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Diabetes is the sixth leading cause of death in the United States (CDC, 2007).Type 1 diabetes was previously called insulin-dependent diabetes mellitus (IDDM) or juvenile-onset diabetes.Type 2 diabetes was previously called non-insulin-dependent diabetes mellitus (NIDDM) or adult-onset diabetes.Type 2 diabetes may account for about 90% to 95% of all diagnosed cases of diabetes.The pancreas, an organ that lies near the stomach, makes a hormone called insulin to help glucose get into the cells of our bodies.When you have diabetes, your body either doesn't make enough insulin or can't use its own insulin as well as it should.Type 1 diabetes develops when the body's immune system destroys pancreatic beta cells, the only cells in the body that make the hormone insulin that regulates blood glucose.This form of diabetes usually strikes children and young adults, although disease onset can occur at any age.

As the need for insulin rises, the pancreas gradually loses its ability to produce insulin.Gestational diabetes occurs more frequently among African Americans, Hispanic/Latino Americans, and American Indians.It is also more common among obese women and women with a family history of diabetes.Type 1 diabetes may account for 5% to 10% of all diagnosed cases of diabetes.Risk factors for type 1 diabetes may include autoimmune, genetic, and environmental factors (CDC, 2007).Such types of diabetes may account for 1% to 5% of all diagnosed cases of diabetes (CDC, 2007).