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Diabetes mellitus

Overview for Dietary and Lifestyle or Treatment info see links at bottom

Diabetes mellitus is characterised by high blood glucose concentrations, resulting from an insulin deficiency, insulin resistance or both.

Type I: Insulin-dependent diabetes (IDDM)
This begins in childhood. The pancreas makes insufficient insulin. Insulin promotes glucose uptake into the cells, from the bloodstream, for use as energy. Without insulin, glucose accumulates in the blood, passing into the urine. High glucose concentration in the urine increases water output. Increased urination and thirst may be the first symptoms of diabetes. Other symptoms include tiredness, weight-loss and recurrent skin infections.

Type II: Non-insulin dependent diabetes (NIDDM)
This begins in adulthood. It is caused by insufficient insulin production and insulin resistance in cells. Environmental factors may trigger the disease in those adults who are genetically susceptible. Symptoms are similar to those with type 1, but there is less prominent weight loss.

Diabetic complications

These include arteriosclerosis, hardening of the arteries, which can lead to heart attack and stroke. Diabetic kidney, eye or nerve disease may also, result. Nerve degeneration can lead to foot ulcers, and if unchecked may lead to gangrene in the legs. In type 1 diabetes, low blood sugar can cause loss of consciousness. High sugar levels may result in ketoacidosis, as fat is rapidly broken down for use as an energy source and the increased amount of free fatty acids in the blood converted to acidic ketones in the liver, result in metabolic acidosis . This is aserious condition and needs immediate hospital attention.

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