Food and Nutrition - Diabetes Mellitus

DIABETES MELLITUS

Diabetes Mellitus, commonly known, as Diabetes is a chronic disease that occurs when the pancreas does not produce enough insulin, or alternatively, when the body cannot effectively use the insulin it produces. Insulin is a hormone that regulates blood sugar.

Hyperglycemia, or raised blood sugar, is a common effect of uncontrolled diabetes and over time leads to serious damage to many of the body's systems, especially the nerves and blood vessels.

 

Below 3 common types of Diabetes among the general population:

  • Type 1 diabetes (previously known as insulin-dependent or childhood-onset) is characterized by a lack of insulin production. Without daily administration of insulin, Type 1 diabetes is rapidly fatal.

     

    • Symptoms include excessive excretion of urine (polyuria), thirst (polydipsia), constant hunger, weight loss, vision changes and fatigue. These symptoms may occur suddenly.

     

  • Type 2 diabetes (formerly called non-insulin-dependent or adult-onset) results from the body’s ineffective use of insulin. Type 2 diabetes comprises 90% of people with diabetes around the world, and is largely the result of excess body weight and physical inactivity.

     

    • Symptoms may be similar to those of Type 1 diabetes, but are often less marked. As a result, the disease may be diagnosed several years after onset, once complications have already arisen.

     

    • Until recently, this type of diabetes was seen only in adults but it is now also occurring in obese children.

       

  • Gestational diabetes is hyperglycemia, which is first recognized during pregnancy.

     

    • Symptoms of gestational diabetes are similar to Type 2 diabetes. Gestational diabetes is most often diagnosed through prenatal screening, rather than reported symptoms.

Impaired Glucose Tolerance (IGT) and Impaired Fasting Glycaemia or Impaired Fasting Glucose (IFG) are intermediate conditions in the transition between normality and diabetes. People with IGT or IFG are at high risk of progressing to type 2 diabetes, although this is not inevitable.

 

DIABETES FACTS

  • The World Health Organization (WHO) estimates that more than 180 million people worldwide have diabetes. This number is likely to more than double by 2030.

     

  • In 2005, an estimated 1.1 million people died from diabetes. #

     

  • Almost 80% of diabetes deaths occur in low and middle-income countries.

     

  • Almost half of diabetes deaths occur in people under the age of 70 years; 55% of diabetes deaths are in women.

     

  • WHO projects that diabetes deaths will increase by more than 50% in the next 10 years without urgent action. Most notably, diabetes deaths are projected to increase by over 80% in upper-middle income countries between 2006 and 2015.

# This would underestimate the true burden from diabetes. Although people may live for years with diabetes, their underlying cause of death is usually recorded as heart disease or kidney failure. An alternative estimate, taking into account deaths in which diabetes was a contributory condition, suggests that approximately 2.9 million deaths per year are attributable to diabetes.

 


ADAPTED FROM THE WORLD HEALTH ORGANIZATION (WHO)


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