Dr. Alex Jimenez, El Paso's Chiropractor
I hope you have enjoyed our blog posts on various health, nutritional and injury related topics. Please don't hesitate in calling us or myself if you have questions when the need to seek care arises. Call the office or myself. Office 915-850-0900 - Cell 915-540-8444 Great Regards. Dr. J

One-Third of Slim American Adults Have Pre-Diabetes


Its often assumed that in order to develop type 2 diabetes, you have to be overweight. While its true that excess weight is clearly associated with insulin resistance and diabetes, its the insulin resistance not necessarily the weight gain that drives the disease.

As such, many people with a healthy weight are not metabolically healthy, putting them at risk of diseases like type 2 diabetes even without being overweight or obese.

One of the greatest risk factors, according to University of Florida researchers, is actually inactivity, which drives up your risk of pre-diabetes regardless of your weight.

Inactivity Is Associated With Pre-Diabetes, Even if Youre a Healthy Weight

If you were looking for motivation to get moving, this study, published in the American Journal of Preventive Medicine, is as good as it gets.1

In a survey of more than 1,100 healthy-weight individuals, those who were inactive (physically active for less than 30 minutes per week) were more likely to have an A1C level of 5.7 or higher, which is considered to be pre-diabetic.

The researchers suggested that people who live a largely sedentary lifestyle yet have a healthy weight may have normal-weight obesity or skinny fat,’ which they described as a high proportion of fat to lean muscle.2

Dont focus solely on the scale and think youre OK. If you have a sedentary lifestyle, make sure you get up and move, lead author Arch Mainous III, chair of health services research, management and policy in the University of Floridas College of Public Health and Health Professions, said in a news release.3

Weight Doesnt Always Reveal a Persons Metabolic Health

Weight isnt always an accurate tool by which to gauge metabolic health, and research by Dr. Robert Lustig, professor of pediatric endocrinology at the University of California, San Francisco (USCF), bears this out.

Lustig is perhaps best known for speaking out about thehealth risks of sugar, but in our 2015 interview he explained the problem with judging a book by its cover in terms of weight and health.

More than two-thirds of the American population is overweight or obese. About 50 percent have diabetes or pre-diabetes,5and 1 out of every 3 have high blood pressure.6Many also have high serum triglycerides, which is a risk factor for heart disease and stroke. Insulin resistance is a component ofallof these health issues.

According to Lustig, at least 50 percent of Americans have some form of insulin resistance whether youre overweight or not andthatis whats driving our seemingly out-of-control disease statistics.

Exercise Is Important, but Not Necessarily Because It Helps You Lose Weight

The evidence is clear that regular physical activity, which includes reducing your time spentsittingand exercising, is crucial to lower your risk of diabetes (and treat it if youve already been diagnosed).

For instance, sitting for more than eight hours a day has been shown to increase your risk oftype 2 diabetesby 90 percent,7while people with diabetes who engaged in a six-month moderate-intensity exercise program experienced significant health improvements, including decreased fat in the abdomen, liver and around the heart.8

How to Determine if Youre Pre-Diabetic

If youre reading this and arent sure what your fasting insulin and glucose levels are, these areblood tests I recommend receiving annually. Your fasting insulin level reflects how healthy your blood glucose levels are over time.

A normal fasting blood insulin level is below 5, but ideally youll want it below 3. A fasting glucose level below 100 mg/dl suggests youre not insulin resistant, while a level between 100 and 125 confirms you have pre-diabetes. If this, or your A1C level, confirms you either have or are at risk of pre-diabetes or diabetes, the time to take action is now. You might also find ahip-to-waist size index charthelpful.

This is far better than body mass index (BMI) for evaluating whether or not you may have a weight problem, as BMI fails to factor in both how muscular you are and your intra-abdominal fat mass (the dangerous visceral fat that accumulates around your inner organs), which is a potent indicator of insulin/leptin sensitivity and the associated health problems.

You Can Improve Your Insulin Sensitivity in Just Two Weeks

Fortunately, proper exercise and attention to diet can reverse the course of this disease, with benefits seen in as little as two weeks (and to some extent after just one exercise session).

For instance, unfit but otherwise healthy middle-aged adults were able to improve their insulin sensitivity and blood sugar regulation after just two weeks of interval training (three sessions per week).9A follow-up study also found that interval training positively impacted insulin sensitivity.

The study involved people with full-blown type 2 diabetes, and just one interval training session was able to improve blood sugar regulation for the next 24 hours.10You can actually reap much greater benefits by exercising in short, high-intensity bursts known as intervals than you can exercising for longer periods at a slower steady pace.

The high-intensity interval training (HIIT) approach I personally use and recommend is thePeak Fitness method, which consists of 30 seconds of maximum effort followed by 90 seconds of recuperation, for a total of eight repetitions. I also recommendsuper slow weight liftingfor your resistance training.

Getting Up From Your Chair Is Also Important

When you hear the term sedentary, its important to understand that exercising for 20 or 30 minutes a day, and then sitting for much of the rest, is not enough to pull you out of this category. Long hours spent sitting are linked to chronic diseases including diabetes, and this may be, in part, because it increasesaging at the cellular level.

In a study of 64- to 95-year-old women, those who sat for more than 10 hours a day and got less than 40 minutes of moderate-to-vigorous physical activity had shorter telomeres and were, on average, eight years older, biologically speaking, than women who moved around more often.11

Every time a cell divides, the telomeres get shorter, which is why theyre used as a measure of biological aging. Short telomeres have also been linked with chronic diseases such as cancer, heart disease and diabetes.

In addition, your bodys ability torespond to insulinis affected by just one day of excess sitting, which leads your pancreas to produce increased amounts of insulin. Research published inDiabetologia alsofound that those who sat for the longest periods of time were twice as likely to have diabetes or heart disease, compared to those who sat the least.12I recommend replacing the majority of your sedentary sitting time with active movement, keeping sitting to three hours a day or less.

Sourced through Scoop.it from: fitness.mercola.com

What to Do if You Have Pre-Diabetes or Diabetes

You may be thin but that doesnt mean you have more lean muscle than fat in your body. Having a higher percentage of fat than lean muscle can set the stage for insulin resistance.

The take-home message to remember is that you shouldnt assume youre metabolically healthy just because youre not overweight or obese especially if you live a largely sedentary lifestyle. You could actually be skinny fat, with many of the same health risks as someone whos overweight or obese and sedentary.

The good news is that theres plenty you can do to not only reduce your risk of type 2 diabetes and pre-diabetes but also improve your metabolic health at the same time.

During the three-year Diabetes Prevention Program study, for instance, lifestyle interventions were found to be more effective than the diabetes drug metformin at preventing or delaying the development of diabetes in people at high risk of the disease. A follow-up study monitored the group for 15 years and lifestyle interventions were still more effective than metformin at preventing diabetes.13

One of the most important dietary recommendations is to limit net carbs (total carbohydrates minus fiber) andprotein, replacing them with higher amounts of high-quality healthy fats, like seeds, nuts, raw grass-fed butter, olives, avocado,coconut oil, organic pastured eggs and animal fats (including animal-based omega-3s).

If youre insulin resistant or diabetic, I also strongly suggest you limit your total fructose intake to 15 grams per day until your insulin/leptin resistance has resolved (then it can be increased to 25 grams) and startintermittent fastingas soon as possible.

As mentioned, exercise and reduced sitting time are also crucial, along with attention to proper sleep, optimizedvitamin D levelsandgut health. Taken together, this plan will lower your risk of diabetes and related chronic diseases and help you to avoid becoming victim to a health condition you might not even realize you have.