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Years Double

Double Trouble: Double Diabetes

18 million people in the United States have been diagnosed with diabetes, a serious lifelong condition.  In 2007 alone 1.6 million people over the age of 20 were diagnosed with diabetes.  Left untreated, all forms of diabetes can cause further medical problems such as heart disease, kidney disease, amputation, blindness and even death.  Diabetes is the 7th leading cause of death in the United States.  There are three main types of diabetes:  Type 1 diabetes, also referred to as juvenile diabetes, Type 2 diabetes and gestational diabetes.  Now researches are identifying a new class of diabetes called double diabetes.

Type 1 Diabetes

Type 1 diabetes is an autoimmune disease.  This condition occurs early in life, generally before 30 and often in children.  The body's immune system begins attacking and destroying the cells in the pancreas that are needed to produce the hormone insulin.  Insulin is needed to convert sugar, starches and other food into useable energy.  Without insulin the blood sugar (glucose) levels increase.  5-10% of diabetes patients have this form of the disease.  Patients with type 1 diabetes need to take insulin therapy to make up for the lack of insulin in their system.

Type 2 Diabates

Type 2 diabetes is the more common form of diabetes.  Poor diet, lack of exercise and excessive weight cause the body to become resistant to the insulin the pancreas is making.  Eventually the insulin production decreases.  The result in the body is the same.   Glucose builds up in the blood and the body cannot make efficient use of this fuel.   Basic management for type 2 diabetes is healthy eating, physical activity and blood glucose testing.   Most patients require one or more diabetes medicines – pills, insulin or other injectable medicine to control their blood glucose levels.

Gestational Diabetes

Gestational diabetes develops late in pregnancy.  3-8% of pregnant women in the United States develop gestational diabetes.  This form of diabetes usually disappears after the birth of the baby but these women have a 40-60% chance of developing type 2 diabetes within 5-10 years.

Double Diabetes

Double Diabetes occurs when a person with type 1 diabetes develops resistance to the insulin they are taking.  Resistance is the hallmark of type 2 diabetes.  Overweight patients with Type 1 diabetes are at greatest risk of developing this disorder.  The disorder generally develops gradually and first manifests itself as an increasing need for more insulin to control the glucose level.   It can also be diagnosed in a person with type 2 with blood tests to look for the specific proteins that attack the pancreas cells.  A non insulin-producing pancreas is the marker for type 1 diabetes.  It is estimated that 15-20% of teens with type 2 diabetes actually have double diabetes.

Treatment for a double diabetes patient is tricky because the two types of diabetes require different treatment methods.  Type 1 patients take insulin because they can't produce it.  Type 2 patients take medicine to manage the glucose in their bloodstream by either stimulating insulin production or helping cells use the existing insulin more efficiently.  Patients try different combinations of medications.  Diet, weight loss and exercise are especially important to these patients to help stabilize their conditions.  Prevention is the best treatment.

For more information on the symptoms of any type of Diabetes or to find an Endocrinologist near you, download the free iTriage medical application or visit www.iTriageHealth.com.

 

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Early Years $8.99 The musical world lost one of its greatest virtuosos when violinist Michael Rabin died at the age of 36 in 1972. Rabin initially studied the violin with his father, a violinist with the New York Philharmonic. Young Michael moved on to intense study with legendary violinist Ivan Galamian and made his public debut at the age of 10. By the time he was 13 he had made his Carnegie Hall debut and he'd caught the attention of the famous conductor Dimitri Mitropoulos. Mitropoulos called him 'the genius violinist of tomorrow already equipped with all that is necessary to be a great artist.'This disc is another entry in the Masterworks Heritage series and features recordings Rabin made in the 1950s. The centerpiece of the recording is Rabin's astounding interpretation of the Op. 1 Caprices of Nicol? Paganini. Rabin's technique is stunning and features furious double stopping and rapid-fire runs. Equally breathtaking are his performances of music by Dvorak, Wieniawski, Kreisler and Bizet. The recording, like other Masterworks Heritage discs, includes photos of the artist and the original artwork from the 1950s LPs.

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Home of the Blues: 35 Years of the Double Door Inn $37.64 Author: Wallace, Debby/ Coston, Daniel Binding Type: Paperback Number of Pages: 108 Publication Date: 2009/03/11 Language: English Dimensions: 6.14 x 9.21 x 0.22 inches

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