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Merrill
Osmond |
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Living with Diabetes
What do Merrill Osmond and celebrities like the actress Mary Tyler Moore and blues singer Pattie LaBelle have in common? They are just three well-known faces amid the nearly 16 million Americans (5.9% of the population) who suffer from diabetes mellitus. Diabetes is a group of chronic diseases in which the pancreas produces too little or no insulin. Insulin is necessary for the body to turn sugar into usable energy.
Statistics
While it is treatable, diabetes can still be fatal. An estimated 178,000 lives are claimed each year due to diabetes, making it the fourth leading cause of death in America. The Diabetes Research Foundation reports that diabetes kills one American every three minutes and a new case of diabetes is diagnosed every 40 seconds.
Types of Diabetes
There are two major types of diabetes: Type 1 and Type 2. Type 1 (juvenile) is caused by the autoimmune destruction of the insulin-producing cells of the pancreas and is usually, though not always, diagnosed in childhood. People with Type 1 make up about 5% to 10% of all diagnosed cases of diabetes and must take insulin to live.
People with Type 2 diabetes produce insufficient insulin to meet the bodys needs. The cells of the body can sometimes become resistant to insulins effect. Many people suffer from milder forms of the disease and are unaware of it. Often it is diagnosed only after complications are detected such as:
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Type 2 diabetes is usually diagnosed
in people over 40, and it often runs in families. Type 2 diabetes is often
linked to obesity and inactivity and can many times be controlled with diet
and exercise alone. Sometimes, type 2 diabetics use insulin, but usually
oral medications are prescribed if diet and exercise alone do not control
the disease.
The New Diagnostic Criteria for Diabetes
The routine diagnostic test for diabetes is now a fasting plasma glucose. Usually a fasting plasma glucose of greater or equal to 126 mg/dl indicates a diagnosis of diabetes. Previously the value was set at 140 mg/dl. When symptoms are present, a confirmed nonfasting plasma glucose value of greater than or equal to 200 mg/dl may indicate a diagnosis of diabetes.
The goal of treating diabetes is dietary management and drug treatment. It has become increasingly more important to eat a healthy diet, and to keep a close watch over blood sugar levels. Currently, there is no cure for diabetes, but the good news is that the disease can be managed. With the wide range of new therapies now available, people with diabetes can live near-normal, happy lives.
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Dr. Milligan received
her medical degree from the University
When Dr. Milligan is not busy
working as a physician, she |
For More Information:
Juvenile
Diabetes Foundation
American
Diabetes Association
National
Diabetes Information Clearinghouse
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Sources used for this article:
FDA Consumer magazine (May-June
1997)
The
above article and interview was |
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