The rate of diabetes is rising rapidly in the United States, and so is the rate of obesity. The heavier people are, the more likely they are to develop type II diabetes. Type II diabetes is associated with obesity because, as we gain weight, our tissues are less sensitive to insulin, and our pancreatic beta cells have a tougher time producing insulin. Our genetic makeup determines the strength of our pancreatic beta cells and, as such, also plays a role in whether or not we develop type II diabetes. Belly fat adds even more propensity towards insulin resistance.
Considering that diabetes increases the risk of other deadly diseases, people who have diabetes should become active participants in trying to limit damage and reverse the condition. A recent study showed that weight loss through diet and exercise was actually better at controlling diabetes than medication. A group of Scottish researchers followed1,537 participants for 5 years who received at least weekly cognitive behavioral support and lifestyle advice, including calorie restriction and exercise and/or medication. Participants who completed the program experienced substantial weight loss, as well as a drop in glycated hemoglobin (HbA1c). Those who did not complete the program had an increased need for diabetic medication and insulin.
While we cannot do much about genetic factors, we can do something about our weight. Weight regulation using diet and regular physical activity can improve insulin sensitivity and type II diabetes. We have seen patients who made diet and lifestyle modifications improve their health to the point where they no longer require medication. Never underestimate the power of food! Include regular physical activity in your life, eat fresh foods, and avoid processed and sugary foods to improve insulin sensitivity and to help regulate type II diabetes.
