How to prevent Diabetes?

['Ehendu ko kuatiarogue']

Mba'éicha ikatu ojehapejoko diabetes?

1. Toñeñangareko peteĩ peso hesãiva rehe: Pe sobrepeso térã obesidad ha'e peteĩ factor de riesgo tuicháva diabetes tipo 2 ojehupyty hag̃ua.

Emboguejýramo nde retepy reguerekóramo tetepy ipohyietereíva ikatuha sa'ive ndejoko.

2. Eipuru peteĩ tembi'u hesãiva: Eiporavo peteĩ tembi'u hetáva tahýi, yva, ka'avo, proteína michĩva ha kamby rypy'a'ỹ.

Emboyke hi'upy oñembosako'íva, umi yva he'ẽ jukýva ha umi mba'e rykue.

3. Ñañemongu'e tapiaite: Ñañemongu'e 30 aravo'i rupi heta ára pukukue, taha'e jeguata pya'e.

Ñañemongu'e tapiaite ikatu nepytyvõ reguereko hag̃ua peteĩ peso hekopete ha emomorãve hag̃ua insulina-pe ñeñandu.

4. Eñehaʼã ehecha nde ruguype oĩpa azúcar: Oiméramo nde ereko prediabetes térã ikatuha voi ndegusta pe diabete, eñehaʼã vaʼerã rehecha mbaʼéichapa oĩ nde ruguype.

5. Epytu'u porã: Umi jepokuaavai ake rehegua ikatu ombohetave hína nde riesgo reguereko hag̃ua diabetes.

Eñeha'ãke reke porã 7 térã 8 aravo'i rupi.

6. Emoĩporã apañuãi: Pe apañuãi guasu ikatu ombohetave riesgo oguerekóva nde rehe diabetes.

Eñehaʼã eñehaʼã nde voi ani hag̃ua ndepochy rei.

7. Emoĩ sa'ive alcohol: alcohol je'u heta ikatu ombohetave riesgo oguerekóva nde rehe diabetes.

Re'úramo, ejapo upéicha hekópe.

8. Anive eipuru: Eipuruitereíramo pe sigarrillo ikatu hína nde'apu'a hetave diabetes-gui ha ambue mba'asy reheguágui.

Anive hag̃ua eipuru pe sigarrillo ikatu hína omboguejy ndehegui ko mba'asy.

9. Eñepohano tapiaite: Eñepohano tapiaite nde pohanohára ndive ikatu nepytyvõ eikuaa hag̃ua mba'e mba'épa ikatu ome'ẽ ndéve mba'asy ha emoambue tekotevẽva ani hag̃ua nde rasy.

10. Ja'u pohã ñana oje'ehaguéicha: Oje'éramo ndéve re'u hag̃ua pohã ojejoko hag̃ua diabetes, taha'e metformina, eñeha'ã re'u pohã ñana upe pohãnohára he'iháicha.

11. Ehechava'erã suplemento: Oĩ suplemento, cromo, magnesio ha ácido alfa lipoico, ikatu oipytyvõ oñemomorãve hag̃ua insulina-pe ñeñandu ha omboguejykuaa riesgo oguerekóva huguyasukáva.

Eñe'ẽ pohãnohára ndive emoñepyrũ mboyve ko'ãichagua pohã.

12. Emboy'u heta y: Y heta je'u ikatu nepytyvõ reguereko hag̃ua peteĩ peso porã ha ani hag̃ua ndejapu.

13. Ani reguapy puku: aguapy puku ikatu ombohetave riesgo oguerekóva ndehegui diabetes.

Eñeha'ãke epu'ã ha eguata katuete ára pukukue.

14. Toñemoĩ vitamina D: Vitamina D sa'i rupi ikatu hina ojehupyty diabetes.

Eñeñangarekóke kuarahýre térã eipuru vitamina D oikotevẽramo.

15. Ejesareko porã tembi'u rehe: Ekaru mbeguekatu ha ejesareko ne ñembyahýi ha ne ryguasu rupi'áre ikatu nepytyvõ reguereko hag̃ua peteĩ peso hekopete ha emomichĩ hag̃ua nde riesgo reguereko hag̃ua diabetes.

16. Emboyke hi'upy oñembosako'íva: Hi'upy oñembosako'íva heta jey oguereko heta grasa naiporãiva, asuka ha sodio, ikatúva ombohetave riesgo oguerekóva ndehegui diabetes.

Eiporavo tembi'u he'ẽ, noñembohasáiva.

17. E'u hetave fibra: Peteĩ tembi'u oguerekóva heta fibra ikatu oipytyvõ tuguy asuka ñeñangarekorã ha omboguejy riesgo oguerekóva huguyasukáva.

Embojuaju heta yva, ka'avo ha mba'e he'ẽ ne rembi'úpe.

18. Toñemboyke so'o pytã ha so'o oñembosako'íva: Oje'e hetaiterei so'o pytã ha oñembosako'íva ikatuha oporombohasy diabetes-gui.

Iporãve reiporavo proteína ikangýva, ryguasu, ryguasu rupi'a térã tofu.

19. Ja'u té hovy: té hovy oguereko antioxidante ikatúva ñanepytyvõ ñande rete ombohovái porãve hag̃ua insulina-pe ha ani hag̃ua ñande rasy diabetes-gui.

20. Ehecha pohã ñana: Oĩ pohã ñana, gimnema, fenogreco ha melón amargo, ikatu oipytyvõ tuguy asuka ñeñangarekorã ha omboguejy riesgo oguerekóva huguyasukáva.

Eñe'ẽ pohãnohára ndive reipuru mboyve pohã ñana.

21. Eñangarekóke nde rete pehẽnguére: Re'u heta ramo ikatu nde rete ojupi ha ikatu hína nde'ypy'a rasy.

Eñembokatupyryva'erã eipuru hag̃ua tembi'u michĩvéva ha eha'ã ne rembi'u.

222.- Emboyke umi bebida he'ẽ asukáva: Umi bebida he'ẽ asukáva, soda ha zumo de fruta

['Jehechapy']

PubMed/Medline https://www.nlm.nih.gov/databases/download/pubmed_medline.html

RefinedWeb https://arxiv.org/abs/2306.01116

Schwarz PE, Li J, Lindström J, Bergmann A, Gruhl U, Saaristo T, Tuomilehto J: How should the clinician most effectively prevent type 2 diabetes in the obese person at high risk? Curr Diab Rep. 2007, 7 (5): 353-62.

Ritchie ND, Kaufmann P, Sauder KA: Comment on Ely et al. A National Effort to Prevent Type 2 Diabetes: Participant-Level Evaluation of CDC's National Diabetes Prevention Program. Diabetes Care 2017;40:1331-1341. Diabetes Care. 2017, 40 (11): e161-e162.

Kawamori R: [Clinical trials to evaluate interventions aimed to prevent or delay the development of diabetes in high risk IGT]. Nihon Rinsho. 2004, 62 (6): 1158-63.

Ely EK, Gruss SM, Luman ET, Albright AL: Response to Comment on Ely et al. A National Effort to Prevent Type 2 Diabetes: Participant-Level Evaluation of CDC's National Diabetes Prevention Program. Diabetes Care 2017;40:1331-1341. Diabetes Care. 2017, 40 (11): e163.

Han S, Luo Y, Liu B, Guo T, Qin D, Luo F: Dietary flavonoids prevent diabetes through epigenetic regulation: advance and challenge. Crit Rev Food Sci Nutr. 2022, (): 1-17.

Hoskin MA, Bray GA, Hattaway K, Khare-Ranade PA, Pomeroy J, Semler LN, Weinzierl VA, Wylie-Rosett J: Prevention of Diabetes Through the Lifestyle Intervention: Lessons Learned from the Diabetes Prevention Program and Outcomes Study and its Translation to Practice. Curr Nutr Rep. 2014, 3 (4): 364-378.

Schwarz PE: 6th World Congress on Prevention of Diabetes and its Complications. Expert Rev Endocrinol Metab. 2010, 5 (4): 517-520.

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["Ko marandu oñeme'ẽva ndojeporúi va'erã ojeikuaa térã oñepohano hag̃ua peteĩ problema de salud térã mba'asy, ha umi tapicha ohekáva consejo médico ha'eñoháme oñe'ẽva'erã peteĩ pohanohára ikatupyrýva ndive."]

["Ejesareko ta'ãngamýi ñandutigua omoheñóiva mbohovái porandukuérape, noĩporãi ojeipapávo papapy rehegua, techapyrã, tapichakuéra hasýva peteĩ mba'asýpe."]

["Akóinte eheka ne pohãnohára térã ambue pohanohára ikatupyrýva ñe'ẽ peteĩ mba'asýpe. Ani araka'eve remboyke térã reha'arõ'ỹ rehekávo ñe'ẽ pohanohára ikatupyrýva ñe'ẽ remoñe'ẽre ko ñanduti rendápe. Reimo'ãramo ikatuha reikotevẽ peteĩ mba'e hasýva, ehenoikuaa 911 térã tereho pya'e tasyópe. Ko ñanduti renda térã ijeporu ndojapói mba'eveichagua pohanohára ha hasýva jokupyty. BioMedLib, imba'apohára térã oimeraẽ tapicha oipytyvõva ko ñanduti rendápe, nomboajéi mba'eve, he'íva térã he'iséva, marandu oĩva ko'ápe térã ijeporu."]

['Copyright: Copyright']

["Pe Digital Millennium Copyright Act of 1998, 17 U.S.C. § 512 (DMCA) ome'ẽ recurso umi copyright járape ogueroviáva umi mba'e ojehechaukáva Internet-pe opokovaiha iderecho rehe EE.UU. léi jehaiporãmby rehegua rupive. "]

["Rogueroviáramo añetehápe oimeraẽ mba'e térã tembiporu ojepurukuaáva ore ñanduti renda térã tembipurupyahu rupive opyrũha ne derécho rehe, nde (térã ne rembijokuái) ikatu oremondo peteĩ ñemomarandu ojerurévo ojeipe'a hag̃ua upe mba'e térã tembiporu, térã ojejokopa hag̃ua ijeike. "]

['Umi ñemomarandu oñemog̃uahẽva\'erã kuatia rupive, correo electrónico rupive (ojehecháta "Contacto" pe).']

["DMCA ojerure ne ñemomarandu rehe ejaposégui mba'evai ejaposéva rehe toike ko'ã mba'e: (1) tembiapo ojejaposéva rehegua ha'éva mba'evai; (2) jehaipy ha mba'ekuaarã ome'ẽva oréve jehaipyre ha'éva mba'evai ha ome'ẽva oréve pa'ũ rojuhu hag̃ua; (3) ne ñanduti veve, ne rendaite, ne pumbyry papapy ha ne ñanduti veve; (4) ñe'ẽme'ẽ erekóva rejeroviaha pe mba'evai ejaposéva rehe ndojeruréiha mba'evai apohára, imaranduhára térã léi."]

["5. peteî declaración nde rejapóva, remoîva nde réra ha remoîva'erâha nde jurúpe, umi mba'e oîva ñemomarandúpe oîmbaha añetehápe ha rerekoha pokatu remoañete haguâ umi derecho oje'éva nde rehe ojepoko vaiha;"]

["ha (6) peteĩ firma física térã electrónica copyright jára rehegua térã peteĩ tapicha omoneĩva oporoñemomba'e hag̃ua copyright jára rérape. "]

["Ndoikéi ramo opaite ko'ã mba'e ikatu ombohape nde denuncia ñemboguata."]

['Ñemboheraguapy']

["Remba'eporanduséramo térã ereko hag̃ua ne remiandu ehai oréve."]

How to prevent diabetes?

1. Maintain a healthy weight: Being overweight or obese is a major risk factor for developing type 2 diabetes.

Losing weight if you are overweight can significantly reduce your risk.

2. Eat a healthy diet: Choose a diet rich in whole grains, fruits, vegetables, lean proteins, and low-fat dairy products.

Limit your intake of processed foods, sugary drinks, and saturated fats.

3. Exercise regularly: Engage in at least 30 minutes of moderate-intensity physical activity, such as brisk walking, on most days of the week.

Regular exercise can help you maintain a healthy weight and improve insulin sensitivity.

4. Monitor your blood sugar levels: If you have prediabetes or are at high risk for developing diabetes, regular blood sugar monitoring can help you catch any changes early and make necessary lifestyle adjustments.

5. Get enough sleep: Poor sleep habits can increase your risk of developing diabetes.

Aim for 7-8 hours of quality sleep each night.

6. Manage stress: Chronic stress can increase your risk of developing diabetes.

Find healthy ways to manage stress, such as meditation, yoga, or exercise.

7. Limit alcohol intake: Excessive alcohol consumption can increase your risk of developing diabetes.

If you drink, do so in moderation.

8. Quit smoking: Smoking increases your risk of developing diabetes and other chronic health conditions.

Quitting smoking can help reduce your risk.

9. Get regular check-ups: Regular check-ups with your healthcare provider can help you monitor your risk factors and make necessary lifestyle changes to prevent diabetes.

10. Take medication as prescribed: If you have been prescribed medication to help prevent diabetes, such as metformin, make sure to take it as directed by your healthcare provider.

11. Consider supplements: Some supplements, such as chromium, magnesium, and alpha-lipoic acid, may help improve insulin sensitivity and reduce your risk of developing diabetes.

Talk to your healthcare provider before starting any supplements.

12. Stay hydrated: Drinking plenty of water can help you maintain a healthy weight and reduce your risk of developing diabetes.

13. Avoid sitting for long periods: Prolonged sitting can increase your risk of developing diabetes.

Make sure to get up and move around regularly throughout the day.

14. Get enough vitamin D: Low levels of vitamin D have been linked to an increased risk of developing diabetes.

Make sure to get enough sunlight exposure or take a vitamin D supplement if needed.

15. Practice mindful eating: Eating slowly and paying attention to your hunger and fullness cues can help you maintain a healthy weight and reduce your risk of developing diabetes.

16. Limit processed foods: Processed foods are often high in unhealthy fats, sugars, and sodium, which can increase your risk of developing diabetes.

Choose whole, unprocessed foods whenever possible.

17. Eat more fiber: A high-fiber diet can help improve blood sugar control and reduce your risk of developing diabetes.

Include plenty of fruits, vegetables, and whole grains in your diet.

18. Limit red and processed meats: High intake of red and processed meats has been linked to an increased risk of developing diabetes.

Choose lean proteins, such as chicken, fish, or tofu, instead.

19. Drink green tea: Green tea contains antioxidants that may help improve insulin sensitivity and reduce your risk of developing diabetes.

20. Consider herbal remedies: Some herbs, such as gymnema, fenugreek, and bitter melon, may help improve blood sugar control and reduce your risk of developing diabetes.

Talk to your healthcare provider before taking any herbal remedies.

21. Practice portion control: Eating large portions can lead to weight gain and increase your risk of developing diabetes.

Practice portion control by using smaller plates and measuring your food.

222. Limit sugary drinks: Sugary drinks, such as soda and fruit juice

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