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Younger adults will show slower destruction of the ? cells in comparison to younger children . Today there are so many advances in the field of science which brought about the discovery of insulin, the glucometer devices which could even store data of previous readings, smart phones which could guide one to monitor ones diet, remind to take medicines and even plot their progress, have alternate sources to deliver insulin, alternate devices to check sugar levels painlessly and stem cell therapy and transplantation of the pancreas.
Those people who lose weight dramatically, do not thrive properly, get admitted for vomiting and abdominal pain are found to have diabetes mellitus type 1.
Blood tests such as GAD 65 antibodies ( Glutamate acid decarboxylase), IAA ( Insulin auto antibodies), ICA ( Islet cell antibodies) , are some of the commonly used tests run to diagnose type 1 diabetes. There are advances coming up in the self monitoring devices and also novel ways to administer insulin.
Young adults or children must be informed about a partial remission of the diabetes where either a low dose of insulin or no insulin may be needed in the early phase. One has to take multiple injections a day to match the food intake just because the pancreas refuses to secrete insulin which keeps the sugars down. Insulin has to be stored in the refrigerator ( not the freezer compartment) when not in use. Never skip a dose of insulin as the sugars may increase and cause even an unconscious state which can kill if not treated in time. Likewise, if you inject too much, the sugars can drop to dangerously low levels and can make you unconscious and can kill.
When sick, it is a common mistake to either reduce the dose of insulin or omit the dose as there is reduced food intake. Teenage girls can have eating disorders and may omit the dose of insulin with a hope to control their weight, with grave consequences. As you grow up or have stress during exams, job interviews, marriage or family matters, the sugar levels can increase. If having a party or attending a buffet, you are allowed to take insulin in two separate doses like 30% before the party and 70% after the party.
Self monitoring of blood glucose can help detect low sugar or high sugar levels, help titrate the dose of insulin, can be used to assess sugar levels when sick or pregnant and also to check how the levels are after a workout. Earlier good control of sugar levels will delay the onset of the feared complications of diabetes such as the retinopathy ( eye) , neuropathy( nerves), nephropathy( kidney), heart disease. Educational programs such as DAFNE ( Dose Adjustment For Normal Eating habits) help in flexible plans for diet which help to overcome the rigid dietary control and fixed doses of insulin. Do not exercise immediately after injecting insulin as it can get absorbed soon and cause low sugars. Warm up for 5 minutes, stretch for 5 minutes and then go into activity for about 20 minutes and allow 5 minutes for cooling down.
If the doctor says you have retinopathy ( eyes are affected by Diabetes), avoid lifting heavy weights and strenuous workouts. If hypoglycemia ( when sugar levels fall down) develops, drink orange juice or take sugar or dates.
If less than 8 years of age or weighing less than 25 kg give 500 mcg of glucagon Intramuscularly. This infographic shows that tall people have a lower risk for cardiovascular disease and type 2 diabetes, but a higher risk of cancer due to dietary and interacting factors such as genetics and stress. Scientists at the German Center for Diabetes Research (DZD) and the Harvard School of Public Health describe the relationship of the worldwide increase in height with the development of leading chronic non-communicable diseases in the journal The Lancet Diabetes & Endocrinology. Height is largely genetically determined, but in recent decades the height of children and adults has steadily increased throughout the world: In adulthood the children are almost always significantly taller than their parents. These observations led the DZD scientists Professor Norbert Stefan and Professor Hans-Ulrich HA¤ring of the Department of Internal Medicine IV in TA?bingen and the Institute for Diabetes Research and Metabolic Diseases of Helmholtz Zentrum MA?nchen at the University of TA?bingen (IDM) and Professor Matthias Schulze of the German Institute of Human Nutrition in Potsdam (DIfE), in collaboration with Professor Frank Hu of the Harvard School of Public Health and Medical School in Boston, USA, to analyze the causes and medical effects of this increase in height.
The study shows that height has an important impact on the mortality from certain common diseases, irrespective of body fat mass and other modulating factors. The authors suspect that the increase in body height is a marker of overnutrition of high-calorie food rich in animal protein during different stages of growth. The scientists advocate considering the factor growth and adult height more than hitherto in the prevention of the above-mentioned major diseases. University of Queensland scientists have found a genetic basis for height and body mass differences between European populations. Being tall is linked to a higher risk of cancer, especially for women, said research Thursday drawn from physical and health data for five million people in Sweden. If you eat more meals prepared at home, you may reduce your risk of developing Type 2 diabetes, according to research presented at the American Heart Association's Scientific Sessions 2015.


The significant role of beta cell 'hubs' in the pancreas has been demonstrated for the first time, suggesting that diabetes may due to the failure of a privileged few cells, rather than the behaviour of all cells. Tufts OCW material is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported License. Did you know that if you have diabetes you have a greater chance of dying from heart disease or stroke and it doesn’t make any difference if you are a woman or a man?
Type 1 diabetes is know as juvenile-onset diabetes and usually affects children and young adults and is genetically-linked.
Depression: Depression doubles the risk of a person getting diabetes and after being diagnosed with diabetes a person will go through major lifestyle changes which will cause them to be more depressed.
Diet changes and taking medicines are among the things that cause them to be more depressed. Obesity: Obesity is a major risk factor for cardiovascular disease and strongly associated with insulin resistance.
Along with loosing weight, exercise has helped to reduce blood pressure and the risk of heart attack and stroke. Hypertension: High blood pressure has long been recognized as a major risk factor for heart disease and stroke.
A symptom of diabetes is the skin of a diabetic person becomes very dry and flaky due to excessive loss of water, leading to dehydration which could result in a coma. Most of the cases of type 1 diabetes are caused by unknown triggers which results in varying amounts of destruction of beta cells in a genetically susceptible person. They all  went through a tough time when diabetes management was at a very primitive stage. It is generally seen younger the patient at time of diagnosis of diabetes, higher the chances of having type 1 diabetes.
However, all these may not be positive in the early stages as that depends on the damage to the islet cells of pancreas. This is called the “honeymoon” phase of diabetes when there will be some activity of the pancreas but not enough to maintain sugar levels. Some may need to take a combination of long acting insulin at night time and one with each main meal of the day.
If you take 30 units at night of rapid insulin, take 10 units before the party and 20 units after the party to cover the food intake. Ideally, a pre meal and 2 hour post meal sugar check will be needed.( 7 tests a day) This will have to be done at the initial stages till you know the “signals” your body sends.
It is important to have the eyes checked, the feet checked and urine checked for microalbumin leak once annually after the age of 12 years.
If the blood sugars are high and if there are ketones in the blood the following can be done before going to the hospital. If weighing more than 25 kg or more than 8 years of age, give 1 mg of glucagon intra muscularly. However, it is better to check the sugar levels an hour, half an hour and just before diving. Tall people have a lower risk for cardiovascular disease and type 2 diabetes, but a higher risk of cancer. Previous studies have shown clearly that tall people, in comparison to short people, have a lower risk of cardiovascular disease and type 2 diabetes but have a higher cancer risk.
In particular, physicians should be made more aware of the fact that tall people - although less often affected by cardiovascular disease or type 2 diabetes - have an increased risk of cancer.
One reason is high blood levels of sugar make the walls of your blood vessels thicker and cause them to lose their elasticity, which in turn makes it harder for blood to pass through. The following are some conditions that are typically found in people with type 2 diabetes, which is know as adult-onset diabetes, heart disease and stroke.
If you think you might have diabetes, go to your doctor right away to find out and it never hurts to have your heart checked out at the same time.
However, in some cases the pancreas can be damaged by auto immune diseases in which the body cells are destroyed by some cells due to unknown causes.
There were no sophisticated blood glucose monitors, no good hospitals or technology to support them, no education materials, no support groups or no insulin as well. There are a lot of young people and adults who are being diagnosed as having type 1 diabetes. There are some people who are diagnosed with diabetes when they visit the hospital with either failing vision or kidney problems.


The estimation of Insulin levels and its precursor, C peptide done in fasting and after food are also used to define type 1 diabetes. There different insulin preparations which have been detailed in the post titled,”insulin in diabetes”. It can get frustrating and depressing at times and definitely may even lead to quarrels with parents. Before exercising, check your sugar levels , if high, check on blood ketone levels as well. The authors discuss which dietary factors and other mechanisms may explain these associations. Among other consequences, activation of this system causes the body to become more sensitive to insulin action, thus positively influencing the lipid metabolism.
Hitherto, the importance of diet has been underestimated, especially during pregnancy and in children and adolescents.
A simple viral fever may cause the virus to attack the heart or pancreas leading onto diabetes. People had to monitor the urine and be on a starvation diet to try and find a cure for this. Islet cell transplantation and pancreas transplantation have also been done at selected centers round the world, but the prohibitive costs, the post transplantation medications to reduce the rejection and the uncertainty of life long cure have not led to much enthusiasm.
There are machines that require a lot of blood sample for the testing and some which need very less. If sugars are low before the exercise, have a carb snack ( biscuits or juice) before the program. Interestingly, in the Netherlands the per capita consumption of milk and dairy products is the highest in the world.
Normally the rapid acting insulin is given on the abdomen and the long acting given on the thighs. The most recent guidelines state a 3 month average sugar level of 7.5% for any age of child till the age of 18. Preferably do not use heavy weights while exercising as it increases the pressure in your eyes which can cause a bleed into the eyes. However if you look at it as a fact of life that requires attention and discipline, the child will be prepared for a healthier future. These findings fit in with published data that suggest that tall people have relative protection against disorders of the lipid metabolism. The people who have lived long to see the 2 world wars, have told they have learned this from life: “ Learn to live in spite of having Diabetes” and “take one step at a time” and “Live life to its fullest- enjoy every moment of it and thank the Almighty”.
Some may need insulin to be administered by a pump which delivers insulin in small doses based on food intake and physical activity. This is a very sensitive area and the repeated pricks for the rest of your lives can affect the sensation of these wonderful parts. If you cannot feel either hot or cold sensations, please mention to your doctor or nurse urgently. You will need to have a glucometer machine that will check the blood sugar and blood ketones as well. The result is an inverse association with the risk of cardiovascular disease and type 2 diabetes, but a positive association with the risk of cancer.
Most of the machines have data storage facilities and also some can be connected to a network and data can be transferred to a remote system such as ones parents or doctors or nurse.
If not feeling well, losing consciousness or dehydrated or vomiting with abdominal pain, go immediately to the hospital.
If vomiting or abdominal pain or losing consciousness, get the child to hospital immediately. If there is a problem such as difficulty in seeing while at class, please inform the teacher or parents. The child should be allowed to snack if low sugar levels are detected while in class, must have their parents notified in an emergency, but must not be restricted from regular playing and activities.



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