what are the causes and treatment of diabetes
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Type 1 diabetes occurs when your immune system, the body's system for fighting infection, attacks and destroys the insulin-producing beta cells of the pancreas. Scientists think type 1 diabetes is caused by genes and environmental factors, such as viruses, that might trigger the disease
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The Facts
Diabetes is a condition where people don't produce enough insulin to meet their body's needs and/or their cells don't respond properly to insulin. Insulin is important because it moves glucose, a simple sugar, into the body's cells from the blood. It also has a number of other effects on metabolism.
The food that people eat provides the body with glucose, which is used by the cells as a source of energy. If insulin isn't available or doesn't work correctly to move glucose from the blood into cells, glucose will stay in the blood. High blood glucose levels are toxic, and cells that don't get glucose are lacking the fuel they need to function properly.
There are two main kinds of diabetes: type 1 diabetes and type 2 diabetes.More than 90% of all people with diabetes have type 2. Overall, more than 3 million Canadians have diabetes, and the number is rapidly rising. Over a third of people with type 2 diabetes are unaware they have the disease and are not receiving the required treatment because, for many people, early symptoms are not noticeable without testing.
Causes
Type 1 diabetes is an autoimmune disorder. It's believed that a combination of genetic predisposition and additional environmental (as yet unidentified) factors provoke the immune system into attacking and killing the insulin-producing cells in the pancreas. There is no way to prevent type 1 diabetes from occurring.
Type 2 diabetes is mainly caused by insulin resistance. This means no matter how much or how little insulin is made, the body can't use it as well as it should. As a result, glucose can't be moved from the blood into cells. Over time, the excess sugar in the blood gradually poisons the pancreas causing it to make less insulin and making it even more difficult to keep blood glucose under control.
Treatment and Prevention
Currently, type 1 diabetes is not preventable. However, studies have shown that type 2 diabetes can be prevented by adopting lifestyle changesthat include moderate weight loss through eating a healthy diet and regularly exercising.
In addition, studies have shown that certain oral antidiabetes medications may play a role in preventing the development of type 2 diabetes for people with prediabetes.
Diabetes is a chronic condition, and it can last an entire lifetime. The goal of treating diabetes is to keep blood glucose levels as close to a normal range as possible. This prevents the symptoms of diabetes and the long-term complications of the condition. If you've been diagnosed with diabetes, your doctor – working with the members of your diabetes care team – will help you find your target blood glucose levels.
More than most conditions, treating diabetes requires a significant amount of real effort on the person's part. Coping with diabetes is a lifelong challenge, so people with diabetes should not be afraid to speak with a doctor or pharmacist if they feel overwhelmed.
Part of a treatment plan for diabetes will involve learning about diabetes, how to manage it, and how to prevent complications. Your doctor, diabetes educator, or other health care professional will help you learn what you need to know so you are able to manage your diabetes as effectively as possible. Keep in mind that learning about diabetes and its treatment will take time. Involving family members or other people who are significant in your life can also help you manage your diabetes.
Although you may see herbal products advertised to help control blood sugar, there are not enough good quality studies to show that these treatments are safe and effective.
People with type 1 diabetes need insulin* continuously to survive. The only way to cure this disease is to have a pancreas or islet cell transplant, but these operations are only recommended in a small set of circumstances.
As with many conditions, treatment of type 2 diabetes begins with lifestyle changes, particularly in your diet and exercise. If you have type 2 diabetes, speak to your doctor and diabetes educator about an appropriate diet. You may be referred to a dietitian. It is also a good idea to speak with your doctor before beginning an exercise program that is more vigourous than walking to determine how much and what kind of exercise is appropriate.
If lifestyle changes don't put blood glucose levels in the target range, medications may be required. Medications for type 2 diabetes include antidiabetes pills or injections, insulin injections, or a combination of these.
Medications are very effective at treating diabetes and reducing the symptoms and long-term effects of the condition. However, you may experience hypoglycemia (a blood glucose level that is too low) when taking certain medications
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