Prevent Diabetes with Diet and Exercise

Posted on Oct 30th 2009 12:00PM by Bob Greene
Exercise physiologist and certified personal trainer Bob Greene has helped millions of people slim down, most recently with his online program TheBestLife.com. The best-selling author shares the sure-fire strategies for losing weight, protecting your health and living your best life.

The number of Americans with diabetes has tripled since 1980, and as many as 95 percent of those diagnosed have Type 2 diabetes -- the kind that is often triggered by obesity. Diabetes and its precursor, pre-diabetes, have reached epidemic levels in this country. Sadly, it looks like this trend will continue to grow, as nearly one in five people has pre-diabetes.

These are sobering statistics, but there is good news. You can avoid these two conditions by making easy but significant lifestyle changes. This is the premise of my new book (co-authored by endocrinologist John J. "Jack" Merendino, Jr. and nutritionist Janis Jibrin) "The Best Life Guide to Managing Diabetes and Pre-Diabetes," out Tuesday, November 3.

To reduce your risk, use the following strategies:

  • Maintain a healthy weight. Many of the same weight-loss tips I recommend in "The Best Life Diet," such as eating regular meals and snacks and avoiding certain foods that trigger weight gain, also work for fighting diabetes. That's because being overweight or obese significantly increases your risk for pre-diabetes and diabetes. In fact, people who carry their weight around their middles are most at risk for the disease. In one study, people who had the largest waistlines were 10 times more likely to have diabetes than those who had the smallest. To find out your waist circumference, take a measuring tape and wrap it around your bare abdomen just above your pelvic bone. The tape should be snug, but not pressing into your skin. Exhale a little and measure. The healthy cut-off: Men should be less than 40 inches; women should be less than 35. (If you're of Asian heritage, the numbers are 38 for men and 33 for women.)
  • Exercise regularly. Exercise can help you peel off extra pounds if you need to lose or help you maintain your weight if you're at a healthy weight. More intense workouts are especially helpful in shedding that risky abdominal fat. Finally, it makes the body less insulin resistant, which is a common cause of diabetes. If you have insulin resistance, the insulin that's supposed to transport glucose (that comes from the foods you eat) into all your body's cells becomes less effective.
  • Go for whole grains. Whole grains contain more fiber than refined grains. Not only does this help with hunger, but it also helps keep blood sugar levels more stable. When you eat foods made with refined grain, like white bread or corn flake cereal, the glucose is absorbed into the bloodstream very quickly. On the other hand, whole grains take longer for the body to break down, so you get a much slower and less severe blood sugar spike.
 
 

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