******** 
Almost every one of us knows someone who has diabetes. An estimated 16 million people in the United States have diabetes mellitus--a serious, lifelong condition. About half of these people do not know they have diabetes and are not under care for the disorder. Each year, about 798,000 people are diagnosed with diabetes.
Although diabetes occurs most often in older adults, it is one of the most common chronic disorders in children in the United States. About 123,000 children and teenagers age 19 and younger have diabetes.
Diabetes is one of the leading causes of death and disability in the United States, contributing to the deaths of almost 200,000 persons a year.
Diabetes means that your blood sugar is too high. Your blood always has some sugar in it because the body needs sugar for energy to keep you going. But too much sugar in the blood is not good for your health.
Diabetes is a disorder of metabolism--the way our bodies use digested food for growth and energy. Most of the food we eat is broken down by the digestive juices into a simple sugar called glucose. Glucose is the main source of fuel for the body.
After digestion, the glucose passes into our bloodstream where it is available for body cells to use for growth and energy. For the glucose to get into the cells, insulin must be present. Insulin is a hormone produced by the pancreas, a large gland behind the stomach.
When we eat, the pancreas is supposed to automatically produce the right amount of insulin to move the glucose from our blood into our cells. If your body doesn't make enough insulin or the insulin doesn't work right, the sugar cannot get into the cells. It stays in the blood. This makes your blood sugar level high, causing you to have diabetes.
As a result, glucose builds up in the blood, overflows into the urine, and passes out of the body. Thus, the body loses its main source of fuel even though the blood contains large amounts of glucose.
People can get diabetes at any age. Most people get diabetes when they are over 40 or 50 years old. They usually have the kind of diabetes called type 2 diabetes (noninsulin-dependent diabetes). People with type 2 diabetes follow a special diet and may take diabetes pills. However, sometimes they need insulin shots.
Some people get diabetes as children or teenagers. They usually have the kind of diabetes known as type 1 diabetes (insulin-dependent diabetes). This means they need daily insulin shots.
The three main types of diabetes are:
Type 1 diabetes
Type 2 diabetes
Gestational diabetes.
Type 1 diabetes
Type 1 diabetes (once known as insulin-dependent diabetes mellitus or juvenile diabetes) is considered an autoimmune disease. An autoimmune disease results when the body's system for fighting infection (the immune system) turns against a part of the body. In diabetes, the immune system attacks the insulin-producing beta cells in the pancreas and destroys them. The pancreas then produces little or no insulin.
Someone with type 1 diabetes needs daily injections of insulin to live. At present, scientists do not know exactly what causes the body's immune system to attack the beta cells, but they believe that both genetic factors and viruses are involved. Type 1 diabetes accounts for about 5 to 10 percent of diagnosed diabetes in the United States.
Type 1 diabetes develops most often in children and young adults, but the disorder can appear at any age. Symptoms of type 1 diabetes usually develop over a short period, although beta cell destruction can begin years earlier.
Type 2 diabetes
The most common form of diabetes is type 2 diabetes (once known as noninsulin-dependent diabetes mellitus or NIDDM). About 90 to 95 percent of people with diabetes have type 2 diabetes. This form of diabetes usually develops in adults over the age of 40 and is most common among adults over age 55. About 80 percent of people with type 2 diabetes are overweight.
In type 2 diabetes, the pancreas usually produces insulin, but for some reason, the body cannot use the insulin effectively. The end result is the same as for type 1 diabetes--an unhealthy buildup of glucose in the blood and an inability of the body to make efficient use of its main source of fuel.
Gestational Diabetes
Gestational diabetes develops or is discovered during pregnancy. This type usually disappears when the pregnancy is over, but women who have had gestational diabetes have a greater risk of developing type 2 diabetes later in their lives.
Diabetes is not contagious. People cannot "catch" it from each other. However, certain factors can increase one's risk of developing diabetes.
Type 1 diabetes (5-10% of diabetics in U.S):
Type 2 diabetes (90-95% of diabetics in U.S.):
- obesity (being overweight)
- African Americans, Hispanics, and Native Americans are all at greater risk of developing diabetes.
- more common in older people, especially older women who are overweight.
Compared with non-Hispanic whites, diabetes rates are about 60 percent higher in African Americans and 110 to 120 percent higher in Mexican Americans and Puerto Ricans. American Indians have the highest rates of diabetes in the world. Among Pima Indians living in the United States, for example, half of all adults have type 2 diabetes. The prevalence of diabetes is likely to increase because older people, Hispanics, and other minority groups make up the fastest growing segments of the U.S. population.
Symptoms of Type I diabetes may include:
Without insulin, glucose can't get into body cells. Thus, even though blood sugar is high the body cells are starved. If not diagnosed and treated with insulin, a person can lapse into a life threatening coma.
Symptoms of Type 2 diabetes may include:
- feeling tired or ill
- frequent urination (especially at night)
- unusual thirst
- weight loss
- blurred vision
- frequent infections
- slow healing of sores.
- having dry, itchy skin
- losing feeling in the feet or having tingling in the feet
Insulin is usually present in the blood and some glucose gets into body cells. The symptoms of type 2 diabetes develop gradually and are not as noticeable as in type 1 diabetes.
Type 1
Before the discovery of insulin in 1921, all people with type 1 diabetes died within a few years after the appearance of the disease. Although insulin is not a cure for diabetes, its discovery was the first major breakthrough in diabetes treatment.
Today, daily injections of insulin are the basic therapy for type 1 diabetes. Insulin injections must be balanced with meals and daily activities, and glucose levels must be closely monitored through frequent blood sugar testing.
Type 2
Diet, exercise, and blood testing for glucose are also the basis for management of type 2 diabetes. In addition, some people with type 2 diabetes take oral drugs or insulin to lower their blood glucose levels.
Many people with type 2 diabetes are overweight. Modest weight loss often decreases the amount of medication a type 2 diabetic must take. Modest physical exercise, such as briskly walking for 20 minutes a day, has been shown to greatly improve blood sugar control as well.
People with either type of diabetes must take responsibility for their day-to-day care. Much of the daily care involves trying to keep blood sugar levels from going too low or too high. When blood sugar levels drop too low--a condition known as hypoglycemia--a person can become nervous, shaky, and confused. Judgment can be impaired. Eventually, the person could pass out. The treatment for low blood sugar is to eat or drink something with sugar in it.
On the other hand, a person can become very ill if blood sugar levels rise too high, a condition known as hyperglycemia. Hypoglycemia and hyperglycemia, which can occur in people with type 1 diabetes or type 2 diabetes, are both potentially life threatening emergencies.
Health care providers treating diabetes
People with diabetes should be treated by a doctor who monitors their diabetes control and checks for complications. Doctors who treat diabetes include family physicians, internists, pediatricians and endocrinologists. An doctor focusing solely on the treatment of diabetes is known as a diabetologist. In addition, people with diabetes often see ophthalmologists for eye examinations, podiatrists for routine foot care, dietitians for help in planning meals, and diabetes educators for instruction in day-to-day care.
Benefits of good blood sugar control
The goal of diabetes management is to keep blood glucose levels as close to the normal (nondiabetic) range as safely possible. A recent Government study, sponsored by the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), proved that keeping blood sugar levels as close to normal as safely possible reduces the risk of developing major complications of diabetes.
The 10-year study, called the Diabetes Control and Complications Trial (DCCT), was completed in 1993 and included 1,441 people with type 1 diabetes. The study compared the effect of two treatment approaches--intensive management and standard management--on the development and progression of eye, kidney, and nerve complications of diabetes. Researchers found that study participants who maintained lower levels of blood glucose through intensive management had significantly lower rates of these complications.
Researchers believe that DCCT findings have important implications for the treatment of type 2 diabetes, as well as type 1 diabetes.
Diabetes is associated with long-term (developing over many years) complications that affect almost every major part of the body. Diabetes causing stiffening and narrowing of very small blood vessels carrying oxygen to body cells and organs. Diabetes contributes to:
Uncontrolled diabetes can complicate pregnancy, and birth defects are more common in babies born to women with diabetes.
In recent years, advances in diabetes research have led to better ways to manage diabetes and treat its complications. Major advances include:
- New forms of purified insulin, such as human insulin produced through genetic engineering.
- Better ways for doctors to monitor blood glucose levels and for people with diabetes to test their own blood glucose levels at home.
- Development of external and implantable insulin pumps that deliver appropriate amounts of insulin, replacing daily injections.
- Laser treatment for diabetic eye disease, reducing the risk of blindness.
- Successful transplantation of kidneys in people whose own kidneys fail because of diabetes.
- Better ways of managing diabetic pregnancies, improving chances of successful outcomes.
- New drugs to treat type 2 diabetes and better ways to manage this form of diabetes through weight control.
- Evidence that intensive management of blood glucose reduces and may prevent development of microvascular complications of diabetes.
- Demonstration that antihypertensive drugs called ACE-inhibitors prevent or delay kidney failure in people with diabetes.
Government agencies that sponsoring diabetes programs, as well as collecting and analyzing statistics about diabetes, include the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), the Centers for Disease Control and Prevention (CDC), the Indian Health Service, the Health Resources and Services Administration, the Bureau of Veterans Affairs, and the Department of Defense. University research centers and hospitals throughout the United States are also involved in diabetes research
Many organizations outside of the Government support diabetes research and education activities. These organizations include the American Diabetes Association, the Juvenile Diabetes Foundation International, and the American Association of Diabetes Educators.
In the future, it may be possible to administer insulin through nasal sprays or in the form of a pill or patch. Devices that can "read" blood glucose levels without having to prick a finger to get a blood sample are also being developed.
Researchers continue to search for the cause or causes of diabetes and ways to prevent and cure the disorder. Scientists are looking for genes that may be involved in type 2 diabetes and type 1 diabetes. Some genetic markers for type 1 diabetes have been identified, and it is now possible to screen relatives of people with type 1 diabetes to see if they are at risk for diabetes.
Transplantation of the pancreas or insulin-producing beta cells offers the best hope of cure for people with type 1 diabetes. Some pancreas transplants have been successful. However, people who have transplants must take powerful drugs to prevent rejection of the transplanted organ. These drugs are costly and may eventually cause serious health problems.
Scientists are working to develop less harmful drugs and better methods of transplanting pancreatic tissue to prevent rejection by the body. Using techniques of bioengineering, researchers are also trying to create artificial islet cells that secrete insulin in response to increased sugar levels in the blood.
For type 2 diabetes, the focus is on ways to prevent diabetes. Preventive approaches include identifying people at high risk for the disorder and encouraging them to lose weight, exercise more, and follow a healthy diet. The Diabetes Prevention Program, another new NIDDK project, will focus on preventing the disorder in high-risk populations.
Other Sites/ Sources of Information
Where to get more help with your diabetes
A comprehensive listing of people and organizations that can help in finding diabetic educators, counselors, dietitians, health providers, support groups as well as diabetic publications.
e-text last updated: December 1999
Select for more information about type 1 diabetes, type 2 diabetes, and gestational diabetes, as well as diabetes research, statistics, and education.
Acknowledgments
Doctors Corner acknowledges the NIDDK as a primary source for this publication. This webpage has been modified by Doctors Corner to enhance readability and provide additional information of importance to our readers.
This material is not copyrighted and may be freely copied and distributed.
Doctors Corner INternet Group, Inc. 1997-2004