Diabetes mellitius
Diabetes mellitus is a group
of metabolic disorders in which there are high blood sugar levels over a
prolong period.
Diabetes due to either the
pancreas not producing insulin enough or the cells of the body not responding
properly to the insulin produced.
There are three types of
diabetes mellitus
1.type 1 DM
2.type 2 DM
3.Gestational diabetes.
1.type 1 DM
This results from the pancreas Failure to produced insulin
due to loss of beta cells .its also called “INSULIN-DEPENDED DIABETES MELLITUS’’(IDDM)
or its also called juvenile diabetes. This cause Is unknown.
2.type 2 DM
Type 2 DM begins with insulin
resistance, a condition in which cells failure to respond to insulin
properly.its also called “NON INSULIN DEPENDED DIABETES MELLITUS”(NIDDM).or its
also called adult –onset diabetes . the most common causes is a combination of
excessive body weight and insufficient exercise.
3.Gestational DM
Gestational diabetes mellitus is
the third main form, and occurs when pregnant women without a previous history
of diabetes develop high blood sugar levels.
Sign & Symptoms
The symptom of untreated
diabetes mellitus is
1 weight loss,
2 polyuria(increased
urination),
3 polydipsia(increased thrust)
4 polyphagia(increased hunger)
Symptoms may develop rapidly
in type 1 DM ,while they usually develop much more slowly and may be subtle or
absent in type 2 DM
In additionally may be sufferd
by
Blured vision
Headache
Fatigue
Slow healing of cuts
And itchy skin
Long term vision loss can also
be caused by diabetic retinopathy.A number of skin rashes that can occur in
diabetes are collectively known as diabetic dermadromes.
People may also experience
with type 1 DM episode of diabetic ketoacidosis(DKA),a metabolic disturbance
characterized by nausea ,vomiting and abdominal pain.
DIAGNOSIS
Diabetes mellitus is diagnosis
by demonstrating any one of the following.
Fasting plasma glucose level
>_7.0 mmol/L (126mg/dl)
Randome plasma glucose
>_11.1 mmol/L(200mg/dL)
Glycated hemoglobin (HbA1c)
>_ 48mmol/L(>_6.5DCCT%)
MANAGEMENT
Diabetes mellitus is a chronic
disease ,for which there is no known cure except in very specific situations.
Concentrate on keeping blood
glucose levels as close to normal,without causing low blood sugar.this can be
accomplished with a healthy diet, exercise ,weight loss and use medications ,
Learning about the disease and
actively participating in the treatment is important, since complications are
far less common and less severe in people who habe well managed blood sugar
levels.the goal of treatment is an hbA1c level of 6.5%,but should not be lower
than that,and may be higher.attention is paid to other health problems that may
accelerate the negative effects of disease .these include smoking,elevated
cholesterol levels,obesity ,high blood pressure,and lack of regular exercise.
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