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November is American Diabetes Month

When you hear the word “diabetes”, chances are it hits home on some level. It may be a loved one, a parent, a friend, or yourself who is living with this disease. They are just one of 34 million Americans living with a diabetes diagnosis. Another 96 million have prediabetes. Of those 96 million, 80% of them do not know they have prediabetes, highly increasing the likelihood of developing diabetes down the road. The consequences of this disease are high, and the prevalence across our population is increasing. November is American Diabetes Month, a month dedicated to raising awareness about how to prevent diabetes and improving the resources available to those living with it.


There are three different types of diabetes that contribute the most to the diabetes epidemic. They include prediabetes, type 1 diabetes, and type 2 diabetes. Though they are all a bit different from one another, all forms of diabetes are related to insulin and blood sugar levels. Insulin is a hormone released by the pancreas and its job is to regulate the levels of glucose, also known as sugar, in your bloodstream.

Type 1

Type 1 diabetes, also known as “insulin dependent” diabetes, is an autoimmune disorder during which the cells of the pancreas that produce insulin are destroyed. When these cells are destroyed, the body cannot produce insulin. This results in glucose staying in the bloodstream rather than being taken up by the cells in your body. Over time, this causes blood sugar levels to rise without the body having a way to naturally regulate them back down to normal. Individuals with type 1 diabetes are often diagnosed during childhood or adolescence, though it is possible for adults to develop type 1 diabetes. The treatment for type 1 diabetes must involve taking insulin every day because the body cannot make it and checking blood sugar levels regularly throughout the day. Consuming a healthy, balanced diet and partaking in regular exercise should be included in the management of type 1 diabetes to help avoid complications.

Type 2

Type 2 diabetes, also known as “insulin resistant” diabetes, is caused by the body not producing sufficient amounts of insulin or the body resisting the insulin being produced. In both cases, the body is unable to properly regulate blood sugar levels. The biggest risk factors for developing type 2 diabetes are obesity and high blood pressure. In the past, you would see this type develop most often in adults over 45. In recent years, the number of children and teens developing type 2 diabetes has been increasing as a result of poor nutrition and rise in obesity. Due to the nature of type 2 diabetes, it can be successfully managed through a healthy diet, regular exercise, and maintaining a healthy weight. In some cases, when lifestyle changes aren’t sufficient, type 2 diabetics must supplement with oral medications and insulin to help control blood sugar levels.


When blood sugar levels are higher than normal but not high enough to be classified as diabetes, it is called prediabetes. While prediabetes isn’t technically classified as diabetes, it often develops into a full diagnosis of diabetes if no intervention is implemented. Awareness is the key to success here as many individuals may not develop symptoms until it is too late. Lifestyle changes that are implemented by individuals with prediabetes can often prevent or drastically delay the development of type 2 diabetes. These lifestyle changes include following a diet of minimally processed foods and regularly partaking in exercise.

If you or a loved one have already been diagnosed with diabetes or you suspect you may be at risk, schedule an appointment with your doctor to share your concerns and maintain regular checkups. Without proper care, serious complications such as hypoglycemia (low blood sugar), kidney failure and heart disease can occur. Preventing these complications requires adherence to treatment per your doctors’ guidelines, a healthy diet and regular exercise.

diabetes chart

Diabetes is widespread across America, but it is not an insignificant diagnosis. This disease must be taken seriously and treated properly in order to avoid complications. Unfortunately, not everyone has equal access to the medical resources and education that makes living a normal and fulfilling life with diabetes possible. Raising awareness and equalizing care is one of the major goals throughout the month of November. We encourage you to take the time this month to share this article with family, friends and loved ones. Encourage those around you to speak up about the risk and prevalence of diabetes in our communities. The more we open up the discussion about diabetes, the more we can band together in order to support our loved ones and improve the health of our community.

Visit The American Diabetes Association to learn more or to offer a donation towards ending diabetes. https://diabetes.org/


Image 1 – https://newatlas.com/medical/type-2-diabetes-protein-beta-cell-protection/

Image 2 – https://www.diabeticwarehouse.org/blogs/articles/diabetes-complications

American Diabetes Association – https://diabetes.org/

CDC – https://www.cdc.gov/diabetes/library/spotlights/diabetes-facts-stats.html

Endocrine Society –


National Institute on Aging – https://www.nia.nih.gov/health/diabetes-older-people

Speare Memorial Hospital –

https://spearehospital.com/november-is-american-diabetes-month/# World Health Organization – https://www.who.int/news-room/fact-sheets/detail/diabetes

Diabetes Linked To Those Who “Kick the Habit”

A recent U.S. study suggests that giving up smoking sharply increases the risk of developing type-two diabetes. Researchers found quitters had a 70% increased risk of developing type two diabetes in the first six years without cigarettes compared with non-smokers. The common problem for those who kick the smoking habit is that they tend to satiate their habit with food. They put on weight which leads to their new unhealthy state. The study, based on 10,892 middle aged adults who were followed for up to 17 years, found the risk of developing type two diabetes was highest in the first three years after giving up smoking. On average, recent smokers gained an average of 8 pounds in the first 3 years of quitting. People who made no effort to give up smoking had a constant 30% increased risk of type two diabetes compared with nonsmokers. The Johns Hopkins team also stress that along with smoking, other health problems including heart disease, stroke and cancer are risk factors for type two diabetes. In type two diabetes, the body either fails to make enough of the hormone insulin, or cannot make proper use of it, leading to uncontrolled blood sugar levels. The incident of type two diabetes has soared as the overweight population has grown. It is recommended that doctors stress the importance of weight control and healthy eating when they counsel patients on giving up smoking. Smoking often acts to suppress appetite. Some doctors recommend increasing your exercise as you quit, so it is done at a gradual pace and one is burning more calories to counteract any resulting increase in appetite. “The health benefits of quitting smoking far outweigh the risk of developing type two diabetes from modest, short-term weight gain”, says Natasha Marsland of Diabetes UK. Continuing smoking is not advocated for weight control.
Exercise can bring new life to diabetics.  It is crucial in keeping sugar levels in balance, but a doctor’s check up is first on the list for any age diabetic before beginning an exercise routine.  Begin slowly and build up your routine to a  more rigorous one or a longer time.  Just do it, but don’t over do it. Older patients are more susceptible to physical limitations but they can still develop an exercise routine which can deliver benefits that just as great. Anything from water aerobics to light weight exercises and stretching can improve a person’s physical strength and burn calories.   Seniors are more likely to be homebound and have limited mobility.  Again, there are still many options for limited exercise that can have significant payoffs.  Chair exercises are popular amongst geriatric specialists.  These exercises usually take place sitting in a chair and isolating certain muscles with less stress to other parts of the body. Continuity will produce improved muscle function and endurance, so keep it going.   Finding a partner to exercise with is generally a motivating factor and makes it much more fun. Make sure you share your routine changes with your doctor or home health nurse so that any adjustments in insulin can be updated.

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