Diabesity is a term that describes the combined adverse effect of obesity and types 2 diabetes, conditions that are interconnected. The word "diabesity" was coined to describe the interrelationship between obesity and type 2 diabetes.
One of them almost always leads to the other. In fact, the Centers for Disease Control reports that about 90% of those who are obese will develop type 2 diabetes.
Whether you have heard the term "diabesity " or not, it's essential that you know how massive and tragic a problem diabesity is. Directly impacting more than a billion people worldwide, including 50 percent of Americans over 65, it is the largest health epidemic in human history, according to a 2017 report published in Clinical Diabetes and Endocrinology.
At the heart of diabesity is an elevated setpoint of weight and blood glucose. While researchers don't yet know why an elevated setpoint shows up first as type 2 diabetes in some people and as obesity in others, they do know when one shows up, the other is soon to follow.
Here's a brief explanation of how it works:
A diagnosis of type 2 diabetes means insulin and glucose are building up in your bloodstream, making it almost impossible for your body to burn stored fat for fuel.
That makes obesity almost inevitable. Similarly, a diagnosis of obesity means your brain, gut, hormones, or all of them, can't do their job of regulating weight. This leads to insulin and glucose building up in your bloodstream, which leads to type 2 diabetes.
So if your brain, gut, and/or hormones are not healthy, your setpoint will rise, and if nothing is done, you will be diagnosed with either obesity or type 2 diabetes. If nothing is done after that diagnosis, the other diagnosis will follow, and you will have diabesity.
Hormonal clog and elevated setpoint
If you've had trouble managing diabetes or losing weight and keeping it off, something we call a "hormonal clog" may be at work to keep your setpoint elevated. When you become hormonally clogged, your brain can no longer rely on signals from your hormones that would otherwise enable you to burn body fat automatically.
However, when you increase the quality of your eating, thinking, and moving, you can heal your hormones. You can "unclog" them and begin to lower your setpoint. Your body will then automatically burn body fat instead of storing it. It will work constantly to defend you against diabesity.
Food cravings and excessive consumption elevate setpoint
Do you ever notice that when you're stressed, your food cravings are never for broccoli, spinach, tomatoes, or carrots? That's because emotional eating always involves "comfort foods," such as pizza, doughnuts, chips, french fries, ice cream, and other refined carbs. There is a physiological reason for that, and it involves hormones.
Stress triggers a release of the hormone cortisol, which in turn triggers a release of insulin to shuttle glucose into the cells for energy. As part of the "fight-or-flight response, this release of cortisol is necessary to help us escape a life-threatening situation. It is designed for short-term stress, and when the stress (the life-threatening event) has passed, cortisol levels return to normal, and the body relaxes.
The problem is that many people treat every problem as a life-threatening situation, and their bodies react accordingly. They live in a state of chronic stress. What does that mean for your diabesity, food cravings, and emotional eating? Well…
Your cortisol levels stay elevated. And because cortisol prompts the release of insulin, that hormone stays elevated, too, making it impossible for you to burn fat. This is terrible news for your body, your setpoint, and therefore your risk of Diabesity.
And there's more. Unlike physical stress causing you to "run for your life," psychological stress does not burn off any glucose. So now you've got a setpoint elevating trio of constantly elevated cortisol, high levels of insulin, and a surge of glucose circulating in your bloodstream.
The insulin resistance caused by cortisol triggers feedback to the brain indicating cells aren't getting their glucose, which leads to cravings for more glucose. Would you like to guess where you find the most glucose? That's right, in sugars and starches.
Do you know what makes weight loss nearly impossible? Intense sugar and starch cravings.
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