Your food your weight cec2012Presentation Transcript
Powerpoints designed for andgiven as part of a Community- Education Collaborative Boston, MA 2012 Stephan Esser MD www.esserhealth.com
Disclaimer Does not constitute Medical Advice Check with your primary health care provider prior to making any changes in diet, exercise or medication The information provided today is intended for educational purposes only. It does not replace consultation with your medical provider, does not constitute medical care and does not necessarily represent the opinions of the various supporting institutions.
Your FoodYour Weight and Diabetes
Show of Hands How many of you know someone with Diabetes? How many of you struggle with your Weight?
Goals Educate: What is “Diabetes” How do you develop Diabetes How your food and your weight affect your risk Empower: Give you a few tools to take home Develop a personalized Health Plan to improve your weight and help prevent or improve control of your diabetes
Outline Go to “Mini-Med School” Learn just how much of a problem Diabetes is Review some basic anatomy and physiology Find out what really causes “Type 2 Diabetes” Visit the Market Learn how food can affect your Diabetes risk Put it all together Tips to take home
What is Diabetes? ADA 2011: “a group of diseases characterized by high blood glucose levels that result from defects in the bodys ability to produce and/or use insulin.” NIH 2011: “Diabetes is a group of diseases marked by high levels of blood glucose, also called blood sugar, resulting from defects in insulin production, insulin action, or both.”
Types of Diabetes Type 1: Insufficient or non-existent Insulin production Pancreatic destruction (autoimmune, cancer etc..) 5-10% of all cases Type 2: Insulin is unable to work Insulin insensitivity/resistance 90-95% of all cases
Statistics 2011 8.3% of the population 25.8 million US citizens 18.8 mill. diagn. 7.0 mil. undia. 26.9% age > 60 have DM2 7th Leading Cause of Death
Risk Factors for T2D Non-Modifiable Modifiable Age >45 Overweight/Obese Family History Physical Activity Race High Blood Pressure Prior hx of Gest. DM High Cholesterol Nutrition
Overweight ↑ risk of T2D by 300% Obesity ↑ risk by 900%
Rates of Diabetes 1980-2009
Cost to the Nation Healthcare is 2-3 times that of those without DM(WHO) 2007: Total costs exceeded $174 billion dollars Projected costs by 2020 of $192 billion “Without preventive action, 1 in 3 children born in 2000 will develop diabetes in their lifetime.” (HHS) Perspective Cost of DM2 care in 2005 > budget of the D. of Ed. Diabetes care is 12 percent of the total health care spending nationwide—roughly one of every eight dollars.
What we know Diabetes rates have tripled in the last 30 years Rates of Diabetes continue to climb each year Rates of overweight/obesity mirror Diabetes rates Diabetes is extremely dangerous and very expensive to treat
Pancreas Secretes digestive enzymes into the intestine Amylase, lipase, trypsin, chymotrypsin, bicarbonate, water digestion, neutralize acid Secretes hormones into the blood Insulin, glucagon, somatostatin Blood sugar control, neuro-hormonal control
Visceral Adiposity/Belly Fat/AppleFat
Increases Appetite’d Insulin Weight Gain Fat CausesSecretion Causes Insulin Resistance
In Review Increased Belly (Visceral) fat increases the risk of Diabetes Diabetes results in high blood sugars High blood sugars cause damage to the body As rates of Obesity rates of Diabetes Rates of Diabetes have tripled in the last 25 years The cost of treating Diabetes is extremely expensive
What can we do?
Finnish Diabetes Prevention Study 500 + people ages 40-65 with BMI>25 Goals: Weight reduction> 5% Fat intake< 30 % total calories Saturated fat intake < 10% total calories Fiber intake >15 g/1000 kcal Physical activity >30 min/day Those who achieved 4-5 of the goals reduced their risk of T2D to nearly 0
What we Know Personal Choices are Powerful “Medicine” Exercise Food we eat
Self-AssessmentWhat is my risk for Diabetes?
Your Health Plan Time to make a personalized health plan Let’s go through a Diabetes health assessment together Together we can move toward a healthier tomorrow
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