No Wedding Day for Jay

It appears Jay Cutler will not be walking down the aisle next spring. The Chicago Bears quarterback broke off his engagement to The Hills star, Kristin Cavallari just weeks before the start of football season. Cutler, now 28, was diagnosed with diabetes three years ago. He has Type 1, sometimes referred to as “juvenile diabetes,” which is a misnomer. While the onset typically occurs in children and adolescents, people of any age can be affected. Cutler himself was 25. He exhibited all the classic signs of diabetes: weight loss (he went from 238 pounds to 203 in a few short months), frequent urination, insatiable thirst, and lack of energy. As a result of untreated diabetes, his game suffered. It was not until a routine blood test (required to participate in offseason training), that Cutler learned he had diabetes.

Diabetes, generally speaking, is a condition in which the body’s cells do not receive adequate supply of sugar, in particular, a sugar called glucose. When our food is digested,  glucose makes its way into our bloodstream. Our cells use the glucose for energy and growth. But glucose cannot enter our cells without insulin. It is insulin which enables our cells to take in glucose. Without insulin, the sugar levels in the bloodstream rise.

Cutler’s adult-onset type 1 diabetes highlights the importance of distinguishing the three different types of diabetes:

Type 1 may more accurately be termed “insulin-dependent” diabetes. This is because people with the condition require daily, subcutaneous injections of insulin for the rest of their lives. In type 1, the body’s immune system attacks cells in the pancreas that make insulin.

Type 2 diabetes is sometimes referred to as “adult diabetes.” This is another misconception. In fact, recent studies conducted by the CDC have found that children and teenagers are being diagnosed with the disease at an alarming rate. About 95% of those children were obese at the time of diagnosis. Type 2 diabetes occurs when the pancreas does not make enough insulin, suffers from “insulin resistance”, or both.  Insulin resistance means that the cells no longer respond properly to the insulin present.  An unhealthy weight is a major risk factor.

A third type, gestational diabetes, occurs in pregnant women, and is usually temporary. Complications can still endanger the health of the woman and her fetus.

There is also an uncommon medical condition called diabetes insipidus which actually has nothing to do with insulin. In diabetes insipidus, the kidneys are unable to conserve water as they filter blood. This problem arises either directly from the kidney, or from a part of the brain called the hypothalamus, which produces a hormone, called ADH, that controls water conservation.

Despite the differences between type 1 and 2, the complications are often the same. The higher the blood sugars over an extended period of time, the greater the risk for complications such as blindness, stroke, nerve damage,  limb amputation, kidney failure, and premature death.

Celebrities with Diabetes (type 1 or 2)

Type 1

Type 2

  • Halle Berry – actress
  • BB King – musician
  • Sugar Ray Leonard – boxer
  • Drew Carey – actor; comedian; game show host
  • Tommy Lee – drummer for Motley Crue
  • Billie Jean King – tennis player

Salma Hayek (gestational diabetes)

For more information about Diabetes, click here to go to the Resounding Health Casebook on the topic.

This article was written by contributor Petra Herzog.

Michele R. Berman, M.D. was Clinical Director of The Pediatric Center, a private practice on Capitol Hill in Washington, D.C. from 1988-2000, and was named Outstanding Washington Physician by Washingtonian Magazine in 1999. She was a medical internet pioneer having established one of the first medical practice websites in 1997. Dr. Berman also authored a monthly column for Washington Parent Magazine.

4 Comments

  1. S.K. Wishy

    July 27, 2011 at 3:24 pm

    This page has been very educational and I feel I have learned a lot more about the types of diabetes. My girlfriend has type 1 and I hope that there will be some advancements that will bring us to an alternate ending. Thank you for the article. I hope everyone will team up to find a cure for diabetes.

    • Dr. M

      July 27, 2011 at 4:02 pm

      Thanks for your feedback. Diabetes is a very important disease in this country and fortunately a lot of research money is going into it. Hopefully it will bring the advancements we would like to see for patients.

  2. thepuffyshirt

    July 28, 2011 at 3:21 am

    Nice article but the picture is wrong. That’s Tony Romo, not Jay Cutler. Also a good QB.

    • Dr. M

      July 28, 2011 at 1:52 pm

      Sorry, the picture is used was mislabelled, I’ve replace it with hopefully the correct QB. I guess they all look the same with their helmets on!

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