{"id":3857,"date":"2023-12-21T10:15:38","date_gmt":"2023-12-20T23:15:38","guid":{"rendered":"https:\/\/lifeprogram.org.au\/?p=3857"},"modified":"2024-02-15T09:56:59","modified_gmt":"2024-02-14T22:56:59","slug":"the-link-between-obesity-and-pre-diabetes","status":"publish","type":"post","link":"https:\/\/lifeprogram.org.au\/health-hub\/the-link-between-obesity-and-pre-diabetes\/","title":{"rendered":"The link between unhealthy weight and pre-diabetes: learn the risk factors and symptoms!"},"content":{"rendered":"<h3><b>Introduction<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Pre-diabetes is a condition which signals that the body has stopped processing blood glucose well. Diabetes Australia estimates that two million Australians have pre-diabetes, and that each year around 5\u201310% of them develop type 2 diabetes, a condition whose complications include heart, kidney and eye disease.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">One of the risk factors for the development of pre-diabetes is being at an unhealthy weight; in 2017\u201318 the Australian Institute of Health and Welfare (AIHW) estimated that 67% of Australian adults were within an unhealthy weight range.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">In this article, we will look further into the connection between living in a larger body size and pre-diabetes. Then we\u2019ll see how the onset of type 2 diabetes can be delayed or prevented by adopting a healthier lifestyle.<\/span><\/p>\n<h3><b>Pre-diabetes\u2014your chance to prevent type 2 diabetes<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">The exact cause of pre-diabetes is unknown, but its risk factors are similar to those for type 2 diabetes. As well as being at an unhealthy weight, they include not doing the recommended amount of exercise, having high cholesterol and high blood pressure and smoking.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Before a person is diagnosed with pre-diabetes, changes in the body that are associated with the condition may already have occurred. One significant change is the development of insulin resistance.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Insulin is a hormone that is produced by the pancreas. It enables glucose in the blood to move into cells in muscles where it\u2019s used for energy. This process regulates the level of blood glucose. Insulin resistance occurs when the muscles and liver do not respond effectively to the hormone. The body starts to produce more insulin in an attempt to stabilise glucose levels, and keeps doing so until the pancreas is exhausted, resulting in too much glucose circulating in the blood.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Being at an unhealthy weight can make your body resistant to insulin.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">As there are no reliable signs or symptoms of pre-diabetes, it is usually diagnosed when a person\u2019s doctor is concerned that they may have elevated blood glucose and sends them for a blood test. There are several tests to confirm pre-diabetes:\u00a0\u00a0<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"> \u00a0 <\/span><b>Fasting blood glucose test (FBGT)<\/b><span style=\"font-weight: 400;\">: a blood sample is taken to show the level of glucose in your blood. This is done as a fasting blood test (after 8\u201310 hours of not eating and only<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">drinking water).<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><b><\/b><b>Glucose tolerance test (GTT)<\/b><span style=\"font-weight: 400;\">: If your fasting blood glucose test is high, your GP may arrange for you to have a GTT. This test looks at both a fasting reading and then at a one- and two-hour reading, after a glucose drink, to see your body\u2019s response. This will take up to three hours.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 <\/span><b><\/b><b>Hba1c:<\/b><span style=\"font-weight: 400;\"> This non-fasting test can be taken at any time. It shows the average of your blood glucose level over a period of three months.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">There are two types of pre-diabetes, impaired glucose tolerance (IGT) and impaired fasting glucose (IFG). Both involve increased blood glucose levels.<\/span><\/p>\n<h3><b>Unhealthy weight and pre-diabetes and your diabetes risk<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">In Australia, a person is said to be at an unhealthy weight if their<\/span><a href=\"https:\/\/www.betterhealth.vic.gov.au\/tools\/body-mass-index-calculator-for-adult\" target=\"_blank\" rel=\"noopener\"> <span style=\"font-weight: 400;\">body mass index (BMI)<\/span><\/a><span style=\"font-weight: 400;\"> is equal to or greater than 30. This is a simple calculation of weight divided by height squared.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Being at an unhealthy weight is one of the most important risk factors in the development of pre-diabetes and type 2 diabetes. This is because, as mentioned previously, it can make the body resistant to insulin. It also puts you at risk of other health conditions, including high blood pressure, heart disease and some types of cancer.<\/span><\/p>\n<h3><b>Risk factors for developing pre-diabetes in people who are at an unhealthy body weight<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Being at an unhealthy body weight is linked to the following risk factors for pre-diabetes:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Having high blood pressure<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Having high cholesterol<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Eating an unhealthy diet.<\/span><\/li>\n<\/ul>\n<p><b>Prevention of unhealthy body weight and pre-diabetes<\/b><\/p>\n<p><span style=\"font-weight: 400;\">People who are at an unhealthy body weight can prevent the onset of pre-diabetes by:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">reaching and maintaining a healthy weight<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">eating a healthy diet<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">doing the recommended amount of exercise<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">quitting smoking (if relevant)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">limiting alcohol consumption (if relevant)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">having regular check-ups with their healthcare provider.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Remember, it\u2019s always best to consult with a healthcare provider before starting any new diet or exercise program.<\/span><\/p>\n<h3><b>Will losing weight help with pre-diabetes?<\/b><\/h3>\n<p><a href=\"https:\/\/lifeprogram.org.au\/health-hub\/what-to-do-pre-diabetes\/\"><span style=\"font-weight: 400;\">Having pre-diabetes does not mean that you\u2019ll automatically develop type 2 diabetes<\/span><\/a><span style=\"font-weight: 400;\">. Reaching and maintaining a healthy weight helps the insulin in your body work better and lowers your blood glucose levels. If you have excess body fat, particularly around your middle, losing just 5% of your body weight can significantly reduce the risk of type 2 diabetes. To keep your weight in a healthy range, focus on making small and realistic changes to your lifestyle to improve your diet and increase your physical activity. It is better to start with any goal than to try and be perfect right away.\u00a0<\/span><\/p>\n<h3><b>Diet and the management of pre-diabetes<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">For people who are living with pre-diabetes, a nutritious diet will help to keep their blood glucose levels within a healthy range and help with the maintenance of a healthy weight. The<\/span><a href=\"https:\/\/www.eatforhealth.gov.au\/guidelines\/about-australian-dietary-guidelines\" target=\"_blank\" rel=\"noopener\"> <span style=\"font-weight: 400;\">Australian Dietary Guidelines<\/span><\/a><span style=\"font-weight: 400;\"> and the<\/span><a href=\"https:\/\/www.eatforhealth.gov.au\/guidelines\/australian-guide-healthy-eating\" target=\"_blank\" rel=\"noopener\"> <span style=\"font-weight: 400;\">Australian Guide to Healthy Eating<\/span><\/a><span style=\"font-weight: 400;\"> provide information and advice about what a healthy diet is.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">One of the Australian Dietary Guidelines is: \u201cEnjoy a wide variety of nutritious foods from the five food groups every day. And drink plenty of water\u201d.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The five food groups mentioned are:<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">1. Vegetables and legumes\/beans<\/span><\/p>\n<ol start=\"2\">\n<li><span style=\"font-weight: 400;\"> Fruit<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Grain and cereal foods, aiming for mostly wholegrains, low-GI and\/or high-fibre varieties.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Lean meat and poultry, fish, eggs, tofu, nuts, seeds, legumes and beans.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Milk, yoghurt, cheese and\/or alternatives, aiming for mostly reduced fat and fortified alternatives.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400;\">The Australian Guide to Healthy Eating shows the proportions of the five food groups we should eat every day.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">People who are living with pre-diabetes should eat a wide range of foods from these groups that are high in fibre and low in the glycaemic index (GI). The glycaemic index shows how quickly the carbohydrates in a food are broken down and absorbed into the bloodstream. Foods with a high GI cause a rapid rise in blood glucose levels, which can lead to increased insulin release from the pancreas and may promote more cravings and overeating. Foods with a low GI result in a slower rise.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Foods that are high in fibre can also help regulate blood glucose levels by slowing down the absorption of glucose into the bloodstream. According to the Australian Government\u2019s Health Direct website, foods that are both low GI and high in fibre include:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">oats (rolled, steel-cut or oat bran)<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">grains (for example, pasta, rice, noodles, quinoa, barley)<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">legumes (for example, lentils, split peas and chickpeas)<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">most types of fruit.<\/span><\/li>\n<\/ul>\n<p><a href=\"https:\/\/lifeprogram.org.au\/health-hub\/diabetes-australia-recipes\/\"><span style=\"font-weight: 400;\">Here are some recipes that can help manage pre-diabetes.<\/span><\/a><\/p>\n<h3><b>Exercise and the management of pre-diabetes<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Regular exercise can improve insulin sensitivity, reduce blood glucose levels and enhance mobility and mental wellbeing. It can also help maintain a healthy weight, lower blood pressure and reduce the risk of heart disease.\u00a0<\/span><\/p>\n<p><a href=\"https:\/\/www.health.gov.au\/health-topics\/physical-activity-and-exercise\/physical-activity-and-exercise-guidelines-for-all-australians\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Australian Government guidelines<\/span><\/a><span style=\"font-weight: 400;\"> recommend that adults do at least 30 minutes of moderate-intensity physical activity most days. Moderate-intensity exercise is any activity that causes your heart to beat faster and makes you breathe harder. Examples are:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">cycling<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">brisk walking<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u00a0 \u00a0 \u00a0 <\/span><span style=\"font-weight: 400;\">tennis.\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">As an alternative, you could do three short bursts of 10\u201315 minutes of activity, which provide similar benefits in a time-efficient way. If you are just starting out with exercising, light-intensity activities are also very beneficial and can help manage your blood glucose levels. Light-intensity activities include walking at a normal pace, dancing and gentle Tai Chi.<\/span><\/p>\n<p><a href=\"https:\/\/www.betterhealth.vic.gov.au\/health\/healthyliving\/resistance-training-health-benefits\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Resistance training<\/span><\/a><span style=\"font-weight: 400;\"> also supports weight management by improving the body&#8217;s muscle mass and increasing the metabolism. Resistance training is any activity that makes your muscles work harder than usual, increasing their strength, size, power and endurance. Examples include lifting free weights and using weight machines or resistance bands.<\/span><\/p>\n<p><b>Conclusion<\/b><\/p>\n<p><span style=\"font-weight: 400;\">To help manage pre-diabetes and potentially prevent type 2 diabetes, it is recommended that a person reaches and\/or maintains a healthy weight. Strategies to help achieve this include doing regular exercise and eating a variety of healthy nutritious foods.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The <\/span><i><span style=\"font-weight: 400;\"><em>Life!<\/em><\/span><\/i><span style=\"font-weight: 400;\"> program is a free healthy lifestyle program that helps you improve your eating habits, increase your physical activity and pre-diabetes prevention and manage stress. You can choose from a group course or our telephone health coaching service.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Our experienced health professionals will help you make changes to your lifestyle so that you can successfully manage pre-diabetes.<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><span style=\"font-weight: 400;\">Since 2007, over 75,000 Victorians have learnt more about living a healthy life with the <\/span><i><span style=\"font-weight: 400;\"><em>Life!<\/em><\/span><\/i><span style=\"font-weight: 400;\"> program. It is the largest prevention program of its kind in Australia.<\/span><\/p>\n<p><i><span style=\"font-weight: 400;\"><em>Life!<\/em><\/span><\/i><span style=\"font-weight: 400;\"> is funded by the Victorian government and managed by Diabetes Victoria.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">You can take a quick online health test and check your eligibility for the program <\/span><a href=\"https:\/\/lifeprogram.org.au\/#health-check\"><span style=\"font-weight: 400;\">here<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0<\/span><\/p>\n<p><b>Sources<\/b><\/p>\n<p><a href=\"http:\/\/www.betterhealth.vic.gov.au\/health\/conditionsandtreatments\/diabetes-pre-diabetes\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Diabetes &#8211; Pre-diabetes &#8211; Better Health Channel<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/a><a href=\"https:\/\/www.diabetesaustralia.com.au\/about-diabetes\/pre-diabetes\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Pre-diabetes &#8211; Diabetes Australia<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/a><a href=\"https:\/\/doi.org\/10.1136\/bmj.k2234\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Dietary and nutritional approaches for prevention and management of type 2 diabetes &#8211; The BMJ<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/a><a href=\"https:\/\/www.healthdirect.gov.au\/high-fibre-foods-and-diet\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">High-fibre foods and diet &#8211; healthdirect<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/a><a href=\"https:\/\/lifeprogram.org.au\/health-hub\/what-to-do-pre-diabetes\/\"><span style=\"font-weight: 400;\">What To Do If You Have Pre-diabetes &#8211; The <\/span><i><span style=\"font-weight: 400;\"><em>Life!<\/em><\/span><\/i><span style=\"font-weight: 400;\"> Program<\/span><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/a><a href=\"https:\/\/www.health.gov.au\/topics\/overweight-and-obesity\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Overweight and obesity &#8211; Australian Government Department of Health and Aged Care<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Introduction Pre-diabetes is a condition which signals that the body has stopped processing blood glucose well. Diabetes Australia estimates that two million Australians have pre-diabetes, and that each year around 5\u201310% of them develop type 2 diabetes, a condition whose complications include heart, kidney and eye disease. One of the risk factors for the development of pre-diabetes is being at&#8230;<\/p>\n","protected":false},"author":9,"featured_media":3858,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[7],"tags":[],"class_list":["post-3857","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-article"],"acf":[],"_links":{"self":[{"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/posts\/3857","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/comments?post=3857"}],"version-history":[{"count":1,"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/posts\/3857\/revisions"}],"predecessor-version":[{"id":3859,"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/posts\/3857\/revisions\/3859"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/media\/3858"}],"wp:attachment":[{"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/media?parent=3857"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/categories?post=3857"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lifeprogram.org.au\/wp-json\/wp\/v2\/tags?post=3857"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}