GIVE US A CALL:
570-265-2191

HOME

WE ARE IN
THE NEWS!

WELCOME TO
MEMORIAL HOSPITAL

  Administration
  Admissions
  Auxiliary
  Business Office
  Job Opportunities
  Materials Management
  Medical Records
  Patient Handbook
  Volunteers


VISITOR INFORMATION
  General Information
  Driving Directions
  Local Links
  Lodging
  Local Newspapers
  Hospital Visiting Hours

Message From
Our President

DOCTORS
  Physician Directory

PATIENT SERVICES
  Ambulance & Transportation
      Services
  Autologous Blood Donations
  Bone Densitometry
  Cardiac Rehab
  Cardiopulmonary
  Critical Care Unit
  Dialysis
  Dietary / Dietitian
  Ear, Nose, and Throat (ENT)
  Emergency Medicine
  Hospice
  Home Health
  Internal Medicine
  Laboratory
  Lithotripsy: For Kidney Stones
  Mammotome Breast Biopsy
  Massage Therapy

  Maternity Center
  Medical Surgical Unit
  MRI
  Occupational Therapy
  Occupational Health/Wellness
  Orthopedics
  Outpatient Therapy Clinic
  Pastoral Care
  Patient Handbook
  Pediatrics
  Personal Care Home
  Physician Directory
  Physical Therapy
  Podiatry
  Private Care
  Pulmonary Rehab
  Radiology
  Same Day Surgery
  Sensory Integration Therapy
  Skilled Nursing Unit
  Sleep Studies
  Social Services
  Spiral CT Scanner
  Speech Therapy
  Stress Echocardiography
  Surgery and Anesthesia
  Therapy Clinic

  Transportation Services
  Urinary Incontinence Therapy
  Urology
  Wellness
  Women's Health

COMMUNITY
  Community Links, etc.
  Hospice
  Speaker's Bureau

LONG TERM CARE
  Skilled Nursing Unit
      Dietitian
  Personal Care Home
  Private Care
  Nursing Assistant Training

EASY EMAIL ACCESS
  Hospital President
  VP Human Resources
  VP Patient Services
  VP Finance
  VP Long Term Care
  Medical Staff Affairs Director
  In-Home Care Administrator
  Marketing Director

  Wellness Director

  Business Office
  Performance Improvement


Library of General
Healthcare Information

HOME

CONTACT
MEMORIAL HOSPITAL:
info@memorialhospital.org

Copyright 2003
Memorial Hospital, Inc. Towanda, Pennsylvania
All Rights Reserved

Diabetes Complications

  • Nerve Damage
  • Kidney Damage
  • Eye Damage
  • Other Problems
  • Skin Problems
  • Mouth Problems
  • Impotance
  • Foot problems
  • Sometimes, people who've had diabetes for a while develop other health problems. These are called complications. Complications include damage to the nerves, eyes, kidneys, and heart and blood vessels.

    Complications can often be prevented. The Diabetes Control and Complications Trial showed that tight glucose control can prevent or stop eye damage, nerve damage, and kidney damage.

    Nerve Damage

    The damage diabetes causes to nerves is called diabetic neuropathy. There are several types. They vary in what part of the body the damaged nerves are in.

    What happens.
    High glucose levels damage nerves. They no longer carry messages properly.
    The symptoms.
    Symptoms vary with the kind of neuropathy you have. Symptoms can include:
    • Prickling, tingling, burning, or jabbing feelings
    • Loss of feeling
    • Weak muscles
    • Fainting
    • Vomiting
    • Bladder infections
    • Diarrhea
    • Sexual problems
    Prevention.
    To prevent nerve damage:
    • Keep your glucose levels well controlled.
    • Don't smoke
    • Drink little or no alcohol
    • Eat healthy meals that are rich in vitamins and minerals
    • Exercise regularly
    Treatment.
    Improving blood glucose control can help nerve damage. Nerve pain can be treated with antidepressant drugs, exercises, or special skin creams. Surgery can sometimes help. Other treatments are available when stomach, gut, or bladder nerves are affected.
     

    Kidney Damage

    Diabetes can lead to the kidney disease called diabetic nephropathy.

    What happens.
    The job of the kidneys is to filter wastes from the blood. Sometimes, diabetes causes the kidneys to lose their ability to filter properly. As a result, protein that the body needs is lost in the urine, and wastes that the body doesn't need build up in the blood.
    The symptoms.
    Kidney disease causes no symptoms until the kidneys are badly damages. So your doctor should test your urine for protein each year. You may also have blood tests done.
    Prevention.
    To prevent kidney damage:
    • Keep your glucose levels well controlled.
    • Keep your blood pressure down.
    • Maintain healthful meal planning.

    Treatment.
    Kidney damage cannot be reversed. So it is important to prevent it. There are two treatments for when kidneys no longer work. In dialysis, a machine cleans the blood. With kidney transplant, the person gets a new kidney from someone else.

    Eye Damage

    Diabetes can lead to an eye disease called diabetic retinopathy.

    What happens.
    The retina is the lining at the back of the eye that senses light. It acts like the film in a camera. In nonproliferative retinopathy, the milder form, blood vessels leak blood and fluid into the eye. In the more severe-but rarer-form, proliferative retinopathy, new blood vessels sprout and grow out of control. They can bleed or cause scarring, which pulls on the retina.
    The symptoms.
    Retinopathy may not cause any symptoms. So you should see an eye doctor each year after you are 30 years old (or, if you're younger than 30, each year after you've had diabetes for 5 years). You should get a special exam with eye drops to look for retinopathy. You should also see your eye doctor if:
    • Your vision is blurry.
    • You see double.
    • You see spots or floaters.
    • One or both eyes hurt.
    • You feel pressure in your eye.
    • You lose the ability to see things at the side.
    • You have trouble reading.
    • Prevention. To head off eye damage:
    • Keep your glucose levels well controlled.
    Treatment.
    The earlier you can catch retinopathy, the better the treatments work. The two main treatments are:
    • Photocoagulation, in which a laser seals of leaky blood vessels.
    • Vitrectomy, a surgery that removes blood and scar tissue from the eye.
    • Heart And Blood Vessel Damage

    Diabetes makes you more likely to get hardening of the arteries or have a stroke. You can also have peripheral vascular disease, in which not enough blood reaches the areas farthest from your heart.

    What happens.
    When you have diabetes, your body chemistry changes. As a result, your blood may clot too easily. Your blood vessels may narrow. And fat may build up in your blood vessels faster.
    The symptoms.
    If you have poor circulation, you may have many infections, your skin may itch, or your legs may become shiny and lose their hair. Your calves may hurt when you exercise. If you are a man, you may have trouble having an erection. Your doctor can do tests for these problems. If your blood pressure or cholesterol level is high, it signals that you are at risk of heart or blood vessel damage.
    Prevention.
    You can lower your risk of heart and blood vessel disease. These steps make your body chemistry more normal. And they keep your blood vessels more open.
    • Keep your glucose levels well controlled.
    • Don't smoke.
    • Maintain low-fat meal planning that does not contain a lot of salt.
    • Keep your blood pressure down.
    • Lower your cholesterol if it is over 200 mg/dL.
    • Exercise often.
    • Lose weight if you need to.
    Treatment.
    These seven steps can also help people who already have heart or blood vessel disease. Also, surgery can open narrowed vessels.

    Other Problems

    Sometimes, damage to one organ has effects on many other parts of the body. Sometimes, two or more complications together set other problems in motion.

    Skin problems.

    Damaged nerves and narrowed blood vessels both can lead to dry, itchy skin. Poor circulation also makes infections more likely and longer lasting. Poor circulation can also lead to various skin problems. These include spots of various colors, blisters, yellow bumps, and rashes. Also, skin on the hands and toes may become waxy ad tight.

    To keep your skin in good shape, keep your diabetes well controlled. Keep your skin clean. Moisturize your skin (except between toes and other places where skin touches skin). Wash cuts carefully, but do not use harsh cleaners like alcohol on them.

    Mouth problems.

    High glucose levels provide an inviting home for germs. So people with diabetes are more likely to get gum infections. Poor circulation can slow down healing.

    To protect your teeth, have them cleaned every 6 months. Make sure your dentist knows you have diabetes. Brush teeth with a soft brush at least twice a day. Floss every day.

    Impotence.

    Nerve damage and poor circulation can both make it hard for men to have an erection. But there are many other causes as well. Talk to your doctor. If your impotence is due to your diabetes, get your blood glucose under control. Quitting smoking will improve your circulation. Your doctor can advise you about other possible treatments.

    Foot problems.

    Nerve damage and reduces blood flow also take a toll on feet. When you can't feel your feet well, it is easy to bump and scrape them. And you may not even be able to tell you've injured them. Poor blood flow then keeps the sore from healing.
    • Everyone with diabetes should take good care of their feet. This includes:
    • Washing feet each day, then drying them carefully.
    • Checking your feet for injuries each day.
    • Having your shoes fit by a trained fitter.
    • Buying and wearing only comfortable, supportive shoes with a low heel and plenty of wiggle room for your toes.
    • Checking your shoes before putting them on for stones, paper clips, nails, and other things that could rub your feet.
    • Wearing socks without seams or mended areas.
    • Not going barefoot not even to the bathroom at night.