Diabetes damages the body in a multitude of ways, many of which are unseen and go unnoticed. Some individuals have the disease for years, but go undiagnosed until symptoms are undeniable. During that time, the disease is quietly causing damage within the body.

Dementia

Multiple studies have demonstrated a correlation between diabetes and a significantly increased risk of developing dementia.

Blindness

Diabetes damages blood vessels throughout the body and that includes the tiny vessels of the eyes. The disease causes a myriad of eye-related conditions and can lead to blindness.

Heart Disease

Stroke and heart attack are the 2 most common heart-related conditions associated with diabetes, resulting in death or long-term disability. In a heart attack, plaque from a diet high in “bad” fats builds up in arteries and blood vessels. It restricts blood flow and the buildup is known as hardening of the arteries.

A stroke occurs when blood flow to the brain is blocked due to plaque. Brain cells begin to die and brain bleeding can occur. A stroke can result in lasting brain damage, long-term disability or death.

High Blood Pressure

A diet high in fats leads to high blood pressure. Fats build up in blood vessels and arteries, making the heart work harder to pump blood throughout the body.

Chronic Kidney Disease

Known as CKD, the kidneys work harder when diabetes is present. The disease damages the small blood vessels in the kidneys, resulting in decreased function or the need for a transplant.

Nerve Damage

Known as neuropathy, it’s damage to nerves that’s often experienced as a sensation of tingling, numbness or pain that typically occurs in the hands, feet and legs. It can lead to a loss of feeling in extremities and eventually amputation. Neuropathy can also affect the stomach and digestive tract.

Cavities and Gum Disease

High blood sugar levels are also present in saliva. Those elevated levels result in tooth decay, cavities and gum disease, all of which often leads to tooth loss.

Depression

People with diabetes are up to 3 times more likely to experience depression. Fear, anxiety, exhaustion related to managing the disease, and feeling helpless are all common causes of depression in patients with diabetes.

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People with diabetes are at a higher risk of developing a variety of health issues. The risk of complications is even greater when the disease goes undiagnosed or is poorly controlled. The following are the key health issues associated with diabetes.

Eye Problems

Damage to blood vessels due to diabetes can result in a variety of eye-related conditions and can lead to blindness.

Heart Attack

A diet high in fats often leads to high blood pressure and high levels of cholesterol that build up as plaque in the arteries and blood vessels. The condition is known as hardening of the arteries and the plaque restricts blood flow.

Stroke

A stroke occurs when blood flow to the brain is blocked. Brain cells begin to die in minutes and brain bleeding can occur. It can result in lasting brain damage, long-term disability or death.

Chronic Kidney Disease

Also known as CKD, diabetes makes the kidneys work harder and the disease can damage the tiny blood vessels in the kidneys.

Neuropathy

This is a sensation of tingling, numbness or pain that often occurs in the hands, feet and legs. It’s caused by damage to the blood vessels and nerves and can lead to amputation. In some instances, it also affects the stomach and digestive tract, leading to slow digestion, constipation and vomiting.

Foot Conditions

Neuropathy can eventually lead to a loss of feeling in the feet. Individuals can injure their feet and never even know it. Infection may set in and eventually result in amputation.

Oral Hygiene

High blood sugar levels are present in saliva. Elevated sugar levels cause tooth decay, cavities and gum disease that results in tooth loss.

Mental Health

People with diabetes are up to 3 times more likely to experience depression. Fear and anxiety about the disease and related health issues, exhaustion related to managing the disease, and feeling helpless are all common causes of depression in diabetics.

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Newly diagnosed diabetic patients have a lot to learn about monitoring and controlling their disease. It’s a lot to take in at one time and can be confusing, coming on top of a diagnosis that’s often unexpected. The following are the most important topics taught to a newly diagnosed diabetic patient.

No Cure

There’s no cure for diabetes, but it’s not the end of life as you know it. You’ll need to be more careful, plan ahead, and make lifestyle changes. You can still live a long, healthy and fulfilling life.

Blood Sugar Monitoring

You’ll need to learn how to test your blood sugar levels with a glucose monitor and test strips. Testing must be done at certain times. You’ll learn how to identify the signs and symptoms of low or high blood sugar levels and what to do.

Administering Insulin

Giving yourself insulin injections is often the most difficult aspect of the disease for many people. Insulin may be prescribed in a flexpen or vial. It comes in a fast and long-lasting formula, and a combination of the two – all of which are taken differently.

Medication

Insulin isn’t the only medication that diabetics may need to take. Your health provider may prescribe medication to aid in the absorption of insulin, as well as prescriptions for cholesterol and other conditions. It’s essential that you take the medication as directed, even if you begin to feel better.

Carb Intake

Sugars, carbohydrates and portion size are all factors that determine blood sugar levels and the amount of insulin needed. Diabetics should speak with a dietician to learn about eating a healthy diet and foods to eat in moderation.

Exercise

Many diabetics have their disease under control, but still experience weight gain. Exercise is necessary to avoid that from happening and minimizing the risk of heart disease and similar health problems in the future. The type of exercise isn’t as important as being active. Choose an activity you enjoy so it doesn’t feel like a chore. Swimming, rollerblading, dancing, and yoga are all good choices for those that don’t want to visit a gym.

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There are many components to managing diabetes, but four goals stand out. There are things that every diabetic should be aware of when managing the disease.

Stop Smoking

One of the little-known facts about smoking is that it raises blood glucose levels. That means larger doses of insulin are required to counteract higher sugar levels in the blood. Nicotine alters the structure of cells and makes them less responsive to insulin. Smoking aids in the creation of a condition known as insulin resistance. The body typically begins to adjust to the absence of nicotine within 3 days.

Weight Management

The first step in weight management with diabetes is eating healthy. It involves learning what to eat and drink, what to consume in moderation, and how different foods affect blood glucose levels. While vegetables are an important ingredient in a healthy diet, diabetics aren’t limited to a life of nothing but peas and carrots. However, all vegetables aren’t created equal and can drastically increase glucose levels.

Exercise

While getting more exercise will aid in weight management, it’s essential to minimize insulin resistance. The condition occurs when the body isn’t able to utilize insulin as efficiently as it should. That means weight gain due to increased blood glucose levels. Any type of regular exercise is beneficial, from walking and dancing to working out at the gym.

Take Medication

When diabetes is tightly controlled, many individuals mistakenly believe the disease has disappeared and they stop taking their medication. No medication for diabetes-related conditions should be skipped or discontinued. Diabetes can be managed with regular medication and people can minimize many of the other health risks that accompany the disease when they take their medication as prescribed. Individuals with diabetes are at a significantly increased risk of having a stroke or heart attack and chronic kidney disease. They also have an elevated risk of blindness and amputations.

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Contrary to popular belief, there is no single underlying cause for developing the disease.
There’s nothing that modern medicine can point to definitively as a cause. The uninformed
often cite being overweight and overeating as the causal agent, but those are effects, not the
cause.
Diabetes is a chronic disease, not a character flaw. In some instances, the pancreas stops
producing insulin. Some people develop insulin resistance, in which the body’s cells are unable
to use insulin effectively. The result is the same – an increase in blood glucose levels.
Genetics
People with a family history of diabetes are at an increased risk of developing the disease
themselves. Scientists have identified over 120 genetic markers associated with diabetes that
interfere with the body’s ability to secrete or use insulin effectively.
Viruses
Researchers are also collecting an increasing body of evidence that supports a link between
diabetes and viral infections. A viral infection can act as a trigger for the body’s immune system
to identify insulin-producing B cells as invaders. The body reacts by destroying the invader or
suppressing it.
Symptoms
The early symptoms of diabetes often go unnoticed and are only detected during routine
blood work. People feel tired and have no energy, leading to a reduction in physical activity that
in turn leads in weight gain.
Multiple Types
There isn’t just one type of the disease. There are multiple classifications.
 Type 1 – The pancreas produces no insulin or insufficient amounts
 Type 2 – The body doesn’t utilize insulin effectively
 Gestational – It occurs during pregnancy when blood glucose levels are elevated, but
not to diabetic levels, and typically disappears after delivery
 Pre diabetes – Elevated blood glucose levels are detected, but not high enough to be
diagnosed as diabetes
No Cure
There’s no cure for diabetes, though the disease can be monitored, managed and controlled. It
won’t magically disappear with healthy nutrition and more exercise. Many people, even

doctors, use the word remission in connection with the disease. Diabetes doesn’t go into
remission. What they really mean is that It can be tightly and rigidly controlled to the point
where medications can be reduced or eliminated, but the disease is always there.

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A diagnosis of diabetes can be frightening. Many individuals hear little of what their doctor tells
them after the diagnosis. Of all the new information that diabetic patients need to understand,
nutrition is the most important.
Eating Habits
Proper nutrition directly affects how individuals manage the disease and they often need to
alter their eating habits. However, it’s important to understand that anyone can develop the
disease, even those that eat conservatively. Diabetics need to understand what to eat, portion
size, and how to manage carbohydrates. Carbs are a form of sugar that will create a spike in
blood sugar levels and make management even more difficult.
Meal Times
Regular testing of glucose levels and exercise are important elements of diabetes management,
but so is nutrition. Learning how to eat well entails more than simply eliminating certain foods,
counting carbs, and eating bland meals. For many people, it’s a major lifestyle change and it can
be even more difficult for those with few monetary resources.
Nutrition education teaches individuals how to prepare tasty meals that are healthy and won’t
create spikes in blood glucose levels. Individuals learn what foods are high in carbohydrates and
the appropriate portion sizes to consume. Those lessons are especially important so individuals
don’t feel deprived and are tempted to indulge in detrimental foods.
Future Health
Nutrition education is an investment in future health and well being. It’s effective for mitigating
the effects of cholesterol, high blood pressure and heart disease for which diabetics are at high
risk. Unfortunately, nutrition education is a topic that typically only receives cursory attention.
In other instances, individuals may not have the skills to prepare healthy meals that are also
appealing. Some forward-thinking healthcare facilities understand this and offer cooking classes
to help get diabetics started on their new journey to health. Nutrition education gives people
the knowledge they need to manage the disease effectively for a long and healthy life.

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People with diabetes have multiple health concerns that must be managed and controlled.
However, there are 3 key elements that individuals need to focus on when they have the
disease.
Glucose and A1C
Regular testing of blood glucose levels is essential. It tells individuals their current blood sugar
levels. If glucose levels are too low, they need to eat something to increase those levels or
administer insulin to lower blood sugar.
Equally important is obtaining regular A1C testing. It’s a measure of how well an individual is
managing their glucose levels. The test provides a record that spans the previous 3 months and
shows how well glucose levels are being managed. A1C is utilized by doctors to create or
maintain a treatment plan.
Blood Pressure
High blood pressure is also known as hypertension. Diabetes causes a degenerative cascading
effect that begins with the kidneys. The disease scars the kidneys and impairs function. They
don’t filter waste and toxins from the body efficiently.
As kidney function suffers, it results in salt and water retention that causes high blood pressure.
Diabetes causes blood vessel walls to stiffen and harden over time. Blood vessels don’t work as
efficiently at moving blood through the body.
Cholesterol
Elevated cholesterol levels and high blood pressure are inextricably linked. High blood pressure
occurs when an individual has too many lipids – “bad” fats – in their blood. If too many lipids are
present, they can’t be eliminated from the body. Lipids build up in arteries to form plaque that
narrows the pathway for blood to circulate.
Testing is Crucial
The only way for individuals to know if they have high blood pressure and cholesterol build up
is testing. Both conditions often progress for years without any obvious signs or symptoms.
When detected early, any problems with blood glucose, blood pressure and cholesterol can be
treated successfully.

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Along with high blood pressure, heart disease and neuropathy, people with diabetes are at a
higher risk of bone and joint-related disorders. In many instances, the problems can’t be linked
to a specific cause. The following are some disorders of which diabetics should be aware.

Charcot Joint
Primarily affecting the feet, this occurs when a joint disintegrates due to nerve damage.
Symptoms can include numbness and tingling in joints, along with redness, warmth and
swelling. Joints may also become deformed or unstable. When detected early, progression can
be slowed with orthotics.

DISH
Also known as Forestier disease, it causes hardening of ligaments and tendons anywhere in the
body. Symptoms are pain, stiffness, and decreased range of motion. The disease is treated with
corticosteroid injections and pain relievers.

Dupuytren’s Contracture
It’s a deformity that causes one or more fingers to bend toward the palm of the hand due to
scarring and thickening of connective tissues. Skin in the palm may become thickened and
fingers won’t straighten. Treatment can include steroid injections, minimally invasive needle
therapy or surgery.

Frozen Shoulder
The condition results in pain and limited motion in the shoulder. Treatment includes physical
therapy, home exercise and glucocorticoid injections.

Limited Joint Mobility
It typically affects the small joints of the hands. It causes stiffness, palm skin becomes thickened
and waxy, and joint mobility is eventually limited. It may not be reversable, but physical therapy
and increased glucose control can help.

Osteoarthritis
A degenerative joint disease, it weakens bones and increases the risk of fractures. Joints
become stiff, swollen and painful. Joint movement and flexibility are limited. Pain medication,
physical therapy, massage and acupuncture, even surgery may be prescribed.

Osteoporosis
Bones throughout the body become weak, brittle and break easily. Advanced osteoporosis can
result in stooped or hunched posture and loss of height. It’s treated with a diet rich in calcium
and vitamin D, or supplements if required, along with weight bearing exercise. Medications are
available to reduce bone loss.

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Diabetes is a disease that results when the body can’t use sugar in the body effectively. The
pancreas releases the hormone insulin, enabling cells in the body to use sugar for energy. If the
pancreas produces little or no insulin, cells aren’t able to absorb enough sugar to power the
body. It’s called insulin resistance.
Sedentary Lifestyle
Science disagrees on exactly what causes the disease. Currently, the most popular line of
reasoning is that diabetes occurs when people are overweight and don’t exercise. Those factors
can contribute to or exacerbate the disease. It’s important to know that the “overweight and
no exercise” theme became popular around the same time that obesity was declared a national
security threat. It became a rallying cry for a healthier lifestyle.
Reversal and Remission
Along with an increased awareness of diabetes, many individuals were told that the disease can
be reversed or sent into remission. There are steps that can be taken to minimize the risk of
developing it and methods to control it, but there’s no “cure.” Prediabetes and gestational
diabetes are the two types of the disease that can potentially be reversed.
Viral Infection
New data shows that some types of viral infections can trigger an immune response that results
in insulin resistance. Viral infections can affect the way the pancreas releases insulin.
Genetic Component
Genetics play a strong role in developing the disease. Some people are genetically predisposed
to developing diabetes and there’s typically a family history of diabetes. Following a healthier
lifestyle can delay or prevent it from developing.
Conclusion
The bottom line is that the disease occurs when the body can’t use glucose effectively or the
pancreas produces little or no insulin. Insulin resistance and diabetes is diagnosed. It’s a multi-
dimensional disease that can be activated by genetics, a sedentary lifestyle, or triggered by a
viral infection. There’s no single, universal causal component that’s been identified that causes
diabetes.

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The most common form of diabetes in adults and an increasing number of children is Type 2.
The signs of Type 2 diabetes take years to develop. People don’t just wake up one morning with
the disease. There are early warning signs and not everyone experiences all of them or all at
once.
Frequent Urination
It happens throughout the day and can even last into the night as the kidneys attempt to
remove excess sugar from the body.
Excessive Thirst
As the kidneys try to flush sugar from the body, individuals become dehydrated, resulting in
increased thirst. Dry mouth can be a problem.
Very tired
The body doesn’t use the available sugar in the blood stream for energy, making people feel
tired and lethargic.
Very Hungry
The body can’t use the sugar present for energy. That triggers the hunger response in the brain,
telling the individual they need to eat.
Blurry Vision
High sugar levels result in damage to small blood vessels in the eye. Permanent blindness can
occur if diabetes is left untreated or uncontrolled.
Very Dry Skin
Those with diabetes often have poor circulation and when combined with dehydration, the skin
becomes dry and even flakey.
Slow Wound Healing
Simply put, the body isn’t getting the energy or circulation required it needs to heal itself
effectively or efficiently.
Increased Infections

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