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TYPES
OF
DIABETES
We
can put diabetes into four categories, namely:
Type 1 Diabetes
Type 2 Diabetes
Gestational Diabetes
Diabetes caused
by specific syndrome/ surgery/ sickness
Type
1 Diabetes
It results from the body’s failure to produce
insulin. This type of diabetes again has two
types:
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Immune-mediated
diabetes mellitus
resulting from an autoimmune
process in which the body’s immune
system attacks and destroys the insulin
producing cells of the pancreas.
Since glucose can not enter the
cell, it builds up in the blood and the
body’s cells literally starve to death.
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Idiopathic
type 1 is a rare form of disease that
have no known cause. |
Please
Note:
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The
risk of developing type 1 diabetes
is higher than virtually all other
severe chronic diseases of childhood.
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Peak
incidence occurs during puberty, around
10-12 years of age in girls and 12-14
years of age in boys.
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The
symptoms for this type can mimic flu
in children.
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It
runs in families. Brothers and sisters
of children with type 1 diabetes have
about a 10% chance of developing the
disease by age 50.
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People
with type 1 diabetes must take daily
insulin injections.
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Type
2 Diabetes
It
results from insulin resistance– a condition
in which the body fails to make enough insulin
or unable to use it properly–combined with relative
insulin deficiency.
Please
Note:
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It
usually develops around the age of 45
years and the risk increases with age.
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Often,
people suffering from it are not aware
of their disease until severe symptoms
occur or they are treated for one of
its serious complications.
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In
its early stage it can be controlled
through losing weight, improved nutrition,
and regular physical exercise.
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If
adequate care has not been taken in
the initial stage (or not diagnosed
in its early stage), it may need oral
medication and/or insulin to control
it. |
Gestational
Diabetes
It derives its name from the word ‘Gestate’
which means: To carry in the womb during the
period from conception to birth. Some women
develop this during their pregnancy that goes
away on its own after the baby is born. Doctors
believe that it occurs when the pancreas of
the pregnant woman does not produce enough insulin
to cope with the effects of a pregnancy hormone.
Please
Note
It
develops in 2% to 5% of all pregnancies.
It is more likely
for a woman to develop gestational diabetes
if she:
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Is
over 30 years of age |
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Is
more than 20% over her ideal weight
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Have
a relative (parent or sibling) who has
diabetes |
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Had
a previous pregnancy in which the baby
was born dead |
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Had
a previous pregnancy with an unusually
large baby (9 pounds) |
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A
blood test between 24th
and 28th
weeks of pregnancy is a must
since it is usually when gestational
diabetes develops. |
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A
woman with gestational diabetes must
control her weight and must strictly
follow the diet plan her doctor has
advised. |
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Although
gestational diabetes usually goes away
after the delivery, it puts a woman
at high risk of developing type 2 diabetes
later in her life. It is therefore advisable
that a woman who once had gestational
diabetes must undergo periodic testing
of blood glucose.
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Diabetes
caused by
Specific
syndrome/ surgery/ sickness
Researcher
have identified a small percentage of diabetes
cases that result
from Specific Syndrome, surgery, drug
infection, viruses, and any
recurring illness.
Diagnostic
Criteria
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GLUCOSE
CONCENTRATION (MG/100ML)
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Whole
Blood |
Plasma |
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Venous |
Capillary |
Venous |
Diabetes
mellitus
Fasting
or
2-hour post glucose load
or both
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>=110
> 180
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>=110
> 200 |
>=126
> 200 |
Impaired
Glucose Tolerance
Fasting (if measured)
and
2-hour post glucose load
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< 110
>=120
and 180 |
< 110
>=140
and <200 |
< 126
>=140
and < 200 |
Impaired
Fasting Glycaemia
Fasting
2-hour PG( if measured)
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>=100
and <110
<120 |
>=100
and <110
<140 |
>=110
and <126
< 140 |
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