Diabetes mellitus- Better than sorry, to be safe

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Around 15-18 percent of the nation's population is now suffering from Diabetes mellitus, with urban residents at greater risk. The broad variety of multisystem conditions caused by this metabolic disorder is what makes it much more important. Since glucose is present in virtually every nook and corner of the body as the source of energy, diabetes affects almost every organ system, with some life-threatening complications. Type 1 and type 2 diabetes are broadly classified into two groups, with identical symptoms but distinct pathogenesis. Type 1 DM is caused by an autoimmune insult to the pancreas that results in the loss of insulin-producing beta cells, a hormone necessary for the metabolism and energy generation of glucose to be internalized into cells. Type 1 onset normally occurs before 30 years of age. Type 2 DM, on the other hand, is caused by an insulin receptor defect which, despite adequate or increased insulin hormone levels, leads to the inability of the cells to internalize glucose. Type 2 DM generally develops after 30 years of age and is related to risk factors such as obesity, sedentary lifestyle, PCOS, or other endocrine disorders such as Cushing's syndrome. Symptoms are polyuria, polydipsia, polyphagia, fatigue, weight loss, etc. A stage of prediabetes can precede the diagnosis of diabetes mellitus, where a person has an increased risk of developing diabetes in the future. You fall into this prediabetic group with fasting blood glucose of 100-125 mg/dl, post-prandial blood glucose of 140-199 mg/dl, or HbA1c of 5.7-6.5 percent. Values that are higher than these suggest diabetes diagnosis. HbA1c is the test used to detect the covalently related percentage of Hb in the blood to glucose molecules. Since the average lifetime of RBCs is 3-4 months, the mean glycemic status of the organism over the last 3-4 months is indicated by HbA1c values. In order to avoid, postpone, or even control diabetes mellitus, lifestyle adjustments are at the center level. For diabetes, reduction of excess body weight, daily physical exercise, moderation of consumption of processed carbohydrates and fats go a long way to maintaining a healthy body. Other than that, if the blood glucose is on the higher side, instead of letting the unnecessary glucose run amok in the blood and playing havoc with a multitude of organ systems, it is best to go in for care. Type 1 DM normally requires insulin, while oral hypoglycemic medications, lifestyle, and dietary changes that play a beneficial adjuvant role can be well regulated in the early stages of type 2 DM. Given the risks and life-damaging effects of diabetes, it is important to keep yourself tested and, if you are struggling, to keep yourself tested for the associated complications and to maintain a decent lifestyle as well as to keep your blood glucose under control with diet and medications. The medications won't have as serious side effects as the disease's consequences. Better than sorry, to be safe.

International Journal of Collaborative Research on Internal Medicine and Public health broadcasts peer-reviewed content covering a wide range of non-surgical clinical aspects which includes disease prognosis, pathological manifestations, and medical counseling. The journal lays special emphasizes on contributions that address the emerging challenges in the diagnosis and clinical investigation of complex and important diseases in adults that necessitate a cross-specialization approach. IJCRIMPH has the goal to become the place where outstanding clinical studies can be published; furthermore, this purpose is intended to be synonymous with improving the quality of healthcare in internal medicine. Manuscripts can be submitted https://www.scholarscentral.org/submissions/international-collaborative-research-internal-medicine-public-health.html or forwarded to the editorial office at internalmed@peerjournal.org.