Category Archives: Diabetes
An article published in the journal Diabetologia in April of this year (Cariou, et al.) showed that of patients with diabetes who were hospitalized with the novel Sars-Cov-2 virus, obesity was associated with worse outcomes. In fact, BMI was the only independent factor that was associated with higher rates of being intubated and/or death within 7 days.
The number of pre-diabetic and diabetic patients has increased dramatically over the past few decades. Today about 13% of the US population over 18 has diagnosed or undiagnosed diabetes. The primary reason for this has been an exceptional growth in obesity. While we typically discuss diabetes as a significant risk factor for a number of long-term and chronic diseases including cardiovascular disease, now, more than ever the effect diabetes has on the immune system needs to be emphasized.
With dozens of do it yourself prevention tips and cures circulating around the Internet, it can get overwhelming to know what works and what doesn’t. One common, but flawed, theory circulating during the height of the Coronavirus outbreak is that of going outside in the sunshine to kill the virus. This advice comes from the fact that sunshine does seem to have various antibacterial properties. On the face of it, the idea that sunshine would in any way prevent a respiratory infection, might seem silly, but there may be some truth to it. In fact, around the world, in the absence of antibacterial agents, water can be left in sunlight (for hours) with disinfectant results. But how does this apply to our current situation? As it relates to the Coronavirus, not a whole lot, as these properties are limited to waterborne pathogens.
We all know that a sedentary lifestyle increases the risk of obesity in conditions such as type II diabetes. We’ve been told that spending a certain number of minutes or hours getting our heart rate up is beneficial and prevents cardiovascular disease. However, there’s always been some debate as to what form of exercises best. A recent study1 of over 4000 adults without diabetes, published in the journal Mayo Clinic Proceedings, sought to find out if building muscle through strength training reduces the risk of type II diabetes. The answer was a very clear yes, by 32% in fact. People who maintained moderate muscle strength and participated consistently in resistance exercises showed a lower risk of type II diabetes regardless of their cardio fitness. Interestingly, moderate muscle mass was sufficient and increasing muscle mass did not have a significant benefit. The results were adjusted for variables including age, sex, and weight.