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A study published in Diabetes Care noted that when diabetics lost around 9-13 kg, they saw a significant increase in lifespan, with an average of 25% reduced mortality. This number is large.

What Is The Root Cause Of Diabetes

About 80-85% of people with type 2 diabetes are overweight. Research shows that obesity is the most important cause of type 2 diabetes.

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PhD Nicola Davies writes in Diabetes Self Management, “People with a BMI over 30 are 80 times more likely to develop type 2 diabetes than people with a BMI under 22.” 80 times. If these numbers don’t wake us up, I don’t know what will.

First, let’s understand the most important hormone for diabetes: Insulin. You may already be aware of it, but let me explain it quickly: Insulin is a hormone made by the pancreas in the body, and its role is to help the body’s cells take in glucose from the blood to be converted into energy. So it reduces sugar in the blood and stores it in the cell.

Type 2 diabetes starts in almost all cases with an excess of insulin in the body. Sometimes, to learn new things, you have to unlearn old things. Keep an open mind.

Dr. Neal Barnard, known for his book on reversing diabetes, explains with a very simple example what happens in diabetes. Suppose you need to open a lock with a key. But the lock does not open. And you investigate further, and you find that there is a piece of chewing gum stuck inside the hole in the lock. And the key is not able to work.

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The same happens with diabetes too. When insulin, the key, fails to open the lock. And what is the chewing gum blocking the work? It’s fat. Fat makes insulin ineffective at doing its job properly. Even a few extra pounds of weight can interfere with insulin’s ability to transport glucose into our cells. And this phenomenon is called insulin resistance.

There are several reasons why fat affects insulin’s work. In simple language, fat covers the cell membranes and hinders insulin function. Fat cells also produce binding proteins that attach to the insulin, thereby influencing its activity. Basically, the weight makes the “insulin key” less efficient, and you need a greater number of “keys” to perform the same number of tasks.

Lipid overload leads to damaged mitochondria, which are also called the powerhouse of the cell. Mitochondria play an important role in the conversion of food into energy for biological processes. A damaged mitochondria in turn leads to internal inflammation. And inflammation leads to insulin resistance. Therefore, it is extremely important to lose extra weight to reduce insulin resistance.

Insulin is a weight gain hormone. The job of insulin is to store glucose in your cells, and excess of it is converted into fat. More insulin in the body usually leads to weight gain. If you want to lose weight, you need to reduce the overproduction of insulin. But in type 2 diabetes, it leads to complications due to insulin resistance. Since insulin is not performing optimally, you need to produce more insulin to keep the sugar under control. And more insulin means higher weight gain. And higher weight, higher insulin resistance and thus even more insulin is required.

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If excess weight is the major causative factor for diabetes, every effort must be made to reduce the weight. But many medications focus on injecting or producing more insulin, which leads to weight gain. So higher insulin in the short term will lead to lower sugar levels, but in the long term worsen the problem more by increasing weight. And in turn make you more insulin resistant.

The solution to treating type 2 diabetes is not to increase insulin production, but to make you less insulin resistant. One needs to increase the effectiveness of existing insulin, and not increase the production of insulin.

In type 2 diabetes treatment, your body usually needs more insulin. And insulin is a weight gain hormone. Therefore, the normal tendency for the body is to gain weight. Therefore, it is a little more difficult for a diabetic to lose weight. But most people lose 1-2 kg per month, depending on the severity of the problem. Weight loss is a complex thing and not everyone reacts the same way. Therefore, it is extremely important to be patient and give 100% to see results. Healthy eating is not a temporary thing and is a lifelong habit. Sometimes results take time, but results always, always and always show in the long run.

If you want to control or prevent diabetes, you need to be closer to your ideal body weight. David Marrero, PHD, president of health services and education for the American Diabetes Association says, “What we know in diabetes prevention and pre-diabetes is that a very modest amount of weight loss has this huge reduction in risk. You lose 7% of your body weight, you reduces the risk by 60-70%.” According to the American Diabetes Association, even a weight loss of 4.5 to 6 kg can lead to a reduction in blood sugar levels and a reduction in blood pressure.

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Dr. Joel Fuhrman writes in his book “End of Diabetes”, “Through working with thousands of patients, I have consistently observed that losing body fat in conjunction with maintaining high levels of micronutrients in the body’s tissues will reduce the need for medication and in the most cases reverse type 2 diabetes for good.”

Obesity is a leading cause of type 2 diabetes. And even losing 5-10% of body weight can lead to a significant improvement in diabetes parameters and reduce the risk of other complications. So let’s take a pledge today to make the earth lighter and healthier. It is .

Co-founder and CEO. SRCC, IIM-Ahmedabad, McKinsey, Deutsche Bank, 101 Global Healthcare Leader Award from the World Health Congress, a certified NLP practitioner, authored 3 books. If you have never been diagnosed with diabetes, pre-diabetes or gestational diabetes, it is a good Chances are you’ve never given your blood sugar much thought. And it’s true that if your metabolism is working optimally, there’s not much to think about. A strong metabolism works a lot like a thermostat – no matter what you eat or drink, your body will maintain a perfect blood sugar level between approx. 60 – 140 milligrams of glucose per deciliter of blood. What many people do not know is that a diabetes diagnosis is usually several decades in the making. It all starts with something called insulin resistance…

An alarming number of people in the US already have diabetes (~13% of the population) and pre-diabetes (~35% of the population). That means almost half of the population is already at level 5 on the chart above. You don’t get to that point overnight, which begs the question: how many people are at level 2 (insulin resistance) and have no idea!?

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Unfortunately, it is not a good lab test for insulin resistance. One thing you can do is use two of the more common lab tests as a proxy: triglycerides and HDL.

If you want to dive even deeper, there is a test you can request called HOMA-IR (Homeostatic Model Assessment of Insulin Resistance). HOMA-IR is calculated by comparing two tests, fasting glucose levels and fasting insulin levels. Most doctors will test for fasting glucose alone and if it is normal the patient will be assumed to be metabolically healthy. But it’s possible that fasting glucose is just normal because your body is pumping out extra insulin to fight insulin resistance. This test can help reveal that circumstance.

Fasting insulin x fasting glucose ÷ 405 Less than 1.0 indicates optimal insulin sensitivity 1 – 1.9 indicates acceptable insulin sensitivity 2 – 2.9 indicates early insulin resistance 3+ indicates significant insulin resistance

Aside from the tests above, another option is to use a continuous glucose monitor (CGM) for a few weeks. Although this will not show insulin resistance, as it only monitors glucose, it will give you a good idea of ​​which foods, drinks and activities affect your blood sugar most acutely. This is a particularly useful activity if the tests above actually indicated insulin resistance, or if you’ve gained weight in your midsection and can’t figure out why (level 4 in the chart above).

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There are two CGMs currently on the market, the Dexcom G6 and the Freestyle Libre. Dexcom’s device is mainly marketed towards people with type 1 diabetes, especially those using an insulin pump. But Freestyle Libre is very easy to get hold of even if you don’t have diabetes. You need a prescription, but I can’t see why a primary care doctor would hesitate to prescribe a device that only monitors blood sugar. Once you have the prescription, you can buy Libre at any pharmacy. Insurance usually won’t cover a CGM unless you are diabetic and use insulin to control it, but the out of pocket cost is only about $70-100

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