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Diabetes Mellitus Guide
Diabetes mellitus is a group of diseases that share
a common characteristic: high levels of blood
glucose.
Diabetes mellitus can not be cured. Diabetes
mellitus Patients have no option but to learn to
live a restricted life with regular insulin intake.
Diabetes happens
when the body cannot produce enough insulin or when
the insulin that is produced in the pancreas cannot
work adequately. When diabetes is not well
controlled, it can cause serious complications and
premature death. However, the good news is that you
can control diabetes, and we are here to help you.
What is insulin?
Insulin is a hormone secreted by your pancreas and
its function is to regulate blood glucose levels.
Insulin works like a key to open the door of the
cells so glucose – the fuel you get from food - can
come inside and be converted into energy. Think of a
corridor full of doors. You need a key to unlock
each door so you can put glucose in each room. Well,
insulin is that key and if it is not produced in the
right amounts or if it cannot open the doors because
it is cracked, then glucose builds up in the blood
causing your blood sugar to go up. This is called
hyperglycemia (high levels of blood glucose) and is
the common manifestation of diabetes.
Type 1 diabetes
Type 1 diabetes was previously called insulin
dependent diabetes mellitus or juvenile diabetes.
Type 1 diabetes develops quickly, usually over a few
weeks, and symptoms are normally very obvious. Type
1 diabetes happens when the immune system of the
person, usually a child, destroys the beta cells in
the pancreas, which are responsible for making
insulin. This form of diabetes usually affects
children and young adults. Type 1 diabetes is
believed to account for 5% to 10% of all diagnosed
cases of diabetes. Risk factors for type 1 diabetes
may include autoimmune, genetic, and environmental
factors.
Type 2 diabetes
Type 2 diabetes was previously called
non-insulin-dependent diabetes mellitus (NIDDM) or
adult-onset diabetes. It develops slowly and the
symptoms are usually less severe than in people with
type 1 diabetes. Some people may not notice any
symptoms at all and are only diagnosed after a
routine medical check up. Type 2 diabetes affects
about 90% to 95% of all diagnosed people with
diabetes. It usually begins as insulin resistance, a
disorder in which the cells do not use insulin
properly. There is a state of hyperinsulinemia, that
is a high production of insulin to keep blood
glucose levels controlled. But insulin cannot work
correctly on the surface of the cells to allow
glucose to enter and be used or stored. This causes
high blood glucose levels. Type 2 diabetes is
associated with older age, obesity, family history
of diabetes, history of gestational diabetes,
physical inactivity, and race/ethnicity. African
Americans, Hispanic/Latino Americans, American
Indians, and some Asian Americans and Native
Hawaiians or Other Pacific Islanders are at high
risk. Type 2 diabetes is increasingly being
diagnosed in children and adolescents due to the
obesity epidemic we experience today.
Gestational diabetes
Gestational diabetes develops when a woman is
diagnosed with diabetes during pregnancy.
Gestational diabetes develops more frequently among
African Americans, Hispanic/Latino Americans, and
American Indians. It is also more common among obese
women and women with a family history of diabetes.
Pregnant women with diabetes must control their
blood glucose levels well to avoid complications
with the baby. Several studies have reported that
after pregnancy, 5% to 10% of women with gestational
diabetes are found to have type 2 diabetes. In
addition, women who have had gestational diabetes
have a 20% to 50% chance of developing diabetes in
the next 5-10 years.
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