Friday, September 27, 2019
Diabetes Research Paper Example | Topics and Well Written Essays - 1000 words - 3
Diabetes - Research Paper Example Based on the level of insulin secreted, diabetes is classified under three types: 1. Type 1 diabetes, which is present from childhood, in which the body secretes little or no insulin. This is also referred to as insulin dependent diabetes and genetics, viruses or autoimmune problems with the islet cells have been proposed as major causes for this type of diabetes. 2. The type 2 diabetes is a more common form of the disease which manifests only in adulthood when the islet cells begin to secrete less amounts of insulin or the body does not respond well to the secreted insulin. Increasing lifestyle changes such as lack of body exercise and food habits have been considered to be the major causative factors along with a genetic predisposition to the disease. 3. The third and an increasing occurring type is gestational diabetes wherein the mother develops the type 2 form of the disease during pregnancy which increases the risk for both the mother and the developing infant. (Diabetes, 2010) Genetic factors In the case of type 1 diabetes, which is present from childhood, studies have shown that more than 20 regions of the genome might be responsible for genetic susceptibility to the disease. Increased risk to the disease has been found to be associated with the genes present in the HLA region of chromosome 6 which includes HLA-DR, DQ, and DP. The various haplotypes of these genes are associated with increased risk for the disease in various populations and the presence of two such haplotypes together further compounds the risk for the disease. In addition, the presence of variants of the INS (insulin) gene located in chromosome 11, also predisposes the individual for the disease. Another gene that have been associated with the disease include variants of the CTLA-4 (cytotoxic T-lymphocyte associated 4) gene which is located on chromosome 2. The genes associated with type 2 diabetes are those which are involved in pancreatic beta-cell function, insulin action, metabolis m of glucose and other conditions such as lipid metabolism and energy uptake and release. Some of the candidate genes for the disease include PPAR?, ABCC8, KCNJ11, and CALPN10. In the case of maturity-onset diabetes of the young, which is the type 2 form of the disease that occurs before 25 years of age, is linked to mutations that occur in at least 6 genes which are associates with beta cell function as all the genes are expressed within the islet cells of the pancreas (Genetics and Diabetes, n.d). Psychological aspects of the disease The initial response of the individual to the disease is associated with shock and anger as it is a lifelong condition and demands a lot of restrictions and a strict life style for controlling the disease. Beginning with food restrictions and following a routine of walking and exercise, the condition also requires continuous follow-ups and is also interlinked with various other illnesses. The long term nature of the disease has also been linked to dev elopment of anxiety and depression which in turn depend on their ability to cope with the limitations imposed by the disease. Such individuals also often feel isolated and dependent on people for their daily activities, which would be more obvious in case of children (Chandra, 1997). Medical and psychological interventions The presence of diabetes needs to be confirmed through proper diagnostic and screening procedures. Diagnostic tests are taken
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