Introduction
Diabetes is defined scientifically as a group of metabolic diseases characterized by hyperglycemia that results from defects in insulin secretion, insulin action, or both. There are three types of diabetes, Type 1 diabetes which is formerly called insulin dependent diabetes, results from an absolute deficiency of insulin secretion that is caused by destruction of the pancreatic beta cells by the body 's immune system. The second type is type 2 diabetes which is formerly called noninsulin dependent diabetes, results from a combination of resistance to insulin action and inadequate insulin secretion. The third type of diabetes is gestational diabetes (GDM), which is defined as glucose intolerance with onset of first recognition
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The link between diabetes and obesity is striking. Nearly half (47%) the women with diabetes have a body mass index greater than 30 kg/m2 compared with 25% of all women.
Diabetes is the fifth deadliest disease in the United States, and it has no cure. For women who do not currently have diabetes, pregnancy brings the risk of gestational diabetes. Gestational diabetes develops in 2% to 5% of all pregnancies but disappears when a pregnancy is over. Women who have had gestational diabetes or have given birth to a baby weighting more than 9 pounds are at an increased risk for developing type 2 diabetes later in life. Because of the increasing lifespan of women and the rapid growth of minority populations, the number of women in the United States at high risk for diabetes and its complications is increasing. Because women are often influential in affecting behavior change in their own children and families, focusing prevention efforts on them is a good way to improve not only their health but also the health of those they love.
History of diabetes
In ancient times and medieval ages, diabetes was usually a death sentence. Aretaeus did attempt to treat it but could not give a good outcome. In the 6th century Sushruta an Indian healer identified diabetes and classified it as “Madhumeha”. Here the word “Madhu” means honey and combined the term means sweet urine. The ancient Indians tested for diabetes by looking at whether ants were
Diabetes is a growing concern and health challenge for the American people (b). Diabetes is a condition in which the body cannot react to insulin appropriately or either cannot produce insulin efficiently (w). “Without a properly functioning insulin signaling system, blood glucose levels become elevated and other metabolic abnormalities occur, leading to the development of serious, disabling complications” (w). There are numerous forms of diabetes amongst the nation, however, there are three main forms of diabetes. Most people have heard of type one diabetes, type two diabetes, and gestational diabetes because they are common. Type two diabetes deals with a resistance to insulin, while
Diabetes mellitus is a chronic disease that involves the changes of blood glucose level in body systems. This disease usually inherited from generation to generation and sometimes it is due to lack of insulin produced by the pancreas. As the insulin produced is decreased, the blood glucose level will increase thus distressing the metabolism and damaging the body’s systems especially the blood vessels in kidneys, hearts, eyes and nervous systems (Nagappa et al., 2003).This disease have three different subtypes, type I (insulin dependent diabetes mellitus, IDDM), type II (non-insulin dependent diabetes mellitus, NIDDM) and gestational diabetes mellitus.
Diabetes mellitus is a long-term chronic condition in which a person that has high blood glucose level either, because of inadequate insulin output or the body cells does not respond properly to insulin, affecting the bodies capacity to extract glucose from the bloodstream and utilise it for energy. Causing improper functioning of the pancreas that secretes insulin. Approximately 1 million Australians have been diagnosed with diabetes; also Australia has the 6th highest incidence and 7th highest prevalence of type 1 diabetes in children from the ages of 0-14 years old. The nature of the 3 main types of diabetes which are Type 1, Type 2 and Gestational include: Type 1 a disorder portrayed by hyperglycaemia (increased blood glucose levels), a breakdown of body fats and proteins that develops ketosis.
Diabetes is a disease that causes the human body to not create or not use insulin effectively. The body needs insulin to take the energy or sugars and turn it into energy. The human body needs energy to survive. Diabetes can be broken into three main categories. Type 1 diabetes is where the body makes no insulin at all. Type 2 diabetes is where the body does not produce enough insulin or it does not use it correctly. Gestational diabetes is more of a type 2 diabetes for pregnant women, which usually returns to normal after birth (Ruder 7-8).
Diabetes is a disease in which the body does not produce enough insulin to regulate blood sugar properly, or becomes resistant to the effects of insulin, also causing blood sugar to rise. High blood sugar is characteristic of diabetes. People who have diabetes have to take insulin shots or supplements in order to give their body enough insulin to regulate blood sugar. There are three main types of diabetes: Type 1 diabetes, Type 2 diabetes, and gestational diabetes. In Type 1 diabetes, the body does not produce enough insulin to regulate blood sugar. In Type 2 diabetes, the body is resistant to insulin, and so it allows blood sugar to rise to high levels (Winter 2002). Gestational diabetes is a temporary diabetes that develops in previously non-diabetic pregnant women and causes their blood sugar to rise during their pregnancy.
Between 5.5 and 8.8% of pregnant women develop GDM in Australia. Risk factors for GDM include a family history of diabetes, increasing maternal age, obesity and being a member of a community or ethnic group with a high risk of developing type 2 diabetes. While the carbohydrate intolerance usually returns to normal after the birth, the mother has a significant risk of developing permanent diabetes while the baby is more likely to develop obesity and impaired glucose tolerance and/or diabetes later in life. Self-care and dietary changes are essential in treatment.
Diabetes is a chronic condition that is characterized by a partial or absolute insulin deficiency. There are various forms of diabetes such as type 1, type 2 and gestational diabetes (Curtis, Ramsden & Lord, 2011). If a patient
Gestational Diabetes Mellitus (GDM) by definition is a carbohydrate intolerance that is developed or recognized for the first time during pregnancy (Chen, Chuang, Fang, Kuo, Lee, Li, Lin, NIen,Wu, 2017). With a drastic increase of GDM in recent years, attention and concern has been brought to the topic. GDM is linked to poor pregnancy outcomes including but not limited to; hypertension, macrosomia, maternal depression, neonatal hypoglycemia and stillbirth (Jagiello & Chertok, 2015). With these negative pregnancy outcomes, there is a much greater chance of NICU (Neonatal Intensive Care Unit) admission and that comes with the potential for further issues. To avoid these issues, proper detection of GDM is necessary for all age
According to Arcangelo & Peterson (2013), diabetes is defined as a scientific and hereditary heterogeneous collection of specific disorders that are characterized by an elevated and abnormal glucose level in the blood. There are many forms of diabetes such as; Diabetes Type I, Diabetes Type II, Juvenile Diabetes, and Gestational Diabetes. Diabetes Type I is categorized as a
Diabetes is a common chronic disease that causes problems in the way the blood uses food. The inability of the body to transform the sugar into energy is called diabetes. Glucose, a simple sugar, is the primary source of fuel for our bodies. When food is digested, some of the food will be converted into glucose which is then transferred from the blood into the cells however, insulin, which is produced by beta cells in the pancreas is needed. In individuals with diabetes, this process is impaired.
Diabetes Mellitus is a disease; which occurs through the insufficiency of insulin being produced or its actions are not being utilized. This occurrence leads to hyperglycemia; an issue in which the amount of glucose in the blood is relatively high. Gestational Diabetes Mellitus falls under the category of DM. GDM also consist of a form of insulin resistance throughout the pregnancy of the woman. If a woman is to be high-risk to have diabetes at the first prenatal visit; they should receive a test to be screened for diabetes. The majority of woman get diagnosed
Type 2 diabetes and type 1 diabetes can hit anybody at any stage of their life, but gestational diabetes only hits one gender at one optional point in their life, women during pregnancy. Gestational diabetes hits about 3-5% of pregnant women in the United States. Gestational diabetes occurs when the pancreas produces the maximum amount of insulin, but is still unable to overcome the hormones produced by the placenta. A pregnant woman will have gestational diabetes until the delivery
GDM is a pregnancy complication which is the result of the mother developing high blood glucose but insufficient insulin (Mayo Clinic Staff, 2016). Preventive measures should be taken to prevent or manage GDM. It is important for health professionals to educate pregnant women about GDM, explaining to them that prevalence of this disease is as high as 9.2% (American Diabetes Association, 2016). The prevalence of GDM in the US has more than doubled; affecting over 200,000 females per year (Ferranti, Venkat Narayan, Reilly, Foster, McCullough, Ziegler, Ying & Dunbar, 2014). In 2012, Diabetes cost the economy $322 billion, consisting of $244 billion in excess medical costs and $78 billion in reduced productivity, with an average case of GDM
Diabetes is a chronic disease and one of the leading causes of death in the United States. In our society, many women are affected by this disease. According to the American Diabetes Association in 2012, 29.1 million Americans had diabetes. Poverty and lack of education cause women to eat in an unhealthy way resulting in being overweight and even becoming obese.. When women are obese, they are at high in risk for diabetes. Certain changes in lifestyle can lower the risk of diabetes. There are three types of diabetes, type 1, type 2 and gestational diabetes that usually affect pregnant women. In the case of a pregnant woman, it is most likely that it will affect both the mother and her unborn baby. In addition, diabetes may be
Due to the need for close monitoring of blood glucose and insulin level in the body, there have been various studies done regarding the various insulin regimens that are available today. Before we get into the details of the studies conducted, it is only relevant to give an overview of the problem at hand. Type I Diabetes or as it also known juvenile onset diabetes is a disorder that is normally diagnosed in young adults or children. This form of diabetes results from the destruction of the insulin producing beta cells in the pancreas. With auto immune destruction being the most common cause, type I diabetes is a lifelong disease. Insulin is the basic treatment for Diabetes in about 30% of the diabetic patients in the United States. (Centers for Disease control, 2008)It should be noted that insulin is present in three different forms and a person needs to take the regimen that is most suitable for them. As mentioned earlier, too much insulin given at a time can cause a person to go in hypoglycemia. Hypoglycemia is way more fatal than increased glucose levels. The 30 year old female in our case was taking the Insulin Basal bolus that consisted of novo rapid and glargine.