What factors increase the risk for type 2 diabetes?

To find out your risk, check each following item that applies to you.

1. Your age is at 45 or older.

2. You are overweight or obese.

3. You have family history or your relatives, such as parents, brother, or sister with diabetes.

4. Your family background is African American, American Indian, Asian American, Pacific Islander, or Hispanic American/Latino.

5. You have had gestational diabetes, or you gave birth to at least one baby weighing more than 9 pounds.

6. Your blood pressure is 140/90 or higher, or you have been told that you have high blood pressure.

7. Your cholesterol levels are not normal. Your HDL cholesterol ("good" cholesterol) is 35 or lower, or your triglyceride level is 250 or higher.

8. You are fairly inactive. You exercise fewer than three times a week.

Gestational Diabetes

Some women develop gestational diabetes late in pregnancy. Although this form of diabetes usually disappears after the birth of the baby, women who have had gestational diabetes have a 20 to 50 percent chance of developing type 2 diabetes within 5 to 10 years. Maintaining a reasonable body weight and being physically active may help prevent development of type 2 diabetes.

About 3 to 8 percent of pregnant women in the United States develop gestational diabetes. As with type 2 diabetes, gestational diabetes occurs more often in some ethnic groups and among women with a family history of diabetes. Gestational diabetes is caused by the hormones of pregnancy or a shortage of insulin. Women with gestational diabetes may not experience any symptoms.

Diabetes Tests

The following tests are used for diabetes diagnosis:

1. A fasting plasma glucose test measures your blood glucose after you have gone at least 8 hours without eating. This test is used to detect diabetes or pre-diabetes.

2. An oral glucose tolerance test measures your blood glucose after you have gone at least 8 hours without eating and 2 hours after you drink a glucose-containing beverage. This test can be used to diagnose diabetes or pre-diabetes.

3. In a random plasma glucose test, your doctor checks your blood glucose without regard to when you ate your last meal. This test, along with an assessment of symptoms, is used to diagnose diabetes but not pre-diabetes.

Positive test results should be confirmed by repeating the fasting plasma glucose test or the oral glucose tolerance test on a different day.

Type 2 diabetes

Formerly called adult-onset diabetes or noninsulin-dependent diabetes, is the most common form of diabetes.

People can develop type 2 diabetes at any age—even during childhood.

This form of diabetes usually begins with insulin resistance, a condition in which fat, muscle, and liver cells do not use insulin properly.

In type 2 diabetes, the pancreas makes too little insulin and the cells throughout the body are unable to respond to the insulin that is produced. The result is a build-up of glucose in the blood, which eventually spills over into the urine. High blood glucose levels are responsible for the many health problems associated with diabetes.

Being overweight and inactive increases the chances of developing type 2 diabetes.

Treatment includes using diabetes medicines, making wise food choices, being physically active, taking aspirin daily, and controlling blood pressure and cholesterol.

Type 1 diabetes

Type 1 diabetes was called juvenile diabetes prior to 1997 because it was diagnosed in young people typically. Type 1 diabetes is also called insulin-dependent diabetes. Usually, type 1 diabetes is first diagnosed in younger people, but it can occur at any age.

Type 1 diabetes is the second most common chronic disease in children (after asthma). About 13,000 new cases are diagnosed in the U.S. each year. Patients with type 1 diabetes make up about 5 percent to 10 percent of all cases of diabetes. It most commonly appears in children about 14 years old.

Type 1 diabetes is an autoimmune disease in which the immune system attacks the beta cells in the pancreas that make insulin. As a result, the pancreas does not make insulin, a hormone which helps use blood sugar (glucose) for energy. The cells become starved of energy and there is an excess of glucose in the blood. People with Type 1 diabetes must have daily injections of insulin to live. Proper diet, exercise and home blood sugar monitoring are essential to manage the disease.

Food and exercise must also be balanced because of the risk of hypoglycemia, low blood sugar, and hyperglycemia, high blood sugar.

What is pre-diabetes?

In pre-diabetes, blood glucose levels are higher than normal but not high enough to be characterized as diabetes. However, many people with pre-diabetes develop type 2 diabetes within 10 years. Pre-diabetes also increases the risk of heart disease and stroke. With modest weight loss and moderate physical activity, people with pre-diabetes can delay or prevent type 2 diabetes.

What is diabetes?

Diabetes is a disease in which blood glucose levels are above normal. People with diabetes have problems converting food to energy. 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 insulin, a hormone made in the pancreas, to help them convert blood glucose into energy.

People develop diabetes because the pancreas does not make enough insulin or because the cells in the muscles, liver, and fat do not use insulin properly, or both. As a result, the amount of glucose in the blood increases while the cells are starved of energy. Over the years, high blood glucose, also called hyperglycemia, damages nerves and blood vessels, which can lead to complications such as heart disease and stroke, kidney disease, blindness, nerve problems, gum infections, and amputation.

There are two types of diabetes. Type 1 occurs when the body doesn’t produce any insulin. People with type 2 diabetes either don’t produce enough insulin or their cells ignore the insulin.

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Friendly Reference 8

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Friendly Reference 7

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Friendly Reference 6

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Friendly Reference 5

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