Complications

Complications of diabetes occur due to long standing high blood glucose levels. High blood glucose levels can speed up the clogging of blood vessels supplying many organs of the body. Although strict control of blood sugar makes complications less likely, even the very best control may not be able to eliminate all complications! Your risk of developing complications increases with the length of time you have diabetes.

Diabetes mainly affects the eyes, kidneys, nerves, large and small blood vessels and skin.
 
Eyes

Diabetes is one of the leading causes of blindness in adults. Retinopathy due to changes in small blood vessels that nourish the eye can lead to irreversible damage to the eyes.
In order to minimize the risk of developing eye problems you should,
 

  • keep your blood sugar under control
  • Maintain normal blood pressure
  • Get your eyes checked at least once a year
Kidneys

Diabetes is recognized as one of the leading causes of chronic kidney failure all over the world. Long term diabetes damages the tiny blood vessels in the kidney filtering system. So filtering of waste products become less and proteins leak out into urine. Protein in the urine is the first sign of kidney disease

Nerves  
Complications due to nerve damage is very common in diabetics. It happens in both type I and II diabetes. High blood sugar damages nerve fibers and give rise to various complications. One may experience numbness, tingling and burning pain of feet especially at night. Loss of sensation lead to trauma and foot ulcers. When the special nerve fibers supplying skin, stomach, bowels bladder and sexual organs are involved various troublesome symptoms occur. They include:
  • Unusual warmth or cold due to inappropriate response of blood vessels in the skin.
  • Watery diarrhoea often at night
  • Incomplete emptying of bladder and frequent urinary tract infections
  • Sexual dysfunction including impotence
  • Sudden drop in blood pressure when standing from the sitting position
Blood Vessels

 

Long standing diabetes affect large and small blood vessels by thickening and hardening their walls and clogging them. This reduces the flow of blood to various organs.
When this happens to vessels supplying the heart, it can give rise to a heart attack. If the arteries supplying the brain are diseased and blocked, a stroke is inevitable.

The blood vessels that supply the legs and feet can also get affected. When it happens one may find it difficult to walk due to claudication pain and cramps and wounds take a long time to heal or may not heal at all.

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