Diabetes and its control

Types of diabetes

type 1

type 2

Beter cells are unable to produce insulin

The beter cells in the islets of Langerhans do NOT! produce insulin

It arises from an autoimmune response

where the body's own immune system attacks beter cells

normally begins in childhood

patients can not effectively use insulin and control there blood sugar levels

may be due to beter cells not producing enough insulin or the cells do NOT! respond properly

this is often due to glycoproteins receptors not working properly

largely a result of excess body weight physical inactivity and excessive over eating of refined food.

The systems are similar to type 1 but are often less severe

Treatment of diabetes

Type 1

Type 2

Controlled by regular insulin injections

They have to regularly test their blood glucose concentration

normally by pricking there figure

Too much insulin being injected may result in hypoglycaemia

very LOW blood glucose concentration

Too little insulin being injected results in hyperglycaemia

HIGH levels of blood glucose

regulate the persons carbohydrate intake

Through there diet and matching this to their exercise

over weight people are also encouraged to lose weight

however sometimes diest and exercise are NOT! enough to control blood glucose

so drugs will have to be used

drugs that stimulate insulin production

drugs that also slow down the rate at which the body absorbs glucose

medically produced insulin

originally was obtained from pig or cow pancreas

This process is difficult and expensive

Can also cause allergic reactions as it differs slightly from human insulin

may also be made by genetically modified bacteria

Has a number of advantages

insulin can be produced in much higher quantities

production costs are much cheaper

Human insulin is produced in a pure form LESS LIKLY! to cause allergic reactions

religious or ethical views are over come

potential use of stem cells in diabetes treatment

1000 people with type 1 diabetes receive a pancreas

Doctors attempted to inject patients with pancreatic beter cells but fewer than 8% of cell transplants performed have been successful

The transplant can leave a person susceptible to infection

stem cells offer advantages over current therapies:

Reduced likelihood of rejection problems as embryonic stem cells are generally not rejected by the body

people no longer have to inject themselves with insulin.

Donor availability would not be an issue-Stem cells could produce and unlimited source of new beter cells

NOT! a curable disease, but can be controlled