Diabetes

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Diabetes mellitus is a syndrome characterized by disordered metabolism and inappropriately high blood sugar (hyperglycaemia) resulting from either low levels of the hormone insulin or from abnormal resistance to insulin's effects.

Insulin is an anabolic hormone that helps the glucose get into your cells to give them energy, and also controls the body's fatty acid metabolism. There are two types of diabetes - type 1 diabetes that usually starts in early childhood and has higher genetic risk and the more common type 2 diabetes that can start in obese kids and adults. Up to 90 percent of the risk of type 2 diabetes is considered preventable according to research from Yale University and other places.

Etiology

The incidence of type 2 diabetes has gone up significantly in populations around the world including the United States in the past 50 years or so. This has to do with the misguided efforts at the various Governments including that of the United States to deal with the obesity epidemic. As most of the efforts at curbing obesity were too "fat centric" such as the United States failed and now withdrawn food pyramid, this lead to an explosion of insulin resistance as all these so called low fat foods tend to be high glycemic.

It is postulated that increased use of cereal grains might also have contributed to the raise in the epidemic of obesity and type 2 diabetes that some call it as diabetesity.

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Facts on Diabetes

According to the Center's for Disease Control, here are the facts on diabetes:

  • Adults aged 65 years and older, 10.9 million, or 26.9% or had diabetes in 2010.
  • About 215,000 people younger than 20 years had diabetes (type 1 or • type 2) in the United States in 2010.
  • *About 1.9 million people aged 20 years or older were newly • diagnosed with diabetes in 2010 in the United States.
  • In 2005–2008, based on fasting glucose or hemoglobin A1c levels, • 35% of U.S. adults aged 20 years or older had prediabetes (50% of adults aged 65 years or older). Applying this percentage to the entire U.S. population in 2010 yields an estimated 79 million American adults aged 20 years or older with prediabetes.
  • Diabetes is the leading cause of kidney failure, nontraumatic lower-• limb amputations, and new cases of blindness among adults in the United States.
  • Diabetes is a major cause of heart disease and stroke.•
  • Diabetes is the seventh leading cause of death in the United States.•
  • Diabetes affects 25.8 million people
  • 8.3% of the U.S. population


What went wrong with our diet?

Instead of blaming the victim for obesity, or yourself for obesity, it is important to understand what drives the weight gain, such as insulin resistance that affects up to 71 percent of the entire population out of which 35 percent already have metabolic syndrome.

Confusing choices

With over 20,000 books written on this topic with so much misleading information, let a trained practicing weight loss physician, Dr Prab R. Tumpati,MD educate you on the true science and art of obesity medicine.

Why the food pyramid failed?

The now withdrawn and failed food guide pyramid was a disaster as it advocated a low fat, but glycemic diet that leads to increased risk of insulin resistance which in turn causes weight gain.

Metabolic starvation in the obese

Most people that gain weight are not on a mission to gain weight intentionally. It is the paradoxical metabolic starvation that happens in the obese due to insulin resistance with a compensatory increase in the anabolic hormone called insulin that drives weight gain, hunger and metabolic starvation leading to food cravings, and weight gain!

3 things wrong with our diet | How insulin resistance causes weight gain? | Causes of weight gain | Skin tags and insulin resistance | Sugar rush and crash | How to lose weight? | Weight loss information

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Diagnosed with diabetes

  • 18.8 million people in the United States are currently diagnosed with diabetes.

Not diagnosed with diabetes

  • 7.0 million people have diabetes but not yet diagnosed.
  • Age ≥20 years about 25.6 million or 11.3% of all people in this age group have diabetes
  • Age ≥65 years 10.9 million or 26.9% of all people in this age group

Men - 13.0 million or 11.8% of all men aged 20 years or older Women - 12.6 million or 10.8% of all women aged 20 years or older

Non-Hispanic whites and diabetes 15.7 million or 10.2% of all non-Hispanic whites aged 20 years or older Non-Hispanic blacks and diabetes 4.9 million or 18.7% of all non-Hispanic blacks aged 20 years or older.

Diabetes Statistics per BRFSS survey 2010 in the Unites States

People in the United States were asked by telephone this question: Have you ever been told by a doctor that you have diabetes?

Here are the answers from the BRFSS survey in 2010. As can be seen from the following answers, most people with prediabetes are not aware of their situation. According to the statistics on prediabetes and metabolic syndrome, up to a third of the adult population in fact have prediabetes although only a small fraction of them are actually aware of it.

State: Yes, I was told to have diabetes Yes, I had pregnancy related diabetes No, I was not told to be diabetic Yes, I have pre-diabetes
Nationwide (States, DC, and Territories) 8.7 0.8 89.0 1.2
Nationwide (States and DC) 8.7 0.8 89.1 1.2
Alabama 13.2 0.5 84.8 1.6
Alaska 5.3 1.2 92.5 1.0
Arizona 9.0 0.8 89.1 1.1
Arkansas 9.6 0.6 88.8 1.0
California 8.6 1.4 88.5 1.5
Colorado 6.0 0.7 92.2 1.1
Connecticut 7.3 0.8 91.0 0.8
Delaware 8.7 1.1 89.1 1.2
District of Columbia 8.3 0.4 90.4 1.0
Florida 10.4 0.8 87.6 1.2
Georgia 9.7 1.0 88.2 1.1
Guam 11.0 0.7 87.1 1.2
Hawaii 8.3 0.9 88.5 2.3
Idaho 7.9 1.1 89.7 1.3
Illinois 8.7 0.8 89.4 1.0
Indiana 9.8 0.8 88.1 1.3
Iowa 7.5 0.5 90.9 1.1
Kansas 8.4 0.9 89.4 1.3
Kentucky 10.0 1.2 87.4 1.4
Louisiana 10.3 0.6 87.9 1.2
Maine 8.7 0.9 89.2 1.2
Maryland 9.3 1.0 88.7 1.1
Massachusetts 7.4 0.8 90.4 1.3
Michigan 10.1 0.6 87.9 1.4
Minnesota 6.7 0.8 90.9 1.6
Mississippi 12.4 1.0 85.5 1.1
Missouri 9.4 1.3 88.1 1.2
Montana 7.0 0.8 91.0 1.1
Nebraska 7.7 0.6 91.0 0.8
Nevada 8.5 0.6 89.7 1.1
New Hampshire 7.9 1.0 89.0 2.2
New Jersey 9.2 0.7 88.8 1.3
New Mexico 8.5 0.7 90.1 0.8
New York 8.9 0.8 89.0 1.3
North Carolina 9.8 0.9 88.1 1.2
North Dakota 7.4 0.5 91.1 1.0
Ohio 10.1 0.8 87.3 1.8
Oklahoma 10.4 0.9 87.3 1.4
Oregon 7.2 1.1 90.6 1.2
Pennsylvania 10.3 0.8 87.8 1.1
Puerto Rico 12.8 0.1 86.2 0.9
Rhode Island 7.8 1.3 88.6 2.3
South Carolina 10.7 1.2 86.8 1.3
South Dakota 6.9 1.3 90.9 0.9
Tennessee 11.3 0.4 83.1 5.2
Texas 9.7 1.1 88.2 1.0
Utah 6.5 0.8 91.7 1.1
Vermont 6.8 0.5 91.7 1.0
Virginia 8.7 0.9 89.2 1.3
Virgin Islands 9.1 0.4 89.5 1.0
Washington 7.6 0.8 90.4 1.1
West Virginia 11.7 0.4 86.9 1.0
Wisconsin 7.1 0.5 91.5 0.8
Wyoming 7.2 0.7 91.2 0.9

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