Diabetes Mellitus
Diabetes is a chronic, genetically determined, debilitating disease that affects every organ system. There are two major types of diabetes: Type I and Type II. Type I or insulin dependent diabetes mellitus (IDDM), is caused by the autoimmune destruction of the insulin producing cells of the pancreas and is usually, but not always diagnosed in childhood. People with type I diabetes must take insulin shots in order to survive. Type II diabetes or non-insulin dependent diabetes mellitus (NIDDM), are usually diagnosed in adulthood. They produce insulin, but their bodies do not use it effectively or properly. While many modern diseases plague society, diabetes has been known for many centuries (Juvenile Diabetes Foundation, 1-3). Type I diabetes is usually diagnosed in children and young adults and was previously known as juvenile diabetes. In type I diabetes, the body does not produce insulin. Insulin is necessary for the body to be able to use sugar. Sugar is the basic fuel for the cells in the body, and insulin takes the sugar from the blood into the cells. When sugar builds up in the blood instead of going into cells, it can cause two problems: cells may be starved for energy, and over time, high
The three key problems: Hypoglycemia, or low blood sugar. In DM, glucose enters the tubules so fast that it exceeds the transport maximum and the tubules cannot reabsorb it fast enough. People with type I diabetes are more likely to die of kidney failure than those with type II diabetes. Insulin is necessary for the body to be able to use sugar. A little knowledge of kidney physiology is necessary to understand why glycosuria and polyuria occur. This occurs when blood sugar drops too low. To correct this, all that is needed is some sugar. The excess passes through into the urine. It can be a sign that diabetes is not controlled very well. Diet and exercise are the two most important things in a diabetic's life. Atherosclerosis also contributes to renal failure and gangrene. They also feel edgy, tired, and sick to their stomach. Diabetes mellitus leads to long-term degenerative cardiovascular and neurological diseases. Signs and symptoms of type II diabetes: One is that it develops very slowly. In type II diabetes, the most common cause of death is heart failure stemming from atherosclerosis of the coronary arteries.
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