Florida Women November 2023

Page 23

foryourhealth Understanding Diabetes: The Chronic Condition That Can Strike at Any Age. About one out of every ten people have diabetes. However, one out of every five of those people do not realize they have this potentially deadly condition. In fact, diabetes is the seventh leading cause of death in the United States. To educate people about the disease, November is designated Diabetes Awareness Month. Diabetes can strike anyone, at any age. Let’s start with the basics. What exactly is diabetes? Diabetes is a chronic health condition that causes higher than average blood sugar levels. Normally, your body produces insulin from the pancreas to help regulate the blood sugar. Insulin acts like a key to open your cells to allow the blood sugar to enter so you can use it for energy. If you have diabetes, your pancreas either doesn’t make enough insulin or cannot effectively use its own insulin. There are two main forms of diabetes, with very different causes, symptoms and treatments.

TYPE 1 DIABETES

Type 1 diabetes is an auto-immune disease, and while there are treatments to manage it, there is no cure. About 5 percent of people who have diabetes have type 1 diabetes — or insulin-dependent diabetes. In the past, type 1 diabetes was called juvenile diabetes, because patients often found out they had it during childhood, but people of all ages can develop type 1 diabetes. In type 1 diabetes, the pancreas produces no insulin. The reason? The body’s immune system attacks the insulin-producing islet cells in the pancreas. The islet cells sense glucose in the blood and produce the right amount of insulin to normalize blood sugars. Once the insulin-producing cells are destroyed, a person can no longer produce their own insulin. Without insulin, sugar stays in the blood and builds up.

TYPE 2 DIABETES

Type 2 diabetes is the most common form of diabetes. About 90 percent of people with diabetes have type 2, or non-insulin-dependent diabetes. Type 2 diabetes is also called adult-onset diabetes, since it typically develops after age 35. Type 2 diabetes is typically tied to people who are overweight, with a sedentary lifestyle. People with type 2 diabetes are able to produce some of their own insulin, but often it’s not enough.

SIGNS OF TYPE 2 DIABETES

Many of the symptoms of type 2 diabetes are similar to those of type 1 diabetes. The difference is the onset of the condition. Type 2 diabetes usually presents more slowly, and the symptoms are not as noticeable as those for type 1 diabetes. For these reasons, many people mistakenly overlook the warning signs. They also might think that the symptoms are the signs of other conditions, like aging, overworking or hot weather. The complications of type 2 diabetes mirror those of type 1. A combination of risk factors can increase the likelihood of type 2 diabetes. They include: •Being overweight •Family history •Physically inactive •Age 45 and Older

TREATMENT OF TYPE 2 DIABETES

One of the biggest differences between type 1 and type 2 diabetes is the approach to treatment. The majority of treatment programs for type 2 diabetes focus on diet, exercise and weight loss as well as improving ways to better use the insulin the body already produces to normalize blood sugar levels. If blood

See DIABETES Page 25

COMPLICATIONS OF TYPE 1 DIABETES

If left untreated, high blood sugar levels can cause health complications and internal damage. Blindness is a common diabetes complication. Diabetes is also a leading cause of kidney failure. Many people with diabetes have impaired sensation in the hands and feet, including neuropathy. Diabetes can also cause digestive problems, erectile dysfunction, and fertility issues. The conditions also increase the risk of high blood pressure, heart disease, and stroke. Diabetes can also lead to amputation of toes and feet. In extreme cases, it can also lead to coma and death.

SIGNS OF TYPE 1 DIABETES

Symptoms of type 1 diabetes often appear suddenly. The most common symptoms are: •Increased thirst •Increased urination •Rapid and unexplained weight loss •Bed-wetting may occur in children who have already been toilet trained •Extreme hunger •Extreme weakness or fatigue •Unusual irritability •Blurred vision •Nausea, vomiting, and abdominal pain •Fruity breath odor

TREATMENT OF TYPE 1 DIABETES

Type 1 diabetes is treated by taking daily insulin injections or using an insulin pump or other device to replace the insulin no longer created naturally. A healthy diet and regular exercise can also help control blood sugar levels. If you take too much insulin, then your blood sugar can drop to a dangerously low level. This is called hypoglycemia, and it can be life-threatening. If you take too little insulin, your blood sugar can rise to a dangerously high level. Your cells are not getting the sugar, or energy, they need. This is called hyperglycemia. You will work with your doctor to determine the proper insulin dose and delivery method. F LORIDA WOMEN MAG AZ INE

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