Posted: November 8th, 2023
You provide a very comprehensive discussion on the main types of diabetes. One insightful point in the post centered on the cause of gestational diabetes. I was not aware the disorder is caused by hormones produced by the placenta that end up impeding insulin action (Rosenthal et al. 2021). However, it is essential to note gestational diabetes is temporary and the human body can return blood glucose to normal functioning levels without any medical intervention. Your post highlights that clinical treatment of type 1 diabetes requires more professional attention due to the tender age of the patients. Unlike the treatment of T2DM in adults, dosages for type 1 diabetes are mostly influenced by the patient’s body weight (Riddle et al. 2022). In addition, type 1 diabetes also requires close monitoring of the patient’s dietary habits to ensure medication does not have adverse side effects. Type 1 diabetes could be more complicated than presented by existing clinical research.
Riddle, M. C., Vanita R. Aroda, MD, V. R., & Bakris, G. (2022). Introduction: Standards of medical care in diabetes—2022. Diabetes Care, 45(Supplement_1). https://doi.org/10.2337/dc22-sint
Rosenthal, L. D., Burchum, J. R., & Rosenthal, L. D. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd Ed.). Elsevier
Your post makes me wonder what is the prevalence rate of type 1 diabetes among adults and T2Dm among children and adolescents. One thing that I carried from your post is the likelihood of adults to develop type 1 diabetes. Apparently, 5% of diabetes cases are type 1, with adults accounting for 0.55% (Petersmann et al. 2019). The percentage might seem small, but it translates to 1.3 million adults in the United States alone. Such a big number warrants more clinical and public health attention on type 1 diabetes. Your post made me feel as if public health has focused too much on T2DM at the expense of type 1 diabetes, despite the latter being associated with an increased risk to develop the former (Kharroubi & Darwish, 2015). Medical interventions targeting T2DM should intertwine with ones for type 1 diabetes for more population-wide benefit.
Kharroubi, A. T., & Darwish, H. M. (2015). Diabetes mellitus: The epidemic of the century.
World Journal Of Diabetes, 6(6), 850–867.
Petersmann, A., Müller-Wieland, D., Müller, U. A., Landgraf, R., Nauck, M., Freckmann, G., Heinemann, L., & Schleicher, E. (2019). Definition, classification and diagnosis of diabetes mellitus. Experimental and Clinical Endocrinology & Diabetes, 127(1), S1–S7. https://doi.org/10.1055/a-1018-9078
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