Pre-diabetes patients have a 58% chance that their condition will not progress, Dr. Garcia Mateo

Lifestyle changes are necessary to prevent the condition from developing.

Dr. José García Mateo, Past President of the Puerto Rican Endocrinology and Diabetes Association. Photo: Journal of Medicine and Public Health. Fabiola Plaza.

In an exclusive interview with the Journal of Medicine and Public Health, the former president of the Puerto Rican Endocrinology and Diabetes Association, Dr. José García Mateo, noted that it is possible that a patient with type 2 diabetes may have gone through pre-processing diabetes, a fact that stands out. , because she considers it important to make the diagnosis at this stage for the benefit of the patient to avoid the development of the condition.

“We’re talking about interfering in Lifestyle change And some medications with which we can prevent diabetes, studies show that if lifestyle changes are made, the likelihood of developing diabetes is reduced by 58 percent,” said the specialist, who emphasized that this can only happen if The patient has prediabetes.

In this sense, Dr. García Mateo specified that walking every day for 30 minutes, improving and changing dietary habits with supervision Nutritionist and a step slower Between seven and ten percent, essential factors for improving the body’s response.

He noted that type 2 diabetes has genetic features that influence the development of this condition, especially when it is from the first family history, father, mother, siblings. “Type 2 diabetes is insulin resistance, the type with the highest number of patients in the world, reaching nearly 90 percent, as opposed to type 1 diabetes, which only affects 10 percent.”

He pointed out that the patient with type 2 diabetes is the one who has this resistance to insulin, and that he has passed the pre-diabetes stage, because the resistance is already so great that the pancreatic (beta) cells, which the body cannot produce. Insulin is not enough to counteract that resistance and the patient falls into diabetes.

“When a patient is diagnosed with type 2 diabetes, studies have calculated fifty to eighty percent of insulin secretion,” he said. Unlike type 1 diabetes, which is an autoimmune condition, in which antibodies are produced that go to pancreatic (beta) cells causing apoptosis and the patient cannot secrete insulin, and needs to take insulin.

The specialist indicated that diabetics do not show symptoms, but when they already have symptoms such as the constant desire to urinate, extreme thirst, blurred vision, and weight loss, which means that they are toxic symptoms of glucose and the patient needs immediate attention.

I remember that file Puerto Ricans are more populous of other races has diabetes, which puts it between 16 and 17 percent more than other non-Hispanic people,” and many stats take northern cities, so this is likely to be much higher than that. Hispanics have A mixture of different races such as Indigenous and African, which may increase the risk of insulin resistance.Also, that the Hispanic diet is high in carbohydrates, and that you tell them not to eat piono or cake at Christmas, because one of them as a specialist you have to strive to change patterns life “.

Dr. García Mateo highlighted the importance of monitoring the patient once diagnosed, due to the multiple complications that can occur due to diabetes, including cardiovascular problems and diabetic foot.

He stressed, “There are a lot of people who don’t know, so it’s important to let them know, not only among doctors, but in patients with related conditions, to seek help, even stable patients. And they should also pay attention.”

Finally, he pointed out that to be diabetic, you must have problems with insulin, most of which are insulin deficiency or insulin resistance, that is, the body cannot use glucose properly.

“Insulin is a hormone that acts as a key to help the body get glucose into the body, so if glucose remains in the body without doing its job, it causes complications in proteins and tissues, both the small blood vessels and the large blood vessels,” he concluded.

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