-- Facts About Diabetes --
Who has Diabetes? 1

An estimated 16 million Americans have diabetes, and about one-third of them are unaware of it. About 1,700 new cases are diagnosed every day in the United States. The seventh leading cause of death among Americans, diabetes is the leading cause of new cases of blindness, kidney failure, and lower extremity amputations, and it greatly increases a person's risk for heart attack or stroke.

There are four types of Diabetes 2

Type 1 diabetes mellitus requires the injection of insulin throughout life, daily monitoring of blood sugar (glucose) levels, and adjustments in diet and other aspects of daily living. As a result, insulin therapy must be rigorously managed. About half of patients with Type 1 diabetes develop the disease before age 18. At least one in every 300 children in the United States develops this disease.

Type 2 diabetes, previously called non-insulin-dependent diabetes mellitus (NIDDM) or adult-onset diabetes, may account for about 90 to 95 percent of all diagnosed cases of diabetes. In type 2 diabetes, the pancreas makes some insulin, but it is not enough and/or the body's cells do not use it correctly because of insulin resistance. Risk factors for type 2 diabetes include older age, obesity, family history of diabetes, prior history of gestational diabetes, impaired glucose tolerance, physical inactivity, and race/ethnicity.

Both type 1 and type 2 diabetes can cause many complications, including blindness, vascular disease, kidney failure and peripheral vascular disease, which can decrease circulation and sometimes require the amputation of limbs. In addition, a person with diabetes can experience life-threatening reactions to low blood sugar as well as extremely high glucose.

Gestational Diabetes Between 2 and 5 percent of pregnant women in the United States develop gestational diabetes. Obesity is also associated with higher risk. Women who have had gestational diabetes are at increased risk for later developing type 2 diabetes. In some studies, nearly 40 percent of women with a history of gestational diabetes developed diabetes in the future.


'Other Specific Types' of Diabetes result from specific genetic syndromes, surgery, drugs, malnutrition, infections, and other illnesses. Such types of diabetes may account for 1 to 2 percent of all diagnosed cases of diabetes.


1 United States Department of Health and Human Services Centers for Disease Control and Prevention's National Center for Chronic Disease Prevention and Health Promotion. http://www.cdc.gov/od/oc/media/fact/diabetes.htm http://www.cdc.gov/diabetes/pubs/reportcard.htm


2 National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Disease
http://www.niddk.nih.gov/health/diabetes/pubs/dmstats/dmstats.htm#four

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What is Diabetes? 1

Diabetes means your blood sugar is too high. Your blood always has some sugar in it because you need sugar for energy to keep you going. But too much sugar in the blood is not good for your health. People with diabetes have either a shortage of insulin or a decreased ability to use insulin, a hormone secreted by the pancreas. Insulin allows glucose (sugar) to enter cells and be converted to energy. In uncontrolled diabetes, glucose and fats remain in the blood and, over time, can cause serious damage to the heart, eyes, kidneys, nerves, and blood vessels.


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How do you know if you have Diabetes

Anyone 45 years old or older should consider getting tested for diabetes. If you are 45 or older and your BMI indicates that you are overweight, it is strongly recommended that you get tested1

1 National Institutes of Health, National Diabetes Information Clearinghouse; NIH Publication 'Your Guide to Diabetes' No. 04-3016, November 2003

http://ndep.nih.gov/diabetes/WhatIs/WhatIs.htm

1 There are three ways to diagnose diabetes and each must be confirmed on a subsequent day:

1. Fasting blood sugar (FBS) is 126 mg/dl or more on two occasions. Fasting is defined as no caloric intake for at least 8 hours.
2. 2 hour glucose tolerance test of 200 mg/dl or more.
3. Symptoms of diabetes plus a casual plasma glucose › 200.

Casual is defined as any time of day without regard to time since last meal. The classic symptoms˛ of diabetes include increased urination, increased thirst, and unexplained weight loss.


National Institutes of Health, National Diabetes Information Clearinghouse; NIH Publication 'Your Guide to Diabetes' No. 04-3016, November 2003 http://ndep.nih.gov/diabetes/WhatIs/WhatIs.htm

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Major Risk Factors for Diabetes 1

If you have one or more of the following risk factors, testing should be considered younger than 45 years old or more often than every 3 years:

Family history: having a mother, father, sister or brother with diabetes
Obesity: ›= 120% desirable weight or a BMI ›= 27 kg/M2
Ethnicity: African American, Hispanic-American, Native-American, Asian-American, Pacific Islander have a greater risk of diabetes.
If a mom has had a history of gestational diabetes (pregnancy related diabetes), or delivery of a baby weighing › 9 lbs.
Elevated Blood Pressure Hypertension ›= 140/90.
Elevated HDL cholesterol level ‹= 35 mg/dl and/or triglyceride level ›= 250 mg/dl.
On previous testing, had IGT (impaired glucose tolerance) or IFG (impaired fasting glucose).


1 National Institutes of Health, National Institute of Diabetes and Digestive and Kidney Disease, National Diabetics Information Clearinghouse http://www.healthfinder.gov/scripts/recordpass.asp?RecordType=0&RecordID=4658


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Facts About Diabetes
+ Who has Diabetes?
+ What is Diabetes?
+ How do you know if you have Diabetes?
+ Major Risk Factors of Diabetes

What to Ask the Doctor

Taking Good Care of Yourself


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Literature References