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Diabetes

Diabetes is a chronic condition affecting millions of Americans. There are 3 main types of Diabetes, Type 1, Type 2, and Gestational. Type 2 diabetes accounts for 90 to 95 percent of all diagnosed cases and occurs more frequently in older people. Type 1 diabetes, which accounts for 5 to 10 percent of cases, usually strikes children and young adults. A third form, gestational diabetes, develops in some women during pregnancy.

In all forms of diabetes, the body's ability to convert food into energy is impaired. After a meal, the body breaks down most food into glucose (a kind of sugar), the main source of fuel for cells. In people with diabetes, the body does not make enough insulin (a hormone that helps glucose enter cells) or the cells do not respond to insulin properly. Often, both insulin production and insulin action are impaired. Without treatment, glucose builds up in the blood instead of moving into the cells, where it can be converted into energy. Over time, the high blood glucose levels caused by diabetes can damage many parts of the body, including the heart and blood vessels, eyes, kidneys, nerves, feet, and skin. Such complications can be prevented or delayed by controlling blood glucose, blood pressure, and cholesterol levels.

Type 2 diabetes most often is associated with older age (although it is increasingly being diagnosed in children), obesity (about 80 percent of people with type 2 diabetes are overweight), a family history of diabetes, and lack of physical activity. Certain minority population groups are at greater risk, as are women who have had gestational diabetes. Type 2 diabetes usually begins as insulin resistance, a disorder in which cells do not use insulin properly. Symptoms develop gradually and may include fatigue, frequent urination, excessive thirst and hunger, weight loss, blurred vision, and slow-healing wounds or sores. However, it is possible to have type 2 diabetes without experiencing any symptoms.


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