How can diets and exercises play a role in preventing diabetes?
Written by: Kariobeary
How to prevent diabetes?
Regular, active exercises and healthy diets can help prevent most cases of type 2 diabetes.1
What is considered a regular active exercise?
Exercise for half an hour every day.
Studies have shown that a half-an-hour exercise every day reduces the risk of developing type 2 diabetes by 30%. 1,2
Why regular active exercise can prevent type 2 diabetes?
First of all, inactivity itself promotes type 2 diabetes.3 Every 2 hours a person spends watching TV instead of pursuing something more active increases the chance of developing diabetes by 20%, the risk of heart disease by 15% and early death by 13%. 4
In addition, working muscles more often and making them harder can improve the ability of muscle cells to use insulin and absorb glucose. The increased ability of muscle cells to take up glucose puts less stress on the β cells, the insulin-making cells in the pancreas. Therefore, exercises and stronger muscles can prevent insulin insensitivity, thus type 2 diabetes.
What contributes to a healthier diet?
1) More whole grains or whole grain products; less refined grains and other highly processed carbohydrates 5,6
Some examples of whole grains: barley, brown rice, quinoa, buckwheat, rye, oats, corn
Some examples of refined grains: white bread, white rice
Some examples of highly processed carbohydrates: donuts, breakfast cereals
2) Less sugary drinks; choose water, coffee, or tea instead. 7-11
3) Healthy fats 12-16
4) Limit red meat (beef, pork, lamb) and processed meat (bacon, hot dogs, ham, and other deli meats); choose nuts, beans, whole grains, poultry, or fish instead 17,18
Why/how do the healthier diets help prevent type 2 diabetes?
1) Whole grains
Instead of a magical nutrient that fights diabetes and improves health, it is the entire package for whole grains where every intact element work together that reduces the risk of diabetes. For example, the bran and fiber in whole grains make it more difficult for digestive enzymes to break down the starches into glucose. This leads to lower and slower increases in blood sugar and insulin, therefore, a less stressed insulin-making machinery in the body. With less stress for β cells, insulin can be made more efficiently, and the body can better utilize the insulin made by these cells, which lowers the risk of type 2 diabetes.19
In addition, whole grains are also rich in essential vitamins, minerals, and phytochemicals that help prevent diabetes.19
2) Less sugary drinks; choose water, coffee, and tea instead
Sugary beverages have a high glycemic index and load. The glycemic index is a measurement to indicate how quickly and how much blood sugar level was raised after eating; while the glycemic load is the total amount of carbohydrates excluding fiber the food delivers. Higher glycemic load and index are associated with an increased risk of diabetes.7
In recent years, studies have shown that people who drink more sugary drinks gained more weight than people who cut back on sugary drinks.7-9 As weight gain is considered one of the risk factors for type 2 diabetes, weight gain by sugary drinks contributes to the explanation of increased diabetes risk in those who drink more sugary drinks.7-9 In addition, more evidence has suggested that sugary drinks also contribute to chronic inflammation, high triglycerides, decreased “good” (HDL) cholesterol, and increased insulin resistance, all of which are risk factors for diabetes.20
3) Healthy fats
The type of fats in your diet can also affect the development of diabetes. Healthy fats such as the polyunsaturated fats found in liquid vegetable oils, nuts, and seeds can help ward off type 2 diabetes,12 while trans fats found in margarine, packaged baked goods, and fried foods in fast-food restaurants will do the opposite. 13, 14
If you already have diabetes, eating fish will not help protect against diabetes, but will help protect you against a heart attack or dying from heart diseases. 15,16
4) Less red meat & processed meat
There is growing evidence that suggests eating red meat and processed red meat increases the risk of diabetes, even among people who consume only small amounts.17 This can be possibly caused by the high iron content of this red meat. High levels of iron can diminish insulin’s effectiveness and damage the β cells that produce insulin, leading to insulin insensitivity or lack of insulin produced in the body. For processed red meats, high levels of sodium and nitrites in preservatives are the ones to blame. 21
REFERENCES
Tanasescu M, Leitzmann MF, Rimm EB, Hu FB. Physical activity in relation to cardiovascular disease and total mortality among men with type 2 diabetes. Circulation. 2003 May 20;107(19):2435-9.
Hu FB, Sigal RJ, Rich-Edwards JW, Colditz GA, Solomon CG, Willett WC, Speizer FE, Manson JE. Walking compared with vigorous physical activity and risk of type 2 diabetes in women: a prospective study. JAMA. 1999 Oct 20;282(15):1433-9.
Hu FB, Sigal RJ, Rich-Edwards JW, Colditz GA, Solomon CG, Willett WC, Speizer FE, Manson JE. Walking compared with vigorous physical activity and risk of type 2 diabetes in women: a prospective study. JAMA. 1999 Oct 20;282(15):1433-9.
Grøntved A, Hu FB. Television viewing and risk of type 2 diabetes, cardiovascular disease, and all-cause mortality: a meta-analysis. JAMA. 2011 Jun 15;305(23):2448-55
AlEssa H, Bupathiraju S, Malik V, Wedick N, Campos H, Rosner B, Willett W, Hu FB. Carbohydrate quality measured using multiple quality metrics is negatively associated with type 2 diabetes. Circulation. 2015; 1:31.
de Munter JS, Hu FB, Spiegelman D, Franz M, van Dam RM. Whole grain, bran, and germ intake and risk of type 2 diabetes: a prospective cohort study and systematic review. PLoS medicine. 2007 Aug 28;4(8):e261.
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Malik VS, Popkin BM, Bray GA, Després JP, Willett WC, Hu FB. Sugar-sweetened beverages and risk of metabolic syndrome and type 2 diabetes: a meta-analysis. Diabetes care. 2010 Nov 1;33(11):2477-83.
Palmer JR, Boggs DA, Krishnan S, Hu FB, Singer M, Rosenberg L. Sugar-sweetened beverages and incidence of type 2 diabetes mellitus in African American women. Archives of internal medicine. 2008 Jul 28;168(14):1487-92.
Huxley R, Lee CM, Barzi F, Timmermeister L, Czernichow S, Perkovic V, Grobbee DE, Batty D, Woodward M. Coffee, decaffeinated coffee, and tea consumption in relation to incident type 2 diabetes mellitus: a systematic review with meta-analysis. Archives of internal medicine. 2009 Dec 14;169(22):2053-63.
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Hu FB, Manson JE, Stampfer MJ, Colditz G, Liu S, Solomon CG, Willett WC. Diet, lifestyle, and the risk of type 2 diabetes mellitus in women. New England journal of medicine. 2001 Sep 13;345(11):790-7.
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Hu FB, Cho E, Rexrode KM, Albert CM, Manson JE. Fish and long-chain ω-3 fatty acid intake and risk of coronary heart disease and total mortality in diabetic women. Circulation. 2003 Apr 15;107(14):1852-7.
Pan A, Sun Q, Bernstein AM, Schulze MB, Manson JE, Willett WC, Hu FB. Red meat consumption and risk of type 2 diabetes: 3 cohorts of US adults and an updated meta-analysis. The American journal of clinical nutrition. 2011 Aug 10;94(4):1088-96.
Liu G, Zong G, Wu K, Hu Y, Li Y, Willett WC, Eisenberg DM, Hu FB, Sun Q. Meat cooking methods and risk of type 2 diabetes: results from three prospective cohort studies. Diabetes care. 2018 May 1;41(5):1049-60.
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Qi L, Cornelis MC, Zhang C, Van Dam RM, Hu FB. Genetic predisposition, Western dietary pattern, and the risk of type 2 diabetes in men. The American journal of clinical nutrition. 2009 Mar 11;89(5):1453-8.