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Type 2 Diabetes Introduction

 

Diabetes mellitus is the inability of the body to utilize glucose (sugar) for energy, because the body does not produce or use insulin effectively. There are two major categories of diabetes mellitus:

  • Type 1 diabetes- (IDDM, insulin dependent diabetes mellitus, or juvenile onset)

  • Type 2 diabetes- (NIDDM, non-insulin dependent diabetes, or adult onset).

In type 1 diabetes the pancreas does not produce enough insulin, while in type 2 diabetes the pancreas continues to secrete insulin but cells of the body become resistant to its effects.

 

Type 2 diabetes is the most common form of diabetes, occurring in over ninety percent of all diabetics.  It usually occurs in people over the age of 40, and most often in persons who are overweight.  Typically, type 2 diabetes development is gradual, and takes place over many years.  It can also develop during pregnancy (gestational diabetes).  Gestational diabetes is often treated with insulin and usually disappears after childbirth.  However, the patient will remain at an increased risk for developing type 2 diabetes later in life.

 

The cause of type 2 diabetes includes genetic, dietary, and lifestyle factors.  Lifestyle practices, such as overeating and lack of exercise increase ones risk for the development of this condition.  Type 2 diabetes is most likely to occur in people with a family history of diabetes.  1 in 3 diabetics have a relative with the same type of diabetes.  Overweight and obese people over the age of 45 are at increased risk in developing type 2 diabetes.  As our society becomes increasingly overweight and obese (64 percent of US adults are now overweight or obese), the prevalence of this condition will continue to rise.

 

Type 2 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) and blindness, immune system problems with increased susceptibility to infections, and circulation problems that can lead to skin ulcers, poor wound healing, and amputation.

 

 

Type 2 Diabetes Symptoms

 

Persons with type 2 diabetes often show no signs of the condition for years.  When symptoms do occur, they may include;

  • Frequent urination

  • Unusual thirst and a dry mouth

  • Lack of energy and fatigue

  • Blurry vision and dizziness

 

Type 2 Diabetes Statistics

 

According to the National Center for Health Statistics and the Centers for Disease Control-National Diabetes Fact Sheet (1, 2):

  • Approximately 13.4 million Americans have diabetes (6.6% of population)
     

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

  • 65% of deaths among people with diabetes are due to heart disease and stroke
     

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

  • The total cost of diabetes is 132 billion dollars in the US alone

 
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