Learn insulin resistance and obesity

The article is professionally consulted by Professional Advisor, Associate Professor, Dr. Hoang Dang Mich and Master, Doctor Do Xuan Chien - Department of Medical Examination and Internal Medicine - Vinmec Ha Long International General Hospital.

Obesity is one of the leading causes of insulin resistance. The amount of fat in the body of an obese person is too much, making sugar metabolism more complicated and difficult.

Insulin resistance is considered a serious health condition, because it increases the risk of developing many dangerous diseases including:
Type 2 diabetes (highest risk) Cardiovascular disease: Coronary artery disease , myocardial infarction , cerebrovascular accident... Fatty liver Polycystic ovary syndrome Some cancers Particularly for people who have had the diseases mentioned above, insulin resistance is the cause of diabetes. disease is getting worse. For example, for people with type 2 diabetes, insulin resistance is the main cause of high blood sugar that becomes harder to control over time.

In obese people, the ability of the pancreas to synthesize insulin decreases, leading to a decrease in the ability to metabolize glucose. This puts overweight and obese people at high risk of excess blood sugar, making them victims of diabetes.
Obesity is not a direct cause of the disease, but is one of the great risks leading to this disease.
According to statistics, currently, up to 50% of the Vietnamese population with diabetes is overweight and obese. According to experts, there is actually a close relationship between body weight and insulin resistance.

In 1962 James Neel hypothesized that the reason for the rapid development of diabetes on a global scale is because there are environmental helpers and latent factors already present in the body; It's the genetic factor.
The main point of this hypothesis is the "thrifty gene" factor. Today, when society reaches a high level of socialization, physical labor decreases, excess fat and excess energy increase, this factor has also been considered the culprit of both obesity and diabetes. Type 2 sugar.
In fact, a lot of scientific evidence proves that weight loss will lead to increased insulin sensitivity and vice versa. Dr. Sims found that a 20-25 percent increase in weight led to hyperinsulinemia and insulin resistance.

Entering middle age is also the period when the body begins to show signs of decline in health and makes people susceptible to diseases of dyslipidemia, diabetes, uric acid, heart diseases circuit.
Subjective causes are due to unreasonable diet, plus sedentary habits produce obesity, which causes parts of the body to begin to show signs of degeneration and especially to appear. The phenomenon of metabolic disorders, this is the most favorable condition for diabetes to come.
According to statistics from recent years, the rate of obesity in obese people is 3 times higher than in thin people, and the most common rate is in the age group of 40 and older.
Today, diabetes is getting younger and younger, mainly due to the development of life, leading to an uncontrolled diet, too much nutrients.

The best advice for obese people is that it is necessary to lose weight. This will help reduce fat cells, which is the key to reducing insulin resistance and helping to better metabolize sugar.
Also according to Dr. Anthony Komaroff, usually if you lose 5-10% of your initial body weight, then you will control the rise in blood sugar more easily.
To stabilize blood sugar, reduce the possibility of diabetes complications, obese people must follow the following rules:
First, it is necessary to limit unwanted weight gain, simply by Build a suitable diabetic diet. It is recommended to use more foods containing fiber in meals, green vegetables, fresh fruits, and at the same time, it is necessary to avoid starchy sweet foods and stimulants such as tobacco, alcohol, beer, etc. ... Besides, the exercise regime must not be neglected, you need to actively do light sports such as cycling, badminton, swimming... the purpose is to quickly consume less. excess fat. Strictly follow the doctor's diabetes treatment support regimen. Even though they may not have diabetes, people who are obese are still among the most at-risk groups for developing insulin resistance. Therefore, a balanced diet plan combined with reasonable exercise is a smart way to regulate weight, minimizing the possibility of disease to the lowest level.
Vinmec International General Hospital is implementing the Cardiovascular and Diabetes Screening Package under the implementation of a team of highly specialized, experienced doctors and the support of modern technological equipment, which will help provide the most accurate diabetes test results, thereby recommending an appropriate treatment regimen.