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Many studies and doctors have linked an increasing number of people being diagnosed
with diabetes to obesity. When a person is obese or very over weight they are overtaxing
their pancreas (the organ that produces insulin) and this can lead to type 2 diabetes.
Being obese is a risk factor for diabetes but it does not mean you will develop the disease
if you are obese. By losing weight and leading a healthier lifestyle you can gain control
of this risk factor either by reducing it or eliminating it altogether.

There are other risk factors associated with type 2 diabetes including age and race but of
course there is no control over these factors. Studies have shown that over half of the
people diagnosed with diabetes are considered clinically obese. People who are obese
and work hard to lose weight can better manage their diabetes through diet or oral
medications instead of insulin injections. Incorporating a healthy eating plan and regular
physical activity will also help to manage the disease.

In addition to being at a higher risk for developing diabetes people who are obese are at
an increased risk for other life-threatening diseases too. Namely heart and cardiovascular
diseases, it is in an individual’s best interest to maintain a healthy weight for their body
type and health in order to reduce the risks to their health. Medical support is available
through your health care provider if needed.

People can go for years or even decades with undiagnosed pre-diabetes or type 2
diabetes. Over this time, their blood glucose will be at above average range and this can
due internal damage. Once you find out that you are pre diabetic it is wise to change
your lifestyle and eating habits to prevent the onset of diabetes. For people who have
already been diagnosed with diabetes, they can still experience damage from
hyperglycemia if they are not controlling their diabetes effectively.

Hyperglycemia that goes unchecked for a long period of time can cause kidney damage
up to the point of kidney failure that will require dialysis or a transplant. It also causes
nerve damage, particularly to feet and the lower legs. People suffering from
hyperglycemia will heal slowly and will have intestinal problems including diarrhea and
can have eye difficulties leading to eyesight problems.

As soon as you find out that you are diabetic, test your blood glucose regularly to keep an
eye on your levels. You will need to work closely with your health care team to bring
your blood sugars under control. You can lessen the effects of prolonged hyperglycemia
by keeping your diabetes under control. If you have not yet been diagnosed with diabetes
but have been told you are pre-diabetic follow a healthy eating plan including plenty of
physical activity to get healthier and keep your blood glucose levels in check.

In the beginning, the concern with a diabetic diet is to make sure you are getting enough
food so your blood sugar does not drop too low. You will also want to monitor your
levels to look for any spikes in your readings too. A dietician can work with you on this.
If you are eating the recommended diet plan and it is not working, you are feeling hungry
afterwards or your blood sugar is too high – call your dietician. He or she can work with
you over the phone to make immediate changes and schedule an appointment to rework
your plan.

Your dietician can also make recommendations on substitutions for your favorite foods
that you were afraid you could never eat again. They will educate you on portion sizes
too. There really isn’t too much that you can’t have as a diabetic as long as you are
planning your meals out, getting exercise and eating in moderation.

Food guides change and your dietician or nutritionist will have the most up to date
version. Try and follow it and combine foods as you have been taught by your support
team. If you are unsure if something is allowable on your diabetic diet, call your
dietician for advice and if you can’t reach them leave a message and hold off until you
hear back from them.

The same test is used for pre-diabetes as it is for diabetes. Once you find out that you
have pre-diabetes you can make a plan with your doctor to prevent the onset of the
disease. By losing weight and either adding or increasing your level of physical activity
you can delay diabetes for quite sometime. There have been people who have gone on to
maintain a healthy weight through diet and exercise and have remained in the pre-
diabetic phase for their lives.

If you are not able to get down to your goal weight, just losing a small amount can be
beneficial. It takes an additional strain off of your body by lessening the need of the
amount of insulin that is produced. There are many other benefits that you will also get
by reducing your body weight including increased energy and cardiovascular health.

Most times, doctors do not test for diabetes unless there are risk factors present including
age (over 45 years old). But if you are considered obese, your doctor will probably order
the appropriate glucose test each year at your physical examination to check for pre-
diabetes and diabetes.

There are not always symptoms present when you have pre diabetes. But if you are
experiencing any of the signs that could signal the full disease such as an increased thirst
and need to urinate, make an appointment with your doctor for a check-up.

If you are already motivated to lose weight and just don’t know where to begin, make an
appointment with your doctor or diabetes educator. They can provide you with
information on a healthy eating plan and approve the type of exercises you should begin
with. Getting the okay from your doctor before starting any physical routine is a good
idea so you do not over-do it at the beginning creating more harm than good.

If you have tried to lose weight before and know that it is a hard road, you may find the
motivation you need through a support group. Having a network to back you up when
you are having a hard day or the commitment of meeting someone at the gym can get you
through the rough patches ahead.

As you reach certain milestones in your weight loss journey set reward points for yourself
as motivation. You may decide to reward yourself when you lose 10 pounds or it might
be going for a walk 5 times in one week – whatever you need help with. Your reward
can be anything that will make you work harder – renting a movie, a new pair of shoes –
make it special.

As you continue to lose weight and become more active keep a careful eye on your blood
sugars and insulin requirements. You may find that you are requiring less insulin as you
drop the pounds. Keep in contact with your doctor and update him on your progress.

If you are insulin resistant, your body is not using the insulin your pancreas is producing
effectively. Your pancreas will continue to produce more and more insulin but your body
will not use it and cannot derive the energy from the food you eat. This condition can be
passed on from another member of the family but it is also caused by obesity and
inactivity.

As with diabetes, the risk factors for having metabolic problems – metabolic syndrome –
are quite similar. Age is a risk factor, the older you are the chances of having this are
greater. Almost half of the people with metabolic syndrome are over the age of 60 but
symptoms have been seen in children and adults in their 20’s. Another risk factor for
having this syndrome is race, people from a Hispanic or Asian backgrounds are at a
higher risk than others. And as mentioned there is also the hereditary factory.

Being obese with a Body Mass Index (BMI) of over 25 is a factor too. The difference
with this factor from the others is that most people have an element of control over this.
If they are able to lose weight and exercise they can reduce or eliminate this contributor
towards metabolic syndrome.

If you are diagnosed with metabolic syndrome, your doctor will run screening tests for
diabetes. He or she will also recommend or put your on a program to lose weight through
a healthy and balanced diet coupled with physical activity.

The first step to losing weight is to set a short-term goal for yourself. You can do this on
your own but can also get help from your doctor or a dietician. A good goal when
starting to lose weight is to take a small percentage of your overall weight and aim to lose
that much in your time frame. For instance, if you weigh 200 pounds aim to lose weight
5% of your body weight to begin (10 pounds). When you lose weight as a diabetic you
are helping your body by lessening your insulin requirements. Weight loss will also
assist you in keeping your blood sugar levels under control.

Another method to lose weight is physical activity and exercise. Getting your body
moving will increase your metabolism and that act will assist in losing weight too. Not
only will increased metabolism aid in weight loss, it will also help in controlling blood
glucose levels. Your body will be processing food more efficiently.

Diet and exercise go hand-in-hand with weight loss. It also takes patience and time but
as you begin the road to weight loss the benefits you will derive as a diabetic will begin
right away. And as you reach your goal weight you will gain better control of your blood
sugars. If you are having difficulty losing weight on your own, speak to your doctor
about other options that are available to you such as medication or possibly surgery.

The kidneys’ job is to clean the blood but when the blood has excess sugar (glucose)
present it causes damage to the kidneys. This damage can happen even before someone
knows they are diabetic or if they are not diabetic bur are considered obese. High blood
sugars that are present in the bodies of obese people and diabetics are a problem to these
organs and other functions in body.

There really aren’t any symptoms for the early signs of kidney damage. You probably
will not know that it is occurring unless your doctor performs a test to check for protein
in your urine (done with a dip stick in the office). If the doctor finds the presence of
protein it will be closely monitored depending on the amount of protein present. During
the beginning stages of diabetic nephropathy the kidneys are still able to function and do
their job of cleaning the blood. Action will need to be taken to get blood glucose levels
under control to prevent further damage to the kidneys.

If your kidneys fail you are at risk for high blood pressure and the build-up of toxins in
your blood because the kidneys are not able to filter them out. The two options available
at this point are dialysis or a kidney transplant. Dialysis is a method to clean your blood
using an external machine you are hooked up to that your blood is run through and then
put back in your body

If you are suffering from a headache, your vision is blurry and you feel light headed or
dizzy you may have high blood pressure. These symptoms are not just indicative of high
blood pressure though and you should seek medical attention to determine the cause.
Other times there may be no symptoms at all when you have high blood pressure or it
may be slightly elevated. It is smart to have your blood pressure routinely checked at
your doctor’s appointments.

When you are obese, the most effective way to reduce your blood pressure is to lose
weight. Follow a meal plan that works for your diabetes, making sure you are consuming
enough food, and can still allow you to lose weight. Other changes that you can make
that will improve your blood pressure are:

* An exercise routine that is followed on a regular basis
* Reducing stress in your life – mediation, yoga, letting go of some responsibilities
* Quit smoking
* Lessen the amount of salt you use for cooking or on your food

While you are making lifestyle changes to lower your blood pressure your doctor may
decide to put your on medication. If you have to take blood pressure medication it does
not have to be forever. You can look at it as a short-term fix while you make the changes
necessary to lower your blood pressure on your own.