Quick Facts Diabetes In Minnesota
How many adults in Minnesota have diabetes? 2015, 7.6% of Minnesota adults (about 320,000)1 had been diagnosed with diabetes (type 1 or 2). Around 18,000 new cases are diagnosed in Minnesota each year (2010)1 Around 1 in 4 people with diabetes do not know that they have the disease2. For information about diabetes in the US, please read the National Diabetes Statistics Report 2017. Are there disparities in diabetes rates in Minnesota? Disparities happen when the health of a group of people are negatively affected by factors like how much money they earn, their race or ethnicity, or where they live. In Minnesota, we currently collect data specific to two of these factors. Education: In 2015, about 5.4 percent1* of adults who have a college degree report having diabetes compared with 8.5 percent1* of adults who do not. Income: Health survey data from 2013 through 2015 show that self-reported diabetes rates are higher for people living in households that earn lower incomes1*. How is Minnesota monitoring diabetes management? Healthcare providers measure five diabetes goals to monitor how well a patient’s diabetes is controlled. These goals are influenced by a number of different factors: individual factors, community-level factors, and healthcare-related factors. This information is reported as the Optimal Diabetes Care measure. Overall in Minnesota, 53 percent of adults met all five diabetes goals3. There are disparities in the percentage of people who meet all five diabetes goals. We show some of the disparities observed in 2014 below: Race: 31 percent of American Indian or Alaska Native meet the Optimal Diabetes Care measure as compared to 59 percent of Asian adults3. Ethnicity: 46 percent of Hispanic or Latino adults meet the Optimal Diabetes Care measure as compared Continue reading >>
Diabetes By The Numbers: Facts, Statistics, And You
Insulin acts as a “key.” It allows the glucose to go from the blood into the cells. It also helps you store energy. Insulin is a vital part of metabolism. Without it, your body isn’t able to function or perform properly. Uncontrolled diabetes can lead to serious complications. It can cause damage to small and large blood vessels and organs. This can often lead to heart disease, stroke, kidney disease, nerve damage, and eye disease. Managing diabetes requires keeping track of blood glucose levels. Treatment may include taking insulin or other medications. Healthy eating habits and regular exercise can also help manage diabetes. Types of Diabetes There are different types of diabetes. Each has something to do with insulin and blood glucose. Type 1 diabetes Type 1 diabetes is a disorder in which the pancreas cannot longer produce insulin. It used to be called juvenile diabetes. It’s also sometimes called insulin-dependent diabetes mellitus. There is no cure. If you have it, you must take insulin to survive. Type 2 diabetes In type 2 diabetes, the pancreas can produce insulin, at least initially. But the body doesn’t respond to it or use it effectively. This is called insulin resistance. Over time, the ability of the pancreas to make insulin decreases. Then blood sugars go up. Some, but not all people with type 2 diabetes need to take insulin. Most of the time a proper diet, exercise, and medications can manage the disease. Gestational diabetes Gestational diabetes develops during pregnancy. According to the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), women with gestational diabetes have a 35 to 60 percent chance of developing type 2 diabetes within 20 years. Prediabetes When blood glucose levels are higher than they should be, but no Continue reading >>
Diabetes (mellitus, Type 1 And Type 2) (cont.)
A A A Type 1 diabetes (T1D): The body stops producing insulin or produces too little insulin to regulate blood glucose level. Type 1 diabetes affects about 10% of all people with diabetes in the United States. Type 1 diabetes is typically diagnosed during childhood or adolescence. It used to be referred to as juvenile-onset diabetes or insulin-dependent diabetes mellitus. Insulin deficiency can occur at any age due to destruction of the pancreas by alcohol, disease, or removal by surgery. Type 1 diabetes also results from progressive failure of the pancreatic beta cells, the only cell type that produces significant amounts of insulin. People with type 1 diabetes require daily insulin treatment to sustain life. Type 2 diabetes (T2D): Although the pancreas still secretes insulin, the body of someone with type 2 diabetes is partially or completely incapable of responding to insulin. This is often referred to as insulin resistance. The pancreas tries to overcome this resistance by secreting more and more insulin. People with insulin resistance develop type 2 diabetes when they fail to secrete enough insulin to cope with their body's demands. At least 90% of adult individuals with diabetes have type 2 diabetes. Type 2 diabetes is typically diagnosed during adulthood, usually after age 45 years. It was once called adult-onset diabetes mellitus, or non-insulin-dependent diabetes mellitus. These names are no longer used because type 2 diabetes does occur in young people, and some people with type 2 diabetes require insulin therapy. Type 2 diabetes is usually controlled with diet, weight loss, exercise, and/or oral medications. However, more than half of all people with type 2 diabetes require insulin to control their blood sugar levels at some point during the course of their i Continue reading >>
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Diabetes Warning: Do Not Ignore These Signs Of Type 1 And Type 2 Diabetes
Diabetes symptoms include urinating more than normal Type 1 and 2 symptoms are similar Having an unquenchable thirst and feeling more tired than usual are also symptoms Untreated diabetes could lead to diabetic ketoacidosis Type 1 and type 2 diabetes are different conditions, but they present similar symptoms. However the majority of people with type 1 diabetes are diagnosed in childhood and early adulthood. The signs of type 1 and type 2 diabetes should never be ignored. If they are not treated, the condition can lead to serious and complex health conditions, such as diabetic ketoacidosis. Untreated type 2 diabetes can affect the heart, blood vessels, nerves, eyes and kidneys. The common symptoms of diabetes include: Going to the toilet a lot, especially at night Excessive urination can be triggered by excess glucose in the blood which interferes with the kidney’s ability to concentrate urine. Being really thirsty The medical term for increased thirst is puldisia. Feeling thirsty all the time, or having a stronger thirst than usual, which continues after drinking can be a sign of diabetes Feeling more tired than usual Feeling tired can be a symptom of low blood sugar. Losing weight without trying to Although type 2 diabetes commonly occurs in people who are overweight - undiagnosed type 1 diabetes can make people lose weight. Being overweight can cause type 2 diabetes because the body has more pressure to use insulin properly to manage blood sugar levels. Genital itching or thrush Thrush is more common in people with diabetes. This is because high sugar levels can cause yeast to grow. A dry mouth - also a symptom of the condition - can also increase the risk of the infection Cuts and wounds take longer to heal This occurs because diabetes can affect the immune system Continue reading >>
There's A Third Type Of Diabetes And Millions Don't Know They Have It
This type, 3c, is caused by physical damage to the pancreas. Fascinadora/Shutterstock Until recently, diabetes came in two distinct varieties. However, a third major type exists, a fact that's only come to light relatively recently – and it's far more prevalent than people realized. New research indicates that this means that plenty of people with the new Type 3c are being misdiagnosed as having Type 2, leading to incorrect treatment. According to the study in the journal Diabetes Care, just 3 percent of people with Type 3c are correctly identified. A separate study concluded that anywhere between 5 and 10 percent of all diabetics in Western populations actually have Type 3c. That means that millions of people are living with the condition all over the world, and they don’t actually know it. One of the researchers involved in the UK-centric work, clinical practitioner Andrew McGovern of the University of Surrey, explains that this new Type 3c can be extremely difficult to treat. Not only does it impair the pancreas’ ability to produce insulin, but it also prevents it from making key enzymes which are required for the digestion of food, along with other important hormones. “People with type 3c diabetes were twice as likely to have poor blood sugar control than those with type 2 diabetes,” he explained in a blog post for The Conversation. “They were also five to ten times more likely to need insulin, depending on their type of pancreas disease.” This new study highlights the lack of awareness of the condition, not only in the public realm but in the world of biomedical research. For decades, Types 1 and 2 were the only two major categories; others were subclasses, too infrequently diagnosed, or were not distinct enough to warrant much attention. The first, T Continue reading >>
What Are The Different Types Of Diabetes?
What are the different types of diabetes? Diabetes is a group of diseases in which the body either doesn’t produce enough or any insulin, does not properly use the insulin that is produced, or a combination of both. When any of these things happens, the body is unable to get sugar from the blood into the cells. That leads to high blood sugar levels. Glucose, the form of sugar found in your blood, is one of your chief energy sources. Lack of insulin or resistance to insulin causes sugar to build up in your blood. This can lead to many health problems. The three main types of diabetes are: type 1 diabetes type 2 diabetes gestational diabetes Type 1 diabetes Type 1 diabetes is believed to be an autoimmune condition. It happens when your immune system mistakenly attacks and destroys the beta cells in your pancreas that produce insulin. The damage is permanent. What prompts the attack isn’t clear. There may be both genetic and environmental components. Lifestyle factors aren’t thought to play a role. Type 2 diabetes Type 2 diabetes starts as insulin resistance. This means your body can’t use insulin efficiently. That stimulates your pancreas to produce more insulin until it can no longer keep up with demand. Insulin production decreases, which leads to high blood sugar. The exact cause is unknown. Contributing factors may include genetics, lack of exercise, and being overweight. There may also be other health factors and environmental reasons. Gestational diabetes Gestational diabetes is due to insulin blocking hormones produced during pregnancy. This type of diabetes only occurs during pregnancy. Learn more: What you should know about pregestational diabetes » General symptoms of diabetes include: excessive thirst and hunger frequent urination drowsiness or fatigue Continue reading >>
Diabetes And Kidney Disease (stages 1-4)
What is diabetes? Diabetes happens when your body does not make enough insulin or cannot use insulin properly. Insulin is a hormone. It controls how much sugar is in your blood. A high level of sugar in your blood can cause problems in many parts of your body, including your heart, kidneys, eyes, and brain. Over time, this can lead to kidney disease and kidney failure. There are two main types of diabetes. Type 1 diabetes generally begins when people are young. In this case, the body does not make enough insulin. Type 2 diabetes is usually found in adults over 40, but is becoming more common in younger people. It is usually associated with being overweight and tends to run in families. In type 2 diabetes, the body makes insulin, but cannot use it well. What is chronic kidney disease (CKD)? Your kidneys are important because they keep the rest of your body in balance. They: Remove waste products from the body Balance the body’s fluids Help keep blood pressure under control Keep bones healthy Help make red blood cells. When you have kidney disease, it means that the kidneys have been damaged. Kidneys can get damaged from a disease like diabetes. Once your kidneys are damaged, they cannot filter your blood nor do other jobs as well as they should. When diabetes is not well controlled, the sugar level in your blood goes up. This is called hyperglycemia. Hyperglycemia (high blood sugar) can cause damage to many parts of your body, especially the kidneys, heart, blood vessels, eyes, feet, nerves. Diabetes can harm the kidneys by causing damage to: Blood vessels inside your kidneys. The filtering units of the kidney are filled with tiny blood vessels. Over time, high sugar levels in the blood can cause these vessels to become narrow and clogged. Without enough blood, the kid Continue reading >>
Diabetes
Diabetes is a lifelong condition that causes a person's blood sugar level to become too high. There are two main types of diabetes: type 1 diabetes – where the body's immune system attacks and destroys the cells that produce insulin type 2 diabetes – where the body doesn't produce enough insulin, or the body's cells don't react to insulin Type 2 diabetes is far more common than type 1. In the UK, around 90% of all adults with diabetes have type 2. During pregnancy, some women have such high levels of blood glucose that their body is unable to produce enough insulin to absorb it all. This is known as gestational diabetes. Pre-diabetes Many more people have blood sugar levels above the normal range, but not high enough to be diagnosed as having diabetes. This is sometimes known as pre-diabetes. If your blood sugar level is above the normal range, your risk of developing full-blown diabetes is increased. It's very important for diabetes to be diagnosed as early as possible because it will get progressively worse if left untreated. When to see a doctor Visit your GP as soon as possible if you experience the main symptoms of diabetes, which include: urinating more frequently than usual, particularly at night feeling very tired weight loss and loss of muscle bulk cuts or wounds that heal slowly blurred vision Type 1 diabetes can develop quickly over weeks or even days. Many people have type 2 diabetes for years without realising because the early symptoms tend to be general. Causes of diabetes The amount of sugar in the blood is controlled by a hormone called insulin, which is produced by the pancreas (a gland behind the stomach). When food is digested and enters your bloodstream, insulin moves glucose out of the blood and into cells, where it's broken down to produce ene Continue reading >>
- American Diabetes Association® Releases 2018 Standards of Medical Care in Diabetes, with Notable New Recommendations for People with Cardiovascular Disease and Diabetes
- Leeds diabetes clinical champion raises awareness of gestational diabetes for World Diabetes Day
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What Is Diabetes
Diabetes is a chronic disease that occurs when the pancreas is no longer able to make insulin, or when the body cannot make good use of the insulin it produces. Insulin is a hormone made by the pancreas, that acts like a key to let glucose from the food we eat pass from the blood stream into the cells in the body to produce energy. All carbohydrate foods are broken down into glucose in the blood. Insulin helps glucose get into the cells. Not being able to produce insulin or use it effectively leads to raised glucose levels in the blood (known as hyperglycaemia). Over the long-term high glucose levels are associated with damage to the body and failure of various organs and tissues. Continue reading >>
- American Diabetes Association® Releases 2018 Standards of Medical Care in Diabetes, with Notable New Recommendations for People with Cardiovascular Disease and Diabetes
- Leeds diabetes clinical champion raises awareness of gestational diabetes for World Diabetes Day
- Diabetes doctors: Which specialists treat diabetes?
How Many People Have Diabetes?
Rates of both type 1 and type 2 diabetes are increasing globally. According to the International Diabetes Federation (IDF) Diabetes Atlas, here are the overall rates including both type 1 and type 2: 415 million adults have diabetes (1 in 11 adults) By 2040, 642 million adults (1 in 10 adults) are expected to have diabetes 46.5% of those with diabetes have not been diagnosed 1 in 7 births is affected by gestational diabetes 12% of global health expenditure is spent on diabetes ($673 billion) You can see an interactive map of global diabetes statistics at the IDF website. According to the Centers for Disease Control and Prevention (CDC), the most current data is for 2012 (source): 29 million people in the United States (9.3 percent) have type 1 or type 2 diabetes. 1.7 million people aged 20 years or older were newly diagnosed with type or type 2 diabetes in 2012. Non-Hispanic black, Hispanic, and American Indian/Alaska Native adults are about twice as likely to have diagnosed with some form of diabetes as non-Hispanic white adults. 208,000 people younger than 20 years have been diagnosed with type 1 or type 2 diabetes. 86 million adults aged 20 years and older have prediabetes. The percentage of U.S. adults with prediabetes is similar for non-Hispanic whites (35 percent), non-Hispanic blacks (39 percent), and Hispanics (38 percent). Similar data is available from a study called Prevalence and Incidence Trends for Diagnosed Diabetes Among Adults Aged 20 to 79 Years, United States, 1980-2012 published in Journal of the American Medical Association (JAMA). This study found that 49% to 52% of the adult population had either diabetes or prediabetes. Then came the most stunning number: 83% of adults over 65 have either diabetes or prediabetes! Thankfully, the authors of this s Continue reading >>
What Is The Difference Between Type 1 Diabetes And Type 2 Diabetes?
Question: What is the difference between type 1 diabetes and type 2 diabetes? Answer: There are several types of diabetes; I'm going to discuss the two main types: type 1 and type 2. Type 1 formerly called juvenile onset diabetes occurs typically before the age of 20. Individuals with type 1 diabetes are usually thin, and the cause of type 1 diabetes is that the pancreas, the organ that secretes insulin, is destroyed by autoantibodies, that's why people with type 1 diabetes always need insulin, either injected or through an insulin pump. Type 1 diabetes occurs in about 10-15 percent of all the diabetics in the country. Now, the most common type of diabetes is what we call type 2, formerly called adult onset. Type 2 diabetics are usually heavy, usually diagnosed after the age of 35. Now, the cause of type 2 diabetes is quite different from type 1. The cause of type 2 diabete is primarily a complicated medical condition called 'insulin resistance.' In fact, in the early stages of type 2 diabetes, there's plenty of insulin around, it just doesn't work well. To treat type 2 diabetes, we typically use lifestyle, and that may work alone -- just diet and exercise -- then we may need oral medications, and it is not uncommon for someone with type 2 diabetes to eventually need insulin, either with or without the oral medications. Now, type 2 diabetes accounts for approximately 85 to 90 percent of all the diabetics in the country. The other important thing that needs to be said is that type 2 diabetes is associated with heart disease, and that's why it's so important to not only treat the glucose levels, but also to attack blood pressure and cholesterol levels as well. We know that type 2 diabetes runs very strongly from generation to generation, and we also know that we can preve Continue reading >>
Type 1.5 Diabetes: An Overview
Type 1.5 Diabetes (T1.5D) is also known as Latent Autoimmune Diabetes of Adults (LADA). LADA is considered by some experts to be a slowly progressive form of Type 1 Diabetes (T1D) while other experts in the field consider it a separate form of Diabetes. LADA or T1.5D is sometimes thought of as T1D that is diagnosed in adults over the age of 30—T1D is commonly diagnosed in children and younger adults. T1.5D is often found along with Type 2 Diabetes (T2D): up to 25% of individuals with T1.5D also have characteristics of T2D.1 This is sometimes called “double diabetes”. Individuals with T1.5D are all eventually dependent on insulin for treatment, and have a very high risk of requiring insulin within months or years (up to six years) after the initial diagnosis. This is in contrast to people with T1D—these people tend to need insulin within days or weeks of diagnosis.2 Individuals diagnosed with T2D relatively rarely require insulin treatment. Current recommendations are to treat individuals with T1.5D immediately with insulin, though this is not universally accepted (see below). The Causes of T1.5D Just as with other forms of diabetes, we don’t truly understand the underlying cause(s) of T1.5D. There are autoimmune components in Types 1, 1.5 and 2 diabetes with some overlap in the types of antibodies formed, so it is clear that as in T1D, the immune system has become “confused” and begins to act against the beta cells of the pancreas—the source of the insulin needed to control blood sugars. Both T1D and T1.5D have antibodies to glutamic acid decarboxylase or anti-GAD antibodies. As with T1D, individuals with T1.5D tend not to be obese, whereas in T2D, most individuals are overweight or obese. Genetics and Environmental Susceptibility Individuals with T1.5D Continue reading >>
The Rise Of Childhood Type 1 Diabetes In The 20th Century
The incidence of childhood type 1 diabetes increased worldwide in the closing decades of the 20th century, but the origins of this increase are poorly documented. A search through the early literature revealed a number of useful but neglected sources, particularly in Scandinavia. While these do not meet the exacting standards of more recent surveys, tentative conclusions can be drawn concerning long-term changes in the demography of the disease. Childhood type 1 diabetes was rare but well recognized before the introduction of insulin. Low incidence and prevalence rates were recorded in several countries over the period 1920–1950, and one carefully performed study showed no change in childhood incidence over the period 1925–1955. An almost simultaneous upturn was documented in several countries around the mid-century. The overall pattern since then is one of linear increase, with evidence of a plateau in some high-incidence populations and of a catch-up phenomenon in some low-incidence areas. Steep rises in the age-group under 5 years have been recorded recently. The disease process underlying type 1 diabetes has changed over time and continues to evolve. Understanding why and how this produced the pandemic of childhood diabetes would be an important step toward reversing it. At the start of the 20th century, childhood diabetes was rare and rapidly fatal. By its end, some 3–4 children per 1,000 in Western countries would require insulin treatment by the age of 20 years, and a steady rise in incidence had been reported from many other parts of the world. This increase has been extensively documented over the past two decades, over which time standard means of data collection have been agreed, central registries have been established, and numerous epidemiological stu Continue reading >>
Diabetes: Definition, Causes And Symptoms
What is diabetes? Diabetes is a disease that affects your body’s ability to produce or use insulin. Insulin is a hormone. When your body turns the food you eat into energy (also called sugar or glucose), insulin is released to help transport this energy to the cells. Insulin acts as a “key.” Its chemical message tells the cell to open and receive glucose. If you produce little or no insulin, or are insulin resistant, too much sugar remains in your blood. Blood glucose levels are higher than normal for individuals with diabetes. There are two main types of diabetes: Type 1 and Type 2. What is Type 1 diabetes? When you are affected with Type 1 diabetes, your pancreas does not produce insulin. Type 1 diabetes is also called juvenile diabetes, since it is often diagnosed in children or teens. This type accounts for 5-10 percent of people with diabetes. What is Type 2 diabetes? Type 2 diabetes occurs when the body does not produce enough insulin, or when the cells are unable to use insulin properly, which is called insulin resistance. Type 2 diabetes is commonly called “adult-onset diabetes” since it is diagnosed later in life, generally after the age of 45. 90-95 percent of people with diabetes have this type. In recent years Type 2 diabetes has been diagnosed in younger people, including children, more frequently than in the past. Are there other forms of diabetes? Gestational diabetes occurs during pregnancy and affects about 18 percent of all pregnancies, according to the American Diabetes Association. Gestational diabetes usually goes away after pregnancy, but once you've had gestational diabetes, your chances are higher that it will happen in future pregnancies. In some women pregnancy uncovers Type 1 or Type 2 diabetes and these women will need to continue d Continue reading >>
Gluten And Diabetes: Is There A Connection?
Although many people continue to buy gluten-free foods at grocery stores and restaurants, it appears the gluten-free trend is waning for those looking to lose weight or gain energy, according to Packaged Facts, a market research company. For those who have to restrict gluten for medical reasons, such as managing celiac disease, gluten-free foods are necessary. A key treatment for those with celiac disease, a recognized and diagnosable medical disorder, is to avoid gluten. But some celebrities and popular diet books have demonized gluten, elevating gluten-free diets to the mainstream. This exposure has led people with no medical reasons to attempt to eliminate gluten from their diets. “It’s caused a bit of hysteria,” says Pam Cureton, a registered dietitian at the Center for Celiac Research in Baltimore. Some people incorrectly associate a gluten-free diet as synonymous with choosing to restrict the amount of carbohydrate they eat. Consumers see the gluten-free label on packaging and assume it must be better. Often, however, the gluten-free food is lower in nutrients and higher in added sugars, saturated fat, and sodium, making it a less healthy choice for most people—especially for those with diabetes. Celiac Disease and Gluten Intolerance: What’s the Difference? Celiac disease, a chronic autoimmune intestinal disorder, affects about 1 percent of the general population. It’s about 8 percent more common among people with type 1 diabetes, according to the Celiac Disease Foundation. Celiac disease is characterized by intestinal damage, nutrient deficiencies, joint pain, severe fatigue, weakness, and infertility. Some people, however, have no obvious symptoms when they are diagnosed. Gluten sensitivity is more common than celiac disease. “It affects about 6 pe Continue reading >>
