Diabetes - A Growing American Problem

The following article on diabetes is appropriate for all, no matter what age.

Diabetes is a serious disease. But the startling truth is that diabetes is reversible. Diabetes is the number one cause of chronic kidney disease (CKD). This disease is a condition where the body is unable to automatically regulate blood glucose levels, resulting in too much glucose (a sugar) in the blood. Diabetes is a chronic disease that affects as many as 16 million Americans.

Diabetes is divided into two major groups. Type 1 diabetes is one of the most common childhood diseases. Type 1 Diabetes is called Juvenile Diabetes as the onset of it begins in childhood. Type 2 diabetes is most common form of diabetes, accounting for 90% of cases. They concluded that most cases of type 2 diabetes is preventable by choosing a healthier lifestyle. The problem, in a nutshell, is that type 2 diabetes is not a simple disease caused by a single gene. The best way to control type 2 diabetes is with diet and exercise.

There has been a great deal of buzz about stem cell research and diabetes.

Type 2 Diabetes is more common than Type 1 Diabetes. Type 2 diabetes is a life-long disease marked by high levels of sugar in the blood. Conditions associated with type 2 diabetes include hyperglycemia and hypoglycemia. Type 2 diabetes may account for about 90% to 95% of all diagnosed cases of diabetes. Up to two-thirds of people with type 2 diabetes have no symptoms. Obesity is the single most important risk factor for type 2 diabetes. An estimated 20% of all cases of new onset type 2 diabetes are in individuals between the ages of 9-19. The more you know about type 2 diabetes, the more you'll be able to take the right steps to take control of your condition.

What is the relationship between insulin resistance and diabetes. Insulin resistance can occur long before the onset of type 2 diabetes. Insulin resistance is an important marker of diabetes risk. You can counter insulin resistance through modest weight loss and exercise. It is now generally accepted that insulin resistance and ÃY-cell dysfunction are major factors involved in the development of diabetes. Some scientists think a defect in specific genes may cause insulin resistance and type 2 diabetes.

Diabetes is a serious disease. Diabetes is the leading cause of blindness, renal failure, and amputation in the United States. Diabetes is divided into two major groups. Type 1 diabetes is one of the most common childhood diseases. Type 2 diabetes is most common form of diabetes, accounting for 90% of cases. Diabetes is a growing global problem of devastating social and economic impact. But the startling truth is that diabetes is reversible. The first step in managing diabetes is to commit yourself to the care of a health professional.

Facts And Treatments Regarding Diabetes

Diabetes is considered a serious affection due to its permanent existence, procedures and moreover the complications that involves. Even though many people all over the world suffer from diabetes, the specialists haven t discovered yet the real source of its occurrence. It is very important to mention that people who suffer from diabetes should ask for medical help as soon as they notice changes in their body and unusual symptoms.

First of all, diabetes occurs when the beta cells in the pancreas which produce insulin are totally destroyed. As we know the food that we eat turns into glucose or sugar helping our body to use for energy. Once there aren' t beta cells to produce insulin in order to transfer the glucose in the cells, the sugar remains in the blood and because the body cannot use sugar, it is spilled over into the urine and lost. Much more, diabetes can lead to severe health complications, such as heart disease, kidney failure, blindness, lower-extremity amputations and in many cases even death.

Secondly, people who notice certain symptoms which indicate the presence of diabetes should see a physician in order to receive a proper diagnosis. Some of the most common symptoms which indicate the presence of diabetes are: excessive hunger and thirst, frequent urination, dramatic weight loss, lack of energy, dry skin, wounds that heal very hard and even nausea and stomach pains, symptoms which usually occur in type 1 diabetes.

In addition to this, there are two types of diabetes which are quoted from the National Diabetes Fact Sheet: National estimates and general information on diabetes in the United States (Centers for Disease Control an Prevention. Atlanta, GA: US Department of Health and Human Services, 1997). Much more, type 1 diabetes tends to be more serious than type 2 diabetes and usually occurs during the childhood.

Type 1 diabetes also called insulin-dependent diabetes mellitus (IDDM) or Juvenile-Onset diabetes, is a common disease in children and may account for 5% to 10% of all diagnosed cases of diabetes. The factors which cause type 1 diabetes aren t entirely known but it has been considered that genetic predisposition and environmental factors, such as viral infections might have an important influence. On the other hand, type 2 diabetes also known as non-insulin-dependent diabetes mellitus (NIDDM) or adult-onset diabetes. This type of diabetes may appear due to certain factors, such as older age, obesity, impaired glucose tolerance, family history of diabetes, physical inactivity, prior history of gestational diabetes and other factors. It has been considered that certain races and ethnicities, such as African Americans, American Indians, Latino Americans are more exposed to get type 2 diabetes than other people.

Gestional diabetes seem to occur in 2% to 5% of all pregnancies but the good thing is that usually disappears when the woman gives birth. Even though a woman who had suffered of gestional diabetes and healed when the pregnancy was over, might develop type 2 diabetes in the future.

Furthermore, there are other types of diabetes which may account for 1% to 2% of all known cases of diabetes and they occur from genetic syndromes, surgeries, drugs, malnutrition, infections and many other affections.

Medical treatments for diabetes are vital for the body and include important changes in the lifestyle. Diabetes treatments tend to advance in a short time and their role is to maintain blood glucose near normal levels at all times. For instance, type 1 diabetes, the most severe type requires a wide range of procedures. People who suffer from this type of diabetes need a special treatment which include: administration of insulin injections, home blood glucose testing several times a day, a certain, calculated diet and also planned physical exercises. Even though, type 2 diabetes is not so serious like type 1, it also requires a strict treatment which consists in special diets, physical activities, home blood glucose testing, oral medication and 40% of the cases require insulin injections.

The causes of type 1 diabetes are not entirely identified, it is believed that it occurs to genetics predisposition or certain viruses which destroy the beta cells in the pancreas. Some important factors which may develop type 2 diabetes are lack of activity and overweight.

In order to take care of the people who suffer from diabetes, the diabetes community offers, pursued by the US Departament of Health and Human Services offer three options: prevent diabetes, cure diabetes and moreover taking better care of people with diabetes to prevent dramatic complications. The National Institutes of Health (NIH) is involved in the research of curing type 1 and type 2 diabetes. On the other hand, Centers for Disease Control and Prevention focuses through their programmes on being sure that the proven science is put into daily practice for people with diabetes.

All in all, even though diabetes tends to be an incurable illness, the science try to discover and consequently to utilize in practice several methods to cure diabetes, such as pancreas transplantation, artificial pancreas development, islet cell transplantation and genetic manipulation. However, until these approaches become reality they need to pass through a serie of investigations like preventing immune rejection, finding an adequate number of insulin cells, keeping cells alive and many others.

Diabetes Myths

Like all complicated matters there are certain misunderstandings regarding Diabetes.

Today I want to dispel some myths regarding diabetes.

Here is a list of the questions that I will be discussing:

Can I get diabetes from someone else?

Eating too much sugar causes diabetes

Type 2 diabetes is mild diabetes

People with diabetes eventually go blind

It's not safe to drive if you have diabetes

People with diabetes can't play sport

People with diabetes are more likely to get colds and other illnesses

People with diabetes can't eat sweets or chocolate

People with diabetes shouldn't eat bananas or grapes

People with diabetes should eat special diabetic foods

Now for some serious myth bashing...

Can I get diabetes from someone else?

Although we don't know exactly why some people get diabetes, we know that diabetes is not contagious - You cannot get it from others. There is a chance that a person whose parents or brothers and sisters have diabetes might get diabetes, particularly Type 2 diabetes. But lifestyle factors also play a part.

Eating too much sugar causes diabetes.

Eating sugar does not cause diabetes. Diabetes is caused by a combination of inherited and lifestyle factors. However, eating a diet high in fat and sugar can cause you to become overweight. Being overweight increases your risk of developing Type 2 diabetes, so if you have a history of diabetes in your family, a healthy diet and regular exercise are recommended to control your weight.

Type 2 diabetes is mild diabetes.

There is no such thing as mild or borderline diabetes. All diabetes is equally serious, and if not properly controlled can lead to serious complications.

Facts About Diabetes

Before people develop type 2 diabetes, they almost always have "pre-diabetes" -- blood glucose levels that are higher than normal but not yet high enough to be diagnosed as diabetes. There are 54 million people in the United States who have pre-diabetes. Recent research has shown that some long-term damage to the body, especially the heart and circulatory system, may already be occurring during pre-diabetes.

The cause of diabetes continues to be a mystery, although both genetics and environmental factors such as obesity and lack of exercise appear to play roles.

There are two major types of diabetes. Type 1 diabetes results from the body's failure to produce insulin, the hormone that "unlocks" the cells of the body, allowing glucose to enter and fuel them. It is estimated that 5-10% of Americans who are diagnosed with diabetes have type 1 diabetes. Type 2 diabetes results from insulin resistance (a condition in which the body fails to properly use insulin), combined with relative insulin deficiency. Most Americans who are diagnosed with diabetes have type 2 diabetes.

There is also pre-diabetes which is a condition that occurs when a person's blood glucose levels are higher than normal but not high enough for a diagnosis of type 2 diabetes. There are 54 million Americans who have pre-diabetes, in addition to the 20.8 million with diabetes.

Diabetes symptoms may vary from person to person but most of the time anyone with diabetes will experience some or all of these symptoms. Some symptoms are: going to the restroom more often, staying thirsty, fatigue, blurred vision, stomach pain and occasionally people suffer from weight loss.

Type 1 diabetes is normally only found in children and type 2 diabetes is found mostly in adults but not always. There are some cases where children are being diagnosed with type 2 diabetes. Some people may be diagnosed with being borderline diabetic, which normally ends up turning into full blown diabetes but not always.

Some of the most important things people with diabetes should know is a healthy, nutritional diet and a regular exercise program can help in treating the disease. Speak with your doctor about what kind of diet you should consider following, along with a moderate exercise program. The doctor or a nutritionist should be able to tell you exactly what kinds of foods you should be avoiding and give you some tips on how much exercise you need every week. Doing this has many health benefits and will also make you feel so much better about yourself.

A Diabetic's Menu - What To Include, What To Exclude

Diabetes mellitus affects millions of people all over the world, and it can come in three main forms. In all forms, the insulin-producing cells of the pancreas no longer produce adequate amounts of insulin, a hormone that aids in breaking down sugars in the bloodstream for use as energy sources. This can change the diabetic's menu drastically.

People with Type 1 diabetes suffer from an autoimmune disorder that leads the body to destroy the insulin-producing cells of the pancreas. People with Type 2 diabetes have body tissues that are resistant to the effects of insulin. Women with gestational diabetes suffer symptoms similar to Type 2 diabetes because of hormones produced during pregnancy.

Type 2 diabetes can be managed or controlled with a diabetic-friendly menu. In addition to a diabetes Type 2 menu that consists of avoiding certain foods or substituting some foods for others, doctors also recommend that people with Type 2 diabetes should increase the frequency of their exercise, but not to the point of tiring themselves out. With greater physical activity, patients dealing with Type 2 diabetes can lose weight and lower their chances of running into diabetes complications, such as cardiovascular disease and hypertension.


What Constitutes a Diabetic Menu?

In general, people with Type 2 diabetes can consume only a limited amount of fats, but higher levels of whole grains and fiber. People with Type 2 diabetes may also be required to lower their consumption of foods with a high glycemic index, or lower amounts of carbohydrates. This can ease the body's metabolic load of having to break down sugars, although not all low glycemic-index foods are recommended for diabetics.

Some food companies have cashed in on diabetes, and have their own versions of a diabetes food list consisting of supposedly substituted foods and diabetic-friendly foods. Doctors, however, warn against the consumption of such products, as they can be expensive, and will often have no real benefits to people suffering from diabetes. Moreover, because the purportedly diabetic-friendly foods are low in sugar, they can often contain substitutes that are high in flavor, but likewise high in fats.

Doctors and dietitians will generally recommend taking whole fibers, as well as fresh fruits and vegetables at about five serving portions a day. Not all fruits and vegetables, however, are recommended; for instance, some mangoes and lychees are high in fruit sugar, which can increase the metabolic load on diabetics.

How to Win at Life and Life Insurance Diabetes

A recent article from the Hilton Head Health Institute stated, "The evidence is growing that diabetes - especially "late onset" type 2 diabetes - is becoming an epidemic. American's well-known attachment to the "couch potato" lifestyle - fatty, high calorie foods and an aversion to exercise - may be the contributing factor to the spread of the disease. On the opposite side of the coin, the healthy lifestyle is believed to contribute to diabetes prevention and management." A January 9, 2006 New York Times article declared, "that the Centers for Disease Control estimate that 21 million Americans are currently diabetic while 41 million more are suffering from pre-diabetic symptoms, and many aren't even aware of it yet. Over the past decade, the rate of diabetes has increased 80% in the US. Yet most health officials still emphasize the threat of communicable diseases, which are far less deadly than chronic conditions such as diabetes."

Any life insurance agent that has been around for very long will attest to the statements made in that article. Diabetics now make up a large percentage of our client base and the number of people diagnosed as diabetic or pre or borderline diabetic on life insurance exams has sky rocketed. While most diabetics are insurable at fair rates, it is alarming to see how many diabetics have truly stayed somewhat uneducated about their condition and do not fully comprehend or care about the fact that diabetes can have a compounding effect on other health issues and ultimately be at least the root cause of a health decline that leads to an early death. Those diabetics who do take the situation seriously, educating themselves, monitoring their diabetes and taking control of other risk factors such as hypertension and obesity, can ultimately lead a long, healthy life. Not surprising that this group is also rewarded with life insurance rates that reflect their concern with their own longevity. It should be no secret that life insurance companies reward those who have an interest in their own mortality.

Those that do not take care of themselves are usually still insurable, but will pay a premium that reflects the end of the risk pool they have chosen to swim in. Not understanding the disease, not monitoring your glucose on a regular basis, not changing your lifestyle and not being compliant with your physician's suggestions will all contribute to higher rates that you really have to pay if your concern factor was a bit higher. Good quiz for a diabetic: Do you know what your hbA1C, or A1C level is? Do you even know what it is referring to? The A1C, a test done by your physician every time you have a checkup is a measure of how well you are controlling your diabetes. Blood glucose binds to the hemoglobin through a process called glycosylation. The higher the blood sugar the more the glucose binds to the hemoglobin. A blood test can measure the amount of glycosylation that has occurred revealing the average blood glucose levels for the previous three to four months before the test.

Diabetes- Getting Down to the Basics

What is diabetes?

Diabetes is a disease where your blood glucose (sugar) levels are above normal. It results from the inability of the glucose to get into your cells. As a result your cells are starving for their food (glucose). It would be like a starving person surrounded by tables of wonderful food but their mouth has been sewn closed and they can't eat.

About 17 million Americans are believed to have diabetes and one-third of those patients don't even know they have it. Diabetes can cause serious health complications including heart disease, blindness, kidney failure, and lower-extremity amputations. Diabetes is the 6th leading cause of death in the US. And most diabetics develop heart disease. In fact, just having diabetes carries the same risk of having a heart attack as someone who has already had such an event. Therefore it is very important for patients that have diabetes to also have a physician that closely monitors and treats their cholesterol levels as well as their blood pressure. Additionally, any use of tobacco products multiplies the risks and should be stopped.

Are there different kinds of diabetes?

Certainly. But the basic features of the disease are same. In any form of diabetes there is some underlying reason why your body is not able to utilize glucose (sugar) for energy, and that causes the levels of glucose (sugar) in your blood build up above normal. There are three areas that are important for you to understand in diabetes. First, the cells in your body which use the glucose are important as they must be able to remove sugar from the blood and put it inside the cell as a fuel. Secondly, the insulin which is made by your pancreas (an organ near your stomach) is important to allow the sugar to enter the cell (the key to unlock the door to enter), and lastly, glucose which is broken down from your food or from muscle and liver from a storage form of glucose called glycogen. Now if you think of the disease diabetes as involving a locking gas cap on your car, it will be easier to understand.

If you understand how a locking gas cap works, then you can understand how diabetes works. All of the cells in your body have a locking gas cap on them. Insulin is the key to the locking gas cap, and glucose would be the fuel for the car. In one form of diabetes, the body totally quits making insulin (keys) so you can't get glucose (fuel) into your cells. In other forms of diabetes, your body makes some insulin (keys) but not much as your body needs. Therefore, only a few of the cells can be unlocked and opened to put the glucose (fuel) inside. Another thing that happens is that some of the locks on the cells become rusty and won't work properly. So even if you have insulin (keys) you can't get the cells to open. This is called insulin resistance. If the cells won't open, you can't get glucose (fuel) inside the cell for energy. The result of all of this is excess glucose in your blood.

Types Of Diabetes.

Type 1 diabetes is usually diagnosed in children and young adults and only accounts for 5-10% of diabetes patients. In type 1 diabetes the pancreas doesn't make any insulin (keys) at all.

Type 2 diabetes is the most common form of the disease. It accounts for 90-95% of all the cases of diabetes. In type 2 diabetes, either your body doesn't make enough insulin (keys), or the cells in your body ignore the insulin (the lock is rusty and doesn't work) so they can't utilize glucose like they are supposed to. When your cells ignore the insulin, as mentioned above, it is often referred to as insulin resistance.

Other types of diabetes which only account for a small number of the cases of diabetes include gestational diabetes, which is a type of diabetes that only pregnant women get. If not treated, it can cause problems for mothers and babies and usually disappears when the pregnancy is over. Other types of diabetes resulting from specific genetic syndromes, surgery, drugs, malnutrition, infections, and other illnesses may account for 1% to 2% of all cases of diabetes.

Facts And Treatments Regarding Diabetes

Diabetes is considered a serious affection due to its permanent existence, procedures and moreover the complications that involves. Even though many people all over the world suffer from diabetes, the specialists haven t discovered yet the real source of its occurrence. It is very important to mention that people who suffer from diabetes should ask for medical help as soon as they notice changes in their body and unusual symptoms.

First of all, diabetes occurs when the beta cells in the pancreas which produce insulin are totally destroyed. As we know the food that we eat turns into glucose or sugar helping our body to use for energy. Once there aren' t beta cells to produce insulin in order to transfer the glucose in the cells, the sugar remains in the blood and because the body cannot use sugar, it is spilled over into the urine and lost. Much more, diabetes can lead to severe health complications, such as heart disease, kidney failure, blindness, lower-extremity amputations and in many cases even death.

Secondly, people who notice certain symptoms which indicate the presence of diabetes should see a physician in order to receive a proper diagnosis. Some of the most common symptoms which indicate the presence of diabetes are: excessive hunger and thirst, frequent urination, dramatic weight loss, lack of energy, dry skin, wounds that heal very hard and even nausea and stomach pains, symptoms which usually occur in type 1 diabetes.

In addition to this, there are two types of diabetes which are quoted from the National Diabetes Fact Sheet: National estimates and general information on diabetes in the United States (Centers for Disease Control an Prevention. Atlanta, GA: US Department of Health and Human Services, 1997). Much more, type 1 diabetes tends to be more serious than type 2 diabetes and usually occurs during the childhood.

Type 1 diabetes also called insulin-dependent diabetes mellitus (IDDM) or Juvenile-Onset diabetes, is a common disease in children and may account for 5% to 10% of all diagnosed cases of diabetes. The factors which cause type 1 diabetes aren t entirely known but it has been considered that genetic predisposition and environmental factors, such as viral infections might have an important influence. On the other hand, type 2 diabetes also known as non-insulin-dependent diabetes mellitus (NIDDM) or adult-onset diabetes. This type of diabetes may appear due to certain factors, such as older age, obesity, impaired glucose tolerance, family history of diabetes, physical inactivity, prior history of gestational diabetes and other factors. It has been considered that certain races and ethnicities, such as African Americans, American Indians, Latino Americans are more exposed to get type 2 diabetes than other people.

Diabetes: African Americans Deadly Foe

Diabetes is having a devastating effect on the African American community. Diabetes is the fifth leading cause of death in African Americans and their death rates are twenty seven percent higher than whites.

Over 2.8 million African Americans have diabetes and one third of them don't know they have the disease. In addition, twenty five percent of African Americans between the ages of 65 - 74 have diabetes and one in four African American women, over the age of 55, have been diagnosed with the disease

The cause of diabetes is a mystery, but researchers believe that both genetics and environmental factors play roles in who will develop the disease.

Heredity

Researchers believe that African Americans and African Immigrants are predisposed to developing diabetes. Research suggests that African Americans and recent African immigrants have inherited a "thrifty gene" from their African ancestors.

This gene may have enabled Africans to use food energy more efficiently during cycles of feast and famine. Now, with fewer cycles of feast and famine, this gene may make weight control more difficult for African Americans and African Immigrants.

This genetic predisposition, coupled with impaired glucose tolerance, is often associated with the genetic tendency toward high blood pressure. People with impaired glucose tolerance have higher than normal blood glucose levels and are at a higher risk for developing diabetes.

What is Diabetes?

Diabetes, commonly know as "sugar diabetes", is a condition that occurs when the body is unable to properly produce or use insulin. Insulin is needed by the body to process sugar, starches and other foods into energy. Diabetes is a chronic condition for which there is no known cure; diabetes is a serious disease and should not be ignored.

Diabetics often suffer from low glucose levels (sugar) in their blood. Low blood sugar levels can make you disorientated, dizzy, sweaty, hungry, have headaches, have sudden mood swings, have difficulty paying attention, or have tingling sensations around the mouth.

Types of Diabetes

Pre-diabetes is a condition that occurs when a person's blood glucose levels is higher than normal but not high enough for a diagnosis of type II diabetes. Pre-diabetes can cause damage to the heart and circulatory system, but pre-diabetes can often be controlled by controlling blood glucose levels. By controlling pre-diabetes you can often prevent or delay the onset of Type II diabetes.

Diabetes And The Long Term Dangers

Diabetes has hidden dangers that begin before diagnosis and continue to worsen if certain steps are not taken to prevent the complications that are the true, "killers" in terms of diabetes.

Statistics show that there are around 18 million diabetics in America, both Type 1 and Type 2. It is amazing how many people, diabetics included, who have no idea what dangers a diabetic faces over their lifetime. A diabetic, all things being equal, lives almost 10 years less than their non-diabetic counterpart on average.

Why do diabetics life shorter life spans than non-diabetics? The answer is both simple and complicated. Simple in explaining in general terms, complicated in the medical sense. Without traveling the complicated route in this article, I will try to give a simple, straight forward answer to the above question. Diabetics live shorter lives than non-diabetics because of diabetic complications.

What Are Diabetic Complications?

Diabetic complications are chronic medical conditions that begin to affect the body of the diabetic. These complications are brought about mostly by a condition the medical community had named, "Advanced Glycation End products" which is simply, "excess sugar" saturating the inside of the cells of the body. This condition also called AGE for short includes coronary artery disease, vascular disease, blindness, kidney disease, retinopathy (blindness) and loss of feeling in the hands and the feet (peripheral neuropathy) among others.

Diabetes in the early stages does not produce symptoms. Unless found during a routine medical exam, it is possible for a diabetic to remain undiagnosed for years. It is during these years that the beginnings of diabetic complications can gain a foothold due excess sugar in the cells (AGE). The statistics show there is the possibility of as many as over 5 million people going about their normal lives while having undiagnosed diabetes.

Are Diabetic Complications A Certainty?

While the current consensus is that the formula for diabetic complications Diabetes + Time = Complications. What this means is there is a much higher potential of a diabetic becoming diagnosed with one or more diabetic complications over time. This is partly due to how well the individual monitors and controls his/her blood sugar.

Diabetes and Depression: Can Hypnosis Help?

Discussed in this article:

1) The Quiet Crisis Within Diabetes.

2) A Hidden Danger of Diabetes.

3) Are Physicians Aware Of This Danger?

4) Does Depression Cause Diabetes?

5) The Formation of Depression Post-Hypnotic Suggestions.

6) Summary

5) Next Issue Highlights.

The Quiet Crisis Within Diabetes

Depression is a 'quiet crisis' facing diabetics, their families and their health care providers. Financially and emotionally this crisis is exacting a terrible cost.

The purpose of this and following articles is to share important information about depression and how a hypnotist can responsibly and effectively help a diabetic with depression. This assistance will help to improve a diabetic's life by (a) reducing the suffering from this painful state of mind and being and (b) thus enhance their diabetes management skills which will therefore result in a state of enhanced health.

Bear in mind the importance of your contribution as a hypnotist. You can make an incredible difference because even a small reduction in a diabetic's long term blood sugar levels can result in a marked decrease in the likelihood of diabetic complications.

A Hidden Danger of Diabetes

A largely unknown hence, hidden danger of diabetes is that diabetics have twice the risk of non-diabetics for becoming depressed. Dr. Richard Surwit of Duke University states that: "Diabetes more than doubles the odds of suffering from depression at some point. One third of people with diabetes have been diagnosed with significant depression and 11 percent with major depression--twice the rate in the non-diabetic population (1)."

What is obvious and yet, not really obvious about the preceding statement is that being diagnosed with a major disease is traumatic. This, in and of itself, can lead to depression--never mind all the other contributing factors that are related to diabetes and depression.

For example, a contributing factor to depression in a diabetic can be their physiological state. As noted by Dr. Surwit, there is research indicating that high blood sugars cause biochemical changes in the brain that can lead to depression. (2)

Are Physician's Aware Of This Danger?

Physicians by and large, are extremely busy and the demands on them are greater than most can imagine. It is no wonder that many of them are simply not aware that their diabetic clients are two times more likely to suffer from depression. If they knew this, they would probably be more likely to refer their diabetic clients with poor blood sugar control to someone who could help.

When appropriate, a hypnotist can help in key ways because a hypnotist is trained to be a motivational coach and stress management consultant. One way a trained hypnotist can help a depressed person with diabetes will be explained later in this article. But first, let's look at an important question.

Does Depression Cause Diabetes?

This is an important question for many reasons. Probably one of the more compelling reasons to deeply consider this idea is because, if true to some degree, then it begs this question: Wouldn't the validity of this concept make the majority of treatment efforts inappropriate and/or ineffective to some degree? Consider the plight of many frustrated nurses and doctors who will attest that no matter what they do for their patients, nothing seems to work.

This statement is not meant to denigrate in any way the efforts of so many. It is meant to highlight the importance of timely consideration of the depression-diabetes connection before the cost for all concerned becomes not only debilitating, but also tragically unnecessary.

Consider this: Evidence, that will be discussed shortly, shows there is a strong connection between depression and diabetes. This is important because, unless diabetes treatment programs are sculpted to target a largely unaddressed cause and exacerbating feature of diabetes, many of those at risk will only become worse. Those at risk include person's with pre-diabetes as well as those with diabetes.

This pragmatic approach also prompts one to think about the idea that perhaps with re-targeted treatment methods, many of those with diabetes may actually experience a remission of symptoms. And, dwell on the idea of how many may be able to avoid developing diabetes.

Bear with me a moment while I explain. Untreated depression in those with diabetes is a personal tragedy for all family members but most especially children. I state this because children have no coping skills to handle the emotional burden of a depressed and diabetic parent.

Imagine being a child helplessly watching your mother (as in my case) being slowly, inexorably, taken apart emotionally and physically by the deadly combination of poorly controlled diabetes and untreated depression.

What You Need To Know About Diabetes

According to the World Health Organization, a few decades back diabetes was an uncommon disease, in both developed and developing countries. Today, the story is different. It is currently estimated that over 143million people worldwide are affected by the disease. This figure is ever increasing, by 2020 over 220million people are expected to be living with diabetes, if the current trend continues.

In the United States alone, there are 18.2 million people (6.3% of the population) living with diabetes. While another 13million people have been diagnosed with diabetes. Unfortunately, 5.2milion (or nearly one third) are unaware that they have the disease.

The figure for Nigeria is not readily available, but it is estimated that over 1.5million people have diabetes in Nigeria.

In developed countries, most patients of diabetes are over sixty, but in developing countries, diabetes is found to affect people in their prime.

WHAT IS DIABETES?

Diabetes Mellitus (or simply diabetes) is derived from the Greek word 'Diabeinein', meaning 'To pass through' describing copious urination, and Mellitus from the Latin word meaning 'Sweetened with honey'. These two words signify sweetened urine or sugar in urine.

Diabetes is a disease in which the body does not produce or properly use Insulin. Insulin is a hormone that is needed, in the body, to control the rate at which sugar, starch and other food are converted into glucose required as energy for daily life. The hormone is produced and released
into the blood by an organ called 'Pancreas'. This insulin help to maintain the blood glucose level within a normal range. The World Health Organization (WHO) puts this normal range between
60 - 100mg/dl (Before taking any food for the day, hence this value is called Fasting Blood Glucose). In health, despite several demands for glucose in different situations, the blood glucose rarely exceeds this value.

After a meal the liver stores the glucose from the meal as glycogen and releases it into the blood in between meals. The role of insulin is the control of this storage and release of glucose. It ensures that the amount of glucose in the blood at every particular time does not go beyond or below the normal range.

TYPES OF DIABETES.

According to the World Health Organization (WHO), five classes of diabetes are recognized, these are; Insulin Dependent Diabetes Mellitus (IDDM) or Type I Diabetes, Non Insulin Dependent Diabetes Mellitus (NIDDM) or Type II Diabetes, Gestational Diabetes, Diabetes Insipidus and Bronze Diabetes.

INSULIN DEPENDENT/TYPE I DIABETES: This type of diabetes was initially called Juvenile onset diabetes because it affects adolescents and young adults. It is caused by a sudden failure of the pancreas to produce Insulin. It is, therefore, an acute disease, presenting with thirst, polyuria (passing large amount of urine), diuresis and weight loss. Type I diabetes is not common, it accounts for less than 10% of all diabetes cases.

NON-INSULIN DEPENDENT/ TYPE II DIABETES: This is the most prevalent type of diabetes, accounting for more than 80% of all diabetic cases. It is found in adults and the elderly. This type of diabetes develops gradually over a long period of time (unnoticed) and is characterized by insufficient insulin, deficient insulin in the blood or the inability of the body to utilize the insulin resent (Insulin resistance). Because of its slow and gradual occurrence, it is mostly undetected until one or more of its long-term complications appear.

Unlike in Type I Diabetes, the Insulin in the blood of a Type II diabetic may be normal or even high, but lacks the desired effect, due to insulin resistance, and this is prevalent among obese people.

GESTATIONAL DIABETES: This type of diabetes occurs during pregnancy and disappears after delivery, within 3weeks. An estimated 3% of all pregnancies are accompanied by gestational diabetes and almost half of these patients are prone to developing permanent diabetes later in life.
WHAT CAUSES DIABETES.

As with hypertension and other non communicable diseases, no clear cut cause(s) can be attributed to the most prevalent type of diabetes (Type II Diabetes, Type I diabetes being secondary to failure of the pancreas). However, some factors are known to increase one's chances of becoming diabetic and these are called risk factors. For example, indolent and well-fed populations are 2 - 20times more likely to develop type II diabetes than active and lean population of the same race. Some other factors known to increase one chances of getting diabetes include:

OBESITY: It is estimated that three quarter (¾) of all Type II diabetes patient are obese. Indolent and affluent lifestyles tend to contribute to this. It is believed that a 10kg loss of weight can reduce fasting blood sugar level by almost 50md/dl. An active lifestyle with frequent exercise is also known to increase Insulin sensitivity.

The International standard for measuring overweight and obesity is based on a value called BODY MASS INDEX (BMI). This value is derived by dividing the body weight (in Kilograms) by the square of height (in metres).

i.e. BMI = Body weight (Kg) / Height2 (Metres).

Note: 1ft = 0.305metres.

For adults, a BMI less than 25kg/m2 is preferred.

25 - 29kg/m2 is considered overweight and above 30kg/m2 is Obesity.

FAMILY HISTORY: A family history of diabetes increases one's chances of getting the disease. In such a situation, leading a healthy lifestyle and constant monitoring of one's blood sugar level becomes very important.
AGE AND RACE: Most Type II diabetes patient are over 40yrs at presentation of the disease. However, the proportion of increase in the incidence of this disease with age is higher for those with a family history of diabetes, obese and probably those leading sedentary lifestyles. Moreover, diabetes tends to be more prevalent among Africans, African Americans, Latinos, Native Americans and Asian Americans. Belonging to any of the races is a risk factor in itself.

HISTORY OF GESTATIONAL DIABETES: in a woman also increases her chances/possibility of developing permanent diabetes later in life.

YOU CAN PREVENT/DELAY DIABETES!
Diabetes have no permanent cure once it develops, it is managed al through life. But you can prevent ever falling into this life long pain. Before diabetes present in people, it is almost always preceded by a situation called PRE DIABETES. A situation where the blood glucose is higher than normal, but not yet enough to be diagnosed as diabetes. Saddening, however, you cannot know when you fall into this category, if you have not being monitoring your blood glucose regularly.

Pre Diabetes is itself a serious medical situation, though can still be reversed by making changes in diet pattern and increasing physical activity. To determine one's blood sugar a test called Fasting Blood Glucose has to be conducted. This test measures the amount of glucose (sugar) in one's blood before taking any meal for the day. It is measured in milligrams per deciliter (mg/dl).

A value below 100mg/dl is generally accepted to be normal, while a value greater than 100mg/dl but less than 120mg/dl is not full diabetes yet, so it is regarded as Pre diabetes. An individual with a pre diabetes blood glucose level need to take urgent steps to reduce his blood glucose or risk life long diabetes.

It should be emphasized, however, that the racial and genetic factors predisposing to diabetes are still beyond human comprehension and control. It makes common sense, therefore, to reduce all human controllable factors to the barest minimum. Most of these factors have to do with social occupational and diet habits.

The following tips can help reduce your diabetes risk:

* Reduce weight. Obesity seems to be the single most significant factor in diabetes. Reducing body weight and fat and maintaining an average body weight is very essential. To this end a body mass index (BMI) less than 25kg/m2 for males and less than 24kg/m2 for females is recommended.

* Increase Physical Activity. It is an established fact that diabetes is more common among people that lead a sedentary affluent lifestyle. Simple dynamic exercises like brisk walking for 30-50mins daily or 3-5times weekly has been shown to be very helpful. Exercise reduces bodyweight and fat, increases functionality of the heart, reduces the chances of diabetes and also boosts emotions and healthy living.

* Cut down or cut out alcohol. Alcoholic intake of more than 2units per day has been shown to adversely affect the body. Alcohol being an addictive drug makes it very difficult to maintain a definite amount of intake for a long time. It is better therefore to strive to cut out alcohol completely.

* Avoid Smoking. Cigarette smoke has been shown to contain several poisonous substances. Cigarette smoking and alcohol have been related to several disease. Stopping smoking will definitely reduce the chances of several other ailments apart from diabetes.

* Lean good eating habits, such as;

* Cut down on fatty food and junks

* Eat more of fish and poultry (without the skin is better).

* Garlic reduces blood pressure cholesterol; add it to your meal plan once in a while.

* Cut the number of eggs you take to 3- 4 weekly (better boiled than fried).

* Reduce salt intake to less than 5.8grams daily.

* Eat more of vegetables and fibre rich food, especially fruits.

* Finally, constantly monitor your fasting blood glucose, as this is the only way to know when you are getting into trouble.

CONCLUSION

Diabetes and Hypertension being so interlinked requires a comprehensive plan of care, and this revolves round one's dietary habits, social and environmental factors. Several lifestyle changes like regular exercise, maintaining a moderate body weight, reduction of fat intake and high fibre diet all help to live a normal healthy life. These measures are known to increase insulin sensitivity and also reduce blood pressure.

Conclusively, it is very important to create a more health conscious individuals in the populace. A people who practically believe that it is better and cheaper to prevent an illness than to treat it, when it has become stronger. Moreover, preventive health cannot be divorced from regular medical checks, as this two go hand in hand. There is no way to detect several non-communicable diseases without undergoing regular medical checks. The importance of these checks cannot be over emphasized.
Be alive to your health. Know your Blood glucose values and live a healthier life free from the pains of diabetes.

Diabetes in Senior Citizens

Your body obtains glucose from the food you take in, the liver and muscles also supply your body with glucose. Blood transports the glucose to cells throughout the body. Insulin, a chemical hormone, helps the body's cells to take in the glucose. Insulin is made by the beta cells of the pancreas and then released into the bloodstream.

If the body does not make enough insulin or the insulin does not work the way it should glucose is not able to enter the body's cells. Instead the glucose must remain in the blood causing an increase in blood glucose level. This high blood glucose level causes pre-diabetes or diabetes.

Pre-diabetes means that blood glucose level is higher than average but not high enough for a diabetes diagnosis. Having pre-diabetic glucose levels increases risk for developing type 2 diabetes as well as heart disease and stroke. Still, if you have pre-diabetes there are many ways to reduce your risk of getting type 2 diabetes. Moderate physical activity and a healthy diet accompanied by modest weight loss can prevent type 2 diabetes and help a person with pre-diabetes to return to normal blood glucose levels.

Symptoms of diabetes include excessive thirst, frequent urination, being very hungry, feeling tired, weight loss without trying, the appearance of sores that slowly heal, having dry and itchy skin, loss of feeling or tingling in feet, and blurry eyesight. Still, some people with diabetes do not experience any of these symptoms.

Diabetes can be developed at any age. There are three main types of diabetes: type 1, type 2, and gestational diabetes.

Type 1 diabetes is also referred to as juvenile diabetes or insulin-dependent diabetes. It is usually diagnosed in children, teens, or young adults. In this type of diabetes, the beta cells of the pancreas are no longer able to produce insulin because they have been destroyed by the body's immune system.

Type 2 diabetes is also referred to as adult-onset diabetes or non insulin-dependent diabetes. It may be developed at any age, including childhood. In this type of diabetes is the result of insulin resistance, a condition in which the body's cells do not interact properly with insulin. At first, the pancreas is able to produce more insulin to keep up with the increased demand for insulin. However, it loses the ability to make up for the body's cells inability to interact properly with insulin with time. The insulin is unable to help the cells take in glucose, this results in high blood glucose levels. Type 2 diabetes is the most common form of diabetes. An unhealthy weight contributed by a high calorie diet and lack of physical activity increases the risk for developing this form of diabetes.

African Americans, Hispanic Americans, American Indians, Alaska Natives, and Asian and Pacific Islanders are at especially high risk for developin Type 2 diabetes.

Gestational diabetes refers to the development of diabetes in the late stages of pregnancy. It is caused by hormones associated with pregnancy and a shortage of insulin. This form of diabetes goes away after the baby is born, but puts both the mother and child at a greater risk for developing type 2 diabetes in later life.

Diabetes is a serious disease and when it is not well controlled, it damages the eyes, kidneys, nerves, heart, gums, and teeth. Having diabetes makes one more than twice as likely as someone without diabetes to have heart disease or stroke.

It is important to keep blood glucose, blood pressure, and cholesterol under control to avoid the serious complications associated with diabetes. Taking steps to control diabetes can make a large impact in the one's health.

Risk Factors and Prevention

Diabetes is a serious disease with no cure. Controlling blood glucose levels, blood pressure, and cholesterol can help prevent or delay complications associated with diabetes such as heart disease and stroke. Much research is being done to find ways to treat diabetes.

Risk Factors

Type 1 diabetes is classified as an autoimmune disease. An autoimmune disease is the result of the body's own immune system, which fights infections, turning against part of the body.