Wednesday 13 March 2013

Diabetic macular edema (DME)


Diabetic macular edema (DME)

Diabetic macular edema (DME) occurs when the blood vessels in the retina begin to pass diabetes to the macula, the part of the eye responsible for detailed central vision. These leaks cause macular thickening, inflammation, distorted eye slowly. Although inflammation may not lead to blindness, affecting central vision caused serious losses.
Dimethyl ether is an important reason for people with vision loss diabetic retinopathy. People with diabetes have a 10% risk of developing the disease in their lifetime. Alimera estimated that about 100 million people in the United States and developed DME about 300,000 new cases per year.
The dimethyl ether is divided into two types:
Focus macular edema caused by vascular malformations (mainly microvascular), which often escape.
Diffuse macular edema: retinal telangiectasia caused.

Treatment

The current standard of care treatment laser photocoagulation for DME. Laser photocoagulation is a process in the retina, in the process, the use of laser ablation of vascular leakage or application pattern burns reduce edema. This process has undesirable side effects, including partial loss of peripheral and night vision devices. Therefore, these side effects and the desire to improve the visual effects added retina specialists laser photocoagulation treatment with no FDA approved drug, including injections of corticosteroids and anti-vascular endothelial growth factor (anti-VEGF treatment DME) agents. These therapies are limited by the need for multiple injections to maintain a therapeutic effect.

The complications of diabetes


The complications of diabetes

As has diabetes, to make sure that the first signs of any illness, the result of the development of complications can occur, patients with diabetes are aware, is essential.

Complications of diabetes, including the various body systems and disrupt complications can occur after a lot of time scales in recent years - from the date of diagnosis of diabetes has developed.

Most complications of diabetes occur due to fluctuations in the level of glucose in the blood, in particular a very long period of time increases in blood glucose. Control levels of blood sugar and blood pressure has been shown to reduce the risk of diabetic complications.

Thrush

Fungal infections such as candidiasis can be embarrassing days when to let you know, both men and women is very common, and are often easier to handle.

Retinopathy

Diabetic retinopathy is usually only affect people with diabetes for a long period of time, and can lead to blindness - so check your eyes is vital.

Ketone

Ketone may lead to a high level in the blood is known as ketoacidosis in a common complication of diabetes.



Diabetes causes the problem?

Five percent of women with diabetes, approximately 50% of men experience some types of problems or loss of libido, results of their conditions.

In men
The long-term diabetes can cause erections in the complex, which is related to nervous system damage.
This means that men with diabetes may suffer from erectile function obstacles (ED) is unable to obtain or maintain an erection. Nothing less than a third of patients with diabetes will eventually experience male ED.
Some men, only to find yourself suffering from diabetes, seek treatment for erectile dysfunction.
Once diabetic problems often disappear by adjustment of the feed, tablets or insulin injections to recover erectile capacity.

In women
Many women with diabetes may suffer from recurrent vaginitis (vaginal inflammation), this is usually due to yeast (fungus) infection. This makes sex painful. You may be itching or burning and white discharge.
Women with diabetes may also be recurrent cystitis.
Some suggested that women with diabetes and excited, can not become erect penis can not stimulate the clitoris of a woman, in the normal way.


You can make your sex life when you have diabetes?
If you feel that diabetes is the cause of your sex life, talk to your doctor.
Although some people savor their doctor to discuss sexual problems, these problems can be solved, if you seek help.
Your family doctor is trying to find out if the problems are caused by defects in the nervous system or circulatory diabetes, or if they have more psychological. Under normal circumstances, this difference is difficult.
Sexual dysfunction began to occur on a regular basis, which tends to worsen, unless carefully used, in any case inevitably create a psychological element.
The growing number of people with diabetes and ED drugs such as sildenafil (Viagra), tadalafil (Cialis) and valdecoxib not (Levitra) is helping.
If the test is confirmed, your nervous system has not been any damage diabetes, there is no blood circulation problem, your sex life should be no reason not to recover.
Sometimes a little help and support from your partner and doctor is all that is needed.

Living with Diabetes


Living with Diabetes
Cutaneous Complications

Diabetes can affect any part of the body, including the skin. They will have up to 33% of people suffering from skin disease caused by diabetes or affected by diabetes at some point in their lives. In fact, this problem, sometimes a first sign of diabetes. Fortunately, most skin conditions can be prevented or easily treated if caught early.

The problem is that anyone can have the skin condition, but easier for people with diabetes. These include bacterial infections, fungal infections, and itching. Other skin problems occur mainly or only people with diabetes. These measures include a class of diabetic necrobiosis lipids, skin lesions diabetic, diabetic blisters, eruptive xanthomatosis

General condition of the skin
Bacterial Infection

Several bacterial infections occur in people with diabetes:

Sty (infection of the glands of the eyelid)
Boil
Folliculitis (infection of the hair follicle)
Anthrax (deep infection of the skin and the tissue beneath)
Around the nail infection
Inflamed tissue, hot, swollen, red and painful. Several different organisms can be caused by infection, the most common is the bacterium Staphylococcus aureus, also known as Staphylococcus aureus.
Once the potentially fatal bacterial infection, especially in people with diabetes. Today, death is uncommon, due to a better method of antibiotic glycemic control.

However, even today, people with diabetes more than others to bacterial infections. Doctors believe that people with diabetes can reduce the chances of infection by practicing skin care.
If you think you have a bacterial infection, see your doctor.

Deep fungal infections

The culprit of yeast infections, people with diabetes often Candida albicans. This yeast-like fungus can create moist, red areas surrounded by tiny blisters rash with itching and scale. These infections usually occur in the folds of the skin warm and moist. The problem areas under the breasts, around the nails, between fingers and toes, in the corners of the mouth, under the foreskin (in uncircumcised men), and in the armpits and groin.

Common fungal infections such as scabies, athlete's foot, ringworm (ring-shaped itchy patch), vaginal infection, causing itching.

If you think you have a yeast or fungal infection, call your doctor. You need a prescription to cure it.

Of the skin associated with diabetes
Diabetic skin disease
Diabetes can cause changes in the small blood vessels. These changes can lead to skin problems called diabetic skin.

The skin disease often looks like light brown, scaly patches. These patches may be oval or circular. Some people mistakenly believe that senile plaques. This disorder occurs most often in the front of the legs. But the legs may not be affected to the same extent. To avoid damaging the patch, open, or itching.

The dermatosis is harmless and requires no treatment.

Lipoid necrobiosis Diabeticorum
Another disease, can cause changes in the blood vessels is the necrobiotic: diabetic lipid class (NLD). NLD causes spots similar to diabetic skin lesions, but fewer, larger, and more in depth.

NLD starts usually dull, red, raised areas. After a certain period of time, it appears that some scarring bright purple border. The blood vessels under the skin are easier to see. Sometimes, the National League for Democracy itching, pain. Sometimes the dividing point.

National League for Democracy is a rare disease. Adult women are more likely to get it. As long as injuries do not open, no treatment is needed. However, if you have open wounds, consult your doctor for treatment.

Atherosclerosis
Atherosclerosis is a thickening of the artery, the legs can affect the skin. People with diabetes tend to have atherosclerosis at younger ages than others.

The narrowing of the artery atherosclerosis of the blood vessels, skin changes. It is hairless, thin, cool and bright. Toes are cooled. Toenail thickening and discoloration. And exercise-induced pain in the calf muscles, because the muscles do not receive enough oxygen.

Due to a blood infection-fighting white blood cells, slow healing of the affected leg, broken skin. Even minor abrasions can cause open wounds heal slowly.

Crazy people are more likely to suffer a foot injury. This happens because people do not feel pain, heat, cold, pressure, and. People can have an injured foot, and do not know. Wound "by people out in the cold, so the infection is likely to develop atherosclerosis can make things worse. Reduced blood flow can lead to serious infections.

Anaphylaxis
Allergic skin reactions can occur in response to drugs, such as insulin or diabetes pills. You should see your doctor, and if you think you have a drug reaction. Looking website, you inject insulin rash, depression or mass.

Diabetic blisters (Bullosis Diabeticorum)
In rare cases, people with diabetes outbreak of blisters. Diabetes can cause blisters the fingers, hands, feet, toes, and sometimes the back of the legs or forearms. These sores look like blisters from burns, often occurs in diabetic neuropathy. Sometimes they are great, but they are no pain, no redness around them. Your own healing, usually without scars, in about three weeks. The only treatment is to control blood sugar levels.

Eruptive xanthoma
Other conditions xanthomatosis outbreaks caused by uncontrolled diabetes. By the company's yellow pea on the skin as a larger photo. For the bump has a red halo may itch. This occurs most often in the back of the hands, feet, arms, legs and buttocks.

The disease usually occurs in type 1 diabetes in young men. Cholesterol and blood fat people tend to have a higher level. Diabetic blisters, these lumps disappear, the recovery control of diabetes.

Digital sclerosis
In some cases, the development of diabetes is closely thick skin, waxy palm of your hand. Sometimes in the toes and the skin from being thick. Finger joints become stiff, and can no longer move the way they should. In rare cases, knee, ankle, elbow stiffness.

This occurs in about one third of people with type 1 diabetes. The only treatment is to control blood sugar levels.

Disseminated granuloma annulare
In the granuloma annular diffusion, clearly defined ring person or bump on the skin District arched. Rash occurs most frequently in parts of the body away from the outside (for example, finger or ear). But sometimes occur in the trunk on the raised area. They can be red, reddish brown, or color.

Your doctor, if you get this rash. Drugs can help cure this condition.

Acanthosis nigricans
Acanthosis nigricans is a condition in which tan or brown raised area on both sides of the neck, armpits and groin. Sometimes, it can also occur in the hands, elbows and knees.

Acanthosis nigricans usually strikes are very overweight people. The best way to lose weight. Some creams can help point to look better.



National Diabetes Month




For those not familiar with diabetic patients, it may be considered to be a small obstacle rather than a life-changing disease. However, diabetes is a chronic, life-threatening disease that affects Americans across the country. This month, we participate in the diabetes community design focus problems, diabetes and those who live with every day, resources for individuals and highlights.


Diabetes affects nearly 26 million Americans, about one-quarter of the 8.3% of the U.S. population, do not know they have the disease. Unfortunately, due to diabetes mortality rates are declining, the rate of new cases has been rising. The number of Americans diagnosed with diabetes since 1980 has more than tripled, according to the U.S. Centers for Disease Control and Prevention (CDC).

Fighting diabetes is a huge challenge, but one can be overcome. Since 1990, six new class of type 2 diabetes drug approved by FDA, to patients and provide a powerful new tool for the treatment of conditions. America's biopharmaceutical research companies continue to progress and development to help nearly 26 million diabetics in the United States by 221 innovative drugs, according to a new report. The development of these drugs - in any clinical trials or the United States Food and Drug Administration (FDA) review - including 32 with type 1 diabetes, type 2 130 and 64 with diabetes-related conditions. Report potential innovative examples include:

A once-daily drug, to selectively inhibit the protein involved in glucose metabolism.
Drugs to inhibit an enzyme with diabetic peripheral neuropathy.
A drug to treat type 2 diabetes weekly dose once., May allow.
Control of diabetes and the appropriate treatment plan, including diet, exercise and medication. Provide better treatment options, this very debilitating disease drugs in the pipeline. National Diabetes Month, we hope to bring to a clearer understanding of our country is facing outbreaks and respect for all those who live in or lose his terrible diseases. Diabetes continue to bear in our society, we must continue to progress in the prevention, treatment and care.

Tuesday 12 March 2013



Depression and Diabetes



What is depression?

Major depression, depression is a serious mental illness. Depression interferes with daily life and routine, and reduce the quality of your life. About 6.7% of U.S. adults aged 18 depression.1

Signs and symptoms of depression

Persistent feelings of sadness, anxiety or emptiness
Despair
Feel guilt, worthlessness or helplessness
He felt uncomfortable or uneasy
A pleasant activities or hobbies and interests, including sexual loss
Tired all the time
The lack of attention, memory details or decision
Difficulty falling asleep or staying asleep state, a condition known as insomnia or sleep time
Overeating or loss of appetite
Thoughts of death and suicide or attempted suicide
Persistent pain, headaches, cramps or mitigation and treatment of digestive problems.

Depression and diabetes is the type of contact?

Research shows that may be associated with depression and diabetes, but scientists do not know yet whether depression increases the risk of diabetes or depression diabetes increases risk. The current study shows, these two situations are possible.
May increase risk of depression, diabetes can worsen depression symptoms. Manage daily pressure of diabetes and diabetes in the brain may contribute to dep ression.2, diabetes is twice that of the average person in the United States, may have depression.4
At the same time, some of the symptoms of depression can reduce the overall physical and mental health, not only increases the risk of diabetes, but diabetes symptoms worsen. For example, overeating can lead to weight gain, diabetes, a major risk factor. Feelings of fatigue or lack of value, you can ignore a special diet or drug treatment programs need to control your diabetes, your symptoms worsen diabetes. Studies have shown that people with diabetes and depression than any other person with diabetes alone.4, more severe symptoms of diabetes

How to treat depression diabetes?
Health care providers in diagnosing and treating depression. The treatment of depression, and may help control diabetes and improve your overall health. Scientists said that the treatment of depression, diabetes and depression can increase levels of mood, increases blood glucose control.5 depression recovery will take some time, but the treatment is effective.
Currently, the most common method of treating depression comprising:
A type of psychotherapy, cognitive behavioral therapy (CBT), or talk therapy, can help people to change their negative ways of thinking and behavior can lead to their own depression
Selective 5 - serotonin reuptake inhibitors (SSRI), which is an antidepressant drugs, including but not citalopram (Celexa), sertraline (Zoloft), fluoxetine (Prozac)
5 - serotonin and norepinephrine (SNRIs), which is a similar SSRI antidepressants, including venlafaxine (Effexor), duloxetine (Cymbalta).
Some antidepressants can cause weight gain side effects, and if you have diabetes, it may be the best treatment for depression. These measures include:
Tricyclic
Monoamine oxidase inhibitors (MAOIs)
Paroxetine (Paxil), SSRI6
Mirtazapine (Remeron)

Hypoglycemia directory


Hypoglycemia directory




Hypoglycemia is low blood sugar. It is considered a symptom, not a disease. The most common case of hypoglycemia in people taking certain diabetes medicines. However, low blood sugar, may also be due to abnormal hormone levels or the sensitivity of certain hormones in the body, surgery on stomach, pancreas tumors, genetic diseases interfere with the body's ability to decompose certain food substances, such as fructose. Symptoms of hypoglycemia include trembling, hunger, dizziness, sweating. Severe hypoglycemia may faint. Meal plan or changes in medication can help treat hypoglycemia. Please click the link below to find complete coverage hypoglycermia occurrence WebMD on how, what are the symptoms, how to treat it, and more.