The 7 Step Diabetes Fitness Plan (Continued)

Why should you worry about diabetes?
As many as a third of the people who have diabetes don't even know it. So, is ignorance bliss? Absolutely not, because you can't fight back against diabetes – or even prediabetes – unless your condition and ready to do something about it. Having diabetes is definitely something to worry about.

Diabetes has the potential not only to rob you of, on average, more than 12 years of your life, it can also dramatically reduce your quality of life for more than 20 years. Diabetes can result in compromised physical capacity, partial limb amputations, loss of mobility, chronic pain, blindness, chronic dialysis, and heart disease. For women, the reality may be even worse: 38.5 percent of average females born in the year 2000 or later are predicted to develop diabetes; diabetes will cut short the lives of these women by 14.3 years if they are diagnosed by the age of 40 and lower their quality of life for 22 of the years they do live.

Our current national health problems are irrefutably serious. In fact, the generation of Americans now being born is the first ever predicted to die before their parents. If you or your kids have diabetes, you have twice the risk of dying compared to anyone without the disease, and if you're younger when diagnosed with diabetes (age twenty-five to forty-four), your risk is almost four times as high as your nondiabetic counterparts. Diabetes is the sixth leading cause of death in the United States, based on death certificates listing it as the cause. However, these statistics belie its significant negative impact on longevity, as many death certificates list diabetes only as a contributing cause of death; still more fail to mention it at all. For instance, is someone with diabetes dies from a heart attack, the death certificate may not even list diabetes as a cause or contributor, even though it is well documented that poor control of BG levels accelerates the blockage of coronary arteries, which leads to heart disease. A newly released study from the World Health Organization found that diabetes kills more people worldwide than was previously suspected: it is currently the cause of 3.2 millions deaths per year, or 6 deaths every minute.

Heart disease is the leading cause of death in people with diabetes. In fact, if you have diabetes, you now have the same risk of having a heart attack as someone without diabetes but with known heart disease who has already had at least one coronary event. Many undiagnosed people with type 2 diabetes actually first learn of their condition shortly after having their first heart attack. It is likely that they have already had undetected diabetes for a number of years, long enough f or it to cause significant damage. Plaque buildup in the coronary arteries begins in childhood. In adulthood, the heart disease process continues, and when commonly coexisting health issues such as high blood pressure and elevated blood fats are also present, plaque formation is further accelerated. Moreover, almost three-fourths of adults with diabetes have high blood pressure (an average reading of above 130 over 90), which may or may not be effectively controlled with medications. Insulin resistance itself may be even more important to control than BG levels to reduce your risk of a heart attack.

Diabetes is also well known for its damaging effects on the eyes, kidneys, and nerves, which can significantly lower quality of life. Poorly controlled diabetes is the leading cause of new cases of blindness among adults, and proliferative diabetic retinopathy (one form of diabetic eye disease) alone causes tens of thousands of new cases of blindness each year. In addition, diabetes causes six other eye diseases, including glaucoma, cataracts, and neuropathy of the optic or eye muscle nerves. Diabetes is the leading cause of new cases of end-stage kidney disease, treatable in the short term with dialysis and in the long term only with kidney transplants. As for damage to the nervous system, 60 to 70 percent of diabetic individuals have mild to severe nerve damage, including impaired sensation (numbness) in their feet or hands, gastroparesis (slowing of the digestion of food), carpal tunnel syndrome, hypoglycemic unawareness (loss of ability to sense low BG levels), and orthostatic hypotension (severe dizziness when standing up). The majority of toe, foot, and lower limb amputations, or more than 40,000 amputations annually, also occur among people with diabetes. As if all this weren't enough, diabetes is also the cause of increased incidence of periodontal (gum) disease and the greater incidence of birth defects in infants born to mothers with poorly controlled BG levels.

The point of discussing the more negative aspects of diabetes is not to depress or scare you, but rather to convince you that your primary goal should be to prevent, reverse, or effectively control insulin resistance and BG levels so that you can prevent these complications from ever happening to you. The good news is that they are almost entirely preventable with good BG control. An added bonus is that the majority of the same strategies used to control diabetes and it complications will also reverse a prediabetic state and potentially prevent diabetes from ever happening to you in the first place.

The problem with current diabetes care, however, is that most people never achieve or maintain optimal control over their BG levels ("optimal" means average BG in a normal or near-normal range, or a glycated hemoglobin level of no more than 7 percent). In fact, according to a recent report, only 37 percent of people in the United States with diagnosed diabetes ever achieve this level of control, and as many as a third of the others are still unaware of their condition and the damage it is already causing to their bodies.

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Last Modified Date: August 07, 2013

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by Brenda Bell
As I mentioned in an earlier post, one of the benefits that made it cost-effective for me to go with the real healthcare (HSA) plan rather than the phony (HRA) plan is that my company is now covering "preventative" medicines at $0 copay. The formulary for these, as stated by CVS/Caremark (my pharmacy benefits provider), covers all test strips, lancets, and control solutions. I dutifully get my doctor to write up prescriptions for all of my testing needs, submit...
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