google7fe7e6420122196f.html Preventive Medicine: February 2009

Thursday, February 12, 2009

Diabetes prevention: recent method

Diabetes is divided into two main group, type 1 and 2, if you have genetic predisposition for developing this disease, you can take some prevention about this disease.
Type 1 Diabetes prevention.
Observational studies have shown that breastfeeding is associated with a lower incidence of type 1 diabetes.Other dietary factors being investigated include the active form of vitamin D, which is thought to help prevent the development of autoimmune diabetes and gluten since studies have shown that islet cell antibodies may disappear after a gluten-free diet in celiac patients
Type 2 Diabetes prevention
There are various risk factors for developing type 2 diabetes. One of the primary ones being obesity as defined by a body mass index of over 30 Other risk factors include increased age, a family history of diabetes, prior history of gestational diabetes, impaired glucose tolerance, physical inactivity and race/ethnicity
In recent years there has been an increase in type 2 diabetes related to changes in life style such as inactivity and diets rich in saturated fats. Approximately 80 per cent of people with type 2 diabetes are obese. Recently, a large clinical trial, the `Diabetes Prevention Program' (DPP),11 investigated whether diet and physical activity were more effective than metformin in preventing or delaying the onset of type 2 diabetes in subjects with impaired glucose tolerance and a family history of type 2 diabetes.
Moreover, reduction in fatty foods helps to lower the incidence of cardiovascular risk factors independent of weight reduction. People should be taught to select low- fat foods and their substitutes. They also have to reduce their portion sizes as it has been shown that overweight subjects tend to choose larger portions of high- fat foods and to underestimate their size. A higher intake of dietary fibre has also been related to a decrease in the risk for type 2 diabetes.
Risk factors for developing Type 2 diabetes
• Increased age
• BMI 25 or higher (overweight)
• Hypertension
• Very low HDL (high-density lipoprotein)-cholesterol levels (<40>
• Elevated triglyceride levels (>250 mg/dL or higher)
• Family history of diabetes
• Ethnicity
• Gestational diabetes or giving birth to a baby weighing > 9 pounds (4.1 kg)
• Inactive lifestyle
(Y.M Khazrai, S Manfrini, P.Pozzilli)

Read More..