Digestive System – Part III

Diabetes – problems with insulin

- insulin is necessary to convert sugar (______), starches, and other food into energy for life

- it transports sugar from the ______into the cells

- without insulin, the sugar remains in the ______

- ______are responsible for cleaning blood, and must work overtime with diabetes

- this can lead to kidney failure, which requires ______for life

- too much sugar in the blood can lead to short and long term problems

1) right away, your cells may be starved for ______

2) over time, high blood glucose levels may hurt your eyes, kidneys, nerves, or heart

Type 1 Diabetes (previously known as “______diabetes”)

- body does not produce ______

- known as “insulin-dependent diabetes” – must have ______for rest of their lives

- usually due to ______system attacking and destroying ______cells

- ______% of diabetes patients

- symptoms:

- extreme thirst- frequent urination

- unusual weight loss- increased fatigue

- blurry vision

Type 2 Diabetes (previously known as “______-onset diabetes”)

- most common form of diabetes

- may result from:

1) the body does not produce enough insulin or

2) the cells ignore the insulin – “insulin ______”

-_____-diabetes

- higher than normal blood ______levels, butnot high enough to be “diabetic”

- symptoms (see right):

- increased ______

- increased ______

- ______

- increased ______

- ______

- blurred ______

- ______that do not heal

Risk Factors for Type 2 Diabetes:

- family history – any ______relative

- race or ethnic background – people of Africa, Asian, Hispanic, and Native American descent have ______risk

- being ______

- hypertension – high ______

- ______

- ______use

- smoking – a person who smokes 16-25 cigarettes a day is ____ times more likely to develop diabetes than a nonsmoker

- history of gestational diabetes (diabetes only while ______)

Treating Type 2 Diabetes:

- physical activity for at least ____ minutes a day

- losing 5-7% of body weight can lower heart risks by half

- eating a heart-healthy diet

- few ______fats

- many fruits and vegetables

- a lot of ______

Gestational Diabetes

- affects about ____% of all pregnant women

- occurs when women, who have never had diabetes, have elevated glucose levels during pregnancy

- may be due to ______fluctuations during pregnancy

- begins during late pregnancy, once the body has formed and finishes development

- extra glucose enters the baby through the blood in the mother’s ______

- this can cause damage by:

- impairing the baby’s ______development

- forcing extra energy on the baby, so it becomes ______in the womb

- to treat gestational diabetes:

- special diet

- special exercise plan

- always disappears after ______

- but mother is very likely to have it again with future ______

Gastric by-pass surgery

Used as a last resort to help control morbid obesity and diabetes

- helps people lose, on average, ____% of extra weight

If the surgery reattaches the small intestine and stomach too far down the small intestine, many ______difficulties may occur

- the duodenum is where most ______is completed before nutrient absorption in the jejunum and ileum

Dietary changes – due to reduced size of stomach and reduced ______of small intestine

* stomach must heal before any solid food is consumed ~ ______months

- ______is absorbed very rapidly

- ______needs increase

- vitamins and minerals may not be absorbed properly, so ______are needed

- because of restricted amount possible, all food should serve a ______purpose

- food should be ______thoroughly before being swallowed

- some people may never be able to eat:

- ______meat

- non-toasted breads

- fruits with ______on them

- some _____ vegetables

- ______sugars (including ______, etc.)