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Lewes, Delaware
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October 17, 1997     Cape Gazette
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October 17, 1997

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CAP](-Zq[VEtFridaO@totrt-:Ot]5F28, p I9rJ".'35 " New research suggests other ways to treat diabetes By Kerry Kester The latest research on diabetes suggests the disease is a manifes- tation of many disorders. The underlying etiology of other ill- nesses and causes for diabetes is changing treatment regiments. Renata Didyk, M.D., who is board eligible for internal medi- cine and pursuing certification as an endocrinologist, recently start- ed working at Associates in Medi- cine with Nancy Union, M.D., and Kevin Wallace, M.D. Didyk, who has a strong background in research, not only treats patients age 16 and older as a primary care physician, she also specializes in treating diabetics, "I've always been interested in diabetes," said Didyk. "Diabetes is quite prevalent in the aging population, and the complication rates are pretty high." The disease, explained Didyk, occurs when blood sugar becomes too high in the body. Cells in the body need glucose for energy, but if there is too high a level, such as in diabetes, then people become sick. Glucose is stored as glycogen by the liver, which acts much like a storage bank, from which the body can make withdrawals as needed. However, the body can't benefit from the glucose unless it can get into the cells, said Didyk. For that to happen, the cells need insulin, a hormone produced by the pancreas. Insulin allows glucose to pass through cell walls. When it works efficiently, the insulin allows sugar to enter the body's cells. Fat and muscle use the largest percentage of glucose, she said. When the body has too much insulin, as in insulin overdoses, blood glucose falls below normal levels, said Didyk. When blood sugar drops, the brain and nervous systems are affected. Patients may begin to sweat, feel irritable, become dizzy, lose consciousness and even go into a coma, she said. There are two primary types of diabetes, said Didyk. "Type I's produce no insulin," said Didyk. Those diabetics must have insulin injections. "If they don't get their insulin, they can die from diabetic ketoacidosis." Type II diabetes, she said, usu- ally occurs in the adult years. These people produce insulin, but the target cells in fat and muscle are resistant to its action. Often the disease is treated and controlled through diet and exer- cise modifications. However, she said, there are times when a Type II diabetic must be put on an insulin treatment regiment. Potential complications from diabetes include eye problems, kidney disease, and large and small blood vessel disease that can ultimately lead to people requiring amputations, said Didyk. Early diagnosis and treatment is important, she said. Because the new research suggests that many factors contribute to the diabetic condition, treatment avenues are changing, said Didyk. For some patients, drugs called sulfony- lureas can be prescribed. "These stimulate the pancreas to produce more insulin," said Didyk. "Usu- ally it's used in patients with resis- tance to insulin." A new medicine released within the last year is Rezulin, a synthet- ic drug developed in Japan. "It was found to make the target cells more efficient in metabolizing the sugar," said Didyk. "It allows insulin to be more efficient for getting the sugar into the cells." In essence, she said, it "revs up the cells." Other drugs, she said, make it possible for patients to need less insulin. All patients, regardless of their medica- tions, benefit from diet and exercise, said Didyk. DIDYK "We ask people to exercise, because it makes the muscles more efficient in the utilization of glucose." Most patients who exercise require less insulin, she added. "The goal is to make the body more efficient at getting glucose into the cells. Diet is very impor- Continued on page 36 Model Trains & Show & Sale Saturday, November 1, 1997 Townsend, Delaware Fire Hall 9 A.M. to 2 P.M. Dealer set at 7 A.M. Call on Cottrell for information HEI001HE LOI00 N4D Lower Delaware Therapy Dogs, Inc. is sponsoring a spay/neuter program for dogs. If your dog needs tO b spayed Or neutered but you are unable to afford the cost, LDTD, Inc. would like to assist you. If you qualify LDTD, Inc. will pay the fee in full to a participating veterinarian. For More Information call 732-3634 Please Sponsor this page soon! Call Mariann 645-7700 " ,:1 "-"- [ I love to be loved. 1 year old female. I'm all white. I am a Black/Tan Shepherd/Terrier mix. I am a 4 month old female. I'm going to stay small. I am a 9 month old Lab mix, tan colored male. I have white markings. I am housebroken. Come get me! Dog & cat food, dog biscuits & treats, dog & cat toys, old towels, newspapers, etc. Homer Symbols from Advanced Nutrition Cycle, dog food bags, cans & biscuits. They mean cash to us! Call Mary 302-856-7380 Mon.-Fri. 10 A.M.-4 P.M. t Delaware or come to 00PCA 326 S. DuPont Hwy. Georgetown, Delaware 19947 Have your dog greet people calmly. Even small breeds can accidentally hurt or scare someone by jumping on them. FINS 'N