How to prevent Diabetes

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Over 10 lakh people in India will die due to diabetes and its complications by the end of this calendar year, an International Diabetes Federation (IDF) report has stated.

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In a statement issued on the World Diabetes Day, IDF president Jean Claude Mbanya said that a recent IDF report

Nearly 60% of diabetics in India have never been screened or diagnosed due to lack of awareness. A recent IDF survey shows that a staggering 62.6% of the people in India are not even aware about the complications of the disease.”

Too much of a good thing could be dangerous, particularly for diabetics. But what is causing concern to doctors and diabetologists is the pre-diabetic condition found in youngsters above 20 years. This could lead to future health complications and may be fatal too.

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Dr Banshi Saboo is the key investigator for Gujarat for ICMR’s ‘India-D’ study and president, Diabetes Care India. He said, “According to our study, so far nearly 14-22% of the population across India fall in the pre-diabetic condition. These people could get diabetes within a decade.”

Dr Saboo explained that there are three known reasons for acquiring diabetes – family history, abdominal obesity and sedentary lifestyle. However, it can be prevented with timely tests and proper care.

Often, prediabetes has no signs or symptoms.

Darkened areas of skin, a condition called acanthosis nigricans, is one of the few signs suggesting you are at risk for diabetes. Common areas that may be affected include the neck, armpits, elbows, knees and knuckles.

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Ways to prevent diabetes

1. Eat breakfast every day

Eating something — anything — within two or three hours of rising, every day, reduces your risk of getting diabetes by 34 percent, new research finds. “What we suspect is that the consistency of eating a daily breakfast helps control appetite and caloric intake for the rest of the day, which helps prevent weight gain,” says lead author Andrew Odegaard, a research associate at the University of Minnesota. Do opt for healthy food choices when possible. Among your best options: peaches, plums and nectarines. These stone fruits have bioactive compounds that can help prevent obesity-related diabetes and heart disease, according to breakthrough science presented at the August 2012 meeting of the American Chemical Society.

2. Increase your Sleeping time

Sleeping less than six hours a night is associated with a 60 percent higher rate of diabetes, results from the Boston Area Community Health Pre-Diabetes Study show. Why? One theory is that when you’re sleep-deprived, appetite-regulating hormones go a bit haywire. In a University of Chicago study, participants’ cravings for sugary and salty foods, like cookies and potato chips, jumped by up to 45 percent after just two sleepless nights, because of a drop in the satiety-signaling hormone leptin and an increase in ghrelin, an appetite trigger. Lack of sleep also causes spikes in the hormone cortisol, which raises insulin levels and causes blood sugar imbalances. “The first strategy for a longer night’s sleep is to get the TV, computer and smartphone out of the bedroom,” says Rebecca Piccolo, a biostatistician at New England Research Institutes in Watertown, Mass. If you’re already diabetic, new research suggests that getting treated for sleep apnea could help control your blood glucose levels. After meals, people with severe sleep apnea had blood glucose levels almost twice as high as did those without the condition.

3. Eat more Vegetables 

Those who ate the most fruits and vegetables each week (typically six servings a day) had a 21 percent lower risk of developing diabetes over 11 years than did those who ate the least (typically only two servings a day), new research finds. Another study linked a diet that regularly includes processed meats to higher diabetes risk. “We found subjects who ate processed meats like hotdogs, breakfast sausages and luncheon meats at least twice a week had a 63 percent higher risk than did those who ate them less than twice a month. The reason could be that eating lots of cured meats is associated with greater weight gain and a higher obesity rate,” says lead author Amanda M. Fretts, senior research fellow at the Cardiovascular Health Research Unit at the University of Washington in Seattle. What should you eat instead? A Mediterranean-style diet — with lots of fruits, vegetables and legumes — has been shown to reduce diabetes risk.

4. Throw away your cigarettes

Lighting up raises your likelihood of developing diabetes by 40 percent. Now new research finds that you can dramatically lower that risk by quitting. According to a study presented at the American Diabetes Association conference in Philadelphia in June, smokers who quit reduced their risk of developing diabetes to that of nonsmokers within 10 years. If you’ve been putting off quitting for fear that you’ll pack on the pounds (another risk factor for diabetes), don’t worry: “Our study found that as long as you don’t put on more than 10 pounds, the benefits of quitting outweigh the risk of moderate weight gain,” says lead researcher Karen Margolis, M.D., professor of medicine at the University of Minnesota Medical School.

5. Regular Exercise

Regular aerobic exercise helps prevent diabetes in multiple ways: It keeps you trim, helps control your cholesterol and blood pressure, and regulates insulin production. Walking is the easiest way to get started, but if you’re new to fitness and not ready for the recommended 10,000 steps per day, a study by Fretts’ team at the University of Washington showed that adding just 3,500 steps a day was associated with a 29 percent lower risk compared with those walking less than that amount. A new study in the Journal of the American Medical Association also found that weight training was associated with a significantly reduced risk of developing diabetes.

6. Drinking alcohol can contribute to the conditions that cause diabetes.

There are three main ways drinking alcohol to excess can be a factor in causing diabetes:

1. Heavy drinking can reduce the body’s sensitivity to insulin, which can trigger type 2 diabetes
2. Diabetes is a common side effect of chronic pancreatitis, which is overwhelmingly caused by heavy drinking.
3. Alcohol contains a huge amount of calories – one pint of lager can be equivalent to a slice of pizza. So drinking can also increase your chance of becoming overweight and your risk of developing type 2 diabetes.

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