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Saw the report of David Wells being diagnosed with Diabetes 2---I wish him the best but there was some misinformation in the story

It was noted that he would strive to get it under control so it did not become Diabetes 1-__WRONG---Diabetes 2 does not become Diabetes 1---I have diabetes 2 and my wife has diabtees 1 in her family---two different animals--both can be controlled, #2 more easily---#1 occurrs in youth and is needing more control and watching

I hate it when articles send the wrong message---why don't media people due their homework ?
TRhit THE KIDS TODAY DO NOT THROW ENOUGH !!!!! www.collegeselect-trhit.blogspot.com
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The really good ones do their homework TR...the lazy ones don't.

The really good ones are worth their salt. The others? Not worth a nickel...let alone a plug nickel.

While watching the media this laziness shows doesn't it? And conversely the work of the hardworking, smart media people is literally outstanding as compared to the others.

Those within the media who do a good job should be respected and given our attention.

Thanks for the info.
Last edited by gotwood4sale
I would have to think they were just taking a simplistic/ media "sound bite" view of the conditions and were left engaging a bit in misnomers, as is typical of the media.

Typically type 2 (often referred to as adult onset) is controlled with medication (pills taken orally or no medication and controlled diet (the pancreas has trouble processing "sugars" and proper levels of insulin). Type 1 (otherwise referred to often as juvenile diabetes) requires insulin injection (the person effectively does not produce/process at all).

I would presume the point of the article is that if left uncontrolled, a person with type 2 can regress to a circumstance where they must inject insulin, such that they are unfortunately in the same circumstance as the person with type 1.
"A rose by any other name"....

What troubled me about the news is an oversimplistic view by Wells and the Padres GM kinda making it appear to be no big deal. With Wells history, I hope he gets the message it is a big deal and can become a much bigger one.
Last edited by HeyBatter
TR, I think it's just all in what you want to call it ultimately. My brother and a friend both had the "classic" onset of type 2, did not take care of themselves and became insulin dependent (injecting insulin, the unfortunate hallmark of type 1).

Fortunately for my brother has redirected his efforts and is back to orally administered medication.

But yes, you are techinically correct in that if you have type 1 you couldn't "recover" as my brother did so to speak. But, if he hadn't taken those steps he would have remained insulin dependent and been in the same circumstance as someone with type 1.

so certainly, you are correct that they are different situations but the person with type 2 can end up in the same shoes so to speak as the person with type 1 and become fully insulin dependent. A fine line between the two. I guess my whole point was my concern that they have been way two cavalier in reporting these most serious conditions and, again, given Wells' history I hope he takes it very seriously.
As a person that has lived with diabetes for the last 19 years my true concern is all of the millions of people that don't know they have diabetes. A teacher at my school was complainig about being tired all the time. We ate lunch together and she would drink soda after soda because she was always thirsty. She could not sleep well at night because of a constant tingling in her feet. She blamed in on age. We changed insuracnce carriers at school and they offered preventive diabetes and cholesterol screening. I talked the teacher in to going down with me using the buddy system as an excuse. We both were tested. Her blood sugar was over 400 and she was very close to going into shock. Listen to your body. While alot is age related sometimes a simple check up can help you determine what if anything is wrong.
I am also a type 2 . I controlled it with pills but if you don't control it you will require insulin injections.
There is very little difference. You can lose linbs, go blind and all the other nasty things that any diabetic gets. I lost my eye sight in 2000 and thanks to laser surgury and great medical advances I can see reasonably well now.
Don't ever think type 2 is not lethal. When my eye sight went my son was right at the beginning of his serious BB making Team Ontario and I could not afford it . Went from making a healthy 6 figure income to a poverty level income. Still had the big mortgage and car payments. I'm in sales.
I too am on medication--no insulin and so far so good---when it was discovered last fall my blood sugar was in the mid 500's---stress also enters into the picture folks and can elevate blood sugar---now my count is continually between 90 and 120 and that is without a special diet, just being careful as to what I eat
Appreciate everybody sharing their stories and the much needed information about diabetes, a very very dangerous disease indeed. We have known several people with sudden onset juvenile diabetes, uncannily in their early 20's, and several 'younger' adults who have developed type 2. We worry about them all because we know what the disease can do.

TR, I appreciate your bringing this to our attention. It is vital that people be properly informed about these things. Thanks.
May I add another aspect of the elevated blood sugar---it can aggravate other conditions you might have---when I went in to the hospital they though I was having a stoke---was not the case the blood sugar was over 500 and made everything seem worse---in fact if the doctor had not rushed me in for a stoke situation I may never had known about the elevated blood sugar
quote:
stress also enters into the picture folks and can elevate blood sugar

A little too much Andy at times TR Wink

Diabetes runs rampent in my wifes family, mainly the males. The signs have shook up my wife who is an RN, not for the medicating part but the issues concerning the situations where the "body talks back". I never understood until my sons Legion coach while coaching 3rd base just,. walked away, and had to be stopped. he doesn't remember but for years had ignored the issue and thought he could control it. Now it is controlled.
quote:
Originally posted by TRhit:
I am not sure it is ever "controlled"--it may be "under control" if you know what I am saying
I understand you're "under control" comment and that is also what I meant. The incident with Ryans coach was an educational eye-opener for two teams of 14 young year old young-men.
Who Gets Type 2 Diabetes?

Anyone can get type 2 diabetes. However, those at highest risk for the disease are those who are obese or overweight, women who have had gestational diabetes, people with family members who have type 2 diabetes and people who have metabolic syndrome (a cluster of problems that include high cholesterol, high triglycerides, low good 'HDL' cholesterol and a high bad 'LDL' cholesterol and high blood pressure). In addition, older people are more susceptible to developing the disease since aging makes the body less tolerant of sugars.

What Causes Type 2 Diabetes?

Although it is more common than type 1 diabetes, type 2 diabetes is less well understood. It is likely caused by multiple factors and not a single problem.

Type 2 diabetes can run in families, but the exact nature of how it's inherited or the identity of a single genetic factor is not known.

What Are the Symptoms?

The symptoms of type 2 diabetes vary from person to person but may include:

Increased thirst
Increased hunger (especially after eating)
Dry mouth
Nausea and occasionally vomiting
Frequent urination
Fatigue (weak, tired feeling)
Blurred vision
Numbness or tingling of the hands or feet
Frequent infections of the skin, urinary tract or vagina

Rarely, a person may be diagnosed with type 2 diabetes after presenting to the hospital in a diabetic coma .
How Is It Diagnosed?

If your health care provider suspects type 2 diabetes, he or she will first check for abnormalities in your blood (high blood glucose level). In addition, he may look for glucose or ketone bodies in your urine.

Tests used to diagnose type 2 diabetes include a fasting plasma glucose test or a casual plasma glucose test.

Often the diagnosis of another condition may cause the doctor to suspect diabetes may also be present. For example, if you have abnormally high triglycerides in your blood based on the result of a cholesterol test or if you are diagnosed with a diabetes-related eye disease your doctor may decide to test your blood sugars.

How Is Type 2 Diabetes Managed?

Many people with type 2 diabetes live long, healthy lives. The key to good health is keeping your blood sugar levels within your target range, which can be done with meal planning, exercise and medication which may include pills and insulin.

You will also need to check your blood sugar levels regularly.

Complications associated with type 2 diabetes

If your diabetes isn't well controlled, there are a number of serious or life-threatening problems you may experience, including:

Retinopathy. People with type 2 diabetes may already have abnormalities in the eyes related to the development of diabetes. Over time more and more people who initially do not have eye problems related to the disease will develop some form of eye problem. It is important to control not only sugars but blood pressure and cholesterol to prevent progression of eye disease. Fortunately, the vision loss isn't significant in most.
Kidney Damage. The risk of kidney disease increases over time, meaning the longer you have diabetes the greater your risk. This complication carries significant risk of serious illness -- such as kidney failure and heart disease.
Decreased sensation & poor blood circulation . Damage to nerves and hardening of the arteries leads to decreased sensation and poor blood circulation in the feet. This can lead to increased infections and an increased risk of ulcers which heal poorly and can in turn significantly raises the risk of amputation. Damage to nerves may also lead to digestive problems, such as nausea, vomiting and diarrhea.
Reviewed by Certified Diabetes Educators in the Department of Patient Education and Health Information and by physicians in the Department of Endocrinology at The Cleveland Clinic.

Edited by Brunilda Nazario, MD, WebMD, October 2004.

Portions of this page © The Cleveland Clinic 2000-2005





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Who Gets Type 2 Diabetes?

Anyone can get type 2 diabetes. However, those at highest risk for the disease are those who are obese or overweight, women who have had gestational diabetes, people with family members who have type 2 diabetes and people who have metabolic syndrome (a cluster of problems that include high cholesterol, high triglycerides, low good 'HDL' cholesterol and a high bad 'LDL' cholesterol and high blood pressure). In addition, older people are more susceptible to developing the disease since aging makes the body less tolerant of sugars.

What Causes Type 2 Diabetes?

Although it is more common than type 1 diabetes, type 2 diabetes is less well understood. It is likely caused by multiple factors and not a single problem.

Type 2 diabetes can run in families, but the exact nature of how it's inherited or the identity of a single genetic factor is not known.

What Are the Symptoms?

The symptoms of type 2 diabetes vary from person to person but may include:

Increased thirst
Increased hunger (especially after eating)
Dry mouth
Nausea and occasionally vomiting
Frequent urination
Fatigue (weak, tired feeling)
Blurred vision
Numbness or tingling of the hands or feet
Frequent infections of the skin, urinary tract or vagina

Rarely, a person may be diagnosed with type 2 diabetes after presenting to the hospital in a diabetic coma .
How Is It Diagnosed?

If your health care provider suspects type 2 diabetes, he or she will first check for abnormalities in your blood (high blood glucose level). In addition, he may look for glucose or ketone bodies in your urine.

Tests used to diagnose type 2 diabetes include a fasting plasma glucose test or a casual plasma glucose test.

Often the diagnosis of another condition may cause the doctor to suspect diabetes may also be present. For example, if you have abnormally high triglycerides in your blood based on the result of a cholesterol test or if you are diagnosed with a diabetes-related eye disease your doctor may decide to test your blood sugars.

How Is Type 2 Diabetes Managed?

Many people with type 2 diabetes live long, healthy lives. The key to good health is keeping your blood sugar levels within your target range, which can be done with meal planning, exercise and medication which may include pills and insulin.

You will also need to check your blood sugar levels regularly.

Complications associated with type 2 diabetes

If your diabetes isn't well controlled, there are a number of serious or life-threatening problems you may experience, including:

Retinopathy. People with type 2 diabetes may already have abnormalities in the eyes related to the development of diabetes. Over time more and more people who initially do not have eye problems related to the disease will develop some form of eye problem. It is important to control not only sugars but blood pressure and cholesterol to prevent progression of eye disease. Fortunately, the vision loss isn't significant in most.
Kidney Damage. The risk of kidney disease increases over time, meaning the longer you have diabetes the greater your risk. This complication carries significant risk of serious illness -- such as kidney failure and heart disease.
Decreased sensation & poor blood circulation . Damage to nerves and hardening of the arteries leads to decreased sensation and poor blood circulation in the feet. This can lead to increased infections and an increased risk of ulcers which heal poorly and can in turn significantly raises the risk of amputation. Damage to nerves may also lead to digestive problems, such as nausea, vomiting and diarrhea.
Reviewed by Certified Diabetes Educators in the Department of Patient Education and Health Information and by physicians in the Department of Endocrinology at The Cleveland Clinic.

Edited by Brunilda Nazario, MD, WebMD, October 2004.

Portions of this page © The Cleveland Clinic 2000-2005
Who Gets Type 1 Diabetes?

Although the disease usually starts in people under the age of 20, type 1 diabetes may occur at any age.

The disease is relatively uncommon, affecting 1 in 250 Americans. The condition is more common in whites than in blacks and occurs equally in men and women.

What Causes Type 1 Diabetes?

Doctors don't know all the factors that lead to type 1 diabetes. Clearly, the susceptibility to the condition can be inherited.

Doctors have identified that an environmental trigger plays a role in causing the disease. Type 1 diabetes appears to occur when something in the environment -- a toxin or a virus (but doctors aren't sure) -- triggers the immune system to mistakenly attack the pancreas and destroy the beta cells of the pancreas to the point where they can no longer produce sufficient insulin. Markers of this destruction -- called autoantibodies -- can be seen in most people with type 1 diabetes. In fact, they are present in 85% to 90% of people with the condition when the blood sugars are high.

Because it's an autoimmune disease, type 1 diabetes can occur along with other autoimmune diseases such as hyperthyroidism from Grave's disease or the patchy decrease in skin pigmentation that occurs with vitiligo.

What Are the Symptoms?

The symptoms of type 1 diabetes are often subtle, but they can become severe. They include:

Increased thirst
Increased hunger (especially after eating)
Dry mouth
Nausea and occasionally vomiting
Abdominal pain
Frequent urination
Unexplained weight loss (even though you are eating and feel hungry)
Fatigue (weak, tired feeling)
Blurred vision
Heavy, labored breathing (Kussmaul respiration)
Frequent infections of the skin, urinary tract or vagina

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Signs of an emergency with type 1 diabetes include:

Shaking and confusion
Rapid breathing
Fruity smell to the breath
Abdominal pain
Loss of consciousness (rare)
How Is Type 1 Diabetes Diagnosed?

If your health care provider suspects diabetes, he will first check for abnormalities in your blood (high blood glucose level). In addition, he may look for glucose or ketone bodies in the urine.

There is currently no way to screen for or prevent the development of type 1 diabetes.

How Is Type 1 Diabetes Managed?

Many people with type 1 diabetes live long, healthy lives. The key to good health is keeping your blood sugar levels within your target range, which can be done with meal planning, exercise and intensive insulin therapy. All people with type 1 diabetes must use insulin injections to control their blood glucose.

You will also need to check your blood sugar levels regularly and make adjustment of insulin, food and activities to maintain a normal sugar level.

Consequences of Uncontrolled Diabetes

When diabetes isn't well controlled, a number of serious or life-threatening problems may develop, including:

Retinopathy. This eye problem occurs in 75% to 95% of adults who have had diabetes for more than 15 years. Diabetic retinopathy in type 1 diabetes is extremely rare before puberty no matter how long they have had the disease. Medical conditions such as good control of sugars, management of hypertension and regulation of blood lipids are important to prevent retinopathy. Fortunately, the vision loss isn't significant in most people with the condition.
Kidney damage. About 35% to 45% of people with type 1 diabetes develop kidney damage, a condition called nephropathy. The risk for kidney disease increases over time and becomes evident 15 to 25 years after the onset of the disease. This complication carries significant risk of serious illness -- such as kidney failure and heart disease.
Poor blood circulation. Damage to nerves and hardening of the arteries leads to decreased sensation and poor blood circulation in the feet. This can lead to increased risk of injury and decreased ability to heal open sores and wounds, which in turn significantly raises the risk of amputation. Damage to nerves may also lead to digestive problems such as nausea, vomiting and diarrhea.

Reviewed by Certified Diabetes Educators in the Department of Patient Education and Health Information and by physicians in the Department of Endocrinology at The Cleveland Clinic.

Edited by Brunilda Nazario, MD, WebMD, October 2004.

Portions of this page © The Cleveland

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