Welcome to Diabetes | Diabetes Information | Diabetes Risks, Symptoms,Causes, Diagnosis,and Treatment


Tuesday, March 06, 2007

Tools to Manage Your Diabetes

It’s estimated that in the US, over 18 million people over the age of 20 have diabetes. If you happen to have been diagnosed with diabetes, make sure you’re getting all the right diabetes treatment supplies. Also check to make sure that your glucose levels are within the accepted guidelines. Take any other additional steps your physician has advised – but most of all, go out and live your life because your diabetes IS manageable!

People over the age of 45 and those who are considered obese are especially risk prone for this potentially fatal disease. Some of the potential health problems that may result are: partial to complete blindness, kidney disease, hypoglycemia and certain sexual and urological problems. These include erectile dysfunction in men.

Even though these are serious concerns and should be carefully watched for, diabetes is in fact quite manageable, especially with some of the tools we currently have to work with. For example, blood sugar monitoring devices can accurately check your blood glucose levels in a matter of seconds.

Check your levels at least daily. Depending on your particular diagnosis, you might need insulin shots to manage your blood chemistry effectively. These shots may be required several times a day. Also, be sure to have a glucogen emergency kit on hand at all times for your diabetes treatment. This is an important element that should be part of your diabetes supplies kit.

Even though diabetes is manageable, don’t make the mistake of thinking that it isn’t a serious condition that doesn’t require daily attention. It is and it does. Be sure to always keep on hand all of the supplies necessary for proper monitoring and treatment. Like the glucagons kit I just mentioned. Speaking of which, all of the medical supplies you need are available online and can be delivered to your home as needed.

A diabetes diagnosis means that you will probably live with the condition for the rest of your life. But it doesn’t mean the end of your life. Far from it. Millions of people live very full and complete lives despite the condition’s very real potential to bring about serious consequences to one’s well being.

And if you’re worrying that your diabetes diagnosis means that you’ll automatically be going in and out of the doctor’s office every other day – don’t. With self-discipline, a good understanding of the disease and effective diabetes treatment and monitoring techniques, diabetes becomes a very manageable condition.

Type 1 and Type 2 Diabetes

Diabetes affects the manner in which the body handles digested carbohydrates. If neglected, diabetes can cause serious health complications, ranging from blindness to kidney failure.

Approximately 8% of the population in the United States has diabetes. This means that approximately 16 million people have been diagnosed with the disease, based only on national statistics. The American Diabetes Association estimates that diabetes accounts for 178,000 deaths, 54,000 amputees, and 12,000-24,000 cases of blindness annually. Blindness is 25 times more common among diabetic patients compared to nondiabetics. It is proposed that by the year 2010, diabetes will exceed both heart disease and cancer as the leading cause of death through its many complications.

Diabetics have a high level of blood glucose. The blood sugar level is regulated by insulin, a hormone produced by the pancreas, which releases it in response to food consumption. Insulin causes the cells of the body to take in glucose from the blood. The glucose is used as fuel for cellular functions.

Diagnostic standards for diabetes have been fasting plasma glucose levels greater than 140 mg/dL on two occasions and plasma glucose greater than 200 mg/dL following a 75-gram glucose load. More recently, the American Diabetes Association lowered the criteria for a diabetes diagnosis to fasting plasma glucose levels equal to or greater than 126 mg/dL. Fasting plasma levels outside the normal limit require additional tests, usually by repeating the fasting plasma glucose test and (if indicated) giving the patient an oral glucose tolerance test.

The symptoms of diabetes include excessive urination, excessive thirst and hunger, sudden weight loss, blurred vision, delay in healing of wounds, dry and itchy skin, repeated infections, fatigue and headache. These symptoms, while suggestive of diabetes, may be due to other reasons also.

There are two different types of diabetes.

Type I Diabetes (juvenile diabetes or insulin-dependent diabetes): The cause of type I diabetes is caused by pancreatic inability to produce insulin. It is responsible for 5-10% of cases of diabetes. The pancreatic Islet of Langerhans cells, which secrete the hormone, are destroyed by the body's own immune system, probably because it mistakes them for a virus. Viral infections are thought to be the trigger that sets off this auto-immune disease. It is more common in caucasians and runs in families.

If untreated, death occurs within a few months of the onset of juvenile diabetes, as the cells of the body starve because they no longer receive the hormonal prompt to take in glucose. While most Type I diabetics are young (hence the term Juvenile Diabetes), the condition can develop at any age. Autoimmune diabetes can be definitely diagnosed by a blood test which shows the presence of anti-insulin/anti-islet-cell antibodies.

Type II Diabetes (non insulin dependent diabetes or adult onset diabetes): This diabetes is a result of body tissues becoming resistant to insulin. It accounts for 90-95% of cases. Often the pancreas is producing more than average amounts of insulin, but the cells of the body have become unresponsive to its effect due to the chronically high level of the hormone. Eventually the pancreas may exhaust its over-active secretion of the hormone, and insulin levels fall to below normal.

A tendency towards Type II diabetes is hereditary, but it is unlikely to develop in normal-weight individuals eating a low- or moderate-carbohydrate diet. Obese, sedentary individuals who eat poor-quality diets based on refined starch, which constantly activates pancreatic insulin secretion, are prone to develop insulin resistance. Native peoples such as North American Indians whose traditional diets did not include refined starch until its recent introduction by Europeans have extremely high rates of diabetes, up to 5 times the rate of caucasians. Blacks and hispanics are also at higher risk. Though Type II diabetes is not fatal within a matter of months, it can lead to health complications over several years and cause severe disability and premature death. As with Type I diabetes, the condition is found primarily in one age group, in this case people over 40 (which is why it is often termed Adult Onset); however, with the rise in childhood and teenage obesity, it is appearing in children as well.

If neglected, diabetes can lead to life-threatening complications such as kidney damage (nephropathy), heart disease, nerve damage (neuropathy), retinal damage and blindness(retinopathy), and hypoglycemia (drastic reduction in glucose levels). Diabetes damages blood vessels, especially smaller end-arteries, leading to severe and premature atherosclerosis. Diabetics are prone to foot problems because neuropathy, which affects approximately 10% of patients, causes their feet to lose sensation. Foot injuries, common in day-to-day living, go unnoticed, and these injuries do not heal because of poor circulation through the small arteries in the foot. Gangrene and subsequent amputation of toes or feet is the consequence for many elderly patients with poorly-controlled diabetes. Usually these sequelae appear earlier in Type I than Type II diabetes, because Type II patients have some of their own insulin production left to buffer changes in blood sugar levels.

Revolutionary Lancet Device for Diabetic Glucose Testing

Now you can reduce the pain and inconvenience of testing. Unlike conventional lancing systems, the ACCU-CHEK Multiclix lancet device is the only 1 with a six-lancet drum. That means you can have the least amount of painful testing with less hassle and improved safety.

There are 11 depth settings so you can choose your comfort level for testing your blood sugar. There is a no side-to-side motion so there is less skin tearing, over 90% of users ranked it least painful.*

Self-Contained Lancet with Six-lancet Drums.

Now you don't even need to see or handle the lancets. Just put the six-lancet drum in and you are ready to go.

Personal comfort.

With the 11 dept settings on the Comfort Dial, you are able to adjust the lancet depth to match your skin type and obtain just enough blood for accurate testing.

Precise Lancet Movement.

The precise linear sliding motion decreases the lancet's side-to-side movement so there is no tearing of your skin, providing greater comfort.

Accurate Manufactured Lancets.

Careful manufacturing make sure that your lancets have not been bent or contain broken tips that can result in even more painful testing.

This is a breakthrough in testing your blood sugar using lancets. There is always a chance of pricking yourself when removing the lancet after testing your blood sugar. There is also a chance of pricking yourself when removing the little piece attached to the lancet before testing.

Now just place the lancet drum in your device and you are ready to test your blood sugar.

Removing the lancet drum is also safe. Now you don't have to worry about pricking your finger.

Finally glucose meter testing companies are looking out for the safety of the patient, especially Senior Citizens who vision has decreased due to the complications of Diabetes.

Accu-check is now on the top of my list for safety, convenience and simplicity of using their glucometers, especially the Accu-check Compact, and now their new six-drum lancet device.

Monday, March 05, 2007

Double Diabetes -- Placing Your Kids at Even More Risk

In some medical circles it's called Type 3 Diabetes. Teenagers and young adults diagnosed with type 1 diabetes, if overweight or obese, can develop type 2 diabetes later in life. It's a double whammy and the medical consequences of such a diagnosis don't look good.

First, let's briefly cover the basics of diabetes.

Diabetes is Elevated Blood Glucose Levels

Higher than normal level of glucose in the blood is diabetes. Glucose is the main energy source for the brain and nerves and comes from digesting carbohydrates. Because of its importance as an energy source, glucose blood level is normally kept within a narrow range.

Two hormones help to keep glucose in this normal range. First, there is insulin. Insulin is released by the pancreas as glucose levels rise after a meal. It promotes the uptake of glucose by muscle cells. Second, is glucogon. This hormone causes the release of glucose out of energy stores during fasting. The insulin to glucogon ratio helps to stabilize the normal levels of blood glucose.

Two Types of Diabetes

In order to have consistently high blood glucose levels either insulin production and/or release from the pancreas is defective or the muscles don't respond to insulin when it is released.

Juvenile or Type 1 Diabetes -- Insulin production is defective. Most often detected early in life. These patients require insulin shots.

Adult Onset or Type 2 Diabetes -- The muscles don't respond to insulin. In this case, glucose stays within the blood and not in the tissues. The early stage is called Insulin Resistance. Type 2 is associated with being overweight or obese.

The Atypical Type of Diabetes -- Double Diabetes or Type 3

A young man who has type I diabetes, if he does not follow a proper diabetic diet and an exercise program, could develop type 2 diabetes on top of his type I diagnosis.

This is a fear turned into reality for many type I diabetics and their families. The Children's Hospital of Pittsburgh states that 25% of children with type I diabetes are showing features of type 2. The main feature shared by all of these children...obesity. Dr. Dorothy Becker, a pediatric endocrinologist and leading double-diabetes researcher, feels the numbers will continue to climb.

And an ongoing study to determine the best treatment for children with type 2 diabetes is also uncovering many kids who harbor antibodies that signal they have or are developing the type 1 form.

No matter which type of diabetes came first in a child, it makes treatment that much harder for everyone involved. So what is the best treatment?

Treating Type 3 Diabetes

The best treatment for type 3 diabetes is prevention. Children, with or without diabetes, must exercise. Toning and building muscle tissue is the only effective way to protect against type 3 diabetes.

Strong muscles are metabolic active and able to uptake glucose as expected when insulin is released into the blood. Parents, start a supervised and doctor approved workout program with your children. Something tells me that we may need a strong future.

Type II Diabetes: Insulin-Dependent Diabetes

The term diabetes refers to higher than normal levels of sugar, or glucose, in the blood. Type II diabetes, also known as insulin-dependent diabetes, was commonly referred to as adult onset diabetes until recently when the name no longer accurately describes the population with this disease.

Type II diabetes, in the past, was relegated to the adult population. However, in the new era of ever rising cases of childhood obesity and heart disease, the term adult onset diabetes is quickly becoming a misnomer. The number of children that are presenting to doctors with this disease is rising at epidemic rates.

Unlike Type I diabetes, where there is little to no insulin being produced by the beta cells of the pancreas, in Type II diabetes there is plenty of insulin. The problem lies in the fact that the cells of the body no longer respond to the insulin. The normal response is to cause gates in the cell membranes to open and letting the sugar in from the blood stream. Since this is not occurring, the sugar levels in the blood remain extremely high and the cells are deprived of the necessary energy that they would normally derive from the sugar.

Additionally, as Type II diabetes is sometimes not diagnosed for many years, the pancreas will sometimes stop producing insulin all together since the body sees no need to make something that can't be used.

Many professionals are prescribing changes in diet and increased activity levels as the medicine needed to help reverse some of the non-responsiveness of the cells to insulin. Making lifestyle changes can dramatically improve the overall health of the patient as well. To augment adjustments in nutrition and exercise, doctors can also prescribe diabetes medication which assists to increase the responsiveness of the cells to the insulin that the body may still be producing.

Type I Diabetes: Insulin-Dependent Diabetes

Type I diabetes is also known as insulin-dependent diabetes or juvenile diabetes. This form of diabetes is mainly found in children. The primary problem in all forms of diabetes, regardless if it is Type I or Type II is that the glucose (sugar) levels of the body are too high.

In a healthy person, the beta cells in the pancreas produce a hormone called insulin in response to sugar in the blood. The sugar gets there through the food and drinks we consume. Normally, the insulin helps to move the sugar from the bloodstream and into the cells of the body where it can be used for cellular processes. The insulin triggers gates located in the membranes of the cells to open, allowing the sugar to flow in.

A person with Type I diabetes can not make enough or any insulin. This produces the abnormally high levels of glucose in the bloodstream seen in these patients.

The question begs to be asked, "Why doesn't the body produce insulin?" In Type I diabetes the culprit is the immune system. Something, whether it be genetic or environmental is still not clear, triggers the immune system to malfunction. Instead of viewing the beta cells of the pancreas as "self", the immune system sees the beta cells as foreign invaders. Doing what it's supposed to do, which is attack and destroy invading cells, the immune system in error attacks the beta cells.

Even though other beta cells can be produced by the pancreas, the speed at which the immune system attacks and destroys is too fast for the pancreas to keep up. Over time the amount of insulin produced in response to sugar in the blood is diminished.

The result is high blood sugar. Insulin shots can control the disease, however, there are currently treatments being studied which may actually stop the immune system from attacking itself which would bring about a natural halt to the problem.