Episode 4: The Terror of Diabetes Complications and Prevention - Whole-body Management to Prevent Blindness, Kidney Failure, and Foot Gangrene
The Real Face of Diabetes Lies in Its 'Complications'
It is extremely dangerous to think of diabetes simply as a "disease where blood becomes sweet."
The true terror of diabetes is not the high blood sugar level itself, but the fact that hyperglycemia makes blood sticky, causing blood vessels throughout the body to slowly rot. Wherever there are blood vessels, complications can occur, and once damaged, they are very difficult to restore.
Today, In episode 4 of "Doctor Inside" today, we take a closer look at the three major complications that diabetics fear the most (blindness, kidney failure, foot gangrene) and systemic care strategies to completely block them.
1. The Silent Vision Thief: Diabetic Retinopathy (Preventing Blindness)
Diabetes is one of the top three causes of blindness worldwide. The retina of our eye is densely packed with tiny microvessels, which high blood sugar can burst or block.
Progression of Terror: There are no symptoms in the early stages. When vessels are blocked and oxygen is not supplied, the body creates 'new vessels' in a hurry. These vessels are very weak and burst easily, leading to a sudden loss of vision.
Prevention Strategy: Along with blood sugar management, 'regular fundus exams' are the only answer. Even if your vision is normal, you must visit an ophthalmologist at least once a year to check the condition of your retina.
2. Failure of the Body’s Filter: Diabetic Nephropathy (Preventing Kidney Failure)
The kidneys are precise filters that strain out waste from our bodies. However, sticky blood ruins the 'glomerulus,' a bundle of capillaries in the kidney.
The Threat of Dialysis: When kidney function drops below 10%, 'dialysis' is required, where you must rely on a machine to filter your blood for the rest of your life. If foamy urine becomes severe or your body swells, it may already be quite advanced.
Prevention Strategy: Along with a low-salt diet, you must regularly undergo 'microalbuminuria tests.' Additionally, avoid excessive protein intake or drug abuse that puts a strain on the kidneys.
3. The Tragedy of Losing a Foot: Diabetic Foot Ulcers (Preventing Gangrene)
'Diabetic foot' is the leading cause of hospitalization for diabetic patients. High blood sugar paralyzes the nerves, making it impossible to feel pain even when the feet are injured.
Chain Reaction: Wounds occur while sensation is dulled, bacteria multiply rapidly due to high blood sugar, and blood circulation is poor, so wounds do not heal. Eventually, the tissue rots, leading to amputation.
Prevention Strategy: 'Observing your feet every night before bed' is essential. Use a mirror to meticulously check even the soles of your feet, and see a doctor immediately if you find even a small wound. Always focus on moisturizing, but keep the areas between your toes dry.
Summary
Block the risk of blindness with regular fundus exams.
Protect kidney filter function with a low-salt diet and regular check-ups.
The habit of observing your feet daily prevents the tragedy of amputation.
Discussion How about checking the soles of your feet with a mirror tonight? A little attention saves your precious body.
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