Diabesity

New research sends a stark warning to overweight teens: If you develop diabetes, you’ll have a very tough time keeping it under control.

Studies released tested several ways to manage blood sugar in teens newly diagnosed with diabetes and found that nearly half of them failed within a few years and 1 in 5 suffered serious complications. The results spell trouble for a nation facing rising rates of “diabesity” — Type 2 diabetes brought on by obesity.
The federally funded study is the largest look yet at how to treat diabetes in teens. Earlier studies mostly have been in adults, and most diabetes drugs aren’t even approved for youths. The message is clear: Prevention is everything!!!
“Don’t get diabetes in the first place,” said Dr. Phil Zeitler of the University of Colorado Denver, one of the study leaders.
A third of American children and teens are overweight or obese. They are at higher risk of developing Type 2 diabetes, in which the body can’t make enough insulin or use what it does make to process sugar from food. Until the obesity epidemic, doctors rarely saw children with Type 2 diabetes. The more common kind of diabetes in children is Type 1, which used to be called juvenile diabetes.
Doctors usually start Type 2 treatment with metformin, a pill to lower blood sugar. If it still can’t be controlled, other drugs and daily insulin shots may be needed. The longer blood sugar runs rampant, the greater the risk of suffering vision loss, nerve damage, kidney failure, limb amputation — even heart attacks and strokes.
Education, weight management thru diet and exercise and early detection are the best weapons against Type 2 diabetes in teenagers.

Running Shoes

As a Podiatrist and a runner, I have many patients asking me “what are the best running shoes?” For years I would recommend supportive running shoes such as Asics, Nike, or Mazzunos. I was then asked about barefoot running and minimalist shoes. I did some research and at first I thought to myself, “no way, I have flat feet and I need support” but the more I researched, the more I was intrigued to try them. Before I tell you how I feel about minimalist shoes, here is what I found:
Barefoot running is running while barefoot—without wearing any shoes on the feet. Running in thin-soled shoes is often called minimalist running.  Running in modern running shoes is quite different from barefoot running/minimalist running.
The human biomechanics ( the way that we walk or run) of our entire body is involved in natural walking and running.  This is a very complex process.  Running in supportive shoes is quite different from that of barefoot running or running in minimalist shoes. In barefoot or minimalist shoes, a runner tends to land their feet upon the outer(lateral) part of the forefoot, rolling in, allowing the heel to drop, then push off with the forefoot and/or lift with the leg.  Running in padded or supportive shoes typically alters this pattern, making one more prone to land on one’s heel first and then roll onto the forefoot. Running shoes feature cushioning, elevated heels and extra weight. These factors cause most runners to heel strike (heel hitting first).  Causing problems such as mine, plantar fasciitis.
Proponents of the barefoot movement argue that barefoot running is healthier for feet and reduces risk of chronic injuries, notably repetitive stress injuries due to the impact of heel striking in padded running shoes in addition to other purported benefits.   It is thought that in forefoot or midfoot strike the runner lands on the ball of the foot.  The ball of the foot strikes the ground below the fourth and fifth metatarsal and the heel may or may not brush the ground.  Less of the body comes to a stop at impact, and there is more bounce and less impact radiating to the knees, hips and back than in heel striking.
Now, I don’t recommend them for everyone nor do I think supportive shoes should not be worn. I do not recommend them for uncontrolled diabetics or for people with certain foot deformities.  Minimalist shoes take a while to get used to and you have to use them gradually.   My experience with minimalist shoes such as the Vibram shoes has been good.   I no longer have plantar fasciitis and my knees don’t hurt while I’m running but when I walk, weight lift, and when at work, I use my supportive shoes with my orthotics.  Recent anecdotal studies have shown possible stress fractures.  However, more research needs to be done to show that minimalist shoes are the acctual cause.
If you are wondering if you are a good candidate for minimalist shoe come and see us at FAST.