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A analysis bettsr previously published studies consistently found Blood sugar control for better health consuming whole grains improved blood glucose levels post-meal compared to hfalth carb Radiant complexion in betetr people.
Another review of 80 previous zugar concluded that compared to refined grains, whole grains lowered blood sugar levels post meal. This hexlth explain the inverse association between whole behter intake and contrrol of type 2 diabetes, which means the Blodo Blood sugar control for better health grains you consume, beyter lower your risk.
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A study halth at the bettrr of walking on 21 healthy young volunteers Bloos were broken into two groups. The first group took brisk minute walks after meals that contained various amounts of carbohydrates. Another group completed brisk minute walks after eating a mixed meal or a high carbohydrate drink.
Researchers found that brisk walking substantially reduced post-meal blood sugar peak in both groups.
Another study found that while light intensity walking was more effective, even standing rather than sitting after meals resulted in lower post-meal blood sugar levels. In addition to building muscle and strength, resistance training can improve blood sugar regulation. A study found that just a single bout of resistance training before a meal significantly reduced post-meal blood sugar levels in 10 sedentary men with obesity and prediabetes.
Another small study explored the impact of various activities on blood sugar after a meal in eight people with type 2 diabetes. They included uninterrupted sitting, 30 minutes of walking, 30 minutes of combined walking and aerobic exerciseand 15 minutes of circuit resistance training.
Researchers found that all types of exercise improved post-meal blood sugar regulation, even though the resistance exercise required the least time commitment.
Pulses include all types of beans, lentils, peas, and chickpeas. This food group is rich in antioxidants, several key vitamins and minerals, and contains a unique combination of protein and high fiber carbohydrates. A research review found that in adults with and without type 2 diabetes, eating more pulses improved both post-meal blood sugar levels and long-term regulation, including HbA1c values.
Another research summary concluded that pulse-based diets consistently resulted in substantial improvements in blood sugar control, as well as blood lipids fatsand body weight. Eating three-quarters to one cup of pulses just one time significantly reduced post-meal blood sugar levels.
And eating five cups of pulses per week improved HbA1c values in people with type 2 diabetes. Add pulses to salads, soups, veggie chili, tacos, and curries, and opt for pulse pastas, like chickpea or lentil penne, as well as pulse-based dips, like hummus and bean dip.
A breakfast high in protein may help reduce post-meal blood sugar levels throughout the entire day. One small study in 12 healthy adults found that those who ate a high protein breakfast had reduced post-meal blood sugar levels after breakfast, lunch, and dinner, compared to those who ate a typical lower protein breakfast meal.
Avocados are full of good fat, vitamins, minerals, antioxidants, and fiber. Including them in meals has been shown to help regulate blood sugar levels. A study in 31 people with overweight or obesity compared three calorie-matched meals that contained either no avocado, half an avocado, or a whole avocado.
The meals with a half or a whole avocado reduced post-meal blood glucose levels and improved blood flow, compared to meals with no avocado. This may help explain the results of a study that examined the link between avocado intake and type 2 diabetes in U.
Continuous glucose monitors or CGMs have traditionally been used by people with diabetes. But the devices have become increasingly popular with users who simply want to monitor and better regulate their blood sugar levels. CGMs involve apps synched to sensors typically placed on the back of the arm that measure interstitial sugar levels, which is the sugar found in the fluid between the cells.
A study in 12 healthy male volunteers concluded that CGMs were useful for evaluating post-meal blood sugar levels and researchers cite several CGM benefits, even for healthy people.
These include the ability to see real-time trends and patterns in blood sugar levels throughout the day, the opportunity to see individual responses to various foods, and the ability to use the data to adapt eating and physical activity habits to keep blood sugar levels within a normal range.
Fermentation is the conversion of carbohydrates to alcohol or organic acids using microorganisms—yeasts or bacteria—under anaerobic conditions. Fermented foods include kefir, kombuchasauerkraut, tempeh, natto, miso, kimchi, and sourdough bread.
In addition to supporting digestive health, research shows that fermented foods may slow carbohydrate absorption, which leads to lower post-meal blood sugar levels. In a study, 11 healthy adults consumed a high glycemic index meal known to raise blood sugar levels more quickly with either soda water, diet lemonade soft drink, or unpasteurized kombucha.
Only the fermented kombucha resulted in a clinically significant reduction in post-meal blood sugar. Fermented foods have also been shown to reduce inflammationwhich is a risk factor for type 2 diabetes. Added sugar is sugar added to a food product by a manufacturer to sweeten it, or sugar you add yourself, like stirring sugar into your coffee.
Because added sugar is absorbed quickly into the bloodstream, it makes blood sugar levels spike. The American Heart Association recommends a limit of no more than 25 grams—or six teaspoons—of added sugar per day for women and no more than 36 grams or nine teaspoons for men.
In the World Health Organization WHO advised against the use of non-sugar sweeteners to control body weight or reduce the disease risk. Based on a scientific review, the organization stated that there may be potential undesirable effects from long-term non-sugar sweetener use, including an increased risk of type 2 diabetes and heart disease.
Not consuming enough vitamin D can negatively impact blood sugar regulation, and according to the American Diabetes Association four in 10 adults are vitamin D deficient. However, it's also important to say that too much vitamin D can lead to an abnormally high level of calcium in the blood, which can damage the kidneys, soft tissues, and bones over time.
A research review, which looked at 46 previously published studies, found that a vitamin D supplement improved blood sugar regulation and reduced HbA1c levels in patients with type 2 diabetes and low vitamin D.
A study concluded that adults who stay well-hydrated appear to be healthier, develop fewer chronic conditions, and live longer compared to those who may not consume enough fluids. Proper hydration may also be a benefit blood sugar regulation.
A research review found an inverse relationship between water intake and the risk of type 2 diabetes, meaning a higher intake lowered the risk. A small study in nine men with type 2 diabetes found that three days of low water intake impaired blood sugar regulation.
There are numerous benefits to managing blood sugar levels, including improved energy and mood and a reduced risk of several chronic diseases. A healthy lifestyle of exercising, staying hydrated and eating balanced meals can help naturally keep blood sugar levels in balance, and also offer additional health benefits, like reduced cholesterol and improved gut health.
For more information about how to best monitor or regulate your blood sugar, talk to your healthcare provider. Centers for Disease Control and Prevention. Manage Blood Sugar. Shukla AP, Andono J, Touhamy SH, Casper A, et al. Carbohydrate-last meal pattern lowers postprandial glucose and insulin excursions in type 2 diabetes.
BMJ Open Diabetes Res Care. Published online Sep doi: Shapira N. The metabolic concept of meal sequence vs. satiety: Glycemic and oxidative responses with reference to inflammation risk, protective principles and Mediterranean diet.
Published online Oct 5. Fiber: The Carb That Helps You Manage Diabetes. Yesmin F, Ali MOI, Sardar MMR, Munna MK, et al. Effects of dietary fiber on postprandial glucose in healthy adults.
November De Carvalho CM, De Paula TP, Viana LV, Mt Machado V, et al. Plasma glucose and insulin responses after consumption of breakfasts with different sources of soluble fiber in type 2 diabetes patients: a randomized crossover clinical trial.
Am J Clin Nutr. Epub Aug Soluble vs. insoluble fiber.
: Blood sugar control for better health| Balance blood sugar with these foods. | Your game plan to prevent type 2 diabetes. National Institute of Diabetes and Digestive and Kidney Diseases. Accessed April 8, Melmed S, et al. Therapeutics of type 2 diabetes mellitus. Williams Textbook of Endocrinology. Elsevier; Interactive Nutrition Facts label: Dietary fiber. Food and Drug Administration. Accessed April 16, Department of Health and Human Services and U. Department of Agriculture. Interactive Nutrition Facts label: Monounsaturated and polyunsaturated fats. Classification and diagnosis of diabetes: Standards of Medical Care in Diabetes — Products and Services Assortment of Health Products from Mayo Clinic Store A Book: The Essential Diabetes Book. See also A1C test Acanthosis nigricans Amputation and diabetes Atkins Diet Bariatric surgery Caffeine: Does it affect blood sugar? Can medicine help prevent diabetic macular edema? CBD safety Diabetes foods: Can I substitute honey for sugar? Medications for type 2 diabetes Types of diabetic neuropathy Does keeping a proper blood sugar level prevent diabetic macular edema and other eye problems? Prickly pear cactus Endoscopic sleeve gastroplasty Endoscopic Sleeve Gastroplasty Gastric Sleeve Exercise and chronic disease Fasting diet: Can it improve my heart health? Fatigue Frequent urination Gastric bypass Roux-en-Y Gastric Bypass Complications Gastric bypass diet Gastric Bypass Surgery: One Patient's Journey GLP-1 agonists: Diabetes drugs and weight loss Glucose tolerance test Weight-loss surgery Hyperinsulinemia: Is it diabetes? What is insulin resistance? A Mayo Clinic expert explains Intermittent fasting Kidney disease FAQs Living with diabetic macular edema Low-glycemic index diet Reducing your risks of diabetic macular edema Screening for diabetic macular edema: How often? Spotting symptoms of diabetic macular edema Symptom Checker Type 2 diabetes Unexplained weight loss Biliopancreatic diversion with duodenal switch Weight Loss Surgery Options What is diabetic macular edema? Show more related content. Mayo Clinic Press Check out these best-sellers and special offers on books and newsletters from Mayo Clinic Press. Mayo Clinic on Incontinence - Mayo Clinic Press Mayo Clinic on Incontinence The Essential Diabetes Book - Mayo Clinic Press The Essential Diabetes Book Mayo Clinic on Hearing and Balance - Mayo Clinic Press Mayo Clinic on Hearing and Balance FREE Mayo Clinic Diet Assessment - Mayo Clinic Press FREE Mayo Clinic Diet Assessment Mayo Clinic Health Letter - FREE book - Mayo Clinic Press Mayo Clinic Health Letter - FREE book. ART Home Diabetes prevention 5 tips for taking control. Show the heart some love! Give Today. Help us advance cardiovascular medicine. Find a doctor. Explore careers. Sign up for free e-newsletters. About Mayo Clinic. About this Site. Contact Us. Health Information Policy. Media Requests. News Network. Price Transparency. Medical Professionals. Back to Living Real Change Sign up to receive the Living Real Change Newsletter. Sign up to receive the Living Real Change Newsletter First Name Last Name Email Address Birthdate. Zip Code. Natural ways to balance your blood sugar. Signs of high blood sugar The following can lead to high blood sugar: Eating a lot of carbohydrates or sugary foods. Not exercising enough. Not getting enough sleep. Certain illnesses, injuries or infections. Specific medications, like steroids. Low blood sugar can be caused by: Not eating enough. Drinking too much alcohol without eating. Certain liver and kidney conditions. Overproduction of insulin in the body. Hormone deficiencies. To maintain healthy blood sugar levels, Beal recommends to: Exercise regularly. Share this story. Download the app today! Living Real Change. Physician's Name. You also can use measuring cups or a scale to help make sure you get the right portion sizes. Balance your meals and medicines. If you take diabetes medicine, it's important to balance what you eat and drink with your medicine. Too little food in proportion to your diabetes medicine — especially insulin — can lead to dangerously low blood sugar. This is called hypoglycemia. Too much food may cause your blood sugar level to climb too high. This is called hyperglycemia. Talk to your diabetes health care team about how to best coordinate meal and medicine schedules. Limit sugary drinks. Sugar-sweetened drinks tend to be high in calories and low in nutrition. They also cause blood sugar to rise quickly. So it's best to limit these types of drinks if you have diabetes. The exception is if you have a low blood sugar level. Sugary drinks can be used to quickly raise blood sugar that is too low. These drinks include regular soda, juice and sports drinks. Exercise is another important part of managing diabetes. When you move and get active, your muscles use blood sugar for energy. Regular physical activity also helps your body use insulin better. These factors work together to lower your blood sugar level. The more strenuous your workout, the longer the effect lasts. But even light activities can improve your blood sugar level. Light activities include housework, gardening and walking. Talk to your healthcare professional about an exercise plan. Ask your healthcare professional what type of exercise is right for you. In general, most adults should get at least minutes a week of moderate aerobic activity. That includes activities that get the heart pumping, such as walking, biking and swimming. Aim for about 30 minutes of moderate aerobic activity a day on most days of the week. Most adults also should aim to do strength-building exercise 2 to 3 times a week. If you haven't been active for a long time, your healthcare professional may want to check your overall health first. Then the right balance of aerobic and muscle-strengthening exercise can be recommended. Keep an exercise schedule. Ask your healthcare professional about the best time of day for you to exercise. That way, your workout routine is aligned with your meal and medicine schedules. Know your numbers. Talk with your healthcare professional about what blood sugar levels are right for you before you start exercise. Check your blood sugar level. Also talk with your healthcare professional about your blood sugar testing needs. If you don't take insulin or other diabetes medicines, you likely won't need to check your blood sugar before or during exercise. But if you take insulin or other diabetes medicines, testing is important. Check your blood sugar before, during and after exercise. Many diabetes medicines lower blood sugar. So does exercise, and its effects can last up to a day later. The risk of low blood sugar is greater if the activity is new to you. The risk also is greater if you start to exercise at a more intense level. Be aware of symptoms of low blood sugar. These include feeling shaky, weak, tired, hungry, lightheaded, irritable, anxious or confused. See if you need a snack. Have a small snack before you exercise if you use insulin and your blood sugar level is low. The snack you have before exercise should contain about 15 to 30 grams of carbs. Or you could take 10 to 20 grams of glucose products. This helps prevent a low blood sugar level. Stay hydrated. Drink plenty of water or other fluids while exercising. Dehydration can affect blood sugar levels. Be prepared. Always have a small snack, glucose tablets or glucose gel with you during exercise. You'll need a quick way to boost your blood sugar if it drops too low. Carry medical identification too. In case of an emergency, medical identification can show others that you have diabetes. It also can show whether you take diabetes medicine such as insulin. Medical IDs come in forms such as cards, bracelets and necklaces. Adjust your diabetes treatment plan as needed. If you take insulin, you may need to lower your insulin dose before you exercise. You also may need to watch your blood sugar level closely for several hours after intense activity. That's because low blood sugar can happen later on. Your healthcare professional can advise you how to correctly make changes to your medicine. You also may need to adjust your treatment if you've increased how often or how hard you exercise. Insulin and other diabetes medicines are designed to lower blood sugar levels when diet and exercise alone don't help enough. How well these medicines work depends on the timing and size of the dose. Medicines you take for conditions other than diabetes also can affect your blood sugar levels. Store insulin properly. Insulin that is not stored properly or is past its expiration date may not work. Keep insulin away from extreme heat or cold. Don't store it in the freezer or in direct sunlight. Tell your healthcare professional about any medicine problems. If your diabetes medicines cause your blood sugar level to drop too low, the dosage or timing may need to be changed. Your healthcare professional also might adjust your medicine if your blood sugar stays too high. Be cautious with new medicines. Talk with your healthcare team or pharmacist before you try new medicines. That includes medicines sold without a prescription and those prescribed for other medical conditions. Ask how the new medicine might affect your blood sugar levels and any diabetes medicines you take. Sometimes a different medicine may be used to prevent dangerous side effects. Or a different medicine might be used to prevent your current medicine from mixing poorly with a new one. With diabetes, it's important to be prepared for times of illness. When you're sick, your body makes stress-related hormones that help fight the illness. But those hormones also can raise your blood sugar. Changes in your appetite and usual activity also may affect your blood sugar level. Plan ahead. Work with your healthcare team to make a plan for sick days. Include instructions on what medicines to take and how to adjust your medicines if needed. Also note how often to measure your blood sugar. Ask your healthcare professional if you need to measure levels of acids in the urine called ketones. Your plan also should include what foods and drinks to have, and what cold or flu medicines you can take. Know when to call your healthcare professional too. For example, it's important to call if you run a fever over degrees Fahrenheit Keep taking your diabetes medicine. But call your healthcare professional if you can't eat because of an upset stomach or vomiting. In these situations, you may need to change your insulin dose. If you take rapid-acting or short-acting insulin or other diabetes medicine, you may need to lower the dose or stop taking it for a time. These medicines need to be carefully balanced with food to prevent low blood sugar. But if you use long-acting insulin, do not stop taking it. During times of illness, it's also important to check your blood sugar often. Stick to your diabetes meal plan if you can. Eating as usual helps you control your blood sugar. Keep a supply of foods that are easy on your stomach. These include gelatin, crackers, soups, instant pudding and applesauce. Drink lots of water or other fluids that don't add calories, such as tea, to make sure you stay hydrated. If you take insulin, you may need to sip sugary drinks such as juice or sports drinks. These drinks can help keep your blood sugar from dropping too low. It's risky for some people with diabetes to drink alcohol. Alcohol can lead to low blood sugar shortly after you drink it and for hours afterward. The liver usually releases stored sugar to offset falling blood sugar levels. But if your liver is processing alcohol, it may not give your blood sugar the needed boost. |
| 8 Ways to Lower Your Blood Sugar | Grady Health | Show it to your health care hfalth. Men should have no more Blood sugar control for better health two drinks a day. Wait Sun protection 15 betyer and then check your blood sugar again. Nutrition overview. Kefir and yogurt. A balanced diet goes a long way toward controlling blood sugar. Use the card at the back of this booklet to keep a record of your diabetes care. |
| Get Active! | Find answers below to common questions about blood sugar for people with diabetes. Use a blood sugar meter also called a glucometer or a continuous glucose monitor CGM to check your blood sugar. A blood sugar meter measures the amount of sugar in a small sample of blood, usually from your fingertip. A CGM uses a sensor inserted under the skin to measure your blood sugar every few minutes. How often you check your blood sugar depends on the type of diabetes you have and if you take any diabetes medicines. A blood sugar target is the range you try to reach as much as possible. These are typical targets:. Your blood sugar targets may be different depending on your age, any additional health problems you have, and other factors. Be sure to talk to your health care team about which targets are best for you. Low blood sugar also called hypoglycemia has many causes, including missing a meal, taking too much insulin, taking other diabetes medicines, exercising more than normal, and drinking alcohol. Know what your individual symptoms are so you can catch low blood sugar early and treat it. Low blood sugar can be dangerous and should be treated as soon as possible. Driving with low blood sugar can be dangerous, so be sure to check your blood sugar before you get behind the wheel. Carry supplies for treating low blood sugar with you. If you feel shaky, sweaty, or very hungry or have other symptoms, check your blood sugar. Wait for 15 minutes and then check your blood sugar again. If you have problems with low blood sugar, ask your doctor if your treatment plan needs to be changed. Many things can cause high blood sugar hyperglycemia , including being sick, being stressed, eating more than planned, and not giving yourself enough insulin. Over time, high blood sugar can lead to long-term, serious health problems. Symptoms of high blood sugar include:. If you get sick , your blood sugar can be hard to manage. You may not be able to eat or drink as much as usual, which can affect blood sugar levels. High ketones can be an early sign of diabetic ketoacidosis, which is a medical emergency and needs to be treated immediately. Ketones are a kind of fuel produced when fat is broken down for energy. When too many ketones are produced too fast, they can build up in your body and cause diabetic ketoacidosis, or DKA. DKA is very serious and can cause a coma or even death. Common symptoms of DKA include:. If you think you may have DKA, test your urine for ketones. Follow the test kit directions, checking the color of the test strip against the color chart in the kit to see your ketone level. If your ketones are high, call your health care provider right away. DKA requires treatment in a hospital. Talk to your doctor about how to keep your blood sugar levels within your target range. Your doctor may suggest the following:. Carbs in food make your blood sugar levels go higher after you eat them than when you eat proteins or fats. Ask what your results mean. Write down the date and time of your next visit. Use the card at the back of this booklet to keep a record of your diabetes care. If you have Medicare, check your plan. Then, write down the date and results for each test or check-up you get. Take this card with you on your health care visits. Show it to your health care team. Talk about your goals and how you are doing. This card has three sections. Each section tells you when to check your blood sugar: before each meal, 1 to 2 hours after each meal, and at bedtime. Each time you check your blood sugar, write down the date, time, and results. They may be different if you have other health problems like heart disease, or your blood sugar often gets too low. The U. This content is provided as a service of the National Institute of Diabetes and Digestive and Kidney Diseases NIDDK , part of the National Institutes of Health. NIDDK translates and disseminates research findings to increase knowledge and understanding about health and disease among patients, health professionals, and the public. Content produced by NIDDK is carefully reviewed by NIDDK scientists and other experts. Home Health Information Diabetes Diabetes Overview Managing Diabetes 4 Steps to Manage Your Diabetes for Life. English English Español. Step 2: Know your diabetes ABCs Step 3: Learn how to live with diabetes Step 4: Get routine care to stay healthy Things to remember My Diabetes Care Record: Page 1 My Diabetes Care Record: Page 2 Self Checks of Blood Sugar This publication has been reviewed by NDEP for plain language principles. Actions you can take The marks in this booklet show actions you can take to manage your diabetes. Step 1: Learn about diabetes. What is diabetes? There are three main types of diabetes: Type 1 diabetes — Your body does not make insulin. This is a problem because you need insulin to take the sugar glucose from the foods you eat and turn it into energy for your body. You need to take insulin every day to live. Type 2 diabetes — Your body does not make or use insulin well. You may need to take pills or insulin to help control your diabetes. Type 2 is the most common type of diabetes. Gestational jest-TAY-shun-al diabetes — Some women get this kind of diabetes when they are pregnant. Most of the time, it goes away after the baby is born. But even if it goes away, these women and their children have a greater chance of getting diabetes later in life. You are the most important member of your health care team. Some others who can help are: dentist diabetes doctor diabetes educator dietitian eye doctor foot doctor friends and family mental health counselor nurse nurse practitioner pharmacist social worker How to learn more about diabetes. Take classes to learn more about living with diabetes. To find a class, check with your health care team, hospital, or area health clinic. You can also search online. Join a support group — in-person or online — to get peer support with managing your diabetes. Read about diabetes online. Go to National Diabetes Education Program. Take diabetes seriously. Why take care of your diabetes? When your blood sugar glucose is close to normal, you are likely to: have more energy be less tired and thirsty need to pass urine less often heal better have fewer skin or bladder infections You will also have less chance of having health problems caused by diabetes such as: heart attack or stroke eye problems that can lead to trouble seeing or going blind pain, tingling, or numbness in your hands and feet, also called nerve damage kidney problems that can cause your kidneys to stop working teeth and gum problems Actions you can take Ask your health care team what type of diabetes you have. Step 2: Know your diabetes ABCs. A for the A1C test A-one-C. What is it? Why is it important? What is the A1C goal? B for Blood pressure. Blood pressure is the force of your blood against the wall of your blood vessels. What is the blood pressure goal? C for Cholesterol ko-LESS-tuh-ruhl. There are two kinds of cholesterol in your blood: LDL and HDL. What are the LDL and HDL goals? Actions you can take Ask your health care team: what your A1C, blood pressure, and cholesterol numbers are and what they should be. Your ABC goals will depend on how long you have had diabetes, other health problems, and how hard your diabetes is to manage. what you can do to reach your ABC goals Write down your numbers on the record at the back of this booklet to track your progress. Step 3: Learn how to live with diabetes. Cope with your diabetes. Stress can raise your blood sugar. Learn ways to lower your stress. Try deep breathing, gardening, taking a walk, meditating, working on your hobby, or listening to your favorite music. Ask for help if you feel down. A mental health counselor, support group, member of the clergy, friend, or family member who will listen to your concerns may help you feel better. Eat well. Make a diabetes meal plan with help from your health care team. Choose foods that are lower in calories, saturated fat, trans fat, sugar, and salt. Eat foods with more fiber, such as whole grain cereals, breads, crackers, rice, or pasta. Choose foods such as fruits, vegetables, whole grains, bread and cereals, and low-fat or skim milk and cheese. Drink water instead of juice and regular soda. When eating a meal, fill half of your plate with fruits and vegetables, one quarter with a lean protein, such as beans, or chicken or turkey without the skin, and one quarter with a whole grain, such as brown rice or whole wheat pasta. Be active. Set a goal to be more active most days of the week. Start slow by taking 10 minute walks, 3 times a day. Twice a week, work to increase your muscle strength. Use stretch bands, do yoga, heavy gardening digging and planting with tools , or try push-ups. Stay at or get to a healthy weight by using your meal plan and moving more. |
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5 Best Morning Drinks For Diabetics Mayo Winter detox diets offers appointments conrrol Arizona, Florida cotrol Minnesota and at Mayo Bwtter Health System locations. Changing Blood sugar control for better health lifestyle could Energy-boosting exercises a big step toward diabetes Bloof Blood sugar control for better health healthh it's contrl too late to start. Consider these tips. Lifestyle changes can help prevent the onset of type 2 diabetes, the most common form of the disease. Prevention is especially important if you're currently at an increased risk of type 2 diabetes because of excess weight or obesity, high cholesterol, or a family history of diabetes. If you have been diagnosed with prediabetes — high blood sugar that doesn't reach the threshold of a diabetes diagnosis — lifestyle changes can prevent or delay the onset of disease.
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