How to Prevent (or Reverse) Diabetes

所在平台: Udemy

课程主页: https://www.udemy.com/course/lifestyle-strategy-for-preventing-and-reversing-diabetes/

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课程名称:如何预防(或逆转)糖尿病 概述:你知道吗,超过三分之一的美国成年人拥有前驱糖尿病,而糖尿病的发病率在过去一个世纪中增加了十倍。糖尿病的诊断是通过测试血液中的糖化血红蛋白(A1c%)来确定的。糖尿病是西方饮食导致的疾病,在传统文化中几乎不存在。导致前驱糖尿病和糖尿病疫情加重的原因主要与我们所摄入的食物、生活中的压力以及我们的活动量有关。如果你的糖化血红蛋白水平达到5%或以上,你的前驱糖尿病和糖尿病进展的风险以及早逝的风险都会增加。在本课程中,来自旧金山的全科医生科亨博士将与您分享基于证据的方法,帮助您通过生活方式的改变来预防和逆转糖尿病。这一过程首先关注焦虑、抑郁、孤独和社会隔离等因素,这些都导致慢性压力的产生,进而激活交感神经系统,释放皮质醇和肾上腺素,形成所谓的“战斗或逃跑”反应。皮质醇会提高血糖水平,因此解决导致压力的因素是第一步。接下来我们将关注睡眠问题,足够的睡眠对每个人都至关重要,而在美国,约有三分之一的人面临睡眠不足的问题。

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Did you know that more than 1 in 3 U.S. adults has pre-diabetes, and the prevalence of diabetes has increased 10-fold in the past century. The diagnosis of diabetes is determined by a blood test measuring hemoglobin A1c%. Diabetes is one of the disease of Western diet, virtually non-existent in traditional cultures. The causes of the worsening epidemic of prediabetes and diabetes come down to the food we eat, the stress in our lives, and how active we are. If your hemoglobin A1c is 5% or greater you are at increased risk of progression to prediabetes and diabetes, and at increased risk of premature death.In this course, Dr. Cohen, a primary care physician in downtown San Francisco, shares with you an evidence based approach to making lifestyle changes to prevent and reverse diabetes. It starts with addressing anxiety, depression, loneliness, and social isolation. These factors contribute to chronic stress, and the chronic activation of our sympathetic nervous system which pumps out cortisol and adrenalin in what is called the fight or flight response. Cortisol raises blood sugar levels so addressing factors that are contributing to stress is the first step.Next, we turn to sleep. Insufficient sleep affects 1 in 3 Americans.

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