"Can you explain more ?I don't understand the eating pattern.How can I build muscle having such health problems?"he questioned.
"People with type1 DM will be advised to take regular intake of carbs with meals and the dose of insulin will be match with it.For type2 DM, about 60% restriction of carbs from total energy intake is recommended .If there's additional complication in both cases,I will modify your whole diet but you're just fine."
"Type 1 DM caused by profound insulin deficiency & it requires replacement therapy but in type 2 DM,patient usually still have some capacity to secrete insulin but there is a resistance to insulin's action and impaired pancreatic beta cell function."
"What's that ,pancreatic beta cell?"he asked.
"Alpha cells produce glucagon while beta cells produce insulin.In type 1 DM,there will be slow destruction of insulin secreting beta cell due to T cell mediated autoimmune disease.So classical symptoms only visible when 70-90% of the cell have been destroyed."
"Any ways to prevent it?"he asked.
"I'm not sure.Bovin serum albumin from cow milk been implicated in triggering type 1 DM,so infants given cow milk than breastfed more likely to develop it in later life.Stress,viral infections too may precipitate it.There is a hygiene hypothesis that says that reduce exposure to microorganisms in early childhood may limit maturation of immune system and increase susceptibility to autoimmune disease.So basically,genetic,environmental factors and bad luck are the culprits."
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