Type 2 diabetes can be more severe in younger people

Health Care, Heart Care Foundation of India, Medicine Comments Off

This condition increases the risk of comorbid conditions by two to three times

New Delhi, 07 December 2017: A new study has indicated that Type-2 diabetes is more aggressive in younger people than in adults. The research has also indicated that the risk of complications in younger people with type-2 diabetes is two to three times higher than type-1 diabetes. It is alarming to note that one in every four (25.3%) people under 25 with diabetes in India has adult-onset type-2 diabetes. This condition should ideally strike only older adults with a family history of diabetes, obesity, unhealthy diets and inactivity.

Younger people with Type 2 diabetes do not need to be on insulin. However, they are at a greater risk of developing life-threatening complications such as kidney damage and heart problems than those who are dependent on insulin. The data indicates that about 56.1% of the registered young diabetics have been hospitalized at least once for acute diabetes-related complications. Additionally, 1 in 7 of them had at least one complication or “co-morbid” condition.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, National President Indian Medical Association (IMA) and President Heart Care Foundation of India (HCFI) and Dr RN Tandon – Honorary Secretary General IMA in a joint statement, said, “A high-calorie diet rich in processed and junk food, obesity, and inactivity are some of the reasons for the increased number of younger people with diabetes in the country. Not getting checked in a timely manner and not following the doctor’s protocol further complicates matters for them, putting them at a risk of acquiring comorbid conditions at a relatively younger age. There is also a belief that because young people with Type 2 diabetes do not need insulin, it is not as sinister as it seems. However, this is a false notion. This condition requires immediate treatment and management.”

A young person with Type 2 diabetes may have no symptoms. If there are some, these may be usually mild and in most cases, develop gradually and include thirst and frequent urination.

Adding further, Dr Aggarwal, said, “Small and gradual changes can be made in the family so that no one is left out. This will also be encouraging for youngsters with adults setting examples for a healthy lifestyle. Such changes can help a youngster lose weight (if that is the issue) or help them make better eating choices, thereby lowering the chances of developing Type 2 diabetes. This is truer for those with a genetic susceptibility to the condition. Operating as a team, a family, is much more likely to be successful.”

Here are some tips to manage Type 2 diabetes in young adults.

  • Maintain a healthy weight by exercising every day and consuming a healthy diet.
  • Get your blood glucose levels monitored at regular intervals.
  • Do not consume refined sugar in any form as this can get absorbed into the blood stream more easily and cause further complications.
  • Reduce stress through activities such as meditation and yoga.

Eating nuts is good for the heart

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People who regularly eat nuts, including peanuts, walnuts and tree nuts, lower their risk of developing cardiovascular disease or coronary heart disease compared to people who never or almost never eat nuts.

The study group comprised more than 210,000 people, including women from the Nurses’ Health Study and Nurses’ Health Study II and men from the Health Professionals Follow-up Study. The study participants were followed up for up to 32 years. In addition to the association between consumption of nuts as a whole with heart disease, researchers in this study also examined the association between specific types of nuts such as peanuts, walnuts and tree nuts with major cardiovascular events. The study included peanuts as they have a similar fatty acid and nutrient profile as other nuts. Peanuts are not nuts; they are actually legumes.

Researchers documented 14,136 cardiovascular disease cases, including 8,390 coronary heart disease cases and 5,910 stroke cases.

A consistent inverse association between total nut consumption and total cardiovascular disease and coronary heart disease was found. Compared to those who never consumed nuts.

  • Eating walnuts one or more times per week was associated with a 19% lower risk of cardiovascular disease and 21% lower risk of coronary heart disease.
  • Eating peanuts two or more times per week lowered the risk of cardiovascular disease by 13% and coronary heart disease by 15%.
  • Eating tree nuts two or more times per week lowered the risk of cardiovascular disease by 15% and coronary heart disease by 23%.

Prior studies suggest health benefits like a lower risk of heart disease and type 2 diabetes and lower cholesterol, among other health outcomes. Nuts are nutrient–dense foods. They contain unsaturated fatty acids, fiber, vitamins, minerals and antioxidants.

Nuts have no cholesterol; they are rich in polyunsaturated fats (PUFAs). They also contain fiber, vitamins, minerals and antioxidants. Nuts therefore help to reduce cholesterol levels and lower risk of heart disease and type 2 diabetes. Eating nuts is good for the heart.

The study has been published November 13, 2017 in the Journal of the American College of Cardiology.

(Source: ACC News, November 13, 2017)

Sugar-sweetened drinks increase risk of diabetes and metabolic syndrome

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A review of epidemiological studies published online November 2 2017 in the Journal of the Endocrine Society has added to the growing evidence of the association of sugar sweetened beverages with chronic lifestyle disorders such as type 2 diabetes hypertension and heart disease. The review which examined the association of sugar sweetened beverages with type 2 diabetes metabolic syndrome and hypertension found that regularly drinking sugar sweetened beverages such as soda and juice contributes to the development of type 2 diabetes and high blood pressure. Most of the studies included in the review found that consumption of sugar sweetened beverages also increased the risk of metabolic syndrome which in turn increased the risk of developing heart disease stroke and diabetes. The review included 36 studies on the cardiometabolic effects of sugar sweetened beverage consumption from the last 10 years. Most of the analyzed studies for metabolic syndrome included individuals who drank more than five sugar sweetened beverages a week while consuming as few as two servings of sugar sweetened beverages a week increased the risk of developing type 2 diabetes. Drinking at least one sugar sweetened beverage a day was associated with high blood pressure. These findings yet again highlight the need to educate the general public the young in particular about the adverse health effects of sugar sweetened beverages who frequently consume foods and drinks high in added sugars. It is very important therefore to raise awareness among the public about the lifestyle diseases prevalent in our country which are now occurring at a younger age and the lifestyle measure by which these disease can be prevented. Source Endocrine Society News Release November 2 2017

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