Diabetes

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Diabetes is a chronic disease that effects almost sixteen million Americans. This disease results in the body being unable to produce enough insulin or to be unable to use the insulin that is produced (Lorig, 14). Diabetes is divided into tow main types, type 1 and type , with the exact cause for each being unknown. Type 1 diabetes, which usually begins in childhood, is thought to be an autoimmune disease that destroys the ability of the pancreas to produce insulin (Lorig, 14). Type diabetes is a complex disease characterized by elevated blood glucose levels (Kendall & Bergenstal, 001). Type accounts for approximately 0% of diabetes cases, and its symptoms include lowered insulin secretion and an increased resistance to the action of insulin, causing hyperglycemia and other metabolic disturbances (Umpierrez & Kitabchi, 001). This type of diabetes is most prevalent among those who are overweight. It is believed that because of excess body fat, the body becomes resistant to the insulin produced and therefore is ineffective in moving glucose from the blood stream to the body's cells (Lorig, 14). Type diabetes often goes undiagnosed for several years because of its undetectable onset and slow progression (Kazi & Blonde, 001).

The management of type diabetes revolves around lowering blood glucose levels to prevent the progression of long term complications as well as to prevent the occurrence of cardiovascular disease (Van den Arend, Stolk, Krans, Grobbee, & Schrijvers, 000). There are two main ways to lower blood glucose levels diet therapy and medical treatments. It is also important to change unhealthy habits such as smoking. Diet therapy is used in order to help those with diabetes to use proper nutrition and exercise to improve metabolic control (Umpierrez & Kitabchi, 001). The aim of dietary management is to eat foods high in fiber and low in fat, in the correct quantities and at the right time in order to maintain healthy blood glucose levels (Lorig, 14). Exercise is extremely important in the management of diabetes for the metabolism of carbohydrates as well as to enhance insulin sensitivity (Umpierrez & Kitabchi, 001). There is also evidence that strenuous exercise may lower blood glucose levels for up to thirty-six hours (Lorig, 14).

There are also several drug therapies used for the control of type diabetes, including a-glycosidase inhibitors and insulin. These and other drugs can be used alone or in combination with each other in order to reverse insulin resistance. Insulin is the most common drug therapy and is used by all patients with type 1 diabetes and approximately 40% of type cases (Umpierrez & Kitabchi, 001).

Diabetes has become a major health problem in America, as well as the number one cause of adult blindness and nontraumatic amputations (Kazi & Blonde, 001). Although the complications of this disease can be severe, they can be managed via the use of a controlled diet and exercise, in addition to various types of dr

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