diabetic on scale

Type 2 Diabetes in Remission After 10% Weight Loss

November is American Diabetes Month! This month, we hope to give you with resources to help manage and even kick diabetes to the curb. If you’ve had your type 2 diabetes diagnosis for a while, you’ve probably accepted it and learned a great deal about treating it. However, perhaps you don’t have to just accept your diagnosis. Exciting new research shows that it may be easier than you think to put type 2 diabetes into remission.

 

What is type 2 diabetes? 

 

Type 2 diabetes (T2D)  is a metabolic condition. It is characterized by the body’s inability to sufficiently process glucose (sugar).  Consequently, blood sugar levels for T2D patients are persistently high.

 

Diabetes affects a staggering 30 million people in the United States. 1  If unmonitored, it may also lead to various complications, including hypertension, vision problems, and hyperglycemia.

 

Most often, doctors prescribe medication and dietary changes to help patients control T2D.

 

Remission, however, is possible for some patients.  Remission refers to a disappearance or even a decrease of symptoms. It even allows people to cease treatment when achieved.

 

How can remission from type 2 diabetes be achieved? 

 

Weight loss is a known factor to aid a patient’s ability to enter remission from T2D. 

 

For example, those struggling with T2D and obesity sometimes experience remission from diabetes following weight loss surgery.

 

In 2016, a different study demonstrated that diabetics who followed an intensive low-calorie diet for 8 weeks could also experience remission. 2

 

Are such demanding dietary restrictions necessary, however? That is what a research team from the University of Cambridge sought to find out.

 

Moderate weight loss may be sufficient 

 

The findings of this study appeared in the journal Diabetic Medicine. The team analyzed data from 867 people aged 40–69. The participants of this study were also newly diagnosed type 2 diabetics.

 

In addition, all of these individuals had previously enrolled in a study that assesses the effectiveness of diabetes screening.

 

The researchers gathered data on the individuals for 5 years. The team then discovered that 30% of the participants experienced T2D remission at the end of the study.  Furthermore, participants who achieved at least 10% weight loss in the first 5 years following their diagnosis were more than twice as likely to enter remission within that period, compared to those who had not lost weight.

 

Weight loss “worth a try”

 

For diabetics who are also overweight, weight loss does not promise a cure but is still worth a try. While the study mentioned does offer more hope for T2D patients, other studies have shown that remission rates are lower.

 

For example, another study of 10,059 patients with type 2 diabetes found that only 4.97% of participants had achieved remission at the end of an 8 year period. 3

 

However, if we had known this when 30 million Americans received their T2D diagnosis, 1.5 million Americans could be living in remission. 

 

Do you need help managing your diabetes? We would love to assist you. Reach out to Diabetes Education at Lawton Community Health Center today. 

 

Sources 

 

1 American Diabetes Association. Statistics About Diabetes. 2017. 

2 Sarah Steven, Kieren G. Hollingsworth, Ahmad Al-Mrabe, et al. American Diabetes Association.Very Low-Calorie Diet and 6 Months of Weight Stability in Type 2 Diabetes: Pathophysiological Changes in Responders and Nonresponders.  May 2016. 

3 Srikanth Tangelloju, Bert B. Little,1, Robert J. Esterhay, et al. Front Public Health. Type 2 Diabetes Mellitus (T2DM) “Remission” in Non-bariatric Patients 65 Years and Older. 2019.

 

Disclaimer 

 

The Comanche County Memorial Hospital website does not provide specific medical advice for individual cases. Comanche County Memorial Hospital does not endorse any medical or professional services obtained through information provided on this site, articles on the site or any links on this site.

 

Use of the information obtained by the Comanche County Memorial Hospital website does not replace medical advice given by a qualified medical provider to meet the medical needs of our readers or others.

 

While content is frequently updated, medical information changes quickly. Information may be out of date, and/or contain inaccuracies or typographical errors. For questions or concerns, please contact us at contact@ccmhhealth.com.

couple holding hands

Prediabetes and Infertility in Men

A couple typically receives their infertility diagnosis after not conceiving for one year of unprotected sex. When it comes to infertility, women often feel societal pressure to conceive. However, 40-50% of infertility is due to male factors. 1 New research released in 2018 may also give new insight into why some men are unable to impregnate their partners. This condition, prediabetes, is often undetected and underdiagnosed.

 

What is prediabetes?

 

Prediabetes is a condition in which blood glucose levels are higher than normal. However, these levels are not as high as when type 1 or type 2 diabetes is present. These levels indicate that the body isn’t using its own supply of insulin efficiently.  

 

What does the research show?

 

In the study, researchers checked the glucose levels of 744 men who had not impregnated their partners after 12 months. 15.4% of the participants had fasting and after-meal blood glucose levels in the prediabetes category. 2 This is between 100 milligrams per deciliter (mg/dl) and 125 mg/dl at fasting. At two hours after drinking 75 grams of glucose, it is between 140 and 199 mg/dl. It can also be measured by having an average blood glucose reading, known as a hemoglobin A1C reading, of at least 5.7%.

 

What is the link between prediabetes and infertility?

 

Without treatment or positive lifestyle changes, prediabetes can become type 2 diabetes. Diabetes affects overall sperm quality. Sperm motility also decreases. Sperm DNA integration is affected and semen volume decreases as well.

 

What factors increase the risk of prediabetes?

 

Always take prediabetes seriously. It’s a warning sign that you may develop type 2 diabetes. Those who meet any of the following criteria are more likely to have prediabetes according to the Center for Disease Control:

 

Having a close family member with type 2 diabetes

Age in the mid-forties or older

Exercising less than three times a week

Weighing over the recommendation for your height

Being of certain ethnicities: Hispanic/Latino, African-American, Pacific Islander, Native American, and some Asian American ethnicities

 

How can men combat prediabetes?

 

According to the American Diabetes Association, weight loss and healthy lifestyle changes can help lower blood glucose levels into the nondiabetic range. This range is less than 100 mg/dl at fasting and not higher than 126 mg/dl two hours after eating.

 

Some recommended lifestyle changes include:

 

Losing 5 to 7% of your current body weight

Cooking foods with less fat by roasting, broiling, grilling, steaming or baking rather than frying

Exercising for at least 30 minutes at least five days a week

 

 

Are you diabetic? Learn about diabetic care at CCMH by visiting CcmhHealth.com/Diabetes-Services.

 

Sources

 

1 Naina Kumar and Amit Kant Singh. US National Library of Medicine National Institutes of Health. Trends of male factor infertility, an important cause of infertility: A review of literature. 2015 October.

 

2 Luca Boeri, Paolo Capogrosso,  Eugenio Ventimiglia, et al.  BJUI International. Undiagnosed prediabetes is highly prevalent in primary infertile men – results from a cross‐sectional study. 16 October 2018.

 

Disclaimer

 

The Comanche County Memorial Hospital website does not provide specific medical advice for individual cases. Comanche County Memorial Hospital does not endorse any medical or professional services obtained through information provided on this site, articles on the site or any links on this site.

Use of the information obtained by the Comanche County Memorial Hospital website does not replace medical advice given by a qualified medical provider to meet the medical needs of our readers or others.

While content is frequently updated, medical information changes quickly. Information may be out of date, and/or contain inaccuracies or typographical errors. For questions or concerns, please contact us at contact@ccmhhealth.com.

The Toll of Stress: Shocking Effects on the Body

From money, to work issues to family problems, all of us experience stress. In fact, nearly 8 in 10 Americans report feeling significant stress daily. 1 Unless you are feeling especially overwhelmed, you probably don’t think much about it. Stress is something we should be more aware of though. Negative emotions may have many negative, physical effects on the body.

How does stress affect the body?

It may surprise you to know that a little stress can boost the immune system. Although, dealing with chronic stress lowers the immune system allowing illnesses to creep in. 2 Rarely is stress the root cause of diseases, but how it interacts with our genetics and health can accelerate the spread of disease.

Which diseases are caused by stress?

The short answer is, well, all of them! Stress can lead us to bad choices to try to cope. From overindulging in comfort foods to alcohol to smoking- stress is often the root cause of negative behaviors. Hormones increased by stress also lead to various conditions.

How does stress affect heart health?

All of the above mentioned bad coping devices, overindulging in alcohol or food and smoking, can lead to obesity and high blood pressure. These are known factors leading to heart problems including heart attack and stroke. Stress also reduces blood flow to the heart which is a cause of coronary heart disease. 3

How does stress affect the brain?

A staggering 5.5 million Americans struggle with Alzheimer’s disease everyday. It is the 6th leading cause of death in the United States. 4 Studies show that  links between Alzheimer’s and increased stress hormones such as cortisol may exist. High blood pressure may also lead to Alzheimer’s. In Sweden, researchers found high levels of stress hormones in the brains of mice created bigger amounts of beta-amyloid plaques, the proteins believed to cause Alzheimer’s. 5

How does stress affect fertility?

With approximately 1 in 8 couples struggling with infertility, we can’t help but wonder what role stress plays. Research in 2014 stated that high levels of stress may reduce semen and sperm quality. 6 Another study from 2014 found that women with high levels of a alpha-amylase, a stress-related enzyme in the saliva, were 29% less likely to become pregnant. They were also twice as likely to be infertile than women with low levels of the enzyme. 7

Stress plays a role in diabetes?

Most surprising of all is that scientist now believe a link exists between stress and type 2 diabetes. A study published by JAMA found women with post traumatic stress disorder in particular had almost double the risk of developing the disease than women who had not experienced trauma. 8 A possible explanation to this could be because stress increases the production of the hormone cortisol. Cortisol may raise glucose levels.

How do I tackle stress?

To tackle stress, seek support from others and engage in exercise daily. Exercise increases the production of “feel-good” neurotransmitters in the brain known as endorphins. We also posted an article: Managing Mental Health: There’s an App for That which has several apps that contain mood boosting exercises.  If you feel unable to cope with stress, are having suicidal thoughts, or using drugs or alcohol to cope, make an appointment with one of our providers today. You can find a list of them at https://www.ccmhhealth.com/providers/.

Sources

1 Saad, Lydia. Gallup. 20 Dec. 2017.  Eight in 10 Americans Afflicted by Stress.
2 Mohd. Razali Salle. 2008 Oct.  Life Event, Stress and Illness.
3 Nordqvist, Christian. Medical News Today. 19 Jan. 2018.Coronary heart disease: What you need to know.
4 Alzheimer’s Association. 2018. Facts and Figures.

5 Glynn, Sarah. Medical News Today. 19 Mar. 2013. Stress Can Lead To Alzheimer’s Disease.

6 Janevic, Teresa,Ph.D., et al.1 Aug. 2015. National Center for Biotechnology Information. Effects of work and life stress on semen quality.
7 Lynch, C.D., et al. 1 May 2014. Oxford Academic. Preconception stress increases the risk of infertility: results from a couple-based prospective cohort study—the LIFE study.

8 Roberts, Andrea L. PhD., et al. 15 Mar. JAMA Psychiatry.Posttraumatic Stress Disorder and Incidence of Type 2 Diabetes Mellitus in a Sample of Women A 22-Year Longitudinal Study.

Disclaimer

The Comanche County Memorial Hospital website does not provide specific medical advice for individual cases. Comanche County Memorial Hospital does not endorse any medical or professional services obtained through information provided on this site, articles on the site or any links on this site.

Use of the information obtained by the Comanche County Memorial Hospital website does not replace medical advice given by a qualified medical provider to meet the medical needs of our readers or others.

While content is frequently updated, medical information changes quickly. Information may be out of date, and/or contain inaccuracies or typographical errors. For questions or concerns, please contact us at contact@ccmhhealth.com.