Friday, May 24, 2019
Diabetes mellitus, Essay
Since diabetes is such(prenominal) a complex complaint with many different forms, we decided to focus on diabetes subject I. This is known as insulin-dependent diabetes mellitus (IDDM). This type of diabetes includes people who are dependant on injections of insulin on a daily basis in order to satisfy the bodies insulin needs, they cannot support without these injections.OVERVIEW OF DIABETES TYPE IWhat is diabetes type I?In order to understand the disease we firstly need to know about insulin. Insulin is a endocrine gland. The role of insulin is to shift the food we eat into various useful substances, discarding everything that is wasteful.It is the job of insulin to see that the useful substances are put to best use for our comfortably-being. The useful substances are used for building cells, are made ready for immediate expenditure as energy and also stored for later energy expenditure.The cause of diabetes is an absolute or lack of the hormone insulin. As a result of this l ack of insulin the processes that involve converting the foods we eat into various useful substances does not occur.Insulin comes from the beta cells which are located in the pancreas. In the type of diabetes type I almost all of the beta cells have been destroyed. then daily injections of insulin become essential to life.Health implications of diabetes type IOne of the products that is of full of life importance in our bodies is glucose, a simple carbohydrate sugar which is needed by virtually every part of our body as fuel to function.Insulin controls the tote up of glucose distributed to vital organs and also the muscles. In diabetics due to the lack of insulin and therefore the control of glucose given to different body parts they face death if they founding fathert inject themselves with insulin daily.Since strict monitoring of diabetes is needed for the control of the disease, little room is left for carelessness. As a result diabetic patients are open to many other dise ases and serious conditions if a proper course of treatment is not followed.Other diseases a diabetic is open to Cardiovascular disease, stroke, Peripheral arteria disease, gangrene, kidney disease, blindness, hypertension, nerve damage, impotence etc. Basically there is an increasedincident of infection in diabetic sufferers. Therefore special care needs to be taken to decrease the chances of getting these other serious diseases.PHYSICAL ACTIVITYWhat is physical action mechanism?(Bouchard 1988) States that physical activity is any bodily movement produced by skeletal muscles resulting in energy expenditure. Therefore this includes sports and leisure activities of all forms.Why do we need physical activity in our lives?Physical activity and cultivate helps tune the human machine, our bodies.Imagine a car constantly driven only to stop for fuel. It would be a client for all sorts of damage, rusting, crude leaking, dehydration and the chances are most likely it would die in the mi ddle of the road not long after. This is what the body would be like if we didnt utilization at all. We would be and as a result of todays lifestyle many of us are, the perfect target to all kinds of diseases and infections.For those of us who are carrier of round disease or illness we are still encouraged to exercise by our physicians if we have the strength to. This is to help make our organs, muscles, bones and arteries more good and better equipped to fight against the disease or illness. This is our way of counter attacking. And if we are still healthy then we reduce the chances of getting an illness or a disease.PHYSICAL ACTIVITY AND DIABETES (EPIDEMIOLOGY)Recently insulin injections have become available to dependant patients. However in the pre-insulin era physical exercise was one of the a couple of(prenominal) therapies available to physicians in combating diabetes.For an IDDM carrier to benefit from exercise they need to be well aware oftheir body and the consequences of exercising.If an IDDM carrier has no existent control over their situation and just exercise without considering their diet, time of insulin intake, type of exercise, duration of the exercise and the intensity, then the results can be very hazardous to the patient.In the first journal article that I used for this part of the research (Sutton 1981) had conducted an investigation on drugs used in metabolic disorders. The article is designed to brook some background reading on previous beliefs and research conducted primal this century. As well as his own investigations conducted during the beginning of the 1980s. He has compared the results and came to the same inference as the investigations done early in this century.Suttons findings show that decrease in blood glucose following an insulin injection was magnified when the insulin was followed by physical activity/exercise (see figure 1). This shows that if a person gets involved in physical activity or exercise after insul in the volume of glucose drops dramatically.This leads to symptoms of hypoglycemia. The reason this occurs is that glucose uptake by muscles increase during exercise, in spite of no change or even a diminishing plasma insulin concentration. As a result of this type of information we know now that if a patient is not controlled through a good diet and program then they could put themselves in danger. A person who might be poorly maintained and ketotic will become even more ketotic and hypoglycimic.Good nutrition is of great importance to any individual oddly one that exercises. In the case of diabetes even more consideration must go into the selection of food onward and after exercise. Doctors kindle large intakes of carbohydrates before exercise for diabetes carriers to meet the glucose needs of the muscles.The second article that I used was that of Konen, et al. He and his colleagues conducted testing and research on changes in diabetic urinaryand beta globulin excretion after moderate exercise. This article was a report of the way the research was conducted and its findings.The researched found that urinary proteins, particularly albumin, increase in urinary excretion after moderate exercise. Albumin which is associated with micro- and macrovascular diseases in diabetic patience was found to increase significantly in IDDM patients, while remain normal in non-diabetics. (See table 1 and 2 for results)These results cannot be conclusive to say that this shows that exercise causes other micro- and macrovascular diseases in diabetics. Since albumin is not associated with any disease in non-diabetics then the same may be the case for diabetics as well. However further research is required to find out why such a significant increase occurs in diabetic patients and what it really means.It obvious that there are many very complicated issues associated with diabetes which cannot be explained at this stage. Therefore much more research is required and its only a m atter of time for these complications to resolved.Although there are no firm evidence to suggest that exercise will improve or worsen diabetes still it is recommended by physicians.Aristotle and the Indian physician, Sushruta, suggested the use of exercise in the treatment of diabetic patients as early as 600 B.C. And during late last century and early this century many physician claimed that the need for insulin decreased in exercising patients.The benefits of exercise in non-diabetic individuals is well known. For example reduce the risk of shopping center disease. This makes exercise very important to diabetic carriers since they are at a greater risk of getting heart disease than non-diabetics.Unquestionably, its important for diabetics to optimise cardiovascular andpulmonary parameters as it is for non-diabetic individual. Improved fitness can improve ones sense of offbeat and ability to cope with physical and psychological stresses that can be aggravated in diabetes.
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