DIABETES

What is Diabetes?

Diabetes is a condition where there is too much sugar in the form of glucose present in the bloodstream.

Your body obtains its glucose from a wide variety of foods containing carbohydrate (these are food types that contain starch or sugar), this glucose travels through your blood to your muscles and your brain where it is used by your body as fuel.

Your pancreas produces insulin which your body uses to control the amount of glucose in the bloodstream.

Insulin is needed by your body to allow glucose to enter the muscle where it is used as fuel.

How many people in Australia suffer from diabetes?

There are nearly one million Australians over the age of 25 with diabetes . . . approximately 7.5% of the Australian population.
In the last 20 years the number of Australian adults with diabetes has trebled. For every known case of diabetes there is one undiagnosed.
Nearly 1 in 4 Australian adults has either diabetes or impaired glucose metabolism. This condition is associated with substantial increased risk of future diabetes and heart disease.


How many different types of diabetes are there?

Type 1, Type 2 and Gestational Diabetes. There is also a related condition known as impaired glucose tolerance.

How would I know if I had Diabetes?

An important message for people who are at risk of Type 2 diabetes . . .

Relying on the presence of symptoms is no way to be sure if you have diabetes.
You could have diabetes without displaying or feeling any symptoms . . .you must be tested annually for early detection of diabetes.

An important message for people who have Type 2 diabetes . . .

Relying on the presence of symptoms is no way to gauge diabetes control.
You must have your blood glucose monitored regularly . . . this is the only way to be certain how well controlled your diabetes is . . . you may have poor control without displaying or feeling any symptoms.


How does your body control glucose levels in the blood?

Where does your body obtain its glucose?

Your body obtains glucose comes from foods that contain carbohydrate. Carbohydrate is another name for starch and sugar.

What types of foods contain starch or sugar?
Rice, grains, cereals and bread, pasta and many starch containing vegetables such as corn or potatoes.

What types of foods contain sugar?

Soft drinks, sweet biscuits, cakes,ice cream, lollies and confectionery including many snack bars all contain added sugars. Fruit,milk and yogurts only contain natural sugars.

What is Type 1 Diabetes?
 

People with a specific genetic risk are most often at risk from Diabetes. It is thought an environmental trigger, such as a 'flu virus, is the cause of Diabetes in many people.The immune system starts destroying your bodies beta cells (the cells that produce Insulin). Insulin is a hormone produced by the pancreas, an organ that lies close to the stomach.
Insulin is a hormone produced in the Pancreas and is needed to transport your body's glucose to the cells that manufacture your body's energy.

Blood glucose levels rise
without insulin and the following symptoms will occur . . .
Loss of weight
Urinating excessively
A feeling of constant tiredness.
Continual thirst.
Dehydration.
Nausea and vomiting can often occur.

How common is it?
Type 1 diabetes can occur at any age but is mainly found in children, adolescents and young adults..
Type 1 diabetes accounts for 10-15% of all people with diabetes.
How is it treated?
Medical support from a diabetes team, consisting of a specialist physician, dietitian, GP, diabetes educator, ophthalmologist and a podiatrist as well as lifelong daily insulin injections and a healthy lifestyle is the recommended treatment.

What is Type 2 Diabetes?

Type 2 diabetes is thought of as a lifestyle disease and is often associated with poor nutrition, excessive weight (particularly around the abdomen) and inactivity.
Type 2 diabetes is a disease of insulin resistance and is a progressive condition. The management of your body's blood glucose will change, over time, and can range from diet and exercise to oral medications, and possibly insulin injections.
Type 2 diabetes normally will develop slowly over a period of many years. Quite often symptoms are not apparent or may simply go unnoticed until blood glucose reaches a high level.

Symptoms of Type 2 diabetes are insidious and often not detected . . .

Increased urination
Thirst
Blurred vision
Slow healing
Re-occurring skin infections.
Loss of weight (not usual)
Constant tiredness and a general unwell feeling.

Type 2 diabetes
is also associated with the Metabolic Syndrome. The Metabolic Syndrome is a combination of high blood pressure, high cholesterol or triglycerides, as well as raised blood glucose levels.
How common is it?
Type 2 diabetes mostly occurs in adults over 45 years and is the most common form of diabetes, with 85-90% of people diagnosed having Type 2 diabetes.
People who have a history of diabetes in their immediate family are most at risk of Type 2 diabetes.
Australian Aboriginal and Torres Strait Islanders are most at risk of developing Type 2 diabetes. People from certain ethnic backgrounds also face a significantly greater risk of developing Type 2 diabetes.

How is it treated?
A combination of regular physical activity combined with a healthy diet, as diabetes progresses, oral medications and then insulin may be necessary.

What is Gestational Diabetes?

Gestational diabetes is a type of diabetes that occurs during pregnancy.
Around the 24th - 28th week of pregnancy approximately 3 - 8% of pregnant women will develop gestational diabetes, in most cases this will disappear after the birth.
Although gestational diabetes brings with it an Increased risk of pregnancy complications, when the diabetes is well controlled these risks are considerably reduced. Also present is a significant increase in a woman's long term risks of developing Type 2 diabetes later in her life.

What is Impaired Glucose Intolerance?

Impaired glucose tolerance (IGT) is a condition that occurs when your blood glucose level is higher than it should normally be, but is not high enough to be diagnosed as diabetes.

Testing for IGT
Often there are no symptoms associated with IGT. Diagnosis of IGT can only be made after an Oral Glucose Tolerance test (OGTT) This involves having your blood tested when fasting and then two hours after consuming a concentrated glucose drink.

Associated Risks
One in three people with IGT are at risk of developing Type 2 diabetes within 10 years of diagnosis.
IGT increases the incidence of blood vessel and heart disease (your cardiovascular system), this can lead to a heart attack or stroke.
Increased blood pressure.
Elevated blood fats (cholesterol and triglycerides)

People at Risk
Physically inactive and overweight people. People who carry excess weight around the waistline are most at risk.
Similar to Type 2 diabetes, IGT is a result of insulin not working effectively. Also known as insulin resistance.

What is Hypoglycaemia?

Hypoglycaemia or low blood glucose can occur in people with diabetes using insulin, sulfonyureas or repaglinide.
People using these medications must be aware of hypoglycaemia, the symptoms and signs of hypoglycaemia and the importance of not delaying treatment.

If someone you know is suffering frequent hypos or have questions about hypos, refer them to the nearest diabetes education service or to their family doctor.

Hypoglycaemia Products
There are a number of 'hypo' treatment products available, many come in the form of drinks, gels or tablets.
Knowing the correct 'dose' for treatment of a hypo is very important. Treatment guidelines for hypoglycaemia recommend 15 grams of an easily digestible carbohydrate be taken by mouth. This can be anywhere from 3 - 10 'glucose or dextrose tabs' . . . depending on the brand.
It is important that the product is easy to open, easy to carry, and easy to ingest and be of a reasonable cost. Jelly beans are frequently recommended, but liquids are often easier and faster acting.

Medical Identification
It is highly recommended that all people at risk of hypoglycaemia wear some kind of medical identification. In cases of emergency, medical ID can alert ambulance attendants, police officers and others of the need for early intervention.



Further detailed information on Diabetes can be found at the following organisations:
International Diabetes Institute 250 Kooyong Road, Caulfield 3162  Phone: 03 9258 5030  www.diabetes.com.au

Diabetes Australia-NSW 26 Arundel Street Glebe, NSW 2037  Ph: 02 9552 9900  www.diabetesnsw.com.au