Follow-up in Diabetes - often Recognized too Late

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Because a high blood glucose causes no pain, the dangers and consequences are often underestimated. Type 2 diabetes, however, is a progressive disease whose late effects can affect almost any area of ​​the body. Already slightly increased blood glucose values ​​can lead to dangerous changes in the small and large blood vessels of the body and nerve damage. For this reason, 2/3 of all diabetics die prematurely from a heart attack or stroke. The risk of a heart attack or stroke is two to three times greater for diabetic patients than for non-diabetics. Also amputations, blurred vision, kidney damage and sexual disorders are often late episodes of diabetes. It is therefore all the more important to recognize diabetes as early as possible and to take appropriate measures.
Vascular and nerve damage in diabetes

Cardiovascular system: Heart attack, stroke, peripheral arterial occlusive disease (paVK)
The high concentration of blood glucose damages the vascular walls, causing deposits (arteriosclerosis or arteriosclerosis) that are increasingly limiting the flow of blood. Therefore, transport of oxygen and nutrients to the organs is restricted. This applies to the large blood vessels as well as to the fine hair vessels (capillaries). In the constricting vessels at the heart, clots can also form which clog the vessel, so that the circulation of the coronary vessels is restricted, which can lead to a heart attack. Circulation disorders of the cerebral vessels can lead to a stroke. Circulation disorders can also occur in the abdomen and kidney arteries as well as in the area of ​​the legs (peripheral arterial occlusive disease, paVK). At paVK, the affected persons feel cramp-like discomfort and pain in the legs, which always force them to stop (shop window sickness). In some cases, patients also complain of persistently cold feet and dizziness such as ants walking or numbness. If the disease is already very advanced, tissue can die and, if necessary, must be amputated. 7 Steps to health and big diabetes lie

Follow-up of the eyes: diabetic retinopathy
A damage caused by diabetes to the fine vessels in the eye, which is called medical retinopathy, often remains unintentional. In the advanced stage, visual disturbances can be seen in the form of dark spots, red veils or blurred or blurred vision. Detachment of the retina can show up in symptoms such as "flashes of light" and "soot" and ultimately lead to blindness. In Western industries, diabetic retinopathy is the most common cause of blindness in people of working age. Every year, 1700 diabetics are blinded in Germany five times as many as non-diabetics. Other complications include an increase in intraocular pressure (glaucoma, green star) and lens stenosis (cataract).

Nerves: diabetic neuropathy
Diabetic neuropathy (diabetic neuropathy) often occurs with prolonged diabetes and poor metabolism. It can lead to pain and movement restrictions and significantly reduce the quality of life. In diabetic polyneuropathy, the peripheral nerves are affected and may cause disturbances in the contact and pain perception as well as the regulation of respiration, heart rate, gastrointestinal movements, sexual and bladder function. Diabetic polyneuropathy also plays an important role in the development of the diabetic foot.
Rarely rare damage occurs (mononeuropathy), which can cause paralysis of the eyes or facial muscles, for example. The initial phase of neuropathy usually runs without symptoms and is often overlooked. However, the doctor can check with certain examinations whether, for example, the vibrational, heat and cold sensations or muscular reflexes are already disturbed.

Feet: Diabetic foot
Circulation disorders in the smallest vessels and damage to the nerves favor the development of a diabetic foot. Pain, warmth, and touch on the feet are hardly noticed or perceived. In this way, pressure points and injuries can develop which can remain unnoticed for a long time and can infect with bacteria. The poor circulation of the feet also causes the immune cells to hardly reach the site of the inflammation. In extreme cases, toes, the entire foot or even a lower leg can be affected. If the inflammation is no longer treated by medication (antibiotics such as penicillin), only an amputation of the affected limbs remains.

The consequences often affect the kidneys: diabetic nephropathy
Who regularly have to undergo blood washing (dialysis), are diabetics. Symptoms of diabetes-induced renal impairment may be performance impairment, general malaise, fatigue, itching, loss of appetite, nausea, vomiting, and weight gain. Other abnormalities are water deposits in the tissues of the arms and legs (edema).

Follow-up disorders of the sex organs: sexual disorders, urinary tract infections and genital infections
Again, diabetes can play a role. Both diabetes-related blood circulation disorders as well as damage to the nerve fibers can lead to sexual disorders in women and men.
While erectile dysmenorrhea in men diminishes, sensory disturbances and dry vaginal mucous membranes can occur in women. Also infections of the urinary tract and the genital region are a frequent complication in type 2 diabetics, especially women. However, most of these infections are usually easy to treat with the right therapy.

Health care diabetes for the prevention of secondary diseases
The health care diabetes aims to improve the care of people with diabetes. Your doctor documents all important investigations. In addition, you can define treatment targets together with your doctor.
Here you can download the health care diabetes.