AFRICAN AMERICANS AND DIABETES
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Diabetes is having a devastating effect on the African American community. Diabetes is the
fifth leading cause of death in
African Americans and their death rates are twenty seven percent higher than whites.
Over 2.8 million
African Americans have diabetes and one third of them don't know they have
the disease. In addition, twenty five percent of African Americans between
the ages of 65 - 74 have diabetes and one in four African American
women, over the age of 55, have been diagnosed with the disease
The cause of
diabetes is a mystery, but researchers believe that both genetics and
environmental factors play roles in who will develop the
disease.
Heredity
Researchers believe
that African Americans and African Immigrants are predisposed to developing diabetes. Research suggests that African Americans and recent African
immigrants have inherited a "thrifty gene" from their
African ancestors.
This gene may have
enabled Africans to use food energy more efficiently during cycles of feast and
famine. Now, with fewer cycles of feast and famine, this gene may make weight control
more difficult for African Americans and African
Immigrants.
This genetic
predisposition, coupled with impaired glucose tolerance, is often associated with
the genetic tendency toward high blood pressure. People with impaired
glucose tolerance have higher than normal blood glucose levels and are at a
higher risk for developing diabetes.
What is
Diabetes?
Diabetes, commonly
know as "sugar diabetes", is a condition that occurs when the body is unable to
properly produce or use insulin. Insulin is needed by the body to process sugar, starches
and other foods into energy. Diabetes is a chronic condition for which there is
no known cure; diabetes is a serious disease and should not be
ignored.
Diabetics often
suffer from low glucose levels (sugar) in their blood. Low blood sugar levels
can make you disorientated, dizzy, sweaty, hungry, have headaches, have
sudden mood swings, have difficulty paying attention, or have
tingling sensations around the mouth.
Types of
Diabetes
Pre-diabetes is a
condition that occurs when a person's blood glucose levels is higher than
normal but not high enough for a diagnosis of
type II diabetes. Pre-diabetes can cause damage to the heart and circulatory system, but pre-diabetes can often be controlled by controlling blood
glucose levels. By controlling pre-diabetes you
can often prevent or delay the onset of Type II diabetes.
Type I or
juvenile-onset diabetes usually strikes people under the age of 20, but can strike at
any age. Five to ten percent of African Americans who are diagnosed with
diabetes are diagnosed with this type of the disease. Type I diabetes is an
autoimmune disease where the body produces little or no
insulin and this type of diabetes must be treated with daily insulin injections.
Type II or adult
onset diabetes is responsible for ninety to ninety-five percent of diagnosed diabetes cases in African Americans. Type II results from a condition where the body fails
to properly use insulin. According to the American Diabetes Association,
"Type II is usually found in people over 45, who have diabetes in their
family, who are overweight, who don't exercise and who
have cholesterol problems." In the early stages it can often be controlled with
lifestyle changes, but in the later stages diabetic
pills or insulin injections are often needed.
Pregnancy related
diabetes or gestational diabetes can occur in pregnant women. Gestational diabetes is often associated with high glucose blood levels or hyperglycemia. Gestational
diabetes affects about four percent of all pregnant
women. The disease usually goes away after delivery, but women who suffer from gestational diabetes are at a higher risk for developing diabetes
later in life.
Symptoms of
Diabetes
The most common
symptoms of diabetes include: excessive urination including frequent trips to
the bathroom increased
thirst increased
appetite blurred
vision unusual weight
loss increased fatigue irritability
Complications from
Diabetes
Diabetes can lead to
many disabling and life threatening complications. Strokes, blindness,
kidney failure, heart disease, and amputations
are common complications that effect African Americans who have diabetes
Kidney
Disease
"Diabetes is the
second leading cause of end stage kidney disease in African Americans, accounting for about thirty percent of the new cases each year," says the National
Kidney Foundation of Illinois. Up to twenty-one
percent of people who develop diabetes will develop kidney disease.
Amputations
Diabetes is the
leading cause of non-traumatic lower-limb amputations in the United States.
More than sixty percent of non-traumatic lower-limb amputations in America occur
among people with diabetes and African Americans are almost three
times more likely to have a lower limb amputated due
to diabetes than whites. According to Center for Disease Control (CDC), about 82,000
nontraumatic lower-limb amputations were performed among
people with diabetes in 2001.
Blindness
African Americans
are twice as likely to suffer from diabetes related blindness. Diabetics can develop a condition called "Diabetic Retinopathy", a disease affecting the blood vessels of the
eye, which can lead to impaired vision and blindness. Diabetes is the leading
cause of new cases of blindness in people from 20 - 74 years of age
and up to 24,000 people loose their sight each year because of diabetes.
Heart
Disease
People with diabetes
are up to four times more likely to develop heart disease as people who
don't have diabetes. Atherosclerosis (hardening
of the arteries) is more common in diabetics and can lead to increased risk of heart attacks, stroke, and poor circulation throughout the
body.
Diabetes Risk
Factors
You have a greater
risk for developing diabetes if you have any of the following:
Obesity
Family history of
diabetes
Pre-diabetes
Low physical
activity
Age greater than 45
years
High blood
pressure
High blood levels of
triglycerides
HDL cholesterol of
less than 35
Previous diabetes
during pregnancy or baby weighing more than 9 pounds
Diabetes has had a
devastating effect on the African American community; it is the fifth leading
cause of death and
second leading cause of end stage kidney disease in African Americans.
African Americans
suffer from complications from diabetes at a much higher rate than the rest of
the population.
African Americans are three times more likely to have a lower limb amputated
because of diabetes
and twice as likely to suffer from diabetes related blindness.
If you have any of
the diabetes risk factors you should contact your physician and have a blood glucose test. Also discuss with your physician lifestyle changes you can take to lower
your chances of developing diabetes.
About The
Author
Drahcir Semaj is a
freelance writer who writes about issues affecting African Americans.
Article
Source:
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