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Diabetes Mellitus

 
Type-1 Diabetes (Diabetes mellitus) Introduction

 

Diabetes mellitus is a condition defining the body's inability to utilize glucose (sugar) for energy.  Persons suffering from this condition do not produce, or do not use, insulin effectively.  There are two major categories of diabetes mellitus:

  • Type 1 diabetes: Also referenced as insulin dependent diabetes mellitus (IDDM), or juvenile onset diabetes.  In type 1 diabetes the pancreas does not produce enough insulin.  This type of diabetes usually occurs in people younger than age 30, and most often in children and adolescents.  Type 1 diabetics are dependent upon insulin injections for the control of their blood sugar levels.
     

  • Type 2 diabetes: Also known as non-insulin dependent diabetes (NIDDM), or adult onset diabetes.  Type 2 diabetes results in the cells of the body becoming resistant to insulin.  

Although the exact cause of type 1 diabetes is unknown, it is thought to be due to an autoimmune reaction, in which the immune system destroys the insulin-producing beta cells in the pancreas.  This abnormal immune response may be triggered by a viral infection, a vaccination, a toxic chemical, or after inflammation of the pancreas during acute pancreatitis.  Genetic factors may also play a role in susceptibility.

 

Type 1 diabetes increases the risk of chronic conditions including; heart disease, stroke, kidney disease, loss of nerve function (peripheral neuropathies ), retinopathy (a disease of the retina), blindness, immune system problems with increased susceptibility to infections, and circulation problems that can lead to skin ulcers, poor wound healing, and amputation.

 

 

Type-1 Diabetes Symptoms

 

The main symptoms of type 1 diabetes are:

  • Excessive urination

  • Thirst and a dry mouth

  • Lack of energy

  • Blurry vision and dizziness

  • Weight loss

In type 1 diabetes, untreated high blood sugar can lead to ketoacidosis, a condition where toxic chemicals called ketones are produced.  Ketoacidosis occurs when body tissues are unable to take up glucose due to inadequate insulin, and have to burn fats for energy.  Ketoacidosis is a medical emergency because it can lead to severe dehydration and coma if not treated immediately.  The symptoms of ketoacidosis include:

  • Nausea and vomiting

  • Abdominal pain

  • Shortness of breath (Kussmaul breathing)

  • Acetone (fruity) smell to the breath

  • Confusion

 

Type-1 Diabetes Statistics

 

According to the National Center for Health Statistics (1):

  • Approximately 13.4 million Americans have diabetes

  • About 6.6 percent of Americans have diabetes

  • In 2001, diabetes accounted for 71,372 deaths in the US

  • Diabetes is the 6th leading cause of death in the US

  • Type 1 diabetes accounts for 5 to 10 percent of diagnosed diabetes in the US

 

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Diabetes Mellitus

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