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5) Exercise. Being sedentary and not exercising is a huge risk factor for diabetes. In fact, even for those who have already developed poor glucose tolerance, exercise greatly reduces their risk of diabetes. 
6) Green Leafy Vegetables. Scientists are not sure why, but green leafy vegetables reduced the risk of developing diabetes signficantly.  They suspected, however, that it may be a unique combination of antioxidants or phytochemicals in plants such as spinach.  CAUTION: Remember that spinach is one of the dirtier, i.e. pesticide-ridden crops and, therefore, is better bought organic.
7) Vitamin D. Keep your Vitamin D levels up. One recent study showed that 24% of study participants with low Vitamin D levels developed diabetes by ten years afterward, a very high percentage.  Yet another showed that the lowest Vitamin D levels can incur a 47% higher risk of developing prediabetes. 
8) Sitting. Research shows that every two hours per day that you spend sitting increases your risk of diabetes by 7%.  If you have a desk job or watch much TV - watch out!
9) Potassium. Potassium levels are strongly associated with the risk of developing diabetes in middle age.  In fact, there is a dose dependent risk, i.e. the lower the participant's potassium levels, the greater the likelihood of diabetes. Scientists have not verified that adding potassium through diet, which we recommend, or supplements is actually preventative, but it seems very likely to be the case.
10) Cokes and Sodas. Even one 12 oz. non-diet soda can substantially raise your risk of diabetes (by 15%).  Up that to two cokes per day and you increase your risk of diabetes and Metabolic Syndrome by 26% and 20%, respectively. 
11) Leucine / Branched Amino Acids (BCAA's). Leucine is the key amino in Brached Chain Amino Acids that bodybuilders and athletes consume the world over. Leucine has exhibited near miraculous powers in fighting insulin resistance and prediabetes in a number of studies. See my link on Branched Chain Amino Acids for more details.
Of course, a lot of guys in middle age and beyond have pre-diabetes and insulin resistance. With these come increased blood glucose levels and the possibility of slow long term tissue damage. Elevated blood sugar is hard on kidneys, eyes and dozens of other tissues around the body. So how do you protect yourself? Once again, the sulforaphane in brocolli comes to the rescue. This powerful phytochemical turns on genes that in turn pump out enzymes that protect your body from the damage of high blood sugar. 
And what do you do if you already have diabetes? Well, start by dropping any excess weight if you have any. No, it's not "too late" for you. One study showed that losing just 10% of body weight within a year gave participants much better control of their blood sugar. 
1) Population Health Metrics, 2009, 7:16, "Diabetes prevalence and diagnosis in the US states: analysis of health surveys"
2) Urol Clin North Am, 2005 Nov, 32(4):379-95, "Physiology of penile erection and pathophysiology of erectile dysfunction"
3) Diabetes Care, Apr 2003, 26(4)1093-1099, "Do Impotent Men With Diabetes Have More Severe Erectile Dysfunction and Worse Quality of Life Than the General Population of Impotent Patients?"
4) Eur Heart J, 2004, 25 (21):1861-1862, "The prevalence of abnormal glucose regulation in patients with coronary artery disease across Europe"
5) JAMA, 2001, 286(3), &qu5) JAMA, 2001, 286(3), "C-Reactive Protein, Interleukin 6, and Risk of Developing Type 2 Diabetes Mellitus"
6) Men's Health, Nov 2008, p. 40.
7) Diabetes Care, Sep 1994, 17(9):961-969, "Obesity, fat distribution, and weight gain as risk factors for clinical diabetes in men"
8) Diabetes Forecast, Nov 2008, p. 25.
9) Diabetes Care, April 1997, 20(4):537-544, "Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance. The Da Qing IGT and Diabetes Study"
10) BMJ, 2010; 341:c5306, "Is Nitrate the Answer?"
11) BMJ, 2010, 341:c4229, Published 19 August 2010, "Fruit and vegetable intake and incidence of type 2 diabetes mellitus: systematic review and meta-analysis"
12) WCIR 2010; Abstract, "Prospective risk of hyperglycemia in a South Florida population with low levels of vitamin D", http://www.medpagetoday.com/MeetingCoverage/WCIR/23202
13) Women's Health, Nov 2009, p. 133.
14) Arch Intern Med, 2010, 170(19):1745-1751, "Serum and Dietary Potassium and Risk of Incident Type 2 Diabetes Mellitus"
15) Men's Health, Nov 2008, p. 44.
17) Diabetes Care, online Oct. 27, 2010, 33(11), "Sugar-Sweetened Beverages and Risk of Metabolic Syndrome and Type 2 Diabetes"
18) Men's Health, Jul/Aug 2011, p.33.
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