Diabetes Mellitus

SIGNS AND SYMPTOMS

Increased thirst and sometimes as precise volume of liquid.
Increased frequency and volume of urine.
Weight loss despite increased appetite.
Vaginitis, skin infections, blurred vision, frequent bladder infections.
Occasionally impotence in men and disappearance of menstruation in
women.
SYMPTOMS URGENT
Diabetic ketoacidosis. Increased thirst and urination, nausea, deep and
rapid breathing, abdominal pain, and sweet smelling breath are
symptoms that precede a gradual loss of consciousness in diabetic
ketoacidosis. This is more likely to occur in insulin-dependent diabetics,
often after missing a dose of insulin or when there is an infection.
Hypoglycemic coma (insulin reaction). The tremor, weakness or
numbness followed by headache, confusion, dizziness, double vision or
loss of coordination are clear marks of an insulin reaction. All this is
followed by a state as of intoxication and eventually convulsions and
unconsciousness. Are urgently needed care.
Hyperosmolar coma. It is more common in older people in your
diabetes requires insulin injections gradual loss of consciousness. The
hyperosmolar coma or appears in conjunction with another disease or
accident occur.

GENERAL INFORMATION ON DIABETES

TYPES OF DIABETES
Its incidence can be between 5 and 6% of the population. Often a benign
external diabetes causes no symptoms for years. The name comes from
Greek and means etymologically sweetness or honey (mellitus) passing
through (diabetes).
About 1 in 10 diabetics is insulin. Hence the name of Insulin Dependent
Diabetes Mellitus (IDDM). The rest has an Insulin Dependent Diabetes
Mellitus No (NIDDM). Is insulin-dependent diabetes mellitus also called

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Type I, juvenile, ketosis-prone, diabetes or juvenile principle. But we will

refer to it as IDDM, the name that clearly describes the disease.

IDDM can occur in anyone at any age. People typically affected are
children and young adults (young men today are more likely than young
women). Most diabetics diagnosed before age 19 are insulin. There
seems to be a hereditary factor in the development of diabetes. About 2
out of 3 diabetics belong to a family history of diabetes. Although
genetics is an important factor, inherited characteristics alone are not
sufficient to cause disease, without the influence of other factors that
are not completely known.
As the name indicates, of IDDM NIDDM is distinguished by the fact that
whether or not insulin necessary for the treatment. In the person with
IDDM the pancreas produces little or no insulin. IDDM symptoms develop
very quickly (within months or even weeks). During the first year after
diagnosis there may be an improvement, called "honeymoon period".
During the same no insulin is needed or dose can be greatly diminished.
In the full development of IDDM, insulin is necessary to prevent
ketoacidosis and death.
Other terms used for NIDDM are adult principle, stable and type II
diabetes. People with NIDDM are usually over 40 years.
The problem faced by people with NIDDM is not an absence of insulin.
Although they may have a modest decrease in the hormone, they can
also be more likely to have a normal insulin concentration or even
increased. Your problem is that your body resists insulin. Large amounts
of insulin are necessary to maintain normal blood glucose amount.
Most people with NIDDM are obese or spend their weight. Excess weight
worsens the status of your diabetes, and weight loss usually has a
favorable effect. Sometimes insulin injections are needed to maintain
blood glucose within normal limits, but not as in IDDM, since the lack of
these injections do not produce ketoacidosis. There are oral medications,
called oral hypoglycemic agents often help in NIDDM but not worth for
IDDM. When a weight loss, the need for insulin and oral hypoglycemic
agents occurs is often reduced or eliminated.
Pregnant women are usually young and if a diabetes occurs during
pregnancy is usually the variety IDDM. However, if you are pregnant and
develop a diabetes visit a specialist.
The third, least common type of diabetes is called secondary diabetes.
This can lead either to a IDDM or a NIDDM, but differs from them
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because their cause is another disease. Secondary diabetes can occur

from diseases such as acromegaly, Cushing syndrome, hyperthyroidism,
or surgical removal of the pancreas.

DIAGNOSIS
If you urinate very often or very thirsty, consult your doctor, who will
determine the request for an analysis to see the level of sugar in blood
and urine. Glucose in the urine is called glucosuria. A high concentration
of glucose in blood is called "hyperglycemia" Both glucosuria as
hypoglycemia occur in the 2 types of diabetes IDDM and NIDDM.
The analysis of substances called ketones urine can help distinguish
between IDDM and NIDDM.
If insulin is delivered in appropriate amounts, the person with IDDM can
frequently have a significant amount of ketones in the urine. However, in
NIDDM are only small amounts occasionally.
If the person with IDDM not receive insulin for a few days, ketoacidosis
appears almost certain. This leads to a buildup of ketones in blood and
urine, a deeper and more rapid breathing and a gradual loss of
consciousness. If you do not perform an urgent and rigorous treatment
death can be very probable.
NIDDM can develop gradually over a period of years. It is often
discovered by a routine urinalysis or blood. To tell the classic triad of
symptoms of increased thirst, increased urination and weight loss a very
high amount of glucose in urine and blood is needed.

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Referencia:
www.tuotromedico.com

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