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Thomas also recommended starting with small steps: having a leafy green salad before dinner, opting for water instead of soda and exercising – even walking – just 30 minutes each day. “People often feel overwhelmed and don’t know where to start,” she said. “They think they have to overhaul their lives and change won’t be sustainable. It’s just not true. There are smart, healthy choices you can easily incorporate to make a big difference.”
Diabetes is the leading cause of kidney failure, nontraumatic lower limb amputations, and blindness among adults. Diabetes is the nation’s seventh leading cause of death and a major cause of heart disease and stroke. As little as a 5-10% decrease in body weight can improve insulin action, decrease fasting glucose concentrations, and reduce the need for some diabetes medications. Overweight individuals who lose as little as 10-15 pounds and exercise at least 30 minutes a day five times a week can reduce their risk of developing diabetes by nearly 60%.
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Odds are your glucose levels will be significantly higher during this test than the ranges in other tests, so don’t freak out. It’s supposed to be that way. Just remember that the RPG screening is just that—a screening. It isn’t perfect. It is useful for getting a sense of your overall glucose levels—and possibly ruling out diabetes. It’s not great for pinpointing your ranges with surgical precision.
Previous studies have suggested that lifestyle changes, including diet and exercise, can be powerful ways to lose weight and combat diabetes. The Diabetes Prevention Program in the U.S. revealed in 2002 that diet and exercise alone can prevent people from progressing from pre-diabetes to diabetes, in some cases better than medications designed to control blood sugar. Gastric bypass surgery, which can result in dramatic weight loss, can also help to reverse diabetes, but the procedure is costly and carries a high risk of complications.
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Eating whole grains has been shown to cause blood sugar levels to rise more slowly after a meal and reduce the risk of type 2 diabetes. The fiber in whole grains slows the digestion of carbs, reducing the demand for insulin. Whole grains also contain antioxidants and anti-inflammatory nutrients that may also play a role in helping prevent diabetes.
Recommendations for improving blood glucose control are based on the Diabetes Control and Complications Trial (DCCT), a 10-year clinical study of insulin-dependent diabetes sponsored by the National Institute of Diabetes and Digestive and Kidney Diseases, NIH. The DCCT showed that volunteers who intensively managed their diabetes reduced their risk of eye disease by 76 percent, kidney disease by 50 percent, and nerve disease by 60 percent.