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Increases risk of heart disease

"Every cricket fan loves the legendary partnership between Kapil Dev and Syed Kirmani. This partnership broke all the batting records for next 27 years and brought the first World Cup in 1983. But not every partnership is worth appreciating, particularly the one between diabetes and obesity. It is a troublesome combination. The partnership between diabetes and obesity is extremely destructive as it is a lose-lose situation for the individual." 

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Diabetes and obesity: how are they linked?

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Understanding obesity and type 2 diabetes!

The intricate relationship between diabetes and obesity is quite dangerous, posing a two-fold challenge for individuals. Let's delve into the primary reasons why:

  1. "The Concerns of the Heart Come Knocking": A combination of high body weight and diabetes increases the risk of heart diseases and stroke.
  2. The Unending Cycle: Here's a perplexing situation - diabetes can amplify obesity issues and living with excess body weight complicates diabetes management. It's like a never-ending circle, each condition feeding off the other, causing more problems than one.
  3. The Exercise Dilemma: Obesity, makes it challenging to engage in physical activities. Yet, keeping active is a foundational aspect of diabetes management. The contradiction here is hard to miss, especially in an age where sedentary lifestyle is are increasingly common.

Lifestyle changes: the pillar of diabetes management

While modern medicine offers a variety of medications and treatments designed to control and manage diabetes, it's essential to recognise the unparalleled significance of lifestyle choices in this equation. These choices not only complement medical interventions but often act as the first line of defence against the exacerbation of the condition.

  • Regular Exercise: Physical activity, more than just a means to shed weight, plays a dual role in diabetes management. Firstly, it aids in utilization of glucose as energy, naturally lowering blood sugar levels. Secondly, consistent exercise enhances insulin sensitivity, meaning the body requires less insulin to move utilization of glucose into the cells. This is pivotal for those with diabetes.
  • A Nutritious Diet: Diet directly impacts blood sugar levels. Consuming a balanced diet rich in whole grains, lean proteins, healthy fats, and plenty of vegetables ensures that blood sugar spikes are minimised. Monitoring carbohydrate intake, in particular, is a sure shot method employed by many to effectively manage their condition.
  • Adequate Sleep: Often overlooked, sleep plays a crucial role in regulating several body functions, including insulin sensitivity and blood sugar regulation. A consistent sleep schedule ensuring 7-9 hours of sound sleep can make a tangible difference in managing diabetes.
  • Stress Management: Stress hormones can cause a spike in blood sugar levels. Techniques like deep breathing, meditation, and even hobbies can act as effective buffers against stress, ensuring that its impact on blood sugar is minimised.

Furthermore, addressing obesity and working diligently on weight management becomes indispensable in this scenario. Excess weight, especially around the abdomen, has been linked to increased insulin resistance. By managing weight, there's a direct and positive impact on diabetes control, making it easier to maintain optimal blood sugar levels.

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The road ahead with innovative treatments

There's good news on the horizon. The world of medical science has been busy. Innovative approaches now tackle both weight gain and diabetes together. These treatments not only aim for target HbA1c levels but also help in weight management. A beacon of hope for many, it’s akin to finding an all-rounder in a cricket team. Therefore, a consultation with a healthcare professional about these newer possibilities might just be the next crucial step.

 The union of diabetes and obesity is one that can't be ignored. Breaking this duo becomes a top priority. Through informed decisions, a touch of discipline, and the latest medical insights, it's a battle that can be won.

Together, let’s lower the weight of diabetes.

References:
  1. Eeg-Olofsson K et al. Diabetologia. 2009 Jan;52(1):65-73.
  2. Russell-Jones et al. Diabetes Obes Metab 2007;9:799–812;
  3. Van Gaal et al. Diabetes Care 2015;38:1161–72;
  4. Pi-Sunyer Diabetes Care 2005;28:1526–7;
  5. Krenke et al. Expert Rev Clin Pharmacol 2014;6:171–8.
  6. Adapted from American Diabetes Association Professional Practice Committee;. Diabetes Care 1 January 2024; 47 (Supplement_1): S77–S110.

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