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24. Diabetes

Writer: Cedars SinaiCedars Sinai

Diabetes is more than just a buzzword; it’s a serious health issue affecting over 422 million people globally. This condition interferes with how your body processes food for energy. Understanding diabetes means exploring its types, causes, symptoms, and treatment options, along with necessary lifestyle changes. In this article will provide insightful information on diabetes to encourage awareness and promote healthy discussions.


What is Diabetes?


Diabetes is a metabolic disorder marked by high blood sugar levels over an extended period. This condition arises from either inadequate insulin production or the body's cells becoming resistant to the effects of insulin, resulting in elevated glucose levels in the blood.


Three primary types of diabetes stand out: type 1 diabetes, type 2 diabetes, and gestational diabetes. Each type has unique challenges and management strategies.


Close-up view of a glucose meter and blood sugar test strips
Monitoring blood sugar levels with a glucose meter.

How Many Types of Diabetes are There?


Diabetes is mainly categorized into three types:


1. Type 1 Diabetes


Type 1 diabetes, often diagnosed in children and young adults, is an autoimmune disease. The immune system mistakenly attacks insulin-producing cells in the pancreas, leading to little or no insulin production. As a result, daily insulin administration is life-saving for those affected.


2. Type 2 Diabetes


Type 2 diabetes is the most widespread form, accounting for about 90-95% of diabetes cases. It occurs when the body either resists insulin or doesn’t produce enough of it. This type is frequently linked to lifestyle factors. For instance, a study showed that 70% of people with type 2 diabetes are overweight or obese, emphasizing the connection between obesity and insulin resistance. It is increasingly seen in children and teenagers, largely due to rising obesity rates.


3. Gestational Diabetes


Gestational diabetes occurs during pregnancy and usually resolves after childbirth. It happens when the body cannot produce enough insulin to meet the demands of pregnancy. Recent data indicate that about 2-10% of pregnant women may develop gestational diabetes, putting them and their children at a higher risk of type 2 diabetes later in life.


While these are the main types of diabetes, other rare forms exist, including monogenic diabetes and secondary diabetes linked to other medical conditions.



What are the Causes of Diabetes?


The causes of diabetes differ for each type. Here’s a closer look at them:


Type 1 Diabetes


Although research is ongoing, type 1 diabetes is believed to involve a mix of genetic and environmental factors. Viral infections may trigger the autoimmune response that destroys insulin-producing cells.


Type 2 Diabetes


Type 2 diabetes is influenced by several factors, including:


  • Genetics: If a family member has diabetes, your risk rises significantly; having a first-degree relative increases your risk by 40%.

  • Obesity: Being overweight is a major risk factor, as excess body fat contributes to insulin resistance.


  • Inactivity: Sedentary lifestyles raise the risk of developing this condition.


  • Poor Diet: Diets high in sugar and processed foods can lead to insulin resistance.


  • Age: The risk of type 2 diabetes jumps significantly after the age of 45.


  • Hormonal Changes: Conditions like polycystic ovary syndrome (PCOS) can also impact insulin regulation.


Gestational Diabetes


Hormonal changes during pregnancy can cause gestational diabetes. Some risk factors include:


  • Being overweight before pregnancy.


  • Having a family history of diabetes.


  • Being older than 25 during pregnancy.


  • Previous gestational diabetes.



What are the Symptoms of Diabetes?


Catching diabetes early can make a significant difference in management. Common symptoms include:


General Symptoms


  • Increased Thirst: Dehydration from high blood sugar levels leads to excessive thirst.


  • Frequent Urination: The body tries to eliminate excess glucose, causing increased urination.


  • Extreme Hunger: When the body struggles to use glucose, hunger persists.


  • Fatigue: Low energy levels result from not having enough glucose for fuel.


Additional Symptoms for Type 1 Diabetes


  • Unintentional Weight Loss: Lack of insulin can lead the body to burn fat for energy, causing weight drop.


  • Blurred Vision: Elevated blood sugar can lead to fluid imbalances in the eyes, resulting in blurry vision.


Additional Symptoms for Type 2 Diabetes


  • Slow-Healing Sores or Frequent Infections: High glucose levels can hamper healing processes.


  • Areas of Darkened Skin: Dark patches, often seen in armpits or neck, can indicate insulin resistance.


Symptoms in children can be similar to adults, but they may develop faster.


Lifestyle Changes


Adopting healthier habits can greatly impact diabetes management. Key areas to focus on include:


1. Nutrition


  • Balanced Diet: Eating a variety of vegetables, whole grains, lean proteins, and healthy fats can keep blood sugar levels stable.


  • Carbohydrate Counting: Tracking carb intake allows individuals to manage blood sugar more effectively.


  • Portion Control: Keeping portion sizes reasonable prevents spikes in blood sugar.


2. Physical Activity


  • Regular Exercise: Activities like walking or cycling can improve insulin sensitivity and help manage weight.


  • Strength Training: Lifting weights can enhance muscle mass and improve glucose uptake by the body.


Eye-level view of healthy food options arranged on a table
Healthy food choices for diabetes management.

Final Thoughts on Managing Diabetes


Living with diabetes requires a long-term commitment to managing the condition through medication, nutrition, and physical activity. Understanding diabetes—its types, causes, symptoms, and treatment options—empowers individuals to make informed choices about their health.


If you or someone you know is at risk of diabetes, engage with healthcare professionals to explore proactive lifestyle changes. Effective diabetes management goes beyond education; it’s about forming habits that lead to a healthier, more fulfilling life.


High angle view of a scenic running trail in a park
Scenic running trail for promoting physical activity in diabetes management.

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