| Diabetes Education 2002 page 8 |
| Medical Problems continued. As we saw on the previous page, diabetes is a problem if we dont learn to control it. spikes and elevations. Spikes and elevations can cause us to produce ketones. as we will see continued here some more problems and how to prevent them. |
| Retinopathy .Retinopathy is the destruction of the retina by the overload of glucose and ketones.The retina and its nerve endings erode, and small hemmorages occur. thereby clouding the eye fluid,a nd drwoning out the abuility for the eye to function. ketonmes eat away at the cellular structure of the eye and its muscles like the foot. and cause blindness. Microvascular and macrovascular problems. These two problems are the leading cause of heart attack and stroke in a diabetic. By the body being out of control the ketones eat away at the fats in the system that are suppsed to be in place to protect and provide the elasticity in our arteries and veins. When the fats and protective layers are destroyed then the walls of the veins, and causes fractures and ruptures. hearts are attacked by an elevation of enzymes due to ketone stress, brians are attacked by a chemical change in CSF. |
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| First aid and prevention |
| Many problems can be averted by simply taking the time and not being lazy or afraid. Wounds such as burns and blisters and splinters should be treated immediately. everyday inspection of the feet is utmost. Daily personal hygene with antibacterial soaps is imperitive or a soothing antibacterial soap with moistureizer. By following your diet closely, and doing porper first aid and peventative care, you can live an ampuattion free life, and reduce your chances of complications. |
| FOOT CHECK to do a foot check does a number of things. It shows if there are blisters that you did not feel. calluses that rea cracking, general health of the foot, and if ulcerations are begining. proper foot checks begin with washing the feet gently with an antibacterial foot wash or non drying soap. Look closely at the area between toes and under toes. Trim toe nails. Often people like it straight accross. Blot dry, do not rub. Be aware of any hyper sensation and report that to your doctor immediately. Apply a good deep moisturize. But not a drying one. As soon as you see a blister do not pop it. instead apply an antibacterial cream, and cover loosely with a protective bandage for when it pops. when it does pop, you can cover it or have the excess skin trimmed away if it becomes horn hard. wear good socks with few seams, that are deeply cushioned and do not impair circulation. Eye checks: Remember to have your eyes checked once a year. there are medications that can help with some types of damage. HBA1C is the glycated saturated hemogloblin. This simple blood test thats how in control your diet and medication has been for the past 12 weeks. Often a glucoprotein test that is done weekly can give better control information. Burns: 1st degree burns shuld be washed with cool water and a simply application of bactine and a light layer of neosporin cream applied. Cover if needed with a curad non stick. 2nd degree burns should be handled immediately. These are often kitchen burns. wash area with amild soap if grease burn. apply a cleansing liquid like bactine, and slather on a good layer of neosporin with pain relief. cover with a non stick bandage. wash and reapply cream and recover. 3rd degree burns should be seen by an emergency room physician. UNless its easily handled and you are not squeemish. After washing, debride the woulnd after spraying with a numbing agent. pack with neosporin and cover loosely. wash and deride at least twice daily. But they should be seen by an ER doctor. adjust your medication and limit carbs. splinters: Locate the splinter and gently remove with extreme pointed tweezers. apply neosporin daily. If splinter was on foot or hand, its often a good idea to cover with a non stick pad. Cuts and scrapes. wash area with antobacterial liquid soap. apply wound washing liquid. apply neosporin and ocver loosely. do this daily. deeper cuts need to be cleaned and neosporin packed into the wound andon the wound. a bandage bringing edgs together is needed. change bandage when wet and apply more neopsporin deep lacerations need to be seen by a doctor. scrapes need to be washed and neosporin with pain killer applied as needed. Fever and illness: Sick day care is essential. even if you do not eat you still need to take your medication, check for ketones, and drink plenty of water or fluid. When you are sick your body produces ketones and other white cells that can mess up your glucose control. also lack of eating causes the liver to excrete more glycogen to handle the no food. So its important to maintian testing and medication. |
| copyright 2000-2001 julia sherman D.N. |