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The first type 1occurs from childhood to middle age. In this group there is destruction of insulin producing cells (called islets of Langerhans) in the pancreas (behind the stomach). This group always requires insulin from initial diagnosis and are then always dependent on insulin The second type Type 2 occurs usually from middle age onwards. In just the last few years this diagnosis is being seen in teenagers. This group has resistance to the insulin that is produced. Essentially it is believed that for most people this is coupled with obesity and a high fat dietary intake over a protracted period. Diet with altered lifestyle may be sufficient treatment but most need oral medication. A few will need insulin. The third type GDM occurs in pregnancy and though treated with insulin during the pregnancy disappears immediately afterwards. Such a person is at risk of developing Type 2 diabetes later in life and attention to preventing obesity, a low fat diet and regular exercise can prevent it ever occurring Attention to these issues can also aid the Pre-Diabetic |
| Last update 20th December 2011 |