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Alabamians and Mississippians are increasingly feeling the effects of diabetes as thousands of people suffer from the disease, and many others may have diabetes and not know it! It is estimated that one out of every three children born after 2000 in the United States will be directly affected by diabetes.

That is why the American Diabetes Association's Birmingham office is so committed to educating the public about how to stop diabetes and support those living with the disease. In 2015, the American Diabetes Association has funded over $1.7 million in research in the State of Alabama.

We are here to help.

The American Diabetes Associations's Birmingham office covers Alabama and Mississippi

Our African American Initiatives are a targeted approach to increasing the awareness of the seriousness of diabetes and emphasizing the importance of making healthy lifestyle choices such as moving more and eating healthier. We achieve this through culturally appropriate materials and community-based activities that empower, educate and create measurable differences in the prevalence of diabetes and its complications among people of African descent. To learn more about this program, please visit the Live Empowered page.

Stop Diabetes at Work is a program of the American Diabetes Association, which provides the resources for employers to use in the workplace to help employees live healthier lives whether they are working to prevent diabetes or to manage diabetes if they have already been diagnosed. For more information, visit Stop Diabetes @ Work.

Being diagnosed with diabetes can be overwhelming and many people don't know where to start. That's why the Living With Type 2 Diabetes program offers people with diabetes an opportunity to learn more about diabetes and how to live well with diabetes over a 12-month period. Please visit http://www.diabetes.org/living to sign up today for free!

We welcome your help.

Your involvement as an American Diabetes Association volunteer whether on a local or national level will help us expand our community outreach and impact, inspire healthy living, intensify our advocacy efforts, raise critical dollars to fund our mission, and uphold our reputation as the moving force and trusted leader in the diabetes community.

Find volunteer opportunities in our area through the Volunteer Center.

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Alabama Office of the American Diabetes Association

Virginia Hospital Center provides a variety of adult education services for those with Type 1 diabetes, Type 2 diabetes, Gestational diabetes, and Medical Nutrition Therapy for other chronic diseases.

The Virginia Hospital Center Diabetes Education Program is an American Diabetes Association Recognized Program. We cover all comprehensive content of diabetes self-management education. Some topics include:

For more information or to set up an appointment please call 703.558.5718. A physician order is needed for all appointments.

Virginia Hospital Center offers a variety of services to those individuals that have been newly diagnosed as well as those who have had Type 1 diabetes and need continued education. Services provided include insulin adjustment, meal planning, and carbohydrate counting.

Virginia Hospital Center offers a comprehensive diabetes self-management education program. The program consists of 4 group sessions spaced out over a 4-5 month period including 10 hours of comprehensive education. Classes are held Thursday evenings and/or Friday mornings. Classes are available to meet your scheduling needs and new classes are offered every month.

This class is designed to educate pregnant women on blood glucose monitoring, meal planning/carbohydrate counting and insulin administration (if necessary). The initial class, offered each week, is 1.5-2 hours in length and a 30-minute follow-up session is scheduled for 7-10 days after completion of the class.

Virginia Hospital Center offers individual one-on-one appointments on an as-needed basis to accommodate those with special needs.

601 S. Carlin Springs Road,Arlington, VA 22204.

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Community Wellness

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Diabetes Education : Virginia Hospital Center

Introduction

Diabetes is a lifelongcondition that causes a person's blood sugar level to becometoo high.

There are two main types of diabetestype 1 and type 2.

Type 2 diabetes occurs when the body doesn't produce enough insulin to function properly, or the bodys cells don't react to insulin. This means that glucose stays in the blood and isn't used as fuel for energy. Learn more about the causes of type 2 diabetes.

The high blood sugar level makes you:

Learn more about thesymptoms of type 2 diabetes.

Untreated diabetes can damage your organs, so it's important that it's diagnosed as early as possible.

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Type 2 diabetes is often associated with obesity and tends to be diagnosed in older people. It's far more common than type 1 diabetes.

It's estimated that more than 1 in 16 people in the UK has diabetes (diagnosed or undiagnosed), and this figure is rising rapidly.

There are currently 3.9 million people living with diabetes in the UK, with 90% of those affected having type 2 diabetes.

Learn about whos at risk of developing type 2 diabetes.

Diabetes can cause serious long-term health problems. It's the most common cause ofvision lossand blindness in people of working age. Everyone with diabetes aged 12 or over should be invited to have their eyes screened once a year for diabetic retinopathy.

Diabetes is also responsible for most cases ofkidney failure and lower limb amputation (other than accidents).

People with diabetes are up to five times more likely to have cardiovascular disease (such as a stroke) than those without diabetes.

Read more about the complications of type 2 diabetes.

If you're at risk of type 2 diabetes, you may be able to prevent it developing by making lifestyle changes.

You should:

If you already have type 2 diabetes, it may be possible to control your symptoms by making the above changes. This will also minimise your risk of developing complications.

Read more about living with type 2 diabetes.

As type 2 diabetes usually gets worse, you may eventually need medication (usually tablets) to keep your blood glucose at normal levels.

Read more about the treatment of type 2 diabetes.

Bloodglucose levels cansometimes rise during pregnancy, making it difficult for insulin to absorb it all. This is called gestational diabetes, which affects about5% of pregnant women.

Gestational diabetes can increase the risk of health problems developing in an unborn baby, so it's important to control your blood glucose levels.

In most cases, gestational diabetes disappears after the baby is born. However, women who developthe condition haveabout a 30% risk of developing type 2 diabetes in later life.

Read more about gestational diabetes.

Diabetes can have serious health consequences, including heart disease and blindness. But with careful management you can reduce your risk

Page last reviewed: 18/06/2014

Next review due: 18/06/2016

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Type 2 diabetes NHS Choices

Are you at risk for diabetes?Diabetes control program Diabetes classes Diabetes support groups Needle disposal Eye examsFacts and figuresMore information

Are you at risk for diabetes? Twenty-five percent of Americans with diabetes dont know they have the disease. Take a diabetes risk test to learn your risk for type 2 diabetes and whether you should follow up with one of the Health Department's diabetes educators to take steps to protect your health. For more information on diabetes, contactJoan Geohegan at 859.363.2115 or Julie Shapero at 859.363.2116.

Diabetes control programThe Health Departments diabetes control program is a self-management training program for adults, and is accredited by the American Association of Diabetes Educators. The program is facilitated by a Certified Diabetes Educator/Registered Nurse and a Registered, Licensed Dietitian. The Health Department offers group sessions to help you learn to manage your diabetes. Specific information is given on healthy eating, physical activity, coping with a chronic disease and more. The program is offered in the community. Counseling is also available in Spanish upon request. For more information, please call one of our educators, Joan Geohegan, RN, BSN, CDE, at 859.363.2115 or Julie Shapero, RD, LD, at 859.363.2116.

Diabetes classes The Health Department routinely holds free classes on diabetes, with topics that include: what is diabetes, healthy eating, complications and more. The classes are led by a Registered Nurse and a Registered Dietitian. For more information, please call Joan Geohegan at 859.363.2115 or Julie Shapero at 859.363.2116.

Diabetes support groups The Health Department sponsors three adult diabetes support groups:

Dates and times are subject to change, so please contact Joan Geohegan at 859.363.2115 to confirm

Needle disposal Need to dispose of needles or other medical waste at your home? The Kentucky Department for Environmental Protection has created a fact sheet with tips on how to protect yourself and those who pick up your trash. Eye exams If you have diabetes, regular eye exams are crucial to avoid eye problems. Diabetes can lead to eye problems such as cataracts, glaucoma and retinopathy. Make sure to see your doctor as soon as possible if you have diabetes and start to experience issues with your vision.

Facts and figures

More information For more information on diabetes, please call one of our educators, Joan Geohegan, RN, BSN, CDE, at 859.363.2115 or Julie Shapero, RD, LD, at 859.363.2116.

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Northern Kentucky Health Department | Diabetes

What is diabetes?

Diabetes Mellitis is a disease in which the body does not produce or properly use insulin, which affects how the body is able to use glucose for energy.

In order for cells to use glucose for energy, insulin must be present. In people with diabetes, the pancreas either produces little or no insulin (type 1), or the cells do not respond appropriately to the insulin that is produced (type 2 and gestational diabetes).

Glucose builds up in the blood, overflows into the urine, and passes out of the body in the urine. Thus, the body loses its main source of fuel.

The three main types of diabetes are:

When your physician diagnoses diabetes, it is likely that he or she will suggest, in addition to lifestyle changes, the following:

The goal of all diabetic treatment is to normalize blood glucose (sugar) levels as much as possible, and to minimize the following long term complications of diabetes:

While individuals with diabetes should check their blood sugar level multiple times per day, the best way to assess the overall level of glucose control is by taking a Hemoglobin A1C test. This provides an average of glucose levels over several months. National guidelines recommend that Hemoglobin A1C levels are measured four times per year. (The higher the Hemoglobin A1C, the more "uncontrolled" the diabetes.)

Routine monitoring of diabetes with a physician, and a coordinated care team, is very important in the proactive management of diabetes.

Lifestyle changes are critical in diabetes management, and are a routine and expected part of a conventional medical care plan. Some changes include:

Type 1 diabetes is not reversible or curable. With Type 2 diabetes, blood sugar can be normalized and managed without medication following adequate diet and exercise, although the ADA has not yet established criteria for diagnosis of actual cure. The following therapies and healing practices are therefore presented primarily as ways of managing type 1 and type 2 diabetes, optimizing function, and minimizing complications.

The group of symptoms termed diabetes in conventional medicine has been treated for thousands of years with the system of Traditional Chinese Medicine (TCM). TCM looks at signs and symptoms in the context of the whole person. Specifically this system looks at patterns of disharmony, as well as patients' emotional and psychological responses.

Unlike conventional medicine, TCM does not focus on determining or manipulating the blood sugar levels, but rather individualizes a plan to restore balance and harmony, depending upon the nature of the diagnosed imbalance. The most commonly employed therapeutic methods in TCM include acupuncture, moxibustion, Chinese herbal medicine, diet therapy, mind/body exercises (Qigong and Tai Chi), and Tui Na (Chinese massage).

In 1997, the National Institutes of Health released a consensus statement saying that the use of acupuncture in the treatment of diabetes was classified as "effective, but further evidence required." It is important to acknowledge that the consensus statement referred to studies of acupuncture only, and not of the entire systemic approach.

Acupuncture has been shown to lower glucose levels and has been demonstrated to improve peripheral neuropathy and neuropathic pain, one of the most common complications of type 2 diabetes.

Many Chinese herbs and formulations have been used safely for millennia; however, good data on herb/drug interactions is limited. Additionally, the FDA does not regulate the preparation, prescription, or distribution of herbs. Therefore, it is important to work with a reliable and trustworthy source for herbal products. Heavy metal contamination is a concern for products grown in China. Some of the most commonly used herbs in diabetes include: Panax Ginseng, Momodica charantia, Lagenaria siceraria, and Psidium gnajava. These herbs appear to enhance how glucose is metabolized in the body.

The following supplements can be beneficial for those with diabetes. Typical doses for each botanical are indicated below. However, you should talk with your healthcare provider before adding botanicals to your health regimen and ask about the right dosage for you.

Conventional medications should not be discontinued in favor of herbs alone, unless they are weaned off over time, with close glucose monitoring. This requires a working team of an experienced physician and a knowledgeable TCM practitioner.

CAUTION: some herbs commonly used for weight loss may cause blood sugar levels to increase, including Coca seeds, Coffee seeds, Cola seeds, Guarana seeds, Mat'e leaves, and Ma huang.

Chronic stress elevates cortisol levels, which negatively impacts many different systems of the body. Stress increases the release of glucose from the liver and decreases insulin receptor sensitivity, making insulin work less effectively.

Stress management helps individuals be more effective in regulating their diet and exercising, which are both critical to diabetic management. Meditation, the Relaxation Response, Mindfulness-Based Stress Reduction (MBSR), and biofeedback are just a few of the practices that have been used to manage stress, and have positive impacts on the diabetic patient. See an example of the positive impact of Mindfulness-Based Stress Reduction.

All of these approaches seek to optimize the body's ability to function. When integrating therapeutic approaches to diabetes, all patients must recognize the importance of careful monitoring of blood glucose levels, as well as monitoring for potential side effects, such as drug-herb interactions.

When new therapies and practices are added, ideally glucose levels will decrease or normalize, and prescription medications may need to be decreased in dose, or sometimes even eliminated. Therefore, reliable and regular self-testing of glucose levels, accurate recording/reporting, and frequent communication with your medical care team is critical.

Brand-Miller, J., MD (2004). The New Glucose Revolution Life Plan: Discover How to Make the Glycemic Index the Foundation for a Lifetime of Healthy Eating. Perseus Publishing.

Davis, B., Barnard, T. (2003). Defeating Diabetes. Healthy Living Publications.

Hammerly, M., MD. Diabetes: The New Integrative Approach : How to Combine the Best of Traditional and Alternative Therapies.

Mcdougall, J., MD (1991). The Mcdougall Program: 12 Days to Dynamic Health. Penguin Group.

The American Diabetes Association: http://www.diabetes.org

The Juvenile Diabetes Research Foundation: http://www.jdrf.org/

Healthy Humans has diabetes online programs: https://info.healthyhumans.com

Healthline Type 2 Diabetes Center: http://www.healthline.com/health/type-2-diabetes

More here:
Diabetes | Taking Charge of Your Health & Wellbeing

Welcome to the Diabetes Health Channel by eMedTV. Diabetes is a chronic condition in which the body cannot properly convert food into energy. There are three main types of diabetes: type 1 diabetes, type 2 diabetes, and gestational diabetes. Over time, the high blood glucose levels caused by diabetes can lead to several health problems and complications. Effectively managing diabetes is critical to help minimize the risks of future complications.

How Do the Types of Diabetes Differ?

Type 1 diabetes is an autoimmune disease, meaning that the body's own immune system is destroying the cells that produce insulin. A person who has type 1 diabetes must take insulin every day.

Type 2 diabetes is the most common form of diabetes, especially in people over the age of 40. About 90 to 95 percent of people with diabetes have type 2. Type 2 diabetes is associated with:

Gestational diabetes develops only during pregnancy.

What Causes Diabetes?

In type 1 diabetes, the cells in the pancreas produce too little insulin or no insulin at all.

Scientists have identified risk factors that increase the chances of developing type 2 diabetes; however, the specific causes of this type of diabetes are unknown.

The causes of diabetes in pregnant women are linked to hormonal changes and weight gain associated with pregnancy.

What Are the Risk Factors for Developing Diabetes?

Risk factors for type 2 diabetes include age, high blood pressure, an inactive lifestyle, and being overweight. Other risk factors include family history and ethnicity. If you are younger than 45, overweight, and have one or more of the diabetes risk factors, you should consider being tested for type 2 diabetes.

What Are the Symptoms of Diabetes?

Symptoms associated with type 1 diabetes usually develop over a short period of time and include increased thirst and urination, constant hunger, and blurred vision. Symptoms of type 2 diabetes develop more gradually and are not as noticeable as in type 1 diabetes. Common symptoms of type 2 diabetes include frequent infections, slow-healing wounds, and frequent urination.

How Is Diabetes Treated?

The goal of diabetes treatment is to keep blood glucose levels as close to the normal range as possible. The treatment for diabetes includes healthy eating, exercising, and taking insulin daily (for people with type 1 diabetes). Self management is a key component of treating diabetes and includes meal planning, planned physical activity, and blood glucose monitoring. Medications may also be prescribed.

How Can Diabetes Be Prevented?

Diabetes prevention strategies include eating healthier and adding more physical activity to your lifestyle. Other aspects of diabetes prevention involve nurturing your mind, body, and soul.

What Are the Complications Associated With Diabetes?

Complications resulting from diabetes can affect almost every part of the body, including the heart, eyes, blood vessels, teeth, and skin. Examples of long-term diabetes complications include blindness, kidney failure, stroke, and sexual problems. Diabetes complications can even lead to loss of life. Often, long-term complications can be prevented or delayed by keeping blood glucose, blood pressure, cholesterol, and triglycerides in a normal or close-to-normal range.

See the rest here:
Diabetes Home Page

Diabetes Mellitus (DM), commonly referred to as diabetes, is a metabolic disorder characterized by abnormally high blood sugar levels (hyperglycemia). Blood glucose levels are controlled by the hormone insulin produced by the pancreas. When production of insulin is insufficient it affects blood glucose levels. The two most common types of diabetes mellitus are due to either an insufficient production of insulin (in type 1 diabetes), or insufficient response by the body to insulin (in type 2 diabetes and gestational). Read on for information on diabetes symptoms and treatments.

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What is Brittle Diabetes?

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Diabetes | Buzzle.com

Diabetes is a chronic condition in which the levels of glucose (sugar) in the blood are too high. Blood glucose levels are normally regulated by the hormone insulin, which is made by the pancreas. Diabetes occurs when there is a problem with this hormone and how it works in the body.

Around 5.1 per cent of Australians aged 18 years or older have diabetes. The risk of diabetes increases with age, from 2.8 per cent in people aged 35 to 44, to 15.0 per cent in those aged 65 to 74. Aboriginal people have one of the highest rates of type 2 diabetes in the world.

The glucose in the bloodstream needs to move into body tissues so that cells can use it for energy. Excess glucose is also stored in the liver, or converted to fat and stored in other body tissues.

Insulin is a hormone made by the pancreas, which is a gland located just below the stomach. Insulin opens the doors (the glucose channels) that let glucose move from the blood into the body cells. It also allows glucose to be stored in muscle, the liver and other tissues. This is part of a process known as glucose metabolism.

In diabetes, either the pancreas cant make insulin (type 1 diabetes), or the cells dont respond to the insulin properly (insulin resistance) and the pancreas produces inadequate insulin for the bodys increased needs (type 2 diabetes).

If the insulin cannot do its job, the glucose channels cannot open properly. Glucose builds up in the blood instead of getting into cells for energy. High blood glucose levels cause the health problems linked to diabetes, often referred to as complications.

The symptoms of ketoacidosis are:

If a person with type 1 diabetes skips a meal, exercises heavily or takes too much insulin, their blood sugar levels will fall. This can lead to hypoglycaemica. The symptoms include tremor, sweating, dizziness, hunger, headache and change in mood. This can be remedied with a quick boost of sugar (such as jellybeans or glucose tablets), then something more substantial such as fruit. A person with type 1 diabetes should have lollies on hand at all times, just in case.

Type 2 diabetes, the most common form of diabetes, affects 85 to 90 per cent of all people with diabetes. While it usually affects mature adults (over 40), younger people are also now being diagnosed in greater numbers as rates of overweight and obesity increase. Type 2 diabetes used to be called non-insulin dependent diabetes or mature onset diabetes.

Research shows that type 2 diabetes can be prevented or delayed with lifestyle changes. However, there is no cure.

Certain women are at increased risk of developing gestational diabetes. High risk groups include:

Gestational diabetes can be monitored and treated and, if well controlled, these risks are greatly reduced. The baby will not be born with diabetes.

In severe cases, a person may pass up to 30 litres of urine per day. Without treatment, diabetes insipidus can cause dehydration and, eventually, coma due to concentration of salts in the blood, particularly sodium.

The name of this condition is a bit misleading, since diabetes insipidus has nothing to do with diabetes caused by high blood sugar levels, apart from the symptoms of thirst and passing large volumes of urine. Depending on the cause, diabetes insipidus can be treated with medications, vasopressin replacement and a low-salt diet.

Management depends on the type of diabetes, but can include:

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Diabetes - Better Health Channel

Diabetes is a general term for a group of metabolic disorders that affect the bodys ability to process and use sugar (glucose) for energy. Normally when you eat, the pancreas, an organ located in the upper abdomen, produces the hormone insulin to move glucose from the bloodstream into cells where it can be used for energy and growth. With diabetes, either the pancreas produces too little or no insulin, or the bodys cells dont respond to the insulin.

Diabetes deprives the bodys cells of nutrition and leads to an abnormally high level of glucose in the blood (hyperglycemia). Over time, this can result in damage to the blood vessels and organs and premature death. Diabetes can be medically managed to lower the risk of these serious complications.

Diabetes is a common disease. According to the Centers for Disease Control and Prevention, 23.6 million people in the United States are living with diabetes. That is nearly 8 percent of the U.S. population (Source: CDC).

The three most common forms of diabetes are type 1 diabetes, type 2 diabetes, and gestational diabetes.

Find a Diabetes Specialist Near You

In type 1 diabetes (juvenile diabetes or insulin-dependent diabetes mellitus), the pancreatic cells that produce insulin are destroyed. Type 1 diabetes is not preventable.

In type 2 diabetes (adult-onset diabetes or non-insulin-dependent diabetes), the pancreas produces insulin, but there is not enough insulin or the bodys cells become resistant to its effects. Type 2 diabetes is the most common form of diabetes and is preventable in many cases.

In gestational diabetes, a form of diabetes that occurs during pregnancy, the pancreas produces insulin, but pregnancy hormones make the bodys cells more resistant to its effects.

Weight-loss plan for diabetes

Is your diabetes under control?

Symptoms of diabetes that can indicate a dangerous, potentially life-threatening change in your blood sugar level can occur suddenly and rapidly. Symptoms include increased thirst, frequent urination, vomiting, shortness of breath, abdominal pain, confusion, sweating, feeling shaky or faint, extreme irritability, or aggressive behavior.

If you have diabetes and experience symptoms of high or low blood sugar, test your blood sugar and follow your treatment plan based on the test results.

Get immediate help (call 911) if you dont start feeling better quickly, if your symptoms worsen, or if someone you are with has these symptoms.

Excerpt from:
Diabetes Symptoms - Diabetes Treatment and Causes

Diabetes can strike anyone, from any walk of life.

And it does in numbers that are dramatically increasing. In the last decade, the cases of people living with diabetes jumped almost 50 percent to more than 29 million Americans.

Worldwide, it afflicts more than 380 million people. And the World Health Organization estimates that by 2030, that number of people living with diabetes will more than double.

Today, diabetes takes more lives than AIDS and breast cancer combined -- claiming the life of 1 American every 3 minutes. It is a leading cause of blindness, kidney failure, amputations, heart failure and stroke.

Living with diabetes places an enormous emotional, physical and financial burden on the entire family. Annually, diabetes costs the American public more than $245 billion.

Just what is diabetes?

To answer that, you first need to understand the role of insulin in your body.

When you eat, your body turns food into sugars, or glucose. At that point, your pancreas is supposed to release insulin.

Insulin serves as a key to open your cells, to allow the glucose to enter -- and allow you to use the glucose for energy.

But with diabetes, this system does not work.

Several major things can go wrong causing the onset of diabetes. Type 1 and type 2 diabetes are the most common forms of the disease, but there are also other kinds, such as gestational diabetes, which occurs during pregnancy, as well as other forms.

What is type 1 diabetes?What is type 2 diabetes?

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Insulin serves as a key to open your cells, to allow the glucose to enter -- and allow you to use the glucose for energy.

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What is Diabetes? What Causes Diabetes?

Diabetes means your blood glucose, or blood sugar, levels are too high. With type 2 diabetes, the more common type, your body does not make or use insulin well. Insulin is a hormone that helps glucose get into your cells to give them energy. Without insulin, too much glucose stays in your blood. Over time, high blood glucose can lead to serious problems with your heart, eyes, kidneys, nerves, and gums and teeth.

You have a higher risk of type 2 diabetes if you are older, obese, have a family history of diabetes, or do not exercise. Having prediabetes also increases your risk. Prediabetes means that your blood sugar is higher than normal but not high enough to be called diabetes.

The symptoms of type 2 diabetes appear slowly. Some people do not notice symptoms at all. The symptoms can include

Blood tests can show if you have diabetes. One type of test, the A1C, can also check on how you are managing your diabetes. Many people can manage their diabetes through healthy eating, physical activity, and blood glucose testing. Some people also need to take diabetes medicines.

NIH: National Institute of Diabetes and Digestive and Kidney Diseases

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Diabetes Type 2: MedlinePlus - National Library of Medicine

The pancreas is located behind the liver and stomach.

Updated June 11, 2014.

The Balance of Glucose and Insulin:

Diabetes is a disorder that affects the way your body uses food for energy. Normally, the sugar you take in is digested and broken down to a simple sugar, known as glucose. The glucose then circulates in your blood where it waits to enter cells to be used as fuel. Insulin, a hormone produced by the pancreas, helps move the glucose into cells. A healthy pancreas adjusts the amount of insulin based on the level of glucose.

But, if you have diabetes, this process breaks down, and blood sugar levels become too high.

There are two main types of full-blown diabetes. People with Type 1 diabetes are completely unable to produce insulin. People with Type 2 diabetes can produce insulin, but their cells don't respond to it. In either case, the glucose can't move into the cells and blood glucose levels can become high.

Over time, these high glucose levels can cause serious complications.

Pre-Diabetes:

Pre-diabetes means that the cells in your body are becoming resistant to insulin or your pancreas is not producing as much insulin as required. Your blood glucose levels are higher than normal, but not high enough to be called diabetes. This is also known as "impaired fasting glucose" or "impaired glucose tolerance". A diagnosis of pre-diabetes is a warning sign that diabetes will develop later. The good news: You can prevent the development of Type 2 diabetes by losing weight, making changes in your diet and exercising.

Type 1 Diabetes:

A person with Type 1 diabetes can't make any insulin. Type 1 most often occurs before age 30, but may strike at any age.

Type 1 can be caused by a genetic disorder. The origins of Type 1 are not fully understood, and there are several theories. But all of the possible causes still have the same end result: The pancreas produces very little or no insulin anymore. Frequent insulin injections are needed for Type 1.

Type 2 Diabetes:

A person with Type 2 diabetes has adequate insulin, but the cells have become resistant to it. Type 2 usually occurs in adults over 35 years old, but can affect anyone, including children. The National Institutes of Health state that 95 percent of all diabetes cases are Type 2. Why? It's a lifestyle disease, triggered by obesity, a lack of exercise, increased age and to some degree, genetic predisposition.

Gestational Diabetes:

Gestational diabetes (GD) affects about 4 percent of all pregnant women. It usually appears during the second trimester and disappears after the birth of the baby.

Like Type 1 and Type 2, your body can't use glucose effectively and blood glucose levels get too high. When GD is not controlled, complications can affect both you and your baby. Your doctor will help you work out a diet and exercise plan, and possibly medication. Having GD increases your risk for developing it again during future pregnancies and also raises your risk of Type 2 diabetes later in life.

Sources

"Discovery of a critical role for sensory nerves in diabetes opens door to new treatment strategies." SickKids News. 14 Dec 2006. The Hospital for Sick Children. 28 Dec 2006.

"How to Prevent Pre-Diabetes." American Diabetes Association. ADA. 16 Jan 2007.

"An Overview of Diabetes." Learn About Diabetes. Joslin Diabetes Center. 16 Jan 2007.

"CDC Statements on Diabetes Issues." Diabetes Public Health Resource. National Center for Chronic Disease Prevention and Health Promotion. 16 Jan 2007.

"Gestational Diabetes: What it Means for Me and My Baby." Familydoctor.org. 03/06. American Academy of Family Physicians. 24 Jan 2007.

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What Is Diabetes? Understand Pre-Diabetes & Types 1 & 2

Diabetes is a chronic condition in which the body cannot properly convert food into energy. It is associated with long-term complications that affect almost every part of the body. The condition often leads to problems such as:

Uncontrolled diabetes can complicate pregnancy, and birth defects are more common in babies born to women who have it.

Most of the food we eat is broken down into glucose, the form of sugar in the blood. Glucose is the main source of fuel for the body.

When we eat, the pancreas automatically produces the right amount of insulin to move glucose from the blood into our cells. People with diabetes do not make insulin, do not use insulin properly, or both. This causes glucose to build up in the blood instead of moving into the cells. As a result, people with the condition often feel:

They may also lose weight, urinate often, or have trouble with their eyes.

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Diabetes eMedTV: Health Information Brought To Life

Key facts

Diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. Insulin is a hormone that regulates blood sugar (5). Hyperglycaemia, or raised blood sugar, is a common effect of uncontrolled diabetes and over time leads to serious damage to many of the body's systems, especially the nerves and blood vessels.

In 2014, 9% of adults 18 years and older had diabetes. In 2012 diabetes was the direct cause of 1.5 million deaths. More than 80% of diabetes deaths occur in low- and middle-income countries.

Type 1 diabetes (previously known as insulin-dependent, juvenile or childhood-onset) is characterized by deficient insulin production and requires daily administration of insulin. The cause of type 1 diabetes is not known and it is not preventable with current knowledge.

Symptoms include excessive excretion of urine (polyuria), thirst (polydipsia), constant hunger, weight loss, vision changes and fatigue. These symptoms may occur suddenly.

Type 2 diabetes (formerly called non-insulin-dependent or adult-onset) results from the bodys ineffective use of insulin. Type 2 diabetes comprises 90% of people with diabetes around the world (5), and is largely the result of excess body weight and physical inactivity.

Symptoms may be similar to those of Type 1 diabetes, but are often less marked. As a result, the disease may be diagnosed several years after onset, once complications have already arisen.

Until recently, this type of diabetes was seen only in adults but it is now also occurring in children.

Gestational diabetes is hyperglycaemia with blood glucose values above normal but below those diagnostic of diabetes, occurring during pregnancy. Women with gestational diabetes are at an increased risk of complications during pregnancy and at delivery. They are also at increased risk of type 2 diabetes in the future.

Gestational diabetes is diagnosed through prenatal screening, rather than reported symptoms.

Impaired glucose tolerance (IGT) and impaired fasting glycaemia (IFG) are intermediate conditions in the transition between normality and diabetes. People with IGT or IFG are at high risk of progressing to type 2 diabetes, although this is not inevitable.

Over time, diabetes can damage the heart, blood vessels, eyes, kidneys, and nerves.

Simple lifestyle measures have been shown to be effective in preventing or delaying the onset of type 2 diabetes. To help prevent type 2 diabetes and its complications, people should:

Early diagnosis can be accomplished through relatively inexpensive blood testing.

Treatment of diabetes involves lowering blood glucose and the levels of other known risk factors that damage blood vessels. Tobacco use cessation is also important to avoid complications.

Interventions that are both cost saving and feasible in developing countries include:

Other cost saving interventions include:

These measures should be supported by a healthy diet, regular physical activity, maintaining a normal body weight and avoiding tobacco use.

WHO aims to stimulate and support the adoption of effective measures for the surveillance, prevention and control of diabetes and its complications, particularly in low and middle-income countries. To this end, WHO:

The WHO Global strategy on diet, physical activity and health complements WHO's diabetes work by focusing on population-wide approaches to promote healthy diet and regular physical activity, thereby reducing the growing global problem of overweight and obesity.

* Defined as fasting blood glucose >= 7 mmol/l or on medication for raised blood glucose or with a history of diagnosis of diabetes.

(1) Global status report on noncommunicable diseases 2014. Geneva, World Health Organization, 2012. (2) World Health Organization. Global Health Estimates: Deaths by Cause, Age, Sex and Country, 2000-2012. Geneva, WHO, 2014. (3) Mathers CD, Loncar D. Projections of global mortality and burden of disease from 2002 to 2030. PLoS Med, 2006, 3(11):e442. (4) Global status report on noncommunicable diseases 2010. Geneva, World Health Organization, 2011. (5) Definition, diagnosis and classification of diabetes mellitus and its complications. Part 1: Diagnosis and classification of diabetes mellitus. Geneva, World Health Organization, 1999 (WHO/NCD/NCS/99.2). (6) Morrish NJ, Wang SL, Stevens LK, Fuller JH, Keen H. Mortality and causes of death in the WHO Multinational Study of Vascular Disease in Diabetes. Diabetologia 2001, 44 Suppl 2:S14S21. (7) Global data on visual impairments 2010. Geneva, World Health Organization, 2012. (8) Roglic G, Unwin N, Bennett PH, Mathers C, Tuomilehto J, Nag S et al. The burden of mortality attributable to diabetes: realistic estimates for the year 2000. Diabetes Care, 2005, 28(9):21302135.

WHO Media centre Telephone: +41 22 791 2222 E-mail: mediainquiries@who.int

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WHO | Diabetes

Welcome to the Virginia Diabetes Council Website. We hope you will find this website to be user friendly and a useful tool for the latest in Diabetes information and education in the Commonwealth of Virginia.

Our Vision: "To Improve the Lives of Virginians Affected by Diabetes"

Our Mission: "To bring partners together to identify and promote best practices for diabetes prevention,control and treatment in Virginia"

NEW INFORMATION

The AADE has published a White Paper on "Recommendations for Community Based Pre-Diabetes and Diabetes Screening".OPEN HERE

The Virginia Diabetes Council offers our condolences to the Rapp Family of the Tidewater area on the passing of "Bobby" Rapp and would like to thank them for remembering the VDC in their memorial.

Camps for Children with Diabetes

Diabetes camp helps children learn self-confidence, self-management skills, self-control, and that there are other children like them who have diabetes and similar challenges everyday. Participants also learn that all can have a great time. Camps for children with diabetes in and around Virginia include:

Virginia School Nurses: 2015-2016 School Year

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Home - Virginia Diabetes Council

What is Diabetes?

Diabetes mellitus is a long-term condition where the body either no longer makes a hormone called insulin or the insulin that is made no longer works as well as it should. Either way, high levels of glucose (a form of sugar) build in the blood. High glucose levels cause damage to eyes, kidneys, nerves and blood vessels. Diabetes increases the risk for heart attacks and strokes.

Diabetes is the primary cause of new cases of adult blindness, kidney failure, and non-traumatic lower-limb amputation. Over a million Michigan adults have diabetes.

Learn How to Manage Diabetes

Prediabetes is a condition where people have higher than normal blood glucose levels, but not yet high enough to be diagnosed with diabetes. People with prediabetes are at high risk of developing diabetes. In Michigan, it is estimated over 2.6 million adults have prediabetes.

Learn How to Prevent Type 2 Diabetes.

Chronic kidney disease (CKD) is the result of long-term damage to the kidneys usually caused by chronic conditions such as diabetes or hypertension. More than 900,000 Michigan adults suffer from chronic kidney disease.

For more information about chronic kidney disease visit the National Kidney Foundation of Michigan at http://www.nkfm.org.

Diabetes Self-Management Education Certification Program To increase availability and improve the quality of diabetes self-management education, the Michigan Department of Health and Human Services, Certification Program has developed review criteria based on national standards. The Certification Program staff provide consultation services related to the standards and certification process. Programs that meet criteria and are certified are eligible for Medicaid reimbursement. Four Critical Times for Self-Management Education

Diabetes Prevention Program Michigan's Diabetes Prevention Program collaborates strategically to increase the delivery of evidence-based prevention messaging and programs such as the National Diabetes Prevention Program to high risk populations to reduce diabetes risk. The National Diabetes Prevention Program is an evidence-based lifestyle change program for preventing type 2 diabetes and is offered in many Michigan communities through delivery organizations.

Michigan Partners on the PATH PATH (Personal Action Toward Health) is a chronic disease self-management program that helps participants build the skills they need for the day-to-day management of a chronic disease. PATH is a six-week workshop and covers topics including healthy eating, relaxation techniques, problem solving and communication skills.

For more information, please contact Karen McCloskey at McCloskeyK@michigan.gov.

Nutrition, Physical Activity, and Obesity Program The Nutrition, Physical Activity, and Obesity program presents fact sheets about behavioral and risk factor indicators of Michigan adults with diabetes, prediabetes, cardiovascular disease, and high blood pressure.

Mission of the MDHHS Diabetes and Prevention Control Program: To establish and implement prevention strategies to reduce the morbidity and mortality due to diabetes and its complications among Michigan residents.

For questions, data requests or more information about the Michigan Diabetes Prevention and Control Program call 517-335-8853.

Staff of the Diabetes and Other Chronic Disease Section

Useful Links

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Michigan Diabetes Prevention and Control Program

Diabetes Education

The St. Joseph Mercy Center for Diabetes offers in-depth diabetes education. We help people with diabetes learn how to take care of themselves and reduce their risk of developing complications. We are approved by the American Diabetes Association and the Michigan Department of Community Health. These organizations make sure that our program meets the highest standards.

Our Registered Dietitians and Registered Nurses are Certified Diabetes Educators who specialize in diabetes education. We provide group and one-on-one instruction. Our staff works with each individual and their physician to develop a self-care plan that meets their needs.

Taking care of yourself is an important part of staying healthy when you have diabetes. We can help you understand diabetes and how it affects your body. Diet, exercise and medication all impact your blood sugar. Learning more about a healthy diet, exercise and your medication can help you to control blood sugar.

We offer education on the following topics:

If you would like to learn more about living with diabetes,please discuss your interest with your physician, and ask them to complete the Physician Referral Form.

Here are some tips for healthy eating for people with diabetes:

For more information please call the St. Joseph Mercy Center for Diabetes at one of our locations:

St. Joseph Mercy, Ann Arbor 734-712-2431 Located in The Washtenaw Medical Arts Building on 3075 Clark Rd. Suite 100.

St. Joseph Mercy Livingston, Howell 517-545-6125 Located in Suite 1100, the Time Share Suite, enter from the parking lot in the back of the hospital

St. Joseph Mercy Chelsea 734-593-5280 Now located in the professional building, suite 201,on St. Joseph Mercy ChelseaCampus

Additional information on diabetes can be found on the following Web sites:

American Diabetes Association

National Diabetes Information Clearinghouse (provides educational materials about diabetes free of charge)

Juvenile Diabetes Research Foundation International

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St. Joseph Mercy Center for Diabetes - St. Joe's Ann Arbor

Welcome to Ann Arbor Endocrinology & Diabetes Associates Ann Arbor Endocrinology and Diabetes Associates (AAEDA) was established in 1987 by Dr. Jeffrey Sanfield, M.D. The mission of the practice is to provide evidence based care using all of the information we know about various conditions, and apply that knowledge in a personal and comprehensive manner to our patients.

Our physicians have been practicing on average more than ten years. A nurse practitioner is available to provide diabetesrelated education and instruction. All of our staff are familiar with the Ann Arbor, Southeast Michigan area and, therefore, can link you to the appropriate services such as diabetes education locations, or if necessary, another specialist or surgeon who may be required to assist in your care.

AAEDA strongly believes in team work, communication, and privacy as it serves your needs. We provide consultative services to referring physicians, including your own primary care phsician. If you require hospitalization, we can serve as consultants to patients admitted to St. Joseph Mercy Hospital.

New patients, please visit our patient portal and complete the forms before your first office visit.

AAEDA doctors and staff welcome the opportunity to care for your diabetes, endocrine, or hormone related issues.

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Welcome to Ann Arbor Endocrinology & Diabetes Associates

Do you know if you are at risk for having diabetes or pre-diabetes?

It is estimated that 1 out of 3 adults have pre-diabetes and 90% of them don't even know that they have it! Pre-diabetes, if not treated, can lead to diabetes. The best treatment for pre-diabetes is losing a little weight if overweight and getting active at least 30 minutes most days of the week.

View: CDC Infographic on pre-diabetes - then, take this: 7-Question Quiz

to see if you are at high risk for having pre-diabetes.

If you score over 9, be sure to ask your provider/doctor for a diabetes test!!

Tips for Seniors: How to Enjoy Eating When You Have Diabetes View Brochure

Ask your doctor to help you get a Medical Nutrition Therapy (MNT) appointment with a Registered Dietitian Nutritionist (RD/RDN). FREE for those with Medicare (no copay - no deductible).

Visit our other informational pages:

Learn more - view the UPDON Portfolio, and - Social Network Analysis of the MI Diabetes Outreach Networks report

View the 2013 UPDON Resource Directory for diabetes, health, and social services available to Upper Peninsula residents.

Those having difficulty paying for diabetes (or another chronic illness) medications, supplies, and/or medical care can view our U.P. Assistance Directory.

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UPDON UP Diabetes Outreach Network

Michigan Diabetes Prevention Network The Michigan Diabetes Prevention Network was created to support and engage partners in diabetes prevention and serve as a vehicle to share information and resources. These resources are intended to help you as you deliver your diabetes prevention programs.

If you want to share something from your organization with everyone, let us know. If you have suggestions for resources you would like us to share, let us know that too! For more information contact Tamah Gustafson at gustafsont2@michigan.gov.

Tamah Gustafson, Michigan Diabetes Prevention and Control Program

Kandi Jezak, Priority Health Dr. Arthur Franke, National Kidney Foundation of Michigan

Paula Green-Smith and Ifetayo Johnson, Co-Coordinators-Urban Health Resource Change Your Lifestyle. Change Your Life. Description: The recruitment, retention and innovative activities Urban Health Resource is doing in their Change Your Lifestyle. Change Your Life. Program For more information contact: Urban Health Resource/Urban Health Outreach, LLC Office: (313) 664-0100 Email: info@uhr-uho.org Web: http://www.uhr-uho.org

Arlene Guindon, National Kidney Foundation of Michigan

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Michigan Diabetes Prevention Network