Insulin is among the most important hormones as regards the control of blood glucose. Deficiency of this hormone or inability of the body to utilize it is a predisposing factor for elevated blood sugar levels. Such levels may lead to short term and long term complications. Insulin resistance occurs when the receptors for the hormone cannot utilize it. It is a common underlying problem in type 2 diabetes mellitus. There are number of things that one can do to reverse insulin resistance.
One of the first steps that one has to undertake is to modify the diet. The amount of carbohydrates should be reduced as much as possible because they are a direct source of glucose once they have been metabolized. They may result in persistent high levels of blood sugar and increase the risk of hormonal resistance. The general advice is that carbohydrates should be about one third of the meal.
Fruits, vegetables and proteins have a relatively lower glycemic index as compared to carbohydrates. What this means is that their ability to raise the levels of blood sugar is a lot lower compared to that of carbohydrates. It is for this reason that the amount of these foods should be increased in the diet as the carbohydrates are reduced. Also include supplements such as chromium, fish oils, calcium and magnesium.
Another lifestyle modification that can be made is regular engagement in physical exercise. Exercise has a number of roles that it plays in the process of metabolism. Among them is the fact that it helps in the reduction of central body fat which would otherwise increase the risk of diabetes. Another major benefit is that there is an increase in the demand for glucose when muscles contract during exercise. This reduces the amount of glucose in circulation.
Stress is a cause of fluctuations in blood glucose and should be avoided as much as possible. If not managed in time, it may keep the levels high in susceptible individuals and predispose to insulin resistance and by extension, diabetes. Increased levels of a hormone referred to as cortisol are one of the main contributing factors. Regular relaxation through techniques such as biofeedback, meditation and yoga is usually helpful.
Related to stress management is the issue of getting adequate sleep. Like uncontrolled stress, poor quality sleep has the potential to cause derangement in the levels of blood sugars. Some of the causes of poor quality sleep include a noisy environment, obstructive sleep apnea and long working hours that disrupt the sleep wake cycle. The average adult should aim for at least 6 hours of quality sleep.
Drugs can be considered if the lifestyle changes fail to yield the desired results. There are many alternatives that exist. Biguanides (of which metformin is a well-known example) are among the commonly used types. Their mechanism of action involves an improvement in the functioning of the insulin receptors. Another major group is that of the thiazolidinediones. The drugs in this group increase the cellular response to glucose.
Among the leading causes of type 2 diabetes is insulin resistance. This phenomenon is seen when the cells fail to respond to insulin in spite of the latter being present in the body in adequate amounts. There are several things that can be done so as to reverse this condition. They include regular physical exercise, stress reduction and diet modification among others.
One of the first steps that one has to undertake is to modify the diet. The amount of carbohydrates should be reduced as much as possible because they are a direct source of glucose once they have been metabolized. They may result in persistent high levels of blood sugar and increase the risk of hormonal resistance. The general advice is that carbohydrates should be about one third of the meal.
Fruits, vegetables and proteins have a relatively lower glycemic index as compared to carbohydrates. What this means is that their ability to raise the levels of blood sugar is a lot lower compared to that of carbohydrates. It is for this reason that the amount of these foods should be increased in the diet as the carbohydrates are reduced. Also include supplements such as chromium, fish oils, calcium and magnesium.
Another lifestyle modification that can be made is regular engagement in physical exercise. Exercise has a number of roles that it plays in the process of metabolism. Among them is the fact that it helps in the reduction of central body fat which would otherwise increase the risk of diabetes. Another major benefit is that there is an increase in the demand for glucose when muscles contract during exercise. This reduces the amount of glucose in circulation.
Stress is a cause of fluctuations in blood glucose and should be avoided as much as possible. If not managed in time, it may keep the levels high in susceptible individuals and predispose to insulin resistance and by extension, diabetes. Increased levels of a hormone referred to as cortisol are one of the main contributing factors. Regular relaxation through techniques such as biofeedback, meditation and yoga is usually helpful.
Related to stress management is the issue of getting adequate sleep. Like uncontrolled stress, poor quality sleep has the potential to cause derangement in the levels of blood sugars. Some of the causes of poor quality sleep include a noisy environment, obstructive sleep apnea and long working hours that disrupt the sleep wake cycle. The average adult should aim for at least 6 hours of quality sleep.
Drugs can be considered if the lifestyle changes fail to yield the desired results. There are many alternatives that exist. Biguanides (of which metformin is a well-known example) are among the commonly used types. Their mechanism of action involves an improvement in the functioning of the insulin receptors. Another major group is that of the thiazolidinediones. The drugs in this group increase the cellular response to glucose.
Among the leading causes of type 2 diabetes is insulin resistance. This phenomenon is seen when the cells fail to respond to insulin in spite of the latter being present in the body in adequate amounts. There are several things that can be done so as to reverse this condition. They include regular physical exercise, stress reduction and diet modification among others.
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