Diabetes mellitus (DM), commonly referred to as diabetes, is a group of metabolic diseases in which there are high blood sugar levels over a prolonged period.
Symptoms of high blood
sugar include frequent urination, increased thirst, and increased hunger.
If left untreated, diabetes can cause many complications.
Acute complications
include diabetic ketoacidosis and nonketotic hyperosmolar coma.
Serious long-term
complications include cardiovascular disease, stroke, kidney failure, foot
ulcers and damage to the eyes.
Diabetes is due to either
the pancreas not producing enough insulin or the cells of the body not
responding properly to the insulin produced.
There are three
main types of diabetes mellitus:
Type 1 DM results from the body's failure to
produce enough insulin. This form was previously referred to as
"insulin-dependent diabetes mellitus" (IDDM) or "juvenile
diabetes".
Type 2 DM begins with insulin resistance, a
condition in which cells fail to respond to insulin properly. As the disease
progresses a lack of insulin may also develop.
This form was
previously referred to as "non insulin-dependent diabetes mellitus"
(NIDDM) or "adult-onset diabetes". The primary cause is excessive
body weight and not enough exercise.
Gestational diabetes,
is the third main form and occurs when pregnant women without a previous
history of diabetes develop a high blood glucose level.
Prevention and
treatment involves a healthy diet, physical exercise, not using tobacco and
being a normal body weight. Blood pressure control and proper foot care are
also important for people with the disease.
Type 1 diabetes must be managed
with insulin injections.
Type 2 diabetes may be
treated with medications with or without insulin.
Insulin and some oral
medications can cause low blood sugar.
Weight loss surgery in
those with obesity is an effective measure in those with type 2 DM.
Gestational diabetes
usually resolves after the birth of the baby.
As of 2014, an
estimated 387 million people have diabetes worldwide, with type 2 diabetes
making up about 90% of the cases.
This is equal to 8.3%
of the adult population, with equal rates in both women and men. In the years
2012 to 2014, diabetes is estimated to have resulted in 1.5 to 4.9 million
deaths per year. Diabetes at least doubles the risk of death. The number of
people with diabetes is expected to rise to 592 million by 2035.The global
economic cost of diabetes in 2014 was estimated to be $612 billion USD. From Wikipedia
A public Awareness Initiative by Suryadeep Hospital Gurgaon
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