6 Tips For Preventing Type 2 Diabetes
Over 29 million people in the United States have diabetes. Chances are good the condition will impact you or someone you know at some point in your life. There are two main types of diabetes. In type 1 diabetes, your body doesn’t produce insulin. This type only accounts for about 5 percent of all diabetes cases. It can’t be prevented, but it can be managed. Type 2 diabetes accounts for about 95 percent of all diabetes cases. It causes abnormally high blood sugar levels. The condition occurs when your body doesn’t produce enough insulin or becomes insulin-resistant, or, most likely, both. Lifestyle factors such as being sedentary and overweight contribute to your risk of developing type 2 diabetes. Changing those lifestyle factors may reduce your risk of getting the condition. Eating a healthy diet is one of the best ways to reduce your risk of developing type 2 diabetes. To improve your diet: Replace full-fat dairy products with low-fat versions. Eat more fruits and vegetables. Eat leaner cuts of meat and poultry. Eat more fiber and whole, less processed grains. Avoid or limit sodas, fruit juices, sweets, and processed foods. Choose healthy unsaturated fats, limit saturated fats, and limit or avoid trans fats. Special emphasis should be placed on eating more fiber and managing total carbohydrate intake. Both will help you control your blood sugar. Fiber also helps you feel fuller longer and slows down digestion, so you’re less likely to overeat or reach for a bag of cookies later in the day. If you need help with your diet, ask your doctor for a referral to a registered dietitian. You don’t have to lose a huge amount of weight to help prevent or delay the onset of type 2 diabetes. A modest 5 to 7 percent weight loss is all it takes. If you’re eating healthfu Continue reading >>
Preventing Type 2 Diabetes In Adults
NYU Langone doctors work with people of all ages to help them prevent type 2 diabetes, a serious condition in which a person has chronically high levels of blood glucose, or sugar. Type 2 diabetes is one of the fastest growing diseases in the United States. Since 2010, the number of people in the U.S. who have diabetes has grown to more than 29 million people. Type 2 diabetes is also on the rise in children and adolescents. Normally, the body breaks down the sugars and starches in food into glucose. As glucose levels rise in the bloodstream, the pancreas responds by making insulin—a hormone that signals the body to use and store glucose to supply cells with energy. In people with type 2 diabetes, the body is less responsive to insulin, and the pancreas can’t make enough of the hormone to prevent blood sugar levels from rising. This causes a buildup of glucose in the blood. When there’s too much sugar in the blood, cells can’t function properly. Just as rust can eventually damage your car, high blood sugar levels can lead to widespread blood vessel and nerve damage. Over time, elevated blood sugar levels can injure organs and tissues throughout the body, such as the heart, kidneys, eyes, and feet. Get Screened Your doctor may screen for type 2 diabetes during your regular checkup. Depending on your risk of developing this condition, your doctor may recommend screening every three years or more often. Screening is performed with a fasting blood sugar test. This test measures blood sugar levels after you’ve fasted for several hours, usually overnight. Doctors can also use a hemoglobin A1C blood test—which measures blood sugar levels over a two- or three-month period—to screen for type 2 diabetes. The American Diabetes Association recommends screening for type Continue reading >>
Leveraging Genetics To Advance Type 2 Diabetes Prevention
Citation: Florez JC (2016) Leveraging Genetics to Advance Type 2 Diabetes Prevention. PLoS Med 13(7): e1002102. Published: July 26, 2016 Copyright: © 2016 Jose C. Florez. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Funding: No specific funding was received for this work. Competing interests: The author has declared that no competing interests exist. Abbreviations: DPP, U.S. Diabetes Prevention Program; MODY, maturity-onset diabetes of the young Provenance: Commissioned; not externally peer reviewed. Type 2 diabetes is a preventable disease. The pandemic that has reached 415 million people worldwide continues to grow, threatens to undermine the global economy, and is taking place on the back of a profound transformation in the modern lifestyle, which involves pervasive detrimental changes in diet and physical activity patterns [1]. Though the disease undoubtedly has a genetic component, the recent explosion in its prevalence is clearly driven by a dynamic environment operating on a relatively static genetic background. But this equation also has a favorable counterpoint: as a deleterious environment has driven diabetes prevalence into double percentage digits in just a few decades, so reverting this trend by the widespread introduction of healthy behavioral patterns should, in turn, reduce disease burden. Lifestyle intervention strategies have been proven to be effective in randomized controlled trials. The Chinese Da Qing study [2], the Finnish Diabetes Prevention Study [3], the U.S. Diabetes Prevention Program (DPP) [4], and the Indian Diabetes Prevention Program [5] have consist Continue reading >>
Prevention Of Type 2 Diabetes Mellitus By Changes In Lifestyle Among Subjects With Impaired Glucose Tolerance
Type 2 diabetes mellitus is increasingly common, primarily because of increases in the prevalence of a sedentary lifestyle and obesity. Whether type 2 diabetes can be prevented by interventions that affect the lifestyles of subjects at high risk for the disease is not known. We randomly assigned 522 middle-aged, overweight subjects (172 men and 350 women; mean age, 55 years; mean body-mass index [weight in kilograms divided by the square of the height in meters], 31) with impaired glucose tolerance to either the intervention group or the control group. Each subject in the intervention group received individualized counseling aimed at reducing weight, total intake of fat, and intake of saturated fat and increasing intake of fiber and physical activity. An oral glucose-tolerance test was performed annually; the diagnosis of diabetes was confirmed by a second test. The mean duration of follow-up was 3.2 years. The mean (±SD) amount of weight lost between base line and the end of year 1 was 4.2±5.1 kg in the intervention group and 0.8±3.7 kg in the control group; the net loss by the end of year 2 was 3.5±5.5 kg in the intervention group and 0.8±4.4 kg in the control group (P<0.001 for both comparisons between the groups). The cumulative incidence of diabetes after four years was 11 percent (95 percent confidence interval, 6 to 15 percent) in the intervention group and 23 percent (95 percent confidence interval, 17 to 29 percent) in the control group. During the trial, the risk of diabetes was reduced by 58 percent (P<0.001) in the intervention group. The reduction in the incidence of diabetes was directly associated with changes in lifestyle. Continue reading >>
Preventing Type 2 Diabetes In At-risk Patients
Many physicians now spend less time delivering direct patient care. This is primarily due to increasing administrative responsibilities that are a result of regulatory pressures along with evolving payment and care delivery models. In the average primary care practice, up to one‑third of patients age 18 and above – and up to half age 65 and above – could be at risk for prediabetes. Physicians and their care teams play an important role in diabetes prevention. Preventing type 2 diabetes in at‑risk patients Release Date: June 2015 End Date: June 2019 At the end of this activity, participants will be able to: Define the medical condition of prediabetes and treatment options for prediabetes Identify patients with prediabetes Educate patients at‑risk for type 2 diabetes Determine roles and responsibilities regarding diabetes prevention and practice workflow Refer patients with prediabetes to an evidence‑based diabetes prevention program This activity is designed to meet the educational needs of practicing physicians and their care teams. Eighty‑six million adults in the United States have prediabetes, but 90 percent of them are undiagnosed.1 Up to 30 percent of people with prediabetes will develop diabetes within five years.2‑3 People with prediabetes also have an increased risk of heart disease and stroke.1 Early and intensive lifestyle intervention can prevent or delay diabetes in at‑risk patients2‑17 and has also demonstrated secondary prevention of microvascular and macrovascular complications. Physicians and their care teams play an important role in diabetes prevention. This diabetes prevention module presents strategies to help physicians as well as practice staff educate patients about their risk for developing diabetes and refer at‑risk patient Continue reading >>
Type 2 Diabetes Prevention
Overview More than one in three American adults have prediabetes and are at high risk of developing type 2 diabetes, a serious health condition that can lead to heart attack and stroke. Surprisingly, nearly 90 percent of people with prediabetes don't even know they have it. But prediabetes can be reversed through weight loss, diet changes and increased physical activity. The first step to reversing the condition is evaluating one's personal risk so that they can take action as soon as possible. In the first-ever national prediabetes awareness campaign, new PSAs assert that no matter how busy life may be, no one is excused from prediabetes. The campaign encourages people to learn their risk of type 2 diabetes by taking a short online test at DoIHavePrediabetes.org, which also features information about prediabetes as well as lifestyle programs and tips to help people reverse their risk. Continue reading >>
Simple Steps To Preventing Diabetes
Table of Contents Simple Steps to Lower Your Risk Introduction If type 2 diabetes was an infectious disease, passed from one person to another, public health officials would say we’re in the midst of an epidemic. This difficult disease, once called adult-onset diabetes, is striking an ever-growing number of adults. Even more alarming, it’s now beginning to show up in teenagers and children. More than 24 million Americans have diabetes; of those, about 6 million don’t know they have the disease. (1) In 2007, diabetes cost the U.S. an estimated $116 billion in excess medical spending, and an additional $58 billion in reduced productivity. (1) If the spread of type 2 diabetes continues at its present rate, the number of people diagnosed with diabetes in the United States will increase from about 16 million in 2005 to 48 million in 2050. (2) Worldwide, the number of adults with diabetes will rise from 285 million in 2010 to 439 million in the year 2030. (3) The problems behind the numbers are even more alarming. Diabetes is the leading cause of blindness and kidney failure among adults. It causes mild to severe nerve damage that, coupled with diabetes-related circulation problems, often leads to the loss of a leg or foot. Diabetes significantly increases the risk of heart disease. And it’s the seventh leading cause of death in the U.S., directly causing almost 70,000 deaths each year and contributing to thousands more. (4) The good news is that type 2 diabetes is largely preventable. About 9 cases in 10 could be avoided by taking several simple steps: keeping weight under control, exercising more, eating a healthy diet, and not smoking. What Is Type 2 Diabetes? Our cells depend on a single simple sugar, glucose, for most of their energy needs. That’s why the body Continue reading >>
Type 2 Diabetes
Your doctor’s just told you that you have prediabetes. That means there's a good chance you could get , but you don't have to. There are plenty of things you can do to try to prevent it. Focus on the things you can change, like your diet and how active you are. Don’t dwell on the things you can't do anything about, like your age or your family's medical history. Your doctor can let you know where you stand and what you can do to turn things around. Losing extra pounds, eating better, and becoming more active are some of the most important steps you can take. There are people who aren't overweight who have type 2 diabetes. But added pounds do put you at risk. In one study, being overweight or obese was the single most important thing that predicted who would get diabetes. The study results showed that over 16 years, regular exercise -- at least 30 minutes a day, 5 days a week -- and a low-fat, high-fiber diet helped prevent it. If you're at high risk for the disease, your doctor may recommend taking medication to hold it off. Several studies show that various types of diabetes drugs, along with a healthy lifestyle, can cut the odds that you'll get it One study showed that people most likely to get it could lower their odds by 31%. They took the prescription diabetes drug metformin and made lifestyle and diet changes. That's good. But the study also showed that drastic lifestyle changes are the best way to avoid diabetes. You'll need to work with a dietitian to come up with a meal plan and talk to a trainer about how to get more exercise. Continue reading >>
Prevention Of Diabetes Mellitus Type 2
Main article: Diabetes mellitus type 2 Prevention of diabetes mellitus type 2 can be achieved with both lifestyle changes and use of medication.[1] The American Diabetes Association categorizes prediabetes as a high-risk group that has glycemic levels higher than normal but does not meet criteria for diabetes. Without intervention people with prediabetes progress to type 2 diabetes with a 5% to 10% rate. Diabetes prevention is achieved through weight loss and increased physical activity, which can reduce the risk of diabetes by 50% to 60%.[2] Lifestyle[edit] Many interventions to promote healthy lifestyles have been shown to prevent diabetes. A combination of diet and physical activity promotion through counselling and support programs decrease weight, improve systolic blood pressure, improve cholesterol levels and decrease risk of diabetes.[2] Increasing physical activity may be helpful in preventing type 2 diabetes, particularly if undertaken soon after a carbohydrate rich meal that increases blood sugar levels.[3][4][5] The American Diabetes Association (ADA) recommends maintaining a healthy weight, getting at least 2½ hours of exercise per week (several brisk sustained walks appear sufficient), having a modest fat intake (around 30% of energy supply should come from fat), and eating sufficient fiber (e.g., from whole grains). Some preliminary evidence suggests that resistant starch, used as a substitute for refined carbohydrate, may increase insulin sensitivity[6] and may reduce the risk of type 2 diabetes.[7] The U.S. Food and Drug Administration requires claims that resistant starch can reduce the risk of type 2 diabetes to be qualified with a declaration that scientific evidence in support of this claim is limited.[8] Foods with low glycemic index rich in fiber Continue reading >>
5 Ways To Prevent Type 2 Diabetes
Source: Web exclusive: October 2009 Given the serious consequences emanating from insulin resistance and Type-2 diabetes, preventing this disease is certainly our best weapon in reducing the damage caused by a surplus of blood sugar. Luckily for us, the preventive potential is extraordinary: Adopting a healthy lifestyle can prevent up to 90 percent of Type-2 diabetes cases! To see how we can reduce the risk of diabetes, let us review some lifestyle factors. 1. Maintain a healthy body weight Given that excess weight and obesity are instrumental in the development of Type-2 diabetes, maintaining a normal body weight is an essential aspect of any preventive approach. The most spectacular illustration of how weight loss can influence the risk of diabetes is undoubtedly the effect of bariatric surgery (reducing stomach size) on morbidly obese people. Radically reducing the size of the stomach rapidly decreases obesity and almost completely eliminates Type-2 diabetes! However, it is neither necessary nor desirable to undergo this type of surgery to reap the benefits of weight loss: Losing just 5 kg, even over several years, can reduce the risk of diabetes by 50%! At a time when overweight has become the norm rather than the exception, Type-2 diabetes undoubtedly illustrates the dangers of excess weight and the need to be as slim as possible in order to prevent this disease. 2. Reduce intake of high-sugar foods You can also significantly reduce the risk of diabetes by paying particular attention to the amount and especially the type of carbohydrates: that is, the sugar in your diet. There are three main types of carbohydrates. ‘ The first is simple sugars ‘ like those in fruits, dairy products, maple syrup, or honey ‘ and sugars added to various products sold in grocery Continue reading >>
5 Ways To Prevent Prediabetes From Becoming Diabetes
Prediabetes, or elevated blood sugar, puts you at high risk of developing type 2 diabetes, especially if you are overweight, but you can take steps to prevent it. Type 2 diabetes is not inevitable. More than 86 million American adults—approximately one-third of those over age 18 and half of those over 65—have prediabetes, and most of them don’t even know it. If you have prediabetes, it means your blood sugar levels are consistently higher than normal, but not yet high enough to be diagnosed as diabetes. Prediabetes puts you at higher-than-normal risk of developing type 2 diabetes, heart disease, and stroke. According to U.S. Centers for Disease Control, up to 30% of overweight men and women with prediabetes will develop type 2 diabetes within five years of diagnosis. You don’t have to be one of them! Here are five steps you can take to reduce your diabetes risk. Welcome to the Type 2 Diabetes Center! This is your launching pad for living better with type 2 diabetes. We’ve gathered all the latest type 2 diabetes information, research updates, and advances in devices and medications. And because diabetes impacts every facet of your life, you’ll also find practical advice from leading experts and other people living with type 2 diabetes featured here. That includes mouth-watering, healthy recipes; money-saving tips; advice to help navigate social, professional, and relationship issues; and inspiring personal stories from people just like you. Explore the resources here and be sure to subscribe to our newsletter to be alerted to new additions. Continue reading >>
Preventing Type 2 Diabetes
Prevention: A Change for Life Type 2 diabetes can be prevented or delayed by making lifestyle changes that include weight loss and more physical activity. In this video, people with prediabetes talk about how group lifestyle change classes offered as part of CDC's National Diabetes Prevention Program helped them learn and keep healthy habits. About Type 2 Diabetes What are the signs and symptoms of type 2 diabetes? Many people have no signs or symptoms. Symptoms can also be so mild that you might not even notice them. Nearly six million people in the United States have type 2 diabetes and do not know it. Here is what to look for: increased thirst increased hunger fatigue increased urination, especially at night weight loss blurred vision sores that do not heal Should I be tested? Anyone 45 years old or older should consider getting tested for diabetes. If you are 45 or older and overweight, it is strongly recommended that you be tested. If you are younger than 45, overweight, and one or more of the following risk factors is true: You have a parent, brother or sister with diabetes. Your family background is African American, American Indian, Asian American, Pacific Islander, or Hispanic American/Latino. You have had gestational diabetes, or you have given birth to at least one baby weighing more than 9 pounds. Your blood pressure is 140/90 or higher, or you have been told by a doctor that you have high blood pressure. Your cholesterol levels are high. Your HDL cholesterol ("good" cholesterol) is 35 or lower, or your triglyceride level is 250 or higher. You get brisk exercise fewer than three times a week. Preventing Type 2 Diabetes Steps to Take Making big changes in your life is hard, especially if you are faced with more than one change. You can make it easier by takin Continue reading >>
Preventing Diabetes Naturally (type 2, Diet, Causes, Symptoms)
Type 2 diabetes prevention tips and facts While genetics plays an important role in the development of diabetes, an individual still has the ability to influence their health to prevent type 2 diabetes. There is no known way to prevent type 1 diabetes. This article focuses on ways to control risk factors for type 2 diabetes. People should watch their weight and exercise on a regular basis to help reverse prediabetes, and prevent the development of type 2 diabetes. Diet is important because it helps with weight loss. Some foods such as nuts in small amounts provide health benefits in blood sugar regulation. There is no single recommended diabetes prevention diet, but following a sound nutrition plan and maintaining a healthy weight are important steps in preventing the disease. Exercise is even more beneficial with weight loss in the prevention of type 2 diabetes. Smoking is harmful in many ways including increasing the risk of cancer and heart disease. It also increases the risk of developing type 2 diabetes. There are medications available that have been shown in large trials to delay or prevent the onset of overt diabetes. Metformin (Glucophage) is recommended by the American Diabetes Association for prevention of diabetes in high-risk people. The coming years will be very exciting regarding the advances in the field of prevention of diabetes. However, the cornerstone of therapy will likely remain a healthy lifestyle. There are two major forms of diabetes - type 1 and type 2. This article focuses specifically on the prevention of type 2 diabetes since there is no know way to prevent type 1 diabetes. This form of diabetes is virtually a pandemic in the United States. This information reviews the risk factors for developing type 2 diabetes and reviews key points regardi Continue reading >>
Choose More Than 50 Ways To Prevent Type 2 Diabetes
Reduce Portion Sizes Portion size is the amount of food you eat, such as 1 cup of fruit or 6 ounces of meat. If you are trying to eat smaller portions, eat a half of a bagel instead of a whole bagel or have a 3-ounce hamburger instead of a 6-ounce hamburger. Three ounces is about the size of your fist or a deck of cards. Put less on your plate, Nate. 1. Drink a large glass of water 10 minutes before your meal so you feel less hungry. 2. Keep meat, chicken, turkey, and fish portions to about 3 ounces. 3. Share one dessert. Eat a small meal, Lucille. 4. Use teaspoons, salad forks, or child-size forks, spoons, and knives to help you take smaller bites and eat less. 5. Make less food look like more by serving your meal on a salad or breakfast plate. 6. Eat slowly. It takes 20 minutes for your stomach to send a signal to your brain that you are full. 7. Listen to music while you eat instead of watching TV (people tend to eat more while watching TV). How much should I eat? Try filling your plate like this: 1/4 protein 1/4 grains 1/2 vegetables and fruit dairy (low-fat or skim milk) Move More Each Day Find ways to be more active each day. Try to be active for at least 30 minutes, 5 days a week. Walking is a great way to get started and you can do it almost anywhere at any time. Bike riding, swimming, and dancing are also good ways to move more. If you are looking for a safe place to be active, contact your local parks department or health department to ask about walking maps, community centers, and nearby parks. Dance it away, Faye. 8. Show your kids the dances you used to do when you were their age. 9. Turn up the music and jam while doing household chores. 10. Work out with a video that shows you how to get active. Let's go, Flo. 11. Deliver a message in person to a co-worke Continue reading >>
Prevention Of Type 2 Diabetes
Patient professional reference Professional Reference articles are written by UK doctors and are based on research evidence, UK and European Guidelines. They are designed for health professionals to use. You may find the Pre-diabetes (Impaired Glucose Tolerance) article more useful, or one of our other health articles. See also separate Diabetes Education and Self-management Programmes, Gestational Diabetes, Metabolic Syndrome (insulin resistance), Managing Impaired Glucose Tolerance in Primary Care articles. Although effective treatment of diabetes mellitus can reduce the incidence of its complications, type 2 diabetes is more often than not an asymptomatic condition and many people with type 2 diabetes have macrovascular and microvascular complications by the time their condition is diagnosed. Factors which influence someone's risk of type 2 diabetes include being overweight, high waist circumference, increasing age, low level of physical activity and whether or not they have a previous history of gestational diabetes or a family history of type 2 diabetes.[1] Glycated haemoglobin (HbA1c) levels of 48 mmol/mol (6.5%) or above indicate that someone has type 2 diabetes. It has been recommended by a UK expert group that HbA1c values between 42 and 47 mmol/mol (6.0-6.4%) indicate that a person is at high risk of type 2 diabetes. There is a continuum of risk across a range of sub-diabetic HbA1c levels and people with an HbA1c below 42 mmol/mol (6.0%) may also be at risk. Recent National Institute for Health and Care Excellence (NICE) guidance has recommended:[2] Identifying people at risk of developing type 2 diabetes, using a validated risk assessment score and a blood test (fasting blood glucose or HbA1c) to confirm high risk. Providing those at high risk with an intensi Continue reading >>
