8 doctors weighed in:

What is the treatment for diabetes complications?

8 doctors weighed in
Dr. Susan Wingo
Internal Medicine - Endocrinology
6 doctors agree

In brief: It depends

Different complications require different treatments.
In general, keeping blood sugar, blood pressure, and cholesterol under control will be beneficial. Eating smart, exercising, not smoking, and losing weight can help with controlling sugar levels, blood pressure and cholesterol, and for some complications, may be directly helpful themselves.

In brief: It depends

Different complications require different treatments.
In general, keeping blood sugar, blood pressure, and cholesterol under control will be beneficial. Eating smart, exercising, not smoking, and losing weight can help with controlling sugar levels, blood pressure and cholesterol, and for some complications, may be directly helpful themselves.
Dr. Susan Wingo
Dr. Susan Wingo
Thank
Dr. Payam Rafat
Podiatry

In brief: Many complications

Diabetic patient are at greater risk for complications such as cardiovascular disease (high blood pressure, poor circulation), nerve damage (neuropathy- resulting in poor sensation), kidney damage (nephropathy - poor kidney function), and eye damage (retinopathy- resulting in poor vision).
There are different treatments for each complication. Get evaluated to get the appropriate treatment.

In brief: Many complications

Diabetic patient are at greater risk for complications such as cardiovascular disease (high blood pressure, poor circulation), nerve damage (neuropathy- resulting in poor sensation), kidney damage (nephropathy - poor kidney function), and eye damage (retinopathy- resulting in poor vision).
There are different treatments for each complication. Get evaluated to get the appropriate treatment.
Dr. Payam Rafat
Dr. Payam Rafat
Thank
Dr. Susan Wingo
Internal Medicine - Endocrinology

In brief: For the heart

Controlling bp, cholesterol, and not smoking are even more important than controlling sugars.
Once blood vessels to the heart (or elsewhere) are clogged, there are procedures to open them up with a balloon from the inside; often a stent is placed to keep the blood vessel open. Or surgery can create a new vessel (bypass) to go around the block. Meds like Aspirin & Plavix (clopidogrel) help keep vessel open.

In brief: For the heart

Controlling bp, cholesterol, and not smoking are even more important than controlling sugars.
Once blood vessels to the heart (or elsewhere) are clogged, there are procedures to open them up with a balloon from the inside; often a stent is placed to keep the blood vessel open. Or surgery can create a new vessel (bypass) to go around the block. Meds like Aspirin & Plavix (clopidogrel) help keep vessel open.
Dr. Susan Wingo
Dr. Susan Wingo
Thank
Dr. Susan Wingo
Internal Medicine - Endocrinology

In brief: For Nerve Damage

Nerve damage, or neuropathy, does not always require treatment.
When symptoms become significany, or prevent people from being able to sleep, two medications are fda approved for treating neuropathy, including Lyrica (pregabalin) and cymbalta. There are quite a few other medications used, including some generics. Many people with neuropathy benefit from special protective shoes.

In brief: For Nerve Damage

Nerve damage, or neuropathy, does not always require treatment.
When symptoms become significany, or prevent people from being able to sleep, two medications are fda approved for treating neuropathy, including Lyrica (pregabalin) and cymbalta. There are quite a few other medications used, including some generics. Many people with neuropathy benefit from special protective shoes.
Dr. Susan Wingo
Dr. Susan Wingo
Thank
Dr. Susan Wingo
Internal Medicine - Endocrinology

In brief: For the kidneys

Many people with diabetes take certain BP medicines even if their BP is good (< 130 for the top number; less than 80 for the bottom number) to protect their kidneys.
These medications includes ace inhibitors (end in -pril), and angiotensin receptor blockers (end in -sartan). If the kidneys stop working entirely, people go on dialysis or may get a kidney transplant.

In brief: For the kidneys

Many people with diabetes take certain BP medicines even if their BP is good (< 130 for the top number; less than 80 for the bottom number) to protect their kidneys.
These medications includes ace inhibitors (end in -pril), and angiotensin receptor blockers (end in -sartan). If the kidneys stop working entirely, people go on dialysis or may get a kidney transplant.
Dr. Susan Wingo
Dr. Susan Wingo
Thank
Dr. Susan Wingo
Internal Medicine - Endocrinology

In brief: For the eyes

For diabetic retinopathy, treatments may include laser treatments to prevent retinal tears, or surgery to replace the vitreous (gel-like substance) inside the eyeball.
For macular edema, injections into the eyes may be used.

In brief: For the eyes

For diabetic retinopathy, treatments may include laser treatments to prevent retinal tears, or surgery to replace the vitreous (gel-like substance) inside the eyeball.
For macular edema, injections into the eyes may be used.
Dr. Susan Wingo
Dr. Susan Wingo
Thank
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