What is Diabetes? Diabetes is a metabolic disorder that is defined as high levels of blood sugar over a long period of time. Its symptoms are increased hunger, increased thirst, and frequent urination. If left untreated it can cause stroke, heart disease, blindness, kidney failure, foot ulcers and nerve damage. The condition is caused by the pancreas not making enough insulin (diabetes type 1) or the cell not being able to respond properly to the insulin that is produced by the body (diabetes type 2). This occurs if the insulin protein that is made is defective. Insulin, a special protein, binds to a receptor on the surface of the cell, opens and closes this channel to allow glucose to pass into the cell. If the insulin protein was not made correctly and is defective, it will not be able to bind to the receptor and open the channel. This situation causes the cell not to be able to generate energy for itself by being broken down in the mitochondria. Instead, the glucose accumulates within the blood and these levels can rise to dangerous levels. High blood sugar levels could cause the glucose molecules to change from the liquid phase into the solid, crystalline phase. Sugar molecules will revert to a crystal form when a specific concentration in the blood is reached. Over a long period of time, these crystals, which have sharp, razor-like edges, cause long-term damage to nerves, blood vessels and the tissues they come in contact with. This damage is caused through the abrasive and cutting action of the crystals as they move from one one location in the body to another. High blood sugar can be controlled through the use of insulin that is made through an external source. It can be injected or pumped into the bloodstream before a meal is consumed or eaten. Insulin that is properly produced allows the glucose channels on the cell to open and allow glucose molecules into the cell. Once in the cell, they are transported into the mitochondria where they are broken down into ATP. ATP is a form of stored energy for use by the cells. This energy is then able to power the activities that occur within the cell. Diabetes is also treated through proper eating and exercise. People with diabetes must watch the quantity of sugar they take into their bodies through food and drink. Foods and drinks high in sugar and fructose corn syrup appear in cereals, sodas, candy, jelly, and other snacks and drinks can raise blood sugar levels to extremely high levels. Lack of proper exercise to help the body breakdown excess glucose puts many people at risk for developing type 2 diabetes. Research shows that many children now are being diagnosed with type 2 diabetes caused by poor eating choices and lack of exercise. Knowledge and Comprehension 1. What is diabetes? 2. What are the symptoms of diabetes? 3. What are some conditions that can be caused if blood sugar remains high for a long time without being treated? 4. What causes diabetes? 5. How is diabetes treated? 6. Explain how proper eating and exercise can help prevent diabetes. What are some things you can do at school and at home to be healthier?