1) Describe the 3 types of diabetes Insipidus.
2) What lab values would you expect to see with each type?
3) Describe the causes/potential causes of each type and how the treatment varies between the 3 types and why
4) What would indicate a red flag symptom in any of them and require urgent treatment
A 30 yr. old female comes to see you for complaints of fatigue. She is 8 months post-partum and delivered a healthy baby. She thought her fatigue was initially due to post-partum, but states that the fatigue is worsening. She is also bothered by some weight gain over the past few months.
1) What else would you want to ask in her review of systems?
2) What specifics would you look for on physical exam?
3) How would you explain to her the most likely cause of her symptoms and why this is happening?
Diabetes is a long-term illness that affects the way your body converts food into energy.
The majority of the food you eat is converted to sugar (also known as glucose) and absorbed into your bloodstream.
When your blood sugar levels rise, your pancreas is prompted to release insulin.
Insulin is a key that allows blood sugar to enter your bodys cells and be used as energy.
If you have diabetes, your body either does not produce enough insulin or does not utilise it as effectively as it should.
Too much blood sugar persists in your bloodstream when there isnt enough insulin or when cells stop responding to insulin.
This can lead to major health issues like heart disease, eyesight loss, and renal illness over time.
Although there is no treatment for diabetes at this time, decreasing weight, eating healthy foods, and being active can all help.
Taking medication as needed, receiving diabetes self-management education and support, and keeping health-care appointments can all help to lessen the impact diabetes has on your life.
The Statistics on Diabetes
Diabetes affects 37.3 million adults in the United States, and one in every five of them is unaware of their condition.
In the United States, diabetes is the sixth largest cause of death.
Kidney failure, lower-limb amputations, and adult blindness are all caused by diabetes.
The number of adults diagnosed with diabetes has more than doubled in the previous 20 years.
Diabetes is divided into several types.
Type 1, type 2, and gestational diabetes are the three basic kinds of diabetes (diabetes while pregnant).
Diabetes Type 1
Type 1 diabetes is thought to be caused by an autoimmune reaction (in which the body mistakenly fights itself) that prevents the body from producing insulin.
Type 1 diabetes affects around 5-10% of people with diabetes.
Type 1 diabetes symptoms might appear suddenly.
Its most commonly found in children, teenagers, and young adults.
If you have type 1 diabetes, youll need insulin on a daily basis to stay alive.
No one knows how to avoid type 1 diabetes right now.
Diabetes Type 2
Your body cant use insulin properly and cant keep blood sugar at normal levels if you have type 2 diabetes.
Type 2 diabetes affects 90-95 percent of diabetics.
It takes many years to develop and is usually diagnosed in adulthood (but more and more in children, teens, and young adults).
If youre at risk, get your blood sugar checked because you might not notice any signs.
Type 2 diabetes can be avoided or delayed by adopting a healthy lifestyle that includes decreasing weight, eating healthy foods, and staying active.
Diabetes During Pregnancy
Pregnant women who have never had diabetes acquire gestational diabetes.
If you have gestational diabetes, your baby may be more susceptible to health issues.
Although gestational diabetes normally goes away after your baby is born, it raises your chance of developing type 2 diabetes later in life.
Obesity is more prevalent in your infant as a youngster or a teen, and type 2 diabetes is more common later in life.
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Prediabetes affects 96 million adults in the United States, or nearly one-third of the population.
Furthermore, more than 80% of them are unaware that they have it.
Blood sugar levels are higher than normal in those with prediabetes, but not high enough to be diagnosed as type 2 diabetes.
Type 2 diabetes, heart disease, and stroke are all increased by prediabetes.
If you have prediabetes, the good news is that you can reverse it with the help of a CDC-approved lifestyle change program.