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Type I Diabetes is caused by an autoimmune disorder-a problem with the body's immune system. Pre-Diabetes is the same as Type II Diabetes, and is identified with blood glucose levels above. Smoking and blood fat level can cause blood vessels to narrow, which makes it difficult for the blood to flow throughout the body. Diabetes can damage the kidneys, which not only can cause them to fail, but can also ability to filter out waste products. Diabetics are 19 times more likely than those without diabetes to develop problems with the kidney. Diabetes retinopathy – damage to the blood vessels in the retina (back of the eye).
Glaucoma – increase in fluid pressure inside the eye that leads to optic nerve damage and loss of vision. Gingivitis – first stage of gums disease, redness around the gums, swelling and pain. Plaque – yellow sticky film, which leads to tartar formation and eventual tooth and bone loss. People with diabetes are far more likely (65%) to have a foot or leg amputated than other people.

Ulcers - Ulcers occur most often on the ball of the foot or on the bottom of the big toe.
Check your feet daily for any changes, such as blisters, cuts, ulcers, redness and large calluses. Avoid using anything hot (heating pads, hot water bottles or hot bath water) on your feet. Always check your shoes for any rough edges, sand and any object that may cause irritation. Avoid lotions and creams that contain alcohol, additive, dyes and fragrances (perfume). Drink 4 glasses (8 oz) of water (ARP required 4 glasses of water per day) to give your body more fluid. Avoid lotions and creams that contain alcohol, additive dyes and fragrances (perfume). Change in sleep patterns You have trouble falling asleep, you wake often during the night, or you want to sleep more than usual, including during the day.
Change in appetite You eat more or less than you used to, resulting in a quick weight gain or weight loss. Trouble concentrating You can't watch a TV program or read an article because other thoughts or feelings get in the way.

Suicidal thoughts You feel you want to die or are thinking about ways to hurt yourself. Diabetes mellitus increases the risk of disorders such as coronary artery disease, cerebrovascular occlusion, peripheral artery disease, renal insufficiency, peripheral neuropathy, lower-extremity infection, ulceration, and amputation, and other disorders.
Neuropathy means damage to the nerve cells that run throughout the body, connecting the spinal cord to muscles, skin, blood vessels, and other organs. Such complications frequently require admission into the hospital for evaluation and treatment. Many people with diabetes have artery disease, which reduces blood flow to the feet.
Remember, even though some ulcers do not hurt, every ulcer should be seen by your health care provider right away.

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