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Lily - Amputation in feet, legs and other bottom limbs. 

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Lily - Amputation in feet, legs and other bottom limbs. 

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- PAD causes blood vessels to narrow and reduces blood flow to your feet which could prevent you from feeling in your foot and if you cant feel it you could put more pressure on the affected area and which can cause it to grow and have more infection. The infection may spread to your tissue and damage it or cause death and the rest of the infection may spread to your bones which can cause amputation.
https://www.healthline.com/health/diabetes/diabetes-amputation#is-it-needed

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There are two types of of high blood pressure. These being primary and secondary hypertension. Primary hypertension has no known cause but is known to develop slowly over a period of time. Secondary hypertension is generally caused by an existing condition, this tends to appear suddenly causing a higher blood pressure than primary hypertension. Certain medications and medical conditions can cause secondary hypertension such as Adrenal gland tumors, birth control pills, cold medicine over the counter pain medicine and illegal drugs such as cocaine and amphetamines.

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Neuropathy is a disease or dysfunction of one or more peripheral nerves, typically causing numbness or weakness.

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Ketoacidosis is a serious diabetes complication it's where the body produces excess blood acids. (ketones)

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What Causes the Oral Health Problems: (Shelby Webster)

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What Causes the Oral Health Problems: (Shelby Webster)

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Increasing in age and poor blood sugar control makes it easier for people with diabetes to develop different kinds of gum diseases including periodontal disease, thrush, and gingivitis.

With all infections, your blood sugar will rise, this makes it complicated for diabetics to control the infections because they are less able to fight off bacteria.

Diabetes causes the reduction of blood supply to the mouth, especially the gums.

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Did you know that 29.1 million people living in the United States have diabetes? That's 9.3% of the population. Approximately 1.7 million new cases are diagnosed each year-and 8.1 million people living with diabetes don't even know they have it.

Diabetes affects your body's ability to process sugar. All food you eat is turned to sugar and used for energy. In Type I diabetes, the body doesn't make enough insulin, a hormone that carries sugar from your blood to the cells that need it for energy. In Type II diabetes, the body stops responding to insulin. Both cases result in high blood sugar levels, which can cause problems with your eyes, nerves, kidneys, heart and other parts of your body.

So what does this have to do with that smile of yours - and how can you protect it? First, it's important to understand the signs of diabetes and the roles they play in your mouth.

The Symptoms of Untreated Diabetes

The warning signs of diabetes affect every part of your body. After a blood test, you may be told by a doctor that you have high blood sugar. You may feel excessively thirsty or have to urinate a lot. Weight loss and fatigue are other common symptoms. Diabetes can also cause you to lose consciousness if your blood sugar falls too low.

If diabetes is left untreated, it can take a toll on your mouth as well. Here's how:

You may have less saliva, causing your mouth to feel dry. (Dry mouth is also caused by certain medications.)

Because saliva protects your teeth, you're also at a higher risk of cavities.

Gums may become inflamed and bleed often (gingivitis).

You may have problems tasting food.

You may experience delayed wound healing.

You may be susceptible to infections inside of your mouth.

For children with diabetes, teeth may erupt at an age earlier than is typical.

Why People with Diabetes Are More Prone to Gum Disease

All people have more tiny bacteria living in their mouth now than there are people on this planet. If they make their home in your gums, you can end up with periodontal disease. This chronic, inflammatory disease can destroy your gums, all the tissues holding your teeth and even your bones.

Periodontal disease is the most common dental disease affecting those living with diabetes, affecting nearly 22% of those diagnosed. Especially with increasing age, poor blood sugar control increases the risk for gum problems. In fact, people with diabetes are at a higher risk for gum problems because of poor blood sugar control. As with all infections, serious gum disease may cause blood sugar to rise. This makes diabetes harder to control because you are more susceptible to infections and are less able to fight the bacteria invading the gums.

How Your Dentist Can Help You Fight Diabetes

Regular dental visits are important. Research suggests that treating gum disease can help improve blood sugar control in patients living with diabetes, decreasing the progression of the disease. Practicing good oral hygiene and having professional deep cleanings done by your dentist can help to lower your HbA1c. (This is a lab test that shows your average level of blood sugar over the previous three months. It indicates how well you are controlling your diabetes.)

Your Diabetes Dental Health Action Plan

Teamwork involving self-care and professional care from your dentist will be beneficial in keeping your healthy smile as well as potentially slowing progression of diabetes. Here are five oral health-related things you can do to for optimal wellness:

Download this helpful infographic to learn more:

More on MouthHealthy

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Diabetes and Teeth - American Dental Association

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Did you know that 29.1 million people living in the United States have diabetes? That's 9.3% of the population. Approximately 1.7 million new cases are diagnosed each year-and 8.1 million people living with diabetes don't even know they have it. Diabetes affects your body's ability to process sugar.

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Diabetes can lead to eyesight complications and even blindness. Regularly, the most people would have is minor eyesight problems. Glaucoma is a disease where your retina and nerves become damaged, this is because of the pressure that is built up in your eye.
The intense amount of pressure that your eyes arent used to is due to too much liquid build up, which is caused by high blood pressure
http://www.diabetes.org/living-with-diabetes/complications/eye-complications/

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Damage to your peripheral nerves which is your spinal cord (central nervous system. This can result in loss of Sensory nerves, Motor nerves, and Autonomic nerves.

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A stroke occurs when your brain is deprived of oxygen because blood flow was cut off. Your cells begin to die off, which is what causes the mass of the trauma you hear about from stroke victims.

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Chronic kidney disease, similarly known as chronic kidney failure is the progressive loss of kidney function. Kidneys are in charge of removing waste and extra fluids from the blood by expelling it through urine. When the condition reaches a severe level, dangerous levels of fluid, waste and electrolytes can build up within the body.

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Tiny veins in the Kidneys called capillaries filter proteins we eat and create waste products. As these things are filtered the useful ones are too big to be passed into the urine therefore go into the blood to be utilized. High levels of blood glucose damage the filters in the kidneys and cause them to filter too much blood. After a long time of doing that the filters become weak and the useful proteins leak into the urine and are lost. Small amounts of protein in the urine is called microalbuminuria and when kidney disease is caught during this early stage there are several treatments you can do to keep it from worsening. When it is caught late this can lead to end-stage renal disease or EDSR. EDSR is when the kidneys fail which is very serious and would result in a kidney transplant or a machine filtering the blood for you.

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Arteries get clogged with plague, reducing blood flow to extremities (like legs, arms), heart, and your brain. Its mainly with the arteries within the legs.

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Gastroparesis is a condition in which the stomach is prevented from emptying.

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the organs affected by gastroparesis are the stomach and the small intestine

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High blood pressure affects the heart in a lot of ways because it can damage it, causing Coronary artery disease. Coronary artery disease is when the arteries that supply blood to the heart is affected

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Whether or not you have diabetes, over time, stress is harmful because it causes so much wear and tear on the body.

For example, the heart works faster and harder in preparation for physical action. The increase in pulse and blood pressure causes a strain on the heart, veins and arteries.

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By Joseph Napora, PhD, LCSW-C

We hear about stress all the time. Often, you hear people say, "I'm under a lot of stress," or "I'm so stressed," or "This is stressing me out." What exactly is stress?

What Is Stress?

Stress is a physical and mental reaction to perceived danger. Conditions that seen uncontrollable or require emotional and behavioral change tend to be perceived as a threat.

When the body and mind sense a threat, they get ready to either run or fight. Whether the threat is real or imagined, the body prepares for survival by turning up some bodily functions while turning others down. In either case, over time these changes are serious and over time are harmful.

Stress and Diabetes

Diabetes management is a constant process; for many, it is an ongoing challenge that may be complicated by the impact of stress. Excessive stress is a major barrier to effective glucose control and a danger to one's general health.

When a child has diabetes, the family's potential for stress is high. The child with diabetes, parents and siblings all feel their own share of stress.

How Can Stress Be Harmful?

Excessive stress works against diabetes management by:

Increasing blood glucose levels (quickly and substantially)

Inciting strong negative emotions

Impairing sound thinking and decision-making

Tempting compulsive, poor eating

Whether or not you have diabetes, over time, stress is harmful because it causes so much wear and tear on the body.

For example, the heart works faster and harder in preparation for physical action. The increase in pulse and blood pressure causes a strain on the heart, veins and arteries.

Prolonged stress also has a negative impact on other bodily systems:

Immune

Digestive

Renal (kidney)

Reproductive

In addition, the ability to think clearly and to make good decisions is impaired when the mind is burdened with worry, anxiety or fear. This constant mental strain can also increase the risk for depression.

What Are the Symptoms of Stress?

Sleeping too much or not enough

Changes in appetite (eating more or less)

Significant weight loss or gain

Frequent bouts of crying

Trouble with memory and/or concentration

Anxious thoughts (often taking the form of "what if ____________ happens?"

Muscle tension (that crick in your neck)

Irritability

Feeling low or depressed.

Being easily angered; being angry a lot of the time.

Stomach problems (vomiting, nausea, stomachaches, diarrhea, constipation)

Loss of interest in sex

Avoidance of work or school tasks and/or difficulty completing them

A change in relationships (either avoiding or feeling the need to seek out the company of others more than usual)

Headaches

Feeling your heart beating (often occurs when trying to fall asleep)

Difficulty swallowing or feeling as though you are choking

Trembling, shakiness

Feeling faint

Profuse sweating

Teeth grinding

Feeling uneasy, on edge

Mindful Living─An Antidote to Stress

Most people feel some of these symptoms at different times in their lives. The good news is that there are many strategies and skills for keeping stress at a minimum. Most stress-busting techniques begin with living mindfully.

Being mindful is being aware of what is happening within yourself and in the world around you. It is being aware of what you are doing and why, being aware of what is working and what is not working for you.

It is always being aware of possibilities, of the choices you have in every situation.

Being stress smart is necessary for effective diabetes management. And the successful management of stress is essential to the well-being of everyone in a family with diabetes.

A mindful approach to coping with diabetes opens the way to using a variety of tools for preventing avoidable stress and keeping unavoidable stress at a minimum.

Joseph P. Napora, PhD, LCSW-C is a psychotherapist with over 38 years of experience. He has been teaching classes in stress management at the Johns Hopkins Comprehensive Diabetes Center since 1984 and at the Suburban Hospital Diabetes Center in Bethesda, MD, since 1999.

His book, Stress-Free Diabetes Your Guide to Health and Happiness is available for purchase through the American Diabetes Association.

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By Joseph Napora, PhD, LCSW-C We hear about stress all the time. Often, you hear people say, "I'm under a lot of stress," or "I'm so stressed," or "This is stressing me out." What exactly is stress? Stress is a physical and mental reaction to perceived danger.

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Diabetic Retinopathy affects blood vessels in the retina. This is the common cause of eye complications for people with diabetes. This can result in vision impairment and blindness.
https://nei.nih.gov/health/diabetic/retinopathy

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What causes it? -Natalie Gahn & Raquel Potteiger 

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What causes it? -Natalie Gahn & Raquel Potteiger 

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High blood sugar can cause damage and and can interfere with their ability to send signals leading to Diabetic Nephropathy, this is caused by your body creating a autoimmune response with in the body.

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Hearing loss is cause by High blood sugar that can damage blood vessels in the ear. Also high blood sugar can lead to nerve damage in the ear.
https://www.healthline.com/health/type-2-diabetes/hearing-loss

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Matt - What organs/structures are affected by stress?

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Matt - What organs/structures are affected by stress?

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Stress can affect:
Brain: Headaches, Stomach: loss of appetite, Muscle structure: Tightening of muscles, Heart: Increasing blood pressure and the weakening of the left ventricle,

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Peripheral Artery Disease is where plaque builds up which narrows and blocks arteries in critical regions of the body.

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Lack of exercise, poor diet, being over-weight,

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Organs that are affected by oral health are your teeth with tooth decay and your gums with gum disease.

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over time you can lose feeling in the feet witch can make it hard for sores or cuts to heal. This is called diabetic nephropathy where your feet tingle and lose feeling.
https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/foot-problems

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Brooke - What Organs/Structures are Affected?

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Brooke - What Organs/Structures are Affected?

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Your brain (right/left and stem) is affected for the lack of blood flow to them, so your brain cells die off. Based off of where your stroke occurs in your brain, different complications can ensue. A stroke also affects the arteries leading to the brain, as they have become clogged and are not flowing with blood like they should be.

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Cataract is the clouding in the eye lens. The eye lens gets nutrients from aqueous humor which is fluid filling the front of the eye. Aqueous humor provides oxeygen and glucose. When you dont have good control over your glucose levels, sugar levels will rise in the aqueous humorand in the lens. This will cause it to swell and affect vision. The lens also had enzyme that converts glucose into sorbitol. When sorbitol collects in the lens it can affect the natural-occurring protiens. This then causes the lens to become less clear. This is called cataract formation and at the end of this it can make your eyesight apper blurry, yellowish or faded and increasing glare.

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Skin is the biggest organ of the body, it is also affect by people who have diabetes.

Skin conditions can be caused by a yeast infections, dry skin, or poor circulation.

Skin problems happen mostly or only to people with diabetes include diabetic dermopathy, necrobiosis lipoidica diabeticorum, diabetic blisters, and eruptive xanthomatosis.
Also many types of bacterial infections can occur.

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Organs that are affected by hearing loss are the blood vessels, ear, and ear drum.

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Symptoms include pain in your legs while walking, cramping in hips or legs, numbing in legs, coldness in lower leg/foot, sores on legs/feet that wont heal, legs changing colors, hair loss/slower growth on legs and feet, slower growth of toenails, and no/weak pulse in legs and feet.

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Peripheral artery disease (PAD) - Symptoms and causes

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Learn more about this common blood flow condition that can cause leg pain when walking. Lifestyle changes and medications can help.

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Oral health is keeping your mouth clean and free of other diseases. You do this by regular brushing of your teeth and flossing.

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Because food in the stomach is not being absorbed consistently, managing blood glucose levels is difficult.

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Sarah - How does diabetes cause Peripheral Artery Disease?

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Sarah - How does diabetes cause Peripheral Artery Disease?

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It is common for 1 out of every 3 people with type 2 diabetes over the age of 50 have this condition. In diabetics they do not receive enough insulin so their glucose levels in their blood are very high. The build up of excessive glucose in the blood causes the plaque to form on the walls of the artery in the bloodstream.

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Stress is your body's way of responding to any kind of demand. There are 4 different types of stress.
Survival stress: the stress in response to danger.
Internal stress: When people make themselves stressed internally.
Environmental stress: The stress in response to the things around you, like pressure from people, crowding noise, etc.
Fatigue and overwork stress: The stress that is built up when you overwork or become fatigued.

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strokes cause a multitude of problems from physical to emotional
Some symptoms are
-Paralysis or muscle control loss

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High blood sugar and very low insulin levels from diabetes causes the breakdown of fat for energy and ketones in the blood and urine. Super high levels of ketones is how you get DKA.

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The complication is you cant hear or cant hear as well. Which can lead to you asking people to repeat themselves often. Effects are irritability, fatigue, social rejection.
http://www.diabetes.org/living-with-diabetes/treatment-and-care/seniors/diabetes-and-hearing-loss.html

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What organs and structures are affected?- Kaylin Galey

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What organs and structures are affected?- Kaylin Galey

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With this chronic condition, the kidneys gradually lose function of the kidneys and complicate the use of several other body systems.

Cardiovascular System- Due to the lack of filtered fluid, fluid builds up around the lungs, body tissue and heart. This causes pressure on the heart and ultimately leads to high blood pressure. An excess of urea build up is toxic and causes inflammation of the heart's pericardium.

Blood and circulatory system- Damaged kidneys consequently cause anemia and iron deficiency, due to affected production of the erythropoietin hormone.

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Pancreas, cells, blood stream

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To keep your eye sight at its best there are specific things that are recommended. It would be healthy to get an eye cheek around once a year, catching diseases in early stages is important because as things progress, it's harder to treat. Maintaining your blood sugar, cholesterol levels is of course crucial. Making sure to exercise and not to smoke is also very important.

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High blood pressure effects your arteries causing restricted blood flow and possibly an aneurysm from a bulge formed from constant pressure on the weakened artery.

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The less you use tobacco, the slower the progression on PAD will be, regular physical activity, healthy diet, medication, and procedures all help prevent/help you get rid of it.

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The added stress of this responsibility significantly increases their risk for depression and anxiety. Research has indicated that symptoms of depression have been shown to be associated with worsened blood glucose levels and increased diabetes-related complications.

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Orlando, Florida
June 25, 2018

Diabetes is a unique and complex disease affecting more than 30 million Americans, and the individual living with diabetes is solely responsible for daily diabetes management. The added stress of this responsibility significantly increases their risk for depression and anxiety. Research has indicated that symptoms of depression have been shown to be associated with worsened blood glucose levels and increased diabetes-related complications. Therefore, diabetes prevention programs and increased awareness, screening and care for the mental health aspects of diabetes are key components in improving the quality of life for people with prediabetes (more than 84 million have prediabetes) and diabetes. Symposia presentations at the ADA's 78th Scientific Sessions ® at the Orange County Convention Center focused on the correlation between mental health and diabetes and on diabetes prevention initiatives.

Mental Health Disorders and Diabetes Distress Among Adults with Diabetes

A bidirectional relationship exists between diabetes and mental health. Recommendations on appropriate psychosocial care for people with diabetes indicate health care providers should be trained to screen for and identify signs of mental health disorders and diabetes distress, as well as be prepared to direct patients to appropriate care.

"A need exists for comprehensive care for people with diabetes that addresses both their physical and mental health," said Mary Beth Weber, PhD, MPH, assistant professor of Global Health and Epidemiology at Emory University's Rollins School of Public Health. "Because mental health disorders are a risk factor for diabetes and occur more frequently among people with diabetes, patients should be empowered to adopt health-promoting behaviors; be educated in diabetes self-management; taught self-efficacy for decision making and be directed to counseling and/or medications as needed. Effective, combined management of diabetes and mental health disorders is vital to improving overall health outcomes for people with diabetes."

Weber also notes some medicines used for mental health conditions may increase diabetes risk and diabetes risk factors, such as weight gain and increased body fat, and recommends that physicians select anti-psychotic medications with a lower risk of diabetes risk factors. Additionally, 18-45 percent of people with diabetes have diabetes distress, a state of emotional distress stemming from coping with the demands of diabetes and diabetes management. People with both diabetes and mental illness, or those who report having diabetes distress, often fare worse than other people with diabetes alone, reporting worse health status, poorer glycemic control and more risk factors, such as smoking and physical inactivity, that can worsen their health.

"Coordinated diabetes care must be practiced to properly address the needs of individuals with both diabetes and mental health disorders," said Weber. "Coordinated care for people with diabetes and mental health disorders, possibly with the assistance of care coordinators, could be a potential solution. Physicians providing care to patients with diabetes must be aware of existing tools for screening for mental health disorders and diabetes distress and be knowledgeable about local resources for screening and care. Finally, diabetes prevention efforts are needed targeting individuals with mental health disorders."

Research Perspective of Diabetes and Depression-The Neuroendocrine Link

People with diabetes are twice as likely to have depression as people without diabetes. Sherita Hill Golden, MD, the Hugh P. McCormick Family Professor of Endocrinology and Metabolism and Executive Vice-Chair of the Department of Medicine at the Johns Hopkins University School of Medicine, discussed the connection between diabetes and depression.

According to Dr. Golden, researchers now understand that the relationship between depression and diabetes is reciprocal in that people with T2D are more likely to develop depression over time, and people with depression are more likely to develop T2D.

"Clinicians across multiple disciplines should routinely screen patients with depression for diabetes and inversely screen patients with diabetes for depression," said Dr. Golden. "Addressing and treating both conditions together may have a beneficial effect on stress hormones and will be the subject of future ongoing research."

Dr. Golden has done research in the Multi-Ethnic Study of Atherosclerosis (MESA), a medical research study involving more than 6,000 men and women from six communities in the U.S. that is sponsored by the National Heart Lung and Blood Institute of the National Institutes of Health. Study participants are seen at clinics in six different states, including one site at Johns Hopkins University.

In the MESA study, Dr. Golden has found that people with T2D had a 50 percent higher risk of developing depression over three years, compared to those without T2D, even after factoring in obesity markers of diabetes severity and other risk factors for depression. Research also demonstrated that people with depression had a 21 percent higher risk of developing T2D over three years, which was only partially explained by obesity, poor health behaviors and elevated inflammation.

Dr. Golden discussed how depression and diabetes share a common abnormal stress hormone profile. One potential explanation for the higher risk of T2D in those with depression that was not explored in the original study was the role of the body's stress hormones-cortisol and adrenaline-which are made by the adrenal glands. Abnormal patterns of stress hormones represent one of several shared mechanisms linking T2D and depression.

"If researchers can identify and intervene on these shared risk factors, then medical professionals can develop new ways to prevent and treat both conditions simultaneously," said Dr. Golden. "A better understanding of the biological links between T2D and depression will open the door to developing new drug interventions that target these mechanisms. That will allow us to develop new ways to prevent and treat both T2D and depression and complement existing successful behavioral approaches."

Updates to The National Diabetes Prevention Program

The CDC-led National Diabetes Prevention Program (National DPP) is a partnership of public and private organizations working to prevent or delay T2D. A year-long, evidence-based lifestyle change program, the National DPP is based on research which showed that people with prediabetes who take part in a structured lifestyle change program can cut their risk of developing T2D by 58 percent (71 percent for people over 60 years old). This finding was the result of the program helping people lose 5 to 7 percent of their body weight through healthier eating and 150 minutes of physical activity a week.

"Implementation has demonstrated that the year-long program could be modified for delivery in a group setting by community-based organizations and lay health workers and still maintain its effectiveness in achieving the outcomes necessary to prevent or delay the onset of type 2 diabetes," said Ann Albright, PhD, RD Director of the Division of Diabetes Translation at the Centers for Disease Control and Prevention. "Additionally, the program is cost effective and can be cost saving depending on the risk level of the participants enrolled, and whether an individual chooses to participate in a group setting or as an individual."

To successfully build the infrastructure for nationwide delivery of the National DPP lifestyle change program, CDC and its partners are working in four key areas simultaneously to increase: 1) the supply of quality program delivery organizations across the nation; 2) awareness and demand for the program among people at risk; 3) identification and referral of people with prediabetes through the health care sector; and 4) coverage for the intervention among public and private payers.

From its inception, CDC has sought to establish an all-payer system supporting coverage for the National DPP lifestyle change program. Dr. Albright summarized efforts to expand coverage through Medicare and Medicaid, state/public employee benefit plans, and commercial health plans and self-insured employers. Learnings to date have been incorporated into the National DPP Coverage Toolkit. The Coverage Toolkit provides information about all aspects of covering the National DPP lifestyle change program for a wide variety of payer audiences, including state public health, Medicaid, Medicaid managed care organizations, commercial plans, and Medicare. The goal of these efforts is to help ensure long-term sustainability of the program and remove cost barriers to participation, so that the program will be accessible to all people who need it.

"We have a proven lifestyle change program that can help the estimated 84 million American adults with prediabetes prevent or delay type 2 diabetes," said Dr. Albright. "Through the National DPP, the CDC and its partners are building an infrastructure for nationwide delivery of the program-the first effort of its kind in the U.S., and a key part of this infrastructure is health benefit coverage for the program through an all-payer system. This will eliminate cost as a barrier to participation and help ensure that the National DPP is accessible to everyone who needs it."

To speak with Drs. Golden, Weber or Albright, please contact the ADA Press Office on-site at the Orlando Convention Center on June 22-26, by phone at 407-685-4010 or by email at press@diabetes.org.

To help support health care providers in the area of psychosocial support, the ADA issued its Position Statement: Psychosocial Care for People with Diabetes in December 2016, and it is included within the ADA's 2018 Standards of Medical Care in Diabetes. The ADA is partnered with the American Psychological Association to present in-person, professional education courses for mental health providers to earn certification in providing support for the complexities associated with living with and managing diabetes to people with diabetes. Providers who have completed the Mental Health Provider Diabetes Education Program are listed in the freely available ADA Mental Health Provider Directory -for physicians and patients.

The American Diabetes Association's 78th Scientific Sessions, to be held June 22-26, 2018, at the Orange County Convention Center in Orlando, is the world's largest scientific meeting focused on diabetes research, prevention and care. During the five-day meeting, more than 16,000 health care professionals from around the world will have exclusive access to more than 3,000 original diabetes research presentations, participate in provocative and engaging exchanges with leading diabetes experts, and can earn Continuing Medical Education (CME) or Continuing Education (CE) credits for educational sessions. The program is grouped into eight theme areas: Acute and Chronic Complications; Behavioral Medicine, Clinical Nutrition, Education and Exercise; Clinical Diabetes/Therapeutics; Epidemiology/Genetics; Immunology/Transplantation; Insulin Action/Molecular Metabolism; Integrated Physiology/Obesity; and Islet Biology/Insulin Secretion. Felicia Hill-Briggs, PhD, ABPP, President of Health Care and Education, will deliver her address, "The American Diabetes Association in the Era of Health Care Transformation," on Saturday, June 23, and Jane E.B. Reusch, MD, President of Medicine and Science, will present her address, "24/7/365 - Lifetime with Diabetes," on Sunday, June 24. In total, the 2018 Scientific Sessions includes 375 oral presentations; 2,117 poster presentations, including 47 moderated poster discussions; and 297 published-only abstracts. Join the Scientific Sessions conversation on social media using #2018ADA.
About the American Diabetes Association
Nearly half of American adults have diabetes or prediabetes; more than 30 million adults and children have diabetes; and every 21 seconds, another individual is diagnosed with diabetes in the U.S. Founded in 1940, the American Diabetes Association (ADA) is the nation's leading voluntary health organization whose mission is to prevent and cure diabetes, and to improve the lives of all people affected by diabetes. The ADA drives discovery by funding research to treat, manage and prevent all types of diabetes, as well as to search for cures; raises voice to the urgency of the diabetes epidemic; and works to safeguard policies and programs that protect people with diabetes. In addition, the ADA supports people living with diabetes, those at risk of developing diabetes, and the health care professionals who serve them through information and programs that can improve health outcomes and quality of life. For more information, please call the ADA at 1-800-DIABETES (1-800-342-2383) or visit diabetes.org. Information from both of these sources is available in English and Spanish. Find us on Facebook ( American Diabetes Association), Twitter (@AmDiabetesAssn) and Instagram (@AmDiabetesAssn)

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Expanded Access to Prevention Programs and Acknowledging Increased Risk of Depression Among People with Diabetes Can Reduce Complications and Prevalence, and Improve Outcomes and Quality of Life

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Orlando, FloridaJune 25, 2018 Diabetes is a unique and complex disease affecting more than 30 million Americans, and the individual living with diabetes is solely responsible for daily diabetes management. The added stress of this responsibility significantly increases their risk for depression and anxiety.

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People with diabetes end up with too much glucose in their cells. This leads to a lot of fatty deposits or clots in your blood vessels. This leads to a reduction of blood being able to get through, and an eventual complete restriction of blood.

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Symptoms include-

Nausea

Vomiting

Loss of appetite

Fatigue and weakness

Sleep problems

Changes in how much you urinate

Decreased mental sharpness

Muscle twitches and cramps

Swelling of feet and ankles

Persistent itching

Chest pain, if fluid builds up around the lining of the heart

Shortness of breath, if fluid builds up in the lungs