Monday, August 6, 2007

The Symptoms of Diabetes Mellitus

Diabetes Mellitus is an insidious disease that causes a whole slew of complications that can have life altering and threatening effects for anyone who suffers from it. From heart disease to kidney problems, blindness and nerve damage, recognizing the symptoms of diabetes mellitus early and getting proper medical treatment is key to managing it effects and the complications it can cause.

It is estimated that 17 million people suffer from diabetes in the United States alone. Further more nearly 5.9 million of those 17 million have not been diagnosed and are suffering the effects of not managing their condition. Many people remain undiagnosed because they do not recognize or understand their symptoms and never seek medical help until their symptoms have manifested into the later complications.

The treatment of diabetes is about managing the condition through proper diet, exercise, and medication. The sooner a positive diagnosis is made the better the chances of avoiding potential life threatening complications that this disease is known for. There is no known cure but millions of people with diabetes live normal lives through healthy lifestyle choices.

The symptoms of diabetes mellitus as listed by the American Diabetes Association include:

1. Increased Urination - Increased blood flow through the kidneys due to high blood sugar levels contributes to this.

2. Excessive Thirst - Caused by the increased urine output that brings about dehydration.

3. Hungry All the Time - Because glucose (sugar) is unable to leave the blood stream and enter the cells due to a lack of insulin or insulin resistance the cells do not get the fuel they need for energy. The body senses this energy deficit and thinks it needs more calories to fuel its metabolic processes.

4. Weight Loss - Even though the diabetic is eating more the body starts to break down its own protein and fat stores to feed the perceived lack of energy for the cells.

5. Fatigue - Decreased energy levels lead to constant feelings of fatigue and lethargy.

6. Irritability and Depression.

7. Eye Problems - High blood glucose levels cause an increase in blood volume which can cause the lens of the eye to swell.

These signs will usually start out as nothing more than minor annoyances, but with time they will increase in severity. Many people attribute them to other things and brush them aside. Many of the symptoms can be attributed to other things like the stress of everyday life which can cause fatigue, depression, and irritability.

Many people are often surprised when they are diagnosed with diabetes mellitus saying things like "I don't feel sick". Many people are visiting their doctor for other concerns when they are first diagnosed. But once they putt all their symptoms together along with the results of their blood glucose test that the doctor will order the diagnosis is easily seen.

Recognizing the symptoms of diabetes mellitus early in the disease's stages is the single most important factor when it comes to minimizing the long term complications that are associated with this disease.

The Early Warning Signs of Diabetes

In the United States alone there is an estimated 17 million people that suffer from diabetes. Of those 17 million who suffer this disease nearly 5.9 million have not been medically diagnosed. The reason for this could well be that many of the early warning signs of diabetes are shrugged off by those who suffer them because the symptoms do not seem that severe.

Even when those who heed the early symptoms of diabetes do go to the doctor they often express disbelief that they are diagnosed as being diabetic. In the early stages of diabetes the symptoms can be more of a minor annoyance, leading those who are diagnosed saying things like "I don't feel sick". In fact many people are diagnosed with diabetes when they visit the doctor because they think they have something else wrong with them. Many of the early signs of diabetes are often attributed to some other ailment or condition.

The sooner the symptoms of diabetes are recognized and diagnosed the better the chances of a managing this condition and avoiding many of the serious and sometimes life threatening complications this disease can bring. Diabetes is the sixth leading cause of death by disease in the United States today.

The American Diabetes Association has a list of the early warning signs of diabetes and they include:

1. Increased Urination - This is caused by high blood sugar levels which increase the amount of blood that flows through the kidneys.

2. Excessive Thirst - The increased output of urine can lead to dehydration.

3. Extreme Hunger - Because diabetes is characterized by a lack of insulin or insulin resistance glucose is unable to cross over from the blood stream into the cells where it is needed for energy production. The body thinks it's hungry because of the energy deficit and manifests hunger pangs.

4. Unexplained Weight Loss - The body will start to break down its own proteins (muscle) and fat to make up for the perceived lack of cellular energy. This despite the fact that the person is actually eating more.

5. Fatigue - Caused by the decreased energy levels.

6. Irritability and Depression.

7. Vision Impairment - An increase in blood volume caused by high blood glucose levels can lead to swelling of the eye's lens.

Taken by themselves, or even as a group it is easy to see why these diabetic symptoms could be seen as part of any number of other conditions that can cause them. Everyday stress can cause fatigue, irritability, and depression. Depression is known to cause weight loss. Many of these signs and symptoms start out small; barely noticeable and as time progresses many people don't actually see the changes because of the slow rate at which they occur.

These symptoms will get progressively worse as the affects of the diabetes creates a variety of complications that affects many of the bodily systems. It is important to note that these symptoms will not resolve themselves.

The sooner one can recognize the early warning signs of diabetes the sooner they can seek medical attention. Diagnosing diabetes early is key to successfully managing its long term affects. There is no known cure for diabetes but with lifestyle changes and proper medical treatment it can be controlled and its affects minimized.

A Diabetic Diet is Key to Managing Diabetes

A diabetic diet is a balanced healthy diet with appropriate mixture of carbohydrates, proteins and fats at each meal so as to both provide essential nutrients as well as create an even release of glucose into the blood from meal to meal on a daily basis. A diet for diabetes, however, needs to be adjusted to suit each diabetic's requirement as there are tend to be differences in everyone's level of physical activities, injections of insulin (if taking) and intake of oral diabetic drugs, and the action and timing of the medications taken.

The exchange lists, which are dietary guidelines from the American Diabetes Association, are the basis of a meal planning system designed by a committee of the American Diabetes Association and the American Dietetic Association. There are differing philosophies on what is the best diet but below is a guideline with some general principles. Patients with Type 1 diabetes should have a diet that has approximately 35 calories per kg of body weight per day (or 16 calories per pound of body weight per day). Patients with Type 2 diabetes generally are put on a 1500-1800 calorie diet per day to promote weight loss and then the maintenance of ideal body weight.

Most people with diabetes find that it is quite helpful to sit down with a dietician or nutritionist for a consult about what is the best diet for them and how many daily calories they need. It is quite important for diabetics to understand the principles of carbohydrate counting and how to help control blood sugar levels through proper diet.

To keep blood sugar levels under control, a diabetic diet strikes a balance among the carbohydrates, fats, and protein you take in.

Carbohydrates:

Carbohydrates are the source of energy that starts with glucose, the sugar in your bloodstream, and includes substances containing many sugar molecules called complex carbohydrates, starches, cellulose, and gums. Carbohydrates comprise the highest source of blood sugar and are the primary fuel for your body and brain. Carbohydrates are any food that can be broken down into sugar and the more of these you eat the higher your blood sugar will rise.

Fat:

Fats should contain no more than the 30% of the daily basis calorie count. Fats are the most important concern for diabetics because the management of cholesterol is done according to the amount of fat taken into the body. The dietary key to managing cholesterol, then, lies in understanding fats and oils.

Reducing the consumption of saturated fats and trans-fatty acids is the number one step in managing weight and cholesterol. To manage these fats it is important to understand both saturated fats and trans fatty acids. Saturated fats are found in animal products and dairy products. Trans-fatty acids are created through a process called hydrogenation. These fats can be found in stick margarine and in fast foods, baked goods and white breads.

Protein:

Protein is another element that is important to take account of in the diabetic diet. Protein foods do not raise your blood sugar, so you can add more fish, eggs, meat, etc with your meals. Protein is limited to 15-20% of the total calorie requirement of the body. Whenever you eat a meal or snack, it should always include a small amount of protein that has its own natural fat. The protein food with its own natural fat tends to hold onto the food longer so that your blood sugar doesn't spike and then drop immediately.

A diabetic diet can be customized to suit each patient's preferences, and a nutritionist can help with this. This type of diet should also take into consideration the medical condition, lifestyle and eating habits of the diabetic patient.

What Exactly Is Diabetes?

Diabetes mellitus is a metabolic disorder that tends to be recognized through high levels of blood sugar and other physical manifestations, and it differs significantly from a typical illness or chronic disease. There are several types of diabetes known to the medical community, and all are caused by a variety of different things - in fact, current research in the medical community tends to discover new potential causes of diabetes each year.

Ultimately, diabetes is brought on by an individual's pancreas becoming unable to produce the necessary amount of insulin to prevent the development of hyperglycemia. Once a person has developed type 1 or type 2 diabetes, it is incurable - but it is treatable. If the diabetes is not controlled through medical treatment, it can lead to life-threatening complications, such as a higher risk of heart failure, blindness, severe nerve damage, and foot wounds that could lead to amputation.

Type 1 diabetes differs from type 2 in that it is more commonly found in men, and it may have a small genetic link. This type of diabetes tends to develop when the cells inside of one's pancreas are attacked by the immune system, disallowing the pancreas to produce the required amount of insulin and thereby causing an insulin deficiency. It is also possible to develop type 1 diabetes through after-complications of viral infections contracted during one's childhood or youth. These may take a toll on the immune system, causing it to malfunction later in one's life.

Type 2 diabetes has a much larger genetic link, generally resulting from a predisposition toward the disease and lifestyle choices that cause the disease to develop. Parents may pass this disease on to their children at birth, though it is possible to reduce the risk of ever developing type 2 diabetes: this involves wise choices when it comes to lifestyle habits and diet, such as reducing or eliminating the consumption of high-fat foods and excessive alcohol, keeping active, and being careful to avoid becoming overweight.

It is possible for type 2 diabetes to become onset with age, regardless of previous lifestyle choices, simply due to genetics. Risk for genetically onset diabetes tends to increase at around 45 years old, and after 65 the risk becomes even greater.

In addition, there are certain ethnic groups whose genetic predisposition toward developing type 2 diabetes is much higher. These groups include African Americans, Hispanic Americans, Native Americans, and Japanese Americans. Individuals belonging to these ethnic groups would do well to take extra care when it comes to diet and lifestyle, in order to ensure a long and happy life.