Can Prediabetes Type 2 Diabetes And Gestational Diabetes Be Prevented
Although diabetes risk factors like family history and race cant be changed, there are other risk factors that you do have some control over. Adopting some of the healthy lifestyle habits listed below can improve these modifiable risk factors and help to decrease your chances of getting diabetes:
- Eat a healthy diet, such as the Mediterranean or Dash diet. Keep a food diary and calorie count of everything you eat. Cutting 250 calories per day can help you lose ½ pound per week.
- Get physically active. Aim for 30 minutes a day at least five days a week. Start slow and work up to this amount or break up these minutes into more doable 10 minute segments. Walking is great exercise.
- Lose weight if you are overweight. Dont lose weight if you are pregnant, but check with your obstetrician about healthy weight gain during your pregnancy.
- Lower your stress. Learn relaxation techniques, deep breathing exercises, mindful meditation, yoga and other helpful strategies.
- Limit alcohol intake. Men should drink no more than two alcoholic beverages a day women should drink no more than one.
- Get an adequate amount of sleep .
- Take medications to manage existing risk factors for heart disease or to reduce the risk of developing Type 2 diabetes as directed by your healthcare provider.
- If you think you have symptoms of prediabetes, see your provider.
More Severe Symptoms Of Untreated Type 1 Diabetes
When type 1 diabetes goes untreated, it can lead to organ failure, coma, and even death. This happens because the body can no longer turn glucose into fuel, and it starts burning fat, which then produces ketones in the blood and urine.
A small amount of ketones aren’t dangerous and can usually be detected if a person has been fasting or is on a low-carbohydrate diet. But too many ketones can actually change the bloods acidity and result in a life-threatening condition called diabetic ketoacidosis.
If you have one or more of these symptoms contact your doctor.
Symptoms of type1 diabetes tend to look different in children than adults, according to Dr. Christofides.
Physical Activity And Exercise
Exercise has many positive health and psychological benefits including physical fitness, weight management, and enhanced insulin sensitivity. It also provides opportunities for social interactions and builds self-esteem. However, exercise creates challenges for people with type 1 diabetes due to the increased risk for both hypoglycemia and hyperglycemia. During exercise, multiple hormones control fuel metabolism and create a balance between glucose uptake by exercising muscles and hepatic glucose production . The equilibrium between insulin secretion and the counterregulatory hormones varies according to the exercise type, intensity, and duration .
Hyperglycemia results from counterregulatory hormone excess with insufficient insulin, leading to excessive hepatic glucose production and limiting increased glucose uptake into skeletal muscle. Hyperglycemia can occur before, during, and after various types of exercise. If the patient feels well, with negative or minimal urine and/or blood ketones, and there is a clear reason for the elevated blood glucose level, such as underdosing insulin at the preceding meal, it is not necessary to postpone exercise based solely on hyperglycemia. However, when people with type 1 diabetes are deprived of insulin for 1248 h and are ketotic, exercise can worsen hyperglycemia and ketosis. Therefore, vigorous activity should be avoided in the presence of severe hyperglycemia and ketosis, especially with known insulin omission.
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How Is Type 1 Diabetes Diagnosed
Doctors can say for sure if a person has diabetes by testing blood samples for glucose. When high blood sugars show that a child has diabetes, other blood tests are usually done to help doctors find out if the child has type 1 or type 2 diabetes, because management and treatment of the diabetes may differ based on type.
If diabetes is suspected or confirmed, the doctor may refer your child to a pediatric endocrinologist, a doctor who specializes in the diagnosis and treatment of kids with diseases of the endocrine system, such as diabetes and growth disorders.
How Is It Diagnosed
Your doctor will want to do a blood test to make a diagnosis. You will take the same test twice to reach a diagnosis.
Anyone of these tests will be used to reach a diagnosis:
- The hemoglobin A1c test is also called the glycosylated hemoglobin test or A1c and measures the average blood sugar level over the last 2 to 3 months. The higher the result the higher your chances of your pre-diabetes progressing to type 2 diabetes. You are not required to fast for this test. The A1c test is also used to determine whether a diabetics treatment plan is working effectively or needs adjustments.
- Fasting plasma glucose test, your doctor will ask you to fast for 8 hours or overnight. Before you eat a healthcare professional will draw a blood sample for testing. Prediabetes is determined if there is a blood sugar level of 100-125 milligrams per deciliter
- Oral glucose tolerance test also requires fasting. Your blood will be taken at the beginning of the appointment and then two hours after drinking a sugary drink. If the blood sugar level reads 140-199 mg/dL after two hours prediabetes is indicated
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What Insulin Medications Are Approved To Treat Diabetes
There are many types of insulins for diabetes. If you need insulin, you healthcare team will discuss the different types and if they are to be combined with oral medications. To follow is a brief review of insulin types.
- Rapid-acting insulins: These insulins are taken 15 minutes before meals, they peak at one hour and work for another two to four hours. Examples include insulin glulisine , insulin lispro and insulin aspart .
- Short-acting insulins: These insulins take about 30 minutes to reach your bloodstream, reach their peak effects in two to three hours and last for three to six hours. An example is insulin regular .
- Intermediate-acting insulins: These insulins reach your bloodstream in two to four hours, peak in four to 12 hours and work for up to 18 hours. An example in NPH.
- Long-acting insulins: These insulins work to keep your blood sugar stable all day. Usually, these insulins last for about 18 hours. Examples include insulin glargine , insulin detemir and insulin degludec .
There are insulins that are a combination of different insulins. There are also insulins that are combined with a GLP-1 receptor agonist medication .
Financial Support And Benefits
Some people with diabetes may be eligible to receive disability benefits and incapacity benefits, depending on the impact the condition has on their life.
The main groups likely to qualify for welfare benefits are children, elderly people, people with learning disabilities or mental health problems, and those with complications of diabetes.
People over 65 who are severely disabled, may qualify for a type of disability benefit called Attendance Allowance.
Carers may also be entitled to some benefit too, depending on their involvement in caring for the person with diabetes.
Staff at your local Citizens Advice Bureau can check whether you’re getting all of the benefits you’re entitled to. Both they and your diabetes specialist nurse should also be able to give you advice about filling in the forms.
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What Are The Complications Of Diabetes
If your blood glucose level remains high over a long period of time, your bodys tissues and organs can be seriously damaged. Some complications can be life-threatening over time.
- Dental problems.
Complications of gestational diabetes:
In the mother:Preeclampsia , risk of gestational diabetes during future pregnancies and risk of diabetes later in life.
In the newborn: Higher-than-normal birth weight, low blood sugar , higher risk of developing Type 2 diabetes over time and death shortly after birth.
How Is Diabetes Managed
Diabetes affects your whole body. To best manage diabetes, youll need to take steps to keep your risk factors under control and within the normal range, including:
- Keep your blood glucose levels as near to normal as possible by following a diet plan, taking prescribed medication and increasing your activity level.
- Maintain your blood cholesterol and triglyceride levels as near the normal ranges as possible.
- Control your blood pressure. Your blood pressure should not be over 140/90 mmHg.
You hold the keys to managing your diabetes by:
- Planning what you eat and following a healthy meal plan. Follow a Mediterranean diet or Dash diet. These diets are high in nutrition and fiber and low in fats and calories. See a registered dietitian for help understanding nutrition and meal planning.
- Exercising regularly. Try to exercise at least 30 minutes most days of the week. Walk, swim or find some activity you enjoy.
- Losing weight if you are overweight. Work with your healthcare team to develop a weight-loss plan.
- Taking medication and insulin, if prescribed, and closely following recommendations on how and when to take it.
- Quitting smoking .
You have a lot of control on a day-to-day basis in managing your diabetes!
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How Does Diabetes Lead To Amputation
Uncontrolled diabetes can lead to poor blood flow . Without oxygen and nutrients , you are more prone to the development of cuts and sores that can lead to infections that cant fully heal. Areas of your body that are farthest away from your heart are more likely to experience the effects of poor blood flow. So areas of your body like your toes, feet, legs and fingers are more likely to be amputated if infection develops and healing is poor.
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Ohip+: What Does It Mean For Canadians With Type 1 Diabetes
Great news for Ontario youth! Insulin, diabetes test strips and other prescriptions are now free for Ontarians who are 24 and under.
While we welcome this new measure, we hope it represents only the first step in achieving the goal of universal pharmacare in all provinces.
Many members of the T1D community have reached out to JDRF with questions about how exactly OHIP+ works. So heres everything you need to know about OHIP+ and what it means for Canadians with a type 1 diabetes connection.
Who and whats covered?
OHIP+ covers more than 4,400 drug products for anyone age 24 years or under automatically with an Ontario health card number. This includes insulin and diabetic testing strips for measuring blood sugar.
This table shows the type of treatment and number of test strips covered.
|Patients managing diabetes through diet/lifestyle therapy only||200|
If you want more than the maximum quantity, you have to pay for it yourself. Syringes and other diabetic supplies, such as lancets, glucometers, eyeglasses, dentures, hearing aids or compression stockings are not covered by OHIP+.
What if Im a student out of province?
If youre going to university or college in another province, youre still covered as long as you have a valid prescription and get your medications from a pharmacy in Ontario. You may be able to get a larger travel supply before leaving Ontario.
What other choices do I have?
Why 24 and under?
Whats the big deal?
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Structural Analysis And Synthesis
Purified animal-sourced insulin was initially the only type of insulin available for experiments and diabetics. was the first to produce the crystallised form in 1926. Evidence of the protein nature was first given by , , and Philip A. Shaffer in 1924. It was fully proven when Hans Jensen and Earl A. Evans Jr. isolated the amino acids phenylalanine and proline in 1935.
The amino acid structure of insulin was first characterized in 1951 by , and the first synthetic insulin was produced simultaneously in the labs of at the and at in the mid-1960s. was achieved by Chinese researchers in 1965. The complete 3-dimensional structure of insulin was determined by in ‘s laboratory in 1969.
The first genetically engineered, synthetic “human” insulin was produced using in 1978 by and at the of the in collaboration with at . Genentech, founded by Swanson, Boyer and , went on in 1982 to sell the first commercially available biosynthetic human insulin under the brand name . The vast majority of insulin used worldwide is biosynthetic recombinant “human” insulin or its analogues. Recently, another approach has been used by a pioneering group of Canadian researchers, using an easily grown plant, for the production of much cheaper insulin.
Two other Nobel Prizes have been awarded for work on insulin. British molecular biologist , who determined the of insulin in 1955, was awarded the 1958 . received the 1977 Nobel Prize in Medicine for the development of the for insulin.
Does Exercise Affect Blood Sugar Levels
- Exercise is important for everyone, including people with type 1 diabetes.
- People with type 1 diabetes need to be careful to monitor their blood sugar before, during, and after exercise and have snacks with them in case blood sugar goes too low.
- When people exercise, the muscles use insulin to access blood sugar for fuel.
- This can lead to lower than expected blood sugar.
- Exercise also may trigger release of stored glucose from the liver. This can lead to higher than expected blood sugar. This is why it is important to check blood sugar, especially when beginning a new exercise program.
- People with type 1 diabetes may see their blood sugar go up or down with exercise.
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What Is The Treatment For Type 1 Diabetes Can It Be Cured
Currently, type 1 diabetes cannot be cured. People with type 1 diabetes require injectable insulin because their pancreas does not produce enough on its own. There are different types of insulin and different routes of administration. Most people with type 1 diabetes use both a long-acting insulin , and inject additional insulin before or after meals to match the carbohydrate content of the meal. An insulin pump may also be used to optimize insulin delivery to the body’s needs.
- Unfortunately, one of the major side effects of insulin is weight gain. People with type 1 diabetes can reduce weight gain by:
- Eating a healthy low-carbohydrate diet,
- Getting plenty of exercise, and
- Learning to use insulin correctly in order to use just the right amount
- Diet and level of activity.
How Do I Check My Blood Glucose Level Why Is This Important
Checking your blood glucose level is important because the results help guide decisions about what to eat, your physical activity and any needed medication and insulin adjustments or additions.
The most common way to check your blood glucose level is with a blood glucose meter. With this test, you prick the side of your finger, apply the drop of blood to a test strip, insert the strip into the meter and the meter will show your glucose level at that moment in time. Your healthcare provider will tell you how often youll need to check your glucose level.
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Faqs: Frequently Asked Questions
Why did type 1 diabetes used to be called juvenile diabetes?
Most people with type 1 diabetes are diagnosed as children, although in rare cases some are not diagnosed until they are adults.
Are type 1 diabetes symptoms in adults different than in children?
No, adults and children experience the same symptoms.
Is there a type 1 diabetes cure?
Type 1 diabetes can be managed with insulin, but there is no cure.
In type 1 diabetes vs type 2, is diet as important?
Even though diet and lifestyle changes cannot reverse type 1 diabetes, and they have the potential of reversing type 2, learning what, how much, and when to eat can still help you have the most effective type 1 diabetes diet to manage your condition.
What type of doctor is best for type 1 diabetes treatment?
Even though an ER doctor or your primary care physician will likely be the one to first diagnose your type 1 diabetes, an endocrinologist is the best doctor to help you learn how to monitor your blood sugar and manage your condition.