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Diabetes
The ABC for the control of diabetes

HOW CAN I KNOW HOW MY BLOOD SUGAR LEVEL IS?

It is very easy for you to measure your sugar level from the comfort of your home. It is recommended that every diabetic patient have a glucometer at their fingertips, this is a device that works with a small drop of blood taken from the patient's finger. If you have a meter at home, follow the instructions below.4

  1. Wash your hands with soap and water.
  2. Take a test strip and insert it into the meter.
  3. Pin the top side of your finger with a new lancet and place a drop of blood on the test strip.
  4. Wait for the results, your glucose level will appear in the meter.

** Please follow your Health Care Professional indications. Contact him/her if you have any doubts. **

 

TAKE CARE OF YOUR EYES

Diabetic patients should have a strict control with their heart, since the chances of suffering a heart attack or a stroke can increase if you are neglected. Every diabetic patient must protect their health, and can do so by controlling blood glucose levels, as well as blood pressure and cholesterol.

 

There are factors11 that increase your likelihood of having heart disease or a stroke if you are diabetic, within them are:

  • Smoke
  • High pressure
  • Abnormal cholesterol levels
  • Obesity or abdominal fat in the belly
  • Family history of heart disease

 

TAKE CARE OF YOUR KIDNEYS

The lesions of the small blood vessels of the kidneys is the way in which diabetic nephropathy occurs. This damage can cause kidney failure and ultimately death. At the beginning of the injury, patients do not present signs or symptoms that can help to easily identify this pathology.8            

The strict control of blood glucose and blood pressure are important treatments to prevent a nephropathy. There are studies that indicate that blood pressure has a considerable effect on the progression of the disease.10

By means of a simple urine test centered on a protein and a blood test of liver function, it is possible to identify a diabetic nephropathy.

 

TAKE CARE OF YOUR HEART

Diabetic patients should have a strict control with their heart, since the chances of suffering a heart attack or a stroke can increase if you are neglected. Every diabetic patient must protect their health, and can do so by controlling blood glucose levels, as well as blood pressure and cholesterol. 

There are factors11 that increase your likelihood of having heart disease or a stroke if you are diabetic, within them are:

  • Smoke
  • High pressure
  • Abnormal cholesterol levels
  • Obesity or abdominal fat in the belly
  • Family history of heart disease

 

DIABETIC FOOT

It is known as diabetic foot when a patient presents a clinical alteration of neuropathic (problem of sensitiveness of the nerves) origin that is induced by hyperglycemia (high sugar), in which with or without the existence of ischemia (lack of blood supply to the area) and with a traumatic trigger occurs an injury or ulceration of the foot.12

There are five key points for the prevention of diabetic foot,13 know them.

  • Identification of the foot at risk
  • Regular inspection of the foot at risk.
  • Education of patients, family members and health professionals.
  • Appropriate routine footwear
  • Treatment of pre-ulcerative signs

 

 

References

4. American Diabetes Association. (2019). American Diabetes Association. Retrieved from www.diabetes.org

8. World Health Organization. (2019). Qué es la diabetes. Retrieved marzo 18, 2019, from https://www.who.int/diabetes/action_online/basics/es/index3.html

9. American Diabetes Association. (2015, abril 7). ADA. Retrieved marzo 18, 2019, from http://www.diabetes.org/es/vivir-con-diabetes/complicaciones/complicaciones-en-la-vista.html?loc=lwd-es-slabnav

10.  American Diabetes Association. (2015, abril 9). Enfermedad renal. Retrieved from ADA: http://www.diabetes.org/es/vivir-con-diabetes/complicaciones/enfermedad-renal.html?loc=lwd-es-slabnav

11. National Institite of Diabetes and Digestive and Kidney Diseases. (2017, febrero). La Diabetes, las Enfermedades del Corazón y los Ataques Cerebrales. Retrieved from NIH:https://www.niddk.nih.gov/health-information/informacion-de-la-salud/diabetes/informacion-general/prevenir-problemas/diabetes-enfermedad-corazon-ataques-cerebrales

12. Asociación Española de Enfermería Vascular y Heridas. (2012). Pie diabético y sus cuidados. Retrieved from Asociación Española de Enfermería Vascular y Heridas: https://www.aeev.net/pie-diabetico.php

13. International Working Group on the Diabetic Foot. (2015). Preventin and management of foot problems in diabetes: a Summary Guidance for daily practice 2015, based on the IWGDF Guidance documents. Retrieved from International Working Group on the Diabetic Foot: https://iwgdfguidance.org/wp-content/uploads/2017/10/website_summary-1.pdf