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What is diabetes mellitus?


Diabetes mellitus, commonly referred to as "diabetes," means "sweet urine." It is a chronic medical condition associated with abnormally high levels of sugar (glucose) in the blood. Elevated levels of blood glucose (hyperglycemia) lead to spillage of glucose into the urine, hence the term sweet urine. Normally, blood glucose levels are tightly controlled by insulin, a hormone produced by the pancreas. Insulin lowers the blood glucose level. When the blood glucose elevates (for example, after eating food), insulin is released from the pancreas to normalize the glucose level. In patients with diabetes mellitus, the absence or insufficient production of insulin causes hyperglycemia. Diabetes mellitus is a chronic medical condition, meaning it can last a lifetime. Over time, diabetes mellitus can lead to blindness, kidney failure, and nerve damage. Diabetes mellitus is also an important factor in accelerating the hardening and narrowing of the arteries (arteriosclerosis), leading to strokes, coronary heart diseases, and other blood vessel diseases in the body. Diabetes mellitus affects 12 million people (6% of the population) in the United States. An estimated 10 million people in the United States have diabetes and don’t even know it. The direct and indirect cost of diabetes mellitus is $40 billion per year. Diabetes is the third leading cause of death in the United States after heart disease and cancer.

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