American Osteopathic Association

Advancing the distinctive philosophy and practice of osteopathic medicine

Living With Diabetes

Man testing blood sugar levelsRanked as our nation's seventh leading cause of death, diabetes afflicts approximately 25.8 million Americans. Often described as the silent killer, diabetes can, if left untreated, lead to kidney failure, gangrene and amputation, stroke and many other serious health problems. Although there are several forms of diabetes, Type I and Type II diabetes are the most common in the United States.

Type II Diabetes

The most common form of diabetes in the United States is Type II diabetes. Essentially, Type II diabetes occurs as result of insulin resistance, a condition in which the body fails to make enough, or to properly use insulin. Insulin is a hormone that enables glucose to enter and fuel body cells. 

The risk of having Type II diabetes increases with age. If you are 45 or older you should ask your physician if you are at risk for Type II diabetes. The sooner your physician is able to screen for and diagnose the disease, the more damage can be prevented. Often, people with Type II diabetes who practice healthy eating habits and do sufficient amounts of physical activity can prevent the need to ever have to rely on insulin injections for survival. 

Type I Diabetes

While Type II diabetes accounts for 90-95% of all diabetes cases, Type I diabetes is the most common form of diabetes among children, usually diagnosed between the ages of 10 and 12. Also known as insulin-dependent diabetes, it destroys the cells in the pancreas that are responsible for producing the hormone insulin. Insulin infusions are a necessity for Type I diabetics, as well as regular glucose tests which allow individuals to monitor their glucose levels. 

To test glucose, a drop of blood from the finger is placed on a special test strip. A device called a glucose monitor measures the level of glucose in the blood. Regular glucose testing, a diet that is low in sugars and fat, limiting the amount of soft drinks consumed, and regular exercise are essential for Type I diabetics to lead healthy and productive lives. 

Since birth control pills can influence blood glucose levels, having an adverse affect on diabetes control, women with diabetes who take birth control need to discuss this matter with their physician.

Gestational Diabetes

In addition to Types I and II diabetes, gestational diabetes is a form of the disease that occurs halfway through a pregnancy as a result of excessive hormone production in the body. It can also be attributed to the pancreas' inability to make the additional insulin that is needed during pregnancy. Gestational diabetes usually goes away after pregnancy, but leaves women who had it at an increased risk for later developing Type II diabetes. 

Doctors of Osteopathic Medicine, or DOs, look beyond your symptoms to understand how lifestyle and environmental factors affect your wellbeing. They listen and partner with you to help you get healthy and stay well. They also encourage your body’s natural tendency toward self-healing.


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