
Doctor’s Tip: It’s important to diagnose and reverse pre-diabetes
There are two types of diabetes. Type 1 is an autoimmune disease that usually strikes at a young age and is not associated with obesity. Type 2 is more common and is usually related to "central obesity" (extra weight around the mid-section). Today's discussion is about type 2 diabetes.
None of us wants to get diabetes, because it leads to the following complications:
• cardiovascular disease (heart attacks and strokes), the most common cause of death in the U.S.
• kidney damage, which can result in kidney failure.
• eye damage, which can result in blindness.
• nerve damage, which can result in chronic numbness and pain in the legs and feet.
Sadly, due to American obesity epidemic, type 2 diabetes is becoming more prevalent in adults and is even occurring in overweight children. And as we export the S.A.D. (standard American diet), type 2 diabetes is becoming a worldwide epidemic.
Type 2 diabetes is preceded by pre-diabetes, which unfortunately often goes undiagnosed for years. Measure your waist at the point of largest circumference, which is usually at your belly button (note that this is not your belt size). If you are a man and your waist circumference is 40 inches or greater, or if you are a woman and the measurement is 35 inches or greater (the cutoff is lower if you are Asian or East Indian), you almost certainly have insulin resistance/pre-diabetes. Even if your waist circumference is less than the cutoff numbers, you probably have pre-diabetes if you look at your naked profile in the mirror and see even a small "belly."
If you have even mild central obesity,
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