Is Type 2 Diabetes Genetic
Yes. There seems to be a strong genetic component to developing type 2 diabetes. About 75 to 90% of affected individuals have a close relative with the disease. The familial link is surprisingly much higher for people with type 2 than type 1 diabetes .
But dont think that just because your parents have type 2 diabetes, you will too. Remember, type 2 diabetes is often a preventable disease.
This familial link appears complex and strongly influenced by environmental factors, like diet and exercise. This means that families living together often share a similar lifestyle, including eating the same food types and engaging in relatively similar amounts of physical activities. Because diet and exercise are so important in the development of type 2 diabetes, families with an unhealthy diet and sedentary lifestyle are all more likely to develop type 2 diabetes.
Therefore while your genes may impart some influence on disease development, your lifestyle choices can almost always overcome your genetic susceptibility. Even if your entire family has type 2 diabetes, you can prevent developing the disease by taking diet choices and exercise seriously and successfully maintaining your optimal weight. On the contrary, you will still have a high likelihood of developing type 2 diabetes if you engage in high risk lifestyle behavior, even if no one else in your family has type 2 diabetes.
What Food Can Cure Diabetes Topic Guide
Diabetes mellitus is a condition in which the pancreas does not produce enough insulin, produces too much, or cannot use it properly. There are three types of diabetes: 1) type 1, which usually occurs during childhood, 2) type 2, which usually occurs in adulthood, but can occur in children, and 3) gestational diabetes, which occurs during pregnancy.
In men and women, early signs and symptoms of type 1 and type 2 diabetesinclude blurred vision, dry mouth, dry, itchy skin, increased hunger, frequent urination, weight loss, fatigue, dry mouth, excessive thirst, and frequent infections.
Diabetes symptoms that only occur in men include erectile dysfunction , low sex drive , and low testosterone . Diabetes symptoms that only occur in women include frequent urinary tract infections , pain during intercourse, vaginal yeast infections, low sex drive, and polycystic ovarian syndrome .
Diabetes is diagnosed with a blood test.
Fat Is A Source Of Energy That Does Not Raise Your Blood Sugar
Unlike carbs or protein, fat cannot be broken down or converted into glucose efficiently. Furthermore, fat does not require insulin to get into cells to be used for energy, thereby bypassing the problem of insulin resistance. In fact, high insulin levels impair the bodyâs ability to use fat for fuel, driving it instead into fat cells for storage.
To adapt your metabolism to using fat as your main source of energy, dietary carbohydrates must be reduced to below your unique tolerance level. When you do this, your blood insulin level will come down, giving your body increased ability to burn both the fats you eat and those which you have in storage. For most people, this means switching from the standard recommended high carb, moderate protein, and low fat diet to a high fat, moderate protein, and low carb diet. Fat adaptation does not happen overnightâit can take anywhere from 3 to 6 weeks for most of its benefits to occur, and possibly longer for the full benefits to occur.
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Managing Type 1 Diabetes
Type 1 diabetes is an autoimmune disease that often develops during childhood. It occurs when the body mistakenly attacks the beta cells of the pancreas, removing their ability to produce the insulin that the body needs to use blood sugars correctly.
Receiving a diagnosis of type 1 diabetes can be daunting, yet many people manage the condition well, keeping symptoms and severe complications at bay.
Will Supplements And Vitamins Help My Diabetes
No clear proof exists that taking dietary supplements such as vitamins, minerals, herbs, or spices can help manage diabetes.1 You may need supplements if you cannot get enough vitamins and minerals from foods. Talk with your health care provider before you take any dietary supplement since some can cause side effects or affect how your medicines work.2
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The Short Answer It Depends
Diabetes mellitus is not curable: There is no treatment that will eliminate the disease completely.
That being said, weve come a long way since the days before insulin, when diabetes was often a fatal disease.
There is growing evidence that certain treatments involving major lifestyle and behavior changes canreverse certain aspects of the disease. More on this below.
Reversing diabetes is not easy, and it requires true dedication. Research shows that the most lasting reversals only happen with significant and sustained lifestyle changes.
Heres a guide to what treatments are available for diabetes, and those that come as close as currently possible to a cure.
Reversing Type 2 Diabetes
Reversing type 2 diabetes is extremely difficult, but is possible to achieve in most people suffering from the disease. Successfully getting rid of diabetes is enormously dependent on learning the right lifestyle modifications and following them consistently. The goal is to get your HbA1c < 6 and your blood glucose in normal ranges.
If youre taking medications for type 2 diabetes, try looking at them like a temporary assistant that can help you get back on track while diet and exercise do their job.
Its important to work with your doctor and a nutritionist to develop the right diet and exercise regimen for you. Actually following these regimens by consistently eating well and regularly exercising is always the hardest part. But reaping the rewards of a lifetime of a healthier and happier life are well worth the initial struggle.
Make sticking to a healthy diabetic diet easier than ever with diabetic meal delivery. Get nutritious, balanced meals cooked and shipped right to your door!
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Struggles With Calorie Restriction
Some people with diabetes could minimize their need for diabetes medication by continually restricting their calorie intake, which scientists know reduces body weight and improves metabolic health.
However, the authors of the review note that people can struggle to sustain daily calorie restriction for extended periods.
Some people may find it easier to practice intermittent fasting, which shows promise as a way to improve metabolic risk factors, reduce body fat, and promote weight loss in obesity.
To assess the evidence, the authors searched databases for review articles, clinical trials, and case series related to type 2 diabetes and intermittent fasting published between 1990 and 2020.
They concluded that this type of diet may improve several key features of the disease. The improvements include:
- reduced body weight
- lower levels of leptin
- increased levels of adiponectin
Some studies found that patients were able to reverse their need for insulin therapy during therapeutic intermittent fasting protocols with supervision by their physician, they write.
For example, a case study followed three people with type 2 diabetes for several months after they started an intermittent fasting diet, which involved three 24-hour fasts per week.
Over the course of the study, all participants had significantly reduced levels of HbA1c, which is a measure of the average amount of glucose in the blood.
Make Changes That Count
“The term ‘reversal’ is used when people can go off medication but still must engage in a lifestyle program in order to stay off,” says Ann Albright, PhD, RD. She’s the director of diabetes translation at the CDC.
Shedding extra pounds and keeping them off can help you better control your blood sugar.
For some people, reaching a healthier weight will mean taking fewer medications, or in rarer cases, no longer needing those medications at all.
Losing 5% to 10% of your body weight and building up to 150 minutes of exercise a week may help you to slow or stop the progress of type 2 diabetes.
“If you sit most of the day, 5 or 10 minutes is going to be great,” Albright says. “Walk to your mailbox. Do something that gets you moving, knowing that you’re looking to move towards 30 minutes most days of the week.”
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What Is Type 2 Diabetes
Your pancreas makes a hormone called insulin.
When your blood sugar glucose levels rise, the pancreas releases insulin. This causes sugar to move from your blood to your cells, where it can be used as an energy source. As glucose levels in your blood go back down, your pancreas stops releasing insulin.
Type 2 diabetes affects how you metabolize sugar. Your pancreas doesnt produce enough insulin, or your body has become resistant to its action. This causes glucose to build up in the blood. This is called hyperglycemia.
There are several symptoms of untreated type 2 diabetes, including:
- excessive thirst and urination
- weight loss, in spite of eating more
- infections that heal slowly
Tricks For Cutting Down On Sugar
Reduce soft drinks, soda, and juice. For each 12 oz. serving of a sugar-sweetened beverage you drink a day, your risk for diabetes increases by about 15%. Try sparkling water with a twist of lemon or lime instead. Cut down on creamers and sweeteners you add to tea and coffee.
Dont replace saturated fat with sugar. Many of us replace saturated fat such as whole milk dairy with refined carbs, thinking were making a healthier choice. Low-fat doesnt mean healthy when the fat has been replaced by added sugar.
Sweeten foods yourself. Buy unsweetened iced tea, plain yogurt, or unflavored oatmeal, for example, and add sweetener yourself. Youll likely add far less sugar than the manufacturer.
Check labels and opt for low sugar products and use fresh or frozen ingredients instead of canned goods. Be especially aware of the sugar content of cereals and sugary drinks.
Avoid processed or packaged foods like canned soups, frozen dinners, or low-fat meals that often contain hidden sugar. Prepare more meals at home.
Reducethe amount of sugar in recipes by ¼ to . You can boost sweetness with mint, cinnamon, nutmeg, or vanilla extract instead of sugar.
Find healthy ways to satisfy your sweet tooth. Instead of ice cream, blend up frozen bananas for a creamy, frozen treat. Or enjoy a small chunk of dark chocolate, rather than a milk chocolate bar.
Start with half of the dessert you normally eat, and replace the other half with fruit.
Be careful about alcohol
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Sugar Substitutes And Diabetes
The current belief is that people who need to follow a diabetes diet should avoid added sweeteners of all kinds, including sugar substitutes and artificial sweeteners. Researchers have found that people who consume foods with any form of sweetener typically crave more of these foods, and end up gaining weight.
Your best bet is to begin using fruit to get your sweet fix. By adding fruit to foods, you totally avoid the added sugars and sugar alcohols and get the added benefit of dietary fiber, which is better for blood glucose control.
Of all the alternative sweeteners, stevia is the one I recommend most often, says Ms. Zanini. Its a great natural and zero-calorie option for blood sugar control when added to beverages, hot cereals, and other foods when you are looking for a little sweetness.
Youll have to experiment with stevia, she adds, because it works better with some foods than with others.
One of the best changes anyone with diabetes can make is to switch from white food productswhite bread, white potatoes in any form, and white ricethat can also cause notable spikes in blood sugar to similar products made from whole grains, like multigrain sourdough bread, shredded wheat or sweet potatoes, and roasted red potatoes that still have the skin on.
To Control Your Blood Sugar With Diet First You Have To Ignore The Rules
Standard advice to type 2 diabetics is to get 45% to 60% of your total calories from carbohydrates. Thats a lot of carbohydrates. Specifically, 225 to 300 grams for someone eating a 2,000 calorie per day diet. That means a lot of sugar floating around in your bloodsugar which you then need to take medication to help your body deal with.
Thats the thing about carbohydrates: your body turns them directly into sugar, which then enters your bloodstream and raises your blood sugar. So basing your diet on carbohydrates is practically guaranteed to keep your blood sugar at less-than-ideal levels.
Standard practice is to adjust your medication to counteract the blood sugar spikes that come with eating carbs. In some cases, you may even be advised to eat a certain amount of carbohydrates to keep your blood sugar from going too low due to your medications.
In other words, type 2 diabetics are routinely advised to eat the very thing which causes their high blood sugar then given medication to treat the problem. Then theyre advised to eat even more of the problem foods so that the medication doesnt work too well and make them even sicker.
If this leaves you scratching your head, youre not alone. As obesity and diabetes doctor Sarah Hallberg says, Thats just crazy. Were essentially recommending that they eat exactly whats causing their problem.
Not at all. If we dont have access to carbs, our bodies simply burn fat.
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Losing Weight And Improving Blood Sugar By Busting A Move
To try to get off the common diabetes medication Glucophage , Robinson started working out three times a week per her doctors recommendation before ramping up the frequency to seven times a week.
I am the laziest person on the planet. I prayed to God to take over my body! she jokes. If you want something different, you gotta do something outrageous. My outrageous is going to the gym. I cant believe I actually enjoy it. But makes me feel good from the inside out. That is more powerful than any pill, and you dont need a refill.
Before the gym, Robinson eats a handful of nuts, like almonds or pecans, and drinks a glass of water with lemon. Her daily workout includes 5 miles or 30 minutes on the stationary bike at the gym , 5 to 10 minutes on the treadmill, 30 minutes of floor exercises and gentle yoga , and a few minutes of strength training.
Zelda is right on target with her exercise regimen, Brown-Riggs says. Shes doing cardio as well as strength training. Her exercise regimen is also helping to keep her blood glucose under control. Physical activity improves the bodys ability to use insulin, which is one of the reasons Zelda was able to come off her diabetes medication.
Reductions In Diabetes Medications
Diabetes medications all have the same goalâto reduce elevated blood sugar. The common classes include:
- GLP-1 receptor agonists
When your blood sugar is no longer chronically elevated, these blood-sugar-lowering medications are no longer necessary. An ongoing study has shown that sustained nutritional ketosis can lead to the permanent removal of these medications.Â¹â° Medications that rapidly reduce blood sugar need to be removed first, such as insulin and sulfonylureas, sometimes in as little as 2 days to 2 weeks. Other medications like SGLT-2 inhibitors, DPP-4 inhibitors, GLP-1 receptor agonists, and metformin can be removed as long as you maintain normal blood sugar.
If you are on diabetes or blood pressure medications, Virta highly recommends that you get medical supervision before making any dietary changes.
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Check Blood Sugar Levels
Checking your blood sugar levels is another part of your diabetes treatment plan. It lets you know how well the other parts of your treatment like your insulin injections and meal plan are working.
Your diabetes care team may recommend that you use a continuous glucose monitor . A CGM is a wearable device that can measure blood sugar every few minutes around the clock. It’s measured by a thread-like sensor inserted under the skin and secured in place. Sensors can stay in place for about a week before they have to be replaced and are accurate enough to replace frequent finger-stick testing. The more frequent CGM blood sugar readings can help you and the care team do an even better job of troubleshooting and adjusting your insulin doses and diabetes management plan to improve blood sugar control.
A blood glucose meter or CGM tells you what your blood sugar level is at the moment. Your doctor may also send you for another type of blood sugar test that tells you how your blood sugar levels have been for the 3 months before the test.
Safety Of Nutritional Ketosis
Reversing diabetes with nutritional ketosis is fairly simple in theory, but very complex in practice. A ketogenic diet causes rapid improvements in blood glucose, blood pressure, and changes in how the body processes electrolytes and minerals in important ways. To avoid problems with over-medication, these changes typically require daily physician monitoring of your bodyâs response to carbohydrate restriction in order to deliver prompt modifications and reductions in diabetes and hypertension medications. In addition, certain conditions such as prolonged QT-interval can make nutritional ketosis dangerous. This condition is uncommon, potentially linked to magnesium depletion, and can only be diagnosed with an EKG.
Citations and Footnotes
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How To Control Diabetes Through Naturopathy Treatments
Some of methods are:
- Increase Fibre Intake: It has been proven though many studies that foods which have high fibre content slow down the release of glucose from food. Whole fruit, vegetables and beans are examples of such foods.
- Correcting Mineral Deficiencies: Many people who have been diagnosed withType 2 diabetes are also deficient in minerals such as chromium and magnesium. Broccoli, Kale, chard, collard greens and chard are rich sources of these minerals, Even whole grains, peas, beans, seeds and nuts can be used to correct these mineral deficiencies.
- Restrict the White Stuff: Processed or white grains and sugars cause blood sugar levels and insulin levels to spike, which further leads to insulin resistance and weight gain. Eliminating or restricting these âwhiteâ products like white bread, white rice, potatoes, white sugar and white pasta, can help prevent the insulin levels and blood sugar levels from increasing.
While all these remedies are natural, it is strongly recommended that you consult your doctor before trying any remedies.