6.4.6

Diabetes Mellitus

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Type I Diabetes

Diabetes mellitus is a chronic health condition where sufferers cannot properly control their blood glucose concentration. Type I diabetes sufferers cannot produce insulin.

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Cause

  • Type I diabetes is caused when the beta cells in the pancreas are attacked by the immune system.
  • The beta cells become damaged and can no longer produce insulin.
  • Some people are more genetically predisposed to type I diabetes than others. It normally develops during childhood.
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Hyperglycaemia

  • Eating causes the blood glucose concentration to increase.
  • People with type I diabetes cannot produce insulin to counteract the increased levels of glucose so the blood glucose level remains high.
  • This is called hyperglycaemia.
  • Hyperglycaemia can lead to death if it is not treated.
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Treatment

  • Insulin therapy is used to treat type I diabetes.
  • Insulin is injected regularly during the day or an insulin pump can be used continuously.
  • Too much insulin can cause a fall in glucose levels called hypoglycaemia so insulin therapy must be carefully monitored.
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Diet

  • Controlling intake of glucose is also important to prevent a sudden increase in glucose levels.

Type 2 Diabetes

Type 2 diabetes sufferers don't produce enough insulin or cannot respond to insulin. Type II usually develops later in life than type I.

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Cause

  • Type 2 diabetes is correlated with obesity, lack of exercise, age and family history.
  • Type 2 diabetes develops when the beta cells in the pancreas no longer produce enough insulin or when the muscle and liver cells stop responding to insulin.
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Hyperglycaemia

  • Type 2 diabetes can lead to hyperglycaemia. This is when blood glucose levels are higher than the optimum level.
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Treatment

  • Type 2 diabetes is treated by eating a healthy diet and exercising.
  • In some cases medication is used to lower glucose levels or in rare cases, insulin injections are used.

Preventing Type 2 Diabetes

The food industry has been criticised for its role in contributing to the rise in obesity and consequently type 2 diabetes. Initiatives have been introduced to tackle this growing problem.

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Healthy lifestyle

  • Health advisors recommend a lifestyle that involves:
    • A balanced diet that is low in salt, fat and sugar.
    • Regular exercise.
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Change4life

  • The NHS 'Change4life' campaign has been introduced.
  • The campaign educates on how to lead a healthy lifestyle.
  • The campaign is designed to decrease the risk of developing type II diabetes.
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Food content

  • The World Health Organisation (WHO) recommends that the food industry should help combat the rise in obesity and diabetes by:
    • Reducing levels of sugar, saturated fats and salt in processed food products.
    • Developing healthy, alternative products.
    • Having clear and simple labelling on food items showing the nutritional content (e.g. fat, sugar and salt content).
    • Promoting and market healthier foods, especially to children.

Jump to other topics

1Biological Molecules

2Cells

3Substance Exchange

4Genetic Information & Variation

5Energy Transfers (A2 only)

6Responding to Change (A2 only)

7Genetics & Ecosystems (A2 only)

8The Control of Gene Expression (A2 only)

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