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Diabetes mellitus Wikipedia. Diabetes mellitus. Universal blue circle symbol for diabetes. Pronunciation. Specialty. Endocrinology. Symptoms. Frequent urination, increased thirst, increased hunger2Complications. Diabetic ketoacidosis, nonketotic hyperosmolar coma, heart disease, stroke, chronic kidney failure, foot ulcers32Diagnostic method. High blood sugar2Treatment. Healthy diet, physical exercise2Medication. Insulin, metformin24Frequency. Deaths. 1. 55. 0 million per year65Diabetes mellitus DM, commonly referred to as diabetes, is a group of metabolic disorders in which there are high blood sugar levels over a prolonged period. Symptoms of high blood sugar include frequent urination, increased thirst, and increased hunger. If left untreated, diabetes can cause many complications. Acute complications can include diabetic ketoacidosis, hyperosmolar hyperglycemic state, or death. Serious long term complications include cardiovascular disease, stroke, chronic kidney disease, foot ulcers, and damage to the eyes. Diabetes is due to either the pancreas not producing enough insulin or the cells of the body not responding properly to the insulin produced. There are three main types of diabetes mellitus 2Type 1 DM results from the pancreass failure to produce enough insulin. This form was previously referred to as insulin dependent diabetes mellitus IDDM or juvenile diabetes. The cause is unknown. Type 2 DM begins with insulin resistance, a condition in which cells fail to respond to insulin properly. As the disease progresses a lack of insulin may also develop. This form was previously referred to as non insulin dependent diabetes mellitus NIDDM or adult onset diabetes. The most common cause is excessive body weight and not enough exercise. Gestational diabetes is the third main form and occurs when pregnant women without a previous history of diabetes develop high blood sugar levels. Prevention and treatment involve maintaining a healthy diet, regular physical exercise, a normal body weight, and avoiding use of tobacco. Control of blood pressure and maintaining proper foot care are important for people with the disease. Type 1 DM must be managed with insulin injections. Type 2 DM may be treated with medications with or without insulin. Insulin and some oral medications can cause low blood sugar. Weight loss surgery in those with obesity is sometimes an effective measure in those with type 2 DM. Gestational diabetes usually resolves after the birth of the baby. Gta San Andreas Vehicle Mods Install on this page. As of 2. 01. 5update, an estimated 4. DM making up about 9. This represents 8. As of 2. 01. 4update, trends suggested the rate would continue to rise. Diabetes at least doubles a persons risk of early death. From 2. The global economic cost of diabetes in 2. US6. 12 billion. 1. In the United States, diabetes cost 2. Signs and symptoms. Overview of the most significant symptoms of diabetes. The classic symptoms of untreated diabetes are weight loss, polyuria increased urination, polydipsia increased thirst, and polyphagia increased hunger. Symptoms may develop rapidly weeks or months in type 1 DM, while they usually develop much more slowly and may be subtle or absent in type 2 DM. Several other signs and symptoms can mark the onset of diabetes although they are not specific to the disease. In addition to the known ones above, they include blurry vision, headache, fatigue, slow healing of cuts, and itchy skin. Prolonged high blood glucose can cause glucose absorption in the lens of the eye, which leads to changes in its shape, resulting in vision changes. A number of skin rashes that can occur in diabetes are collectively known as diabetic dermadromes. Diabetic emergencies. Low blood sugar is common in persons with type 1 and type 2 DM. Most cases are mild and are not considered medical emergencies. Effects can range from feelings of unease, sweating, trembling, and increased appetite in mild cases to more serious issues such as confusion, changes in behavior such as aggressiveness, seizures, unconsciousness, and rarely permanent brain damage or death in severe cases. Moderate hypoglycemia may easily be mistaken for drunkenness 2. Mild to moderate cases are self treated by eating or drinking something high in sugar. Severe cases can lead to unconsciousness and must be treated with intravenous glucose or injections with glucagon. People usually with type 1 DM may also experience episodes of diabetic ketoacidosis, a metabolic disturbance characterized by nausea, vomiting and abdominal pain, the smell of acetone on the breath, deep breathing known as Kussmaul breathing, and in severe cases a decreased level of consciousness. A rare but equally severe possibility is hyperosmolar hyperglycemic state, which is more common in type 2 DM and is mainly the result of dehydration. Complications. All forms of diabetes increase the risk of long term complications. These typically develop after many years 1. The major long term complications relate to damage to blood vessels. Diabetes doubles the risk of cardiovascular disease2. Other macrovascular diseases are stroke, and peripheral artery disease. The primary complications of diabetes due to damage in small blood vessels include damage to the eyes, kidneys, and nerves. Damage to the eyes, known as diabetic retinopathy, is caused by damage to the blood vessels in the retina of the eye, and can result in gradual vision loss and blindness. Damage to the kidneys, known as diabetic nephropathy, can lead to tissue scarring, urine protein loss, and eventually chronic kidney disease, sometimes requiring dialysis or kidney transplantation. Damage to the nerves of the body, known as diabetic neuropathy, is the most common complication of diabetes. The symptoms can include numbness, tingling, pain, and altered pain sensation, which can lead to damage to the skin. Diabetes related foot problems such as diabetic foot ulcers may occur, and can be difficult to treat, occasionally requiring amputation. Additionally, proximal diabetic neuropathy causes painful muscle atrophy and weakness. There is a link between cognitive deficit and diabetes. Compared to those without diabetes, those with the disease have a 1. Being diabetic, especially when on insulin, increases the risk of falls in older people. Causes. Comparison of type 1 and 2 diabetes1. Feature. Type 1 diabetes. Type 2 diabetes. Onset. Sudden. Gradual. Age at onset. Mostly in children. Mostly in adults. Body size. Thin or normal3. Often obese. Ketoacidosis. Common. Rare. Autoantibodies. Usually present. Absent. Endogenous insulin. Low or absent. Normal, decreasedor increased. Concordancein identical twins. Prevalence1. 09. Diabetes mellitus is classified into four broad categories type 1, type 2, gestational diabetes, and other specific types. The other specific types are a collection of a few dozen individual causes. Diabetes is a more variable disease than once thought and people may have combinations of forms. The term diabetes, without qualification, usually refers to diabetes mellitus. Type 1. Type 1 diabetes mellitus is characterized by loss of the insulin producing beta cells of the pancreatic islets, leading to insulin deficiency. This type can be further classified as immune mediated or idiopathic.