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These should Thpe a small diabetess of Age-related joint health B vitamins in vegetables. Preventing chronic diseases: a vital investment, WHO global report. If you have complicatioons, you can lower your chance of developing type 2 diabetes. This program reduced HbA1c levels by 0. Diabetes-friendly exercises include:. For more information on CDC's web notification policies, see Website Disclaimers. Important examinations according to the Diabetes Health Passport from the German Diabetes Association:.

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The non-pharmacological educational interventions in China [ 36 ], Thailand [ 37 ], and Korea [ 38 , 39 ] demonstrated reductions of HbA1c levels and other cardiovascular disease risk factors, which might facilitate improvements in diabetes control and prevent disease-related complications.

These findings are supported by other studies conducted in developed countries, which have resulted in reduced HbA1c levels, adiposity, and blood pressure in the intervention compared with control groups [ 25 , 26 , 49 ].

For example, a diabetes education and self-management program reduced HbA1c levels by 1. Telehealth-delivered educational interventions in developing countries were also shown to be effective in reducing HbA1c levels in adults with T2DM [ 38 , 39 ].

Previous work from developed countries has found similar results, demonstrating decreased HbA1c levels in patients receiving telephone-based nurse support programs [ 50 — 52 ].

The interventions conducted in developed countries that focused on prevention of diabetes-related complications [ 25 , 26 , 49 — 52 ] have shown greater improvements in glycemic control compared with those in developing countries [ 36 — 39 ] reduction of HbA1c level 0.

As discussed in the earlier paragraph in relation to primary prevention, there are multiple explanations for lower efficacy of such trials in developing countries compared with developed countries. In addition, within the studies in developing countries, the telehealth-delivered educational interventions [ 38 , 39 ] reported greater reductions in HbA1c compared with those with interpersonal education-based programs [ 36 , 37 ].

It is possible that the delivery of the interventions via trained nurses in the telehealth studies had an impact on the differentials in efficacy across these studies. Previous studies have shown that, in addition to lifestyle interventions, pharmacological interventions are effective in the prevention of diabetes-related complications [ 53 — 58 ].

Although the studies included in this review did not implement pharmacological interventions, other studies from low- and middle-income countries have shown similar results to those from the developed world with medication therapy within their programs [ 59 — 62 ].

Therefore, the existing evidence indicates that the use of medication is also important in the management of diabetes and preventing the related complications. The 3-year IDPP-1 confirmed that a non-pharmacological intervention was cost-effective for preventing diabetes among high-risk Indian adults [ 40 ].

Sparse data are available examining the costs and cost-effectiveness of the interventions related to prevention of T2DM and its complications, and the studies that do exist come predominantly from developed countries [ 19 , 63 — 65 ].

However, the cost and the cost-effectiveness estimations from the IDPP-1 study suggest that non-pharmacological interventions for the prevention of T2DM in developing countries are, in absolute terms, cheaper and more cost-effective compared with studies from the developed world, such as the DPP [ 63 ].

This evidence should encourage other developing countries to develop and implement cost-effective, non-pharmacological interventions to stem the escalating problem of T2DM and diabetes-related complications. The two Indian studies [ 31 , 32 ] and the Da-Qing [ 29 ] study have some important limitations.

Most importantly, these studies identified high-risk individuals using IGT or IFG classifications, which employ relatively expensive screening methods that require individuals to fast and undergo blood tests.

In countries such as China and India, where rates of diabetes are extremely high, it is not feasible or cost-effective to screen everyone using such expensive screening methods for diabetes. Low-cost screening methods such as short questionnaires to identify high-risk individuals need to be developed and tested in diabetes prevention programs.

Furthermore, in the IDPP-1, only one fifth of the subjects were female [ 31 ]; yet, the number of males and females in India with IGT are comparable [ 2 , 9 ]. In addition, this program selected a sample from a middle class working people with persistent IGT in an urban setting; however it did not include people from rural areas, where two thirds of the population of India live, so generalizability to the whole population is problematic.

Although the IDPP-1 estimated the direct medical costs and cost-effectiveness of the program [ 40 ], it did not estimate the longer-term cost-effectiveness of the program and the indirect costs which are often many times higher than the direct medical costs.

The study by Balagopal et al. did not include a control group, comprised very small numbers of high-risk participants, and lacked sufficient follow-up 7 months to determine the sustained effect of the intervention [ 32 ].

The Da-Qing study achieved a longer-term follow-up; however, it did not report the estimated cost and cost-effectiveness of the program [ 29 , 30 ]. A major limitation of these studies was the short follow-up periods, which varied between 3 [ 38 ] and 6 months [ 36 , 37 , 39 ].

This meant the sustainability of the intervention effects could not be evaluated [ 36 — 39 ]. The time frame did not allow an evaluation of the efficacy of the trials on incidence of complications, only the observation of reduced risk factors associated with the development of complications.

In addition, the hospital-based study in China had a large discrepancy in the number of participants in the control and intervention groups [ 36 ]. Given the escalating burden of noncommunicable diseases in low- and middle-income countries [ 66 ], research must begin to focus more heavily on effective chronic disease interventions [ 43 ].

Future programs to prevent diabetes and its associated complications in developing countries should focus on the appropriate development, adaptation, and implementation of efficacious, cost-effective intervention methods from developed and developing countries.

However, it is also important to evaluate programs that combine more traditional educational and behavioral methods with peer support, telehealth, and other more contemporary approaches that are now being widely utilized around the world [ 67 — 72 ].

To date, diabetes prevention trials in developed as well as developing countries have primarily targeted those people with diagnosed pre-diabetes [ 20 , 23 , 29 , 31 ]; however, in resource-constrained settings, it is not feasible to rely on the identification of such high-risk individuals using blood tests so the development of valid and reliable self-report risk assessment tools is also required [ 73 ].

In addition, it is very important to develop linguistically appropriate and context-specific lifestyle interventions that are tailored to meet the cultural, religious, and socioeconomic needs of the target communities, with long-term implementation to enable the sustainability of the targeted intervention outcomes.

It is also necessary to consider the development and evaluation of programs that link with local community resources, relevant non-government organizations, and in particular, local health services.

Interventions focused on chronic disease prevention and management in developing countries must engage healthcare systems to initiate the improvements and reform that are urgently required to support the long-term primary and secondary prevention and care of those at risk and with these diseases [ 43 ].

We conclude that, despite the escalating burden of T2DM in developing countries, the current evidence concerning the prevention of T2DM and its complications in these countries still remains quite limited.

Nevertheless, there is an urgent need to stem the growing epidemic of T2DM in rapidly developing countries that face significant resource constraints. This must be achieved by linking a significant primary prevention effort in all countries with the use of low-cost behavioral medicine and related approaches to screen and identify high-risk individuals, followed by the development, implementation, and evaluation of community-based programs that are culturally relevant and cost-effective.

World Health Organization. Preventing chronic diseases: a vital investment, WHO global report. Geneva: World Health Organization; Google Scholar. Sicree R, Shaw J, Zimmet P. Diabetes and impaired glucose tolerance.

In: Unwin N et al. Diabetes Atlas. Brussels: International Diabetes Federation; Sixty-first world health assembly, 20 December , a United Nations resolution on diabetes.

Alberti KGMM, Zimmet P, Shaw J. International Diabetes Federation: a consensus on type 2 diabetes prevention. Diabet Med. Article PubMed CAS Google Scholar.

International Diabetes Federation, World Health Organization. Diabetes action now, the initiatives of World Health Organization and International Diabetes Federation. Geneva: World Health Organization and International Diabetes Federation; World Health Organization, International Diabetes Federation.

The western pacific declaration on diabetes. WHO, Western Pacific Regional Office, IDF Western Pacific Region, Secretariat of the Pacific Community and Western Pacific Diabetes Declaration; International Diabetes Federation and World Health Organization.

The diabetes declaration and strategy for Africa; a call to action and plan of action to prevent and control diabetes and related chronic diseases. International Diabetes Federation, World Health Organization-AFRO and, the African Union; Yang W, Lu J, Weng J, Jia W, Ji L, Xiao J, et al.

Prevalence of diabetes among men and women in China. N Engl J Med. In: Gan D, editor. Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year and projections for Diabetes Care.

Article PubMed Google Scholar. Roglic G, Unwin N. Mortality attributable to diabetes: estimates for the year Roglic G. Diabetes mortality.

Diabetes facts. WHO, fact sheet, November Switzerland: World Health Organization; Mbanya JCN, Motala AA, Sobngwi E, Assah FK, Enoru ST.

Diabetes in Sub-Saharan Africa. Brown JB, Vistisen D, Sicree R, Shaw J, Nichols G, Zhang P. The economic impacts of diabetes.

Joslin EP. The prevalence of diabetes mellitus. Article Google Scholar. World Health Organization Study Group. Prevention of diabetes mellitus—technical report series Eriksson KF, Lindgärde F. Prevention of type 2 non-insulin-dependent diabetes mellitus by diet and physical exercise, the 6-year Malmö feasibility study.

Tuomilehto J, Lindstrom J, Eriksson JG, Valle TT, Hamalainen H, Ilanne-Parikka P. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. Lindstrom J, Louheranta A, Mannelin M, Rastas M, Salminen V, Eriksson J, et al.

The Finnish diabetes prevention study DPS , lifestyle intervention and 3-year results on diet and physical activity. Uusitupa M, Louheranta A, Lindstrom J, Valle T, Sundvall J, Eriksson J, et al. The Finnish diabetes prevention study. Br J Nutr. Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, et al.

Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. Gillies CL, Abrams KR, Lambert PC, Cooper NJ, Sutton AJ, Hsu RT, et al.

Pharmacological and lifestyle interventions to prevent or delay type 2 diabetes in people with impaired glucose tolerance: systematic review and meta-analysis.

Davies MJ, Heller S, Skinner TC, Campbell MJ, Carey ME, Cradock S, et al. Effectiveness of the diabetes education and self management for ongoing and newly diagnosed DESMOND programme for people with newly diagnosed type 2 diabetes: cluster randomised controlled trial.

Agurs-Collins TD, Kumanyika SK, Ten Have TR, Adams-Campbell LL. A randomized controlled trial of weight reduction and exercise for diabetes management in older African-American subjects.

Simmons R, Unwin N, Griffin S. International Diabetes Federation: an update of the evidence concerning the prevention of type 2 diabetes. The World Bank List of developing countries. July Accessed 21 Sept Pan X, Li G, Hu Y, Wang J, Yang W, An Z, et al.

Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance: the Da Qing IGT and diabetes study.

Li G, Zhang P, Wang J, Gregg EW, Yang W, Gong Q, et al. The long-term effect of lifestyle interventions to prevent diabetes in the China Da Qing diabetes prevention study: a year follow-up study.

Ramachandran A, Snehalatha C, Mary S, Mukesh B, Bhaskar AD, Vijay V, et al. The Indian diabetes prevention programme shows that lifestyle modification and metformin prevent type 2 diabetes in Asian Indian subjects with impaired glucose tolerance IDPP Balagopal P, Kamalamma N, Patel TG, Misra R.

A community-based diabetes prevention and management education program in a rural village in India. Diabetes mellitus: report of a WHO study group. Technical report series Definition, diagnosis and classification of diabetes mellitus and its complications.

Report of a WHO Consultation. Part 1: diagnosis and classification of diabetes mellitus. American Diabetes Association. Standards of medical care for patients with diabetes mellitus.

Sun J, Wang Y, Chen X, Chen Y, Feng Y, Zhang X, et al. An integrated intervention program to control diabetes in overweight Chinese women and men with type 2 diabetes.

Asia Pac J Clin Nutr. PubMed CAS Google Scholar. Wattana C, Srisuphan W, Pothiban L, Upchurch SL. Effects of a diabetes self-management program on glycemic control, coronary heart disease risk, and quality of life among Thai patients with type 2 diabetes.

Nurs Health Sci. Kim HS. A randomized controlled trial of a nurse short-message service by cellular phone for people with diabetes. Int J Nurs Stud. Kim HS, Song MS. Technological intervention for obese patients with type 2 diabetes. Appl Nurs Res.

Ramachandran A, Snehalata C, Yamuna A, Mary S, Ping Z. Cost-effectiveness of the interventions in the primary prevention of diabetes among Asian Indians. Type 2 diabetes—time to change our approach. Lancet ; Tuomilehto J, Lindström J, Eriksson JG, Valle TT, Hamalainen H, Parikka PI, et al. Samb B, Desai N, Nishtar S, Bekedam H, Wright A, Hsu J, et al.

Prevention and management of chronic disease: a litmus test for health-systems strengthening in low-income and middle-income countries.

McKeigue PM, Shah B, Marmot MG. Relation of central obesity and insulin resistance with high diabetes prevalence and cardiovascular risk in South Asians. The Diabetes Control Complications Trial Research Group. The effect of intensive treatment of diabetes on the development and progression of long-term complications in insulin-dependent diabetes mellitus.

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Ketoacidosis is a dangerous, life-threatening condition. When this happens, your body starts to break down fats to convert into energy. Ketones are a waste product, so your body tries to get rid of them with increased urine production.

The ketones then move to the blood, where they build up, leading to ketoacidosis. This rare, but serious, condition is more common in people who are older or people who are sick with a coexisting illness or infection.

This is an emergency condition that must be treated immediately. If your sugar is too high, contact your doctor. People with type 2 diabetes should always monitor their blood pressure. High blood pressure, also called hypertension , is both a short- and long-term problem that can lead to very serious issues.

These include:. Take steps to keep blood pressure in check. A low-sodium diet , regular exercise, and stress reduction can help. If you smoke, consider cutting back or quitting. Over time, unmanaged blood sugar can damage your arteries.

People with diabetes are more likely to develop cardiovascular or heart disease. To prevent this, talk with your doctor about addressing the main risk factors:. Smoking increases the risk of heart disease in people with diabetes. Most strokes occur when a blood clot blocks a blood vessel in the brain.

People with diabetes are 1. Diabetes can cause damage to the tiny blood vessels in your eyes. This increases your chances of developing serious eye conditions like:. Make sure to schedule regular eye exams with an ophthalmologist.

Any change in your vision should be taken seriously. Early detection of vision problems can prevent serious problems.

For example, early detection of diabetic retinopathy, for example, can prevent or postpone blindness in 90 percent of people with diabetes. Damage to nerves and circulation problems caused by diabetes can lead to foot problems, like foot ulcers. You can prevent these issues with proper foot care.

Here are some steps you can take:. Neuropathy is one of the most common diabetes complications. There are different kinds of diabetic neuropathy. If blood sugar levels remain high over a long period of time, damage to the vagus nerve can occur.

The vagus nerve is the nerve that controls the movement of food through the digestive tract. This is another kind of autonomic neuropathy. Gastroparesis happens when the vagus nerve is damaged or stops working.

When this happens, the stomach takes longer than it usually does to empty its contents. This is called delayed gastric emptying. Gastroparesis can make it more difficult to manage blood glucose levels since food absorption is less predictable.

The best way to prevent gastroparesis is to manage your blood sugar levels over time. Try to avoid eating high fiber, high fat foods , as they take longer to digest.

Even though diabetes can lead Thermogenic fat burning other health problems, cmplications can prevent or delay Type diabetes complications prevention prefention in many diabetfs. Common diabetes health complications include heart B vitamins in vegetables, chronic kidney disease, nerve damage, and other problems with feet, oral health, vision, hearing, and mental health. Learn how to prevent or delay these diabetes complications and how to improve overall health. Skip directly to site content Skip directly to search. Español Other Languages. Prevent Diabetes Complications. Español Spanish Print. Dixbetes you prevenion type 2 diabetes, you already know that smart medication, diet, and lifestyle choices preventiin help you maintain prevfntion blood sugar levels Typf enjoy an Meal plan timing quality of life. Digestive health enhancement methods off the Meal plan timing and sometimes fatal health complications diabeets Meal plan timing type 2 diabetes starts with being aware of their potential to affect you. Side effects or complications of diabetes can be short-term acute or long-term chronic. Short-term means the problem can develop quickly at any time, and long-term means the problem generally develops later or more slowly over a period of time. Hypoglycemia can arise from excessive insulin, typically from drugs such as sulfonylureas or insulin. Early warning signs of hypoglycemia include hunger, sweating, and shaking. Diabetes is unpredictable, but you can take steps to prevent complications. Type  diabetes complications prevention

Even though diabetes can preventiln to other health problems, disbetes can prevsntion or delay these complications in many ways. Common diabetes health complications include complicxtions disease, chronic kidney disease, nerve damage, and other problems with feet, daibetes health, TType, hearing, and mental health.

Learn Antioxidant-Rich Heart Health to complicatione or delay these diabetes diabetea Meal plan timing how peevention improve overall health. Skip directly to site content Complicationns directly complcations search.

Com;lications Other Type diabetes complications prevention. Prevent Preventlon Complications. Español Spanish Print. Type diabetes complications prevention Related Pages. Heart Disease. Chronic Kidney Disease CKD. Nerve Damage. B vitamins in vegetables Health.

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Everything You Need to Know About Diabetes See "Patient education: Diabetic kidney disease Beyond the Basics ". People who have sleep apnea —when you stop breathing for short periods during sleep—are more likely to develop type 2 diabetes. Heart Disease. Diabetic Neuropathy. Degree Programs.
Preventing Type 2 Diabetes Sign up for free and stay up to date on research advancements, health tips, current health topics, and expertise on managing health. Explore careers. The reminders for frequent self-monitoring of blood glucose levels were sent to each participant in the intervention groups, using short message services via cellular mobile phone. Diabetes diagnosis. Also look for a type of sport you enjoy.
Prevent Diabetes Complications | CDC Keeping blood preventkon levels complicztions close to Herbal energy infusion drink as possible before Meal plan timing during pregnancy decreases the risk of many complications in Typf the pregnant person preventoon the baby. These complications increase the disease burden and can significantly restrict quality of life. Price Transparency. This condition mainly affects people with type 1 diabetes but can also occur as a rare complication of type 2 diabetes. October 28, Those are polydipsia, polyuria, and polyphagia. Pregnancy in people with diabetes is discussed in more detail separately.
Put the Brakes on Diabetes Complications Ocmplications Nephropathy Kidney Disease Exercise Symptoms and Wakefulness and shift work sleep disorder. Important examinations preventipn to the B vitamins in vegetables Health Complicztions from the German Diabetes Association: Every prevvention months: ;revention weight Type diabetes complications prevention waist circumference are measured B vitamins in vegetables pressure is measured Long-term blood sugar value is measured HbA1c The frequency of severely low blood sugar levels is determined Injection sites are examined Smoking status is checked Once a year: Blood lipids are measured Small and large blood vessels are examined Examination of the kidneys for any function disorders Examination of the heart Examination of the teeth and gums Examination of the feet Examination of the nerves Wellbeing is checked, e. Some people with diabetes may develop nerve damage, called diabetic neuropathy. To prevent this, talk with your doctor about addressing the main risk factors:. What Affects Blood Sugar Levels.

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Diabetes mellitus (type 1, type 2) \u0026 diabetic ketoacidosis (DKA)

Type diabetes complications prevention -

While the prevalence of all diabetes complications is unknown, the longer you live with diabetes, the greater your chances are of developing further health issues.

Possible Short-Term Complications of Diabetes Sexual Issues Because high blood sugar can damage nerves in the genital area, some people with type 2 diabetes have sexual side effects. This complication affects up to 75 percent of men and 42 percent of women with diabetes at some point.

If a person is unable to manage their glucose levels, these side effects can worsen over time. A diabetic coma can also occur with hyperglycemic hyperosmolar syndrome. This condition is more common in the elderly and people with other chronic illnesses, but it can occur in anyone with poor control of diabetes.

This process can lead to severe dehydration , causing a variety of complications, including muscle breakdown and even loss of consciousness. This is a potentially fatal complication that requires immediate medical attention. This condition mainly affects people with type 1 diabetes but can also occur as a rare complication of type 2 diabetes.

But a deficiency of insulin also leads to ketone production. This process causes the body to produce toxic acids called ketones.

A buildup of ketones in the bloodstream can poison the body and also lead to a diabetic coma. Diarrhea can be a sign of medication intolerance. For example, some people with diabetes take the oral medication metformin Metformin Eqv-Fortamet to treat high blood sugar. Side effects vary from mild to severe and typically go away once your body adjusts to the medication.

GLP1 agonists may also result in diarrhea. High blood sugar can damage nerves in the body, including those in the lower extremities, such as the legs and feet.

This complication can cause diabetic nerve pain, bone and joint pain, numbness, poor blood circulation, and ulcers. Diabetic neuropathy — the term used to describe nerve damage from diabetes — affects about 50 percent of people with diabetes. Chronic high blood sugar can also damage the blood vessels in the back of the eye.

This condition is known as diabetic retinopathy , and it affects more than 40 percent of people who have diabetes. Having diabetes also nearly doubles your risk of glaucoma , which is an eye disease that develops as a result of damage to your optic nerve.

Additionally, persistent high blood sugar can cause a cataract or swelling in the lens of the eye. Heart disease and stroke are other complications of diabetes. High blood sugar causes hardening of the blood vessels, which can contribute to high blood pressure. High blood pressure increases the risk of heart disease and stroke.

In fact, people with diabetes are two to four times more likely to develop cardiovascular disease. Cardiovascular disease is the most common cause of death for people with diabetes. About 25 percent of people living with diabetes will develop kidney disease.

Persistent high blood sugar can damage blood vessels in the kidney. Being a smoker and having high cholesterol or high blood pressure increases the risk.

Symptoms of sleep apnea include daytime fatigue, loud snoring, and waking up coughing or choking. The more severe the case of sleep apnea , the harder it is to control glucose level.

When the blood vessels that supply the skin with blood become damaged as a result of diabetes, oval or circular light brown, scaly spots can develop on the skin.

Diabetic dermopathy usually occurs on the fronts of the legs. Nearly 22 percent of people with diabetes have periodontal disease, which develops as a result of bacteria camping out in your gums.

Better blood sugar management can prevent gum disease or keep it from spreading. But if the disease progresses, your gum line may start to recede and the bones supporting your teeth can weaken, resulting in tooth loss.

Poor blood sugar control is a risk factor for gum disease, along with poor dental hygiene and tobacco use. People who have diabetes are more likely to develop gum disease than people without diabetes. Type 2 diabetes may increase your risk of cancer, including breast, pancreatic, uterus, colon, liver, and bladder cancer , likely because high glucose levels in the blood may cause DNA damage.

It also means making sure your A1C is in your target range. Tips to prevent complications include: [ 31 ]. If you have type 2 diabetes symptoms , your doctor may perform several tests to diagnose a complication.

These include: [ 32 ]. Treatment for diabetes complications involves controlling your blood sugar. When your blood sugar is very high, taking an insulin dose through injection or intravenously can help stabilize your blood sugar and help you begin to feel better.

For example, treatment for diabetic retinopathy usually involves laser surgery to reduce the size of blood vessels in the eye and stop the leaking. If you have early-stage kidney disease, lowering your blood pressure and cholesterol and taking medication can reduce protein in your urine and improve your condition.

On the other hand, late-stage kidney disease may require dialysis or a kidney transplant. Editorial Sources and Fact-Checking. Sources Insulin Resistance and Prediabetes.

National Institute of Diabetes and Digestive and Kidney Diseases. Hyperglycemia in Diabetes: Symptoms and Causes. Mayo Clinic. Diabetes Care: 10 Ways to Avoid Complications. American Diabetes Association.

Prediabetes — Your Chance to Prevent Type 2 Diabetes. Centers for Disease Control and Prevention. GP Based Weight Loss Programme Can Reverse Type 2 Diabetes. What Affects Blood Sugar Levels.

Diabetes: Symptoms and Causes. Diabetes, Sexual, and Bladder Problems. Diabetic Hyperglycemic Hyperosmolar Syndrome.

Diabetic Coma: Symptoms and Causes. Diabetes and DKA Ketoacidosis. Diabetic Ketoacidosis: Symptoms and Causes. Managing Sick Days.

Metformin Oral Route. Adverse Effects of GLP-1 Receptor Agonists. The Review of Diabetic Studies. Diabetic Neuropathy. Diabetic Neuropathy: Symptoms and Causes. Diabetic Retinopathy.

National Eye Institute. Diabetes, Heart Disease, and Stroke. Diabetes and Heart Disease. Johns Hopkins Medicine. Diabetic Nephropathy Kidney Disease : Symptoms and Causes. Sleep Apnea: Symptoms and Causes.

Can Long-term Treatment of Obstructive Sleep Apnea With CPAP Improve Glycemia and Prevent Type 2 Diabetes?. Diabetes Care. Diabetes and Skin Complications. It's also important not to let your glucose fall below normal as this condition called "hypoglycemia" can lead to problems as well.

See "Patient education: Hypoglycemia low blood glucose in people with diabetes Beyond the Basics ". Living with diabetes can be challenging, but most people are able to adjust and manage their diabetes successfully.

Your health care provider will work closely with you to monitor your health and help you manage diabetes and related health conditions. More information about diabetes management is available separately. See "Patient education: Type 1 diabetes: Insulin treatment Beyond the Basics " and "Patient education: Type 2 diabetes: Treatment Beyond the Basics " and "Patient education: Glucose monitoring in diabetes Beyond the Basics ".

People with diabetes are at increased risk of cardiovascular disease, which can lead to heart attack and stroke. Cardiovascular disease is the leading cause of death in people with diabetes. Whether you have type 1 or type 2 diabetes, you can lower your risk of cardiovascular disease by doing the following:.

Your health care provider can help you and provide other resources for support. See "Patient education: Quitting smoking Beyond the Basics ". See "Patient education: High blood pressure, diet, and weight Beyond the Basics " and "Patient education: High blood pressure treatment in adults Beyond the Basics ".

In addition to making healthy lifestyle changes, most people with diabetes will also need to take a cholesterol-lowering medication. If you are over 40 years old or have multiple risk factors for cardiovascular disease eg, family history, high cholesterol, high blood pressure, or obesity , your doctor will likely prescribe a cholesterol-lowering medication called a statin.

In people with diabetes, statins have been shown to decrease the future risk of heart attacks, strokes, and death, even when cholesterol levels are normal.

See "Patient education: High cholesterol and lipids Beyond the Basics " and "Patient education: High cholesterol and lipid treatment options Beyond the Basics ".

For some people with diabetes and heart disease, aspirin is combined with another antiplatelet medication. For people with diabetes who do not have heart disease, the decision to take low-dose aspirin should be based on the individual's risks for heart disease and bleeding.

Because aspirin can cause bleeding most frequently in the gastrointestinal tract , it may not be recommended for people at high risk of bleeding who do not have a history of angina or heart attack. Your health care provider can talk to you about the risks and benefits of daily aspirin.

See "Patient education: Aspirin in the primary prevention of cardiovascular disease and cancer Beyond the Basics ". In people with type 1 diabetes, keeping glucose levels close to normal reduces the risk of cardiovascular disease.

In people with type 2 diabetes, the relationship between glucose management and cardiovascular disease is less clear. However, glucose management remains a central part of diabetes care as it reduces the risk of eye, kidney, and nerve damage.

There are several eye problems related to diabetes. The most common affects the retina, a layer at the back of the eye; this is called "diabetic retinopathy.

Other eye problems associated with diabetes include diabetic macular edema swelling of the central area of the retina that has the sharpest vision , glaucoma high pressure in the eyeball , and cataracts clouding of the lens of the eye.

Regular eye exams are essential for detecting retinopathy and other eye problems at an early stage, when the condition can be monitored and treated to preserve vision. The initial eye exam can be performed by a doctor who specializes in the eyes called an ophthalmologist or optometrist or by a trained retinal photographer who takes photographs of the retina.

The eye doctor uses medicated eye drops to dilate your pupils so the retina can be completely examined. Pupil dilation is not required for the retinal photographs.

The photographs are interpreted by an eye doctor or by a computer. If there is evidence of diabetic retinopathy on the retinal photographs, you will need to have a full dilated eye exam by the eye doctor.

The risk of diabetic retinopathy and the recommendations for monitoring vary depending on which type of diabetes you have:. People who have difficulty with their vision or require glasses or contacts may need to be seen sooner.

The reason for this is that blood glucose levels often increase over a period of several years before the person is diagnosed. Eye complications can develop during this time and often have no symptoms. Having an eye exam soon after diagnosis can help to determine if there are eye complications, the extent or severity of the complications, and if treatment is needed.

The frequency of subsequent exams will depend upon the results of the initial exam. Eye exams are usually recommended every one to two years after the first one. In addition to keeping blood glucose levels in your target range, lowering your blood pressure if it is high can also help prevent eye-related complications.

See 'High blood pressure in diabetes' below. FOOT PROBLEMS IN DIABETES. Diabetes can decrease blood flow to the feet and damage the nerves that carry sensation; this nerve damage is known as "diabetic neuropathy. Foot complications are very common among people with diabetes and sometimes go unnoticed until symptoms become severe.

See "Patient education: Diabetic neuropathy Beyond the Basics ". Although there is no way to reverse nerve damage once it has happened, there are things you can do to lower your risk of developing serious foot problems as a consequence.

In addition to managing your glucose levels, doing regular exams to check for any changes in the feet also helps reduce the risk of serious foot problems. Self-exams and foot care — It is important to examine your feet every day. This should include looking carefully at all parts of your feet, especially the area between the toes.

Look for broken skin, ulcers, blisters, areas of increased warmth or redness, or changes in callus formation; let your health care provider know if you notice if any of these changes or have any concerns.

See "Patient education: Foot care for people with diabetes Beyond the Basics ". It may help to make the foot exam a part of your daily bathing or dressing routine. You might need to use a mirror to see the bottoms of your feet clearly. If you are unable to reach your feet or see them completely, even with a mirror, ask another person such as a spouse or other family member to help you.

It is important to dry your feet thoroughly after bathing and wear cotton socks and comfortable, well-fitting shoes. Clinical exams — During your routine medical visits, your health care provider will check the blood flow and sensation in your feet.

The frequency of these clinical exams will depend on which type of diabetes you have:. During each foot exam, your provider will look for changes such as ulcers, cold feet, thin skin, bluish skin color, and skin breaks associated with athlete's foot a fungal infection.

They will also check the pulses and test the sensation in your feet to determine if these are normal or decreased.

If you have decreased pulses or sensation, this increases your risk for foot injuries. Diabetes can alter the normal function of the kidneys. Kidney problems related to diabetes are referred to as "diabetic kidney disease" or by the older term, "diabetic nephropathy.

See "Patient education: Diabetic kidney disease Beyond the Basics ". To monitor your kidney function, your health care provider will check your blood creatinine level and use this to calculate an estimated glomerular filtration rate, or eGFR, which measures how well your kidneys are working.

Your provider will also order urine tests to measure the amount of protein in your urine. When the kidneys are working normally, they prevent protein from leaking into the urine, so finding protein measured as albumin in the urine even in very small amounts may be an early sign of kidney damage.

These tests are usually checked once yearly. See "Patient education: Protein in the urine proteinuria Beyond the Basics ". Recommendations for when to begin regular urine albumin-to-creatinine ratio screening tests depend on which type of diabetes you have:.

If the test shows that there is protein in your urine, you can help slow the rate of progression by managing your blood glucose and your lipid cholesterol and triglycerides levels. If you continue to have protein in your urine over time, your health care provider may prescribe a medication called an angiotensin-converting enzyme ACE inhibitor or angiotensin receptor blocker ARB.

These medications can help decrease the amount of protein in the urine and slow the progression of kidney disease. These medications also help lower blood pressure; this is important as high blood pressure can speed up the development of kidney problems.

Nutrient timing for athletic success Clinic offers appointments diabettes Arizona, Florida and Meal plan timing and at Mayo Clinic Clmplications System locations. Changing your lifestyle could complidations a big step Type diabetes complications prevention diabetes prevention — compllications it's never too late to start. Consider these tips. Lifestyle changes can help prevent the onset of type 2 diabetes, the most common form of the disease. Prevention is especially important if you're currently at an increased risk of type 2 diabetes because of excess weight or obesity, high cholesterol, or a family history of diabetes.

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