In some Native American communities, diabetes is so common that people grow up feeling that it is in some ways, inevitable. Warne often hears from his patients. Yet hope for the future is an important factor in preventing and controlling diabetes - something health care practitioners need to take into account when treating patients. The study demonstrates that people who live near an abundance of fast-food restaurants and convenience stores compared to grocery stores and fresh produce vendors, have a significantly higher prevalence of obesity and diabetes. To help reduce the prevalence of obesity and diabetes, the authors urge state and local lawmakers to enact public policies to make healthy foods more readily available.
These policies include providing retail incentives, promoting smaller-scale markets that sell healthy foods, maximizing the opportunities that come with the new WIC food package, using zoning to limit the number of fast-food restaurants in overburdened communities, and requiring nutritional information on restaurant menus. The U. But as Dr. Donald Warne tells us, diabetes was extremely rare here years ago.
What's changed? Not biology but environment. Type 2 diabetes and its principal risk factor, obesity, have emerged as twin epidemics in communities of color. This book investigates the epidemiology of diabetes in these minority communities, arguing that the determinants of diabetes include not only personal choices, but also broader social and contextual factors, such as community racism, residential segregation, and cultural patterns. The author also provides suggestions for community-based initiatives to reduce the "obesogenic" environment many minorities live in.
Competing agendas drive the distribution of resources when it comes to diabetes care and prevention. We spend most of our dollars on late-stage care, which not coincidentally is highly profitable to companies that provide those services. To reduce diabetes rates among Native Americans and other populations, we have to advocate for policies that will invest more resources in primary prevention and underlying social conditions.
A full list of publications about diabetes, including diabetes in Native Americans and other minority communities. Spero describes the social sources of the toxic environment, including the stress and inequality built into our modern culture and the traumas and loss of community that make people vulnerable to illness.
It reveals the medical mistreatment of diabetes - from kicking diabetics off medical insurance to underfunding diabetes education, from over-emphasizing drugs to giving corporate-influenced dietary advice. The lesson plan includes worksheets, links to primary sources, evaluation rubrics, and references to relevant standards. In Word doc format.
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The much lower prevalence of type 2 diabetes and obesity in the Pima Indians in Mexico than in the U. This study provides compelling evidence that changes in lifestyle associated with Westernization play a major role in the global epidemic of type 2 diabetes. This report looks at the effects of "food deserts" areas with minimal access to grocery stores on the health of residents in Chicago's neighborhoods. The study develops an empirical score to quantify the balance of food choice groceries vs.
They find that African American communities are especially likely to have poor balance of food choice, and that residents of these "food deserts" suffer noticable health effects. Historically, federal Indian policies have been destructive to Native American communities - ranging from removal to assimilation and termination. These policies have had a negative impact on health and health-related behaviors. More recent trends towards self-determination and tribal control provide reason to hope. Forty years of poking and prodding by medical researchers have yielded few improvements, as disease rates continue to rise.
Pember looks at efforts in the Ho-Chunk or Winnebago tribe of North Dakota to use traditions to counteract fatalism and fight diabetes. Regular activity can lower blood pressure and help control blood sugar, and it offers many other health benefits. Current guidelines encourage everyone to do at least minutes of moderate intensity aerobic exercise each week, or 75 minutes of vigorous intensity exercise. Moderate exercise includes walking and swimming.
Those who have not been active for a while should speak to their doctor for advice on a sensible exercise plan. Doctors often recommend the DASH diet for managing blood sugar and overall wellbeing. A person with diabetes will need to monitor their intake of carbohydrates and check their blood glucose levels to ensure they meet the targets that their treatment plan sets out.
The American Diabetes Association ADA recommend a maximum of one alcoholic drink per day for women and two alcoholic drinks per day for men. One drink would be one ounce beer, one 5-ounce glass of wine, or one 1. Mixers can also add carbohydrates and calories. Sparkling water is a more healthful option than sweetened soda. An individual may wish to speak to their doctor about how much alcohol is safe for them to consume. There is evidence that tobacco smoking can increase the risk of both high blood pressure and diabetes. Smokers with diabetes have a higher risk of serious complications, including:.
A person who has or is at risk of diabetes, high blood pressure, or both can speak to their doctor about how to quit smoking. Type 1 diabetes : The person will need insulin and possibly blood pressure and other medications, depending on any complications they have. Type 2 diabetes : Some people will need to use insulin, or a doctor may prescribe metformin or other non-insulin medications to help reduce blood sugar levels.
Experts propose radical anti-sugar plan to tackle type 2 diabetes
They may also need medications for high blood pressure or other complications. Current guidelines also recommend using one of the following if a person with type 2 diabetes has a high risk of atherosclerotic cardiovascular disease, diabetes-related kidney disease, or both.
High blood pressure : Medications include ACE inhibitors, beta blockers , and diuretics. Hypertension and diabetes often occur together, and they appear to share some risk factors and causes.
Lifestyle adjustments can help control blood pressure and blood sugar levels, but most people will need to follow a treatment plan for life. A doctor will prepare a treatment plan with the individual, who must stay in touch with their healthcare team and check in with a healthcare professional if they believe they need to adjust their treatment.
Article last updated by Yvette Brazier on Tue 28 May Visit our Diabetes category page for the latest news on this subject, or sign up to our newsletter to receive the latest updates on Diabetes. All references are available in the References tab. American Diabetes Association. Standards of medical care in diabetes— abridged for primary care providers.
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Cheung, B. Diabetes and hypertension: Is there a common metabolic pathway? Insulin resistance and hypertension in patients with type 1 diabetes [Abstract]. DASH eating plan. Diagnosing diabetes and learning about prediabetes. High blood pressure n. Emdin, C. Husain, K. Alcohol-induced hypertension: Mechanism and prevention. Hyperglycemia high blood glucose.
Prediabetes: Your chance to prevent diabetes. Physical activity guidelines for Americans 2nd edition. Smoking and diabetes Types of blood pressure medications. Understanding blood pressure readings.
Diabetes: Sugar-Coated Crisis: Who Gets it, Who Profits and How to Stop it
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How this works. A routine health check may reveal high blood pressure. Everything you need to know about hypertension. Diabetes involves high levels of blood sugar. Sparkling water is a healthful alternative to alcohol.
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