Diabetes

Victor Gura, MD -  - Internist

Victor Gura, MD

Internist & Nephrologist located in West Los Angeles, Beverly Hills, CA

Diabetes Specialist
About 30 million people in the U.S. have diabetes, and many are undiagnosed. As a board-certified kidney specialist and internist, Dr. Gura helps patients in and around Beverly Hills, California, manage diabetes and avoid serious complications including kidney failure.

Diabetes Q & A

by Victor Gura, MD

What is diabetes?

Diabetes is a chronic disease that occurs when the levels of blood sugar (glucose) and insulin are imbalanced. The body requires optimal levels of both glucose and insulin, a hormone produced by the pancreas, to function normally. When this balance is disrupted, tissue and organ damage can occur if the condition is not managed medically.

What is the difference between type I diabetes and type II diabetes?

Type I diabetes is an autoimmune disorder that almost always begins in childhood. In type I diabetes, the pancreas produces very little insulin or none at all, allowing blood glucose levels to rise to dangerous levels. Type II diabetes occurs most commonly in adults who are obese, although recently, more children have been developing type II diabetes as well. In this type, insulin is produced but the body doesn't metabolize it properly. Gestational diabetes is a third type that only develops during pregnancy.

What risk factors are associated with diabetes?

Diabetes has been linked with several risk factors, including having a family history of the disease; being overweight or obese; leading a sedentary lifestyle; having high blood pressure (hypertension), and having high cholesterol. Some research has indicated certain viral illnesses may also increase some individual's risks for developing type I diabetes.

What kinds of health risks are associated with diabetes?

Diabetes has been linked with increased risks for several major medical issues, including: kidney damage and kidney failure, nerve damage, especially in the feet and lower legs, circulation problems, which may result in a need for amputation, cardiovascular disease, vision loss, hearing loss, serious skin infections and slow-to-heal sores, and dementia including Alzheimer's disease.

How is diabetes treated?

Some mild forms of type II diabetes may be managed with lifestyle changes like eating a healthier diet, losing weight and being more physically active. Other patients with type I or type II may require the use of insulin to keep glucose levels under control.

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Victor Gura, MD
50 North La Cienega Boulevard
Suite 310
Beverly Hills, CA 90211