Diabetes is common in Canada, yet few of us know much about it. This chronic disease robs the body of its ability to control blood sugar (glucose) levels, either because it cannot produce insulin or cannot properly use the insulin it produces. Without insulin, sugar builds up in the blood instead of being used as energy. Over time, this damages organs, blood vessels and nerves.

A report by Diabetes Canada in 2015 found the number of people with diabetes more than doubled between 2000 and 2015 to an estimated 8.9 per cent (3.34 million) of Canadians, leading to $3 billion in direct healthcare costs. Some one million Canadians have diabetes and don’t know it.

Even more people are at risk of developing diabetes. In the next 10 years, both the rate and healthcare costs of diabetes are projected to grow by more than 40 per cent.

Anyone can get diabetes, but not everyone will and for many people, diabetes can be prevented.

Types of diabetes

With Type 1 diabetes, the pancreas loses its ability to make insulin and this is life-threatening. “Essentially, the pancreas doesn’t work so Type 1 must be treated with insulin,” says Dr. Jane Ballantine, the medical director for the Calgary West Central Primary Care Network. She has a special interest in diabetes. About five per cent of people with diabetes have Type 1, which generally develops in childhood or adolescence.

Type 2 diabetes is far more common and occurs when the body can’t properly use the insulin it produces (called insulin resistance) or makes less insulin than the body needs. Type 2 diabetes usually develops in adults, but can also affect children. Being overweight or having obesity are two major risk factors for developing this kind of diabetes.

“Its incidence also increases with increasing patient age,” Dr. Ballantine adds.


Dr. Jane Ballantine, medical director of the Calgary West Central PCN

 

Type 2 diabetes can often be managed through physical activity and meal planning; if the disease is more severe, it may also require medication, including insulin, to control blood sugar.

A third form of diabetes is gestational diabetes, a temporary condition that can occur during pregnancy.

Many people also have prediabetes, which is higher than normal blood sugar levels, but not high enough to be diagnosed as Type 2 diabetes. The condition increases the risk of developing Type 2, although the disease can be prevented, or at the very least delayed, with healthy eating and active living.

“A loss of five to 10 per cent of body weight can go a long way to helping manage diabetes as well as many other health conditions,” says Dr. Ballantine.

The risks

Living with diabetes involves constantly trying to keep blood sugar levels stable. It can be difficult: stress, eating habits, physical activity and the amount of insulin administered all affect blood sugar levels.

Both high and low blood sugar levels can lead to serious and even life-threatening complications. These include heart attack, stroke, kidney failure, blindness and nerve damage leading to amputation. Diabetes can also contribute to depression and anxiety.

High blood pressure, high cholesterol and excess fat around the waist pose additional risks for diabetes. Risk factors are also higher in some populations, such as Indigenous peoples.

Your medical home

If you have or want to determine any risk factors, or wish to be screened for diabetes, your PCN healthcare team is ready to support you. Talk with your doctor about detecting diabetes, especially if you’re age 40 or older.

Your PCN can offer customized resources to help you develop a healthy diet and active routine. The focus is on making a plan that works for you. Better still, your PCN team can help you avoid
diabetes altogether.

When properly managed, diabetes won’t stand in your way to a full and healthy life.

All PCNs and Alberta Health Services have programs to support for chronic disease management including diabetes. Many community pharmacists also have additional knowledge about diabetes.

Written by Colleen Seto

This story appears in the latest issue of Health Matters magazine. Read the full issue here.