Prime Time Monthly | Page 14
14 November 2016
Eugene Sun, M.D., Vice President and
Chief Medical Officer, Blue Cross and
Blue Shield of New Mexico
W
hat is diabetes?
Diabetes is a metabolic
disease in which the body
has high blood glucose levels (blood
sugar) because the body does not
produce enough of a hormone called
insulin, the cells in the body do not
respond properly to the actions of
insulin, or both.
I have heard that there are two
different types of diabetes. What is
the difference between the two?
Type 1 diabetes, or insulindependent diabetes, occurs when
the body’s immune system destroys
the cells in the pancreas that make
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insulin. The cause is unknown.
Insulin helps cells throughout the
body use glucose in the blood to
generate energy to function properly.
Type 1 diabetes usually develops in
children or young adults.
Type 2 diabetes, or non-insulindependent diabetes, occurs when the
body is not able to use the insulin
produced by the pancreas effectively.
Type 2 diabetes is commonly
caused by a combination of being
overweight and inadequate physical
activity. In the past, this disease
occurred primarily in adults, but
with increasing levels of obesity
around the country, it is occurring in
children more frequently.
How common is diabetes?
A little over 9 percent of
Americans have diabetes, or about
30 million people. About 5 percent
of those have type 1 and the rest type
2. Almost 26 percent of Americans
65 and older have diabetes. The risk
for diabetes rises with increasing
age.
How does diabetes affect one’s
health?
Over time, diabetes can cause
damage to a number of organs in
your body including the brain, eyes,
heart, blood vessels, nerves, kidneys
and others. Diabetic patients have
a higher risk for stroke, blindness,
heart attack, nerve damage and
kidney failure. The risk of long-term
complications is higher for people
with poorly controlled diabetes.
Should I be tested to see if I have
diabetes?
Yes! About 30 percent of the
diabetics in this country have not
been diagnosed. Your doctor can
order a blood test called a fasting
plasma glucose, which is done first
thing in the morning before you have
eaten anything. A normal level is less
than 100 mg/dl. Levels between 100
and 126 mg/dl indicate pre-diabetes,
and levels 126 mg/dl and higher
indicate diabetes.
Is there a cure for diabetes?
Unfortunately, there is no cure
for either type 1 or type 2 diabetes,
however, there are medications and
steps one can take that can help to
keep diabetes in control. People with
Type 1 diabetes must be treated with
insulin. People with type 2 diabetes
can help themselves by watching
their diet, losing weight if they are
overweight and exercising more. If
necessary, your doctor can prescribe
medications, including insulin, to
help control your blood glucose
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Some include:
levels.
Is it really that important to
control blood glucose levels?
Absolutely! Medical research has
conclusively demonstrated that the
better blood glucose is controlled
over time, the lower the risk for
organ damage and complications.
Stroke, kidney failure, heart
attacks and other complications are
debilitating and can be fatal. It is
important to know whether you have
diabetes, and if you do, it is very
important to work with your doctor
to control it. With a combination
of medications, diet, and exercise,
you can lower your risk for serious
complications!
If you have a health question or
idea for an article that you would
like to be considered in Ask a Health
Care Professional, please e-mail
AskHealthCareProfessional@
bcsbsnm.com. BCBSNM will select
questions that may appear. Questions
will not be personally answered. The
opinions expressed in this column
are solely those of the author and
not necessarily those of BCBSNM.
This column is not intended to be a
substitute for professional medical
care.
Call for a free,
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Age Rate
Age Rate
Age Rate
Age Rate
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90+
4.7%
4.8%
4.8%
4.9%
5.0%
5.1%
5.3%
5.4%
5.5%
5.7%
5.8%
6.0%
6.2%
6.4%
6.6%
6.8%
7.0%
7.2%
7.4%
7.6%
7.8%
8.0%
8.2%
8.4%
8.7%
9.0%
Two-life rates available.
Rates subject to change.
For information call 800-479-0210 or return coupon.
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