People working in irregular shifts at a higher risk of acquiring Type 2 diabetes

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

Inculcating healthy eating habits at the outset can help in averting this condition

New Delhi, 15 February 2018: According to a recent study, people working irregular or rotating shifts with usual night shifts were 44% more likely to have Type 2 diabetes. In addition, compared to day workers, all shift workers were more likely to have Type 2 diabetes, except for permanent night shift workers. WHO statistics indicate that the global prevalence of diabetes has nearly doubled since 1980, rising from 4.7% to 8.5% in the adult population. The majority of people with diabetes are affected by Type 2 diabetes.

Type 2 diabetes is typically brought on by poor eating habits, too much weight and too little exercise. In this condition, the cells cannot use blood sugar (glucose) efficiently for energy. This happens when the cells become insensitive to insulin and the blood sugar gradually gets too high.

Speaking about this, Padma Shri Awardee Dr K K Aggarwal, President Heart Care Foundation of India (HCFI) and Immediate Past National President Indian Medical Association (IMA), said, “Type 2 diabetes was formerly known as non-insulin-dependent or adult-onset diabetes due to its occurrence mainly in people over 40. However, it is now becoming more common in young adults, teens and children and accounts for roughly 90% of all diabetes cases worldwide. One of the primary reasons for this is the lifestyle people lead today. On-the-go and fast-paced lives mean people skip their breakfast and end up eating unhealthy, quick-fix meals through the remainder of a day. Type 2 diabetes is closely linked to obesity and it’s well–known that maintaining a healthy weight through diet and exercise reduces the risk of developing the disease. Diet affects diabetes risk independent of a person’s weight.”

Type 2 diabetes is also known as the silent killer. This is because by the time people are diagnosed with the condition, the other health complications of diabetes may already be present.

Adding further, Dr Aggarwal, who is also Group Editor of IJCP, said, “Foods which reduce the risk of Type 2 diabetes such as vegetables, fresh fruit, whole grains and unsaturated fats need to be more affordable and more widely available. Most of all, it is important to start the day with a healthy breakfast as this can help prevent the onset of type 2 diabetes and effectively manage all other types of this condition as well. This will be an important topic of discussion at the 25th Perfect Health Mela to be held this year by the HCFI.”

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.

Type 2 diabetes can be more severe in younger people

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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)

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