Posts Tagged ‘type 2 diabetes’
A Primer On Type 2 Diabetes
Adult onset diabetes, also known as Type 2 diabetes, is normally diagnosed in adults over the age of 45. However, it can begin at any age, and the increase of Type 2 diabetes in children has alarmed many health care officials. Unlike juvenile onset diabetes, Type 2 diabetes seldom requires insulin injections. Instead, it is normally managed through a program of diet, exercise, and, if needed, oral medications.
Diabetes currently has no cure. When the pancreas fails to produce enough insulin to maintain blood sugar levels, or when the body cannot utilize it properly, diabetes can occur. Insulin is needed for the body to take glucose (sugar) from the bloodstream and store it in cells. If the glucose remains in the bloodstream, it can cause damage to major organs. In addition, the body is unable to utilize the glucose as a source of energy.
While diabetes may be totally asymptomatic, some people experience symptoms but do not connect them to a potential diabetic condition. Some symptoms that may signal diabetes are unintentional weight loss, despite increased hunger, and excessive thirst. The need to urinate often, to the point that sleep is disturbed, may be present. With higher blood sugar levels, vision may be affected, and there may be a tingling or numbness in the feet or hands.
Uncontrolled diabetes can result in neuropathy, particularly in the feet, as well as renal damage. It also increases the chance of osteoporosis, heart disease and stroke. Recent studies suggest it may also be a risk factor in Alzheimer’s and other forms of dementia.
Certain traits are common among most patients diagnosed with Type 2 diabetes. Obesity and inactivity are the predominant factors. Weight reduction and and increased exercise can often prevent the condition, and is beneficial for its control. Exercise also helps circulation and lowers glucose levels.
A proper diet is the most critical factor under the patient’s control Diabetics should try to eat at the same time. In addition, the same ratio between carbohydrates and proteins should be maintained, and the same amounts of food should be consumed at each meal.
A proper diabetic diet does not need to be costly. Some of the best foods for those with diabetes are also some of the least expensive. These include beans, oatmeal, and barley. Tomatoes and citrus fruits are recommended, as are leafy green vegetables, such as spinach. Dairy products such as milk and yogurt are good choices, but only if the fat free versions are chosen. Sugars should be eaten sparingly, and with prior planning by the reduction of other carbohydrates in the same meal.
A diabetic needs to have a good relationship with his or her doctor, and willing to listen to his advice. Making dietary adjustments and increasing exercise will usually be needed for effective blood sugar control. But if this is done, the risk of complications can usually be dramatically reduced.
A Guide For The Diet Of Type 2 Diabetes
If you have diabetes then you are going to need to learn more about your condition and learn about the different things that you can do to manage it and make sure that you are always in the best health. It is really important that you follow a pre diabetes diet or something of the sort, and this way your condition is not going to get out of control and possibly even be life threatening.
How to Get Started With Type 2 Diabetes Diet
If you want to get started with a type 2 diabetes diet plan then you are going to need to first learn about insulin resistance. This is the only way that you are going to be able to figure out what type 2 diabetes diet is going to be right for you and how to learn about the different things that you are going to need to be eating.
So before you create your own type 2 diabetes diet plan, there are some things that you are going to want to be aware of.
For one you need to realize that the majority of people with type 2 diabetes are insulin resistant which means that the insulin that is produced does not work very efficiently and there are large amounts are needed in order to keep the blood glucose levels down. This refers to increase your daily activity as well as take the right diet.
You can control your condition by doing proper exercise.
Now for your type 2 diabetes diet you are going to need to make sure that you eat lots of legumes. These gives plenty of proteins to our body therefore we should include them in our diet minimum one time per day. You also need to be eating lots of fresh fruit but you should try to eat the majority of them in the morning so that your body can work off the natural sugars before the end of the day.
These are all important things that you want to be aware of when it comes to creating a diet plan for your diabetes condition. You are going to need to work with your doctor and hopefully a nutritionist as well so that you can come up with the best diet plan for you.
Diabetes: What Variety Of Insulin Is Exact For Me?
Rapid onset-quickly acting insulin
Rapid onset-speedily acting insulin ever looks clear. It is rapidly acting and starts to work within one to 20 minutes. It peaks about one hour later and lasts from three to five hours. When you exercise this kind of insulin, you must eat immediately after you inject.
The two rapid onset-speedily acting insulin types now available are:
1. NovoRapid (Insulin Aspart)
2. Humalog (Lispro).
Short acting insulin
Short acting insulins still look clear. They begin to lower blood glucose levels within half an hour, so you need to have your injection half an hour before eating.
Short acting insulin has a peak reaction at two to four hours, and lasts for between six and eight hours. Short acting insulin types at present available include:
1. Actrapid
2. Humulin
3. Hypurin Neutral (bovine – highly purified beef insulin).
Intermediate acting insulin
Intermediate acting insulins ever look cloudy. They have either protamine or zinc added to delay their action. These insulins start to work about 90 minutes after you inject, peak at four to 12 hours, and last for 16 to 24 hours.
Intermediate acting insulins currently available include:
1. Using protamine added – Protaphane, Humulin NPH and Hypurin Isophane (bovine).
Preventing Diabetes
You’ll need to keep an eye on your blood sugar levels and take treat for your diabetes for the rest of your life. If you don’t have groovy control of your blood sugar you’ll be at risk from harm to the blood vessels and nerves, using problems such as deterioration inside eyesight, stroke, kidney disease and infections.
Because your physician has already explained, careful diet and pills are every that are needed in most cases. If you’re overweight, only eating less and losing weight can be enough to let the insulin to work more effectively.
Why Exercise Insulin Pumps?
The number of public with insulin pump therapy to manage their diabetes is growing rapidly; roughly 250,000 public around the world handling an insulin pump. Their reasons for choosing the pump are many, but generally “pumpers” each agree that it gives them tighter control and more flexibility — equally in terms of their schedule and lifestyle. This control and flexibility includes advantages such because:
1. Eating what you want, when you decide
2. Worrying less about low blood sugars (“hypoglycemia”)
3. Living life on your terms, not a schedule of snacks and shots
There are lots of scientific studies that demonstrate that insulin pump medication results inside better outcomes for teens and adults with selection 1 diabetes. There are also studies that show that insulin pump therapy works fit in toddlers and pre-school children.
Be able to Coffee Decrease The Risk Of Diabetes?
Diabetes is a disease inside which the body does not produce or properly usage insulin. Insulin is a hormone that is needed to convert sugar, starches and other food into power needed for daily life. The cause of diabetes continues to be a mystery, although together genetics and environmental factors such since obesity and lack of use appear to play roles.
Coffee reduces risk of diabetes
Research suggests that people who drink coffee are less possible to buy kind 2 diabetes. It isn’t known whether the caffeine or a few other ingredient in coffee is responsible for its protective effects.
The researchers wanted to see whether there is a link between diabetes and drinking coffee and green, black, and oolong tea. Participants completed a detailed questionnaire about their health, lifestyle habits, and how much coffee and tea they drank. The questionnaire was repeated at the end of the 5-year follow-up time.
When other factors were accounted for, researchers found that the extra green tea and coffee participants drank, the less probable they were to pay for diabetes. Citizens who drank six cups or extra of green tea or three or extra cups of coffee every day were about one-third less possible to get diabetes. The link was stronger in women than inside men. No pattern was seen with black or oolong tea. (see Diabetes Symptoms)
Vitamin D and Calcium Can Lower the Risk for Multiplicity 2 Diabetes inside Women
A lack of vitamin D and calcium may be linked to getting type 2 diabetes. More than 80,000 women who took part inside the Nurses’ Health Study. Above the course of 20 years, on top of 4,800 women developed selection 2 diabetes. The researchers found that a combined intake of higher than 1,200 milligrams of calcium and over 800 units of vitamin D was linked using a 33% lower risk for selection 2 diabetes (as compared to women who took much slighter amounts of calcium and vitamin D). The results show that consuming higher amounts of vitamin D and calcium make easier lower the risk for kind 2 diabetes inside women.
Diabetes is a disorder characterized by hyperglycemia or elevated blood glucose (blood sugar). Our bodies function best at a certain level of sugar inside the bloodstream. If the quantity of sugar in our blood runs too high or too low, then we typically feel bad. Diabetes is the name of the situation where the blood sugar level consistently runs too high. Diabetes is the most regular endocrine disorder.
What Is Diabetes Mellitus?
The number of people around the world suffering from diabetes has skyrocketed inside the last two decades, from 30 million to 230 million, claiming millions of lives and severely taxing the ability of health care systemsto deal using the epidemic, according to data released Saturday by the Global Diabetes Federation.
What is diabetes?
Diabetes is a illness in which your body cannot properly store and exercise fuel for energy. The fuel that your body needs is called glucose, a form of sugar. Glucose comes from foods such as breads, cereals, pasta, rice, potatoes, fruits and any vegetables. To use glucose, your body needs insulin. Insulin is made by a gland in your body called the pancreas. There are three types of diabetes: multiplicity 1, kind 2 and gestational diabetes. Gestational diabetes only occurs during pregnancy.
Types of Diabetes Mellitus
Diabetes mellitus is a heterogeneous clinical disorder with numerous causes. Two important classifications of diabetes mellitus exist, idiopathic and secondary.
Idiopathic diabetes is divided into two vital types; insulin dependent and non-insulin-depenedent. Insulin-dependent diabetes mellitus, IDDM (Multiplicity 1) is defined by the development of ketoacidosis inside the absence of insulin medication. Multiplicity 1 diabetes most often manifests inside childhood (hence also called juvenile onset diabetes) and is the result of an autoimmune destruction of the b-cells of the pancreas. Non-insulin-dependent diabetes mellitus, NIDDM (Diversity 2) is characterized by persistent hyperglycemia but rarely leads to ketoacidosis. Kind 2 diabetes usually manifests following age 40 and therefore has the obsolete name of adult onset-selection diabetes. Multiplicity 2 diabetes be able to result from genetics defects that cause both insulin resistance and insulin deficiency. There are two main forms of type 2 diabetes:
1. Late onset associated using obesity.
2. Late onset not associated using obesity.
Sample meal plan
Decide foods you like and which satisfy you, and include carbohydrate foods in each meal or snack to improve manage blood glucose levels. You be able to eat your vital meal at lunch or dinner.
Purchase help immediately if Diabetes symptoms occur
Occasionally, the onset of diabetes – particularly Selection 1 – be able to be abrupt. It be able to lead to a situation called ‘keto acidosis’, which is a medical emergency. The symptoms of this situation are loss of appetite, weight loss, vomiting, excessive passing of urine, altered consciousness and, in conclusion, coma. Seek medical assist immediately if these symptoms occur.
Indication of Diabetes
Diabetes is a infection in which blood glucose levels are absent from accepted. People using diabetes have problems converting food to power. After a meal, food is broken down into a sugar called glucose, which is carried by the blood to cells throughout the body. Cells handling the hormone insulin, made inside the pancreas, to improve them practice blood glucose into power.
Keywords:
diabetes, diversity 1 diabetes, selection 2 diabetes, gestational diabetes, symptoms, pre-diabetes
Article Body:
Diabetes is a illness in which blood glucose levels are absent from usual. Public with diabetes have problems converting food to power. Following a meal, food is broken down into a sugar called glucose, which is carried by the blood to cells throughout the body. Cells usage the hormone insulin, made inside the pancreas, to help them process blood glucose into power.
Types of Diabetes
The three principal kinds of diabetes are variety 1, selection 2, and gestational diabetes.
Diversity 1 Diabetes
Selection 1 diabetes, formerly called juvenile diabetes or insulin-dependent diabetes, is commonly first diagnosed in children, young people, or young adults. In this form of diabetes, the beta cells of the pancreas no longer make insulin as the body’s immune system has attacked and destroyed them. Medication for diversity 1 diabetes includes taking insulin shots or using an insulin pump, making wise food choices, exercising regularly, controlling blood stress and cholesterol, and taking aspirin daily—for several.
Multiplicity 2 Diabetes
Multiplicity 2 diabetes, formerly called adult-onset or noninsulin-dependent diabetes, is frequent form of diabetes. Public can build up multiplicity 2 diabetes at a few age, even during childhood. This multiplicity of diabetes regularly begins with insulin resistance, a condition inside which fat, muscle, and liver cells do not apply insulin properly. At first, the pancreas keeps up using the added demand by producing extra insulin. Inside period, however, it loses the ability to secrete enough insulin in effect to meals. Citizens who are overweight and immobile are extra probable to develop selection 2 diabetes. Heal admits taking diabetes medicines, making wise food choices, exercising commonly, controlling blood stress and cholesterol, and taking aspirin daily for several.
Public develop selection 2 diabetes because the cells in the muscles, liver, and fat do not practice insulin properly. Ultimately, the pancreas cannot make enough insulin for the body’s needs. Since a result, the sum of glucose inside the blood increases while the cells are starved of energy. Higher than the years, high blood glucose damages nerves and blood vessels, leading to complications such since heart illness, stroke, blindness, kidney infection, nerve problems, gum infections, and amputation.
Gestational Diabetes
Some women cultivate gestational diabetes late in pregnancy. Although this form of diabetes usually goes away after the baby is born, a lady who has had gestational diabetes is more likely to develop type 2 diabetes later inside life. Gestational diabetes is caused by the hormones of pregnancy or a deficiency of insulin.
Signs and symptoms of type 2 diabetes
Extra than 6 million public in the United States have kind 2 diabetes and do not know it. Several have no signs or symptoms. Symptoms can also be so mild that you may possibly not even notice them. Any citizens have symptoms but do not wait for of having diabetes.
Symptoms contain
* increased thirst
* increased hunger
* fatigue
* increased urination, especially at night
* weight loss
* blurred vision
* sores that do not medication
A lot of citizens do not discover out they have the disease until they have diabetes complications, such because blurry vision or heart problem. If you find out early that you have diabetes, then you be able to get therapy to prevent damage to the body.
Age for testing diabetes
Anyone 45 years old or older must think in getting tested for diabetes. If you are younger than 45, overweight, and have one or extra of the risk factors, you be supposed to believe getting tested. Ask your physician for a fasting blood glucose test or an oral glucose tolerance test. Your physician will tell you if you have natural blood glucose, pre-diabetes, or diabetes.
Pre-diabetes mean
Pre-diabetes means your blood glucose is higher than natural but lower than the diabetes size. It also means you are at risk for getting type 2 diabetes and heart illness. However, you be able to diminish the hazard of getting diabetes and even return to accepted blood glucose levels with modest weight loss and moderate physical activity. If you are told you have pre-diabetes, have your blood glucose checked again inside 1 to 2 years.
Instruction to reduce risk
You be able to do a lot to lower your chances of getting diabetes. Exercising regularly, reducing fat and calorie intake, and losing a little weight be able to make easier you lessen your risk of developing kind 2 diabetes. Lowering blood pressure and cholesterol levels also helps you stay fit.
If you are overweight
Then take these steps:
Accomplish and maintain a reasonable body weight.
Make wise food choices most of the era.
Be physically energetic every day.
If you are fairly inactive
Then take this step:
Be physically active each day.
If your blood anxiety is too high
Then take these steps:
Achieve and maintain a reasonable body weight.
Make prudent food choices most of the time.
Lessen your intake of sodium and alcohol.
Be physically active every day.
Speak using your general practitioner about whether you require medicine to control your blood stress.
If your cholesterol or triglyceride levels are too high
Then take these steps:
Make wise food choices most of the era.
Be physically active every day.
Speak using your doctor about whether you require medicine to control your cholesterol levels.
Making Changes to Lower Risk
Making big changes inside your life is hard, especially if you are faced using extra than one change. You be able to make it easier by taking these steps:
Make a plan to change behavior.
Select technically what you will do and when you will do it.
Plan what you require to pay for ready.
Believe about what may prevent you from reaching your goals.
Find family and friends who will support and encourage you.
Prefer how you will reward yourself when you do what you have planned.
Your physician, a dietitian, or a counselor be able to help out you make a plan. Consider making changes to lower your risk of diabetes.
Reach and Maintain a Reasonable Body Weight
Your weight affects your health in several ways. Being overweight be able to keep your body from making and with insulin properly. Excess body weight can also cause high blood pressure.
Be Physically enthusiastic Each Day
Conventional practice undertakes several risk factors at once. It helps you lose weight, keeps your cholesterol and blood anxiety under control, and helps your body apply insulin.
If you are not very active, you should start slowly. Tell using your doctor first about what kinds of exercise would be safe for you. Make a plan to enhance your activity level toward the goal of being active at least 30 minutes a day most days of the week.
Select activities you enjoy. Any ways to work extra activity into your daily routine include the following:
Take the stairs rather than an elevator or escalator.
Park at the far end of the parking lot and walk.
Pay for off the bus any stops early and walk the rest of the way.
Walk or bicycle whenever you be able to.
Take Your Prescribed Medications
A few public need medication to assist control their blood anxiety or cholesterol levels. If you do, take your medicines since directed. Ask your doctor about medicines to prevent multiplicity 2 diabetes.
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Reviewing Dietary Recommendations
Wrapping one’s mind around diet nutrition can sometimes be confusing. For instance, a 120-pound fifteen-year-old girl will not need as many calories as a 220-pound twenty-five-year-old man. To further confuse matters, that 120-pound fifteen-year-old girl’s 150-pound peer of the same age will need more calories. A fifteen-year-old girl with juvenile diabetes will have an entirely different set of nutritional needs as well. Online, there are many resources and tools to help the average American figure out what his or her dietary needs are, depending on height, weight and level of physical activity.
The “2005 Dietary Guidelines for Americans” are the most current recommendations for diet nutrition, at least until the 2010 edition comes out. According to the guidelines, a “healthy diet” is one that is full of fruits, vegetables, whole grains and low-fat dairy products, including lean protein like poultry and fish, beans, eggs and nuts, and is low in saturated fats, trans fats, cholesterol, sodium and sugar. Consumers are encouraged to make smart choices and eat a wide variety of foods, while staying within the caloric needs for their height and weight. Each day, Americans should be consuming calories, amino acids, essential fatty acids, minerals and vitamins. While requirements change for people depending upon their size and level of physical activity, the average person consumes around 50 grams of fat and 2,000 calories per day to remain at a stable weight.
For someone with type 1 or type 2 diabetes, the normal dietary rules may not apply. Generally, most diabetics will need to reduce the amount of fat consumed (particularly saturated fat), quit smoking and reduce alcohol consumption to no more than 3 or 4 per day. Diets should be rich in mono-unsaturated fats (like olive oil), oily fish, starchy whole grain carbohydrates (bread, pasta, potatoes, rice, cereal), and fresh fruits and vegetables. A diabetic will need to check his or her blood sugar level before eating to see that it’s 70 to 130 and then again a few hours after eating to make sure it’s below 180. People with low blood sugar will need to have certain snacks handy, like fruit juice, hard candy, sugar or honey, soft drinks and milk. Small or medium sized women should eat 1,200 to 1,600 calories per day (6 starch, 3 vegetables, 2 fruits, 2 milks, 4-6 ounces protein and up to 3 fats). Larger women or small to medium sized men should have 1,600 to 2,000 calories (8 starch, 4 vegetables, 3 fruits, 2 milks, 4-6 ounces protein and up to 4 fats). For more information, check out the Diabetes Food Pyramid at www.nih.gov.
Some people wonder, “What about diet pills? Are they safe? Do they work?” The short answer, according to Redbook Magazine, is yes. In some instances, drugs like fen-phen and ephedra have helped people lose weight but with dangerous side effects, such as mood swings, nausea, anxiety, hypertension and even addiction. Two new drugs on the market are Alli, which is a drug blocking fat absorption and Zimulti, which helps you slim down and lower cholesterol. Both offer safer alternatives that work. People who take Alli ($54 for the starter kit) are able to block about 100 to 200 calories per day and lose 50% more weight than those who aren’t on it. What is the downside? Loose, oily stools and possibly a lack of Vitamin A and D. Zimulti reduces insulin and appetite and helped dieters lose two-and-a-half more times the weight than those who were not taking it. The downside is that many people taking it experienced anxiety and/or depression. The best way to lose weight is the old-fashioned combination of diet and exercise, although these little pills can help severely obese individuals who feel they need that extra head start.
Am I Diabetic?
The National Health and Nutrition Examination survey revealed that 6.3 million Americans are diabetic and don’t even know it. Moreover, each year these patients with type 2 diabetes run up an $18 billion health bill. Researchers looked at health care use patterns of people for two years leading up to their diagnosis to determine the results. The study also revealed that 4 to 6% of men ages 25 to 64 and 14% of men ages 65 to 69 have undiagnosed diabetes. Medical costs include $2.3 billion for cardiovascular disease, $720 million for hypertension, $443 million for kidney problems and $293 million for neurological afflictions. Perhaps you may be wondering, “Am I in need of diabetes care?”
There are three main types of diabetes: type 1, type 2 and gestational. Type 1 diabetes is an autoimmune disease, where the body’s immune system turns against itself, attacking insulin-producing beta cells in the pancreas. Scientists believe viral and genetic factors are at play here, with most people receiving a diagnosis when they are younger. This type of diabetes occurs evenly in males and females, but is more common in Caucasian sectors of the population, particularly in northern European countries like Sweden and Finland. The onset is sudden for a type 1 diabetic, who has blurry vision, feels constantly hungry, thirsty and fatigued, and loses weight rapidly. If they do not receive insulin everyday, they can lapse into a coma. You may need immediate medical attention if you’re always thirsty, you urinate frequently, if your breathing becomes more rapid, if your abdomen hurts or if your breath smells like nail polish remover.
Type 2 diabetes is the most common form, accounting for 90 to 95% of all cases. For unknown reasons, African Americans are 1.6 times more likely to develop the disease than Caucasians. Similarly, Hispanics are 1.5 times more likely and American Natives/Alaskan Natives are 2.2 times more likely to become a diabetic. It’s believed that Asian Americans and Pacific Islanders are twice as likely to get diabetes as well. Eighty percent of those who develop this disease are overweight and many of these patients are also older. Many diabetics will encounter rapid heartbeats, trembling, sweating and irritability, while always feeling hungry and fatigued.
There are several ways to test if a person is diabetic. For type 2, doctors can perform a Fasting Plasma Glucose Test, which is convenient, easy and less expensive than other tests, according to the American Diabetes Association. For this test, you’ll need to fast for eight hours, and then blood will be drawn and sent to a lab. A normal fasting, blood glucose level would come back 70 to 100 milligrams per deci-liter, whereas a person with diabetes would have a level beyond 126. Sometimes the test results will come back inconclusive and a Casual Plasma Glucose Test will be done, with blood drawn at a random interval. If the glucose level is over 200, then diabetes is likely the culprit. Pregnant women may receive an Oral Glucose Test. A Hemoglobin A1c Test is another important diabetes blood test, which examines blood sugar levels over a 6 to 12 week period through home blood glucose monitoring.
What You Should Know About Diabetes Mellitus
Type 1 diabetes occurs when the pancreas is unable to produce insulin to transport energy throughout the bloodstream. This disease is generally treated with injections, an insulin pump or an insulin pen. Type 2 diabetes occurs most frequently in older, overweight Americans, where the body stops responding to the insulin produced. These patients are treated with diet and weight management, as well as medications and insulin supplements. Both of these types fall under the blanket classification of “diabetes mellitus,” which is one of the leading causes of death in the United States.
Diabetes mellitus is a world-wide disease afflicting 171 million people as of 2000 (or 2.8% of the population), although many people remain undiagnosed. It’s estimated that the number of people affected will double by 2030. Unlike many other diseases, the scope of diabetes is most encompassing in developed countries, like the United States, Australia, Sweden, Finland and the UK, where unhealthy diets and sedentary lifestyes may be contributing factors. Over the past thirty years, the rate of type 2 diabetes has increased substantially to include 24 million diagnosed, 5.7 million undiagnosed and another 60 million overweight, sedentary and borderline diabetics. The American Diabetes Association reports that over 18% of Americans over 60 have diabetes. As a result, the Center for Disease Control has dubbed the change an “epidemic” and predicted that 1 in 3 Americans born after 2000 will develop the disease during their lifetime.
If treatments for diabetes are not sought, many complications may ensue. Up to 50% of people with the disease suffer diabetic neuropathy, which causes tingling, pain, numbness and weakness in the hands and feet. Sometimes this can lead to reduced blood flow, ulcers, gangrene and amputation. After 15 years, 2% of diabetics go blind and 10% suffer severe visual impairment as a result of damage to the retinal blood vessels. Diabetes is among the leading causes of kidney failure, causing 10 to 20% of diabetic deaths. Another 50% die from heart disease or stroke.
Patient participation is essential to treating diabetes mellitus. People who smoke, are overweight, have high cholesterol and blood pressure, and do not exercise regularly will suffer more severe effects of the disease. One proposed treatment for people with type 2 is gastric bypass surgery, which normalizes blood glucose levels in over 80% of severely obese diabetics. While researchers aren’t sure why this approach works, the death rate for severely obese people is reduced by 40% with surgery, so this may become a standard treatment in the future. Patients with type 1 may benefit from a kidney-pancreas transplant or from transplanted exogenous beta cells that stimulate insulin production, although more research is needed.