Diabetes and Metabolic Disorders

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A metabolic [met-uh-BOL-ik] disorder occurs when there is a problem with the body's metabolism, which is the process of converting food into energy and eliminating waste. The body relies on various chemicals and processes to ensure proper metabolism. Numerous metabolic disorders exist because issues can arise in any part of this process. Sometimes, the body lacks the right enzyme to break down certain foods. In other cases, the process of converting food into energy might not function correctly, or the body may not receive enough nutrients essential for metabolism. Additionally, an organ involved in metabolism could be diseased or damaged, further disrupting metabolic function.

Symptoms

Symptoms of metabolic disorders vary based on the specific disorder and its severity. Common symptoms include:

  • Unintended weight loss or failure to gain weight and grow in infants and children.
  • Unexpected weight gain.
  • Fatigue and lack of energy.
  • Skin changes, such as altered color, easy bruising, thinning, or slow healing.
  • Abdominal pain and vomiting.
  • Decreased appetite.
  • Persistent hunger and thirst despite eating.
  • Developmental delays in infants and children, missing expected milestones.

When to See a Doctor

See a doctor if you or your child:

  • Experiences unintended weight loss or gain, or isn’t growing properly.
  • Feels frequently hungry or thirsty despite eating and drinking.
  • Needs to urinate often.
  • Feels lethargic and lacks energy.
  • Frequently vomits or complains of belly pain.
  • Has yellowish skin (jaundice) or other skin changes.
  • Struggles to do what other children of the same age can do.

Causes

There are many causes to metabolic disorders.

  • Some metabolic disorders are genetic. A gene responsible for a specific metabolic process or the production of a chemical or enzyme can mutate. This genetic change can be inherited from parents or occur spontaneously.
  • Other metabolic disorders arise when an organ involved in metabolism, such as the pancreas or thyroid, becomes diseased or damaged.
  • Some metabolic disorders have unknown causes. For instance, researchers are unsure why certain individuals develop type 1 diabetes, an autoimmune disorder.

Diagnosis and Tests

To diagnose a metabolic disorder:

  • The doctor will discuss your family’s health history and your symptoms (or your child's symptoms).
  • The doctor may order a blood test called a metabolic panel. This set of tests checks for the presence of the correct chemicals in your blood for proper metabolism. Depending on the situation, the doctor may request a basic metabolic panel or a comprehensive metabolic panel, which includes additional tests.

Treatments

Treatment for metabolic disorders varies based on the specific disorder. Common treatments include:

  • Dietary and lifestyle changes. You may need to avoid certain foods that your body cannot process properly.
  • Medications. Medications can provide the body with substances it lacks, such as insulin for diabetes. They can also help manage symptoms, improve well-being, and prevent life-threatening emergencies.