Causes of diabetes
Causes of Type 1 Diabetes:
Type 1 diabetes happens when the body mistakenly destroys the cells in the pancreas that make insulin.
Autoimmune reaction:
1. Meaning of Autoimmune Reaction
An autoimmune reaction happens when the body’s immune system attacks its own healthy cells by mistake.
2. Normal Immune System Role
Normally, the immune system protects the body from germs like bacteria and viruses.
3. Mistaken Attack on Pancreas
In type 1 diabetes, the immune system wrongly attacks insulin-producing cells in the pancreas.
4. Destruction of Beta Cells
These insulin-producing cells, called beta cells, get damaged or destroyed over time.
5. Loss of Insulin Production
When beta cells are destroyed, the body cannot make insulin.
6. Resulting High Blood Sugar
Without insulin, sugar cannot enter cells and builds up in the blood.
7. Long-Term Effect
This autoimmune damage is permanent and leads to lifelong type 1 diabetes.
The immune system attacks insulin-producing beta cells.
Scientists aren’t totally sure why this happens.
Genetics:
1. Meaning of Genetics
Genetics means traits and conditions passed from parents to children through genes.
2. Family History Link
Type 1 diabetes can run in families, so having a close relative with the disease increases risk.
3. Special Risk Genes
Certain genes affect how the immune system works and increase the chance of type 1 diabetes.
4. Genes Do Not Act Alone
Having these genes does not always cause diabetes by itself.
5. Interaction with Immune System
These genes make the immune system more likely to attack insulin-producing cells.
6. Triggering Factors Needed
Environmental triggers are often needed to start the autoimmune reaction.
7. HLA Genes
The main genes involved are called HLA genes (Human Leukocyte Antigen genes).
8. Role of HLA Genes
These genes help the immune system recognize what belongs to the body.
9. Mistake by Immune System
Certain HLA gene types increase the chance that the immune system attacks insulin-producing cells.
10. Overall Effect
Genetics increases risk, but it does not guarantee a person will develop type 1 diabetes.
Certain genes increase the chance, but it’s not inherited in a simple way.
Having a family member with Type 1 raises risk, but most people with Type 1 don’t have a family history.
Environmental triggers:
1. Meaning of Environmental Triggers
Environmental triggers are outside factors that can start disease in a person who is already at risk.
2. Link with Genetics
These triggers usually affect people who have genetic risk for type 1 diabetes.
3. Role of Infections
Some viral infections may confuse the immune system.
4. Immune System Reaction
After infection, the immune system may mistakenly attack insulin-producing cells.
5. Timing of Exposure
These triggers often act in childhood but can occur at any age.
6. Slow Damage Process
The immune attack happens gradually over months or years.
7. Final Result
Environmental triggers help start the autoimmune reaction that leads to type 1 diabetes.
Possible triggers (still being researched):
1. Meaning of Possible Triggers
Possible triggers are factors that may start type 1 diabetes in people who already have genetic risk.
2. Not a Single Cause
Type 1 diabetes does not start from one reason alone; triggers work along with genes.
3. Viral Infections
Certain viral infections may confuse the immune system and start an autoimmune reaction.
4. Immune System Confusion
After infection, the immune system may mistakenly attack insulin-producing cells in the pancreas.
5. Early Life Factors
Some triggers may act during childhood when the immune system is still developing.
6. Gradual Cell Damage
The damage to insulin-making cells happens slowly over time.
7. Final Outcome
These triggers help start the process that leads to type 1 diabetes.
Certain viral infections;
1. Meaning of Viral Infections
Viral infections are illnesses caused by viruses that enter and affect the body.
2. Connection with Type 1 Diabetes
In some people with genetic risk, viral infections may trigger type 1 diabetes.
3. Effect on Immune System
Viruses can confuse the immune system while it is fighting the infection.
4. Mistaken Immune Attack
After the infection, the immune system may wrongly attack insulin-producing cells.
5. Commonly Linked Viruses
Viruses such as enteroviruses, coxsackievirus, rubella virus, and mumps virus have been linked to type 1 diabetes.
6. Slow Damage Process
The damage to pancreatic cells happens gradually over time.
7. Type of viruses:
Enteroviruses
Enteroviruses are the most commonly linked group. They can infect the gut and spread to other organs.
Coxsackievirus
Coxsackievirus (a type of enterovirus) is strongly linked. It may infect the pancreas directly.
Rubella Virus
Rubella infection, especially before birth, can increase the risk of type 1 diabetes later.
Mumps Virus
Mumps can inflame the pancreas, which may damage insulin-producing cells.
Immune System Confusion
After these infections, the immune system may attack beta cells by mistake.
8.Final Result
These viral infections may start the autoimmune process leading to type 1 diabetes.
Early-life environmental factors:
1. Meaning of Early-Life Factors
Early-life environmental factors are conditions or exposures that happen during infancy or early childhood.
2. Link with Genetic Risk
These factors mainly affect children who already have genes linked to type 1 diabetes.
3. Developing Immune System
In early life, the immune system is still learning how to react properly.
4. Infections in Childhood
Early infections may disturb immune system balance.
5. Diet-Related Factors
Early feeding patterns may influence immune responses.
6. Immune System Mis not reaction
These factors may trigger the immune system to attack insulin-producing cells.
7. Long-Term Effect
Over time, this damage leads to loss of insulin and type 1 diabetes.
Causes of Type 2 Diabetes:
Type 2 diabetes happens when the body doesn’t respond well to insulin (insulin resistance) and eventually cannot make enough.
Insulin resistance:
1. Meaning of Insulin Resistance
Insulin resistance means the body’s cells do not respond properly to insulin.
2. Normal Role of Insulin
Insulin helps sugar move from the blood into the body’s cells for energy.
3. Problem Begins
In insulin resistance, cells in muscles, fat, and liver ignore insulin’s signal.
4. Rise in Blood Sugar
Because sugar cannot enter cells easily, it builds up in the blood.
5. Pancreas Works Harder
The pancreas makes more insulin to try to control blood sugar.
6. Pancreas Gets Tired
Over time, the pancreas cannot keep up with the demand.
7. Final Result
Blood sugar stays high, leading to type 2 diabetes.
Genetics & family history:
1. Meaning of Genetics and Family History
Genetics means traits passed from parents to children. Family history means having relatives with the disease.
2. Higher Risk in Families
If one or both parents have type 2 diabetes, the risk of developing it increases.
3. Role of Genes
Genes carry instructions that control how the body makes and uses insulin.
4. TCF7L2 Gene
The TCF7L2 gene affects how insulin is released from the pancreas. Changes in this gene can reduce insulin production, raising blood sugar levels.
5. PPARG Gene
The PPARG gene helps control how fat cells use insulin. When this gene does not work properly, the body becomes more insulin resistant.
6. KCNJ11 Gene
The KCNJ11 gene controls insulin release from beta cells. Changes can reduce insulin release.
7. Combined Effect
These genes increase risk but do not directly cause diabetes.
8. Inherited Tendency
These genes can cause insulin resistance or reduced insulin production.
9. Genes Are Not the Only Cause
Having these genes does not guarantee diabetes.
10.Lifestyle Interaction
Unhealthy diet, lack of exercise, and weight gain can activate genetic risk.
11. Final Outcome
Genetics increases risk, but lifestyle strongly influences type 2 diabetes development.
It tends to run in families.
Certain ethnic backgrounds have higher risk, but this doesn’t determine your identity or traits.
Low physical activity:
1. Meaning of Low Physical Activity
Low physical activity means not doing enough exercise or body movement in daily life.
2. Role of Exercise in Blood Sugar Control
Physical activity helps muscles use sugar from the blood for energy.
3. Reduced Sugar Use by Muscles
When a person is inactive, muscles do not use sugar efficiently.
4. Increase in Insulin Resistance
Lack of movement makes body cells less sensitive to insulin.
5. Rise in Blood Sugar Levels
Because sugar is not used well, it stays in the blood.
6. Weight Gain Connection
Low activity often leads to weight gain, which increases insulin resistance.
7. Final Outcome
Over time, high blood sugar leads to type 2 diabetes.
Unbalanced eating patterns:
1. Meaning of Unbalanced Eating
Unbalanced eating means regularly eating too much unhealthy food and not enough healthy food.
2. High Sugar and Refined Foods
Foods high in sugar and refined carbohydrates quickly raise blood sugar levels.
3. Excess Calorie Intake
Eating more calories than the body needs leads to weight gain.
4. Weight Gain and Insulin Resistance
Extra body fat makes the body less responsive to insulin.
5. Low Fiber and Nutrients
Lack of fiber slows sugar control and affects digestion.
6. Stress on the Pancreas
Frequent high blood sugar forces the pancreas to work harder.
7. Final Result
Over time, these eating habits increase the risk of type 2 diabetes.
High body fat:
(especially around the abdomen)
1. Meaning of High Body Fat
High body fat means having excess fat stored in the body, especially around the abdomen.
2. Fat Affects Insulin Action
Extra fat releases chemicals that interfere with how insulin works.
3. Development of Insulin Resistance
Because of these chemicals, body cells stop responding properly to insulin.
4. Increase in Blood Sugar
Sugar cannot enter cells easily and remains in the blood.
5. Pancreas Works Harder
The pancreas produces more insulin to control blood sugar.
6. Long-Term Strain on Pancreas
Over time, the pancreas cannot keep up with demand.
7. Final Outcome
This process leads to consistently high blood sugar and type 2 diabetes.
Hormonal conditions:
1. Meaning of Hormonal Conditions
Hormonal conditions are disorders where hormones are produced in too much or too little amount.
2. Role of Hormones
Hormones are chemical messengers that control many body functions, including blood sugar use.
3. PCOS Hormones
In polycystic ovary syndrome (PCOS), the body produces higher levels of male-type hormones and has insulin imbalance.
4. Effect of PCOS on Insulin
High insulin levels in PCOS make body cells less sensitive to insulin.
5. Resulting Blood Sugar Rise
Sugar cannot enter cells properly, causing high blood sugar.
6. Cushing’s Syndrome Hormones
Cushing’s syndrome involves excess cortisol, a stress hormone.
7. Cortisol Effect on Sugar
High cortisol increases blood sugar and blocks insulin action.
8. Hormones That Raise Blood Sugar
Some hormones increase blood sugar or block insulin action.
9. Increased Insulin Resistance
These conditions make body cells less sensitive to insulin.
10. Long-Term Blood Sugar Rise
Because insulin does not work well, blood sugar stays high.
11. Final Outcome
Over time, hormonal problems can lead to type 2 diabetes.
Sleep problems:
1. Meaning of Sleep Problems
Sleep problems include not getting enough sleep or having poor-quality sleep regularly.
2. Role of Sleep in Body Balance
Good sleep helps control hormones that manage blood sugar and appetite.
3. Hormone Imbalance
Lack of sleep increases stress hormones that raise blood sugar levels.
4. Reduced Insulin Sensitivity
Poor sleep makes body cells less responsive to insulin.
5. Increased Hunger and Weight Gain
Sleep problems increase hunger hormones, leading to overeating.
6. Long-Term Blood Sugar Rise
Over time, these changes keep blood sugar levels high.
7. Final Outcome
Chronic sleep problems increase the risk of type 2 diabetes.
Stress:
1. Meaning of Stress
Stress is the body’s response to physical or emotional pressure.
2. Stress Hormones Release
During stress, the body releases hormones like cortisol and adrenaline.
3. Effect on Blood Sugar
These hormones increase blood sugar to prepare the body for action.
4. Reduced Insulin Effectiveness
High stress hormones make insulin work less effectively.
5. Unhealthy Coping Habits
Stress can lead to overeating, poor food choices, and low physical activity.
6. Long-Term Blood Sugar Increase
Ongoing stress keeps blood sugar levels high.
7. Final Outcome
Chronic stress increases insulin resistance and risk of type 2 diabetes.
Being born with low birth weight:
1. Meaning of Low Birth weight
Low birth weight means a baby is born weighing less than normal.
2. Early Body Development
Low birth weight can affect how organs, including the pancreas, develop.
3. Effect on Insulin Production
The pancreas may produce less insulin later in life.
4. Insulin Resistance Risk
The body may become less sensitive to insulin as the person grows.
5. Catch-Up Weight Gain
Rapid weight gain after birth can increase body fat.
6. Long-Term Blood Sugar Impact
These changes raise blood sugar levels over time.
7. Final Outcome
Low birth weight increases the risk of type 2 diabetes in adulthood.
Note:
Teens can develop Type 2 diabetes, but it’s not caused by one single behavior. It’s a mix of genetics, environment, and health patterns.
Diabetes is a condition in which the body cannot control blood sugar (glucose) properly. Type 1 and Type 2 diabetes happen for different reasons, even though both cause high blood sugar.
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