Doctor insights on:
Diabetic retinopathy: In susceptible diabetics, prolonged poor control leads to weakening of the outer walls of vessels in the retina leading to outpouching (microaneurysms), leaks, scarring, and vascular occlusion leading to ischemia. Ischemia sends out a signal (vegf) causing the growth of new vessels (neovascularization) which leak, and can lead to retinal detachment and proliferation. It is treatable - hurry. ...Read moreSee 2 more doctor answers
Control Risk Factors: Tight control of glucose can help prevent or delay the onset of retinopathy. Control of blood pressure and cholesterol are also important factors. It is important for all diabetics to get annual dilated eye exams from an ophthalmologist to determine whether retinopathy is present. ...Read moreSee 3 more doctor answers
New vessel growth: The main risk factors for causing pdr are having diabetes for longer than 10 years and poor blood sugar control. Pdr results when retinal blood vessels begin to grow abnormally in response to poor retinal circulation. The new vessels are fragile and bleed easily and bleeding is the main cause of vision loss in pdr. Treatments include laser, vitrectomy surgery, and intravitreal injections. ...Read moreSee 3 more doctor answers
No: Diabetic retinopathy may be prevented by good blood sugar control ( HGB A1c of <7.0) and may be treated with laser photo coagulation or anti-vegf( vascular endothelial growth factor) injections if it is detected early enough but although the changes may be stabilized and neovascularization may involute the retinopathy is not reversible. ...Read moreSee 1 more doctor answer
Yes: Diabetic retinopathy is very treatable with laser, steroids, and a new class of medicines called vegf inhibitors. The specific treatment needed depends on the type and extent of the retinopathy. The most important thing is that early treatment always gives the best results. Diabetics need to be monitored at least every year to evaluate for any retinopathy. ...Read moreSee 1 more doctor answer
Protein in urine: If you have diabetes, early diabetic nephropathy can be suspected if your doctor tests the urine for microalbumin, and then later for protein.Usually no need to do a kidney biopsy especially if the retina of the eye also has diabetic changes.Your nephrologists determines this. ...Read moreSee 1 more doctor answer
Eye exam.: An eye doctor, usually an ophthalmologist or a specialist in the diseases of the retina, diagnosis diabetic retinopathy through a careful eye exam that includes dilating the pupils. Other tests of the may also be performed using photographs, computer scans (oct), or injecting a dye into a vein in the arm and analyzing the dye's flow through the blodd vessels in the back of the eye (fa). ...Read moreSee 2 more doctor answers
Bad: Diabetic retinopathy is caused by blood vessel damage due to high sugar levels. It can cause leakage of fluid from vessels causing swelling. It can also cause the vessels to die leading to the retina not getting enough blood. Both of these can permanently impair vision. The best way to avoid this is control of sugars. Many treatments exist for diabetic retinopathy. ...Read moreSee 2 more doctor answers
Uncontrolled Diabete: Diabetic retinopathy comes in two types non-proliferative or proliferative. Clinical trials such as the dcct, edic, ukpds, accord, ukpds-hds, field have shown that if glucose levels, blood pressure, cholesterol, and lipids are not controlled diabetic retinopathy can get worse and lead to severe vision loss. Trials such as the etdrs, drs, drvs show that eye physicians can delay blindness. ...Read moreSee 1 more doctor answer
Yes and No.: Diabetes is genetic. We can treat the disease and then management will take care of the rest. Proper diet, exercise, management of stress all play a role. The younger you are and healthier you keep your ideal weight for age and height, the better chances you have to become "diet" regulated versus "medicine" regulated. Talk with your primary doc or meet with an endocrinologist. ...Read more
Poor nerve function: Nerve disease/damage thought to be caused by poor blood supply to nerves &/or high blood sugar. There are 2 types of neuropathy: peripheral and autonomic. Peripheral causes loss of feeling in hands/feet, weakness & imbalance. This can lead to wound development & possible amputation. Autonomic leads to heart problems, problems w/ body temp, erectile dysfunction, dry skin, & digestive problems. ...Read moreSee 4 more doctor answers
CKD + DM: The answer to your question is "Yes". Diabetes is the leading cause of renal failure in the US. There are 6 stages of chronic kidney disease, with stage being that of patients on dialysis. So a diabetic, depending on the duration of diabetes, the control of blood pressure and glucose, can be in any one of stages 1-5. ...Read more
Complication of DM : If the body does not have enough Insulin to carry sugar into the cells for energy, the body begins to use a backup energy plan breaking down fat. This creates ketones which build up in the body and create an acidic change in the body.Since the enzymes work best in a balanced environment you feel sickly & nauseated.As the process continues the metabolism breaks down & bad things happen(you can die). ...Read moreSee 1 more doctor answer
Foot ulceration: Diabetics have loss of protective sensation to their feet. This occurs because excess glucose in the blood causes pathological changes to the nerves. Poor sensation can lead to the development of sores or ulcers. Diabetic also have poor blood supply to their feet so it is difficult to heal the ulcers. The ulcers can get infected and cause gangrene of the foot. ...Read moreSee 4 more doctor answers
No cure yet: Diabetic retinopathy cannot be cured but can be effectively treated and in the last 10 years the treatments have improved dramatically with new surgical instruments for the small percentage that require surgery and several new medications that can improve macular edema (swelling of the retina) and control bleeding. But there's no substitute for good sugar and BP control to slow progression. ...Read moreSee 2 more doctor answers
Kidney vs nerves: "nephropathy" is damage to the kidneys, and "neuropathy" is damage to nerve cells. In addition to kidneys and sensory nerves, uncontrolled diabetes can also damage blood vessels & circulation, heart, brain, eye, stomach emptying, skin, immune system and just about any organ in the body. Best way to prevent is to control blood sugar. Once there is damage, may need specialist or more advanced care. ...Read moreSee 2 more doctor answers
I have spots that look like 'diabetic dermopathy;' if my blood sugars are normal fasting and after meals, what else can it be?
Could still be DD: The classic differential diagnosis of diabetic dermopathy (sometimes only separable by biopsy) is granuloma annulare and the rash associated with rheumatoid arthritis. But it could still be diabetic dermopathy, even if you don't have diabetes. (some believe such eruptions are a harbinger of future diabetes.) you'll need a dermatologist to sort this out. ...Read moreSee 1 more doctor answer
Missing ADH (vasopressin): Anti diuretic hormone helps concentrate the urine to keep the body's sodium and water levels balanced. If the brain does not make enough ADH (vasopressin) or of the kidney ignores the adh, (vasopressin) a person can urinate too much dilute urine, becoming hypernatremic (high sodium) and dehydrated. Can be genetic, due to head trauma, brain tumor, infection, anorexia, idiopathic. ...Read moreSee 1 more doctor answer
My bro is diabetic since14.Since15, his school degrees changed from(a)to(d).Now he's21, still can't focus in studying for long time.What's wrong with him
Focus and diabetes: Assuming you brother is a type 1 diabetic, there could be a few things. One is poor blood sugar control which can really effect many cognitive functions of the brain. Thyroid disorders are more common in type 1 diabetics which is another possible cause. The last is depression which is quite common in young and older diabetics. Hope this helped ...Read more
If you have been diagnosed a diabetic, then a diff Dr says you're pre-d. You have 3 FPG 129,141,127 w a1c 5.9, is the diagnosis that crucial?
Two related: diagnoses differing only in intensity. This adds up to the need for you to change your lifestyle, e.g., diet and exercise, w/guidance from your doc. 50% of USA population is now pre-diabetic or diabetic. The damage this does to body eventually is great. I'm glad someone is helping you catch this early. Peace and good health. ...Read more
Primary hyperparathy: If you have a high calcium and high PTH level, you most likely have primary hyperparathyroidism.This is a relatively common condition, especially in women after menopause. It has nothing to do with your diabetes. In your age group, this would be treated by removing the abnormal parathyroid (likely 1 of 4 parathyroid glands is abnormal). Without treatment it can lead to kidney stones and bone loss. ...Read more
Both: It is best to see both as the regular md will be monitoring your over all health and keeping you up to date on tetanus, shingles vaccines, cancer checks injuries ect. The diabetes specialist wil be closely monitoring your a1c readings, blood glucose readings and the need for adjusting your Insulin or pills, which the regular md would not have as much expertise. ...Read more
I am a diabetes mellitus type1.. And im insulin dependent.. But i'd stop taking insulin coz of the budget.. Is it ok to stop my insulin?
I'm a diabetic kitoacidosis.I find it hard to control my sugar level.I'd cut totally on sugar&eat very min carb.I'm on 68units of insulin a day.
Exercise + wt. loss: It appears you have a degree of Insulin resistance. If you are overweight, even mild to moderate weight loss will make you more Insulin sensitive and help your diabetes control. Also regular exercise will help increase Insulin sensitivity. By the way avoiding all refined foods and eating a generous amount of vegetables will help as well. ...Read more
M/59 yrs old/t1 diabetic. 5 stents in rca w/ controlled mi. 2mm d in lda; no stents. Scarring & severe damage to apex. Life expectancy? Suggestions?
Seek expert care: It sounds as if you have provided many details but not enough to establish a prognosis. Much more info is required such as family history, height, weight, diet, exercise tolerance, co-morbid conditions, etc. This decision is best made by a specialist with a detailed knowledge of more detailed info. ...Read moreSee 2 more doctor answers
Genes and food: For the majority of diabetics (those with type 2), it's a combination of genetic predisposition and being overweight. It can also sometimes be causes by medications like steroids and some psych drugs, pancreatic surgery or pancreatitis. It's not entirely clear why people get type 1 diabetes. ...Read moreSee 1 more doctor answer
Diabetes cause: Type 2 diabetes is considered a polygenic disorder with multiple causes. Basically ine must have a genetic predisposition towards developing diabetes, be exposed to a particular environmental trigger (obesity, low viramin d, a virus or illness, a medication) which results in the inability of the pancreas to produce insulin. Over time blood sugars rise and one develops diabetes. ...Read moreSee 1 more doctor answer
Anyone: Most type 1 diabetes is diagnosed in children but it can occur at any age. I just diagnosed a 63 year old man with new type 1 diabetes last week. The old term, juvenile diabetes, makes us think type 1 diabetes is a children's disease but it is not! type 1 diabetes can also run in families and is more common in siblings and children of people with type 1 diabetes. ...Read moreSee 1 more doctor answer