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Are you looking for diabetes care near you? Do you live in Central Oregon? Look no further than Mountain Medical Urgent Care. Our team of experienced and professional medical staff is committed to providing top-notch diabetes care services tailored to meet your individual needs.

We offer comprehensive diagnostic tests, treatments, lifestyle advice, and other services designed to help control your blood sugar levels and prevent severe long-term complications from developing.

Whether you’re newly diagnosed or have been living with the condition for a while, our compassionate team will work with you every step to ensure that all of your needs are met. Contact us today to learn more about how we can help keep your diabetes under control!

What is diabetes?

Diabetes is a chronic condition caused by high blood sugar levels. It can be effectively managed through a healthy diet, physical activity, regular check-ups, and medication. Without proper management, diabetes can lead to serious long-term complications such as nerve damage, heart disease, vision problems, and kidney damage.

The goal of diabetes care is to keep your blood sugar levels in a healthy range. This can help you prevent or delay these complications and live healthier lives. Collaborating with your healthcare team and creating a personalized plan tailored specifically for you is essential.

Types of Diabetes

There are a few different types of diabetes:

1) Type 1 diabetes

Type 1 diabetes is an autoimmune disorder, meaning the body mistakenly attacks its cells. Specifically, it targets and destroys the insulin-producing cells located in your pancreas. 10% of people who suffer from this chronic disease have Type 1 diabetes – a condition that requires lifelong care. Type 1 diabetes is commonly diagnosed in youth and young adults but can happen anytime. It was previously often referred to as “juvenile” diabetes. People with Type 1 Diabetes are often referred to as “insulin-dependent” due to their need for daily insulin injections to maintain proper blood sugar levels.

2) Type 2 diabetes

Type 2 Diabetes is the most common form of diabetes, and it occurs when your body produces insufficient insulin or your cells are not responding to the existing levels. Up to 95% of those with the condition have Type 2 Diabetes. This type is primarily seen in middle-aged and older individuals. It can also be referred to as adult-onset or insulin-resistant diabetes, although your parents or grandparents may have described it by simply saying, “having a touch of sugar.”

3) Prediabetes: 

This health category is the precursor to Type 2 diabetes; your blood sugar levels are elevated but not classified as full-fledged Type 2 diabetes. The good news is that lifestyle changes, such as exercise and a balanced diet, can help you check your blood sugar levels.

4) Gestational diabetes: 

Some women develop gestational diabetes during pregnancy, but it usually disappears following childbirth. However, if you have had gestational diabetes in the past, you have an increased risk of developing Type 2 diabetes later.

Less common types of diabetes include:

  • Monogenic diabetes syndromes: Incredibly uncommon inherited types of diabetes, like neonatal and maturity-onset diabetes of the young, comprise up to 4% of all cases. Mutations in a single gene cause the condition.
  • Cystic fibrosis-related diabetes occurs in individuals with cystic fibrosis and is usually diagnosed before 30. The condition affects approximately 5-10% of patients with cystic fibrosis.
  • Drug or chemical-induced diabetes: Cases like these usually come about after organ transplants, in the aftermath of HIV/AIDS treatment, or as a result of glucocorticoid steroid intake.
  • Diabetes insipidus is a rare condition characterized by excessive urination caused by your kidneys’ secretion of a substantial amount of urine. A deficiency of the hormone vasopressin usually causes the disease.

How common is diabetes?

A shocking 34.2 million Americans of all ages, equaling roughly 10% of the population, are diagnosed with diabetes in our nation today. It is estimated that one in five adults aged 18 or older (about 7.3 million people) are unaware they have diabetes, which translates to roughly 3% of the entire U.S. adult population.

As we age, the prevalence of diabetes increases significantly. A staggering one-fourth (26%) of adults aged 65 and above are diagnosed with this disease in some form or another. The most common form of diabetes, Type 2, accounts for 90-95% of all cases diagnosed in adults.

Who gets diabetes? What are the risk factors?

Depending on the diabetes type you develop, your risk factors may vary.

Risk factors for Type 1 diabetes include:

  • Having a family history: One of the primary risk factors for Type 1 diabetes is having a family member with the condition. Research suggests that individuals are more likely to develop type 1 diabetes if their parents or siblings have it.
  • Injury to the pancreas: Viral infections, trauma, or other injuries can damage the beta cells in your pancreas responsible for producing insulin. This can lead to Type 1 diabetes.
  • Presence of autoantibodies: The presence of autoantibodies increases the risk of developing Type 1 diabetes. The antibodies that mistakenly attack your own body’s tissues or organs can destroy insulin-producing cells in your pancreas.
  • Physical stress: Sometimes, physical shock or physical stress can lead to the onset of Type 1 diabetes. Stressful events such as an illness, surgery, a car accident, or even childbirth may trigger the disease.

Risk factors for prediabetes and Type 2 diabetes include:

  • Family history: Type 2 diabetes is also strongly associated with other family members having diabetes as well.
  • Being overweight: Being significantly overweight or obese increases your risk for Type 2 diabetes.
  • Age: Your risk for developing prediabetes and Type 2 increases, especially if you’re 45 and over.
  • Physical inactivity: Lack of physical activity and decreased muscle strength can increase your risk for Type 2 diabetes.
  • Race and ethnicity: Certain races and ethnicities are more likely to develop prediabetes and Type 2, such as African Americans, Latinx people, Native Americans, Pacific Islanders, and some Asian Americans or South Asians.
  • High blood pressure: The presence of high blood pressure (hypertension) increases your risk for Type 2 diabetes. It’s strongly linked to lifestyle factors such as being overweight or not physically active.
  • Other medical conditions: Certain medical conditions can increase your risk of developing Type 2, such as polycystic ovary syndrome (PCOS), an unhealthy cholesterol profile, gestational diabetes, sleep apnea, pancreatic disease, specific genetic syndromes, and fatty liver disease.

Risk factors for gestational diabetes include:

  • Being over 25: Age increases your risk for gestational diabetes. Women over 25 have an increased risk, and those over 30 have a higher risk than younger women.
  • Family history: Having a family history of Type 2 diabetes, or having previously given birth to a baby over 9 pounds, increases your risk of gestational diabetes.
  • Being overweight: Overweight women have an increased risk of developing gestational diabetes. It is important to maintain a healthy weight before pregnancy and throughout the pregnancy.

Symptoms of diabetes

An increase in blood sugar leads to the manifestation of diabetes symptoms.

General symptoms

Although type 1, type 2, and type 1.5 (LADA) share many of the same symptoms, they differ in how quickly these signs manifest themselves. Specifically, Type 2 diabetes onset tends to be gradual, often accompanied by tingling nerves and slow-healing sores. On the other hand, Types 1 & LADA tend to have more rapid symptom development periods than Type 2.

If left untreated, type 1 diabetes may result in diabetic ketoacidosis, a potentially hazardous level of ketones produced by the body. Although not as common with other types of diabetes, this complication is still possible if necessary steps are not taken to regulate blood sugar levels.

The general symptoms of diabetes include:

  • Increased hunger: The body’s cells become starved of glucose, which can lead to excessive hunger as the body attempts to compensate by eating more.
  • Excessive thirst: Elevated glucose concentrations in the bloodstream result in an increased urge to urinate.
  • Fatigue: Blood sugar imbalances can cause fatigue due to dehydration and lack of energy needed for normal activities.
  • Frequent urination: The kidneys attempt to rid the body of excess glucose through urine, resulting in frequent trips to the bathroom.
  • Blurred vision: High blood sugar levels can cause fluid changes, leading to blurred vision and eye damage.
  • Slow-healing wounds: Diabetes can reduce the ability of white blood cells to produce enough collagen, which results in slower healing.
  • Irritability: Blood sugar imbalances can lead to changes in mood and behavior.

Symptoms in men

Besides the typical indicators of diabetes, males living with this condition may encounter additional signs such as:

  • Decreased sex drive: One of the more common diabetes symptoms in men is decreased libido due to hormonal changes and nerve damage.
  • Erectile dysfunction: High blood sugar can lead to damage to the nerves and arteries that are necessary for an erection.
  • Poor muscle strength: The body’s ability to produce energy can be impaired, leading to muscle weakness.

Symptoms in women

Women may notice the following diabetes symptoms:

  • Yeast infections: Yeast thrives off glucose, causing frequent and recurring yeast infections.
  • Vaginal dryness: Diabetes has been linked to reduced estrogen levels and vaginal dryness.
  • Irregular periods: Changes in blood sugar can interfere with ovulation, leading to irregular or missed periods.
  • Dry, itchy skin: The inability to regulate blood sugar can cause dehydration and potential damage to the skin.

What are the root causes of diabetes?

Excessive amounts of glucose in the bloodstream are the causal factor for all forms of diabetes. However, the cause of your elevated blood glucose levels varies depending on the type of diabetes you have.

Causes of Type 1 diabetes: 

This autoimmune disorder causes your body to target and obliterate the insulin-producing cells in your pancreas. When your body cannot utilize insulin, glucose accumulates in the bloodstream. In some individuals, genetic predisposition may play an important role. A virus can also provoke the immune system to launch an attack on itself or other body parts.

Cause of Type 2 diabetes and prediabetes: 

Your body’s cells have become impervious to insulin, rendering it unable to facilitate the necessary entrance of glucose into its cells. When your pancreas can’t produce enough insulin to counteract the resistance, glucose levels in your bloodstream will increase. The root cause of this resistance is typically attributed to an unhealthy diet, obesity, and lack of physical activity.

Cause of Gestational diabetes: 

During pregnancy, hormones generated by the placenta cause a heightened resistance of cells to insulin in your body. Since the pancreas cannot produce enough insulin to counterbalance this effect, too much glucose will remain in circulation throughout your blood vessels. The cause of this phenomenon is still unclear. However, genetics and environmental factors may play a role.

No matter what type of diabetes you have, it’s essential to know how to manage your condition through diet and lifestyle changes. At Mountain Medical Urgent Care, our team of experts can help you develop a personalized treatment plan to reduce your risk of complications and improve your quality of life.

How is diabetes diagnosed?

The diagnosis of diabetes is based mainly on the results of your blood glucose levels. If they consistently remain elevated in an oral glucose tolerance test, you will be diagnosed with diabetes. Your doctor may also consider your physical examination, medical history, and other lab tests that analyze hemoglobin A1C (HbA1c) or assess your lipids and liver enzymes.

Three tests are available to determine your blood glucose level: the fasting glucose test, random glucose test, and A1c. These tests will give you an accurate assessment of your current health status.

Treatments for diabetes

There are different types of diabetes and different treatments depending on your diabetes type, how well you manage your blood glucose levels, as well as how well you handle other health issues.

  • Type 1 diabetes: You must take insulin every day if you have this type of diabetes. The pancreas no longer produces insulin for you.
  • Type 2 diabetes: This type involves medications for treating diabetes and conditions associated with diabetes, insulin injections, and lifestyle changes such as losing weight, eating healthy, and exercising more.
  • Prediabetes: The goal of prediabetes is to prevent diabetes from developing. Several treatments are available, including diet and exercise, weight loss, and a healthy diet (such as the Mediterranean diet). Prevention of diabetes is often similar to the treatment of diabetes.
  • Gestational diabetes: If your glucose level is not excessive, you may be able to treat this type of diabetes with diet changes and regular exercise. You may need medication or insulin if you are not meeting the target goal or your glucose level is very high.

The following methods are used to treat diabetes with oral medications and insulin:

  • Increases insulin production and release by stimulating your pancreas.
  • Slows down the liver’s release of glucose (excess glucose is stored in the liver).
  • Insulin is better absorbed into your tissues when it blocks carbohydrate breakdown in your stomach or intestines.
  • Increases urination to remove glucose from the body.

Diabetes medications

The FDA has approved over 40 medications to treat diabetes. It will be up to you and your healthcare team to decide whether the medication is right for you. Then they will decide which drug(s) you should take to treat your diabetes.

Diabetes medication drug classes include:

Glinides (also called meglitinides): These medications lower blood glucose by increasing insulin release from the pancreas. Several drugs can reduce blood pressure, including repaglinide (Prandin®) and nateglinide (Starlix®).

Sulfonylureas: These drugs reduce blood glucose levels by stimulating insulin production. Examples of these medications include glipizide (Glucotrol®), glimepiride (Amaryl®), and glyburide (Micronase®, DiaBeta®).

Biguanides: The liver produces less glucose when these drugs are taken. The drug improves insulin’s function and reduces carbohydrates’ conversion into sugar. The drug Metformin (Glucophage®) is an example.

Thiazolidinediones: These drugs allow the body to take in more glucose by allowing it to enter the muscles, fats and liver. A few examples are pioglitazone (Actos®) and rosiglitazone (Avandia®).

Alpha-glucosidase inhibitors reduce blood glucose by delaying carbohydrate breakdown and lowering glucose absorption. For instance, acarbose (Precose®).

Bile acid sequestrants: These medications reduce blood sugar levels and cholesterol levels. Colesevelam (Welchol®) and cholestyramine (Questran®) are examples of colestipol (Colestid®).

SGLT2 inhibitors: These drugs are used to remove glucose from the body through the urine. Several examples of canagliflozin, such as Invokana®, dapagliflozin (Farxiga®), and empagliflozin (Jardiance®).

Dopamine agonist: Lowers liver glucose release with this medication. Bromocriptine is a good example (Cyclocet®).

Diabetes pills vs. insulin

Usually, it doesn’t involve pills or insulin. According to your doctor’s recommendations, your diabetes type, your length of diabetes, and the amount of insulin you make naturally will determine your treatment plan. Taking pills may be easier than taking insulin, but both kinds may cause side effects. Try a few before you find one that works. Despite their effectiveness, pills can stop working at any time.

You may also need to take insulin if your type 2 diabetes worsens after taking only pills. Insulin also comes with risks. There can be serious consequences if you consume too much or too little. You must monitor diabetes closely and make adjustments based on the results.

Diabetes Diet

Doctors often recommend lifestyle changes for people diagnosed with diabetes to achieve weight loss and good health. The doctor may refer the patient to a nutritionist if they have diabetes or prediabetes. People with diabetes can manage diabetes by leading an active, balanced lifestyle with the assistance of a specialist.

Diabetes patients can take the following steps to stay healthy:

  • Nutritional Diabetic diets include whole grains, fruits, vegetables, lean proteins, low-fat dairy foods, and healthy fat sources like nuts.
  • You should avoid high-sugar foods containing empty calories or calories without nutritional value, such as sweetened sodas, fried foods, and high-sugar desserts.
  • Drinking alcohol in moderation or limiting intake to less than one drink per day for women and two drinks per day for men.
  • Maintain a regular daily exercise schedule of at least 30 minutes, such as walking, aerobics, cycling, or swimming, five days a week.
  • The diagnosis and treatment of low blood sugar symptoms during exercises, such as dizziness, confusion, weakness, and excessive sweating.

People with type 2 diabetes may also be able to manage the condition without medication if they reduce their body mass index (BMI).

Contact Us Today

Mountain Medical Urgent Care is here to provide comprehensive diabetes care and support. We offer various services, from primary care visits to specialized testing for glucose levels and other diabetes indicators.

If you’re interested in learning more about our services or scheduling an appointment, don’t hesitate to call us at (541)-388-7799. Our experienced staff will be happy to answer any questions you may have. We look forward to helping you take control of your diabetes and live a happier, healthier life.