Complications
I struggled along for 18 years before I developed
complications. I noticed that my eyesight was
declining and found out that I had the first stage of
retinopathy called background retinpathy. Along about
this time I also found that I had high blood
pressure, high cholesterol, neuropathy, glaucoma,
thyroid trouble, and was spilling large amounts of
protein in my urine (the first sign of kidney
damage). These conditions were diagnosed by an
endocrinologist. I was going to a family physician
who did not know to test me for these complications
prior to that.It is important that you have tests
regularly to rule out any complications. After
struggling with the complications for 6 years I
eventually became legally blind as the retinopathy
progressed to the proliferative stage and a
victrectomy was unsucessful in repairing a hole in
the macula (the central area of retina that gives us
detailed vision). I also have developed renal
insuffiency that has resulted in the inability of my
bone marrow to reproduce enough red blood cells that
has caused me to have anemia. So far I have received
a blood transfusion to treat the anemia. My kidneys
are unable to rid my body of different blood values
such as phosphorous, triglycerides, cholesterol,
potassium, uric acid,and alkaline phosphotase. My
blood pressure is very high and I take a lot of
medicine to control it as it has caused diastolic
dysfunction of the heart. Diastollic dysfunction is
where the lower chamber of the heart stays stiff and
contracted instead of relaxing during diastole. This
in turn causes the heart muscle to be enlarged and
tachycardia or a fast heart beat.I take a beta
blocker to treat this as it can and has led to
congestive heart failure. The nueropathy has impaired
my stomach's ability to be able to empty as fast as
it should.
My thyroid developed another large goiter on the
right side several years ago and instead of surgery I
opted for radioiodine treatment which sucessfully
shrank it but I now have to take thyroid hormone to
replace what was lost. I have had to had my
medication adjusted 4 times (decreased) in the last
year due to getting too much. I monitor my blood
sugar 4 times a day (before each meal) and take an
injection of regular humulin insulin according to
what my sugar reading is 30 minutes before eating. At
night I take an injection of humulin NPH (long acting
insulin)
UPDATE 1/10/98
As of 9/5/97 I am using a MiniMed 507 insulin pump. Humalog is the insulin that is in it and I have had great results so far with the exceptions of some high sugars due to infusion site problems. There is some irritation at the sites but I would recommend that any type 1 diabetic discuss the use of a pump with their doctor. My last hemoglobin A1c ( a measure of how well your blood sugar lecels have been controlled over the last three months) was 6.5! That was the best one I have had in years. The level had been staying at 8.1 and 8.3 for several years.
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