Islets of Hope for persons newly diagnosed with diabetes

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Article by Lahle Wolfe. For reprint information e-mail: Editor@isletsofhope.com

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Links to more comprehensive information on complications of diabetes

Amputation
Blindness
Diabetic Ketoacidosis
Diabetic Neuropathy
Diabetic Retinopathy
Eating Disorders
Erectile Dysfunctions
Foot & Skin Problems
Frozen Shoulder
Gastroparesis
Gum Disease
Heart Problems
High Blood Pressure
Infections
Infertility
Insulin Shock
Kidney Problems
Lactic Acidosis
Seizures & Coma
Peripheral Artery Disease
Sexual Problems
Urologic Problems
Weight Gain
Weight Loss
Wound Care


 Gary Scheiner, CDE
Think Like a Pancreas:
 Many books offer advice on managing diabetes, but few focus specifically on the day-to-day issues facing those who use insulin.  Scheiner, a certified diabetes educator and himself an insulin user himself since 1985, gives you the tools to "think like a pancreas"--that is, to successfully master the art and science of matching insulin to the body’s ever-changing needs. Free of medical mumbo jumbo, comprehensive, and packed with useful information not readily available in other books.


Newly Diagnosed (easier reading) Problems & Complaints with Diabetes

Comprehensive Information on Diabetes Problems & Complaints



Diabetes Forecast:  Helps people with diabetes and their families lead normal, healthy lives by providing information and support on all aspects of diabetes treatment, management and self care. Contains profiles of people with diabetes, recipes, diet and exercise articles.     IOH Rating 5/5 


Free Islets of Hope Publications to Print

Diabetic Ketoacidosis (DKA) - IOH Publication DKA-1-2006; 7 pages

Hypoglycemia
Causes, Symptoms, Treatment, Prevention & Emergency Care Form
IOH Publication HG-1-2006; 13 pages

Reactive and Fasting Hypoglycemia
Causes, Symptoms, Treatment, Prevention & Emergency Care Form
IOH Publication HG-2-2006; 13 pages

Hyperglycemia
Causes, Symptoms, Treatment & Prevention
IOH Publication HG-3-2006; 12 pages

How to Prepare & Inject Glucagon for Treatment of Severe Hypoglycemia  (Illustrated)
Prepare ahead for emergencies, about hypoglycemia, about glucagon, illustratred step-by-step instructions on how to prepare and inject glucagon, and what to do afterward.

You can also print selected fast-reference excepts from this full-length publication: TRE-1-2006-fr

Newly Diagnosed Diabetes Information
Information for those Newly Diagnosed with Diabetes                             Print Full Diabetes Complications Article

Complications of diabetes
Cardiovascular & circulatory problems


This section:    Heart Problems  *  High Blood Pressure  *  Peripheral Artery Disease

Other complications:

Amputation  *  Blindness  *  Diabetic Ketoacidosis  *  Diabetic Neuropathy  *  Diabetic Retinopathy  *
Eating Disorders  *   Erectile Dysfunctions  *  Foot & Skin Problems  *  Gastroparesis
 *  Gum Disease *    Heart Problems  *
High Blood Pressure
 *  Infections  *   Infertility  *  Insulin Shock  *  Kidney Problems  *  Seizures & Coma  *
Peripheral Artery Disease  * Sexual Problems  *  Urologic Problems  *  Weight Gain  *  Weight Loss
 *  Wound Care


Click on any link to read more in-depth information about each topic.  

Heart Problems

People with diabetes should keep blood glucose in target ranges whenever possible, exercise regularly, have a stress management plan, and follow a meal plan designed by a registered dietitian especially for their lifestyle and type of diabetes. An overall healthy lifestyle and proper blood glucose control can help reduce the risk of all diabetes complications including cardiovascular and circulatory problems.

Several things, including having diabetes, can make your blood cholesterol level too high. Cholesterol is a substance that is made by the body and used for many important functions. It is also found in some food derived from animals. When cholesterol is too high, the insides of large blood vessels become narrowed, even clogged. This problem is called atherosclerosis and causes narrowing and clogs in blood vessels which makes it harder for enough blood to get to all parts of your body. This can cause problems including heart attack, stroke, and circulatory problems.

What are the warning signs of a heart attack?

You may have one or more of the following warning signs:

  • chest pain or discomfort
  • pain or discomfort in your arms, back, jaw, or neck
  • indigestion or stomach pain
  • shortness of breath
  • sweating
  • nausea or vomiting
  • light-headedness

Or, you may have no warning signs at all. Or they may come and go.

What are the warning signs of a stroke?

A stroke happens when part of your brain is not getting enough blood and stops working. Depending on the part of the brain that is damaged, a stroke can cause

  • sudden weakness or numbness of your face, arm, or leg on one side of your body
  • sudden confusion, trouble talking, or trouble understanding
  • sudden dizziness, loss of balance, or trouble walking
  • sudden trouble seeing in one or both eyes or sudden double vision
  • sudden severe headache

Sometimes, one or more of these warning signs may happen and then disappear. You might be having a "mini-stroke," also called a TIA (transient ischemic attack). If you have any of these warning signs, tell your doctor right away.

Clogged vessels can also lead to peripheral artery disease (PAD).  See below.  


High Blood Pressure

Diabetes can be associated with high blood pressure (hypertension) and a poor lipid profile (high LDL cholesterol, low HDL cholesterol, or high triglycerides), which can lead to stroke or heart attack.  If you have diabetes you should try to keep your blood pressure below certain levels (as determined by your physician) to reduce the risk of developing complications of diabetes such as heart disease, stroke, and eye problems.  As a rule, the higher the pressure, the greater the health risk.

Treatment of high blood pressure includes a change in lifestyle factors where these can be improved - losing weight if you are overweight, regular exercise, a healthy diet, drinking alcohol in moderation, and a low salt intake. If needed, medication can lower blood pressure.

Diabetes kidney disease may cause hypertension.  A complication which develops in some people with diabetes is called diabetic nephropathy. In this condition the kidneys are damaged which can cause high blood pressure. This is more common in people with type 1 diabetes but can also occur in persons with type 2 diabetes.  


Peripheral Arterial Disease (PAD)

PAD, is a disease of the blood vessels. The arteries supplying blood to the limbs get blocked and usually affects one or both legs but it can also affect the arms or "peripheral" body organs (that is, any organ other than the brain, the heart, or the lungs).

Atherosclerosis, the thickening of the walls of the arteries due to cholesterol-filled plaques, is usually the cause of PAD which on occasion can occur suddenly when a blood clot formed in the heart or in another blood vessel breaks off and wedges itself in a smaller artery. 

Many people do not know that they have a problem.  They may think that they only have back or muscle pain-related problems, when in fact, they could have PAD. The most common symptom is cramping, pain or tiredness in the leg or hip muscles while walking or climbing stairs. Typically, this pain goes away with rest and returns when you walk again.  Other symptoms include:

  • Muscle pain in buttocks, calf, leg, or back
  • Slight pain or tingling in legs
  • Pain that worsens with movement and exercise
  • Foot or leg pain at rest  

Approximately 75% of all persons with PAD do not have any symptoms; those that do usually mistake them for something else. PAD affects both men and women but men are more likely to experience symptoms than women. If you have diabetes, you are at risk for developing PAD.  

When the parts of the body no longer being fed by the blocked blood vessels, organs and tissues don't get enough oxygen and nutrients. This causes damage and tissues ad organs can die if blood flow doesn't improve. Without treatment a person could lose a leg or die, and PAD can lead to gangrene (tissue death) and amputation.  Persons with PAD may also experience angina and are at increased risk for stroke.

 

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Page Updated 03/23/2006