Diabetes is generally a progressive disease
Diabetes Support Group Meeting Highlights
March 18, 2008
Sarah Haubenshield PA-C from Prairie Clinic spoke to the diabetes support group on Tuesday, March 18. She provided ann overview of diabetes with graphics that demonstrated the process. Normally we eat food for energy and the food is changed into sugar through the digestive process. Then insulin is released from the pancreas and attaches to the sugar to move it into our cells. That provides us with energy.
In type 2 diabetes, the cells are not sensing the insulin and the beta cells of the pancreas are producing less insulin which results in elevated blood sugar levels. In turn high blood sugars can damage the nerves, the small vessels off the kidneys and the eyes, plus the larger vessels which puts us at risk for heart attacks and strokes.
Treatment of diabetes include healthy eating and increased physical activity to lower blood sugar levels. We ask people to monitor their blood sugars to identify patterns. Medication as ordered and each works differently to help lower the blood sugar level.
Sarah also shared with the group what is covered in an office visit when they present for a diabetes check up. Glycemic control is checked with an A1c. If that is elevated, a new plan must be implemented. Cholesterol numbers are also reviewed. Again treatment is needed for reaching optimal goals. Urine is tested for protein which demonstrates kidney function. Cigarette smoking is a dangerous combination with diabetes because both cause vessel damage. Smoking is discouraged and support is offered to assist in that process as needed. A yearly dilated pupil exam is recommended because we know that poorly controlled sugars are the leading cause of blindness. Sex-related issues need to be discussed with provider if it is a concern. A foot exam is done due to risk for impaired circulation. Blood pressure is treated til at goal of 130/80. Aspirin is taken daily unless contraindicated which thins the blood and protects the heart. A dental exam should occur every six months and studies show link between peridontal disease and increased risk for heart disease.
Next month on April 15th, Dr. Bogue, podiatrist from Associated Podiatrists will be here to tell us the importance of foot care in people with diabetes.
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