12/07/2010

Types Of Diabetes and Skin Problems

What Is Diabetes Melitius?  

          Diabetes Melitius (DM) is disease of degenerative needing of serious and correct handling effort. Otherwise, affect from the diabetes melitius will bring other serious complication disease, like heart sickness, stroke, abnormal erection function, kidney failure, and damage of nerve system.

            According to World Health Organization data (WHO), diabetes melitius affects more than 20 million Americans. Over 40 million Americans have pre diabetes. And the nation with the most diabetes cases area: India, China, Soviet, Japan, and Brazil and Indonesia. 90-95 % of those are having TYPE 2 DIABETES.

              
Diabetes Melitius itself defined as disease where patient body cannot automatically to control sugar level (glucose) in his blood. Patient of diabetes cannot produce enough insulin, so that occur excesses of sugar in body. Excess of chronic sugar in blood (hyperglycemia) become poison for body.


 

Type of Diabetes
 
1. Diabetes Type 1 (IDDM/depended insulin)

 
           
Someone told by Type 1 Diabetes , if body needs supply of insulin from outside. This matter caused by beta cells from Langerhans islands have experienced of damage, so that pancreas desists to produce insulin. Damage of the beta cell can occur since childhood and or after adult.Type 1 diabetes is usually diagnosed in childhood. Many patients are diagnosed when they are older than age 20.The exact cause is unknown. Genetics, viruses, and autoimmune problems may play a role.

2. Diabetes Type 2 (NIDDM/not depended of insulin)

 
            
Type 2 diabetes is far more common than type 1.Type 2 diabetes happened if insulin result of production of pancreas insufficient or fat cell and body muscle become impenetrable to insulin, so make trouble delivery of sugar to body cell.
Usually disease of this diabetes type is hit adult people.
But young people are increasingly being diagnosed due to increasing obesity and failure to exercise.with this disease. Type 2 diabetes is far more common than type 1.


3.Gestational Diabetes

 
            
Some women develop gestational diabetes late in pregnancy. Although this form of diabetes usually goes away after the baby is born, a woman who has had gestational diabetes is more likely to develop type 2 diabetes later in life. Gestational diabetes is caused by the hormones of pregnancy or a shortage of insulin.



DIABETES AND THE SKIN
 
            
Diabetes is a health problem which "primary" all over the world. Diabetes will attack several organs, such as the heart, kidneys, eyes, etc.. Skin as organs are the "largest" will also experience some changes due to the influence of diabetes on skin tissue. The researchers found that 40% of diabetes have problems lulitnya, ranging from mild to heavy.


DIABETES CAUSES SKIN PROBLEMS
         Persons with diabetes  the skin problem may occur because some of the following::
  • Abnormalities of carbohydrate and fat metabolism• worsening of blood flow in the skin
  • Abnormalities of the nerves in the skin characterized by reduced / loss of feeling hot or cold or pain 
  • High levels of sugar dijaringan skin is a favorable environment for breeding germ
  • High blood sugar levels will reduce the ability of white blood cells as the body's defense against germs 
  • Abnormalities of the immune system will facilitate the formation of pernanahan (ulcers) 
  • No perceived the existence of a small wound in the leg will cause infection in the skin
 
PROBLEMS RELATED TO DIABETES

Some problems in the skin associated with diabetes : 
  1. Because the decline in immune system: abscess, fungal infection of the hands, feet and part other body. 
  2. Because of circulatory disorders: brown blotches on the limbs, decay (gangrene), especially in the finger foot. 
  3. Because of damage to the nervous system: the itching in the genitals of women and men, a sense of numbness facilitate incidence of injuries. 
  4. Because metabolic abnormalities: ochodermia (changes in the skin especially on the hands and feet), yellowish deposition around the joints.
  5. Other: blistered skin, chapped skin, dry skin, hair loss and nail gloom.

PREVENTION OF SKIN PROBLEMS 
               Skin disorders that occur at diabetes can be prevented with the following matters: 
1. Control your blood sugar levels by eating arrangements, physical exercise and if necessary with drug and insulin 

2. Check your skin regularly to ensure there are no blisters or sores 

3. Do not be unaware of the infection and treat seriously. 

  4. Check your pulse regularly lower leg blood vessels 

5. Check the edges of nerve function

6. Check your feet regularly, do not overlook the slightest abnormality 

7. Keep feet as clean as possible, cut the nails carefully, STOP smoking

 8. Avoid the use of drugs that can raise blood sugar levels, such as prednisone and dexamethason

 9. The immediate skin problems arising inform your doctor. Your doctor will refer you to skin specialist (dermatologist) 

10. Continue your participation in the local diabetes associations to obtain information about complications of diabetes.

12/06/2010

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7/05/2010

Other Types of Diabetes

A number of other types of diabetes exist. A person may exhibit characteristics of more than one type. For example, in latent autoimmune diabetes in adults (LADA), also called type 1.5 diabetes or double diabetes, people show signs of both type 1 and type 2 diabetes.

Other types of diabetes include those caused by
  • genetic defects of the beta cell—the part of the pancreas that makes insulin—such as maturity-onset diabetes of the young (MODY) or neonatal diabetes mellitus (NDM)
  • genetic defects in insulin action, resulting in the body’s inability to control blood glucose levels, as seen in leprechaunism and the Rabson-Mendenhall syndrome
  • diseases of the pancreas or conditions that damage the pancreas, such as pancreatitis and cystic fibrosis
  • excess amounts of certain hormones resulting from some medical conditions—such as cortisol in Cushing’s syndrome—that work against the action of insulin
  • medications that reduce insulin action, such as glucocorticoids, or chemicals that destroy beta cells
  • infections, such as congenital rubella and cytomegalovirus
  • rare immune-mediated disorders, such as stiff-man syndrome, an autoimmune disease of the central nervous system
  • genetic syndromes associated with diabetes, such as Down syndrome and Prader-Willi syndrome

Diabetes in Youth


The SEARCH for Diabetes in Youth multicenter study, funded by the Centers for Disease Control and Prevention (CDC) and the National Institutes of Health (NIH), has determined that

  • Based on data from 2002 to 2003, a total of 15,000 youth in the United States were newly diagnosed with type 1 diabetes each year. In addition, about 3,700 youth were newly diagnosed with type 2 diabetes each year.
  • non-Hispanic white youth had the highest rate of new cases of type 1 diabetes.
  • type 2 diabetes was rarely diagnosed among youth younger than 10 years of age.

Additional information about specific rates of new cases of type 1 and type 2 diabetes among youth younger than age 20 can be found in the fact sheet National Diabetes Statistics, 2007, available online at www.diabetes.niddk.nih.gov/dm/pubs/statistics.

7/04/2010

Gestational Diabetes

Some women develop gestational diabetes late in pregnancy. Although this form of diabetes usually disappears after the birth of the baby, women who have had gestational diabetes have a 40 to 60 percent chance of developing type 2 diabetes within 5 to 10 years. Maintaining a reasonable body weight and being physically active may help prevent development of type 2 diabetes.

About 3 to 8 percent of pregnant women in the United States develop gestational diabetes. As with type 2 diabetes, gestational diabetes occurs more often in some ethnic groups and among women with a family history of diabetes. Gestational diabetes is caused by the hormones of pregnancy or a shortage of insulin. Women with gestational diabetes may not experience any symptoms.

Type 1 Diabetes

This is an autoimmune disease. An autoimmune disease results when the body’s system for fighting infection—the immune system—turns against a part of the body. In diabetes, the immune system attacks and destroys the insulin-producing beta cells in the pancreas. The pancreas then produces little or no insulin. A person who has type 1 diabetes must take insulin daily to live.

At present, scientists do not know exactly what causes the body’s immune system to attack the beta cells, but they believe that autoimmune, genetic, and environmental factors, possibly viruses, are involved. Type 1 diabetes accounts for about 5 to 10 percent of diagnosed diabetes in the United States. It develops most often in children and young adults but can appear at any age.

Symptoms of type 1 diabetes usually develop over a short period, although beta cell destruction can begin years earlier. Symptoms may include :

  • increased thirst and urination,
  • constant hunger,
  • weight loss,
  • blurred vision,
  • and extreme fatigue.
If not diagnosed and treated with insulin, a person with type 1 diabetes can lapse into a life-threatening diabetic coma, also known as diabetic ketoacidosis.

Type 1 diabetes occurs equally among males and females but is more common in whites than in nonwhites. Data from the World Health Organization’s Multinational Project for Childhood Diabetes indicate that type 1 diabetes is rare in most African, American Indian, and Asian populations. However, some northern European countries, including Finland and Sweden, have high rates of type 1 diabetes.

The reasons for these differences are unknown. Type 1 diabetes develops most often in children but can occur at any age.

Diabetes Complications Might Kill You

Diabetes is a disease that bring the most complications (leading to the occurrence of other diseases ) the most . This is related to the continuously high blood sugar levels , resulting damage to blood vessels , nerves and other internal structures .

Complex Substance composition (consisting of sugar) in the blood vessel walls generate blood vessels thicken and then leaking. This condition affected reduction of the blood flow , particularly those headed to the skin and nerves.

Uncontrolled blood sugar levels also tend to lead levels of fatty substances in the blood increase, thus accelerating the occurrence of atherosclerosis ( accumulation of fatty plaques in blood vessels ) . Atherosclerosis is 2-6 times more common in diabetics .

This bad blood circulation through the large blood vessels ( macro ) can injure the brain , heart and blood vessels feet ( makroangiopati ) , while the small blood vessels ( micro) can injure the eyes , kidneys , nerves and skin and slow healing of wounds .

Diabetics can experience a variety of long term complications if diabetes is not managed properly. Complications that are common and deadly is heart attacks and strokes.

Damage to the eye blood vessels can affected vision problems caused by damage to the retina of the eye ( diabetic retinopathy ) . Abnormalities of kidney function can bring kidney failure , so patients must undergo dialysis ( dialysis ) .

Neurological disorders may manifest in several forms . If a Nerve abnormaly function ( mononeuropati ), then a normal arm or leg might became weak suddenly .

If the nerves leading to the hand , leg and foot were damaged ( diabetic polyneuropathy ), then the arms and legs can be felt as tingling or burning pain and weakness .

Nerve damage causes more frequent skin injury because patients can not control or reduce changes in pressure and temperature . Decreased blood flow to the skin can also affected the ulcers and all wound healing process slower. Ulcers on the feet can be extremely deep and have an infection and a long recuperation period, that under go some of the leg must be amputated .

Lower Your Risk of Diabetes

"Loosing 5-7% of Your Total Weight Can lower your Risk of Diabetes"


Your weight affects your health in many ways. Being overweight can keep your body from making and using insulin properly. Excess body weight can also cause high blood pressure.

If you are overweight or obese, choose sensible ways to get in shape.
  • Avoid crash diets. Instead, eat less of the foods you usually have.
  • Limit the amount of fat you eat
  • Set a reasonable weight-loss goal, such as losing 1 pound a week.
  • Aim for a long-term goal of losing 5 to 7 percent of your total body weight.

You are more likely to loosing weight if :
  1. You are physically active
  2. Increase yor phisically activity , at leat 15-30 minutes of exercices most days of the week, like biking, or walking with friends.
  3. You cut down on fat and Calories.
  4. Keep track of what you eat and drink.
  5. Take a cloose look at the serving size of the food you eat.
  6. Limit your fat intake to about 25% of total calories.
  7. Eating smaller serving
  8. Choose healty foods

Make Wise Food Choices Most of the Time


What you eat has a big impact on your health. By making wise food choices, you can help control your body weight, blood pressure, and cholesterol.


  • Take a look at the serving sizes of the foods you eat. Reduce serving sizes of main courses such as meat, desserts, and foods high in fat. Increase the amount of fruits and vegetables.
  • Limit your fat intake to about 25 percent of your total calories. For example, if your food choices add up to about 2,000 calories a day, try to eat no more than 56 grams of fat. Your doctor or a dietitian can help you figure out how much fat to have. You can also check food labels for fat content.
  • Limit your sodium intake to less than 2,300 mg—about 1 teaspoon of salt—each day.
  • Talk with your doctor about whether you may drink alcoholic beverages. If you choose to drink alcoholic beverages, limit your intake to one drink—for women—or two drinks—for men—per day.
  • You may also wish to reduce the number of calories you have each day. People in the DPP lifestyle change group lowered their daily calorie total by an average of about 450 calories. Your doctor or dietitian can help you with a meal plan that emphasizes weight loss.
  • Keep a food and exercise log. Write down what you eat, how much you exercise—anything that helps keep you on track.
  • When you meet your goal, reward yourself with a nonfood item or activity, like watching a movie.

Be Physically Active Every Day

Regular exercise tackles several risk factors at once. It helps you lose weight, keeps your cholesterol and blood pressure under control, and helps your body use insulin. People in the DPP who were physically active for 30 minutes a day, 5 days a week, reduced their risk of type 2 diabetes. Many chose brisk walking for exercise.

If you are not very active, you should start slowly. Talk with your doctor first about what kinds of exercise would be safe for you. Make a plan to increase your activity level toward the goal of being active at least 30 minutes a day most days of the week.

Choose activities you enjoy. Some ways to work extra activity into your daily routine include the following:

* Take the stairs rather than an elevator or escalator.
* Park at the far end of the parking lot and walk.
* Get off the bus a few stops early and walk the rest of the way.
* Walk or bicycle whenever you can.


Take Your Prescribed Medications

Some people need medication to help control their blood pressure or cholesterol levels. If you do, take your medicines as directed. Ask your doctor about medicines to prevent type 2 diabetes.

How to Prevent, Reduce or Delay Type 2 Diabetes

You can do a lot to lower your risk. The small steps you can take lead to big reward :
Reach and maintain resonable body weight, don't do cruch diet.


  1. Make wise food coiche
  2. Phisically active every day, at least 15 Minutes walking everyday
  3. Take your prescribed medicines
  4. If you are pragnant, plan to breast feed your baby , it is good for you and for the baby.
Studies have shown that breastfeed may lower the baby's risk of becoming overweight and getting diabetes.

Doing this can :

  • Reduce your risk of getting Type II diabetes
  • Helping your Blood Pressure nad Cholestrol on target
  • Help you stay healthy

Research has demonstrated that people at risk for type 2 diabetes can prevent or delay developing type 2 diabetes by losing a little weight. The results of the Diabetes Prevention Program (DPP) showed that moderate diet changes and physical activity can delay and prevent type 2 diabetes. Participants in this Federally funded study of 3,234 people at high risk for diabetes experienced a 5- to 7-percent weight loss. For example, a 5- to 7-percent weight loss for a 200-pound person would be 10 to 14 pounds.

Study participants were overweight and had higher than normal levels of blood glucose, a condition called pre-diabetes, also called impaired glucose tolerance. Both pre-diabetes and obesity are strong risk factors for type 2 diabetes. Because of the high risk for diabetes among some minority groups, about half of the DPP participants were African American, American Indian, Asian American, Pacific Islander, or Hispanic/Latino.

DPP participants also included others at high risk for developing type 2 diabetes, such as women with a history of gestational diabetes and individuals aged 60 and older.

The DPP tested two approaches to preventing diabetes: lifestyle change—a program of healthy eating and exercise—and the diabetes drug metformin. People in the lifestyle change group exercised about 30 minutes a day 5 days a week, usually by walking, and lowered their intake of fat and calories. Those who took the diabetes drug metformin received information on exercise and diet. A third group only received information on exercise and diet.

The results showed that people in the lifestyle change group reduced their risk of getting type 2 diabetes by 58 percent. In the first year of the study, people lost an average of 15 pounds. Lifestyle change was even more effective in those aged 60 and older. They reduced their risk by 71 percent. People receiving metformin reduced their risk by 31 percent.

So, You can do a lot to lower your chances of getting diabetes. Exercising regularly, reducing fat and calorie intake, and losing a little weight can help you reduce your risk of developing type 2 diabetes. Lowering blood pressure and cholesterol levels also helps you stay healthy.

info from: http://www.type2diabetes-treatment.com

What is Type 2 Diabetes?

Diabetes is a disease in which blood glucose levels are above normal. People with diabetes have problems converting food to energy. After a meal, food is broken down into a sugar called glucose, which is carried by the blood to cells throughout the body. Cells use the hormone insulin, made in the pancreas, to help them process blood glucose into energy.

People develop type 2 diabetes because the cells in the muscles, liver, and fat do not use insulin properly. Eventually, the pancreas cannot make enough insulin for the body’s needs to keep blood glucose levels normal.

We can also say that Type 2 diabetes is the disease when the body does not produce enough insulin or the body cells (Fat cell and Body Muscle) ignore the insulin. , so make trouble delivery of sugar to body cell.


Is It Affected Other Body Parts?

Yes, When you eat food, the body breaks down all of the sugars and starches into glucose, which is the basic fuel for the cells in the body. Insulin takes the sugar from the blood into the cells. When glucose builds up in the blood instead of going into cells, it can cause two problems:


  • Right away, your cells may be starved for energy. You always feel hungry and soon overweight.80-90 % of patient with Type II Diabetes becomes Obesity.
  • Over the years, high blood glucose levels damages nerves and blood vessels, leading to complications such as heart disease, stroke, blindness, kidney disease, nerve problems, gum infections, and amputation.

Although it is a serious condition. Many people with type 2 diabetes do not know they have it, that is why Diabetes also call"The Silent Killer" .

Finding out you have diabetes is scary. But don't panic. Type 2 diabetes is serious, but people with diabetes can live long, healthy, happy lives.

While diabetes occurs in people of all ages and races, some groups have a higher risk for developing type 2 diabetes than others.

Type 2 diabetes is more common in African Americans, Latinos, Native Americans, and Asian Americans/Pacific Islanders, as well as the aged population.