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Prevention

By Mayo Clinic staff

Type 1 diabetes can't be prevented. However, the same healthy lifestyle choices that help treat prediabetes, type 2 diabetes and gestational diabetes can help prevent them.

  • Eat healthy foods. Choose foods low in fat and calories. Focus on fruits, vegetables and whole grains. Strive for variety to prevent boredom.
  • Get more physical activity. Aim for 30 minutes of moderate physical activity a day. Take a brisk daily walk. Ride your bike. Swim laps. If you can't fit in a long workout, break it up into smaller sessions spread throughout the day.
  • Lose excess pounds. If you're overweight, losing even 5 percent of your body weight — for example, 10 pounds (4.5 kilograms) if you weigh 200 pounds (90.7 kilograms) — can reduce the risk of diabetes. To keep your weight in a healthy range, focus on permanent changes to your eating and exercise habits. Motivate yourself by remembering the benefits of losing weight, such as a healthier heart, more energy and improved self-esteem.

Sometimes medication is an option as well. Oral diabetes drugs such as metformin (Glucophage) may reduce the risk of type 2 diabetes — but healthy lifestyle choices remain essential.

References
  1. Masharani U. Diabetes mellitus & hypoglycemia. In: McPhee SJ, et al. Current Medical Diagnosis & Treatment 2010. New York, N.Y.: McGraw Hill Medical; 2010. http://www.accessmedicine.com/content.aspx?aID=15524. Accessed Nov. 19, 2010.
  2. Standards of medical care in diabetes — 2011. Diabetes Care. 2011;34(suppl):1.
  3. Diabetes overview. National Institute of Diabetes and Digestive and Kidney Diseases. http://diabetes.niddk.nih.gov/dm/pubs/overview/DiabetesOverview.pdf. Accessed Nov. 19, 2010.
  4. Diabetes mellitus (DM). The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/sec12/ch158/ch158b.html#sec12-ch158-ch158b-1105. Accessed Dec. 2, 2010.
  5. Knip M, et al. Dietary intervention in infancy and later signs of beta-cell autoimmunity. New England Journal of Medicine. 2010;363:1900.
  6. Am I at risk for type 2 diabetes? National Institute of Diabetes and Digestive and Kidney Diseases. http://diabetes.niddk.nih.gov/dm/pubs/riskfortype2/. Accessed Nov. 30, 2010.
  7. Diabetes and pregnancy. American College of Obstetricians and Gynecologists. http://www.acog.org/publications/patient_education/bp051.cfm?printerFriendly=yes. Accessed Dec. 2, 2010.
  8. Diagnosis and management of type 2 diabetes mellitus in adults. Bloomington, Minn.: Institute for Clinical Systems Improvement. http://www.icsi.org/diabetes_mellitus__type_2/management_of_type_2_diabetes_mellitus__9.html. Accessed Nov. 19, 2010.
  9. Burrows NR, et al. Incidence of treatment for end-stage renal disease among individuals with diabetes in the U.S. continues to decline. Diabetes Care. 2010;33:73.
  10. Zhang X, et al. Prevalence of diabetic retinopathy in the United States, 2005-2008. Journal of the American Medical Association. 2010;304:649.
  11. Matsuzaki T, et al. Insulin resistance is associated with the pathology of Alzheimer disease. Neurology. 2010;75:764.
  12. Giovanucci E, et al. Diabetes and cancer: A consensus report. CA: A Journal for Cancer Clinicians. 2010;60:1.
  13. Gestational diabetes. National Institute of Child Health and Human Development. http://www.nichd.nih.gov/health/topics/gestational_diabetes.cfm. Accessed Dec. 2, 2010.
  14. Stoner GD. Hyperosmolar hyperglycemic state. American Family Physician. 2005;71:1723.
  15. Church TS, et al. Effects of aerobic and resistance training on hemoglobin A1c levels in patients with type 2 diabetes. Journal of the American Medical Association. 2010;304:2253.
  16. McCulloch DK. Overview of medical care in adults with diabetes mellitus. http://www.uptodate.com/home/index.html. Accessed Nov. 19, 2010.
  17. Natural Medicines in the Clinical Management of Diabetes. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed Dec. 2, 2010.
  18. Standards of medical care in diabetes — 2011. Diabetes Care. 2011;34(suppl):1.
  19. Health care guideline: Routine prenatal Care. Bloomington, Minn.: Institute for Clinical Systems Improvement. 2010. http://www.icsi.org/prenatal_care_4/prenatal_care__routine__full_version__2.htm. Accessed Feb. 1, 2011.
  20. American College of Obstetricians and Gynecologists. Practice Bulletin. Clinical management guidelines for obstetrician-gynecologists. Number 30, September 2001 (replaces Technical Bulletin Number 200, December 1994). Gestational diabetes. Obstetrics and gynecology. 2001;98:525.
  21. Centers for Disease Control and Prevention, et al. Use of hepatitis B vaccine for adults with diabetes mellitus: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR Recommendations and Reports. 2011:60;1709.
DS01121 Jan. 25, 2012

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