
Allt om diabetes: hur du vet om du har det, hur du behandlar det och hur du kontrollerar det
Olika typer av diabetes, hur de utvecklas och behandling
När människor har en obalans av blodsocker i kroppen kan det orsaka hälsoproblem som om de inte behandlas kan leda till allvarliga hälsokomplikationer. Diabetes är en sjukdom som inträffar när det finns för mycket socker i blodet. Sockret i blodet kallas blodsocker och det representerar det primära bränslet som ger kroppen energi.
Typer av diabetes
Det finns fyra huvudtyper av diabetes som människor kan diagnostiseras med och de är typ I, typ II, prediabetes och graviditetsdiabetes. Varje typ av diabetes måste tas om hand och kräver behandling eller allvarliga hälsokonsekvenser kan följa, såsom perifär artärsjukdom (PAD). Detta gör att blodflödet till extremiteterna minskas på grund av att blodkärlen blir för smal. Detta kan leda till amputationer av extremiteter inklusive tår, fötter och lägre ben.
Typ I
Typ I-diabetes hänvisar till personer vars kroppar inte gör tillräckligt med insulin. Detta kan hända när immunsystemet attackerar cellerna i bukspottkörteln som ansvarar för insulinproduktionen. Människor i alla åldrar kan ha från typ I-diabetes och det diagnostiseras vanligtvis både hos barn och vuxna. De som har diabetes typ I måste ta insulininjektioner dagligen eller komplikationer som periferad artärsjukdom (PAD) kan uppstå.
Typ II
De med typ II-diabetes producerar för mycket insulin och det är den vanligaste diagnosen typ av diabetes. Denna typ av diabetes är vanligast bland medelålders vuxna och över. De som är 45 år och över bör genomgå rutinmässig screening. Om du är överviktig är det bäst att få testet vartannat eller tredje år åtminstone. Typ I och typ II diabetes är två mycket olika typer så det är nödvändigt för läkare att göra ytterligare tester för att avgöra vilken typ du har.
prediabetes
Prediabetes är ett tillstånd där blodsockernivåerna är högre än de inte bör vara tillräckligt höga för att betraktas som diabetiker. Detta tillstånd kräver noggrann hantering av hur mycket socker som tas in i kroppen. Människor som får en diagnos av typ II-diabetes är vanligtvis prediabetic innan diagnosen gör det till något som kan fångas tidigt om de genomgår regelbundna kontroller.
Graviditetsdiabetes
Den fjärde oftast diagnostiserade typen av diabetes är graviditetsdiabetes. Graviditetsdiabetes förekommer endast hos gravida kvinnor och är när kroppen bildar för mycket blodsocker under graviditeten. Detta betecknas av en annars frisk kvinna som blir gravid och inte hade diabetes men senare, under graviditeten, börjar hennes kropp producera för mycket blodsocker. Detta leder till en diagnos av graviditetsdiabetes.
Behandling
Varje typ av diabetes kräver en unik behandling men alla av dem kräver regelbunden övervakning av blodsockret. Behandling av typ II-diabetes kan kräva ett helt regement av metoder för att bekämpa de ökade nivåerna av blodsocker. Detta kan innebära att man tar in färre kalorier, färre sockerhaltiga livsmedel och mindre mättat fett. Det rekommenderas också att ha ett regelbundet intag av frukt och grönsaker. Förutom dietrestriktioner bör personer med typ II-diabetes träna regelbundet.
Träning kan automatiskt minska mängden blodsocker i kroppen eftersom du använder det som bränsle för energi.
Diabetes mediciner
En annan vanlig behandling för typ II-diabetes är läkemedelsmedicin som Metformin, Glucophage och Glumetza. Dessa används för att minska glukosproduktionen i kroppen och hjälper den att bättre utnyttja det tillgängliga insulinet. Det finns också många andra typer av farmaceutiska behandlingar som inkluderar Sulfonylurea, Thiazolidinediones och DPP-4-hämmare, men den som är mest erkänd är insulin.
Insulin
Personer som diagnostiseras med typ I-diabetes måste ta regelbundna insulininjektioner för att hålla blodglukosen på en optimal nivå. De som har diagnosen typ I-diabetes vet att deras blodsockernivåer är för låga eftersom de kommer att bli sjuka. Det är då en insulininjektion krävs. Insulinet administreras till kroppen med en nål, för om det helt enkelt tas oralt skulle magsyrorna förstöra läkemedlet innan det kunde absorberas ordentligt.

Jag är läkare som arbetar i Stockholm, Sverige. Jag studerade i Karolinska Institutet.
Hej jag är Ana på 90 år gammal. Jag har haft diabetiker under större delen av mitt liv. Jag bor med mina barnbarn som tar hand om mig. Jag minns att det var igår när mitt socker blev lågt och jag kände mig så yr. Jag försöker stå upp men jag kände och slog, mitt huvud med stolen. Jag hade turen att mitt äldsta barnbarn Helen sov bredvid mig och hon vaknade omedelbart. Jag återhämtar mig men vid denna tidpunkt i mitt liv hade jag tappat benen på grund av komplikationer.
Trots att jag alltid hade en gal diet, trodde jag någonsin att jag skulle få diabetes. Jag har alltid räknat ut som jag trodde skulle tillåta mig att äta vad jag ville. Men förutom den offbeat dieten brände jag verkligen ljuset i båda ändarna och plötsade bara igenom. Jag fick diagnosen för diabetes vid 37 års ålder, vilket också var samma gång som jag kände att andra saker fångade mig fysiskt. Jag kunde inte dricka som jag brukade. Jag har aldrig överdrivit sprit innan, men nu skulle två öl ge mig en inverkan nästa dag.
Jag fick diagnosen typ 2-diabetes när jag var 31 år. Jag hade satt vid bordet och gjort hantverk med min dotter när jag plötsligt kände mig svag och lätt. Nästa sak jag visste att jag var i ambulansen. Min dotter hette 911. Mitt blodsocker var 43. Det var så lågt. Det var när jag fick reda på att jag hade det på ER och de fick mig att följa upp med min familjehälsovård. Jag behöver inte ta insulin, men jag tar en tablettform av det varje morgon. Jag saknar godis och kan fortfarande äta dem ibland men inte så ofta. Jag började också gå ner i vikt och träna för att upprätthålla min hälsa. Diabetes förstör allt, särskilt dina fötter som jag redan hade problem med. Jag hoppas på ett botemedel.
Min kusin John har kämpat med diabetes i ett par månader nu och han hatar att han inte kan äta vissa livsmedel och att han ständigt måste injicera insulin i kroppen han önskar att det skulle kunna finnas ett botemedel eller något annat som kan vara gjort för att göra hans liv lättare
Jag fick diabetes klockan 12. Jag blev väldigt törstig hela tiden och tappade mycket vikt. Jag gick till läkaren och mitt blodsocker var över 500. Jag gick till sjukhuset under veckan och lärde mig allt om hur man räknade kolhydrater och vilken mat jag skulle äta. Jag lärde mig också vilket insulin jag behövde ta för att kontrollera mitt blodsocker. Detta hjälpte verkligen till att mina min A1C och nu kan jag leva ett hälsosammare liv
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