Health Access Nursing and Home-care Specialists


Diabetes

Why is my nurse insistent that I take good care of my feet?
Foot care is an important part of diabetes care. Although diabetes can be controlled with insulin or medications, eventually the high blood glucose (sugar) levels can cause damage in your body. One of the problems is with the blood circulation and the nerves that send the sensation of pain; this is called peripheral neuropathy.

Because you can't feel your feet normally, you may get a cut or blister on your foot and not know it. The decreased circulation in your feet means that the blood flow isn't strong enough to help your cut or blister heal properly. When this happens, the injury can become infected easily and before it is noticed, the infection may have progressed quite far.

Good foot care also means watching for ingrown toenails and preventing athlete's foot.

If I take pills, does that mean I won't have to take insulin shots?
People who are diagnosed with type 2 diabetes are usually first treated with oral medications (pills). The medications work differenty depending on the type. Some help your pancreas produce more insulin, some block the enzymes that digest the starches in the food you eat.

People with diabetes can only take oral medications if they are still producing insulin. If the pancreas no longer produces any insulin, then insulin, through injections, is needed.

Often, people with diabetes who gain a lot of weight or who have been taking oral medications for a long time will eventually have to start taking insulin. Some people take both insulin and oral medications.

What's the difference between juvenile diabetes & adult diabetes?
Juvenile diabetes use to be the term used for diabetes that was discovered in children and required insulin to control it. It also used to be called insulin-dependent diabetes. Adult-onset diabetes is what adults were diagnosed with; it was later called non-insulin dependent diabetes. However, now the proper and more accurate terms to use are type 1 and type 2 diabetes.

Type 1 is the type most commonly diagnosed in children and occurs when the pancreas does not make insulin. It's cause isn't known. Type 2 diabetes is usually diagnosed later in life, although doctors are now starting to see it in younger and younger people. Although many people with type 2 diabetes don't have any risk factors, many other do. It is often caused by lifestyle factors, such as obesity.

What is gestational diabetes?
Gestational diabetes is a type of diabetes that happens when a woman is pregnant. Often, gestational diabetes can be controlled by diet, but sometimes the woman must start taking insulin shots for the duration of the pregnancy.

Gestational diabetes goes away after the baby is born. It is believed, however, that women who have had gestational diabetes are at a higher risk of developing type II diabetes later on in life.

If you have any further questions about diabetes or any other subject matter, please don't hesitate to contact us.

 

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