Diabetes

Perhaps one of the most serious diseases challenging older American's today is diabetes. Indicated by high blood sugar, diabetes can cause other major health problems such as stroke or heart attack. Fortunately, individuals with diabetes can avoid many of its associated problems by taking control of the disease. 

In addition, those who are concerned that they may eventually get diabetes have options to lower their risk. 

What Is Diabetes?

The food we eat is converted into glucose by our bodies. Insulin assists in getting glucose into our cells, where it is used to make energy. Those with diabetes often have problem with insulin: their bodies may not create enough, or use it apporpriately, or both. 

In addition to your normal physician, those with diabetes may also be treated by a specialist known as an endocribologist.

Types Of Diabetes

Diabetes is broken down into two categories. Either may occur at any age.

Type 1 diabetes

Typically occuring in children and young adults, type 1 diabetes occurs when the body make too little, or no insulin. 

Type 2 diabetes

More common in those who are inactive or overweight, or with a family history of diabetes, type 2 diabetes occurs when the body makes insulin, but does not use it correctly. Type 2 diabetes is also sometimes referred to as adult onset diabetes.

Diabetes may cause problems throughout the body, and should be kept under control. Over a period of time, diabetes may lead to circulation problems requireing amputation, stroke, heart disease, blindness and nerve damage. And people with type 2 diabetes also have an increased risk of developing Alzheimer's disease.

Pre-diabetes

Individuals who have higher than normal blood gucose levels, but have not been diagnosed with diabetes may have pre-diabetes. Still serious, pre-diabetes may lead to type 2 diabetes. However, those diagnosed with pre-diabetes may be able to avoid, or at least delay, type 2 diabetes by losing weight or eating healthy. In fact, 30 minutes of activity several days a week may have significant impact. Of course you should speak to your physician before beginning any exercise routine.

Diabetes Symptoms

Diabetes symptoms may be mild - in fact the Centers for Disease Control estimate that 7 million people in the U.S. may have type 2 diabets, but have not been diagnosed.

  • Consistently feeling hungry, thirsty or tired
  • Recent weight loss without trying
  • Frequent urination
  • Blurred vision
  • Skin infections
  • Delays in healing from cuts or bruises

Tests For Diabetes

Doctors employ several tests to check for diabetes:

  • Random glucose test, which may be given at any time during the day
  • Fasting glucose test, which is typically taken after fasting from food for at least 8 hours
  • Oral glucose tolerance test, which is taken after fasting overnight and then again 2 hours after having a sugary drink
  • A1C blood test, which shows your glucose level for the past 2 - 3 months

Your physician may perform a second test to confirm any initial findings.

Managing Diabetes

Once diagnosed with type 2 diabetes, the physician may presecibe medicine to help keep blood glucose levels under control. There are numerous kinds of medication that accomplish this, and your doctor will make the choice based on your unique case.

In addition to medicine, those with diabetes may perform some of the following to better manage the disease:

  • Track glucose levels. Very high glucose levels or very low glucose levels (called hypoglycemia) can be risky to your health. Talk to your doctor about how to check your glucose levels at home.
  • Make healthy food choices. Learn how different foods affect glucose levels. For weight loss, check out foods that are low in fat and sugar. Let your doctor know if you want help with meal planning.
  • Get exercise. Daily exercise can help improve glucose levels in older people with diabetes. Ask your doctor to help you plan an exercise program.
  • Keep track of your progress. Talk to your doctor about how well your diabetes care plan is working. Make sure you know how often to check your glucose levels.

Your doctor may want you to see other healthcare providers who can help manage some of the extra problems caused by diabetes. He or she can also give you a schedule for other tests that may be needed. Talk to your doctor about how to stay healthy.

Here are some things to keep in mind:

  • Have yearly eye exams. Finding and treating eye problems early may keep your eyes healthy.
  • Check your kidneys yearly. Diabetes can affect your kidneys. A urine and blood test will show if your kidneys are okay.
  • Get flu shots every year and the pneumonia vaccine. A yearly flu shot will help keep you healthy. If you’re over 65, make sure you have had the pneumonia vaccine. If you were younger than 65 when you had the pneumonia vaccine, you may need another one. Ask your doctor.
  • Check your cholesterol. At least once a year, get a blood test to check your cholesterol and triglyceride levels. High levels may increase your risk for heart problems.
  • Care for your teeth and gums. Your teeth and gums need to be checked twice a year by a dentist to avoid serious problems.
  • Find out your average blood glucose level. At least twice a year, get a blood test called the A1C test. The result will show your average glucose level for the past 2 to 3 months.
  • Protect your skin. Keep your skin clean and use skin softeners for dryness. Take care of minor cuts and bruises to prevent infections.
  • Look at your feet. Take time to look at your feet every day for any red patches. Ask someone else to check your feet if you can’t. If you have sores, blisters, breaks in the skin, infections, or build-up of calluses, see a foot doctor, called a podiatrist.
  • Watch your blood pressure. Get your blood pressure checked often.

Be Prepared

In case of emeregency, conisder keeping three days' worth of supplies on hand related to diabetes testing and treatment.

Medicare Assistance

Medicare may pay to help you learn how to care for your diabetes. It will also help pay for diabetes tests, supplies, special shoes, foot exams, eye tests, and meal planning. Be sure to check your Medicare plan to find more information.

For more information about what Medicare covers, call 1-800-MEDICARE (1-800-633-4227) or visit their website, www.medicare.gov.