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Diabetes is a chronic (life-long) autoimmune disease that has a significant impact on your life. Having diabetes means you must work to control your blood glucose (sugar) levels to be sure that they don’t get too high or too low. (Sepsis and Autoimmune Diseases)
The amount of glucose in your blood is important. Your body needs glucose for energy, but too much of it can destroy body tissues and too little can starve your body of nutrients.
People who have diabetes are also at risk of developing wounds and sores that don’t heal well. While the wounds are present, they are at high risk of developing infection. And, again because of the diabetes, the infections can get severe quickly. When infection overwhelms the body, the body can respond by developing sepsis and going into septic shock.
Sometimes called blood poisoning, sepsis is the body’s often deadly response to infection or injury. Sepsis kills and disables millions and requires early suspicion and rapid treatment for survival.
Sepsis and septic shock can result from an infection anywhere in the body, such as pneumonia, influenza, or urinary tract infections. Worldwide, one-third of people who develop sepsis die. Many who do survive are left with life-changing effects, such as post-traumatic stress disorder (PTSD), chronic pain and fatigue, and organ dysfunction (organs don’t work properly) and/or amputations.
What Is Diabetes?
Your pancreas is a small organ (about 6” by 1.5”) that is part of your digestive system. It is connected to your small intestine and it lies just below your stomach towards the back. Your pancreas has a few roles, one is to help digest the food you eat and another is to secrete (send out) insulin, which stimulates your cells to use the glucose in the food and drink you consume.
When a person has diabetes, the pancreas doesn’t function properly and the insulin is either not being secreted at all or isn’t effective, depending on the type of diabetes.
According to the American Diabetes Association, 9.3% of the American population has diabetes. That is 29.1 million children and adults. There are 21 million people who have been diagnosed and 8.1 who have not. In addition, 86 million people are close to developing diabetes, they fall into the “pre-diabetes” category. This number was 79 million in 2010.
Type 1 Diabetes
Type 1 diabetes used to be called juvenile diabetes or insulin-dependent diabetes. It is now called type 1 because many people with type 1 diabetes are not children when they develop the disease. As well, insulin isn’t restricted to people with this type of diabetes.
With type 1 diabetes, the pancreas cannot not provide the body with the insulin it needs to metabolize the glucose in the blood stream.
Type 2 Diabetes
Type 2 diabetes used to be called adult-onset or non-insulin dependent diabetes. Neither of these names works because now younger people are developing type 2 diabetes and it is not unusual for someone with type 2 diabetes to need insulin.
With type 2 diabetes, the pancreas either doesn’t produce enough insulin or the body cannot effectively use the insulin that is produced.
How Do You Get Diabetes?
Type 1 diabetes has no known cause, although researchers agree that it is an autoimmune disease. There are many theories, a common one being that a virus may trigger the disease in people who may be susceptible to it in the first place.
Although you can’t generally cause type 1 diabetes, it can be brought on by certain diseases that destroy the pancreas’s ability to work properly or some medications may trigger the disease. Usually, if it is caused by a medication, it can be reversible.
People at highest risk for type 1 diabetes are those:
- With a family history of type 1 diabetes
- Who live in countries farther away from the equator (warmer countries tend to have lower rates of type 1 diabetes)
- Who have a specific gene that seems to be related to developing the disease
Type 2 diabetes is often called a lifestyle disease. While some people develop type 2 diabetes regardless of how healthy they are, most who develop it may have been able to reduce their risk by making some lifestyle changes.
People at highest risk of developing type 2 diabetes include those who:
- Are over 45 years old
- Have low HDL (“good”) cholesterol and/or high triglyceride levels
- Have high blood pressure
- Have had gestational diabetes (diabetes while pregnant)
- Have been told they have an impaired glucose tolerance by their doctor
- Are African American, Hispanic American, or Native Americans, who all have high rates of diabetes
It’s important to look for the warning signs of sepsis. Spotting these symptoms early could prevent the body from entering septic shock, and could save a life.
- Hypothermia (lower than normal body temperature)
- Heart rate >90 beats per minute (bpm)
- Fast respiratory rate
- Altered mental status (confusion/coma)
- Edema (swelling)
- High blood glucose without diabetes
- High white blood cell count
- Immature white blood cells in the circulation
- Elevated plasma C-reactive protein
- Elevated procalcitonin (PCT)
- Low blood pressure
- Low central venous or mixed venous oxygen saturation
- High cardiac index
- Low oxygen level
- Low urine output
- High creatinine in the blood
- Coagulation (clotting) abnormalities
- Absent bowel sounds
- Low platelets in the blood
- High bilirubin levels
- High lactate in the blood
- Decreased capillary filling or mottling