Measuring the Risk of Type 2 Diabetes: Waist Measurement Is More Important Than Body Mass Index!

Measuring the Risk of Type 2 Diabetes: Waist Measurement Is More Important Than Body Mass Index! – For over 20 years, doctors and other diabetes experts have gauged the risk of developing Type 2 diabetes on the basis of the body mass index, also known as BMI. A better measure of the risk of Type 2 diabetes, however, turns out to be the waist circumference; how much fat there is over the belly and around the midriff.
The BMI is a relatively complicated measurement that relates height and weight. Besides being something most of us don’t have an intuitive feel for, it doesn’t take into account the fact that some people weigh more because they have more muscle. A person with well-developed muscles and a very low body fat may have a relatively high BMI.
This reality was the reason that researchers started testing the idea that waist measurements might be a better indicator of diabetes risk.
But there’s nothing in the research, unfortunately, that lets high-BMI individuals off the hook.
German researchers have found that people who are light enough to have a BMI between 20 and 25, but who have a sagging waistline, are just as much at risk for getting Type 2 diabetes as people who have a BMI between 25 and 30. People who have both a low BMI and a thin waistline, however, are still regarded as being at low risk for the disease.
Visceral Fat: The reason the waist measurement or waist circumference predicts problems in blood sugar control may be that visceral fat, the fat that is packed around the abdominal organs, obstructs critical circulation, while jiggly subcutaneous fat and “thunder thighs” at least do not interfere with circulation to the vital organs. The fat associated with Type 2 diabetes is also the fat most subject to inflammation and the most responsive to the “bad” fats and trans-fats in your diet.
Your waist measurement may be a nonscientific sign that you may be becoming insulin resistant, and that you may be on the track for one of the most overlooked indicators of Type 2 diabetes that is as significant as a blood test. Visceral fat is not just the roll of fat that circles your waist, or even subcutaneous fat. Visceral fat is considered to be an endocrine organ itself, and is a primary link to Type 2 diabetes and an agent for weight gain.
Visceral fat:
is made up of a specific type of body fat… adipose tissue which normally functions as a fuel storage tank
when you exercise you lose weight because you use stored fuel taken from adipose fat
few people with Type 2 diabetes do not have visceral fat
Watch Out for Your Expanding Waist Measurement: Your waist measurement will reveal your risk of visceral or belly fat. A waist measurement of 40 inches (102cm) plus for a male, and 34 inches (87cm) plus for a female, puts you in the high risk category. This extra fat, as well as being an indicator of insulin resistance, creates more stress on your heart. It is really important to lose this belly fat.