Treating Obesity can cure Type 2 Diabetic?
Obesity and Type 2 diabetes are diseases that can considerably decrease
life expectancy, diminish quality of life and increase healthcare costs. The prevalence
of obesity and diabetes continues to rise by epidemic proportions. .According
to the reports, in 2002 18.2 million people, or 6.3 per cent of the population,
had diabetes. Diabetes was the sixth leading cause of death. death certificates
in 2000. The direct and indirect cost of diabetes in the U.S. in 2002 was
estimated at $132 billion. It has been estimated that the annual cost of
overweight and obesity in the U.S. is $122.9 billion. This estimate accounts
for $64.1 billion in direct costs and $58.8 billion in indirect costs.
What is Diabetes?
Diabetes is a disease
characterized by high levels of blood glucose resulting from defects in insulin
production, insulin action or both. Type 1 diabetes happens when the body's
immune system destroys pancreatic beta cells, the only cells in the body that
make the hormone insulin that regulates blood glucose. This form of diabetes
usually hit children and young adults, although disease onset can occur at any
age. Type 1 diabetes reports for only five to 10 percent of all diagnosed cases
of diabetes. Risk of type 1 diabetes includes autoimmune, genetic and
environmental factors. Type 2 diabetes happens for some 90 to 95 percent of all
diagnosed cases of diabetes. It generally begins as insulin resistance, a
disorder in which the cells do not use insulin properly. As the requirement for
insulin rises, the pancreas gradually loses its ability to produce insulin.
Treating Obesity Will Treat Type 2 Diabetes?
Weight-loss is an
important aim for overweight or obese persons, particularly those with type 2
diabetes. Weight-loss of 5-10% of body weight can improve insulin action,
decrease fasting glucose concentrations and reduce the need for some diabetes
medications. A plan of diet, exercise and behavior modification can
successfully treat obesity, but pharmacotherapy and/or surgery may be
warranted.
Diet
Weight-loss occurs when
energy expenditure exceeds energy intake. Creating an energy undersupply of
500-1,000 calories per day will result in a one to two pound weight-loss per
week.
Physical Activity
Regular physical
activity helps maintain weight-loss and prevent regain. It also enhances
insulin sensitivity and glycemic control, may decrease the risk of developing
diabetes and reduces mortality in patients with diabetes.
Medication
There are a number of
medications intended to treat diabetes, insulin resistance and obesity. Metformin
is one of medication that has been found helpful in reducing the risk of type 2
diabetes in patients with insulin resistance. Metformin reduced the rate of
progression to diabetes in obese persons with impaired glucose tolerance. Men who
take metformin had central obesity and other features of metabolic syndrome
(insulin resistance, hypertension, hyperlipidaemia) had slightly more
weight-loss and slightly lower fasting blood glucoses that those given a
placebo.
Prevention
Preventing and treating
obesity will help in the prevention and treatment of diabetes. Assisting a
healthy lifestyle in children and adolescents will put them on a path that will
decrease their risk of diabetes and its complications. Adults at high consequence
of developing diabetes to change their diet and lifestyle may prevent them from
developing diabetes and its consequences.
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