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Diabetes Mellitus- The Silent Killer


Diabetes Mellitus is truly one of the worst afflictions to have affected mankind in the past few decades. The main metabolic abnormality of this disease is high blood sugar. There are mainly two types of diabetes.


Type 1 and Type 2. Apart from these there are rare types of other diabetes.


Type 2 diabetes is a true lifestyle disease the incidence of which has increased due to constantly worsening lifestyle trends seen in recent decades. The advent of urbanization, ecommerce, fast food culture, the easy availability of calorie dense snacks and a general lack of awareness on the importance of healthy diet and exercise has led to exponential growth in the prevalence of type 2 diabetes.


  • It may be months to years before this deadly disease starts showing symptoms hence it is very important for people to realize the importance of early detection through screening. The best screening test that can be done is a Fasting blood sugar and Hba1c (Three month average sugar) test.



Treatment of Type 2 diabetes involves multi modal approach that includes dietary changes, exercise regimen and medication. It should be remembered that just starting medication without changing lifestyle seldom helps to achieve goals of treatment and thus its very important that patients realize the importance of adapting a healthy lifestyle.


This along with regular monitoring of blood sugars and guidance from the physician can go a long way in controlling the disease activity. In many cases it may also be possible to put the disease into remission and patients become free of medication.


Understanding Diabetes Mellitus: Risks, Types, and Management


It is a disease that impacts the body’s ability to produce or utilize insulin, leading to high levels of glucose in the blood. The risks associated with diabetes mellitus are significant, including cardiovascular disease, kidney problems, and nerve damage.


Each type has its unique characteristics that require different management strategies. Managing diabetes mellitus can be challenging, but with proper management strategies such as insulin therapy, dietary considerations, exercise, and self-monitoring of blood sugar levels, individuals can lead healthy and fulfilling lives.


Empowering oneself with knowledge is essential in preventing and managing diabetes mellitus. This begins by understanding the different types, risk factors, and management strategies. By taking proactive steps to stay informed and educated, individuals can take control of their health and prevent complications from arising.


What is Diabetes Mellitus?


Diabetes mellitus is a chronic condition that affects how the body processes blood sugar, also known as glucose. Glucose is a crucial source of energy for the body’s cells, but it needs insulin to enter the cells. Diabetes mellitus disrupts this process, resulting in high blood glucose levels, which can lead to various health complications over time.


There are two main types of diabetes mellitus:


Type 1 Diabetes


Type 1 diabetes, also known as insulin-dependent diabetes, occurs when the body’s immune system attacks and destroys the cells in the pancreas that produce insulin. This means the body is unable to produce enough insulin and requires daily injections of insulin to regulate blood sugar levels.


Type 2 Diabetes


Type 2 diabetes, also known as non-insulin-dependent diabetes, occurs when the body becomes resistant to insulin or doesn’t produce enough insulin. This type of diabetes is more common and can be managed with lifestyle changes, medication, and insulin therapy in severe cases.


Gestational diabetes is a type of diabetes that develops during pregnancy and usually goes away after giving birth. However, women who develop gestational diabetes are at a higher risk of developing type 2 diabetes later in life.


Common symptoms of diabetes mellitus include increased thirst and hunger, frequent urination, fatigue, blurry vision, and slow-healing wounds or infections. If you experience any of these symptoms, it’s important to see a doctor for proper diagnosis and treatment.


Types of Diabetes Mellitus


Diabetes mellitus is a complicated condition that is characterized by high blood sugar levels and can cause a range of health problems. There are three primary types of diabetes: type 1 diabetes, type 2 diabetes, and gestational diabetes.


Type 1 Diabetes


Type 1 diabetes is an autoimmune disorder that occurs when the body’s immune system attacks and destroys the cells in the pancreas that produce insulin. Without insulin, the body cannot properly regulate blood sugar levels, which can lead to a range of complications. Type 1 diabetes is typically diagnosed in childhood or adolescence and requires lifelong insulin therapy.


Type 2 Diabetes


Type 2 diabetes is the most common type of diabetes and typically develops in adulthood. It occurs when the body becomes resistant to insulin or doesn’t produce enough insulin to regulate blood sugar levels. Type 2 diabetes can often be managed with lifestyle changes, such as exercise and healthy eating habits, but may also require medication or insulin therapy.


Gestational Diabetes


Gestational diabetes is a type of diabetes that occurs during pregnancy and typically goes away after the baby is born. It is caused by the hormones produced during pregnancy that can make it difficult for the body to produce enough insulin to regulate blood sugar levels. Gestational diabetes can increase the risk of complications for both the mother and the baby, but can often be managed with dietary changes and exercise. In some cases, insulin therapy may be required.


Risk Factors for Diabetes Mellitus


Diabetes mellitus is a complex condition that can be caused by a variety of risk factors. Some of these factors are beyond an individual’s control, such as genetics, but others can be managed to reduce the risk of developing the condition. One significant risk factor is insulin resistance.


Insulin Resistance


Insulin is a hormone produced by the pancreas that regulates the amount of glucose in the blood. Insulin resistance occurs when the body’s cells become less responsive to insulin, resulting in high blood sugar levels. This puts a strain on the pancreas, which may lead to the development of type 2 diabetes.


Other risk factors for diabetes mellitus include:


  • Family history of diabetes


  • Obesity or being overweight


  • Sedentary lifestyle


  • High blood pressure


  • High cholesterol levels


  • Age (risk increases with age)


Understanding these risk factors is essential for preventing or managing diabetes mellitus. Taking steps to reduce the risk of insulin resistance, such as maintaining a healthy weight and staying physically active, can be helpful. Additionally, getting regular check-ups with a healthcare provider and following a balanced diet can aid in managing other risk factors.


Managing Diabetes Mellitus


Diabetes mellitus requires diligent management to maintain a healthy lifestyle. The goal is to keep blood sugar levels as close to normal as possible, and this can be achieved through various methods.


Insulin Therapy


For individuals with type 1 diabetes, insulin therapy is a necessary form of treatment. It involves regular injections or the use of an insulin pump to deliver insulin into the body.


For those with type 2 diabetes, insulin therapy may also be necessary if lifestyle changes and other medications do not effectively control blood sugar levels. It is important to work closely with a healthcare provider to determine the appropriate insulin regimen.


Diabetic Diet


A diabetic diet involves focusing on whole, nutrient-dense foods and limiting processed and sugary foods. This can help control blood sugar levels and promote overall health.


Some key principles of a diabetic diet include consuming lean proteins, minimizing carbohydrates, choosing healthy fats, and incorporating plenty of non-starchy vegetables.




Regular physical activity can also help manage diabetes by improving insulin sensitivity and aiding in weight loss. It is recommended to aim for 150 minutes of moderate-intensity exercise per week.


It is important to work with a healthcare provider to determine the appropriate exercise regimen and to monitor blood sugar levels during and after physical activity.




Self-monitoring of blood sugar levels is essential for managing diabetes. This may involve testing blood sugar levels at home with a glucose meter or using a continuous glucose monitoring system.


It is important to track blood sugar levels regularly and to make adjustments to lifestyle and/or medication as necessary to maintain optimal levels.


Diabetic Complications


Unfortunately, diabetes mellitus can lead to various complications if left unmanaged. These complications can affect different parts of the body, including the eyes, heart, kidneys, and nerves.


Cardiovascular Disease


One of the most common complications of diabetes is cardiovascular disease. The high blood sugar levels associated with diabetes can damage blood vessels and increase the risk of heart attack and stroke. People with diabetes are also more likely to have high blood pressure and high cholesterol, which can further increase the risk of heart disease.


Kidney Problems


Diabetes can also cause damage to the kidneys, leading to a condition called diabetic nephropathy. Over time, high blood sugar levels can damage the small blood vessels in the kidneys, affecting their ability to filter waste from the blood. If left untreated, this can lead to kidney failure.


Nerve Damage


Another potential complication of diabetes is nerve damage, or diabetic neuropathy. High blood sugar levels can damage the nerves throughout the body, but this most commonly affects the feet and legs. Symptoms can include numbness, tingling, and pain, and in severe cases, it can lead to amputation.


Prevention and Management


Fortunately, many of these complications can be prevented or managed with proper care. This includes keeping blood sugar levels under control, monitoring blood pressure and cholesterol levels, and following a healthy lifestyle with regular exercise and a balanced diet. It’s also important to attend regular check-ups with a healthcare provider to catch any complications early.


Gestational Diabetes: A Temporary Condition


Gestational diabetes is a type of diabetes that affects pregnant women. It occurs when the body cannot produce enough insulin to regulate blood sugar levels during pregnancy.


The condition usually develops during the second or third trimester and can affect both the mother and the baby’s health if left untreated.


Causes of Gestational Diabetes


The exact cause of gestational diabetes is unknown, but it is believed to be related to hormonal changes during pregnancy that can affect insulin sensitivity. Women who are overweight or have a family history of diabetes may also be at higher risk of developing the condition.


Risks for Mother and Baby


Untreated gestational diabetes can increase the risk of complications during pregnancy and delivery, such as high blood pressure, preeclampsia, and preterm labor. It can also lead to a larger birth weight for the baby, which can increase the risk of delivery complications and the need for a C-section.


Managing Gestational Diabetes


If you have been diagnosed with gestational diabetes, your healthcare provider will work with you to develop a treatment plan to manage your blood sugar levels. This may include monitoring your diet, exercise, and, in some cases, insulin therapy.


It is essential to attend all recommended prenatal appointments and follow your healthcare provider’s advice to prevent or manage any complications that may arise.



Gestational diabetes is a temporary condition that can be managed with proper care and treatment. By working with your healthcare provider and making lifestyle adjustments, you can ensure the health of both you and your baby and reduce the risk of long-term health complications.


Empowering Yourself with Knowledge


Living with diabetes mellitus requires a certain level of awareness and education. By staying informed about the condition, you can better manage your symptoms and prevent complications. There are many resources available to help you stay informed, including diabetic education classes, support groups, and online forums.


Prevention is key when it comes to diabetes mellitus. By making lifestyle changes such as eating a healthy diet, staying active, and managing stress, you can reduce your risk of developing the condition. Regular check-ups with your healthcare provider can also help detect diabetes early on.


It’s important to take an active role in your health and well-being. Don’t be afraid to ask questions and seek out information. By empowering yourself with knowledge, you can better manage your diabetes and improve your overall quality of life.


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-Written by

Dr. Ahmed

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