Friends With RSD/Chronic Pain And Illnesses

10 Questions to Ask Your Doctor About Diabetes Complications

WebMD Medical Reference

Reviewed by Brunilda Nazario, MD, June 2007 .

What diabetes complications do I have?
Diabetes affects everyone differently. Learn what problems you already have, what to expect, and what treatments are available.
What symptoms of diabetes complications should I watch for?
Keeping track of changes in your body is important. If you get evaluated, screened, and treated early, you can prevent the problem from getting much worse -- and possibly even save your life.
Are there treatments for my diabetes complications?
You may need medications to help control blood sugar, cholesterol, and blood pressure. If you suffer from pain because of nerve damage caused by diabetes, there are medications that treat painful neuropathy symptoms, too. Having your vision and eyes checked routinely will help your doctor decide whether you need treatment for eye complications associated with diabetes.
Do I need to see specialists about diabetes complications?
Regular visits to an eye doctor (optometrist or ophthalmologist), foot doctor (podiatrist), and dentist can help prevent serious problems. A cardiologist can help with heart problems.
If I have trouble keeping blood sugar under control, what should I do?
It's important that you check your blood sugars regularly. The more often you check, the better able you are to determine if a change in your diabetes management is needed. Keep records every time you check blood sugar, blood pressure, and cholesterol. Talk to your doctor if you don't reach your targets. There are different options available to help improve your glucose control. You may need to make changes in your diet, exercise, or medications.
If a medication isn't working, what should I do? What about side effects?
Never stop taking a medication, even if you don't feel that it is working. Your doctor can tell you how quickly to expect changes. If side effects are bothering you, tell your doctor right away. Make a list of all the medications you take, include over-the-counter medications, and show your doctor.
I'm taking medications for other conditions. Will they affect my diabetes?
Some medications can interact with and affect the diabetes or heart medications you're taking. Tell your doctor about all the medications you're taking, even over the counter medications, vitamins and other supplements.
How can I prevent foot problems?
Ask your doctor for a foot care checklist to follow every day. Good blood sugar control is key to preventing nerve pain damage. If you have developed pain, numbness, or burning in your feet, let your doctor know. Simple over-the-counter or prescription pain relievers can help. Other medications are also available to treat pain caused by diabetic nerve damage.
How will I know if there is kidney damage?
Kidney damage happens long before you get any symptoms. Ask your doctor about getting your kidney function tested, if you are at risk for this complication, and whether there are prevention steps and treatments that can be taken to avoid this complication from worsening.
I seem to get a lot of skin problems. What should I do?
Slow-healing sores, itchy and dry skin, and yeast infections are some skin problems caused by diabetes. Inspect your skin, and clean, dry, and moisturize your skin daily. Ask your doctor about skin care.

SOURCES: David C. Ziemer, MD, director of the Diabetes Clinic, Grady Hospital; endocrinology professor, Emory University School of Medicine, Atlanta. National Institute of Diabetes & Digestive & Kidney Diseases: "Diabetes, Heart Disease, and Stroke," "Seven Principles for Controlling Diabetes for Life," "Keep Your Kidneys Healthy," "Keep Your Feet and Skin Healthy", and "Nerve Damage of Diabetes." WebMD Medical Reference provided in collaboration with The Cleveland Clinic: "Diabetes Complications," "Heart Disease Medicine: ACE Inhibitors," "Skin Problems in Diabetes."

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