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糖尿病:可预防的主要原因death; know warning signs, make lifestyle changes


第一个3部分系列

由玛利亚赖斯yahl.
基弗劳记者

根据疾病控制中心(CDC)的说法,2型糖尿病是2017年美国于2017年在美国死亡的第7个主要原因。肯塔基州内阁为卫生和家庭服务(KCHFS)2019年报告称,肯塔基州肯塔基州肯塔基柜(KCHFS)报告称,肯塔基州拥有超过44万名的居民。2型糖尿病是可预防的。了解警告标志和风险因素。制作生活方式的变化可以帮助预防这种疾病的落地。

“这是一个复杂的问题。It’s not just how the body breaks down carbohydrates and uses them for fuel and stores energy, it’s also how our fat cells, in our muscle cells, in our brain and the rest of your body utilizes the glucose,” says Paula Bergen, RN, BSN, CDCES, Diabetes Educator, Consultant for the Northern Kentucky Health Department. There are other hormones besides insulin that come into play too, she says.

From American Diabetes Association

“2型糖尿病的基本症状和症状]是:感到口渴,感到疲倦,皮肤感染不会消失,视力模糊,干痒的皮肤,更频繁地小便,”卑尔根说。其他症状可以包括感到饥饿(即使在吃完之后)和刺痛,疼痛或手中的麻木,脚下美国糖尿病协会(ADA)。

卑尔根警告说,有些人可能没有任何症状。

2型糖尿病有几种风险因素。2型糖尿病可能是遗传性的,但这并不意味着它会发展。那些45岁和老年人,非洲裔美国人,西班牙裔/拉美裔美国人,美洲印第安人,亚裔美国人,太平洋岛民,以及父母和/或兄弟姐妹的2型,增加了2型的机会。

但是,可以控制许多风险因素。其中,北肯塔基州的每个类别都在高位。

卑尔根说,归因于2型糖尿病的高率的主要危险因素是超重或肥胖。重量越多,细胞越多耐胰岛素。KCHFS 2019年报告称68%的肯塔基斯人超重。

Kentucky is the fifth most obese state in the U.S., according to data from the CDC.

Being overweight is defined as having a Body Mass Index (BMI) of 25 or higher. BMI is a measurement of body fat based on height and weight. Northern Kentucky is a little above the state average. 72% of Boone, 66% of Campbell, and 73% of Kenton County residents are considered overweight.

卑尔根说,吸烟与糖尿病直接相关。该Federal Drug Administration (FDA)说高水平的尼古丁导致胰岛素不起作用。胰岛素的生产增加,留下了不知道如何应对其影响的身体。胰腺停止制造它,导致血糖水平变得异常。

行走是伟大的运动。(创作共用)

KCHFS报告称,23%的肯塔基斯诊断为2型糖尿病是吸烟者

Locally, Kenton county has a smoking rate above the state level.

“Tobacco use is the leading cause of preventable death in the United States and around the world. Every year more than 8,000 Kentuckians die of illnesses caused by smoking,” says KCHFS.

由于许多原因,锻炼是如此重要,包括降低2型糖尿病的风险。物理不活动在其发展中起着作用。

该ADA says exercising makes insulin more sensitive. Cells can then better utilize available insulin to take up glucose, which is needed for energy. To stick with an exercise routine, the ADA recommends picking an enjoyable activity, that fits into a flexible schedule, and is within budget.

其他慢性疾病影响糖尿病。高血压或高血压和高胆固醇在糖尿病的发育中都被交织在一起。

该American Heart Association (AHA) says that with diabetes, good cholesterol goes down while triglycerides, the bad cholesterol, go up. This increases the risk of heart disease and stroke. Having both high blood pressure and diabetes significantly increases the risks of heart-related problems.

卑尔根说糖尿病与贫困有关。

“当你看着糖尿病的人时,居住在贫困的人有更高的速度,”她说,部分是因为他们买不起新鲜食物。相反,购买了更多的主食杂货店,如米饭,面条和土豆。缺乏适当的营养和含糖饮料的消费是开发糖尿病的危险因素。

卑尔根和阿达都表示,了解你的风险因素很重要。年龄,性别,家族史,血压,身体活动,种族和BMI给你线索。

要了解更多,请参加ADA风险评估测验。当然,与您的医生讨论风险因素和潜在的生活方式的变化。有血液试验测量血糖水平,诊断糖尿病患者或2型糖尿病。知道这一点,允许采取步骤来预防或管理糖尿病。

“当你看看它时,糖尿病真的是一个流行病,”卑尔根说。“如果你发现你有糖尿病或糖尿病,你有机会做出改变并做点什么。”

Next: Pre-diabetic? What to do.


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