This document outlines 13 ways to prevent type 2 diabetes, which include cutting sugar and refined carbs, exercising regularly, drinking water as your primary beverage, losing weight if overweight, quitting smoking, following a very-low carb diet, watching portion sizes, avoiding sedentary behaviors, eating a high-fiber diet, optimizing vitamin D levels, minimizing processed foods, drinking coffee or tea, and considering natural herbs like curcumin and berberine. Type 2 diabetes occurs when the body becomes resistant to insulin or doesn't produce enough insulin, and following these lifestyle changes can help reduce risk by promoting healthy blood sugar and insulin levels.
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13 ways to prevent type 2 diabetes
1. 13 Ways to Prevent Type
2 Diabetes
Type 2 diabetes is a chronic disease that affects millions of people worldwide.
Uncontrolled cases can cause blindness, kidney failure, heart disease and
other serious conditions.
Before diabetes is diagnosed, there is a period where blood sugar levels are
high but not high enough to be diagnosed as diabetes. This is known as
prediabetes.
It’s estimated that up to 70% of people with prediabetes go on to develop type
2 diabetes. Fortunately, progressing from prediabetes to diabetes isn’t
inevitable.
Although there are certain factors you can’t change — such as your genes,
age or past behaviors — there are many actions you can take to reduce the
risk of diabetes.
Here are 13 ways to avoid getting diabetes.
2. 1. Cut Sugar and Refined Carbs
From Your Diet
Eating sugary foods and refined carbs can put at-risk individuals on the fast
track to developing diabetes.
Your body rapidly breaks these foods down into small sugar molecules, which
are absorbed into your bloodstream.
The resulting rise in blood sugar stimulates your pancreas to produce insulin,
a hormone that helps sugar get out of the bloodstream and into your body’s
cells.
In people with prediabetes, the body’s cells are resistant to insulin’s action, so
sugar remains high in the blood. To compensate, the pancreas produces
more insulin, attempting to bring blood sugar down to a healthy level.
3. Over time, this can lead to progressively higher blood sugar and insulin levels,
until the condition eventually turns into type 2 diabetes.
Many studies have shown a link between the frequent consumption of sugar
or refined carbs and the risk of diabetes. What’s more, replacing them with
foods that have less of an effect on blood sugar may help reduce your risk.
A detailed analysis of 37 studies found that people with the highest intakes of
fast-digesting carbs were 40% more likely to develop diabetes than those with
the lowest intakes.
2. Work Out Regularly
Performing physical activity on a regular basis may help prevent diabetes.
Exercise increases the insulin sensitivity of your cells. So when you exercise,
less insulin is required to keep your blood sugar levels under control.
One study in people with prediabetes found that moderate-intensity exercise
increased insulin sensitivity by 51% and high-intensity exercise increased it by
85%. However, this effect only occurred on workout days.
Many types of physical activity have been shown to reduce insulin resistance
and blood sugar in overweight, obese and prediabetic adults. These include
aerobic exercise, high-intensity interval training and strength training
Working out more frequently seems to lead to improvements in insulin
response and function. One study in people at risk of diabetes found that
burning more than 2,000 calories weekly via exercise was required to achieve
these benefits.
4. Therefore, it’s best to choose physical activity that you enjoy, can engage in
regularly and feel you can stick with long-term.
3. Drink Water as Your Primary
Beverage
Water is by far the most natural beverage you can drink.
What’s more, sticking with water most of the time helps you avoid beverages
that are high in sugar, preservatives and other questionable ingredients.
Sugary beverages like soda and punch have been linked to an increased risk
of both type 2 diabetes and latent autoimmune diabetes of adults (LADA).
LADA is a form of type 1 diabetes that occurs in people over 18 years of age.
Unlike the acute symptoms seen with type 1 diabetes in childhood, LADA
develops slowly, requiring more treatment as the disease progresses.
One large observational study looked at the diabetes risk of 2,800 people.
Those who consumed more than two servings of sugar-sweetened beverages
per day had a 99% increased risk of developing LADA and a 20% increased
risk of developing type 2 diabetes.
Researchers of one study on the effects of sweet drinks on diabetes stated
that neither artificially sweetened beverages nor fruit juice were good
beverages for diabetes prevention.
By contrast, consuming water may provide benefits. Some studies have found
that increased water consumption may lead to better blood sugar control and
insulin response.
5. One 24-week study showed that overweight adults who replaced diet sodas
with water while following a weight loss program experienced a decrease in
insulin resistance and lower fasting blood sugar and insulin levels.
4. Lose Weight If You’re
Overweight or Obese
Although not everyone who develops type 2 diabetes is overweight or obese,
the majority are.
What’s more, those with prediabetes tend to carry excess weight in their
midsection and around abdominal organs like the liver. This is known as
visceral fat.
Excess visceral fat promotes inflammation and insulin resistance, which
significantly increase the risk of diabetes .
Although losing even a small amount of weight can help reduce this risk,
studies show that the more you lose, the more benefits you’ll experience .
One study of more than 1,000 people with prediabetes found that for every
kilogram (2.2 lbs) of weight participants lost, their risk of diabetes reduced by
16%, up to a maximum reduction of 96%.
There are many healthy options for losing weight, including low-carb,
Mediterranean, paleo and vegetarian diets. However, choosing a way of
eating you can stick with long-term is key to helping you maintain the weight
loss.
6. One study found that obese people whose blood sugar and insulin levels
decreased after losing weight experienced elevations in these values after
gaining back all or a portion of the weight they lost.
5. Quit Smoking
Smoking has been shown to cause or contribute to many serious health
conditions, including heart disease, emphysema and cancers of the lung,
breast, prostate and digestive tract.
There’s also research linking smoking and second-hand smoke exposure to
type 2 diabetes.
In an analysis of several studies totaling over one million people, smoking was
found to increase the risk of diabetes by 44% in average smokers and 61% in
people who smoked more than 20 cigarettes daily .
One study followed the risk of diabetes in middle-aged male smokers after
they quit. After five years their risk had reduced by 13%, and after 20 years
they had the same risk as people who had never smoked.
Researchers stated that even though many of the men gained weight after
quitting, after several smoke-free years, their risk of diabetes was lower than if
they’d continued smoking.
6. Follow a Very-Low-Carb Diet
Following a ketogenic or very-low-carb diet can help you avoid diabetes.
7. Although there are a number of ways of eating that promote weight loss, very-
low-carb diets have strong evidence behind them.
They have consistently been shown to lower blood sugar and insulin levels,
increase insulin sensitivity and reduce other diabetes risk factors.
In a 12-week study, prediabetic individuals consumed either a low-fat or low-
carb diet. Blood sugar dropped by 12% and insulin dropped by 50% in the
low-carb group.
In the low-fat group, meanwhile, blood sugar dropped by only 1% and insulin
dropped by 19%. Thus, the low-carb diet had better results on both counts.
If you minimize your carb intake, your blood sugar levels won’t rise very much
after you eat. Therefore, your body needs less insulin to maintain your blood
sugar within healthy levels.
What’s more, very-low-carb or ketogenic diets may also reduce fasting blood
sugar.
In a study of obese men with prediabetes who followed a ketogenic diet,
average fasting blood sugar decreased from 118 to 92 mg/dl, which is within
the normal range. Participants also lost weight and improved several other
health markers.
7. Watch Portion Sizes
Whether or not you decide to follow a low-carb diet, it’s important to avoid
large portions of food to reduce the risk of diabetes, especially if you are
overweight.
8. Eating too much food at one time has been shown to cause higher blood
sugar and insulin levels in people at risk of diabetes.
On the other hand, decreasing portion sizes may help prevent this type of
response.
A two-year study in prediabetic men found that those who reduced food
portion sizes and practiced other healthful nutrition behaviors had a 46%
lower risk of developing diabetes than the men who made no lifestyle changes
.
Another study looking at weight loss methods in people with prediabetes
reported that the group practicing portion control lowered their blood sugar
and insulin levels significantly after 12 weeks.
8. Avoid Sedentary Behaviors
It’s important to avoid being sedentary if you want to prevent diabetes.
If you get no or very little physical activity, and you sit during most of your day,
then you lead a sedentary lifestyle.
Observational studies have shown a consistent link between sedentary
behavior and the risk of diabetes.
A large analysis of 47 studies found that people who spent the highest amount
of time per day engaged in sedentary behavior had a 91% increased risk of
developing diabetes.
Changing sedentary behavior can be as simple as standing up from your desk
and walking around for a few minutes every hour.
9. Unfortunately, it can be hard to reverse firmly entrenched habits.
One study gave young adults at risk of diabetes a 12-month program
designed to change sedentary behavior. Sadly, after the program ended, the
researchers found that participants hadn’t reduced how much time they sat.
Set realistic and achievable goals, such as standing while talking on the
phone or taking the stairs instead of the elevator. Committing to these easy,
9. Eat a High-Fiber Diet
Getting plenty of fiber is beneficial for gut health and weight management.
Studies in obese, elderly and prediabetic individuals have shown that it helps
keep blood sugar and insulin levels low.
Fiber can be divided into two broad categories: soluble and insoluble. Soluble
fiber absorbs water, whereas insoluble fiber does not.
In the digestive tract, soluble fiber and water form a gel that slows down the
rate at which food is absorbed. This leads to a more gradual rise in blood
sugar levels.
However, insoluble fiber has also been linked to reductions in blood sugar
levels and a decreased risk of diabetes, although exactly how it works is not
clear.
Most unprocessed plant foods contain fiber, although some have more than
others. Check out this list of 22 high-fiber foods for many excellent sources of
fiber.
10. 10. Optimize Vitamin D Levels
Vitamin D is important for blood sugar control.
Indeed, studies have found that people who don’t get enough vitamin D, or
whose blood levels are too low, have a greater risk of all types of diabetes.
Most health organizations recommend maintaining a vitamin D blood level of
at least 30 ng/ml (75 nmol/l).
One study found that people with the highest blood levels of vitamin D were
43% less likely to develop type 2 diabetes than those with the lowest blood
levels.
Another observational study looked at Finnish children who received
supplements containing adequate levels of vitamin D.
Children who took the vitamin D supplements had a 78% lower risk of
developing type 1 diabetes than children who received less than the
recommended amount of vitamin D.
Controlled studies have shown that when people who are deficient take
vitamin D supplements, the function of their insulin-producing cells improves,
their blood sugar levels normalize and their risk of diabetes reduces
significantly.
Good food sources of vitamin D include fatty fish and cod liver oil. In addition,
sun exposure can increase vitamin D levels in the blood.
However, for many people, supplementing with 2,000–4,000 IU of vitamin D
daily may be necessary to achieve and maintain optimal levels.
11. 11. Minimize Your Intake of
Processed Foods
One clear step you can take to improve your health is to minimize your
consumption of processed foods.
They’re linked to all sorts of health problems, including heart disease, obesity
and diabetes.
Studies suggest that cutting back on packaged foods that are high in
vegetable oils, refined grains and additives may help reduce the risk of
diabetes.
This may be partly due to the protective effects of whole foods like nuts,
vegetables, fruits and other plant foods.
One study found that poor-quality diets that were high in processed foods
increased the risk of diabetes by 30%. However, including nutritious whole
foods helped reduce this risk.
12. Drink Coffee or Tea
Although water should be your primary beverage, research suggests that
including coffee or tea in your diet may help you avoid diabetes.
Studies have reported that drinking coffee on a daily basis reduced the risk of
type 2 diabetes by 8–54%, with the greatest effect generally seen in people
with the highest consumption.
12. Another review of several studies that included caffeinated tea and coffee
found similar results, with the largest risk reduction in women and overweight
men.
Coffee and tea have antioxidants known as polyphenols that may help protect
against diabetes.
In addition, green tea contains a unique antioxidant compound called
epigallocatechin gallate (EGCG) that has been shown to reduce blood sugar
release from the liver and increase insulin sensitivity.
13. Consider Taking These Natural
Herbs
There are a few herbs that may help increase insulin sensitivity and reduce
the likelihood of diabetes progression.
Curcumin
Curcumin is a component of the bright gold spice turmeric, which is one of the
main ingredients in curries.
It has strong anti-inflammatory properties and has been used in India for
centuries as part of Ayurvedic medicine.
Research has shown it can be very effective against arthritis and may help
reduce inflammatory markers in people with prediabetes.
There’s also impressive evidence that it may decrease insulin resistance and
reduce the risk of diabetes progression.
13. In a controlled nine-month study of 240 prediabetic adults, among the group
who took 750 mg of curcumin daily, no one developed diabetes. However,
16.4% of the control group did.
In addition, the curcumin group experienced an increase in insulin sensitivity
and improved functioning of insulin-producing cells in the pancreas.
Berberine
Berberine is found in several herbs and has been used in traditional Chinese
medicine for thousands of years.
Studies have shown that it fights inflammation and lowers cholesterol and
other heart disease markers.
In addition, several studies in people with type 2 diabetes have found that
berberine has strong blood-sugar-lowering properties.
In fact, a large analysis of 14 studies found that berberine is as effective at
lowering blood sugar levels as metformin, one of the oldest and most widely
used diabetes medications.
Because berberine works by increasing insulin sensitivity and reducing the
release of sugar by the liver, it might theoretically help people with
prediabetes avoid diabetes.
However, at this point there are no studies that have looked at this.
In addition, since its effects on blood sugar are so strong, it should not be
used in conjunction with other diabetes medications unless authorized by a
doctor.