June 26 - Diabetes Risk Reduction - 47 ABC - Delmarva's Choice

June 26 - Diabetes Risk Reduction

Posted: Updated:

GOOD MORNING DELMARVA - An important role the patient plays in the self-management process of diabetes control is the process of risk reduction.

Due to the complications possible with long term diabetes, patients and their providers must take certain well defined precautions or steps to assure the potential complications, such as diabetic retinopathy, kidney damage, nerve damage and foot damage do not sneak up on them.  While these are the "silent killers" associated with  poor diabetes control, others such as dental and skin problems may also occur.  These are sometimes called "silent killers" because usually there are no symptoms of the condition worsening.  No pain; everything seems as if it's normal

Retinopathy occurs when the blood sugar remains too high for too long.  This is a serious complication that can lead to blindness, but one that can be treated if detected early enough.  A patient with diabetes should have a dilated eye examination at least yearly.  This is usually done by an physician specializing in eye disease called an ophthalmologist.   During the exam the patient is given eye drops that dilate the pupil that allows their physician to examine the back of the eye-the retina.  This is the only way the disease can be detected early enough to be treated surgically.  If left untreated, blindness will follow.  It's the patient's responsibility as part of their self-management responsibilities to make sure they have a dilated eye exam at least once per year.
 
Another serious potential consequence of poor diabetes control is kidney failure.  Once the kidney fails, there is no hope for the patient other than dialysis or kidney transplant.  Kidney failure is a extremely serious complication of poor diabetes control.  Approximately 50% of the individuals on kidney dialysis are there because of diabetes.  You can keep your kidney's healthy by controlling your blood sugar and your blood pressure.  Your physician should order a blood test called a "microalbumin level" at least yearly.  A microalbumin level will detect early kidney tissue damage and is a test not all health care providers order routinely.  Again, it's another one of the self-management responsibilities of the patient to ask for the test to be done and have the results explained to them.  In this area's labs a micoalbumin level greater than 20 indicates something is going on with the kidneys.

This is not just a test for kidney function, but is a test for kidney damage.  Make sure you ask your provider for one each year and know what your results mean.
 
Neuropathy is nerve damage.  Nerve damage that can bring either extreme pain or no pain at all.  Diabetic neuropathy, when pain is involved, is many times very difficult to treat.  Patients complain of constant burning sensation on areas of the body.  Most of the times the burning is in the extremities, but does not necessarily have to be there.  Pain does indicate there is an problem and something needs to be done.  However, when there is no pain, the condition is actually worse.  Pain is the body's way of telling us something is not right.  If we lose the sense of feeling in our feet , for instance, an individual can cut their foot or toe resulting in an infection that may worsen without the patient feeling it ( no pain) and pretty soon it's necessary to have IV antibiotics to treat the infection.  Many times this is too late and the toe or foot cannot be saved and needs to be amputated due to the spread of the infection.   50% of the lower limb amputations are due to complications of diabetes.
 
For this reason, patient with diabetes should have their feet inspected by a podiatrist at least annually and should preform daily self-examination of their feet.  If a patient does have an abnormality of their foot that may cause rubbing or friction, they may need special foot ware.  Medicare will cover 80% of the cost of the foot ware.  This foot ware MUST be prescribed by a physician. They cannot be prescribed by a podiatrist, a NP or a PA.  If you have questions if you qualify for diabetic shoes, our staff at the medical equipment department at Apple Discount Drugs can assist you.   Again, this is another one of the self-management responsibilities of the patient.  Stay informed and be proactive in your self-management of your diabetes.  If you have questions, please call  John at the Apple Drugs Diabetes Center; he will be happy to answer your questions on these or any questions related to diabetes.
 
Lastly, concerned you may have diabetes and don't know it?  On Monday July 14th the Health Mart Screening Bus will be at Apple Drug's Fruitland location to do diabetes screening and provide you additional information regarding your health and diabetes.  The bus will be there from 3-6 PM.   If you want to schedule a diabetes screening, please call John to make an appointment.  Due to the time constraints, only 30 individuals will be able to be screened at time.  

Call John at 410-749-8401 to schedule a time for screening.

  • GMD Upcoming GuestsMore>>

  • Sept. 2 - Marshall Muskrat's Cartoon Jamboree

    Sept. 2 - Marshall Muskrat's Cartoon Jamboree

    Tuesday, August 26 2014 8:04 AM EDT2014-08-26 12:04:39 GMT
    GOOD MORNING DELMARVA - Come out to Manokin River Park in Princess Anne to enjoy Marshall Muskrat's Cartoon Jamboree.It all kicks off on September 13th at 10:00 AM. There will be a costume parade, movieMore >>
    GOOD MORNING DELMARVA - Come out to Manokin River Park in Princess Anne to enjoy Marshall Muskrat's Cartoon Jamboree.It all kicks off on September 13th at 10:00 AM. There will be a costume parade, movieMore >>
  • Sept. 4 - Roots Run DNA 5K

    Sept. 4 - Roots Run DNA 5K

    Tuesday, August 26 2014 8:03 AM EDT2014-08-26 12:03:59 GMT
    GOOD MORNING DELMARVA - Peninsula Regional Medical Center's Richard A. Henson Cancer Institute will hold its annual 5K run/walk on Saturday, September 6, 2014, at the Avery W. Hall Educational Center onMore >>
    GOOD MORNING DELMARVA - Peninsula Regional Medical Center's Richard A. Henson Cancer Institute will hold its annual 5K run/walk on Saturday, September 6, 2014, at the Avery W. Hall Educational Center onMore >>
  • Sept. 9 - College Corner: Wor-Wic

    Sept. 9 - College Corner: Wor-Wic

    Tuesday, August 26 2014 8:03 AM EDT2014-08-26 12:03:40 GMT
    The Wor-Wic Community College Foundation is sponsoring a 5K Run/Walk, along with the 2014 Law Enforcement Team Cup Challenge, on Saturday, Sept. 20, at 9 a.m., at the college campus on the corner of RouteMore >>
    The Wor-Wic Community College Foundation is sponsoring a 5K Run/Walk, along with the 2014 Law Enforcement Team Cup Challenge, on Saturday, Sept. 20, at 9 a.m., at the college campus on the corner of RouteMore >>
Powered by WorldNow
Powered by WorldNow All content © Copyright 2000 - 2014 WorldNow and WMDT. All Rights Reserved. For more information on this site, please read our Privacy Policy and Terms of Service.