Type ­ 2 Diabetes : An Epidemic

Along with all the worries and complications a woman might face while pregnant, one of the more serious conditions is gestational diabetes. Gestational diabetes occurs in 4% of all pregnancies (Seibel, 2009). Many women are not informed about the disease, some may not know that they need to be tested, and others may have heard about it, but want more information on what may cause it and/or how to prevent and treat it. Either way this disease needs to be taken seriously by every pregnant woman or woman planning to get pregnant to protect not only herself but the unborn child.

Diabetes refers to a set of several different diseases. It is a serious health problem throughout the world and fourth leading cause of death by disease in the country. All types of diabetes result in too much sugar, or glucos in the blood. To understand why this happens it would helpful if we understand how the body usually works. When we eat, our body breaks down the food into simpler forms such as glucose. The glucose goes into the bloodstream, where it then travels to all the cells in your body. The cells use the glucose for energy. Insulin, a hormone made by the pancreas, helps move the glucose from bloodstream to the cells. The pathophysiology of diabetes mellitus further explains the concept on how this disease works. Pancreas

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29 million people in the United States (9.3 percent) have diabetes, and of those 29 million approximately 7.25 million are unaware that they are diabetic (www.cdc.gov). Diabetes describes a group of metabolic diseases in which the person has high blood glucose because insulin production is inadequate, or because the body 's cells do not respond properly to insulin, or both. Diabetes can be divided into two groups: Type 1 diabetes and Type 2 diabetes. Type 1 diabetes is also referred to as juvenile diabetes and is usually found in children and young adults. Only 5% of people with diabetes have this form of the disease. Type 1 diabetes restricts the body from producing insulin, a hormone that is needed to convert sugar, starches and other food into energy needed for daily life. Type 1 diabetes can be managed by using insulin therapy and other treatments to help those infected maintain insulin to convert sugars, starches and foods into energy(www.diabetes.org). Type 2 diabetes is the most common, people with Type 2 diabetes have insulin resistance meaning the body does not use insulin properly. At first, the pancreas makes a surplus insulin to compensate for the lack on insulin in your body. However, over time your pancreas is not able to keep up and can not make enough insulin to keep your blood glucose at normal levels(www.diabetes.org). Complications of diabetes in the long term include potential heart disease, stroke, and kidney damage.

In order to combat the epidemic of type 2 diabetes in America, a series of subsidies and social programs promoting and mandating nutrition and exercise for weight loss should be created with the trillion dollar budget. The prevalence of type 2 diabetes in America is rising and has doubled over the last 30 years to 23 million (Campbell). Currently, it costs the nation about $90 billion a year to treat the complications of type 2 diabetes (Hoerger). Added with the co-morbidities of type 2 diabetes, namely cardiovascular disease, obesity, and kidney failure, it becomes apparent that drastic measures are needed. In order to combat this epidemic, the U.S. Congress is proposing to use a trillion dollars to do whatever it takes to reduce the

The increase in the prevalence of type 2 diabetes is causing huge health problem through out the world including developed countries. Mostly people with low income groups are affected in developed countries (Zimmet 2001).The magnitude of the healthcare problem of type 2 diabetes results mainly from its association with obesity and cardiovascular risk factors. Indeed, type 2 diabetes has now been identified as one manifestation of the “metabolic syndrome”, a condition characterised by insulin resistance and associated with a range of cardiovascular factors (Jonathan 2003)

The receptors in the cells are covered in the insulin, that allows sugar in the blood to enter the cell for energy production. Diabetes mellitus prevents the cells from using the insulin; therefore, the sugar remains in the bloodstream. the insulin will move into through our cells when pancreas released more insulin that have been transformed from the food that we ate into glucose (sugar).

It is a silent, deadly killer that often escapes blame. It is type 2 diabetes. According to the World Health Organization, 347 million people have diabetes worldwide, and 90-95% of these cases are type 2 diabetes. To make matters worse, it is estimated that around 25% of all cases go undiagnosed before it is too late. Even then, one’s death is often attributed to other things such as heart disease, stroke, or kidney failure. Type 2 diabetes is a serious disease that causes the body to become insulin resistant, hindering the body’s ability to process sugar, and it can be largely attributed to lifestyle choices and genetic factors. Diabetes is the sixth leading cause of death, but this statistic is skewed in that the primary cause of death

Diabetes mellitus, is the fancy way to say diabetes but many people referred it as diabetes. Diabetes is a group of metabolic diseases which can cause you to have high blood sugar levels over a long period. The two main types of diabetes are type 1 and type 2. Type 1 results from the pancreas's failure to produce enough insulin. This form was previously referred to as "insulin-dependent diabetes mellitus" or "juvenile diabetes". The cause is unknown. Type 2 begins with insulin resistance, a condition in which the cells fail to respond to insulin properly. There is no known preventive for type 1 diabetes, Or Type 2 diabetes which accounts for 85-90% of all cases can often be prevented or delayed by maintaining a normal body weight, engaging

Diabetes is a disease in which the body has an inability to produce any or enough insulin which will cause the blood sugar to spike or rise rapidly. There are two different types of diabetes as mentioned The first type is type one which is when the person’s pancreas cannot produce any insulin cells at all and when it comes to type two, their body produces some insulin but due to reasons like weight or food habits, their body can’t produce enough properly. All in all, people with both types of diabetes struggle to produce insulin. “ The stomach and small intestine convert the carbohydrates you eat into glucose, a kind of sugar. Glucose is the body’s main fuel. When released into the bloodstream as “blood sugar,” glucose circulates through the body and feeds the cells. Insulin enables cells to take that glucose in.”(Teen Health and Wellness). This is important because everyone in the world has this

Type 2 diabetes is a silent killer that often has no symptoms. Diabetes is a life-long chronic disease that affects your whole body. Being overweight, eating unhealthy, and not exercising leads to a lot of health complications that may increase your risk of type 2 diabetes. Lifestyle choices such as healthy foods and moderate physical activity are important for an individual to stay healthy. Practicing a healthy lifestyle is essential in preventing the development of type 2 diabetes.

According to a study provided in USNews, there are regional issues when it comes to the rates of type-2 diabetes within the United States today (Seppa, 2011). The "diabetes belt" that can clearly be seen in the Southeast part of the country is one of these regional issues. Southern people, on average, tend to have a higher incidence of diabetes than people in other areas of the country. With that in mind, it is important to realize that there are various reasons why that is the case. It is not just one factor causing the problems, and it is not just the Southeast where diabetes is seen. There are other areas of the country where pockets of diabetes are seen, so no specific place or region of the country is immune to problems with diabetes. The following map shows the basic breakdown of diabetes across the country for the latest year where statistics on the issue are available (Seppa, 2011).

The American Heritage Dictionary definition of diabetes is "a chronic disease of pancreatic origin, marked by insulin deficiency, excess sugar in the blood and urine, weakness, and emaciation." When you have diabetes, your body cannot use the food that you eat in the proper way. In a person without diabetes, when he or she eats, the food is broken down into blood glucose or blood sugar. After the food is in the form of glucose, the glucose is carried to all the cells of the body for energy. In order for the cells to receive the glucose, a hormone made in the islet or B-cells of the pancreas called insulin acts a receptor on the cell membrane to let the glucose enter inside the cells. In contrast, in people with diabetes, the body does not

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.

Victoria is a 29 year old woman of Indian decent, her booking body mass index was 22.5 and her expectant due date was 22/09/2015. Victoria gave birth to a live male infant named Noah, on the 24/08/2015 at 35 weeks and six days gestation, classing him as a late preterm. He weighed 2740gms and plotted on the 82nd customised centile. Victoria had gestational diabetes mellitus (GDM), which is defined as “carbohydrate intolerance of variable severity with an onset or first recognition during pregnancy” (Pairman, Pincombe, Thorogood, & Tracy, 2015; Harley & Wiznitzer, 2010; Erem, Kuzu, Deger & Can, 2015). Globally GDM is a common condition raising serious concerns. It carries many associated maternal and neonatal/childhood morbidities, including the development of type two diabetes in both mother and child and in Victoria’s case, preterm birth (Poulakos, Mintziori, Tsirou, Taousani, Savvaki, Harizopoulou & Goulis, 2015; Roje & Vucinovic, 2011; Catalano, Patrick, McIntyre, David, Cruickshank, Kennedy, McCance & David, 2012). This is a case study that will analyse Victoria’s and Noah’s maternity experience including the diagnosis and treatment of her GDM, underlying physiology and pathophysiology of the condition and the controversy surronding best practice.