Question:
What are the symptoms and signs of
diabetes?
Answer:
Common symptoms of high blood sugar in
diabetes include being very thirsty,
frequent urination, weight loss,
blurred vision, fatigue, and
infections that don’t go away easily.
On the other hand, some people don’t
have any symptoms at all. The main
sign of diabetes-too much sugar in
your blood- is something that your
doctor can find. It is the one thing
that means you have diabetes.
Question:
Why is it so important to control
glucose (blood sugar)
Answer:
Studies have shown that high blood
sugar levels, over many years, can
seriously hurt the eyes, kidneys,
heart and blood vessels, and the feet.
That’s why it’s so important to follow
the treatment plan your doctor has
given you, including taking your
medications regularly, checking your
blood sugar levels every day, and
making appropriate lifestyle changes.
Question:
What are the possible complications of
diabetes.
Answer:
Complications – conditions that you
may get a s a result of your
diabetes-can occur quickly or after
many years. High blood sugar levels
can hurt many different parts of the
body, causing the following possible
problems; Nerve damage–Can cause pain
or loss of feeling as the hands and
feet, trouble with digestion, loss of
bladder or bowel control, and sexual
problems.
Kidney disease–A common cause of
kidney disease in people with diabetes
is high blood pressure. In early
stages, kidney disease is more
treatable-but later on, dialysis or
kidney transplantation may be needed.
Eye damage–May occur after many years
with type 2 diabetes and can lead to
blindness Cardiovascular disease–Harm
to the heart and blood vessels in the
leading cause of death in people with
type 2 diabetes. You’re more at risk
if you are overweight; have high blood
levels of glucose, insulin and fats;
and have high blood pressure. Losing
weight–getting more exercise, and
quitting smoking may help you to
prevent or delay this problem.
Periodontal (tooth and gum) disease–
Poorly controlled diabetes puts you at
risk for gum and mouth infections. So
it’s important to take good care of
your teeth and gums. Remove the plaque
(the sticky stuff at your gum line
caused by germs) by brushing after
meals and using floss or toothpicks.
Also, go to your dentist for a
cleaning every 6 months.
Infections– High blood glucose levels
make it easier for yeast and fungus to
cause infections. The skin and gums
around your teeth are common places
for infection. Also, respiratory
infections may be harder to cure in
people with diabetes, and gangrene is
serious infection that can result in
amputation of the leg, toe, or arm
that is infected.
Don’t give up hope because of the
problems that diabetes can cause.
Follow the proper diet, exercise, take
your medications, and see your doctor
as recommended. If you do start
developing one of the problems above,
don’t just forget about it – the
sooner you start treating the problem,
the better off you’ll be.
Question:
What Are HBA1c Levels?
ANSWER:
HbA1c (glycohemoglobin) testing is a
way to see how well your blood sugar
levels are being controlled over
several months’ time. While testing
for blood glucose is a way to tell
what your blood sugar levels are over
a period of a few hours-which is very
useful for day –to day control-HbA1c
level gives a picture of how well
you’ve been controlled over the past 2
to 3 months.
HbA1c testing does this by showing how
much blood glucose has been picked up
by your red blood cells as they travel
throughout your body. Both kinds of
tests help your doctor see how well
your diabetes is being controlled.
Many doctors can now perform HbA1c
tests in their offices, while you
wait, using a blood sample taken from
your finger. Or, your doctor may send
a blood sample to a lab. The American
Diabetes Association says that all
people with diabetes should have HbA1c
tests every 3 months if they’re taking
insulin shots.
Question:
What Is the Importance of Lipid (Blood
Fat) Levels?
Answer:
People with type 2 diabetes,
especially if overweight, often have a
problem with high levels of lipids
(blood fats). These lipids include
cholesterol, both the “good (HDL) and
“bad” (LDL) kinds, plus fats called
triglycerides. Continued high lipid
levels can cause heart disease, so
it’s important to have this treated.
Question:
What role does insulin resistance play
in type 2 diabetes?
Answer:
Insulin resistance is a major cause of
type 2 diabetes. As a person with type
2 diabetes, you know that your body
does make insulin, it’s just that you
can’t use it properly. And that’s
because of insulin resistance.
In a person with type 2 diabetes, the
pancreas makes insulin and releases it
after a meal is eaten. But, as the
diaphragm shows, insulin resistance
stops the cells from “opening up”
normally to get all the blood sugar
they can use. Insulin resistance gets
worse with weight gain and age but can
also be a problem even if you are not
overweight. If you have type 2
diabetes, it may not matter how much
insulin your body is given or makes
for itself. You still have a hard time
controlling your blood sugar levels.
Question:
What can be done to help reduce the
risk of liver problems?
Answer:
Your doctor will perform a blood test
before you start taking a prescription
to check your liver enzyme levels.
This same test will be repeated at
least every month during the first 12
months of therapy, and at least
quarterly thereafter. By repeating
this test your doctor can watch for
any changes in liver function that
might take place. Although blood tests
cannot completely eliminate the
potential for serious liver problems,
they may help reduce the risk. You
should tell your doctor if you have
any side effects that you think may be
associated with taking a prescription
for diabetes type 2, even if they seem
unimportant. Stop taking the
prescription, and call your doctor
right away if you have jaundice
(yellowing of the skin or whites of
the eyes) or brown urine. Your doctor
will know what to do. Talks to your
doctor immediately if you have nausea,
vomiting, stomach pain, lack of
appetite, or fatigue (feeling
extremely tired) as these may be signs
or symptoms of a liver problem.
Question:
Will your weight change while you are
taking prescriptions?
Answer:
Diet control is a very important part
of taking good care of yourself when
you have type 2 diabetes. Limiting
calories, keeping close watch of your
weight, and getting enough exercise
will not only help you feel better,
they will also help your medications
to work. Controlling your weight is
especially important when you are
taking prescriptions. In some cases,
patients taking prescriptions in
combination with other diabetes
medications have significantly lowered
their blood sugar but gained 6 to 13
pounds. Regardless of the medications
you are taking, controlling your
weight should be a major part of the
way you manage your diabetes.
Question:
Can you take multiple medications at
the same time?
Answer:
There are many medications that are
okay to take together, but there are a
few that are not. There are also some
birth control pills that women
shouldn’t use when taking some
prescriptions for diabetes type 2
because they won’t work well. Be sure
to talk with your doctor about ALL
medications you may be taking for type
2 as well as other diseases and
conditions.
Questions:
What about prescriptions for type 2
diabetes and pregnancy?
Answer:
If you are a pre-menopausal woman who
is not ovulating, you should know that
some prescribed type 2 therapy may
result in resumption of ovulation,
thus putting you at risk for
pregnancy. You should not take some
prescription if you are pregnant
unless your doctor says it is right
for you.
Knowledge is good medicine.
Pass it on!