Do you (or a loved one) have type 2 diabetes and you’re under the impression that your blood glucose would rapidly fall into control if only you could just lose weight? Have you heard this promise from your healthcare provider (HCP)?
As a dietitian and diabetes educator nothing would please me more than to be able to say this is true. But it’s often not the case and particularly so as type 2 progresses over the years. My message to you, stop dreaming and act NOW!
The main mantra to people with type 2 diabetes, especially early on, used to be lose weight. Though losing 10 to 20 pounds can, especially early on after diagnosis, cause blood glucose to plummet and other medical problem to improve, research shows the continually pounding about weight loss that people often get from their health care provider needs to change. We know much more now about the progression of type 2.
In early March 2010, a research article titled Diabetes Risk Reduction Behaviors Among U.S. Adults with Prediabetes published in American Journal of Preventive Medicine, put in writing what many experts (including myself) conjectured.
Nutrition from the ground up, that’s the official 2010 National Nutrition Month message. But what’s at the root of this message? More importantly, what seedlings from this message can you plant and grow into real changes in your eating habits in 2010 and beyond?
In the era of the Biggest Loser, the ante for pounds to expect to loose per week has gone up, not that the number ever approached realistic, even before Biggest Loser. People have long had unrealistic expectations for weekly loss - 3, 5, 10 pounds - feed by overpromising diets. Simply AIN’T GONNA HAPPEN if you’re following a sane and sensible weight loss plan!
Oprah was finally to take on America’s Silent Killer – diabetes. YES! I first heard this from a diabetes educator colleague with the inside scoop. Soon the diabetes online community was buzzing with morsels of info leaking out about how Oprah and her producers would present diabetes. It wasn’t sounding good – heavy on scare tactics about complications and bold orders for behavior changes from Oprah’s famed health gurus.
Yes, we’re once again in depths of the post holiday New Year's resolution ritural. And yes, the most common resolution is: lose those unwanted pounds – again or still. But, think - are you really ready to lose weight and do the daily work to keep off those unwanted pounds?
The first report of the Diabetes Prevention Program Outcome Study (DPPOS) came out October 29th, 2009 online in The Lancet, a well known medical journal. DPPOS is part two of the ongoing Diabetes Prevention Program (DPP) conducted in the U.S. as a National Institutes of Health multi-site study. The DPP and DPPOS results are similar to findings from trials conducted internationally over the past two decades in Finland, China and elsewhere.