Diabetes is a disease in which the body does not produce or properly use insulin.Insulin is a hormone that is needed to convert sugar, starches and other food into energy needed for daily life. The cause of diabetes continues to be a mystery, although both genetics and environmental factors such as obesity and lack of exercise appear to play roles.
In order to determine whether or not a patient has pre-diabetes or
diabetes, health care providers conduct a Fasting Plasma Glucose Test
(FPG) or an Oral Glucose Tolerance Test (OGTT). Either test can be used
to diagnose pre-diabetes or diabetes. The American Diabetes Association
recommends the FPG because it is easier, faster, and less expensive to
perform.
Normal Standards
With the FPG test, a fasting blood glucose level between 100 and 125
mg/dl signals pre-diabetes. A person with a fasting blood glucose level
of 126 mg/dl or higher has diabetes.
In the OGTT test, a person's blood glucose level is measured after a
fast and two hours after drinking a glucose-rich beverage. If the
two-hour blood glucose level is between 140 and 199 mg/dl, the person
tested has pre-diabetes. If the two-hour blood glucose level is at 200
mg/dl or higher, the person tested has diabetes.
Major Types of Diabetes
Type 1 diabetes
Results from the body's failure to produce insulin, the hormone that
"unlocks" the cells of the body, allowing glucose to enter and fuel
them. It is estimated that 5-10% of Americans who are diagnosed with
diabetes have type 1 diabetes.
Type 2 diabetes
Results from insulin resistance (a condition in which the body fails to
properly use insulin), combined with relative insulin deficiency. Most
Americans who are diagnosed with diabetes have type 2 diabetes.
Gestational diabetes
Gestational diabetes affects about 4% of all pregnant women.
Pre-diabetes
Pre-diabetes is a condition that occurs when a person's blood glucose
levels are higher than normal but not high enough for a diagnosis of
type 2 diabetes. There are 54 million Americans who have pre-diabetes,
in addition to the 20.8 million with diabetes.
Type 2 diabetes - An overview
Type 2 diabetes is the most common form of diabetes. In type 2 diabetes,
either the body does not produce enough insulin or the cells ignore the
insulin. Insulin is necessary for the body to be able to use sugar.
Sugar is the basic fuel for the cells in the body, and insulin takes the
sugar from the blood into the cells. When glucose builds up in the
blood instead of going into cells, it can cause two problems:
Right away, your cells may be starved for energy. Over time, high blood
glucose levels may hurt your eyes, kidneys, nerves or heart.
Finding out you have diabetes is scary. But don't panic. Type 2 diabetes
is serious, but people with diabetes can live long, healthy, happy
lives. While diabetes occurs in people of all ages and races, some
groups have a higher risk for developing type 2 diabetes than others.
Type 2 diabetes is more common in African Americans, Latinos, Native
Americans, and Asian Americans/Pacific Islanders, as well as the aged
population.
Can coffee reduce the risk of diabetes? Know the fact.
Coffee reduces risk of diabetes. Research suggests that people who drink
coffee are less likely to get type 2 diabetes. It isn't known whether
the caffeine or some other ingredient in coffee is responsible for its
protective effects.
The researchers wanted to see whether there is a link between diabetes
and drinking coffee and green, black, and oolong tea. Participants
completed a detailed questionnaire about their health, lifestyle habits,
and how much coffee and tea they drank. The questionnaire was repeated
at the end of the 5-year follow-up period. When other factors were
accounted for, researchers found that the more green tea and coffee
participants drank, the less likely they were to get diabetes. People
who drank six cups or more of green tea or three or more cups of coffee
each day were about one-third less likely to get diabetes. The link was
stronger in women than in men. No pattern was seen with black or oolong
tea.
Coffee Slashes Diabetes Risk Up To 80%
Tastes better than insulin
Many of coffee’s health benefits and risks remain unclear, but studies
suggest it can greatly reduce the risk of type 2 diabetes. Coffee
drinkers, rejoice: While there’s little evidence the beverage causes
serious health problems, a new study has confirmed it can dramatically
cut the risk of developing diabetes.
The study, by Jaakko Tuomilehto and colleagues from the National Public
Health Institute in Helsinki , Finland , looked at coffee’s suggested
protective effect against type 2 diabetes. Conducted among residents of
Finland , which has the highest per capita coffee consumption in the
world, the large study found that coffee drinking can cut the risk of
diabetes in men up to 55% and in women up to 79%.
“This study revealed unequivocal evidence for an inverse and graded
association between coffee consumption and type 2 diabetes independent
of other risk factors for type 2”. “Because the Finnish population
drinks more coffee than other populations, we had the power to determine
the risk of diabetes at high levels of coffee consumption.”
Benefits and risks
Coffee is one of the world’s most consumed beverages, yet much still
remains unknown about its health benefits and risks. Thanks to the
caffeine in coffee, over-consumption can cause nervous jitters and
addiction, as well as withdrawal symptoms when those who are addicted
cut coffee out of their diet.
A February, 2003 a Danish study also found that heavy coffee
consumption—between four and seven cups a day—during pregnancy increases
the risk of stillbirths. Eight or more cups during pregnancy increased
the risk of still birth 220%
Other than this, however, the evidence for coffee’s harmful effects is
considered weak. It has been implicated in such health problems as heart
disease, but the association is considered suspect because of the
difficulty in separating the impact of unhealthy behaviors that often
accompany coffee drinking—such as smoking and sitting in smoke-saturated
cafés—from coffee drinking alone.
Protective effect
Evidence for coffee’s protective effects against diabetes came in a
study this January that found drinking coffee cuts the risk of type 2
diabetes—the type of diabetes that usually develops in middle age is
linked to being overweight and is on the rise with obesity.
The study, by researchers from the Harvard School of Public Health in
Boston, Massachusetts, found men who drank more than six cups of
caffeinated coffee per day were 50% less likely to develop type 2
diabetes while women who drank this much coffee had an almost 30%
reduced risk.
Conclusion
It's long been established that good nutrition, weight control and
exercise are the best ways to prevent diabetes. The coffee effect might
prove to be a healthy bonus from the daily jolt.
Coffee
consumption has been extensively studied in relation to various
diseases, but not until recently has it been examined in relation to
risk of type 2 diabetes.
Coffee is among the most widely consumed beverages in the world.
Knowledge of both the positive and negative health effects of coffee is
important to allow individuals to make informed choices regarding coffee
consumption. In addition, data on the health effects of different
coffee constituents and of different types of coffee can contribute to
disease prevention. Coffee contains numerous substances; among them,
caffeine, chlorogenic acid, quinides, and magnesium have been shown to
affect glucose metabolism in animal or metabolic studies.
Currently, it is premature to recommend increasing coffee consumption as
a public health strategy to prevent type 2 diabetes, and other health
effects of coffee should also be considered.
References
- Nathan DM. Long-term complications of diabetes mellitus. N Engl J Med. 1993;328:1676-1685
- Tuomilehto J, Lindstrom J, Eriksson JG, et al. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med. 2001;344:1343-1350
- R.M. van Dam and F.B. Hu Medical biology: coffee consumption and type 2 diabetes (J. Am. Med. Assoc. 2005 294:97)
- Salazar-Martinez, E., Willett, W.C., Ascherio, A., Manson, J.E., Leitzmann, M.F., Stampfer, M.J. and Hu, F.B. 2004. Coffee consumption and risk for type 2 diabetes mellitus. Annals of Internal Medicine, 140(1):1-8.
- Lane, J.D., Barkauskas, C.E., Surwit, R.S. and Feinglos, M.N. 2004. Caffeine impairs glucose metabolism in type 2 diabetes. DiabetesCare. 27(8):2047-8.
- Lane, J.D., Barkauskas, C.E., Surwit, R.S. and Feinglos, M.N. 2004. Caffeine impairs glucose metabolism in type 2 diabetes. Diabetes Care. 27(8):2047-8.
- Kerr, D., Sherwin, R.S., Pavalkis, F., Fayad, P.B., Sikorski, L., Rife, F., Tamborlane, W.V. and During, M.J.1993. Effect of caffeine on the recognition of and responses to hypoglycemia in humans. Annals of Internal Medicine. 119(8):799-804.
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