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The National Health and Nutrition Examination survey revealed that 6.3 million Americans are diabetic and don't even know it. Moreover, each year these patients with type 2 diabetes run up an $18 billion health bill. Researchers looked at health care use patterns of people for two years leading up to their diagnosis to determine the results. The study also revealed that 4 to 6% of men ages 25 to 64 and 14% of men ages 65 to 69 have undiagnosed diabetes. Medical costs include $2.3 billion for cardiovascular disease, $720 million for hypertension, $443 million for kidney problems and $293 million for neurological afflictions. Perhaps you may be wondering, "Am I in need of diabetes care?"
There are three main types of diabetes: type 1, type 2 and gestational. Type 1 diabetes is an autoimmune disease, where the body's immune system turns against itself, attacking insulin-producing beta cells in the pancreas. Scientists believe viral and genetic factors are at play here, with most people receiving a diagnosis when they are younger. This type of diabetes occurs evenly in males and females, but is more common in Caucasian sectors of the population, particularly in northern European countries like Sweden and Finland. The onset is sudden for a type 1 diabetic, who has blurry vision, feels constantly hungry, thirsty and fatigued, and loses weight rapidly. If they do not receive insulin everyday, they can lapse into a coma. You may need immediate medical attention if you're always thirsty, you urinate frequently, if your breathing becomes more rapid, if your abdomen hurts or if your breath smells like nail polish remover.
Type 2 diabetes is the most common form, accounting for 90 to 95% of all cases. For unknown reasons, African Americans are 1.6 times more likely to develop the disease than Caucasians. Similarly, Hispanics are 1.5 times more likely and American Natives/Alaskan Natives are 2.2 times more likely to become a diabetic. It's believed that Asian Americans and Pacific Islanders are twice as likely to get diabetes as well. Eighty percent of those who develop this disease are overweight and many of these patients are also older. Many diabetics will encounter rapid heartbeats, trembling, sweating and irritability, while always feeling hungry and fatigued.
Learning that you are a diabetic can feel overwhelming at first, but you can control your symptoms through lifestyle changes and careful monitoring. Diabetes care includes dieting and exercise. Diets should be diverse, high in fiber and low in fat and salt. Each day, you'll need to monitor your cholesterol, blood glucose levels, blood pressure, triglycerides and weight. You'll need to talk to your healthcare practitioner about a plan for physical activity and meals, as well as medications and self-monitoring. Often your body will be less resilient, so you'll need annual flu shots, eye exams, foot exams, kidney function tests and dental exams to stay healthy.