologists. How much do we really need to understand about the disease to train our Diabetic clients effectively? Normal Glucose Metabolism To understand Diabetes we first need to recap how glucose (blood sugar) is normally regulated in our bodies. Insulin and glucagon are the two hormones that keep our glucose levels controlled. Insulin is released from the beta cells on our pancreas when glucose levels are high. Insulin helps move glucose from the blood stream into our muscles and liver, and stores any extra glucose as fat. Glucose cannot enter your body’s cells from the bloodstream by itself, so insulin acts like a ‘key’. Once released into the blood, insulin binds to insulin receptors (the ‘keyholes’) located on the cell walls, ‘unlocking’ the cell and allowing the glucose to enter. This glucose can either be used immediately as energy or stored as glycogen or fat for future use. When blood glucose levels are low, insulin secretion is decreased, and the hormone glucagon is released from the pancreas instead. Glucagon works to break down the glycogen stores in the liver. This glucose is then released back into the bloodstream to raise the low glucose levels, meaning there is a c Continue reading >>

Globalization Of Diabetes

Globalization Of Diabetes

Type 2 diabetes is a global public health crisis that threatens the economies of all nations, particularly developing countries. Fueled by rapid urbanization, nutrition transition, and increasingly sedentary lifestyles, the epidemic has grown in parallel with the worldwide rise in obesity. Asia's large population and rapid economic development have made it an epicenter of the epidemic. Asian populations tend to develop diabetes at younger ages and lower BMI levels than Caucasians. Several factors contribute to accelerated diabetes epidemic in Asians, including the “normal-weight metabolically obese” phenotype; high prevalence of smoking and heavy alcohol use; high intake of refined carbohydrates (e.g., white rice); and dramatically decreased physical activity levels. Poor nutrition in utero and in early life combined with overnutrition in later life may also play a role in Asia's diabetes epidemic. Recent advances in genome-wide association studies have contributed substantially to our understanding of diabetes pathophysiology, but currently identified genetic loci are insufficient to explain ethnic differences in diabetes risk. Nonetheless, interactions between Westernized diet and lifestyle and genetic background may accelerate the growth of diabetes in the context of rapid nutrition transition. Epidemiologic studies and randomized clinical trials show that type 2 diabetes is largely preventable through diet and lifestyle modifications. Translating these findings into practice, however, requires fundamental changes in public policies, the food and built environments, and health systems. To curb the escalating diabetes epidemic, primary prevention through promotion of a healthy diet and lifestyle should be a global public policy priority. THE GLOBAL BURDEN OF TYPE Continue reading >>

Childhood Obesity And A Diabetes Epidemic

Childhood Obesity And A Diabetes Epidemic

This article has no abstract; the first 100 words appear below. Childhood obesity has reached epidemic proportions; worldwide, approximately 22 million children under five years of age are overweight.1 During the past three decades, the number of overweight children in the Unites States has more than doubled. In 1983, 18.6 percent of preschool children in the United States were defined as overweight, and 8.5 percent were defined as obese; by 2000, 22.0 percent of preschool children were overweight and 10.0 percent were obese.1 Data from the National Longitudinal Survey of Youth indicate that the prevalence of overweight has increased by 21.5 percent among non-Hispanic black children, 21.8 percent among Hispanic children, . . . Continue reading >>

What Caused This Epidemic, And Why Is Patient Education Important?

What Caused This Epidemic, And Why Is Patient Education Important?

Non-insulin dependent Diabetes, or Type II Diabetes, is sometimes referred to as “adult-onset” diabetes. This disease has reached epidemic proportions all over the globe, with China as an “epicenter” of increased prevalence of Type II Diabetes. Diabetes is more than a disease involving just an elevation of blood sugar levels. The CDC, in 2014, claimed that 1/3 of Americans are Pre-Diabetic, and 29 million people in the US are diagnosed with Type II Diabetes. In 2001, the established research model did not predict such a high prevalence until year 2050. In 2012 alone, the financial deficit due to to Diabetes and Diabetes-related health problems in the United States was 245 Billion Dollars, after all health care costs and lost productivity figures were calculated. This disease and its co-morbid conditions are requiring more and more of our valuable resources. What Is Type II Diabetes? This type of Diabetes is not the result of insufficient insulin production; it is actually the result of too much insulin chronically produced, usually from excess dietary intake of carbohydrates (sugars). The constant overabundance of insulin levels make the body “resistant” to the signals sent by insulin acting on the receptors. The onset of Type II Diabetes, or non-insulin dependent Diabetes, begins with a cellular insensitivity to insulin, also called Insulin-Resistance. This ineffective use of insulin allows high levels of glucose to build up in the blood rather than be transported to various tissues as a fuel source. Insulin resistance and the inability to utilize insulin essentially starves the cells within muscle, fat, and liver tissues from the primary fuel source, glucose. This cell starvation then signals the pancreas to increase its output of insulin. Increase of weig Continue reading >>

Type 2 Diabetes Worldwide According To The New Classification And Criteria

Type 2 Diabetes Worldwide According To The New Classification And Criteria

Paul Z. Zimmet, MD, PHD, FRACP Daniel McCarty, PHD Maximilian de Courten, MD Two major reports have recently revised the classification of and diagnostic criteria for diabetes. Classification was previously based on the need for insulin (insulin-dependent or non–insulin-dependent), but this has become increasingly confusing. Now, the type of diabetes is determined by the etiological process rather than the treatment modality. Type 1 diabetes is thus characterized by islet cell destruction and type 2 diabetes by a combination of defects in insulin secretion and action. An individual with either type of diabetes may be on any treatment modality. This classification should prove to be more logical and, for example, allow latent autoimmune diabetes in adults, which typically does not require insulin at presentation, to be classified as type 1 diabetes. The fasting plasma glucose diagnostic threshold for diabetes has been lowered to 7.0 mmol/l (126 mg/dl), and impaired fasting glucose (fasting plasma glucose 6.1–6.9 mmol/l [110–125 mg/dl]) has been introduced as a new category of intermediate glucose metabolism. These changes recognize that the old fasting threshold did not match the 2-h (postload) threshold well and that both micro- and macrovascular disease develop at lower fasting glucose levels than previously recognized. Although the prevalences of diabetes according to the new fasting and 2-h criteria are now similar in most populations, the actual individuals identified as having diabetes are often different. Over 30% of all those with diabetes have a nondiabetic fasting glucose but still have increased cardiovascular mortality. Thus, it is important to retain the oral glucose tolerance test for the diagnosis of diabetes. CHANGES IN CLASSIFICATION — In 1979 an Continue reading >>

Cardiovascular Complications Of Diabetes

Cardiovascular Complications Of Diabetes

Globally, the incidence of diabetes has reached epidemic proportions. The cardiovascular complications from diabetes lead to significant morbidity and mortality. In this article, we will look at the impact of diabetes on health and healthcare, particularly that related to cardiovascular complications. We will also explore our current understanding of the strong links that exist between diabetes and cardiovascular disease (CVD) and the key role played by primary care physicians in helping patients with diabetes reduce their risk of future CVD. Continue reading >>

Prevalence Of Diabetes Has Reached Epidemic Proportions - Who

Prevalence Of Diabetes Has Reached Epidemic Proportions - Who

Accra, June 14, GNA - With current prevalence reaching epidemic proportions, the World Health Organisation (WHO) has predicted that developing countries would bear the brunt of diabetes in the 21st Century. It said available statistics indicated that currently more than 70 per cent of people with diabetes lived in low and middle income countries, with prevalence increasing dramatically in Africa with an estimated 10.4 million people with the condition in 2007. In Ghana about four million people may be affected with diabetes mellitus, which is a group of metabolic diseases in which a person has high blood sugar, a condition which could be attributed to a situation where either the body does not produce enough insulin, or because cells do not respond to the insulin that is produced, but it could be controlled and managed with little injections of insulin. Diabetes is said to be one of the rising killer diseases globally, claiming one life every eight seconds and a limb lost at every 30 seconds, according to reports from WHO and the International Diabetes Federation (IDF). In a speech read for him, Mr Alban Kingsford Sumana Bagbin, Minister of Health at the opening session of a three-day Training Workshop for Diabetes Nurse Educators in Accra on Wednesday, said the Atlas of IDF showed that the number of people with diabetes in Africa would increase by 80 per cent to 18.7 million by 2025. The Sector Minister noted that currently, Ghana Health Service had a doctor to population ratio of one to11,929, stressing the fact that lack of financial means was not the only challenge, but a scarcity of trained health care personnel, capable to tackle the prevention, diagnosis and management of diabetes at all levels of the health care systems. The workshop was organised by Ithemba Fou Continue reading >>

Diabetes Has Reached Epidemic Proportions

Diabetes Has Reached Epidemic Proportions

It is currently estimated that 366 million people worldwide currently suffer from diabetes. It is not a benign disease and it kills one person every seconds throughout the world. Healthcare systems have taken heed and have begun to work on programs to detect diabetes early, prevent diabetes altogether and treat the disease in the best possible way. While there is both type I diabetes and type II diabetes, the vast majority of sufferers have type II disease. It is believed to be caused by obesity, poor diet, lack of exercise and generally not taking care of oneself. It is not just a disease of developed countries. People in developing countries are slowly catching up in incidence and unfortunately have a lesser degree of treatment available to them. Diabetics cannot control the amount of sugar in their diet due to insulin resistance and the inability of insulin to put sugar into the cells. The more Western the diet in the individual, the greater is the incidence of diabetes. Side effects of untreated diabetes include blindness, stroke and peripheral vascular and nerve damage. Deaths from diabetes directly have reached 4.6 million people per year worldwide. Meetings are scheduled on an international level to find out ways to stop this epidemic. Such ways need to be acceptable to all ethnicities and nationalities of the world and should focus on increasing the level of personal exercise, decreasing weight and eating a diet with less processed foods and sugary foods. This can be a big bill to fill as different cultures accept exercise and weight management differently. Some people believe the fight should be at the corporate level with fewer companies providing packaged foods to the poor and more companies practicing preventative programs for their employees who can be scre Continue reading >>

The Terrifying Rise Of Diabetes, In Every Corner Of The U.s.

The Terrifying Rise Of Diabetes, In Every Corner Of The U.s.

Diabetes has reached epidemic proportions in the U.S., due to sugary diets and the lack of exercise. If current disease rates continue, one in three Americans will have diabetes by 2050. Over time, the condition can lead to kidney failure, limb amputations and blindness, among other complications. That Data Dude created this interactive map showing the percent of the current population that has been diagnosed with diabetes, according to the U.S. Centers for Disease Control and Prevention. Colorado stands out by far as the healthiest state by this measure: In many of its counties, 4 percent or less of the population has been diagnosed with diabetes. South Dakota, Alabama, Mississippi, Montana, West Virginia, North Carolina and South Carolina are at the opposite end of the scale. In counties in South Dakota, North Carolina, and Mississippi more than 14 percent of the population had been diagnosed with diabetes in 2012. The map shows that only 10 counties in the U.S. experienced a decrease in diabetes rates between 2004 and 2012: McCracken County, Kentucky Arlington County, Virginia Hawaii County, Hawaii Beckham County, Oklahoma San Francisco County, California Roosevelt County, Montana Cuming County, Nebraska Mellette County, South Dakota Preston County, West Virginia Logan County, Nebraska In five more counties, in Montana, Nevada, North Carolina, Virginia and Washington, rate remained unchanged. But in all the other counties in the U.S. – that’s 2,992 of them – diabetes prevalence has gone up. More stories from Know More, Wonkblog's social media site: - Premature death among American women is on par with Mexico, even though the U.S. spends 10 times as much Continue reading >>

Diabetes Has Reached Epidemic Proportions In The Valley

Diabetes Has Reached Epidemic Proportions In The Valley

An Early Diagnosis Can Prevent Vision Loss Due to Diabetic Eye Disease According to the CDC, 29.1 million people or 9.3% of the U.S. population have diabetes. Of those people, approximately 8.1 million (27.8%) remain undiagnosed and that number is growing. The incidence of diabetes in the U.S. is growing at an alarming rate and has reached epidemic proportions nationwide, but few places have been as stricken as the San Joaquin Valley. Nowhere in California are people more likely to die of diabetes than here in the Valley. The Central Valley has some of the highest diabetes rates in California. If left untreated, diabetes can result in diabetic eye disease, a group of eye problems that often have no symptoms and can cause severe vision loss or even blindness. These diseases include cataracts, glaucoma, and diabetic retinopathy – the most common diabetic eye disease and a leading cause of blindness in American adults. The risk of developing diabetic eye disease increases the longer you have diabetes, making it critical to receive an early diagnosis. Severe vision loss can be prevented with early detection, timely treatment and appropriate follow-up care. While diabetes can affect everyone, there are some groups that pose a greater risk of developing the disease: Hispanics/Latinos African Americans American Indians Alaska Natives Older Adults Lifestyle and environmental conditions, such as physical inactivity and poor diet, are major causes that are driving the rise in diabetes in the Valley. There are numerous other factors that also play a role in the development of diabetes including family history, genetics, and age; however, the most prominent and preventable risk factor is obesity and being overweight. EYE-Q Vision Care recommends that people in high risk groups re Continue reading >>

Diabetes Has Reached Epidemic Proportions

Diabetes Has Reached Epidemic Proportions

The fastest growing disease in the world today is not an infectious disease. Three million people die a year from this disease and 6 million people a year get this disease for the first time. It has increased in the last twenty years by 767% and continues to rise. Diabetes Mellitus is without a doubt the fastest growing disease in the world and it can be stopped but not by some fancy vaccination yet. Half of all the people in the world who have diabetes don't even know it. When left untreated, the effects of this disease include blindness, amputated limbs, and heart disease. Experts say that it is because of over-eating and incorrect carbohydrate consumption which usually causes type II diabetes. But they also say that it is because of inactivity as people generally are leading more sedentary lifestyles. Obviously genetics has an important role to play in the chances of you becoming diabetic. Science says that in order to become diabetic you need to have inherited chromosomes D3 and D4 from your parents. But having these genes and knowing that you have these genes does not stop you getting diabetes. New scientific research has revealed the possibility of the little known substance called Leptin which plays a significant if not primary role in heart disease, obesity, diabetes, osteoporosis, autoimmune diseases, reproductive disorders, and perhaps the rate of aging itself. High Leptin levels affect the way that your body responds to inflammation, and Leptin also helps to mediate the manufacture of other very potent inflammatory chemicals from fat cells that also play a significant role in the progression of heart disease and diabetes. There are a few basics that are needed in order to directly affect the production of Leptin in your body. Making sure that you eat correctl Continue reading >>

The Obesity And Type 2 Diabetes Epidemics

The Obesity And Type 2 Diabetes Epidemics

The number of people suffering from type 2 diabetes is skyrocketing worldwide. This phenomenon has been closely linked to soaring obesity, which has reached epidemic proportions in populations around the world. But just why are we facing this “two-pronged assault” by overweight/obesity and type 2 diabetes? The answer is rather simple. The machines we use and the environments in which we live and work are designed to spare us from physical exertion. Unfortunately, this sedentary environment worsens the effects of the energy-dense, refined, “fast food” diet that more and more people are adopting. Taken together, our environment and our diet lead to a positive energy balance, weight gain, and obesity. As obesity reaches epidemic proportions, so too does type 2 diabetes. Unless we make significant changes to both our diet and way of life, obesity and type 2 diabetes will continue to exact a heavy toll on societies worldwide. Continue reading >>

Diabetes Has Reached Epidemic Proportions In India, Says Expert (nov 14 Is World Diabetes Day)

Diabetes Has Reached Epidemic Proportions In India, Says Expert (nov 14 Is World Diabetes Day)

Aligarh, Nov 13 (IANS) Diabetes has reached epidemic proportions in the country and is increasing with 'tsunamic' speed, a top expert of the Aligarh Muslim University (AMU) said here Saturday. 'More than 75 percent of heart attack patients are either diabetic or undiagnosed. A vast majority of patients undergoing renal dialysis and transplants have diabetes as the underlying cause,' said Prof. Jamal Ahmad, director, Centre of Diabetes and Endocrinology, J.N. Medical College, AMU. He said the country had 50 million diabetes patients, and more than 95 percent of the population suffers from some form of the disease. 'Early diagnoses and optimal management can significantly decrease the mortality associated with this dreaded disease,' he said. Listing out the various preventive steps, Prof. Ahmad said brisk walking for half-an-hour every day can significantly reduce its risk. He also advocated giving up smoking and alcohol, reducing salt and trans-fat intake (present in junk food) and switching to a vegetarian diet. World Diabetes Day was introduced in 1991 by International Diabetes Federation and the World Health Organisation. It is held on the birth anniversary of Frederick Banting, who along with Charles Best, is credited with discovering insulin, a hormone which regulates carbohydrates and fat. Continue reading >>

Global Epidemic Of Type 2 Diabetes: Implications For Developing Countries.

Global Epidemic Of Type 2 Diabetes: Implications For Developing Countries.

Abstract Diabetes has reached epidemic proportions in many populations. Current estimates suggest that the number of persons with diabetes will reach 250 million by 2010 and 300 million by 2025. The majority of these patients will have type 2 diabetes and reside in developing countries. Type 2 diabetes and its associated long-term complications continue to accelerate among patients who reside in developing countries. Apart from microscopic complications, cardiovascular disease, with its attending morbidity and mortality, is on the rise in the developing countries. Current evidence suggests that environmental factors are major determinants of the increasing rates of diabetes. Addressing these environmental factors offers a unique opportunity for preventing diabetes; health programs that aim to encourage physical activity and discourage (or limit) overweight and obesity deserve significant attention. Prevention must be the cornerstone for international health organizations and ministries of health in developing countries as they plan diabetes management programs. Continue reading >>

Type 2 Diabetes Now Affecting Children

Type 2 Diabetes Now Affecting Children

Type 2 Diabetes Now Affecting Children Type 2 diabetes has reached epidemic proportions in the United States, and the statistics continue to grow with no change in site. To make matters worse, type 2 diabetes is no longer a disease of older adults, but children and young adults as well. In a July 2008 article published in the Archives of Pediatric & Adolescent Medicine, pediatric endocrinologist Joyce Lee, M.D. stated: “Recent studies suggest that there have been dramatic increases in type 2 diabetes among individuals in their 20s and 30s, whereas it used to be that individuals developed type 2 diabetes in their late 50s or 60s…” And data from the 2011 National Diabetes Fact Sheet reported this startling new statistic: Children Under 20 years of age: 215,000, or 0.26% of all people in this age group have diabetes About 1 in every 400 children and adolescents has diabetes What is it in today’s society that is causing an increase in disease despite all the claims of western medicine superiority? The answer to this question is the dividing line between the two distinct ideologies of thinking: Reductionist and Holistic. It isn’t any coincidence that the multidimensional medical framework consists of the AMA, FDA, EPA, and WHO. These groups together form the “Perfect Storm” of societal sickness. The cause of any disease is not simple. Like a jigsaw puzzle, it takes many missing pieces in order for you to recognize the picture. Puzzle of Health The same is true with your health. Let’s put together a puzzle (one piece at a time) to illustrate how disease affects health. If you eat/drink chemical-ridden processed foods (1 piece) and processed sugars (1 piece), you are not consuming whole natural fruits and vegetables (1 piece), you are drinking chemical-laced ta Continue reading >>

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