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Preventing Type II Diabetes
" 17 million adults in America have been diagnosed with type 2
diabetes.
" Another 16 million Americans have prediabetes, otherwise known
as glucose intolerance.
" Lifetime risk of developing type 2 diabetes in people born in
2000 or afterwards is 32.8% for men and 38.5% for women, 50% in many
minorities.
" The global prevalence of type 2 diabetes is predicted to be 300
million people by the year 2025.
" Coronary artery disease, peripheral vascular disease, and cerebral
vascular disease affects up to 75% of men and 57% of women with type
II diabetes. The direct and indirect costs due to type 2 diabetes care
in the year 2002 was estimated at $132 billion
" Type 2 Diabetes: fasting blood sugar 126 or hemoglobin A1c6.0
or more
" Prediabetes: Fasting blood sugar 100 - 125. Elevated C-peptide
" One study showed in 12 years Man with glucose intolerance who
undertook lifestyle modification with diet and exercise had a reduction
in overall mortality.
" A Chinese study showed a diet and exercise reduces the progression
from glucose intolerance to type 2 diabetes
" High fiber diet, magnesium and eating nuts has been associated
with decreasing glucose intolerance
" physical activity improves insulin sensitivity. Studies show
those who exercise have less glucose intolerance than sedentary people,
regardless of BMI
" diet high in fruits, vegetables, whole grains, low in red or
processed meat, sugars, and high-fat dairy products also appears to
reduce the risk of type 2 diabetes
" 66% of Americans are overweight or obese, meaning their BMI is
greater than 25.
" Some people benefit from medication such as metformin, which
reduces liver sugar so that in some levels decrease. However study showed
that lifestyle changes are more effective than people who just use metformin
without lifestyle changes.
" Medicines that decrease glucose intolerance or reduce glucose
absorption into the body have been shown to reduce the development of
type 2 diabetes
By John S. Hong, MD, MS
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