2^nd World congress and Expo on Diabetes October 16-17, 2023 Vancouver, Canada

Diabetes mellitus type 1 (otherwise called type 1 diabetes) is a type of diabetes mellitus that outcomes from the immune system annihilation of the insulin-delivering beta cells in the pancreas. The ensuing absence of hypoglycaemic agent prompts expanded aldohexose within the blood and pee. The established manifestations are regular pee, expanded thirst, expanded yearning, and weight reduction. The reason for diabetes type one is obscure. Type 1 diabetes is recognized from kind two from antibody testing. The C-peptide test, which measures endogenous insulin generation, can likewise be utilized. Organization of insulin is fundamental for survival. Insulin treatment must be proceeded with uncertainly and commonly does not disable ordinary every day exercises. Individuals are usually ready to freely take care of their diabetes; be that because it could, for a few these will challenge. Untreated, diabetes can bring about numerous confusions. Intense confusions incorporate diabetic ketoacidosis and non-ketotic hyperosmolar trance like state. Genuine end of the day complexities known with high glucose incorporate coronary unwellness, stroke, kidney disappointment, foot ulcers and harm to the eyes. Moreover, confusions could emerge from low aldohexose caused by extortionate hypoglycemic agent treatment. Diabetes mellitus type 1 represents around five-hitter and 100% of all diabetes cases.

Type 2 diabetes may be a long-term metabolic turmoil that's pictured by high aldohexose, insulin resistance, and relative absence of insulin. Basic aspect effects incorporate expanded thirst, incessant pee, and unexplained weight reduction. Indications could likewise incorporate swollen desire, feeling tired, and bruises that don't recuperate. Regularly indications go ahead gradually. Long haul complexities from high aldohexose incorporate coronary malady, strokes, diabetic retinopathy which can bring about visual impairment, kidney disappointment, and poor blood stream in the appendages which may prompt removals. The sudden onset of hyperosmolar hyperglycaemic state may happen; in any case, diabetic ketoacidosis is unprecedented. Type 2 diabetes is mostly preventable by staying a typical weight, practicing consistently, and eating legitimately. Treatment includes activity and dietary changes. In the event that aldohexose levels aren't sufficiently brought down, the medicine metformin is regularly suggested. Numerous individuals may in the end likewise require insulin infusions. In that on insulin, routinely check glucose levels is exhorted, in any case this may not be required in those taking pills. Bariatric surgery of times enhances diabetes within the people UN agency ar stout. Diabetes mellitus may be a devastating and sophisticated metabolic malady, expected to affect over 500 million people worldwide by the year 2030; up from 350 million in 2010. Approximately 95% of patients suffer from type 2 diabetes, and its prevalence is expected to increase in the future.

Ketogenic diets may aid in the reduction of blood sugar levels. Carbohydrates, proteins, and fats are examples of macronutrients. Macronutrients make up the majority of the foods we eat, and while we all need them, they are especially important if we are trying to gain muscle or weight, or engaging in strenuous activities. Vitamins, minerals, organic acids, and phytochemicals are examples of micronutrients. Carotenoids can be produced by all of these organisms from fats and other basic organic metabolic building blocks. Retinoids are a class of chemical compounds that are either vitamin A vitamers or chemically related to it. Retinoids are used in medicine to regulate epithelial cell growth. Telemedicine is one of the most diverse branches of digital health. Telemedicine also includes online health records, where both patients and doctors have constant access to pertinent information. Because of all of this digital information, patient data is now available to healthcare professionals and can be analysed to create better and smarter treatment plans. The glucose sensor is an amperometric electrochemical biosensor that generates a current from an electrochemical reaction between glucose and a layer of glucose oxidase on a working electrode (WE). 

Telemedicine is one of the most diverse branches of digital health. Telemedicine also includes online health records, where both patients and doctors have constant access to pertinent information. Because of all of this digital information, patient data is now available to healthcare professionals and can be analysed to create better and smarter treatment plans. The glucose sensor is an amperometric electrochemical biosensor that generates a current from an electrochemical reaction between glucose and a layer of glucose oxidase on a working electrode (WE). Gestational Diabetes is a large global problem that can generate ineradicable health conditions for the mother and the child. Regardless of its contingency, numerous publics still do not have the epidemiological instructions which manage them in acknowledging these conditions of Diabetes. As a result of knowledge on gestational diabetes, Diabetes and obesity are high in many countries. Globally one in five women who are in reproductive age have discomfort from Diabetes and one in six children are troubled by it.

Potential complications of diabetes and frequent comorbidities consist of: Heart and blood vessel disease. Diabetes is associated with a better risk of heart disease, stroke, high blood pressure and narrowing of blood vessels (atherosclerosis). Diabetic ketoacidosis (DKA) is a common and life-threatening complication of type 1 diabetes, particularly at the time of diagnosis. DKA is less common at diagnosis and through the course of type 2 diabetes. Diabetes is the foremost reason of kidney disease. Micro vascular complications of diabetes are those long-term complications that disturb small blood vessels. These typically contain retinopathy, nephropathy, and neuropathy.

Possible complications include:

• Cardiovascular disease.
• Nerve damage (neuropathy).
• Kidney damage (nephropathy).
• Eye damage (retinopathy).
• Foot damage.
• Skin conditions.
• Hearing impairment.
• Alzheimer's disease.

Diabetes increases the risk of heart disease (the most common diabetes complication) by around four times in women but only about two times in men, and women have worse outcomes after a heart attack. Women are also at complex risk of additional diabetes-related complications such as blindness, kidney disease, and depression. When you have diabetes, vaginal dryness can occur a lot. High blood sugars can grounds damage to your blood vessels in your vagina. This leads to a lack of lubrication. As a result, sex can be same painful. Type 1 diabetes can develop at any age, though it often appears throughout childhood or adolescence. Type 2 diabetes, the more common type, can grow at some age, though it's more common in people older than 40. Poor control of diabetes during pregnancy rises the chances for birth defects and other problems for the pregnancy. It can also cause severe complications for the woman. Proper health care earlier and during pregnancy can help prevent birth defects and other health problems.

Complications in women with diabetes

• Eating disorders
• Coronary heart disease.
• Skin conditions.
• Nerve damage.
• Eye damage.
• Foot damage.

Metabolism states to the bodily process of extracting energy from food. Diabetes affects metabolism by reducing insulin levels. This in turn checks the body from storing the energy it gets from food for later use. Profound metabolic variations occur in people with type 1 diabetes mellitus during insulin deprivation. These include a growth in basal energy expenditure and reduced mitochondrial function. In addition, protein metabolism is significantly affected throughout insulin deprivation. Diabetes mellitus is a set of metabolic disorders of carbohydrate metabolism characterized by high blood glucose levels (hyperglycemia) and usually resulting from insufficient production of the hormone insulin (type 1 diabetes) or an ineffective reply of cells to insulin (type 2 diabetes).

Diabetes mellitus patients are more likely to develop coronavirus disease 2019 (COVID-19), which is caused by infection with the severe acute respiratory syndrome coronavirus 2. COVID-19 may increase the risk of hyperglycemia in infected individuals. When combined with other risk factors, hyperglycemia may modulate immunological and inflammatory responses, predisposing individuals to severe COVID-19 and potentially fatal outcomes. Patients with diabetes should be aware that COVID-19 can raise blood glucose levels, so they should follow clinical guidelines for diabetes management more closely during the treatment period as:

• Controlling glucose levels in pandemic
• Inflammation and diabetes
• Immunology and diabetes
• Diabetes after COVID-19 positive

You may already be using insulin pens and blood glucose (sugar) monitors depending on your type of diabetes. Perhaps you could use apps and smart technology to help you track your weight and activity levels. Rapid-acting insulin, short-acting insulin, intermediate-acting insulin, mixed insulin, and long-acting insulin are the five types of insulin. Diabetes generates excessive blood glucose levels, which can affect the heart and blood vessels' blood arteries and nerves. The risk of heart disease and stroke is increased by smoking, high blood pressure, abnormal cholesterol levels, obesity and belly fat, and a family history of heart disease. High blood sugar levels are the starting point for the association between diabetes and heart disease; high glucose levels in the blood can damage arteries, causing them to stiffen and harden. Atherosclerosis is a condition in which fatty deposits accumulate in blood vessels. This can obstruct blood flow to the heart or brain, leading to a heart attack or stroke. When diabetes affects the arteries, they become targets for hardening, which can result in excessive blood pressure. Diabetic people are at an increased risk of developing heart disease, stroke, kidney failure, and other health problems. In people with diabetes, blood pressure should not exceed 130/80.

Diabetes is a disease that occurs when our blood glucose is too high. Blood glucose is our main source of energy that comes from the food we eat. Insulin, a hormone made by the pancreas, helps glucose from food to get into our cells to be used for energy. Sometimes our body doesn’t make insulin well. Glucose then stays in our blood and doesn’t reach to our cells. Endocrinology is the study of medicine that transmits to our endocrine system, which is the system that controls hormones. Endocrinologists are specially trained physicians who identify diseases related to the glands. Because these doctors specialize in these circumstances, which can be complex and have hard-to-spot symptoms, an endocrinologist is our best believer when we are dealing with hormonal issues. The endocrinologist's goal is to restore hormonal balance in our body.

Types of Diabetes:

• Type 1 Diabetes         
• Type 2 Diabetes
• Pre-Diabetes
• Gestational diabetes

Types of Endocrinology:

• Neuroendocrinology
• Reproductive endocrinology
• Endocrine oncology

Gestational Diabetes is a large global problem that can generate ineradicable health conditions for the mother and the child. Regardless of its contingency, numerous publics still do not have the epidemiological instructions which manage them in acknowledging these conditions of Diabetes. As a result of knowledge on gestational diabetes, Diabetes and obesity are high in many countries. Globally one in five women who are in reproductive age have discomfort from Diabetes and one in six children are troubled by it.

1. Overview: Women health and Diabetes

2. Symptoms of Diabetes in women

3. Diabetes free pregnancies – Strategy

4. Postpartum Recommendations

Prediabetes is a condition in which blood sugar is high, but not ample to be type 2 diabetes. Without interruption, it's likely to turn into type 2 diabetes within 10 years. Most of the people with prediabetes have no symptoms. Progression from prediabetes to type 2 diabetes isn't undeniable. 

Prediabetes is a condition in which blood sugar is high, but not ample to be type 2 diabetes. Without interruption, it's likely to turn into type 2 diabetes within 10 years. Most of the people with prediabetes have no symptoms. Progression from prediabetes to type 2 diabetes isn't undeniable. With changes in lifestyle, weight loss and medication, it is possible to fetch a blood sugar level back to normal.

1. Process for diagnosis

2. Risk factors and clinical sign

3.  Prediabetes and lifestyle modification

4.  Risk factors of prediabetes in a patient infected with HIV

Diabetes can harm the kidneys, eyes, neurological system, heart, and blood vessels if it is not adequately treated. People with high blood pressure and diabetes are sometimes administered blood pressure devices such ACE inhibitors, which are believed to protect the kidneys. Diabetic retinopathy is a condition that affects diabetic patients. It causes dynamic damage to the retina, which serves as a light-sensitive layer in the rear of the eye. Diabetic retinopathy is a hazardous condition that can cause vision abnormalities that are life-threatening. 

Diabetes generates excessive blood glucose levels, which can affect the heart and blood vessels' blood arteries and nerves. The risk of heart disease and stroke is increased by smoking, high blood pressure, abnormal cholesterol levels, obesity and belly fat, and a family history of heart disease. High blood sugar levels are the starting point for the association between diabetes and heart disease; high glucose levels in the blood can damage arteries, causing them to stiffen and harden. Atherosclerosis is a condition in which fatty deposits accumulate in blood vessels. This can obstruct blood flow to the heart or brain, leading to a heart attack or stroke. When diabetes affects the arteries, they become targets for hardening, which can result in excessive blood pressure. Diabetic people are at an increased risk of developing heart disease, stroke, kidney failure, and other health problems. In people with diabetes, blood pressure should not exceed 130/80. Diabetic and hypertensive patients are more likely to develop cardiovascular disease.

When diabetes affects the arteries, they become targets for hardening, which can result in excessive blood pressure. Diabetic people are at an increased risk of developing heart disease, stroke, kidney failure, and other health problems. In people with diabetes, blood pressure should not exceed 130/80. Diabetic and hypertensive patients are more likely to develop cardiovascular disease. Diabetes can harm the kidneys, eyes, neurological system, heart, and blood vessels if it is not adequately treated. People with high blood pressure and diabetes are sometimes administered blood pressure devices such ACE inhibitors, which are believed to protect the kidneys. Diabetic retinopathy is a condition that affects diabetic patients. It causes dynamic damage to the retina, which serves as a light-sensitive layer in the rear of the eye. Diabetic retinopathy is a hazardous condition that can cause vision abnormalities that are life-threatening. Diabetes makes it difficult for the body to use and store sugar (glucose). The condition's characteristic is an excess of sugar in the blood, which damages all parts of the body, including the eyes. Metformin is generally the chosen initial medication for treating type 2 diabetes without there's a specific reason not to use it. Metformin is effective, safe, and inexpensive. It may decrease the threat of cardiovascular events. Metformin also has beneficial effects when it derives to reducing A1C results.

Diabetic retinopathy is a condition that affects diabetic patients. It causes dynamic damage to the retina, which serves as a light-sensitive layer in the rear of the eye. Diabetic retinopathy is a hazardous condition that can cause vision abnormalities that are life-threatening. Diabetes makes it difficult for the body to use and store sugar (glucose). The condition's characteristic is an excess of sugar in the blood, which damages all parts of the body, including the eyes. Metformin is generally the chosen initial medication for treating type 2 diabetes without there's a specific reason not to use it. Metformin is effective, safe, and inexpensive. It may decrease the threat of cardiovascular events. Metformin also has beneficial effects when it derives to reducing A1C results. A student's diabetes management plan is an essential document that guides how schools can support students with type 1 diabetes to study and participate fully at school. The plan is usually developed by the student's medical treating team in collaboration with the student and their parents or careers. The primary purpose of diabetes research is to determine the disorder's overall status.

Metformin is generally the chosen initial medication for treating type 2 diabetes without there's a specific reason not to use it. Metformin is effective, safe, and inexpensive. It may decrease the threat of cardiovascular events. Metformin also has beneficial effects when it derives to reducing A1C results. A student's diabetes management plan is an essential document that guides how schools can support students with type 1 diabetes to study and participate fully at school. The plan is usually developed by the student's medical treating team in collaboration with the student and their parents or careers. The primary purpose of diabetes research is to determine the disorder's overall status. A wide range of case and research studies, including animal and human models, are available. Type 2 diabetes is an epidemic that is quickly growing. Impaired glucose tolerance and impaired fasting glucose are two kinds of prediabetes that arise when the body's insulin, the hormone that tells body tissues how to use glucose, is not produced. Researchers are sifting through the data to understand more about how different medicines affect the two types of prediabetes.If you have diabetes, your body can’t properly process the blood sugar (glucose) from the foods and drinks you consume. Extra glucose in your bloodstream may damage the glomerular membranes as well as other parts of the nephron.

Instead, limit sugar and choose complex carbohydrates such as vegetables, oatmeal and whole grains. Quit smoking if you are a current tobacco user. Smoking can contribute to insulin resistance, which can lead to type2 diabetes. Although there's no cure for type 2 diabetes, studies show it's possible for some people to reverse it. Through diet changes and weight loss, you may be able to reach and hold normal blood sugar levels without medication. This doesn't mean you're completely cured. If you have this type of diabetes the foods you eat should have a low glycemic load (index) (foods higher in fibre, protein or fats) like vegetables and good quality protein such as fish, chicken, beans, and lentils.

Natural Remedies for Diabetes:

• Apple Cider Vinegar.
• Fiber and Barley.
• Chromium.
• Zinc.
• Aloe Vera.
• Berberine.
• Cinnamon.
• Fenugreek.

If defined as a type 2 diabetic phenotype combined with islet antibodies, the prevalence of LADA is around 10% among incident situation subjects of diabetes aged 40–75 years (16). A related prevalence is found among non-insulin-requiring patients older than 35 years at diagnosis with phenotypic type 2 diabetes (17). All-cause mortality was improved by 50% for LADA patients matched with individuals without diabetes, corresponding to the outcomes seen for the whole group of adult-onset autoimmune diabetes. In addition, we show that the extra mortality risk pertains to men and women and, in particular, to death from IHD. The reason of LADA is the growth of autoantibodies against pancreatic cells, insulin, or enzymes involved in pancreatic roles. Antibodies affecting the pancreas and its function might influence the way the body answer back to blood sugar.

There is huge range of conditions related to diabetes. These are related to coeliac disease, thyroid disease and hemochromatosis. Treatment for diabetes requires keeping close watch of our blood glucose levels (and keeping them at a goal set by our doctor) with a mixture of medicines, exercise and diet. By paying close attention to what that once you eat, you'll minimize or avoid the "seesaw effect" of quick changes of blood glucose levels, which may require quick changes in medication dosages, especially insulin.

Treatment for Diabetes:

• Healthy eating.
• Regular exercise.
• Weight loss.
• Possibly, diabetes medication or insulin therapy.
• Blood sugar monitoring.

The most mutual symptoms of type 1 diabetes mellitus (DM) are polyuria, polydipsia, and polyphagia, along with lassitude, nausea, and blurred vision, all of which result from the hyperglycemia itself. Polyuria is affected by osmotic diuresis secondary to hyperglycaemia. Health care professionals most frequently use the fasting plasma glucose (FPG) test or the A1C test to diagnose diabetes. In some cases, they may use a casual plasma glucose (RPG) test. Two clinical symptoms are present in nearly all diabetes patients: Frequent urination and frequent drinking/thirst. The mean time from onset of symptoms to diagnosis of diabetes existed 1.4 years. To be diagnosed with diabetes, you must come across one of the following criteria: Have symptoms of diabetes (increased thirst, increased urination, and unexplained weight loss) and a blood sugar level identical to or greater than 200 milligrams per deciliter (mg/dL).

Diabetes diagnostics types:

• Random (anytime) glucose test
• A1c test
• Oral glucose tolerance test

The primary purpose of diabetes research is to determine the disorder's overall status. A wide range of case and research studies, including animal and human models, are available. Type 2 diabetes is an epidemic that is quickly growing. Impaired glucose tolerance and impaired fasting glucose are two kinds of prediabetes that arise when the body's insulin, the hormone that tells body tissues how to use glucose, is not produced. Researchers are sifting through the data to understand more about how different medicines affect the two types of prediabetes.If you have diabetes, your body can’t properly process the blood sugar (glucose) from the foods and drinks you consume. Extra glucose in your bloodstream may damage the glomerular membranes as well as other parts of the nephron.

Too much sugar can injure the walls of the tiny blood vessels (capillaries) that nourish the nerves, especially in the legs. This can cause tingling, numbness, burning or pain that usually begins at the tips of the toes or fingers and gradually spreads upward. Damage to the nerves related to digestion can cause problems with nausea, vomiting, diarrhea or constipation. For men, it may lead to erectile dysfunction. Glomeruli have semi-permeable membranes. These semi-permeable membranes allow water and soluble wastes to pass through, which eventually leave your body in your urine (pee). Diabetes causes diabetes-related nephropathy. If you have diabetes, your body can’t properly process the blood sugar (glucose) from the foods and drinks you consume. Extra glucose in your bloodstream may damage the glomerular membranes as well as other parts of the nephron.

Diabetes-related nephropathy is a condition that affects your kidneys. Another name for diabetes-related nephropathy is diabetes-related kidney disease (DKD). Your kidneys filter waste from your body. Common waste products include nitrogen waste products such as urea, muscle waste (creatinine) and many other toxins. Your kidneys also help balance your body’s fluids and electrolytes. Each kidney contains more than a million nephrons, which help filter your blood and keep all of this in balance.

Each nephron contains groups of tiny blood vessels called glomeruli (glo-mare-yoo-lye). Glomeruli perform the first step in filtering your blood. Glomeruli have semi-permeable membranes. These semi-permeable membranes allow water and soluble wastes to pass through, which eventually leave your body in your urine (pee). Diabetes causes diabetes-related nephropathy. If you have diabetes, your body can’t properly process the blood sugar (glucose) from the foods and drinks you consume. Extra glucose in your bloodstream may damage the glomerular membranes as well as other parts of the nephron.

Damaged glomeruli can’t properly filter fluids. If the glomeruli can’t properly filter fluids, toxins that should leave in your pee accumulate in your blood and body.