Best Diabetes Doctor Charlotte
at Novis Health
The term diabesity was devised in 1973 by Ethan Sims to highlight the close relationship between diabetes and obesity. It is estimated that about 80% of those with type 2 diabetes are obese. Recent studies have identified links between obesity and type 2 diabetes involving pro-inflammatory cytokines (tumor necrosis factor and interleukin-6), insulin resistance, deranged fatty acid metabolism and cellular processes such as mitochondrial dysfunction and endoplasmic reticulum stress.
The influence of obesity on type 2 diabetes risk is determined not only by the degree of obesity but also by where fat accumulates (visceral vs subcutaneous).
According to studies on the history of diabesity, its origins can be traced back a half a million years, so it is hardly a new disease. It appears that a new term has been developed to restructure the way we think of diabetes and to prioritize treatment strategies. While the treatment of diabetes may lead to several outcomes, the interventions are not necessarily geared toward the primary problem, obesity. Primary prevention and treatment according to many diabesity theories should be geared at successfully intervening in the obesity problem with the idea that blood sugar control will naturally follow the metabolic changes that occur with even a 10% reduction in weight.
1. Ancient Ayurvedic Medicine
Around 600 BCE (Before Common Era), diabetes was described as a “honey-like illness” with sweet smelling urine and generally associated with obese sedentary individuals by Suchera, a practicing Ayurvedic physician. He was also the first physician to recommend exercise as a treatment for diabetes. Charaka, another ancient Hindu physician, described a form of diabetes associated with stout build, gluttony, obesity and sleepiness. Thus, we see that the association of obesity with diabetes was noted early on in history.
2. Ancient Chinese Medicine
“Diabetes first appears in traditional Chinese medical texts around 200 BCE in “Suwen” or “Plain Questions” – the first of two books of the great medical work Nei Jing – Yellow Emperor’s Inner Canon.” Nei Jing makes various references to diet with relation to diabetes, citing both fatty and sugary foods as culprits often in his references to the causes of this disturbance in “qi” or energy flow.
When it comes to plant-based foods, it may be a little bit harder for your body to absorb zinc effectively since, in plants, the zinc is bound to proteins.
3. Ancient Greek and Roman Medicine
Hippocrates considered diabetes as incurable and did not spend much time writing about it. However, he did reference diabetes as a disease that occurs in “men who are constitutionally very fat are more likely to die quickly than those who are thin.” Dr. Galen who followed the principles of Hippocrates went further to say that “fat persons should be made thinner by warm bathing, strong exercise, hard beds, little sleep, proper evacuations, acids, and one meal a day to control their diabetes.
4. Medieval Writings
Muhammad ibn Zakariya Razi, known as Rhazes, gave a description of obesity – “saman-e-mufrat” – and the link with gout, diabetes and high cholesterol was clearly spelled out along with a vigorous management program.
Rabbi Maimon was documented as saying “fat people generally have shorter lives than thin people” and advising obese individuals to “lose the fat of his flesh through appropriate dieting”. Maimonides claimed to have seen 20 cases of diabetes, blaming the sweet waters of the Nile.
The combination of diabetes and obesity is the largest epidemic the world has seen.” What HIV/AIDS was in the last 20 years of the 20th century, diabetes and obesity and their consequences will almost certainly be in the first 2 decades of the 21st century.” And, the rates are not going down, rather, they are going up. The priority in diabetes management should be obesity control if weight is an issue, which it is in the majority of type 2 diabetic patients.
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