Diabetes and metabolic health Archive

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.

Unhealthy lifestyle habits, chronic diseases, and genetic conditions can damage the kidneys and reduce their ability to do their many jobs. But many precautions can help protect the kidneys. Examples include controlling diabetes; lowering high blood pressure; moderating intake of salt, alcohol, and protein; limiting intake of oxalate-rich foods such as spinach, almonds, or cashews; losing weight; stopping smoking; exercising regularly; staying hydrated; limiting the use of nonsteroidal anti-inflammatory drugs (NSAIDs); and getting annual kidney function tests.

The miniaturization of electronics is leading to the development of next-generation devices to monitor health. People today are using various devices (typically smart watches) to measure their heart rate, the regularity of their heart rhythm, the quality of their sleep, their body temperature, and the levels of oxygen and sugar in their blood. And scientists are working on other devices—such as a thin strip of material that is pasted onto the skin—to constantly measure blood pressure, organ function, or certain body chemicals.

A 2022 study found that women under 55 experiencing heart attacks have different leading risk factors than men in this age group. For women, diabetes, depression, high blood pressure, and low household income are strong risk factors for heart attack.

The American Heart Association recently revised its checklist for achieving optimal heart health. Adequate sleep was added, and updates were made to previous recommendations for diet, cholesterol and blood sugar measurements, and nicotine exposure.

Older adults exposed to light while sleeping at night may be more likely to have obesity, high blood pressure, and diabetes compared with adults who sleep in darkness.

Hybrid exercise training combines heart-pumping aerobic action with muscle-strengthening moves in the same exercise session. The strategy has the advantage of meeting two key goals of the federal Physical Activity Guidelines in one fell swoop. And it also appears to be one of the best—and most time-efficient—ways for people who are overweight to lower their risk of cardiovascular-related risk factors. Strong muscles boost a person's basal metabolic rate—the amount of energy the body needs to keep working during rest. That improves weight-loss efforts by ramping up the number of calories burned.

Most people with heart failure (or those at high risk for it) need several medications to treat their symptoms. New guidelines from the American College of Cardiology/American Heart Association have added another drug class to the treatment list: a group of diabetes drugs called sodium-glucose cotransporter-2 (SGLT-2) inhibitors. SGLT-2 inhibitors offer multiple benefits, such as helping to reduce swelling, lowering high blood pressure, assisting with weight loss, reducing complications associated with heart failure, and preventing hospitalization.

Seven factors appear to account for most first heart attacks in people ages 55 and younger: diabetes, depression, high blood pressure, current smoking, family history of early heart attack, low household income, and high cholesterol.

Sugar is a carbohydrate that provides the body with energy and has an important role in nutrition. It is found in many healthy whole foods, but it is also abundant in unhealthy processed foods. The problem many people have with sugar is that they consume too much of the refined kind added to many processed food products, and not enough of the natural kind in fruits, vegetables, and grains.