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Common complications of Diabetes

BY: David Prakash Kumar | Category: Health and Fitness | Post Date: 2009-06-01
 



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   David Prakash Kumar
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When a person develops diabetes, the patient is at an increased risk of various problems than the general population. Very few people live asymptomatically after being diagnosed as having diabetes mellitus.

The metabolic dysfunction leads to diabetes complications earlier in life than what would be normally seen and these tend to be more severe. Those diagnosed with Diabetes are prone to various problems including Neuropathy (nerve damage), vascular damage, Nephropathy (Kidney problems) and retinopathy (eye problems). These are usually related to the duration of diabetes and glyceamic control(sugar levels).

Of this peripheral neuropathy is the most common presentation with 12 to 50% of people with diabetes having some degree of peripheral neuropathy (damage to the peripheral nerves), though not all of these patients may be symptomatic. Due to this, foot ulcers and amputations are the most common and serious complications of both the main types of diabetes.

This further is associated with significantly increased mortality. Diabetes is also the most common cause of Charcot neuroarthropathy (also commonly known as hot foot). Peripheral neuropathy is believed to be the reason for the development of this condition.

Diabetic foot problems remain common all over the world, but are particularly prone to result in amputation in developing countries. The reason being decreased availability of healthcare and also the inadequate knowledge of those affected by this condition.

The most important contributory cause for foot ulceration is neuropathy. The repetitive stress on the insensate foot is a major cause for ulcer chronicity. So identification of those with insensitive feet is necessary to prevent ulceration. The rate of lower limb amputation is 15 times higher in diabetic patients compared with nondiabetic patients

All these effects could be prevented if diabetic neuropathy is identified early. Any delay in detecting neuropathy can cause irreparable damage to the patients foot. Identifying the patients who have early neuropathy would also help predict further foot problems. This prediction would help in classifying these patients as those who are at a higher risk of ulceration and more resources could be allocated to prevention or treatment programs for these people. If this reduces the rate of diabetic foot complications, it would improve the quality of life for individual patients

Article Source: http://www.saching.com



About Author / Additional Info: Diabetes complications
I am a Physiotherapist by profession and a writer by interest. I have written many articles and blogs. Comments are welcome at prakashdavid@rediffmail.com David Prakash Kumar

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