A chronic disease characterized by high blood sugar levels.Diabetes is a chronic metabolic disease characterized by persistently high blood sugar levels (hyperglycemia). It arises either because the pancreas does not produce enough insulin (type 1 diabetes) or because the body's cells become resistant to the insulin that is produced (type 2 diabetes). Insulin is the hormone that normally signals cells to take up glucose from the bloodstream, so without effective insulin action, glucose accumulates in the blood, leading to damage of blood vessels, nerves, and organs over time.
The term 'diabetes' was used by the Greek physician Aretaeus in the 2nd century CE, but the link to the pancreas and insulin was established in 1889 by Joseph von Mering and Oskar Minkowski, and insulin was first isolated by Frederick Banting and Charles Best in 1921.
In a healthy person, after a meal, blood glucose rises, triggering the pancreas to release insulin. Insulin binds to receptors on muscle, fat, and liver cells, prompting them to transport glucose inside and either use it for energy or store it as glycogen. In type 1 diabetes, an autoimmune attack destroys the insulin-producing beta cells, so no insulin is available. In type 2 diabetes, the cells' insulin receptors become less responsive, so the pancreas must produce more insulin to compensate; eventually it may fail. Without treatment, high glucose causes osmotic damage and glycation of proteins, leading to complications like retinopathy, neuropathy, and cardiovascular disease.
Management relies on blood glucose monitoring, insulin therapy (for type 1 and advanced type 2), oral medications like metformin, and lifestyle interventions. Continuous glucose monitors and insulin pumps are modern technological aids.
Before insulin was discovered, the only treatment for type 1 diabetes was a starvation diet, which prolonged life by a few months but left patients severely emaciated.





