Prevention will depend on how well the region manages each of these dimensions. Chief among these are obesity, advancing age and decreased physical activity. Moderate degrees of weight reduction and increased physical activity are associated with decreases in plasma insulin, improved insulin sensitivity and lower plasma glucose levels. If these are unsuccessful, oral hypoglycaemic agents or insulin therapy should be used to achieve blood glucose levels as close to normal as possible. External factors include diet, nutrition, virus infection, urbanisation, immigration from industrial countries, intellectual profession and chemical agents.
Internal factors are inheritance, race, obesity, ageing, and immune and neuro-endocrine status.
Even though the prevalence rate in China is low, a large reservoir of known and unknown diabetics exists. Treatment of diabetes is improving but complications occur and many patients die from complications rather than the disease. Complications increase with age and they include microvascular disease, ketoacidosis, and neuropathy. Glucose provides the body with energy. Glucose in the blood binds to a carrier protein which facilitates transportation and passage across cell membranes.