Not just sugar: You might be eating your way to pre-diabetes and not even know it
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Not just sugar: You might be eating your way to pre-diabetes and non even know it
This World Diabetes Day, CNA Lifestyle looks at understanding pre-diabetes and what not-sugary dishes similar char kway teow and orh luak have to do with it.
(Illustration: Chern Ling)
xiv Nov 2022 06:30AM (Updated: 03 Jul 2022 03:49PM)
Lose weight? Exercise? Mayhap another solar day, yous tell yourself, tucking into your plate of craven rice and washing it downwards with some "dinosaur" potable. Certain, the weighing car has been displaying higher numbers of late, and you've had to upsize your clothes – the style you've been upsizing your fast food meals.
But you lot're feeling fine, and then everything's okay, right?
That'south the insidious affair about pre-diabetes, the phase before it becomes full-blown Type 2 diabetes. There are no symptoms, no signs that your pancreas isn't producing enough insulin for your trunk to make utilise of sugar. In that location are also no indications that the excess sugar is edifice up in your blood stream, leading to higher-than-normal blood sugar levels but not high enough for a diagnosis of Type two diabetes.
One in 7 people in Singapore have pre-diabetes, and 50 per cent of patients with Type 2 diabetes do not even know they have the condition.
Eye DISEASE, KIDNEY Harm AND ERECTILE DYSFUNCTION
Pre-diabetes, in itself, is a sign of diabetes and the accompanying elevated claret saccharide level just shows up in blood tests. As for those pre-diabetes symptoms that you may have read virtually on the Internet – hungrier and thirstier than normal, weight loss despite eating more, going to the bathroom more frequently, and feeling more tired than usual – they "already point to a more advanced phase of diabetes," said Dr Vivien Lim, Gleneagles Medical Eye'south endocrinologist.
A blood examination washed in the doctor'south office is the definitive way of finding out where your claret sugar levels stand up. Doctors usually test for the impaired glucose tolerance (IGT), dumb fasting glucose (IFG) or both. According to the World Wellness Organization, you have pre-diabetes if your fasting blood glucose ranges from 6.1mmol/L to half dozen.9mmol/50. Diabetes is divers as equal to or greater than 7mmol/L.
Any food that increases the take a chance of beingness overweight or obese will predispose you to diabetes.
Most one in seven people in Singapore take pre-diabetes, and fifty per cent of patients with Blazon 2 diabetes exercise not fifty-fifty know they have the condition, said Dr Lim.
Here's why information technology doesn't pay to ignore your blood carbohydrate levels. When the bloodstream gets flooded with carbohydrate, it can crusade damage to the vessels that supply blood to the vital organs. This is because high levels of sugar in the blood turn the life-sustaining liquid into a damaging soup that causes the blood vessels to harden over time.
A cascade of problems tin follow. At first, the loftier blood saccharide level saps your energy, makes your vision blurry, and messes with your mood and concentration. From there, it is a slippery slope to cardiovascular disease, heart attacks, strokes, kidney damage and, if you're male, erectile dysfunction.
You will be more susceptible to infection, blindness, and nerve harm. You'll heal from injuries slowly, if at all, putting simple cuts at risk of turning into situations that crave amputations.
NOT JUST Saccharide – It'S YOUR WEIGHT
Diet is a large role of the pre-diabetes equation. But it goes beyond cutting down on saccharide and desserts, and swapping white rice for brown one. It is also most the char kuay teow, nasi lemak (specially when paired with fried meats), nasi or mee goreng, and orh luak you've scarfed down, said Dr Lim.
"This is an area that is prone to misconceptions," she said. "We know that being overweight or obese predisposes i to diabetes. Hence, any food that increases the risk of existence overweight or obese volition predispose you lot to diabetes."
And the experts have the research to substantiate it.
Blazon 2 diabetes is caused by excess fat in the liver and pancreas, co-ordinate to Professor Roy Taylor of Newcastle University, who spent four decades studying the lifestyle condition. The excess fat in the liver causes the organ to respond poorly to insulin and produce likewise much glucose. The excess fat in the pancreas leads to the cells that produce insulin to fail.
But you are not doomed to a lifetime of insulin shots if you have been diagnosed with Type two diabetes. Losing less than 1g of fatty from the pancreas through diet can re-offset the normal production of insulin, said Prof Taylor.
"The good news for people with Type two diabetes is that our piece of work shows that even if you have had the condition for 10 years, y'all are likely to be able to contrary it past moving that all-important, tiny amount of fat out of the pancreas," he said in the Science Daily commodity.
Without intervention, at least 35 per cent of those with pre-diabetes will progress to Type 2 diabetes within eight years.
The same reversal tin can as well be said of pre-diabetes, according to Dr Khoo Chin Meng, senior consultant with the Section Of Endocrinology at the National University Hospital.
"Studies have shown that those who lose weight or reduce their waistlines within a yr of receiving a diagnosis of pre-diabetes are significantly more likely to return to normal glucose tolerance than adults who don't," he said. Without intervention, at to the lowest degree 35 per cent of those with pre-diabetes volition progress to Type 2 diabetes within viii years, he added, citing the Prediabetes Appropriate Intendance Guide.
Do volition also aid to re-sensitise the body to blot sugar from the blood, said Dr Lim. Nonetheless, she cautioned that not every patient with pre-diabetes volition succeed in reversing information technology. "Having weight loss does not necessarily guarantee pre-diabetes reversal. And, in general, it is probable to occur simply in those who are overweight or obese."
READ: Tin can you – should you – eat food that has passed its expiry appointment?
ARE YOU AT Gamble OF PRE-DIABETES?
Equally it turns out, there are individuals who are at college take chances of developing pre-diabetes than others. Every bit established earlier, those who are overweight or obese (a BMI higher than 30) vest to this grouping, said Dr Khoo. Certain ethnic groups, such as Indians and Malays, are more prone as well. Other factors include a family history of diabetes, a history of cardiovascular disease, hypertension, gestational diabetes, polycystic ovary syndrome, and/or being over the historic period of forty.
"If you lot have multiple risk factors, that should alert you to screen for pre-diabetes," said Dr Khoo. If y'all don't accept whatsoever risk factors, screening for diabetes is recommended for age 40 and above. Weight is again a big indication of take a chance; those with obesity should consider getting screened at an even younger age, he said.
READ: Tin can eating organic food lower cancer risks?
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Source: https://cnalifestyle.channelnewsasia.com/wellness/what-is-pre-diabetes-how-weight-loss-can-prevent-diabetes-219896
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