prediabetes

bmi and prediabetes
Nutrition and Weight Loss

Is Prediabetes Stalking You? Recognize the Danger

by James Haley, MD, FACOG, FPMRS As many as 86 million people in the United States have prediabetes, yet 90% of them don’t even know it. Prediabetes is the condition that exists when you have higher than normal blood sugar levels, but not high enough to classify as diabetes. Someone with prediabetes has a higher risk of developing Type 2 diabetes and other serious health issues, including stroke and heart disease. Since this condition has no symptoms, it can easily go undiagnosed. However, there are risk factors to look for, and certainly ways you can decrease your risk of becoming a Type 2 diabetic. Type 2 diabetes is a major public health issue, and more people need to know they are at risk. Know the Risk Factors for Prediabetes The American Diabetes Association (ADA) has guidelines that list a total of 11 specific risk factors that determine if you should be screened for prediabetes. They include: High Blood Pressure High Cholesterol Body Mass Index (BMI) over 25 History of Heart Disease Physical Inactivity 1st Degree Relative with Diabetes Over 45 years old Had Diabetes in Pregnancy (gestational diabetes) African-American race Latino ethnicity Asian-American race If you’re over 45 and have any of the other risk factors, you should see your doctor. A simple blood test can let you know if you are prediabetic. Unfortunately, most Americans these days have a body mass index (BMI) over 25, not realizing the risks associated with it. If you have a calculator, you can easily figure your BMI. Below is the standard formula. If you are in good shape and have extra muscle, it may be a little off. Nevertheless, it is still a good method and will give you a close estimate. How to Calculate Your BMI Figure out how many inches tall you are. (Example: if you are 5’4″ you are 64 inches). Multiply the number by itself. (Example: 64 x 64 = 4096) Write the total down and clear your calculator. Now, punch in your weight in pounds and divide by that saved 4-digit number (For a 125 woman, 125 divided by 4096 = .03051758) Multiply your result by 703. (.03051758 x 703=21.4538) Here, 21.45 is the BMI If the result you get is less than 18.5, you are considered underweight. If your BMI is between 18.5-24.9, you are normal weight. But if your BMI is 25-29 you are considered overweight, and over 29 is considered obese. No matter how undesirable you find your calculations, don’t despair. Make today the first day of positive changes. It’s never too late to start a sensible diet and exercise plan. Change begins with that first step. Get committed!! Get going! For guidelines on nutrition and weight loss, discuss your concerns with your doctor at your next annual exam.

woman on weight scale
Nutrition and Weight Loss

Is Snacking Feeding Your Insulin Levels and Leaving You With the Weight?

by James Haley, MD FACOG, FPMRS As a physician and fitness enthusiast, I’ve read a plethora of articles, books, and journals on weight loss. My patients continually tell me their struggles with dieting, lamenting that the weight always returns, usually along with a few extra pounds. Personally, I can relate. It’s not a dilemma exclusive to women. Men struggle, too. As you age, you just can’t eat like you used to—ven if you exercise regularly. After reading numerous books and trying different diets myself, I finally discovered an author who not only pinpoints the problem of obesity, but also the answer to those last ten pounds. In his book, ‘The Obesity Code’, Dr. Jason Fung, a nephrologist, states that the real culprit of weight gain isn’t overeating. It’s excessive insulin. He is emphatic that many of his patients would need less medical intervention if they lost weight. Since most of his patients are Type 2 Diabetics, a disease associated with too much insulin, he has been able to determine the common link – SNACKING. In the past few decades, the number of times we eat daily has increased. People have gone from eating three meals a day to about six, counting snacks. Go on, admit it. It’s what you do—what I’ve done. it’s a cycle, and it makes sense once you understand the reason why. Every time you eat, you stimulate insulin, keeping it at a constant high level. This fools the body into thinking it’s always hungry. Your body is constantly thinking you are hungry because your insulin stays in a high range. Obesity is a hormonal disease. Insulin, a hormone, tells you how much to eat and how much to burn. The body behaves as if the weight is set on a thermostat. So, obesity is not about caloric imbalance. Thus, it makes sense that the idea of cutting calories is totally wrong. You may not be obese. Maybe you have a few obstinate pounds that won’t melt—a jiggle around the middle resistant to diet and exercise. ‘Fat’, ‘plump’, ‘chubby’—whatever you call it, a surplus of insulin is causing it. The longer you have higher amounts of it, the more resistant your body becomes, which produces even more and causes that crazy, never-ending cycle. So what’s the solution? Avoid insulin-stimulating foods like sugar and refined grains. These are the enemy. Eliminate between-meal snacks. Designate mealtimes. Meal timing and insulin levels work together to regulate our weight. We need periods of time when we aren’t eating, so insulin can go down, leaving our bodies in energy burning mode. If we leave more time between meals…. we burn energy. And when we burn energy, we lose weight. To learn more about the other secret to regulating insulin for weight loss, read here.  

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