Emerging Worlds: Chronic Illness and Viral Infections














 
  Diabetes

Diabetes is a serious disease, which, if not controlled, can be life threatening. It is often associated with long-term complications that can affect every system and part of the body. Diabetes can contribute to eye disorders and blindness, heart disease, stroke, kidney failure, amputation, and nerve damage. It can affect pregnancy and cause birth defects, as well.

According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) and the American Diabetes Association, diabetes affects an estimated 15.7 million people in the United States .

There are three main main types of diabetes that require clinical care by a physician or other healthcare professional:

1. Type 1 diabetes

2. Type 2 diabetes

3. Gestational diabetes

Type 1 diabetes is also known as diabetes mellitus, insulin-dependent diabetes mellitus (IDDM), juvenile diabetes, brittle diabetes, or sugar diabetes. There are two forms of type 1 diabetes:

idiopathic type 1 - refers to rare forms of the disease with no known cause.

immune-mediated diabetes - an autoimmune disorder in which the body's immune system destroys, or attempts to destroy, the cells in the pancreas that produce insulin. Immune-mediated diabetes is the most common form of type 1 diabetes.

The cause of type 1 diabetes is unknown, but it is believed that people inherit a tendency to develop diabetes, and that viruses may be involved. This auto-immune disease results from the body's failure to produce insulin, the hormone that allows glucose to enter the cells of the body to provide fuel. This is the result of an autoimmune process in which the body's immune system attacks and destroys the insulin producing cells of the pancreas.

When glucose cannot enter the cells, it builds up in the blood and the body's cells literally starve to death. People with type 1 diabetes must take daily insulin injections and regularly monitor their blood sugar levels.

The following are the most common symptoms for type 1 diabetes, however, each individual may experience symptoms differently. Type 1 diabetes often appears suddenly, and signs and symptoms may include:

High levels of sugar in the blood when tested

High levels of sugar in the urine when tested

Unusual thirst

Frequent urination

Extreme hunger but loss of weight

Blurred vision

Nausea and vomiting

Extreme weakness and tiredness

Irritability and mood changes

In children, symptoms may be similar to those of having the flu.

The symptoms of type 1 diabetes may resemble other conditions or medical problems. Consult your physician for a diagnosis.

A diagnosis of diabetes is made when any three of these tests is positive, followed by a second positive test on a different day:

Fasting plasma glucose of greater than or equal to 126 mg/dl with symptoms of diabetes.

Casual plasma glucose (taken at any time of the day) of greater than or equal to 200 mg/dl with the symptoms of diabetes.

Oral glucose tolerance test (OGTT) value of greater than or equal to 200 mg/dl measured at a two-hour interval. The OGTT is given over a three-hour timespan.

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

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

2. yperglycemia (high blood sugar) occurs when blood sugar is too high, and can be a sign that diabetes is not well controlled.

Ketoacidosis (diabetic coma) is loss of consciousness due to untreated or under-treated diabetes.