Diabetes: A Wake-Up Call! We Can Do Better!
Approximately 30.3 million Americans, or 9.4% of the population, have diabetes. Globally, diabetes prevalence has climbed from 108 million in 1980 to 425 million in 2017, with 640 million expected by 2040. (Uusitupa et al. Nutrients, 2019) From 1990-2019, the incidence of type 2 diabetes among people from 1539 years jumped 56% in over 204 countries, with high obesity and sedentary living being the leading culprit. (Larkin, JAMA 2023) Twenty-five percent of all Americans age 65 and older have diabetes.
Even young people are affected by diabetes, with 193,000 Americans under the age of 20 having the disease. The cost to manage and treat diabetes is a staggering $327 billion annually. (CDC National Diabetes Stat Report 2017) In most cases, the answer to preventing and curing this dreaded disease is through nutrition and exercise.
Diabetes has three types (Type 1, 2, and Gestational). Regardless of the type, your body breaks down food (carbohydrates) into sugar (glucose). Glucose is the fuel that every cell in the body uses for energy. For the cells to get glucose, insulin hormone (released by the pancreas) is needed. Insulin works like a door key opening the cell to allow body tissues to access glucose.
With diabetes, either your body doesn’t make enough insulin (Type 1) or does not efficiently use the insulin it produces (Type 2). Without glucose, the body cannot function well, leading to symptoms of fatigue, hunger, frequency of urination, increased thirst, weight loss, blurred vision, numbness, and tingling. As diabetes progresses it increases the risk of cardiovascular diseases, stroke, blindness, kidney failure, lower limb amputation, and dementia.
Eighty percent of type 2 diabetes is due to being overweight or obese (Kumar, Ann Phys Rehabil Med, 2019). In the US, the incidence of obesity is on the rise, with 42% in adults and 21% in children (6-19-year-old). (Nhanes, CDC 2021) According to the American Diabetes Association’s, diet and moderateintensity physical activity/ exercise are the first-line gold standard for preventing and treating diabetes (Colberg S.R., Diabetes Care. 2016). Despite this recommendation many pre-diabetic and diabetic patients are not receiving this advice, with 50% of adults never receiving the suggestion to exercise from their physician. (Booth et al. Compr Physiol. 2017).
In 1995 the USA’s official activity guidelines were established of at least 30 min of moderateintensity physical activity most days of the week. (Pate et al. Med J Am Med Assoc 1995) In 2020 the World Health Organization (WHO) and the Centers for Disease Prevention (CDC) established weekly guidelines on physical activity with 150-300 min of moderate-intensity and 75150 min of vigorous-intensity physical activity per week. Two of those workout days should include resistance-exercise training. Despite the recommendations, most Americans are not following the exercise guidelines, with only 5% of US adults performing the recommended daily exercise. In children by the age 15 years there is a 75% decline in physical activity, with physical activity being less than 40 minutes per week. Seventy percent of kids stop playing sports by age 13 which leads to a significant reduction in movement. Twenty five percent of kids 6-17 report no physical activity (RWJF/Harvard School of Public Health, 2016. Balyi, Long-Term Athlete Development.)
On top of the lack of physical activity is our poor food choices and “The Standard American Diet” (SAD). Greater than 60% of the American diet includes ultra-processed foods, with high amounts of added sugar, fat, salt, hormones, antibiotics, and pesticides. There are over 400 chemicals approved as food additives in American diets. (Kahn, Whole Heart Soloution; Mozaffarin, Am Heart Assoc, 2019) Over eating with these high energy dense foods leads to the epidemic of obesity seen in the US and most industrialized countries.
Not only does the lack of exercise and poor diet predispose the individual to diabetes, but it leads to many other preventable diseases such as; hypertension, cardiovascular disease, stroke, cancer, dementia/Alzheimer’s, and communicable disease (COVID-19) (Afshin et al. N Engl J Med. 2019). Eighty percent of heart disease, stroke, and type 2 diabetes are preventable, and 40-60% of cancers could be prevented with a healthy diet and exercise. Americans could save 75% of health care dollars by implementing healthy lifestyle changes. (Saphier, Make Am Heathy, 2020; NIH, 2016, Health line.com; Blue Zones of Health, 2019) In Part II, I will be a review of how diet, aerobic exercise, and resistance exercise can have a positive impact on diabetes and other chronic preventable disease.
If you have diabetes or other chronic health conditions, “Try Physical Therapy 1st”! Starting an exercise program can be daunting, with many needing to learn how to start; Mishock Physical Therapy can help. Our Physical Therapists have a doctorate-level education and are experts in pain, body movement, and exercise. A short course of physical therapy with a transition into a home or gym program can get the diabetic patient back on track, enhancing the individual’s health and quality of life. Combine this with healthy eating, and diabetes can be controlled or even eliminated.
If pain or limited function is keeping you from doing the activities you enjoy,
We can help! Reduce pain and increase function. Schedule your visit 610-327-2600
Locations: Gilbertsville — Skippack — Phoenixville — Boyertown — Pottstown — Limerick. Appointments are available from 7:00 am to 8:00 pm, ALL locations, most days! Saturday Appointments available. Visit our website — www.mishockpt.com — to REQUEST AN APPOINTMENT, read informative articles, meet our physical therapy staff, and learn about our treatment philosophy. Email your questions to mishockpt@comcast.net
Dr. Mishock is one of only a few clinicians with doctorate-level degrees in both physical therapy and chiropractic in the state of Pennsylvania. He has authored two books; “Fundamental Training Principles: Essential
Knowledge for Building the Elite Athlete”, and “The Rubber Arm; Using Science to Increase Pitch Control, Improve Velocity, and Prevent Elbow and Shoulder Injury” both can be bought on Amazon.