Condition or disease?

DonnaAnn
By DonnaAnn Latest Reply 2009-04-20 17:11:56 -0500
Started 2009-04-16 04:59:20 -0500

What exactly is Diabetes, a condition or a disease? I know it is a epidemic!


24 replies

alwaystryin
alwaystryin 2009-04-20 17:11:56 -0500 Report

Ms. Amy had posted a very nice 'ten rules of etiquette' for those without Diabetes when approaching someone who does.

2009-04-17 20:41:42 -0500 Report

What gets to me is when someone says, 'oh, you are a diabetic'. NO, I AM A PERSON!!!! I HAVE diabetes.

Anonymous
Anonymous 2009-04-17 20:58:21 -0500 Report

I can't get past the anger at myself. I feel like I did this to myself and am still doing nothing to correct it. I have made changes but not enough. I'm finding it next to impossible.

2009-04-17 21:00:36 -0500 Report

Perserverance and patience. That is the basic thing. Keep talking to us, and we will try to hold you up, cause we've all been there, k? Hugs

alwaystryin
alwaystryin 2009-04-17 21:24:04 -0500 Report

I don't anyone can say they did anything that could 'correct' what has happened, but you are doing something very correct, you are here and asking what you can do. Just by asking you are becoming engaged in dealing with what you can.

Sarguillo
Sarguillo 2009-04-20 16:08:34 -0500 Report

Yeah, I dont like to be defined by what I have instead of what I am. Funny, this weekend, I was helping out a friend move. I keep a small pack with me with my kit, my pills, a bottle of water, My MP3 player and a few other items as I like my pockets free. One person who I didnt know very well commented on my bag, I just said it was a male purse. He said, oh, for stuff that you dont want in your pockets. I replied, yes, Didnt want to have to explian what else I had in my bag. Funny, you might find me without my pants on, before you would find me with out my bag now a days. I too am a person, And alot more than just a person, Not just a diabetic.

roshy
roshy 2009-04-17 20:28:04 -0500 Report

i have to say i dont like it when people refer to my condition as a disease!! type one diabetes thats what i have and thats what i call it! sometimes i think the word disease is offensive and can make you feel less worthy as a person. So if you dont mind, codition or diabetes please not disease or disability!! ta ta for now!!

P2putt
P2putt 2009-04-17 08:06:41 -0500 Report

Can't say it any better than Sage, other commenters and the ADA infro. What's more imporant is that "IT" is treatable. Follow the recommendations of u're Doc,meds, diet and exercise. Best to you, Pete.

tmana
tmana 2009-04-16 23:19:17 -0500 Report

"Diabetes" is an umbrella term that describes persistent hyperglycemia which may result from a number of genetic and/or environmental conditions. It is about as specific as saying "stomach ache".

The various forms of what is referred to as "Type 1" or "autoimmune" diabetes are a group of preexisting genotypes, the expression of which is activated by an environmental condition, such as exposure to a virus, an allergen, or another immune threat. It may be considered a "disease" only insomuch as other debilitating genetic conditions (such as rheumatoid arthritis) may be considered "diseases". LADA, or Type 1.5 diabetes, is part of this group of genotypes.

That which we call "Type 2" diabetes includes genotypes that, when activated, cause improper development of the insulin molecule or improper development of insulin receptor sites; also, genotypes that, when activated, interrupt the ghrelin/leptin/insulin signalling process, causing overnutrition, which triggers a cascade in which lipokines interfere with insulin utilization; also, non-genetic obesity, triggering the same lipokine/insulin cascade.

Because these conditions are persistent and not communicable by casual or sexual contact, or through contact with contaminated body fluids, I would not consider them "diseases".

LadyDi - 26259Miller
LadyDi - 26259Miller 2009-04-16 20:25:39 -0500 Report

I think the proper terminology would be "butt painus" - it's a real pain in the old butt! However, it is not the end of the world or the worst thing that can happen to you. If caught in time and kept in control, you should live a long and happy life and do pretty much whatever you like. Everyone's situation is different, of course, and the complications can be devastating and debilitating. You are so right about it being at an epidemic stage these days.

lois hutchins
lois hutchins 2009-04-16 15:39:38 -0500 Report

I use to think of it as a death sentence
now I'm on here tryin like hell to do what's necessary to live! We got good people on this site.
Pay attention
peace
lois

alwaystryin
alwaystryin 2009-04-16 15:16:09 -0500 Report

Before I offer probably more ambiguity to this discussion with another definition, is Diabetes a Disability also? If it were defined as a disability, that would expose more monetary issues.

This is from Webster's:

PLAGUE

As a noun:
“Epidemic disease”
“Appearance of something in large numbers”
“Somebody or something troublesome”.
As a verb:
“Afflict somebody”
“Annoy somebody constantly”

I know Diabetes reminds me of most all that, and I am just a Caregiver!

Sarguillo
Sarguillo 2009-04-16 16:21:41 -0500 Report

I would say so. It is a disability.

http://www.ada.gov/pubs/ada.htm

http://www.isu.edu/ucounsel/ada_qualified.shtml

Americans with Disabilities Act (ADA) Guidelines
Qualified Individual with a Disability
Discrimination is prohibited against qualified persons with physical or mental impairments that substantially affect major life activities, those with records of such impairments, and those who are regarded as so impaired.

Physical or mental impairment is (a) a physiological disorder or condition, cosmetic disfigurement, or anatomical loss such as epilepsy, paralysis, HIV infection, AIDS, or substantial hearing or vision impairment or (b) a mental or psychological disorder, such as mental retardation, organic brain syndrome, emotional or mental illness and specific learning disabilities. Examples of conditions that would not be disabilities are short-term, non-chronic conditions such as a broken leg, a sprain or the flu.

Major life activities include functions such as caring for one's self, performing manual tasks, walking, sitting, standing, lifting, reaching, seeing, hearing, speaking, breathing, learning, and working. The existence of an impairment must be determined with reference to mitigating measures such as medicines or prosthetic devices. The effects of these mitigating measures, both positive and negative, must be taken into account when judging whether the individual is substantially limited in a major life activity.

Substantially limits means a significant restriction of the duration, manner or condition under which an individual can perform a major life activity exists when compared to the average person's ability to perform that same major life activity. Temporary impairments that take significantly longer than normal to heal, long-term impairments, or potentially long-term impairments of indefinite duration may be disabilities if they are severe. Evaluate whether the impairment substantially limits any of the major life activities of the person in question, not whether the impairment is substantially limiting in general.

When addressing the major life activity of performing manual tasks, the central inquiry must be whether the claimant is unable to perform the variety of tasks central to most people's daily lives, not whether the claimant is unable to perform the tasks associated with her specific job.*

Substantially limited with respect to working requires careful consideration. An individual is not substantially limited in working just because he or she is unable to perform a particular job for one employer. Consideration must be given to the geographical area to which the individual has reasonable access, the scope and variety of jobs that utilize similar training and skills in that area from which the individual is also disqualified, and the scope and variety of jobs in that geographical area utilizing different skills and training and for which the individual is also disqualified.

Record of such an impairment means has a history of, or has been classified as having, a mental or physical impairment that substantially limits one or more major life activities. Individuals who have been misclassified by a school or hospital as having mental retardation or a substantially limiting learning disability would be covered by this part of the definition of disability.

Is regarded as having an impairment means (a) has a physical or mental impairment that does not substantially limit major life activities but that is treated by the university as constituting such a limitation; (b) has a physical or mental impairment that substantially limits major life activities only as a result of the attitudes of others toward such impairment; or (c) has none of the impairments defined above but is treated by the university as having such an impairment. For example, an applicant rejected for a job on the basis of a back x-ray that reveals some anomaly, even though that person has no back impairment, would fall under this category.

Qualified student with a disability means an individual who, with reasonable modifications (if necessary) to rules, policies or practices, the removal of barriers, or the provision of auxiliary aids and services, meets the essential eligibility requirements for the receipt of the services or the participation in programs or activities provided by a school.

Qualified employee with a disability means an individual who, with reasonable accommodation if necessary, can perform the essential functions of the employment position that such individual holds or desires.

Alcohol and substance abuse are not protected by the ADA. A drug user who is in a supervised rehabilitation program, or has completed such a program successfully is protected by the law against discrimination. Addiction to alcohol is considered a disability. Current alcoholics (even if they are still drinking), recovering alcoholics, relapsed alcoholics, individuals with a history of alcoholism, and individuals wrongly regarded as alcoholic are protected by the ADA if they are qualified to perform the essential functions of the job. An alcoholic whose use of alcohol impairs performance on the job is not protected, although reasonable accommodations such as a leave of absence to seek treatment may be required. The University has the right to require adherence to its substance abuse policies. The University Statement on Alcohol and Drugs applies to all students and employees regardless of the presence or absence of a disability.

Source: 42 U.S.C. § 12,102(2) and 29 U.S.C. § 706(8)(B); 28 C.F.R. § 36.104 and 29 C.F.R. § 1630.2; EEOC Compliance Manual

Section 902 (3/95); and Sutton v. United Air Lines, Inc., 119 S. Ct. 2139 (1999).

*Toyota Motor Manufacturing, Kentucky Inc. v. Williams, No. 00-1089 534 U.S. 184 (2002)

Last updated: 10-21-02 (added language from Toyota case).

Page Source CUA

2009-04-16 20:01:31 -0500 Report

To me, it doesn't qualify as a disability, what it an cause are disabilities, but itself, it is not one to me. Where in this document does it say that Diabetes is a Disability?

Sarguillo
Sarguillo 2009-04-17 18:13:18 -0500 Report

Hi legs, Yes it doesnt mention most, a few but not all. It does say: "Discrimination is prohibited against qualified persons with physical or mental impairments that substantially affect major life activities, those with records of such impairments, and those who are regarded as so impaired."
This does affect major life activities.
There are some Diabetics who cant work, cant do other things and some who are so down that they cant even get out of the house. So, Diabetes for some, not only is it a phyical aliment but a mental ailment also. Then there are others who can get up and go out and work for their living. Everyone is different. Like me, Wife cant work. If I dont, Momma and I dont get our goodies.

Sarguillo
Sarguillo 2009-04-16 14:16:07 -0500 Report

From ADA

All About Diabetes

————————————————————————————————————————

Diabetes is a disease in which the body does not produce or properly use insulin. Insulin is a hormone that is needed to convert sugar, starches and other food into energy needed for daily life. The cause of diabetes continues to be a mystery, although both genetics and environmental factors such as obesity and lack of exercise appear to play roles.

There are 23.6 million children and adults in the United States, or 7.8% of the population, who have diabetes. While an estimated 17.9 million have been diagnosed with diabetes, unfortunately, 5.7 million people (or nearly one quarter) are unaware that they have the disease.

In order to determine whether or not a patient has pre-diabetes or diabetes, health care providers conduct a Fasting Plasma Glucose Test (FPG) or an Oral Glucose Tolerance Test (OGTT). Either test can be used to diagnose pre-diabetes or diabetes. The American Diabetes Association recommends the FPG because it is easier, faster, and less expensive to perform.

With the FPG test, a fasting blood glucose level between 100 and 125 mg/dl signals pre-diabetes. A person with a fasting blood glucose level of 126 mg/dl or higher has diabetes.

In the OGTT test, a person's blood glucose level is measured after a fast and two hours after drinking a glucose-rich beverage. If the two-hour blood glucose level is between 140 and 199 mg/dl, the person tested has pre-diabetes. If the two-hour blood glucose level is at 200 mg/dl or higher, the person tested has diabetes.

Major Types of Diabetes

Type 1 diabetes
Results from the body's failure to produce insulin, the hormone that "unlocks" the cells of the body, allowing glucose to enter and fuel them. It is estimated that 5-10% of Americans who are diagnosed with diabetes have type 1 diabetes.

Type 2 diabetes
Results from insulin resistance (a condition in which the body fails to properly use insulin), combined with relative insulin deficiency. Most Americans who are diagnosed with diabetes have type 2 diabetes.

Gestational diabetes
Immediately after pregnancy, 5% to 10% of women with gestational diabetes are found to have diabetes, usually, type 2.

Pre-diabetes
Pre-diabetes is a condition that occurs when a person's blood glucose levels are higher than normal but not high enough for a diagnosis of type 2 diabetes. There are 57 million Americans who have pre-diabetes, in addition to the 23.6 million with diabetes.

http://www.diabetes.org/about-diabetes.jsp

2catty
2catty 2009-04-16 15:43:13 -0500 Report

I heard that. Right after having my first two kids which is a year apart. I got T2, this was after having gestational diabetes. My third pregnancy I was fully aware of what to expect because I was already T2.

2009-04-16 19:59:22 -0500 Report

Dunno bout that about gestational, I had it WHILE I was pregnant with my daughter, not after! But it DID come back 5 years later.

2catty
2catty 2009-04-16 20:20:37 -0500 Report

Sounds like gestational to me. That is the way I had it. I had gestational diabetes and then afterwards it came back as T2.

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