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  • 1. Managing Diabetes
    • An Ounce of Prevention – Avoiding Complications
  • 2. Topics
    • How to prevent or delay:
      • Heart Disease
      • Eye Disease
      • Kidney Disease
      • Nerve Disease
      • Skin Problems
      • Dental Problems
  • 3. Heart Health
    • Keeping your heart and blood vessels healthy
      • Manage your blood glucose, blood pressure and cholesterol (the ABCs)
      • Reduce the amount of sodium (salt) you eat
      • Make wise food choices
  • 4. Heart Health
    • Keeping your heart and blood vessels healthy
      • Lose weight
      • If you smoke, get help to quit
      • Take medications as prescribed
      • Ask about taking aspirin
  • 5. Warning Signs
    • 2 out of 3 people with diabetes die from heart disease or stroke
    • Know the warning signs of a heart attack and stroke
    • If you have warning signs, call 911 right away
  • 6. Warning Signs
  • 7. Eye Disease
    • Retinopathy
      • High blood glucose damages the tiny blood vessels in the eye.
      • Can cause vision problems and blindness.
      • High blood pressure can make eye disease worse.
    • To prevent eye problems:
      • Keep your blood glucose and blood pressure in your target ranges.
      • Have a yearly eye exam (with eye drops to dilate your pupils).
  • 8. Kidney Disease
    • Nephropathy
      • Kidneys clean the blood by filtering it through tiny blood vessels.
      • Waste materials are removed and eliminated in the urine.
      • High blood glucose damages the tiny blood vessels in the kidney.
      • High blood pressure can make kidney disease worse.
  • 9. Kidney Disease
    • To prevent kidney problems:
      • Keep your blood glucose and blood pressure in your target ranges.
      • Have regular checkups and get a urine microalbuminuria test every year (a check for urine protein).
      • Have other recommended tests (may include tests for creatinine, BUN or urea nitrogen).
      • If you have protein in your urine, treatment with an ACE inhibitor or ARB (blood pressure medications) can slow the progress of kidney disease).
  • 10. Nerve Disease
    • Neuropathy
      • Nerves carry messages that tell your body what you see or feel.
      • High blood glucose can damage your nerves and parts of your body may not feel things as well as they did in the past.
      • Nerve problems can also cause diarrhea, urinary bladder infections, sweating, dry skin, light-headedness or loss of balance. See your health care provider if you have these problems.
  • 11. Nerve Disease
    • To avoid nerve problems:
      • Keep your blood glucose in your target range.
      • Check your feet for injuries, blisters or redness every day. If you see any problems, call your health care team immediately.
      • Have a doctor or nurse check your feet at least once a year with a monofilament to make sure the nerves are working.
  • 12. Skin Problems
    • Skin Problems
      • Some with diabetes have skin infections or dry, itchy skin, especially in the feet.
      • Damage to blood vessels caused by diabetes can also trigger other skin diseases.
    • What to do about skin problems:
      • Keep your blood glucose in your target range.
      • If itching, use a non-drying mild soap.
      • See your health care provider about any skin problems.
      • Ask your provider about lotions that can help dry or cracked skin.
  • 13. Dental Care
    • Dental Care
      • More likely to have dental problems including gum infections.
      • See your dentist if your gums bleed or are red.
    • To protect your teeth:
      • Keep your blood glucose in your target range.
      • See your dentist twice a year.
      • Brush at least twice a day with a soft brush.
      • Floss daily.
  • 14. Review
    • What can you do to prevent or delay diabetes-related problems?
  • 15. More Help
    • A new powerful risk assessment tool
    • Enter your personal health information.
    • Receive a personalized “Results Overview” showing your current risk for heart attack, stroke, kidney failure, eye and foot complications.
    • Change items in your profile (such as stopping smoking, losing weight, taking certain medications, etc.) to see how making these changes would impact your future.
  • 16. Diabetes PHD
    • Online at diabetes.org/phd
  • 17. More Help
    • Diabetes Learning Center
    • For people who are recently diagnosed with diabetes, or those needing basic information.
    • Online at diabetes.org/learningcenter
    • Link for Life
    • An interactive program on diabetes and heart disease (starring Type 2 Lou) filled with practical tips and valuable information.
    • Online at diabetes.org/linkforlife
  • 18. Diabetes Learning Center
  • 19. Link for Life
  • 20. For More Information
    • For more information
    • on diabetes, please call
    • 1-800-DIABETES or visit diabetes.org
  • 21. For More Information
    • Contact your local ADA at
    • 1-888-DIABETES to learn about activities and volunteer opportunities in your community