Adult Onset Diabetes

Type 2 diabetes is also known as adult onset diabetes because it mainly affects people of middle age.   This is commonly between the ages of 40 and 70. Diabetes occurs when there is a problem with your carbohydrate metabolism. It can be caused by genetics, a poor lifestyle or being overweight.

Normally, during carbohydrate metabolism, food is broken down in the bowel and absorbed in the blood as glucose. Excess glucose is transported to the liver where it is stored as glycogen by the action of insulin. Insulin is produced by special cells of the pancreas known as islets of Langerhans.  It plays an important role in regulating how much glucose is available in the blood for energy and how much is stored away in the liver. For example, insulin is produced in excess amounts (more than normal quantities) in the body after eating a large carbohydrate meal. When one has diabetes, either the pancreas does not produce enough insulin or the insulin produced is ineffective.  This means that glucose will accumulates excessively in the blood. When sugar in the blood accumulates in excess, the kidneys remove the sugar through the urine. Excessive urination leads to thirst and also depletes the tissues of energy.

Diabetes has several symptoms like thirst, hunger, loss of weight, drowsiness and loss of energy and infections like boils. Adult onset diabetes mostly goes undetected for some time especially in mild cases, it is mostly diagnosed in routine tests like an insurance exam or before an operation.


Genetics can play a major role.  If both your parents are diabetics then you are most likely to develop diabetes. A person with a history of diabetes in the family and who leads a sedentary lifestyle, especially during maturity or middle-age, is likely to develop diabetes. For example, consider a 55 year old retired military officer (with one or both parents having diabetes).  He has led a life of constant physical activity, but with time becomes less active and gains a few pounds.  He is likely to develop adult onset diabetes. Inherited genes that control production of insulin are often the problem. This means that your body produces less than normal amounts of insulin because of the control mechanisms of the genes. Heredity diabetes is often mild and symptoms are not severe, it may be controlled by diet alone or in combination with some mild prescriptions.


Obesity in middle-aged and elderly people can cause diabetes. It starts with mild symptoms which include thirst and excessive output of urine.  In elderly women this can include itchiness around the vulva. Extra weight means that there is excess demands in the body for insulin. Since the pancreas cannot produce the excess amount required you develop hyperglycemia (excess of sugar in the blood). The good thing about diabetes caused by obesity is that it can be controlled. When a patient adheres to a low calorie diet, loses weight and achieves a normal weight, the blood sugar levels normalizes.  Diabetes can be reversed.

Tips for Selecting a Plastic Surgeon

Choosing the right plastic surgeon plays a crucial role in ensuring a successful surgical procedure. In addition to that, it plays in important role in the follow-up care. One ought to be careful in order to avoid making mistakes, some which can be expensive and can lead to health complications. In this light, it is worth exploring the various tips that can help you identify the right plastic surgeon.

Plastic Surgeon

Tips for Selecting a Plastic Surgeon

Training and Experience

It is important that you verify the training of the potential plastic surgeon in order to ensure that the training is relevant and solid. The advantage with this is that you get optimal healthcare and less likelihood of a complication. Generally, you should assess the degree and the accrediting medical school, completion of the required three years of doing general surgery work, successful completion of supervised residency, success in both written and oral exams, and, at least, two years of experience.

Past Records

With the increased use of technology, there is sufficient data and information about the various professionals. Be sure to evaluate the past records of the plastic surgeon. If he or she has been associated with malpractice or complications, it is prudent that you look for an alternative.

Board Certification and Membership in Professional Organizations

Certification plays a critical role in the plastic surgeon profession. Professional bodies look at various factors before handing a certification to medical practitioners. There are four main professional boards that are involved in the regulation and certification of the board surgeons. These are the following:

-The American Society of Plastic Surgeons
-The American Academy of Dermatology
-The American Society for Dermatologic Surgery
-The American Academy of Facial Plastic and Reconstructive Surgery

Plastic Surgeon Privileges

Some plastic surgeons have hospital privileges even when one is operating an outpatient clinic. The greatest advantage of hospital privileges is that they do a background check. Another thing with hospital privileges is that such hospitals assess the qualification and credentials of their surgeons. Again, patients under such an arrangement can have access to better equipment and technology if need be.


It will be a good idea to check the national average cost of plastic surgery. Of course, costs vary depending on various parameters such as geographical location. All in all, the cost should be reasonable. The higher the number of procedures, the higher the cost will be. In connection to this, one should ask about any associated cost that comes with the procedure in order to do the right budgeting. It should be noted that going for the cheapest service may not be a rational idea. It may come with lower quality and lower services.

Seeking the referrals from friends can go a long way in helping you choose the right plastic surgeon. In addition to that, it is important that you carry out multiple consultations. Everything lies in your ability to ask relevant questions and getting the right answers. Moreover, one should be careful to unearth the truth in the information in order to avoid the trap of exaggerated answers. The bottom-line is that you should do a thorough market research, with ample time, in order to make an informed decision.