Diabetes Mellitus
Medical Author:
Ruchi Mathur, MD
Medical Editor:
William C. Shiel, Jr., MD, FACP, FACR
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The Diabetes Diet
Medical Author: Melissa Conrad Stöppler, MD
Medical Editor: Ruchi Mathur, MD
Proper nutrition is essential for anyone living with
diabetes. Control of
blood glucose levels
is only one goal of a healthy eating plan for people with diabetes.
A diet for those with diabetes should also help achieve and maintain a
normal body weight as well as prevent heart and vascular disease, which are
frequent complications of diabetes.
There is no prescribed diet plan for those with
diabetes. Rather, eating plans are tailored to fit an individual’s needs,
schedules, and eating habits. A diabetes diet plan
must also be balanced with the intake of insulin and oral diabetes
medications. In general, the principles of a healthy diabetes diet are the same for
everyone. Consumption of a variety of foods including whole grains, fruits,
non-fat dairy products, beans, and lean meats or vegetarian substitutes, poultry
and fish is recommended to achieve a healthy diet.
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What is diabetes?
Diabetes mellitus is a group of metabolic diseases
characterized by high blood sugar (glucose) levels,
that
result from defects in insulin secretion, or action, or both. Diabetes mellitus,
commonly referred to as diabetes (as it will be in this article) was first
identified as a disease associated with "sweet urine," and excessive muscle loss
in the ancient world. Elevated levels of blood glucose (hyperglycemia) lead to spillage of glucose into the urine, hence the
term sweet urine.
Normally, blood glucose levels are tightly controlled by
insulin, a hormone produced by the
pancreas. Insulin lowers the blood glucose level. When the blood glucose
elevates (for example, after eating food), insulin is released from the pancreas
to normalize the glucose level. In patients with diabetes, the absence or
insufficient production of insulin causes hyperglycemia. Diabetes is a chronic
medical condition, meaning that although it
can be controlled, it lasts a lifetime.
What is the impact of diabetes?
Over time, diabetes can lead to
blindness,
kidney
failure, and nerve damage.
These types of damage are the result of damage to small vessels, referred to as
microvascular disease. Diabetes is also an important factor in accelerating the
hardening and narrowing of the arteries (atherosclerosis),
leading to strokes,
coronary heart disease, and other large blood vessel
diseases. This is referred
to as macrovascular disease.
Diabetes affects approximately 17 million people (about 8% of the population) in
the United States. In addition, an estimated additional 12 million people in the
United States have diabetes and don't even know it.
From an economic
perspective, the total annual cost of diabetes in 1997 was estimated to be 98
billion dollars in the United States. The per capita cost resulting from
diabetes in 1997 amounted to $10,071.00; while healthcare costs for people
without diabetes incurred a per capita cost of $2,699.00. During this same year,
13.9 million days of hospital stay were attributed to diabetes, while
30.3 million physician office visits were diabetes related. Remember, these
numbers reflect only the population in the United States. Globally, the
statistics are staggering.
Diabetes is the third leading cause of death in the
United States after heart disease and cancer.
Next: What causes diabetes? »
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