Dietary factors also influence the risk of developing type 2 DM. Consumption of sugar-sweetened drinks in excess is associated with an increased risk. The type of fats in the diet is also important, with saturated fat and trans fats increasing the risk and polyunsaturated and monounsaturated fat decreasing the risk. Eating lots of white rice also may increase the risk of diabetes. A lack of physical activity is believed to cause 7% of cases.
One downside of eating fish is some kinds may contain high levels of mercury, notably shark, swordfish, king mackerel, and tilefish. While children and pregnant women are advised by the U.S. Food and Drug Administration (FDA) to avoid eating these varieties, the benefits of eating fish outweigh the potential risks for middle-aged and older men and women, as long as the amount of fish is eaten within FDA and Environmental Protection Agency guidelines. Eating a variety of seafood helps minimize the amount of mercury in your diet.
Per the World Health Organization people with fasting glucose levels from 6.1 to 6.9 mmol/l (110 to 125 mg/dl) are considered to have impaired fasting glucose. people with plasma glucose at or above 7.8 mmol/l (140 mg/dl), but not over 11.1 mmol/l (200 mg/dl), two hours after a 75 g oral glucose load are considered to have impaired glucose tolerance. Of these two prediabetic states, the latter in particular is a major risk factor for progression to full-blown diabetes mellitus, as well as cardiovascular disease. The American Diabetes Association since 2003 uses a slightly different range for impaired fasting glucose of 5.6 to 6.9 mmol/l (100 to 125 mg/dl).
Schedule a yearly physical and regular eye exams. Your regular diabetes checkups aren’t meant to replace yearly physicals or routine eye exams. During the physical, your doctor will look for any diabetes-related complications and screen for other medical problems. Your eye care specialist will check for signs of retinal damage, cataracts and glaucoma.
Sodium-glucose cotransporter-2 (SGLT-2) inhibitors are a class of oral antidiabetic drugs used in type 2 diabetes. SGLT-2 inhibitors work by lowering the renal (kidney) glucose threshold, resulting in an increased amount of glucose being excreted in the urine. These agents are not used first line for type 2 diabetes treatment, but can be combined with other medications.
Metabolic syndrome (also referred to as syndrome X) is a set of abnormalities in which insulin-resistant diabetes (type 2 diabetes) is almost always present along with hypertension (high blood pressure), high fat levels in the blood (increased serum lipids, predominant elevation of LDL cholesterol, decreased HDL cholesterol, and elevated triglycerides), central obesity, and abnormalities in blood clotting and inflammatory responses. A high rate of cardiovascular disease is associated with metabolic syndrome.
For someone with diabetes, a fiber-filled and nutrient-rich snack can help curb appetite before the next meal, says Angela Ginn-Meadow, RD, CDE, a spokesperson for the the Academy of Nutrition and Dietetics.
In addition, it is often difficult to titrate doses to maximize blood glucose lowering when combination products are used. These medications may be best used when a patient has been established on a set dose of medication with minimal fluctuations in blood glucose.
Diabetes mellitus (DM). Merck Manual Professional Version. http://www.merckmanuals.com/professional/endocrine-and-metabolic-disorders/diabetes-mellitus-and-disorders-of-carbohydrate-metabolism/diabetes-mellitus-(dm). Accessed Jan. 27, 2016.
With type 2 diabetes, insulin is produced but it’s either not enough or the person doesn’t respond to it appropriately (called “insulin resistance“). Type 2 diabetes usually occurs in people over age 40 (although it’s becoming more prevalent in children), especially those who are overweight.
If you’re at high risk of gestational diabetes — for example, if you were obese at the start of your pregnancy, you had gestational diabetes during a previous pregnancy, or you have a mother, father, sibling or child with diabetes — your doctor may test for diabetes at your first prenatal visit.
Statins, which are medicines to reduce LDL (“bad”) cholesterol levels, can slightly increase the chance that you’ll develop diabetes. However, statins help protect you from heart disease and stroke. For this reason, the strong benefits of taking statins outweigh the small chance that you could develop diabetes.
Kale (and spinach) contains two pigments, lutein and zeaxanthin, that are beneficial for eye health. According to Harvard’s School of Public Health, sunlight, cigarette smoke, air pollution, and infections can cause free radicals to form. These two pigments seem to snuff out free radicals before they can harm the eyes’ sensitive tissues. They also appear to be protective against cataracts.
As you try to keep your blood sugar levels on an even keel, it’s beneficial to eat three meals a day and to try not to skip meals. Eating regularly has been shown to help keep blood sugar and metabolism on track.
The name of the alpha-glucosidase inhibitor available in the U.S. is acarbose (Precose). Placebo-controlled clinical trials with over 700 patients associated acarbose with reduction of hemoglobin A1c (HbA1c) values. HbA1c is the standard clinical measure of average blood sugars over the preceding three months. However, as a single agent, acarbose has not been as effective as other antidiabetic medications. Since acarbose works in the intestine, its effects are additive to antidiabetic medications that work at other sites (such as sulfonylureas). Clinical studies have demonstrated statistically better control of blood glucose in patients treated with acarbose and a sulfonylurea, compared to the sulfonylurea alone. Acarbose is currently used alone or in combination with a sulfonylurea.
Cushing’s syndrome, sometimes referred to as hypercortisolism, is a hormonal disorder caused by prolonged exposure to high levels of the hormone cortisol. Symptoms may include obesity, thinning arms and legs, a rounded face, and increased fat around the neck. Some causes of Cushing’s syndrome is from taking glucocorticoid hormones such as prednisone for inflammatory diseases. Treatment for Cushing’s syndrome depends on the cause.
This nonstarchy vegetable makes just about every superfood list, and it’s easy to see why. For starters, it has more vitamin C per 100 grams than an orange, plus it’s high in the antioxidant beta-carotene, which the body uses to make vitamin A. This dark green vegetable’s vitamin A power promotes healthy vision, teeth, bones, and skin. It is also rich in folate and fiber, all with minimal calories and carbs.
Hint: There may also be benefits to eating the avocado first, as research has shown that the fat literally coats the inside of your intestine, physically blocks other food being absorbed, and effectively reduces the size of your meal.
Women with type 2 diabetes may need to alter their treatment during pregnancy. Many women will require insulin therapy during pregnancy. Cholesterol-lowering medications and some blood pressure drugs can’t be used during pregnancy.
Unexplained weight loss: People with diabetes are unable to process many of the calories in the foods they eat. Thus, they may lose weight even though they eat an apparently appropriate or even an excessive amount of food. Losing sugar and water in the urine and the accompanying dehydration also contributes to weight loss.