Jul 28, 2023
Diabetes Mellitus is a chronic metabolic disorder in which there is increase in blood glucose level resulting from inadequate production of insulin, inadequate action of insulin (resistance) or both. Type 2 Diabetes Mellitus (T2DM) accounts for over 90% cases of diabetes world wide.
The natural history of Type 2 diabetes includes 3 stages : normal glucose tolerance where blood glucose levels are normal, pre-diabetes and overt T2DM. Preventive strategies therefore work at normal and pre-diabetes stage. It’s important to know that even though blood glucose levels are not as high in pre-diabetes stage as in overt diabetes but it can still lead to complications like stroke, heart disease, fatty liver etc. Therefore pre –diabetes should not be overlooked.
Pathogenesis of T2DM is complex wherein environmental triggers precipitate T2DM in genetically predisposed individuals . These environmental factors can be classified into modifiable and non-modifiable. Non modifiable risk factors include age, ethnicity and family history whereas modifiable risk factors include unhealthy diet , obesity ,sedentary habits , stress etc .While discussing prevention of diabetes it’s pertinent to address these modifiable risk factors.
So there are various measures that can be taken to prevent diabetes
Diabetic plate method “50-25-25” helps in making good food choices and controlling portion size. The three divisions on the plate (9inch size) should be 50% non starchy vegetables, 25% whole grains and 25% protein rich food.
Type 2 Diabetes is majorly a life style disorder and largely preventable by taking simple steps like eating a healthy diet , exercising more, maintaining calorie deficit and losing weight. It is important to identify those at risk and screen them to prevent the disease.
Consultant – Endocrinology
Metro Heart Institute with Multispecialty, Faridabad
For More visit : https://www.metrohospitalfaridabad.com/doctor/dr-jimmy-pathak/