A Research Guide for Students by I Lee
Translate this page to another language of your choice:

To translate a block of text or web page, click Bing Translate or Google Translate

Wall Street Executive Library Feature Site - This is not an ad but a link to a world of wonderful resources.
Business Toolkit
Ref Library
by freefind
  Useful Links

How to Start Winning
Your Own Gold Medals
(Preventing Diabetes)

By Dr. Peter W. Kujtan, B.Sc., M.D., Ph.D.

Article printed on page 29 in the August 8, 2012 issue of
The Mississauga News under the feature: Health & Beauty, Medicine Matters.
Portrait of Dr. Peter W. Kujtan, supplied 2005
Dr. Peter W. Kujtan

With the Olympics ablaze in London, we should all be motivated to start accomplishing those small physical feats, that could benefit our health.

Pre-diabetes is a new term which is linked to inactivity. It is a definition aimed at prevention.

Diabetes is a disease that is still an expanding entity in Canada. Many people still believe that it simply means they eat too much sugar.

Diabetes refers to the sluggish nature of how our body cells get their fuel. Insulin is a natural peptide hormone produced in our pancreas. I try to think of it as a key that opens the gas tank into our cells. If it fits poorly, then the energy acquiring process slows down. This creates a backlog of sugar along the delivery highways of our blood. Measuring this backlog of sugar in the blood provides one clue to a problem. Without proper energy to burn, your cells fatigue, and with all that sugar floating in blood, more water is needed to prevent sludge, so you get thirsty. Your kidneys work overtime trying to get rid of the excess, and this produces more trips to the water closet. One thing leads to the next and eventually the kidneys filtering all this excess begin to deteriorate.

To prevent diabetes, you need to recognize the early warning signals. If you fast for at least 6 to 8 hours, and your blood sugar is in the 6.1 to 6.9 mmole/L range, it may signal the first signs of a problem. If you suffer from obesity (body mass index 30 or greater), have a family history of diabetes, high blood pressure or a smoking habit, then you are at risk. Leading a sedentary life style increases this risk.

I often have a confounding conversation with people who feel that their eating habits have not changed much since they were 30 but yet seemed to have put on that extra 30 or 60 pounds. It is a simple equation that has held true over the millennia. Obesity is not about gluttony or massive eating behavior. It is about failing to burn small amounts of excess calories on a regular basis. These very small seemingly negligible amounts add up in the long run. A pound every couple of months seems miniscule, but over ten years, it becomes a heavy burden. In our society, we seem to love our carbohydrates, because they give us quick energy and are found in foods that don't spoil easily.

There are very few things in medicine that respond amazingly well to a tweak in our behavior, and unfortunately for the pharmaceutical giants, pre-diabetes is one of those entities. EXERCISE! I have witnessed the pre-diabetes state disappear when people start to move more and eat a little differently.

Years of sedentary behavior is often cemented behind walls of self-justification. Starting to move more hurts, at first. It aches and needs support from those around us, but the benefit is worth it. Start with a simple walk around the mall or block. If you didn't gain 10 pounds a week, don't expect to lose it fast either. A pedometer measures your activity level, and 5000 steps a day will lead to better health and a new you.

Related resources:

Can weight training prevent diabetes? By Deborah Kotz, Daily Doze: A Boston Globe Blog. Watch video: "Be well: How does inactivity affect our lives?"

Basics About Diabetes from Centers for Disease Control and Prevention (CDC).

Could There Be a Cure for Diabetes? Is There a Diabetes Cure? From Diabetes Health Center, WebMD.

32 Home Remedies for Diabetes by Editors of Consumer Guide, from How Stuff Works.

Can Diabetes Be Prevented? From KidsHealth.

Simple Steps to Preventing Diabetes. The Nutrition Source from Harvard School of Public Health.

How to Avoid Type 2 Diabetes. 13 steps with pictures, from WikiHow.

Drug and Alcohol Use with Diabetes by Dr. Karen Vieira, PhD MSM.

Eight Ways to Prevent Diabetes. Tip Sheet from Johns Hopkins Medicine International.

How to prevent diabetes with diet and exercise by Erin Marcus, MD.

Stop Diabetes and Kidney Disease from News.com.au. "BOTH of these chronic diseases are on the rise in Australia, but these simple lifestyle changes can lower your risk of getting them, or help you manage their symptoms.

1. Know your risk and keep a healthy weight
2. Eat healthy foods
3. Engage in some physical activity - Exercise is good for preventing and managing diabetes.

Beating Diabetes Before It Happens from ABC News: Health Beat. "Kidney failure, blindness, amputation, heart attack and stroke. They're some of the serious effects people with type-one diabetes could face. Now doctors are studying ways to cure the disease before it happens and even get rid of the disease in people who already have it."

New hope to stop Type 1 Diabetes before it occurs. "Teplizumab battles an immune system protein. Doctors hope it can also stop the destruction of insulin-producing cells in the pancreas that causes diabetes." From KY3 News.

Weight Training May Reduce Risk of Type 2 Diabetes from Huffington Post Canada.

Weight training to prevent diabetes, new NHS heart drug and family fainting link by Emma Wilkinson, PulseToday.co.uk.

Turmeric may prevent Type 2 diabetes: study from Toronto Star.

Diabetes breakthrough by National Post, Dec. 15, 2006.

Management of Diabetes in the Elderly by Jeffrey I. Wallace, MD, MPH, Assistant Professor, University of Washington, Department of Medicine, Division of Gerontology and Geriatric Medicine, Seattle. Clinical Diabetes, Vol. 17 No. 1, 1999, American Diabetes Association (ADA).

Can TB Vaccine Stop Type 1 Diabetes? New Study Suggests Old Vaccine Can Treat Long-standing Diabetes by Daniel J. DeNoon, WebMD Health News. Reviewed by Brunilda Nazario, MD.

HOME     Previous     Next     Other Articles by Dr. Kujtan