Sexual Function And Diabetes
Reduced blood supply and nerve damage can affect sexual function. Erectile dysfunction in men is the persistent inability to achieve or maintain an erection sufficient for satisfactory sexual performance. This is a common problem for men of all ages and is more common in men with diabetes. Erectile dysfunction is not a disease, but a symptom of some other problem physical, psychological or a mixture of both. Most cases of erectile dysfunction are physical, such as nerve or blood vessel damage. In women, sexual dysfunction is also reported, although there is a lack of research in this area. It is difficult to know whether this is directly related to hormonal changes such as menopause, or to diabetes.It is important to seek help from your doctor, diabetes educator or organisations such as Healthy Male Andrology Australia.
What Should I Expect If I Have Been Diagnosed With Diabetes
If you have diabetes, the most important thing you can do is keep your blood glucose level within the target range recommended by your healthcare provider. In general, these targets are:
- Before a meal: between 80 and 130 mg/dL.
- About two hours after the start of a meal: less than 180 mg/dL.
You will need to closely follow a treatment plan, which will likely include following a customized diet plan, exercising 30 minutes five times a week, quitting smoking, limiting alcohol and getting seven to nine hours of sleep a night. Always take your medications and insulin as instructed by your provider.
Do Treated Cats Need To Be Monitored
Yes, it is important to monitor treatment of diabetes mellitus to be sure the cat is doing well. Home monitoring of blood glucose is becoming more popular and more common, although part of treatment monitoring will involve periodic blood samples collected by your veterinarian.
To assist in the care of your cat, it is particularly valuable to keep accurate records of the following information:
- amount and time of food fed and eaten
- amount of water drunk
- weight of the cat
Although urine test strips cannot be used to guide insulin dose it may be valuable to monitor the quantity of glucose passed in the urine to identify need for further testing including full glucose curves or other laboratory tests.
To collect cat urine, it is usually easiest to replace the normal cat litter with specially designed urine collecting pellets or with clean and washed aquarium gravel overnight. These materials will not soak up any urine, which can then be collected into a clean container for testing. Your veterinarian may provide you with test strips to dip into the urine and measure the sugar level. If there is a marked change in the amount of glucose in the urine or in blood glucose levels, this may indicate the need to modify the insulin dose, but you should never change the dose of insulin without first discussing it with your veterinarian. Changes in insulin doses are usually based on trends in blood glucose levels, as there is normally some day-to-day variation.
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Can Prediabetes Type 2 Diabetes And Gestational Diabetes Be Prevented
Although diabetes risk factors like family history and race cant be changed, there are other risk factors that you do have some control over. Adopting some of the healthy lifestyle habits listed below can improve these modifiable risk factors and help to decrease your chances of getting diabetes:
- Eat a healthy diet, such as the Mediterranean or Dash diet. Keep a food diary and calorie count of everything you eat. Cutting 250 calories per day can help you lose ½ pound per week.
- Get physically active. Aim for 30 minutes a day at least five days a week. Start slow and work up to this amount or break up these minutes into more doable 10 minute segments. Walking is great exercise.
- Lose weight if you are overweight. Dont lose weight if you are pregnant, but check with your obstetrician about healthy weight gain during your pregnancy.
- Lower your stress. Learn relaxation techniques, deep breathing exercises, mindful meditation, yoga and other helpful strategies.
- Limit alcohol intake. Men should drink no more than two alcoholic beverages a day women should drink no more than one.
- Get an adequate amount of sleep .
- Take medications to manage existing risk factors for heart disease or to reduce the risk of developing Type 2 diabetes as directed by your healthcare provider.
- If you think you have symptoms of prediabetes, see your provider.
When Should I Call My Doctor
If you havent been diagnosed with diabetes, you should see your healthcare provider if you have any symptoms of diabetes. If you already have been diagnosed with diabetes, you should contact your provider if your blood glucose levels are outside of your target range, if current symptoms worsen or if you develop any new symptoms.
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Categories Of Increased Risk For Diabetes
Testing to assess risk for future diabetes in asymptomatic people should be considered in adults of any age who are overweight or obese and who have one or more additional risk factors for diabetes. For all patients, particularly those who are overweight or obese, testing should begin at age 45 years. B
If tests are normal, repeat testing carried out at a minimum of 3-year intervals is reasonable. C
To test for prediabetes, the A1C, FPG, and 2-h PG after 75-g OGTT are appropriate. B
In patients with prediabetes, identify and, if appropriate, treat other cardiovascular disease risk factors. B
Testing to detect prediabetes should be considered in children and adolescents who are overweight or obese and who have two or more additional risk factors for diabetes. E
Criteria for testing for diabetes or prediabetes in asymptomatic adults
|1. Testing should be considered in all adults who are overweight and have additional risk factors:|
People Who Are Obese Are More Likely To Develop Type 2 Diabetes
Those with increased body fat are at higher risk for type 2 diabetes. Risk is greatest for those with excess fat carried around the waist. These people are also at increased risk for hypertension, high cholesterol levels, and heart disease compared with those who are lean or carry fat around the hips.
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Testing For Type 2 Diabetes And Prediabetes In Asymptomatic Adults
Prediabetes and diabetes meet criteria for conditions in which early detection is appropriate. Both conditions are common and impose significant clinical and public health burdens. There is often a long presymptomatic phase before the diagnosis of type 2 diabetes. Simple tests to detect preclinical disease are readily available. The duration of glycemic burden is a strong predictor of adverse outcomes. There are effective interventions that prevent progression from prediabetes to diabetes and reduce the risk of diabetes complications .
Additional considerations regarding testing for type 2 diabetes and prediabetes in asymptomatic patients include the following:
Testing recommendations for diabetes in asymptomatic adults are listed in . Age is a major risk factor for diabetes. Testing should begin at age 45 years for all patients, particularly those who are overweight or obese.
BMI and Ethnicity
Evidence also suggests that other populations may benefit from lower BMI cut points. For example, in a large multiethnic cohort study, for an equivalent incidence rate of diabetes, a BMI of 30 kg/m2 in non-Hispanic whites was equivalent to a BMI of 26 kg/m2 in African Americans .
Certain medications, such as glucocorticoids, thiazide diuretics, and atypical antipsychotics , are known to increase the risk of diabetes and should be considered when ascertaining a diagnosis.
Can Diabetes Be Cured Or Reversed
Although these seem like simple questions, the answers are not so simple. Depending on the type of your diabetes and its specific cause, it may or may not be possible to reverse your diabetes. Successfully reversing diabetes is more commonly called achieving remission.
Type 1 diabetes is an immune system disease with some genetic component. This type of diabetes cant be reversed with traditional treatments. You need lifelong insulin to survive. Providing insulin through an artificial pancreas is the most advanced way of keeping glucose within a tight range at all times most closely mimicking the body. The closest thing toward a cure for Type 1 is a pancreas transplant or a pancreas islet transplant. Transplant candidates must meet strict criteria to be eligible. Its not an option for everyone and it requires taking immunosuppressant medications for life and dealing with the side effects of these drugs.
Its possible to reverse prediabetes and Type 2 diabetes with a lot of effort and motivation. Youd have to reverse all your risk factors for disease. To do this means a combination of losing weight, exercising regularly and eating healthy . These efforts should also lower your cholesterol numbers and blood pressure to within their normal range. Bariatric surgery has been shown to achieve remission in some people with Type 2 diabetes. This is a significant surgery that has its own risks and complications.
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Signs That May Indicate You Are At Risk For Diabetes
**This article is a repost of an earlier written article. We are reposting because we believe the information is valuable and pertinent to many.**
According to the CDC, over 9% of Americans are living with diabetes. This illness is becoming increasingly common, with 1.5 million Americans being diagnosed with diabetes every year.
There are some serious complications that can come with having high blood sugar such as heart failure and stroke. However, diabetes can be managed with prescription medication, diet, and exercise to help you live a normal, healthy life.
Can You Be Born With Diabetes Is It Genetic
You arent born with diabetes, but Type 1 diabetes usually appears in childhood. Prediabetes and diabetes develop slowly over time years. Gestational diabetes occurs during pregnancy.Scientists do believe that genetics may play a role or contribute to the development of Type 1 diabetes. Something in the environment or a virus may trigger its development. If you have a family history of Type 1 diabetes, you are at higher risk of developing Type 1 diabetes. If you have a family history of prediabetes, Type 2 diabetes or gestational diabetes, youre at increased risk of developing prediabetes, Type 2 diabetes or gestational diabetes.
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Can Diabetes Kill You
Yes, its possible that if diabetes remains undiagnosed and uncontrolled it can cause devastating harm to your body. Diabetes can cause heart attack, heart failure, stroke, kidney failure and coma. These complications can lead to your death. Cardiovascular disease in particular is the leading cause of death in adults with diabetes.
Are There Other Treatment Options For Diabetes
Yes. There are two types of transplantations that might be an option for a select number of patients who have Type 1 diabetes. A pancreas transplant is possible. However, getting an organ transplant requires taking immune-suppressing drugs for the rest of your life and dealing with the side effects of these drugs. However, if the transplant is successful, youll likely be able to stop taking insulin.
Another type of transplant is a pancreatic islet transplant. In this transplant, clusters of islet cells are transplanted from an organ donor into your pancreas to replace those that have been destroyed.
Another treatment under research for Type 1 diabetes is immunotherapy. Since Type 1 is an immune system disease, immunotherapy holds promise as a way to use medication to turn off the parts of the immune system that cause Type 1 disease.
Bariatric surgery is another treatment option thats an indirect treatment for diabetes. Bariatric surgery is an option if you have Type 2 diabetes, are obese and considered a good candidate for this type of surgery. Much improved blood glucose levels are seen in people who have lost a significant amount of weight.
Of course other medications are prescribed to treat any existing health problems that contribute to increasing your risk of developing diabetes. These conditions include high blood pressure, high cholesterol and other heart-related diseases.
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What Causes Type 1 Diabetes
Type 1 diabetes occurs when your immune system, the bodys system for fighting infection, attacks and destroys the insulin-producing beta cells of the pancreas. Scientists think type 1 diabetes is caused by genes and environmental factors, such as viruses, that might trigger the disease. Studies such as TrialNet are working to pinpoint causes of type 1 diabetes and possible ways to prevent or slow the disease.
Overweight Obesity And Physical Inactivity
You are more likely to develop type 2 diabetes if you are not physically active and are overweight or obese. Extra weight sometimes causes insulin resistance and is common in people with type 2 diabetes. The location of body fat also makes a difference. Extra belly fat is linked to insulin resistance, type 2 diabetes, and heart and blood vessel disease. To see if your weight puts you at risk for type 2 diabetes, check out these Body Mass Index charts.
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What Should My Blood Glucose Level Be
Ask your healthcare team what your blood glucose level should be. They may have a specific target range for you. In general, though, most people try to keep their blood glucose levels at these targets:
- Before a meal: between 80 and 130 mg/dL.
- About two hours after the start of a meal: less than 180 mg/dL.
Tingling Numbness Or Pain In The Hands Or Feet
High blood sugar levels can affect blood circulation and damage the bodys nerves. In people with type 2 diabetes, this can lead to pain or a sensation of tingling or numbness in the hands and feet.
This condition is known as neuropathy, and it can worsen over time and lead to more serious complications if a person does not get treatment for their diabetes.
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How Is Diabetes Mellitus Diagnosed
Diabetes mellitus is diagnosed by the presence of the typical clinical signs , a persistently high level of glucose in the blood, and the presence of glucose in the urine. Diabetes is the most common disease that will cause the blood glucose level to rise substantially.
To conserve glucose within the body, the kidneys do not filter glucose out of the blood stream into the urine until an excessive level is reached. This means that cats with normal blood glucose levels will not have glucose in the urine. Diabetic cats, however, have excessive amounts of glucose in the blood, so it spills into the urine. Once blood glucose reaches a certain level, the excess is removed by the kidneys and enters the urine. This is why cats and people with diabetes mellitus have sugar in their urine .
Definitive confirmation of feline diabetes mellitus may require a specialized test called a serum fructosamine test. This test tells us average blood glucose levels over the past 7 -14 days.
Which Of The Following Is Not A Symptom Of Type 2 Diabetes
Type 2 diabetes symptoms will often develop gradually and may not always show symptoms at an earlier stage. Type 2 diabetes symptoms can differ slightly from symptoms of type 1 diabetes Type 2 diabetes is a lifelong condition. Once symptoms of diabetes have developed into the condition, the body will then be unable to regulate [.
Other areas that may be painful or tender include: Most cases of sinusitis will improve within 23 weeks. During this time, a.
Type 2 diabetes is a long-term medical condition in which your body doesn’t use insulin properly, resulting in unusual blood sugar levels. Learn more about the symptoms, causes, diagnosis, and treatment of type 2 diabetes.
READ MORE: How to live longer: Amount of food needed to increase life expectancy Leading health experts agree that having type 2 diabetes increases the risk of complications following infection.
Symptoms of type 2 diabetes often develop slowlyover the course of several yearsand can be so mild that you might not even notice them. Along with following your diabetes care plan, you may need diabetes medicines, which may include pills or medicines you inject under your skin, such as.
There are two types.
mild symptoms. If herpes is asymptomatic, some people may not know that they have it. However, they.
Type 2 diabetes is a serious.
result in sweating while eating food. Diabetes UK lists other symptoms of autonomic neuropathy, which include the following: Gastroparesis when food can.
May 26, 2019.
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What Types Of Healthcare Professionals Might Be Part Of My Diabetes Treatment Team
Most people with diabetes see their primary healthcare provider first. Your provider might refer you to an endocrinologist/pediatric endocrinologist, a physician who specializes in diabetes care. Other members of your healthcare team may include an ophthalmologist , nephrologist , cardiologist , podiatrist , neurologist , gastroenterologist , registered dietician, nurse practitioners/physician assistants, diabetes educator, pharmacist, personal trainer, social worker, mental health professional, transplant team and others.
Can Symptoms Appear Suddenly
In people with type 1 diabetes, the onset of symptoms can be very sudden, while in type 2 diabetes, they tend to come about more gradually, and sometimes there are no signs at all.
Symptoms sometimes occur after a viral illness. In some cases, a person may reach the point of diabetic ketoacidosis before a type 1 diagnosis is made. DKA occurs when blood glucose is dangerously high and the body can’t get nutrients into the cells because of the absence of insulin. The body then breaks down muscle and fat for energy, causing an accumulation of ketones in the blood and urine. Symptoms of DKA include a fruity odor on the breath, heavy, taxed breathing and vomiting. If left untreated, DKA can result in stupor, unconsciousness, and even death.
People who have symptomsof type 1 or of DKAshould contact their health care provider immediately for an accurate diagnosis. Keep in mind that these symptoms could signal other problems, too.
Some people with type 1 have a “honeymoon” period, a brief remission of symptoms while the pancreas is still secreting some insulin. The honeymoon phase usually occurs after someone has started taking insulin. A honeymoon can last as little as a week or even up to a year. But its important to know that the absence of symptoms doesn’t mean the diabetes is gone. The pancreas will eventually be unable to secrete insulin, and, if untreated, the symptoms will return.
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