Leading a healthy lifestyle is harm reduction for people susceptible to Type 2 diabetes

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

India is set to become the diabetes capital of the world

New Delhi, 2 March 2019: Taking vitamin C supplements can help diabetics by lowering elevated blood sugar levels throughout the day, a study has found. The research also found that vitamin C lowered blood pressure in people with type 2 diabetes, suggesting benefits for heart health too. While physical activity, good nutrition and current diabetes medications are standard care and very important for managing type 2 diabetes, some people can find it tough to manage their blood glucose levels even with medication.

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.

Speaking about this, Padma Shri Awardee, Dr KK Aggarwal, President, HCFI, said, “In a person with Type 2 diabetes, the body does not utilize insulin properly and this condition is called as insulin resistance. The pancreas first makes extra insulin to make up for this. However, over time, it cannot make enough to keep the blood glucose at normal levels. While the exact trigger for this condition is not known, Type 2 diabetes could be a result of a combination of factors. Some may be genetically predisposed to the condition. People with a family history of obesity are also at an increased risk of developing insulin resistance and diabetes. Those who are obese have added pressure on their body’s ability to use insulin in controlling blood sugar levels. This can lead to Type 2 diabetes. The more fatty tissue a person has, the more resistant their cells become to insulin. Lifestyle factors also have a major role to play.”

The symptoms of Type 2 diabetes develop slowly, over a period of time. Some of them include increased thirst and hunger, frequent urination, weight loss, fatigue, blurred vision, slow healing of infections and wounds, and skin darkening in certain areas.

Adding further, Dr Aggarwal, who is also the Group Editor-in-Chief of IJCP, said, “A healthy diet is, more expensive than an unhealthy one. The wide availability of cheap energy dense low-nutrient food is contributing to the global epidemic of type 2 diabetes. 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.”

Some harm reduction measures

  • Exercise more Exercise has various benefits including preventing weight gain, controlling blood sugar levels, and other conditions. A minimum of 30 minutes of physical activity every day is very beneficial.
  • Eat healthy A diet rich in whole grain, fruits, and vegetables is very good for the body. Fibrous food will ensure that you feel fuller for a longer period and prevent any cravings. Avoid processed and refined food as much as possible.
  • Limit your alcohol intake and quit smoking. Too much alcohol leads to weight gain and can increase your blood pressure and triglyceride levels. Men should limit drinks to two per day and women to one per day. Smokers are twice as likely to develop diabetes as non-smokers and therefore, it is a good idea to quit this habit.
  • Understand your risk factors Doing so can help you in taking preventive measures at the earliest and avoid complications.

Diabetes set to become a global epidemic with India taking the second spot after China

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Demand for insulin also set to rise due to this increasing prevalence

New Delhi, 22 November 2018: A recent study has warned that about 98 million people in India may have Type 2 diabetes by 2030. It has also found that the number of adults worldwide with the condition is expected rise by over a fifth. Additionally, the amount of insulin needed to effectively treat Type 2 diabetes will rise by more than 20% worldwide over the next 12 years. What is alarming is that over half of those with this condition will reside in three countries alone: China, India, and the USA.

Insulin is essential for all people with Type 1 diabetes and for some of those with Type 2 diabetes. It can help reduce the risk of complications such as blindness, amputation, kidney failure, and stroke.

Speaking about this, Padma Shri Awardee, Dr KK Aggarwal, President, HCFI, said, “Diabetes is a huge and growing burden. It is fast gaining the status of a potential epidemic in India. Up to 11% of the total healthcare expenditure in every country across the globe could be saved by tackling the preventable risk factors for Type 2 diabetes and over 70% of such cases can be prevented or delayed by adopting healthier lifestyles. 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 can develop gradually to include thirst and frequent urination.

Adding further, Dr Aggarwal, who is also the Group Editor-in-Chief of IJCP, 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.

Type 2 diabetes poses a massive public health challenge for India

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

Life threatening health complications can hamper living if timely management is not undertaken

New Delhi, 13November 2018: Planned intermittent fasting may help in reversing Type 2 diabetes, indicates recent research. While lifestyle changes are important in managing the condition, some additional measures may be required. Type 2 diabetes normally affects older adults but is being increasingly noticed among younger Indians. They are at a greater risk of life-threatening complications including kidney damage and heart disease as well.

India currently shoulders 49% of the global diabetes burden, representing the ‘lifestyle disease’ as a massive public health obstacle for the second most populated country in the world. The number of people with the condition are bound to increase considering the rise in disposable incomes and living standards and will reach to almost 134 million by 2045.[1]

Speaking about this, Padma Shri Awardee, Dr KK Aggarwal, President, HCFI, 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.”

The symptoms of Type 2 diabetes develop slowly, over a period of time. Some of them include increased thirst and hunger, frequent urination, weight loss, fatigue, blurred vision, slow healing of infections and wounds, and skin darkening in certain areas.

Adding further, Dr Aggarwal, who is also the Group Editor-in-Chief of IJCP, 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.”

Some tips from HCFI

  • Exercise more Exercise has various benefits including preventing weight gain, controlling blood sugar levels, and other conditions. A minimum of 30 minutes of physical activity every day is very beneficial.
  • Eat healthy A diet rich in whole grain, fruits, and vegetables is very good for the body. Fibrous food will ensure that you feel fuller for a longer period and prevent any cravings. Avoid processed and refined food as much as possible.
  • Limit your alcohol intake and quit smoking Too much alcohol leads to weight gain and can increase your blood pressure and triglyceride levels. Men should limit drinks to two per day and women to one per day. Smokers are twice as likely to develop diabetes as non-smokers and therefore, it is a good idea to quit this habit.
  • Understand your risk factors Doing so can help you in taking preventive measures at the earliest and avoid complications.

[1] http://reports.instantatlas.com/report/view/846e76122b5f476fa6ef09471965aedd/IND?clear=true

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