Diabetes: This Ailment is dangerous to health

Diabetes, often referred to by doctors as diabetes mellitus, describes a group of metabolic diseases in which the person has high blood glucose (blood sugar), either because insulin production is inadequate, or because the body’s cells do not respond properly to insulin, or both. Patients with high blood sugar will typically experience polyuria (frequent urination), they will become increasingly thirsty (polydipsia) and hungry (polyphagia).

Fast facts on diabetes

Here are some key points about diabetes. More detail and supporting information is in the main article.

• Diabetes is a long-term condition that causes high blood sugar levels.
• In 2013 it was estimated that over 382 million people throughout the world had diabetes (Williams textbook of endocrinology).
• Type 1 Diabetes – the body does not produce insulin. Approximately 10% of all diabetes cases are type 1.
• Type 2 Diabetes – the body does not produce enough insulin for proper function. Approximately 90% of all cases of diabetes worldwide are of this type.
• Gestational Diabetes – this type affects females during pregnancy.
• The most common diabetes symptoms include frequent urination, intense thirst and hunger, weight gain, unusual weight loss, fatigue, cuts and bruises that do not heal, male sexual dysfunction, numbness and tingling in hands and feet.
• If you have Type 1 and follow a healthy eating plan, do adequate exercise, and take insulin, you can lead a normal life.
• Type 2 patients need to eat healthily, be physically active, and test their blood glucose. They may also need to take oral medication, and/or insulin to control blood glucose levels.
• As the risk of cardiovascular disease is much higher for a diabetic, it is crucial that blood pressure and cholesterol levels are monitored regularly.
• As smoking might have a serious effect on cardiovascular health, diabetics should stop smoking.
• Hypoglycemia – low blood glucose – can have a bad effect on the patient. Hyperglycemia – when blood glucose is too high – can also have a bad effect on the patient.

There are three types of diabetes:

1) Type 1 diabetes

The body does not produce insulin. Some people may refer to this type as insulin-dependent diabetes, juvenile diabetes, orearly-onset diabetes. People usually develop type 1 diabetes before their 40th year, often in early adulthood or teenage years.

Type 1 diabetes is nowhere near as common as type 2 diabetes. Approximately 10% of all diabetes cases are type 1.

Patients with type 1 diabetes will need to take insulin injections for the rest of their life. They must also ensure proper blood-glucose levels by carrying out regular blood tests and following a special diet.

2) Type 2 diabetes

The body does not produce enough insulin for proper function, or the cells in the body do not react to insulin (insulin resistance).

Approximately 90% of all cases of diabetes worldwide are type 2.

Measuring the glucose level in blood

Some people may be able to control their type 2 diabetes symptoms by losing weight, following a healthy diet, doing plenty of exercise, and monitoring their blood glucose levels. However, type 2 diabetes is typically a progressive disease – it gradually gets worse – and the patient will probably end up have to take insulin, usually in tablet form.

Overweight and obese people have a much higher risk of developing type 2 diabetes compared to those with a healthy body weight. People with a lot of visceral fat, also known as central obesity, belly fat, or abdominal obesity, are especially at risk. Being overweight/obese causes the body to release chemicals that can destabilize the body’s cardiovascular and metabolic systems.

Urinary Tract Infection in Teens and Adults

Your urinary tract  is the system that makes urine and carries it out of your body. It includes your bladder and kidneys and the tubes that connect them. When germs get into this system, they can cause an infection.

Most urinary tract infections are bladder infections. A bladder infection usually is not serious if it is treated right away. If you do not take care of a bladder infection, it can spread to your kidneys. A kidney infection is serious and can cause permanent damage.

Usually, germs get into your system through your urethra, the tube that carries urine from your bladder to the outside of your body. The germs that usually cause these infections live in your large intestine and are found in your stool. If these germs get inside your urethra, they can travel up into your bladder and kidneys and cause an infection.

Women tend to get more bladder infections than men. This is probably because women have shorter urethra, so it is easier for the germs to move up to their bladders. Having sex can make it easier for germs to get into a woman’s urethra.

You may be more likely to get an infection if you have diabetes or you are pregnant. The chance that you will get a bladder infection is higher if you have any problem that blocks the flow of urine from your bladder. Examples include having kidney stones or an enlarged prostate gland.

For reasons that are not well understood, some women get bladder infections again and again.

You may have an infection if you have any of these symptoms:

• You feel pain or burning when you urinate.
• You feel like you have to urinate often, but not much urine comes out when you do.
• You have pain in your lower belly.
• Your urine is cloudy, looks pink or red, or smells bad.
• You have pain on one side of your back under your ribs. This is where your kidneys are.
• You have fever and chills.
• You have nausea and vomiting.

Get medical attention right away if you think you have an infection and:

• You have a fever, nausea and vomiting, or pain in one side of your back under your ribs.
• You have diabetes, kidney problems, or a weak immune system.
• You are older than 65.
• You are pregnant.

Your doctor will ask for a sample of your urine. It is tested to see if it has germs that cause bladder infections.

If you have infections often, you may need extra testing to find out why.

Antibiotics prescribed by your doctor will usually cure a bladder infection. It may help to drink lots of water and other fluids and to urinate often, emptying your bladder each time.

If your doctor prescribes antibiotics, take the pills exactly as you are told. Do not stop taking them just because you feel better. You need to finish taking them all so that you do not get sick again.

You may be able to help prevent these infections.

• Take time to empty your bladder as much as possible when you urinate.
• If you are a sexually active woman, make it a point to urinate shortly after having sex.
• If you are a woman past menopause who is having repeated UTIs, using vaginal estrogen may help.

Cause

Bacteria that enter the urethra and travel up the urinary tract  are the usual cause of urinary tract infections (UTIs). Bacteria that normally live in the large intestine  and are present in feces (stool) are the most common source of infection. Sexual intercourse may move bacteria into the urinary tract, especially in women. Catheters, which are small, flexible tubes inserted into the bladder to allow urine to drain, are a common source of bacterial infection in people who are in hospitals or who live in long-term care facilities.

Sometimes bacteria traveling through the blood or lymph system cause kidney or bladder infections.