Top
20
Doctor insights on: Why Do So Many Diabetes People Who Have Lost A Limb Or Foot Die Within 15 Yrs

Share
1

1
Why do so many diabetes people who have lost a limb or foot die within 15 yrs.?

Why do so many diabetes people who have lost a limb or foot die within 15 yrs.?

Vascular disease: Limb loss in diabetes is often from a combination of nerve damage, which causes numbness, ulcerations, or deformities; and vascular disease with impaired blood flow to the lower legs. The vascular disease is usually not limited to the legs, it is a total body problem. We see higher rates of heart attack and stroke in this group. There is more kidney disease as well. All of these reduce longevity. ...Read more

See 1 more doctor answer
Dr. Quang Nguyen
3,441 doctors shared insights

Diabetes (Definition)

A group of diseases that result in too much sugar in the ...Read more


2

2
Why do so many diabetes people who have lost a limb to gangrene die within a few years?

Why do so many diabetes people who have lost a limb to gangrene die within a few years?

Poor control: Diabetes produces accelerated peripheral vascular disease and neuropathy, in addition to kidney failure as end stages of prolonged and inadequately managed disease. When it gets to the stage where it produces such changes, loss of a limb is only one manifestation of the state of your body with long-standing diabetes. ...Read more

3

3
Is multiple sclerosis ever fatal? I’ve just been diagnosed with ms. My doctor says most people live normal lives, but what about those who don’t? Do some people die from it?

Is multiple sclerosis ever fatal? I’ve just been diagnosed with ms. My doctor says most people live normal lives, but what about those who don’t? Do some people die from it?

Strictly : Strictly speaking, no. On average, life expectancy of patients with ms is only about 5 years less than that of normal individuals. That said, there are rare cases of particularly aggressive ms, that can result in rapid accumulation of disability. It is extremely uncommon for ms to be fatal; rather, it is the infections or other complications related to ms disability, that can be fatal. ...Read more

See 2 more doctor answers
4

4
What can you do when you're 77, have lived alone for thirty years and discovered you have alzheimer's disease?

What can you do when you're 77, have lived alone for thirty years and discovered you have alzheimer's disease?

Start planning now!: Assuming Alzheimer's disease is diagnosed at an early stage, start making plans if you still have capacity for medical, legal & financial decision making. Figure where you want live, who's going to take care of you, whether you want artificial life support etc. If patient no longer has capacity to make decisions, then closest relative will need to assume responsibility w/medico-legal assistance. ...Read more

5

5
Did a large number of people have hayfever say 50 years ago and how did they manage their symptoms?

Did a large number of people have hayfever say 50 years ago and how did they manage their symptoms?

Yes. Immunotherapy.: The %age of hay fever sufferers has been rising since around 1800, the beginning of the industrial revolution. Antihistamines have been in common use since ~1950. Decongestant pills and sprays were also used. Escaping to the mountains was a popular treatment that didn't work. Air conditioning (yes they had that then) does work. Allergy shots have been available since 1911 & are safe & effective. ...Read more

See 3 more doctor answers
6

6
What are the causes of frequent weight fluctuations? I have lost 10 kgs many a times in 2 years in a go. To maintain weight I have to keep a heavy die

What are the causes of frequent weight fluctuations? I have lost 10 kgs many a times in 2 years in a go. To maintain weight I have to keep a heavy die

See Dr., then eat...: If one is truly underweight (based on height, family background, and body type), a dr. Can evaluate for a hormonal, digestive, or other disorder. If no medical cause is found, then one can add weight by eating more calories of nutritious foods, while also doing weight-training to increase muscle. Proteins: egg white, chicken breast, salmon, ... Better fats: olive oil, peanuts, almonds, tofu, .... ...Read more

7

7
Haven't exercised properly in 6 months, I'm terrified that if I work out I'll get a brain aneurysm or some sort of clot and die. But I need to get fit?

Haven't exercised properly in 6 months, I'm terrified that if I work out I'll get a brain aneurysm or some sort of clot and die. But I need to get fit?

Crikey, Juan!: Exercising doesn't cause brain aneurysms. NOT exercising also doesn't cause brain aneurysms. Sedentary people are MORE likely to get "clots" than active people. A healthy 18-y/o has nothing to fear from exercise. It sounds like your real problem is severe anxiety & catastrophic think ...Read more

8

8
Wife and I having our 3rd bout w/scabies in 8 years. Is that abnormally high? We don't travel that much either. What are some possible causes?

Wife and I having our 3rd bout w/scabies in 8 years.  Is that abnormally high?  We don't travel that much either.  What are some possible causes?

Scabies: Scabies is usually transmitted by direct skin-to-skin contact but less often it can be transmitted from objects (towel, bed sheets, shared clothing, etc.) ...Read more

9

9
What makes people die from diabetes? Is there a cure yet? It killed 3 people in my family already.

Diabetes: Diabetes is a condition caused by uncontrolled blood sugar levels. In the majority of cases it is caused by the resistance of our body to process that blood sugar. It's main complication is cardiovascular disease which is the leading cause of death. No definite cure found yet for diabetes but definitely can be controlled with diet, exercise and medications if the first two failed to control it. ...Read more

See 4 more doctor answers
10

10
What causes memory blocks to where a person can only remember certain things but not other things? I have this friend who i've known for about 20 years telling me things we did to gether some years ago and i don't seem to remember any of this, he even tol

What causes memory blocks to where a person can only remember certain things but not other things? I have this friend who i've known for about 20 years telling me things we did to gether some years ago and i don't seem to remember any of this, he even tol

Our : Our ability to remember things and events depends a lot on the state of mind we are in while we are doing things. This is called state dependent learning. If we are distracted or under the influence of drugs or medication, we may not store or be able to retrieve memories well or at all. If your friend is telling you about things you did together and you do not recall these things, they may have meant more to him. We filter out things that we don't consider important. If you are having personal problems they will affect your ability to recall less pressing ideas. I don't think there is anything seriously wrong with you. ...Read more

See 1 more doctor answer
Dr. Lionel Lim Dr. Lim
7 doctors agreed:
12

12
How do you deal with a senior parent who may be suffering from dementia and insists people from her past (who have long passed away) are still around.?

Dr. Lionel Lim Dr. Lim
7 doctors agreed:
How do you deal with a senior parent who may be suffering from dementia and insists people from her past (who have long passed away) are still around.?

Don't argue: Arguing with patients with dementia can be frustrating for both caregivers and patients themselves. It is better to go along with the story, and redirect whenever possible. You could end up agitating the patient and making the situation worse. Remember, it's the disease that is doing this to your parent, and not them! ...Read more

See 3 more doctor answers
13

13
Lost many loved ones, all I see is death or people dying rehashing how they died, in a explosion, in a fire, life is not good, not sleeping or eating ?

Lost many loved ones, all I see is death or people dying rehashing how they died, in a explosion, in a fire, life is not good, not sleeping or eating ?

See a doctor: You sound as though you have post traumatic stress disorder. This can be very debilitating and requires therapy and sometimes medications. Please see a doctor. ...Read more

14

14
Interested to know if people have a worse sense of hearing when they have a stroke?

Interested to know if people have a worse sense of hearing when they have a stroke?

Depends on location: If stroke occurs in the brainstem, or a patient has a block of the internal auditory artery, hearing could be affected, but this is an unusual stroke consequence. Apparent Hearing loss can also be due to comprehension issues due to stroke affecting speech areas, even though ears are normal. ...Read more

15

15
I'm not a soldier. Why do people keep telling me i show symptoms of ptsd? According to the rest of society, i can't possibly have ptsd...

Society wrong, then: Although ptsd is common in military personnel, they're by no means the only people who suffer this condition. Anyone can experience extremely frightening events -- rape, for instance. Symptoms include re-experiencing such as flashbacks & nightmares; avoidance like numbing feelings & having amnesia; & hyperarousal, or being easily startled & having insomnia. Help is available; ask your doctor. ...Read more

See 2 more doctor answers
16

16
What happens if someone has had diabetes for 24 years and have retinopathy .could they get an insulin pump from the diabetes clinic ?

What happens if someone has had diabetes for 24 years and have retinopathy .could they get an insulin pump from the diabetes clinic ?

Insulin pump: There are lots of ways you can get an insulin pump. You don't need to wait until you have retinopathy and insurance may cover it. But it is not necessarily the answer for diabetes. Although the pump infuses insulin, you still need to test your own glucose.... many times per day. You still need to count carbs, and tell the pump what to do. Talk to your diabetes doctor. ...Read more

17

17
Can epilepsy cause brain cancer? I have may have a vascular epilepsy. I tend to lose a lot of memory, lose hair, and get weak at times.

Can epilepsy cause brain cancer? I have may have a vascular epilepsy. I tend to lose a lot of memory, lose hair, and get weak at times.

Seizures are the...: Seizures are the result of abnormalities in the brain structure, imbalances in brain chemistry or electrical signals, etc... Seizures are not the cause of the brain problems, but rather the person's brain problems may be causing her seizures. That means seizures and brain cancer can both be present and each may be due to a different cause, but one's seizures do not cause cancer. ...Read more

18

18
Did a large number of people have hayfever 100 years ago on the farm, and, if so, how did they manage their symptoms?

Did a large number of people have hayfever 100 years ago on the farm, and, if so, how did they manage their symptoms?

No one knows for sue: Sincehay fever is mostly self limiting- the remedies used must have included herbals as well as spells & chantings with variable results being produced. ...Read more

19

19
Do you think many more people are being diagnosed with type 2 diabetes in recent years than ever before?

Do you think many more people are being diagnosed with type 2 diabetes in recent years than ever before?

Yes: More people are being DX and even more people are not DX and this has to do with the obesity epidemic, western diet and not enough physical activity. ...Read more