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Condition Management Portal
 

Adult Diabetes: Complications


Heart and Circulatory Complications | Dental Complications
Kidney Complications | Foot Problems | Eye and Vision Complications
Nerve Complications | Skin Complications

Heart and Circulatory Complications

Heart and blood vessel problems are the main causes of sickness and death among people with diabetes. These problems can lead to poor blood flow in the legs and feet, high blood pressure, heart attacks, and strokes. You're more likely to have heart and blood vessel problems if you smoke, have high blood pressure, or high cholesterol.

If you feel dizzy, have sudden loss of sight, slur your speech, or feel numb or weak in one arm or leg, you may be having serious circulation problems. Other danger signs of circulation problems to the heart include chest pain or pressure, shortness of breath, swollen ankles, or irregular heartbeats. If you have any of these signs, go to an emergency room or call your health care provider right away.

Pain in your buttocks, thighs, or calves during physical activity can be a sign of circulation problems to your legs. Report these problems to your doctor.

Keep your heart healthy:

  • Eat healthy
  • Stay physically active
  • Stop smoking
  • Check blood pressure
  • Check cholesterol

Dental Complications

Because of high blood glucose, people with diabetes are more likely to have problems with their teeth and gums. You need to care for your teeth and gums every day to keep them healthy.

Regular, complete dental care also helps prevent dental disease. Pay attention to your gums— they can show you if there are dental problems. Sore, swollen and bleeding gums are a sign of gingivitis. Periodontitis occurs when your gums shrink or pull away from your teeth.

Reduce dental problems:

  • Keep your blood glucose under control
  • Brush your teeth
  • Floss daily
  • Get regular dental care

Kidney Complications

Diabetes can cause diabetic kidney disease, which can lead to kidney failure. There's a lot you can do to take charge and prevent kidney problems. Controlling your blood glucose can prevent or delay the onset of kidney disease. Keeping your blood pressure under control is also important.

The kidneys regulate the water in the body and help filter out harmful wastes. The waste passes from the body in the urine. Diabetes can damage the parts of the kidneys that filter out wastes. When the kidneys fail, a person has to have his or her blood filtered through a machine (a treatment called dialysis) several times a week or has to get a kidney transplant.

Your doctor can test for a protein (microalbumin) in the urine to check on the health of your kidneys. Microalbumin in the urine is an early sign of diabetic kidney disease.

Help keep your kidneys healthy:

  • Keep your blood glucose under control
  • Eat healthy
  • Cut down on salt

Foot Problems

You can control the more serious foot problems caused by nerve damage, circulation problems, and infections that can go along with diabetes. Over half of diabetes-related amputations can be prevented with regular exams and patient education.

Why are foot problems associated with diabetes? Nerve damage can cause you to lose feeling in your feet. The loss of feeling can sometimes cause you to walk differently. This may, in turn, deform or misshape your feet, creating pressure points that can then turn into blisters, sores, or ulcers. Poor circulation can slow down your foot's healing.

Checklist for healthy feet:

  • Check your feet each day
  • Wash your feet daily
  • Trim your toenails carefully
  • Don't cut corns or calluses
  • Protect your feet from heat and cold
  • Be physically active

Eye and Vision Complications

Diabetic eye disease is a serious problem that can lead to loss of sight. Keeping your blood glucose level closer to normal can help prevent or delay the onset of diabetic eye disease. Finding and treating eye problems early can help save your sight.

Even when your sight is good, eye disease might be developing. Regular eye exams are important for catching problems early. You may notice signs of vision changes – having trouble reading, blurred vision, seeing dark spots, seeing flashing lights or rings around lights. Be sure to tell your eye doctor about any problems you may notice.

Vision-correcting glasses may help correct low or poor vision. Surgery can help save sight for people with advanced diabetic eye disease.

Keep your eyes healthy:

  • Get regular eye exams
  • Regular physical activity
  • Keep your blood pressure under control
  • Keep your blood glucose under control

Nerve Complications

Diabetic nerve damage is a problem for many people with diabetes. Over time, high blood glucose levels damage the delicate coating of nerves. Nerve damage can cause many problems, including pain in your feet.

If you experience pain, burning, tingling, or loss of feeling in the feet and hands, these may be signs of nerve damage. Nerve damage can also cause you to sweat abnormally and make you feel light-headed when you stand up.

Some people develop problems swallowing and keeping food down. If you are having bowel or urination problems, tell your doctor. Nerve damage can lead to bladder and kidney infections.

Prevent nerve damage:

  • Check your feet for changes
  • Get tested for nerve damage
  • Remain physically active
  • Keep your blood glucose in control

Skin Complications

Up to one out of three people with diabetes will have a skin disorder caused or affected by diabetes. If caught early enough, most skin conditions can be prevented or easily treated.

Having diabetes puts you at a greater risk of developing common skin conditions in addition to conditions that only affect diabetics.

You might experience several kinds of bacterial infections. Styes are infections of the glands of the eyelid. Boils, infections of the hair follicles, and carbuncles, deep infections of the skin and the tissue, may also occur.

Inflamed tissues are usually hot, swollen, red, and painful. Thanks to antibiotics and better control of blood sugar, doctors are better able to treat bacterial infections in people who have diabetes.

Yeast-like fungus can create itchy rashes of moist, red areas surrounded by tiny blisters and scales. These infections often occur in warm, moist folds of the skin, like armpits and between fingers and toes.

Common fungal infections include jock itch, athlete's foot, and ring-shaped itchy patches called ringworm. Curing fungal infections requires prescription medicine.

Itching is often a symptom of your diabetes. It can be caused by a yeast infection, dry skin, or poor circulation. The itchiest areas may be the lower parts of the legs when poor circulation is the cause.

You may be able to treat itching yourself by using mild soap with moisturizer and apply skin cream after bathing.

Good skin care:

  • Keep skin clean and dry
  • Avoid very hot baths and showers
  • Moisturize dry skin
  • Treat minor cuts right away
  • See a doctor right away for major cuts, burns or infections
  • Keep your home more humid during cold, dry months
  • See a dermatologist about your skin problems
  • Take good care of your feet
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