Diabetes

29 Million in US Have Diabetes, CDC Says

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More than 29 million people in the United States have type 2 diabetes, and a quarter of them do not know they have it, according to a new report released today by the Centers for Disease Control and Prevention.

Another 86 million adults, or more than one in three people, have prediabetes, meaning they have abnormally high blood sugar levels, according to the report. Without weight loss and physical activity to reduce blood sugar levels, 15 percent to 30 percent of people with prediabetes will develop diabetes within five years, the CDC said.

The new report used data from 2012. The CDC’s previous estimates were based on data from 2010, and suggested that 26 million people in the United States had diabetes, and that 79 million more had prediabetes.

“If these numbers continue to rise, 1 in 5 people could have diabetes by the year 2025, and it could be 1 in 3 people by the year 2050,” said Ann Albright, director of CDC’s Division of Diabetes Translation. “We simply can’t sustain this trajectory. The implications are far too great, for our families, our healthcare system, our workforce, our nation.”

Type 2 diabetes is a progressive disease characterized by high blood sugar levels, which can lead to serious health problems, including heart disease, blindness, kidney failure, and amputations of toes, feet or legs. Diabetes is the seventh leading cause of death in the United States, according to the CDC.

People who are overweight or who have a family member with diabetes face a higher risk for developing the condition. Healthy eating and exercising can reduce the risk. For people who have diabetes, treatments include physical activity, changes in diet, and insulin and oral medications to lower blood sugar levels

“We know today that adopting a healthier lifestyle is the most effective way to prevent type 2 diabetes and improve health for people already diagnosed with diabetes,” Albright said. “It’s critical that people learn ways to change their own health behaviors.”

The new report showed that 1.7 million people were newly diagnosed with diabetes in 2012.

Black, Hispanic, American Indian and Alaska Native adults are about twice as likely to have diabetes as are white adults, according to the report. However, for prediabetes, the percentage of U.S. adults with the condition is similar for whites (35 percent), blacks (39 percent) and Hispanics (38 percent).

The CDC recommends people ages 45 and older consider getting tested for diabetes, especially if they are overweight

Prediabetes usually has no symptoms, and is defined by blood sugar levels that are higher than normal but not yet in the diabetic range. Studies suggest people with prediabetes can control their blood sugar levels and prevent diabetes by exercising, eating a healthy diet and losing excess weight.

“The sooner people find out they have prediabetes and take action, the better their chances of preventing type 2 diabetes,” Albright said.

Source: yahoo news

10 easy ways to slash sugar from your diet

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You may not be eating Oreos by the roll or guzzling cans of Coke, but that doesn’t mean sugar’s absent from your diet. You’re likely eating sugar throughout the day without even realizing it, said Amari Thomsen, RD, owner of Chicago-based nutrition consulting practice Eat Chic Chicago.

Sugar is added to foods that don’t even taste all that sweet, like breads, condiments and sauces. And it adds up: although the American Heart Association recommends women consume no more than six teaspoons of added sugar per day (or about 100 calories), most of us take in double that. (One note: we’re talking about added sugar, not the naturally occurring sugars found in dairy and fruit.) A high-sugar diet boosts your odds of tooth decay, heart disease, and diabetes, not to mention weight gain.

Slash your sugar intake now with these 10 expert tips.

Read food labels
You’ll quickly realize just how often sugar is added to foods when you look for it on ingredients lists.

“Even things that you don’t think are sweet, like tomato sauce, crackers, condiments, and salad dressings can be packed with sugar,” said Diane Sanfilippo, certified nutrition consultant and author of “The 21 Day Sugar Detox.” Ingredients are listed in order of how much exists in the product, so if sugar’s near the top, that’s a red flag.

Learn sugar’s aliases
When you read food labels, you’ll need to look for more than just the word “sugar.” Sugar hides under several sneaky names, including high fructose corn syrup, dried cane syrup, invert sugar, molasses, sucrose (or any word ending in “-ose”), brown rice syrup, honey, and maple syrup.

These can be listed separately on ingredients lists, so many foods, even seemingly healthy ones like yogurt and cereal, may contain three or four different types of sweetener. If several sugars appear on the label, it’s an indication that the food is less healthy than you may think.

You may not be eating Oreos by the roll or guzzling cans of Coke, but that doesn’t mean sugar’s absent from your diet. You’re likely eating sugar throughout the day without even realizing it, said Amari Thomsen, RD, owner of Chicago-based nutrition consulting practice Eat Chic Chicago.

Sugar is added to foods that don’t even taste all that sweet, like breads, condiments and sauces. And it adds up: although the American Heart Association recommends women consume no more than six teaspoons of added sugar per day (or about 100 calories), most of us take in double that. (One note: we’re talking about added sugar, not the naturally occurring sugars found in dairy and fruit.) A high-sugar diet boosts your odds of tooth decay, heart disease, and diabetes, not to mention weight gain.

Slash your sugar intake now with these 10 expert tips.

Read food labels

You’ll quickly realize just how often sugar is added to foods when you look for it on ingredients lists.

“Even things that you don’t think are sweet, like tomato sauce, crackers, condiments, and salad dressings can be packed with sugar,” said Diane Sanfilippo, certified nutrition consultant and author of “The 21 Day Sugar Detox.” Ingredients are listed in order of how much exists in the product, so if sugar’s near the top, that’s a red flag.

Learn sugar’s aliases
When you read food labels, you’ll need to look for more than just the word “sugar.” Sugar hides under several sneaky names, including high fructose corn syrup, dried cane syrup, invert sugar, molasses, sucrose (or any word ending in “-ose”), brown rice syrup, honey, and maple syrup.

These can be listed separately on ingredients lists, so many foods, even seemingly healthy ones like yogurt and cereal, may contain three or four different types of sweetener. If several sugars appear on the label, it’s an indication that the food is less healthy than you may think.

Buy unsweetened

Once you know where sugar hides, you can start making changes. One strategy: buy foods labeled “no added sugar” or “unsweetened.” You’ll find unsweetened versions of these common foods in most grocery stories: non-dairy milk like almond and soy, nut butters (look for those made with only nuts and salt), applesauce, oatmeal, and canned fruit (they should be packed in juice—not syrup).

Don’t go cold turkey
Going cold turkey on sugar isn’t realistic for most people. Thomsen suggested cutting back slowly. If you normally put two packets of sugar in your coffee, for instance, try one for a week, then half, and finally add only a splash of milk. For your yogurt, mix half a serving of sweetened yogurt with half a serving of plain, and eventually move on to adding natural sweetness with fresh fruit.

Think protein and fat
Unhealthy carbs loaded with sugar can cause blood sugar to rise rapidly (and dive just as quickly, leaving you hungry again). To minimize this rapid rise and fall, pair protein, healthy fats, and fiber with your meal, all of which can slow down the release of blood sugar in your body and keep you full for longer. (At breakfast, that means adding almonds to your usual oatmeal or pairing eggs with your morning toast, and for your midday snack, a slice of turkey breast or cheese along with your apple, suggests Thomsen.) Fats are a key player because they help keep you fuller for longer, thus helping to decrease your desire for sugar, added Sanfilippo. Focus on fats like avocados, nuts, seeds, and heart-healthy oils like olive oil, walnut oil, and coconut oil.

Never go fake
When you’re reducing your sugar intake, you may be tempted to switch to artificial sugars for your sweet fix. But resist reaching for the diet soda, sugar-free candy, and packets of fake sugar in your latte.

“These can mess up your taste for sweet,” Sanfilippo said. “When you eat something sweet, your body expects calories and nutrition, but artificial sugars don’t give your body those things.” That may be why fake sugars are associated with weight gain—not loss, according to a 2010 review in the Yale Journal of Biology and Medicine.

Add more flavor
Sanfilippo loves using vanilla bean and vanilla extract, spices, and citrus zests to add sweetness to foods without having to use sugar—and for zero calories. Order an unsweetened latte and add flavor with cocoa or vanilla powder. Skip the flavored oatmeal and add a sweet kick with cinnamon, nutmeg, and ginger. One bonus for sprinkling on the cinnamon: according to a meta-analysis in the Journal of Medicinal Food, the spice has been shown to naturally regulate blood sugar, which helps control your appetite.

Don’t drink it
Avoiding soda is a good idea, but that’s not the only sugar-packed drink out there. Even drinks that are considered healthy can contain more of the sweet stuff than you’re supposed to have in an entire day. Case in point: “enhanced” waters (eight teaspoons per bottle), bottled iced teas (more than nine teaspoons per bottle), energy drinks (almost seven teaspoons per can), bottled coffee drinks (eight teaspoons per bottle), and store-bought smoothies (more than a dozen teaspoons—for a small).

Enjoy dessert
You can still indulge in an occasional sweet treat after you resolve to slash sugar. The idea is to avoid wasting your daily sugar quota on non-dessert foods like cereals, ketchup, and bread. To avoid overdoing it, set specific rules about when you may enjoy dessert: only after dinner on the weekends or at restaurants as a special treat, Thomsen suggested.

Stick with it!
At first, cutting down on sugar can feel like an impossible task. Eventually, though, your taste buds will adjust. Super-sweet foods like ice cream and candy will start to taste too sweet. When you could have a whole slice of cake before, now a couple bites will be enough. You’ll notice the natural sweetness in fruits and vegetables—and yep, they’ll taste better, too.

Source: fox news

Control sugar: Limit fruit juice intake to once a day

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The appalling diets of the nation’s teenagers have been exposed by a report which shows that many are already putting themselves at risk of diabetes, obesity and heart disease. And last night health experts warned that fruit juice – seen by many as a healthy option – should be drunk no more than once a day because of its high sugar content.

Girls and boys aged 11 to 19 typically eat 42 per cent too much sugar and 14 per cent too much saturated fat.

Only 10 per cent of teenage boys and 7 per cent of teenage girls manage to get their five portions of fruit and veg a day.
Adults do not fare a great deal better. Only a third get their five-a-day and the diet of the average adult exceeds recommended sugar limits by 10 per cent.

The report, the Government’s National Diet and Nutrition Survey, also shows that children aged ten and under typically exceed the recommended daily limit of sugar by 34 per cent.
Their main sources of sugar are fruit juice, soft drinks, cereal bars, biscuits and cakes.

It reveals that adults are eating half the recommended weekly amount of oily fish – which protects against heart disease, cancer and dementia – while teenagers and children only manage a fifth of this amount.

The survey, which involved 4,000 adults and children between 2008 and 2012, says 48 per cent of men and women have above-normal levels of cholesterol, putting them at higher risk of heart disease and strokes.
Simon Gillespie, chief executive of the British Heart Foundation, said: ‘This study paints a clear picture that too many people, especially children, are not eating healthily enough.

‘This puts them at greater risk of coronary heart disease, type 2 diabetes and obesity now or in the future. There is no magic bullet to solve this problem. Parents, schools, restaurants, retailers and the food industry all have a role to play.

‘But the Government can fire the first shot by implementing a 9pm watershed ban on junk food marketing to stop children being bombarded with advertising about products high in fats, salts and sugars. We also need stringent regulation to protect children from online marketing tactics.’

There is also concern that policies such as the NHS’s Change4Life programme are having little effect because only healthy adults and children pay any attention.

The initiative, which has cost taxpayers £65million since its launch in January 2009, consists of television adverts, a website, a helpline and locally-run sports clubs all aimed at curbing the obesity epidemic.
The scheme also produces posters for schools, community clubs, GP surgeries and hospitals urging the public to eat their five- a-day, take regular exercise and cut portion sizes.

Dr Ian Campbell, of the National Obesity Forum, said: ‘In spite of a raft of measures designed to encourage us to eat a healthier diet we are, as a nation, failing miserably.

‘If we really care about the health of our children we need to take far more decisive action. ‘We need to regulate the food industry to make healthy choices easier, more attractive and cheaper.’

Dr Alison Tedstone, the chief nutritionist at Public Health England, the Government agency that released the report, said fruit juice was a good option as one of the recommended five fruit portions a day.
But she warned: ‘It should only be drunk once a day and with a meal because it can be high in sugar.’

In March, Dame Sally Davies, the Chief Medical Officer, said the Government may have to introduce a sugar tax to help make the nation’s diet more healthy.

Later that month the World Health Organisation urged the public to cut their sugar intake by half to six teaspoons a day.
Yesterday Labour MP Keith Vaz called for food labels to include the numbers of teaspoons of sugar in all products.

Source: daily mail

Is diabetes shrinking my brain?

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It’s not a secret that some diabetics also have memory issues, but a new study suggests it’s not just due to clogging of blood vessels – your brain may actually be shrinking.

When the brain shrinks, it’s often because valuable brain cells that help us think and remember are dying. A loss of brain cells is a hallmark for Alzheimer’s disease and other types of dementia.

In this new study, published in the journal Radiology, researchers looked at brain scans from a little more than 600 people age 55 and older with type 2 diabetes. They found that patients who lived with diabetes the longest had smaller brain volumes.

“When you lose brain cells, you lose the capacity for more complex thoughts and memory,” says Dr. R. Nick Bryan, lead author of the study.

“Diabetes may be a risk factor for things like Alzheimer’s disease,” says Bryan, chair and professor emeritus at the Department of Radiology at the University of Pennsylvania. ” We didn’t prove that, but we suggest that.”

Up until about five years ago, experts thought memory and cognitive problems related to diabetes were largely due to problems with blood clots in the brain. But Bryan’s new imaging study builds on other research, which points to brain shrinkage as a potentially stronger link to the development of cognitive decline in diabetics.

“Somehow diabetes is doing something to the brain that results in tissue loss (death of cells),” says Dr. Rosebud Roberts, professor of epidemiology and neurology at the Mayo Clinic in Rochester, Minnesota, who was not involved with this new research.

Roberts says scientists are still trying to understand why cells are dying. Their best guess is that it’s related to both too little and too much glucose in the brain. Glucose is the brain’s food and when you have diabetes, brain cells may not be getting enough nutrients, so they can die. Another possibility is that too much glucose in the brain can also kill cells.

The brain of a diabetic “metabolizes glucose and oxygen differently than people who don’t have diabetes,” says Bryan, because destructive free radicals are possibly produced.

“Diabetes can lead to what is in essence a faster aging process,” says Dr. Gail Musen, investigator at the Joslin Diabetes Center in Boston, who was also not involved in this new research.

Her advice to diabetics is to keep the condition under control: “Exercise, eat right, go to your doctor, lose weight if you need to and take your medicine.” These lifestyle changes won’t prevent the brain shrinkage, Musen says, but they will slow down the process – and the sooner you start, the better.

Source: CNN

Good sleep needed to fight diabetes, obesity

It’s widely known that sleep is crucial for maintaining our health. Now, a new study sheds light its benefits, concluding that a lack of good sleep can increase the risk of type 2 diabetes, obesity, and other metabolic disorders.

The research, published in The Lancet Diabetes & Endocrinology, says sleep aids in both the prevention and treatment of metabolic disorders because it helps regulate the metabolism of glucose, control food intake, and energy balance.

Disrupting the body’s sleep cycle is also linked to poor metabolic health, increased chronic illness rate, and premature death, according to the new study.

Researchers say more people are getting lower-quality sleep due to the modern lifestyles, including the use of technological devices at nighttime, such as tablets and smartphones.

Source: Health Central

Pancreatic cancer and diabetes may be linked

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Australian researchers have found that there is an association between pancreatic cancer and diabetes, reports PTI.

Researchers from the University of Melbourne reviewed data from 1973 to 2013 to conclude there was a time-dependent link between being diagnosed with diabetes and pancreatic cancer. The review of 88 international studies to date, is the largest analysis on the topic published, researchers said.

Dr Mehrdad Nikfarjam, liver, pancreas and biliary specialist from the Department of Surgery at the University of Melbourne said pancreatic cancer was often diagnosed when at an advanced, incurable stage.

“This is an important paper that highlights for doctors and in patients with newly diagnosed diabetes without an obvious cause, a diagnosis of underlying pancreatic cancer should be considered,” Nikfarjam said.

“The study revealed the risk of pancreatic cancer was greatest after the diagnosis of diabetes but remained elevated long after the diagnosis. The presence of diabetes remains a modest risk factor for the development of a cancer later in life,” he added.

“The priority on screening should be on patients with new-onset diabetes but can later be expanded to long-standing diabetic patients,” said Nikfarjam.

“New onset diabetes is more prevalent in people over the age of 55. It may be important to consider screening all newly diagnosed diabetics for pancreatic cancer, particularly those without significant risk factors for developing diabetes in the first place,” he said.

The study was published in the journal Annals of Surgical Oncology.

Source: The free Press Release

Diabetes in Middle Age May Cause Memory Problems

People who develop type 2 diabetes or high blood pressure in middle age appear more likely to suffer brain damage that can contribute to dementia as they grow older, a new study finds.

Diabetes might actually shrink the brain over a long period of time, reducing the size of crucial areas like the hippocampus, which plays an important role in short- and long-term memory, according to the study.

Additionally, diabetes and high blood pressure both seem to increase a person’s risk of micro-strokes and other damage to the blood vessels that feed the brain, the study authors said.

“People who had diabetes earlier in life had much worse brain [structure] than those who had it later in life,” said lead author Dr. Rosebud Roberts, a Mayo Clinic researcher. “These scans are showing us that cognitive impairment happens over a long period of time. The earlier you develop type 2 diabetes, the more likely you are to have damage.”

Diabetes has long been linked to problems with thinking and memory later in life, but this study is the first to provide solid evidence explaining why that occurs, said Keith Fargo, director of scientific programs and outreach for the Alzheimer’s Association.

“We are very excited about this study,” Fargo said. “It has been known for quite some time that there is some kind of link between diabetes and cognitive ability later in life. What has not been known yet is why this link exists and how it develops over time.”

The study involved more than 1,400 people with an average age of 80, according to the report published online March 19 in the journal Neurology. The study participants had at most slight memory and thinking problems called mild cognitive impairment. The researchers assessed the participants’ thinking and memory skills, noting any signs of mild impairment.

The study participants then underwent MRI brain scans to look for signs of brain damage that can be an early indication of dementia.

Finally, the researchers reviewed the participants’ medical records to see whether they had been diagnosed with diabetes or high blood pressure in middle age, which, for the purposes of this study, ran from 40 to 64.

The study authors found that people who developed diabetes in middle age had brains that were on average 2.9 percent smaller than people who didn’t have diabetes. And their hippocampi were even smaller — an average of 4 percent smaller than those of non-diabetics.

“When your hippocampus begins to shrink, you begin to lose your long-term memory and your ability to remember recent events,” said Roberts, who also is a member of the American Academy of Neurology.

Source: web md

New drug target for controlling high blood sugar discovered

Researchers have identified a new potential therapeutic target for controlling high blood sugar.

Researchers showed that lipid molecules called phosphatidic acids enhance glucose production in the liver. These findings suggest that inhibiting or reducing production of phosphatidic acids may do the opposite.

Senior author Dr. Anil Agarwal, Professor of Internal Medicine, said that their study establishes a role for phosphatidic acids in enhancing glucose production by the liver and identifies enzymes involved in the synthesis of phosphatidic acids as potential drug targets.

These observations were made while studying a mouse model of lipodystrophy, a rare metabolic disease in which the body is devoid of fat. Lipodystrophy patients often develop diabetes and accumulate fat in the liver because of an imbalance in the body’s ability to properly regulate lipids and glucose.

The causal gene, AGPAT2, which is involved in the synthesis of phosphatidic acid and triglycerides, was removed in the mice, resulting in rodents with generalized lipodystrophy. The research team then examined what impact this genetic manipulation had on phosphatidic acids and glucose production.

The buildup of these lipid molecules was due to an increase in the levels of two enzymes in the liver, diacylglycerol kinase and phospholipase D. Researchers also discovered a marked increase in glucose production in the livers of the lipodystrophic mice.

The lack of normal insulin signaling in these lipodystrophic mice led to unrestricted production of phosphatidic acid, Dr. Agarwal explained, contributing to development of hyperglycemia, or high blood sugar.

The study has been published in The Journal of Biological Chemistry.

Source: Business standard

Tequila plant sweetener could help reduce blood sugar, weight among diabetics

A sweetener created from the plant used to make tequila could lower blood glucose levels for millions of type 2 diabetes sufferers and help them and the obese lose weight, according to researchers.The main reason it could be valuable, they explained, is that agavins, a natural form of sugar found in the agave plant, are non-digestible and can act as a dietary fiber, so they would not raise blood glucose.

Their report was part of the 247th National Meeting of the American Chemical Society (ACS), the world`s largest scientific society, being held at the Dallas Convention Center and area hotels.

“We have found that since agavins reduce glucose levels and increase GLP-1, they also increase the amount of insulin,” Mercedes G. Lopez, Ph.D said.

GLP-1 (glucagon-like peptide-1) is a hormone that slows the stomach from emptying, thereby stimulating production of insulin.

“Agavins are not expensive and they have no known side effects, except for those few people who cannot tolerate them,” she added.

In addition, agavins, like other fructans, which are made of the sugar fructose, are the best sugars to help support growth of healthful microbes in the mouth and intestines, she said.

Lopez, who is with Centro de Investigacion y de Estudios Avanzados, Biotechnology and Biochemistry Irapuato, Guanajuato, Mexico, also noted that agavins can help people feel fuller, which could help them eat less.

Agavins contain fructoses, which begs the question: Are agavins like high-fructose corn syrup, a processed sweetener that has gotten a lot of bad press recently?

Lopez pointed out that, indeed, high-fructose corn syrup is loaded with fructose sugars and, therefore, can raise blood sugar levels. But agavins are fructans, which are fructoses linked together in long, branched chains.

The human body can`t use them in that configuration, so they don`t affect blood sugar, she explained. Agavins also sometimes get confused with agave nectar or agave syrup, which appears on many health-food store shelves.

These products contain fructans that have been broken down into individual fructoses, so they are much more similar to high-fructose corn syrup.

Source: Zee news

Diabetes: Tips for stable, steady blood sugar levels

Diabetes is a lifelong medical condition that makes people resistant to insulin, a hormone that allows blood glucose to enter the body’s cells where it is used as energy.

Diabetics have too much glucose in the blood because the body cannot use it properly and they need extra insulin to allow their cells to take in sugar from their blood.

Diabetes has three distinct classifications. These include Type 1 Diabetes wherein a glitch in immune system attacks its own beta cells in the pancreas. A person with type 1 diabetics is dependent on insulin shots for life.
Type 2 Diabetes is triggered by reduced insulin sensitivity combined with reduced insulin secretions. As the disease progresses therapeutic replacement of insulin becomes necessary. The third, gestational diabetes occurs during pregnancies and is fully treatable but requires careful medical supervision throughout pregnancy.

What causes diabetes?
According to experts, nature as well as nurture play a vital role in triggering diabetes. Though, the ailment is said to be passed down from parents to offspring, the gene susceptibility is just 25 percent. A sedentary lifestyle, adhering to unhealthy diet high in saturated fats and junk food, makes us more vulnerable to the ailment.

If diabetes goes uncontrolled it can lead to loss of eye sight, renal failure, cardiovascular problems, gangrene, and amputations, hence maintaining blood sugars within the target range is crucial.

Tips to control diabetes
Though not many can control diabetes without medication, awareness of what makes your blood sugar spike, plus a few simple lifestyle changes can make a real difference.

Diet
In terms of food intake, what you eat, how much you eat and when you eat is paramount for diabetes management. Switch to vegetables and fruits, whole grains, lean meats, or proteins and avoid heavy, processed or refined foods and sweets. Eat five to six small portions throughout the day at a regular time rather than when you feel like it. Balance out all the nutrients in every meal as this will help you keep your insulin level on an even keel.

Regular exercise regimen
Diabetes need to adhere to a regular exercise regimen. Physical activity not only increases insulin sensitivity, but it reduces stress, improves blood pressure and cholesterol and also controls weight. Aim to exercise at least 30 minutes a day, five times a week. Any activity ranging from brisk walking, using stairs instead of elevators, vacuuming that raises metabolic rate and levels out blood sugar counts toward your daily total.

Keeping weight in check
Being overweight is an indicator of diabetes. Excess body fat, especially stored around the abdomen, can increase the body’s resistance to the hormone insulin. Though shedding pounds and keeping it off is a challenging task, losing even a relatively small amount of weight can go a long way in keeping blood sugars levels steady.

Eyes
Visit an ophthalmologist experienced in treating diabetic to look for diseases such as retinopathy, one of the most common complications of the disease.

Quit smoking
Smokers are twice as likely to develop diabetes as opposed to non-smokers. Lighting up reportedly increases insulin resistance and also narrows blood vessels which in turn limit circulation to your legs and feet.

Drink moderately
Excessive alcohol consumption can pile on the pounds and also spike blood pressure and triglyceride levels. Two standard drinks a day for men and no more than one for women is recommended

Get enough sleep
Adjust the hours so that you get a consistent eight hours of shut eye. Researches have established that inadequate sleep has a significant effect on your blood sugar and insulin levels.

Stay hydrated.
Drink water to stay energized and hydrated. Swapping coffee, soda or juices with water will slash the total sugar and calories in your diet. You can add a dash of lemon or lime or an orange wedge for flavor.

Diabetes is serious, but is a manageable disease. Just incorporate these simple tips to prevent or delay some of the serious problems related with diabetes.

Source: the med guru