Management of type 2 diabetes mellitus with special reference to lifestyle modification


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Volume :

5

Issue :

2

Abstract :

Diabetes Mellitus is a common disorder of fuel metabolism which is serious global health problem. . In India prevalence of disease in adults was found to be 2.4% in rural and 4.1 – 11.6 % in urban dwellers. The underlying mechanism for type 2 Diabetes mellitus is either due to diminished insulin secretion that is, an islet defect associated with increased peripheral resistance to the action of insulin resulting in decreased peripheral glucose uptake, or increased hepatic glucose output. Causes of NIDDM includes unscientific diet, overweight, sedentary life style, habits like smoking and alcohol, mental stress including genetic factors and anatomical as well as congenital deformities. Diabetes mellitus is a manageable disorder but is not curable. Smoking has been shown to cause elevations in blood glucose concentration and may increase insulin resistance. Problem with a diabetic consuming alcohol is the potential weight gain. It had been well established that obesity promotes insulin resistance through the inappropriate inactivation of a process called gluconeogenesis. On the other hand regular exercise and diet along with yoga and breathing techniques will reduce the risk of NIDDM. Diabetes is a life style related condition due to an imbalance in handling a glucose load and is not a disease. It is one of the several life style related chronic conditions and one inescapable conclusion is that the public health importance of diabetes prevention is indisputable. To reduce the burden of this devastating disease, prevention programs must target not only the affected individuals but also families, workplaces, schools, and communities.
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