Neo Diabetic Buster®

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Diabetes happens when your body isn’t able to take up sugar (glucose) into its cells and use it for energy. This results in a build up of extra sugar in your bloodstream.

Mismanagement of diabetes can lead to serious consequences, causing damage to a wide range of your body’s organs and tissues — including your heart, kidneys, eyes and nerves.

What are the different types of diabetes?

The types of diabetes are:

  • Type 1 diabetes: This type is an autoimmune disease, meaning your body attacks itself. In this case, the insulin-producing cells in your pancreas are destroyed. Up to 10% of people who have diabetes have Type 1. It’s usually diagnosed in children and young adults (but can develop at any age). It was once better known as “juvenile” diabetes. People with Type 1 diabetes need to take insulin every day. This is why it is also called insulin-dependent diabetes.
  • Type 2 diabetes: With this type, your body either doesn’t make enough insulin or your body’s cells don’t respond normally to the insulin. This is the most common type of diabetes. Up to 95% of people with diabetes have Type 2. It usually occurs in middle-aged and older people. Other common names for Type 2 include adult-onset diabetes and insulin-resistant diabetes. Your parents or grandparents may have called it “having a touch of sugar.”
  • Prediabetes: This type is the stage before Type 2 diabetes. Your blood glucose levels are higher than normal but not high enough to be officially diagnosed with Type 2 diabetes.
  • Gestational diabetes: This type develops in some women during their pregnancy. Gestational diabetes usually goes away after pregnancy. However, if you have gestational diabetes you’re at higher risk of developing Type 2 diabetes later on in life.

Who gets diabetes? What are the risk factors?

Risk factors for Type 1 diabetes include:

  • Having a family history (parent or sibling) of Type 1 diabetes.
  • Injury to the pancreas (such as by infection, tumor, surgery or accident).
  • Presence of autoantibodies (antibodies that mistakenly attack your own body’s tissues or organs).
  • Physical stress (such as surgery or illness).
  • Exposure to illnesses caused by viruses.

Risk factors for prediabetes and Type 2 diabetes include:

  • Family history (parent or sibling) of prediabetes or Type 2 diabetes.
  • Being Black, Hispanic, Native American, Asian-American race or Pacific Islander.
  • Having overweight/obesity.
  • Having high blood pressure.
  • Having low HDL cholesterol (the “good” cholesterol) and high triglyceride level.
  • Being physically inactive.
  • Being age 45 or older.
  • Having gestational diabetes or giving birth to a baby weighing more than 9 pounds.
  • Having polycystic ovary syndrome.
  • Having a history of heart disease or stroke.
  • Being a smoker.

Risk factors for gestational diabetes include:

  • Family history (parent or sibling) of prediabetes or Type 2 diabetes.
  • Being African-American, Hispanic, Native American or Asian-American.
  • Having overweight/obesity before your pregnancy.
  • Being over 25 years of age.

What causes diabetes?

The cause of diabetes, regardless of the type, is having too much glucose circulating in your bloodstream. However, the reason why your blood glucose levels are high differs depending on the type of diabetes.

  • Causes of Type 1 diabetes: This is an immune system disease. Your body attacks and destroys insulin-producing cells in your pancreas. Without insulin to allow glucose to enter your cells, glucose builds up in your bloodstream. Genes may also play a role in some patients. Also, a virus may trigger the immune system attack.
  • Cause of Type 2 diabetes and prediabetes: Your body’s cells don’t allow insulin to work as it should to let glucose into its cells. Your body’s cells have become resistant to insulin. Your pancreas can’t keep up and make enough insulin to overcome this resistance. Glucose levels rise in your bloodstream.
  • Gestational diabetes: Hormones produced by the placenta during your pregnancy make your body’s cells more resistant to insulin. Your pancreas can’t make enough insulin to overcome this resistance. Too much glucose remains in your bloodstream.

How is diabetes diagnosed?

Diabetes is diagnosed and managed by checking your glucose level in a blood test. There are three tests that can measure your blood glucose level: fasting glucose test, random glucose test and A1c test.

  • Fasting plasma glucose test: This test is best done in the morning after an eight hour fast (nothing to eat or drink except sips of water).
    Random plasma glucose test: This test can be done any time without the need to fast.
  • A1c test: This test, also called HbA1C or glycated hemoglobin test, provides your average blood glucose level over the past two to three months. This test measures the amount of glucose attached to hemoglobin, the protein in your red blood cells that carries oxygen. You don’t need to fast before this test.
  • Oral glucose tolerance test: In this test, blood glucose level is first measured after an overnight fast. Then you drink a sugary drink. Your blood glucose level is then checked at hours one, two and three.
  • Gestational diabetes tests: There are two blood glucose tests if you are pregnant. With a glucose challenge test, you drink a sugary liquid and your glucose level is checked one hour later. You don’t need to fast before this test. If this test shows a higher than normal level of glucose (over 140 ml/dL), an oral glucose tolerance test will follow (as described above).
  • Type 1 diabetes: If your healthcare provider suspects Type 1 diabetes, blood and urine samples will be collected and tested. The blood is checked for autoantibodies (an autoimmune sign that your body is attacking itself). The urine is checked for the presence of ketones (a sign your body is burning fat as its energy supply). These signs indicate Type 1 diabetes.