Two types of Diabetes Type 1 Diabetes Type 2 Diabetes
Type 1 Diabetes NO INSULIN Genetic/childhood disease Immune system attacks beta cells No energy (Glucose) can be used Victim has no insulinproducing cells Insulin-dependent Chronic (livelong) disease Only 5-10% diagnosed
Type 2 Diabetes Adult/lifestyle disease Non-Insulin-dependent Body not enough insulin Cells ignore the insulin Insulin not bring used Insulin resistance 90% diagnosed
Causes of Type 2 Diabetes Physical inactivity Unhealthy eating Being overweightor obese Having a family member who has Diabetes Having high blood pressure Having high cholesterol.
The Diabetes Epidemic糖尿病流行病学 2007全球糖尿病病例 总共2.46亿－中国3980万
How Do I Know If I Have It? Symptoms 症状 zheng4zhuang4 Blood test at clinic
What Are The Symptoms? Thirsty Thirsty; urinating a lot losing weight without trying Tingling or no feeling in your feet Blurry eyesight
Lifestyle Changes Work! Study in China: 600 adults with pre-diabetes 2 groups: diet/exercise & no diet/exercise After 6 years: 51% lower risk! After 20 years: 42% lower risk! Lifestyle changes are real, and lasting!
Lifestyle vs Drugs Huge study of pre-diabetics Lifestyle (weight, diet & exercise) lowered risk 69% Weight loss: 7% Exercise: 150 minutes a week Daily pill lowered risk 31% LIFESTYLE WINS!
Cinnamon 肉桂 rou4gui4 How? Increases insulin receptor sensitivity? 2004 study: 1-6 grams (1 teaspoon = 4.75 grams) lower glucose by 18% to 29%. (Cinnamon 500 mg, Puritan's Pride) 1 gram reduced HbA1c 0.83% Since then: conflicting evidence! Not much harm No official dose
Chromium 铬ge4 Sometimes works, but only if you have deficiency of chromium 100-500 mcg twice daily Stop after 3 months if no change
Magnesium 镁mei3 Less evidence Again, best if proven deficiency FOODmuchbetterthanPILL! 100 mg/day lowersrisk15% 4 slices of whole grain bread 1 cup of beans 1/4 cup of nuts 1/2 cup of cooked spinach or 3 bananas.
When was the last time you were screened for diabetes?
Summary You have control over diabetes! Lose weight > exercise > diet Supplements are secondary It’s never too late to change habits!
Your Family Doctor is The Key全科医学－型糖尿病的关键 cheap 便宜 simple 简便 save lives拯救生病 save feet拯救患肢 save kidneys拯救肾脏 save sight拯救视力 80% prevention 预防 diet + exercise饮食+运动
Myths “Eating too much sugar causes diabetes. ” “You can catch diabetes from someone else.” “I'll know if I have diabetes because I'll feel sick.” “I'll have to eat all those horrible diabetic foods.” “I don't have a family history of diabetes, so I won't get it. ” “Diabetes can be cured with a diet.” “Say no to fruits.”