Kids With Type 1 Diabetes And Serious Complication
HealthDay Reporter TUESDAY, April 21, 2015 (HealthDay News) -- A growing number of American children and teens with type 1 diabetes are experiencing a life-threatening complication at the time of their diagnosis, a new study finds. Researchers say a lack of insurance may mean some children are getting diagnosed with type 1 late in its development, when serious complications can arise. The complication is called diabetic ketoacidosis (DKA), which involves dangerously high blood sugar and substances in the blood called ketones. Patients with the condition can suffer long-term health damage. "DKA is characterized by hyperglycemia [elevated blood sugar levels] and ketonemia [elevated acid ketones], that when not buffered by the body will turn the blood acidic," explained one expert, Dr. Patricia Vuguin, a pediatric endocrinologist at Cohen Children's Medical Center in New Hyde Park, N.Y. "Usual symptoms are vomiting, excessive thirst and urine production, as well as abdominal pain that may be severe," added Vuguin, who was not involved in the new study. "Severe DKA may lead to swelling of the brain tissue also known as cerebral edema, which may cause headache, coma, and can lead to death." In the new study, a team led by Dr. Arleta Rewers, from the University of Colorado School of Medicine in Aurora, looked at the medical records of more than 3,400 patients younger than 18 in Colorado who were diagnosed with type 1 diabetes between 1998 and 2012. They found that 39 percent of the children had diabetic ketoacidosis at the time of their diagnosis. What's more, there was a 55 percent increase in the rate of patients with the complication at the time of diagnosis during the study period -- from 30 percent in 1998 to 46 percent in 2012, the study found. The only patient characte Continue reading >>
Type 1 Diabetes And Type 2 Diabetes Not The Only Diabetes, Study Says
RELATED:Loneliness increases your risk of Type 2 diabetes, study suggests And in Type 2, the most common category of diabetes accounting for 90-95 percent of all cases, the bodys cells either stop responding to insulin or the beta cells cant produce enough of the hormone. People suffering from either type of the disease have blood sugar levels that can become too high. This condition is called hyperglycemia and can lead to kidney disease, heart disease and more if its not properly controlled or treated. But the characteristics of those suffering with Type 2 diabetes varied significantly, especially when it came to risk of diabetic kidney disease. RELATED:Scientists create first human-sheep hybrids what that means for the future of organ transplants The researchers proposed fiveclusters of the disease instead. Cluster 1 (6-15 percent of patients involved): Broadly the same as the Type 1 diabetes, Cluster 1 diabetes typically hits people when they are young and seemingly healthy. Its characterized by insulin deficiency and the presence of autoantibodies. Cluster 2 (9-20 percent): While these patients look similar to those in Cluster 1 in the beginning (healthy and young), this type of diabetes is not characterized by autoantibodies. Cluster 3 (11-17 percent): Those with Cluster 3 diabetes have are severely insulin-resistant, are generally overweight and and have a higher risk of kidney disease. Cluster 4 (18-23 percent): Most common in obese patients, Cluster 4 diabetes is associated with mild obesity-related factors. Cluster 5 (39-47 percent):Patients in this mild age-related diabetes cluster developed symptoms at significantly older ages than in other groups. This is the most common form of diabetes. RELATED: 4 bizarre ways people are trying to beat death and aging In Continue reading >>
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How Serious Is Type 2 Diabetes? Is It More Serious Than Type 1 Diabetes?
A fellow caregiver asked... How serious is type 2 diabetes, and is it less or more serious than type 1 diabetes? My mom, just diagnosed with type 2 diabetes, keeps it under control without taking insulin. So is type 2 diabetes less of a problem than insulin-dependent type 1? Expert Answers No, definitely not. In fact, in some ways type 2 diabetes is a more serious disorder because your mom may have had it for years before she was diagnosed. So she may well have developed some of the long-term, debilitating complications linked to the condition without knowing it. In addition, since type 2 diabetes is a progressive disorder without a cure, over time her body may not be able to produce insulin or use it as well as it does now, and she may wind up needing insulin injections or pills. A person with type1 diabetes ignores it for a day at his own peril. He'll likely end up in the emergency room because his body can't absorb glucose without a continuous supply of insulin via injection or an insulin pump. People with type 1 diabetes typically develop such severe symptoms over a short time in childhood or early adulthood that they're forced to deal with it. Type 2 diabetes is a sneakier condition: Its harmful health effects can slowly build for years until full-blown complications, such as vision loss, heart disease, or foot problems, make it impossible to ignore. Plus it often comes with its own set of problems. For instance, people with type 2 diabetes are frequently diagnosed with high blood pressure and cholesterol along with high blood sugar. This damaging threesome can lead to progressive thickening of the arteries and reduced blood flow, putting your mom at greater risk for a slew of complications including heart disease, stroke, and nerve damage. If your mom is overweigh Continue reading >>
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How To Know Type 1 And Type 2 Diabetes Which Is More Dangerous ?
How to know type 1 and type 2 diabetes which is more dangerous ? Diabetes is the word commonly heard everywhere. It is a disease caused by all irrespective of age and gender. We all knew how dangerous this disease is and how our beloved ones are facing day-by-day problems with this disease. So, here let's discuss this serious issue today with detailed information on diabetes and others like type 1 and type 2 diabetes which is more dangerous? Let's start from the roots. According to the best diabetic doctor in Hyderabad, Diabetes is caused due to the rise in glucose or sugar levels in the body than normal. It is a complex problem which needs everyday care. A diabetic person should be on medication always. If it is ignored, it may impact on healthy living and can also reduce the longevity. There are 3 types of diabetes depending on the complexity of the disease. 1.Type 1 Diabetics: This type causes when auto-immune system stimulates to shatter the cells of the pancreas. The pancreas produces insulin to the body and diabetes occurs when auto-immune system damages cells.Among 10% of diabetes affected people are children who are affected by the chronic disorder and it also is seen most commonly in young age people. Type1 diabetics affected people undergo insulin intake every day to survive their life 2.Type 2 Diabetics: This type diabetes is caused generally in middle-age people. This happens due to not enough production of insulin in the pancreas of the body and effects the insulin production. This can be controlled through medication and there is no need for insulin. It is commonly caused diabetes in most of the people. Many studies proved that there would be more impact on family history or family background of diabetic affected persons. Type 2 diabetes is the answer to Continue reading >>
Type 1 Vs. Type 2 Diabetes: Which One Is Worse?
What are the differences between the causes of type 1 and type 2? The underlying causes of type 1 and type 2 are different. Type 1 diabetes causes Type 1 diabetes is believed to be due to an autoimmune process, in which the body's immune system mistakenly targets its own tissues (islet cells in the pancreas). In people with type 1 diabetes, the beta cells of the pancreas that are responsible for insulin production are attacked by the misdirected immune system. This tendency for the immune system to destroy the beta cells of the pancreas is likely to be, at least in part, genetically inherited, although the exact reasons that this process happens are not fully understood. Exposure to certain viral infections (mumps and Coxsackie viruses) or other environmental toxins have been suggested as possible reasons why the abnormal antibody responses develop that cause damage to the pancreas cells. The primary problem in type 2 diabetes is the inability of the body's cells to use insulin properly and efficiently, leading to hyperglycemia (high blood sugar) and diabetes. This problem affects mostly the cells of muscle and fat tissues, and results in a condition known as insulin resistance. In type 2 diabetes, there also is a steady decline of beta cells that worsens the process of elevated blood sugars. At the beginning, if someone is resistant to insulin, the body can at least partially increase production of insulin enough to overcome the level of resistance. Over time, if production decreases and enough insulin cannot be released, blood sugar levels rise. In many cases this actually means the pancreas produces larger than normal quantities of insulin, but the body is not able to use it effectively. A major feature of type 2 diabetes is a lack of sensitivity to insulin by the ce Continue reading >>
What's The Difference Between Type 1 And Type 2 Diabetes?
First, the formal name for what we commonly call diabetes is diabetes mellitus, which translates from the Greek as making lots of urine with sugar in it or making lots of sweet urine. Type 1 and type 2 diabetes mellitus are diseases that have in common, sugar in the urine and the increased urination. When there are high amounts of sugar in the blood, the kidneys filter sugar into the urine. Sugar can be measured in the urine through a lab test commonly called a urinalysis. Urine dipsticks are also used to show sugar in the urine. Patients who develop diabetes mellitus most commonly have initial symptoms of increased thirst, increased urination and blurred vision due to high amounts of sugar in the fluids of the eye. Type 1 diabetes results from a rheumatoid-like autoimmune reaction in which one's own body attacks and destroys the beta cells of the pancreas. These are the cells that normally produce insulin. Type 1 is a disease in which the patient in a relatively short time has no insulin production. All patients with type 1 diabetes can also develop a serious metabolic disorder called ketoacidosis when their blood sugars are high and there is not enough insulin in their body. Ketoacidosis can be fatal unless treated as an emergency with hydration and insulin. Type 1 was once commonly called juvenile diabetes mellitus because it is most commonly diagnosed in children. It should be noted that even older adults in their 60s have occasionally been diagnosed with type 1 diabetes mellitus. One should think of it as a disease of high blood sugars due to a deficiency of insulin production. It must be treated by administration of insulin. Insulin is given at least twice a day and is often given four times a day in type 1 diabetes. Type 2 diabetes rates are growing dramatically Continue reading >>
Ask D:mine: And The 'worst' Type Of Diabetes Is...
Need help navigating life with diabetes? You can always Ask D'Mine! Welcome again to our weekly Q&A column, hosted by veteran type 1, diabetes author and educator Wil Dubois. This week, Wil tackles that universal question of "who has it worse?" when it comes to diabetes. We never like to compare conditions, but this question does keep popping up, and as usual, Wil has done his homework. So, read on! Amy, type 1 from Wisconsin, asks: What are the findings on which 'brand' of diabetes -- type 1 or type 2 -- has more complications, or has serious complications more frequently? Is there any research out there that monitored complications for each type separately? I have looked and found nothing...but you are the master; if it is out there, I am sure you can get your hands on it! [email protected] D'Mine answers: You're right that good research is hard to come by on this subject, and passions about it run very high. Nothing seems to get type 1s and type 2s at each others' throats more quickly than the "who has it worse" question. Now, all other things being equal, sugar in the blood stream is equally toxic for T1s and T2s. We know it can trash your eyes, kidneys, nerve endings, and pretty much everything else in your body. And in either type 1 or type 2, if you can normalize your blood sugar, you are largely immune from these toxic effects (yes, I know that this is easier said than done). So, in theory, the two types of diabetes should be on equal footing. But they are not. More on that in a minute. But first I want to talk a bit more about who has it worse. Being type 1 myself, and working with a fair number of other type 1s, and a whole lot more type 2s for many years now, I think I'm qualified to state which is "worse." At the risk of being flamed alive—a common fate for columnis Continue reading >>
Type 1 Diabetes Is More Dangerous For Women Than Men, Study Finds
Type 1 diabetes is more dangerous for women than men, study finds Female patients are twice as likely to die from heart disease than men with the same condition, according to new research Type 1 diabetes is more dangerous for women than men, study findsPhoto: Alamy Type 1 diabetes is more dangerous for women than men, according to new research. A study has found that female patients have a 40 per cent increased risk of death from any cause and are twice as likely to die from heart disease than men with the same condition. Scientists at the University of Queensland in Australia analysed data from 26 studies involving more than 200,000 men and women with type 1 diabetes. The study, published in The Lancet Diabetes & Endocrinology, also found that women with the condition were at greater risk of strokes and were 44 per cent more likely to die from kidney disease. Lead researcher Professor Rachel Huxley said: "We already knew that people with type 1 diabetes have shorter life expectancies than the general population, but this study was able to determine for the first time that the risk of mortality is greater in women than men with the disease. Continue reading >>
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Type 2 Diabetes May Be More Dangerous Than Type 1
Australian researchers compared the health of individuals who developed type 2 diabetes (T2DM)at a relatively young age with that of people who had developed type 1 (T1DM) diabetes at a similar age. Dr. Jencia Wong of the Royal Prince Alfred Hospital in Sydney and the University of Sydney Medical School and colleagues, examined the hospital s records between 1986 and 2011. They matched those records with the Australian National Death Index to determine the mortality for subjects with one of the two types of diabetes, and also examined their health records. Their report was published in the journal Diabetes Care. People with T1DM have lost the ability to produce insulin, the hormone that allows body cells to take up glucose from the blood and use it for myriad body processes. In contrast, people with T2DM do produce insulin, but it is not effective their cells are resistant to insulin s action. The result is the same without insulin s action glucose remains in the blood and can rise to dangerous levels. Long term, if the disease is not well controlled, people with either type of diabetes can suffer from damage to both small and large blood vessels and to nerves, and have increased risk of cardiovascular disease, blindness, and kidney failure. The researchers followed 354 people with T2DM for on average 21 years and 470 people with T1DM for about 23 years, both of which groups were between 15 and 30 years old when their diseases began. They found there was a significantly increased mortality rate for the group with T2DM, and that those individuals died after a shorter disease duration than the people with T1DM. Those with T2DM also suffered significantly more deaths from cardiovascular events (e.g., heart attacks and strokes). Further, large blood vessel disease and nerve Continue reading >>
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Type 1 Diabetes More Deadly For Women Than Men
HealthDay Reporter type 1 diabetes have a nearly 40 percent greater risk of dying from any cause and more than double the risk of dying from heart disease than men with type 1 diabetes, Australian researchers report. In an analysis of 26 studies that included more than 200,000 people, researchers found that women with type 1 diabetes had a 37 percent higher risk of dying from stroke compared to men with type 1 diabetes. The researchers also found that women with type 1 diabetes had a 44 percent greater risk of dying from kidney disease than men with type 1 diabetes. "Type 1 diabetes increases the risk of premature death in both women and men, but type 1 diabetes is much more deadly for women than men with the condition," said lead researcher Rachel Huxley, director of the Queensland Clinical Trials and Biostatistics Center at the University of Queensland in Herston, Australia. The report was published in the Feb. 6 online edition of The Lancet Diabetes & Endocrinology. Type 1 diabetes an autoimmune disease that destroys insulin-producing cells in the pancreas. Insulin is a hormone needed to convert sugars, starches and other foods into energy. The worldwide incidence of type 1 diabetes in children 14 and younger has risen by 3 percent every year since 1989. In the United States, about 15,000 children and 15,000 adults are diagnosed with type 1 diabetes each year, according to the researchers. Because people with type 1 diabetes don't produce their own insulin, they must replace the hormone through multiple daily injections or with an insulin pump that has a tiny tube inserted underneath the skin to deliver the insulin. However, insulin needs change constantly, depending on foods eaten, activity levels and even stress. This makes it difficult to get the dose just right. Continue reading >>
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5 Ways Type 1 Diabetes Is Different From Type 2
When people hear that you have diabetes, they start to make assumptions that aren't always accurate. A lot of the confusion stems from the fact that there are two main types, yet many people don't understand how they're different. (Want to pick up some healthier habits? Sign up to get daily healthy living tips delivered straight to your inbox!) As someone with type 1 diabetes—I was diagnosed with it nearly 40 years ago—I'm all too familiar with the disease. I lived with it as a child, teen, and adult, and when I decided to have kids I had to figure out how to manage the condition while being pregnant. (I even wrote a book about it, Balancing Pregnancy With Pre-Existing Diabetes: Healthy Mom, Healthy Baby.) Having type 1 diabetes means I'm in the minority: Of the approximately 29 million Americans who have diabetes, only 1.25 million have type 1. Most have type 2, which is a totally different form. "Comparing type 1 to type 2 is like comparing apples to tractors," says Gary Scheiner, a Pennsylvania-based certified diabetes educator and author of Think Like a Pancreas. "The only thing they really have in common is that both involve an inability to control blood sugar levels." Here are 5 important distinctions. 1. Type 1 is an autoimmune disease; type 2 isn't. Diabetes happens when your body has trouble with insulin, a hormone that helps convert sugar from the food you eat into energy. When there isn’t enough insulin in your body, sugar builds up in the bloodstream and can make you sick. People with type 1 and type 2 both face this problem, but how they arrived there is quite different. If you have type 1, you don't make any insulin at all. That's because type 1 is an autoimmune disease in which your immune system attacks and destroys the insulin-making cells in your Continue reading >>
Difference Between Type 1 And Type 2 Diabetes | Prevention
When people hear that you have diabetes , they start to make assumptions that aren't always accurate. A lot of the confusion stems from the fact that there are two main types, yet many people don't understand how they're different. (Want to pick up some healthier habits? Sign up to get daily healthy living tips delivered straight to your inbox!) As someone with type 1 diabetesI was diagnosed with it nearly 40 years agoI'm all too familiar with the disease. I lived with it as a child, teen, and adult, and when I decided to have kids I had to figure out how to manage the condition while being pregnant. (I even wrote a book about it, Balancing Pregnancy With Pre-Existing Diabetes: Healthy Mom, Healthy Baby .) Having type 1 diabetes means I'm in the minority: Of the approximately 29 million Americans who have diabetes, only 1.25 million have type 1. Most have type 2, which is a totally different form. "Comparing type 1 to type 2 is like comparing apples to tractors," says Gary Scheiner, a Pennsylvania-based certified diabetes educator and author of Think Like a Pancreas . "The only thing they really have in common is that both involve an inability to control blood sugar levels." Here are 5 important distinctions. MORE: 7 Reasons You're Tired All The Time 1. Type 1 is an autoimmune disease; type 2 isn't. Diabetes happens when your body has trouble with insulin, a hormone that helps convert sugar from the food you eat into energy. When there isnt enough insulin in your body, sugar builds up in the bloodstream and can make you sick. People with type 1 and type 2 both face this problem, but how they arrived there is quite different. If you have type 1, you don't make any insulin at all. That's because type 1 is an autoimmune disease in which your immune system attacks and dest Continue reading >>
Diabetes May Have Five Separate Types, Not Two, Study Says | Time
For many years, diabetes cases have largely been classified as either type 1 or type 2. But a new study suggests that there may actually be five different types of the disease—some of which may be more dangerous than others. A new classification system could help doctors identify the people most at risk for complications, the study authors say, and could pave the way for more personalized and effective treatments. The research article, published in The Lancet: Diabetes & Endocrinology , calls attention to the need for an updated diabetes classification system. The current system “has not been much updated during the past 20 years,” the authors wrote in their paper, “and very few attempts have been made to explore heterogeneity of type 2 diabetes”—despite calls from expert groups over the years to do so. Meanwhile, they wrote, diabetes is the fastest-increasing disease worldwide, and existing treatments have been unable to stem the tide or prevent the development of chronic complications in many patients. One explanation, they say, is that diabetes diagnosis is based on only one measurement—how the body metabolizes glucose—when the disease is actually much more complex, and much more individual. Currently, diabetes is classified based mainly on age of diagnosis (younger people often have type 1) and on the presence or absence of antibodies that attack beta cells, which release insulin. People with type 1 diabetes have these antibodies—and therefore cannot make insulin on their own—while people with type 2 do not. Their bodies make insulin but don’t use it the right way. Based on these criteria, between 75% and 85% of people with diabetes are classified with type 2, the authors wrote in their paper. A third subgroup of diabetes, known as latent auto Continue reading >>
Types Of Diabetes Mellitus
Diabetes mellitus (or diabetes) is a chronic, lifelong condition that affects your body's ability to use the energy found in food. There are three major types of diabetes: type 1 diabetes, type 2 diabetes, and gestational diabetes. All types of diabetes mellitus have something in common. Normally, your body breaks down the sugars and carbohydrates you eat into a special sugar called glucose. Glucose fuels the cells in your body. But the cells need insulin, a hormone, in your bloodstream in order to take in the glucose and use it for energy. With diabetes mellitus, either your body doesn't make enough insulin, it can't use the insulin it does produce, or a combination of both. Since the cells can't take in the glucose, it builds up in your blood. High levels of blood glucose can damage the tiny blood vessels in your kidneys, heart, eyes, or nervous system. That's why diabetes -- especially if left untreated -- can eventually cause heart disease, stroke, kidney disease, blindness, and nerve damage to nerves in the feet. Type 1 diabetes is also called insulin-dependent diabetes. It used to be called juvenile-onset diabetes, because it often begins in childhood. Type 1 diabetes is an autoimmune condition. It's caused by the body attacking its own pancreas with antibodies. In people with type 1 diabetes, the damaged pancreas doesn't make insulin. This type of diabetes may be caused by a genetic predisposition. It could also be the result of faulty beta cells in the pancreas that normally produce insulin. A number of medical risks are associated with type 1 diabetes. Many of them stem from damage to the tiny blood vessels in your eyes (called diabetic retinopathy), nerves (diabetic neuropathy), and kidneys (diabetic nephropathy). Even more serious is the increased risk of hea Continue reading >>
Type 1 Diabetes
Print Overview Type 1 diabetes, once known as juvenile diabetes or insulin-dependent diabetes, is a chronic condition in which the pancreas produces little or no insulin. Insulin is a hormone needed to allow sugar (glucose) to enter cells to produce energy. Different factors, including genetics and some viruses, may contribute to type 1 diabetes. Although type 1 diabetes usually appears during childhood or adolescence, it can develop in adults. Despite active research, type 1 diabetes has no cure. Treatment focuses on managing blood sugar levels with insulin, diet and lifestyle to prevent complications. Symptoms Type 1 diabetes signs and symptoms can appear relatively suddenly and may include: Increased thirst Frequent urination Bed-wetting in children who previously didn't wet the bed during the night Extreme hunger Unintended weight loss Irritability and other mood changes Fatigue and weakness Blurred vision When to see a doctor Consult your doctor if you notice any of the above signs and symptoms in you or your child. Causes The exact cause of type 1 diabetes is unknown. Usually, the body's own immune system — which normally fights harmful bacteria and viruses — mistakenly destroys the insulin-producing (islet, or islets of Langerhans) cells in the pancreas. Other possible causes include: Genetics Exposure to viruses and other environmental factors The role of insulin Once a significant number of islet cells are destroyed, you'll produce little or no insulin. Insulin is a hormone that comes from a gland situated behind and below the stomach (pancreas). The pancreas secretes insulin into the bloodstream. Insulin circulates, allowing sugar to enter your cells. Insulin lowers the amount of sugar in your bloodstream. As your blood sugar level drops, so does the secre Continue reading >>