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Diabetes Prevention Tips-July 2012

What is Diabetes?

Diabetes is a disease in which blood glucose levels are above normal. Most of the food we eat is turned into glucose, or sugar, for our bodies to use for energy. The pancreas, an organ that lies near the stomach, makes a hormone called insulin to help glucose get into the cells of our bodies. When you have diabetes, your body either doesn't make enough insulin or can't use its own insulin as well as it should. This causes sugar to build up in your blood.

Diabetes can cause serious health complications including heart disease, blindness, kidney failure, and lower-extremity amputations. Diabetes is the seventh leading cause of death in the United States.

Types of diabetes

Type 1 diabetes develops when the body's immune system destroys pancreatic beta cells, the only cells in the body that make the hormone insulin that regulates blood glucose. To survive, people with type 1 diabetes must have insulin delivered by injection or a pump.

This form of diabetes usually strikes children and young adults, although disease onset can occur at any age. In adults, type 1 diabetes accounts for approximately 5% of all diagnosed cases of diabetes. Risk factors for type 1 diabetes may be autoimmune, genetic, or environmental. There is no known way to prevent type 1 diabetes. Several clinical trials for preventing type 1 diabetes are currently in progress or are being planned.

Type 2 diabetes In adults, type 2 diabetes accounts for about 90% to 95% of all diagnosed cases of diabetes. It usually begins as insulin resistance, a disorder in which the cells do not use insulin properly. As the need for insulin rises, the pancreas gradually loses its ability to produce it.

Type 2 diabetes is associated with older age, obesity, family history of diabetes, history of gestational diabetes, impaired glucose metabolism, physical inactivity, and race/ethnicity.

African Americans, Hispanic/Latino Americans, American Indians, and some Asian Americans and Native Hawaiians or Other Pacific Islanders are at particularly high risk for type 2 diabetes and its complications.

Type 2 diabetes in children and adolescents, although still rare, is being diagnosed more frequently among American Indians, African Americans, Hispanic/Latino Americans, and Asians/Pacific Islanders.

Gestational diabetes is a form of glucose intolerance diagnosed during pregnancy. Gestational diabetes occurs more frequently among African Americans, Hispanic/Latino Americans, and American Indians. It is also more common among obese women and women with a family history of diabetes. During pregnancy, gestational diabetes requires treatment to optimize maternal blood glucose levels to lessen the risk of complications in the infant.

Other types of diabetes result from specific genetic conditions (such as maturity-onset diabetes of youth), surgery, medications, infections, pancreatic disease, and other illnesses. Such types of diabetes account for 1% to 5% of all diagnosed cases.

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Tips to Prevent Type 2 Diabetes

Step 1 Move More

Plan to get at least 30 minutes of physical activity 5 days each week to help you lose weight. You can get this amount in small ways throughout the day. If you have not been active, talk to your doctor and start slowly to build up to your goal. Here are some ideas to fit more physical activity into your day.

  • Park your car farther away from stores, movie theaters, or your office
  • Use TV breaks to stretch, take a quick walk around your home, do some sit-ups, or march in place
  • Get your friends and family involved. Set a standing walking date. Or do something that everyone enjoys, like basket ball, take a bike ride, or line dance.
  • Walk during your lunch break.
  • Deliver a message to a co-worker in person instead of by email. Take the stairs to your office instead of the elevator.

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Step 2 Make Healthy Food Choices

Choose foods that are low in fat, sugar, and calories to help you lose weight. Limit portion sizes.

  • Eat a variety of colorful vegetables and fruits
  • Choose whole grain foods ssuch as whole wheat bread and crackers, oatmeal, brown rice, and cereals
  • Lower fat intake. Broil or bake poultry, meats, and fish instead of frying
  • Lighten your recipes by using nonfat or low-fat milk, yogurt, cheese, sour cream, cream cheese, or mayonnaise. Use cooking spray instead of oil
  • Avoid getting too hungry by eating a healthy snack between meals
  • Do not keep chips, cookies, or candy in your home. Instead, for snacks have raw vegetables, fruit, low-fat or nonfat yogurt, or a handful of nuts, pumpkinseeds, or sunflower seeds
  • Choose water to drink

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Step 3 Start Your GAME PLAN to Prevent Diabetes.

The key to losing weight and preventing diabetes is to make long-term changes that work for you every day. Taking these steps is a great way to get started.


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