Albany Times Union

Diabetes: Reduce Your Risk, Enjoy Better Health

- By Lynn Sutton, RD, CDN, CDCES Supervisor/program Coordinato­r St. Peter's Diabetes & Endocrine Care Diabetes Education Program

The most current Centers for Disease Control and Prevention (CDC) national diabetes statistics state that more than 37 million people in the United States have diabetes. That's 1 in 10 Americans and, of those, 1 in 5 do not know they have the disease.

Diabetes with hyperglyce­mia (high blood glucose) activates inflammato­ry pathways leading to dysfunctio­n and weakness of the immune system. In turn, inflammati­on diminishes the way our natural antibodies fight infection.

Many individual­s with diabetes have other health complicati­ons such as obesity, cardiovasc­ular diseases and renal (kidney function) changes. These comorbidit­ies lead to increased stress, which increases blood glucose, chronic inflammati­on and further decreases immune function.

Obesity is also linked to high blood pressure, osteoarthr­itis, pain, limited mobility and sleep apnea. Limited mobility and pain increases stress, blood glucose and inflammati­on. With sleep apnea, the resulting compromise­d lung function leads to abnormal respirator­y ventilatio­n, greater respirator­y symptoms and the potential for respirator­y failure.

Reduce Your Risk

To improve your management of diabetes, you should:

• Keep all your medical health appointmen­ts.

• Take all your medication­s as prescribed.

• Work with your healthcare team to maintain a blood glucose level that is safest for you.

• Improve your diet by increasing fresh fruits, vegetables and lean proteins. Avoid processed foods, fast foods, juices and sugar sweetened beverages.

• Lose weight. A modest weight loss of 7 to 10 percent of your body weight will make a big difference. It lowers blood glucose, blood pressure and increases respirator­y strength.

• Increase activity; even walking ten minutes after meals will help with blood glucose management and increase respirator­y strength.

It may seems like a lot but, by taking it one step at a time, you can make small, healthy changes that you can maintain for life. Individual­s with diabetes who work to maintain their blood sugars within healthy parameters reduce the risk of long-term damage to their eyes, heart, kidneys and feet. St. Peter ’s Diabetes & Endocrine Care is here to help you on your journey to take control of your health.

At St. Peter's Diabetes and Endocrine Care, our multi-disciplina­ry team of endocrinol­ogists, advanced practition­ers and Certified Diabetes Care and Education Specialist­s are dedicated to helping individual­s with diabetes and other endocrine and metabolic disorders improve their quality of life. Our specialize­d services include complicati­on screenings; prevention and treatment; medication management; foot care; onsite Hba1c testing; nutritiona­l counseling; support groups; and individual and group education classes, including our free, virtual "Prevent T2" diabetes prevention program. For informatio­n, call 518-471-3636.

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