Diabetes Doctor Temecula –
Dr. Emanuel Botelho, DC

What are two of the topmost prevalent diseases in the United States today? Diabetes and prediabetes take the prize for affecting over 30.2 million US adults and costing $ 245 billion a year, while obesity tops 35% in seven states, now costing about $145 billion a year.

Obesity and diabetes are becoming a pandemic.

What is diabesity?

Diabesity, as defined by the National Institute of Health in 2013, is a combination of diabetes and obesity characterized by a high degree of insulin resistance and hyperinsulinemia. Its diagnosis has particular therapeutic implications for treatment of both conditions simultaneously, as each affects the other.

Diabesity is the precursor to heart disease, nonalcoholic fatty liver disease, pancreatitis, cancer, and premature death throughout the world.

As such, it deserves our attention as a disease entity on its own.

Diabesity is a constellation of signs that includes:

  • abdominal obesity (i.e., “spare tire” syndrome);
  • dyslipidemia (low HDL, high LDL, and high triglycerides);
  • high blood pressure;
  • high blood sugar (fasting above 100 mg/dL, Hb1Ac above 5.5);
  • systemic inflammation; and,
  •  a tendency to form blood clots.

Steps to Reverse Diabesity

Combining the results of differing studies, diabesity has been found to be reversible through calorie restriction, weight loss, nutritional manipulation, exercise, and stress reduction.

1. Calorie Restriction

Calorie restriction (1/4 typical intake) without a change in body weight was shown to reverse all signs of diabetes in an animal model by reducing gluconeogenesis (glucose generation), glycogenolysis (breakdown of tissues into glucose), and restoring normoglycemia. We all know the portion sizes in America are too big–so the take-home message from this rat study is to eat less and eat smaller portions.

2. Weight Loss

Diabetes Doctor Temecula - Five Step Plan for Reversing Diabesity

A weight loss of 15 kg or more has been shown to completely reverse all signs of diabetes while changing weight category risk factors. Weight loss, however, is a tricky subject. Chances are, you’ve heard the same general advice over and over again: lose weight. And chances are, you’ve tried. Weight loss is a struggle because many times, health care practitioners don’t take into consideration that your weight isn’t a result of an unhealthy diet or a lack of physical activity.

Sometimes, your weight is a symptom of a deeper issue that your health care provider needs to dig deeper in order to find.

Once your provider pinpoints the root cause of your stubborn weight, he or she can customize a plan that addresses your specific individual needs.

3. Nutritional Manipulation

The trend in nutritional manipulation today is personalization of treatment. No longer do we automatically put someone on a multivitamin or this supplement or that. We do a comprehensive nutritional assessment of needs and then make a nutritional plan that may or may not include multivitamins or specific supplements. Not all supplements will be beneficial if there is not a co-existing deficiency. In order to make the most of your diet and added nutrition, it’s important that you find someone who can pinpoint your specific imbalances and root causes, and from that information, build you a customized plan that targets your individual needs.

4. Exercise

An exercise program that combines both cardiovascular and strength training is best for reversing diabesity. The strength training targets lean body muscle and percent body fat, while the cardiovascular imparts benefits on all parts of the body thus stimulating physiological changes conducive to the reversal of diabesity.

Exercise should be for at least 150 minutes per week depending on the frequency, duration, and intensity of the program. With more intense programs such as the HIIT program, less time per week is needed to achieve the same benefits as working out for 150 minutes.

Of course, a qualified health care provider should customize an exercise plan for each individual, but the information above is a good start. Finally, it is important to always consult your doctor before stopping or starting an exercise routine.

5. Stress Reduction

Diabetes Doctor Temecula - Five Step Plan for Reversing Diabesity

Keeping a lid on our stress can help us control our hunger cues, slow our heart rate, and calm our nerves. This all may help with food bingeing and contribute to a good night’s sleep– another important lifestyle factor important in weight regulation.

If stress is interfering with your sleep, try using meditation, mindfulness, or melatonin. Any one or all three may help with stress and sleep.

So, take heart! With all the miracles of medicine, sometimes the best cure is controlling what we eat and how we live.

Looking for a Diabetes Doctor Temecula located? Come to Dr. Botelho, D.C. & Associates!

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