Diabetes

Diabetes is a chronic disease in which the body cannot regulate the amount of sugar in the blood.

Diabetes is a disease in which your blood glucose, or blood sugar, levels are too high. Glucose comes from the foods you eat. Insulin is a hormone that helps the glucose get into your cells to give them energy. With type 1 diabetes, your body does not make insulin. Withtype 2 diabetes, the more common type, your body does not make or use insulin well. Without enough insulin, the glucose stays in your blood. You can also have prediabetes. This means that your blood sugar is higher than normal but not high enough to be called diabetes. Having prediabetes puts you at a higher risk of getting type 2 diabetes.

Over time, having too much glucose in your blood can cause serious problems. It can damage your eyes, kidneys, and nerves. Diabetes can also cause heart disease, stroke and even the need to remove a limb. Pregnant women can also get diabetes, called gestational diabetes.

A blood test can show if you have diabetes. Exercise, weight control and sticking to your meal plan can help control your diabetes. You should also monitor your glucose level and take medicine if prescribed.

Keeping an ideal body weight and an active lifestyle may prevent or delay the start of type 2 diabetes.

Type 1 diabetes cannot be prevented.

Insulin is a hormone produced by the pancreas to control blood sugar. Diabetes can be caused by too little insulin, resistance to insulin, or both.

To understand diabetes, it is important to first understand the normal process by which food is broken down and used by the body for energy. Several things happen when food is digested:

  • A sugar called glucose enters the bloodstream. Glucose is a source of fuel for the body.
  • An organ called the pancreas makes insulin. The role of insulin is to move glucose from the bloodstream into muscle, fat, and liver cells, where it can be stored or used as fuel.

People with diabetes have high blood sugar because their body cannot move sugar from the blood into muscle and fat cells to be burned or stored for energy, and because their liver makes too much glucose and releases it into the blood. This is because either:

  • Their pancreas does not make enough insulin
  • Their cells do not respond to insulin normally
  • Both of the above

There are two major types of diabetes. The causes and risk factors are different for each type:

  • Type 1 diabetes can occur at any age, but it is most often diagnosed in children, teens, or young adults. In this disease, the body makes little or no insulin. This is because the pancreas cells that make insulin stop working. Daily injections of insulin are needed. The exact cause is unknown.
  • Type 2 diabetes is much more common. It most often occurs in adulthood, but because of high obesity rates, teens and young adults are now being diagnosed with this disease. Some people with type 2 diabetes do not know they have it.
  • There are other causes of diabetes, and some patients cannot be classified as type 1 or type 2.

Gestational diabetes is high blood sugar that develops at any time during pregnancy in a woman who does not have diabetes.

If your parent, brother, or sister has diabetes, you may be more likely to develop the disease.

A high blood sugar level can cause several symptoms, including:

  • Blurry vision
  • Excess thirst
  • Fatigue
  • Frequent urination
  • Hunger
  • Weight loss

Because type 2 diabetes develops slowly, some people with high blood sugar have no symptoms.

Symptoms of type 1 diabetes develop over a short period. People may be very sick by the time they are diagnosed.

After many years, diabetes can lead to other serious problems. These problems are known as diabetes complications, and include:

  • Eye problems, including trouble seeing (especially at night), light sensitivity, and blindness
  • Sores and infections of the leg or foot, which untreated can lead to amputation of the leg or foot
  • Damage to nerves in the body, causing pain, tingling, a loss of feeling, problems digesting food, and erectile dysfunction
  • Kidney problems, which can lead to kidney failure
  • Weakened immune system, which can lead to more frequent infections
  • Increased chance of having a heart attack or stroke

Type 2 diabetes may be reversed with lifestyle changes, especially losing weight with exercise and by eating healthier foods. Some cases of type 2 diabetes can also be improved with weight-loss surgery.

There is no cure for type 1 diabetes.

Treating either type 1 diabetes or type 2 diabetes involves medicines, diet, and exercise to control blood sugar level.

Everyone with diabetes should receive proper education and support about the best ways to manage their diabetes. Ask your healthcare provider about seeing a diabetes educator.

Getting better control over your blood sugar, cholesterol, and blood pressure levels helps reduce the risk of kidney disease, eye disease, nervous system disease, heart attack, and stroke.

To prevent diabetes complications, visit your health care provider at least two to four times a year. Talk about any problems you are having. Follow your health care provider's instructions on managing your diabetes.