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Library of General
Healthcare Information

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Copyright 2003
Memorial Hospital, Inc. Towanda, Pennsylvania
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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.
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.
-
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.
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.
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.
- 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.
- 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.
- 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.
- 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.
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