How do people with diabetes control their disease is with a primary care physician who will work with the diabetic to map out a care plan. This is the physician that the diabetic will see regularly.
This primary care physician should be a family specialist who also is a diabetes care specialist. Most insurance plans will require a referral from the primary care physician to other members of the diabetic’s care team. The primary care physician will manage drug and insulin therapy as well as order any regular blood or urine tests that are needed to measure how the disease is being controlled.
Diabetics also need to be taught by medical professionals about the importance of managing their eye health, foot care health and good oral health as these can be problem areas for diabetic patients. Because of narrowing of blood vessels problems can develop with the eyes and diabetic patients need to have regular eye exams involving dilation of the eyes so the eye professional can better examine the blood vessels in the back of the eyes.
The diabetic will also need to learn all they can about foot health care. Diabetics have a great deal of problems with their feet. This is caused by nerve damage in the feet and the narrowing of blood vessels in the legs. These two problems can cause a tiny cut to become extremely infected and lead to gangrene of the foot. Gangrene can lead to amputation of the foot or leg.
If there is nerve damage in the foot, the diabetic might not be able to tell when they have a small cut or skin damage and an infection could start before the patient even realizes it. And with poor circulation, when there is a cut or any damage, there is not enough blood flowing to the foot to fight the infection.
Diabetes oral care is another very important area of management for people who have this chronic disease. Because of the problems with blood sugar, diabetics have a higher than normal amount of dental care problems. This is because the diabetes when not under control reduces the number of white blood cells to fight infections in the mouth.
There are several areas that cause problems. One of these is the problem of dry mouth caused by decreased saliva. This can cause tooth decay, mouth ulcers and infections. Help for this problem can include chewing sugarless gum, having sugarless mints available, frequent sips of water or melting ice chips in the mouth.
Another major problem is gum disease commonly known as gingivitis and periodontitis. This is caused by fewer white blood cells to fight infections as well as the thickening of blood vessels which slows the flow of blood which carries nutrients to the mouth area and waste away from the mouth area. Gum disease is caused by infections of the gums so these can cause gum disease to be much more severe and harder to control in people who suffer with diabetes.
Diabetics need to also know how to daily monitor their blood glucose level and learn to prepare a diet that manages this level as well as manages weight control.
How do people with diabetes control their disease is basically with a primary care physician who will work with the diabetic to map out a care plan. A large part of this care plan is the self care that a diabetic will need to be educated on and taught how to carry out.
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