My husband’s grandmother is 84 and has diabetes. Although she is fiercely independent, she cannot look after herself properly and will have to go into a residential home. Can you let me know of any homes that cater especially for people with diabetes?

Because diabetes is becoming increasingly common in the elderly, the staff in most residential homes are experienced in looking after people with diabetes. They will probably be happy to do urine tests, ensure that diet is satisfactory and see that she gets her tablets and, if necessary, insulin injections.

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My wife, who developed diabetes a few weeks ago, is about to return to work. I feel that she should wear some sort of identity disc or bracelet showing that she has diabetes but she is reluctant to wear anything too eyecatching. Have you any suggestions?

It is very important that all people with diabetes, especially those on insulin, should wear some form of identification. Accidents do happen and it may be vital for any medical emergency team to know that your wife has diabetes.

Medic-Alert provides stainless steel bracelets or necklets which are functional if not very beautiful. They can also be obtained in silver, gold plate, and 9-carat gold. Medic-Alert’s.

SOS/Talisman produces a medallion which can be unscrewed to reveal identification and medical details. These can be bought in most jewellers and come in a wide range of styles and prices, including some in 9-carat gold. Other products are always coming on to the market, and Balance, the magazine produced by Diabetes UK, usually carries advertisements.

I recently enquired about having electrolysis treatment for excess hair. I was told that, as I had diabetes, I would need a letter from my doctor stating that my diabetes did not encourage hair growth. Could I use wax hair removers instead?

There is no objection to your having electrolysis. Diabetes does not cause excessive hair growth. It sounds as though the firm doing the electrolysis is being overcautious.

People with diabetes can use the same methods of hair removal as those without diabetes – no special precautions are needed.

Could you tell me what ointment to use for skin irritation?

The most common cause of skin irritation in people with diabetes is itching around the genital region (pruritus vulvae). The most important treatment is to eliminate glucose from the urine by controlling diabetes. However, the itching can be relieved temporarily by cream containing a fungicide (e.g. nystatin).

I have recently been given afoot spa and was surprised to see a caution on the side of the box that it is not suitable for people with diabetes. Is this true?

If you have neuropathy (nerve damage), you should check with your diabetes team before using the spa. If you don’t have neuropathy, make sure that you check the temperature of the water carefully and don’t soak your feet for too long as this will make the skin soggy, easily damaged and prone to infection.

DIABETES CLINICS

My CP is starting a diabetes clinic in the local group practice and tells me that I no longer need to attend the hospital clinic. It’s much more convenient for me to go to see my CP but will this be all right?

You are fortunate that your general practitioner has a special interest in diabetes and has gone to the trouble of setting up a special clinic in the practice for this. Many GPs and practice nurses have had special training in diabetes and these general practice-based diabetes clinics are becoming more common.

They usually work well as long as you have uncomplicated diabetes and are well controlled, but you should be aware of the sort of care you can expect: Diabetes UK’s recommendations are given at the end of this section. We are sure that your hospital specialist will know about your CP’s new clinic and may even attend it from time to time. If you have any anxieties, why not discuss them with your doctor?

My CP is keen to test my urine every year to ‘look for evidence of kidney damage’. This sounds very frightening. Please explain.

The test goes by the name of microalbuminuria. For years nurses in diabetic clinics have asked for a urine sample which they test for protein. This is a crude test and is only positive when there is a lot of protein in the urine. The new test is very sensitive and detects minute traces of albumin (the body’s most common protein). Research has shown that protein detected in such small amounts is the first sign of kidney damage but at this early stage it can be reversed. This damage can be slowed by keeping the blood pressure below 135/75 and controlling the blood glucose – HbA1c 7% or less. The result of this test is often presented as a ratio of albumin (the protein) to creatinine, which corrects for the flow of urine at the time. The best result is to have a ratio of less than 0.5. The top limit of normal is usually quoted as 3.5 for women and 2.5 for men. If left untreated, the amount of protein in the urine will increase until it can be detected by conventional urine testing sticks. Over a period of years, this may progress to kidney failure and the possible need for dialysis or a kidney transplant. At the early stage of microalbuminuria, this process is reversible by control of blood pressure and glucose. There is good evidence that people with normal blood pressure and microalbuminuria can be protected by treatment with a tablet called an ACE inhibitor.

BLOOD GLUCOSE TESTING

I have trouble obtaining enough blood to perform a blood sugar test. Is there anything that I can do to make this easier?

The good news is that many of the new meters need only tiny amounts of blood in order to perform a test. However, if you are having trouble obtaining enough blood then try warming your hands by washing them in warm water before you start, and drying them thoroughly before pricking your finger. When squeezing the blood out of your finger, try ‘milking’ the blood out gently, allowing the finger to recover between each squeeze. Do not squeeze so hard that you blanch the finger white.

I am about to buy a meter that allows blood to be taken from the arm. Are there any problems with arm testing?

At the time of writing there are three meters that allow blood for testing to be taken from the arm. They are the OneTouch Ultra from LifeScan and the FreeStyle Freedom and Freestyle Mini from Abbott. The OneTouch Ultra and FreeStyle use strips that allow a tiny blood sample to be taken, which makes arm testing feasible. Under certain conditions, samples taken from the arm may differ significantly from fingertip samples, such as when blood glucose is changing rapidly:

• following a meal;
• after an insulin dose;
• when taking physical exercise.

Arm samples should only be used for testing prior to, or more than two hours after meals, an insulin dose or physical exercise. Fingertip testing should be used whenever there is a concern about hypoglycaemia (such as before you drive a car), as arm testing may not detect hypoglycaemia. Obtaining sufficient blood from the arm is not always easy but for some it is a welcome alternative to fingertip pricking. Your health professional should be consulted before you begin arm testing.

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I have heard that there is a way of obtaining blood from a finger using a laser. Is this true?

The Lasette is a single shot laser that makes a small hole in the finger to obtain a drop of blood, but it is not a blood glucose monitoring device. The use of laser light, as opposed to a steel lancet, reduces tissue damage, and many users of the device report feeling less pain than when using a traditional lancet. It weighs just less than 260 g (9 02). However, it is very expensive. It is slightly smaller than a videocassette.

I would like to measure my own blood glucose levels, but as I am now blind I do not know if this is possible. Can it be done?

After a long spell when no speaking meters were available there is now the new SensoCard Plus Meter which will speak instructions and also speak the result. The meter has recently come down in price. Strips are available on prescription and your pharmacist would need to contact the company, Cobolt Systems Ltd, directly. It also supplies control solution to check that the meter is working properly, and software to download results from a computer.

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OTHER ILLNESSES

I have just been in hospital with anaphylactic shock from a bee sting. I have diabetes controlled with tablets and wondered if this had anything to do with the severity of my reaction?

There is no connection between diabetes and allergy to bees.

My husband is on tablets for diabetes and normally has good control. He is prone to chest infections and these seem to upset his blood sugars. What should he do?

This can be a really difficult problem. Of course if your husband is ill enough to need hospital admission, he should be given insulin while his sugars are running high. At home, this is not as simple because there is no way of knowing what dose of insulin he may require, and an inadequate dose of insulin may even make matters worse. In a perfect world he would have insulin for the duration of his illness but in reality it is acceptable for him to run high sugars for a day or so, in the expectation that they will soon settle down spontaneously. In a longer-lasting illness, he will need insulin if the sugars are consistently high and there will be time to adjust the insulin dose in response to the blood glucose measurements.

Chest infections and asthma are often treated with steroids, which can cause a major rise in the blood glucose.

Since I was told I have Type 2 diabetes, I have been very depressed. Is there any link between depression and diabetes?

People vary greatly in their response to learning that they have diabetes; some are able to adjust to their new condition easily, while others find it hard to accept. We wonder what input you have received from your doctor or nurse to help you cope with this unpleasant news. We often hear of people who are told they have diabetes in a matter-of-fact way, and then see the practice nurse who gives them basic information about diabetes, sometimes backed up with some reading material. However, they leave the session feeling that their own fears and concerns have not been addressed. Such people often become angry and get the impression they have been responsible for their own diabetes. These negative emotions often cause depression and a belief that they can do nothing to improve the situation.

We support the DESMOND approach where a group of people recently diagnosed with diabetes meet with an educator who is trained to listen as well as to teach. In the opening session, people are invited to tell their own story and this leads to a feeling of solidarity within the group. After learning basic facts about food and diabetes, including the effect this may have on their future health, members of the group are encouraged to set their own goals for improving their health. When first diagnosed with diabetes, it is often difficult to work out whether the condition is serious or trivial. The DESMOND process helps people get diabetes into perspective and allows them to make informed lifestyle choices regarding food and exercise. It also provides the reassurance of meeting other people with diabetes, who are living through the same difficult experience. Other centres have developed education programmes along similar lines to DESMOND.

CAUSES OF DIABETES

Our 16-year-old daughter has just been found to have Type 2 diabetes. Apart from not needing insulin, are there any other differences between Type 1 and Type 2 diabetes?

It may come as a relief to be told that although your daughter has diabetes, she will not need insulin injections – at least for the time being. However, Type 2 diabetes is at least as serious a condition as Type 1. This is because young people with Type 2 diabetes, like adults with this condition, carry an extra threat of heart disease, though this will not apply to your daughter until she is much older. The risk factors include high cholesterol, triglycerides and blood pressure, and increased waist circumference (sometimes called the metabolic syndrome).

A study in America has looked at the frequency with which these risk factors appeared in different groups of young people aged 12-19 years. In the general population of American children, 6.4% in this age range had two or more of these risk factors. In young people with Type 1 diabetes, the frequency was 14%, while in those with Type 2 diabetes it was greater than 90%.

Although this information is bound to worry you, all these risk factors can be identified and corrected. It is important that your daughter has regular checks for body weight, cholesterol and blood pressure and if these are above the normal for her age, she should receive treatment to prevent or delay the risk of heart disease as she grows older. Some drugs used for treatment of cholesterol and blood pressure should not be used in pregnancy and your daughter needs to be aware of this.

I was very ill last year and developed diabetes, which has since got better. Can a severe illness cause diabetes?

Any serious medical condition (such as a heart attack or injuries from a traffic accident) can lead to diabetes. This is because the hormones produced in response to stress tend to oppose the effect of insulin and cause the glucose level in the blood to rise. Most people simply produce more insulin to keep the blood glucose stable. However, in some cases, if the reserves of insulin are low, the blood glucose level will climb. You had temporary diabetes, and the glucose level returned to normal once your stress was over. However, you will carry an increased risk of developing permanent diabetes later in life.

My latest baby was very big at birth. Would she have caused me to have developed diabetes?

No, the opposite is true. It is because you already had unrecognised diabetes that your daughter was big and any woman who has an unexpectedly big baby (more than 4 kg or 9 lb) should be tested for diabetes. If you had diabetes during pregnancy but your blood sugar returned to normal after your baby was born, you will continue to carry an increased risk of developing diabetes at some stage in the future.

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TREATMENT WITH INSULIN

Insulin was discovered by Frederick Banting and Charles Best in the summer of 1921. The work was carried out in the Physiology Department of Toronto University while most of the staff were on holiday. Before insulin was discovered, there was no treatment for people with diabetes and if they had what we now call Type 1 diabetes, death was inevitable, usually within a year of diagnosis. The first human to be given insulin was a 14-year-old boy named Leonard Thompson who was dying of diabetes in Toronto General Hospital. This was an historic event, representing the beginning of modern treatment for diabetes. It was then up to the chemists to transform the production of insulin into an industrial process on a vast scale.

There are two groups of people who need insulin. The first group are severely insulin deficient and cannot survive without it (Type 1 diabetes). The other group tends to develop diabetes later in life and they continue to produce some insulin (Type 2 diabetes). These people can usually be treated with diet and tablets initially but need insulin sooner or later.

Insulin still has to be given by injection because at present it is inactivated if taken by mouth. Inhaled insulin has just been released but it not available for general use in the UK. About a quarter of all people with diabetes are treated with insulin. Virtually everyone who develops diabetes when they are young needs insulin from the time of diagnosis. People diagnosed in later life may manage quite satisfactorily for many years on other forms of treatment but eventually many of them will need insulin to supplement the diminishing supply of insulin from their pancreas.

Most people dislike the thought of having to inject themselves but modern insulin pens and needles are so well designed that these fears usually disappear after the first few injections. In general, insulin injections become part of the daily routine.

TYPES OF INSULIN

Since the discovery of insulin, countless people with diabetes have injected themselves with insulin extracted from the pancreas of cows and pigs. In the last 20 years or so human insulin has become widely available. However, human insulin is not extracted from human pancreas in the same way beef or pork insulin is. A great deal of research went into producing ‘human’ insulin by means of genetic engineering. This means that the genetic material of a bacterium or a yeast is reprogrammed to make insulin instead of the proteins it would normally produce. The insulin manufactured in this way is rigorously purified and contains no trace of the original bacterium.

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Diabetes and the Consequences

It is no laughing matter when one contracts this horrible disease. Early symptoms might include headaches, dizziness, thirst, hunger and a few other mild out of sort’s conditions. It’s when the other more serious symptoms start that one generally becomes very anxious.

The feet may lose feeling, the centre of the brain feels numb, the eyes are not what they used to be and balance is fading. You head to the doctor’s and a sucrose tolerance test is ordered. You suspect high blood sugar because you have a sweet tooth and a great love of chocolate and ice cream. So will that explain why you are so thirsty, particularly when you wake up in the morning? What about that funny feeling in your tongue?

Some of these symptoms go with high cholesterol and high blood pressure and these too are warning signs for diabetes.

During my lifetime there have come and gone many with the disease and the thing noticed most about them is the smell of their breath. It is a somewhat sickly artificial smell that might be explained by the intake of insulin. My grandmother had diabetes and that smell was prominent on her breath and would see me avoiding coming too close to her face, although her affection was much sought after.

Lately some diabetics have come to my attention in hospitals where they were having lower limbs removed. In the eye hospital some were being treated for blindness and other things.

This is a preventable disease although if you have the diabetic gene it only takes careless abuse of your body to get it. Obesity is one of the primary causes and here blood pressure and cholesterol are always present. People with the latter can contract heart disease, suffer strokes and die suddenly. All types of viagra medications online at global canadian pharmacy

These are all reasons to avoid sugar at all costs and yet parents feed masses of it to their children. Soft drinks or sodas are full of it, some worse than others. Chocolate bars and candies are quite potent poisons and ice cream loaded with sugar is also full of fat.

People diagnosed with Type 2 diabetes are often misinformed as to what foods they are supposed to stay away from. Simply listing a category of food isn’t enough as it is not always such a clear-cut case. Sometimes it is better to be much more specific so that a diabetic isn’t limiting themselves unnecessarily.

Sugar, for example, is a definite enemy. But there are many other places white refined sugar can hide instead of in the obvious doughnut or brownie. Your favorite condiments, from mustard to ketchup and relish are loaded with it. White bread is notoriously high in sugar. (Also, any food such as bread made with white refined flour is bad for you… it starts out naturally brown and is whitened by a chemical process which forms another substance called alloxan, which is known to destroy pancreatic function!) In fact, white bread breaks down into pure sugar before it can even be swallowed. Crackers, waffle and pancake mixes are also full of the “white stuff”.

You were probably told to avoid foods with a high concentration of fat, but what does that really mean? Avoiding all saturated and trans fats would be good, but this would take a lot of policing to accomplish. It’s almost impossible to completely eliminate all saturated and trans fats from your food. The best way to handle fat in your food, is to limit it as much as possible. Look at food labels and take into account how much fat is in each serving… not the entire container. This is the key.

Vegetables are good for you, so they can’t be on the list of foods to avoid… right? Wrong. Having a free-reign on all vegetables is never a good idea. First, you have to see the way the vegetables are packaged. Canned vegetables can still be high in sugar. Frozen vegetables can be stripped of vital nutrients with harmful preservatives added back in.

Even in their raw form, there are some vegetables to stay away from. Corn, certain types of squash, sweet potatoes and the dreaded white potatoes all should be avoided whenever possible.

Are you eating sugar-free products? You may unknowingly still be consuming sucralose, an artificial sweetener not recommended for diabetics. Read labels if you want to find the hidden ingredient of sucralose or other artificial sweeteners. Also remember, many sugar-free foods are not healthy for people with Type 2 diabetes.

Foods can also have another hidden danger: salt. Otherwise known as sodium, salt can inflict an incredible amount of harm on a body in a relatively short amount of time. A major problem with salt is that it can be hidden in virtually any type of food imaginable. Frozen foods are laced with it as part of their processing. Canned foods, especially the seemingly harmless vegetables and canned meats, are filled with salt. This is what gives them their long shelf life.

Processed foods, no matter what kind you are talking about, are loaded with salt. The best way to identify the salt content is to look closely at the label. Remember to take into account the number of servings, and not just the salt content per serving.

If you want to limit salt, always go with fresh foods.

Dealing with pre-diabetes is never easy – you have to make changes to your lifestyle to accommodate to the condition, and it may sometimes require quite the serious sacrifices from you. On the other hand, you must always keep in mind that this is still far better than having to deal with actual diabetes, so don’t treat the condition lightly and try to approach it as fast as you can. The first thing you should consider changing in your lifestyle is your diet – there are plenty of things you can get rid of in order to live a healthier life, better adjusted to dealing with pre-diabetes.

However, a proper pre-diabetes exercise routine will go a very long way in helping you relieve the condition in the long run. You must develop a series of exercises which you’ll follow strictly every day, and this will halt the development of the condition to a good degree and give you some peace of mind.

The important thing is to give yourself enough cardio, no matter what you’re doing precisely – the specific type of exercise doesn’t really matter so much, as long as you’re pushing your heart heavily enough and you’re feeling yourself sweat up heavily. This will activate your metabolism in a mode where it pushes really hard, and does a great job converting those calories into energy for you to expend. You’ll feel your heart racing, and this is good – feel the burn and keep it up.

Any cardio is only effective if done for long enough though – so to get the most of your exercise, set aside enough time for it whatever you’ve picked as your exercise of choice. The durations will vary slightly with the different types of exercise, but in general, you should try to maintain a good pace for at least 30-45 minutes to get your metabolism activated in that truly powerful mode. After that, the longer you can keep up, the better, but don’t push yourself too much.

Not everyone is up to running for half an hour though – but since pre-diabetes exercise is a crucial factor in defeating the condition, you must push yourself to at least go until you truly can’t go any longer; riding a bike is a good alternative too, but you’ll likely have to increase the duration of the exercise to compensate for the lighter effort it’ll require from you.

Don’t forget about swimming as well – if you don’t know how to swim, why not learn now anyway? Swimming is commonly known as one of the best types of exercise for generally keeping yourself in a good shape, and this also makes it one of the best kinds of pre-diabetes exercise. It will not only do wonders for your metabolism, but it will also tone your muscles and strengthen your body all around – after all, if you’re going to be pushing yourself with extra exercise, you might as well get something more out of it as well and make yourself look good!

Diabetes can have an impact on your ability to drive safely in several ways. It puts you at risk of low blood sugar or hypoglycemia, which affects your concentration and may impair your judgement and even lead to loss of consciousness. Or, your eyesight can be affected often due to high blood sugar levels distorting your lens, or because of damage to the retina, or cataracts.

Many diabetics though can drive safely and regularly. However, a small portion of the diabetic population may have an impairment in their driving ability because of their low or high blood sugar level and the presence of diabetes complications.

According to the John Hopkins POC-IT: Point of Care Information Technology Center, 0.4 to 3 percent of life-threatening motor vehicle accidents are caused directly by medical problems and complications. The most common condition responsible for motor vehicle accidents is epilepsy. The next most common cause of accidents is insulin-treated diabetes, which comprises 18 percent of cases. Acute myocardial infarction is present in 8 percent of cases.

In the United States, people with Type 1 diabetes have a 31 percent risk of being admitted to hospital due to accidents triggered by hypoglycemia. In Type 2 diabetes only 8 percent end up having this problem. In a survey conducted by the National Highway Traffic Safety Administration, it was mentioned diabetic drivers have 1.44 times more “at-fault accidents” compared to drivers without this health problem. You see, cognitive dysfunction associated with acute and chronic alterations in blood sugar levels usually alters the ability of a driver with diabetes.

What causes the increased risk for accidents when diabetics are at the wheel?

Diabetics with unstable blood sugar levels have increased metabolic demands on their body, this leads to:

• an increased heart rate,
• greater epinephrine release, and
• more autonomic symptoms,

making them more prone to road accidents.

Points to consider while driving:

• always be aware of your blood sugar level. In most cases, mild hypoglycemia may go undetected. Check your blood sugar level before you drive and every 2 hours when on a long trip. Your driving ability will be impaired if your blood sugar goes below 72mg/dL (4mmol/L).
• keep glucose tables or a rapid acting glucose drink in the glove box of your car.
• if symptoms of hypoglycemia occur, pull over and stop driving. Don’t resume driving until your blood sugar is over 99mg/dL (5.5mmol/L). Your thinking and judgement may take up to an hour to return to normal.
• alcohol in the previous 12 hours increases the risk of hypoglycemia.
• the risk of hypoglycemia is increased after playing sport.
• try to avoid driving if you have made major changes to your insulin regime.

Motor vehicle accidents directly caused by diabetes is relatively rare, says John Hopkins POC-IT: Point of Care Information Technology Center. However, blood sugar level awareness is still necessary to avoid possible accidents from occurring. The more cautious you become in monitoring your blood sugar level and by being aware about the possible symptoms of hyperglycemia or hypoglycemia, the safer it will be for you.

Hypoglycemia symptoms is not a phrase that brings fear to the heart. Anyone hearing from a doctor that they are hypoglycemic is often left feeling totally confused and none the wiser. Nor would they know that diabetes could be an end result of hypoglycemic symptoms.

In fact, amongst the general population less than half even know the word exists. In a way it’s a pity it brings no fear because if it did people would react more appropriately to an approaching serious disease of the body.

It brings no fear because the symptoms of hypoglycemia, (or at least initially), are low-key – more like signs of being unwell rather than a serious illness. Such signs are:

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• Nervousness
• Headaches
• Faintness
• Insomnia
• Tremors
• Constant worrying
• Drowsiness
• Obesity
• Lack of co-ordination and concentration

To bring fear into one’s thoughts one need only discuss the epidemic of Type 2 Diabetes sweeping the United States and the Western world. In Type 2 Diabetes people become debilitated but keep living for many years. Hence, it is a very costly disease, costing the U.S. more than $200 billion per year. (You would expect to pay at least $240,000 per year for kidney dialysis.) The numbers of people falling to Diabetes is growing every year.

Diabetes leads the list for causing amputation and blindness to say nothing about heart disease.

But why am I talking about Type 2 Diabetes when we started with hypoglycemia? Precisely because the consequences of hypoglycemia are, in many cases, Type 2 Diabetes. Don’t nip hypoglycemia in the bud now and one of the big diseases, including diabetes, will eventually nip you in the bud.

The only way to look at hypoglycemia is as a warning of what is to come if you do nothing about it. Those signs of low blood sugar must be seen as early warning signs of diabetes. Once diabetes takes hold you begin an endless series of visits to the doctors or hospital. You lose your independence and you become reliant on regular insulin dosing normally given by injections.

Far easier to make the decision that hypoglycemia goes no further today – make changes in your lifestyle by exercising, change your diet and change your level of knowledge of health by finding out how and why hypoglycemia so often leads to other serious illnesses like stroke and especially diabetes.

By doing this you will heave a sigh of relief knowing that you have brought peace of mind to yourself now and for the future.

Diabetes is a common disease that seems to affect many people and cause many diabetes complications to occur. There are many side effects and complications of the disease. The disease can affect some specific parts of the body. This is the reason for you to try and control the disease as early as possible. Early identification of the disease and appropriate precautions will prevent many if not all of the diabetes complications.

Some of the common complications caused in diabetes are listed here.

1. Diabetic neuropathy

The neuropathy is the damage to the nerve that occurs because of increased diabetic levels. Neuropathy causes damage to the muscles and there can be muscle weakness or paralysis. Other than this, the sensation in the foot or other parts of the body may also be lost. This in turn leads to diabetic foot complications including foot ulcers. Foot ulcers are the leading cause of amputations in diabetics.

2. Diabetic Retinopathy

Retinopathy is nothing but damage to the retina. As the diabetes is uncontrolled in nature, the nerves that help in proper vision are affected. Many people start becoming blind because of the retinopathy. It is important to reduce the complications of diabetes by regularly visiting the Ophthalmologist to get the eye checked.

3. Diabetic Vasculopathy

Lack of blood supply to the extremities is also another major problem in diabetes. Vasculopathy is a diabetic complication that can lead to the formation of gangrene. This can also lead to amputations of the lower limb. Since this is a severe diabetes complication, prevention is the key.

4. Amputations

Though amputations are not a direct diabetes complication, there are many people who suffer from diabetes undergoing amputation to prevent septicemia from occurring. The neuropathy and vasculopathy that is seen in diabetes is a deadly combination that can kill a person. Any injury to the foot or even other parts of the body can cause the wound to become bigger.

Lack of blood supply delays the healing of the wound. There is also a high risk of infection in the wound. All this can cause septicemia to occur. When septicemia occurs, the risk of the patient dying increases. Amputation is the only option that is left to save the life of the person. On the other hand, many research studies have shown that amputations can lead to a decreased quality of life. Amputations will also increase the mortality rate of the person because of various related diabetes complications.

Diabetes is more prevalent than ever today and most cases connected with diagnoses are type two diabetes. Below are some important signs that you should look out for if you are worried that you might have any diabetes type two symptoms.

For many this development connected with diabetes is usually inevitable, maybe this is down to family history and other factors, for the great majority of people the illness can hopefully be halted by means of taking these simple steps…

Before diabetes type two becomes fully developed you go through some sort of stage known seeing that pre-diabetes. This is usually where people start to help show some on the symptoms, which in the event ignored, can lead to help full supplied diabetes.

Make these points part of your daily life and you maybe might be able to halt this disease happening to help you:

• If you are overweight or obese you may be developing diabetes. Cut down the amount of food on your plate so you gradually eat less and start to lose weight.
• Drink water or some sort of sugar -free drink before your meal to help take off the edge connected with any hunger pains.
• People are eating to much fat; grill or maybe bake foods instead; use low fat butters and margarine to help reduce weight meals.
• Look at the Glycemic Index on the food you are eating — knowing what each food contains helps maintain your blood-sugar levels, which in time can halt the onset connected with diabetes type two symptoms.
• Ingest several glasses of water each and every day. If you have bottled water with you sip frequently and possibly you may be surprised at how much you do drink you can consume throughout the day.
• If you are feeling hungry pick a healthy snack bar instead, compared to a chocolate bar.
• Use skimmed or semi-skimmed milk instead of full -fat milk with hot drinks or even why not try no milk at all.

Working out gently combined with diet is excellent for healthy living. But for anyone who has not worked out regularly should then start their exercise slowly and then build up once you feel fitter. Gradual walking each day will ease people into a daily exercising rhythm.

If you recognise that some of these points are associated with you then you could be one of the ones that is suffering from diabetes type two symptoms. These points are here to aid and help you. IF you take the steps now you just might possibly prevent type two diabetes and stop the damage to your health.