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Diabetes
Diabetes is on the rise worldwide, and is a serious, lifelong disease that can lead to heart disease, stroke, and lasting nerve, eye and foot problems. Let's talk about diabetes and the difference between the three types of diabetes.
So, what exactly is diabetes and where does it come from?
An organ in your body called the pancreas produces insulin, a hormone that controls the levels of your blood sugar. When you have too little insulin in your body, or when insulin doesn't work right in your body, you can have diabetes, the condition where you have abnormally high glucose or sugar levels in your blood.
Normally when you eat food, glucose enters your bloodstream. Glucose is your body's source of fuel. Your pancreas makes insulin to move glucose from your bloodstream into muscle, fat, and liver cells, where your body turns it into energy. People with diabetes have too much blood sugar because their body cannot move glucose into fat, liver, and muscle cells to be changed into and stored for energy.
There are three major types of diabetes. Type 1 diabetes happens when the body makes little or no insulin. It usually is diagnosed in children, teens, or young adults. But about 80% of people with diabetes have what's called Type 2 diabetes. This disease often occurs in middle adulthood, but young adults, teens, and now even children are now being diagnosed with it linked to high obesity rates. In Type 2 diabetes, your fat, liver, and muscle cells do not respond to insulin appropriately.
Another type of diabetes is called gestational diabetes. It's when high blood sugar develops during pregnancy in a woman who had not had diabetes beforehand. Gestational diabetes usually goes away after the baby is born. But, still pay attention. These women are at a higher risk of type 2 diabetes over the next 5 years without a change in lifestyle.
If you doctor suspects you have diabetes, you will probably have a hemoglobin A1c test. This is an average of your blood sugar levels over 3 months. You have pre-diabetes if your A1c is 5.7 to 6.4%. Anything at 6.5% or higher indicates you have diabetes.
Type 2 diabetes is a wake up call to focus on diet and exercise to try to control your blood sugar and prevent problems. If you do not control your blood sugar, you could develop eye problems, have problems with sores and infections in your feet, have high blood pressure and cholesterol problems, and have kidney, heart, and problems with other essential organs.
People with Type 1 diabetes need to take insulin every day, usually injected under the skin using a needle. Some people may be able to use a pump that delivers insulin to their body all the time.
People with Type 2 diabetes may be able to manage their blood sugar through diet and exercise. But if not, they will need to take one or more drugs to lower their blood sugar levels.
The good news is, people with any type of diabetes, who maintain good control over their blood sugar, cholesterol, and blood pressure, have a lower risk of kidney disease, eye disease, nervous system problems, heart attack, and stroke, and can live, a long and healthy life.
Diabetes
Review Date: 10/11/2024
Reviewed By: Frank D. Brodkey, MD, FCCM, Associate Professor, Section of Pulmonary and Critical Care Medicine, University of Wisconsin School of Medicine and Public Health, Madison, WI. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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- Rectum
- Red blood cells - elliptocytosis
- Red blood cells - multiple ...
- Red blood cells - normal
- Red blood cells - sickle an...
- Red blood cells - sickle cells
- Red blood cells - spherocytosis
- Red blood cells, sickle cell
- Red blood cells, target cells
- Red blood cells, tear-drop shape
- Respiratory system
- Respiratory system overview
- Retina
- Rheumatoid arthritis
- Ribcage
- Right cerebral hemisphere -...
- Ringworm - tinea corporis o...
- Ringworm - tinea corporis o...
- Ringworm - tinea manuum on ...
- Ringworm - tinea on the han...
- Ringworm, tinea capitis - c...
- Rocky mountain spotted feve...
- Role of the vagus nerve in ...
- Roseola
- Roux-en-Y stomach surgery f...
- Rubella
- Rubella on an infant's back
- Rubella syndrome
- Runny and stuffy nose
- Ruptured eardrum
- Sacrum
- Salmonella typhi organism
- Sarcoid - close-up of the s...
- Sarcoid, stage I - chest x-ray
- Sarcoid, stage II - chest x-ray
- Sarcoid, stage IV - chest x-ray
- Sarcoidosis - close-up
- Sarcoidosis on the elbow
- Sarcoidosis on the nose and...
- Scabies mite - photomicrograph
- Scabies mite - photomicrograph
- Scabies mite - photomicrograph
- Scabies mite - photomicrogr...
- Scabies mite, eggs, and sto...
- Scabies rash and excoriatio...
- Schatzki ring - x-ray
- School age child development
- Scoliosis
- Scoliosis
- Scoliosis brace
- Second degree burn
- Secondary amenorrhea
- Sense of hearing
- Sense of smell
- Shaken baby symptoms
- Shingles
- Shock
- Shoulder joint
- Side sectional view of fema...
- Signs of drug use
- Signs of scarlet fever
- Signs of scoliosis
- Single palmar crease
- Sinuses
- Sinusitis
- Skeletal spine
- Skeleton
- Skin
- Skin bruise
- Skin cancer, melanoma on th...
- Skin characteristics
- Skin layers
- Skin testing - PPD (R arm) ...
- Skin turgor
- Skull fracture
- Skull fracture
- Skull of a newborn
- Sleep patterns in the young...
- Slit-lamp exam
- Small bowel obstruction - x-ray
- Small intestine
- Smashed fingers
- Snake bite
- Sound wave transmission
- Sources of fiber
- Spina bifida
- Spina bifida (degrees of se...
- Spinal anatomy
- Spinal cord injury
- Spinal curves
- Spinal fusion
- Spinal stenosis
- Spirometry
- Spitting up
- Splenomegaly
- Sponge bath
- STDs and ecological niches
- Stein-Leventhal syndrome
- Stinger removal
- Stitches
- Stomach
- Stomach and small intestine
- Stomach disease or trauma
- Stopping bleeding with a to...
- Stopping bleeding with dire...
- Stopping bleeding with pres...
- Stork bite
- Strep throat
- Stroke
- Structure of the colon
- Sturge-Weber syndrome - legs
- Stye
- Substance use during pregnancy
- Subungual wart
- Sun protection
- Sunburn
- Sunken fontanelles (superio...
- Superficial anterior muscles
- Supernumerary nipple
- Supernumerary nipples
- Support group counselors
- Swan Ganz catheterization
- Sweat test
- Sweat test
- Swimmer's ear
- Swollen glands
- Swollen gums
- Swollen lymph nodes in the groin
- Syndactyly
- Systemic lupus erythematosu...
- Teach children to brush
- Teenage depression
- Teething symptoms
- Temperature measurement
- Tension-type headache
- Teratoma - MRI scan
- Tetralogy of Fallot
- Thalassemia major
- Thalassemia minor
- The face
- The skeleton (lateral view)
- Thermometer temperature
- Third degree burn
- Throat anatomy
- Thrombus
- Thumbsucking
- Thyroid gland
- Thyroid ultrasound
- Tick - deer engorged on the skin
- Tick imbedded in the skin
- Tick, deer - adult female
- Ticks
- Time out
- Tinea (ringworm)
- Tinea corporis - ear
- Tinea versicolor - back
- Tinea versicolor - close-up
- Tinea versicolor - close-up
- Tinea versicolor - shoulders
- Tinea versicolor on the back
- Toddler development
- Toddler test
- Tonsillectomy
- Tooth abscess
- Tooth anatomy
- Tooth anatomy
- Torticollis (wry neck)
- Totally anomalous pulmonary...
- Totally anomalous pulmonary...
- Totally anomalous pulmonary...
- Transposition of the great ...
- Treatment for leg strain
- Tricuspid Regurgitation
- Tricuspid Regurgitation
- Tuberculosis of the lungs
- Tuberculosis, advanced - ch...
- TV watching
- Tympanic membrane
- Type I diabetes
- Ulcer emergencies
- Ulcerative colitis
- Ultrasound in pregnancy
- Umbilical catheter
- Umbilical cord healing
- Umbilical hernia
- Untreated hypertension
- Upper gastrointestinal system
- Ureterocele
- Urticaria pigmentosa - close-up
- Urticaria pigmentosa in the...
- Urticaria pigmentosa on the...
- Uterus
- Vascular headaches
- Vascular ring
- Venous blood clot
- Ventricles of the brain
- Ventricular septal defect
- Ventricular tachycardia
- Vertebra, cervical (neck)
- Vertebra, lumbar (low back)
- Vertebra, thoracic (mid back)
- Vertebrae
- Vertebral column
- Vertical banded gastroplasty
- Vertigo
- Vesicoureteral reflux
- Visual acuity test
- Visual field test
- Vitamin A source
- Vitamin B12 source
- Vitamin B6 source
- Vitamin C benefit
- Vitamin C source
- Vitamin D source
- Vitiligo - drug induced
- Vitiligo on the back and arm
- Vitiligo on the face
- Voice box
- Voiding cystourethrogram
- Volvulus - x-ray
- Walleyes
- Wart
- Wart (close-up)
- Wart (verruca) with a cutan...
- Warts - flat on the cheek a...
- Wasp
- Weight loss
- White nail syndrome
- Wilms tumor
- X-linked recessive genetic ...
- X-linked recessive genetic ...
- X-linked recessive genetic ...
- X-ray
- Yeast and mold
- Yersinia enterocolitica organism
- Yoga
- Yo-yo dieting
Presentations
- Achalasia - series
- Adenoid removal - series
- Animal bite - first aid - series
- Ankle sprain - Series
- Appendectomy - series
- Bone fracture repair - series
- Bone-marrow transplant - series
- Bruise healing - series
- Cataract surgery - series
- Chest tube insertion - series
- Choking first aid - adult o...
- Choking first aid - infant ...
- Circumcision - series
- Cleft lip repair - series
- Clubfoot repair - series
- Colon cancer - series
- Complete blood count - series
- Convulsions - first aid - series
- CPR - child 1 to 8 years ol...
- CPR - infant - series
- Craniotomy - series
- Diaphragmatic hernia repair...
- Ear tube insertion - series
- Eardrum repair - series
- Emergency airway puncture ...
- Exchange transfusion - series
- Gastroesophageal reflux - series
- Gastroschisis repair - series
- Heart valve surgery - series
- Hemangioma excision - series
- Hiatal hernia repair - series
- Hydrocele repair - series
- Hypospadias repair - series
- Imperforate anus repair - ...
- Infantile pyloric stenosis ...
- Inflammatory bowel disease ...
- Inguinal hernia repair - series
- Intestinal obstruction (ped...
- Intestinal obstruction repa...
- Large bowel resection - series
- Leg lengthening - series
- Mastoidectomy - series
- Meckel's diverticulectomy ...
- Meningocele repair - series
- Metered dose inhaler use - ...
- Minor burn - first aid - series
- Minor cut - first aid
- Monitoring blood glucose - ...
- Nebulizer use - series
- Omphalocele repair - series
- Pancreatitis - series
- Patent ductus arteriosis (P...
- Patent urachus repair - series
- Pectus excavatum repair - ...
- Pneumothorax - series
- Repair of webbed fingers -...
- Retinal detachment repair ...
- Small bowel resection - series
- Spleen removal - series
- Thyroidectomy - series
- Tonsillectomy - series
- Tracheoesophageal fistula r...
- Two person roll - series
- Umbilical hernia repair - ...
- Ventriculoperitoneal shunt ...
- White blood cell count - series