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Big Beaver, Troy metabolism, how the body changes Solomon Rosenblatt, a Berkley digested food into energy and growth, endocrinologist who is on staff at doesn't function correctly. After a William Beaumont Hospital. meal, a portion of the food is broken "With Type 2 diabetes mellitus, down into sugar or glucose which patients can go seven years or more then passes into the bloodstream and with the disease before its diagnosed. into the body's cells. For sugar to get That's seven years of high blood sugar into some of the cells, insulin, a hor- levels doing damage to small and large mone produced by the pancreas, must blood vessels." escort it in. According to Dr. Rosenblatt, in Type When the pancreas produces the I diabetes and juvenile onset diabetes correct amount of insulin to accom- there's a total failure to produce insulin. modate the quan- Type I usually starts tity of sugar, in children or young everything is nor- adults but can happen mal. For a person at any age. It afflicts with diabetes, about 700,000 peo- either the pancreas ple. produces little or Type 2 usually no insulin or the arises because of cells don't respond insulin resistance normally. Sugar when the body fails builds up in the to use insulin prop- blood, overflows erly and there is usu- into the urine and ally some deficiency passes from the in the production of body unused. insulin. Type 2 "I consider accounts for 90-95 myself very luc percent of diabetes because I waited cases. too long to be Until now, the Dr. Rosenblatt: concerned about disease was generally Fighting the silent killer. diabetes and I was diagnosed when peo- at risk," says 65- ple developed symp- year-old CPA Harvey Cantor of West toms such as unusual thirst or fre- Bloomfield. "I was overweight, I had a quent urination, or when people at heart condition, and I didn't exercise. high risk for the disease were tested "Fortunately, oral medication is for it. Now blood sugar testing may controlling the blood sugar levels, I've become as routine as blood pressure lost 40 pounds in five years and, screening. although I may cheat once in a while, "Type 2 diabetes mellitus typically I'm exercising and staying with a occurs in patients over 45 who are healthy diet. overweight, sedentary and have a fam- "My advice to anyone middle age is ily history of the disease," says Dr. to get to the lowest weight you can, Rosenblatt. "It's now recommended exercise, and eat a low-fat and low-sugar that testing for Type 2 diabetes melli- diet." tus be considered in all asymptomatic Dr. Steven Feldman, a West adults age 45 and over and, if normal, Bloomfield internist, says, "The be repeated at three-year intervals. American Diabetes Association (ADA) "Testing is done at a younger age recommends the fasting plasma glu- for those more at risk — obese, have cose test (FPG), in which there's no close relatives with diabetes, are hyper- food for eight hours before, because tensive, or have a low HDL choles- it's simple and inexpensive and most terol level (the good cholesterol) and a likely to be used on a regular basis high triglyceride level. Interestingly, 80 because the blood drawn can also be to 90 percent of people with Type 2 used to measure cholesterol and other diabetes are overweight." standard blood work. The good news, however, is that "Researchers now believe that seri- even having a genetic disposition to ous problems linked to diabetes begin the disease doesn't mean a person will with test results in the mid-120s. If develop Type 2 diabetes. The evidence the result is between 110 and 125, the is becoming stronger that people who patient falls into a new category called can control their lifestyle can control, impaired fasting glucose, a danger to a large extent, whether or not they zone or borderline area. This usually develop the disease. means patients need to stay on a low- Diabetes occurs when a person's