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Diabetic complications DIABETIC COMPLICATIONS
'Complications' refer to things that can go wrong during the course of diabetes, either as a consequence of diabetes itself or its treatment. Thus, ketoacidosis is a complication of diabetes but hypoglycemia is a complication of insulin treatment. Complications may occur as part of the course of diabetes, but treatment may affect the severity of the complications or when they develop. Some complications, such as social and psychological problems arising in the course of diabetes, may be due partly to diabetes itself and partly to its treatment.
Most people think of impairment of vision, kidney function, blood circulation or nerve function as the principal complications of diabetes. These are sometimes called 'late complications' because they occur (if at all) many years after the onset of diabetes.
There is however a number of complications that can occur during the early stages of diabetes. These include hypoglycemia, psychological stress, growth impairment, pregnancy problems and cataracts.
Whereas most of the early complications are correctable and reversible, many of the late complications are not. It is for this reason that complications of later life are the main source of worry for family and friends of the person with diabetes. Prevention of complications is one of the main tasks for physicians caring for diabetes. Young people sometimes don't seem quite as concerned about the long term affects of diabetes. Perhaps this is because they, very sensibly, think there is no point in worrying about an uncertain future, and perhaps because there are higher priorities in their lives at the moment than becoming too involved with strict diabetic control. It is not usually helpful or fair to threaten young people with the prospects of complications if they do not take better care of their diabetes. It would however be a mistake to suppose that young people don't care.
It is perhaps important to have some understanding of the risk of complications. We can often recognize their early development and do something to minimize the risks of them progressing to the point where they cause trouble or impair health.
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