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Can You Be Diabetic And Not Overweight?

Diabetes Can Strike—hard—even When Weight Is Normal

Diabetes Can Strike—hard—even When Weight Is Normal

We tend to think of type 2 diabetes as a disease that afflicts people who are overweight. But it can also appear in people with perfectly healthy weights—and be more deadly in them. A study published today in the Journal of the American Medical Association indicates that normal-weight people diagnosed with type 2 diabetes have double the risk of dying from heart disease and other causes than overweight people with diabetes. Such apparent “protection” by excess weight has been called the obesity paradox. It’s been seen with other conditions, like heart failure and end-stage kidney disease. Overweight or obese people with these conditions seem to fare better or live longer than their normal-weight counterparts. That doesn’t mean gaining weight is a healthy strategy. Instead, it probably means that something else besides weight—like the amount of fat around the waist—may be contributing to the onset and severity of type 2 diabetes. Diabetes types There are two basic types of diabetes. Type 1 diabetes occurs when the body stops making insulin. This happens when the immune system mistakenly attacks insulin-making cells in the pancreas. Without insulin, cells can’t absorb sugar (glucose) from the bloodstream. The resulting high sugar levels in the blood damages nerves, arteries, and other tissues. Type 1 diabetes often appears early in life, but can happen later. People with type 1 diabetes must take insulin. Type 2 diabetes occurs when cells become resistant to insulin’s “open up for sugar” signal. Exactly why this happens is still something of a mystery. But excess weight contributes to it, since fat cells affect how the body uses glucose and produces insulin. Lack of physical activity also plays a role. Medications that make muscle and other cells mor Continue reading >>

Slim And Healthy People Also Get Type 2 Diabetes

Slim And Healthy People Also Get Type 2 Diabetes

Overweight, an unhealthy lifestyle and old age are factors that many of us associate with people who are diagnosed with type 2 diabetes. But this isn’t entirely true. In fact, the disease can hit the slim, the fat, the young and the old. This diversity of patients does not make life easy for doctors and researchers, as it creates a need for a great variety of treatment forms. For example, lifestyle changes only work for some patients and not for others. The ideal time for an insulin fix also varies greatly, depending on the patient. However, now two Danish researchers have cracked part of this code. Based on data from a comprehensive English study, they have identified three subgroups of type 2 diabetes patients that have different diseases patterns. In addition to showing that diabetes is expressed in a variety of ways, the study surprises by showing that only 25 percent of the type 2 diabetes patients follow the course of the disease that scientists so far have considered to be the most common one. ”This finding is the first step towards more targeted prevention and treatment for patients with the different subgroups of the disease,” says Kristine Færch, a senior researcher at the Steno Diabetes Center, who co-authored the study. Classification determined by blood sugar Insulin is the key ingredient when we’re talking about type 2 diabetes. Insulin is produced in the body and works by transporting the energy from our food into the cells, where the energy is used. Type 2 diabetes occurs either: As a result of insulin resistance, where the insulin gradually loses its ability to transport energy from food to the muscles. As a result of problems with the beta cells, which are those that produce or secrete insulin. It was previously believed that the most common c Continue reading >>

Ask An Expert: Can A Young, Healthy, Active Adult Get Diabetes?

Ask An Expert: Can A Young, Healthy, Active Adult Get Diabetes?

Q: Can an active, 32-year-old Caucasian female who eats well and who does not suffer from obesity, high blood pressure or high cholesterol be diagnosed with diabetes or pre-diabetes? If so, how common is this? Answer from Susanna Reiner, R.N., B.S.N., diabetes nurse educator, Providence Diabetes Education: Yes — even though a healthy diet, weight and lifestyle greatly reduce the chances of developing diabetes, there is still a small chance that the woman you described could be diagnosed with pre-diabetes or diabetes due to risk factors beyond her control. It’s relatively uncommon, but it does happen. Fortunately, her healthy lifestyle will be an asset to her. If the woman in question is diagnosed with pre-diabetes, then staying physically active, maintaining a low-stress lifestyle and following a well-balanced diet will help her prevent or delay the diagnosis of type 2 diabetes, according to the Diabetes Prevention Program. If she is diagnosed with diabetes, she’ll have a much better chance of preventing complications related to uncontrolled diabetes if she continues to follow her healthy habits. What could cause diabetes in such a young, otherwise healthy adult? Let’s first consider type 2 diabetes, which accounts for 90 to 95 percent of all cases of diabetes in the United States according to the National Diabetes Fact Sheet. Some of the most common risk factors for type 2 diabetes don’t appear to apply to the woman you’ve described. These include the following: Obesity, particularly around the waistline (associated with 90 percent of people who have type 2 diabetes, according to the World Health Organization) Certain non-Caucasian ethnic backgrounds (African-Americans, Native Americans, Hispanic/Latino Americans, Asian Americans and Pacific Islanders are a Continue reading >>

Weight And Diabetes

Weight And Diabetes

A balanced diet and an active lifestyle can help all kids maintain a healthy weight. For kids with diabetes, diet and exercise are even more important because weight can affect diabetes and diabetes can affect weight. This is true for kids and teens with type 1 diabetes or type 2 diabetes. In diabetes, the body doesn't use glucose properly. Glucose, a sugar, is the main source of energy for the body. Glucose levels are controlled by a hormone called insulin , which is made in the pancreas. In type 1 diabetes , the pancreas does not make enough insulin. Undiagnosed or untreated type 1 diabetes can cause weight loss. Glucose builds up in the bloodstream if insulin isn't available to move it into the body's cells. When glucose levels become high, the kidneys work to get rid of unused sugar through urine (pee). This causes weight loss due to dehydration and loss of calories from the sugar that wasn't used as energy. Kids who develop type 1 diabetes often lose weight even though they have a normal or increased appetite. Once kids are diagnosed and treated for type 1 diabetes, weight usually returns to normal. Developing type 1 diabetes isn't related to being overweight, but keeping a healthy weight is important. Too much fat tissue can make it hard for insulin to work properly, leading to both higher insulin needs and trouble controlling blood sugar. In type 2 diabetes , the pancreas still makes insulin, but the insulin doesn't work in the body like it should and blood sugar levels get too high. Most kids and teens are overweight when they're diagnosed with type 2 diabetes. Being overweight or obese increases a person's risk for developing type 2 diabetes. Also, weight gain in people with type 2 diabetes makes blood sugar levels even harder to control. People with type 2 di Continue reading >>

Thin And Type 2: Non-obese Risk Factors For Developing Diabetes

Thin And Type 2: Non-obese Risk Factors For Developing Diabetes

Emily got quite a surprise when she went for her annual physical exam. The lab tests taken showed that her blood glucose readings were in the range of someone with type 2 diabetes. Since Emily did not fit the usual appearance of someone with type 2 diabetes, her doctor ran the test again and checked for antibodies to insulin and her c-peptide levels, in case Emily was in the early stages of LADA (a slow moving version of type 1 diabetes). The test results were the same, however. Even though Emily, at 5 feet 2 inches and 115 pounds, had never been overweight in her life, she had type 2 diabetes. Emily was one of the 15 percent of individuals in the United States who develop type 2 diabetes even though their BMIs are squarely in the normal range (between 18.5 and 24.9). There can be a number of factors that come into play when a thin person develops type 2 diabetes. Genetics play a significant role in determining disease onset. A strong family history coupled with a sedentary lifestyle and poor eating habits can tip the scales in the wrong direction. So too can a previous diagnosis of gestational diabetes or the birth of a baby greater than nine pounds. Unfortunately for these individuals, their outside appearance is hiding a metabolic profile similar to overweight people who have type 2 diabetes. They are insulin resistant not from excess pounds per say, but from the places where some of their fat cells are stored, and often from a lack of exercise. Many normal weight people with type 2 diabetes have excess visceral fat. Visceral fat is the type of fat surrounding the body’s abdominal organs and is highly metabolically active, producing a variety of hormones that influence glucose and fat metabolism. Fat cells release fatty acids into the blood stream that can damage t Continue reading >>

Skinny People Get Type 2 Diabetes Too: 10st 7lb Man Who Exercised Regularly Is Stunned To Learn He Has The Condition - Which He Then Reversed In 11 Days With New Diet

Skinny People Get Type 2 Diabetes Too: 10st 7lb Man Who Exercised Regularly Is Stunned To Learn He Has The Condition - Which He Then Reversed In 11 Days With New Diet

When I was diagnosed with type 2 diabetes four years ago I was stunned. I’d gone for a check-up, and a routine blood test said it all: diabetes. But it made no sense. As a healthy 59-year-old, who went running, played regular cricket, drank moderately (2 units a week) and only weighed 10st 7lb, I was hardly overweight. In fact, at 5ft 7in, my Body Mass Index (BMI) was a healthy 21. Yes, I did overeat sometimes – I was thin and thought I could eat what I liked within reason – but it was mainly healthy food, few ready meals, semi-skimmed milk, grilled rather than fried food, chicken rather than red meat and lots of fresh veg. But over the past two years I had been under a lot of stress: my dad had recently died from prostate cancer, my job had changed radically, and I’d been on high blood pressure pills for a year. Stress can raise your blood sugar levels. But I still thought my diabetes diagnosis was ridiculous – how could someone with my weight and healthy lifestyle be facing the prospect of all the serious complications of type 2 diabetes in ten years’ time, including sight loss and a much greater risk of early death? My GP told me I could control my condition with diet, and gave me a long list of healthy foods and their glycaemic load (the effect each food has on your blood sugar level). After six months on this, my blood sugar level had dropped from 9mmol to 7, although this was still well above 6, the level at which type 2 diabetes is diagnosed. I wanted to be free of diabetes, not just control it. So I researched online and discovered the work of Professor Roy Taylor at Newcastle University. Type 2 is linked to fat clogging up the liver and pancreas, and Professor Taylor had shown that a very low calorie diet could reverse this. I had to try it. I chose Continue reading >>

6 Signs Your Type 2 Diabetes Might Really Be Type 1

6 Signs Your Type 2 Diabetes Might Really Be Type 1

Reviewed by endocrinologist Stanley S. Schwartz, MD, emeritus Associate Professor of Medicine at the University of Pennsylvania and George Grunberger, MD, FACP, FACE, Chairman of the Grunberger Diabetes Institute, Clinical Professor of Internal Medicine and Molecular Medicine & Genetics at Wayne State University School of Medicine and President of the American Association of Clinical Endocrinologists. Up to 10%1 of people with type 2 diabetes may actually have a form of diabetes known as latent autoimmune diabetes in adults, or LADA, where the immune system slowly destroys insulin-producing beta cells. That’s the conclusion of a string of studies that have looked at this mysterious high blood sugar problem since it was first recognized by Scottish endocrinologists in the late 1970s.2 Yet 39 years later, most of the estimated 3 million or more Americans with LADA think they’ve got type 2 diabetes. That misdiagnosis can cause frustration, misunderstandings and even health problems, says endocrinologist Stanley S. Schwartz, MD, an emeritus Associate Professor of Medicine at the University of Pennsylvania. “If your doctor is not thinking about the possibility of LADA, he or she may not prescribe the diabetes drugs early on that could help extend the life of your insulin-producing beta cells,” Dr. Schwartz says. “With LADA, you lose the ability to produce insulin much more quickly than the typical type 2. But a doctor who believes you’re a type 2 may hesitate to prescribe insulin when your blood sugar levels rise, thinking that a healthier lifestyle and higher doses of other medications will work.” As a result, your blood sugar could skyrocket, increasing your risk for diabetes complications, says George Grunberger, MD, FACP, FACE, Chairman of the Grunberger Di Continue reading >>

Why Thin People Can Become Diabetic—and It’s Not Insulin Resistance

Why Thin People Can Become Diabetic—and It’s Not Insulin Resistance

There is a blatantly illogical explanation in medicine about Type 2 diabetes being caused by insulin resistance. On one hand, it is claimed that weight gain in the form of excess fat causes insulin resistance, and other hand, it is also claimed thin people, who by definition, do not seem to have to extra fat, can develop insulin resistance, too. In my view, this is contradictory and points to yet another reason that insulin resistance as the cause of Type 2 diabetes does not make sense. Let me give you four reasons why it makes no sense biologically that insulin resistance occurs in both obese people and thin (lean) people and causes Type 2 diabetes: 1. In obese people, the current medical teaching is that the accumulation of excess fat causes insulin resistance as well as impairs insulin-producing cells in the pancreas. Meanwhile, to explain why thin people get diabetes, it is believed that these people suffer from a rare genetic “defect” characterized by a lack of fatty tissue. In other words, on one hand, excess fat causes insulin resistance while on the other hand insufficient fat can also cause it. 2. The amount of fat tissue a person has is actually a function of the number of fat cells and the capacity of each cell to store fat (also called triglyceride). The number of fat cells increases from childhood ending with about 50 billion in an average adult. Obese adults do not have more fat cells than they had before, but they have larger fat cells, up to 4 times the normal size, when filled to capacity with fat. When a person loses weight, the number of fat cells remain the same, but each cell loses fat. We know that obese people who lose weight can lower their blood sugar and even reverse diabetes. But this presents another paradox: Why don’t obese diabetics w Continue reading >>

Pre Diabetes & Thin | Diabetes Forum The Global Diabetes Community

Pre Diabetes & Thin | Diabetes Forum The Global Diabetes Community

Diabetes Forum The Global Diabetes Community Find support, ask questions and share your experiences. Join the community Discussion in ' Prediabetes ' started by Trevenwith , Aug 4, 2017 . I was astounded to have an HbA1c of 42, thus putting me into the range of pre-diabetes. However, my BMI was only 19, so having worked at reducing my carbs I have lost weight which brought down my BMI to 17. My HbA1c returned to normal (37) but what to do now? I do not want to lose more weight (it was making me feel unwell also), and I cannot find any information for pre-diabetes for thin people. I was astounded to have an HbA1c of 42, thus putting me into the range of pre-diabetes. However, my BMI was only 19, so having worked at reducing my carbs I have lost weight which brought down my BMI to 17. My HbA1c returned to normal (37) but what to do now? I do not want to lose more weight (it was making me feel unwell also), and I cannot find any information for pre-diabetes for thin people. Gosh, you have got ultra slim! Do you get hungry at all? In order to stop the weight loss, I would suggest you try a couple of things, however, it would also be useful to know how quickly you are losing weight. Is is a slow creep down or are you losing quickly? When I got to be trim (OK, I'd been diagnosed with T2), whilst following a low carb diet, the first thing I did was just have slightly larger portions than usual. That wasn't enough for me to stop losing. Next I upped my protein intake a bit, until I didn't want the portions to be as big as they were becoming. Next, I tried a few extra nuts, then finally, I upped my fats, and managed to stabilise. I've maintained since then, which is now almost 3.5 years. Many folks just go straight for upping the fats, but that wasn't my choice. Whatever you do Continue reading >>

Can Thin People Get Type 2 Diabetes?

Can Thin People Get Type 2 Diabetes?

Almost 90 percent of people with type 2 diabetes are overweight or obese, according to government statistics, and it's known that carrying excess weight ups your diabetes risk. The reason is that fat interferes with your ability to use insulin — insulin moves sugar (glucose) from your blood to your cells, which need the sugar for energy. But don't think you're off the hook if you're thin — you still can be at risk for type 2 diabetes, even if you're not heavy. The risk for developing type 2 diabetes may be smaller if you're thin, but it's still real, especially if you're older, says Christopher Case, MD, who specializes in endocrinology in Jefferson City, Mo. It's not known exactly how many thin or normal-weight people have type 2 diabetes, but part of that may be because there is no standard definition for "thin," Dr. Case says. "They may not look obese," Case says, but any excess weight, especially around the stomach, is a risk factor. One of the reasons people can have high blood sugar and develop diabetes whether they're thin or obese is because weight, though a contributing factor, is not the only factor. Type 2 Diabetes Could Be in Your Genes Genetics plays a role in developing type 2 diabetes. Studies show that people who have a close relative (parent or sibling) with type 2 diabetes have a greater than three times higher risk of developing the disease than those with no family history, Case says. Genetics may explain why some people who are thin develop type 2 diabetes and why an obese person might not, he says. African-Americans, Asians, Hispanics, and Native Americans also are at greater risk for type 2 diabetes. Lifestyle Choices Raise Your Diabetes Risk These other risk factors, often associated with people who are overweight, can plague thin people, too Continue reading >>

‘obesity Paradox’: Why Being Thin With Diabetes Is A Dangerous Combo

‘obesity Paradox’: Why Being Thin With Diabetes Is A Dangerous Combo

Being overweight or obese is a risk factor for developing Type 2 diabetes, but it turns out that these heavier patients may have an advantage: people who are overweight when they are diagnosed with diabetes live longer than their thinner peers. The so-called obesity paradox, in which being overweight appears to be protective against early death, has been seen before in heart failure and chronic kidney disease. But, says study author Mercedes Carnethon, associate professor of preventive medicine at Northwestern University, that doesn’t necessarily mean that gaining excess weight is a healthy strategy; rather, it may be that people who are thin when they develop diabetes are already be vulnerable to worse health. “We hypothesized that their diabetes may be different,” she says. “They may have developed diabetes for reasons unrelated to obesity. Overall, about 85% of people with diabetes are heavy. Gaining too much weight is a major contributor to Type 2 diabetes, since excess fat cells can affect the way the body breaks down glucose and produces insulin, but some normal weight individuals can develop the disease as well. The elderly and people of Asian descent are more likely to be at normal weight when diagnosed, for example. (MORE: Doctors Should Screen All Adults for Obesity, U.S. Panel Says) For the new study, published in the Journal of the American Medical Association (JAMA), Carnethon and her team reviewed data on five previous studies that were tracking people for heart disease risk factors. The studies, which were conducted between 1990 and 2011, included 2,625 people who were recently diagnosed with diabetes, about 12% of whom were at normal weight. The lean patients looked metabolically similar to those who were obese, with the exception of their weight Continue reading >>

Your Weight And Diabetes

Your Weight And Diabetes

Diabetes is a group of disorders characterized by chronic high blood glucose levels (hyperglycemia) due to the body's failure to produce any or enough insulin to regulate high glucose levels. There are two main types of diabetes. Type 1 diabetes, which often occurs in children or adolescents, is caused by the body's inability to make insulin or type 2 diabetes, which occurs as a result of the body's inability to react properly to insulin (insulin resistance). Type 2 diabetes is more prevalent than type 1 diabetes and is therefore seen in roughly 90% of all diabetes cases. Type 2 diabetes is predominantly diagnosed after the age of forty, however, it is now being found in all age ranges, including children and adolescents. The impact of diabetes goes beyond chronic hyperglycemia. Diabetes is the leading cause of blindness (diabetic retinopathy), end stage kidney diseases (diabetic nephropathy) and non-traumatic lower extremity amputations (diabetic neuropathy) in working-age adults. People with diabetes are also two to four times more likely to experience cardiovascular complications and strokes. Diabetes and its related complications result in an estimated 200,000+ deaths each year, making diabetes one of the major causes of mortality in the U.S. In 2012, the NIH reported an estimated 29.1 million Americans (9.3% of the population) living with diabetes. Of these, an estimated 8.1 million persons were unaware that they had the disease. How does my weight relate to type 2 diabetes? There are many risk factors for type 2 diabetes such as age, race, pregnancy, stress, certain medications, genetics or family history, high cholesterol and obesity. However, the single best predictor of type 2 diabetes is overweight or obesity. Almost 90% of people living with type 2 diabetes a Continue reading >>

Obesity Paradox: Thin Not In For Type 2 Diabetes?

Obesity Paradox: Thin Not In For Type 2 Diabetes?

Aug. 7, 2012 -- People who are overweight or obese when they are diagnosed with type 2 diabetes appear to live longer than people whose body weight is normal when their disease is detected, a new study shows. Obesity increases the risks for illness and early death. Despite this, doctors have long puzzled over why bigger patients with certain chronic diseases seem to fare better than those who are thin. This so-called "obesity paradox" has been noted in patients with kidney disease, heart failure, and high blood pressure. The new study, which is published in the Journal of the American Medical Association, suggests the protective effect of a higher body mass index (BMI) may also extend to people with type 2 diabetes. BMI is a measure of size that accounts for both height and weight. "This was unexpected given the close association of diabetes with obesity," says researcher Mercedes R. Carnethon, PhD, an associate professor of preventive medicine at Northwestern University's Feinberg School of Medicine in Chicago. Excess body fat worsens the body's ability to use insulin properly, which affects blood sugar control. People with diabetes who are overweight are routinely advised to lose weight to help keep their disease in check. Carnethon cautions that this study doesn't mean that people with diabetes who are overweight should abandon their weight loss efforts. Instead, experts say the study suggests that people who are normal weight when they are diagnosed may be at increased risk of poor health outcomes, though doctors don't fully understand why. "If you are normal weight, you may be at higher risk from diabetes, especially if your fitness status is not so good," says Hermes Florez, MD, PhD. Florez is the director of the division of epidemiology and population health scie Continue reading >>

Prediabetes

Prediabetes

What Is Prediabetes? Prediabetes is a “pre-diagnosis” of diabetes—you can think of it as a warning sign. It’s when your blood glucose level (blood sugar level) is higher than normal, but it’s not high enough to be considered diabetes. Prediabetes is an indication that you could develop type 2 diabetes if you don’t make some lifestyle changes. But here's the good news: . Eating healthy food, losing weight and staying at a healthy weight, and being physically active can help you bring your blood glucose level back into the normal range. Diabetes develops very gradually, so when you’re in the prediabetes stage—when your blood glucose level is higher than it should be—you may not have any symptoms at all. You may, however, notice that: you’re hungrier than normal you’re losing weight, despite eating more you’re thirstier than normal you have to go to the bathroom more frequently you’re more tired than usual All of those are typical symptoms associated with diabetes, so if you’re in the early stages of diabetes, you may notice them. Prediabetes develops when your body begins to have trouble using the hormone insulin. Insulin is necessary to transport glucose—what your body uses for energy—into the cells via the bloodstream. In pre-diabetes, your body either doesn’t make enough insulin or it doesn’t use it well (that’s called insulin resistance). If you don’t have enough insulin or if you’re insulin resistant, you can build up too much glucose in your blood, leading to a higher-than-normal blood glucose level and perhaps prediabetes. Researchers aren’t sure what exactly causes the insulin process to go awry in some people. There are several risk factors, though, that make it more likely that you’ll develop pre-diabetes. These are Continue reading >>

Weight And Diabetes

Weight And Diabetes

Being active and eating healthy are the best ways to manage weight. This advice works for everybody, but it can be particularly helpful for people with diabetes. That's because weight can influence diabetes, and diabetes can influence weight. This relationship may be different for type 1 and type 2 diabetes, but the end advice is the same: Managing weight can really make a difference in diabetes control. If a person has type 1 diabetes but hasn't been treated yet, he or she often loses weight. In type 1 diabetes, the body can't use glucose (pronounced: GLOO-kose) properly because the pancreas no longer produces insulin. Insulin is the hormone that helps move glucose into the body's cells where it can be used for energy. Without insulin, blood glucose builds up to high levels. Eventually, the kidneys flush the unusable glucose (and the calories) out of the body in urine, or pee, and weight loss can happen. After treatment for type 1 diabetes, though, a person usually returns to a healthy weight. Sometimes, people with type 1 diabetes can be overweight too. They may be overweight when they find out they have diabetes or they may become overweight after they start treatment. Being overweight can make it harder for people with type 1 diabetes to keep their blood sugar levels under control. Most people are overweight when they're diagnosed with type 2 diabetes . Along with a family history of diabetes, being overweight or obese increases a person's risk for developing type 2 diabetes. People with type 2 diabetes have a condition called insulin resistance where their bodies can make insulin, but can't use it properly to move glucose into the body's cells. So, the amount of glucose in the blood rises. The pancreas then makes more insulin to try to overcome the problem. Eventu Continue reading >>

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