Where Diabetes Originate

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Historical Aspects Of Type 2 Diabetes

Diabetes was rare before the twentieth century. Early Sanskrit physicians linked it to affluence and over-eating, and nineteenth century clinicians distinguished between diabetes in the young and thin as against the middle aged and overweight. Insulin was soon seen not to be essential for the survival of many (though not all) late onset patients after its introduction in 1922, and diabetes was long classified into insulin-dependent and non-insulin dependent varieties on this basis. The distinction between insulin sensitive and insulin resistant diabetes was made in the 1930s, but the terms type 1 and type 2 diabetes (first proposed in 1950) were not adopted until the 1970s. Diet remained the mainstay of treatment until the introduction of tolbutamide and other oral therapies from the 1950s onward transformed the approach to therapy, now extended to many with asymptomatic hyperglycaemia. Type 2 diabetes first appeared among the affluent classes of modern societies, spreading down the social scale as living conditions improved. It reached epidemic proportions by the end of the century and was recognised as a major cardiovascular risk factor. The value of early detection and treatment Continue reading >>

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Popular Questions

  1. Meegan Follock

    Insulin mops up excess sugar from the blood and takes it to the cells to use for energy. But when your body becomes insulin resistant, sugar starts to build up in the blood, causing damage to blood vessels and nerves.

  2. Natalie Kalos

    The split is that they're actually very different things for both meaning unregulated blood sugar.
    Here are some differences off the top of my head
    Type 2 is more genetically linked(runs in families) than Type 1
    Type 1 always means a damaged pancreas that can't make enough insulin, so insulin is always required for it. Type 2 doesn't always mean the pancreas was damaged
    Type 1 tends to begin in adolescence while Type 2 tends to begin in middle age
    Type 1 has no known lifestyle factors and can't be improved or slowed down with lifestyle changes, while Type 2 tends to improve with such for at least some time.

    Type 1 diabetics tend to be of normal weight, while Type 2 diabetics tend to be at least somewhat overweight
    So the split is a valid medical one that has nothing to do with culture. It has to do with not confusing the different conditions.

    As for the cultural aspects of how people with it are treated, Type 1 diabetics probably on average get more sympathy for their condition because it's not caused on any way by “a bad lifestyle” and so they had no role in it. It also is far less common, so people tend to be more difficult surprised by Type 1 diabetes.

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