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Dealing with Diabetic Neuropathy

8/26/2014

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According to a recent national survey by the American Diabetes Association (ADA), the majority of people with diabetes have symptoms of diabetic neuropathy (nerve damage). But, only a small minority has been diagnosed with this condition. Diabetic neuropathy is a complication of diabetes that leads to sensations of pain and/or numbness, tingling or “pins and needles” in the feet and hands. According to study findings, a staggering 56 percent of people with diabetes have never even heard of the condition.

This lack of awareness is unfortunate for the 18.2 million people in the United States living with diabetes. The symptoms can make it hard to function, and because the pain of diabetic neuropathy usually is worse at night, many have difficulty sleeping. The nerve damage can make a person extremely sensitive to even the lightest touch, and simply wearing socks or having a foot touch a bed sheet can cause pain. People with this condition may have difficulty walking, working or socializing. And diabetic neuropathy is a major risk factor for foot injury, infection and amputation. Left untreated, diabetic neuropathy always progresses.

FORTUNATELY, THERE IS GOOD NEWS

With attention, management and treatment, diabetic neuropathy can be prevented or delayed. Awareness is the first, critical step in taking care of yourself and preventing serious problems in the future.

That’s why the ADA has embarked on an awareness campaign to educate people with diabetes about diabetic neuropathy. The campaign focuses on the seriousness of this complication, recognizing the symptoms and most important, the things people can do to prevent, reduce or manage these symptoms. There is a patient “pocket checklist” so that you can review a list of symptoms. If any of these symptoms apply to you, take this list to your health care provider; ask if you have neuropathy and what you can do about it. For more information or to get your free copy of All About Nerve Damage & Diabetes, call the ADA at 1-800-DIABETES (1-800-342-2383), or visit http://www.diabetes.org/living-with-diabetes/complications/neuropathy/.

COULD YOU HAVE DIABETIC NEUROPATHY AND NOT KNOW IT?

The most common type of nerve damage in people who have diabetes is called peripheral neuropathy, which affects the feet and hands. Reporting symptoms to your health care provider can help prevent future complications, such as amputations. Take this list to your next office visit. Symptoms Place a check mark next to any symptom you have:

  • My feet tingle.
  • I feel “pins and needles” in my feet.
  • I have burning, stabbing or shooting pains in my feet.
  • My feet are very sensitive to touch. For example, sometimes it hurts to have the bed covers touch my feet.
  • My feet hurt at night.
  • My feet and hands get very cold or very hot.
  • My feet are numb and feel dead.
  • I don’t feel pain in my feet, even when I have blisters or injuries.
  • I can’t feel my feet when I’m walking.
  • The muscles in my feet and legs are weak.
  • I ’m unsteady when I stand or walk.
  • I have trouble feeling heat or cold in my feet or hands.
  • I have open sores (also called ulcers) on my feet and legs. These sores heal very slowly.
  • It seems like the muscles and bones in my feet have changed shape.
  • Other symptoms I have include: ____________________________
TREATMENT

Talk with your health care provider about treatments available to relieve pain and reduce burning, tingling and numbness.

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Yeast Infections: An Issue for Women with Diabetes

8/25/2014

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Most, but not all, yeast infections are caused by fungal organisms that live in your mouth, gastrointestinal tract or skin. People have natural bacteria that keep a healthy amount of this fungus in their bodies. If this balance is lost, a yeast infection can develop.

TYPES OF YEAST INFECTIONS

Yeast infections are a common cause of irritation of the vagina. About 75 percent of women have a vaginal yeast infection at some point in their lives. You can also have a yeast infection in areas such as your mouth, between fingers and toes and in folds of skin. Infections in these places cause an itchy, painful rash. Women with diabetes should keep in mind that onychomycosis is also common in people with diabetes. This is a fungal infection of the fingernails or toenails that can disfigure or destroy the nail. Yeast infections can also develop in the blood stream, usually as a result of a serious illness.

CAUSES

There are several causes for yeast infections. Often, they start because of hormone changes. They can also happen if your body is under stress or if you have an illness, such as diabetes. Yeast infections can also start when you take antibiotics to treat another infection. In these cases, the antibiotics kill the bacteria that caused your original infection, but may also kill or decrease the amount of good bacteria that keep the healthy balance in your body. Then, too much fungus grows and a yeast infection develops. If your blood glucose levels are often high, your resistance to infection may be lower, which could lead to a yeast infection. Yeast is fed by glucose, so if your blood glucose is too high, it may be easier to get a yeast infection and be harder to get rid of it.

HOW DO I TREAT A YEAST INFECTION?

If you have a yeast infection there are many types of treatments. Pills, powders, creams and suppositories in both over-the-counter and prescription forms are available at pharmacy. Be sure to speak with your health care provider or pharmacist so that, together, you can figure out the best treatment for you.

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10 Things That You May Have Heard About Diabetes (that aren’t true)

8/24/2014

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  1. Although you inherit diabetes, it skips a generation.Not everyone who gets diabetes inherits it. You may have no relatives with diabetes or several. Also, diabetes doesn’t skip a generation, nor are you more likely to get it from either your mother or father. Both your genes and your lifestyle contribute to your risk for diabetes. And, it doesn’t come from eating too much sugar.
  2. People with diabetes shouldn’t eat carrots because they are high in sugar.
    Like all vegetables, carrots are carbohydrates. Carbohydrates are part of a healthy diet and help give you the energy, vitamins and minerals your body needs to function. All carbohydrates affect your blood sugar the same amount, whether you are getting the same amount of carbohydrate in bread, pasta, sugar or vegetables. Three cups of uncooked and 1 and 1/2 cup of cooked carrots will raise your blood sugar the same amount as 1 slice of bread. And just to clear up another myth, people with diabetes can eat sugar as part of their meal plan.
  3. I don’t have to worry, I just have borderline diabetes.
    There really is no such thing as borderline diabetes. You either have diabetes, pre-diabetes, or no diabetes. Fasting blood sugar readings of greater than 126 mg/dl or more than one occasion are considered diabetes. A fasting blood sugar of 110-125 mg/dl on more than one occasion is considered pre-diabetes. Pre-diabetes is a strong risk factor for developing type 2 diabetes.
  4. There is nothing you can do to keep from getting diabetes.
    We have learned recently that you can prevent diabetes at any age. In fact, losing a modest amount of weight (5-10% of your total weight), being moderately active (by walking or doing other forms of exercise for 150 minutes per week) can delay or prevent the onset of type 2 diabetes.
  5. You should never use herbal or natural remedies when you have diabetes.
    The most natural of remedies is eating a healthy diet and exercise. Medically-proven diabetes information shows that both meal planning and activity help to lower your blood sugar levels. Combining your prescribed medicines with a meal plan and physical activity gives you the most for your money. It is true that some herbal or other products can work against your diabetes medicines, may raise your blood sugar or may even be dangerous. Ask your pharmacist or health care provider if any of your medicines or health problems are affected by the herbal or vitamin products you take.
  6. Insulin causes complications, such as amputations, impotence or even death.
    Some people who take insulin develop complications from diabetes, but the complications aren’t caused by insulin. Keeping your blood sugar near the normal range by using a pills or insulin helps you to live a long and healthy life. Also many people believe that once you start taking insulin, you can never stop. While this used to be true, the insulin that is on the market today is better than in the past.
  7. You can’t get off of insulin.
    Some people with type 2 diabetes are able to stop taking insulin if they lose weight, start exercising or if the physical or emotional stress that raised their blood sugar is better.
  8. It’s a good idea for people with diabetes to soak their feet in vinegar every day.
    Many years ago, people with diabetes were told to soak their feet every day. We know now that soaking with water, vinegar and other products can make your skin dry – which can cause cracks in the skin where bacteria can enter.
  9. I feel fine as long as my blood sugar is less than 250.
    Isn’t that “normal” for me? Not really. Your usual blood sugar isn’t the same as normal blood sugar. Just because your blood sugar is usually high or you don’t notice any symptoms, does not mean that your body is not being affected by those levels.
  10. I don’t have to worry about my children getting diabetes until they are adults.
    Sadly, more and more young people are getting type 2 diabetes. It is caused from a combination of being overweight, getting less exercise and heredity. You can help your children and grandchildren prevent diabetes by encouraging them to keep active and stay at a reasonable weight.
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    Allan Chai

    HKIII Nutritionist (The University of Queensland, Australia)

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