LIVING WITH DIABETES
Importance of good control of Diabetes
All diabetics, whether treated with insulin or not, are susceptible to
certain problems affecting the eyes, kidneys, arteries and
nervous system. These problems are called "the complications of diabetes".
These complications may be quite serious for some diabetics
while others are hardly affected at all.
To give yourself the best chance of avoiding complications :
TRY TO ACHIEVE THE BEST POSSIBLE CONTROL OF YOUR
DIABETES - this is vitally important.
The adherence to diet, exercise and therapy as determined by your doctor, is the only way to achieve good control of your diabetes. Daily self monitoring in the home and at work, and routine check-ups by your doctor, will help verify your condition and permit any changes to be made if necessary.
Self monitoring can include blood glucose testing, urinary
glucose and urinary ketone tests. One or more of these should
be performed on a regular basis as recommended by your
doctor. Traditional examination of urine for glucose, however
does not always reflect the blood glucose concentration.
Blood glucose values higher than your optimum control range
may occur without glucose appearing in the urine (e.g. patients
with a high renal threshold ).
An essential part of good diabetic control is keeping an
accurate record of all tests performed. Results should be
discussed with your doctor at each visit.
A well controlled diabetic feels better and lives a long,
healthy and productive life.
TIPS FOR THE DIABETICS :
As a diabetic, you can lead a normal life provided you carefully
follow your doctor's instructions regarding diet and medications. You
also need to take simple precautions, because you are more
susceptible to infections.
PERSONAL HYGIENE :
Bathe regularly and thoroughly, at least once a day. Apply
talcum powder frequently to areas of the skin prone to excessive
sweating. Bathe feet daily, dry them thoroughly and dust them
with talcum powder, or swab with alcohol. Ringworm or any
other infection of the skin must be treated immediately. See
your doctor. Dental hygiene must be thorough, visit your dentist
regularly and follow the advice.
AVOID INJURY :
Small cuts, even abrasions should be dressed immediately.
Shave with utmost care. In dressing wounds, avoid anti-septics
which may burn or irritate the skin, such as iodine, carbolic acid,
phenol or salicylic acid. Be very careful when cutting your finger
and toe nails. Cut them after a bath when soft, using a nail cutter.
Do not try to cut them very short. The nails should be cut in line
with the toes.
FOOT CARE :
Never walk barefoot. Avoid tight shoes which may cause corns.
Shoes should be broad at the tip so as not to jam the toes.
New shoes should be worn only for about half an hour at a
time, preferably with cotton socks.
Do not cut corns or apply corn removers. If the circulation
of blood in your legs and feet is disturbed or impeded, the
results can be very serious, and you may even lose your feet,
so follow these simple rules :
Massage your feet regularly. Take a regular walk to improve
circulation. Spend a few minutes a day lying down with your feet
raised above the level of your body. Wear warm stockings in
cold weather. Do not wear socks with tight elastic bands. Do not
wear underpants that are tight around the thighs. Do not cross your legs when sitting for long period of time. Do not tie bandages too tight.
WARNING SIGNS :
Inform your doctor immediately, if you notice any of these :
Feeling of numbness or coldness in feet. Tingling or burning
sensation in feet. Cramps in the calves. Change of colour -
deep red or purple - in toes or toe nails or in the skin.
So, the concluding line is "Learn to Live With Diabetes".
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