Thursday, 4 September 2014

What is Diabetes - Some Detailed Analysis

Diabetes is a chronic metabolic disorder characterized by a deficiency or malfunction of insulin resulting in  elevated blood sugar levels . Diabetes is a disease that causes damage to multiple organs.

Diabetes is not a single disease. To be the most common types of type 2 diabetes , which occurs in the initial period to the phenomenon of insulin resistance . Diabetes is most commonly associated with obesity, does not initially require insulin treatment, but drugs that reduce tissue insulin resistance.

In type 1 diabetes the pancreas is damaged cells produce insulin, resulting in complete disappearance at the time of manufacture. Without insulin, glucose in the blood increases, especially after a meal and as a result appears in the urine.
Definition of diabetes by. WHO

Diabetes (Diabetes mellitus) is a group of metabolic diseases characterized by hyperglycemia (high blood sugar) resulting from a defect in the production or action of insulin secreted by the beta cells of the pancreas.

Chronic hyperglycemia associated with damage, dysfunction and failure of various organs, especially to the eyes, kidneys, nerves, the heart and blood vessels.

A Diabetic Person

A person who suffers from diabetes is called diabetic . The word comes from the Latin name of diabetes "Diabetes mellitus".

People with diabetes who are treated with insulin or medicines that lower blood sugar levels are also vulnerable to the occurrence of too low blood glucose (hypoglycemia - hypoglycemia). As a result, their brain is not getting enough glucose and are vulnerable to loss of consciousness due to hypoglycemia.

Prior to occur most often symptoms of low blood sugar levels as weakness, pallor, palpitations, trembling hands, inadequate (odd) behavior. Sometimes we mistakenly conclude that this person is under the influence of alcohol and refused her help.

Therefore, for the safety of diabetics is recommended to wear armbands indicating that the person has diabetes. Sometimes this information can be found in the documents of the patient.

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That tells us that in the event of hypoglycemia need to give the person something sweet to drink or even a sugar cube. In case of unconsciousness as soon as possible call the ambulance. Doctor diabetologist.

Contemporary specialized care of patients with diabetes requires a comprehensive approach to the treatment of this disease due to the fact that the late complications of diabetes, as well as co-morbidities, require treatment in a variety of specialist clinics.

The team involved in the treatment of diabetes include:

  • Diabetes specialist doctor (doctor spacjalista in the field of diabetes)
  • Nurse education
  • Nutritionist
  • Psychologist
  • Family doctor
Doctors in other specialties involved in the diagnosis and treatment of chronic complications of diabetes as an ophthalmologist, neurologist, nephrologist (a physician specialist in kidney disease), a cardiologist (a physician specialist in diseases of the heart), an endocrinologist (a physician specialist in diseases of the endocrine system).

When to Use Insulin Therapy in Type 2 Diabetes

Insulin in type 2 diabetes is recommended in the initial phase of the disease only when the diagnosis was late at high glucose (above 300 mg /dl) with severe clinical symptoms. In general, insulin treatment in such cases does not take long and you can already after a few days stay in the hospital to enable oral medications.

At a later stage of type 2 diabetes insulin deficiency occurs, the Second ineffective oral medications and then in the absence of optimal diabetes control, it is decided to use insulin. For many people with type 2 diabetes, insulin acts as the "bogey" or right? If your sugars despite the use of optimal doses of oral medication and dietary compliance are not satisfactory do not be afraid to implement insulin. By lowering blood glucose will improve your mood and reduce the risk of developing chronic complications of diabetes.

Whatever the level of sugars achieved with oral medications during  pregnancy in women with type 2 diabetes, insulin alone is used (oral drugs are contraindicated in pregnant). Insulin turns to the treatment of the type of diabetes after verification and confirmation of the type of autoimmune diabetes (similar to type 1) disclosing in people over 35 years of age (diabetes mellitus type LADA).
During the treatment of type 2 diabetes can happen such situations when the use of oral drugs is undesirable and it is appropriate to apply for a period of time of insulin:

  • Treatment/surgery
  • During severe infection such as: severe pneumonia, which is the cause of high blood glucose values
  • The use of drugs such as steroids, as they cause misalignment of diabetes
  • Treatments such as Pip cardiac arteries (coronary angioplasty)
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