Dr. Alex Jimenez, El Paso's Chiropractor
I hope you have enjoyed our blog posts on various health, nutritional and injury related topics. Please don't hesitate in calling us or myself if you have questions when the need to seek care arises. Call the office or myself. Office 915-850-0900 - Cell 915-540-8444 Great Regards. Dr. J

Diabesity

 

 

Diabesity is a term that ties diabetes type II and obesity. Is this the first time you’ve heard about this? I don’t think so. Unfortunately, diabetes prevalence has been on the rise, and it is estimated to be 171 million globally and projected to double this number in the year 2030. Diabesity, as we said before, is the ensemble of an excess of body weight, which will increase the amount of abdominal fat and, lastly, affect insulin resistance.

 

Diabetes

When we talk about a set of diseases that affect one patient, we must think about the risk that each one of them confers. A progressive multifactorial metabolic disease, characterized by hyperglycemia or high blood glucose and caused by insulin derangements, is what we know as Diabetes. Conversely, diabetes can cause serious complications that can lead to limb amputations caused by macrovascular and microvascular complications,

 

 

Diabesity is a term that ties diabetes type II and obesity. Is this the first time you’ve heard about this? I don’t think so. Unfortunately, diabetes prevalence has been on the rise, and it is estimated to be 171 million globally and projected to double this number in the year 2030. Diabesity, as we said before, is the ensemble of an excess of body weight, which will increase the amount of abdominal fat and, lastly, affect insulin resistance.

 

Diabetes

When we talk about a set of diseases that affect one patient, we must think about the risk that each one of them confers. A progressive multifactorial metabolic disease, characterized by hyperglycemia or high blood glucose and caused by insulin derangements, is what we know as Diabetes. Conversely, diabetes can cause serious complications that can lead to limb amputations caused by macrovascular and microvascular complications, cardiovascular disease or stroke, and renal disease.

 

Obesity

On the other hand, obesity has its own set of issues. Still, it has one extra component that we need to talk about: weight gain associated with excess fat that will commonly accumulate in the abdominal area. Excess weight is progressive, and it can be categorized in multiple ranges, the WHO classifies this issue using the Body Mass Index or BMI.

Nutritional Status Underweight Normal weight Pre-obesity (overweight) Obesity class I Obesity class II Obesity class III
BMI  kg/m2 below 18.5 18.5-24.9 25.0-29.9 30.0-34.9 35.0-39.9 Above 40

An excess of body weight has been linked to an imbalance between energy intake and energy expenditure. Hence, an unbalanced high-calorie diet with high sugar foods and no exercise are major key factors that will facilitate extra weight that will escalate until we hit an overweight BMI and then obesity.

Nevertheless, obesity has its own complications: it increases diabetes, coronary heart disease, hypertension, hyperlipidemia, and certain cancers. Diabesity has been liked to chronic stress, increased states of inflammation, oxidative stress, and depression.

Monitoring and prevention

Diagnosis and treatment of diabesity involve the monitoring of blood glucose, measuring the amount of insulin produced by our b-cells in our pancreas, and medication such as insulin, insulin sensitizers (TZDs: rosiglitazone, pioglitazone), insulin secretagogues (sulphonylureas), and modulators of hepatic glucose production (metformin).

 

 

Furthermore, diet therapy and exercise are fundamental to the management of this disease. I don’t know if you notice, but the root cause of obesity (weight gain) is the lack of these two components. Hence, the need to start changing a sedentary lifestyle to an active one and increase those veggies in your diet!

Did you know? The US Diabetes Prevention Program showed that reducing 7% body weight through lifestyle changes like moderate physical activity and a calorie-reduced diet decreased the risk of progression and risk of developing diabetes type II.

How can I start reducing my risk or progression of diabesity? From Functional Medicine in Cleveland clinic, Dr. Mark Hyman establishes that optimal management of certain markers will promote better health.

Fasting blood glucose: This is a snapshot of your blood sugar in time. It may not be the best way to monitor our glucose since it’s better to correlate this measurement with HbA1C.

  • Normal 65-99 mg/dL
  • Optimal 70-80 mg/dL

Fasting insulin: Insulin is the hormone that leads our blood glucose to the cells to be metabolized and used for energy in our body. If insulin levels are high for a short period of time, there might be a chance that your blood glucose is not affected. Unfortunately, your blood glucose will be out of range when insulin levels have been on the rise for a prolonged time.

  • Normal: 2.6−24.9 μIU/mL
  • Optimal: <5 μIU/mL
  • Optimal 1 hour and 2 hours post sugar challenge: <30 μIU/mL

HbA1C: HbA1C is a measure that monitors the amount of glucose over a long period of time, 6 weeks.   

  • Normal 4.8% – 5.6% 
  • Optimal 4.8% – 5.5 %

Lastly, the best way to treat this epidemic disorder is to prevent it. Several authors recommend early screening at 30 years old when the patient is considered at risk: living a sedentary lifestyle and increased waist-to-hip ratio. A healthy lifestyle and monitoring should be installed as the primary line of treatment.

Farag, Youssef MK, and Mahmoud R. Gaballa. “Diabesity: an overview of a rising epidemic.” Nephrology Dialysis Transplantation 26.1 (2011): 28-35.

Colagiuri, Stephen. “Diabesity: therapeutic options.” Diabetes, Obesity, and Metabolism 12.6 (2010): 463-473.

Hyman, Mark. “Diabesity and prevention” Commune, 2020, https://www.onecommune.com/products/hacking-your-healthcare-with-dr-mark-hyman/categories/1666653/posts/5602690.

Again, I Welcome You 👊🏻.

Our Purpose & Passions: I am a Doctor of Chiropractic specializing in progressive, cutting-edge therapies and functional rehabilitation procedures focused on clinical physiology, total health, practical strength training, and complete conditioning. We focus on restoring normal body functions after neck, back, spinal and soft tissue injuries.

We use Specialized Chiropractic Protocols, Wellness Programs, Functional & Integrative Nutrition, Agility & Mobility Fitness Training and Rehabilitation Systems for all ages.

As an extension to effective rehabilitation, we too offer our patients, disabled veterans, athletes, young and elder a diverse portfolio of strength equipment, high-performance exercises and advanced agility treatment options. We have teamed up with the cities premier doctors, therapist and trainers to provide high-level competitive athletes the possibilities to push themselves to their highest abilities within our facilities.

We’ve been blessed to use our methods with thousands of El Pasoans over the last three decades allowing us to restore our patients’ health and fitness while implementing researched non-surgical methods and functional wellness programs.

Our programs are natural and use the body’s ability to achieve specific measured goals, rather than introducing harmful chemicals, controversial hormone replacement, un-wanted surgeries, or addictive drugs. We want you to live a functional life that is fulfilled with more energy, a positive attitude, better sleep, and less pain. Our goal is to ultimately empower our patients to maintain the healthiest way of living.

With a bit of work, we can achieve optimal health together, no matter the age or disability.

Join us in improving your health for you and your family.

It’s all about: LIVING, LOVING & MATTERING! 🍎

Welcome & God Bless

EL PASO LOCATIONS

Central:
6440 Gateway East, Ste B
Phone: 915-850-0900

East Side:
11860 Vista Del Sol, Ste 128
Phone: 915-412-6677

Clinic Location 1

Address: 11860 Vista Del Sol Dr Suite 128
El Paso, TX 79936
Phone
: (915) 412-6677
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Webwww.DrAlexJimenez.com

Clinic Location 2

Address: 6440 Gateway East, Building B
El Paso, TX 79905
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Clinic Location 3

Address: 1700 N Zaragoza Rd # 117
El Paso, TX 79936
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Address: 6440 Gateway East, Building B
El Paso, TX 79905
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: (915) 412-6677
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Address: 1700 E Cliff Dr
El Paso, TX 79902
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