Prediabetes Can Be Reversed With Lifestyle Changes
Type 1 and Type 2 diabetes affects millions of Americans, and every year more than a million people are diagnosed with the disease. The American Diabetes Association (ADA) reports in 2021, 38.4 million Americans, or 11.6% of the population, had diabetes. Of that number 2 million had type 1 diabetes, which includes more than 300,000 children and adolescents.
Seniors aged 65 years and older make up a large percentage of Americans with the disease at 29.2% or 16.5 million seniors (diagnosed and undiagnosed). Diabetes can be deadly and was the 8th leading cause of death in 2021. People with diabetes are at an increased risk of vision problems, heart attacks, nerve damage and stroke. In 2022, the CDC estimated the cost of diabetes was $412.9 billion.
Prediabetes is another huge problem and numbers from 2021 report 97.6 million Americans aged 18 and older are affected. It is a chronic condition in which blood glucose levels are higher than normal but not high enough to be classified as diabetes. While it carries an increased risk of developing type 2 diabetes, it isn’t inevitable. Studies show prediabetes can be reversed or the risk mitigated with lifestyle changes such as diet, medications, and early detection.
Yale Medicine endocrinologist, Anika Anam, MD, explains, “Prediabetes goes hand in hand with metabolic syndrome, the term for a condition that includes hypertension, obesity, and high cholesterol.” She adds each of those conditions raises the risk for serious issues including heart disease, stroke, and cancer.
The CDC’s national Diabetes Prevention Program (DPP), finds “people with prediabetes who lost a modest amount of weight—5 to 7% (10 to 14 pounds for a person weighing 200 pounds, for example)—with the help of a structured lifestyle-change program cut their risk of developing type 2 diabetes by 58%.” In addition, experts say at least 30 minutes of moderate exercise per day can not only improve insulin sensitivity and lower blood sugar levels, but aid in weight loss. Cutting out added sugars, eating more complex carbs (vegetables, legumes, nuts, and whole grains), and increasing protein are other recommended lifestyle changes as is reducing stress.
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