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Diabetes What does being a diabetic mean? In people with type 1 diabetes, the pancreas cannot make insulin. This vital hormone helps the body's cells convert sugar into energy. Without it, sugar builds up in the blood and can reach dangerous levels. To avoid life-threatening complications, people with type 1 diabetes must take some form of insulin for their entire lives. In type 1 diabetes, the body's immune system mistakenly attacks and destroys the pancreatic cells that produce insulin . Described as a metabolic disorder in which your body cannot properly store and use fuel for energy. How do you know if you are diabetic? The symptoms of type 1 diabetes tend to come on suddenly and may include: Feeling more thirsty than usual, Dry mouth, Fruity breath, Frequent urination. As blood sugar levels remain high, type 1 diabetes often leads to: Unintentional weight loss, Increase in appetite, Lack of energy, drowsiness. Many people with type 1 diabetes experience uncomfortable skin conditions, including: Bacterial infections, Fungal infections, Itching, dry skin, poor circulation Simple blood tests can diagnose diabetes, the doctor analyses your blood sugar levels after taking some sugar. Also sugar in your urine is a sign of diabetes. What is the difference between type 1 and 2 diabetes? Your body makes too little or no insulin. This is called type 1 diabetes, insulin-dependent diabetes. Your body can not use the insulin it makes. This is called type 2 diabetes, non-insulin dependent diabetes. In most cases of type 1 diabetes, the patient would need to inherit risk factors from both parents. Type 2 diabetes has a stronger link to family history and lineage than type 1. http://www.webmd.com/diabetes/ss/slideshow-type-1-diabetes-overview How does your blood sugar vary during the day? – use this animation http://www.abpischools.org.uk/page/modules/diabetes/diabetes5.cfm?coSiteNavigation_allTopic=1 After a meal, the level rises as glucose is absorbed from digested food. Non-diabetics are able to store this excess glucose and their blood glucose level is returned back to normal. Type 1 and type 2 diabetics cannot store this glucose and their blood glucose levels remain above normal between meals. As diabetics are unable to store glucose in the liver, if they miss a meal, or are very active, the glucose in the blood becomes depleted. There is no store in the liver to release glucose and so levels can fall dangerously low. Glucose levels can drop after exercise as this is used up. Complete the table on the key differences and symptoms of hyperglycaemia and hypoglycaemia hyperglycaemia hypoglycaemia Differences Blood glucose above normal Blood glucose below normal symptoms Damage to blood vessels and kidneys, Prolonged raised levels can lead to limb amputations and blindness In severe cases, loss of consciousness. Easily treated by medical personnel if noticed quickly. Dangerous if left untreated, Tiredness, Weight loss How are type 1 and 2 diabetes treated? Type 1 diabetes treatment Insulin injections can successfully treat type 1 diabetes. The hormone allows the liver, and other cells in the body, to take in and store glucose normally. Researchers have developed different types of insulin medications. Some act quickly but for only a short period of time. Others take effect more slowly but last longer. Diabetics may take combinations of these insulins to regulate their blood glucose level over a 24-hour period. A balanced diet and regular meals are important in managing type 1 diabetes. Type 2 diabetes treatment Type 2 diabetes generally happens in the over 40's and can be treated using combinations of medicines, insulin, diet control and exercise. Healthy dietRegular meals with foods that contain starch (bread, pasta, potatoes and rice). Reduce sugary foods like carbonated drinks, cakes and sweets. If obese, losing weight will help to control the disorder. Medicines stimulate the production of insulin from the pancreas. Make body cells more sensitive to the insulin that is available. Slow the absorption of glucose from the digestive system. Regular exercise Helps the body to regulate its blood glucose levels. Reduces weight. Improves blood pressure and lessens the chances of circulation problems. Genetic engineering to produce human insulin http://www.abpischools.org.uk/page/modules/diabetes/diabetes6.cfm?coSiteNavigation_allTopic=1 Using the link above produce a flow diagram (with drawings) on how insulin is produced using bacteria in 5 key steps: Bacterium and plasmid which is a small piece of DNA Engineered plasmid inserted into new bacterium Plasmid is removed from cell and piece is cut by an enzyme Human insulin gene is inserted into plasmid Bacterium divides and produces new insulin, bacteria produced in fermentation vessels. When the fermentation is complete, the mixture containing the bacteria is harvested. The bacteria are filtered off and broken open to release the insulin they have produced. It is then purified and packaged into bottles for distribution. How was insulin obtained before? For many years, insulin was obtained by purifying it from the pancreas of cows and pigs slaughtered for food. This was expensive, difficult and the insulin could cause allergic reactions What are the advantages of genetically engineering microbes to produce insulin? They produce human insulin in a pure form that is less likely to cause allergic reactions. It is cheaper and easier. The insulin can be modified and controlled to how the manufacturer wants it.