Gestational diabetes develops during pregnancy (gestation). Like other types of diabetes, gestational diabetes affects how your cells use sugar (glucose). Gestational diabetes causes high blood sugar that can affect your pregnancy and your baby's health.

Any pregnancy complication is concerning, but there's good news. Expectant women can help control gestational diabetes by eating healthy foods, exercising and, if necessary, taking medication. Controlling blood sugar can prevent a difficult birth and keep you and your baby healthy.

In gestational diabetes, blood sugar usually returns to normal soon after delivery. But if you've had gestational diabetes, you're at risk for type 2 diabetes. You'll continue working with your health care team to monitor and manage your blood sugar.

Diabetes mellitus is a chronic disorder of metabolic dysregulation involving the abnormal   metabolism of glucose. Diabetes has a significant impact on the healthcare costs of the Western world. Nearly all patients with diabetes eventually develop cutaneous manifestations of the disease. Cutaneous signs of the disease can heighten the suspicions of a physician regarding the diagnosis of diabetes. This article will focus on the clinical features, pathogenesis, and treatment modalities of the various dermatologic manifestations of the disease ranging from the more benign granuloma annulare to the more sinister diabetic ulcer. Cutaneous signs of DM are extremely valuable to the clinician. For example, diabetic bullae, diabetic dermopathy, necrobiosis lipoidica diabeticorum, and the scleroderma-like syndrome of waxy skin with limited joint mobility can alert the physician to the diagnosis of diabetes, eruptive xanthomas reflect the status of glucose and lipid metabolism.

Currently there are plenty number of researches going on in the field of endocrinology-diabetes as it has become a common disorder of endocrine system which is standing at a position causing huge number of deaths and made attain the response on it.The researchers are being held in a direction of early detection to the most effective advanced treatments. Advanced treatments include development of insulin pumps, insulin injections, solid dosage forms, transplantations, surgeries, targeting mst1, artificial pancreas and many more. The advances not only being held to develop new methods but to make the most effective treatment which are affordable even by the ordinary population globally.

Informatics in the Service of Medicine; Telemedicine, Software and other Technologies

New Technologies for Treating Obesity and Preventing Related Diabetes

Adolescent Weight Loss (Bariatric) Surgery

The main aim of the diabetes is to detect the overall condition of the disorder, there are many case research studies including animal models and human models. The integrated care for diabetes mellitus in terms of the intermediate clinical and process outcomes, the evidence-based knowledge on its implementation is scarce, and insights generalizable to other settings therefore remain limited.  This study protocol provides a description of the design and methodology of a mixed methods study on the implementation of integrated care for diabetes. The aim of the proposed research is to investigate the mechanisms by which and the context in which integrated care for diabetes has been implemented, which outcomes have been achieved and how the context and mechanisms have affected the outcomes.

It’s very important for us to get ourselves educated about the nutrition and myths about the diabetes and help out in managing one’s own health. There’s absolutely no doubt that obesity is the main evil contributor for the diabetes and genetics also play an equal role. People even though healthy should get their blood glucose levels checked at the age of 40 and beyond time to time. Early management of obesity and unhealthy eating habits can manage people by not getting exposed to a life time disorder. Avoiding the sugar completely and depending completely on protein food is not correct. The nutrition rich food containing all the essential components can help us stay healthy even before and after get suspected by the disorder

Paediatric diabetes is a condition in children which deals with the endocrine glands disorder, such as variations of physical growth and sexual development in childhood, diabetes and many more. Paediatric Type 1 diabetes is a chronic illness characterized by the body’s inability to produce insulin due to autoimmune destruction of the beta cells in the pancreas. Most paediatric patients with diabetes have type 1 and a lifetime dependence on exogenous insulin. It has been estimated that 20 to 25% of children newly diagnosed with type 1 diabetes are obese.  Children with type 2 diabetes are at a higher risk of cardiovascular disease and micro vascular complications. Diabetes affects about 125,000 youth in USA younger than 19 years. Each year, approximately 13,000 children are diagnosed with diabetes. Until recently, children who diagnosed with diabetes almost exclusively had type 1 diabetes. However, as the prevalence of childhood obesity has tripled in the past 30 years, there has been an accompanying increase in the prevalence of metabolic syndrome, pre-diabetes and type 2 diabetes among children.

Diabetes is a disorder which can be caused due to many factors among them immunity is also one of the factors. The destruction of the islet β-cell in T1D is the result of a  complex interplay between multiple players of both the innate and adaptive immune system; immunohistochemical analysis of islet inflammation from pancreata of patients with T1D obtained at autopsy indicate a mononuclear cell infiltrate in islets (termed insulitis) consisting  mainly of macrophages, B cells and T cells. Both CD4+ and CD8+ T cells are required for disease development, by destroying the insulin-producing β cells through the effector functions of Th1 cells and direct killing by cytotoxic T lymphocytes (CTLs). CTLs initiate killing by various mechanisms including the production of inflammatory cytokines such as TNF-a and IFN-g, which act synergistically with IL-1 produced by macrophages in targeting the β-cells; they also directly kill β-cells through the secretion of perforin or by apoptosis by the activation of the Fas-Fas-L pathway.

Diabetes can cause early onset and increased severity of these problems. Sexual and urologic complications of diabetes occur because of the damage diabetes can cause to blood vessels and nerves. Men may have difficulty with erections or ejaculation. Women may have problems with sexual response and vaginal lubrication. Urinary tract infections and bladder problems occur more often in people with diabetes. People who keep their diabetes under control can lower their risk of the early onset of these sexual and urologic problems. Both men and women with diabetes can develop sexual problems because of damage to nerves and small blood vessels. A number of clinical studies in men and women with diabetes have reported bladder instability or hypersensitivity as the most frequent finding, ranging from 39–61% of subjects.

Nursing management of diabetes includes effective treatment to normalize blood glucose and decrease complications using insulin replacement, balanced diet, and exercise. The nurse should stress the importance of complying with the prescribed treatment program. Tailor your teaching to the patient’s needs, abilities, and developmental stage. Stress the effect of blood glucose control on long-term health.

Nursing care plans for diabetes mellitus: 

1.       Risk for Unstable Blood Glucose

2.       Deficient Knowledge

3.       Risk for Infection

4.       Risk for Disturbed Sensory Perception

5.       Powerlessness

6.       Risk for Ineffective Therapeutic Regimen Management

7.       Risk for Injury

8.       Imbalanced Nutrition: Less Than Body Requirements

9.       Risk for Deficient Fluid Volume

10.    Fatigue

11.    Risk for Impaired Skin Integrity

12.    Other Possible Nursing Care Plans

Diabetic ketoacidosis is a serious complication of diabetes that occurs when your body produces high levels of blood acids called ketones.

The condition develops when your body can't produce enough insulin. Insulin normally plays a key role in helping sugar (glucose) — a major source of energy for your muscles and other tissues — enter your cells. Without enough insulin, your body begins to break down fat as fuel. This process produces a buildup of acids in the bloodstream called ketones, eventually leading to diabetic ketoacidosis if untreated.

Nephropathy means kidney disease or damage. Diabetic nephropathy is damage to your kidneys caused by diabetes. In severe cases it can lead to kidney failure. But not everyone with diabetes has kidney damage.

The kidneys have many tiny blood vessels that filter waste from your blood. High blood sugar from diabetes can destroy these blood vessels. Over time, the kidney isn't able to do its job as well. Later it may stop working completely. This is called kidney failure.

Certain things make you more likely to get diabetic nephropathy. If you also have high blood pressure or high cholesterol, or if you smoke, your risk is higher. Also, Native Americans, African Americans, and Hispanics (especially Mexican Americans) have a higher risk.

Herbal medicine, also called botanical medicine or phytomedicine, refers to using a plant's seeds, berries, roots, leaves, bark, or flowers for medicinal purposes. They are sold as tablets, capsules, powders, teas, extracts, and fresh or dry plants. Many people believe "natural medicine" are always good and safe for them so use herbal medicines to try to maintain or improve their health. The use of herbal remedies is more prevalent in patients with chronic diseases asthma, end-stage renal disease, all endocrine disorders such as diabetes, Osteoporosis, Pancreas Disorders and Adrenal Disorders etc.

• Herbal Drugs Used for the Treatment of Diabetes
• Natural Remedies are used in diabetes cure
• Herbal Medicine for treating diabetes
• Improve glucose tolerance by Herbal Drugs
• Herbal and Natural Supplements for Diabetes
• Importance and Usage of Herbal Medicine
• Other herbal remedies