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Blood glucose levels and obesityType 1 and type 2 diabetes

Pancreatic receptors are involved in negative feedback control of blood glucose through insulin, glucagon and adrenaline. People with type 1 diabetes are unable to produce insulin. In type 2 diabetes, individuals produce insulin but their cells are less sensitive to it. Obesity is a major risk factor for cardiovascular disease and type 2 diabetes.

Part of Human BiologyPhysiology and Health

Type 1 and type 2 diabetes

Diabetes

Greg Foot explains the difference between type 1 and type 2 diabetes and the role insulin plays in controlling glucose levels

is a condition where the levels remain too high. It can be treated by injecting . The extra insulin causes the liver to convert glucose into , which reduces the blood glucose level.

There are two types of diabetes - type 1 and type 2.

Type 1 diabetes

Type 1 diabetes is a disorder in which the pancreas fails to produce enough insulin. This usually occurs and can be detected from an early age.

Type 1 diabetes is characterised by uncontrolled high blood glucose levels and it can be controlled by injecting insulin.

People with type 1 diabetes have to monitor their blood sugar levels throughout the day. Their levels of physical activity and their affect the amount of insulin needed.

They can help to control their blood glucose level by being careful with their diet, and eat foods that will not cause large increases in blood sugar level, and by exercising, which can lower blood glucose levels due to increased in the muscles.

Type 2 diabetes

In type 2 diabetes, the person's body cells no longer respond to insulin produced by the pancreas. This includes the liver, which becomes less able to convert glucose into glycogen.

Type 2 diabetes is more common in older people. It can be managed by a controlled diet and an exercise regime.

When carbohydrate is digested it is broken down into glucose, which raises the overall blood glucose level. Reducing the amount of carbohydrate in the diet helps reduce this effect.

There is a correlation between rising levels of in the general population and increasing levels of type 2 diabetes. Obesity is a risk factor for type 2 diabetes.

Type 1 DiabetesType 2 Diabetes
Stage of life at which condition normally occursChildhood or early teensAdulthood
Ability of pancreatic cells to produce insulinUnable to produce insulinAble to produce insulin
Sensitivity of cells to insulinCells have the normal number of insulin receptors on their surface. They respond to the presence of insulinCells have a decreased number of insulin receptors on their surface, making them less sensitive to insulin. This means they can鈥檛 convert glucose to glycogen
TreatmentRegular injections of insulin and a careful dietExercise, diet control, weight loss (in some cases insulin)
Stage of life at which condition normally occurs
Type 1 DiabetesChildhood or early teens
Type 2 DiabetesAdulthood
Ability of pancreatic cells to produce insulin
Type 1 DiabetesUnable to produce insulin
Type 2 DiabetesAble to produce insulin
Sensitivity of cells to insulin
Type 1 DiabetesCells have the normal number of insulin receptors on their surface. They respond to the presence of insulin
Type 2 DiabetesCells have a decreased number of insulin receptors on their surface, making them less sensitive to insulin. This means they can鈥檛 convert glucose to glycogen
Treatment
Type 1 DiabetesRegular injections of insulin and a careful diet
Type 2 DiabetesExercise, diet control, weight loss (in some cases insulin)

In both type 1 and type 2 diabetes, blood glucose levels will rapidly increase following a meal. Some of the glucose will be removed by the kidneys and result in glucose being present in urine.

Diabetes can be diagnosed using the glucose tolerance test. Patients are asked to drink a glucose solution and then their glucose levels are monitored for a period of time after consumption. A diabetic individuals blood glucose level will increase to higher level than that of a non-diabetic and will take longer to return to normal levels.

A graph showing the effects of oral glucose on both a normal subject and a diabetic subject