Type 1 and type 2 diabetes both occur when the body cannot properly store and use glucose, which is essential for energy. This glucose then collects in the blood and does not reach the cells that need it, leading to serious complications.
Below is a guide to some of the main differences between type 1 and type 2.
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Type 1 |
Type 2 |
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What is happening? |
Your body attacks the cells in your pancreas which means it cannot make any insulin. |
Your body is unable to make enough insulin or the insulin produced doesn’t work properly. |
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Risk factors |
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Symptoms |
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(Symptoms often appear slower and not linked to diabetes) |
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Management |
Daily insulin to control your blood sugar. |
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If your blood glucose levels are high over time, you are more likely to develop atheroma, a fatty material that builds up on the lining of the arteries. This can lead to a heart attack or stroke. Diabetes can also increase the damage done by some of the risk factors for CVD (Cardio Vascular Disease), including smoking, high blood pressure and high blood cholesterol.
This is because your body can't use all this sugar properly, so more of it sticks to your red blood cells and builds up in your blood. This build-up can block and damage the vessels carrying blood to and from your heart, starving the heart of oxygen and nutrients. So, keeping as close as possible to your target hemoglobin (HbA1c) level will help protect your blood vessels and in turn your heart. Even mildly raised blood sugar levels can, over time, put you more at risk.
The good news is that simple changes to your lifestyle, including diet, can help you to manage your diabetes as well as reduce your risk of CVD.
We've talked about the link between high blood sugar levels and your heart health. But it's not all down to blood sugars. Blood vessels are also damaged by high cholesterol (blood fats) and high blood pressure.
So you can help prevent damage to your blood vessels by looking after your:
· blood sugar levels
· blood pressure
· cholesterol (blood fats)
Getting your HbA1c, cholesterol and blood pressure checked at least once a year are part of the checks you should have if you have diabetes. We invite you to speak to one of our doctors if you are not sure how soon you need these tests again.
By managing these three things, you'll be helping to manage your diabetes and protecting yourself against heart complications. But there are a few other things you can do to reduce your risk of heart disease.
· High cholesterol
If your cholesterol is too high, then the extra fat in your blood sticks to the walls of your blood vessels. Over time, this fat hardens and is known as plaque. Hard plaque can block up the blood vessels, which makes the space narrower and leaves less room for blood to flow.
This is called arteriosclerosis or atherosclerosis and is the most common cause of a heart attack.
In the narrower space, blood flow slows down and causes some of the blood cells to group together and clot. If a blood clot breaks away, it will travel through your arteries and veins until it reaches a section too narrow to pass through, making it partially or completely blocked.
This can starve the heart of oxygen and nutrients, and this is what causes a heart attack.
Not only does the blood struggle to flow through the blood vessels, but over time atherosclerosis makes the walls of your blood vessels more rigid and less elastic. This can lead to high blood pressure (also called hypertension) or make high blood pressure worse.
High blood pressure puts extra strain on your blood vessels too. That’s on top of the strain from high cholesterol and high blood sugar.
Narrowing of the blood vessels can affect other parts of the body too, like your arms or legs. It’s called peripheral vascular disease (PVD) and if left untreated, can also lead to amputation. Find out more about reducing your risk of serious foot problems.
A couple of easy changes in your diet can help.
1. From saturated to unsaturated fat
Having too much saturated fat can increase your blood cholesterol levels, so it’s important to reduce the amount you eat and instead get fats from unsaturated sources.
Three tips to help get you started:
· Swap butter and ghee for unsaturated vegetable oils and spreads such as sunflower, olive, rapeseed, or corn.
· Trim visible fat from meat and remove the skin from chicken.
· Choose lower-fat milk and dairy products and swap biscuits, cakes and chocolate for healthier snacks such as fruit.
Remember, fatty foods are high in energy (calories) and excess energy results in weight gain. To help you manage your weight, it’s also important to keep an eye on the total amount of fat you’re eating.
Different fat types have different effects on the body. Diets high in saturated fat are linked to higher levels of ‘bad’ cholesterol (LDL) in the blood. Having too much LDL increases the build-up of fatty deposits in your blood vessels, increasing your risk of heart disease. Eating unsaturated fats instead of saturated fat helps to maintain healthy cholesterol levels in the blood.
2. Cut down on salt
Too much salt is linked with high blood pressure, a major risk factor for CVD. The recommendation for adults in the UK is to have no more than 6g a day – about a teaspoon.
Three tips to help get you started
· Most of the salt we eat is already in processed foods. Check the labels and go for those with the lowest salt content. Learn how to read food labels to help you make healthier choices.
· Remove the saltshaker from the table, to stop you adding extra salt.
· Try adding flavour to your food using herbs, spices, black pepper, and lemon juice in place of salt when cooking.
Getting the news that you have a debilitating illness that requires your constant attention can be overwhelming but, at German Heart Centre we have our team of specialists on standby to answer all your questions and support you with an individualized treatment plan. Contact us to put your mind at rest.
هناك أنواع مختلفة وإجراءات مختلفة للحصول على عينة الخزعة مثل خزعة نخاع العظم وخزعة الرئة والخزعة الجنبية. النوعان الأخيران يقعان في مجال خبرة أمراض الصدر والرئة وللإجراءات الأكثر أمانًا خزعة الرئة أو الخزعة الجنبية في دبي ، فإن الخطوة الأكثر حذراً هي التفكير بدقة في جراح الصدر وأمراض الرئة الذي تثق به في مثل هذا الإجراء الحساس.
لكونها السبب الأول للوفاة في العالم ، فإن أمراض القلب متعددة الأنواع ، ولكل نوع أعراضه وعلاجه. في حين أن إجراء التغييرات الضرورية في نمط الحياة وتناول الأدوية المناسبة يمكن أن يحدث فرقًا كبيرًا بالنسبة للبعض ، بالنسبة للبعض الآخر ، تصبح الجراحة هي الخيار الوحيد عندما يتطور المرض إلى مراحل أكثر خطورة.
أحيانًا ما يتم تبادل أمراض القلب مع أمراض القلب والأوعية الدموية التي تنتج عن فشل أنسجة معينة في الدورة الدموية. يمكن وصف أمراض القلب بمضاعفات مثل تلف أو فشل أو تشوهات في عضلة القلب أو الصمامات أو الأوعية الدموية أو إيقاع القلب أو الأنسجة ذات الصلة ، في حين أن أمراض القلب والأوعية الدموية ناتجة عن تضيق أو انسداد الأوعية الدموية التي تؤدي إلى نوبة قلبية وفشل القلب ، ألم في الصدر أو سكتة دماغية.
الشروط التي تتطلب جراحة الصدر
غالبًا ما تكون جراحة الصدر هي المسار الرئيسي للعمل في حالات مثل الأورام والنمو الحميد في الرئتين ، والتهابات الرئة وانصبابها ، وسرطان الرئة ، والتضيقات والأورام في المريء ، وسرطان المريء ، وتعذر الارتخاء المريئي ، ومشاكل البلع الأخرى ، ورم الظهارة المتوسطة ، والارتجاع المعدي المريئي ، فرط التعرق ، أورام في جدار الصدر وحالات أخرى مماثلة. جراحو الصدر مؤهلون أيضًا لإجراء العمليات الجراحية المتقدمة مثل عمليات زرع الرئة للمرضى الذين يعانون من سرطان الرئة في نهاية المرحلة.
