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About this Book
Want To Diabetes Free Life Click
Here?
THE SUGAR DISEASE
We all face health problems once in a while. Maybe you have come
down with the flu or you have diabetes. Perhaps you have asthma or a
cavity. Some people need glasses to see better or are allergic to bee
stings. These handy guides teach you about your health and how all
the parts of your body work together to keep you healthy most of the
time.
About the Author
Dr. Alvin Silverstein is a retired professor of biology at the College
of Staten Island, City University of New York. Virginia Silverstein
translates scientific Russian and is a professional author. Together
they have written more than 200 books for young people. Laura Sil-
verstein Nunn has coauthored more than 100 books with her
parents.
CONTENTS
To Stop Diabetes In Few Days Click
Here!!
Cover
About this Book
Title Page
Chapter 1: The Sugar Disease
Sweet Tooth
Chapter 2: What Is Diabetes?
What Is Sugar?
Double-Duty
Chapter 3: Types of Diabetes
What’s in a Name?
Chapter 4: What Causes Diabetes?
Famous People With Diabetes
Activity 1: Diabetes Definitions
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Chapter 5: Testing for Diabetes
Super Sniffers
Prediabetes
Chapter 6: Treating Diabetes
Why Does Insulin Have to Be Injected?
Insulin Pump
Activity 2: Sugar vs. Starch
Chapter 7: Living With Diabetes
“Ouchless” Monitors
Fruity Smell
High and Low
Glossary
Learn More
Books
Web Sites
Index
6/74
Note to Our Readers
Copyright
More Books from Enslow
Chapter 1
To Cure Diabetes Problem
Naturally Click Here!!
THE SUGAR
DISEASE
8/74
Image Credit: Comstock Images/ Photos.com
Some people are not able to use the sugar in food properly. They
have diabetes.
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Most kids love to eat sweets. Ice cream, candy, and cake can make a
day special, and a sweet dessert after dinner would be a nice treat.
Sweet foods usually contain sugar—that’s why they taste so good. But
eating too many sweets isn’t good for anybody. They can rot your teeth
and keep you from eating foods that make you healthy and strong.
For some people, foods that contain sugar are not just unhealthy—they
can be dangerous. Normally, your body turns sugar into energy you
can use to do everyday activities—play, run, and even think. But some
people are not able to use the sugar in their blood properly. They have
a condition called diabetes. If you have diabetes, sometimes you might
feel tired and confused. You might even faint or have to go to the
hospital.
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Image Credit: Shutterstock.com
Regular exercise will help keep your body healthy.
There is no cure for diabetes, but there are ways to keep the condition
under control. Medications can prevent the symptoms. People often
take a drug that must be injected into the skin. Exercising regularly
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and eating healthy foods are also important. With a good daily routine,
a person with diabetes can live a long, healthy life.
13/74
Sweet Tooth
Do you have a sweet tooth? If you do, don’t worry—you can’t get
diabetes from eating too many sweets. However, eating too much
of that stuff can make you gain weight, which may lead to
diabetes.
Chapter 2
Click Here To Cure Diabetes Forever
WHAT IS
DIABETES?
Diabetes is a disease in which the body cannot use sugar properly, and
extra sugar builds up in the blood. Everybody has some sugar in their
blood. It supplies the body with energy. But too much sugar in the
blood can make you sick.
Normally, much of the food you eat is turned into a sugar called gluc-
ose. Some of the glucose is stored, and some of it is used directly for
energy. Special chemicals, called hormones, are needed for the body to
get the energy from sugar. These hormones are produced in the pan-
creas, an organ near your stomach.
Scattered throughout the pancreas are small blobs of tissue, called
islets. Cells in the islets produce two important hormones, insulin and
glucagon. These hormones are produced all the time, but the amounts
sent out, or secreted, from the pancreas depend on how much sugar is
already in the blood.
Both hormones work to control the body’s use of sugar, but they have
opposite effects on the blood. How do insulin and glucagon work?
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After you eat, food is digested, or broken down, in your mouth, stom-
ach, and intestines. The digestion process changes starches into sug-
ars. Sugars and other food materials pass into your blood, which
carries them to all parts of the body. Now it is time for insulin to go
into action.
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Image Credit: Shutterstock.com
Food passes from the mouth into the stomach and then on to the
intestines to be broken down by digestive juices from the
pancreas.
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When the amount of glucose in the blood (the blood sugar level) rises,
the pancreas secretes insulin. Insulin lowers the blood sugar level by
helping glucose pass out of the blood and into the cells of the body.
Some of the sugar in the body cells is used right away to produce
energy. Some is changed into starch and fats and stored in the body.
Starches and fats are handy forms to store sugar until the body needs
some extra energy.
When the blood sugar level falls, the pancreas secretes more glucagon.
This hormone makes the blood sugar level go up by causing starch in
the cells to turn back into glucose. The glucose goes into the blood and
is then carried to the cells that need energy.
Insulin and glucagon work together like members of a team. They
make sure that the amount of sugar in the blood is always just right.
When the body cannot make enough insulin or cannot use the insulin
properly, glucose cannot get into the cells. Eventually, extra sugar
builds up in the blood, causing the symptoms of diabetes.
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Image Credit: Shutterstock.com
This diagram shows the organs in the digestive system, including
the pancreas.
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What Is Sugar?
You probably think of sugar as that white stuff you sprinkle over
your cereal or see people put in their coffee or tea. But that is
only one kind of sugar. Sugars are found in sweet-tasting foods,
such as fruits, candy, and ice cream. They belong to a food group
called carbohydrates, which are the body’s main source of
energy. Another type of carbohydrate is starch. Starch is made up
of a lot of sugar units linked together. Starchy foods include
breads, pasta, and rice.
Image Credit: © 2012 Clipart.com
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Double-Duty
The pancreas is a double-duty organ. In addition to secreting the
hormones insulin and glucagon from its islets, it also makes
digestive juices. These juices help break down food so that your
body can use it.
Chapter 3
To Get Rid Of
Diabetes
Disease
Permanently
Click Here!!
TYPES OF
DIABETES
There are two main types of diabetes: type 1 and type 2. Both types
result in too much sugar in the blood and produce similar symptoms.
But there are some very important differences between the two.
Type 1 diabetes used to be called juvenile diabetes because it affects
mainly children, teens, and young adults, but it can occur at any age.
In type 1 diabetes, the pancreas no longer produces insulin. This can
be very dangerous. Type 1 diabetes can appear suddenly. You may feel
fine one day and then very sick the next. It is very important to correct
the blood sugar level quickly to prevent life-threatening complications.
Type 2 diabetes is the most common form—it accounts for about 90 to
95 percent of all diabetes cases. It affects mostly adults over age forty,
although children may also develop this type of diabetes. In fact, doc-
tors are seeing type 2 diabetes in an increasing number of young
people these days, especially teenagers. In type 2 diabetes, the pan-
creas does produce insulin. However, it does not produce enough of it,
or the body cannot use it properly. As a result, the body cells cannot
get energy from sugar. Doctors call this condition insulin resistance.
This type of diabetes can take years to develop.
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Image Credit: Shutterstock.com
Type 1 diabetes affects mainly children and teenagers.
In both types of diabetes, the body cells become starved for energy,
and symptoms develop. Here are some warning signs of either type of
diabetes.
You may:
• be thirsty all the time
• have to urinate frequently
• feel weak and tired
• feel hungry all the time
• lose weight, even though you eat a lot
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• get sores on your skin that take a long time to heal
• notice that objects look fuzzy or blurry
• have pains in your legs
Anybody can have some of these warning signs from time to time
without having diabetes. But if you have many of these signs, and have
them all the time, you should see a doctor.
People with diabetes have sugar in their urine. How does sugar get in
the urine? Urine is made in the kidneys. The kidneys remove waste
products from the blood. They also take out some water, to flush the
wastes away. If there is too much of something in the blood, the kid-
neys take that out, too. For people with diabetes there is too much
sugar in their blood, and soon sugar turns up in their urine.
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Image Credit: Shutterstock.com
One sign of diabetes is being thirsty all the time.
When sugar passes into the urine, the urine gets thicker. Then more
water goes from the blood into the urine. This water washes out other
things, too. Vitamins and minerals, proteins and fats are lost along
with the sugar and water.
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That’s why the warning signs develop. If you have diabetes, your kid-
neys have to make a lot of urine because they are getting rid of the
extra sugar from the blood. So you may have to urinate a lot. You are
also thirsty all the time because you are losing so much water. You feel
unusually weak and tired because your body can’t use sugar for the
energy it needs to function properly. You are hungry because you are
losing so many good food materials, which are getting washed out in
your urine.
Too much sugar in the blood can also cause more serious problems.
People with diabetes have a high risk of getting heart disease. High
blood sugar levels may cause eye problems, possibly even resulting in
blindness. Poorly controlled diabetes may also cause dental problems,
high blood pressure, kidney damage, and nerve damage, which may
produce pain and numbness. Cuts and other wounds of diabetes
patients are more likely to get infected than those in people without
diabetes, and they do not heal as quickly. Many people with diabetes
have problems with their feet, where even small cuts become more
serious. In severe cases, part of the foot may have to be amputated
(removed).
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Image Credit: Shutterstock.com
Poorly controlled diabetes can cause high blood pressure and
other serious health problems.
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What’s in a Name?
The name diabetes comes from a Greek word meaning “a
siphon,” a U-shaped tube that transfers liquid from one con-
tainer to another. Ancient Greek physicians noticed that when
people with diabetes drank large amounts of liquid, the fluid
seemed to run right through them, as water runs through a
siphon, and they would have to urinate often.
Image Credit: Shutterstock.com
Chapter 4
To Cure Diabetes Problem Naturally
Click Here!!
WHAT CAUSES
DIABETES?
More than 18 million Americans have diabetes. Most of these people
are adults, but health experts say that more children are getting dia-
betes than ever before. This may be because many kids today are eat-
ing too much food that is high in fat and sugar. They are also not
getting enough exercise. This lack of exercise may lead to obesity—
being extremely overweight. The extra weight is stored as body fat,
which can lead to insulin resistance, a condition in which body cells
are unable to use insulin effectively. Gaining a lot of weight increases a
person’s chance for developing type 2 diabetes. There is no link
between obesity and type 1 diabetes.
Researchers believe that an overweight person is more likely to
develop diabetes if someone in his or her family has it. Studies have
shown that diabetes can be inherited when genes are passed down
from one generation to another. Certain genes may play an important
role in the development of diabetes. But even if someone in your fam-
ily does have the disease, that doesn’t mean you will get it.
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Image Credit: Juergen Berger/Science Source
A white blood cell (white) is attacking bacteria (yellow).
Researchers have found that type 1 diabetes may be caused by infec-
tion with some viruses (tiny disease germs), such as those that cause
the common cold or mumps. When you get sick, your body normally
does a good job of defending itself. Germs are quickly spotted by spe-
cial defending cells and these cells fight off the germs. But the body’s
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defenders may make a mistake and attack islet cells, too. Insulin-pro-
ducing cells are damaged, and the pancreas can no longer produce
enough insulin to keep the blood sugar level under control. This can
lead to type 1 diabetes.
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Famous People With Diabetes
Halle Berry Actress Type 1
Jay Cutler
Chicago Bears
Quarterback
Type 1
Paula Deen
Mike Huckabee
Randy Jackson
Nick Jonas
Bret Michaels
Celebrity Chef
Politician
American Idol Judge
Singer
Singer
Type 2
Type 2
Type 2
Type 1
Type 1
Image Credit: DFree/Shutterstock.com
Halle Berry
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Activity 1: Diabetes Definitions
Find out how well you understand diabetes. Choose the best
definition for each word. (Do not write in this book! Instead
write your answers on a piece of paper and check them against
the answers below.)
1. Islets A. Hormone that lowers blood sugar level
2. Pancreas B. Complex carbohydrate
3. Type 2 diabetes C. Affects mainly children
4. Glucose D. High risk of developing type 2 diabetes
5. Starch E. Hormone that raises blood sugar level
6. Insulin F. Hormone-producing cells in the pancreas
7. Glucagon G. Simple sugar
8. Type 1 diabetes H. Tests blood sugar level
9. Obesity I. Produces insulin and glucagon
10. Glucose monitor J. Affects mainly adults over the age of forty
Answers
Chapter 5
Click Here If You Also Want To Be Free
From Diabetes!!
TESTING FOR
DIABETES
The medical name for diabetes is diabetes mellitus. Mellitus means
“honey.” It is used in the name because sugar that passes out into the
urine gives it a sweet taste. Years ago, doctors would actually make a
diagnosis by tasting a patient’s urine! Later, doctors had tests and
machines that could do the “tasting” for them.
Doctors no longer use urine tests to detect diabetes. Now they depend
more on blood tests. Urine tests do a poor job of showing your blood
glucose level. Glucose doesn’t “spill over” into the urine until there is
already quite a lot of glucose in the blood.
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Image Credit: Keith Brofsky/Photos.com
A doctor or nurse will take some blood from your arm to test for
diabetes.
If you have symptoms that suggest diabetes, you should see a doctor
right away. The easiest way for the doctor to detect diabetes is to do a
plasma glucose test. This test measures how much glucose is in the
blood. Blood can be taken through a needle in your arm or even with a
little finger prick. Only a small amount of blood is needed.
Although a glucose test can be done any time of the day, the results
will vary greatly depending on when you last ate. (Remember, eating
raises the blood sugar level.) A fasting plasma glucose test is a better
way to test for diabetes. This test is taken in the morning, before you
have eaten anything. Normally after fasting, a person’s blood contains
less than 100 milligrams of glucose in each deciliter of blood. But a
person with diabetes will have a fasting glucose level that is more than
126 mg/dl. Two fasting glucose tests taken on different days are
needed to make a diagnosis of diabetes.
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The glucose tolerance test gives more information on how the body
handles sugar. The blood sugar is first tested after fasting. Then a
patient drinks a concentrated sugar solution. Blood samples are taken
several times over the next three hours and tested for the amount of
glucose. At first the glucose drink makes the blood sugar level rise, but
then the level falls. It is usually back to normal after two or three
hours. In people with diabetes, the blood sugar rises much higher after
taking the glucose drink, and it falls more slowly. Even after three
hours it may still be high.
Once diabetes is diagnosed, treatment should begin right away. As you
know, high glucose levels can lead to serious problems.
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Super Sniffers
Everybody knows about Seeing Eye dogs that help blind people.
But did you know there are dogs specially trained to sniff out dia-
betes? It’s true! Dogs are super sniffers. Their sense of smell is
10,000 times better than that of a human. When a person’s blood
sugar level becomes too low or too high, the body gives off a cer-
tain odor. A fully trained dog can sniff out these changes in the
blood. Then the dog alerts the owner by barking, whining, licking
a hand, or some other signal. The dog can actually pick up a
problem with the person’s blood sugar level 20 minutes before a
blood test can detect it—that’s before any symptoms show up.
Image Credit: Igor Zakowski/Photos.com
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Prediabetes
A reading between 100 and 126 mg/dl is sometimes called “pre-
diabetes.” Doctors say this is a warning to keep an eye on the
levels in case they rise into the diabetes range. The patient may
have to change eating habits and exercise more to bring the levels
down to normal range.
Image Credit: Shutterstock.com
Image Credit: Shutterstock.com
Chapter 6
To Stop Diabetes In Few Days Click Here!!
TREATING
DIABETES
Because diabetes is caused by a lack of working insulin, it makes sense
that a common treatment is to put this hormone into the body. Unfor-
tunately, there is no insulin pill or liquid you can drink. Instead,
insulin must be injected. The needle doesn’t squirt insulin directly into
the blood. Instead, it goes into a muscle or fatty area. That way, the
body can absorb the hormone more slowly rather than all at once.
Some common places for injecting insulin are the thighs, buttocks,
belly, or upper arms.
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Image Credit: Murat Erhan Okcu/Photos.com
This person is giving herself an insulin injection.
People with type 1 diabetes who do not make any insulin need daily
insulin shots to keep their condition under control. But most people
can’t go to the doctor every single day for shots. That’s why there are
special kits that allow diabetes patients to give insulin shots in their
own homes. Parents or other responsible adults usually give insulin
shots to their young children with diabetes, but older kids can learn to
give insulin shots to themselves. Teens with diabetes say that at first, it
can be a little scary giving yourself a shot, but after a while it becomes
a routine like getting dressed or brushing your teeth.
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Image Credit: Shutterstock.com
Diabetics use special kits that have all the tools they need to give
themselves insulin shots.
There are some devices that make taking insulin easier. An automatic
injector can shoot the needle into your skin, so that you hardly feel it.
It’s quick and easy. Insulin pens are a popular choice, too. An insulin
pen looks just like a regular pen, but instead of a writing tip, it has a
needle. And instead of an ink cartridge, it contains an insulin cart-
ridge. Insulin pens are easy to use and can be carried around in a
pocket. Jet injectors give insulin without even using a needle. The
insulin is shot out so fast that it goes right into the skin.
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Image Credit: Shutterstock.com
An insulin pen is another way of injecting insulin into the body.
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Image Credit: Shutterstock.com
It is best to get an insulin shot before a meal.
Insulin shots need to be given several times every day, the way insulin
is released from a healthy pancreas. Normally, a person’s body pro-
duces insulin in response to food, which boosts the blood glucose
levels. As the blood glucose levels fall between meals, so does the
insulin production. To keep blood glucose levels normal, people with
diabetes should receive insulin three times a day (before each meal)
and another one at night before bed.
Several different kinds of insulin help to control the blood glucose
level. Short-acting insulin works quickly and is good for taking before
a meal. Long- or medium-acting insulin takes longer to start working
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but lasts longer. The nighttime injection keeps the glucose level nor-
mal during sleep.
Many people who have type 2 diabetes don’t need daily insulin injec-
tions. They may take pills to keep their blood sugar under control. The
pills do not contain insulin. They contain a drug that helps the body
make more insulin or use insulin more effectively.
Exercise and diet are also important in keeping the diabetes under
control. You burn sugar for energy when you exercise, and the blood
glucose level decreases. Exercise also burns up food that might other-
wise be stored in the body as fat. It helps to avoid obesity, which can
make diabetes symptoms worse.
What about diet? You might think that someone with diabetes should
never eat sugar or any sweet foods. Actually, though, it is more com-
plicated than that. Everybody needs some sugar, but the body can get
it from starches and other foods. The problem with eating candy or
other high-sugar foods is that much of their sugar doesn’t need to be
digested. It goes right into the blood, and the blood glucose level
shoots up. Then you need more insulin—fast! Starches and other com-
plex carbohydrates, such as those found in bread, pasta, or rice, do
need to be digested. So they send glucose into the blood slowly and
gradually.
Some people with type 2 diabetes do have to take insulin if other treat-
ments are not enough to control the condition.
Some patients with type 1 diabetes have received pancreas transplants.
Part or all of a healthy pancreas is placed in a patient. People with suc-
cessful pancreas transplants may not need to take insulin anymore
and may have normal blood glucose levels. The problem with getting a
transplant, however, is that the body may attack the new pancreas.
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The transplanted organ may even shrivel up and die. Doctors call this
rejection of the transplant. Patients need to take special drugs to make
sure this does not happen. But antirejection drugs can have some bad
side effects.
Image Credit: George Doyle/Photos.com
Pasta is a complex carbohydrate that delivers glucose to the body
slowly.
Researchers have turned to the idea of transplanting only the islet
cells, rather than the whole pancreas. Remember, islet cells produce
44/74
insulin. Scientists believe that transplanting islet cells is less danger-
ous than transplanting the whole pancreas. But they still don’t know
how many islet cells are needed and exactly where they should be
transplanted. And patients must take special drugs to prevent the
body from rejecting the islet cells.
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Why Does Insulin Have to Be Injected?
No one likes getting shots, but people with diabetes have to have
them every single day. Insulin must be injected. It would never
work if it were in pill form. After being swallowed, the insulin
would be destroyed by the stomach’s digestive juices.
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Insulin Pump
Having to inject yourself several times a day may seem like a
hassle. So how would you like a device that does it for you auto-
matically? An insulin pump is about the size of a cell phone and
can clip onto your belt or be carried in your pocket. It is attached
to a flexible plastic tube and a needle that is inserted under the
skin and taped in place. A tiny built-in computer operates a
pump that sends exactly the right amount of insulin into your
body. You can also deliver an extra dose just before a meal. You
have to do some experimenting first to figure out the right
amount of insulin flow.
Researchers are working on “artificial pancreas” devices that are
even more automatic. They combine a pump with a monitor to
test the amount of glucose in the blood. A tiny computer predicts
how the blood sugar level will change over the next 24 hours,
depending on what the person eats. It adjusts the insulin dose
automatically—just like a real pancreas.
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Activity 2: Sugar vs. Starch
Making models of sugars and starches can help you understand
how foods are used for energy. You need construction paper,
scissors, and tape. Cut out fifteen strips of paper, each measuring
an inch (about 2.5 cm) wide. Curve one strip into a loop and tape
the ends together. This is like a glucose molecule. It is a simple
sugar. Now make two more strips into loops, but before you tape
the second one together, link it with the first. This is like a
sucrose (table sugar) molecule, which is made of two simple sug-
ars, linked together. Now take all the rest of the strips you cut
out, and make them into a chain. This is like a starch molecule
(but real starch has thousands of links).
Only simple sugars can be used directly for energy. Sucrose and
starches have to be broken down into simple sugars to supply
energy. Unpeel the tape on a link of the sucrose molecule and
pull it out of the other link. This is like what the body has to do to
get energy from sucrose. Now take one link at a time off the
“starch” chain. Imagine how long it would take for a real starch
molecule! That is why complex carbohydrates (such as starches)
provide energy at a much slower rate.
Chapter 7
To Get Best Natural Diabetes Treatment
Click Here!!
LIVING WITH
DIABETES
There is no cure for diabetes at this time. It is a condition a person has
to live with every single day. But diabetes can be controlled, and
people who have it can live long, healthy lives.
A health care specialist can help patients come up with a good plan
that is just right for that individual. What may be good for one person
may not be good for another. For example, the amount of insulin
needs to be adjusted according to each person’s individual needs.
Monitoring glucose is an important part of living with diabetes. People
with diabetes need to check their blood glucose levels several times a
day to see how well their condition is being controlled. This helps to
give a better idea of how much insulin is needed. Blood glucose monit-
ors are devices that can measure blood sugar levels in a matter of
minutes. Using a monitor regularly helps you figure out how much
insulin you need.
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Image Credit: JDRF Walk to Cure Diabetes, Mike Young 2012
Some people get involved. They may raise money and awareness
of the disease. This group is walking to help the JDRF (Juvenile
Diabetes Research Foundation).
Blood sugar is tested by pricking a finger or earlobe and placing a drop
of blood into a small portable machine that provides a digital readout
of blood sugar levels. Glucose monitoring is very important because it
helps to avoid serious problems that may develop.
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Image Credit: CDC/Amanda Mills
Home glucose monitoring devices make checking blood sugar
easy.
When too much sugar is in the blood, that means that glucose is not
getting into the body cells. So the cells can’t use the sugar for energy,
and they have to use something else, such as protein or fats. Taking
protein out of the muscles makes them weak. When fats are burned,
they give a lot of energy, but they also form chemicals called ketones.
Too many ketones can poison cells and make a person really sick.
People can check for ketones with special urine test strips. Ketones in
the urine are usually a sign that more insulin is needed to keep the
blood sugar under control. A doctor or nurse can advise what to do.
Missing doses of insulin, eating too much, or getting an infection or
injury may lead to a serious condition called diabetic coma. Head-
aches, tiredness, confusion, stomach pain, and breathing problems
may develop as ketones from fats build up. The person may even pass
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out. Quick emergency care is needed to diagnose and treat the
problem.
Sometimes people with diabetes take too much insulin by mistake,
causing a low blood sugar level. This can be dangerous. Too much
glucose will go out of the blood, and not enough will go to the brain.
The brain needs a lot of energy, and without enough glucose it won’t
work properly. If the blood glucose level falls too low, insulin shock
may result. The person may feel chilly, sweaty, hungry, nervous, and
irritable and may faint. Insulin shock is a dangerous condition that
needs immediate emergency care.
Sometimes, such as when you skip a meal, you can have a bad reaction
even if you take the right amount of insulin. When you don’t eat at the
usual time, your blood sugar level drops. But if you have diabetes, you
may already have taken your scheduled insulin shot. The insulin was
supposed to lower your blood sugar to normal after a meal. But if you
don’t eat, there will be no extra glucose in your blood. Instead, insulin
will take away some of the sugar your brain needs.
Exercise burns up glucose, so exercising more than usual can also
cause the blood sugar level to fall very low. Eating snacks between
meals and before exercising can help you avoid an insulin reaction.
Many people with diabetes carry around a quick fix to correct low
blood sugar. If they feel dizzy and sick and think they might be getting
an insulin reaction, they have hard candy or a sweet drink, such as
orange juice or soda. The sugar goes right into the blood and brings
the level back to normal. Students with diabetes should talk to their
teacher about bringing snacks to class so they can avoid any blood
sugar level problems.
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It’s a good idea to wear a medical identification bracelet or necklace
and to carry an I.D. card in case of an emergency. Information on your
illness and what to do in case of an insulin reaction, as well as your
name and the name and number of someone to contact, can save your
life.
Image Credit: © Michael Newman/PhotoEdit
A medical identification bracelet alerts doctors that you have
diabetes in case you are too sick to tell them.
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“Ouchless” Monitors
Many people—especially kids—don’t like pricking their fingers
several times every day. So researchers have been trying to create
glucose monitors that don’t need to prick the skin at all. The
GlucoWatch G2 Biographer, worn on the wrist, uses a tiny elec-
tric current to draw fluid through the skin into a pad, where gluc-
ose is measured. The amount of electricity is too small to hurt or
even tingle. This GlucoWatch also has a built-in alarm to warn
the person when the glucose level is too high or too low.
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Fruity Smell
Image Credit: Shutterstock.com
The breath of people with uncontrolled diabetes often has a
fruity smell. This is due to a buildup of ketones. It means that the
person needs a dose of insulin fast to bring the blood sugar level
back to a healthy level.
Image Credit: Gayner Hallam/Photos.com
55/74
High and Low
Here are a couple of handy terms you may hear people use when
they talk about diabetes:
People whose glucose level is higher than normal have a condi-
tion called hyperglycemia. Hypoglycemia is a lower-than-normal
glucose level.
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Answer Key: 1. F; 2. I; 3. J; 4. G; 5. B; 6. A; 7.
E; 8. C; 9. D; 10. H.
Back to Activity
GLOSSARY
To Stop Diabetes In Few Days Click Here!!
blood sugar level—The amount of glucose in the blood.
carbohydrates—Starches and sugars, the body’s main energy
sources.
diabetes—A condition in which insulin is not produced or does not
properly control the body’s use and storage of sugar, resulting in
abnormally high amounts of glucose in the blood; extra glucose may
also spill over into the urine.
diabetic coma—A serious condition due to a lack of enough insulin,
causing a buildup of ketones from using fats for energy.
diagnosis—Identifying a condition from its signs and symptoms.
digestion—The process by which food is broken down into smaller
parts that the body can use.
fasting plasma glucose test—A diagnostic test in which the blood
glucose level is measured. It has to be taken early in the morning
before eating.
genes—Chemicals inside each cell that carry inherited traits.
glucagon—A hormone that raises the amount of sugar in the blood.
glucose—The most common kind of sugar in the blood. The body
uses glucose for energy.
58/74
glucose tolerance test—A test for diabetes in which a person drinks
a glucose solution after fasting and the blood sugar is measured
several times over the next three hours.
hormone—A chemical that helps to control the body’s activities.
hyperglycemia—A higher-than-normal blood sugar level.
hypoglycemia—A lower-than-normal blood sugar level.
inherited—Passed on by genes from parents to children.
injected—Sent into the body through a hollow needle. insulin—
A hormone that controls the level of sugar in the blood.
insulin resistance—A condition in which the cells are unable to use
insulin effectively.
insulin shock—A dangerous reaction to too much insulin in the
blood.
islets (pronounced EYE-lets)—Clusters of insulin-producing cells
scattered throughout the pancreas.
ketones—Chemicals that are formed when the body burns fats for
energy.
obesity—The condition of being extremely overweight.
pancreas—An organ that produces hormones, such as insulin and
glucagon, which help to control the amount of glucose in the blood; it
also makes digestive juices, which help to break down food.
59/74
plasma glucose test—A diagnostic test in which the blood glucose
level is measured; it can be taken at any time of the day.
secrete—To release, or send out.
starch—A food substance found in bread, potatoes, and pasta that
the body breaks down into sugars.
urinate—To pass liquid body wastes (urine) produced by the
kidneys.
LEARN MORE
To Cure Diabetes Problem Naturally
Click Here!!
Books
American Diabetes Association. What to Expect When You Have
Diabetes: 170 Tips For Living Well with Diabetes. Intercourse, Pa.:
Good Books, 2008.
Brill, Marlene Targ. Diabetes. Minneapolis, Minn.: Twenty-First
Century Books, 2012.
Ehrman, M. K. Living with Diabetes. Minneapolis, Minn.: ABDO
Pub., 2012.
Hood, Korey K. Type 1 Teens: A Guide to Managing Your Life with
Diabetes. Washington, D.C.: Magination Press: American
Psychological Association, 2010.
Klosterman, Lorrie. Endocrine System. New York: Marshall
Cavendish Benchmark, 2009.
Web Sites
American Diabetes Association. Living With Diabetes.
<http://www.diabetes.org/living-with-diabetes/parents-and-
kids/>
Juvenile Diabetes Research Foundation International. JDRF Kids
Online.
<http://kids.jdrf.org/>
INDEX
A
amputation, 18
B
blindness, 17, 24
blood glucose, 23, 30, 31, 33, 36, 37, 40
blood sugar level, 11, 13, 17, 21, 22, 24, 25, 26, 32, 37, 39, 40, 41
breath, 40
C
carbohydrates, 9, 22, 33, 34
coma, diabetic, 39
D
diabetes
causes, 19–22
problems, 17–18, 26
63/74
testing, 23–26
treating, 27–35
types of, 13–15
warning signs, 15, 16
what it is, 8–9, 11–12
digestion, 9, 11
E
eating, 5, 7, 19, 25, 31, 33, 39, 41
exercise, 19, 26, 31, 41
F
fasting, 25
fats, 11, 16, 38, 39
feet, 18
food, 5, 7, 8, 9, 11, 19, 30, 31
G
genes, 20
64/74
glucagon, 8–9, 11, 12, 22
glucose, 8, 11, 22, 23, 24, 25, 26, 32, 33, 34, 36, 38
glucose monitoring, 37, 39
GlucoWatch, 39
H
hormone, 8–9, 11, 22, 27
hunger, 15, 17, 40
hyperglycemia, 41
hypoglycemia, 41
I
infections, 20, 39
injections, 7, 27, 28, 29, 31, 32
injuries, 39
insulin, 8–9, 10, 11, 12, 13, 14, 19, 21, 22, 27, 28, 29–31, 32, 33, 35, 36,
37, 38, 39, 40–41, 42
insulin resistance, 14, 19
insulin shock, 40
65/74
islets, 8, 11, 21, 22, 35
J
juvenile diabetes, 31
K
kidneys, 16, 17
M
medications, 7
monitors, 22, 32, 36–37, 39
O
obesity, 19, 22, 31
P
pancreas, 8–9, 11, 13, 14, 21, 22, 30, 32, 33, 35
pump, insulin, 32
R
resistance, insulin, 14, 19
66/74
S
shock, insulin, 40
snacks, 41
starch, 9, 11, 22, 31, 33, 34
sugar, 5, 8, 9, 11–12, 13, 14, 15–16, 17, 19, 21, 22, 23, 24, 25, 26, 31, 32,
34, 37, 38, 39, 40–41
sweets, 5, 7, 9, 31, 41
T
tests, 22, 23–26, 32, 37, 38
thirst, 15, 16
tiredness, 5, 15, 17, 39
transplants, 33, 35
type 1 diabetes, 13, 19, 20, 21, 22, 28, 33
type 2 diabetes, 13, 14, 19, 21, 22, 31, 33
U
urine, 15–16, 17, 23, 38
67/74
V
viruses, 20
W
warning signs, 15, 16, 26
weakness, 15, 17, 38
weight, 7, 15, 19–20
Note To Our
Readers
To Get Rid Of Diabetes Disease
Permanently Click Here!!
About This Electronic Book:
This electronic book was initially published as a printed book. We have
made many changes in the formatting of this electronic edition, but in
certain instances, we have left references from the printed book so that
this version is more helpful to you.
Chapter Notes and Internet Addresses:
We have done our best to make sure all Internet Addresses in this
electronic book were active and appropriate when this edition was cre-
ated. However, the author and the publisher have no control over and
assume no liability for the material available on those Internet sites or
on other Web sites they may link to. The Chapter Notes are meant as a
historical reference source of the original research for this book. The
references may not be active or appropriate at this time, therefore we
have deactivated the internet links referenced in the Chapter Notes.
Index:
All page numbers in the index refer to pages in the printed edition of
this book. We have intentionally left these page references. While elec-
tronic books have a search capability, we feel that leaving in the ori-
ginal index allows the reader to not only see what was initially
referenced, but also how often a term has been referenced.
Any comments, problems, or suggestions can be sent by e-mail to
comments@enslow.com or to the following address:
69/74
www.enslow.com
All rights reserved. No part of this text may be reproduced, down-
loaded, uploaded, transmitted, deconstructed, reverse engineered, or
placed into any current or future information storage and retrieval
system, electronic or mechanical, in any form or by any means,
without the prior written permission of Enslow Publishers, Inc.
Copyright © 2014 by Alvin Silverstein, Virginia Silverstein, and Laura
Silverstein Nunn
All rights reserved.
No part of this book may be reproduced by any means without the
written permission of the publisher.
Original edition published as Diabetes in 2002.
Library of Congress Cataloging-in-Publication Data
Silverstein, Alvin.
Handy health guide to diabetes / by Alvin Silverstein, Virginia Silver-
stein, and Laura Silverstein Nunn.
pages cm. — (Handy health guides)
Summary: “Find out what diabetes is, the different kinds of diabetes,
diabetes testing, and how to treat it”— Provided by publisher.
Includes bibliographical references and index.
ISBN 978-0-7660-4275-9
1. Diabetes—Juvenile literature. I. Silverstein, Virginia B. II. Nunn,
Laura Silverstein. III. Title.
RC660.S55 2014
616.4’62—dc23
2012041452
Future editions:
Paperback ISBN: 978-1-4644-0493-1
EPUB ISBN: 978-1-4645-1255-1
Single-User PDF ISBN: 978-1-4646-1255-8
Multi-User PDF ISBN: 978-0-7660-5887-3
This is the EPUB version 1.0.
Cover Photo: Shutterstock.com (all images)
71/74
More Books from
Enslow
Come to enslow.com for more information!
Library Ed. ISBN 978-0-7660-4270-4
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@Created by PDF to ePub

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Diabetes Ebook:Handy Health Guide To Diabetes

  • 1.
  • 2. About this Book Want To Diabetes Free Life Click Here? THE SUGAR DISEASE We all face health problems once in a while. Maybe you have come down with the flu or you have diabetes. Perhaps you have asthma or a cavity. Some people need glasses to see better or are allergic to bee stings. These handy guides teach you about your health and how all the parts of your body work together to keep you healthy most of the time. About the Author Dr. Alvin Silverstein is a retired professor of biology at the College of Staten Island, City University of New York. Virginia Silverstein translates scientific Russian and is a professional author. Together they have written more than 200 books for young people. Laura Sil- verstein Nunn has coauthored more than 100 books with her parents.
  • 3.
  • 4. CONTENTS To Stop Diabetes In Few Days Click Here!! Cover About this Book Title Page Chapter 1: The Sugar Disease Sweet Tooth Chapter 2: What Is Diabetes? What Is Sugar? Double-Duty Chapter 3: Types of Diabetes What’s in a Name?
  • 5. Chapter 4: What Causes Diabetes? Famous People With Diabetes Activity 1: Diabetes Definitions
  • 6. 5/74 Chapter 5: Testing for Diabetes Super Sniffers Prediabetes Chapter 6: Treating Diabetes Why Does Insulin Have to Be Injected? Insulin Pump Activity 2: Sugar vs. Starch Chapter 7: Living With Diabetes “Ouchless” Monitors Fruity Smell High and Low Glossary Learn More Books Web Sites Index
  • 7. 6/74 Note to Our Readers Copyright More Books from Enslow
  • 8. Chapter 1 To Cure Diabetes Problem Naturally Click Here!! THE SUGAR DISEASE
  • 9. 8/74 Image Credit: Comstock Images/ Photos.com Some people are not able to use the sugar in food properly. They have diabetes.
  • 10. 9/74 Most kids love to eat sweets. Ice cream, candy, and cake can make a day special, and a sweet dessert after dinner would be a nice treat. Sweet foods usually contain sugar—that’s why they taste so good. But eating too many sweets isn’t good for anybody. They can rot your teeth and keep you from eating foods that make you healthy and strong. For some people, foods that contain sugar are not just unhealthy—they can be dangerous. Normally, your body turns sugar into energy you can use to do everyday activities—play, run, and even think. But some people are not able to use the sugar in their blood properly. They have a condition called diabetes. If you have diabetes, sometimes you might feel tired and confused. You might even faint or have to go to the hospital.
  • 11. 10/74
  • 12. 11/74 Image Credit: Shutterstock.com Regular exercise will help keep your body healthy. There is no cure for diabetes, but there are ways to keep the condition under control. Medications can prevent the symptoms. People often take a drug that must be injected into the skin. Exercising regularly
  • 13. 12/74 and eating healthy foods are also important. With a good daily routine, a person with diabetes can live a long, healthy life.
  • 14. 13/74 Sweet Tooth Do you have a sweet tooth? If you do, don’t worry—you can’t get diabetes from eating too many sweets. However, eating too much of that stuff can make you gain weight, which may lead to diabetes.
  • 15. Chapter 2 Click Here To Cure Diabetes Forever WHAT IS DIABETES? Diabetes is a disease in which the body cannot use sugar properly, and extra sugar builds up in the blood. Everybody has some sugar in their blood. It supplies the body with energy. But too much sugar in the blood can make you sick. Normally, much of the food you eat is turned into a sugar called gluc- ose. Some of the glucose is stored, and some of it is used directly for energy. Special chemicals, called hormones, are needed for the body to get the energy from sugar. These hormones are produced in the pan- creas, an organ near your stomach. Scattered throughout the pancreas are small blobs of tissue, called islets. Cells in the islets produce two important hormones, insulin and glucagon. These hormones are produced all the time, but the amounts sent out, or secreted, from the pancreas depend on how much sugar is already in the blood.
  • 16. Both hormones work to control the body’s use of sugar, but they have opposite effects on the blood. How do insulin and glucagon work?
  • 17. 14/74 After you eat, food is digested, or broken down, in your mouth, stom- ach, and intestines. The digestion process changes starches into sug- ars. Sugars and other food materials pass into your blood, which carries them to all parts of the body. Now it is time for insulin to go into action.
  • 18. 15/74 Image Credit: Shutterstock.com Food passes from the mouth into the stomach and then on to the intestines to be broken down by digestive juices from the pancreas.
  • 19. 16/74 When the amount of glucose in the blood (the blood sugar level) rises, the pancreas secretes insulin. Insulin lowers the blood sugar level by helping glucose pass out of the blood and into the cells of the body. Some of the sugar in the body cells is used right away to produce energy. Some is changed into starch and fats and stored in the body. Starches and fats are handy forms to store sugar until the body needs some extra energy. When the blood sugar level falls, the pancreas secretes more glucagon. This hormone makes the blood sugar level go up by causing starch in the cells to turn back into glucose. The glucose goes into the blood and is then carried to the cells that need energy. Insulin and glucagon work together like members of a team. They make sure that the amount of sugar in the blood is always just right. When the body cannot make enough insulin or cannot use the insulin properly, glucose cannot get into the cells. Eventually, extra sugar builds up in the blood, causing the symptoms of diabetes.
  • 20. 17/74 Image Credit: Shutterstock.com This diagram shows the organs in the digestive system, including the pancreas.
  • 21. 18/74 What Is Sugar? You probably think of sugar as that white stuff you sprinkle over your cereal or see people put in their coffee or tea. But that is only one kind of sugar. Sugars are found in sweet-tasting foods, such as fruits, candy, and ice cream. They belong to a food group called carbohydrates, which are the body’s main source of energy. Another type of carbohydrate is starch. Starch is made up of a lot of sugar units linked together. Starchy foods include breads, pasta, and rice. Image Credit: © 2012 Clipart.com
  • 22. 19/74 Double-Duty The pancreas is a double-duty organ. In addition to secreting the hormones insulin and glucagon from its islets, it also makes digestive juices. These juices help break down food so that your body can use it.
  • 23. Chapter 3 To Get Rid Of Diabetes Disease Permanently Click Here!! TYPES OF DIABETES There are two main types of diabetes: type 1 and type 2. Both types result in too much sugar in the blood and produce similar symptoms. But there are some very important differences between the two. Type 1 diabetes used to be called juvenile diabetes because it affects mainly children, teens, and young adults, but it can occur at any age. In type 1 diabetes, the pancreas no longer produces insulin. This can be very dangerous. Type 1 diabetes can appear suddenly. You may feel fine one day and then very sick the next. It is very important to correct the blood sugar level quickly to prevent life-threatening complications. Type 2 diabetes is the most common form—it accounts for about 90 to
  • 24. 95 percent of all diabetes cases. It affects mostly adults over age forty, although children may also develop this type of diabetes. In fact, doc- tors are seeing type 2 diabetes in an increasing number of young people these days, especially teenagers. In type 2 diabetes, the pan- creas does produce insulin. However, it does not produce enough of it, or the body cannot use it properly. As a result, the body cells cannot get energy from sugar. Doctors call this condition insulin resistance. This type of diabetes can take years to develop.
  • 25. 21/74 Image Credit: Shutterstock.com Type 1 diabetes affects mainly children and teenagers. In both types of diabetes, the body cells become starved for energy, and symptoms develop. Here are some warning signs of either type of diabetes. You may: • be thirsty all the time • have to urinate frequently • feel weak and tired • feel hungry all the time • lose weight, even though you eat a lot
  • 26. 22/74 • get sores on your skin that take a long time to heal • notice that objects look fuzzy or blurry • have pains in your legs Anybody can have some of these warning signs from time to time without having diabetes. But if you have many of these signs, and have them all the time, you should see a doctor. People with diabetes have sugar in their urine. How does sugar get in the urine? Urine is made in the kidneys. The kidneys remove waste products from the blood. They also take out some water, to flush the wastes away. If there is too much of something in the blood, the kid- neys take that out, too. For people with diabetes there is too much sugar in their blood, and soon sugar turns up in their urine.
  • 27. 23/74 Image Credit: Shutterstock.com One sign of diabetes is being thirsty all the time. When sugar passes into the urine, the urine gets thicker. Then more water goes from the blood into the urine. This water washes out other things, too. Vitamins and minerals, proteins and fats are lost along with the sugar and water.
  • 28. 24/74 That’s why the warning signs develop. If you have diabetes, your kid- neys have to make a lot of urine because they are getting rid of the extra sugar from the blood. So you may have to urinate a lot. You are also thirsty all the time because you are losing so much water. You feel unusually weak and tired because your body can’t use sugar for the energy it needs to function properly. You are hungry because you are losing so many good food materials, which are getting washed out in your urine. Too much sugar in the blood can also cause more serious problems. People with diabetes have a high risk of getting heart disease. High blood sugar levels may cause eye problems, possibly even resulting in blindness. Poorly controlled diabetes may also cause dental problems, high blood pressure, kidney damage, and nerve damage, which may produce pain and numbness. Cuts and other wounds of diabetes patients are more likely to get infected than those in people without diabetes, and they do not heal as quickly. Many people with diabetes have problems with their feet, where even small cuts become more serious. In severe cases, part of the foot may have to be amputated (removed).
  • 29. 25/74 Image Credit: Shutterstock.com Poorly controlled diabetes can cause high blood pressure and other serious health problems.
  • 30. 26/74 What’s in a Name? The name diabetes comes from a Greek word meaning “a siphon,” a U-shaped tube that transfers liquid from one con- tainer to another. Ancient Greek physicians noticed that when people with diabetes drank large amounts of liquid, the fluid seemed to run right through them, as water runs through a siphon, and they would have to urinate often. Image Credit: Shutterstock.com
  • 31. Chapter 4 To Cure Diabetes Problem Naturally Click Here!! WHAT CAUSES DIABETES? More than 18 million Americans have diabetes. Most of these people are adults, but health experts say that more children are getting dia- betes than ever before. This may be because many kids today are eat- ing too much food that is high in fat and sugar. They are also not getting enough exercise. This lack of exercise may lead to obesity— being extremely overweight. The extra weight is stored as body fat, which can lead to insulin resistance, a condition in which body cells are unable to use insulin effectively. Gaining a lot of weight increases a person’s chance for developing type 2 diabetes. There is no link between obesity and type 1 diabetes. Researchers believe that an overweight person is more likely to develop diabetes if someone in his or her family has it. Studies have shown that diabetes can be inherited when genes are passed down
  • 32. from one generation to another. Certain genes may play an important role in the development of diabetes. But even if someone in your fam- ily does have the disease, that doesn’t mean you will get it.
  • 33. 28/74 Image Credit: Juergen Berger/Science Source A white blood cell (white) is attacking bacteria (yellow). Researchers have found that type 1 diabetes may be caused by infec- tion with some viruses (tiny disease germs), such as those that cause the common cold or mumps. When you get sick, your body normally does a good job of defending itself. Germs are quickly spotted by spe- cial defending cells and these cells fight off the germs. But the body’s
  • 34. 29/74 defenders may make a mistake and attack islet cells, too. Insulin-pro- ducing cells are damaged, and the pancreas can no longer produce enough insulin to keep the blood sugar level under control. This can lead to type 1 diabetes.
  • 35. 30/74 Famous People With Diabetes Halle Berry Actress Type 1 Jay Cutler Chicago Bears Quarterback Type 1 Paula Deen Mike Huckabee Randy Jackson Nick Jonas Bret Michaels Celebrity Chef Politician American Idol Judge Singer Singer Type 2 Type 2 Type 2 Type 1 Type 1 Image Credit: DFree/Shutterstock.com Halle Berry
  • 36. 31/74 Activity 1: Diabetes Definitions Find out how well you understand diabetes. Choose the best definition for each word. (Do not write in this book! Instead write your answers on a piece of paper and check them against the answers below.) 1. Islets A. Hormone that lowers blood sugar level 2. Pancreas B. Complex carbohydrate 3. Type 2 diabetes C. Affects mainly children 4. Glucose D. High risk of developing type 2 diabetes 5. Starch E. Hormone that raises blood sugar level 6. Insulin F. Hormone-producing cells in the pancreas 7. Glucagon G. Simple sugar 8. Type 1 diabetes H. Tests blood sugar level 9. Obesity I. Produces insulin and glucagon 10. Glucose monitor J. Affects mainly adults over the age of forty Answers
  • 37. Chapter 5 Click Here If You Also Want To Be Free From Diabetes!! TESTING FOR DIABETES The medical name for diabetes is diabetes mellitus. Mellitus means “honey.” It is used in the name because sugar that passes out into the urine gives it a sweet taste. Years ago, doctors would actually make a diagnosis by tasting a patient’s urine! Later, doctors had tests and machines that could do the “tasting” for them. Doctors no longer use urine tests to detect diabetes. Now they depend more on blood tests. Urine tests do a poor job of showing your blood glucose level. Glucose doesn’t “spill over” into the urine until there is already quite a lot of glucose in the blood.
  • 38. 33/74 Image Credit: Keith Brofsky/Photos.com A doctor or nurse will take some blood from your arm to test for diabetes. If you have symptoms that suggest diabetes, you should see a doctor right away. The easiest way for the doctor to detect diabetes is to do a plasma glucose test. This test measures how much glucose is in the blood. Blood can be taken through a needle in your arm or even with a little finger prick. Only a small amount of blood is needed. Although a glucose test can be done any time of the day, the results will vary greatly depending on when you last ate. (Remember, eating raises the blood sugar level.) A fasting plasma glucose test is a better way to test for diabetes. This test is taken in the morning, before you have eaten anything. Normally after fasting, a person’s blood contains less than 100 milligrams of glucose in each deciliter of blood. But a person with diabetes will have a fasting glucose level that is more than 126 mg/dl. Two fasting glucose tests taken on different days are needed to make a diagnosis of diabetes.
  • 39. 34/74 The glucose tolerance test gives more information on how the body handles sugar. The blood sugar is first tested after fasting. Then a patient drinks a concentrated sugar solution. Blood samples are taken several times over the next three hours and tested for the amount of glucose. At first the glucose drink makes the blood sugar level rise, but then the level falls. It is usually back to normal after two or three hours. In people with diabetes, the blood sugar rises much higher after taking the glucose drink, and it falls more slowly. Even after three hours it may still be high. Once diabetes is diagnosed, treatment should begin right away. As you know, high glucose levels can lead to serious problems.
  • 40. 35/74 Super Sniffers Everybody knows about Seeing Eye dogs that help blind people. But did you know there are dogs specially trained to sniff out dia- betes? It’s true! Dogs are super sniffers. Their sense of smell is 10,000 times better than that of a human. When a person’s blood sugar level becomes too low or too high, the body gives off a cer- tain odor. A fully trained dog can sniff out these changes in the blood. Then the dog alerts the owner by barking, whining, licking a hand, or some other signal. The dog can actually pick up a problem with the person’s blood sugar level 20 minutes before a blood test can detect it—that’s before any symptoms show up. Image Credit: Igor Zakowski/Photos.com
  • 41. 36/74 Prediabetes A reading between 100 and 126 mg/dl is sometimes called “pre- diabetes.” Doctors say this is a warning to keep an eye on the levels in case they rise into the diabetes range. The patient may have to change eating habits and exercise more to bring the levels down to normal range. Image Credit: Shutterstock.com Image Credit: Shutterstock.com
  • 42. Chapter 6 To Stop Diabetes In Few Days Click Here!! TREATING DIABETES Because diabetes is caused by a lack of working insulin, it makes sense that a common treatment is to put this hormone into the body. Unfor- tunately, there is no insulin pill or liquid you can drink. Instead, insulin must be injected. The needle doesn’t squirt insulin directly into the blood. Instead, it goes into a muscle or fatty area. That way, the body can absorb the hormone more slowly rather than all at once. Some common places for injecting insulin are the thighs, buttocks, belly, or upper arms.
  • 43. 38/74 Image Credit: Murat Erhan Okcu/Photos.com This person is giving herself an insulin injection. People with type 1 diabetes who do not make any insulin need daily insulin shots to keep their condition under control. But most people can’t go to the doctor every single day for shots. That’s why there are special kits that allow diabetes patients to give insulin shots in their own homes. Parents or other responsible adults usually give insulin shots to their young children with diabetes, but older kids can learn to give insulin shots to themselves. Teens with diabetes say that at first, it can be a little scary giving yourself a shot, but after a while it becomes a routine like getting dressed or brushing your teeth.
  • 44. 39/74 Image Credit: Shutterstock.com Diabetics use special kits that have all the tools they need to give themselves insulin shots. There are some devices that make taking insulin easier. An automatic injector can shoot the needle into your skin, so that you hardly feel it. It’s quick and easy. Insulin pens are a popular choice, too. An insulin pen looks just like a regular pen, but instead of a writing tip, it has a needle. And instead of an ink cartridge, it contains an insulin cart- ridge. Insulin pens are easy to use and can be carried around in a pocket. Jet injectors give insulin without even using a needle. The insulin is shot out so fast that it goes right into the skin.
  • 45. 40/74 Image Credit: Shutterstock.com An insulin pen is another way of injecting insulin into the body.
  • 46. 41/74 Image Credit: Shutterstock.com It is best to get an insulin shot before a meal. Insulin shots need to be given several times every day, the way insulin is released from a healthy pancreas. Normally, a person’s body pro- duces insulin in response to food, which boosts the blood glucose levels. As the blood glucose levels fall between meals, so does the insulin production. To keep blood glucose levels normal, people with diabetes should receive insulin three times a day (before each meal) and another one at night before bed. Several different kinds of insulin help to control the blood glucose level. Short-acting insulin works quickly and is good for taking before a meal. Long- or medium-acting insulin takes longer to start working
  • 47. 42/74 but lasts longer. The nighttime injection keeps the glucose level nor- mal during sleep. Many people who have type 2 diabetes don’t need daily insulin injec- tions. They may take pills to keep their blood sugar under control. The pills do not contain insulin. They contain a drug that helps the body make more insulin or use insulin more effectively. Exercise and diet are also important in keeping the diabetes under control. You burn sugar for energy when you exercise, and the blood glucose level decreases. Exercise also burns up food that might other- wise be stored in the body as fat. It helps to avoid obesity, which can make diabetes symptoms worse. What about diet? You might think that someone with diabetes should never eat sugar or any sweet foods. Actually, though, it is more com- plicated than that. Everybody needs some sugar, but the body can get it from starches and other foods. The problem with eating candy or other high-sugar foods is that much of their sugar doesn’t need to be digested. It goes right into the blood, and the blood glucose level shoots up. Then you need more insulin—fast! Starches and other com- plex carbohydrates, such as those found in bread, pasta, or rice, do need to be digested. So they send glucose into the blood slowly and gradually. Some people with type 2 diabetes do have to take insulin if other treat- ments are not enough to control the condition. Some patients with type 1 diabetes have received pancreas transplants. Part or all of a healthy pancreas is placed in a patient. People with suc- cessful pancreas transplants may not need to take insulin anymore and may have normal blood glucose levels. The problem with getting a transplant, however, is that the body may attack the new pancreas.
  • 48. 43/74 The transplanted organ may even shrivel up and die. Doctors call this rejection of the transplant. Patients need to take special drugs to make sure this does not happen. But antirejection drugs can have some bad side effects. Image Credit: George Doyle/Photos.com Pasta is a complex carbohydrate that delivers glucose to the body slowly. Researchers have turned to the idea of transplanting only the islet cells, rather than the whole pancreas. Remember, islet cells produce
  • 49. 44/74 insulin. Scientists believe that transplanting islet cells is less danger- ous than transplanting the whole pancreas. But they still don’t know how many islet cells are needed and exactly where they should be transplanted. And patients must take special drugs to prevent the body from rejecting the islet cells.
  • 50. 45/74 Why Does Insulin Have to Be Injected? No one likes getting shots, but people with diabetes have to have them every single day. Insulin must be injected. It would never work if it were in pill form. After being swallowed, the insulin would be destroyed by the stomach’s digestive juices.
  • 51. 46/74 Insulin Pump Having to inject yourself several times a day may seem like a hassle. So how would you like a device that does it for you auto- matically? An insulin pump is about the size of a cell phone and can clip onto your belt or be carried in your pocket. It is attached to a flexible plastic tube and a needle that is inserted under the skin and taped in place. A tiny built-in computer operates a pump that sends exactly the right amount of insulin into your body. You can also deliver an extra dose just before a meal. You have to do some experimenting first to figure out the right amount of insulin flow. Researchers are working on “artificial pancreas” devices that are even more automatic. They combine a pump with a monitor to test the amount of glucose in the blood. A tiny computer predicts how the blood sugar level will change over the next 24 hours, depending on what the person eats. It adjusts the insulin dose automatically—just like a real pancreas.
  • 52. 47/74 Activity 2: Sugar vs. Starch Making models of sugars and starches can help you understand how foods are used for energy. You need construction paper, scissors, and tape. Cut out fifteen strips of paper, each measuring an inch (about 2.5 cm) wide. Curve one strip into a loop and tape the ends together. This is like a glucose molecule. It is a simple sugar. Now make two more strips into loops, but before you tape the second one together, link it with the first. This is like a sucrose (table sugar) molecule, which is made of two simple sug- ars, linked together. Now take all the rest of the strips you cut out, and make them into a chain. This is like a starch molecule (but real starch has thousands of links). Only simple sugars can be used directly for energy. Sucrose and starches have to be broken down into simple sugars to supply energy. Unpeel the tape on a link of the sucrose molecule and pull it out of the other link. This is like what the body has to do to get energy from sucrose. Now take one link at a time off the “starch” chain. Imagine how long it would take for a real starch molecule! That is why complex carbohydrates (such as starches) provide energy at a much slower rate.
  • 53. Chapter 7 To Get Best Natural Diabetes Treatment Click Here!! LIVING WITH DIABETES There is no cure for diabetes at this time. It is a condition a person has to live with every single day. But diabetes can be controlled, and people who have it can live long, healthy lives. A health care specialist can help patients come up with a good plan that is just right for that individual. What may be good for one person may not be good for another. For example, the amount of insulin needs to be adjusted according to each person’s individual needs. Monitoring glucose is an important part of living with diabetes. People with diabetes need to check their blood glucose levels several times a day to see how well their condition is being controlled. This helps to give a better idea of how much insulin is needed. Blood glucose monit- ors are devices that can measure blood sugar levels in a matter of
  • 54. minutes. Using a monitor regularly helps you figure out how much insulin you need.
  • 55. 49/74 Image Credit: JDRF Walk to Cure Diabetes, Mike Young 2012 Some people get involved. They may raise money and awareness of the disease. This group is walking to help the JDRF (Juvenile Diabetes Research Foundation). Blood sugar is tested by pricking a finger or earlobe and placing a drop of blood into a small portable machine that provides a digital readout of blood sugar levels. Glucose monitoring is very important because it helps to avoid serious problems that may develop.
  • 56. 50/74 Image Credit: CDC/Amanda Mills Home glucose monitoring devices make checking blood sugar easy. When too much sugar is in the blood, that means that glucose is not getting into the body cells. So the cells can’t use the sugar for energy, and they have to use something else, such as protein or fats. Taking protein out of the muscles makes them weak. When fats are burned, they give a lot of energy, but they also form chemicals called ketones. Too many ketones can poison cells and make a person really sick. People can check for ketones with special urine test strips. Ketones in the urine are usually a sign that more insulin is needed to keep the blood sugar under control. A doctor or nurse can advise what to do. Missing doses of insulin, eating too much, or getting an infection or injury may lead to a serious condition called diabetic coma. Head- aches, tiredness, confusion, stomach pain, and breathing problems may develop as ketones from fats build up. The person may even pass
  • 57. 51/74 out. Quick emergency care is needed to diagnose and treat the problem. Sometimes people with diabetes take too much insulin by mistake, causing a low blood sugar level. This can be dangerous. Too much glucose will go out of the blood, and not enough will go to the brain. The brain needs a lot of energy, and without enough glucose it won’t work properly. If the blood glucose level falls too low, insulin shock may result. The person may feel chilly, sweaty, hungry, nervous, and irritable and may faint. Insulin shock is a dangerous condition that needs immediate emergency care. Sometimes, such as when you skip a meal, you can have a bad reaction even if you take the right amount of insulin. When you don’t eat at the usual time, your blood sugar level drops. But if you have diabetes, you may already have taken your scheduled insulin shot. The insulin was supposed to lower your blood sugar to normal after a meal. But if you don’t eat, there will be no extra glucose in your blood. Instead, insulin will take away some of the sugar your brain needs. Exercise burns up glucose, so exercising more than usual can also cause the blood sugar level to fall very low. Eating snacks between meals and before exercising can help you avoid an insulin reaction. Many people with diabetes carry around a quick fix to correct low blood sugar. If they feel dizzy and sick and think they might be getting an insulin reaction, they have hard candy or a sweet drink, such as orange juice or soda. The sugar goes right into the blood and brings the level back to normal. Students with diabetes should talk to their teacher about bringing snacks to class so they can avoid any blood sugar level problems.
  • 58. 52/74 It’s a good idea to wear a medical identification bracelet or necklace and to carry an I.D. card in case of an emergency. Information on your illness and what to do in case of an insulin reaction, as well as your name and the name and number of someone to contact, can save your life. Image Credit: © Michael Newman/PhotoEdit A medical identification bracelet alerts doctors that you have diabetes in case you are too sick to tell them.
  • 59. 53/74 “Ouchless” Monitors Many people—especially kids—don’t like pricking their fingers several times every day. So researchers have been trying to create glucose monitors that don’t need to prick the skin at all. The GlucoWatch G2 Biographer, worn on the wrist, uses a tiny elec- tric current to draw fluid through the skin into a pad, where gluc- ose is measured. The amount of electricity is too small to hurt or even tingle. This GlucoWatch also has a built-in alarm to warn the person when the glucose level is too high or too low.
  • 60. 54/74 Fruity Smell Image Credit: Shutterstock.com The breath of people with uncontrolled diabetes often has a fruity smell. This is due to a buildup of ketones. It means that the person needs a dose of insulin fast to bring the blood sugar level back to a healthy level. Image Credit: Gayner Hallam/Photos.com
  • 61. 55/74 High and Low Here are a couple of handy terms you may hear people use when they talk about diabetes: People whose glucose level is higher than normal have a condi- tion called hyperglycemia. Hypoglycemia is a lower-than-normal glucose level.
  • 62. 56/74 Answer Key: 1. F; 2. I; 3. J; 4. G; 5. B; 6. A; 7. E; 8. C; 9. D; 10. H. Back to Activity
  • 63. GLOSSARY To Stop Diabetes In Few Days Click Here!! blood sugar level—The amount of glucose in the blood. carbohydrates—Starches and sugars, the body’s main energy sources. diabetes—A condition in which insulin is not produced or does not properly control the body’s use and storage of sugar, resulting in abnormally high amounts of glucose in the blood; extra glucose may also spill over into the urine. diabetic coma—A serious condition due to a lack of enough insulin, causing a buildup of ketones from using fats for energy. diagnosis—Identifying a condition from its signs and symptoms. digestion—The process by which food is broken down into smaller parts that the body can use. fasting plasma glucose test—A diagnostic test in which the blood glucose level is measured. It has to be taken early in the morning before eating.
  • 64. genes—Chemicals inside each cell that carry inherited traits. glucagon—A hormone that raises the amount of sugar in the blood. glucose—The most common kind of sugar in the blood. The body uses glucose for energy.
  • 65. 58/74 glucose tolerance test—A test for diabetes in which a person drinks a glucose solution after fasting and the blood sugar is measured several times over the next three hours. hormone—A chemical that helps to control the body’s activities. hyperglycemia—A higher-than-normal blood sugar level. hypoglycemia—A lower-than-normal blood sugar level. inherited—Passed on by genes from parents to children. injected—Sent into the body through a hollow needle. insulin— A hormone that controls the level of sugar in the blood. insulin resistance—A condition in which the cells are unable to use insulin effectively. insulin shock—A dangerous reaction to too much insulin in the blood. islets (pronounced EYE-lets)—Clusters of insulin-producing cells scattered throughout the pancreas. ketones—Chemicals that are formed when the body burns fats for energy. obesity—The condition of being extremely overweight. pancreas—An organ that produces hormones, such as insulin and glucagon, which help to control the amount of glucose in the blood; it also makes digestive juices, which help to break down food.
  • 66. 59/74 plasma glucose test—A diagnostic test in which the blood glucose level is measured; it can be taken at any time of the day. secrete—To release, or send out. starch—A food substance found in bread, potatoes, and pasta that the body breaks down into sugars. urinate—To pass liquid body wastes (urine) produced by the kidneys.
  • 67. LEARN MORE To Cure Diabetes Problem Naturally Click Here!! Books American Diabetes Association. What to Expect When You Have Diabetes: 170 Tips For Living Well with Diabetes. Intercourse, Pa.: Good Books, 2008. Brill, Marlene Targ. Diabetes. Minneapolis, Minn.: Twenty-First Century Books, 2012. Ehrman, M. K. Living with Diabetes. Minneapolis, Minn.: ABDO Pub., 2012. Hood, Korey K. Type 1 Teens: A Guide to Managing Your Life with Diabetes. Washington, D.C.: Magination Press: American Psychological Association, 2010. Klosterman, Lorrie. Endocrine System. New York: Marshall Cavendish Benchmark, 2009.
  • 68. Web Sites American Diabetes Association. Living With Diabetes. <http://www.diabetes.org/living-with-diabetes/parents-and- kids/> Juvenile Diabetes Research Foundation International. JDRF Kids Online. <http://kids.jdrf.org/>
  • 69. INDEX A amputation, 18 B blindness, 17, 24 blood glucose, 23, 30, 31, 33, 36, 37, 40 blood sugar level, 11, 13, 17, 21, 22, 24, 25, 26, 32, 37, 39, 40, 41 breath, 40 C carbohydrates, 9, 22, 33, 34 coma, diabetic, 39 D diabetes causes, 19–22 problems, 17–18, 26
  • 70. 63/74 testing, 23–26 treating, 27–35 types of, 13–15 warning signs, 15, 16 what it is, 8–9, 11–12 digestion, 9, 11 E eating, 5, 7, 19, 25, 31, 33, 39, 41 exercise, 19, 26, 31, 41 F fasting, 25 fats, 11, 16, 38, 39 feet, 18 food, 5, 7, 8, 9, 11, 19, 30, 31 G genes, 20
  • 71. 64/74 glucagon, 8–9, 11, 12, 22 glucose, 8, 11, 22, 23, 24, 25, 26, 32, 33, 34, 36, 38 glucose monitoring, 37, 39 GlucoWatch, 39 H hormone, 8–9, 11, 22, 27 hunger, 15, 17, 40 hyperglycemia, 41 hypoglycemia, 41 I infections, 20, 39 injections, 7, 27, 28, 29, 31, 32 injuries, 39 insulin, 8–9, 10, 11, 12, 13, 14, 19, 21, 22, 27, 28, 29–31, 32, 33, 35, 36, 37, 38, 39, 40–41, 42 insulin resistance, 14, 19 insulin shock, 40
  • 72. 65/74 islets, 8, 11, 21, 22, 35 J juvenile diabetes, 31 K kidneys, 16, 17 M medications, 7 monitors, 22, 32, 36–37, 39 O obesity, 19, 22, 31 P pancreas, 8–9, 11, 13, 14, 21, 22, 30, 32, 33, 35 pump, insulin, 32 R resistance, insulin, 14, 19
  • 73. 66/74 S shock, insulin, 40 snacks, 41 starch, 9, 11, 22, 31, 33, 34 sugar, 5, 8, 9, 11–12, 13, 14, 15–16, 17, 19, 21, 22, 23, 24, 25, 26, 31, 32, 34, 37, 38, 39, 40–41 sweets, 5, 7, 9, 31, 41 T tests, 22, 23–26, 32, 37, 38 thirst, 15, 16 tiredness, 5, 15, 17, 39 transplants, 33, 35 type 1 diabetes, 13, 19, 20, 21, 22, 28, 33 type 2 diabetes, 13, 14, 19, 21, 22, 31, 33 U urine, 15–16, 17, 23, 38
  • 74. 67/74 V viruses, 20 W warning signs, 15, 16, 26 weakness, 15, 17, 38 weight, 7, 15, 19–20
  • 75. Note To Our Readers To Get Rid Of Diabetes Disease Permanently Click Here!! About This Electronic Book: This electronic book was initially published as a printed book. We have made many changes in the formatting of this electronic edition, but in certain instances, we have left references from the printed book so that this version is more helpful to you. Chapter Notes and Internet Addresses: We have done our best to make sure all Internet Addresses in this electronic book were active and appropriate when this edition was cre- ated. However, the author and the publisher have no control over and assume no liability for the material available on those Internet sites or on other Web sites they may link to. The Chapter Notes are meant as a historical reference source of the original research for this book. The references may not be active or appropriate at this time, therefore we have deactivated the internet links referenced in the Chapter Notes. Index: All page numbers in the index refer to pages in the printed edition of this book. We have intentionally left these page references. While elec-
  • 76. tronic books have a search capability, we feel that leaving in the ori- ginal index allows the reader to not only see what was initially referenced, but also how often a term has been referenced. Any comments, problems, or suggestions can be sent by e-mail to comments@enslow.com or to the following address:
  • 77. 69/74 www.enslow.com All rights reserved. No part of this text may be reproduced, down- loaded, uploaded, transmitted, deconstructed, reverse engineered, or placed into any current or future information storage and retrieval system, electronic or mechanical, in any form or by any means, without the prior written permission of Enslow Publishers, Inc.
  • 78. Copyright © 2014 by Alvin Silverstein, Virginia Silverstein, and Laura Silverstein Nunn All rights reserved. No part of this book may be reproduced by any means without the written permission of the publisher. Original edition published as Diabetes in 2002. Library of Congress Cataloging-in-Publication Data Silverstein, Alvin. Handy health guide to diabetes / by Alvin Silverstein, Virginia Silver- stein, and Laura Silverstein Nunn. pages cm. — (Handy health guides) Summary: “Find out what diabetes is, the different kinds of diabetes, diabetes testing, and how to treat it”— Provided by publisher. Includes bibliographical references and index. ISBN 978-0-7660-4275-9 1. Diabetes—Juvenile literature. I. Silverstein, Virginia B. II. Nunn, Laura Silverstein. III. Title. RC660.S55 2014 616.4’62—dc23 2012041452 Future editions: Paperback ISBN: 978-1-4644-0493-1 EPUB ISBN: 978-1-4645-1255-1 Single-User PDF ISBN: 978-1-4646-1255-8 Multi-User PDF ISBN: 978-0-7660-5887-3 This is the EPUB version 1.0.
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