Endocrine Metabolic Medical Center

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Diabetes Prevention

Diabetes 1 and Diabetes 2 is increasing in the United States. We now know how diabetes develops and how to interfere with it's progress. New evidence has been published that suggests reasonable steps can be taken to delay the onset of diabetes and studies are using the word "prevention". With that in mind, we have available a series of tests that will assess your risk so you can focus on proactive care.

The complications of diabetes:

Complications can occur as early as seven years before the diagnosis of diabetes. Below is a partial list of the complications and what you can do to check for them.

Coronary Heart Disease

find evidence in the lab

check the longest arteries for atherosclerosis (leg circulation)

Peripheral and Autonomic Neuropathy - 50% of people have this at diagnosis

measure sensation - nerve activity

measure response - nerve function

Blood Pressure elevation

check blood pressure

needs the correct medication

Insulin resistance - is a "cause" that can be altered

Decrease weight by any means

Exercise regularly, steadily with in achievable limits

Medication can "break" insulin resistance

Questions to ask your doctor:

(Women) Do you have polycyctic ovaries?
Do you have impaired glucose tolerance?
Do you have a pre-diabetic lipid (cholesterol) panel?

Lab Work

You can delay or deny the presence of diabetes in your life by assessing your risk factors and altering them. Have the following lab work done:

AbA1c, Fructosamine
Cholesterol (lipid) patterns
Highly sensitive C Reactive Protein
Microalbumin
GAD antibodies (for type 1)
3 day glucose monitor - checks glucose every 10 seconds
Homocysteine

Treatment

Treatment to prevent diabetes is possible. It may require changes in your lifestyle, as well as:

Control of Kreb's cycle metabolism
Control of nitric oxide metabolism
Diminish insulin resistance
Appropriate antioxidants
Vitamin therapy to control cardiovascular complications
Tolerogenic treatments to scavenge inflammatory medications - type 1
Decrease weight... whatever it takes

None of this is certain to prevent diabetes but we don't accept inevitability.

Practice what science is telling the physician community.
Learn what peer reviewed studies say is reasonable for prevention.
Learn about steps you can take.

What you should do:

If you are concerned that you might be at risk for diabetes, please contact us. We can offer you a short assessment over the phone. If your responses indicate reason to do further testing, we will schedule an appointment with you at our office.

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Last Updated:05/09/07
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