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Diabetes Information

The Top 10 Questions About Diabetes

1. What is diabetes?

  A. Diabetes is a chronic medical condition caused by the inability of the body to either produce insulin or an adequate amount of insulin. Insulin is a hormone produced by the body in the pancreas that helps the body to utilize glucose as a source of energy. When insulin is unavailable, then there is a high level of glucose in the blood.

2. What is insulin dependent diabetes?
  A. Insulin dependent diabetes (Type I) is the kind that the pancreas does not produce insulin. People with Type I diabetes have to inject insulin to replace what their own pancreas does not make.

3. What is non-insulin dependent diabetes?
  A. Non-insulin dependent diabetes (Type II) is the kind that the pancreas does not make some insulin, but the body's cells are resistant to the action of the insulin. People with Type II diabetes usually are diet and exercise controlled, to assist with weight loss. Excess weight and decreased physical activity contribute to insulin resistance along with a positive family history of Type II diabetes. If this does not bring the blood glucose levels down, then the person with Type II diabetes begins medications - oral hypoglycemic agents to assist with lowering the blood glucose levels. If this does not work than the person with Type II diabetes uses injected insulin. They are then classified as having Type II diabetes-insulin requiring.

4. What causes the blood glucose to go up?
  A. Lack of insulin. Food - in particular carbohydrates, stress and illness. Each person with diabetes has his or her own blood glucose response to each one of these factors.

5. What besides insulin causes the blood glucose to go down?
  A. Besides the insulin the oral hypoglycemic agents assist with lowering blood glucose levels and exercise if there is insulin present.

6. How would someone with diabetes know what there blood glucose levels are?
  A. A person with diabetes would know what their blood glucose levels were by doing blood glucose monitoring. The would need to have a blood glucose meter, blood glucose strips and a lance device.

7. How do you do blood glucose monitoring?
  A. The person with diabetes would prick the side of their finger with a lance device to obtain a sample of blood. They would then place the sample of blood on a blood glucose strip, place the strip in the meter and within 20-60 seconds would have a blood glucose reading.

8. How can a person with diabetes learn to manage their diabetes?
  A. A person with diabetes can learn to manage their diabetes by working with their doctor and a team of healthcare professionals. These professionals would be a registered nurse and a registered dietician at a minimum. Both also whould be certified diabetes educators. Other healthcare professionals might be a psychologist, exercise physiologist and a pharmacist.

9. How will a person with diabetes know that they are managing their diabetes?
  A. A person with diabetes will know that they are managing their diabetes by taking preventative measures.

These are recommendations to assist with this:
 
1. Education with physicians and certified diabetes educators. A certified diabetes educator can help the person with diabetes to learn how to balance the factors that effect blood glucose levels to have adequate control.
   
2. Blood tests - Prescribe by M.D. especially hemoglobin - A.C. every 3 months.
   
3. Following the advice of both M.D. and C.D.E. with all other tests.
   
 
Comparisons Between Type I and Type II Diabetes:
 
 
Type I Diabetes
Type II Diabetes
Another Name Insulin Dependent Diabetes Non-Insulin Dependent Diabetes
Age at Onset Frequently less than 20 years old, but can be any age. More often over 30.
Type of Onset Abrupt Gradual
Symptoms Thirst, urinary frequency, weight loss. Sometimes none. May have increased appetite, increased thrist and urinary frequency.
Family History Sometimes positive for Type I. Frequently positive.
Pancreatic Insulin Absent Present, but cells resistant.
Injected Insulin Needed Yes - 100% Yes in only 20 - 30%
Oral Hypoglycemic Agent Needed No Yes - If diet and exercise does not work
Body Size Lean Overweight
Hypoglycemia More frequent Sometimes occurs.
Diet Most important Preferred Nutrition Plan: Matching insulin to carbohydrate content of Meals. Important May be the difference between needing insulin oral hypoglycemic drugs or diet and exercise only. Preferred Nutrition Plan: Focuses on weight reduction to decrease bodies resistance to insulin.
Exercise Need to learn to make adjustments in food and insulin to prevent hypoglycemia. Assists with weight loss and reducing cells resistance to insulin.

What is Insulin?
Insulin is a hormone produced in the pancreas, a gland located behind the stomach. Insulin is necessary for a process called metabolism by which digested foods are turned into the energy your body needs. Without insulin, glucose, a form of sugar produced when starches and sugars are digested, cannot be properly used. Instead, glucose builds up in the bloodstream and spills into the urine showing sugar in the urine.

Unless treated, a person with diabetes will have excessively high levels of sugar in the blood and in the urine.

People with Type I (insulin dependent or juvenile) diabetes do not produce the insulin their bodies need. In order to supply the insulin needed to burn glucose for energy, insulin must be taken by injection every day.

Why injection? If insulin is given by mouth, the body's digestive juices destroy it. By injecting insulin under the skin, it can be absorbed slowly into the bloodstream.

Until recently, insulin only came from the pancreases of cows and pigs. While beef, pork and beef-pork combinations are still widely used, there are now two types of "human" insulins available: Semisynthetic (made by converting pork insulin to a form identical to human) and recombinant (made using genetic engineering).

The Goal of Insulin Treatment
The main goal of diabetes treatment is to control blood-sugar levels and keep them in normal range.

The Elements of Control
Blood sugar levels are affected by three basic elements.

  • food intake
  • physical activity
  • the amount of insulin taken

Control is achieved by balancing these three elements. Food makes the glucose level rise and exercise and insulin make the glucose level fall.

Self Monitoring Your Blood Glucose Level
You can monitor your blood sugar level at home with a blood glucose monitoring system. It involves pricking your finger or ear lobe and putting a drop of blood on a special strip. Depending on which system you use, you compare the strip with a color chart that shows equivalent blood sugar levels or place the strips in a small, portable machine which gives a digital readout.

Insulin Reaction or Shock (Hypoglycemia)
Hypoglycemia occurs when the blood sugar level falls below normal. The reason it happens in diabetics is that insulin taken by injection does not exactly match the body's minute-by-minute need for insulin. The insulin is absorbed at its own particular rare independent of your activities.

It's not surprising, therefore, that there are times when too much insulin is circulating in the blood. This is where an insulin reaction occurs.

Diabetes Sources

  • American Association of Diabetes Education - 1800-338-DMED
  • American Diabetes Association - 1-800-ADA-DISC
  • Juvenile Diabetes Foundation - 1-800-JDF-CURE
  • D.I.A.L. (Diabetes Information and Action Line) - 1-800-DIABETES

Related Websites

 


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Last modified: March 13, 2008
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