Writer HGWells and Dr. RD Lawrence, who were themselves diabetic, introduced Diabetes Week in 1934. The goal of this famous week is to draw attention to diabetes, which is not taken seriously enough, especially before it is developed, but even after the diagnosis has been made. Anyone diagnosed with diabetes may need to change their lifestyle and daily routine because of the treatment of the disease – these changes are in part minor, yet successful therapy may depend on them.
Today, more than 700,000 diagnosed patients in Hungary suffer from type 1 or type 2 diabetes, and the number of people living without a diagnosis is high.1
Dangerous complications – what symptoms to look out for?
The symptoms of type 1 diabetes are obvious: a strong feeling of thirst, which is accompanied by an increase in the amount of urine, may be an increase in appetite, but it is usually accompanied by weight loss, as well as depression and fatigue. However, type 2 diabetes can go unnoticed for a long time, and the symptoms are often not clear enough — the disease may be discovered years later after it develops — so the patient does not have the opportunity to see a doctor at the onset of the disease.2
The initial symptoms of type 2 diabetes are common development of skin infections, appearance of boils, or certain parts of the body, especially the pubic body itche. As the disease progresses, the patient weight loss it can also produce an initial feeling of hunger anorexia you can replace it.
Complications of diabetes:
Type 1 diabetes is typically a childhood or adolescent disease in which small vessel complications are predominant, but large vessel complications may occur over a longer period of time. In people with type 2 diabetes, due to the often late diagnosis of the disease, both vascular and small vessel complications may be present as soon as the disease is recognized. Late complications of diabetes include smallpox complications, which are changes in the eyes, kidneys and nervous system. Large vessel complications can affect the lower extremity arteries, the heart and cerebral vessels, and cause lower extremity ulcers, myocardial infarction, or even stroke.6
Retinopátia – ophthalmic problems
In Hungary, one of the leading causes of blindness in the adult population is type 2 diabetes. In Hungary, 4.5% of people with type 2 diabetes are blind, which is unfortunately a remarkably high average in Europe. Blindness due to type 2 diabetes can be prevented by going for an annual eye examination. Disorders related to vision due to the disease do not cause a complaint at first, so it is worth going to the first eye examination right away when diagnosing diabetes.3
Nephropathy – kidney problems
At least two out of ten people with type 2 diabetes have lifelong kidney disease. High blood sugar can damage the capillaries in the kidneys, causing them to become blocked or ruptured, which can lead to blood leakage. To prevent kidney problems as a complication of your diabetes, try to get the best blood sugar levels, take a kidney function test at least once a year, pay attention to your salt intake, exercise regularly and follow the therapy prescribed by your doctor.4
Neuropathy – nervous system problems
Diabetes can cause metabolic disorders in nerve cells, leading to the development of alternative metabolic pathways, leading to the proliferation of abnormal metabolites. The damage begins in the fibers of the nerve cells, which can slowly eventually lead to cell death. Therefore, the most effective preventive method is to maintain and monitor the metabolism in a continuous normalized state with the help of a physician.5
- Large vessel complications play a major role in the death of diabetics, – may affect the lower extremity arteries, coronary arteries or cerebral vessels, but may even cause a stroke. In addition to elevated blood sugar levels, high blood pressure, high blood fat levels, blood clotting problems, and being overweight and smoking are important factors in the development of major vascular complications. Prevention of major vascular complications or slowing the progression of existing lesions is only possible by continuously treating (or avoiding) the listed risk factors. 6
In any case, the most important thing is to see a doctor immediately after the first detection of symptoms in order to find out if you really have diabetes. If you are diagnosed with diabetes, let’s not doubt there are effective therapies for type 1 and type 2 diabetes today. Diabetes is a systemic disease, so it is not enough to pay attention to the exact intake of our medication to treat it effectively – you will need a lifestyle change that includes everything from nutrition to just the right amount of exercise to regular blood sugar measurements. If you have any questions about the disease, contact your doctor.
Sources: Kempler, Putz, Kiss, Wittmann, Abonyi-Tóth, Rokszin, Jermendy – Prevalence of type 2 diabetes and the development of its cost burden in Hungary between 2001 and 2014 – the results of the database analysis of the National Health Insurance Fund. HUNGARIAN DIABETOLOGY XXIV. grade number 3 2 Symptoms of diabetes – DiabForum – Hungary’s largest diabetes community (diabforum.hu) 3On ophthalmic complications of diabetes Department of Ophthalmology (semmelweis.hu) 4Hungarian Diabetes Society On-line 5Diabetes Junior • Nervous system complications in diabetes 6diabetes.hu • Late complications of diabetes • Prevention options, therapeutic targets
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