Diabetes mellitus, or simply diabetes, is a group of metabolic diseases in which a person has high blood sugar, either because the pancreas does not produce enough insulin, or because cells do not respond to the insulin that is produced. This high blood sugar produces the classical symptoms of polyuria (frequent urination), polydipsia (increased thirst) and polyphagia (increased hunger).
There are three main types of diabetes mellitus (DM).
- Type 1 DM results from the body's failure to produce insulin, and presently requires the person to inject insulin or wear an insulin pump. This form was previously referred to as insulin-dependent diabetes mellitus (IDDM) or juvenile diabetes.
- Type 2 DM results from insulin resistance, a condition in which cells fail to use insulin properly, sometimes combined with an absolute insulin deficiency. This form was previously referred to as non insulin-dependent diabetes mellitus (NIDDM) or adult-onset diabetes.
- The third main form, gestational diabetes occurs when pregnant women without a previous diagnosis of diabetes develop a high blood glucose level. It may precede development of type 2 DM.
Other forms of diabetes mellitus include congenital diabetes, which is due to genetic defects of insulin secretion, cystic fibrosis-related diabetes, steroid diabetes induced by high doses of glucocorticoids, and several forms of monogenic diabetes.
All forms of diabetes have been treatable since insulin became available in 1921, and type 2 diabetes may be controlled with medications. Both types 1 and 2 are chronic conditions that cannot be cured. Pancreas transplants have been tried with limited success in type 1 DM; gastric bypass surgery has been successful in many with morbid obesity and type 2 DM. Gestational diabetes usually resolves after delivery. Diabetes without proper treatments can cause many complications. Acute complications include hypoglycemia, diabetic ketoacidosis, or nonketotic hyperosmolar coma. Serious long-term complications include cardiovascular disease, chronic renal failure, and diabetic retinopathy (retinal damage). Adequate treatment of diabetes is thus important, as well as blood pressure control and lifestyle factors such as smoking cessation and maintaining a healthy body weight.
Globally, as of 2012, an estimated 346 million people have type 2 diabetes.
- 1 Classification
- 2 Signs and symptoms
- 3 Causes
- 4 Pathophysiology
- 5 Diagnosis
- 6 Management
- 7 Epidemiology
- 8 History
- 9 Society and culture
- 10 In other animals
- 11 References
|Comparison of type 1 and 2 diabetes|
|Feature||Type 1 diabetes||Type 2 diabetes|
|Age at onset||Mostly in children||Mostly in adults|
|Body habitus||Thin or normal||Often obese|
|Endogenous insulin||Low or absent||Normal, decreased or increased|
|Concordance in identical twins||50%||90%|
Diabetes mellitus is classified into four broad categories: Type 1, Type 2, gestational diabetes and other specific types. The other specific types are a collection of a few dozen individual causes. The term diabetes, without qualification, usually refers to diabetes mellitus. The rare disease diabetes insipidus has similar symptoms as diabetes mellitus, but without disturbances in the sugar metabolism (insipidus means without taste in Latin).
The term type 1 diabetes has replaced several former terms, including childhood-onset diabetes, juvenile diabetes, and insulin-dependent diabetes mellitus (IDDM). Likewise, the term type 2 diabetes has replaced several former terms, including adult-onset diabetes, obesity-related diabetes, and noninsulin-dependent diabetes mellitus (NIDDM). Beyond these two types, there is no agreed-upon standard nomenclature.
Type 1 diabetes
Type 1 diabetes mellitus is characterized by loss of the insulin-producing beta cells of the islets of Langerhans in the pancreas, leading to insulin deficiency. This type can be further classified as immune-mediated or idiopathic. The majority of type 1 diabetes is of the immune-mediated nature, in which beta cell loss is a T-cell-mediated autoimmune attack.There is no known preventive measure against Type 1 diabetes, which causes approximately 10% of diabetes mellitus cases in North America and Europe. Most affected people are otherwise healthy and of a healthy weight when onset occurs. Sensitivity and responsiveness to insulin are usually normal, especially in the early stages. Type 1 diabetes can affect children or adults, but was traditionally termed juvenile diabetes because a majority of these diabetes cases were in children.
Brittle diabetes, also known as unstable diabetes or labile diabetes, is a term that was traditionally used to describe to dramatic and recurrent swings in glucose levels, often occurring for no apparent reason in insulin-dependent diabetes. This term, however, has no biologic basis and should not be used. There are many reasons for Type 1 diabetes to be accompanied by irregular and unpredictable hyperglycemias, frequently with ketosis, and sometimes serious hypoglycemias, including an impaired counterregulatory response to hypoglycemia, occult infection, gastroparesis (which leads to erratic absorption of dietary carbohydrates), and endocrinopathies (e.g., Addison's disease). These phenomena are believed to occur no more frequently than in 1% to 2% of persons with Type 1 diabetes.
Type 2 diabetes
Type 2 diabetes mellitus is characterized by insulin resistance, which may be combined with relatively reduced insulin secretion. The defective responsiveness of body tissues to insulin is believed to involve the insulin receptor. However, the specific defects are not known. Diabetes mellitus cases due to a known defect are classified separately. Type 2 diabetes is the most common type.
In the early stage of Type 2, the predominant abnormality is reduced insulin sensitivity. At this stage, hyperglycemia can be reversed by a variety of measures and medications that improve insulin sensitivity or reduce glucose production by the liver.
Gestational diabetes mellitus (GDM) resembles Type 2 diabetes in several respects, involving a combination of relatively inadequate insulin secretion and responsiveness. It occurs in about 2%–5% of all pregnancies and may improve or disappear after delivery. Gestational diabetes is fully treatable, but requires careful medical supervision throughout the pregnancy. About 20%–50% of affected women develop Type 2 diabetes later in life.
Though it may be transient, untreated gestational diabetes can damage the health of the fetus or mother. Risks to the baby include macrosomia (high birth weight), congenital cardiac and central nervous system anomalies, and skeletal muscle malformations. Increased fetal insulin may inhibit fetal surfactant production and cause respiratory distress syndrome. Hyperbilirubinemia may result from red blood cell destruction. In severe cases, perinatal death may occur, most commonly as a result of poor placental perfusion due to vascular impairment. Labor induction may be indicated with decreased placental function. A Caesarean section may be performed if there is marked fetal distress or an increased risk of injury associated with macrosomia, such as shoulder dystocia.
A 2008 study completed in the U.S. found the number of American women entering pregnancy with pre-existing diabetes is increasing. In fact, the rate of diabetes in expectant mothers has more than doubled in the past six years. This is particularly problematic as diabetes raises the risk of complications during pregnancy, as well as increasing the potential for the children of diabetic mothers to become diabetic in the future.
Prediabetes indicates a condition that occurs when a person's blood glucose levels are higher than normal but not high enough for a diagnosis of Type 2 DM. Many people destined to develop Type 2 DM spend many years in a state of prediabetes which has been termed America's largest healthcare epidemic.
Latent autoimmune diabetes of adults (LADA) is a condition in which Type 1 DM develops in adults. Adults with LADA are frequently initially misdiagnosed as having Type 2 DM, based on age rather than etiology.
Some cases of diabetes are caused by the body's tissue receptors not responding to insulin (even when insulin levels are normal, which is what separates it from Type 2 diabetes); this form is very uncommon. Genetic mutations (autosomal or mitochondrial) can lead to defects in beta cell function. Abnormal insulin action may also have been genetically determined in some cases. Any disease that causes extensive damage to the pancreas may lead to diabetes (for example, chronic pancreatitis and cystic fibrosis). Diseases associated with excessive secretion of insulin-antagonistic hormones can cause diabetes (which is typically resolved once the hormone excess is removed). Many drugs impair insulin secretion and some toxins damage pancreatic beta cells. The ICD-10 (1992) diagnostic entity, malnutrition-related diabetes mellitus (MRDM or MMDM, ICD-10 code E12), was deprecated by the World Health Organization when the current taxonomy was introduced in 1999.
Signs and symptoms
File:Main symptoms of diabetes.png|thumb|300px|Overview of the most significant symptoms of diabetes
The classic symptoms of untreated diabetes are loss of weight, polyuria (frequent urination), polydipsia (increased thirst) and polyphagia (increased hunger). Symptoms may develop rapidly (weeks or months) in Type 1 diabetes, while they usually develop much more slowly and may be subtle or absent in Type 2 diabetes.
Prolonged high blood glucose can cause glucose absorption in the lens of the eye, which leads to changes in its shape, resulting in vision changes. Blurred vision is a common complaint leading to a diabetes diagnosis; Type 1 should always be suspected in cases of rapid vision change, whereas with Type 2 change is generally more gradual, but should still be suspected. A number of skin rashes that can occur in diabetes are collectively known as diabetic dermadromes.
People (usually with Type 1 diabetes) may also present with diabetic ketoacidosis, a state of metabolic dysregulation characterized by the smell of acetone, a rapid, deep breathing known as Kussmaul breathing, nausea, vomiting and abdominal pain, and altered states of consciousness.
A rare but equally severe possibility is hyperosmolar nonketotic state, which is more common in Type 2 diabetes and is mainly the result of dehydration.
All forms of diabetes increase the risk of long-term complications. These typically develop after many years (10–20), but may be the first symptom in those who have otherwise not received a diagnosis before that time. The major long-term complications relate to damage to blood vessels. Diabetes doubles the risk of cardiovascular disease. The main macrovascular diseases (related to atherosclerosis of larger arteries) are ischemic heart disease (angina and myocardial infarction), stroke and peripheral vascular disease.
Diabetes also damages the capillaries (causes microangiopathy). Diabetic retinopathy, which affects blood vessel formation in the retina of the eye, can lead to visual symptoms, reduced vision, and potentially blindness. Diabetic nephropathy, the impact of diabetes on the kidneys, can lead to scarring changes in the kidney tissue, loss of small or progressively larger amounts of protein in the urine, and eventually chronic kidney disease requiring dialysis. Diabetic neuropathy is the impact of diabetes on the nervous system, most commonly causing numbness, tingling and pain in the feet and also increasing the risk of skin damage due to altered sensation. Together with vascular disease in the legs, neuropathy contributes to the risk of diabetes-related foot problems (such as diabetic foot ulcers) that can be difficult to treat and occasionally require amputation.
The cause of diabetes depends on the type.
Type 1 diabetes is partly inherited, and then triggered by certain infections, with some evidence pointing at Coxsackie B4 virus. A genetic element in individual susceptibility to some of these triggers has been traced to particular HLA (Human leukocyte antigen) genotypes (i.e., the genetic self identifiers relied upon by the immune system). However, even in those who have inherited the susceptibility, Type 1 DM seems to require an environmental trigger. The onset of Type 1 diabetes is unrelated to lifestyle.
Type 2 diabetes is due primarily to lifestyle factors and genetics.
|The following is a comprehensive list of other causes of diabetes:|
Insulin is the principal hormone that regulates uptake of glucose from the blood into most cells (primarily muscle and fat cells, but not central nervous system cells). Therefore, deficiency of insulin or the insensitivity of its receptors plays a central role in all forms of diabetes mellitus.
Humans are capable of digesting some carbohydrates, in particular those most common in food; starch, and some disaccharides such as sucrose, are converted within a few hours to simpler forms, most notably the monosaccharide glucose, the principal carbohydrate energy source used by the body. The rest are passed on for processing by gut flora largely in the colon. Insulin is released into the blood by beta cells (ß-cells), found in the islets of Langerhans in the pancreas, in response to rising levels of blood glucose, typically after eating. Insulin is used by about two-thirds of the body's cells to absorb glucose from the blood for use as fuel, for conversion to other needed molecules, or for storage.
Insulin is also the principal control signal for conversion of glucose to glycogen for internal storage in liver and muscle cells. Lowered glucose levels result both in the reduced release of insulin from the ß-cells and in the reverse conversion of glycogen to glucose when glucose levels fall. This is mainly controlled by the hormone glucagon, which acts in the opposite manner to insulin. Glucose thus forcibly produced from internal liver cell stores (as glycogen) re-enters the bloodstream; muscle cells lack the necessary export mechanism. Normally, liver cells do this when the level of insulin is low (which normally correlates with low levels of blood glucose).
Higher insulin levels increase some anabolic (building up) processes, such as cell growth and duplication, protein synthesis, and fat storage. Insulin (or its lack) is the principal signal in converting many of the bi-directional processes of metabolism from a catabolic to an anabolic direction, and vice versa. In particular, a low insulin level is the trigger for entering or leaving ketosis (the fat-burning metabolic phase).
If the amount of insulin available is insufficient, if cells respond poorly to the effects of insulin (insulin insensitivity or resistance), or if the insulin itself is defective, then glucose will not have its usual effect, so it will not be absorbed properly by those body cells that require it, nor will it be stored appropriately in the liver and muscles. The net effect is persistent high levels of blood glucose, poor protein synthesis, and other metabolic derangements, such as acidosis.
When the glucose concentration in the blood is raised to about 9-10 mmol/L (except certain conditions, such as pregnancy), beyond its renal threshold (i.e. when glucose level surpasses the transport maximum of glucose reabsorption), reabsorption of glucose in the proximal renal tubuli is incomplete, and part of the glucose remains in the urine (glycosuria). This increases the osmotic pressure of the urine and inhibits reabsorption of water by the kidney, resulting in increased urine production (polyuria) and increased fluid loss. Lost blood volume will be replaced osmotically from water held in body cells and other body compartments, causing dehydration and increased thirst.
Diabetes mellitus is characterized by recurrent or persistent hyperglycemia, and is diagnosed by demonstrating any one of the following:
- Fasting plasma glucose level ≥7.0 mmol/l (126 mg/dl)
- Plasma glucose ≥11.1 mmol/l (200 mg/dL) two hours after a 75g oral glucose load as in a glucose tolerance test
- Symptoms of hyperglycemia and casual plasma glucose ≥11.1 mmol/l (200 mg/dl)
- Glycated hemoglobin (Hb A1C) ≥6.5%
A positive result, in the absence of unequivocal hyperglycemia, should be confirmed by a repeat of any of the above methods on a different day. It is preferable to measure a fasting glucose level because of the ease of measurement and the considerable time commitment of formal glucose tolerance testing, which takes two hours to complete and offers no prognostic advantage over the fasting test. According to the current definition, two fasting glucose measurements above 126 mg/dl (7.0 mmol/l) is considered diagnostic for diabetes mellitus.
People with fasting glucose levels from 110 to 125 mg/dl (6.1 to 6.9 mmol/l) are considered to have impaired fasting glucose. Patients with plasma glucose at or above 140 mg/dL (7.8 mmol/L), but not over 200 mg/dL (11.1 mmol/L), two hours after a 75 g oral glucose load are considered to have impaired glucose tolerance. Of these two prediabetic states, the latter in particular is a major risk factor for progression to full-blown diabetes mellitus, as well as cardiovascular disease.
Glycated hemoglobin is better than fasting glucose for determining risks of cardiovascular disease and death from any cause.
Template:Main Diabetes mellitus is a chronic disease which cannot be cured except in very specific situations. Management concentrates on keeping blood sugar levels as close to normal (euglycemia) as possible, without causing hypoglycemia. This can usually be accomplished with diet, exercise, and use of appropriate medications (insulin in the case of Type 1 diabetes, oral medications, as well as possibly insulin, in Type 2 diabetes).
Patient education, understanding, and participation is vital, since the complications of diabetes are far less common and less severe in people who have well-managed blood sugar levels.<ref>Template:Cite journal</ref><ref>Template:Cite journal</ref> The goal of treatment is an HbA1C level of 6.5%, but should not be lower than that, and may be set higher.<ref name=NICE66/> Attention is also paid to other health problems that may accelerate the deleterious effects of diabetes. These include tobacco smoking|smoking, hypercholesterolemia|elevated cholesterol levels, obesity, hypertension|high blood pressure, and lack of regular exercise.<ref name=NICE66>Template:NICE</ref>
Template:See also There are roles for patient education, dietetic support, sensible exercise, with the goal of keeping both short-term and long-term blood glucose levels Diabetes management#Glycemic control|within acceptable bounds. In addition, given the associated higher risks of cardiovascular disease, lifestyle modifications are recommended to control blood pressure.<ref>Template:Cite journal</ref>
- Oral medications
Template:Main Metformin is generally recommended as a first line treatment for Type 2 diabetes, as there is good evidence that it decreases mortality.<ref name=AFP09>Template:Cite journal</ref> Routine use of aspirin, however, has not been found to improve outcomes in uncomplicated diabetes.<ref>Template:Cite journal</ref>
Template:Main Type 1 diabetes is typically treated with a combinations of regular and NPH insulin, or synthetic insulin analogs. When insulin is used in Type 2 diabetes, a long-acting formulation is usually added initially, while continuing oral medications.<ref name=AFP09/> Doses of insulin are then increased to effect.<ref name=AFP09/>
In countries using a general practitioner system, such as the United Kingdom, care may take place mainly outside hospitals, with hospital-based specialist care used only in case of complications, difficult blood sugar control, or research projects. In other circumstances, general practitioners and specialists share care of a patient in a team approach. Optometry|Optometrists, podiatry|podiatrists/chiropodists, dietitians, Physical therapy|physiotherapists, nursing specialists (e.g., diabetic specialist nurses), nurse practitioners, or certified diabetes educators, may jointly provide multidisciplinary expertise.Template:Citation needed Home telehealth support can be an effective management technique.<ref name=Polisena>Template:Cite journal</ref>
File:Diabetes world map - 2000.svg|thumb|Prevalence of diabetes worldwide in 2000 (per 1,000 inhabitants) - world average was 2.8%. Template:Multicol
Globally, Template:As of, an estimated 285 million people had diabetes, with Type 2 making up about 90% of the cases.<ref name=Will2011/> Its incidence is increasing rapidly, and by 2030, this number is estimated to almost double.<ref name=Wild2004 /> Diabetes mellitus occurs throughout the world, but is more common (especially Type 2) in the more developed countries. The greatest increase in prevalence is, however, expected to occur in Asia and Africa, where most patients will probably be found by 2030.<ref name=Wild2004 /> The increase in incidence in developing countries follows the trend of urbanization and lifestyle changes, perhaps most importantly a Western-style diet. This has suggested an environmental (i.e., dietary) effect, but there is little understanding of the mechanism(s) at present, though there is much speculation, some of it most compellingly presented.<ref name=Wild2004>Template:Cite journal</ref>
Indigenous populations in first world countries have a higher prevalence and increasing incidence of diabetes than their corresponding nonindigenous populations. In Australia, the age-standardised prevalence of self-reported diabetes in indigenous Australians is almost four times that of nonindigenous Australians.<ref>Template:Cite web</ref> Preventative community health programs, such as Sugar Man (diabetes education), are showing some success in tackling this problem.
Almost one Chinese adult in ten has diabetes. A 2010 study estimated that more than 92 million Chinese adults have the disease, with another 150 million showing early symptoms.<ref name = BBC>Template:Cite news</ref> The incidence of the disease is increasing rapidly; a 2009 study found a 30% increase in 7 years.<ref>Template:Cite news</ref>
India has more diabetics than any other country in the world, according to the International Diabetes Foundation,<ref name = Gale /> although more recent data suggest that China has even more.<ref name = BBC /> The disease affects more than 50 million Indians - 7.1% of the nation's adults - and kills about 1 million Indians a year.<ref name = Gale /> The average age on onset is 42.5 years.<ref name=Gale>Template:Cite news</ref> The high incidence is attributed to a combination of genetic susceptibility plus adoption of a high-calorie, low-activity lifestyle by India's growing middle class.<ref>Template:Cite news</ref>
About 3.8 million people in the United Kingdom have diabetes mellitus, but the charity Diabetes U.K. have made predictions that that could become high as 6.2 million by 2035/2036. Diabetes U.K. have also predicted that the National Health Service could be spending as much as 16.9 billion pounds on diabetes mellitus by 2035, a figure that means the NHS could be spending as much as 17% of its budget on diabetes treatment by 2035.<ref>Template:Cite web</ref><ref>http://managingdiabetes.co.uk/articles/diabetesnhsspending.php</ref><ref>http://www.nhs.uk/news/2012/04april/Pages/nhs-diabetes-costs-cases-rising.aspx</ref>
For at least 20 years, diabetes rates in North America have been increasing substantially. In 2010, nearly 26 million people have diabetes in the United States, of whom 7 million people remain undiagnosed. Another 57 million people are estimated to have prediabetes.<ref>Template:Cite press release</ref><ref>Template:Cite web</ref>
The Centers for Disease Control and Prevention (CDC) has termed the change an epidemic.<ref>Template:Cite web</ref> The National Diabetes Information Clearinghouse estimates diabetes costs $132 billion in the United States alone every year. About 5%–10% of diabetes cases in North America are Type 1, with the rest being Type 2. The fraction of Type 1 in other parts of the world differs. Most of this difference is not currently understood. The American Diabetes Association (ADA) cites the 2003 assessment of the National Center for Chronic Disease Prevention and Health Promotion (Centers for Disease Control and Prevention) that one in three Americans born after 2000 will develop diabetes in their lifetimes.<ref>Template:Cite journal</ref><ref name=AA2005-Stats>Template:Cite web</ref>
According to the ADA, about 18.3% (8.6 million) of Americans age 60 and older have diabetes.<ref name=dlife>Template:Cite web</ref> Diabetes mellitus prevalence increases with age, and the numbers of older persons with diabetes are expected to grow as the elderly population increases in number. The National Health and Nutrition Examination Survey (NHANES III) demonstrated, in the population over 65 years old, 18% to 20% have diabetes, with 40% having either diabetes or its precursor form of impaired glucose tolerance.<ref name=health>Template:Cite journal</ref>
Diabetes was one of the first diseases described,<ref>Template:Cite book</ref> with an Egyptian manuscript from Circa|c. 1500 Common Era|BCE mentioning too great emptying of the urine.<ref name=History2010/> The first described cases are believed to be of Type 1 diabetes.<ref name=History2010>Template:Cite book</ref> Indian physicians around the same time identified the disease and classified it as madhumeha or honey urine, noting the urine would attract ants.<ref name=History2010/> The term diabetes or to pass through was first used in 230 BCE by the Greek Apollonius (physician)|Appollonius of Memphis.<ref name=History2010/> The disease was considered as rare during the time of the Roman empire, with Galen commenting he had only seen two cases during his career.<ref name=History2010/> This is possibly due the diet and life-style of the ancient people, or because the clinical symptoms were observed during the advanced stage of the disease. Galen named the disease diarrhea of the urine (diarrhea urinosa). The earliest surviving work with a detailed reference to diabetes is that of Aretaeus of Cappadocia (2nd or early 3rd c. CE). He described the symptoms and the course of the disease, which he attributed to the moisture and coldness, reflecting the beliefs of the Pneumatic School. He hypothesized a correlation of diabetes with other diseases and he discussed differential diagnosis from the snakebite which also provokes excessive thirst. His work remained unknown in the West until the middle of the 16th century when, in 1552, the first Latin edition was published in Venice.<ref>Template:Cite journal</ref>
Type 1 and Type 2 diabetes where identified as separate conditions for the first time by the Indian physicians Sushruta and Charaka in 400-500 CE with Type 1 associated with youth and Type 2 with being overweight.<ref name=History2010/> The term mellitus or from honey was added by the Briton John Rolle in the late 1700s to separate the condition from diabetes insipidus, which is also associated with frequent urination.<ref name=History2010/> Effective treatment was not developed until the early part of the 20th century, when Canadians Frederick Banting and Charles Herbert Best isolated and purified insulin in 1921 and 1922.<ref name=History2010/> This was followed by the development of the long-acting insulin NPH in the 1940s.<ref name=History2010/>
The word diabetes (Template:IPAc-en or Template:IPAc-en) comes from Latin diabetes, which in turn comes from Ancient Greek d?aß?t?? (diabetes) which literally means a passer through; a siphon.<ref name=OED_diabetes>Oxford English Dictionary. diabetes. Retrieved 2011-06-10.</ref> Ancient Greece|Ancient Greek physician Aretaeus of Cappadocia (Floruit|fl. 1st century Common Era|CE) used that word, with the intended meaning excessive discharge of urine, as the name for the disease.<ref name=OnlineEtymology_diabetes>Template:Cite web</ref><ref name=RCPE>Template:Cite web</ref> Ultimately, the word comes from Greek d?aßa??e?? (diabainein), meaning to pass through,<ref name=OED_diabetes/> which is composed of d?a- (dia-), meaning through and ßa??e?? (bainein), meaning to go.<ref name=OnlineEtymology_diabetes/> The word diabetes is first recorded in English, in the form diabete, in a medical text written around 1425.
The word wikt:mellitus|mellitus (Template:IPAc-en or Template:IPAc-en) comes from the classical Latin word mellitus, meaning mellite<ref name=OED_mellite>Oxford English Dictionary. mellite. Retrieved 2011-06-10.</ref> (i.e. sweetened with honey;<ref name=OED_mellite/> honey-sweet<ref name=MyEtymology_mellitus>Template:Cite web</ref>). The Latin word comes from mell-, which comes from mel, meaning honey;<ref name=OED_mellite/><ref name=MyEtymology_mellitus/> sweetness;<ref name=MyEtymology_mellitus/> pleasant thing,<ref name=MyEtymology_mellitus/> and the suffix -itus,<ref name=OED_mellite/> whose meaning is the same as that of the English suffix -ite.<ref name=OED_-ite>Oxford English Dictionary. -ite. Retrieved 2011-06-10.</ref> It was Thomas Willis who in 1675 added mellitus to the word diabetes as a designation for the disease, when he noticed the urine of a diabetic had a sweet taste (glycosuria).<ref name=RCPE/> This sweet taste had been noticed in urine by the ancient Greeks, Chinese, Egyptians, Indians, and Persians.
Society and culture
The 1990 St. Vincent Declaration<ref>Template:Cite book</ref><ref>Template:Cite journal</ref> was the result of international efforts to improve the care accorded to those with diabetes. Doing so is important not only in terms of quality of life and life expectancy, but also economically—expenses due to diabetes have been shown to be a major drain on health- and productivity-related resources for healthcare systems and governments.
Several countries established more and less successful national diabetes programmes to improve treatment of the disease.<ref name=EO005-Dubois&Bankauskaite>Template:Cite journal</ref>
Diabetic patients with neuropathic symptoms such as Paresthesia|numbness or tingling in feet or hands are twice as likely to be unemployed as those without the symptoms.<ref name=pmid17563611>Template:Cite journal</ref>
In other animals
In animals, diabetes is most commonly encountered in dogs and cats. Middle-aged animals are most commonly affected. Female dogs are twice as likely to be affected as males, while according to some sources, male cats are also more prone than females. In both species, all breeds may be affected, but some small dog breeds are particularly likely to develop diabetes, such as Miniature Poodles. The symptoms may relate to fluid loss and polyuria, but the course may also be insidious. Diabetic animals are more prone to infections. The long-term complications recognised in humans are much rarer in animals. The principles of treatment (weight loss, oral antidiabetics, subcutaneous insulin) and management of emergencies (e.g. ketoacidosis) are similar to those in humans.
Shoback, edited by David G. Gardner, Dolores (2011). Greenspan's basic & clinical endocrinology (9th ed.). New York: McGraw-Hill Medical. pp. Chapter 17. ISBN 0-07-162243-8.
Williams textbook of endocrinology (12th ed.). Philadelphia: Elsevier/Saunders. pp. 1371–1435. ISBN 978-1-4377-0324-5.
Lambert, P.; Bingley, P. J. (2002). What is Type 1 Diabetes?. Medicine 30: 1–5. doi:10.1383/medc.126.96.36.199264. Diabetes Symptoms edit
Diabetes Mellitus (DM): Diabetes Mellitus and Disorders of Carbohydrate Metabolism: Merck Manual Professional. Merck Publishing. April 2010. Retrieved 2010-07-30.
Handelsman Y, MD. A Doctor's Diagnosis: Prediabetes. Power of Prevention 1 (2).
Definition, Diagnosis and Classification of Diabetes Mellitus and its Complications (PDF). World Health Organisation. 1999.
Unless otherwise specified, reference is: Table 20-5 in Mitchell, Richard Sheppard; Kumar, Vinay; Abbas, Abul K.; Fausto, Nelson. Robbins Basic Pathology. Philadelphia: Saunders. ISBN 1-4160-2973-7. 8th edition.
Diabetes Care January 2010. American Diabetes Association. Retrieved 2010-01-29.
Definition and diagnosis of diabetes mellitus and intermediate hyperglycemia : report of a WHO/IDF consultation. World Health Organization. 2006. p. 21. ISBN 978-92-4-159493-6.
Santaguida PL, Balion C, Hunt D, Morrison K, Gerstein H, Raina P, Booker L, Yazdi H. Diagnosis, Prognosis, and Treatment of Impaired Glucose Tolerance and Impaired Fasting Glucose. Summary of Evidence Report/Technology Assessment, No. 128. Agency for Healthcare Research and Quality. Retrieved 2008-07-20.
Diabetes mellitus. Merck Veterinary Manual, 9th edition (online version). 2005. Retrieved 2011-10-23.
Diabetes Blue Circle Symbol. International Diabetes Federation. 17 March 2006.
Definition and diagnosis of diabetes mellitus and intermediate hyperglycemia: report of a WHO/IDF consultation. Geneva: World Health Organization. 2006. p. 21. ISBN 978-92-4-159493-6.
National Institute for Health and Clinical Excellence. Clinical guideline 66: Type 2 diabetes. London, 2008.
Australian Institute for Health and Welfare. Diabetes, an overview. Archived from the original on 2008-06-17. Retrieved 2008-06-23.
China faces 'diabetes epidemic', research suggests. BBC. March 25, 2010. Retrieved 8 June 2012.
Grens, Kerry (April 4, 2012). Diabetes continuing to spike in China. Reuters. Retrieved 8 June 2012.
Gale, Jason (November 7, 2010). India’s Diabetes Epidemic Cuts Down Millions Who Escape Poverty. Bloomberg. Retrieved 8 June 2012.
Kleinfield, N. R. (September 13, 2006). Modern Ways Open India’s Doors to Diabetes. New York Times. Retrieved 8 June 2012.
NHS spending on diabetes 'to reach £16.9 billion by 2035'. 2012-04-25. Retrieved 2012-04-26.
Number of Americans with Diabetes Rises to Nearly 26 Million (Press release). Centers for Disease Control and Prevention. 2011-01-26. Retrieved 2012-05-27.
National diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States, 2011. Centers for Disease Control and Prevention. 2011. Retrieved 2012-05-31.
Diabetes Rates Rise Another 6 Percent in 1999 — January 26, 2001. Retrieved 2008-06-23.
Total Prevalence of Diabetes & Pre-diabetes. American Diabetes Association. 2005. Archived from the original on 2006-02-08. Retrieved 2006-03-17.
Seniors and Diabetes. Elderly And Diabetes-Diabetes and Seniors. LifeMed Media. 2006. Retrieved 2007-05-14.
Ripoll, Brian C. Leutholtz, Ignacio (2011-04-25). Exercise and disease management (2nd ed.). Boca Raton: CRC Press. p. 25. ISBN 978-1-4398-2759-8.
Editor, Leonid Poretsky, (2009). Principles of diabetes mellitus (2nd ed.). New York: Springer. p. 3. ISBN 978-0-387-09840-1.
Konstantinos Laios et al. (2012). Aretaeus of Cappadocia and the first description of diabetes. Hormones 11 (1): 109–113.
Oxford English Dictionary. diabetes. Retrieved 2011-06-10.
Harper, Douglas (2001–2010). Online Etymology Dictionary. diabetes.. Retrieved 2011-06-10.
Dallas, John (2011). Royal College of Physicians of Edinburgh. Diabetes, Doctors and Dogs: An exhibition on Diabetes and Endocrinology by the College Library for the 43rd St. Andrew's Day Festival Symposium.
Oxford English Dictionary. mellite. Retrieved 2011-06-10.
MyEtimology. mellitus.. Retrieved 2011-06-10.
Oxford English Dictionary. -ite. Retrieved 2011-06-10.
Theodore H. Tulchinsky, Elena A. Varavikova (2008). The New Public Health, Second Edition. New York: Academic Press. p. 200. ISBN 0-12-370890-7.
Dubois, HFW and Bankauskaite, V (2005). Type 2 diabetes programmes in Europe (PDF). Euro Observer 7 (2): 5–6.