Ann Blackford

Healthier Lifestyle, Not Surgery, is Safest Way to Control Diabetes

Published: Jan 8, 2013

<--break->

LEXINGTON, Ky. (Jan. 8, 2013) — The following column appeared in the Lexington Herald-Leader on Sunday, Jan. 7.

 

By Dr. L. Raymond Reynolds

 

Over the past year, news headlines have suggested that Type 2 diabetes and obesity can be safely “cured” by bariatric surgery.

 

Patients who undergo this surgery, which bypasses part or all of the stomach, typically lose weight rapidly and may no longer need diabetes medication when they leave the hospital.

 

Surgery, however, has its own risks, including a significant number of complications that require re-hospitalization. In addition, follow-up studies demonstrate that many patients regain weight and have a re-emergence of their diabetes.

 

Although we do not fully understand why blood sugars normalize so rapidly after bariatric surgery, a study presented at the 2012 Obesity Society International compared low-calorie dieting to surgery. The study found equivalent effects on insulin and blood sugar levels, suggesting that a dramatic drop in calorie intake is the initial key.

 

The focus of diabetes therapy is prevention:  Avoid or minimize the impact of damage to the eyes, kidneys, nerves and blood vessels. The usual therapeutic approach is to control blood sugars as much as is safely possible. This usually requires multiple medications and weight gain is a common side effect.

 

However, most people with Type 2 diabetes are already obese, and further weight gain as a result of well-intentioned therapy can increase psychological and physical distress. Weight gain means higher medication dosages and longer medication lists.

 

An estimated 70 million Americans have prediabetes, a condition marked by elevated blood sugar that can result eventually in diabetes. More than a decade ago, three landmark studies demonstrated that changes in diet and activity resulting in modest (5-7 percent) weight losses prevented diabetes in nearly 60 percent of those with prediabetes.

 

Of course, weight loss and maintenance seem to be unreachable goals for many people, especially those with diabetes. However, even modest reductions in calorie intake and increases in physical activity reduce blood sugars, resulting in lower medication requirements. A 20-minute walk after a meal can lower blood sugar by 30 percent compared to prolonged sitting.

 

Weight loss is the most powerful tool that we have against obesity-related diabetes, but success requires behavioral change that is difficult in our calorie-rich environment. Willpower alone cannot be depended upon. Our primitive ancestors programmed us with a survival gene that tells us: “Eat food within reach or you may starve.”

 

Behavioral change starts with goal-setting and establishing accountability. This usually requires a whole new set of skills, not easily acquired without coaching or professional assistance. Studies now show that participation in a weight-loss program can have long-lasting benefits and is cost-effective.

 

Those who are successful share some common behaviors: eating breakfast, self-monitoring weight, recording food intake, eating more fruits and vegetables, daily physical activity, and limited screen (computer/TV) time outside of work.

 

So if you have prediabetes or diabetes, consider making a commitment to embark on a healthier lifestyle to improve your well-being and reduce your medication needs. Discuss with your doctor a referral to a professional or program to provide proper guidance and supervision to acquire new skills necessary for success.

 

Dr. L. Raymond Reynolds is a professor of endocrinology and molecular medicine, and is clinical director of the Barnstable Brown Kentucky Diabetes and Obesity Center.

reynolds_raymond-white_coat.jpg
April
 
 
1
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
UK Baseball vs. Louisville
Kentucky Children's Garden Spring Break Special!
Pinterest Party #2
Tue
2
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
LNFS presents Ferris Bueller's Day Off
Men's Tennis vs. Illinois
UK Softball vs. Louisville
UK Men's Tennis vs. Northern Kentucky
Kentucky Children's Garden Spring Break Special!
Student Health Advisory Council Meeting
Best Practices for Tree Planting and Establishment Class 2
Selecting the Right Tree for Your Landscape Class 1
#TrendingTopics: It's Not Easy Being Green
Wed
3
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
UK Toastmasters
Kentucky Children's Garden Spring Break Special!
Thu
4
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
UK Softball vs. Texas A&M
UK Baseball vs. Florida
Kentucky Children's Garden Spring Break Special!
Creoles Topopholia
Religion & Politics in Anxious States
Exploring, Remixing, Analyzing: Teaching History with Digital Media
Cormac O'Grada - "The Nature of Famines"
"The Nature of Famines," Committee on Social Theory Public Lecture
Building a Rain Garden: Collaborative Effort with UK
Fri
5
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
UK Baseball vs. Florida
UK Softball vs. Texas A&M
Bluegrass Bazaar
Sat
6
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
UK Baseball vs. Florida
UK Softball vs. Texas A&M
Ride the Legacy
UK Men's Tennis vs. Vanderbilt
Sun
7
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
Boxes & Walls: Oppression through History
Mon
8
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
Explore Leadership Workshops
Boxes & Walls: Oppression through History
Job Club: Research Your Target Organization Before the Interview: What to Know and How to Find Out
#UK Kicks Butts Day
UK Softball vs. Wright State
Dine. Discover. Decide.: Connecting students to alumni in 3D!
Earth Days in the Bluegrass and the Late Night Film Series Present: Gasland Part II, A Bike-In Movie
UK Baseball vs. Morehead State
Student Sustainability Council Meeting
Tue
9
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
LNFS presents Fear and Loathing in Las Vegas
UK Men's Tennis vs. Ohio State
Boxes & Walls: Oppression through History
Wellness On Wheels
Get Your DIY On! Fix-It Station Demonstrations
Overview of Nursing Home Care
Spring (Bike) Fever Twitter Chat
UK Softball vs. Mississippi Valley
Best Practices for Tree Planting and Establishment Class 2
UK Men's Tennis vs. Morehead State
Wed
10
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
LNFS presents American Hustle
UK Toastmasters
Bike-Through Resource Fair
Undergraduate Research Group Advising Session: April General
Presentation by Ladino Rockstar, Sarah Aroeste
Mountain Biking for Beginners Clinic
LNFS presents The Mexican Suitcase
Mr. PharmD
Performance by Ladino Rockstar, Sara Aroeste
Thu
11
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
Last Day to Drop a Spring 2014 Course
LNFS presents Boogie Nights
Car-Free Day
What Are They? Some Hidden Forms of the Copula in Old Irish
UK Men's Tennis vs. South Carolina
UK Baseball vs. Missouri
LNFS presents Loose Cannons
Fri
12
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
UK Baseball vs. Missouri
UK Men's Golf Bluegrass Invitational
Arboretum Volunteer Training and Orientation
Taste of Africa
Dramatic Presentation -"Las Voces de los Apalaches"
Swing Dancing!
Sat
13
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
UK Baseball vs. Missouri
UK Men's Golf Bluegrass Invitational
UK Men's Tennis vs. Florida
UK Men's Tennis vs. Murray State
Sun
14
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
Therapeutic Chair Massage
Mon
15
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
Superheroes On and Off the Page
Parenting Connection Group
Farmer's MarCat & Craft Fair
Student-Teacher-Student Exhibit
Tue
16
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
LNFS presents Blue Velvet
Inequality in the US: Consequences
Reframing Stress: Do You Know Your Choices?
Best Practices for Tree and Shrub Pruning Class 3
Cooking Class: For True Beginners
Pinterest Party #3
Wed
17
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
LNFS presents Anchorman 2
UK Toastmasters
Virtual Dementia Tour
Children at Risk Research Conference Keynote Address: Gender, Sexuality, & Risks for Violence among Young Women and LGBTQ Youth in Urban Communities
OUTspoken: Leaving the Second Closet Behind
LNFS presents Easy Rider
Thu
18
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
Children at Risk Graduate Student Research Poster Presenatation
20th Annual Black Women's Conference
Children at Risk Research Conference Speaker: Why Do Home and Neighborhood Issues Become School Safety Nightmares?
The Re-enchantment of Photography as a Primanry Geographic Mapping Medium
The Re-enchantment of Photography as a Primanry Geographic Mapping Medium
UK Softball vs. Arkansas
Fri
19
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
20th Annual Black Women's Conference
UK Softball vs. Arkansas
UK Track and Field Home meet
Unleash the Beast: Paintball Wars
Sat
20
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
Sun
21
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
Distinguished Industry Lecture Series, H. Graham Motion and Bruce “Buck” Davidson, Jr.
Mon
22
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
Explore Leadership Workshops
Job Club: Tighten Your Budget after a Job Loss
‘Project Learning Tree’ Workshop for Educators
Drug War Talk by Anthropologist Howard Campbell
Student Sustainability Council Meeting
Tue
23
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
LNFS presents The Lego Movie
Registration Deadline: Weight Loss Matters
Legacy Week: Ping Pong Ball Drop
Health Smart: Mindfulness
Pre-Pharmacy Club Meeting
IPM (Integrated Pest Management) and Tree Healthcare Class 4
Shuffle Series: Bluegrass
Wed
24
Exhibit: Fauna of Mexico
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
LNFS presents The Hobbit: Desolation of Smaug
UK Toastmasters
Wellness On Wheels
LNFS presents Juno
Legacy Week: Candlelight Ceremony
Thu
25
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
Exhibit: Fauna of Mexico
LNFS presents The Brave Little Toaster
Bonfires of Illusions: the Twin Crises of the Liberal World
Arbor Day Volunteer Orientation and Training
Alex Callinicos - "Bonfires of Illusions: The Twin Crises of the Liberal World
LNFS presents Pariah
UK Theatre presents "Joseph and the Amazing Technicolor Dreamcoat"
Color Me Spring Fashion Show
Fri
26
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
Legacy Week: Leave Your Legacy
Arbor Day at The Arboretum
UK Theatre presents "Joseph and the Amazing Technicolor Dreamcoat"
Sat
27
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
UK Theatre presents "Joseph and the Amazing Technicolor Dreamcoat"
UK Wind Symphony Concert
UK Symphony & Concert Band Concert
Sun
28
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
Mon
29
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
Politics in Mexico Today
Tue
30
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
EPIC Ministry Weekly Gathering
Relieving Stress Through Your Senses
Tree Identification Class 5
Massage on the Go #3
The Practicing Happiness Workbook - author presentation
Wed
 
 
 
Reset Page