Diabetes and metabolic health Archive

For decades, high intake of fat was thought to cause weight gain, heart disease, and maybe even cancer. The solution? Go low-fat, which often meant consuming more carbs and more sugar. But nutritionists now suggest people actually need adequate amounts of "good" unsaturated fat, and less "bad" saturated fat, for optimal health. Following popular heart-healthy diets, like the Mediterranean and MIND diets, and making simple dietary changes can help people get adequate amounts of good fats.

About 96 million Americans have prediabetes, defined by elevated blood sugar levels that are not high enough to qualify as diabetes. Risk factors include overweight or obesity, family history, and inactivity. People with prediabetes may have more infections and frequent urination or blurry vision after big meals. Lifestyle changes such as maintaining a healthy weight, exercising, eating healthy foods, drinking alcohol moderately, and not smoking may prevent prediabetes from progressing to diabetes.

Several drugs originally developed to treat type 2 diabetes can help people shed as much as 20% of their body weight—far more than other anti-obesity drugs. Known as incretin mimetics, they also improve blood pressure and cholesterol levels. Up to half of all new-onset diabetes cases in this country are linked to obesity, a disease that now affects more than 40% of Americans. Both conditions are closely linked to cardiovascular disease.

Lifestyle changes like regular exercise, a healthy diet, and sufficient sleep are cornerstones of self-care for people with type 2 diabetes. But can mind-body practices help people manage or even treat type 2 diabetes? An analysis of multiple studies suggests they might.

A major theme of the 2023 American Diabetes Association Standards of Medical Care guide is healthy weight loss. The new guidelines also encourage collaboration on meaningful lifestyle changes that help with sleep and health metric targets.

A recent study suggests that following a low-carb diet may quickly reduce A1C levels in people with prediabetes. Such a rigorous approach to eating may not be realistic, but cutting even some carbs may lead to weight loss and lower blood sugar.

Sitting too much is bad for health. But there are ways to make time spent seated a little healthier. For example, people can keep their brains active by reading, writing, doing a hobby (such as knitting), or playing an instrument. And people can exercise while in a seated position. It's possible to do an aerobic workout that gets the heart and lungs pumping, such as a seated dance routine or calisthenics, as well as muscle-strengthening activities or stretching exercises.

By age 40, one in five women has dealt with an eating disorder, twice the proportion of women known to be affected by age 21. Risks for anorexia, bulimia, and binge eating can rise at midlife due to job stressors, an empty nest, and dating again after divorce or widowhood. Health effects can include bone loss, heart problems, lung conditions, gastrointestinal issues, diabetes, and skin breakdown. Signs of an eating disorder include dramatic weight fluctuations, excessive exercising, and preoccupation with weight, calories, and body size and shape.

A new study suggests that older adults who maintain an high level functional fitness have a lower their risk of heart attack, heart failure, and stroke compared with those who are not as fit.