From medication and testing your blood glucose, to eating right and exercising, living with diabetes can be overwhelming and affect nearly every aspect of your life and your health. With help from our team of experts, though, you'll spend less time worrying about diabetes and more time enjoying life. The endocrinologists at MedStar Diabetes Institute have vast experience managing diabetes, and our team includes national and international leaders in the field. We offer a multidisciplinary approach to your care, meaning we collaborate with all other specialists you may need.
Your MedStar Health diabetes care team may include the following specialists:
- Certified Diabetes Educator
- Registered Dietitian
- Wound Specialist
- Social Worker
Each of these experts evaluates your particular situation and works with you to meet your needs and overall health goals. We focus on educating our patients, so you'll learn about:
- The causes, symptoms, and latest treatments for diabetes
- Goals for blood sugar control and meal planning
- Preventive and regular follow-up care
- The latest information on medications
- Self-monitoring of blood glucose
- How to manage complications
- Proper exercise techniques
- The latest information on insulin pumps and continuous glucose monitors
Each step of your treatment gets reported back to your primary care physician, too. With a team of specialists like this behind you, you'll feel confident about the care you're getting.
- Signs and Symptoms
- Risk Factors and Prevention
- Managing Your Diabetes
- Diabetic Foot
Types of Diabetes
Diabetes is a disease in which the body does not produce or properly use insulin. Insulin is a hormone that is needed to convert sugar, starches, and other food into energy needed for daily life. The cause of diabetes is unknown, although both genetics and environmental factors such as obesity and lack of exercise appear to play roles. The following types of diabetes exist:
- Type 1 diabetes
Type 1 diabetes is usually diagnosed in children and young adults and was previously known as juvenile diabetes. In type 1 diabetes, the body does not produce insulin, the hormone that allows the body to process sugar. The condition can severely damage the kidneys and pancreas. In some cases, diabetes can lead to damage that makes an organ transplant necessary. [link to pancreas and kidney transplant]
- Type 2 diabetes
Type 2 diabetes is the most common form of diabetes. In type 2 diabetes, either the body does not produce enough insulin, or the cells ignore the insulin. Insulin is the hormone that allows the body to use sugar. Sugar is the basic fuel for the cells in the body, and insulin takes the sugar from the blood into the cells. When glucose builds up in the blood instead of going into cells, it can cause two problems:
- Your cells become starved for energy.
- Over time, high blood glucose levels may adversely affect your eyes, kidneys, nerves, or heart.
Before people develop type 2 diabetes, they almost always have pre-diabetes—blood glucose levels that are higher than normal but not yet high enough to be diagnosed as diabetes. Research has shown that some long-term damage to the body, especially the heart and circulatory system, may already be occurring during pre-diabetes.
However, if you take action to control your blood glucose when you have pre-diabetes, you can delay or prevent type 2 diabetes from developing. If you have, or are at risk for pre-diabetes, there are many steps you can take for your health and well-being. People with pre-diabetes can expect to benefit from much of the same advice for good nutrition and physical activity.
- Gestational diabetes
Hormonal changes and weight gain are part of a normal pregnancy. But for at least three out of every 100 pregnant women, these changes cause insulin resistance and a rise in blood sugar, resulting in gestational diabetes. With proper treatment, gestational diabetes can be controlled, preventing harm to you and your baby.
The key to keeping yourself and your baby healthy is to manage your blood glucose levels by seeking education from a certified diabetes educator. We can translate confusing nutrition restrictions into a customized meal plan for each individual. It is important to know that what you eat, how much you eat and how often you eat each affect your blood sugar levels. Suggested meal plans may include:
- Eating three small meals and three snacks a day
- Limiting starches, including cereal, rice, pasta, and potatoes to one cup per meal
- Avoiding sweetened beverages such as soda, iced tea, and juice.
After giving birth, blood glucose levels in most mothers with gestational diabetes return to normal. However, the risk of developing type 2 diabetes within eight to 10 years is increased. Eating right and staying active—30 minutes of exercise or more for at least five days a week—remain important to prevent this from happening.
- Maturity onset diabetes of youth (MODY)
A mutation in a single gene that limits a person's ability to produce insulin causes MODY. MODY runs in families and is often not diagnosed until adulthood, even though it is always present.
- Latent autoimmune diabetes (LADA)This is a type of diabetes that shows signs of both Type I and Type II diabetes. It is often called Type 1.5 diabetes, or double diabetes. In this form of the disease, patients are able to produce their own insulin, but, because of an abnormal autoimmune response, the pancreas cells slowly lose their ability to produce insulin.
Signs and Symptoms of Diabetes
Early signs of diabetes may include:
Low blood sugar
- Fast heartbeat
- Impaired vision
High blood sugar
- Blurred vision
- Frequent urination
- Dry skin
- Extreme thirst
Diabetes Risk Factors and Prevention
Certain health problems put you at higher risk for diabetes and heart disease. Understanding and managing your risk factors can help you avoid diabetes.
Diabetes Risk Factors
Some risk factors for diabetes can be controlled. These include:
- Excess body weight (especially around the waist)
- HDL cholesterol under 35
- High blood levels of triglycerides, a type of fat molecule (250 mg/dL or more)
- High blood pressure
- Impaired glucose tolerance
- Low activity level
- Poor diet
Those risk factors that cannot be controlled include:
- Age greater than 45 years
- Diabetes during a previous pregnancy
- Giving birth to a baby weighing more than 9 pounds
- Family history
How to Prevent Diabetes
If you already have diabetes, staying healthy and preventing heart disease starts with testing your blood sugar every day to make sure it is within your target range and, if instructed to do so, taking your medicine. Other recommendations include:
- Maintain a healthy weight.
- Follow a diet low in fat, salt, and sugar and high in fiber.
- Exercise on a regular basis. Aerobic activities are good for your heart and help your body work to lower your blood sugar.
- Listen to your doctor about other health problems, such as high blood pressure.
- Try to reduce stress in your life.
- Drink alcohol in moderation. No more than one drink a day for women and two drinks a day for men.
- Regularly test your blood glucose, especially if you are older than 45