DiabetesThe best thing to do once identification is seen is to go to a specialist, but in general good nutrition and supplementation. The role of chiropractic and physical therapy is to keep the mind body connection together and the person pain free and joints functioning to the best of their ability.
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A syndrome characterized by hyperglycemia resulting from absolute or relative impairment in insulin secretion and/or insulin action.
Patients with type I diabetes mellitus (DM), also known as insulin-dependent DM (IDDM) or juvenile-onset diabetes, may develop diabetic ketoacidosis (DKA). Patients with type II DM, also known as non-insulin-dependent DM (NIDDM), may develop nonketotic hyperglycemic-hyperosmolar coma (NKHHC). Common late microvascular complications include retinopathy, nephropathy, and peripheral and autonomic neuropathies. Macrovascular complications include atherosclerotic coronary and peripheral arterial disease.
Classification and Pathogenesis
General characteristics of the major clinical types of DM are detailed in Table 13-1.
Type I DM: Although it may occur at any age, type I DM most commonly develops in childhood or adolescence and is the predominant type of DM diagnosed before age 30. This type of diabetes accounts for 10 to 15% of all cases of DM and is characterized clinically by hyperglycemia and a propensity to DKA. The pancreas produces little or no insulin.
Type II DM: Type II DM is usually the type of diabetes diagnosed in patients > 30 yr, but it also occurs in children and adolescents. It is characterized clinically by hyperglycemia and insulin resistance. DKA is rare. Although most patients are treated with diet, exercise, and oral drugs, some patients intermittently or persistently require insulin to control symptomatic hyperglycemia and prevent NKHHC. The concordance rate for type II DM in monozygotic twins is > 90%. Type II DM is commonly associated with obesity, especially of the upper body (visceral/abdominal), and often presents after a period of weight gain. Impaired glucose tolerance associated with aging is closely correlated with the typical weight gain. Type II DM patients with visceral/abdominal obesity may have normal glucose levels after losing weight.