FAQ
DIET PHOBIA-REALLY?
Weight and risk of type 2 diabetes are clearly linked. The reason for this is principally because the likelihood of having insulin resistance, a major causative factor for type 2 diabetes increases as weight rises. Very physically active individuals who are overweight or obese by usual standards may be at little increased risk due to the protective effect of exercise.
The most important aspect of any diet to prevent type 2 diabetes is its calorie (i.e., energy) content. If calorie intake exceeds calorie usage, then the excess calories will, in the absence of other modifying factors, be directed toward the body’s energy storage compartment, which is, of course, the fat tissue. Therefore, a diet that matches calorie consumption with output is the key to prevention of overweight and obesity and therefore diabetes.
Aside from the direct consequences of high blood sugar itself, which are people with diabetes are at risk of suffering from other associated diseases. In the case of type 1 diabetes, the person is more likely to suffer from adrenal gland damage (Addison’s disease), thyroid gland damage (Graves’ or, much more commonly, Hashimoto’s disease), and several other disorders. In the case of type 2 diabetes, the other diseases appear to be independent, but related. In other words, they and the diabetes arise from a common soil in the affected person’s metabolic makeup. These related diseases include cholesterol and other blood fat abnormalities (dyslipidemia), high blood pressure (hypertension), and gout.
Besides excess weight, hereditary risk, and lack of exercise, another factor that can increase the risk of developing diabetes is the use of certain medications. Among these medications, the type associated most strongly with increased risk are the steroids (also called glucocorticoids), whose members include prednisone, methylprednisolone, hydrocortisone, and dexamethasone.
The frequency with which you should be checked for diabetes depends upon your degree of risk, your age, and lifestyle factors.
If you are young (younger than 30), physically active, and lean, then you are not at high risk and regular screening is not necessary. As you get older, especially if you get more sedentary and gain weight, as most of us do, then regular screening is advisable. Since screening for diabetes with a fasting or random blood glucose measurement is rapid and inexpensive, there is no reason not to perform it at least annually in individuals at high risk and every 2 to 3 years in those at lesser, but still significant, risk. In general, all pregnant women should be screened for gestational diabetes between 24 and 28 weeks of pregnancy.
This is a partial truth. Type 2 diabetes has a strong genetic link but genes are often dormant (not dominant). They activate only when diet, lifestyle, and Stress switch them on. These genes can be switched off once you change your diet, lifestyle, and stress levels!