Type II Diabetes

 
 

Type II Diabetes

Have you been suffering from Type II Diabetes? If you’re looking for a solution that accomplishes more than masking a symptom and are looking to understand what other imbalances may contributing to your condition and what can be done to balance your lifestyle, we want to help. Understanding that each patient is a unique person, more has to be done to evaluate the complexities of each case. At our office you can expect our chiropractic physicians to take a comprehensive approach in your evaluation. Our goals are to identify the physiological responses that are taking place through obtaining a detailed history, comprehensive examination and blood work. From there, we will gain a better understanding of how to approach each specific patient and come up with a detailed treatment plan. We will work with your primary care physician to achieve our desired outcome, understanding that it is a collaborative and focused effort not only for the providers involved but also the patient. If you find yourself wanting to explore more into this approach do not expect to pop a pill and sit back. Our patients take an active role in their own health and put forth focused effort and that is part of the reason we have great results.

Signs and Symptoms:

The following symptoms of diabetes are typical. However, some people with type 2 diabetes have symptoms so mild that they go unnoticed.

  • Urinating often
  • Feeling very thirsty
  • Feeling very hungry - even though you are eating
  • Extreme fatigue
  • Blurry vision
  • Cuts/bruises that are slow to heal
  • Weight loss - even though you are eating more (type 1)
  • Tingling, pain, or numbness in the hands/feet (type 2)

Early detection and treatment of diabetes can decrease the risk of developing the complications of diabetes.

Prevalence:

More than 29 million Americans have diabetes; 1 in 4 doesn’t know.

Prevention efforts crucial to combat serious health risks

More than 29 million people in the United States have diabetes, up from the previous estimate of 26 million in 2010, according to a report released today by the Centers for Disease Control and Prevention.  One in four people with diabetes doesn’t know he or she has it.

Another 86 million adults – more than one in three U.S. adults – have prediabetes, where their blood sugar levels are higher than normal but not high enough to be classified as type 2 diabetes.  Without weight loss and moderate physical activity, 15 percent to 30 percent of people with prediabetes will develop type 2 diabetes within five years.

“These new numbers are alarming and underscore the need for an increased focus on reducing the burden of diabetes in our country,” said Ann Albright, Ph.D., R.D., director of CDC’s Division of Diabetes Translation.  “Diabetes is costly in both human and economic terms. It’s urgent that we take swift action to effectively treat and prevent this serious disease.”

Key findings from the National Diabetes Statistics Report, 2014 (based on health data from 2012), include:

  • 29 million people in the United States (9.3 percent) have diabetes.
  • 7 million people age 20 years or older were newly diagnosed with diabetes in 2012.
  • Non-Hispanic black, Hispanic, and American Indian/Alaska Native adults are about twice as likely to have diagnosed diabetes as non-Hispanic white adults.
  • 208,000 people younger than 20 years have been diagnosed with diabetes (type 1 or type 2).
  • 86 million adults aged 20 years and older have prediabetes.
  • The percentage of U.S. adults with prediabetes is similar for non-Hispanic whites (35 percent), non-Hispanic blacks (39 percent), and Hispanics (38 percent).

Diabetes is a serious disease that can be managed through physical activity, diet, and appropriate use of insulin and oral medications to lower blood sugar levels.  Another important part of diabetes management is reducing other cardiovascular disease risk factors, such as high blood pressure, high cholesterol and tobacco use.

In 2012, diabetes and its related complications accounted for $245 billion in total medical costs and lost work and wages. This figure is up from $174 billion in 2007.

- http://www.cdc.gov/features/diabetesfactsheet/

 
 

Complications:

Over time, high blood glucose can damage the body’s blood vessels, both tiny and large. Damage to the smaller blood vessels causes microvascular complications, while damage to the larger blood vessels are called macrovascular complications.

Microvascular Complications: Eye, Kidney, and Nerve Disease

You have small blood vessels that can be damaged by consistently high blood glucose over time. Damaged blood vessels don’t deliver blood as well as they should, so that leads to other problems, specifically with the eyes, kidneys, and nerves.

  • Eyes: Blood glucose levels out of range for a long period of time can cause cataractsand/or retinopathy in the eyes. Both can cause loss of vision.To avoid eye problems associated with diabetes, keep your blood glucose within range and have yearly eye check-ups that include a dilated eye examination with an eye doctor to monitor your eye health.
  • Kidneys:If untreated, kidney disease (also called diabetic nephropathy) leads to impaired kidney function, dialysis and/or kidney transplant. Uncontrolled (or poorly controlled) diabetes can cause the kidneys to fail; they’ll be unable to clean the blood properly.To prevent diabetic nephropathy, you should be tested every year for microalbuminuria, which is a condition that’s an early sign of kidney problems. The test measures how much protein is in the urine. This test is easily done with a urine sample. When the kidneys begin to have problems, they start to release too much protein.  Medications can help prevent further damage, once microalbuminuria is diagnosed.
  • Nerves: Nerve damage caused by diabetes is also known as diabetic neuropathy. The tiny blood vessels “feed” your nerves, so if the blood vessels are damaged, then the nerves will eventually be damaged as well.In type 2 diabetes, some people will already show signs of nerve damage when they’re diagnosed. This is an instance where getting the blood glucose level under control can prevent further damage.There are various forms of diabetic neuropathy: peripheral, autonomic, proximal, and focal. Diabetic peripheral neuropathy is the most common form of nerve damage, and it most often affects the nerves going to the hands and feet.

    People who have had type 2 diabetes for a very long time and who haven't done well managing their blood glucose may lose sensation in their feet. They may also experience pain, weakness, or tingling.

    One serious complication of diabetic peripheral neuropathy in the feetis that people may not realize when they have a sore on their foot. The sore can become infected, the infection can spread, and left untreated, the foot may need to be amputated to keep the infection from spreading more. It is important to have regular foot exams done by a podiatrist, but you should also have your healthcare provider examine your feet every time you have an office visit.

 

 
 

Macrovascular Complications: The Heart, Brain, and Blood Vessels

Type 2 diabetes can also affect the large blood vessels, causing plaque to eventually build up and potentially leading to a heart attack, stroke or vessel blockage in the legs (peripheral vascular disease).

To prevent heart disease and stroke as a result of diabetes, you should manage your diabetes well, but you should also make heart-healthy choices in other areas of your life: don’t smoke, keep your blood pressure under control, and pay attention to your cholesterol.

 It is important to have your cholesterol checked annually. Your doctor should check your blood pressure every office visit. Also at every office visit, the doctor should check the pulse in your feet to make sure there is proper circulation.

Type 2 diabetes comes with certain short- and long-term complications, but if you maintain good blood glucose control, you can avoid them.

http://www.endocrineweb.com/conditions/type-2-diabetes/type-2-diabetes-complications

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