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Wednesday 22 november 2017 heAlth
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Pre - diabetes and

diabetes management

obese at the time of diag- these disturbances in fat to lecture to an interna-
nosis. metabolism are devastat- tional scientific group of
The preclinical stage (pre- ing to blood sugar balance experts on the prevalence
diabetes) of type II diabe- and weight management. of Insulin resistance and re-
tes is Metabolic Syndrome Acceleration of this nega- lated metabolic features, I
or Syndrome X. Metabolic tive cycle and the collapse presented facts and treat-
syndrome is a collection of pancreatic insulin pro- ment options. Options that
of changes in your body duction change Metabolic showed improvement in
that progress silently over Syndrome or Pre-Diabetes symptoms and on blood
a period of years. The criti- which can be controlled or tests from lifestyle chang-
cal change is increased slowed with lifestyle chang- es such as drinking more
resistance to insulin, the es into the ever deteriorat- water, using a metabolic
hormone that suppresses ing health condition, Dia- or blood type diet, daily
liver glucose output and re- betes. supplements and regular
moves excess glucose from Get The Point! Diabetes is exercise. If you are inter-
the blood. the one of the top causes ested in getting your sugar
Your body is making the in- of death Aruba, Bonaire, under control, read my
sulin, but the insulin in not Curacao the United States book, make an appoint-
available to your cells to and Europe. From a study ment, check for events. Let
convert glucose to energy. I conducted on Aruba and us help you become your
Here in Aruba, as in most through medical treat- We know that virtually ev- then published I was invited best doctor.q
modern societies, everyone ment; diabetes, in fact, it eryone who develops type
knows someone who has is a complex medical dis- II diabetes starts with insulin
diabetes. The World Health order. Our communities resistance. We also know
Organization estimates have fundamental genetic that the risk of developing
that by 2025, the number predisposition, made worse type II diabetes is highest
of people with diabetes will by our social, behavioral, among obese people who
reach over 300 million—a dietary, and lifestyle fac- have an abnormal accu-
staggering 122% increase tors. The disease has seri- mulation of fat. Determin-
in less than 30 years. Type ous implications for vision, ing insulin resistance is not
2 diabetes is an epidemic cardiovascular health, kid- so much by the amount of
requiring global attention ney and nerve functions. body fat as by where the
and urgent action. How- Its control and prevention fat is located. In fact, one
ever, controlling your blood largely depends on life- of the best predictive mark-
sugar levels and preventing style issues, including diet, ers for insulin resistance is
diabetes type II can only weight management, and excess body weight, in par-
be managed by you physical exercise—a many- ticular around the waist or
As a medical anthropolo- sided combination of fac- hips.
gist I know diabetes exhibits tors that makes treatment In the change from being
a strong ethnic preference: complex and challenging overweight to being obese,
Native Americans, Hispan- Obesity is a symbol of type the liver becomes resis-
ic-Latino Americans, and II diabetes. A tendency to- tant to insulin and the hor-
African-Americans show ward belly fat is associated mone’s ability to suppress
an increased prevalence with increased insulin resis- liver glucose production.
compared to the non-His- tance and contributes to Under these conditions, the
panic white population. its early onset. This may ex- excess insulin turns the liver
Misunderstood as a sim- plain why 85% of children in into a ‘fat-producing fac-
ple sugar imbalance that Aruba who develop type II tory’ with all of its negative
can be readily corrected diabetes are overweight or effects. Once established,