Bonitas Member Magazine B-Living - Issue 2 | Page 17

Diabetes is often referred to as a disease of lifestyle. This is because poor lifestyle choices often lead to changes in our metabolism, which could result in a diabetes diagnosis. But what is diabetes? And who is at risk of contracting this disease? What is diabetes? Diabetes is known as the ‘sugar’ condition, because people with the diagnosis are said to have too much ‘sugar’ in their blood, as their bodies are not able to transport sugar to the cells that need it for energy. This is as a result of changes aff ecting insulin, a hormone made by the pancreas, that enables cells to absorb glucose (sugar) from the blood and use it for energy. Diabetes leads to raised levels of glucose in the blood (hyperglycaemia), which is associated with long-term damage to the body. The changes that aff ect insulin are diff erent for Type 1 and Type 2 diabetes: • Type 1 diabetes: The pancreas produces no or very little of the hormone insulin • Type 2 diabetes: The body cannot process insulin eff ectively (insulin resistance) and may start making less and less insulin (insulin defi ciency) 55 Who is at risk for Type 2 diabetes? The Council of Medical Schemes has identifi ed that, with an increase in diagnosis of almost 70% between 2008 and 2013, Type 2 diabetes is the second fastest growing condition in South Africa (after HIV/AIDS). Those who are obese, follow a poor diet, do not exercise and have a family history of diabetes, are at risk. In South Africa, ethnicity is also a factor, with the Black and Indian population at higher risk. The only way to know for sure if you have elevated blood sugar levels is to have it tested. This should be done by the age of 40 or earlier if you have risk factors. There may however, be no obvious symptoms. Management of diabetes Managing the risk of diabetes holistically and following the prescribed treatment plan are important steps to protecting oneself from the eff ects of this disease. To lead a healthier and fuller life, it is of utmost importance that diabetic patients take their chronic medication and insulin. If diabetes is not managed, the eff ects of the da mage can be widespread. B-Living Issue 2, 2017 Page 16