Sunday 20 November 2011

The Science of Diabetes

There are two types of Diabetes. Type 1 (often juvenile onset) is more serious than type 2. But both types start when the pancreas stops functioning properly. The pancreas is a small organ located just behind the stomach. Its main function is to produce insulin in just the right amount to maintain constant glucose levels in the body.

 Although glucose is not of much use to the body in the bloodstream, or in the fluid that surrounds the body's cells, it is still something that we need. In fact, it is glucose that is the body's main source of energy, but glucose must get inside cells to create the energy that the cells need to function. The problem is that cells have a membrane or covering around the outside that won't let glucose in. This is where insulin becomes important, because it is insulin that opens up cells to glucose.


Maintaining a constant level of glucose is a delicate process that is controlled by the pancreas and the insulin it produces. Under normal conditions, this process is almost like a dance. Glucose levels in the blood lead the pancreas to release just the right amount of insulin to keep the amount of glucose in the blood stream and surrounding the cells at an even level.

 The cause of abnormal pancreas function in diabetics is insulin resistance. Insulin resistance is when the cells stop responding to insulin, meaning the door which allows glucose to enter won't open. Because the cells aren't allowing glucose to enter, the amount of glucose in the blood gets higher and higher. As long as there is too much glucose in the blood, and too little glucose in the cell, the pancreas will continue to produce insulin until the glucose level goes down. However, if the cells in the body have become insulin resistant, the amount of glucose in blood will never go down. The pancreas will continue to try to lower glucose levels by producing more and more insulin, but eventually it will wear out. Often this is the first cause of diabetes.

The increased production of insulin can some times help the cells to allow glucose to enter, but eventually the pancreas wears out and cannot match the body's demand for insulin. When the pancreas fails to produce any insulin, blood glucose levels rise above normal. Eventually, with insulin failing to open cells so glucose can leave the bloodstream, glucose begin to build up in tissues such as the kidneys, eyes, heart, and around nerve endings. This build-up has very serious short and long-term complications.

Once your pancreas packs up, or at least 'goes slow' it is important to avoid unnecessary sugar in your diet, so the pancreas doesn't have to work too hard. But sugar is everywhere in our diet and finding enjoyable sugar free recipes is quite a challenge. So watch this space in the next few weeks for low sugar recipes which have worked for us. More to follow.....

 

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