Type II Diabetes Mellitus: An Emerging Epidemic
Diabetes mellitus is a group of metabolic disorders characterized by inadequate insulin secretion by the pancreas or cellular destruction leading to an insulin deficiency. Depending on the cause of the insulin shortage, diabetes can be subcategorized into type I and type II. Type I diabetes (T1DM) is usually mediated by the destruction of b-cells in the pancreas resulting in decreased insulin production and secretion. Type II diabetes (T2DM) is the failure of these b-cells to secrete adequate amounts of insulin to compensate for insulin resistance and increased gluconeogenesis combined with an overall resistance to the insulin action (8., 1997). T2DM accounts
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Other symptoms such as damage to the kidneys, eyes, nerves, heart, and blood vessels can occur if the diabetes goes unnoticed for a prolonged period of time and glucose levels are not controlled (Novitt-Moreno, 1996).
The detection of T2DM can be difficult because the patient may or may not have many of the symptoms depending on how severe their case is. Many of the symptoms are very similar to those of type I diabetes making classification difficult. Some patients are found to have glucosuria upon routine urinalysis, which could lead to the diagnosis. Ketouria can also be detected but usually only occurs in only one forth of patients who have type II diabetes. Simple clinical features of T2DM can assist doctors diagnosing and classifying the disease. More than 85 percent of patients diagnosed are overweight or obese. A family history of type II diabetes is found in the majority of patients who are known to have T2DM. A skin condition known as aconthosis nigricans is also common and can be detected by routine physical examination. It is characterized by hyperpigmentation and a velvety texture caused by long-standing hyperinsulinism and usually is found around the neck, inner thighs, and antecubital areas (Nesmith 2001).
In addition to clinical signs, laboratory tests and evaluations are necessary to classify a person accurately. Diagnostic tests include fasting plasma glucose, random plasma
For the purpose of this paper it will provide an overview of ways that diabetes, type 2, can be prevented if a person is at risk for developing it. Although there has been little research that diabetes can always be prevented there are ways that a person can delay or improve their symptoms.
Type 2 diabetes is a very serious disease with many life threatening consequences, but if it is manage properly through preventative measures, diabetics can live a normal life.
Did you know that an estimated 11.2 million Americans age 65 or older are living with diabetes? That’s 1-in-4 adults over the age of 60 that will be diagnosed with Type 1 or Type 2 diabetes. Those who have already been diagnose with the disease have already learned how to many their condition over time. Even after to adjusting your lifestyle over time due to the disease, the initial diagnosis can be overwhelming. As loved ones and caregivers, you want to provide them with the support and help they need to continue to enjoy a healthy, happy life. The Woodlands Family Care Centers has a few helpful tips that can you avoid or delay complications that are found to be associated with diabetes.
Unhealthy lifestyles can lead to many life threatening diseases. One example of a life threatening disease is diabetes mellitus. It is a disorder caused by the inability to make or respond to insulin, a hormone that prompts cells to take in glucose from the bloodstream. It can occur in several forms, but the two main types are Type I and Type II diabetes. Most cases of Type I diabetes happens in children and adolescents. It is caused by “autoimmune destruction of the islets of Langerhans of the pancreas.” The body cannot produce insulin. Type II diabetes is more popular. It’s responsible for 90% of the cases of diabetes. Type II diabetes occurs when the body cannot use insulin properly. It results either in insulin deficiency or insulin resistance
The health problems linked to T2DM are largely diversified. Within AAC and African immigrants, there is a similar genetic tendency with a higher than normal level of Impaired Glucose Tolerance, which is equivalent to a primary phase of diabetes. As fact, research states that “Investigations of the genetic variation-underlying risk of T2D in African-Americans yield results that often support the existence of conserved biological pathways.” (PNC, 2017). Moreover, the obesity is another risk factor along with lifestyles such as lack of exercise and unbalanced diet. The symptoms of T2DM can be easily distinguishable; therefore, people with T2DM are incredibly thirsty, and they may have other symptoms including, dry mouth, blurred vision, frequent urination, headaches, increased hunger, gain weight, fatigue…etc. All symptoms of the disease show that T2DM do not start suddenly, but when the preliminary phase is neglected, the T2DM becomes chronic, leading hyperglycemia, hypertension, kidney disease, nervous system disease, amputation, heart disease and stroke, to name just a few. Another aspect of risk factors are the lack of health insurance because of poverty of a large group within the community and lack of adequate resources as
Due to hyperglycemia and lack of insulin, many people experience some classic symptoms of diabetes such as excessive hunger, excessive thirst, increased urine volume, and unexplained weight loss. (Gwinnett Medical Center Health Series) Some long term symptoms of type 2 diabetes that may appear over time include: fatigue, recurrent infections, changes in vision, itching, and possible tingling or prickling skin sensations.
Diabetics don’t live a normal lifestyle. They can’t do all the same things as someone without Diabetes. Diabetic are restricted from many things. As a Diabetic they have to be knowledgeable on what they put in their body. For example, there are certain diets that Diabetics can NOT go on. One of them being a “no carb diet”. Diabetics need insulin in order to survive. For their body to produce insulin they NEED carbs. Also, they have to inject insulin into their body depending on how many carbs they are eating during that meal. Carbohydrates are an essential for a Diabetic. Another diet Diabetics should never go on are “no food diets”. Diabetics also are advised , not to smoke. Diabetes and smoking is an awful mixture because then they will greatly
Some of the symptoms that I had as a result of this type of diabetes include:
Type II Diabetes or insulin resistance is the condition where the body makes insulin (hormone that is needed by the cells to turn glucose from the foods we eat into energy), but the body is unable to use it properly. To compensate for this, the pancreas produces more insulin. However, overtime the insulin accumulates in the blood which leads to various health complications (WebMD, 2013). Dietary teaching for Mr. Smith who has type 2 diabetes would include information on the recommended amount of foods to consume from the relative groups, the foods to limit or avoid if possible and alcohol consumption guidelines.
“Direct evidence of the benefits of early detection of type 2 diabetes by screening are lacking and are now unlikely to be obtained.” Khunti K, Davies M (2012)
Untreated type two diabetes can cause short term and long term complications. Two short term issue is hypoglycemia or hyperglycemia. Hypoglycemia is wen your blood glucose drops to a severely low level. Hyperglycemia is when your blood glucose levels skyrocket and reach a very high level. This relates to the chart above and how long it takes a type 2 diabetic’s blood glucose to return to normal. Blood vessels can be damaged by excessive blood glucose levels which effects blood flow to the eyes, kidneys and nerves. (Endocrine Web)
Most problems linked with diabetes are because of the build up of glucose. When kidneys expel surplus sugar through urine, large amount of fluids would also be extracted. This may result in dehydration. High level of sugar in the blood stream may damage the small nerves of eye
Diabetes mellitus is a metabolic disease that is characterised by hyperglycaemia. This is a result from a deficiency in insulin action and secretion. Symptoms of hyperglycaemia include polyuria, polydipsia, weight loss, blurred vision and on some occasions, polyphagia. If the disease becomes chronic is patients, it can lead to dysfunction, long-term damage and failure of organs http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2613584/?report=classic.
After identifying some of the major symptoms of disease, the next important step is getting it medically diagnosed. Medical professionals have
Type 2 Diabetes also known as non-insulin-dependent diabetes, the most common diabetes, affecting 95% of the 29.1 million Americans or 9.3% of the diabetic population of United States in 2012.