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Diabetes Questions and Answers
Question:
When and how will we be able to prevent type 2 diabetes?
Answer:
The prevention of type 2 diabetes in global terms depends upon the prevention of overweight and obesity and the performance of healthy amounts of exercise. These two factors are responsible for the overwhelming majority of cases of type 2 diabetes in the world today, especially those in younger people. However, it is not clear that this can be achieved by individual education. Most adults who are overweight are aware that they overeat and take insufficient exercise, yet few are able to address these issues successfully in a long-term way. This is not because they are lazy or weak-minded, but because humans, and other species, have been conditioned throughout their evolution to defend themselves against starvation and backbreaking labor, both of which are injurious to survival. It is not surprising therefore that strong drives exist within us to take in as much food energy as we can to protect us against impending famine, and to seek a life of ease to protect us from injury and environmental exposure. It is only within the past century or two that sufficient food to lead to overweight has been available year-round for all but a fortunate few. Not surprisingly, therefore, human conditioning has not yet been able to adjust to this very recent change. It is likely that significant reductions in weight and increases in exercise will come from social changes that build these into our environment and lifestyles. Some of these are already beginning to occur. Many states and school districts are increasing the amount of exercise in the core school curriculum and removing ready access to snacks and sweetened beverages on campus. Urban planners are considering new ways to make walking to school, work, and local shops appealing and limiting the access of automobiles to the inner city. Restaurant chains are attempting, with some success, to offer alternatives to calorie-dense high fat food items. It is important than such alternatives are appealing in taste and satisfying to hunger, or they will not be chosen. Of course, modern medicine has a role to play in the prevention of type 2 diabetes, by developing safe and effective medications to suppress appetite or prevent weight gain. Also, drugs that can be taken by people at high risk to prevent early abnormalities in blood sugar from developing into full-blown diabetes will be valuable. However, since type 2 diabetes is largely a disease of the industrialized urban world, the healthiest and most generally effective way to prevent it will be to make the environment of the future less conducive to those habits that lead to its occurrence.
Diabetes
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More Questions :
  • I had diabetes during my last pregnancy. Am I at risk of diabetes in the future?
  • What is the likelihood of a cure for type 2 diabetes? What form will it take and when will it be available?
  • Are my brothers and sisters and my children at risk of diabetes?
  • Can type 1 diabetes also be prevented?
  • I hear that there are seven different types of pills for diabetes now. Is there a preferred order in which to try them and can they all be combined?
  • What information should I bring to my doctor to help him or her manage my diabetes with me?
  • I am afraid that my diabetes treatment will cause me to gain weight.How can I prevent this?
  • Does regular exercise help to prevent type 2 diabetes?
  • My spouse/partner has diabetes and we are planning a family.What is the risk that our children will develop diabetes?
  • Is diet and exercise management alone really effective for diabetes?
  • I am afraid that I might forget I have taken my insulin and take it twice, or mistakenly take my long-acting dose for my short-acting and vice versa.What should I do if this happens?
  • I have diabetes and want to get pregnant. What should I do?
  • Are there any medications I can take to help prevent diabetes?
  • Who should take pills and who should take insulin?
  • How does the treatment based on “lizard spit” work?
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