Diabetes is of two types. In type I diabetes, there is total absence of Insulin and hence the blood sugar derangement, quite extreme. It forms 3-5% of Diabetic cases. Whereas, type II diabetes is much more common and rapidly increasing. We have a tendency to think, it is a disease of blood sugar. It is an “insulin resistant” state and even though insulin is produced, it is not enough to control the blood sugar. This is a slowly progressive disease and it takes 12-18 years for one to become diabetic. It is a vascular disease that is a “Silent Killer” and is the most common cause of blindness, heart disease, stroke, kidney failure and amputation.
Type II diabetes is a complex metabolic disorder, where weight gain around the belly button, high cholesterol, high blood pressure and high blood sugar coexists in the same patient. Hence the term, “Terrible Quartet”. It is a different disease in men and women. In men it is associated with male menopause or Andropause. There is male pattern baldness, weight gain, muscle wasting, sexual dysfunction and mental irritability and anger. In female it causes Polycystic Ovarian Syndrome PCOD. This is associated with increase hair growth all over the body, pimples (Acne), obesity, male facial changes, irregular menstrual cycle and infertility. This is rapidly growing in young girls, specially in counties like Indian Subcontinent and Chine.
Diabetes is a disease of rapid aging called Progeria. So at the age of 40 one becomes like 50 and at 50 like 65. But the good news today is that every complication of diabetes are reversible, if treated appropriately. People can aspire to not only have a good quality of life but, live even longer than those who do not have diabetes.
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