Part 6 Understanding Diabetes
1 Recognize the early symptoms of diabetes. Upon its onset, diabetes has a few,
barely noticeable symptoms:
- Frequent
urination. This is where the patient
passes a lot of urine during the day or night. This occurs because the
blood glucose levels are high and increases the absorption of water into
the blood stream. This in turn increases the urine that is passed.
- Increased
thirst. This is where the patient
intakes a large amount of water – more than eight glasses per day – and
this does not quench his/ her thirst. This occurs because the amount of
urine passed is increased and this leaves the patient dehydrated,
increasing thirst.
- Increased
hunger. This is where the patient
consumes more food than their usual portions. This is because there is
lack of insulin that is required for the glucose in blood to be
transported to the cells where it is used to provide energy for the body.
When there is no insulin, the cells in the body lack glucose and this
leaves the patient feeling starved.
2 Recognize the late symptoms of diabetes. As this disease progresses, it slowly
takes on more serious symptoms:
- Passing
of ketones in urine. This
is where there are inadequate carbohydrates and sugar in the body because
there is increased sugar in the blood. The body breaks down the stored
fatty acids and fats for provision of energy and this process leads to
formation of ketones.
- Fatigue. This is where the patient becomes tired very easily.
This is because of the lack of insulin that helps in transporting the
glucose in the blood to the cells where it is used to provide energy to
the body. This leaves the patient with reduced amounts of glucose in the
cells therefore, resulting in less energy.
- Delayed
healing. This is in cases where the
patient has a wound; it takes much longer than usual for healing to take
place. This is because of increased sugar levels in the blood. Blood
transports the nutrients needed for healing, and when glucose is in
excess, nutrients are not appropriately carried to the site of healing
thus causing delay.
3 Know the risk factors. Certain people are at higher risk for
diabetes due to circumstances that are often out of their control. The risk
factors for diabetes include:
- Obesity. Diabetes is common in people who are overweight
because there is elevated cholesterol in the body. This is broken down
into sugar where it is transported to the blood stream. The increased
glucose level is so high such that despite some of it being taken up by
the cells, there is still a large amount that is left in the blood stream,
thus causing diabetes.
- Genetics. The condition is common in people who have a
genetic makeup where there is insulin resistance or the pancreas does not
produce enough insulin.
- Lack
of exercise. Exercise is needed by the
body for effective metabolism to take place. When one does not engage in
exercises regularly, the glucose that is present in the blood is not
appropriately taken up by the cells, resulting in diabetes.
4 Know the complications of diabetes. If treated, diabetes doesn't have to
affect your life. However, if left untreated, the complications are many. When
diabetes isn't addressed medically, the following may occur:
- Cell
damage. Glucose alcohol
accumulation within the cells causes osmotic damage leading to cell injury
that affects nerves, kidneys, lens and blood vessels. Because of this, its
avoid to avoid injury as much as possible.
- Hypertension. Glycosylated collagen increases the thickness of
the capillary basement, narrowing their lumens and affecting retina blood
vessels. The net result is that blood vessels undergo sclerosis due to
protein and glycogen glycation. This increases clotting and blood
pressure.
- Xanthomas. This is the technical term for yellow lipid
nodules on the skin or in the eyelid due to hyperlipidemia.
- Skin
complications. Fungal and bacterial
infections, recurrent furuncles, and neuropathic foot ulcers are all
common. They ares usually painless because there is a poor blood supply,
causing neuropathy (nerve damage) and therefore no sensation
- Ocular
complications. New, abnormal blood vessels
may form in the iris. In time, cataracts may form in the lens as well.
- Nervous
system complications. This
includes delayed nerve conduction, nephropathy, retinopathy and neuropathy
as a result of destruction of the small blood vessels in all vital organs.
- Macrovascular
complications. This includes
atherosclerosis, coronary heart diseases, stroke, peripheral ischemia
especially in the lower limbs, and claudication (pain in the lower limbs).
- Gangrene
of the foot. This is also known as
"diabetic foot."
- Renal
complications. This presents itself in the
form of urinary tract infections, which often recur.
- Gastrointestinal
complications. This includes constipation,
diarrhea, and gastroparesis with gastric dyspepsia.
- Genitourinary
complications. Impotence may happen due
to poor blood flow in men; in women, vulvovaginal infections (infection of
the mucous membrane of the vagina), and dyspareunia (painful sexual
intercourse for females, mainly due to dryness of the vagina), are also
common.
5 Understand the difference between type 1 and
type 2 diabetes. Type 1 is mainly
an autoimmune disorder resulting in a complete shortage in insulin secretion.
Its onset is acute and the patients are normally thinner and younger; 3 out of
4 people with type 1 develop it before the age of 20.
- In type 2 diabetes, on the other hand, there’s a defection in insulin secretion as well as insulin resistance, which is a condition in which the body produces insulin but muscles, fat and liver cells don’t respond properly. More insulin is needed to make glucose tolerance normal (with no value to it), resulting in high sugar levels and high insulin levels at the same time. Patients are normally older, most are overweight or obese, and most cases are asymptomatic.
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