Diabetes majority form of diabetes which relates to obesity.

Diabetes mellitus is the improper metabolism of carbohydrates, fat and protein sue to defects in insulin secretion or insulin sensitivity or BOTH. It is characterized by high levels of blood glucose.According to WHO(http://www.who.int/mediacentre/factsheets/fs312/en/), the number of people with diabetes has increase tremendously especially in middle and low-income countries. The numbers of diabetes patient has been quadrupled in the past 30 years. This is a global alarming issues. There are two types of diabetes mellitus: Type 1 and Type 2**Type 1 diabetes** only constitute about 10% of diabetes population. This group of diabetes patient will develop childhood diabetes due to absolute deficiency of insulin. The destruction of pancreatic beta-cell due to immune-mediated reaction lead to type 1 diabetes.**Type 2 diabetes** is the majority form of diabetes which relates to obesity. It results from defect in insulin secretion and insulin resistance. Another type of diabetes is gestational diabetes mellitus (GDM) which is glucose intolerance occurs during pregnancy only. It might resolved after pregnancy but they has higher chance of developing diabetes in the next 5-10 years.### Why do I have diabetes?Here are some risk factors which might increase your risk of developing diabetes:* Family history (first degree relative might have a bigger impact* Obesity (BMI > 40)* Age 40 or older* Race/ethnicity* Hypertension* History of glucose intolerance* History of gestational diabetes* HDL < 35mg/dL* Triglycerides > 250mg/dL### Possible signs and symptomsWhen you have the following signs and symptoms, you should be aware of your health condition.* Polydipsia – very thirsty* Polyuria – frequent urination* Polyphagia – Eating a lot of food* Blurred vision* Foot sores that do not get well* Weight loss* Fatigue easily ### Why should I worry about diabetes?According to WHO(http://www.who.int/mediacentre/factsheets/fs312/en/), around 1.6 million of deaths were reported directly caused by diabetes. It is estimated diabetes will be the seventh leading cause of death by 2030. Besides, diabetes might cause a lot of microvascular and macrovascular complication. Example of complications includes:* Retinopathy (damage to blood vessels of eyes which can lead to visual impairment and blindness)* Nephropathy (kidney damage which can eventually leads to kidney failure)* Neuropathy (damage to nerves which leads to numbness and pain of hands and feet)* Cerebrovascular disease (for example stroke)* Peripheral vascular disease (blood vessels that supply blood to organs become partially or completely blocked)* Coronary heart disease (for example heart attack)Other than follow up with physician and take your medication regularly, there are some lifestyle changes which are beneficial to diabetic patient.* Aim weight loss of 5-10% of initial body weight* Dietary control ( High fibre and wholegrain food with less salt, less fat and less sweetened beverage)* Physical activity ( 30 minutes a day with at least 5 days a week)Once you are diagnosed with diabetes, it can only be managed, but it doesn’t go away.So, maintain your target blood glucose and prevent diabetes complication