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Why Do Most Diabetics Develop Complications ?

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Snow Tang

New User, Becoming EHEALTHy
Joined: 07 Dec 2004
Posts: 3
Location: Hong Kong
Why Do Most Diabetics Develop Complications ?
Posted: 12-07-04 09:59am

Why do I have diabetes? Why do most of diabetics finally develop various complications even though we are able to bring blood sugar levels down near the normal range?
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Dr. Nikola

Doctor
Joined: 01 Apr 2008
Posts: 795
Location: Strumica, Republic of Macedonia
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Posted: 05-29-08 10:26am

Precise etiology of diabetes is still not understood well. Diabetes melitys type-1 (DM-1) is autoimmune disorder and like the rest of autoimmune disorders the exact cause is unknown. The immune system destroys beta-cells in the pancreas and in time body stays without insulin. Diabetes type-2 also has unknown etiology. Here, insulin producing cells are not destroyed but they ether not produce enough insulin when needed or target cells do not respond to the the insulin properly (insulin resistance).
It seems that in diabetes not only carbohydrate metabolism but lipid and protein metabolism are also disturbed. That is the possible reason why long-term complications from diabetes can't be prevented even if glucose level is brought to normal. But anyway, proper control of the glucose level prevents short-term complications (hyperglycemic comma and ketoacidosis) and delay long-term complications (heart attack, stroke, nerve damage, kidney damage and eye damage).
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