Type 1 Diabetes ? How This Type of Diabetes is Treated

Posted by admin on May 31st, 2009 | 0 comments

Read this article to know about Type 1 Diabetes Causes and Type 1 diabetes Treatment

We can call Type 1 diabetes an autoimmune disease in which the body destroys or damages insulin-producing beta cells in the pancreas. Once those cells are destroyed, they won’t ever create insulin again. This type of diabetes usually occurs under the age of 30 and often in childhood.

Type 1diabetes may also be known by a variety of other names, like insulin-dependent diabetes mellitus (IDDM), juvenile diabetes, brittle diabetes, sugar diabetes. Type 1 diabetes accounts for 5 to 10 percent of all identified cases of diabetes in the US.

Type 1 diabetes normally develops in children or young adults, but can found at any age. Type 1 diabetes can cause many problems. It is a life-long disorder that can happen in children or adults. It is a totally different disease than Type 2. Type 1 diabetes occurs normally in children, adolescents or young adults, and most often at puberty. This type of diabetes is also called insulin-dependent or juvenile diabetes.

Type 1 Diabetes symptoms:

Type 1 diabetes often appears abruptly. However, each individual may experience symptoms in a different way. Type 1 diabetes symptoms may include:

” high levels of sugar in the blood and urine when tested

” unusual thirst

” frequent urination

” extreme hunger but loss of weight

” unclear vision

” nausea and vomiting

” extreme weakness and tiredness

” bad temper and mood changes

In children, type 1 diabetes symptoms may be alike to those of having the flu.

Type 1 Diabetes Complications:

Type 1 diabetes can cause different problems, but there are three key complications:

1. Hypoglycemia (low blood sugar; also called an insulin reaction) occurs when blood sugar drops too low level.

2. Hyperglycemia (high blood sugar) occurs when blood sugar is too high, and can be an indication that diabetes is not well forbidden.

3. Ketoacidosis (diabetic coma) is loss of consciousness due to untreated diabetes.

Type 1 Diabetes Causes:

Type 1 diabetes is the result of the body’s failure to produce insulin, the hormone that allows glucose to enter the cells of the body to provide fuel. Insulin is a protein that is speedily broken down in the digestive area. In type 1 diabetes, the body can no longer create insulin, so the glucose can’t acquire into the body’s cells.

Although no one knows for certain why this occurs, scientists think it has something to do with genes. But just getting the genes for diabetes isn’t usually sufficient. A person most likely would then have to be exposed to something else – like a virus – to get Type 1 diabetes

It’s important to also be alert of the different myths that over the years have arise about the Type 1 diabetes causes. Eating sweets or the wrong kind of food does not cause diabetes but it can cause obesity which is the cause of Type 2 Diabetes.

Stress does not cause diabetes, although it may be a cause for the body turning on itself as in the case of Type 1 diabetes. It does, however, make the signs worse for those who already have diabetes.

Type 1 Diabetes Treatment:

Type 1 Diabetes Patient need to monitor and control their glucose levels. They need to:

” test blood sugar levels a few times a day by testing a small blood sample

” give themselves insulin injections or use an insulin pump

” eat a balanced, healthy diet and pay special attention to the quantities of sugars and starches in the food they eat and the timing of their meals

” get habitual exercise to help manage blood sugar levels and help avoid some of the long-term health problems that can cause diabetes like heart disease

Insulin therapy is the origin of type 1 diabetes treatment. When insulin was first discovered and made accessible for people with diabetes, there was only one type of fast-acting insulin and this required several injections in a day. Today, there are a variety of insulins that can be selected and/or combined to help you best control your diabetes.

Age and Diabetes Risk

Posted by admin on May 28th, 2009 | 0 comments

Diabetes is a disease in which the body does not produce or properly use insulin. Diabetes means a disease where people have too much sugar in their blood. The three main types of diabetes are type 1 diabetes , type 2 diabetes and gestational diabetes. Type 1 diabetes is an autoimmune disease. An autoimmune disease results when the body’s system for fighting infection (the immune system) turns against a part of the body. Symptoms of type 1 diabetes usually develop over a short period, although beta cell destruction can begin years earlier. Symptoms include increased thirst and urination, constant hunger, weight loss, blurred vision, and extreme fatigue. The most common form of diabetes is type 2 diabetes. About 90 to 95 percent of people with diabetes have type 2. This form of diabetes is associated with older age, obesity, family history of diabetes, previous history of gestational diabetes, physical inactivity, and ethnicity. About 80 percent of people with type 2 diabetes are overweight. The symptoms of type 2 diabetes develop gradually. Symptoms may include fatigue or nausea, frequent urination, unusual thirst, weight loss, blurred vision, frequent infections, and slow healing of wounds or sores.

Diabetes is not contagious. People cannot “catch” it from each other. About 3 to 8 percent of pregnant women in the United States develop gestational diabetes. The cause of diabetes continues to be a mystery, although both genetics and environmental factors such as obesity and lack of exercise appear to play roles. There are 20.8 million children in the United States, or 7% of the population, who have diabetes. While an estimated 14.6 million have been diagnosed with diabetes, unfortunately, 6.2 million people (or nearly one-third) are unaware that they have the disease. Diabetes mellitus is a disease where people have too much glucose (a kind of sugar) in the blood. Glucose level in the blood is controlled by several hormones. Hormones are chemicals in your body that send messages from cells to other cells. Insulin is a hormone made by the pancreas. Diabetes is likely to be underreported as the underlying cause of death on death certificates. About 65 percent of deaths among those with diabetes are attributed to heart disease and stroke.

Obesity is the single most important risk factor for type 2 diabetes. Between 80% and 90% of people with diabetes are overweight–that means they weigh at least 20% more than the ideal body weight for their height and build. More than 40 percent of people with diabetes have abnormal levels of cholesterol and similar fatty substances that circulate in the blood. These abnormalities appear to be associated with an increased risk of cardiovascular disease among persons with diabetes. Nearly 40 percent of the women who have diabetes during their pregnancy go on to develop type 2 diabetes later, usually within five to ten years of giving birth. Diabetes prevalence in the United States is likely to increase for several reasons. First, a large segment of the population is aging. Education is important for both types of diabetes. Diabetics must learn about diet. Diabetics must also be careful about exercise. Exercise is important to stay healthy. High Cholesterol or other fats in the blood and Impaired glucose tolerance or impaired fasting glucose can precede the development of type 2 diabetes.

Diabetes Treatment Tips

1. Medicines, diet, and exercise to control blood sugar and prevent symptoms and complications.

2. Type 1 diabetes mellitus is treated with insulin, exercise, and a healthy diet.

3. Type 2 diabetes mellitus is first treated with weight reduction, a healthy diet and regular exercise.

4. Gestational diabetes is treated with insulin and changes in diet.

5. Alcohol use Try to have no more than 7 alcoholic drinks in a week and never more than 2-3 in an evening.

6. Smoking: If you have diabetes, and you smoke cigarettes or use any other form of tobacco, you are raising your risks markedly for nearly all of the complications of diabetes.

7. Diet: A healthy diet is key to controlling blood sugar levels and preventing diabetes complications.

8. Drink extra fluids that do not contain sugar before, during, and after exercise.

How To Delay Or Avoid Type 2 Diabetes

Posted by admin on May 25th, 2009 | 0 comments

Diabetes is a disease caused by the inability of the body to properly produce insulin, a hormone that helps the body convert food to energy. In type 1 diabetes the body does not produce insulin at all. This type of diabetes is usually diagnosed during childhood. In type 2 diabetes the body does not produce enough insulin or it produces insulin which is ineffective in regulating the body’s blood sugar levels. This type of diabetes is usually diagnosed later in life and is commonly called adult onset diabetes.

Diabetes is an important health concern because incidence of the disease worldwide is increasing. It is also associated with other health risks and is expensive to treat and control. Also, diabetes is a major cause of death worldwide.

The number of cases of diabetes is increasing around the world. The incidence of diabetes in 1995 numbered about 135 million worldwide, about 4.0% of the population. Diabetes affected 170 million people in 2000 and is projected to affect about 300 million people by 2025, about 5.4% of the population. India, China, and the United States have the largest number of cases.

In a recent year direct medical expenses in the United States for diabetes totaled $92 billion, up from $44 billion five years earlier, according to the American Diabetes Association. Another $40 billion was spent on permanent disability expenses. Care for diabetes represents about 11% of the total health care expenditures in the United States. In 1997 annual health care costs for a person with diabetes averaged $10,071 and increased to $13,243 by 2002. That annual rate is more than 5 times greater than the average annual health care costs for a person without diabetes. Also diabetes accounted for an annual loss of about 88 million disability days.

The mortality rate for people with diabetes runs about 5.2% of all deaths according to the World Health Organization. In 2000 about 2.9 million deaths worldwide were caused by diabetes. In another 4.5 million deaths diabetes was a contributing factor.

The good news is that type 2 diabetes can be delayed or prevented from ever developing. Before people develop type 2 diabetes, they nearly always develop the condition known as “pre-diabetes.” This condition occurs when blood glucose levels are higher than normal but not high enough to be diagnosed as diabetes. Studies have shown that people with a pre-diabetic condition can control the condition with lifestyle changes or with medicine. With reasonable treatment they can greatly increase their chances that they will never develop diabetes.

The American Diabetes Association created a publication called, “The Prevention or Delay of Type 2 Diabetes.” The following are some of the findings and recommendations from the ADA.

About 41 million Americans have the pre-diabetic condition. There are two tests commonly used by physicians to determine whether a person has pre-diabetes. One test is called the fasting plasma glucose test, or FPG, and the other is called the oral glucose tolerance test, or OGTT. Both tests have a normal range and a diabetic range. The range in between indicates the pre-diabetic condition.

The FPG test is more convenient to patients, less expensive, and easier to administer than the OGTT test. On the other hand the OGTT will detect more cases of glucose intolerance and undiagnosed diabetes than the FTP test. Either test should be repeated in 3 year intervals.

Once a diabetic or pre-diabetic condition has been diagnosed, a person has two choices of treatment. One strategy is to use lifestyle modifications such as a change in diet and an increase in physical activity, and the other strategy is to use glucose-lowering drugs that have been approved for treating diabetes. Studies indicate that the drug therapy is about half as effective as the diet and exercise therapy in delaying the onset of diabetes. Lifestyle changes have been proven effective as a way to prevent type 2 diabetes from developing from the pre-diabetic condition. Diet and exercise, in many cases, are able to return the blood glucose levels to the normal range.

Lifestyle changes include a combination of losing 5% to 10% of body weight, reducing total fat calorie intake, reducing saturated fat calorie intake, increasing fiber intake, and exercising at least 150 minutes per week. One study, called the Diabetes Prevention Program study, showed that a treatment using the combination of 30 minutes per day of moderate physical activity and a 5% to 10% reduction in body weight resulted in a 58% reduction in the incidence of diabetes.

The type of physical activity recommended by the ADA includes aerobic exercise, strength training, and flexibility exercises. The goal of the aerobic exercise is to increase heart rate, raise the breathing rate, and exercise the muscles. The goal is to exercise for 30 minutes a day, 5 days per week. The 30 minutes can be split into 10 minute intervals. This type of activity includes brisk walking or running, dancing, swimming or water aerobics, skating, tennis, bike riding, gardening, and house cleaning. Strength training, performed several times a week, helps to build more muscle, making everyday chores easier, and helps to burn more calories, even at rest. Flexibility exercise, simple stretching, helps to keep joints flexible and helps to reduce chances for injury during other activities.

Dietary changes are an important part of a pre-diabetes treatment. A body mass index test (BMI) can be administered and calculated easily. A BMI test result that is greater than 25 means that a person is above their ideal weight and a person with a BMI result greater than 30 is considered obese. The goal in the first instance is to decrease body weight by 5% and in the second instance by up to 10%. It is recommended that a person consult a physician who can help to develop a dietary plan that will achieve the desired weight loss.

The effects of type 2 diabetes are expensive and dangerous to one’s health. Fortunately, diabetes can be delayed or prevented by adopting a reasonable program of diet, weight control, and exercise.

Diabetes Prevention and Management

Posted by admin on May 22nd, 2009 | 0 comments

Diabetes is a hormone disorder that can cause problems with the kidneys, legs and feet, eyes, heart, nerves, and blood flow.Diabetes can cause many complications. Acute complications (hypoglycemia, ketoacidosis or nonketotic hyperosmolar coma) may occur if the disease is not adequately controlled. Diabetes is on the increase, probably because people are living longer, getting fatter and leading increasingly inactive lifestyles. Diabetes, without qualification, usually refers to diabetes mellitus, but there are several rarer conditions also named diabetes. The most common of these is diabetes insipidus in which the urine is not sweet; it can be caused by either kidney or pituitary gland damage. The term “type 1 diabetes” has universally replaced several former terms, including childhood-onset diabetes, juvenile diabetes, and insulin-dependent diabetes. “Type 2 diabetes” has also replaced several older terms, including adult-onset diabetes, obesity-related diabetes, and non-insulin-dependent diabetes. About 3 to 8 percent of pregnant women in the United States develop gestational diabetes.

Diabetes can also cause heart disease, stroke and even the need to remove a limb. Pregnant women can also get diabetes, called gestational diabetes. Type 1 diabetes mellitus—formerly known as insulin-dependent diabetes (IDDM), childhood diabetes. Type 2 diabetes mellitus—previously known as adult-onset diabetes, maturity-onset diabetes, or non-insulin-dependent diabetes mellitus (NIDDM). Symptoms of Type 2 diabetes may include fatigue, thirst, weight loss, blurred vision and frequent urination. Some people have no symptoms. A blood test can show if you have diabetes. Exercise, weight control and sticking to your meal plan can help control your diabetes. Most people affected by type 1 diabetes are otherwise healthy and of a healthy weight when onset occurs. Diet and exercise cannot reverse or prevent type 1 diabetes. Gestational diabetes is caused by the hormones of pregnancy or a shortage of insulin. Women with gestational diabetes may not experience any symptoms.

Diabetes mellitus is characterized by recurrent or persistent hyperglycemia. Diabetes affects more than 20 million Americans. About 54 million Americans have prediabetes. Medications have also been shown to provide similar benefit. Both diabetes drugs metformin and Precose have been shown to prevent the onset of type 2 diabetes in people with this pre-diabetes condition. A group of medicines known as ACE (angiotensin converting enzyme) inhibitors are sometimes used to reduce the risk of developing cardiovascular complications in diabetes and can also reduce the risk or progression of kidney and eye diseases. Microscopic or nanotechnological approaches are under investigation as well, in one proposed case with implanted stores of insulin metered out by a rapid response valve sensitive to blood glucose levels. Medications to treat diabetes include insulin and glucose-lowering pills called oral hypoglycemic drugs. Insulin preparations differ in how quickly they start to work and how long they remain active. Stop smoking, which hinders blood flow to the feet.

Diabetes Treatment and Prevention Tips

1. Diabetes is usually controlled by a healthy diet and regular exercise.

2. Magnesium may play a significant role in preventing Type 2 diabetes.

3. Use of metformin, rosiglitazone and valsartan.

4. Exercise, weight control and sticking to your meal plan can help control your diabetes.

5. Glucose in the blood is produced by the liver from the foods you eat.

6. Oral medications are still insufficient, insulin medications are considered.

7. Maintaining an ideal body weight and an active lifestyle may prevent the onset of type 2 diabetes.

8. Strict control of blood glucose, or blood sugar, as well as blood pressure

Diabetes – “silent Killer”

Posted by admin on May 19th, 2009 | 0 comments

Type 1 diabetes mellitus – diabetes, for short. This chemical disorder disrupts the body’s ability to utilize certain nutrients, primarily a blood sugar called glucose.

Treatment for diabetes is made more difficult because a person can have the disease a long time before it is diagnosed. “Because the early symptoms are relatively mild,” notes Asiaweek magazine, “diabetes often goes unrecognized.” Hence, diabetes has been dubbed the silent killer.

Why Serious

Diabetes has been called “a disorder of the very engine of life,” and for good reason. When the body cannot metabolize glucose, a number of vital mechanisms can break down, sometimes with life-threatening consequences. “People don’t die directly from diabetes,” says Dr. Harvey Katzeff, “they die from complications. We do a good job of preventing complications, but a poor job of treating [them] once they occur.”

Diet and Exercise

Although Type 1 diabetes cannot be prevented, scientists are studying the genetic risk factors and are trying to find ways to suppress an immune attack. “With type 2, the picture is much brighter,” says the book Diabetes – Caring for Your Emotions as Well as Your Health. “Many of those who might be genetically susceptible avoid showing any sign of this disease simply by eating a balanced diet and exercising regularly, thereby staying physically fit and keeping their weight within normal limits.”

Underscoring the value of exercise, the Journal of the American Medical Association reported on a large study involving women. The study found that “a single bout of physical activity increases insulin-mediated glucose uptake [by the body's cells] for more than 24 hours.” Hence, the report concludes that “both walking and vigorous activity are associated with substantial reductions in risk of type 2 diabetes in women.” The researchers recommend at least 30 minutes of moderate physical activity on most if not all days of the week. This can include something as simple as walking, which, says the American Diabetes Association Complete Guide to Diabetes, “is probably the best, safest, and least expensive form of exercise.”

However, exercise by people with diabetes should be professionally supervised. One reason is that diabetes can damage the vascular system and nerves, thus affecting blood circulation and feeling. Hence, a simple scratch on the foot may go unnoticed, get infected, and turn into an ulcer – a serious condition that may lead to amputation if not treated immediately.

Insulin Therapy

Many with diabetes must supplement their diet and exercise program with daily testing of glucose levels along with multiple insulin injections. As a result of improved health through diet and a good routine of exercise, some with Type 2 diabetes have been able, at least for a time, to discontinue insulin therapy. Karen, who has Type 1 diabetes, found that exercise increases the efficiency of the insulin she injects. As a result, she has been able to cut her daily insulin requirements by 20 percent.

If insulin is needed, however, there is no reason for the sufferer to feel discouraged. “Going on insulin does not imply failure on your part,” says Mary Ann, a registered nurse who cares for a number of diabetes patients. “Whatever form of diabetes you have, if you carefully control your blood sugar, you will minimize other health problems later.” In fact, a recent study revealed that people with Type 1 who kept strict control of their blood-sugar levels “had drastic reductions in the occurrence of diabetic eye, kidney, and nerve diseases.” The risk of eye disease (retinopathy), for instance, was cut by 76 percent! Those with Type 2 who keep tight control of their blood-sugar levels enjoy similar benefits.

To make insulin therapy easier and less traumatic, syringes and insulin pens – the most common tools used – have microfine needles that give minimal discomfort. “The first shot is usually the worst,” says Mary Ann. “After that, most patients say they hardly feel a thing.” Other methods of injection include automatic injectors that shoot a needle into the skin painlessly, jet injectors that literally fire insulin through the skin by means of a fine jet blast, and infusers that employ a catheter that stays in place for two or three days. About the size of a pocket pager, the insulin pump has gained popularity in recent years. This programmable device dispenses insulin through a catheter at a steady rate according to the body’s daily needs, making insulin administration more precise and convenient.

Keep Learning

All told, there is no blanket therapy for diabetes. When considering treatment, each individual must take into account a number of factors in order to make a personal decision. “Even though you may be under the care of a medical team,” says Mary Ann, “you are in the driver’s seat.” In fact, the journal Diabetes Care states: “Medical treatment of diabetes without systematic self-management education can be regarded as substandard and unethical care.”

The more those with diabetes learn about their disease, the better equipped they will be to manage their health and increase their prospects of living a longer, healthier life.

The Role of Glucose

Glucose fuels the body’s trillions of cells. To enter the cells, however, it needs a “key” – insulin, a chemical released by the pancreas. With Type 1 diabetes, insulin is simply not available. With Type 2, the body makes insulin but usually not enough. Moreover, the cells are reluctant to let insulin in – a condition called insulin resistance. With both forms of diabetes, the result is the same: hungry cells and dangerous levels of sugar in the blood.

In Type 1 diabetes, a person’s immune system attacks the insulin-producing beta cells in the pancreas. Hence, Type 1 diabetes is an autoimmune disease and is sometimes called immune-mediated diabetes. Factors that can trigger an immune reaction include viruses, toxic chemicals, and certain drugs. Genetic makeup may also be implicated, for Type 1 diabetes often runs in families, and it is most common among Caucasians.

With Type 2 diabetes, the genetic factor is even stronger but with a greater occurrence among non-Caucasians. Australian Aborigines and Native Americans are among the most affected, the latter having the highest rate of Type 2 diabetes in the world. Researchers are studying the relationship between genetics and obesity, as well as the way excess fat seems to promote insulin resistance in genetically susceptible people. Unlike Type 1, Type 2 diabetes occurs mainly in those who are over 40 years of age.

About 90 percent of those with diabetes have Type 2. Previously, this was referred to as “non-insulin dependent” or “adult onset” diabetes. However, these terms are imprecise, for up to 40 percent of those with Type 2 diabetes require insulin. Furthermore, an alarming number of young people – some not even in their teens – are being diagnosed with Type 2 diabetes.

The Role of the Pancreas

About the size of a banana, the pancreas lies just behind the stomach. According to the book The Unofficial Guide to Living With Diabetes, “the healthy pancreas performs a continuous and exquisite balancing act, managing to sustain smooth, stable blood-sugar levels by releasing just the right amount of insulin as glucose levels wax and wane throughout the day.” Beta cells within the pancreas are the source of the hormone insulin.

When beta cells fail to produce enough insulin, glucose builds up in the blood, causing hyperglycemia. The opposite – low blood sugar – is called hypoglycemia. In concert with the pancreas, the liver helps manage blood-sugar levels by storing excess glucose in a form called glycogen. When commanded by the pancreas, the liver converts glycogen back into glucose for use by the body

The Role of Sugar

It is a common misconception that eating a lot of sugar causes diabetes. Medical evidence shows that getting fat – regardless of sugar intake – increases the risk among genetically susceptible individuals. Still, eating too much sugar is unhealthy, since it provides poor nutrition and contributes to obesity.

Another misconception is that people with diabetes have an abnormal craving for sugar. In reality, though, they have the same desire for sweets as most others. When it is not controlled, diabetes can lead to hunger – but not necessarily for sugar. People with diabetes can eat sweets, but they must factor their sugar intake into their overall diet plan.