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November 22, 2009
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Diabetic Home Care and Monitoring

Medical Author: Ruchi Mathur, MD, FRCP(C)
Medical Editor: William C. Shiel, Jr., MD, FACP, FACR

What is diabetes?

Diabetes mellitus is a condition in which the body does not produce enough insulin or the insulin that is produced is ineffective. Insulin is produced and secreted by the pancreas and is needed for the proper storage and utilization of nutrients (glucose, proteins, and fat) by the cells of the body. Insulin allows nutrients to enter the cells of the body. For example, insulin allows cells to remove glucose from the blood, and the glucose is used to generate the energy that is necessary to fuel the activities of the cells. When insulin is absent or ineffective and the cells receive inadequate amounts of glucose, the body releases more glucose into the blood in an attempt to overcome the block to glucose entering the cells. The additional glucose cannot penetrate the cells, of course, and the glucose levels in the blood rise. High levels of blood and urine glucose is what causes the symptoms and signs of diabetes. For more, please read the Diabetes article.

What is the treatment for diabetes?

Diabetes is managed with a combination of exercise, diet and medication. The goal of therapy is to control blood glucose levels in order to prevent the immediate signs and symptoms of high blood glucose levels, as well as prevent the long–term complications of diabetes. The appropriate treatment for an individual depends on the type of diabetes and its severity. Type 1 diabetes mellitus is treated with insulin, exercise, and a diabetic diet. Type 2 diabetes mellitus is first treated with weight reduction, a diabetic diet, and exercise. When these measures fail to control the elevated blood sugars, oral medications are used. If oral medications are still insufficient, insulin medications are considered.



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Suggested Reading by Our Doctors
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  • insulin - Establishes the medication insulin, a drug used for the treatment of type 1 and type 2 diabetes mellitus.
  • Hemoglobin A1c Test - Hemoglobin A1c test is used as a standard tool to determine blood sugar control for patients with diabetes
  • Diabetes - Learn about type 1 and 2 diabetes (Diabetes Mellitus) symptoms including increased urination, thirst, weight loss, fatigue, nausea, vomiting, skin infections, and blurred vision. Causes and diagnosis information is provided in the information.

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Diabetic Home Care and Monitoring

What is hypothermia?

The body maintains a relatively stable temperature whereby heat production is balanced by heat loss. Normally, the core body temperature (when measured rectally) is 98.6 degrees F or 37 degrees C. When the outside environment gets too cold or the body's heat production decreases, hypothermia occurs (hypo=less + thermia=temperature). Hypothermia is defined as having a core body temperature less than 95 degrees F or 35 degrees C.

Body temperature is controlled in the part of the brain called the hypothalamus, which is responsible for recognizing alterations in the body temperature and responding appropriately. The body produces heat through the metabolic processes in cells that support vital body functions. Most heat is lost at the skin surface by convection, conduction, radiation, and evaporation. If the environment gets colder, the body may need to generate more heat by shivering (increasing muscle activity ...

Read the Hypothermia article »










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