Are you suffering from diabetes? If yes, then it s time for you to be extra careful about your health. Diabetes may cause several other diseases as well. You must check your lifestyle and take medical efforts to get rid of diabetes as soon as possible. 


You are at risk of developing nerve damages (neuropathy), vascular injuries and other heart diseases, regardless of your age, sex or other external or internal factors. Diabetes patients must strive to maintain fasting blood glucose levels less than 110 mg/dL and hemoglobin HbA1C level less than 7%.  Also, diabetes patients should keep a check on blood pressure and cholesterol levels. 


Here s how diabetes can affect your overall health:
1. Check your heart: There is a correlation between blood pressure, cholesterol levels and diabetes. Researchers have found that high bad cholesterol levels act as a hindrance to insulin regulation. People with diabetes are more likely to develop heart-related diseases. About 60% diabetes patients die due to heart attacks. Diabetes is responsible for hardening of arteries or atherosclerosis. This situation is dangerous and can cause heart attacks, strokes or other chronic diseases.


2. Neuropathy: Diabetes leads to impaired nerve function. This is called neuropathy. This condition is of two types: Peripheral (which affects toes, feet, legs, hand and arms) and Autonomic (which affects digestion, bowel, bladder, heart and sexual activity). Symptoms of neuropathy include tingling, weakness, burning sensation, numbness in the limbs, digestive disorders, infection of the bladder and erectile dysfunction.


3. Nephropathy: Diabetes is responsible for causing damage to the kidneys as well. This is called nephropathy. In this condition, the filters in the kidney or glomeruli get damaged. As a result, there is a leakage of protein in the urine. Consequently, kidneys get damaged. Urine showing small amounts of protein is an indication of kidney damage. About 20-40% patients suffering from diabetes die due to renal failure. The symptoms of renal disorder due to diabetes include itching, fatigue, urine with protein, swelling of feet and ankles and pale skin colour.


4. Foot ulcers and amputations: Diabetes causes non-injury amputations as it affects the nerve in the limbs, especially foot. Usually, minor infections in the foot may lead to ulcers and later require amputation. In rare cases, Charcot joint or Charcot foot may also occur. This is called neuropathic arthropathy. The symptoms include swelling and reddening of the foot. The bones of the affected foot have a tendency to develop cracks, deforming the entire region.


5. Retinopathy: Diabetes leads to blindness in adults. The eye disorder caused due to diabetes is called retinopathy. Patients with diabetes develop cataract easily. The capillaries and blood vessels in the retina get damaged or obstructed, resulting in damage to the entire retina.

Diabetes: It Can be the Reason Behind Other Disorders

Diabetes refers to the condition when there is an excess of glucose in your body. Though glucose is beneficial for the proper functioning of the body, an excess can lead to serious consequences. Over the years, diabetes has over the years emerged as one of the fatal diseases, one that once developed has no known cure. This condition is preceded by various perceptible symptoms, some of them are-

1. Insatiable thirst

The onset of diabetes is almost always accompanied by a nagging thirst, one that refuses to be quenched despite drinking plenty of water.

2. Frequent tendencies of urination

A frequent tendency of urination is one of the primary precursors of diabetes.

3. Acute hunger

Having bouts of acute hunger is one of the most predominant premonitions of diabetes.

4. Exhaustion and fatigue

In case you are suffering from diabetes, you will inevitably feel tired and exhausted all the time.

5. Blurring of vision

Diabetes is one of those rare conditions that threaten to affect and damage the eyesight. The blurring of vision comes hand in hand with the onset of diabetes.

6. Sores which take a long time to heal

One of the most fatal symptoms of diabetes is when the sore that you have suffered from takes a longer time than necessary to heal.

Some of the complications which diabetes invite are-

1. Cardiovascular problems

Diabetes considerably increases the risk of a host of cardiovascular problems and ailments like heart attacks, chest pain, and stroke.

2. Damage to the kidneys

The pair of kidneys that human beings are endowed with has the responsibility to remove the toxins from the body. An excess of diabetes in the body unsettles the purging ability of the kidneys.

3. Damage to the eyes

The onset of diabetes, among other things, puts your eyes at great risks. The condition tends to damage the blood vessels of the retina and can even cause blindness in some.

4. Skin disorder

Diabetes puts your skin at great risks. You may suffer from various bacterial and fungal infections among other ailments, due to an excess of glucose in your body.

Symptoms and Complications of Diabetes

Peripheral Artery Disease (PAD) is a disease of blood vessels that are located outside the heart and brain. The condition develops due to fatty deposits in the arteries and veins that stops the blood flow to the heart and mind as the case may be. It narrows the artery and restricts the blood flow, which causes problems to other organs of the body such as kidney, liver, and stomach.


Symptoms of Peripheral Artery Disease-
Peripheral Artery Disease is the most common type of condition in people. Some people may not even notice the symptoms. The symptoms include:

Pain in the hips and lower leg area.
Brittle toenails.
Short breath while taking stairs.
Pain in the calf.
Numbness and coldness in the leg around a calf
Hair loss on legs and feet
Erectile dysfunction in men
Repeated sores and ulcers in legs
Causes of Peripheral Artery Disease-
The most common cause of Peripheral Artery Disease is the deposit of fatty substances inside the arteries. The fatty deposits build in the arteries gradually with a process called Atherosclerosis. Most of the time people do not know that they are facing the problem of Atherosclerosis. With time deposits increase and the arteries become narrow. It restricts the blood flow and causes problems for other organs.
Another cause for Peripheral Artery Disease is clot created in the arteries due to diabetes. Also, this problem is common in diabetic patients and increases with old age.

The risk factors that contribute to the development of Peripheral Artery Disease are high blood pressure, bad cholesterol, obesity, and diabetes.

Diagnosis of Peripheral Artery Disease-
The primary way to test and diagnose Peripheral Artery Disease is to check the blood pressure in the arm and ankles. If the pressure is low as compared to arm in the ankles, one might be facing Peripheral Artery Disease. It is commonly known as the ankle-brachial index. Other ways to determine Peripheral Artery Disease are CT scans, angiography, and blood tests. Since the disease is prevalent and gradually progress, most of the time it remains undetected.

It is essential that Peripheral Artery Disease gets detected and treated well in time. If the condition persists for a more extended period of time, it may result in loss of leg, increased chances of coronary artery disease and carotid atherosclerosis.

Treatment for Peripheral Artery Disease-
The only way to treat Peripheral Artery Disease is to indulge in physical activity. A regular regime of exercise and physical work will help a person to burn fat and makes the arteries fat free. Doctors suggest that daily 30 minutes of walking or gyming will help treat Peripheral Artery Disease with significant effects. One may notice the signs in just a couple of months.

Along with exercise, one also needs to monitor the weight and eating habits. Foods that are rich in fats and bad cholesterol should be avoided. Make changes in the lifestyle and eat a healthy balanced diet. Include fruits and fresh vegetables in the diet and follow a low carb diet for regular food intake. If a person is addicted to smoking and alcohol, then he/she should consider leaving the bad habits for their own good health.

Take Away-
Above are some of the common and tried treatments. However, it is advisable to consult a doctor before opting for any of these options as these treatments are depended upon the condition of the patients.


Learning In depth About Peripheral Artery Disease!

Diabetes is probably one of the worst enemies of human health. Why? That is because unlike many other diseases which make you aware of their presence in your body instantly, diabetes is a silent attacker. So, you may continue to be unaware of the disease for a very long time, before you suddenly realize that something is wrong with your body one day. And then tests reveal that you are afflicted with diabetes.

In order to make sure that this doesn't happen to you, you have to keep an eye on the symptoms of diabetes because prevention, no matter how tedious it is, is always better than the cure. Here is a look at the usual but often ignored signs which indicate that you might be suffering from diabetes.

If you are taking more bathroom breaks than usual, and if the rate of going to the loo is increasing gradually with time, it can well be a sign of diabetes. When you are suffering from diabetes, your body becomes less efficient in breaking down the consumed food into sugars and utilising it. Therefore, a lot of sugar gets saturated in your bloodstream and your body gets rid of it by flushing it out through urination.
If you urinate a lot, it is self-evident that you would also feel very thirsty all the time. In some cases, the patients don't realize their problem and drink chocolate milk or aerated drinks which have sweet flavours. This leads to excess sugar in your body again, and the problem continues. So all in all, if you feel very thirsty all the time, get yourself checked.
You might lose weight, and it may really seem like a great thing in the beginning but it is not. When a person has diabetes, he is likely to lose his weight because of the decreasing water level in his body as well as the inability of the body to break down food into more suitable forms.
If you are tired all the time, and by all the time we mean even after getting up from a long and good night's sleep, you may have diabetes. The reason for this is that fatigue comes to you when your body cannot produce enough energy from the food you consume, and this happens only when you have diabetes.
If your cuts and bruises heal slower than ever, you definitely are a victim of diabetes. This is because the immunity and clotting system of your body don't work well when there is a saturation of sugars in your body.

5 Signs That You're Suffering from Diabetes

Dialysis is a very important and life-saving procedure. It is performed to replace kidney function in case of renal failure. Wastes and extra fluids in the blood are filtered out during this process. To be able to perform Dialysis, the connection between the patient s bloodstream and the equipment for performing Dialysis (dialyzer) outside the body is established. This connection is created through Dialysis Access Surgery. It is a type of Vascular Surgery which forms the vascular opening for access during Dialysis. Thus, Dialysis Access Surgery is the lifeline for the survival of the patient.

Types of Vascular Access for Dialysis- 
There are three types of Vascular Access for Dialysis: Arteriovenous (AV) Fistula, Arteriovenous (AV) Graft, and Venous Catheter.

  Arteriovenous (AV) fistula is a surgical connection of an artery to a vein. An AV fistula is usually placed in the upper arm or in the forearm. It causes extra blood to flow into vein making it grow large. A larger vein hence provides easy access to blood vessels. An AV fistula is preferred over other methods as it lasts longer than other methods of access and provides a good flow of blood. Moreover, it is less prone to infection and blood clots than other methods. Before an AV Surgery, a Vessel Mapping Test is sometimes performed for assessing the blood vessels most suitable for Dialysis. An AV fistula is performed under local anaesthesia and requires two to three months for maturation before hemodialysis. If it fails to mature, the procedure is repeated.

  Arteriovenous (AV) graft is performed when AV fistula fails to mature. It is hence the second most preferred choice for long-lasting access to vascular tissues for Dialysis. An AV graft is a looped plastic tube which establishes a connection between an artery and a vein. Like AV fistula, AV graft is also performed under local anaesthesia. It is slightly more difficult to maintain than an AV fistula.

  A venous catheter is used for short- term hemodialysis. It is a tube which is inserted into chest, neck, leg, or near groin for vascular access. After exiting the body, the tube splits into two halves. In the case where a renal disease has made quick progression leaving little or no time for the AV fistula or AV graft to mature, a venous catheter is used to establish the required vascular connection. This procedure is also performed under local anaesthesia. It is a tool for emergencies but is not suited for long- term use. It can cause narrow vein due to an infection,
scarring, or blood clot. If long- term venous catheter is used, it is tunnelled under the skin which has fewer problems associated with it and is more comfortable. 

How to Care for a Vascular Access?
  Get checked for infections and other problems before each hemodialysis session;
  Use the operated site for access only for the intended use;
  Always keep the access clean;
  Prevent cutting or bumping the access;
  Check for thrill/ vibration in the access and inform the doctor if any;
  Do not put pressure on the access site;
  Do not put blood pressure cuff around the access arm;
  Do not wear jewellery or tight-fitting garments over the site;
  Do not lift a weight.

Take Away-
Vascular Surgery for Dialysis is performed to provide vascular access for the procedure. AV fistula is the most preferred type followed by an AV graft. A venous catheter is recommended to be used only in case of an emergency when there is not much time left for the other two options to mature.

Vascular Surgery - Can It Help For Dialysis?

Top 5 things all diabetics must do

As you are aware, diabetes is an increasingly common problem not only in adults but with children and young people too. Preventing or delaying diabetes is possible with a few lifestyle changes. And for those who have been diagnosed with type-2 diabetes, changes in lifestyle can prove beneficial to keep it under control. This is important and should not be taken lightly as diabetes can lead to other serious health complications. There are few simple things which if done regularly can keep you safe and absolutely fine.

5 ways to combat diabetes.

1) exercise - do minimum 45 to 30 minutes of exercise like brisk walking (for people with heart ailments make sure that you have done stress test/tmt). Keep yourself physically active all the time this will help you in losing weight, controlling blood sugar, blood pressure, cholesterol. It will also improve insulin sensitivity in your body. 
2) high fiber diet - include high fiber foods like fruits, vegetables, leafy vegetables, beans, nuts, seeds, and whole grains, cinnamon, green tea in your diet. This will improve your blood sugar level and also reduce your risk of developing diabetes and helps you to lose weight. Do not get into fad diets and tv commercials as they are often misleading.
3) reduce stress - tension and worry releases certain chemicals (stress hormones) which can increase your blood sugar level. Try relaxation therapy like meditation, yoga, music and soundful sleep.
4) restrict intake of alcohol - alcohol increases body weight, triglyceride (cholesterol) level and blood pressure. They may make you unaware of symptoms of hypoglycemia (low blood sugar which may be dangerous). They are empty calorie with no nutritional value. Permissible limit is 2 drinks (60ml) a day for men and 1 drink (60ml) for women, it is also not advisable to smoke.
5) regular check-ups - make sure that you regularly check your blood sugar levels and modify treatment from your diabetologist doctor (if required.) your body and your friend/ relative / colleague's body are different, so is your need of medicine for diabetes as well. What works best for them may not be right for you. So it is my sincere request is to avoid any self medication as it can be dangerous. Regularly undergo screening for early detection of diabetes complications like eye, nerve, heart, foot, kidney.

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Top 5 Things All Diabetics Must Do

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