Diabetes mellitus refers to a group of diseases that affect how the body uses blood sugar (glucose). Glucose is an important source of energy for the cells that make up the muscles and tissues. It's also the brain's main source of fuel.
Symptoms
Diabetes symptoms depend on how high your blood sugar is. Some people, especially if they have prediabetes or type 2 diabetes, may not have symptoms. In type 1 diabetes, symptoms tend to come on quickly and be more severe.
Some of the symptoms of type 1 diabetes and type 2 diabetes are:
- Feeling more thirsty than usual.
- Urinating often.
- Losing weight without trying.
- Presence of ketones in the urine. Ketones are a byproduct of the breakdown of muscle and fat that happens when there's not enough available insulin.
- Feeling tired and weak.
- Feeling irritable or having other mood changes.
- Having blurry vision.
- Having slow-healing sores.
- Getting a lot of infections, such as gum, skin infections. Type 1 diabetes can start at any age. But it often starts during childhood or teen years. Type 2 diabetes, the more common type, can develop at any age. Type 2 diabetes is more common in people older than 40. COMPLICATIONS.
These are long-term problems that can develop gradually, and can lead to serious damage if they go unchecked and untreated.
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Eye problems (retinopathy)
Some people with diabetes develop an eye disease called diabetic retinopathy which can affect their eyesight. If retinopathy is picked up – usually from an eye screening test - it can be treated and sight loss prevented. -
Foot problems
Diabetes foot problems are serious and can lead to amputation if untreated. Nerve damage can affect the feeling in your feet and raised blood sugar can damage the circulation, making it slower for sores and cuts to heal. That’s why it’s important to tell your GP if you notice any change in how your feet look or feel. -
Heart attack and stroke
When you have diabetes, high blood sugar for a period of time can damage your blood vessels. This can sometimes lead to heart attacks and strokes. -
Kidney problems (nephropathy)
Diabetes can cause damage to your kidneys over a long period of time making it harder to clear extra fluid and waste from your body. This is caused by high blood sugar levels and high blood pressure. It is known as diabetic nephropathy or kidney disease. -
Nerve damage (neuropathy)
Some people with diabetes may develop nerve damage caused by complications of high blood sugar levels. This can make it harder for the nerves to carry messages between the brain and every part of our body so it can affect how we see, hear, feel and move. -
Gum disease and other mouth problems
Too much sugar in your blood can lead to more sugar in your saliva. This brings bacteria which produces acid which attacks your tooth enamel and damages your gums. The blood vessels in your gums can also become damaged, making gums more likely to get infected. -
Related conditions, like cancer
If you have diabetes, you’re more at risk of developing certain cancers. And some cancer treatments can affect your diabetes and make it harder to control your blood sugar. -
How do I prevent or delay complications?
Manage your diabetes
Keeping your HbA1c within the target range set by your healthcare team is really important for reducing your risk complications. If your blood sugar levels are rising, talk to your doctor. Your treatment may need to change to get your HbA1c back in target to avoid the complications of high blood sugar.
Stop smoking
Smoking makes it harder for blood to flow around your body to places like your heart and your feet. If you smoke, then stopping is a key part of reducing your chances of complications. Again, your GP and diabetes team will be able to help you quit.
Eat more healthily
Making healthier food choices can help you to lose weight, bring down your HbA1c, manage your blood pressure and help you reduce the fats in your blood like cholesterol. Ask to see a dietitian if you'd like extra help to eat healthily.
Keep active
Doing more physical activity helps reduce your chance of getting complications. If you struggle to get about, there are still ways you can keep active. We’ve got lots of type 222.
Go to all of your appointments
Everyone with diabetes is entitled to a series of test and checks each year to monitor their diabetes, look out for any problems and see if any further support is needed. Making sure you get all of them will mean you know how you're doing and about your type 1 and type 2 diabetes health risks.
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