Another Silent Killer

Have You ever had these symptoms :

• More than 3 times gets up in the middle of night to take a pee?
  
• Eat a lot but you loss your body weight?
  
• Drink a lot ?
  
• Feel tingling, burning sensation or thick feeling of your foot?
  
• There is ulcer for a long time difficult to be cured ?

Well, if You have those lately, You might have Type II Diabetes Mellitus symptoms.
Type II diabetes mellitus is metabolic disorder affecting blood sugar levels, a disorder in which there is no control of blood sugar, through decreased sensitivity to insulin, which causing kidney, eye, and nerve damage.

To be sure, you can check your blood test which may result any one of the following :

• Fasting plasma glucose level at or above 126 mg/dL (7.0 mmol/l).
  
• Plasma glucose at or above 200 mg/dL (11.1 mmol/l) two hours after a 75 g oral glucose load as in a glucose tolerance test.
  
• Symptoms of hyperglycemia and casual plasma glucose at or above 200 mg/dL (11.1 mmol/l).

But if your result of fasting glucose levels beetween 100 to 125 mg/dL (6.1 and 7.0 mmol/l), you are considered to have impaired fasting glucose. And if your result of plasma glucose at or above 140 mg/dL or 7.8 mmol/l, but not over 200, two hours after a 75 g oral glucose load, you are considered to have impaired glucose tolerance. Of these two pre-diabetic states, the latter in particular is a major risk factor for progression to full-blown diabetes mellitus as well as cardiovascular disease.

And for you who have the risk factors such as obesity, family history of diabetes, high-risk ethnicity (Hispanic, Native American, Afro-Caribbean, Pacific Islander), I suggest you to visit your doctor regularly if you have those symptoms above.

If I Don't See My Doctor, Don't Eat My Meds, So What Will Happen ? Of course there will be any rewards for you, any complications from your illness, such as..

• Vascular disease, chronic elevation of blood glucose level leads to damage of blood vessels. The lining of blood vessels take in more glucose than normal, since they don't depend on insulin. They form more surface glycoproteins than normal, and cause the basement membrane to grow thicker and weaker. The resulting problems are grouped as microvascular disease and macrovascular disease.
  
  • Microangiopathy, which can cause one or more of the following:
    
    • Diabetic retinopathy, growth of stiff and fragile new blood vessels in the retina as well as swelling of the macula, which can lead to severe vision loss or blindness.
    • Diabetic neuropathy, abnormal and decreased sensation, usually in a hand and foot, starting with the feet but potentially in other nerves, later often fingers and hands. When combined with damaged blood vessels this can lead to diabetic foot. Other forms of diabetic neuropathy may present as amyotrophy, is a muscle weakness due to neuropathy.
      
    • Diabetic nephropathy, kidney damage which can lead to chronic renal failure, eventually requiring dialysis. Diabetes mellitus is the most common cause of adult kidney failure in the world.
      
    • Diabetic cardiomyopathy, heart damage, leading to heart failure.



• Macroangiopathy which accelerated atherosclerosis is a contributor:
  
  • Coronary artery disease, heart attack.
    
  • Stroke
    
  • Peripheral vascular disease, which contributes to intermittent claudication (fell pain in foot or leg, worse by activity).
    
  • Diabetic myonecrosis, your mucle become thin



• Diabetic foot, usually caused by a combination both of sensory neuropathy (numbness or insensitivity) and vascular damage, increase rates of skin ulcers and infection and, in serious cases, necrosis and gangrene. It is the most common cause of non-traumatic adult amputation, usually of toes and or feet.
  
• Diabetic encephalopathy is the increased cognitive decline and risk of dementia observed in diabetes.
  

How is the prevention? The prevention is so simple, just keep an eye at your weight and exercise regularly. Don't forget to see your doctor... have a healthy day !!