List and explanation of diabetic complications:Diabetes UK:"Diabetic complications can occur at any age and can vary from patient to patient.
Complications generally occur due to poor management of Diabetes. Though we do not
wish to scare you this subject must be raised. Complications can be reduced through
good control and exercise." Diabetes UK
10 Parkway
London NW1 7AA.
London Telephone:
020-7424-1000
Fax: 020-7424-1001 http://ourworld.compuserve.com/homepages/BDA_EDDIE_EVANS/page12.htm
A collection of information on the study of complications in diabetes:Center for the study of complications in diabetes:"The Juvenile Diabetes Research Foundation Center for the Study of Complications in
Diabetes brings together some of the world's leading diabetes authorities to find
new ways to understand and treat three of the most devastating complications of the
disease: diabetic neuropathy (progressive nerve damage), diabetic nephropathy
(progressive kidney damage), and diabetic retinopathy (progressive damage to the
retina). Diabetic neuropathy leads to loss of feeling in the feet and hands, and is
the most common cause of "nontraumatic" amputations in the United States
(amputations not due to accidents). Diabetic nephropathy is the number one cause of
renal failure requiring dialysis in our country. Diabetic retinopathy impairs
eyesight and is the nation's leading cause of nontraumatic blindness. The Center is
the first JDRF Center to focus exclusively on these three complications of diabetes." University of Michigan, Department of Neurology
4414 Kresge III, 200 Zina Pitcher Place
Ann Arbor, Michigan 48109 mfunnell@umich.edu http://www.umich.edu/~jdrf/
Long and short term complications explained:Whinfield Surger UK:"Long-term complications. This is the main reason for holding diabetic clinics.
After some controversy a few years ago it is now widely accepted that good diabetic
control plus control of blood pressure and cholesterol has a vital role to play in
reducing the long term consequences of being diabetic. These are:
Eye complications. Diabetes can affect the circulation to the back of the eye. The
most serious form of this complication causes the production of fragile new blood
vessels which can easily burst causing a haemorrhage which can blind the eye. Kidney
complications. Diabetes is a major cause of kidney failure. As with the eye the site
of the damage is in the small blood vessels where filtering of impurities takes
place. An early sign of damage taking place is the presence of a protein called
albumin in the urine. Initially the quantities may be very small so a special test
to look for microalbuminuria is done at the laboratory. Circulation problems.
Diabetes tends to attack the smaller blood vessels and the feet and toes are
particularly vulnerable. At worst this can lead to ulcers that are difficult to heal
and even gangrene. Nerve damage:
Sensory nerves. Loss of sensation again tends to involve the feet. Autonomic nerves.
These nerves control such things as blood pressure and male potency.Heart disease.
There is an increased rate of angina and heart attack in diabetics." http://www.whinfield.co.uk/Page7.html
Comprehensive list and explanation of complications of diabetes:Holisticonline.com:"Hyperosmolar nonketogenic coma
This is usually the result of profound dehydration as a result of not taking enough
fluids or due to fluid loss from events such as pneumonia, burns, stroke, a recent
operation, or certain drugs such as phenytoin, diazoxide, glucocorticoids and
diuretics.
With a death rate of over 50 per cent, this is a true medical emergency. Prompt
medical attention is warranted to save life.
The condition may develop over a period of days or weeks.
The diabetic patient's condition is worsened by the appearance of six major
complications of diabetes.Diabetic retinopathy Diabetic neuropathy Diabetic
nephropathy Diabetic foot ulcers Glycosylated proteins Aldose reductase" info@holisticonline.com http://www.holistic-online.com/Remedies/Diabetes/diabetes_complications.htm
Information about numerous diabetic complications by catagory:NIH Publication No. 97-241:"How diabetes causes long-term problems is unclear. However, changes in the small
blood vessels and nerves are common. These changes may be the first step toward many
problems that diabetes causes. Scientists can't predict who among people with
diabetes will develop complications, but complications are most likely to occur in
someone who has had diabetes for many years. However, because a person can have
diabetes without knowing it, a complication may be the first sign.Diabetes can cause
long-term complications such as heart, kidney, eye, and nerve disease." Office of Communications and Public Liaison
NIDDK, NIH, Building 31
Room 9A04
31 Center Drive, MSC 2560
Bethesda, MD 20892-2560, USA Contact NIDDK http://www.niddk.nih.gov/health/diabetes/pubs/niddm/compl.htm
Quick Reference guild to screening and management of complications:waukeshafp.org:"Osteomyelitis should be suspected whenever the ulcer covers more than 2 cm2 with a
depth more than 3 mm or if any bone is exposed or is felt with probing. It should
also be suspected if an apparently healed ulcer keeps breaking back down. When
osteomyelitis is suspected then consider use of plain films to look for soft tissue
gas and bone involvement to help confirm the diagnosis although the latter requires
2-4 weeks to develop. For increased sensitivity technetium diphosponate bone scans
can be used to show increased osteoblast activity and are often combined with either
gallium 67 scans or indium-labeled scintigraphy which show increased granulocyte
activity. Unfortunately, with these scans it may be difficult to differentiate the
overlying inflammation of a soft tissue ulcer from osteomyelitis; however, it can
have a diagnostic accuracy of 89% for hind and mid-foot infections. MRI's can detect
the bone edema of osteomyelitis earlier than plain radiographs; however, this may be
hard to differentiate from non-specific reactive marrow edema due to overlying soft
tissue ulcers. Thus specificity can be as low as 75% although it may help to
determine the presence of soft tissue abscesses and is particularly helpful for
forefoot lesions." http://www.waukeshafp.org/DMExam.html
Good Sugar Control Results in Few Diabetic Complications For Type 1 Diabetics:Doctor's Guide Publishing Limited:"People with diabetes who intensively manage their blood sugar experience
long-lasting benefits, researchers have found. For people with type 1 diabetes who
participated in the Diabetes Control and Complications Trial (DCCT), the benefits of
intensive blood sugar control at reducing diabetic complications persisted for four
years after the trial ended. These were the findings of a DCCT follow-up study,
called Epidemiology of Diabetes Interventions and Complications (EDIC), published
Feb. 10 in The New England Journal of Medicine. The striking new finding is that
people who received intensive therapy during DCCT continued to have a lower risk of
eye and kidney disease than those who had been on conventional treatment, even
though both groups' HbA1c values leveled off at about 8 percent during 1994 to 1998,
the first four years of EDIC" contact Doc's Guide http://www.pslgroup.com/dg/16328e.htm
Improving glucose control can lead to better control over diabetic complications:The McGraw-Hill Companies:"The landmark Diabetes Control and Complications Trial proved that hyperglycemia is
directly related to development of diabetic microvascular complications and that
glucose control can reduce or even prevent retinopathy, neuropathy, and nephropathy.
These findings have profound implications in prevention and care of foot ulcers, a
common complication of diabetes. In this article, Dr Culleton summarizes how to help
patients become part of a healthcare team working to avoid possible serious
consequences of uncontrolled hyperglycemia.Foot ulcers and amputation are common
complications of diabetes mellitus. Improving glucose control and educating patients
in routine care of their feet can reduce the incidence of diabetic foot
complications. A multidisciplinary healthcare team including physicians,
podiatrists, diabetes educators, and nurses provides an effective comprehensive
approach to care of diabetic patients." http://www.postgradmed.com/issues/1999/07_99/culleton.htm
What is your role in preventing complications:Prevent Blindness America:"Research has shown that people with diabetes must play a more active role in
reducing vision loss and other complications from the disease, such as kidney
disease, stroke and nerve damage. The results from a major NIH-supported clinical
study, called the Diabetes Control and Complications Trial, showed that people with
diabetes who keep their blood sugar levels as normal as possible will slow the onset
and progression of diabetic retinopathy and help maintain good, healthy vision. A
free brochure on diabetic retinopathy is available by calling 1-800-331-2020." For more information:
Alice Kelsey
1-800-331-2020 AKelsey@preventblindness.org http://www.preventblindness.org/news/releases/diabetes2_1198.html
C-peptide Reduces Diabetic Complications:Personal MD:"C-peptide, a chain of amino acids created as a by-product of insulin synthesis,
appears to prevent or reverse vascular and nerve damage in diabetic rats, according
to a study published in the journal Science.
"These observations certainly raise the possibility that (C-peptide) might be useful
clinically in preventing the onset and even reversing some of the (diabetic)
complications in vessels and nerves," said Dr. Joseph Williamson, professor of
pathology at Washington University School of Medicine in St. Louis, and lead
researcher of the study.
Insulin is first synthesized in certain cells of the pancreas as one long
polypeptide (chain of amino acids), called proinsulin. After proinsulin achieves a
specific shape, or conformation, it is cleaved at precise points to release the
active form of insulin -- and C-peptide." PersonalMD.com
4725 First Street
Suite #275
Pleasanton, CA 94566 , USA
Phone : (925) 417-6840 http://www.personalmd.com/news/a1997072407.shtml
4nursinguniforms.com:"Choose from Top Nursing Uniform Companies. All sizes, styles and popular name brands available. Large selection of accessories as well: Accessories Blood Pressure Cuffs, Sphygnomanometers Nursing Tote Bags, Carry-Ons, Medical Bags Clinical, Medical Supplies, Nurses Discount Outlet: Angels, Books, Clothing , Equipment, Figurines, Holidays, Home Decor, Jewelry, Nurses, Office Decor, Scrubs, Shoes, T-Shirts Footwear, Shoes, Sandals, Discount, Bargains Gifts For Nurses (Nurses Week) Hosiery, Socks, Stockings Hats, Jackets, Jumpers Jewelry, Earrings, Necklaces, Watches Luxury Spas, Facials, Manicures, Pedicures Perfumes, Fragrances, Phermones Shoes, Boots, Sandals, Footwear, High Heels, Slippers Stethescopes, Nurse Kits, Replacement Parts Swimwear (Tan-Through) Women's Lingerie " 4nursinguniforms.com
Nurses' Station:"The idea for the Nurses' Station Catalog was conceived in 1989. After searching the marketplace in response to customer inquiries, it became obvious that there were no catalogs of this type serving the nursing profession. To be sure, there were several catalogs offering nurse's uniforms and a smattering of professional items. But there weren't any catalogs at the time offering a range of gifts, clothing, professional items, name badges, shoes and scrubs for nurses. It took two years of hard work to gather samples and put a together a catalog of the most unique and high-quality items for nurses."
Nurses Station
P.O. Box 388
Centerbrook, CT 06409-03881 http://www.nursefriendly.com/station/
Choose Nursing Uniforms, Shoes, Scrubs, Accessories By Brand:
ER:"Media products under your influence, particularly the NBC/Warner drama "ER," are harming the profession of 2.7 million American nurses by giving the public an inaccurate and inadequate account of what nurses really do to save and improve lives. Research suggests that "ER" strongly and negatively influences the way children view nursing. These products contribute to the nursing shortage, a public health crisis that threatens millions worldwide." http://www.truthaboutnursing.org/letters/er/
House, MD:"The main patient in tonight's episode of Fox's House was a nurse who believed that a cat tended to sit with those who were about to die--including, recently, the nurse herself. That may not sound like a promising vehicle for House to improve its abysmal portrayal of nursing. But the show actually presents the nurse as someone with health knowledge. And her search for meaning in faith, for some reason in tragic events, is a real counterpoint to House's cold rationality. Indeed, despite the obvious potential for mockery in the cat angle, the mighty House treats the nurse with considerable respect--he seems to care what she thinks, or at least to find her views unnerving. Of course, the nurse plays no real clinical role in the episode, and no other nurses do either. So the episode suggests, as usual, that physicians provide all important care in hospital settings, including all meaningful psychosocial and physical care. Still, any suggestion that intelligent life resides in a nurse is a welcome departure for House (and for the episode's writer Peter Blake, who also penned a November 2005 House episode that was notable for its physician glorification and its casual contempt for other health professions). Tonight's episode, "Here Kitty," drew 13.1 million U.S. viewers. more... see the relevant film clips... and please join our letter writing campaign!" http://www.truthaboutnursing.org/letters/house/
Private Practice:"ABC's Private Practice, whose season ends tomorrow, April 30, may be the only broadcast network show with a major nurse character to return next season. In the February 5 episode (Mike Ostrowski's "Acceptance," 13 million U.S. viewers), lone nurse character Dell Parker, who is studying to be a midwife, shows some tentative clinical aptitude and knowledge to go with his boyish eagerness. Under the close supervision of OB/GYN Addison Montgomery, Dell ably performs a vacuum-assisted delivery. Later he haltingly guides the baby's parents toward breastfeeding. Dell also performs an assured solo ultrasound of pregnant psychiatrist Violet Turner, calming her panic attack and eliciting her agreement to his own suggestion that, though he's "not a doctor," he will likely become a "pretty good midwife." The show still condescends to Dell, who is also the office manager/receptionist at the LA clinic where the show is set. In the March 26 episode (Craig Turk's "Do the Right Thing," 10.1 million U.S. viewers)," http://www.truthaboutnursing.org/letters/pp/
"Scrubs" defines nursing:""Scrubs" defines nursing: it's all about shutting up and following physician "orders. " Tonight's episode of NBC's "Scrubs," which purports to teach nurse Carla Espinosa that nursing is all about doing what physicians tell you, is one of the most virulently anti-nurse prime time television episodes the Center has ever seen. more..." http://www.truthaboutnursing.org/news/2009/may/06_scrubs.html
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