Marquan Jenkins
Mr. Zeller
English 4


Diabetes

Diabetes is a rising trend within the United States. The topic this paper will address is Diabetes. Some of the issues the paper will address include: Diabetic treatments, Diabetic diets, and Diabetic symptoms. The first paragraph will address the different types of Diabetes.
There is three different type of Diabetes. According to the American Association of Diabetes the three types of Diabetes are Type 1 Diabetes, type 2 Diabetes, and Gestational Diabetes. In type 1 diabetes, the body does not produce insulin (American Diabetes Association, 2011). Type 1 Diabetes is an forever lasting disease which is caused by extremely high levels of sugar (glucose) The American Association of Diabetes states that Type 2 Diabetes is when, the body does make insulin, but either not enough or does not use it. Type 2 Diabetes is the most common out of the 3 it usually occurs over time; most people are overweight when diagnosed with this disease. Increased fat makes it harder for your body to use the insulin in the correct way. During pregnancy -- usually around the 24th week -- many women develop gestational diabetes (American Association of Diabetes, 2011). Gestational diabetes occurs when women pregnancy hormones blocks the insulin produced from the body from doing its job.

Exercising with diabetes
Exercising is very important in managing Diabetes especially Type 2 (WebMD,2008). It is important to exercise when you have Type 2 Diabetes because it burns excess fat helping to decrease and control weight. Exercising also helps protect against heart and blood vessel diseases by lowering bad cholesterol and increasing good cholesterol (Diabetes,John Good,1999). Exercise also lowers blood pressure when exercising appropriately. In some cases your blood sugar can be too high to exercise and you should hold off of exercising.



Types of Insulin
Insulin comes in many different forms such as Rapid Acting, Regular Acting, and Intermediate Acting (American Association of Diabetes , 2011). Rapid-acting insulin starts working more quickly than other types of insulin. It begins working within 15 minutes and leaves your body after 3 to 5 hours (American Academy Of Family Physicians,2011). There is three different types of Rapid Acting Insulin such as insulin lispro, insulin aspart, and insulin glulisine. People should take Rapid Acting Insulin 15 minutes before a meal (American Diabetes Association,2011). Intermediate insulin is Characterized by a cloudy appearance, this type of insulin has a longer lifespan than short-acting insulin but it is slower to start working and takes longer to reach its maximum strength, Intermediate-acting insulin usually starts working within 2-4 hours after injection, peaks somewhere between 4-14 hours and remains working for approximately 24 hours (Carb-Information.com,2011). NPH is a type of Intermediate Insulin. This insulin contains protamine which slows down the speed of absorption. Because of this, the insulin takes longer to reach the bloodstream but has a longer peak and lifespan. This means that fewer insulin injections are needed each day (American Diabetes Association).

Testing Supplies/ Treatment Supplies / how do they test
Insulin can be inserted in a couple different ways one being Insulin pen, Insulin pump, and fine needles. Insulin pens are usually the same size and weight as a marker. While there are a number of different brands and models available, most insulin pens fall into one of two groups: reusable pens and disposable pens. Before using a reusable insulin pen, you must load it with a cartridge of insulin. Cartridges used in the U.S. today hold 150 or 300 units of insulin. Depending on the size of your doses, a cartridge may give you enough insulin to last for several days of injections. When the cartridge is empty, you throw it away and load a new cartridge. With good care, a reusable pen can often be used for several years (BD Diabetes,2011). Disposable insulin pens comes with insulin already in it and is usually thrown away when it is empty. Most disposable pens used in the U.S. today hold 300 units of insulin and are sold in boxes of five. Disposable pens are generally more convenient than reusable pens because you do not need to load any cartridges, but they usually cost more to use than reusable pens and cartridges (WebMD,2011).

Statistics
General facts and number on people with diabetes

Complications:
Hypoglycemia / Hyperglycemia
Hypoglycemia is a condition that occurs when your blood level (glucose) is too low (A.d.a.m Medical Encyclopedia). It is more likely to happen when glucose is released into the bloodstream too slow. Hypoglycemia can also occur when you don’t eat enough during an meal after taking insulin or other diabetes medicine. It could also be caused from exercising more at different times of the day (WebMd,2011). Symptoms of Hypoglycemia can include double or blurry vision, fast or pounding heartbeat, and shaking and trembling. Symptoms could also be tingling or numbness of skin or feeling cranky and acting aggressive.


Other health complications, effects on the body

As the result of the population of people with diabetes rising more people should begin to get tested. According to a article from LA times by Tammy Worth entitled “Practical Matters” people should be tested at least once a year. The people who definitely should be tested often are the ones that are physically inactive and also the ones who has relatives with diabetes because a disease such as this could be very hereditary. According to the Canadian Diabetes Association people should be tested if they have a sudden lose of weight and also if they have increased hunger over a certain amount of time.
There are various tests to determine whether or not someone has Diabetes. The oral glucose tolerance test (OGTT) is the gold standard for making the diagnosis of type 2 diabetes (Web Md, 2011). Web Md also states that for this test a person has to not eat overnight and then in the morning then their blood is tested. Normal fasting blood glucose -- or blood sugar -- is between 70 and 100 milligrams per deciliter or mg/dL for people who do not have diabetes. The standard diagnosis of diabetes is made when two separate blood tests show that your fasting blood glucose level is greater than or equal to 126 mg/dL.(Web Md, 2011).

Diabetic Foundations


One diabetic foundation is the World Diabetes Foundation. According to it’s website this foundation is involved in many different projects around 253 of them. This foundation has paid around 253.3 million dollars to fund all of their projects. This foundation is also involved in fundraising and has raised around 21.1 million dollars to help support people with diabetes. Another foundation for diabetes is the Canadian Diabetes Association. According to it’s website each year this foundation funds key research projects across canada. This foundation also has a whole team of hard working and devoted volunteers who are encouraged to be creative in organizing and implementing their own events and donating the proceeds to the C.D.A.

What I Learned

Before doing this research I knew little about this topic such as the main treatment and The seriousness of this disease. Now i’ve learned many different things about this subject such as the history, and the many different treatments of this disease. Now that I know more about this subject I pretty much understand everything about it such as where it came from and how it is increasing in the u.s. One question that still remains about this topic is how do doctors tell the difference between type 1 and type 2. Another question that still remains on this topic is is there anyway to catch this disease through oral or sexual relations.