Tuesday, 12 February 2008

diabetes related health problems



Diabetes Related Health Problems

A blogger asks an excellent question, " my dad has diabetes. His GP

told him that people with diabetes are three times more likely to die

of or get heart disease. His doctor is of the belief that the moment

you are dx then that's it - Diabetes by itself raises your chances

threefold even if you keep your BSLs under good control or within

normal range. My dad is quite fit (tons of exercise) and has a healthy

weight (due to a very healthy diet and of course exercise). Why is he

at more risk for heart disease than the next person?"

I'm sorry that this may not be comforting, but diabetes increases the

risk for a variety of diseases.

* Heart disease and Stroke - Diabetics have a 2-4 times higher risk

of heart disease than adults without diabetes. Other than sugar

levels, there are changes in the vascular walls at the cellular

level which may cause the higher risk. Certainly exercise and

proper nutrition may help reduce the rate of heart attacks and

stroke, but they may not eliminate the risk of heart disease

completely because diabetes is a complex disease which impacts our

health beyond what we measure in the sugar level. 65% of deaths

among diabetics are due to heart disease and stroke. We do not

know the cause of diabetes type 1 or type 2 and so we do not have

a complete understanding of all of the pathological changes that

occur as a result of having diabetes.

* High blood pressure - 70% of adults with diabetes have high blood

pressure.

* Blindness - Diabetes is the leading cause of new cases of

blindness in adults aged 20-74 years old in the US.

* Kidney disease - Diabetes is also the leading cause of kidney

failure in the U.S. High blood pressure is the second most common

cause.

* Nervous system disorders - At least 60% of diabetic adults have

nerve problems such as pain or numbness in feet or hands, or a

delayed emptying of the stomach after eating.

* Amputations - Diabetes accounts for 60% of nontraumatic lower

extremity applications.

* Dental disease - Almost 30% of diabetics have severe gum disease.

* pregnancy complications - Birth defects and miscarriages occur if

blood sugar is not controlled in the first trimester.

* Infections - there is a higher susceptibility to infections such

as pneumonia and influenza.

However, it is not all bad news in that many of these complications

can be prevented or delayed with appropriate medical care, lifestyle

changes, and by controlling blood glucose levels . Preventive services

and education of the patients and health care workers are the keys to

success in the management of this disease.

References: MMWR 2000. Annals of Internal Medicine 2004. CDC 2003.

Heart disease and diabetes. Mayo Clinic.

Related links: Every 10 seconds. World diabetes day. Unite for

diabetes. National Diabetes Education Program. Am I at risk for type 2

diabetes.

Labels: Diabetes

posted by Dr. Taraneh Razavi @ 7:47 PM 8 comments links to this post

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8 Comments:

At 9:24 PM, Anonymous Anonymous said...

This is an excellent, quick-read on the myriad of problems

caused by diabetes. Thanks!

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At 8:49 AM, Blogger Dave said...

Hi Dr. Razavi,

Diabetes seems to have so many complications. I've heard that

much promising research is happening now. It may one day be

possible for people to regain the pancreatic cells that are

crucial to insulin production.

I am particularly curious about gum disease in diabetics as I

have written an e-book (hopefully it will be in print soon)

called,

What You Should Know about Gum Disease .

More and more research points to the likelihood that gum

disease can lead to or contribute to the formation of other

disease such as heart disease.

I think horse breeders like to check a horse's teeth before

they buy him. It seems that the health of the teeth and gums is

a reflection of our bodies' health as well.

I hope that people can become more aware of how to combat and

control gum disease.

I have personally found the the Hydro Floss Oral Irrigator to

be worthwhile in my own struggle against gum disease.

I know it helped my gums to stop bleeding and helped me to

avoid a 'root scaling and planing' treatment after several

months of daily use. Bascially, it helped my gums to return to

a more healthy state.

I wonder if it would be useful for diabetics to find out about

this device and help them manage at least this one aspect of

diabetes complications?

It would be a wonderful thing if someone benefitted from this

information.

* as a word of caution to those reading this post: If you have

or think you might have gum disease or any other health

problem, visit your periodontist or doctor for diagnosis and

treatment.

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