How to manage complications associated with diabetes type 2


Diabetes is dangerous, For the people who overlook or neglect to take care .

If you can lead a disciplined lifestyle. You can live free from complications.

Don’t worry about people who show pity on you talking about Diabetes and its complications, Once you start feeling tingling sensation in legs / pain in the foot while walking you should understand Diabetes complications have started. One more thing you should understand is high blood sugar levels for long periods will impact eyesight, liver, heart, blood vessels and kidneys also.

So Fear is not the solution, Being prepared and informed will give you the solution.

What is diabetes and its complications?

Diabetes is a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion (Type-I), insulin action(Type-II). In simple laymen terms, blood sugar levels raises due to abnormal functioning of Pancreas. Because of abnormal functioning of Pancreas your insulin production may be reduced or insulin cannot able to reach properly to the cells, which leads to micro vascular (relating to the smallest blood vessels) complications and macro vascular complications(relating to the smallest blood vessels), if you don’t manage the complications yes, definitely you will get a VIP pass to enter the hell.

What are Micro & Macro vascular complications?

Microvascular complications include damage to eyes (retinopathy), damage to kidneys (nephropathy) damage to nerves (neuropathy).Macrovascular complications include cardiovascular diseases such as heart attacks, strokes and insufficiency in blood flow to legs

Complications associated with Diabetes type 2

Let us explore the complications associated with diabetes & How to manage them in detail:

The human eye has been called the most complex organ in our body. It’s amazing that something so small can have so many working parts, Let’s see how Human Eye Works!

  1. Human eye is a inbuilt digital camera of an individual
  2. Both human eye and a camera use something called a lens. In fact, they both use the same type of lens – a converging lens. Converging lenses are like the ones in magnifying
  3. In the camera, the lens focuses the light onto a piece of film. The film has chemicals which trap the image on it. Instead of film, your eye uses something called a ‘retina.’ The retina has lots ‘rods’ and
    ‘cones’. These are basically tiny antennae that tell your brain about the light that hits them

So what happens to eyes in Diabetes people?

In Diabetics high glucose concentrations promotes the non-enzymatic formation of advanced glycosylated end products (AGEs) leads to microaneurysms( Swelling in the side of a blood vessel of eyes). This process leads to progressive (Starting with fuzziness) loss of vision(Damage of retina), even blindness.

How can we manage eye complications in diabetes?

Studies showed that people who ate most fruit got the most fiber, vitamin C, vitamin E, beta carotene, potassium, sodium in their diets, keep your blood glucose level under control and most importantly timely intake medications prescribed by your doctor can reverse the eye complications in diabetes.

associated complications diabetes type 2

Let’s See how Human Kidneys Works!

The Kidneys are pair of organs located in the back of the abdomen. Each kidney is about 4-5inches long- About a size of your fist, the function of your kidney is to filter the blood.

The kidneys are also a blood filter. They filter blood by helping the body remove water, acid, and nutrients that it doesn’t need and reabsorbing them when it doesn’t have enough. Another important kidneyfunction is regulating blood pressure by removing excess salt from the blood stream, So how do the kidneys remove excess water and nutrients? They create urine by filtering the extra fluids out of blood.

People who develop diabetic nephropathy usually have no symptoms early on. The problem is often discovered when blood or urine tests.

So, What is Diabetic nephropathy? Diabetic nephropathy is damage to your kidneys caused by diabetes, high blood sugar from diabetes destroy these blood vessels and disturbs the tiny blood vessels that filter waste from your blood, over time the kidney isn’t able to do its job as well. Later it may stop working completely

How can we manage kidney complications in diabetes?

  1. Reducing carbohydrate intake and increasing protein intake
  2. Low sodium in diet,
  3. blood glucose level under control
  4. most importantly timely intake of medications prescribed by your doctor

The functional unit of nervous system is neuron, like the functional unit of any company is the ground worker not the managing director or any HODs

Let’s see how neuron Works?

Neuron is a nerve cell that receives and sends electrical signals over long distances within the body within pico seconds. A neuron receives electrical input signals from sensory cells and sends electrical output signals to muscle neurons to perform the required action

Eg., If some one touches you, the information converted to electrical signal and sends the information to brain and the brain recognizes and sends the information via the electrical signal(neuron) to respond

So what happens to neuron in Diabetes people?

Diabetic neuropathy is a type of nerve damage that can occur if you have diabetes. High blood sugar can injure nerve fibers throughout your body, but diabetic neuropathy most often damages nerves in your legs and feet.Depending on the affected nerves, symptoms of diabetic neuropathy can range from pain and numbness in your extremities to problems with your digestive system, urinary tract, blood vessels and heart

How can we manage neuropathic complications in diabetes?

Vegetables, fruit, dairy foods and whole grain products, beans, lentils, corn and potatoes are your friends in managing neuropathic complications and maintaining blood glucose level under control and most importantly timely intake of medications prescribed by your doctor can reverse the kidney complications in diabetes.

Finally Healthy eating, physical activity & medication are the golden rule in the management of Diabetes. People with diabetes must take responsibility for their day-to-day care. Much of the daily care involves keeping blood glucose levels from going too low or too high. People with diabetes should see a health care provider who will help them learn to manage their diabetes and who will monitor their diabetes control.

Last but the most important step is to Have periodic medic check-ups, I recommend following tests

Below is the general guideline for undergoing tests to find out what diabetes is silently doing inside your body

  • Fasting Blood Sugar levels – 2 times a week.
  • Post postprandial blood sugar levels – 2 times a week.
  • HBA1C – Every 3 months.
  • OGTT – Every 3 months.
  • Lipid profile – Every 3 months.
  • Vitamin B12 – Every 6 months
  • Vitamin D- Every 6 months.
  • Liver panel – Every 2 years.
  • Kidney Panel – Every 2 years

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About the Author: Venu Gopal is a Healthcare professional with a Graduation in Pharmacy and Management. He is trying his hands in web writing recently. he can be reached at