How to prevent or reverse type 2 diabetes

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Encompass Health

Posted on

Oct 04, 2021

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Florida - Sarasota, Bradenton & Charlotte Counties

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Did you know that about 25% of people over age 65 have diabetes? Simply put, diabetes is too much sugar in your blood. Over a period of years, it can do serious damage to your nerves, blood vessels and organs and lead to devastating consequences if left untreated, including heart attacks, stroke, kidney disease and blindness. However, reversing type 2 diabetes could be possible.
The increase in type 2 diabetes coincided with the obesity epidemic, starting back in the 1990s. Today, two-thirds of Americans are overweight or obese. We now know that obesity is the No. 1 modifiable risk factor for type 2 diabetes. We also know that type 2 diabetes is often due to insulin resistance, a condition in which your pancreas is secreting adequate insulin, yet your cells are not able to utilize it effectively. It is thought that insulin resistance is due primarily to excess fat accumulation in skeletal muscle.
Can type 2 diabetes be reversed?
You may have heard that type 2 diabetes may be prevented or even reversed. How is this possible? It may be true if you are obese and your diabetes is primarily due to insulin resistance. Lab tests can be done to confirm this. Obesity is measured by BMI (Body Mass Index), and a BMI of 30 or greater is obese.
Obesity is often due to a combination of lifestyle factors: poor diet, excessive calorie intake and sedentary lifestyle. Our addiction to fast food, heavily laden with excess fat, sugar and supersize portions, along with our sedentary lifestyle, has led to an obesity and type 2 diabetes epidemic. But you can take control of your health, and possibly reverse your diabetes, by eating healthier, exercising and losing weight.
The Diabetes Prevention Program, or DPP Study,showed a 58% chance of preventing type 2 diabetes or reversing it by losing weight, eating healthy and exercising. The program worked particularly well for adults age 60 or older, with the percentage increasing to 71%.
Recommendations from this study included: losing a minimum of 7% of your body weight if you are overweight or obese, eating fewer calories and exercising a minimum of 150 minutes per week.
How do you get started?
Sometimes it all seems so overwhelming! I recommend making small changes that can be built upon over time. Remember the goal is to lead a healthier lifestyle, so the changes should be permanent. It has been well documented that fad diets don't work. Instead, choose two healthy lifestyle changes that you can realistically achieve. Once those have been incorporated into your daily routine, choose two more and so on.
For example, you could set your goals to eat more vegetables and green salads, stop drinking soda and walk for 30 minutes every day.
What does a healthy diet look like?
Diet recommendations for diabetes are the same as for heart disease and other chronic diseases. All of the research supports plant-based diets such as the Mediterranean diet. Incorporate plenty of leafy greens, vegetables, fruit, beans, nuts, avocados and fish into your diet. Cut way back on red meats, fried foods, fast foods and sweets. The Healthy Eating Plate advises to fill half of your plate with leafy greens and vegetables, one quarter of your plate with lean protein, and one quarter of your plate with whole grains. Add some healthy fat such as olive oil, and a small serving of fruit for dessert.
The health benefits you may expect to see once converting to a plant-based diet are numerous. They include weight loss, improved blood sugar control, improved blood pressure and cholesterol ratios, prevention of cancer and other chronic diseases, more energy and improved mood.
Eating healthy can also be fun and delicious. Be creative with your meals, try new foods or buy a heart healthy cookbook. Consider purchasing a grill or an air fryer, and throw that deep fat fryer away! Below is an easy Heart Healthy Recipe that you may wish to try. Good luck and remember, you can achieve anything you set your mind to!
SPINACH SALAD with MANGO, GOAT CHEESE, AND WALNUTS

1 Bag baby spinach (6 oz)
1 Sliced mango
1/2 Cup walnut halves
4 oz Goat cheese crumbles
Cup organic balsamic vinaigrette dressing, mixed with 1 tablespoon extra-virgin olive oil

Toss all ingredients together and enjoy a powerhouse of flavor and nutrients!

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Biological Aging Speeds Up in Your 40s and 60s

Your chronological age and your biological age dont necessarily match. Around the ages of 44 and 60 the aging process accelerates in what has been dubbed a biomolecular shift, which dramatically impacts health and internal aging. Researchers discovered these two bursts of aging during the human lifespan, singling out the mid-forties and early sixties as key periods. But the greater shift in biological aging happens during your early sixties.However, out of this seemingly bad news is some hope. Now that science has pinpointed when these changes occur, it could help researchers uncover what is driving chronic disease as we age, potentially leading to earlier diagnosis or even strategies for prevention. So exactly what is going on during these periods of rapid biological aging, how do they impact health, and what can you do to be proactive? Lets break it down.Aging Isnt Primarily GradualYou can no longer assume that aging happens gradually. Ever notice that some people seem to age overnight or are really showing their age? While there is obviously gradual decline, more dramatic changes happen quickly and during certain periods of life. It all comes down to the molecules that make up your physical body. These individual molecules are what age, and studies reveal that they undergo greater change at certain ages, making aging non-linear or not so much gradual over time.How Periods of Rapid Biological Aging Impact HealthIn both your mid-forties and early sixties most people experience molecular level changes related to skin and muscle aging, cardiovascular disease, and the metabolizing of caffeine. This is why people tend to start or increase cholesterol or blood pressure medications during these times of life.Researchers also noted differences between the two periods of biological aging. People in their forties had a greater shift in relation to fat and alcohol metabolism, while those in their sixties underwent shifts related to immune regulation, carbohydrate metabolism, and kidney function.These facts seem to correlate with experience as many people in their sixties are less able to fight off sickness and are even more prone to weight gain and kidney trouble or even kidney failure. Cancer rates tend to spike around this time as the immune system is less able to fend off the invasive cancer cells. Cases of heart disease also rise during this time as people struggle more with their weight and rising cholesterol levels.Less expected, however, was the evidence of rapid aging during the mid-forties. But it becomes more understandable as you consider what characterizes the lives of most people during this life stage. Lifestyle makes a difference and life moves at a rapid pace during your forties. Often this is a time of busy family and work schedules, high work stress, divorce, and weight gain. You often have less time for self-care during these frantic years, and all combined, this shifts your body into a period of rapid molecular aging.Combat Biological Aging with Proactive StepsYou obviously cant stop the aging process but its possible to slow it down. The steps to achieve this arent all new or innovative. In fact, it involves putting common knowledge into practice which many people resist, at least until later life. Here are some unsurprising practical tips for slowing biological aging: Avoid weight gainEat more fruits and vegetablesControl diabetes and high blood pressureStay physically activeDont smoke And the way to prevent or avoid diabetes and high blood pressure is to limit sugar, processed carbohydrates, and saturated fats. If youre in your 40s, in addition to the above, its also beneficial to monitor and minimize your cholesterol levels, exercise to build muscle mass, and limit or avoid alcohol. For additional ways to combat aging, read our article, How to Live Longer: 12 Life-Boosting Habits to Start NowThe best rule of thumb is not to wait until your health begins to decline before making these changes. Adjust your lifestyle while youre still healthy, and you will see the biggest payoff. However, its never too late to start living with your health in mind, because changes at any stage will make a positive difference.Key Takeaways About Biological Aging in Your 40s and 60sScience previously thought that the human body aged gradually in linear fashion, but recent studies show that aging on a molecular level occurs rapidly during the mid-forties and early sixties. During your forties, this change is often due to lifestyle changes that can be altered for better outcomes. You can slow the aging process during midlife with regular exercise and a diet rich in produce and low in saturated fat and processed carbohydrates. 

A Vegan Diet Can Help Reduce Biological Age

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