I know. You need some good news. So do I. Here’s a little early present for both of us:
It’s known that much stress comes from feeling we
have little or no control of what happens around us. The year 2008 certainly
fills that bill. So would you like something you can control for the better,
something that will help you now and in the future and something that will save
our poor-relation government billions of dollars? Me, too.
Which gets me to a subject that sounds dull, but
is really central to the health and well-being of many and that’s knowing what
pre-diabetes is and what simple little steps you can take to control it and
prevent it from turning into a big problem with the big D…Diabetes.
The Big D can result in kidney failure,
blindness, increased risk of heart attack, stroke, and poor circulation, nerve
damage, foot problems and skin disorders---a rotten menu. And just as bad is
the fact that the rate of Type-2 diabetes is rising rapidly----from 4.5 cases
per 1000 people in 1995-1997 to 9.1 cases per 1,000 people by 2007, the
apparent cause being rising rates of obesity.
That’s more than doubling the cases of adult
onset diabetes in 10-12 years. The Center for Disease Control and Prevention calls
it an epidemic. Health care experts say if we just could cut the number of new
cases in half, we could save Uncle Sam (and our tax-paying selves) billions.
So here’s how to stay out of the negative
statistics:
First,
How Do You Know If You’re Pre-Diabetic?
If your doctor has said you have high blood sugar,
borderline diabetes, impaired glucose tolerance or impaired fasting glucose,
you may be in the land of pre-diabetes. According to the CDC, 25 % of us are
pre-diabetic, but only 4 percent of us have been diagnosed. So one first step
is to talk to your doc about getting your blood sugar levels tested to see
where you are.
Even without testing, much is known about who is
at risk: people who are overweight and who don’t exercise. But and however,
just a few small changes in eating habits and a few doable steps towards being
more active will lower your risk of diabetes. That is the good news. It doesn’t
take all that much to stay safe.
The National Diabetes Education Program puts out
an excellent brochure on how to prevent Type-2 diabetes. Their message is
hopeful: “Diabetes prevention is proven, possible and powerful”. And doable in
a real world. As the brochure says, you don’t have to knock yourself out to
prevent diabetes.
Just
get 30 minutes of brisk walking or other moderate intensity physical activity 5
days a week. Grab a chatty friend and go for a gab walk. Go by yourself and
talk to Mother Nature. Dance around in front of the TV set. (Yes, that’s me
dancing around in front of Turner Movie Classics and I am certainly glad
Spencer Tracy can’t see me.)
As for weight loss, it’s been proven that just
losing 5 to 7 percent of your weight, if you are overweight, can make a
positive difference that will prevent or delay the onset of the disease. For a
200-pound person, that means just 10 to 14 pounds off.
All of us have our favorite way to peel off the
pounds. Readers of the medical columnist, Dr. Peter Gott, swear by his No
Flour, No Sugar Diet. Others concentrate on cutting out saturated fats and
avoiding buttery desserts and the fatty meats and fatty skins of poultry. Still
others just shave their portions down a fourth. Some cut out the alcohol or
switch from a donut breakfast to oatmeal and fruit. Many take doggie bags home
after a large restaurant meal rather than over-stuffing themselves at a single
sitting All the above are good, but starving yourself is not. Fill up on the
good stuff and you won’t have room for the bad.
More
Help
For
many more ideas on how to stay out of trouble, get the publication, Small Steps,
Big Rewards, from the National Diabetes Education Program. Call 1-800-438-5383
or go to www.ndep.nih.gov and click on
the Small Steps logo.
Last,
though the brochure doesn’t suggest it, I count running around to various
stores in full holiday shopping mode as moderate physical exercise, especially
on the day after Thanksgiving. So go for the goods and be well.