Metabolic

Diabetes + weight problems = diabetes: the enemy inside you – well being

Imagine a secret enemy base living and operating from your home area! Seemingly inactive and harmless, but quietly working around the clock to carry out deadly attacks on your city. The excess fat in obese patients is similar.

Obesity is a “Trojan horse”. It causes the entire human body to malfunction and brings with it a battalion of diseases that are most damaging to our health. The imbalance between energy consumption and energy consumption leads to an oscillating scale. Obesity has become another epidemic in the country that requires attention.

A complex spectrum of factors contribute to obesity and are linked to comorbidities such as type 2 diabetes, hypertension, coronary artery disease, mental illness, depression, infertility with PCOS (polycystic ovarian syndrome), colon and endometrial cancer. Obesity is a social stigma. Because you want to go into hibernation and try to eat food with increasing stress, the person gets into a vicious cycle that leads to weight gain. Obesity is a burden on society that has the potential to destroy nations – medically and economically.

The history of hyperactive fat:

For a long time, medicine thought that fat cells were like phone batteries – they just store and give off energy. But recent studies proclaim that fat causes inflammation in the body.

Weakening of our defenses: Our body has immune cells to fight bacteria and viruses. Obesity causes a chronic inflammatory condition and sabotages your immune system, permanently triggering it and making you more susceptible to other diseases.

Triggering Diabetes: In healthy people, there is a switch that tells the liver to only produce glucose when the body is fasting. In overweight people, the liver produces abnormal glucose whether the person is fasting or not. This is the path to insulin resistance. This insulin resistance can turn into full-blown diabetes due to impaired function of the pancreas producing insulin. Dr. Francine Kaufman coined the term diabetes (diabetes + obesity) to describe it. Diabetes can be defined as metabolic dysfunction, ranging from a slight imbalance in blood sugar to full-fledged type 2 diabetes.

Diabesity is a constellation of signs that includes:

* Abdominal obesity

* Dyslipidemia (low HDL, high LDL, and high triglycerides)

* High blood pressure

* High blood sugar (fasting over 100 mg / dl, Hb1Ac over 5.5)

* Systemic inflammation

* Increase the formation of blood clots

Conquer the enemy

The first step is to understand how obesity is defined. Obesity is diagnosed by determining the body mass index or BMI. The BMI is the ratio of your weight in kilograms divided by your height in square meters.

The World Health Organization (WHO) considers a BMI greater than 30 to be Class 1 obesity. A BMI over 35 is Class II – severe obesity, and a BMI over 40 is Class III – severe obesity. According to the Asia-Pacific Obesity Guidelines, normal weight is 18.5 to 22.9 kg / m2, overweight is 23 to 24.9 kg / m2, and overweight is BMI> 25 kg / m2.

The second important step is to realize that obesity is a chronic disease that manifests as metabolic syndrome and requires medical intervention. The future challenge is to identify an obese environment and have an impact on making healthier choices.

The last important step is finding appropriate medical help. The obesity management pyramid includes lifestyle change, pharmacotherapy, and minimally invasive bariatric surgery (weight loss surgery). Lifestyle and behavior changes are the foundation for treating obesity. Lifestyle change is a combination of diet, physical activity, and behavior therapy. A BMI greater than 32.5 is associated with diseases such as diabetes, high blood pressure, osteoarthritis, obstructive sleep apnea, etc.

Patients who are pathologically obese, ie have a BMI> 40 kg / m2 (or more or equal to 37.5 kg / m2 for Asians) with or without comorbidities, are indicated for weight loss surgery. Weight loss surgery in patients with a BMI of 32.5 to 37.5 kg / m2 with severe comorbidities such as diabetes, heart disease, high blood pressure, and deep vein thrombosis has also shown improvement in their comorbidities with complete resolution in some patients.

Obesity is known to be an inflammatory disease. This directly contributes to the worst outcomes of Covid-19 infection in obese patients. The American Society for Metabolic and Bariatric Surgery has suggested that bariatric surgery can help reduce obesity and related diseases, increasing the risk of poorer outcomes when Covid-19 hits obese patients and be a surgeon’s priority during this pandemic should.

Doctors and healthcare workers have pledged to be frontline warriors throughout the coronavirus pandemic. During this period of uncertainty, which is essential for continuity of care, every measure is taken to maintain communication with patients. With the advent of technology, patients can also use various online platforms to determine their weight and manage comorbidities. Online social support group meetings and the implementation of telemedicine have radically changed the health sector.

Society needs to be made aware of obesity as a metabolic disorder and to control and improve the comorbidities associated with the combined approach of medical and surgical interventions. The rise in obesity has put the entire generation at risk. The steering wheel is in our hands to weigh the risks of intervention against the benefits of improved long-term health, longevity and well-being. Obesity terrorism can be eradicated with permanent results.

“Change your life today. Do not gamble on your future, act now without further delay. “

Disclaimer: This article is sponsored by J&J in the public interest. The views and opinions expressed in the article by participating doctors are based on their independent professional judgment. J & J (P) Ltd., BCCL and its group publications disclaim any liability for the correctness or the consequences of complying with their expert opinions.

(This story was posted by a wire agency feed with no changes to the text.)

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