This is the №1 cause of diabetes, says the doctor – Eat it is not

Diabetes mellitus A chronic health condition that affects how your body converts food into energy. If you have diabetes, your body will not be able to produce enough insulin or use the insulin it produces properly. Over time, this can lead to serious health problems such as cardiovascular disease, Alzheimer’s disease or cancer, vision loss, neuropathy, and kidney disease. Today, there are three traditional types of diabetes: type 1, type 2, and gestational diabetes.

in accordance with CDC, diabetes is one of the leading causes of death and disability in the country. In 2019, diabetes was the seventh leading cause of death in America, killing more than 87,000 people. Diabetes-related deaths increased by 17% in 2020 and 15% in 2021 compared to the pre-pandemic level in 2019. Most people with diabetes suffer from cardiovascular disease and other chronic diseases of old age and vision loss. , and amputation of the lower leg.

There is no cure for diabetes, so self-management and a healthy lifestyle are needed to reduce the effects of diabetes on the human body. As a physician specializing in endocrinology, diabetes, and metabolism, I help my patients understand and manage diabetes. Keep learning to learn more – and don’t miss them to keep yourself and others healthy Signs that you already have COVID.


Type 1 diabetes is caused by an autoimmune reaction that attacks the body by mistake. If you have type 1 diabetes, the pancreas cannot make the hormone insulin, which usually regulates sugar (glucose) levels. blood the flow. When insulin is not available to eliminate excess glucose, its levels rise, damaging blood vessels. This leads to the destruction of all the blood vessels in the body.

Type 1 diabetes can be autoimmune or non-autoimmune. Autoimmune forms of diabetes can occur in childhood, adolescence, or adulthood. Autoimmune diabetes, which begins in adults, accounts for about 20% of cases in adults (80% of cases are non-autoimmune).

The presence of certain antibodies in the blood is a marker of diabetes. These include glutamic acid decarboxylase (GAD) and pancreatic insulin-producing island cell antibodies (ICA). When GAD-positive antibodies are detected in diabetes mellitus in adults, it is a form of latent autoimmune diabetes in adults (“LADA” or “type 1.5 diabetes”). This type of diabetes is often misdiagnosed as type 2 diabetes because it occurs in adults. This misdiagnosis, unfortunately, leads to poor therapeutic choices, poor glycemic (blood sugar) control, and accelerates the progression of insulin deficiency to type 1 fulminant disease (a condition in which the insulin-producing beta cells of the pancreas are rapidly and completely destroyed). . Type 1 diabetes, which usually occurs in childhood, is an autoimmune dysfunction in which antibodies attack and destroy insulin-producing cells.

Some in the medical community now suspect that non-autoimmune forms of diabetes due to insulin deficiency (type 1) are indeed autoimmune in nature, but they contain antibodies that have not yet been identified.

diabetes mellitus

The main cause of type 2 diabetes is obesity. Type 2 diabetes is also known as “insulin resistance” because it is not a lack of insulin that raises blood sugar, but the inability of the body’s cells, especially muscle and fat cells, to use it. The pancreas still makes the insulin it needs, but the cells “resist” it, and the insulin stops working. This has the same side effects as the absence of insulin. Sugar levels rise, leading to damage to blood vessels throughout the body. In addition, compensatory hyperinsulinemia itself plays an important pathogenic role in chronic diseases of old age, including cardiovascular disease, Alzheimer’s and cancer.

Type 2 diabetes was previously known as adult diabetes, but type 1 and type 2 diabetes can begin in childhood and adulthood. Type 2 is more common in older people, but an increase in the number of obese children has led to more cases of type 2 diabetes in young people.

On the other hand, 20% of adult diabetes is an autoimmune type of type 1 diabetes (positive GAD antibody), also known as latent onset in adults or LADA diabetes.

Type 2 diabetes is type 2 diabetes with ketosis. These people are usually older than teenagers, or have type 1 diabetes as a child and are usually obese. This group is often defined as racially black, Hispanic, Asian, or Indian. Ketosis or ketoacidosis is the first manifestation of the disease, which requires treatment with insulin, which can then be administered orally. The pathogenic cause of type 2 diabetes is not clear.


Another factor contributing to the development of type 2 diabetes is the consumption of “non-food” dietary supplements (such as artificial sweeteners). These substances cause oxidative stress in the liver and then in the pancreas, resulting in the release of excess insulin, which is resistant to insulin in the muscles, liver and fat cells. As mentioned above, insulin-antibody-mediated diabetes mellitus in childhood is generally considered to be type 1 disease, but the presence or absence of insulin deficiency independent of autoimmunity also distinguishes between type 1 and type 2 diabetes.

Prolonged type 2 diabetes eventually leads to the death of insulin-producing beta cells in the pancreas with a decrease in insulin levels. In this case, the disease develops into a non-autoimmune form of type 1 (insulin deficiency) diabetes, sometimes referred to as type 1/2 diabetes. In this case, the person will have to take an insulin injection because their body will not be able to produce its own insulin.

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Another type of insulin-resistant diabetes, or type 2 diabetes, is called steroid diabetes – a sudden increase in blood sugar due to the use of steroids.

This can occur with long-term use of steroid medications, and prescribed courses of steroid medications are generally one of the reasons for the short and rapid decline. People with or without diabetes may have a sharp rise in blood glucose levels. The most characteristic feature is the insulin resistance of skeletal muscle with a sharp rise in blood sugar after a meal. Muscles do not absorb sugar properly. More similar to steroid diabetes 2 diabetes By type 1. In both steroid diabetes and type 2 diabetes, your cells do not respond properly to insulin. In type 1 diabetes, the pancreas does not produce insulin.

Blood sugar testing at home.  A pregnant woman is checking her blood sugar at home.  Diabetes is a blood sugar test.  A pregnant woman checks her blood sugar at home with a glucometer and a test strip

Gestational diabetes is a type of diabetes that occurs during pregnancy in women who do not have diabetes. Gestational diabetes occurs when your body becomes resistant to the action of insulin during pregnancy. Insulin is a hormone produced by the pancreas that gives blood sugar to the cells in your body to use as energy.

Both hormones produced by the placenta (progesterone and human placental lactogen) are resistant to insulin. The placenta also produces a hormone called corticotropin-releasing hormone (CRH), which increases cortisol production during pregnancy. It is also contraindicated in insulin action. In addition, gaining weight and choosing the wrong diet during pregnancy can increase insulin resistance.

Gestosis increases the risk of diabetes high blood pressure during pregnancyCompensatory hyperinsulinemia, caused by insulin resistance, causes arterial vasoconstriction and renal salt retention.


The term type 3 diabetes was recently developed to refer to the insulin-resistant component of the pathogenesis of Alzheimer’s disease. Type 3 diabetes occurs when neurons in the brain fail to respond to insulin. Some researchers believe that insulin deficiency is a major part of the cognitive decline in Alzheimer’s disease.

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Adolescent diabetes mellitus (MODY) is a group of genes of hereditary diabetes that are passed from parents to children through genes. Symptoms usually begin in childhood or adolescence before the age of 30 years. This group is characterized by low blood sugar levels – the sugar in the blood is formed by the production of insulin. The severity depends on the specific genetic type and can range from asymptomatic to severe. Unlike type 1 and type 2 diabetes, MODY accounts for only 1-2% of the prevalence of diabetes.

A doctor with a glucometer and an insulin pen talks with a male patient at the hospital's medical office.

Anyone with regular dry mouth, excessive thirst, frequent urination, dizziness, sudden weight loss, or blurred vision should have their blood glucose levels checked immediately. The doctor should perform a blood test that includes endogenous insulin levels (the best test is C-peptide levels). If this level is in the low or medium range, a GAD antibody test should be performed.

If you have been diagnosed with pre-diabetes or insulin-resistant type 2 diabetes, the best course of action is to lose weight, walk for at least 30 minutes, or develop an exercise plan that includes other activities, smoking cessation (if any), alcohol restriction, and a Mediterranean diet. (it has many forms tailored to different ethnic preferences) and find ways to reduce stress. Learning what helps you eat a healthy, balanced diet (this includes not only the Mediterranean but also a low glycemic index-based diet and limiting processed and “non-food” supplements to your diet) is the first step to improving your health. 2 diabetes. To protect yourself and others, do not go to any of these 35 Where you hold the COVID.

Dr. Brian Fertig, MD, FACE, Founder and President of the Diabetes and Osteoporosis Center in Piscatavei, is an associate professor at Robert Wood Johnson Medical School and chairman of the Diabetes and Endocrinology Department at Hackensack Meridian Health, JFK University Medical Center. He also said,Metabolism & Medicine“The two-volume series details the scientific approach to disease prevention and control.

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