Know The Symptoms Of A Diabetes Emergency

    When you are diagnosed with diabetes, there's a lot to learn. In addition to the day-to-day basics of diabetes management and treatment, there's learning to recognize the signs and symptoms of two potential diabetes-related conditions: hypoglycemia (low blood sugar) and hyperglycemia (high blood sugar). These can occur at any time and need to be treated immediately to avoid a medical emergency. Causes of Hyperglycemia Your blood sugars can rise to dangerous levels when you haven't taken enough insulin (if you are type 1) or when your insulin receptors are not working as they should (with type 2). Perhaps you miscalculated the number of carbohydrates you ate at a meal, or you were under stress or had an illness. Each of these situations can lead to hyperglycemia. Symptoms That Need Attention If you have these symptoms please call your health care professional and/or go to the emergency room: Increased thirst increased urination Nausea/vomiting Deep and/or rapid breathing Abdominal pain Fruity smelling breath Loss of consciousness Another type of dangerous situation is called Hyperglycemic hyperosmolar nonketotic syndrome (HHNS). This is defined as a dangerously high blood sugar that is >600 mg/dL. It is typically brought on either by an infection, such as pneumonia or a urinary tract infection, or poor management of your blood sugar. If left untreated, it can result in coma and even death. Signs and symptoms include: extreme thirst confusion fever (usually over 101 degrees Fahrenheit) weakness or paralysis on one side of the body The best way to prevent HHNS is to take your medications as directed and to keep in contact with your healthcare team when your blood sugar is consistently >300 mg/dL. When to See a Doctor if your blood sugar is over 240 mg/dl. Hyperglycemia can Continue reading >>

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    The Scary Experience Of Diabetic Ketoacidosis

    Today, we’re excited to share with you another guest blog from Katie Janowiak, who works for the Medtronic Foundation, our company’s philanthropic arm. When she first told me her story about food poisoning and Diabetic Ketoacidosis (DKA), I knew others could benefit from hearing it as well. Thanks Katie for your openness and allowing us to share your scary story so that the LOOP community can learn from it. Throughout this past year, I’ve had the honor of sharing with you, the amazing LOOP community, my personal journey and the often humorous sequence of events that is my life with T1. Humor is, after all, the best (and cheapest) therapy. Allow me to pause today to share with you the down and dirty of what it feels like to have something that is not the slightest bit humorous: diabetic ketoacidosis.You are hot. You are freezing. You are confused. You are blacked out but coherent. You go to talk but words fail you. Time flies and goes in slow motion simultaneously. You will likely smell and look like death. In my instance, this was brought on by the combination of excessive vomiting and dehydration caused by food poisoning and the diabetic ketoacidosis that followed after my body had gone through so much. In hindsight, I was lucky, my husband knew that I had food poisoning because I began vomiting after our meal. But I had never prepped him on diabetic ketoacidosis and the symptoms (because DKA was for those other diabetics.) Upon finding me in our living room with a bowl of blood and bile by my side (no, I am not exaggerating), he got me into the car and took me to emergency care. It was 5:30 p.m. – and I thought it was 11:00 a.m. The series of events that led up to my stay in the ICU began innocently enough. It was a warm summer night and my husband and I walke Continue reading >>

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    • Diabetic Ketoacidosis

    Diabetes Forum The Global Diabetes Community Find support, ask questions and share your experiences. Join the community chocoholicnomore Type 2 Well-Known Member I am asking this on behalf of a friend. Her husband is type 2 and insulin dependant. He suffered a hypo the other night and his BG reading was 2.something and, after having lucozade, it reduced again to 1.8. She was worried about it going lower and him going into a diabetic coma and wanted to phone an ambulance but he told her not to. As it was, he was lucky and BG level started to increase. However, she is worried about any possible next time and asked me to find out 1) At what reading should she call an ambulance and 2) Is it normal for levels to keep reducing before starting to rise I tried to find the answers on the website but not having any luck. Yes levels can continue to fall, that's why general advice is to take 15 g of glucose, wait 15 min and if it hasn't risen to treat again. Personally ,my glucose levels have been on a few occasions lower than. that ; though meters aren't always that accurate. I've also had a couple of times when it seems to have taken ages to get my glucose levels to stay up. It's not pleasant having to keep testing and feeding yourself with glucose but I've never actually considered calling an ambulance. I think that if her husband was being unco-operative and refusing to take glucose then would be the time to seek outside help. It is a good idea to have a glucogen injection kit (hypokit). This is an injection that can be given if the person becomes unconcious. It stimulates the liver to release glucose .It will work as long as the person hasn't been drinking lots of alcohol or just run a marathon. ... and in those cases I probably would call an ambulance if someone had a severe Continue reading >>

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    Diabetic Coma

    Print Overview A diabetic coma is a life-threatening diabetes complication that causes unconsciousness. If you have diabetes, dangerously high blood sugar (hyperglycemia) or dangerously low blood sugar (hypoglycemia) can lead to a diabetic coma. If you lapse into a diabetic coma, you're alive — but you can't awaken or respond purposefully to sights, sounds or other types of stimulation. Left untreated, a diabetic coma can be fatal. The prospect of a diabetic coma is scary, but fortunately you can take steps to help prevent it. Start by following your diabetes treatment plan. Symptoms Before developing a diabetic coma, you'll usually experience signs and symptoms of high blood sugar or low blood sugar. High blood sugar (hyperglycemia) If your blood sugar level is too high, you may experience: Increased thirst Frequent urination Fatigue Nausea and vomiting Shortness of breath Stomach pain Fruity breath odor A very dry mouth A rapid heartbeat Low blood sugar (hypoglycemia) Signs and symptoms of a low blood sugar level may include: Shakiness or nervousness Anxiety Fatigue Weakness Sweating Hunger Nausea Dizziness or light-headedness Difficulty speaking Confusion Some people, especially those who've had diabetes for a long time, develop a condition known as hypoglycemia unawareness and won't have the warning signs that signal a drop in blood sugar. If you experience any symptoms of high or low blood sugar, test your blood sugar and follow your diabetes treatment plan based on the test results. If you don't start to feel better quickly, or you start to feel worse, call for emergency help. When to see a doctor A diabetic coma is a medical emergency. If you feel extreme high or low blood sugar signs or symptoms and think you might pass out, call 911 or your local emergency nu Continue reading >>

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    When You Need To Go To The Emergency Room With High Blood Sugars

    My uncle, like all his family, was a bit of a cheapskate. He hated to spend money unless it was absolutely necessary. He was thin and active, having only recently given up a career as a singer and dancer performing weekly on a nationally televised variety show. So when he felt unwell one weekend night, he turned down his wife's suggestion that she drive him to the emergency room and told her he'd wait til Monday when he could see his family doctor. Why waste all that money on an ER visit that was probably unnecessary? As it turned out, he didn't need to see his doctor on Monday. He died that night. He was a few years younger than I am now and the fatal heart attack he experienced was the first symptom he had of our family's odd form of inherited diabetes. But this is why, even though I've inherited the family "cheap" gene, if there's any possibility something dangerous is going on, I head for the ER. Usually it is a waste of money. I was in a small car accident a few weeks ago that left me with nerve pain running up and down my arms and legs. I sat for four hours at our local ER, saw the doctor for five minutes, and was sent home. The diagnosis, whiplash. The treatment, wait and see if it gets worse. The bill? Over $900. I went to the ER because I'd called my family doctor's office and they told me to. Whiplash usually resolves on its own, but occasionally it can cause swelling in your neck that can kill you. I'm not equipped to judge what kind I had, and unlike my uncle, I wasn't about to gamble. So with this in mind, you can understand my reaction when a stranger contacted me recently, after reading my web page, and told me that his blood sugar, which had been normal until very recently, was testing in the 500s on his meter except when his meter wasn't able to give hi Continue reading >>

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    Hyperglycemia: Treat It Early

    Hyperglycemia is when your blood glucose level goes too high; it is high blood sugar. Part of managing diabetes (either type 1 diabetes or type 2 diabetes) on a daily basis is learning how to avoid hyperglycemia. Being able to recognize the signs and symptoms of hyperglycemia early is helpful. If your blood sugar shoots up too high, it can be dangerous—and it can possibly land you in the hospital, especially if it leads to diabetic ketoacidosis. Also, if your blood sugar is continually in the high range, your likelihood of developing long-term diabetes complications such as nerve damage, kidney failure, and heart disease rises dramatically. So it is important to detect when your blood glucose reaches unacceptable levels. Early Signs and Symptoms of Hyperglycemia The best defensive tactic for identifying elevated blood glucose is testing with a glucose meter. Your doctor will advise you how frequently you should test and what levels you should be aiming for. However, your body can also let you know when there is too much glucose circulating in your blood. It may prompt you with: thirst dry mouth blurry vision fatigue If you experience these symptoms, check your blood glucose right away. Hyperglycemia Treatments If your blood glucose is high (based on the target levels your doctor said you should be aiming for), it is time to act. Your physician and diabetes educator have likely taught you how to treat high blood glucose levels—how to bring them back to a target range. Some possible ideas for treating hyperglycemia: Exercise: Exercise can help your body use the extra glucose, whether you have type 1 diabetes or type 2 diabetes. But please note, if your blood glucose level is above 250 mg/dL and you have type 1 diabetes, you’ll need to check for ketones before exerci Continue reading >>

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    What Is Hyperglycemia?

    Hyperglycemia, a high level of sugar in the blood, is a hallmark of diabetes. Your blood sugar levels fluctuate over the course of a day: Levels are higher right after meals, as carbohydrates are broken down into glucose (sugar), and lower after exercise, when glucose has been burned to fuel the activity. In someone who doesn't have diabetes, blood sugar levels stay within a narrow range. Between meals, the concentration of sugar in the blood ranges from about 60 to 100 mg/dl (milligrams per deciliter). After meals it may reach 120 to 130 mg/dl, but rarely goes higher than 140 mg/dl. But if you have type 2 diabetes, blood sugar levels can go much higher — to 200, 300, or even 400 mg/dl and beyond — and will go much higher unless you take the necessary steps to bring them down. Hyperglycemia Symptoms High blood sugar doesn't always produce symptoms, so it's important to check your blood sugar regularly, as indicated by your doctor. Hyperglycemia symptoms include: Frequent urination Extreme thirst Feeling tired and weak Blurry vision Feeling hungry, even after eating Causes of Hyperglycemia If you've been diagnosed with type 2 diabetes, a treatment plan is put in place to lower blood sugar and keep it as close to the normal range as possible. But even after you start treatment, you may still develop hyperglycemia at times. When you have diabetes, it's almost impossible not to have hyperglycemiaand high blood sugar can happen for no identifiable reason. Some of the reasons blood sugar may go too high include: Missing prescribed medicines or taking medication at the wrong times or in the wrong amounts High food intake or larger consumptions of carbohydrate than expected or intended Lack of sleep Emotional stress Intense exercise Illness is another important — and Continue reading >>

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    Hospital Admission Guidelines For Diabetes*

    These guidelines are to be used for determining when a patient requires hospitalization for reasons related to diabetes. Inpatient care may be appropriate in the following situations: Life-threatening acute metabolic complications of diabetes. Newly diagnosed diabetes in children and adolescents. Substantial and chronic poor metabolic control that necessitates close monitoring of the patient to determine the etiology of the control problem, with subsequent modification of therapy. Severe chronic complications of diabetes that require intensive treatment or other severe conditions unrelated to diabetes that significantly affect its control or are complicated by diabetes. Uncontrolled or newly discovered insulin-requiring diabetes during pregnancy. Institution of insulin-pump therapy or other intensive insulin regimens. Modification of fixed insulin-treatment regimens or sulfonylurea treatment is not, by itself, an indication for hospital admission. Guidelines for hospital admission are given below. Guidelines are never a substitute for medical judgment, and each patient’s total clinical and psychosocial circumstances must be considered in their application. Therefore, there may be situations in which admission is appropriate, although the patient’s clinical profile does not comply with these guidelines. For example, inadequate family resources may dictate admission of newly diagnosed type 1 diabetic patients who otherwise do not meet the admission guidelines. ACUTE METABOLIC COMPLICATIONS OF DIABETES Admission is appropriate for the following: Diabetic ketoacidosis Plasma glucose >250 mg/dl (>13.9 mmol/l) with 1) arterial pH <7.30 and serum bicarbonate level <15 mEq/l and 2) moderate ketonuria and/or ketonemia. Hyperglycemic hyperosmolar state Impaired mental status Continue reading >>

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    What To Expect In The Hospital

    The wish for healing has ever been the half of health.” —Seneca the Younger Most people experience a stay in the hospital at least once in their lives, and for some, it is much more often than that. No matter what the reason for your admission to the hospital, it is imperative that your blood glucose levels be controlled while you are there. More and more research shows that maintaining optimal blood glucose control in the hospital improves a person’s chances of having the best possible medical outcome. However, achieving optimal control in the hospital is a challenge. Stress tends to raise blood glucose level, and in the hospital, the stresses are many: Illness itself is a physical stress, as are pain, surgery, and other medical procedures such as having blood drawn for tests. Simply being in the hospital is a physical and mental stress with all of the changes in routine. And worrying about the reason you’re in the hospital, whether your diabetes is being controlled properly, how much the hospitalization is going to cost you, how your family or job is making out without you, etc., simply adds to it. If your hospital admission is not an emergency, you and your health-care provider have more time to prepare so that some of the stress of being in the hospital can be minimized. For example, you can establish ahead of time whether your personal physician will be overseeing your care while you’re in the hospital or, if not, who will. You can also discuss how your diabetes will be controlled and whether and when to stop taking any medicines you may currently take. And you can make plans for dealing with such personal responsibilities as child care or pet care during your hospital stay. If you are admitted to the hospital through the emergency room, it is standard Continue reading >>

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    Diabetes: Safety Alerts And Emergencies

    Diabetes is a slow, steady illness that can turn serious very quickly. If you have diabetes, you should prepare yourself for a diabetic emergency. In a way, you're like a person living on a fault line who plans ahead for an earthquake. But you have an advantage: Instead of just preparing for a possible disaster, you can take steps to prevent it. Your doctor can tell you if you are at risk for a diabetic emergency. If you're in danger, you'll have to learn how to minimize the risks and how to respond to the worst-case scenario. For starters, you should wear an alert bracelet or other form of I.D. that will inform medical personnel of your condition. You should also set aside a stash of extra diabetes supplies in your home in case you can't make your regular shopping trips because of a blackout, flood, blizzard, or some other unforeseen problem. Items you may want to consider for your emergency pack include a cooler or other cold storage container with pre-made ice for keeping insulin and other supplies in case of an electrical outage; emergency glucose to treat hypoglycemia; a spare battery for your glucose test meter; canned food and several gallons of bottled water; flashlights and extra batteries; candles and matches; and, if you take insulin, extra insulin, syringes, lancets, blood test strips, and (if necessary) insulin pump supplies, according to the association Children with Diabetes. Common emergencies Extreme high blood sugar (hyperglycemia) Read about how to prepare for the most common diabetes emergencies: Like everyone else with diabetes, you have days when your blood sugar is a little higher than you'd like it to be. Usually, you can bring the levels back down with a little more exercise, a little less food, or a small change in medications (as directed by a Continue reading >>

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    Diabetes And Blood Sugar: When To Go To The Hospital

    Keeping your blood sugar levels under control can be tough. There are so many factors that can affect blood sugar, like exercise, food, illness, exhaustion and stress. Any of these can cause your careful control to go right out the window. So how do you know if your loss of control is an emergency? Hypoglycemia Hypoglycemia is the condition of having too little glucose in the blood, usually below 70 mg/dl. It can result from taking too much insulin, not eating, illness or exercise. Hypoglycemia, sometimes called insulin shock or insulin reaction, can cause serious physical and mental changes. Symptoms and Risks Physical changes include shakiness, sweating, chills and feeling clammy, increased heart rate, dizziness, blurred vision, headache, weakness or excessive fatigue, tingling and numbness in the lips or tongue, lack of coordination, nausea and, in worst cases, seizures and unconsciousness. Mental changes include confusion and delirium, anger, stubbornness and sadness. On occasion, someone who is suffering an episode of hypoglycemia might be mistaken for being extremely drunk. All of the symptoms above are preliminary to passing out and/or entering a coma state, if left untreated. The danger in hypoglycemia is the risk of accidental injury, including crashing the car while driving, falling down stairs, and so forth. The other risk is the inability of the patient to respond to the symptoms they are experiencing, which results in taking no action to reverse the condition. While rare, severe hypoglycemia, left untreated, can result in death. What to Do If the diabetic is conscious and aware that he or she is in an emergency situation, he or she should immediately act by taking glucose, either in the form of a tablet, a gel or an injection of glucagon. If this is not ava Continue reading >>

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    Type 2 Diabetes - When To Call A Doctor

    Call or other emergency services right away if: You have symptoms of hyperosmolar state, such as: Trouble staying awake or trouble being woken up. Fast, deep breathing. Breath that smells fruity. Feeling confused. You had passed out (lost consciousness), or if you suddenly become very sleepy or confused. (You may have very low blood sugar, called hypoglycemia.) Call a doctor if: You are sick and cannot control your blood sugar. You have been vomiting or have had diarrhea for more than 6 hours. You have a blood sugar level that stays higher than the level the doctor has set for you, for example, 300 mg/dL for two or more readings. You have blood sugar that stays lower than the level the doctor has set for you, for example, 70 mg/dL for two or more readings. Check with your doctor if: You often have problems with high or low blood sugar levels. You have trouble knowing when your blood sugar is low (hypoglycemia unawareness). You have questions or want to know more about diabetes. Health professionals who may be involved in your diabetes care include: A registered dietitian. All people newly diagnosed with diabetes should see a dietitian for help in choosing healthy foods. If you have signs of complications of diabetes, such as nerve problems or kidney problems, you may be referred to a specialist. Learn more about the roles of the health professionals on a diabetes care team. Continue reading >>

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    When Should I Go To The Emergency Room If I Have Diabetes?

    When should I go to the emergency room if I have diabetes? If you have diabetes, call 911 or go to the hospital emergency room if: You have these signs of very high blood sugar: You have these signs of very low blood sugar: You feel dizzy or think you might pass out You feel like you are fading away or you can't think well Chemical Toxins Relationship Abuse Diabetes Complications Body Contouring Your Lifestyle The Five Senses Stages Of Colon Cancer Patient Education For Improving Rx Drug Adherence Your Mind Male Reproductive System Parts Parenting Teens Morning Sickness & Pregnancy Mental Health Therapies Sharecare Bladder Cancer Obsessive Compulsive Disorder Digestive Diseases Schizophrenia Hydrocephalus Conception Achieved (Pregnancy) Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs. Critical care refers to the treatment given to people who are having life-threatening medical problems requiring the expertise of a team of highly trained medical professionals. Learn more about critical care from our experts. Continue reading >>

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    When Should I Go To Dr Or Hospital When My Sugar... | Diabetic Connect

    I'm 5 weeks past diagnosis and still consider myself a newby. Probably will for the first year. You just can't rush understanding as far as I'm concerned. Even if you read and cram everything at once it takes some time to get to know this disease, this new body and this utterly new way of life. You did the right thing to ask here because this group has taught me the most. Calling your Doc is a good idea and I hope you've signed up for a dietician and perhaps at some point an endocrinologist who would be more expert. Every body is different. Did you have any symptoms with this spike? I went from 110 to 154 one afternoon and was faint and foggy and my vision was a little blurred and it scared the hell out of me. Gabby here told me immediately to go exercise and drink as much water as I could. So I cleaned and vacuumed my house while drinking water and an hour later it was 106. If you run in a good range....what is a good range for you? If a 309 is really crazy for you do you recall what you ate before that reading? Did you test a second time to make sure your hands were clean and you didn't just get that from some food left on your testing spot? When I get a crazy number I always test again to make sure. A 309 is something you may need to talk to your doctor about if you cannot get it to come down. Did you drink any water or do any exercise to help bring it down? Did it come down since you posted? Eh When I jump around on stage and sing full voice in a large venue, my sugar can go above 400 (adrenalin causes your body to pump out sugar). I've lived. Continue reading >>

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    High Blood Sugar (hyperglycemia) In Diabetes

    What is high blood sugar? High blood sugar means that the level of sugar in your blood is higher than recommended for you. If you don’t keep your blood sugar at a normal, healthy level most of the time, you will increase your risk of heart and blood vessel disease, stroke, kidney problems, and loss of vision. The medical term for high blood sugar is hyperglycemia. Blood sugar is also called blood glucose. What is the cause? Blood sugar that stays high is the main problem of diabetes. Your body breaks down some of the foods you eat into sugar. Normally the hormone insulin moves this sugar into your cells, where your body uses it for energy. In diabetes the insulin is not moving the sugar into the cells, so it builds up in the bloodstream and starts to cause problems. Sometimes you may have high blood sugar even though you are taking diabetes medicine. This can happen for many reasons but it always means that your diabetes is not in good control. Some reasons why your sugar might go too high are: Skipping your diabetes medicine Not taking the right amount of diabetes medicine Taking certain medicines that increase your blood sugar or make your blood sugar medicines work less well Taking in too many calories by eating large portions of food, choosing too many high-calorie foods, or drinking too many high-sugar beverages Eating too many carbohydrates, such as foods made mainly with sugar, white flour (in bread, biscuits, pancakes, for example), white potatoes, or white rice Not getting enough physical activity (exercise lowers your blood sugar) Having increased emotional or physical stress Being sick, including colds, flu, an infected tooth, or a urinary tract infection, especially if you have a fever If you are using insulin, having a problem with your insulin (for examp Continue reading >>

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    When should a type 2 diabetic go to the hospital?
    Go to the ER or call 911 right away if you have symptoms of ketoacidosis like: nausea and vomiting. abdominal pain. deep, rapid breathing. more
    What is a Type 5 incident type?
    TYPE 5 INCIDENT: One or two single response resources with up to 6 response personnel, the incident is expected to last only a few hours, no ICS Command and General Staff positions activated. more
    What is Type 1 NPI Type 2?
    Type 1 or Type 2 — which NPI is right for you? There are two types of NPIs: Type 1, for individual health care providers, such as dentists and hygienists, and Type 2 for incorporated businesses, such as group practices and clinics. Type 1 is for the provider. more
    Can Type A blood type eat potatoes?
    Vegetables are vital to the Type A Diet, providing minerals, enzymes and antioxidants. Type A are very sensitive to the lectins in potatoes, sweet potatoes, yams, cabbage, tomatoes and peppers. They aggravate the delicate stomach of Type A. more
    What is Type O blood type?
    Blood Type – O 39% of the population has O+ blood type. As the most common of the 8 blood types, O+ is always needed given the frequent use by hospitals. In an emergency, it is the first blood type in use! O+ helps patients with AB+, A+, B+, and O+ blood types. more
    What is Type I Type II Type III error?
    Type I error: "rejecting the null hypothesis when it is true". Type II error: "failing to reject the null hypothesis when it is false". Type III error: "correctly rejecting the null hypothesis for the wrong reason". more
    What is a Type 4 incident type?
    Type 4. Initial attack or first response to an incident. IC is “hands on” leader and performs all functions of Operations, Logistics, Planning, and Finance. Few resources are used (several individuals or a single strike team) Normally limited to one operational period. more
    Why do Type 2 diabetics get insulin in the hospital?
    Hospitalized patients often require high insulin doses to achieve target glucose levels because of increased insulin resistance; thus, in addition to basal and nutritional insulin requirements, patients often require supplemental or correction insulin for the treatment. more
    Is type 1 or type 2 diabetes genetic?
    Type 2 diabetes has a stronger link to family history and lineage than type 1, and studies of twins have shown that genetics play a very strong role in the development of type 2 diabetes. Race can also play a role. Yet it also depends on environmental factors. more
    Which is better Type A or Type B?
    People with Type B personality tend to be more tolerant of others, are more relaxed than Type A individuals, more reflective, experience lower levels of anxiety and display a higher level of imagination and creativity. more
    What is type 1 or type 2 diabetes?
    In Type 1 diabetes, your pancreas doesn't make any insulin. In Type 2, your pancreas doesn't make enough insulin, and the insulin it is making doesn't always work as it should. Both types are forms of diabetes mellitus, meaning they lead to hyperglycemia (high blood sugar). more

    Source: diabetestalk.net

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