Friday, September 17, 2021

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    Diabetes has its complications too!

    Way back in 1552 BC, an Egyptian doctor called Hesy-Ra had identified the worlds first case of Diabetes. Ever since the number of people detected wit hdiabetes has been on constant rise and so has been its complicatins. Initially, it was known to cause severe weight loss then, there were cases identified with raised cholesterol levels (hypercholestreamia), later eye complications (retinopathies) were seen, and still later there were incidents of kidney problems (nephropathies) and nerve damage(neuropathies).

    Over a period of time in the last 5 years, there has been an enormous advancement and development of medical science, investigative techniques and thus newer problems related to diabetes have started surfacing.

    complications of diabetes

    Some of these newer complications of diabetes are-

    Complications What Diabetes does Warning Signs Prevention/Treatment
    Oral Problems(Mouth, Gums and Teeth) Diabetic Vasculopathy Easy bleeding of gums on brushing or flossing,
    Gums become swollen, tender and red,
    Gums that are receding from your teeth.
    Pus between teeth and gums,
    Bad breath,
    Adult teeth that have become loose or are moving away from each other,
    Changes in the way teeth fit when you bite,
    Changes in the fit of partial dentures or bridges
    Brush with a soft bristles brushFloss regularlyVisit your dentist regularly
    Oral Infections Weakening the mouth’s power to fight infectionsDiabetes may be a cause fordamage to the blood vessels supplying the gums. Development of Inflammation (Swelling) or purulent discharge (pus) around teeth or gums or any other place in the mouth.
    Constant and persistent pain in the mouth or sinus area
    Development of patches (white or red) on gums, tongue, cheeks or the roof of the mouth
    Pain when chewing
    Teeth become sensitive to eating cold, hot or sweet foods on chewing
    Dark spots or holes on teeth
    Visit your doctor to control your blood sugar levels
    Fungal infections Body becomes more prone to infections and tus higher frequncy of anti biotic consumption Thrush- these are moist spots that may be chafed or sore. Stopping smoking
    Limiting the time of wearing dentures.
    Dry mouth Due to raised blood sugar levels or diabetic medications Increased chances of cavities
    Increases acidity in mouth
    Drink more fluids
    Chew sugar free gum
    Women’s Health   Decreased vaginal lubrication
    frequent bouts of vaginitis and yeast infections
    risk of infection with IUDs
    Vaginal infections Increased glucose in vaginal secretions Itching and burning in Vagina
    vulvaDischarge from vagina
    Visit your doctor
    May need pessaries and creams as per advise
    Contraception Increases risk of malformations in children Blood sugar levels consistently high Choose a safe and effective contraception
    Plan your pregnancy
    Men’s Health Diabetic NeuropathyStress, fear, anxiety Diabetic Vasculopathy Impotence– Physical impotence due to nerve damage or side effect of medicationsPsychological impotence- Due to performance anxiety Talk to your doctor
    Manage medications
    Get psychological help
    Maintain blood sugar levels
    Thyroid Increased risk of hypo and hyper-thyroidism in Type 1 and Type 2 diabetes Hypothyroidism– Fatigue, Hair loss, Weight gain, Constipation, Listlessness and depression, Memory loss and mentally slow with dullness, stiffness and aches in Muscles and joints, raised cholesterol levels, Feeling very cold (more so compared to others), changes in voice eg Husky voice, Dry skin, Heavy periods (in women)
    Hyperthyroidism– Sudden loss of weight, stomach upset(diaarhoea/ loose motions), Feeling excessively hot , A pounding heart, Tremor of the hands, Hair loss, Feeling of nervousness and irritability, Insomnia or restlessness, decreased periods in women
    Manage your blood sugar levels
    Maintain healthy weight
    Pursue regular physical exercises
    Infections Diabetes increases the amount of sugar in the urine and thus provides an excellent media for bacterial and fungal growth Diabetes increases the chances of bladder and kidney infections, infections of feet and skin infections  
    Bladder and Kidney Infection (Cystitis, Pyelitis, Pyelonephritis) Increases sugar in urineDiabetic Neuropathy Urinary retention
    Smelly, offensive urine
    Itching and burning while urination
    Frequent urination
    Passage of small amounts of urine
    Backache in case of kidney infection
    Regular check ups
    Maintaining blood sugar levels
    Foot infections Diabetic Neuropathy Sores or bruises on feet
    Painless wounds on feet
    Frequent bleeding from feet
    Maintain blood sugar levels
    Maintain blood pressure levels
    Skin infections Increased incidence of bacterial infections Frequent styles, boils, carbuncles Maintain healthy blood glucose, blood pressure and blood cholesterol (lipids) levels.
    Gastroparesis Damage to Vagus nerve Delayed gastric emptying Heartburn, Nausea, Vomiting of undigested food Early feeling of fullness when eating Abdominal bloating Erratic blood glucose levels Lack of appetite Acid reflux Spasms of the stomach wall Erratic bowel movements Eating six small meals a day
    Food must be chewed well
    carbonated drinks must be avoided with meals.
    Avoid lying down upto 2 hr after a meal- try to walk, stroll or sit up
    Split meals into smaller and frequent intervals Avoid eating large portions of food at a time
    Certain medications
    Insulin regimen

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