Diabetes Causes
Type 1 diabetes: Type 1 diabetes is believed to be an
autoimmune disease. The body's immune system specifically attacks the cells in
the pancreas that produce insulin.
A predisposition
to develop type 1 diabetes may run in families, but genetic causes (a postitive
family history) are much more common for type 2 diabetes.
Environmental
factors, including common unavoidable viral infections, may also contribute to
type 1 diabetes.
Type 1 diabetes is
most common in people of non-Hispanic, Northern European descent (especially Finland and Sardinia),
followed by African Americans, and Hispanic Americans. It is relatively rare in
those of Asian descent.
Type 1 diabetes is
slightly more common in men than in women.
Type 2 diabetes: Type 2 diabetes has strong genetic links, meaning
that type 2 diabetes tends to run in families. Several genes have been
identified, and more are under study which may relate to the causes of type 2
diabetes. Risk factors for developing type 2 diabetes include the following:
High blood
pressure
High blood
triglyceride (fat) levels
Gestational
diabetes or giving birth to a baby weighing more than 9 pounds
High-fat diet
High alcohol
intake
Sedentary
lifestyle
Obesity or being
overweight
Ethnicity, particularly
when a close relative had type 2 diabetes or gestational diabetes: certain
groups, such as African Americans, Native Americans, Hispanic Americans, and
Japanese Americans, have a greater risk of developing type 2 diabetes than non-Hispanic
whites.
Aging: Increasing
age is a significant risk factor for type 2 diabetes. Risk begins to rise
significantly at about age 45 years, and rises considerably after age 65 years.
Diabetes Overview
Diabetes mellitus (DM) is a set of related diseases in which
the body cannot regulate the amount of sugar (specifically, glucose) in the
blood.
The blood delivers glucose to provide the body with energy
to perform all of a person's daily activities.
The liver converts
the food a person eats into glucose. The glucose is then released into the
bloodstream.
In a healthy
person, the blood glucose level is regulated by several hormones, primarliy
insulin. Insulin is produced by the pancreas, a small organ between the stomach
and liver. The pancreas also makes other important enzymes released directly
into the gut that helps digest food.
Insulin allows
glucose to move out of the blood into cells throughout the body where it is
used for fuel.
People with
diabetes either do not produce enough insulin (type 1 diabetes) or cannot use
insulin properly (type 2 diabetes), or both (which occurs with several forms of
diabetes).
In diabetes, glucose
in the blood cannot move efficiently into cells, so blood glucose levels remain
high. This not only starves all the cells that need the glucose for fuel, but
also harms certain organs and tissues exposed to the high glucose levels.
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