Lucy Watkins talks about Diabetes.
Diabetes is a condition that causes a person’s blood sugar level to become too high.
There are 2 main types of diabetes:
- type 1 diabetes – a lifelong condition where the body’s immune system attacks and destroys the cells that produce insulin.
- type 2 diabetes – where the body does not produce enough insulin, or the body’s cells do not react to insulin properly.
Type 2 diabetes is far more common than type 1. In the UK, over 90% of all adults with diabetes have type 2.
High blood sugar that develops during pregnancy is known as gestational diabetes. It usually goes away after giving birth.
Non-diabetic hyperglycaemia (pre-diabetes)
Many people have blood sugar levels above the normal range, but not high enough to be diagnosed as having diabetes. This is known as non-diabetic hyperglycaemia, or pre-diabetes.
People with non-diabetic hyperglycaemia are at greater risk of developing type 2 diabetes, but the risk can be reduced through lifestyle changes.
People with non-diabetic hyperglycaemia are also recommended to have a blood test every year to monitor their blood sugar levels.
It’s very important for diabetes to be diagnosed as early as possible because it’s likely to get worse if left untreated and can cause long-term health problems.
Type 1 diabetes can develop quickly over weeks or even days. Many people have type 2 diabetes for years without realising because the early symptoms tend to be general, or there are no symptoms at all.
Causes of diabetes
The amount of sugar in the blood is controlled by a hormone called insulin, which is produced by the pancreas (a gland behind the stomach).
When food is digested and enters your bloodstream, insulin moves glucose out of the blood and into cells, where it’s broken down to produce energy.
However, if you have diabetes, your body is unable to break down glucose into energy. This is because there’s either not enough insulin to move the glucose, or the insulin produced does not work properly.
There are no lifestyle changes you can make to lower your risk of type 1 diabetes.
You can reduce the risk of type 2 diabetes through healthy eating, regular exercise and achieving a healthy body weight.
Living with diabetes
If you’re diagnosed with diabetes, you’ll need to eat healthily, take regular exercise and have regular checks including blood tests.
You can use the BMI healthy weight calculator to check whether you’re a healthy weight.
Try to quit smoking if you smoke, and cut down on alcohol.
People diagnosed with type 1 diabetes also require regular insulin injections for the rest of their life.
Type 2 diabetes can get worse over time and people living with type 2 diabetes often need medicine, usually in the form of tablets or injections.
However, some people can put their type 2 diabetes into remission by losing weight, where their blood sugar is reduced below the diabetes range. Some people are able to do this through a low-calorie diet, but this is not suitable for everyone, so it’s important to get medical advice first.
Using the links below will direct you to the NHS website where you will find more information on the below:
- insulin for type 1 diabetes
- medicines for type 2 diabetes
- type 2 diabetes remission – information from Diabetes UK
- treating gestational diabetes
Diabetic eye screening
Everyone with diabetes aged 12 years old or over should be invited to have their eyes screened regularly.
If you have diabetes, your eyes are at risk from diabetic retinopathy, a condition that can lead to sight loss if it’s not treated.
Screening, which includes a 30-minute check to examine the back of the eyes, is a way of diagnosing diabetic retinopathy and detecting the condition early where possible so it can be treated more effectively. In many people, this can stop it affecting their vision or reduce the chance of it getting worse.
It’s important to see a doctor if you notice any problems with your eyesight. Do not wait for your next screening appointment.
You can read more about diabetic eye screening on the NHS website.
Diabetic foot problems
Diabetes can damage the nerves in your feet and cause a loss of feeling. It can also reduce the blood supply to your feet. This means you may not notice if your foot is sore or injured, and foot injuries do not heal as well. This can lead to ulcers and infections, and sometimes amputations can be needed in serious cases.
Adults with diabetes should have their feet checked every year by a healthcare professional.
It’s important to see a healthcare professional as soon as possible if you notice any problems with your feet.
