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Type 2 diabetes: What is it?Diabetes is a chronic condition that affects the body's ability to convert sugar into energy. To provide even greater transparency and choice, we are working on a number of other cookie-related enhancements. Commercial Weight Loss Programs - Before signing on the dotted line be sure to read this article about commercial weight loss centers and programs. AN can be both a benign condition (merely a visual evidence of another underlying medical problem) or a malignant condition. Some people who are diagnosed with diabetes haven’t experienced any diabetes symptoms — their diabetes was diagnosed from the results of a simple blood test. If you begin to notice any one of the above mentioned symptoms please contact your primary care physician.
The academic mission of our laboratory is to forward the understanding and treatment of obesity and related metabolic disorders by combining basic science research with clinical expertise.
Tissue-specific abnormalities in intracellular steroid and lipid metabolism lead to local metabolic abnormalities and eventually to systemic metabolic abnormalities. 1) The role of tissue-specific glucocorticoid metabolism in the pathogenesis of obesity and the metabolic syndrome. Glucocorticoids (GCs) are adrenal steroid hormones that are well known to regulate multiple metabolic processes.
The identification of adipose triglyceride lipase (ATGL, PNPLA2) has led to a complete revision of the traditional model of lipolysis: In the basal state, CGI-58 is closely associated with perilipin A on the lipid droplet where perlipin A has a barrier function to lipolysis.
Insulin Resistance: Insulin resistance refers to cells not binding with insulin, which is a hormone that transports glucose (sugars). Vitamin D Receptor Polymorphism is a genetic alteration in the body's receptors that causes vitamin D deficiency.
Gluten Intolerance & Celiac Disease: When someone is gluten intolerant antibodies produced against gluten appear to stimulate B-cell production to tag thyroid tissue for destruction.
Iodine: Although iodine deficiency is the leading cause of hypothyroidism in the world, it's NOT the leading cause of hypothyroidism in the United States where we have iodized salt. Heavy Metals & Environmental Toxicity: Most of us are exposed to harmful chemicals on a daily basis, just through the air we breathe and what we eat and drink. Estrogen Dominance: Usually estrogen and progesterone work in synchrony in both women and men.
Pregnancy in a woman genetically predisposed to Hashimoto's can be the turning point in the symptoms manifesting.
Gastrointestinal System: Healthy gut bacteria and gut lining are important in the management of any autoimmune disease.
Coronary artery disease (CAD) is a condition where plaque builds up inside the coronary arteries which supplies the heart with oxygen-rich blood. This allows sugar levels to build up in the blood, which can lead to heart disease, blindness and other serious complications. It is intended for general information purposes only and does not address individual circumstances. Since your kidneys must remove the excess glucose from your blood, it ends up in your urine, which can cause more frequent urination with more volume.
When you lose an increased amount of fluid through frequent urination, you may become dehydrated and thirsty.
Since your body is unable to use your blood glucose effectively, it begins to break down your energy stores such as fat, which can result in weight loss or a failure to gain weight in growing children.
Feeling tired is a common diabetes symptom because your body cannot convert the glucose in your blood into usable energy.
Along with hunger and fatigue, it is not uncommon to feel irritable when you have diabetes. Hope is an innovative and federally-qualified community health center offering comprehensive medical, dental, pharmacy and clinical research. Obesity has reached epidemic proportions and is frequently associated with multiple metabolic abnormalities including insulin resistance, glucose intolerance, dyslipidemia, and hypertension. Serum GC concentrations are regulated by the classical hypothalamic-pituitary-adrenal feedback loop. Lipids serve a variety of critical metabolic functions including energy storage, cell signaling, and membrane composition. Hormone sensitive lipase (HSL) is primarily located in the cytosol and ATGL is primarily localized to the lipid droplet but not in proximity CGI-58.
When sugars are not utilized in the body normally, a person usually feels fatigued after meals, gains weight that is difficult to lose, increased blood pressure, and increased cholesterol. Some common symptoms of gluten intolerance are: hot flashes, tremors, anxiety, and increased heart rate. Iodine stimulates an enzyme called thyroid peroxidase (TPO) which helps produce T4 and T3 in the thyroid. Once in our bodies, the harmful chemicals are called antigens and may bypass our immune system barriers and create chronic and powerful immune response issues. A dominance of estrogen with a relative deficiency of progesterone can cause health problems like Hashimoto's along with many other conditions such as endometriosis and infertility. Specific bacteria in the gut can actually stimulate the production of proteins that can either help or, when not functioning properly, hinder thyroid health.
Heart failure is a condition in which the heart cannot pump enough blood throughout the body.

It is not a substitute for professional medical advice, diagnosis or treatment and should not be relied on to make decisions about your health. Your body is unable to use the glucose you have and is trying to tell you it needs more fuel. These metabolic abnormalities, known as the metabolic syndrome, are major contributors to morbidity and mortality.
The metabolic syndrome (visceral obesity, insulin resistance, glucose intolerance, dyslipidemia, and hypertension) is a major contributor to morbidity and mortality from a variety of causes including cardiovascular disease, liver disease, and diabetes.
GC action in target tissues, however, depends not only on circulating GC concentrations and cellular GC receptor expression, but also on tissue-specific intracellular GC metabolism by 11βHSDs. Abnormalities in lipid metabolism and intracellular lipid accumulation are highly associated with insulin resistance and its complications (i.e.
When there is Vitamin D receptor polymorphism TH-1, which participates in the cells immediate immunity to foreign invaders, and TH-2, which help B-lymphocytes in secondary defense against foreign invaders, are unbalanced.
If there is a weakness in the lining of the gut, food can actually be leaking out rather than being utilized as nutrition. Diabetes UK estimates that over 600,000 people with type 2 diabetes don't know they have it. Never ignore professional medical advice in seeking treatment because of something you have read on the BootsWebMD Site. Understanding tissue-specific lipid and steroid metabolism will contribute to the understanding and treatment of these increasingly prevalent metabolic disorders. In the stimulated state, phosphorylation of perilipin A promotes the release of CGI-58 which then translocates to ATGL to promote ATGL-mediated TG hydrolysis.
If a woman has elevated testosterone this can lead to Polycystic Ovarian Syndrome, and should be addressed with a medical doctor. When TH-1 or TH-2 are chronically low this can have very negative effects on the body's immune response to function well. In the United States, especially if you eat out often, iodine is over consumed and Hashimoto's is the number one cause of hypothyroidism.
The type 1 isoform (11βHSD1) functions as a NADPH-dependent reductase to activate GCs and is expressed in GC-dependent target tissues such as adipose tissue, liver, skeletal muscle, and the central nervous system.
At the same time phosphorylation of HSL promotes its translocation to the lipid droplet where it interacts with perilipin A to promote DG hydrolysis and hence complete lipolysis. These hormone shifts of elevated insulin and testosterone appear to promote the development of autoimmune thyroid dysfunction.
Diabetes may not have symptomsIn most cases type 2 diabetes doesn't cause any symptoms, or the symptoms are mild, which is why many people have it for years without knowing it, and why it's important to get tested. These data underscore the importance of tissue-specific glucocorticoid metabolism in systemic metabolic disease, and implicate adipose tissue as a key effector tissue in this process. The type 2 isoform (11βHSD2) functions as a NAD+-dependent dehydrogenase to inactivate GCs and is expressed in mineralocorticoid-dependent target tissues such as kidney, colon, and sweat glands. Two such genes, adipose triglyceride lipase (ATGL, PNPLA2) and adiponutrin (PNPLA3), are the founding members of a novel family of lipid-metabolizing enzymes in mammals known as the patatin-like phospholipase A domain containing (PNPLA) family.
Warning sign: ThirstOne of the first symptoms of type 2 diabetes may be an increase in thirst. In addition, these animal models are invaluable tools to study the pathogenesis of the metabolic syndrome. Our work, in combination with the work of others, has established ATGL as the rate-limiting enzyme mediating triglyceride hydrolysis – arguably one of the most essential functions in metabolism.
The mechanisms mediating lipolysis and the proteins involved in the process in other tissues remain largely unknown.
This is often accompanied by additional problems, including dry mouth, increased appetite, frequent urination – sometimes as often as every hour -- and unusual weight loss or gain.
We are currently working to define the mechanisms by which tissue-specific glucocorticoid action contributes to the metabolic syndrome in adipose tissue as well as other metabolically relevant tissues (i.e. Warning sign: Blurred visionAs blood sugar levels become more abnormal, additional symptoms may include headaches, blurred vision and fatigue.
We are currently working to define the function and physiological relevance of ATGL and related PNPLA family members.
Warning sign: InfectionsIn most cases, type 2 diabetes is not discovered until it takes a noticeable toll on health.
These studies will provide important insights into the understanding and treatment of obesity and the metabolic syndrome.
These studies will provide important insights into the contribution of lipid metabolism to metabolic disease with the goal of identifying novel targets for therapeutic intervention. Diabetes can cause damage to blood vessels and nerve endings in the genitals, leading to a loss of feeling and making orgasm difficult.
Risk factors you can controlYour habits and lifestyle can affect your odds of developing type 2 diabetes. Risk factors for womenHaving gestational diabetes when you're pregnant puts you seven times at greater risk of developing type 2 diabetes later on. Having a history of polycystic ovary syndrome (PCOS) can also cause insulin resistance that can lead to diabetes. Type 2 diabetes in childrenAlthough older people have a higher risk of getting type 2 diabetes, the condition is affecting more young people.
Diabetes UK says around 35,000 children and young people in the UK have diabetes, with around 700 of these having type 2 diabetes.

The leading risk factor for children is being overweight, often connected with an unhealthy diet and lack of physical activity. Once children are overweight, their chances of developing type 2 diabetes more than doubles. Often a urine test is carried out first, and if it contains glucose, or a person is at risk of diabetes, one or more blood tests to check levels of glucose in the blood are performed. How does insulin work?In healthy people, after a meal, food is broken down into a sugar called glucose, which is carried by the blood to cells throughout the body. Cells use the hormone insulin, made in the pancreas, to help them process blood glucose into energy.
People develop type 2 diabetes because the cells in the muscles, liver and fat cannot use insulin properly, called insulin resistance.
Type 2 Diabetes: Metabolism mishapsIn type 2 diabetes, the cells cannot absorb glucose properly.
If you've developed a condition called insulin resistance, the body makes insulin, but the muscle, liver and fat cells cannot use insulin, or do not respond to the insulin, properly. With long-standing, uncontrolled type 2 diabetes, the pancreas will reduce the amount of insulin it produces. Managing diabetes: DietFortunately, people with type 2 diabetes can significantly reduce the risk of damage to their bodies, including damage to the heart, kidneys, eyes and feet.
People with type 2 diabetes should carefully monitor carbohydrate consumption, as well as total fat and protein intake and reduce calories.
Managing diabetes: ExerciseModerate exercise, such as strength training or walking, improves the body's use of insulin and can lower blood sugar levels in people with type 2 diabetes. Being active also helps reduce body fat, lower blood pressure and protect against heart disease. Try to do at least 150 minutes of exercise a week, with some exercise on most days of the week.
It can also increase glucose levels in your blood as part of your "fight or flight" response.
Instead of letting stress take its toll, try relaxation techniques such as deep breathing, meditation or just talking to a friend or relative. Managing diabetes: MedicationWhen people with type 2 diabetes are unable to control blood sugar sufficiently with diet and exercise, medication can help.
There are many types of diabetes medicines available and they are often used in combination. Some work by stimulating the pancreas to make more insulin, while others improve the effectiveness of insulin, or reduce the liver's production of glucose, or block the digestion of starches. Managing diabetes: InsulinMany people with type 2 diabetes eventually develop 'beta-cell failure'. This means the cells in the pancreas no longer produce insulin in response to high blood sugar levels. In this case, insulin therapy – injections or an insulin pump – must become part of the daily routine. Whereas insulin pulls glucose into the cells, these medications cause the body to release insulin to control blood sugar levels. Glucose testingTesting your blood glucose level will let you know how controlled your blood sugars are and if you need to take action to change your treatment plan. How often and when you test will be based on how controlled your diabetes is, the type of therapy used to control your diabetes and whether you are experiencing symptoms of fluctuating sugars. Your diabetes team will suggest how often you should use a glucose meter to check your blood sugar.
Common testing times are first thing in the morning, before and after meals and exercise and before bedtime. Long-term damage: ArteriesOver time, untreated type 2 diabetes can damage many of the body's systems. People with diabetes are likely to develop plaque in their arteries, which reduces blood flow and increases the risk of clots. People with diabetes are up to five times more likely to develop heart disease or have a stroke. Long-term damage: KidneysThe longer you have untreated diabetes, the greater the risk of developing kidney disease or kidney failure.
Long-term damage: EyesHigh blood sugar can damage the tiny blood vessels that bring oxygen and nutrients to the retina, a critical part of the eye. This is known as diabetic retinopathy and it can cause progressive, irreversible vision loss. People with diabetes are up to 20 times more likely to go blind than those without diabetes. Long-Term Damage: Nerve PainOver time, uncontrolled diabetes and elevated blood sugars create a very real risk of nerve damage. Symptoms can include tingling, numbness, pain and a pins and needles sensation -- often in the fingers, hands, toes or feet. Preventing type 2 diabetesOne of the most astonishing things about type 2 diabetes is that such a life-altering condition is often preventable.

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