Monday, August 22, 2011

Life with Diabetes.....


Lancets! Test strips! Testing now! I can, you can, we know how.

Look! See! Blood drops, one and two and three. Why won’t this meter beep for me?

Numbers now. Number’s high! 182 – my, oh my!

Out with the insulin, out with the needle. Out with the afternoon snack-n-feedle.

Corrections, ouch. Corrections ooch. Injections 10x/day hurt my hooch.

Up, up, up and down the stairs — Now I’m taking stairs in pairs.

Down with the glucose readings! Down, down, down! I’ll have the best numbers in any town.

Funny, now I cannot think… Think what I thunk and my heart begins to sink.

Oops! Up with the sugar level — up, up, up! Glucose tablets, gummi drops, and orange juice in a big, BIG cup.

But, see! High again, that’s where I am. Above 150, gosh darn damn.

And on it goes throughout the day. Look, what fun! Come on and play.

But if we sweat, then we must eat. But not a treat! No, not a treat!

Round and round and round it goes, and where it stops could be my toes.

I’d like to keep mine. Yes, that’s wise. I’ll keep my nerves and feet and eyes.

I’d like to keep them all, mind you… So I’ll do what I have to do.

But like it? No, no, no, I say! I do not like the vials, the rules, the thinking, worrying all day…

I do not like it one little bit. Still, I’m glad to LIVE with it.





Click on Links below for accurate up to date information for you and your Patients......



http://dtc.ucsf.edu/types-of-diabetes/


1 - American Diabetes Association


Type 2 - American Diabetes Association



Type 1 and Type 2 diabetes are essentially two different diseases. What they share is the central feature of elevated blood sugar (glucose) levels due to absolute or relative insufficiencies of insulin, a hormone produced by the pancreas. Insulin is a key regulator of the body’s metabolism.

Type 1 Diabetes, traditionally referred to as juvenile-onset diabetes, is a genetic, autoimmune disorder. The body’s T-cells recognize the insulin-producing cells of the pancreas (islet cells) as foreign invaders and begin to destroy them. Eventually, all the islet cells are destroyed, and the patient must take insulin shots several times daily in order to sustain life.

Type 1 Diabetes is NEVER caused by unhealthy lifestyle or simply by eating too many sweets. Never.

Type 2 Diabetes, which usually hits adults but lately has been on the rise in children, is a disorder in which the body is no longer able to properly use the insulin being produced. Type 2 can be (and increasingly is) brought on by poor diet and sedentary lifestyle. Essentially, overloading the body with carbohydrates over time causes the system to “break down” such that insulin can no longer be absorbed. Type 2 can often be controlled with diet and exercise, and/or with oral medications.

Note that Type 1 diabetes can never be controlled with diet and requires frequent blood glucose monitoring and insulin shots to preserve the patient’s life. Type 2 diabetes can be preventable if a pre-diabetic condition is caught early. Sadly, once the autoimmune reaction of Type 1 diabetes has begun, it cannot be reversed. There is no known way to prevent Type 1 diabetes, although researchers are working on it.

Again, Type 1 is a genetic weakness that usually strikes thin people, who then characteristically become ultra-health-conscious.



Total prevalence of diabetes

Total: 25.8 million children and adults in the United States—8.3% of the population—have diabetes.

Diagnosed: 18.8 million people

Undiagnosed: 7.0 million people

Prediabetes: 79 million people*

New Cases: 1.9 million new cases of diabetes are diagnosed in people aged 20 years and older in 2010.

* In contrast to the 2007 National Diabetes Fact Sheet, which used fasting glucose data to estimate undiagnosed diabetes and prediabetes, the 2011 National Diabetes Fact Sheet uses both fasting glucose and A1C levels to derive estimates for undiagnosed diabetes and prediabetes. These tests were chosen because they are most frequently used in clinical practice.

Under 20 years of age

  • 215,000, or 0.26% of all people in this age group have diabetes
  • About 1 in every 400 children and adolescents has type 1 diabetes

Age 20 years or older

  • 25.6 million, or 11.3% of all people in this age group have diabetes

Age 65 years or older

  • 10.9 million, or 26.9% of all people in this age group have diabetes

Men

  • 13.0 million, or 11.8% of all men aged 20 years or older have diabetes

Women

  • 12.6 million, or 10.8% of all women aged 20 years or older have diabetes

Race and ethnic differences in prevalence of diagnosed diabetes

After adjusting for population age differences, 2007-2009 national survey data for people diagnosed with diabetes, aged 20 years or older include the following prevalence by race/ethnicity:

  • 7.1% of non-Hispanic whites
  • 8.4% of Asian Americans
  • 12.6% of non-Hispanic blacks
  • 11.8% of Hispanics

Among Hispanics rates were:

  • 7.6% for Cubans
  • 13.3% for Mexican Americans
  • 13.8% for Puerto Ricans.

Morbidity and Mortality

  • In 2007, diabetes was listed as the underlying cause on 71,382 death certificates and was listed as a contributing factor on an additional 160,022 death certificates. This means that diabetes contributed to a total of 231,404 deaths.

Complications

Heart disease and stroke

  • In 2004, heart disease was noted on 68% of diabetes-related death certificates among people aged 65 years or older.
  • In 2004, stroke was noted on 16% of diabetes-related death certificates among people aged 65 years or older.
  • Adults with diabetes have heart disease death rates about 2 to 4 times higher than adults without diabetes.
  • The risk for stroke is 2 to 4 times higher among people with diabetes.

High blood pressure

  • In 2005-2008, of adults aged 20 years or older with self-reported diabetes, 67% had blood pressure greater than or equal to 140/90 mmHg or used prescription medications for hypertension.

Blindness

  • Diabetes is the leading cause of new cases of blindness among adults aged 20–74 years.
  • In 2005-2008, 4.2 million (28.5%) people with diabetes aged 40 years or older had diabetic retinopathy, and of these, almost 0.7 million (4.4% of those with diabetes) had advanced diabetic retinopathy that could lead to severe vision loss.

Kidney disease

  • Diabetes is the leading cause of kidney failure, accounting for 44% of new cases in 2008.
  • In 2008, 48,374 people with diabetes began treatment for end-stage kidney disease in the United States.
  • In 2008, a total of 202,290 people with end-stage kidney disease due to diabetes were living on chronic dialysis or with a kidney transplant in the United States.

Nervous system disease (Neuropathy)

  • About 60% to 70% of people with diabetes have mild to severe forms of nervous system damage.

Amputation

  • More than 60% of nontraumatic lower-limb amputations occur in people with diabetes.
  • In 2006, about 65,700 nontraumatic lower-limb amputations were performed in people with diabetes.

Cost of Diabetes

  • $174 billion: Total costs of diagnosed diabetes in the United States in 2007
  • $116 billion for direct medical costs
  • $58 billion for indirect costs (disability, work loss, premature mortality)

After adjusting for population age and sex differences, average medical expenditures among people with diagnosed diabetes were 2.3 times higher than what expenditures would be in the absence of diabetes.

The American Diabetes Association has created a Diabetes Cost Calculator that takes the national cost of diabetes data and provides estimates at the state and congressional district level.

Factoring in the additional costs of undiagnosed diabetes, prediabetes, and gestational diabetes brings the total cost of diabetes in the United States in 2007 to $218 billion.

  • $18 billion for people with undiagnosed diabetes
  • $25 billion for American adults with prediabetes
  • $623 million for gestational diabetes

For Additional Information

These stastics and additional information can be found in the National Diabetes Fact Sheet, 2011, the most recent comprehensive assessment of the impact of diabetes in the United States, jointly produced by the CDC, NIH, ADA, and other organizations.


Join the Movement to Stop Diabetes: http://www.stopdiabetes.com/

American Diabetes Alert Day: http://www.diabetes.org/alert

Step Out - Walk to Fight Diabetes: http://www.diabetes.org/stepout

Tour de Cure: http://www.diabetes.org/tour
Website

Prevention - American Diabetes Association



Up to date Information on Facebook to read.....

http://www.defeatdiabetes.org/

Link

http://www.childrenwithdiabetes.com/

https://www.facebook.com/AmericanDiabetesAssociation?utm_source=WWW&utm_medium=DropDownNR&utm_content=Facebook&utm_campaign=FB





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