Type 1 Diabetes
Type 1 diabetes (previously called insulin-dependent or juvenile diabetes) is usually diagnosed in children, teens, and young adults, but it can develop at any age. If you have type 1 diabetes, your pancreas isn’t making insulin or is making very little. Insulin is a hormone that enables blood sugar to enter the cells in your body where it can be used for energy. Without insulin, blood sugar can’t get into cells and builds up in the bloodstream. High blood sugar is damaging to the body and causes many of the symptoms and complications of diabetes. Type 1 diabetes is less common than type 2—about 5% of people with diabetes have type 1. Currently, no one knows how to prevent type 1 diabetes, but it can be managed by following your doctor’s recommendations for living a healthy lifestyle, controlling your blood sugar, getting regular health checkups, and getting diabetes self-management education. Shakiness Nervousness or anxiety Sweating, chills, or clamminess Irritability or impatience Dizziness and difficulty concentrating Hunger or nausea Blurred vision Weakness or fatigue Anger, stubbornness, or sadness If your child has type 1 diabetes, you’ll be involved in diabetes care on a day-to-day basis, from serving healthy foods to giving insulin injections to watching for and treating hypoglycemia (low blood sugar; see below). You’ll also need to stay in close contact with your child’s health care team; they will help you understand the treatment plan and how to help your child stay healthy. Much of the information that follows applies to children as well as adults, and you can also click here for comprehensive information about managing your child’s type 1 diabetes. Causes Type 1 diabetes is caused by an autoimmune reaction (the body attacks itself by mistak Continue reading >>
Resources And References
Diabetes Type 2: Nothing Sweet About It Module 14 Resources American Association of Clinical Endocrinologists www.aace.com American Association of Diabetes Educators (AADE) diabeteseducator.org 1 800 338 3633 American Diabetes Association 1-800-DIABETES (1 800 342 2383) CDC Native Diabetes Wellness Program www.cdc.gov/diabetes/projects/diabetes-wellness.htm Diabetes Dictionary dLife.com TV online programming www.dlife.com/dlife_media/tv Juvenile Diabetes Research Foundation International www.jdrf.org 1 800 533-CURE (1 800 533 2873) National Diabetes Education Initiative www.ndei.org National Diabetes Education Program www.ndep.nih.gov; www.yourdiabetesinfo.org 1 888 693-NDEP (1 888 693 6337) National Diabetes Information Clearinghouse diabetes.niddk.nih.gov 1 800 860 8747 National Diabetes Statistics, 2015 National Institute of Diabetes and Digestive and Kidney Diseases: www2.niddk.nih.gov/ National Institute of Diabetes, Digestive and Kidney Diseases (NIDDK-NIH) National Institutes of Health (NIH) www.nih.gov/ Merck Medicus Conversation maps training program merckmedicus.com 1 800 489 5119 World Health Organization Diabetes Programme Facts and Figures, 2016 References Abraham T, Fox C. (2013, August). Implications of rising prediabetes prevalence. Diabetes Care Aguilar M, Bhuket T, Torres S, et al. (2015). Prevalence of the metabolic syndrome in the United States, 2003–2012. JAMA 313(19):1973–74. doi:10.1001/jama.2015.4260. Retrieved February 20, 2016 from Ahmed, A. (2002). History of Diabetes Mellitus. Saudi Medical Journal 23(4):373–78. American Academy of Ophthalmology (AAO). (2016). Diabetic Retinopathy. Preferred Practice Pattern Guidelines. Retrieved from American Association of Clinical Endocrinologists (AACE). (2011, Mar/Apr). Medical Guidelines for Clini Continue reading >>
Type 2 Diabetes
Diabetes is a chronic disease marked by higher-than-normal levels of glucose (sugar) in the blood. It is caused by the body’s inability to produce or use insulin, a hormone that acts to move glucose out of the blood and into cells to be used as energy. There are two types of diabetes: • Type 1 diabetes, also known as juvenile diabetes, is an autoimmune disease in which the body does not produce the hormone insulin. There is no known way to prevent type 1 diabetes, which represents 5% of diabetes cases. • Type 2 diabetes is the most common form, representing about 95% of all diabetes cases. It usually begins with insulin resistance, where the body does not use insulin properly. At first, the pancreas makes extra insulin to make up for it. But over time, the pancreas loses its ability to produce enough insulin to keep blood sugar at normal levels. Type 2 diabetes is preventable. Prediabetes, also referred to as impaired glucose tolerance or impaired fasting glucose, is a condition in which blood glucose levels are higher than normal but not high enough for a diagnosis of diabetes. People with prediabetes have a much higher risk of developing type 2 diabetes, as well as an increased risk for cardiovascular disease. Without intervention efforts, up to 30 percent of people with prediabetes will develop type 2 diabetes within five years5, and up to 70 percent will develop diabetes within their lifetime6. A 2016 study by UCLA found 13 million adults (46 percent of all adults in California) to have prediabetes or undiagnosed diabetes. An additional 2.5 million adults have diagnosed diabetes. Altogether, 15.5 million adults (55 percent of all California adults) have prediabetes or diabetes.7 Liquid sugar is a unique driver of today’s skyrocketing type 2 diabetes and obes Continue reading >>
Diabetes: Biggest Epidemic In Human History
Remember back in history class, when they talked about the Great Diabetes Epidemic of 1665? Of course you don’t; there was never any such thing. Certainly, there have been many epidemics throughout history. These could be enormously destructive; killing millions, toppling empires, depopulating entire landscapes.1 But diabetes as a mass killer? That’s something new. But that is exactly where we are today. Epidemiologists are warning that the Great Diabetes Epidemic is upon us – right now. The result of the combination of obesity and type 2 diabetes (“diabesity”) is likely to be the biggest pandemic in human history.2 Perhaps the word “epidemic” sounds overly dramatic to some ears. But the Centers for Disease Control (CDC) explains that “epidemic” simply refers to an increase in the number of cases of a disease above what is normally expected in a population in a given area. Relatedly, “pandemic” refers to an epidemic that has spread over several countries or continents, usually affecting a large number of people.3 And so CDC refers quite specifically to the diabetes “epidemic” that currently affects almost 30 million Americans, which is forecast to rise to nearly 55 million people over the next decade.4, 5 This chart illustrates the growth in diabetes in the U.S. through the year 2030: Regarding the spread to other countries, the World Health Organization estimates that the number of people with diabetes grew by nearly 300% from 1980 to 2014, to 422 million worldwide.6 That number is also predicted to rise, to 642 million people living with diabetes worldwide by 2040.7 Altogether, taking into account both the number of people it will affect, and what it will cost to treat, one researcher has gone so far as to predict that type 2 diabetes is on t Continue reading >>
About Diabetes
Diabetes is a chronic (long-lasting) disease that affects how your body turns food into energy. Most of the food you eat is broken down into sugar (also called glucose) and released into your bloodstream. Your pancreas makes a hormone called insulin, which acts like a key to let the blood sugar into your body’s cells for use as energy. If you have diabetes, your body either doesn’t make enough insulin or can’t use the insulin it makes as well as it should. When there isn’t enough insulin or cells stop responding to insulin, too much blood sugar stays in your bloodstream, which over time can cause serious health problems, such as heart disease, vision loss, and kidney disease. There isn’t a cure yet for diabetes, but healthy lifestyle habits, taking medicine as needed, getting diabetes self-management education, and keeping appointments with your health care team can greatly reduce its impact on your life. 30.3 million US adults have diabetes, and 1 in 4 of them don’t know they have it. Diabetes is the seventh leading cause of death in the US. Diabetes is the No. 1 cause of kidney failure, lower-limb amputations, and adult-onset blindness. In the last 20 years, the number of adults diagnosed with diabetes has more than tripled as the American population has aged and become more overweight or obese. Types of Diabetes There are three main types of diabetes: type 1, type 2, and gestational diabetes (diabetes while pregnant). Type 1 diabetes is caused by an autoimmune reaction (the body attacks itself by mistake) that stops your body from making insulin. About 5% of the people who have diabetes have type 1. Symptoms of type 1 diabetes often develop quickly. It’s usually diagnosed in children, teens, and young adults. If you have type 1 diabetes, you’ll need t 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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Get Active! | Living With Diabetes | Diabetes | Cdc
To receive email updates about this page, enter your email address: Physical activity is very important for people with diabetes! Good news its not as hard as you might think to be more active. If you have diabetes , being active makes your body more sensitive to insulin (the hormone that allows cells in your body to use blood sugar for energy), which helps manage your diabetes. Physical activity also helps control blood sugar levels and lowers your risk of heart disease and nerve damage . Being physically active can be fun. When its possible, go outside with a friend, connect, and enjoy the weather. Lowering LDL (bad) cholesterol and raising HDL (good) cholesterol The goal is to get at least 150 minutes per week of moderate-intensity physical activity. One way to do this is to try to fit in at least 20 to 25 minutes of activity every day. Also, on 2 or more days a week, include activities that work all major muscle groups (legs, hips, back, abdomen, chest, shoulders, and arms). Examples of moderate-intensity physical activities include: These activities work your large muscles, increase your heart rate, and make you breathe harder, which are important goals for fitness. Stretching helps to make you flexible and prevent soreness after being physically active. Find out more by reading tips for being active with diabetes [PDF 240 KB] . Finding an activity you enjoy and having a partner helps you stick with it. Find something you like. Exercising by doing something you enjoy is important because if you dont like it, you wont stick with it. Find an activity that you and your health care provider agree you can do regularly for the best results. Start small. If youre not already physically active you should begin slowly and work your way up to the desired level. For example, Continue reading >>
Prediabetes
Prediabetes is a serious health condition where blood sugar levels are higher than normal, but not high enough yet to be diagnosed as type 2 diabetes. Approximately 84 million American adults—more than 1 out of 3—have prediabetes. Of those with prediabetes, 90% don’t know they have it. Prediabetes puts you at increased risk of developing type 2 diabetes, heart disease, and stroke. The good news is that if you have prediabetes, the CDC-led National Diabetes Prevention Program can help you make lifestyle changes to prevent or delay type 2 diabetes and other serious health problems. Causes Insulin is a hormone made by your pancreas that acts like a key to let blood sugar into cells for use as energy. If you have prediabetes, the cells in your body don’t respond normally to insulin. Your pancreas makes more insulin to try to get cells to respond. Eventually your pancreas can’t keep up, and your blood sugar rises, setting the stage for prediabetes—and type 2 diabetes down the road. Symptoms & Risk Factors You can have prediabetes for years but have no clear symptoms, so it often goes undetected until serious health problems such as type 2 diabetes show up. It’s important to talk to your doctor about getting your blood sugar tested if you have any of the risk factors for prediabetes, which include: Being overweight Being 45 years or older Having a parent, brother, or sister with type 2 diabetes Being physically active less than 3 times a week Ever having gestational diabetes (diabetes during pregnancy) or giving birth to a baby who weighed more than 9 pounds Race and ethnicity are also a factor: African Americans, Hispanic/Latino Americans, American Indians, Pacific Islanders, and some Asian Americans are at higher risk. Getting Tested You can get a simple blood Continue reading >>
Diabetes Quick Facts
The Big Picture More than 30 million people in the United States have diabetes, and 1 in 4 of them don’t know they have it. More than 84 million US adults—over a third—have prediabetes, and 90% of them don’t know they have it. Diabetes is the 7th leading cause of death in the United States (and may be underreported). Type 2 diabetes accounts for about 90% to 95% of all diagnosed cases of diabetes; type 1 diabetes accounts for about 5%. In the last 20 years, the number of adults diagnosed with diabetes has more than tripled as the American population has aged and become more overweight or obese. Risk You’re at risk for developing prediabetes or type 2 diabetes if you: Are overweight Are age 45 or older Have a parent, brother, or sister with type 2 diabetes Are physically active less than 3 times a week Have ever had gestational diabetes (diabetes while pregnant) or given birth to a baby weighing more than 9 pounds African Americans, Hispanic/Latino Americans, American Indians/Alaska Natives, Pacific Islanders, and some Asian Americans are at higher risk for prediabetes and type 2 diabetes. American Indians/Alaska Natives are twice as likely as whites to have diabetes. During their lifetime, half of all Hispanic men and women and non-Hispanic black women are predicted to develop diabetes. Type 1 diabetes is thought to be caused by an immune reaction (the body attacks itself by mistake). Known risk factors for type 1 diabetes include: Family history (having a parent, brother, sister with type 1 diabetes) Age (it’s more likely to develop in children, teens, and young adults) In the United States, whites are more likely to develop type 1 diabetes than African Americans and Hispanic/Latino Americans. You’re at risk for developing gestational diabetes (diabetes w Continue reading >>
Press & Social Media
Press & Social Media To receive email updates about this page, enter your email address: A Snapshot: Diabetes In The United States Error processing SSI file Continue reading >>
Economic Costs Of Diabetes In The U.s. In 2012
Go to: Abstract This study updates previous estimates of the economic burden of diagnosed diabetes and quantifies the increased health resource use and lost productivity associated with diabetes in 2012. The study uses a prevalence-based approach that combines the demographics of the U.S. population in 2012 with diabetes prevalence, epidemiological data, health care cost, and economic data into a Cost of Diabetes Model. Health resource use and associated medical costs are analyzed by age, sex, race/ethnicity, insurance coverage, medical condition, and health service category. Data sources include national surveys, Medicare standard analytical files, and one of the largest claims databases for the commercially insured population in the U.S. The total estimated cost of diagnosed diabetes in 2012 is $245 billion, including $176 billion in direct medical costs and $69 billion in reduced productivity. The largest components of medical expenditures are hospital inpatient care (43% of the total medical cost), prescription medications to treat the complications of diabetes (18%), antidiabetic agents and diabetes supplies (12%), physician office visits (9%), and nursing/residential facility stays (8%). People with diagnosed diabetes incur average medical expenditures of about $13,700 per year, of which about $7,900 is attributed to diabetes. People with diagnosed diabetes, on average, have medical expenditures approximately 2.3 times higher than what expenditures would be in the absence of diabetes. For the cost categories analyzed, care for people with diagnosed diabetes accounts for more than 1 in 5 health care dollars in the U.S., and more than half of that expenditure is directly attributable to diabetes. Indirect costs include increased absenteeism ($5 billion) and reduced Continue reading >>
About Prediabetes & Type 2 Diabetes
Eighty-six million Americans now have prediabetes—that’s 1 out of 3 adults! Of those 86 million, 9 out of 10 of them don’t even know they have it. Without intervention, many people with prediabetes could develop type 2 diabetes within 5 years. With numbers like that, it’s important to learn about prediabetes and take action. Read the National Diabetes Statistics Report to learn more about the toll that diabetes is taking in the United States. Continue reading >>
The 101 On Type 2 Diabetes
By Jane Wynne, Hunter College Nutrition Student, and Lisa Zarny, MS, RD, CD-N, Clinical Nutrition Manager We look forward to meeting you. Give our staff a call at 203-276-7286. It's important for Americans to be aware of the risk of developing diabetes and what can be done to prevent or treat this disease. Type 2 diabetes is caused by insulin resistance, or one’s body’s inability to use insulin properly. It is associated with increased age, obesity, family history of diabetes, gestational diabetes, and physical inactivity. However, type 2 diabetes can be avoided, treated, and even controlled by adapting to good health practices. Below are some helpful tips to help decrease the risk of diabetes and be kind to your body. 1. Eat your greens. By making some small adjustments to your meal options, diet can make a significant difference in type 2 diabetes. Limiting refined carbohydrates and focusing on high-fiber complex carbohydrates are important in treating and preventing diabetes. These two carbohydrate choices slowly release in the body, maintaining blood sugar levels and preventing the production of too much insulin. For example, substituting brown rice or whole grain bread instead of white, bran flakes instead of cornflakes, and leafy greens instead of corn can easily improve your blood sugar. 2. Move. Exercising has a surplus of health benefits, including improvement in our heart health, bone density, muscle strength, skin complexion, immune function, sleep patterns, and of course, prevention of diabetes. 3. Check the scale. After increasing your fruit and vegetable intake and exercising more, you may be tightening your belt instead of loosening it this Thanksgiving! Since being overweight or obese is a major risk factor of developing diabetes, losing even a small Continue reading >>
Ak-ibis - Health Indicator Report Other Resources - Diabetes: Prediabetes Prevalence
More Information and References for Diabetes: Prediabetes Prevalence '''References:'''1. Centers for Disease Control and Prevention. National Diabetes Statistics Report: Estimates of Diabetes and Its Burden in the United States, 2017. Atlanta, GA: U.S. Department of Health and Human Services; 2017.[About Prediabetes & Type 2 Diabetes | Diabetes | NDPP. [Accessed September 11, 2017.3. Tabak AG, Herder C, Rathmann W, Brunner EJ, Kivimaki M. Pre-diabetes: a high-risk state for diabetes development. Lancet. 2012;379(9833):2279-2290. doi:10.1016/S0140-6736(12)60283-94. Tuso P. Prediabetes and lifestyle modification: time to prevent a preventable disease. The Permanente Journal. 2014;18(3):88-93. doi:10.7812/TPP/14-0025. Rich PA, Shaefer CF, Parkin CG, Edelman SV. Using a quantitative measure of diabetes risk in clinical practice to target and maximize diabetes prevention interventions. Clinical Diabetes. 2013;31(2):82-89. doi:10.2337/diaclin.31.2.826. American Diabetes Association. Diagnosing diabetes and learning about prediabetes. Accessed September 11, 2017.7. Knowler WC, Barrett-Conner E, Fowler SE, et. al. Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Eng J Med. 2002;346:393-403. doi: 10.1056/NEJMoa0125128. Albright A, Gregg EW. Preventing type 2 diabetes in communities across the U.S.: the National Diabetes Prevention Program. Am J Prev Med. 2013;44(4):S346-S351. doi:10.1016/j.amepre.2012.12.0099. Evergreen Economics. Memorandum: Medicaid claims before and after self-management training. May 30, 2014.10. Centers for Disease Control and Prevention (CDC). National Diabetes Prevention Program.[Accessed September 12, 2017.11. Knowler WC, Fowler SE, Hamman RF, Christophi CA, et al. Diab Continue reading >>
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- Major Study Confirms Racial Disparities Related to Key Diabetes Indicator, Hemoglobin A1c
- diabetes: Gestational diabetes is a more serious problem in India than in other parts of the world: Dr Nam Han Cho, Health News, ET HealthWorld
The Surprising Truth About Prediabetes
It’s real. It’s common. And most importantly, it’s reversible. You can prevent or delay prediabetes from developing into type 2 diabetes with simple, proven lifestyle changes. Amazing but true: 86 million American adults—more than 1 out of 3—have prediabetes. What’s more, 90% of people with prediabetes don’t know they have it. Could this be you? Read on to find out the facts and what you can do to stay healthy. Prediabetes Is a Big Deal Don’t let the “pre” fool you—prediabetes is a serious health condition where blood sugar levels are higher than normal, but not high enough yet to be diagnosed as diabetes. Prediabetes puts you at increased risk of developing type 2 diabetes, heart disease, and stroke. Many people don’t realize that type 1 and type 2 are different kinds of diabetes. About 90%-95% of people with diabetes have type 2; about 5% have type 1. Type 1 is caused by an immune reaction and can’t yet be prevented; type 2 can be prevented or delayed through lifestyle changes. Type 1 often starts quickly and has severe symptoms; type 2 is a gradual disease that develops over many years. Type 1 occurs most often in children, teens, and young adults; type 2 occurs most often in older people (though increasingly children, teens, and young adults are developing the disease). Prediabetes can develop into type 2 diabetes, but not type 1. You can have prediabetes for years but have no clear symptoms, so it often goes undetected until serious health problems show up. That’s why it’s important to talk to your doctor about getting your blood sugar tested if you have any of the risk factors for prediabetes, which include: Being overweight Being 45 years or older Having a parent, brother, or sister with type 2 diabetes Being physically active less t Continue reading >>
Diabetes Basics
A person has diabetes when their blood glucose, also known as blood sugar, is too high. The most common types of diabetes are type 1, type 2, and gestational diabetes. Type 1 diabetes is when your body does not make insulin. It is usually diagnosed in young adults and children. People with this type of diabetes must take insulin every day to stay alive. Type 2 diabetes is when a person’s body does not use or make insulin well. It is usually diagnosed in middle aged and older people. Gestational diabetes develops in some women during pregnancy. About one out of every eleven Americans has diabetes. It can cause blindness, heart disease, kidney failure and lower-extremity amputations. In the United States, it is the seventh leading cause of death. Symptoms of diabetes include increased thirst, increased urination, increased hunger, fatigue, blurred vision, numbness or tingling in the feet or hands, sores that do not heal and unexplained weight loss. If you think you think you may have diabetes, you should contact your healthcare provider for follow up and possible testing. It is possible to live well with diabetes with proper blood sugar monitoring and control. Our caregivers under the supervision of our Care Managers can assist clients managing diabetes through medication administration, glucose testing and other services. If you want to read more about diabetes and how to manage it, the following websites are excellent resources: For information about Care Management services, contact our Care Coordinator, Jenni Paddock at 414.963.2600. Continue reading >>
