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Diabetes and Obesity: How to lower your risk of diabetes and its complication with weight management

Dr. Gupta — Fri, 27 Apr 2012 18:23:37 +0000

Obesity, as we all know, have reached epidemic proportions worldwide. In US population as of 2010 data, over 2/3rd of US population is overweight or obese. Of these 1/3rd of US population is obese. The data for type 2 diabetes is similar. If you follow the trend of type 2 diabetes and obesity prevalence, you will see that it is runs side by side. This is not surprising because we now know that obesity and type 2 diabetes are closely related to one another.

The fat cells produce chemical, called cytokines, that start a cascade of reaction that ultimately lead to inflammation. This inflammation ultimately causes metabolic disorders, such as, diabetes, hypertension and hyperlipidemia.

Both diabetes and obesity (hence diabesity) share the same underlying causes (genetic makeup and unhealthy lifestyle) and this require the same treatment. They are 100% preventable and, in some cases, entirely reversible.

Diabetes is diagnosed by the following criteria:

HgA1c (Glycocylated hemoglobin) > 6.5%
Fasting plasma glucose > 126 mg/dl
2-hr plasma glucose > 200 mg/dl post 75 gm oral glucose challenge
Random plasma glucose > 200 mg/dl with symptoms (Polyuria, polydipsia and unexplained weight loss)

Impaired Fasting Glucose or Prediabetes is diagnosed by the following criteria:

Fasting plasma glucose 100 – 125 mg/dl [Impaired fasting glucose (IFG)] or
2-hr post 75g oral glucose challenge 140 – 199 mg/dl [Impaired glucose tolerance (IGT)] or
HgA1C 5.7 % – 6.4 %

It is important to note that

By the time of diagnosis of diabetes, 20% of patients have already developed retinopathy, 8% have nephropathy, 9% have neuropathy and up to 50% have cardiovascular diseases.
Even before you develop diabetes, beta-cell in pancreas are getting affected leading to increased risk of cardiovascular diseases.

Obesity is assessed by body mass index (BMI):

The risk of diabetes escalates with the degree of excess weight. Therefore, the prevention of weight gain in people with diabetes as well as impaired glucose tolerance should be the main focus of treatment strategies.

Weight loss will surely improve diabetes and other metabolic disorders. It is important to understand that while you lose weight, specially when you have other medical problems, such as, diabetes, hypertension, hyperlipidemia, etc., one should seek medical weight loss program which are physician supervised. Your current medications needs to be adjusted while you lose weight.

You learn about some easy weight reducing tips here.

At the Center for Medical Weight Loss & Metabolic Control, UMDNJ-SOM, we offer a Diabesity program designed for people who wants to lower their risk of diabetes, improve the current diabetes and lower the complication of severe diabetes.

Recommended Weight Loss Tools:

What are some good sources of protein?

Dr. Gupta — Fri, 13 Apr 2012 23:14:54 +0000

Protein an important part of our food group. It is present in every cell, tissue and organ in our bodies. These protein are constantly being broken down and

replaced.

The protein is broken into amino acids that are absorbed by body.

There are 20 different amino acids that join together to make all types of protein. Some of these amino acids (9 amino acids) can not be made by our body, so these are known as essential amino acids.

In the diet, protein sources are labeled according to how many and how much essential amino acids they provide:

Complete Proteins: They provide all essential amino acids in sufficient quantity. For example, chicken, fish, eggs, milk and cheese.
Incomplete Proteins: They either do not provide all essential amino acids or provide all amino acids in not sufficient quantity. For example, rice, beans, tofu and soy. Plant proteins are incomplete. You must combine them to get all of the amino acids your body needs.

Here is a simple calculator to find out how much protein one needs. Protein Calculator.

Sources:

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Easy Weight Reducing Tips

Dr. Gupta — Fri, 31 Dec 2010 04:24:20 +0000

Weight gain is easy but losing weight is not the same. It does appear as a challenge, but weight loss can be easy. It is actually a simple math. If you take in less calories than you burn off, you will lose weight. If you consume about 500 calories less every day, you will lose 1 lb a week.

Exercise is key component in weight reduction. You need to do both cardio and weight training. Take less calories in with proper diet is equally important.

The following online presentation will show you how easy it is to lose weight. They have:

Role of hormones in weight loss
Best ways to fire up metabolism
Burn fat fast and develop lasting results

Stop Dieting and Start Living with this Diet Solution

Foods that FIGHT Abdominal Fat

Dr. Gupta — Thu, 30 Dec 2010 01:48:35 +0000

Abdominal fat is considered an independent risk factor for heart disease. Losing the fat from abdomen sometimes can be difficult. If you want to flatten your stomach, then proper nutrition is the most important step towards incredible results. Here are few pointers before you go ahead and watch the presentation online to lose abdominal fat.

First avoid FAD diet. Healthy proper nutrition is the key to a successful and safe weight loss.
Water. You ‘ll be amazed at how faster you’ll lose fat if you increase your water consumption. Drink about 8 cups a day at least.
Exercise. You must to both cardio as well as weight training. Do cardio daily and weight training about 2-3 times per week.

Now, as mentioned above, proper nutrition is the most important step, and with that said, here are the best foods to fight abdominal fat:

Protein (animal protein from chicken, turkey and tuna as well as plant protein from milk, lentils, chick peas, beans, yogurt, etc.)
Complex carb/Fiber (whole grains, oatmeal, apples, etc.)
“Good” Fat. Mono-unsaturated fatty acids (MUFA) as in fish, nuts, olive oil, fish oil, etc.)

Check out the FREE presentation below for:

Foods (that you thought were unhealthy) that actually assist the fat-burning process in your body
3 Foods marketed as “healthy” that actually increase your stomach fat… stay FAR away from these!
Weird workouts (scientifically-based) that burn belly fat faster than typical cardio

Not Brushing Twice a day can cause heart attack!

Dr. Gupta — Thu, 03 Jun 2010 21:58:43 +0000

We can never emphasize enough that brushing your teeth daily is very important. Now we have this study in British Medical Journal (BMJ) that surveyed almost 11,000 men and women and followed them for about 8 years and tracked which of them developed heart attack and which one of them died from that. They also asked their brushing habits. What was found from this survey data which was self-reported by the participants that people who have heart attacks, a large number of them had poor brushing habits.

Participantswho reported poor oral hygiene (never/rarely brushed their teeth) not only had an increased risk of a cardiovascular disease event but also had higher inflammatory markers, such as, c-reactive protein (CRP).

Although this could be simple a correlation but not a causal relationship, we can still reduce the risk of inflammation with simple intervention – Brushing Teeth twice a day!

Source: British Medical Journal (BMJ)

Milk after exercise promotes muscle gain and fat mass loss

Dr. Gupta — Wed, 02 Jun 2010 04:18:46 +0000

We have heard it all the times that drinking protein right after strength training helps prevent muscle loss and promotes muscle gain. The recent study published in the Medicine and Science in Sports and Exercise journal states that drinking low fat milk after strength training exercise helps promote muscle gain, fat mass loss and a possible reduction in bone turnover. This study was done in the women as most women does not consider strength training as their choice of exercise. This study shows that strength training helps promote weight loss in women also. Strength training has similar effects in women as it is in men.

Women were divided in two groups – one got about 500 ml of fat-free milk immediately and 1 hour after strength training exercise and the other group got a protein drink at the similar times. The milk group maintain the same body mass but had lower fat mass and increased lean body mass, which means that they had lower percent body fat. Not only was their body composition improved but the Milk group also have higher Vitamin D which helps with bone development.

This study supports what has been promoted all along with “Got Milk” ads. Milk is essential to our body and nothing replaces natural milk protein even for building muscle and weight loss.

Source: Medicine and Science in Sports & Exercise Journal

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