American Idol's Randy Jackson Tells His Diabetes Story
Five years ago, American Idol's Randy Jackson was sitting pretty.
An acclaimed rock musician and record producer, he was about to rocket to fame as one of the judges on Fox television's soon-to-be monster hit American Idol.
Then he was blindsided with the diagnosis that he had type 2 diabetes.
Today, with his disease under control, Jackson wants to alert others to the threat of this often silent illness - and its potentially fatal link to heart disease.
"Diabetes snuck up on me," says Jackson. "I didn't know I had it, and it was a huge wake-up call to get my health together."
He has since lost 110 pounds and improved his diet. He also exercises regularly and monitors his diabetes with regular visits to his physician.
Diabetes affects about 21 million Americans, and almost one-third of those who have it do not know it, according to the American Heart Association (AHA).
Heart disease is the leading cause of death from type 2 diabetes - the most common form of the disease - so diagnosis and treatment carry a special urgency.
Dr. Stephen Clement, a diabetes specialist at Georgetown University Hospital says, "Heart disease is the number one complication of diabetes, but there is a big awareness issue.
"Patients think blindness, kidney problems, and amputations are the biggest complications of diabetes," he says. "But physicians know that of all those, heart disease is the most prevalent complication."
To clear up these misconceptions, Jackson has joined with the AHA and Takeda Pharmaceuticals North America in a program called The Heart of Diabetes.
With the launch this week of its own Web site, the initiative is designed to encourage people to pay attention to possible diabetes symptoms so that if they do have the disease, they can begin treating and managing it early, significantly reducing their risk for cardiovascular disease.
"There is no cure for diabetes, but you can manage and control it," says Jackson.
Jackson knew that diabetes ran in his family, but he never thought he would get it - until his health faltered.
"I was feeling tired and dehydrated," he says. "I could not get enough to drink. I felt like I had a cold." So, he went to his physician thinking he had a stress-related illness.
He was shocked to learn he had type 2 diabetes and began immediate treatment to lose weight and adopt a healthier lifestyle - keys to managing diabetes.
His weight loss, which included gastric bypass surgery, combined with a healthier diet and regular exercise, as well as regular physician visits, has allowed him to control his diabetes.
On the IKnowDiabetes.org Web site that is part of the AHA campaign, Jackson talks about his diabetes and invites others with the disease to submit their own health stories.
Three people with type 2 diabetes who submit their stories to the site and whose experiences with the disease are inspiring to others will appear in a public service announcement with Jackson to publicize the importance of diagnosing and treating the disease.
"Everybody's struggle is different," he says. "Symptoms are a little different, and the Web site is a great information portal to log on to. Sharing stories will enlighten people."
Type 2 diabetes is the result of an insulin imbalance in the body, according to the AHA. Most of the food a person eats is turned into glucose, or sugar, that the body uses for energy.
Insulin, a hormone produced in the pancreas, is needed to usher glucose into the cells of the body. But when the body does not produce enough insulin or does not use it efficiently, sugar levels build up in the bloodstream.
These high sugar levels are the condition called diabetes, and high glucose levels in the bloodstream increase the risk for heart disease, says Dr. Clement.
Jackson's symptoms of fatigue and dehydration are very typical of people with diabetes, says Dr. Clement, adding that blurred vision can be another common complaint of undiagnosed diabetes.
Tests showing a high blood sugar level, high blood pressure, and a cholesterol profile that includes a high triglyceride count and a low HDL count can indicate diabetes.
Jackson adds that after his diagnosis, "the hardest thing to change was what I grew up with in Baton Rouge, Louisiana - southern cooking."
All the sweet foods he loves and southern classic dishes like gumbo are no longer part of his diet, replaced with healthier food and a treadmill in his bedroom.
"I need to see the treadmill in my bedroom so I can stumble over to it," he quips.
But Jackson urges people with diabetes to go at their own pace to improve his or her health - and not get discouraged.
"The thing about being overweight is that you don't really want to work out, so I tell people, 'Just walk around the block 12 times,' " he says.
Always consult your physician for more information.
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While losing weight is difficult for many people, it is even more challenging to keep weight off. Eighty percent to 85 percent of those who lose a large amount of weight regain it.
One theory about regaining lost weight is that people who decrease their caloric intake to lose weight experience a drop in their metabolic rate, making it increasingly difficult to lose weight over a period of months.
A lower metabolic rate may also make it easier to regain weight after a more normal diet is resumed. For these reasons, extremely low calorie diets and rapid weight loss are discouraged.
Losing no more than one to two pounds per week is recommended. Incorporating long-term lifestyle changes will increase the chance of successful long-term weight loss.
Weight loss to a healthy weight for a person’s height can promote health benefits such as lower cholesterol and blood sugar levels, lower blood pressure, less stress on bones and joints, and less work for the heart.
Thus, it is vital to maintain weight loss to obtain health benefits over a lifetime.
Keeping extra weight off requires effort and commitment, just as losing weight does. Weight loss goals are reached by changes in diet, eating habits, exercise, and, in extreme circumstances, surgery.
Support systems used effectively during weight loss can contribute to weight maintenance.
A study conducted by the National Weight Control Registry found people who lost weight and continued bi-monthly support group meetings for one year maintained their full weight loss. Study participants who did not attend support group meetings regained almost half of the weight.
Physical activity plays a vital role in maintaining weight loss. Studies show that even exercise that is not rigorous, such as walking and using stairs, has a positive effect. Activity that uses 1,500 to 2,000 calories per week is recommended for maintaining weight loss.
Diet and exercise are vital strategies for losing and maintaining weight. A study by the National Weight Control Registry found that nearly all of 784 study participants who had lost at least 30 pounds, and had maintained that loss for one year or longer, used diet and exercise to not only lose the weight, but also to maintain the weight loss.
Once the desired weight has been reached, the gradual addition of about 200 calories of healthy, low-fat food to daily intake may be attempted for one week to see if weight loss continues.
If weight loss does continue, additional calories of healthy foods may be added to the daily diet until the right balance of calories to maintain the desired weight has been determined. It may take some time and record keeping to determine how adjusting food intake and exercise levels affect weight.
Continuing to use behavioral strategies can help maintain weight. Be aware of eating as a response to stress and use exercise, activity, or meditation to cope instead of eating.
A return to old habits does not mean failure. Paying renewed attention to dietary choices and exercise can help sustain behaviors that maintain weight loss.
Identifying situations such as negative moods and interpersonal difficulties and incorporating alternative methods of coping with such situations rather than eating can prevent relapses to old habits.
Always consult your physician for more information.
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