Published on February 1, 2025

DIABETES MELLITUS and symptoms

Diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. Insulin is a hormone that regulates blood glucose. Hyperglycaemia, also called raised blood glucose or raised blood sugar, is a common effect of uncontrolled diabetes and over time leads to serious damage to many of the body's systems, especially the nerves and blood vessels. 

EPIDEMIOLOGY

Approximately 37.3 million people in the United States have diabetes, which is about 11% of the population. Type 2 diabetes is the most common form, representing 90% to 95% of all diabetes cases. 

About 537 million adults across the world have diabetes. Experts predict this number will rise to 643 million by 2030 and 783 million by 2045. (https://my.clevelandclinic.org/health/diseases/7104-diabetes

SYMPTOMS

Some of the symptoms of type 1 diabetes and type 2 diabetes are:

  • Feeling more thirsty than usual.
  • Urinating often.
  • Losing weight without trying.
  • Presence of ketones in the urine. Ketones are a byproduct of the breakdown of muscle and fat that happens when there's not enough available insulin.
  • Feeling tired and weak.
  • Feeling irritable or having other mood changes.
  • Having blurry vision.
  • Having slow-healing sores.
  • Getting a lot of infections, such as gum, skin and vaginal infections. (https://www.mayoclinic.org/diseases-conditions/diabetes/symptoms-causes/syc-20371444

Additional details about symptoms per type of diabetes include:

  • Type 1 Diabetes: Symptoms of T1D can develop quickly — over a few weeks or months. You may develop additional symptoms that are signs of a severe complication called diabetes-related ketoacidosis (DKA). DKA is life-threatening and requires immediate medical treatment. DKA symptoms include vomiting, stomach pains, fruity-smelling breath and labored breathing.
  • Type 2 Diabetes: You may not have any symptoms at all, or you may not notice them since they develop slowly. Routine bloodwork may show a high blood sugar level before you recognize symptoms. Another possible sign of prediabetes is darkened skin on certain parts of your body (acanthosis nigricans). 
  • Gestational diabetes: You typically won’t notice symptoms of gestational diabetes. Your healthcare provider will test you for gestational diabetes between 24 and 28 weeks of pregnancy. (https://my.clevelandclinic.org/health/diseases/7104-diabetes

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