Managing gestational diabetes Definition, Diagnosis and Classification of Diabetes Mellitus and its Complications (PDF). Gestational diabetes statistics
Some suggest that vitamin D3 may be an important pathogenic factor in type 1 diabetes independent of geographical latitude [7]. Some chemicals and drugs specifically destroy pancreatic cells. Many patients with type 2 diabetes will progress to insulin therapy to control of blood glucose levels, but these patients are still type 2 diabetics. Some chemicals and drugs specifically destroy pancreatic cells. These include cardiovascular disease (doubled risk), chronic renal failure (the main cause of dialysis in developed world adults), retinal damage (which can lead to blindness and is the most significant cause of adult blindness in the non-elderly in the developed world), nerve damage (of several kinds), microvascular damage (including erectile dysfunction (impotence) and poor healing which can lead to gangrene and even amputation -- the leading cause of non-traumatic amputation in developed world adults). It is also often connected to obesity, which is found in approximately 85% of (North American) patients diagnosed with this type, so some experts believe that inheriting a tendency toward obesity also contributes. The increase in incidence of diabetes in developing countries follows the trend of urbanization and lifestyle changes, perhaps most importantly a "Western-style" diet. Managing gestational diabetes. Diagnosing gestational diabetes
The fraction of type 2 diabetics in other parts of the world varies substantially, almost certainly for environmental and lifestyle reasons, though these are not known in detail. Type 2 may go unnoticed for years in a patient before diagnosis, since the symptoms are typically milder (no ketoacidosis) and can be sporadic. Managing gestational diabetes. A large retrospective controlled study published in 2006 strongly suggests that infants who were never breast fed had twice the risk for developing Type 1 diabetes as infants who were breast fed for at least 3 months. Type 1 diabetes appears to be triggered by some (mainly viral) infections, or in a less mon group, by stress or environmental factors (such as exposure to certain chemicals or drugs). The current remended goal for HbA1c in patients with diabetes is <7.0%, as defined as "good glycemic control", although some guidelines are stricter (<6.5%). The mechanism, if any, is not understood. For diabetes mellitus in pets, see diabetes in cats and dogs. |