With Type II
Other factors that may cause the disease in susceptible people are
pregnancy – this is called gestational
Other illnesses, including diseases of the pancreas, thyrotoxicosis and hyperthyroidism treatment of existing conditions with corticosteroids.
frequent urination and thirst
lethargy and apathy
lowered resistance to infection (particularly urinary tract infections)
Longer-term complications include:
scarring of the retina
damage to the peripheral nerves
chronic kidney failure
associated disorders of the thyroid.
Special Note on Coma
It is important in
Hypoglycemic (low blood sugar) coma occers as a result of taking too much insulin, or of not following insulin with enough sugar or carbohydrate. As the food and insulin levels become quickly out of balance, sweating, erratic and often violent behavior very quickly results, followed by coma – usually within 15 to 30 minutes. This reaction is known as “a hypo” and can be corrected just as quickly by taking in sugar, preferably as glucose, in food or drinks.
Diabetic coma is much more serious, and requires immediate medical help. The causes of this kind of coma are a buildup of acids (ketones), and metabolic poisoning as a result of having too little insulin in the body for too long. The condition causes rapid breathing and dehydration, followed by life-threatening coma if not checked.
The key to successful treatment of both types of
Research shows that the blood sugar levels of diabetics can best be controlled by a high-fiber, high-carbohydrate, low-fat diet. In the past, carbohydrate content comprised about 40 percent of the energy intake, but this has now been altered so that at least 50 percent of total energy intake is drawn from carbohydrates. Evidence has also shown that blood sugar levels do not rise as rapidly when a high-fiber diet is eaten. Because high-fiber foods take longer to digest, the increase in blood sugar is slower and more monotonous and the diabetic does not have to contend with a sudden increase such as that supplied by refined sugars in fizzy drinks, for instance, or candies.
The only treatment is daily injections of insulin, but people with