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                                             According to the National Institutes
                                             of Health, nearly 21 million Americans have diabetes, and another 41 million have pre-diabetes. If you are at risk or have pre-diabetes, you can take small steps to prevent this disease.  It is well known that the
                                             best ways to prevent type 2 diabetes is to avoid being overweight and lead a healthy lifestyle which includes proper nutrition
                                             and activity.   
                                              
                                              
                                             Diabetes is a serious disease, which
                                             can be successfully managed.  Medical Doctors make the diagnosis by reviewing
                                             symptoms and measuring the glucose level of a person’s blood.  The condition
                                             can be managed through proper nutrition and exercise in some instances, by medication, or a combination of both.  The good news is, if you develop diabetes, it is manageable, and with proper nutrition and attention, serious
                                             complications can be prevented or delayed. 
                                               
                                             Type 2 Diabetes can be hereditary, but
                                             other factors such as being overweight and leading a sedentary lifestyle can increase the risk of developing diabetes even
                                             in people without a family history.  People with diabetes either do not produce
                                             enough insulin or their body doesn’t use the insulin properly, sometimes called insulin resistance.  Often, people with type 2 diabetes have few or no symptoms, and many cases go undetected while the health
                                             of body systems decline.  For some people, feeling tired or run down is their
                                             only symptom.  While other people experience increased thirst, frequent urination,
                                             skin problems, blurred vision, slow healing or unintentional weight loss.  When
                                             the body fails to remove enough glucose from the blood stream glucose levels become high and can lead to other problems if
                                             diabetes is not properly treated.  High blood sugar can damage eyes, kidneys,
                                             and the nervous system.  It can also contribute to cardiovascular disease, poor
                                             blood circulation which can result in amputations, heart disease and stroke.  
                                               
                                             What
                                             You Can Do Now 
                                             If you are overweight or obese, choose
                                                sensible ways to get in shape: Avoid crash diets. Instead, eat less of the foods you usually have. Limit the amount of fat
                                                you eat. Increase your physical activity. Aim for at least 30 minutes of exercise most days of the week.  Set
                                             a reasonable goal, such as trimming 1 pound a week. Aim for a long-term goal of trimming 5 to 7 percent of your total body
                                             weight.  
                                             Make Wise
                                             Food Choices Most of the Time
                                             What you eat has a big impact on your
                                             health. By making wise food choices, you can help control your body weight, blood pressure, and cholesterol. 
                                             
                                             - Take a hard look at the serving sizes of the foods you
                                             eat. Reduce serving sizes of main courses (such as meat), desserts, and foods high in fat. Increase the amount of fruits and
                                             vegetables. 
                                             
 - Limit your fat intake to about 25 percent of your total
                                             calories. For example, if your food choices add up to about 2,000 calories a day, try to eat no more than 56 grams of fat.
                                             Your doctor or a dietitian can help you figure out how much fat to have. You can check food labels for fat content too.  
                                             
 - Keep a food and exercise log. Write down what you eat,
                                             how much you exercise—anything that helps to keep you on track. 
                                             
 - When you meet your goal, reward yourself with a nonfood
                                             item or activity, like watching a movie. 
                                             
 - Keep a positive attitude, if old eating patterns return, you
                                             can get yourself back on track quickly, by avoiding "all or nothing" thinking.
   
                                           
                                          
                                          
                                               
                                             
                                          
                                          
                                              
                                          
                                          
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