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In United States approximately 18 million people affects Adult Onset Diabetes al

ID: 123491 • Letter: I

Question

In United States approximately 18 million people affects Adult Onset Diabetes almost a third of whom are undiagnosed. About 9 million are 60 or older. Complications from diabetes can include wounds that don't heal, vascular problems, amputation, difficulty fighting infection, etc. Another 16 million people are estimated to have pre-diabetes.Those born in the year 2000 are 30 to 40 percent likely to develop diabetes; there are 60 million overweight kids in the U.S.! It’s the fifth deadliest disease in the U.S., killing at least 213,000 people every year. Fortunately, every day there are new advances for preventing and controlling diabetes and constant improvements for living with the condition. However, everyone is at risk for developing diabetes, especially here in the U.S. We don't exactly know why the risk of diabetes increases with age, but we do know risk factors include family history, obesity and lifestyle factors (sedentary lifestyle, high sugar intake), and ethnicity. If you have a fasting glucose level (your blood sugar level when you wake up) above 100, then you are considered to have pre-diabetes. There is a blood test called the Hemoglobin A1c test (HgbA1c), which shows an average blood glucose level over three months. When someone is newly diagnosed with diabetes, HgbA1c helps determine how elevated that person's uncontrolled blood glucose levels have been; a HgbA1c of less than 6.5% is recommended for those diagnosed with diabetes. Pre-diabetes is defined as A1C between 5.7% and 6.4%. Talk to a friend of family member who has been diagnosed with diabetes or pre-diabetes. Describe what it is like to live with diabetes from their perspective. If you don't know anyone with diabetes, you may do some research online by visiting the American Diabetes Association website, or other diabetes sites such asdlife.com. What risk factors for diabetes did they have when the disease was diagnosed? How do they manage their disease now; what do they find to be the biggest challenge in their day-to-day life? Have they suffered any long-term complications related to the diabetes? If so, what? If you don't know anyone with diabetes, tell us something you learned or have an improved understanding of now in terms of what is diabetes, how it might manifest, its etiology (when known) or something associated with this understanding that has perhaps influenced your overall understanding.

Explanation / Answer

Diabetes: It is a metabolic disease it is mainly happens due to the high levels of glucose (blood sugar) in the blood or inadequate production of insulin. Diabetes Types:

Type I diabetes: It is also known as juvenile diabetes, or insulin-dependent diabetes (this name is not adequate as type II diabetes may become insulin-dependent), is the impaired production of insulin by the pancreas believed to be caused by destruction of cells of the islets of Langerhans by auto antibodies (autoimmunity).

Type II diabetes: It is happens due to the disorder in the metabolism characterized by elevated blood sugar levels, insulin resistance with symptoms of increased thirst (Polydipsia), urination (Polyuria), weight loss, tired, hunger (Polyphagia) etc. It mostly occurs in obese patients. Type 2 usually affects adults, but it can begin at any time in your life.

When the blood glucose levels are too high then B cells in the ilets of the langerhans, in the pancrease will secrete insulin. Insulin is a protein hormone that is secreted into the blood and make muscle cell absorbs more glucose. When the blood glucose levels are too low then a cells in the ilets of the langerhans, in the pancrease will secrete hormone glucagon. The high glucose levels of blood are antagonistically regulated by insulin and glucogon. Normal person’s glucose levels in blood are nearly demonstrated between 3.9 and 5.5 mmol/L (70 to 100 mg/dL). If the insulin levels are low or absent, then the glucose concentration in the plasma exceeds and the uncontrolled glucose concentration leads to many diseases.

Risk Factors for Type 2 Diabetes:

Overweight or obesity

Impaired glucose tolerance

Insulin resistance

Ethnic background

Sedentary lifestyle

Family history

Age (If you're over 45 and overweight)

Symptoms of diabetes:

Increased thirst and urination

Blurred vision

Numbness or tingling in the feet or hands

Increased hunger

Unexplained weight loss

Daily and long term challenges:

Daily:

1. Monitoring blood glucose

2. Insulin shots:

3. Remembering what you are (aware about your about difference, eating habits and psychological issue).

Long Term:

1. Cost of medication and equipment

2. Maintaining your H1ac levels

Treatment:

Good and healthy eating habits can reduce diabetes

Physical activity

Keep your vaccinations up to date

Lifestyle changes:

Make a commitment to managing your diabetes

Make physical activity part of your daily routine

Choose healthy foods and maintain a healthy weight

Guidelines:

Keep your vaccinations up to date

Keep your blood pressure and cholesterol under control

Quit smoking and other types of tobacco products consumption

Avoid alcohol, do so responsibly

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