Diabetes Mellitus is not rare by any means.
Whatever clinical field you find yourself working in it’s pretty well a guarantee you’re going to cross going to come across plenty of cases of Diabetes Mellitus.
In the UK at the moment it’s probably at least 4 percent of the population.
In other countries, it’s much more than this.
The amount of diabetes mellitus in Cambodia is maybe 10, 15 % or more of the population actually suffers from Diabetes Mellitus.
So it’s a very common condition you’ll come across it on medical wards, on surgical wards, on pediatric wards on the care of the elderly wards, in any community setting you’re going to come across Diabetes Mellitus.
Diabetes Mellitus Definition
Diabetes really means is polyuria. Water is flowing out of the body. There’s a large urine volume.
The term Mellitus means sweet. Sometimes it referred to honey it means sweetness.
So Diabetes Mellitus MEANS there Is large volumes of urine and that urine is sweet.
There are Two types of Diabetes Mellitus Type 1 and Type 2
Type 1 Diabetes Mellitus
Type 1 is also called Juvenile Onset Diabetes. It’s still usually true that this tends to develop or present in young people. Unfortunately, it cant present in childhood
Typically it’s roundabout either less 11 12 13 14 years of age but having said that it’s less common but it can present at any stage in life.
Very young children teenagers people in their 20s 30s 40s have seen with Type 1 Diabetes and also came across people in the 50s and even in their 60s developing same Type 1 Diabetes so it can occur at any age of life but more typically it is a Juvenile Onset.
It’s always an IDDM it’s an Insulin Dependent Diabetes Mellitus.
These patients must have insulin or they’ll die.
Before insulin was available these patients used to be diagnosed and within a few months, they would all die. They are dependent on Insulin
In parts of the world today where insulin is not available tragically these patients will still die they are dependent on insulin it’s an IDDM an insulin dependent diabetes mellitus.
Type 2 Diabetes Mellitus
Type 2 is also called as Maturity Onset diabetes
It tends to develop in people in their 40s, 50s, 60s. Its maturity onset and to begin with it’s not insulin dependent.
It’s a NIDDM a none Insulin Dependent Diabetes Mellitus.
So sometimes initially these patients can just manage Diabetes with good diet control.
Other times they might go on to need oral hypoglycemics drugs to bring the blood sugar down that they take in tablet form
But after several years of diagnosis typically after the patient’s been diagnosed for about 7 or 8 years they might actually need insulin as well to maintain their blood glucose control.
So initially it’s a non-Insulin-dependent Diabetes Mellitus but it can go on to become an Insulin Dependent Diabetes Mellitus.
It occurs typically in later life