With November being National Diabetes Awareness Month, endocrinologist Maria Subang at Kaiser Permanente’s Parkside Medical ministry shared pertinent information about types, prevention, symptoms and therapy.
“Type 1 is essentially autoimmune-mediated diabetes mellitus and also autoimmune-mediated,” explained Subang. “We frequently see identification in young people, which is why it was known as juvenile diabetes however I have diagnosed individuals as old as 75.” With type 1, as it is an autoimmune process that destroys the beta cells within the pancreas that produce insulin, so patients have no insulin in any way. While genetics play a part, specialists don’t know the exact cause as to why the human body stops producing insulin in type 1 patients.
Type 2 is the more common form of diabetes, which occurs when the body can’t use insulin the ideal way. “It’s a procedure for insulin-resistance,” explained Subang. “With kind 2, particularly in this society, a great deal of it has to do with diet and lifestyle.” Without insulin, the body’s cells can’t use sugar as energy, and also the glucose instead stays in the blood. Maintaining blood sugar under control is the key when it comes to diabetes.
For type 2 diabetes, though it may be an issue of genetic predisposition, there are several techniques to prevent or delay beginning. An essential step is a nutritious diet. It’s advised to eat less trans fats and hydrogenated oils; packaged and highly processed foods; white breads, sugary cereals and refined pasted; and red or processed meats. Instead it is a fantastic idea to eat high-fiber, slow release, whole grain, complex carbohydrates; healthy fats from nuts, seeds and avocados; whole fruits and vegetables; and high quality protein such as organic chicken and turkey, eggs and legumes.
Exercise also plays a central role in prevention and therapy. “A goal of 150 minutes per week of exercise — about half an hour, five days a week — may definitely help,” said Subang. “With the outbreak of obesity, the weight variable is significant; as as a individual packs more fat, they possess the higher risk or prevalence of insulin resistance” Regular exercise, including walking, helps control blood glucose, blood pressure, weight and stress, and increase energy levels and mood.
Some common signs of type 2 diabetes include fatigue, appetite, frequent urination, blurred vision and appetite. Some long term health risks of uncontrolled blood glucose levels include kidney failure, blindness, frequent infections, heart disease, stroke, neuropathy, foot problems and amputations, and gum and tooth problems. Even though it may start slow, the results of untreated diabetes may significantly damage one’s wellbeing.
“If a patient comes in to see, I do not expect magical,” explained Subang. “I always ask my patients exactly what they’re willing to do to their diabetes. It needs to be a small goal they know is achievable. If you give big goals it likely won’t work for them” She clarified it’s not enough to get a patient to merely see a physician for 20 or 30 minutes every 3 months, there has to be an attempt on their part to deal with the condition. “It needs to be multidisciplinary, successful treatment is 50 per cent or less medicine — the rest is lifestyle”
In Kaiser Permanente, diabetes patients work closely with their primary care provider, an endocrinologist, registered nurse (who’s also a certified diabetes educator), and just a nutritionist. “This is a huge piece,” explained Subang. “Lots of patients do not understand carbs and diet in order that they work with our nutritionist directly here in Southern Colorado.” Consistent engagement with the team of healthcare professionals functions very well and encourages individuals to take care of themselves.
Subang was with Kaiser Permanente since 2015. “I love the way the massive goal at Kaiser Permanente is prevention,” explained Subang. “I also like their integrated system — with all specialty and primary care under one roof. I think that’s better for patient care persistence and better healthcare delivery all around.”
Maria Subang, M.D. is currently accepting new patients.
– Maria Subang, MD, is with the state’s largest doctor group–the Colorado Permanente Medical Group–which serves the 680,000 members of Kaiser Permanente in Colorado. To find out more about how Kaiser Permanente can help your family thrive, see kp.org or telephone 1-888-681-7878.
Diabetes is a fast growing health problem that significantly impacts the lives of countless Americans. According to a July 2017 report from the Centers for Disease Control and Prevention, 100 million people in the United States have diabetes or pre-diabetes. With nearly a third of the country’s population impacted, it is important to check out the modes of treatment and prevention.