Diabetes  mellitus  type 2 or type 2 diabetes is a disease  that is characterized by high blood glucose in the context of insulin resistance and relative insulin deficiency.  While it is often initially managed by increasing exercise and dietary modification, medications and external insulin injection  are typically needed as the disease progresses. There are an estimated 28 million people in the U.S with diabetes 90% of whom are type 2. With prevalence rates doubling between 1990 and 2005, Centre Of Disease Control And Prevention  has characterized the increase as an epidemic.

Traditionally considered a disease of adults, type 2 diabetes is increasingly diagnosed in children in parallel to rising obesity rates due to alterations in dietary patterns as well as in life styles during childhood. This is more to do with the high calorie fast food culture, children & teenagers being glued for hours and hours to computers, television and video games.

Unlike type 1 diabetes, there is very little tendency toward ketoacidosis in type 2 diabetes . Ketoacidosis is a type of metabolic acidosis which is caused by high concentrations of ketone bodies, formed by the breakdown of fatty acids and the deamination of amino acids.  The main reason to worry about the Diabetes Type 2 is the secondary complications that bis associated with high glucose levels in the blood. Prolonged high glucose levels ion blood can lead to severe and irreparable damage to kidneys, heart, eyes and limbs.

In case of Type 2 Diabetes there are hardly any visible symptoms. In many cases one gets to know that he/she has diabetes only after being screened for smoother ailments or for routine medical insurance check up.

Early symptoms may be nothing more than chronic fatigue, generalized weakness and malaise (feeling of unease). Excessive urine production, excessive thirst and increased fluid intake are also some of the symptoms.  Blurred vision, unexplained weight loss, lethargy, Itching of external genitalia and excessive bowel movements are also some of the other common symptoms.

Diabetes is a serious disease. Every day in America: · 230 people with diabetes undergo amputation; · 120 people enter end-stage kidney disease programs; and · 55 people go blind from diabetes.But, research studies have shown that people with diabetes can greatly reduce their risk of complications. For example, new cases of adult blindness are up to 90 percent preventable with regular doctor visits and proper screening and care. The future is a daunting place for anyone. For children with diabetes, it promises complications their peers have never considered. These children already know the day-to-day challenges of living with a chronic disease.Diabetes affects every organ system in the body. It is a leading cause of kidney failure, adult blindness, nontraumatic amputations, nerve damage, stroke and heart attack.Diabetes kills one American every three minutes

New ways of treating diabetes can reduce the risk of severe complications, officials of the American Diabetes Association said.`Implementing the new standards should enable many more people with diabetes to lower their blood sugar levels closer to normal and reduce their risk of potentially life-threatening complications.

A noninvasive tool that measures the skin’s autofluorescence could help doctors determine whether people with diabetes are beginning to develop serious complications, according to a study published in the November issue of Diabetes Care. Researchers in the Netherlands found that illuminating a patient’s lower arm with a fluorescent tube accurately reflects vascular damage caused by the accumulation of advanced glycosylation end products

People with a common type of diabetes can significantly delay the onset or progression of serious complications by increasing insulin injections and tightly controlling their blood sugar level, diet and exercise, a new report indicates.Doctors called it the most important discovery for diabetics since insulin.”Until a cure for diabetes is eventually developed, it will, in fact, revolutionize treatment recommended for all patients with diabetes.People with the most severe form of diabetes can significantly delay serious complications through unusually intense control of their blood sugar levels, according to a landmark study released Sunday.Intensive treatment appeared to delay the onset of complications and slow their progression when compared with a more standard regimen for controlling blood sugar, said Dr. Phillip Gorden, director of the National Institute of Diabetes and Digestive and Kidney Disease.

AN ANGEL FOR PEOPLE WITH DIABETES, ACTRESS WILL SPEAK ABOUT HOW ADAPTING TO THE CONDITION CHANGED HER LIFE FOR THE BETTER When she was diagnosed with type 2 diabetes four years ago, singer/actress/minister Della Reese knew all too well from the experiences of friends that the disease can be a death sentence. “All I knew was negative stuff, ” she said. “Ella Fitzgerald lost both of her legs and died because of diabetes. Mabel King lost both of her legs and died because of diabetes. Mahalia Jackson, my mentor, died from complications of type 2 diabetes.

DICK CLARK TAKES THE BANDSTAND TO TALK ABOUT DIABETES Dick Clark-of American Bandstand fame-has a new gig: persuading people about the dangers of diabetes and the toll it takes on your heart. Clark should know. On Tuesday, the 74-year-old TV personality told The Herald how he got the disease 10 years ago but kept quiet until late last week, when he began a campaign to raise awareness about diabetes, which affects more than 13 million Americans and is growing significantly. “Two-thirds of people with diabetes don’t even know it.   .

U. S. Surgeon General Dr. Richard M. Carmona will help kick off a diabetes initiative today that will focus on Flint and nine other communities nationwide. The Diabetes Detection Initiative: Finding the Undiagnosed, led by the U. S. Department of Health and Human Services, expects to reach thousands of adults at high risk for diabetes. Genesee County has the highest rate of diabetes in Michigan, with 20, 000 adults having the disease. National studies suggest easily another……   .

New Message Emerges in Treating Diabetes Eldridge Lee, a real estate broker and adjunct college professor in Fairburn, Ga. , found out that he had Type 2 diabetes more than a decade ago. But he did not take the disease seriously until two years ago, when sky-high blood pressure–a complication of diabetes–led to heart disease. “After coming out of heart surgery, I was sitting with a ventilator down my throat and had a moment of realization that the diabetes, which I had pretty much been ignoring, had led to such grave consequences.

SPECTER OF DIABETES RESEARCHERS SEEK KEY TO PREVENTING POTENTIALLY DISFIGURING DISEASE The telltale sugar levels the test revealed in Vicente Serrano’s blood brought back a ghastly memory for him: His grandmother lost both legs to diabetes. “My mother had diabetes, ” says Serrano. “My older brother has diabetes. My youngest brother is insulin-dependent. But my grandmother. . . ” He shudders. “I got suspicious about my condition. ” Serrano, 65, doesn’t have diabetes.

SINGER JOINS FIGHT AGAINST DIABETES Gladys Knight has a story she wants the country to hear. It’s about a disease called Type 2 diabetes that runs in her family. “This is a serious disease, ” said Knight, singer, actress and author. “There’s so much more people can do. If people are aware, they can keep this under control. ” Best known for legendary hits such as “Midnight Train to Georgia,

KNIGHT’S FOE DIABETES SINGER SPREADS GOSPEL OF DIET AND EXERCISE IN BATTLING CRIPPLING DISEASE THAT STRUCK HER MOTHER, BROTHER, COUSIN Gladys Knight has a story she wants the country to hear. It’s about family, a disease called Type 2 diabetes that runs in families, and her own advice after living with the impact of the disease on her mother, brother and cousin. Saturday, she described that story to a Detroit-area conference at the Ramada-Southfield Convention Center. It was the second in a national series of town meetings she is hosting about the disease.

TO CONTROL DIABETES, GIVE DIET, FITNESS EQUAL TIME Controlling or preventing diabetes is a balancing act, and America is losing its balance. We eat too many unhealthy foods. We don’t exercise enough. We are obese, aging and stressed _ all factors that have contributed to a sixfold increase in diabetes since 1958. There are two types of diabetes _ Type I (insulin-dependent or juvenile diabetes) and Type II (adult-onset diabetes). Diet is a key in controlling both, but it can only help prevent Type II.

Earlier shots could cut diabetes cases Stacie Byram is hopeful that a discovery by an LDS Hospital researcher might cut the rate of childhood-onset diabetes, a disease that afflicts her and her two brothers. The finding by Dr. David C. Classen is that a tactic new to American medicine-inoculating babies at two weeks instead of two months-just might prevent up to a quarter of the common form of childhood diabetes, as well as other autoimmune illnesses. “

WARM-HEARTED WALKERS BRAVE COLD FOR DIABETES, Hundreds take part to raise money for American Diabetes Association For Maria Salinas, Saturday’s fund-raising walk for the American Diabetes Association was more of a crusade than a stroll from the South Texas Institute for the Arts to Cole Park. Winds gusted to 35 mph under gray skies.

Reports of deaths and serious liver damage caused by the diabetes drug Rezulin, a panel of scientific experts today recommended that the Government place stricter limits on the use of the drug, and urged that patients take it only when other therapies have failed. In a series of votes, the committee stopped short of recommending that the drug be withdrawn from the market, as some consumer safety advocates had urged

MY UNCLE had both legs amputated by the time he was 42. At 50, he was dead from the complications of diabetes. An embolism, the doctor said. A blood clot traveled through his body, blocking the circulation to his lungs. Then, there was the brother of my daughter’s best friend, a juvenile diabetic, who at 19 went into a diabetic coma while driving his car. Doctors said he was killed instantly when he hit the telephone pole.

FUND-RAISERS HIT THE ROAD IN WALK TO CURE DIABETES WORCESTER-Ten-year-old John D. Easson was diagnosed with diabetes when he was 2 1/2 years old and has taken insulin shots three times a day ever since. John wasn’t born with diabetes, but while still a toddler developed unmistakable signs of the disease, including extreme thirst, constant urination and irritability. Tests and a five-day stay in University of Massachusetts Hospital confirmed the presence of the illness. John’s father, David D. Easson of……   .

KNIGHT RIDING MIDNIGHT TRAIN TO SPREAD WORD ON DIABETES Gladys Knight has a story she wants the country to hear. It’s about family, a disease called Type 2 diabetes that runs in families, and her own advice after living with the impact of the disease on her mother, brother and cousin. “This is a serious disease, ” says Knight, singer, actress and author. “There’s so much more people can do. If people are aware, they can keep this under control. ‘

SPECTER OF DIABETES RESEARCHERS SEEK KEY TO PREVENTING POTENTIALLY DISFIGURING DISEASE The telltale sugar levels the test revealed in Vicente Serrano’s blood brought back a ghastly memory for him: His grandmother lost both legs to diabetes. “My mother had diabetes, ” says Serrano. “My older brother has diabetes. My youngest brother is insulin-dependent. But my grandmother. . . ” He shudders. “I got suspicious about my condition. ” Serrano, 65, doesn’t have diabetes.

Widespread diabetes cases prompt serious study Sep. 1 Two years ago, when researchers first recruited Margarita Pena for a study on diabetes prevalence in the Rio Grande Valley, she was at risk but hadn’t developed the disease. So she kept up her regular consumption of pan dulce, candy and tortillas as researchers monitored her insulin levels. A year later, Pena, 58, became a statistic. She developed type II diabetes, which forced her to make changes. “Now, I take good care of myself, ” Pena, ……   .

Family takes case for diabetes funding to Washington Ainsley Basham, 4, is not at all shy when it comes to telling people about her diabetes. Her parents, Greg and Scottie Basham, of Halls, say their little girl has gotten all too familiar with the disorder since she was diagnosed with Type I, or juvenile-onset, diabetes at age 2. “She tells everyone about her diabetes, ” Ainsley’s mom said.

Americans appear to be handling diabetes better, U. S. says For years, public health officials have urged people to do simple things to manage their diabetes: Watch blood sugar levels, eat a healthy diet and exercise. Their message, it turns out, appears to be working. Figures released by the government Saturday show that far fewer Americans with diabetes are ending up in the hospital or developing kidney failure–a sign that diabetes care has improved. “W

CU TEAM DISCOVERS CRUCIAL CLUE TO DIABETES, HEALTH SCIENCES SCIENTISTS FIND PROOF OF TRIGGER IN TYPE 1 Denver researchers have identified a crucial target in the immune-system attack that leads to Type 1 diabetes, which afflicts more than 1. 3 million Americans. In Type 1 diabetes the body turns against itself and destroys insulin-producing cells in the pancreas. For years, researchers have tried to determine what prompts this autoimmune assault. Disrupting the first steps could lead to therapies that block the disease, formerly known as juvenile-onset diabetes.

DIABETES CARE GAP WIDENS IN U. S. At a time when fast-growing diabetes and obesity rates are eroding the nation’s health, doctors who specialize in those problems are in short supply–and becoming scarcer. A shortage of endocrinologists in South Florida and around the nation is forcing some people with metabolic disorders to wait months for appointments and may discourage family doctors from sending patients to specialists, say physicians and patient advocates. “You have an aging population……

Brooklyn, a community ravaged by the surge in diabetes and its harrowing complications, Mr. Bloomberg called the effort, aimed at……   .

Diabetes Study Verifies Lifesaving Tactic A 17-year federal study has finally answered one of the most pressing questions about diabetes: Can tight control of blood sugar prevent heart attacks and strokes? The answer, reported today in The New England Journal of Medicine, is yes. Intense control can reduce the risk by nearly half. Rigorous 17-year federal study finds that tight control of blood sugar in Type 1 diabetics can cut risk of heart attack and stroke by nearly half, even if patient has only brief period of intense……   .

Diet a key part of diabetes management, Eating right food, exercising helps manage diabetes Poor lifestyle can increase risk of getting disease It’s been almost three years since Gary O’Connor was diagnosed with type 2 diabetes. The 49-year-old Mississauga man has taken control of his health through proper medication, regular exercise and managing his diet. He still vividly remembers the day he was diagnosed. “My blood sugars were out of control, ” says O’Connor, who works for the Canadian Diabetes Association as the area executive director for GTA central south. ……   .

Children’s diabetes on rise along border Obesity puts young Latinos at risk, could cost state billions RIO GRANDE CITY, Texas-”Why me?” asked Miriam Cantu when the doctor relayed the news that she has diabetes and will have to check her blood sugar twice a day for the rest of her life. “Poking needles into myself is no way to live. “Miriam is 12 years old. Her mother, Oralia Cantu, 50, has lived with the disease for nearly three decades. Mother and daughter are a microcosm of a health problem in this largely Hispanic border town.

Time to act on diabetes scourge:

Loosening diabetes’ hold: Prevention, treatment options broaden; following advice remains a challenge . Sometimes, prevention takes not just a nudge, but a firm push. When one of Jackie Rogers’ diabetes clients told her he still was drinking regular Coca-Cola, she handed him part of her personal stash of sugar-free, flavored drink powders to mix with water. On his next visit, he admitted he gave away the mix and would stick with Coke. Ms. Rogers, a diabetes educator at the Memorial Hospital Diabetes Education Center, said she was furious. With her client seated in front……   .

BITTER SWEET Having been diagnosed with type 1 diabetes this year, the Preds’ Jimmy Fryzel is just happy to still be playing arena football. Jimmy Fryzel sees no practical purpose fretting about life’s uncertainties. He knows diabetes is an insidious disease. With a quiet resolve, Fryzel plays football every weekend, understanding that the challenges can be overcome with medication, self-discipline and, in some instances, a bag of Skittles. “I just have to deal with it right now, ” he said after a recent Orlando Predators practice. “I know I can still play.

Time to act on diabetes scourge, say experts NSW has recorded a 300 per cent increase in the number of people with diabetes over the past 10 years, and experts have warned both the health system and the economy will soon be crippled by its impact. Already 1. 4 million Australians have diabetes, and if trends continue, 2 million will develop the disease-mostly caused by diet and lifestyle factors-by 2010. Calling for urgent and co-ordinated action, 200 diabetes experts, health professionals and government representatives are……   .

Living with diabetes IOWA CITY-Twelve-year-old Kasey Walsh of Cedar Rapids has lived with Type 1 juvenile diabetes since being diagnosed at age 4. This is the type of diabetes generally diagnosed in children, teenagers or young adults, not the more common type 2 diabetes, which is often in the news these days because of its link to sedentary lifestyles and obesity. Kasey is anything but sedentary, participating in sports such as volleyball. Her mother, AnnElise Walsh, said having the chronic condition has……   .

New York  City to Warn New Mothers of Diabetes Risk In an effort to improve outcomes for the rising number of women who get temporary diabetes during pregnancy, Mayor Michael R. Bloomberg announced yesterday that the city would routinely send information packets about the condition to all women who get the disorder. Speaking at the health department’s district officein Bedford-Stuyvesant,

People with Diabetes are at high risk from various health problems such as:

• Heart Disease
• Strokes
• Eye Disease – Possible Blindness
• Nerve Damage – Neuropathy
• Amputation of foot or leg
• Kidney Problems
• Gum Disease
• Loss of teeth

Another health problem associated with diabetes involves the feet, as Diabetes is one of the major causes for lower limb amputation in the year 2004.

Amputation is obviously the last resort concerning problems of the feet, but it is surprising how a small cut or abrasion can lead to such dramatic results in diabetic patients.

Why is the Foot at Risk?

Persistent high blood glucose levels can eventually damage the body’s nerves, causing a loss of sensation (neuropathy). Nerve damage can also cause pain in the legs, arms and hands creating problems in people’s everyday lives. Your GP or Podiatrist should check your feet on a yearly basis, which should include a sensory exam to check for loss of feeling.

Small cuts or abrasions on the neuropathic foot can go unnoticed if daily foot checks are not performed. The cut can easily become infected, which in turn leads to an infected ulceration and could eventually result in the loss of the lower limb. Therefore the importance of daily foot checks, foot care & Diabetes in general cannot be underestimated.

High Risk Factors Leading to Diabetic Foot Ulcers

A small percentage of diabetic patients develop foot ulcerations, some of which may lead on to amputation. The foot is at a higher risk of ulceration if the individual suffers from conditions such as vascular disease or neuropathy. However there are many other factors that can increase risk of ulcers such as: -

• Cold feet or absent foot pulses
• History of Foot Problems
• Foot Deformities
• Limited mobility
• Poor circulation
• Inappropriate shoes
• Uncontrolled blood sugar levels

A painless abrasion or corn can steadily progress to a distressing foot ulcer, and if left untreated skin deterioration may occur.

Medical Home Products (Pink Sheets: MHPT), is a provider 1 borderline diabetes symptom   of medical self-test kits and diabetics supplies, a release said. The company is based in St. Petersburg and employs six. It was founded two years ago.

The company’s president Paul Mathis, declined to disclose financial details about the transaction or the revenues of Fort Lauderdale-based Strictly Diabetics.

That company was a desirable target because it has Medicaid licenses in 23 states and Medicare licenses around the nation, Mathis said.

“They also have a pretty good client base,” he said.

The deal is the company’s first step in a strategy to grow its 1 borderline diabetes symptom business through a combination of organic expansion and aggressive acquisitions along an established product line and customer base, the company said in a release.

The company’s fulfillment and call center operations, along with its combined purchasing power should provide a significant increase in revenues as well as enable it to achieve cost reductions while increasing margins, the release said.

The total cost of diabetes in the United States is $132 billion with direct medical cost representing $92 billion and indirect cost (disability, work loss, premature mortality) accounting for $40 billion, the company said citing 2002 research by the Lewin Group Inc. 1 borderline diabetes symptom

In a groundbreaking medical development, Japanese 1 borderline diabetes symptom scientists have reversed diabetes in a 27-year-old woman by injecting her with insulin-making cells from her 56-year-old mother.

The advance, which has sparked worldwide interest, was reported Monday in the Lancet, a British medical journal.

Though results have not yet been replicated, the case establishes proof in principle 1 borderline diabetes symptom that insulin-producing cells from living donors may one day become an important treatment for diabetes, a chronic disease that afflicts 18 million Americans.

Cautious Optimism  1 borderline diabetes symptom
“It’s quite exciting,” said Dr. Bob Goldstein, chief scientific officer for the Juvenile Diabetes Research Foundation.

He added a note of caution, however, observing that “this is a case of one” and “we need much more experience before we can draw conclusions” about its significance.

Although many parents 1 borderline diabetes symptom of diabetic kids would want to donate part of their pancreas “tomorrow” if it would help, “this is not ready for use in children,” Goldstein advised.

The Japanese patient, who had diabetes for a dozen years, has been symptom-free for two months after receiving an injection of pancreatic islet cells from her mother Jan. 19 at Kyoto University Hospital, the report said.