Tuesday, December 16, 2014

Diabetes: Feedback Mechanisms and Symptoms

In class recently, we learned about diabetes, specifically what is it, how it occurs, and why it occurs. We discovered that in diabetes, hormones do not properly regulate the glucose concentration in one’s blood stream. I’ve always know that diabetes had to do with an imbalance of sugars, but I never knew how it worked in a more in depth manner. I found it intriguing how there is a feedback mechanism for the distribution of glucose, something so small yet so important to the functioning of one’s body!

This process challenges me to think about how organisms have evolved over time to not just fit the niche of their environment, but to also internally maintain homeostasis. They have evolved to regulate the distribution of small molecules in the blood, making me think further about how simple the first organism must have been to not only survive but maintain homeostasis of all of the molecules present inside of it.

In the negative feedback control of blood glucose, there are two options that may occur. When the blood glucose level is too high, the pancreas releases insulin, which either stores glucose in the liver as glycogen or distributes the glucose in other cells. Therefore, the blood glucose level drops. When the blood glucose level is too low, the pancreas releases glucagon to trigger the release of glycogen from the liver to break down into glucose, causing the blood glucose level to rise. In a diabetic person’s body, the pancreas has trouble producing either insulin or glucagon to regulate the blood level of glucose.

I decided to research diabetes further to see how the regulation of blood glucose may affect the rest of the body. First I discovered that diabetes may cause increased thirst, increased urination, increased hunger, extreme fatigue, blurry vision, bruises slow to heal, and increased weight loss (Diabetes Symptoms 2014). In type 1 diabetes, it is common to loss weight while in type 2 diabetes it is common to feel tingling, pain, or numbness in the hands or feet (Diabetes Symptoms 2014).
           

Beyond these common symptoms, I found that the University of Leicester conducted a study “establishing a link between hypoglycaemia and increased risk of cardiovascular events and mortality in patients with diabetes” (University of Leicester 2014). Professors Kamlesh Khunti and Melanie Davies found this correlation with patients being treated with insulin, suggesting that patient’s treatments may change in the future (University of Leicester 2014). Specifically, they found that patients with diabetes have a 60% higher chance of cardiovascular problems due to atherosclerotic plaques in blood vessels (University of Leicester 2014).

While these findings increased my awareness of the seriousness of diabetes and taught me about its symptoms, I wonder how doctors will go about reforming the treatment to decrease the risk of cardiovascular problems.  Melanie Davies, a professor of Diabetes Medicine at the University of Leicester and Honorary Consultant at Leicester's Hospitals, agrees with this principle, suggesting that "going forward we need to focus on management strategies that help patients minimise their risk of having hypoglycaemic events" (University of Leicester 2014).
Work Cited:

University of Leicester. (2014, December 12). Link between low blood
glucose, cardiovascular events revealed. ScienceDaily. Retrieved
December18,2014fromwww.sciencedaily.com/releases/2014/12/141212085045.htm
Diabetes Symptoms. (2014, September 12). Retrieved December 16, 2014, from

http://www.diabetes.org/diabetes-basics/symptoms/