Diabetes is so prevalent in our society that it accounts for at least
one-sixth of all health care spending (Florence and Yeager, 1999, p. 2835).
There are two types of diabetes, Type 1, which requires insulin injections
and usually occurs in younger patients, even children, and Type 2 diabetes,
which has also been known as "adult-onset" diabetes, which is mainly
controlled mainly by diet and exercise, and occurs later in life. Both
types are a form of hyperglycemia, or high blood sugar, as two researchers
note, "Diabetes is a group of metabolic diseases with characteristic
hyperglycemia associated with defects in insulin secretion, insulin action,
or both" (Florence and Yeager, 1999, p. 2835). In Type 1, the pancreas
cannot produce insulin, while in Type 2, the body is unable to use the
insulin produced by the pancreas (Brodsky and Edelwich, 1998, p. 2).
Diabetes can be quite devastating, and part of the problem is so much of
Diagnosis of diabetes depends certainly on elevated blood sugar
levels, but sometimes the levels can be marginal, and so the disease can be
difficult to diagnose, especially in the early stages. New diagnostic
criteria were developed in the late 1990s that helped to detect diabetes in
the earliest stages, rather than simply testing for elevated glucose levels
in the blood. day, the diagnosis of diabetes mellitus is usually based on
two fasting plasma glucose levels of 126 mg per dL (7.0 mmol per L) or
higher (Mayfield, 1998). Many physicians were worried these new measures
would create more diabetes diagnoses, but one researcher states, "However,
currently one half of the people who have diabetes mellitus according to
the old criteria have not been diagnosed and may remain undiagnosed for up
to 10 years. As age increases, so does the likelihood of the disease.
"The prevalence of diabetes at age 60 is 10 percent, and by age 80 it rises
...