Archive for the ‘Diabetes Complications’ Category

The Diabetes Diet

Monday, June 28th, 2010

The Diabetes Diet

How to eat when you are diabetic or to limit the risk of developing the disease?

Adjust your lifestyle to prevent complications

Food

Fruits and vegetables
The fiber, antioxidants fruits and vegetables can help you manage your disease. Make sure you bring your meals 3-4 servings of vegetables and 2-3 servings of fruit each day.

Nuts, walnuts, almonds
Include a handful of walnuts, hazelnuts, almonds (unsalted, unroasted) in your diet, for fiber, good fats, minerals, phytosterols.
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Complications of Diabetes Mellitus

Monday, March 15th, 2010

The chronic elevation of plasma glucose profoundly affects traffic micro-vascular and macro-vascular circulation. The micro-vascular diseases associated with lost vision (retinopathy), renal (kidney) and loss of protective sensation in the muscle and sweat of the feet and hands (polyneuropathy). The macro-vascular diseases are associated with an increased incidence of stroke, coronary artery occlusions and a peripheral devascularization. All these vascular complications, direct or indirect, affect the management of diabetic foot problems.

The sensory neuropathy is the single factor most important in the development of ulcers, which in turn will lead to a foot infection, amputation as well as neuropathic fractures and sprains of the mid-foot (neuropathy Charcot). Loss of protective sensation may be confirmed by the patient’s inability to distinguish filaments Semmes-Weinstein 10 gm at any part of the foot. The motor neuropathy causes paralysis of intrinsic muscles and claw up toes, and a prominent plantar metatarsal heads high. In a 2nd time, the paralysis of the foot dorsal flexors causes foot drop with a steppage gait and secondary contracture of the calf muscles. The autonomic neuropathy leads to loss of sudo-motor function (sweating) and an arterio-venous shunt in the foot. Cracks or fissures, act as gateways to an infection that develops later in the very dry skin, while the AV shunt arterio-venous infusion decreases the oxygen level of the skin, hindering the healing of the ulcer.

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Diabetes Mellitus in Canada

Saturday, February 6th, 2010

We present data on 5 aspects of the epidemiology of diabetes mellitus in Canada: (a) the incidence of diabetes mellitus insulin-dependent patients aged <15 years: two Canadian centers participated in a epidemiological study on international subject who showed an incidence of diabetes mellitus of 25.5/100, 000 in Isle of Prince Edward Island (PEI) and 9.2 to Montreal. The reasons for these differences are unclear. Studies on the incidence of diabetes mellitus of 10 years in PEI show the epidemic nature of this disease, (b) the prevalence of diabetes mellitus among adult Canadians: The prevalence of autoimmune disease reported in Canada adults (18-74 years) was 5.1% in the study Canadian Heart Health Survey. There are no significant regional differences in prevalence in Canada. The prevalence increases with age (c) mortality in patients with diabetes mellitus: On PEI, 321 people with diabetes have died between January 1, 1982 and December 31, 1984, representing about 2% of death rates. Diabetes is reported as underlying cause in 16.8% of deaths, and as a contributory cause in 41.7%, while it is not mentioned at all in 41.1% of deaths.

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Diabetes Complications (Part 2)

Saturday, January 30th, 2010

Diabetes ComplicationsAs the condition develops, high levels of sugar in the blood damage blood vessels, nerves and other internal structures. Complex substances derived from sugar build up in the walls of small blood vessels, causing thickening and breakage. This thickening causes blood vessels to provide less and less blood, especially skin and nerves. The poorly controlled sugar values also tend to increase concentrations of blood fats, and therefore, there is an accelerated atherosclerosis (plaque buildup in blood vessels). Atherosclerosis is two to six times more common in diabetics than in non-diabetics and occurs in both males and females. Decreased blood flow, both large vessels as small, may cause physiological changes in the heart, brain, legs, eyes, kidneys, nerves and skin, delaying further the healing injuries.

For all these reasons, diabetes involves the emergence of many serious complications for a long time. Heart attacks and strokes are very common. Damage to blood vessels in the eye can cause loss of vision (diabetic retinopathy). The function of the kidneys is impaired and results in kidney failure requiring dialysis. Nerve injuries are manifested in several ways. If a single nerve malfunctions (mononeuropathy), there is a characteristic weakness in an arm or leg. If damaged nerves of the hands, legs and feet (diabetic neuropathy), may appear abnormal sensation as tingling or burning pain, and weakness in the arms and legs. Damage to the nerves in the skin predispose to repeated injuries, because the person loses sensitivity to sense changes in pressure or temperature. A limited supply of blood to the skin also causes ulcers and influences that all wounds heal very slowly. Foot ulcers can become so deep and infected and be so difficult to cure, which may also be required amputation of part of the leg.

There are recent signs that show that diabetes complications can be prevented, delayed or delay, by controlling the values of blood sugar. There are other unknown factors, including genetic, that determine the course of events.

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Diabetes Complications (Part 1)

Thursday, January 28th, 2010

What are the complications of diabetes?
Complications of diabetes are health problems caused by diabetes. Diabetes causes your blood sugar level in blood is higher than normal. Over time, high sugar levels can damage blood vessels and nerves. This damage can cause problems in many areas of your body. This booklet explains the complications that are common in diabetes and how to prevent them.

Complications of circulation:
Of the great vessels may result from disturbances in the legs to gangrene and heart attacks. For further help maintain good blood glucose checks, not smoke, make a diet low in animal fat and a good control of blood pressure.
Of small vessel abnormalities may occur at the hearing or in the kidney. It is therefore recommended checkups in the eye (the eye) and kidney study by examining the urine (microalbuminuria) and blood (creatinine) annually.

Complications in the Nervous System:
This can cause impotence in men, numbness and tingling in the feet and lower legs, sciatic type pain, problems in the functioning of the bladder and intestine.

Back Nerve damage
The nerve damage, also known as diabetic neuropathy makes it hard for the nerves to send messages to the brain and other body parts. If you have nerve damage, you may lose feeling in parts of your body or have a tingling sensation that is painful.

Neuropathy most often affects the feet and legs. If you have neuropathy you may not feel that you have a foot ulcer. The sore can become infected, and in severe cases, the foot may have to be an amputee, is cut. People with diabetic neuropathy may continue walking on one foot, joints or bones that have been injured. This can cause a condition called Charcot foot that causes the injured foot to become deformed. However, this problem can be avoided.

Having type 2 diabetes increases the risk of developing many serious complications. Some complications of type 2 diabetes include: heart disease (cardiovascular disease), blindness (retinopathy), nerve damage (neuropathy) and kidney damage (nephropathy). Read more about these complications and how to handle them.

If you have diabetes, check your feet every day. If you see swelling and redness and warmth in your foot feels, go see your doctor immediately. These may be signs of Charcot foot. In addition, your doctor should check your feet at least once a year.

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