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Facts About Diabetes

There are 16 million people in the United States who have diabetes.  Unfortunately, about half are not aware that they have the disease. Each day approximately 1,700 people are diagnosed with diabetes. About 625,000 people will be diagnosed this year.

Diabetes is the fourth-leading cause of death by disease in the United States; this year, more than 178,000 will die from the disease and its related complications.

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How do people become aware that they have diabetes?

Many people first find out that they have diabetes when they develop one of its life-threatening complications.

Blindness. Diabetes is the leading cause of new cases of blindness in people ages 20-74. Each year  12,000 to 24,000 people lose their sight because of diabetes.

Kidney Disease. Ten to twenty-one percent of all people with diabetes develop kidney disease. In 1992,  19,800 people initiated treatment for end stage renal disease (kidney failure) because of diabetes.

Nerve Disease and Amputations. About 60-70 percent of people with diabetes have mild to severe forms  of diabetic nerve damage, which, in severe forms, can lead to lower limb amputations. In fact, diabetes is  the most frequent cause of non-traumatic lower limb amputations. The risk of a leg amputation is 15-40  times greater for a person with diabetes. Each year 54,000 people lose their foot or leg to diabetes.

Heart Disease and Stroke. People with diabetes are 2 to 4 times more likely to have heart disease which is  present in 75 percent of diabetes-related deaths (more than 77,000 deaths due to heart disease annually).  And, they are 2 to 4 times more likely to suffer a stroke.

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What is Diabetes?

Diabetes is a chronic disease that has no cure.  It occurs when the body does not produce or properly use insulin, a hormone that is needed to convert sugar, starches and other food into energy needed for daily life. The cause of diabetes is a mystery, although both genetics and environmental factors such as obesity and lack of exercise appear to play roles. There are two major types of diabetes:
 
Type 1. An autoimmune disease in which the body does not produce any insulin, most often occurring in  children and young adults. People with type 1 diabetes must take daily insulin injections to stay alive.   Type 1 diabetes accounts for 5-10 percent of diabetes.

Type 2. A metabolic disorder resulting from the body's inability to make enough, or properly use, insulin.  It is the most common form of the disease. Type 2 diabetes accounts for 90-95 percent of diabetes.  Type 2  diabetes is nearing epidemic proportions, due to an increased number of older Americans, and a greater  prevalence of obesity and a sedentary lifestyle.

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Who is at Greater Risk for Type 1 Diabetes?

Siblings of people with type 1 diabetes and children of parents with type 1 diabetes.

Who is at Greater Risk for Type 2 Diabetes?

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What are the warning signs of diabetes?

 
Type 1 Diabetes: Type 2 Diabetes:
 Frequent urination Any of the type 1 symptoms
Unusual thirst Frequent infections
Extreme hunger Blurred vision
Unusual weight loss  Cuts/bruises that are slow to heal
Extreme fatigue  Tingling/numbness in the hands or feet
Irritability  Recurring skin, gum or bladder infections

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How will my doctor find out if I have diabetes?

In diagnosing your diabetes, your doctor will need test results. But test results are just part of the information that goes into the diagnosis of diabetes. Your doctor will also take into account your physical exam, symptoms,and medical history in order to decide to test.  Doctors generally test the level of glucose in the blood. If you have diabetes, your blood glucose levels rise because of the foods you eat. Foods have little effect on blood glucose in people without diabetes.

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What does living with diabetes mean?

People with diabetes can live happy, healthy lives. The key is to follow a diabetes treatment plan. The goal of this plan is to keep blood-sugar levels as close to normal as possible (good blood-sugar control).

Your first step is to see your health care practitioner. He or she will prescribe a daily treatment plan.

If you have type 2, the plan will include several lifestyle modifications such as a healthy diet, weight loss, regular exercise, stopping smoking, and regular check ups.  You can often control type 2 diabetes with diet and exercise-- alone. But some people also need medicine -- either diabetes pills or insulin shots.  Many people find their diabetes gets better when they follow their treatment plan.

For people who have type 1 diabetes, therapy will consist of insulin shots along with diet modifications.

Your health care practitioner may also want you to test your blood-sugar levels regularly. Testing will let you know if your diabetes is in control.  Be sure to ask how to do these tests.

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What will happen if my blood sugar levels fall too low or too high?

People with diabetes must take responsibility for their day-to-day care.  Much of the daily care involves trying to keep blood sugar levels from going too low or too high.  When blood sugar levels drop too low--a condition known as hypoglycemia--a person can become nervous, shaky, and confused.  Judgment can be impaired.  Eventually, the person could pass out.  The treatment for low blood sugar is to eat or drink something with sugar in it.

On the other hand, a person can become very ill if blood sugar levels rise too high, a condition known as hyperglycemia.  Hypoglycemia and hyperglycemia, which can occur in people with type 1 or type 2, are both potentially life-threatening emergencies.

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How can I find diabetes information on the World Wide Web?

You can visit the following web sites: