This question, along with many others, is typical of proceedings at our First Aid course in Robina. Our trainers work hard to fill the knowledge gaps for soon-to-be certified students of First Aid from Varsity Lakes and surrounding Robina suburbs.
First Aiders need to be able to deal with a medical emergency involving Diabetes. In Australia, people are diagnosed with Diabetes at a rate of one every 5 minutes.
Let’s dig a little deeper into the mysteries of Diabetes, including talk of a Type 3 Diabetes.
Type 1 Diabetes is an autoimmune disease and what causes it is not yet known. What we do know is that the immune system destroys cells in the pancreas that produce insulin. It’s not linked to modifiable lifestyle factors and it cannot be prevented.
Australia has one of the highest rates of Type 1 Diabetes in the world. It can occur at any age, with most cases developing in children, teenagers and young adults.
Its onset is usually abrupt and its symptoms are obvious — excessive thirst and urination, weight loss, weakness, fatigue, and blurred vision.
It is managed with insulin injections several times a day or the use of an insulin pump.
Type 2 Diabetes is a chronic condition in which sufferers become less responsive to the effects of insulin and/or their pancreas loses the ability to produce enough insulin.
It is genetic, and can be passed down through family members. Traditionally developing mostly in adults over the age of 45, it is occurring more frequently nowadays in children, teenagers and young adults.
Type 2 Diabetes is preventable and can be delayed in 58% of all cases. While we don’t know its cause, sufferers who modify lifestyle risk factors will successfully mitigate the impact of the disease.
Early signs of Type 2 Diabetes can include heart attack, vision problems, or foot ulcers.
Type 2 Diabetes is progressive and is managed with regular exercise, healthy diet, and weight reduction. In addition to lifestyle changes, most Type 2 sufferers will need oral medication and / or insulin injections.
There is also Gestational Diabetes, which can occur during pregnancy, causing blood sugar levels to rise during this time. Gestational Diabetes in Australia — like Types 1 and 2 — is also increasing.
Gestational Diabetes is not Type 3 Diabetes, however.
Type 3 Diabetes is being proposed by researchers to describe their theory that insulin abnormalities in the brain are responsible for Alzheimer’s disease. Proposed but as yet, not widely accepted, this Type 3 Diabetes is also not to be confused with Type 3c Diabetes Mellitus, also known as T3cDM, pancreatogenic diabetes, and type 3c diabetes.
According to a study in 2016, people with Type 2 Diabetes are up to 60% more likely to develop Alzheimer’s disease or another type of dementia, such as vascular dementia.
Another study of more than 100,000 people living with dementia, indicates that women with Type 2 Diabetes are more likely than men to develop vascular dementia.
The researchers promoting the Type 3 Diabetes diagnosis, suggest that slowing the progression of Alzheimer’s or vascular dementia is possible through diet, exercise, and medication.
For people with Type 2 Diabetes, maintaining a healthy weight is a must. A protein rich diet, low in saturated fats and high in fibre is recommended, along with 30 minutes of exercise, 4 times a week. Prescribed medications need to be taken as scheduled. And monitoring of blood sugars and cholesterol levels should be done according to healthcare provider recommendations.
In England, one set of statistics shows 26% of Covid-19 deaths in hospital had Diabetes. This does not account for those who didn’t go to hospital.
Compared to people hospitalised with coronavirus who do not have Diabetes, Type 1 Diabetes sufferers were found to be 3.5 times more likely to die in hospital, and people with Type 2 diabetes, twice as likely to die.
Studies show that Diabetes sufferers are more likely to be admitted to intensive care units. They are prone to disease “severity”, as well as more likely to experience worse outcomes from infections, including Covid-19.
Generally a Type 1 sufferer is likely to have had Diabetes for much longer than a person with Type 2. The longer you’ve had Diabetes, the more likely you would be prone to complications, including damage to the heart and kidneys.
With Type 1, the cells that make insulin are being destroyed by the immune system. This is different from Type 2, which is not a disease of the immune system. And compromised immune systems are already known to be at great risk from Covid-19.
Blood sugar levels are, on average, higher in people with Type 1 than with Type 2 Diabetes. Research shows that the risk of Covid-19 increases with higher blood sugar levels.
People with Diabetes who contract Covid-19 are clearly at a greater risk of worse outcomes, including death. In light of the vast numbers of Diabetes sufferers worldwide, they represent a worryingly large and vulnerable proportion of the Covid-19 population.
For people with Diabetes, poorer prognosis is the consequence of hyperglycaemia and comorbidities — in particular, hypertension, obesity, and cardiovascular disease.
With lockdown measures in place, not everyone is getting their exercise or maintaining healthy diets. There would be good reason to suspect that while efforts are being made to reign in Covid numbers, Diabetes numbers are quietly escalating.
Australia Wide First Aid stays up-to-date with health measures relating to coronavirus. And our HLTAID003 Provide First Aid course and HLTAID004 Childcare First Aid course both deal with First Aid treatment for Diabetics in distress.
The need to have the knowledge and skills to respond effectively when someone nearby is in immediate need of medical intervention has rarely appeared more evident.
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