Diabetes Mellitus

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Mohammad Amir

Diabetes mellitus, definition, causes, prevalence, epidemiology and prevention in Indian scenario.

Health & Medicine

MOHAMMAD AMIR Final Year MBBS JJM MEDICAL COLLEGE DAVANGERE

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Diabetes is fast gaining the status of a potential epidemic in India with more than 65 million diabetic individuals currently diagnosed with the disease. Ranked second in the world, the burden of the disease is expected to compound in the years to come. Worryingly, diabetes is now being shown to be associated with a spectrum of complications and to be occurring at a relatively younger age within the country. It is a known fact that most of the diabetes cases in our country is managed by primary care Physicians(PCP) who have a pivotal role to play in ensuring that diabetes patients receive effective care by practicing evidence based management. This said, the sad fact is that health care providers-primary care and specialists alike are not managing our patients with diabetes as well as we should be. The complexities of the disease and its association with lot of other medical conditions make the management of diabetes more challenging to the PCPs. Patients feeling of frustration and denial about having the chronic condition often are a challenge to the practitioners in convincing the patients for initiation of treatment. With no clear cut national policy guidelines for management of diabetes, we rely on western guidelines which have certain pitfalls and fallacies in our setting.

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Diabetes Type 1 Sara Martinez Chamberlain College of Nursing NR 507 Advanced Pathophysiology 2018 1 1 What is Diabetes Body Does not make or properly use insulin: (ADA,2005) No insulin production Insufficient insulin production Resistance to insulin’s effects No insulin to move glucose from blood into cells High blood glucose means: Fuel loss, cells starve Short and long term complications 2 Diabetes is a chronic disease in which the body does not make or properly use insulin, a hormone that is needed to convert sugar, starches, and other food into energy by moving glucose from blood into the cells ( American Diabetes Association, 2005). People with diabetes have increased blood glucose (sugar) levels for one or more of the following three reasons: Either No insulin is being produced, Insulin production is insufficient, and/or The body is resistant to the effects of insulin. As a result, high levels of glucose build up in the blood, and spill into the urine and out of the body. The body loses its main source of fuel and cells are deprived of glucose, a needed source of energy. High blood glucose levels may result in short and long term complications over time ( Centers for Disease Control and Prevention, 2017). 2 Understanding Diabetes Type 1 Auto immune disorder Insulin – producing cells destroyed Daily insulin replacement necessary Age of onset: usually childhood, young adults Most prevalent type of diabetes in children and adolescent’s (CDC,2017) 3 Diabetes mellitus (DM) is a group of diseases characterized by high levels of blood glucose resulting from defects in insulin production, insulin action, or both (CDC,2017). The term diabetes mellitus describes a metabolic disorder of multiple aetiology characterized by chronic hyperglycaemia with disturbances of carbohydrate, fat and protein metabolism resulting from defects in insulin secretion, insulin action, or both. The effects of diabetes mellitus include long–term damage, dysfunction and failure of various organs. Diabetes is a condition where the body fails to utilize the ingested glucose properly. This could be due to lack of the hormone insulin or because the insulin that is available is not working effectively. Diabetes is the fastest growing long term disease that affects millions of people worldwide (CDC,2017). According to the charity Diabetes UK, more than two million people in the UK have the condition and up to 750,000 more are unaware of having the condition. In the United States 25.8 million people or 8.3% of the population have diabetes. Of these, 7.0 million have undiagnosed diabetes. In 2010, about 1.9 million new cases of diabetes were diagnosed in population over 20 years. It is said that if this trend continues, 1 in 3 Americans would be diabetic by 2050 (Mayo Clinic, 2017). Type 1 diabetes is a disease of the immune system, which is the body’s system for fighting infection. In people with type 1 diabetes, the .

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Diabetes mellitus refers to a group of diseases that affect how your body uses blood sugar (glucose). Glucose is vital to your health because it's an important source of energy for the cells that make up your muscles and tissues. It's also your brain's main source of fuel. With diabetes, your body doesn’t make enough insulin or can’t use it 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. Over time, that can cause serious health problems, such as heart disease, vision loss, and kidney disease.

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Diabetes is the condition in which the body does not properly process food for use as energy. Most of the food we eat is turned into glucose, or sugar, for our bodies to use for energy. The pancreas, an organ that lies near the stomach, makes a hormone called insulin to help glucose get into the cells of our bodies. When you have diabetes, your body either doesn't make enough insulin or can't use its own insulin as well as it should. This causes sugars to build up in your blood. This is why many people refer to diabetes as ―sugar‖ Diabetes can cause serious health complications including, heart disease, blindness, kidney failure, and lower-extremity amputations.

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"Empowered Living with Diabetes: Navigating the Path to Wellness" is an indispensable guide for individuals seeking comprehensive knowledge and practical strategies for effectively managing diabetes. Written by Dr. Olivia Mitchell, a renowned expert in the field of diabetes management, this book offers a holistic approach to understanding and navigating the complexities of diabetes. From the introductory chapters that provide a thorough overview of diabetes and its various types, to the detailed discussions on prevention, management, and coexisting conditions, this book covers it all. With clarity and expertise, Dr. Mitchell delves into topics such as blood glucose monitoring, medication management, healthy eating, physical activity, stress management, and the emotional well-being of individuals with diabetes. Through insightful chapters that address common comorbidities associated with diabetes, readers will gain valuable knowledge on how to effectively manage cardiovascular health, hypertension, kidney disease, eye complications, nerve damage, and mental health concerns. Practical tips, evidence-based recommendations, and real-life examples provide readers with the tools needed to take control of their health and embrace a life of empowerment. Furthermore, this book offers guidance for navigating special occasions, traveling with diabetes, and staying motivated while overcoming challenges. Dr. Mitchell emphasizes the importance of a supportive environment, self-advocacy, and the power of a positive mindset in achieving long-term success in diabetes management. "Empowered Living with Diabetes" is not just a guidebook, but a source of inspiration and empowerment for individuals living with diabetes. Dr. Olivia Mitchell's expertise and compassionate approach create a valuable resource that will help readers develop the skills, knowledge, and confidence to thrive while managing their condition. Whether you are newly diagnosed, have been living with diabetes for years, or are a caregiver or healthcare professional seeking comprehensive insights, this book is an invaluable companion on your journey towards wellness and empowerment. With its practical advice, empowering strategies, and the belief that a fulfilling life with diabetes is possible, "Empowered Living with Diabetes" will guide you towards a healthier, happier, and more empowered future.

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