
Second Thought – The Often-Forgotten Challenges of Diabetes
By Jane Yardley
November is Diabetes Awareness month, a time of year where we recognize the staggering number of individuals affected by diabetes in Canada and worldwide. In Canada alone, there were over 3 million people with diagnosed diabetes in 2015. Approximately 90 to 95% of these people will have type 2 diabetes, a condition that is managed initially with diet and exercise, and ultimately with medication. The remaining 5 to 10% will have type 1 diabetes, for which there is no prevention, there is no cure, and survival requires a careful balance of food intake and insulin dosage.
Canada has one of the highest rates of type 1 diabetes in the world, yet the public is not as aware of the disease as they are with cancer or cardiovascular disease. Type 1 diabetes develops when the immune system attacks and destroys the insulin-producing cells of the pancreas. Insulin acts as the key that unlocks cells in the muscles, fatty tissues and liver to allow glucose (the most common form of sugar in the body) to be taken in for storage, or burned for energy. Without insulin, glucose builds up in the blood, and the body’s tissues slowly starve. Upon diagnosis, people with type 1 diabetes are relegated to a life of counting carbohydrates (and considering carbohydrate quality) at every meal, and taking insulin (either with a needle or with an insulin pump where a small tube sits under the skin) multiple times per day when blood glucose levels creep up.
They also live with the constant fear that their glucose levels will drop too low. This phenomenon, termed hypoglycemia, can have imm
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