Tag Archives: metabolic syndrome

stats on cancer

Derail cancer, get this tested

What if there were one blood test that could tell you early on that your health was heading down the wrong path? Like a railway crossing signal, there are early warning signs that our body is in danger. The danger doesn’t happen quickly, but like the rails of a train, once it has started it has a predictable path towards an unwanted health destination. The warning sign is insulin resistance; the test is an insulin fasting blood test or Immunoreactive Insulin. People may know about the connection between insulin resistance and diabetes, but how many know about the connection to cancer?

Insulin Resistance and Cancer

Insulin is a hormone that helps glucose get into the cells for energy. Insulin resistance is a pathological condition where the muscles, liver and fat cells don’t respond to the insulin. The diminished response forces the pancreas to make extra amounts and increases circulating insulin. Society for Endocrinology’s review sheds light on the connection between insulin resistance and cancer. On a cellular level, insulin along with related insulin-like peptide receptor sites play a role in immune deregulation. These specific peptides impact normal cell proliferation, differentiation, metabolism and destruction and set up an environment more inviting for cancer development.

Insulin resistance is a harbinger not only for diabetes, but for cancer as well

Insulin Resistance in Children

Insulin resistance isn’t just for adults. In a retrospective study published December 2014 in the Jornal de Pediatria, 33% of 220 obese children between the ages 5-14 were found to have insulin resistance. These children had the hallmark of metabolic syndrome: high BMI, abdominal obesity, LDL and triglycerides, and low heart protective HDL. Not only are these children on their way to type 2 diabetes, but they are at much greater risk of getting cancer.

Take The Test

Insulin resistance can happen before high blood sugars or hyperglycemia develops. Anyone who is obese, has a family history of diabetes or is from one of these ethnic groups: African-American, Mexican, American Indian, Native Hawaiian, Pacific Islander or Asian American, should have their fasting insulin level assessed. Your insurance may or may not cover it, but it is very affordable if you want to have it checked.

Cancer

I don’t think there is anything more scary than getting the diagnosis of cancer. The National Cancer Institute reports that US cancer death rates have declined since 1990, primarily due to a decline in smoking, but it is projected to rise with an aging population and a rise in obesity.

Obesity, a risk factor for cancer, is also increasing.

Insulin resistance is reversible. If you knew that you had it, and now know that it’s link to cancer, would it give you extra motivation to change your diet and move a little more? Habits are hard to change, but if you knew you were on the path for derailment, wouldn’t you want to jump off that train now?

Barbara is a certified diabetes educator, nurse and health coach. She has a passion for health education and inspiring a healthy lifestyle. If you like what she writes about, please like and share her posts on her facebook page.

Most Mainers at risk for, or has diabetes

Does 48% scare you? Those are some pretty good bettin’ odds. That’s better than the overall odds at winning in Blackjack. The 2014 CDC data found 37% of Maine residents have prediabetes. Over 11% or 137,413 have diabetes and 36,000 of those people don’t even know they have it. Now that is really scary. How can people live with the common symptoms of uncontrolled blood sugars like yeast infections, extreme fatigue, erectile dysfunction, thirst and peeing all the time without going to their medical provider and complaining? Do people with these symptoms really think that life can’t get any better than that?

Metabolic Syndrome or Prediabetes- Reversible

metabolic syndromePrediabetes goes by several different names:  Metabolic syndrome, Syndrome X, and impaired fasting glucose are all names used for prediabetes. If you have central obesity, high blood pressure and unhealthy cholesterol, there’s a good chance you are on the road to diabetes. More specifically, if you have 3 of the 5 conditions to the left, you have prediabetes. Those odds of developing Type 2 diabetes are even greater if you have a family history of diabetes, had gestational diabetes, are older or are African-American, Hispanic, Asian, Alaska native, or Native American. You can see why the odds go up with each factor.  And just to clarify, type 1 and type 2 diabetes are really two different diseases with different causes. Type 1 diabetes is an autoimmune disease associated with sudden changes in insulin production whose cause is not associated with lifestyle changes. Type 2 diabetes is a preventable disease. You can learn about your odds here and talk to your healthcare provider.

A Prediabetes Diagnosis Should Imply A Sense of Urgency

Once prediabetes becomes diabetes, the insulin producing beta cells of the pancreas quit working – some say as much as 50%. When the pancreas can’t meet the needs of the body not only do blood sugars rise, but other metabolic changes occur, particularly with fat metabolism. The higher blood sugars and lipid levels damage the blood vessels of the body. That’s why diabetes is really heart disease with a sugar problem. Complications of poorly managed diabetes are a result of nerve and vascular damage leading to blindness, stroke, heart disease, kidney failure, and amputation. These severe complications happen over time with earlier patient reported symptoms of depression, nerve pain in the extremities, frequent infections, sexual difficulty and a change in quality of life.

Let’s Stop Diabetes

Diabetes costs Mainers $1.6 billion every year. The costs are for treatment of severe complications like hospitalizations for heart disease and stroke, amputations and prosthetics, surgery to prevent blindness and dialysis. Wouldn’t it be wonderful if we could shift that money from end-of-life treatment to early detection, education and support?

Our healthcare system is changing. Where fee-for-service was the standard of care, outcome-based results is now the gold standard. Our health care system is now a team of medical providers, nurse practitioners, physician assistants, population health nurses and medical assistants all with the aid of health informatics and data analysis. Healthcare is doing a much better job with managing chronic disease but is still weak on prevention. There is not a financial incentive yet to focus on that. The days of our medical provider being the sole conductor of our healthcare are over.  The new reality is that we need to play a proactive role in our own health.  Blood sugar levels often get overlooked. There were many times in my previous job when patients saw me for health education, unaware that they had prediabetes or diabetes. Things do get missed.

What You Must Do

Prediabetes develops over time. Blood sugar levels rise over many years and don’t suddenly hit the 100 mg/dl threshold. When I first became a certified diabetes educator the level was at 110 mg/dl, but lowering it provided earlier intervention.  Everyone should have a fasting blood glucose level done annually, especially if they have a family history of diabetes, are sedentary or overweight. And once it is done, get the results and know the significance of those results. There is support if you need it!

Barbara is a certified diabetes educator and health coach. She would love to help with any health questions and can be reached through her facebook page.