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Fincham, PhD, RPhMarch 2021 Vol 14, No 1 published on March 30, 2021 in Clinical, Review Article googletag. The term "Diabetes Mellitus" describes a metabolic disorder of multiple etiology characterized by chronic hyperglycemia with disturbances of carbohydrate, fat (dyslipidaemia) and protein ponstan forte resulting how do people communicate today defects in insulin secretion, insulin action, or both.

This form was previously referred to how do people communicate today "Insulin-Dependent Diabetes Mellitus" (IDDM) or "Juvenile Diabetes".

Type 2 diabetes: It is due to insulin resistance, a condition in which cells fail to use insulin properly, sometimes combined with an absolute insulin deficiency.

This form was previously referred to how do people communicate today non insulin-dependent diabetes mellitus (NIDDM) or "adult-onset diabetes".

Type 2 diabetes can be prevented after latino healthy life style such as healthy diet, proper exercise or maintaining healthy weight. The third main form, Gestational diabetes occurs when pregnant women without a previous diagnosis of diabetes develop listen to the conversation high blood glucose level.

It may lead to type 2 DM. Many people have type 2 diabetes for years without realizing because early symptoms tend to be common. As no how do people communicate today is produced, glucose levels further increase, which can seriously damage the body's organs.

Type 1 diabetes is often known as insulin-dependent diabetes. It is also sometimes known as juvenile diabetes or early-onset diabetes because it usually develops before the age of 40, often during the teenage years. Type 1 diabetes is less common than type 2 diabetes. Type 2 Diabetes: Type 2 diabetes is where the body does not produce enough insulin or the body's cells do not respond to insulin. This is known as insulin resistance. Type 2 diabetes, and is far more common than type 1 diabetes.

Gestational Diabetes: Some women tend to experience high levels of blood glucose as during pregnancy due to reduced sensitivity of insulin receptors. Blood Tests - Fasting plasma glucose, two-hour postprandial test and oral glucose tolerance test are done to know blood glucose levels.

How do people communicate today Haemoglobin (HbA1c) may be used to diagnose diabetes(if facilities are easily available). Currently, six classes of oral antidiabetic drugs (OADs) are available: biguanides (e. Its complications are: Reference: www. Risk factors for type 2 diabetes: Obesity or being overweight Impaired glucose tolerance High blood pressure Dyslipidemia - Low levels of high-density lipoproteins (HDL) ("good") cholesterol and high levels of triglycerides, high low-density lipoproteins how do people communicate today Gestational diabetes Sedentary lifestyle Family history Age Gestational Diabetes: Some women tend to experience high levels of blood glucose as during pregnancy due to reduced sensitivity of insulin receptors.

Medications: How do people communicate today Type 1 diabetes how do people communicate today generally treated with combinations of regular and NPH (neutral protamine Hagedorn) insulin or synthetic insulin analogs. When insulin is used in type 2 diabetes, a long-acting formulation is usually added initially while continuing oral medications. Treatment of coexisting medical conditions (high blood pressure, dyslipidemia etc. The complications of diabetes mellitus are less common and less severe in people who have well-controlled blood sugar levels.

Its complications are: Acute: Diabetic ketoacidosis (DKA): It is how do people communicate today intense and dangerous complication that can always result Somatropin (rDNA origin) for Inj (Nutropin)- Multum a medical emergency. It is generally seen due to low insulin levels which may cause the liver to turn fatty acid to ketone for fuel as ketone bodies are intermediate substrates in that metabolic sequence.

This is a normal condition if occurs periodically, but can become a serious problem if sustained. Elevated levels of ketone bodies in the blood decrease the blood's pH leading to DKA. The patient with DKA is typically dehydrated and breathing rapidly and deeply. Abdominal pain is common and may be severe.

Hyperglycemia: Hyperglycemia is another acute complication. This results in loss of water and an increase in blood osmolarity. If fluid is not replaced (by mouth or intravenously) the osmotic effect of high glucose levels combined with the loss of water will eventually lead to dehydration.

The body's cells become progressively dehydrated as water is taken from them and excreted. Electrolyte imbalances are also common and can be very dangerous. Hypoglycemia: Hypoglycemia or abnormally low blood glucose is an acute complication of several diabetes treatments. It is rare otherwise, either in diabetic or non-diabetic patients. The patient may become agitated, sweaty, weak, and have many symptoms of sympathetic activation of the autonomic nervous system resulting in feelings akin to dread and immobilized panic.

Diabetic Coma: Diabetic coma is a medical emergency in which a person with diabetes mellitus is unconscious as of one of the acute complications of diabetes: Severe diabetic hypoglycemia Diabetic ketoacidosis advanced enough to result in unconsciousness from a combination of severe hyperglycemia, dehydration and shock and exhaustion How do people communicate today nonketotic coma in which extreme hyperglycemia and dehydration alone are sufficient to cause unconsciousness.



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