Common Diabetes Mellitus Complications
Diabetes and Eye Problems
Uncontrolled diabetes can harm the eyes and cause blindness. It
is the high blood glucose that increases the risk of diabetes eye problems. In
fact, diabetes is the leading cause of blindness in adults age 20 to 74. High
blood glucose in diabetes causes the lens of the eye to swell, which changes
your ability to see.
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To correct this kind of eye problem, you need to reduce your
blood glucose back into the target range (90-130 milligrams per or mg/dL before
meals, and less than 180 mg/dL one to two hours after a meal). It may take as
long as three months after your blood glucose is well controlled for your
vision to fully get back to normal.
Blurred vision can also be a symptom of more serious eye problem
with diabetes. There are three major eye problems that people with diabetes may
develop and should be aware of; cataracts, glaucoma, and diabetic retinopathy.
Diabetes and Heart Disease
Diabetes is one of the greatest risk factors for developing
heart disease. Heart disease is common in people with diabetes. In fact, statistics
from the American Heart Association estimate that heart disease and stroke are
responsible for two-thirds to three-fourths of the deaths amongst those with
diabetes.
While all people with diabetes have an increased chance of
developing heart disease, the condition is more common in those with type 2
diabetes. Multiple health factors, which are called risk factors, include
diabetes as one of the factors that could increase the possibility of
developing heart disease. Aside from diabetes, other risk factors associated
with heart disease include high blood pressure, smoking, high cholesterol
levels and a family history of early heart disease.
The probability of dying from heart disease is dramatically
higher in a person with diabetes. So, while a person with one health risk
factor, such as high blood pressure, may have a certain chance of dying from
heart disease. A person with diabetes seems to have double or even quadruple
risk of dying. Three major problems related to the heart are heart attack, congestive
heart failure and peripheral vascular disease.
Diabetes and Kidney Disease
Diabetes is the leading cause of kidney failure. Diabetic
nephropathy -- kidney disease that results from diabetes -- is the number one
cause of kidney failure. Almost a third of people with diabetes develop
diabetic nephropathy.
People with diabetes and kidney disease do worse overall than
people with kidney disease, alone. This is because people with diabetes tend to
have other long-standing medical conditions, like high blood pressure, high
cholesterol and blood vessel disease (atherosclerosis). People with diabetes
also tend to have other kidney-related problems, such as bladder infections,
and nerve damage to the bladder.
Kidney disease in type 1 diabetes is slightly different than in
type 2 diabetes. In type 1 disease, kidney disease begins acutely and may start
at an early or young age. Overt disease, when present, is obvious after about
15 years of having type 1 diabetes.
Nerve Damage in Diabetes
Diabetes may cause nerve damage called by diabetic neuropathy,
which can develop at any time. Significant clinical neuropathy can develop
within the first 10 years after diagnosis of diabetes and the risk of
developing neuropathy increases the longer a person has diabetes.
The causes of diabetic neuropathy have not been clearly
identified by the scientists. Some contributing factors are found to be related
to this condition. Hyperglycemia or high blood glucose, a prominent condition
found in diabetes seems to produce some chemical changes in the nervous system.
These changes inhibit the transmission ability of the nerve to relay sensoric
and motoric signals.
Hyperglycemia also causes the damage of blood vessels that
suppose to bring oxygen and nutrients to the nerve. Other predisposing factors
which are actually unrelated to diabetes are the inherited factors. Some people
seems to be more susceptible to such nerve disease compared to others.
Diabetes and Stroke
Many studies have concluded that a diabetic person possesses a
greater risk for stroke compared to other people who do not have diabetes
regardless the other risk factors that might be presence.
In general, the risk of acquiring a cardiovascular disease including
stroke is 2.5 times greater in both men and women with diabetes compared to
those without diabetes. The brain cells require continuous supply of oxygen and
nutrients to keep it living and functioning well. Hence the brain blood vessel
network plays an important role in supplying oxygen rich and fresh blood. If it
happens that one of those vessels get blocked or damaged, stroke will occur,
since fresh oxygenated blood is not able to reach the particular area of the
brain. And if this blockage persists for more than 3 - 4 minutes, the brain
cells in that area will start to die. Diabetes weight loss nutrition
Another type of stroke is the hemorrhagic stroke which is caused
by the rupture of a very small blood vessel in the brain leading to internal
bleeding in the brain cavity. Unlike the clot or blockage in a brain blood
vessel, also known as an ischemic stroke, this type of stroke is not a
complication of diabetes.
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