Put brake diabetes
Complicated . Firstly , there are ways to delay the onset or severity of diabetes type 2 or adult onset diabetes . And secondly , diabetes is a multifactorial disease affecting e.g. significant vascular health , so things can evolve quickly and badly , for those who do not give proper attention .
Diabetes mellitus is a chronic disease that is now threatening a global ' epidemic '. In Greece , an estimated 800,000 people suffer from diabetes mellitus type 2 ( SD2 ) , and approximately 4.3 % unaware that suffers from the disease . Who increased risk for developing type 2 diabetes ? There a way to catch him ?
For better prevention of this type of diabetes, it is important to identify those suffering from prediabetes ( ie a precursor stage of diabetes ) to improve their lifestyle and diet , and to prevent the establishment of disease . The prediabetes is the situation in which a person has elevated levels of blood glucose , over the range of normal, but not so much that they declared diabetes . The diagnosis and treatment of prediabetes is important because it largely prevents cardiovascular events. It has been shown , according to recent studies , that the stage of prediabetes is equally important to that of diabetes in vascular appearance , especially cardiovascular events .
The prediabetes has no symptoms and is not considered a disease , however, is the initial step on the path to diabetes , and increases the probability of occurrence of 3-10 times . It is particularly important to detect early, because it is reversible, but also because it can lead to diseases of the cardiovascular system .
In prediabetes , disturbing the balance between blood sugar and insulin . In some cases , the pancreas is unable to produce the amount of insulin needed by the body , while in other cases there is the so-called " insulin resistance ", where the insulin produced is not properly absorbed by the body .
The pre-diabetes has reached epidemic proportions as people with prediabetes are estimated at over 300 million worldwide . Of particular concern is the increasing incidence of even the teens . Individuals with prediabetes should be monitored at least annually by clinical examination and appropriate laboratory tests in order to promptly determine a deteriorating situation to diabetes or other complications , such as hypertension and hyperlipidemia .
► Who are most at risk ?
Central role in the emergence of prediabetes and SD2 plays family history . However , a genetically susceptible individual has an increased chance to show the life of prediabetes or SD2 , if excessive weight gain , especially if acquired large waist circumference (aggregation abdominal / visceral fat) .
Factors such as unhealthy diet and reduced or no physical activity increase the incidence of diabetes and prediabetes . Other predisposing factors in obstructive sleep apnea and , for women , polycystic ovary syndrome , gestational diabetes or a baby weighing more than 4 kg.
In the above risk factors for diabetes should be added as hypertension , elevated triglycerides , low HDL cholesterol , items along with increased waist circumference ( > 102 cm for men and 88 cm for women) make up the so-called metabolic syndrome . Individuals increased risk should be proactively monitored by laboratory tests , at least annually , to diagnose early, because in its early stages, SD2 may not show any symptoms . The review is not sufficient . The audit will help us just to early diagnosis rather than prevent it .
► Prevention
To prevent the appearance SD2 , you need to make changes in lifestyle and our diet , putting exercise into our lives and emphasizing the rules of the Mediterranean diet . Why the Mediterranean diet , why include , more than any other food regimen foods that are , as we say , low glycemic index and lots of fiber ( legumes , vegetables , fruits , whole grain bread , etc. ) . The glycemic index is used to determine the increase in blood glucose , causing foods containing carbohydrates. Foods with a low glycemic index , causing lower rises in blood sugar, take longer to digest and release sugar slowly into the blood, as opposed to foods with high glycemic index.
The effectiveness of a healthy diet , combined with physical activity in the prevention of prodiaviti/SD2 reaches up to 60 % . People with prediabetes have to reduce their weight by at least 5 to 10 % and exercise 30 to 60 minutes at least 5 times a week .
In some cases, for the treatment of prediabetes have used drugs ( metformin, acarbose , orlistat ) .
But there are solutions beyond medications The answer is positive. Vitamins with antioxidant properties , such as C and E, vitamin D, alpha - lipoic acid , minerals such as chromium and magnesium , soluble fiber, and cinnamon and - most recently - probiotics , has seen to have positive effects on the regulation of blood sugar .
► What if I already SD2 ?
As mentioned above, SD2 , in its initial stage , is likely to not give any symptoms. But as hyperglycemia worsens, you may appear polyuria , dry mouth and increased thirst , blurred vision, unreasonable weight loss , fatigue , and infections , such as urinary tract infections and vaginitis , with unusual frequency.
What can the patient ? And here , exercise and diet play a very important role , while pharmaceutical level , the emphasis is on the ability of drugs to improve and maintain longer functioning of the beta cells of the pancreas , which produce insulin.
Risk factors for type 2 diabetes
• Body mass index > 30 kg/m2
• Sedentary
• first-degree relative with diabetes
• Women with a history of child birth > 4 kg
• Women with polycystic ovary
• History prediabetes
• Hypertension or history of receiving antihypertensive drugs
• HDL ( good chalisteroli ) of less than 35 mg / dl or higher fasting triglycerides of 250 mg / dl
• Cases of increased insulin resistance , such as severe obesity
• History of cardiovascular event
Source : healthyme