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LEADERSHIP COUNCIL FOR HEALTHY COMMUNITIES VIRTUAL HEALTH MINISTRY COORDINATOR BACKGROUND

These are two problems that frequently occur together. Usually they are not reported to physicians unless one or both are causing disabling symptoms. In the USA, diabetes occurs in more than 34 million people and in 88 million with pre-diabetes. Pre-diabetes is now recognized as a stage of diabetes with early cardiovascular complications of diabetes thus, diabetes occurs in more than 124 Americans. For African Americans. Diabetes occurs in more than 13% of the population and is usually associated with obesity. Dizziness occurs in approximately 33.4 million Americans, including the high rate of 9% for African Americans. Together, diabetes and dizziness occur in 30 –35 % of the USA population however, in African Americans the rate is from 40 – 50 % and appears to be associated with the high rate of abnormal glucose metabolism.

POSITION DESCRIPTION

Uncontrolled Diabetes (A1c > 5.7%) is a state of total body abnormal metabolism and total body inflammation with an inadequate insulin and glucagon amounts and/or actions, whereas, dizziness is a sensation of spinning around and losing one’s balance. These frequently present as complications of each other. Dizziness occurs more commonly in people with uncontrolled Diabetes. Agarwal et al. (1) found dizziness was 70% higher in people with diabetes than in). those without.

There are 4 types of dizziness. These types may overlap and are often not distinct. The 4 types are: 1. Vertigo, 2. Disequilibrium, 3. Presyncope, 4. Lightheadedness (2)