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Thursday, January 19, 2017

Do You Have Autoimmune Based Diabetes?

Un-diagnosed diabetes can cause disease that is preventable. the American Diabetes Association in 2016 new standards has recommended that all adults age 45 and over, and all overweight or obese adults should be screened for diabetes. Diabetics have poor sugar control, and the reason is ultimately due to the function of insulin. Sugar intake is highly related to this, so that over time those who are obese or taking in too much sugar are most likely to also develop poor function of insulin. Although all experts agree that there are some genetic causes and some dietary causes and some cases of diabetes due to cell aging in our pancreas there is a new condition: LADA that not many talk about. LADA stands for latent autoimmune diabetes of adults. The levels of insulin precursor molecules rises and the level of glutamic acid decarboxylase auto-antibodies rise as well.. This condition is just being studied and we think that the degree of poor sugar control will have the same consequences of diabetes. The degree to which it is due to autoimmune factors may relate to other autoimmune conditions that can occur including premature menopause. Diabetes, and prediabetes both predispose women to significant complications to their health over the years their diet and lifestyle are not held in check.. Diabetes, through abnormal sugar metabolism contributes to both microvascular (small blood vessels) and macrovascular(the largest blood vessels) disease, meaning that oxygen is compromised to tissues and significant disease can result. Heart attacks, stroke, kidney disease, eye disease of the retina, and foot ulcers can result from untreated overt diabetes. So all women over the age of 50 with diabetes should also be on aspirin therapy. However, fatigue, worse hot flashes, in ability to exercise without undue fatigue and premature menopause can all be linked to early onset sugar metabolism issues. In areas of the United States it is estimated that about 5 to10% of the population has Type 2 diabetes, and it is estimated that over half of all those with this condition do not yet know it. Early treatment can prevent progression from early glucose intolerance, or early abnormalities in sugar metabolism, to full diabetes. Risk factors for diabetes include age 45 or greater, overweight (not just obese), history of a baby that weighed over 9 lbs, PCOS, genetic or family history of diabetes, and lack of regular exercise, and consumption of sugar drinks.
. Your personal gyno can discuss what test you might need, whether this would be standard testing or testing that includes auto-antibody testing,
here are some guidelines:
1. Those with hypertension or high cholesterol screen every 2-3 years
2. Those with BMI > ro equal to 25 screen every 2-3 years
3. Those with tests for diabetes, that are borderline should be tested yearly
4. Consider repeating tests that indicate diabetes at least once, or use confirmatory tests

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