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Diabetes Type 2

Diabetes Type 2 now affects over 400 million people worldwide in 160 countries.

It estimated that diabetes causes 4.6 million deaths every year in the US alone

Type 1 diabetes mainly affects children and young adults, who are unable to make insulin.

Type 2 diabetes is more common and is often tied to obesity. It develops when the body doesn't produce enough insulin to break down glucose, inflating blood sugar levels.

The disease can be managed with diet, exercise and medication but chronically high blood sugar levels cause nerve damage, which can result in kidney disease, blindness and amputation and death.

Experts agree much of the rise in diabetes is accelerated by the alarming increase in obesity throughout the developed world including a demographic shift in aging populations.

Diabetes Type 2, Obesity and Incontinence have some interesting correlations:

A higher percentage of incontinent women also have diabetes Type 2 more so the other diabetes complications

A high number percentage of incontinent women are obese

A high percentage of incontinent women have a higher Body Mass Index (BMI) and bigger waists

Incontinent women have lower fitness levels

Women with obesity and diabetes Type 2 are more likely to be postmenopausal earlier than normal

Type 2 Diabetics and obese women are more likely to have had a hysterectomy

Type 2 Diabetics and obese women are more likely to use oral estrogen therapy.

Type 2 Diabetics and obese women had more frequent urinary tract infections

Type 2 Diabetics and obese women suffered more depression and anxiety

Type 2 Diabetics and obese women suffered higher levels of: arthritis, liver disease, asthma, and sleep apnea.

Type 2 Diabetics and obese women were more likely to be current or former smokers.

Evidence suggests incontinence is associated with type 2 diabetes and is significantly more common among women with type 2 diabetes than among women with normal glucose levels.

A likely reason for incontinence in diabetes is the damage done to veins and arteries damage, the duration of diabetes and insulin treatment as risk factors for incontinence among women with diabetes. 


How can diabetes be lessened?

Simple lifestyle measures have been shown to be very effective in preventing or delaying the onset of type 2 diabetes.

To help prevent Type 2 diabetes and its complications, people should:

Achieve and maintain healthy body weight-While this is easier said than done there are some simple things to do:

· Cut out all carbohydrates and sugars in your diet-no breads, milks, flour, potatoes, rice, -anything with carbohydrates in it for 1 month to start. See how you go –you will find at the end of a month your dependency on these carbs will be lessen. If you feel the urge to eat carbohydrates, drink water and eat an apple.

· Physical activity of at least 30 minutes of regular, moderate-intensity activity on most days. If you’re over weight just walk for a good 30 minutes every day. On the flat is fine, but try the odd hill or incline after a few weeks.

  • Eat a healthy diet small portions (no bigger than your palm) of meat, chicken or fish and veges-no turnips, pumpkin any of the starches are out. Eat 1 apple a day and 1 other fruit
  • Cut out all sugar and Trans Fats and junk food
  • Avoid alcohol for a month
  • Stop smoking – smoking increases the risk of cardiovascular diseases
  • Perform Pelvic Floor exercises daily (takes about 5 mins. when you are driving)

Conclusion

The relationship between obesity and insulin resistance suggests several other potential mechanisms linking obesity/overweight and incontinence.

Weight loss among overweight and obese women with type 2 diabetes results in decreased urinary incontinence, overall and by type. A recent randomized controlled trial demonstrated a significant decrease in urinary incontinence among overweight and obese women who enrolled in a weight loss, exercise and diet program. 


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