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2
CAITLYN CRAIG
WHAT IS DIABETES?
Risk Factors
Mortality Differences
Diabetic men live an average of 7.5 years less than
nondiabetic men
Diabetic women live an average of 8.2 years less
than women without the disease
Inequality revealed in 2007 study:
Between 1971 and 2000 the death rate for men with
diabetes fell
The death did not decline for diabetic women
Gender Prevalence
Gender Prevalence
Recent data has shown that men develop diabetes at a lower
degree of obesity than women.
Obesity is one of the main risk factors for type 2 diabetes, and
especially the abdominal visceral fat is associated with increased
type 2 diabetes risk. Body fat distribution differs by sex and in
general men have more abdominal fat.
Men are in general more insulin resistant than women, which can
be explained by their higher proportion of visceral and hepatic fat
compartments associated with insulin resistance.
Gender Prevalence
Heart disease is more deadly for diabetic women than diabetic men
Approximately 50% higher risk
Heart attacks are more often fatal for diabetic women than diabetic
men
Urological Problems
More than half of men and women with diabetes
have bladder dysfunction because of damage to
nerves that control bladder function. Bladder
dysfunction can have a profound effect on a
person's quality of life.
Urologic problems that affect men and women with
diabetes include bladder problems and urinary tract
infections.
Urological Problems
Common bladder problems in men and women with diabetes include the
following:
Overactive bladder - Damaged nerves may send signals to the bladder at the
wrong time, causing its muscles to squeeze without warning. The symptoms of
overactive bladder include
urinary frequency-urination eight or more times a day or two or more times
a night
urinary urgency-the sudden, strong need to urinate immediately
urge incontinence-leakage of urine that follows a sudden, strong urge to
urinate
Poor control of sphincter muscles - Sphincter muscles surround the urethrathe tube that carries urine from the bladder to the outside of the body-and keep it
closed to hold urine in the bladder. If the nerves to the sphincter muscles are
damaged, the muscles may become loose and allow leakage or stay tight when a
Sexual
Dysfunction
In Diabetic Men
Sexual
Dysfunction
In Diabetic Men
Sexual
Dysfunction
In Diabetic Women
Reproduction Problems
Decreased sexual function and sexual distress has been noted during luteal
phase of women with type 1 diabetes
During the follicular phase lower basal estrogenic tone and androgen
production has been observed
Diabetic women are more likely to suffer from oligomennorrhea or
secondary amenorrhea
Diabetic women are more likely to have polycystic ovary syndrome, a
condition known to be associated with reduced fertility
Reproduction Problems
Changing medications. If you take oral diabetes medication, you
might need to switch to insulin or make other changes to your
diabetes treatment plan before you conceive. In addition, some
medications including certain drugs to treat high blood
pressure aren't recommended during pregnancy.
Treatment for certain conditions. If you have high blood pressure
or signs of heart, eye, nerve or kidney disease or other
diabetes complications that could be aggravated by pregnancy
preparing for pregnancy might include treatment before
conception.
Consulting with specialists. Your health care provider might
suggest scheduling preconception appointments with an
obstetrician who specializes in high-risk pregnancies, a diabetes
educator, a registered dietitian or other specialists.
Miscarriage or Stillbirth
A miscarriage is a loss of the pregnancy before 20 weeks.
Stillbirth means that after 20 weeks, the baby dies in the womb.
Miscarriages and stillbirths can happen for many reasons. A
woman who has diabetes that is not well controlled has a higher
Microvascular Complications
Diabetes is the most common cause of kidney failure,
accounting for nearly 44 percent of new cases
Nearly 180,000 people are living with kidney failure as a
result of diabetes
Diabetic, Caucasian men are at a greater risk for the
development and progression of renal disease than their
female counterparts
Diabetic, Black women are at a greater risk than diabetic,
black men
Microvascular Complications
In nondiabetic populations , men have been shown to
have a higher risk of renal disease than women
Female sex is associated with a more rapid progression of
diabetic renal disease in both premenopausal non-White
women and postmenopausal women
The probable loss of female protection against
development and progression of renal disease in diabetic
has been linked to the direct effects of sex hormones that
are altered by diabetes
Amputations
Bibliography
Schenck-Gustafsson, K. (2012). Handbook of clinical gender medicine. Basel: Karger.
Perreault, L., Ma, Y., Dagogo-Jack, S., Horton, E., Marrero, D., Crandall, J., & Barrett-Connor, E.
(2008). Sex Differences in Diabetes Risk and the Effect of Intensive Lifestyle Modification in the
Diabetes Prevention Program. Diabetes Care, 31(7), 1416-1421. Retrieved February 25, 2016.
Frch, Kristine. Gender and T2DM [internet]. 2014 Aug 13; Diapedia 3104972816 rev. no. 10.
Available from: http://dx.doi.org/10.14496/dia.3104972816.10
National Data. (2015, April 27). Retrieved February 25, 2016, from
http://www.cdc.gov/diabetes/data/national.html