“diabetes mellitus epidemiology”

After you learn the basics of diabetes care, learn how the disease can cause long-term health problems and the best ways to prevent these problems. People with diabetes need to review and update their knowledge, because new research and improved ways to treat diabetes are constantly being developed.

It is important to keep blood sugar levels under control before getting pregnant. High blood sugar levels can harm the fetus and cause birth defects. This is especially true during the early stages of development, when women may not even know they are pregnant.

The Diabetes Control and Complications Trial (DCCT) clearly showed that intensive therapy with multiple daily injections or CSII delivered by multidisciplinary teams of physicians, nurses, dietitians, and behavioral scientists improved glycemia and resulted in better long-term outcomes (13–15). The study was carried out with short-acting and intermediate-acting human insulins. Despite better microvascular, macrovascular, and all-cause mortality outcomes, intensive therapy was associated with a high rate of severe hypoglycemia (61 episodes per 100 patient-years of therapy). Since the DCCT, a number of rapid-acting and long-acting insulin analogs have been developed. These analogs are associated with less hypoglycemia, less weight gain, and lower A1C than human insulins in people with type 1 diabetes (16–18). Longer-acting basal analogs (U-300 glargine or degludec) may additionally convey a lower hypoglycemia risk compared with U-100 glargine in patients with type 1 diabetes (19,20).

Erectile dysfunction (ED, impotence), or inability to get or maintain an erection, is a common symptom of diabetes in men. Diabetic men experience erectile dysfunction at earlier ages than men who do not have diabetes.

Physical activity. Everyone needs regular aerobic exercise, and people who have diabetes are no exception. Exercise lowers your blood sugar level by moving sugar into your cells, where it’s used for energy. Exercise also increases your sensitivity to insulin, which means your body needs less insulin to transport sugar to your cells. Get your doctor’s OK to exercise. Then choose activities you enjoy, such as walking, swimming or biking. What’s most important is making physical activity part of your daily routine. Aim for at least 30 minutes or more of aerobic exercise most days of the week. If you haven’t been active for a while, start slowly and build up gradually.

Diabetes can occur temporarily during pregnancy, and reports suggest that it occurs in 2% to 10% of all pregnancies. Significant hormonal changes during pregnancy can lead to blood sugar elevation in genetically predisposed individuals. Blood sugar elevation during pregnancy is called gestational diabetes. Gestational diabetes usually resolves once the baby is born. However, 35% to 60% of women with gestational diabetes will eventually develop type 2 diabetes over the next 10 to 20 years, especially in those who require insulin during pregnancy and those who remain overweight after their delivery. Women with gestational diabetes are usually asked to undergo an oral glucose tolerance test about six weeks after giving birth to determine if their diabetes has persisted beyond the pregnancy, or if any evidence (such as impaired glucose tolerance) is present that may be a clue to a risk for developing diabetes.

An article in the journal Nutrition & Metabolism found that the compounds in guava leaf tea inhibit the absorption of certain types of sugar, so that the levels do not fire after meals. In one study, people drank guava tea after eating white rice. They had a much lower glucose increase than people who drank hot water.

. Long-term efficacy and safety of insulin detemir compared to Neutral Protamine Hagedorn insulin in patients with type 1 diabetes using a treat-to-target basal-bolus regimen with insulin aspart at meals: a 2-year, randomized, controlled trial. Diabet Med 2008;25:442–449

After contacting Professor Taylor, and getting the nod from my GP, I decided to follow the diet (experts warn never to start such a drastic regimen without first checking with your doctor). My target weight was 8st 12lb.

Jump up ^ Farmer, A; Wade, A; French, DP; Goyder, E; Kinmonth, AL; Neil, A (2005). “The DiGEM trial protocol – a randomised controlled trial to determine the effect on glycaemic control of different strategies of blood glucose self-monitoring in people with 2 diabetes ISRCTN47464659”. BMC Family Practice. 6 (1): 25. doi:10.1186/1471-2296-6-25. PMC 1185530 . PMID 15960852.

One of the areas of the eyes most impacted by diabetes is the macula, which is specialized for seeing fine details and allowing us to see with sharp vision. Problems with blood flow making its way from the retina to the macula leads to glaucoma, which is 40 percent more likely to occur in people with diabetes than in healthy people. Risk for glaucoma goes up the longer someone has had diabetes and also the older a person becomes.

Subsequent gestational diabetes. Once you’ve had gestational diabetes in one pregnancy, you’re more likely to have it again with the next pregnancy. You’re also more likely to develop diabetes — typically type 2 diabetes — as you get older.

Many people with complications of diabetes won’t have noticeable symptoms (for example, nonproliferative retinopathy, which can cause vision loss or gestational diabetes during pregnancy). This makes it really important that you get checked out by your doctor regularly to monitor your blood sugar levels, progression, eyes, skin, blood pressure levels, weight and heart.

This test measures how well the body handles a standard amount of glucose. The health care provider draws the patient’s blood before and two hours after the patient drinks a large, premeasured beverage containing glucose. Then, the doctor can compare the before-and-after glucose levels contained in the person’s plasma to see how well the body processed the sugar. These levels are measured in mg/dL. The chart below contains the OGTT’s blood glucose ranges for prediabetes and diabetes and describes what each diagnosis means.

Hormones produced by the placenta contribute to insulin resistance, which occurs in all women during late pregnancy. Most pregnant women can produce enough insulin to overcome insulin resistance, but some cannot. Gestational diabetes occurs when the pancreas can’t make enough insulin.

Blood tests ordered by a doctor can confirm whether or not someone has diabetes. If their blood sugar is unusually high and they have several classic symptoms, their doctor may order only one test. Often, tests are carried out on two different days to confirm the diagnosis.

Insulin therapy. Some people who have type 2 diabetes need insulin therapy as well. In the past, insulin therapy was used as a last resort, but today it’s often prescribed sooner because of its benefits.

The risk of developing type 2 diabetes is also greater as we get older. Experts are not completely sure why, but say that as we age we tend to put on weight and become less physically active. Those with a close relative who had/had type 2 diabetes, people of Middle Eastern, African, or South Asian descent also have a higher risk of developing the disease.

It’s encouraging to know that you only have to lose 7% of your body weight to cut your risk of diabetes in half. And you don’t have to obsessively count calories or starve yourself to do it. Two of the most helpful strategies involve following a regular eating schedule and recording what you eat.

To help lower the risk for eye-related problems like mild cataracts or glaucoma, you should have your eyes checked at least one to two times yearly. Staying physically active and maintaining a healthy diet can prevent or delay vision loss by controlling blood sugar, plus you should also wear sunglasses when in the sun. If your eyes become more damaged over time, your doctor might also recommend you receive a lens transplant to preserve vision.

We understand that losing weight and managing your diabetes has both a physical and mental component. That’s why we offer unlimited access to Certified Diabetes Educators, dietitians and weight loss counselors, who are standing by to answer any question you may have, so you can feel confident that you’re tackling weight loss the safe way.

A: JDRF has a number of resources that can help you navigate the various stages of life with T1D. First, TypeOneNation.org, is an online community for people touched by T1D. In addition, you can download our Newly Diagnosed toolkit, a comprehensive guidebook that contains important information and insight for adults.

The reason foods like wheat and cow’s milk have been linked to diabetes is because they contain the proteins gluten and A1 casein. These proteins can cause leaky gut, which in turn causes systemic inflammation throughout the body and over time can lead to autoimmune disease.

Not satisfied with this, further internet research threw up a more drastic approach. Scientists at Newcastle University had devised a radical low-calorie diet that studies suggested could reverse diabetes in under eight weeks.

Jump up ^ Yang BK, Jung YS, Song CH (2007). “Hypoglycemic effects of Ganoderma applanatum and Collybia confluens exo-polymers in streptozotocin-induced diabetic rats”. Phytotherapy Research. 21 (11): 1066–69. doi:10.1002/ptr.2214. PMID 17600864.

A: Type 1 diabetes (T1D) can occur at any age, but is most commonly diagnosed from infancy to late 30s. If a person is diagnosed with type 1 diabetes, their pancreas produces little to no insulin, and the body’s immune system destroys the insulin-producing cells in the pancreas.

Also known as gliptins, DPP4 inhibitors have a number of effects, including stimulating pancreatic insulin (by preventing the breakdown of the hormone GLP-1). They may also help with weight loss through an effect on appetite.1-4

Did you know that common plants, leaves and fruits can help treat (not cure) diabetes? Studies show that these plants reduce blood sugar reliably in people and rodents with few side effects. Here are some to try:

Once you’ve had your insulin injection, you can’t stop the medicine from working. If you take an insulin shot but forget to eat, your blood sugar levels can get too low. So try to avoid skipping meals or snacks. If your parents remind you to eat when you take your insulin, it’s probably because they worry about you, not because they’re trying to nag you!

I have recently begun eating Irish Oatmeal, the steel cut version, for breakfast w/o any spike in my blood sugar. I also eat a homemade bean soup about every other day for lunch w/o any spike in my blood sugar. I use lentils, white beans, black beans, split peas, etc. to make a different soup every week. I put onions, celery, carrots and greens in the soup along with spices, but no potatoes or other starches. On the day I eat the soup, I do not eat any bread. other days I make a salad for lunch and will have a half slice of whole grain bread or Kavali crackers.

One thought on ““diabetes mellitus epidemiology””

  1. Diabetes is a serious disease for which science has not yet been able to find a cure. However, there is a natural remedy that can regulate your blood sugar levels and eliminate the disease forever. Diabetes occurs when the liver does not provide the recommended amount of insulin or the body can not use it anymore.
    Studies in type 1 patients have shown that in intensively treated patients, diabetic eye disease decreased by 76%, kidney disease decreased by 54%, and nerve disease decreased by 60%. More recently the EDIC trial has shown that type 1 diabetes is also associated with increased heart disease, similar to type 2 diabetes. However, the price for aggressive blood sugar control is a two to three fold increase in the incidence of abnormally low blood sugar levels (caused by the diabetes medications). For this reason, tight control of diabetes to achieve glucose levels between 70 to120 mg/dl is not recommended for children under 13 years of age, patients with severe recurrent hypoglycemia, patients unaware of their hypoglycemia, and patients with far advanced diabetes complications. To achieve optimal glucose control without an undue risk of abnormally lowering blood sugar levels, patients with type 1 diabetes must monitor their blood glucose at least four times a day and administer insulin at least three times per day. In patients with type 2 diabetes, aggressive blood sugar control has similar beneficial effects on the eyes, kidneys, nerves and blood vessels.

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