Table of Contents
The skinny with ‘hidden fat’
Lean diabetes facts
Handling
Jakarta, goldensamoyed Indonesia
—
During this time,
type 2 diabetes
often associated with
obesity
.However, a different phenomenon has emerged in a number of Asian countries, because recently many thin people have apparently suffered from diabetes.
This condition is known as lean diabetes, a form of type 2 diabetes that occurs in individuals with normal weight, even those who tend to be thin.
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This phenomenon is receiving increasing attention because the number of diabetes sufferers continues to increase globally.Even though the body looks slim, people with lean diabetes usually have the same problems as type 2 diabetes sufferers in general, namely that the body lacks relative insulin and cannot use insulin optimally.
As a result, blood sugar levels increase and trigger diabetes.
The skinny with ‘hidden fat’
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HealthShots
, Lean diabetes is often found in individuals with a body mass index (BMI) below 25. However, their bodies store fat in unusual locations.
This fat is in the abdominal cavity, around vital organs such as the liver and pancreas, and accumulates in the muscles.This condition is known as thin-fat phenotype or metabolically obese normal weight, which looks thin in appearance, but is metabolically similar to obesity.
It is this ‘hidden’ fat distribution that increases insulin resistance and increases the risk of diabetes.In some cases, sufferers also have less muscle mass, a condition called sarcopenia.
Research shows this makes some lean diabetes sufferers need insulin therapy more quickly.
Lean diabetes facts
Although not as well known as type 2 diabetes which is related to obesity, research shows lean diabetes is quite common.It is estimated that one in three diabetes patients in big cities experiences this type.
Several factors that are thought to increase the risk include:
• History of malnutrition as a child
• Low socio-economic conditions
• Young age when diagnosed
• Certain genetic factors
Interestingly, people with lean diabetes often do not show symptoms of metabolic syndrome such as high blood pressure or abnormal cholesterol levels.However, the risk of complications is no less serious, including heart attacks, blood vessel disorders, and fatty liver diseases such as NAFLD and NASH.
Handling
Identifying lean diabetes is very important because treatment can be different from type 2 diabetes in general.If diabetes sufferers are usually advised to lose weight, this is not relevant for lean diabetes sufferers.
Instead, the key to managing this condition is:
• Regular exercise, especially resistance training such as lifting weights to increase muscle mass
• Regular physical activity, even if not accompanied by weight loss
• Certain drug therapy, such as insulin sensitizers, which help reduce insulin resistance
Physical exercise has been proven to increase insulin sensitivity, thereby helping the body make better use of blood sugar.
If you have a family history of diabetes, especially when it appears at a young age or occurs in thin individuals, there are several preventive steps you can take:
• Stay active
• Exercise regularly
• Maintain body weight within normal limits
• Do strength training to maintain muscle mass
• Eat a healthy and balanced diet
• Maintain a good sleep pattern
(tis/tis)
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