Hypoglycaemia - (glucose levels fall below 4.0 mmol/L) StrictionD Review this usually occurs either when diabetic medication dose is too high, or if there is insufficient caloric intake or sudden excessive physical exertion. Symptoms of hypoglycaemia include dizziness, confusion, weakness, tremors, sweating and anxiety. Severe hypoglycaemia can lead to coma, seizures and irreversible brain death. CHRONIC COMPLICATIONS: related to damaged nerves and blood vessels.
Eye complications - diabetic retinopathy. Diseased small blood vessels cause leakage of protein and blood in the retina. Small aneurysms and new but brittle blood vessels (neovascularization) can also occur. Spontaneous bleeding from these abnormal blood vessels can compromise vision. Cataracts and glaucoma are also more common in diabetics. A person with diabetes is 25 times more likely to become blind compared to a non-diabetic.
Kidney complications - diabetic nephropathy. Initially there is leakage of protein in the urine. Later on, there may be progress to renal failure, in which the kidneys can no longer cleanse and filter the blood. When this happens, dialysis will be required.Nerve damage - diabetic neuropathy. Symptoms of nerve damage include numbness, burning and aching of the feet and lower limbs. This can eventually lead to the so called "diabetic foot". The loss of sensation leads to the failure of recognizing and protecting the foot from injury. Because of poor blood circulation, minor injuries may not heal and serious infections can occur. Diabetes is the top cause of lower limb amputations. Nerve damage can also cause erectile dysfunction and gastroparesis (delayed emptying of the stomach).
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