Diabetes can be associated with acute and long-term complications. Acute complications you may encounter include low blood sugar (hypoglycaemia) and high blood sugar (hyperglycaemia) episodes.
Over time, high blood sugar levels can lead to serious complications in many parts of the body. These include the heart, kidneys, eyes, feet and nerves. These long-term complications can be divided into:These complications can lead to serious health problems if they are not detected or treated early.
Click on the sections below to learn more about the various types of diabetes complications and how to effectively manage them.
Microvascular complications of diabetes affect small blood vessels of the eyes, kidneys, and nerves.
Diabetic retinopathy occurs when high blood sugar levels injure the retina of the eye. This can lead to eye problems and vision loss in people with diabetes.
Diabetic nephropathy impairs the kidney’s ability to eliminate waste products from your body. If left untreated, it can progress to kidney failure and the need for dialysis. Maintaining normal blood sugar levels and blood pressure can help prevent kidney problems.
As there are no obvious symptoms in the early stages of kidney disease, your doctor will regularly conduct blood and urine tests to monitor your kidney function. Additionally, you may be prescribed medications to lower your blood pressure, and medications to prevent kidney disease from worsening.
Diabetic neuropathy is a condition that affects the nerves in the body. This can lead to sensations of tingling, pain, or numbness, particularly in the hands and feet.
People with numbness in their feet may not feel pain and may not notice that they have an injury in their feet until it has developed into an ulcer or infection. In addition, they often have poor blood circulation, which makes it harder for wounds to heal.
It is important to take proper care of your feet and undergo regular foot checks by your healthcare team. Neglecting foot health can result in serious complications such as amputation.
Learn more about how to care for your feet and prevent diabetes foot problems.
Macrovascular complications of diabetes affect the large blood vessels in the body, including those in the legs, heart, and brain. Damage to these large vessels can block blood flow to important organs and increase the risk of cardiovascular and peripheral artery disease (blood circulation disease).
Diabetes increases the risk of cardiovascular complications such as heart attack and stroke. Plaque builds up in the blood vessels of the heart and brain and block blood flow to these critical organs.
Symptoms of a heart attack include chest pain or breathlessness, while symptoms of a stroke include sudden one-sided weakness, confusion, and speaking difficulties.
Peripheral artery disease (PAD) occurs when plaque builds up in blood vessels of the legs, causing them to narrow. People with diabetes are particularly prone to this condition.
PAD results in poor blood flow to the legs and feet. This causes poor wound healing, development of leg ulcers and infection. The reduced blood circulation also makes it difficult for antibiotics , oxygen and nutrients, to reach the feet. This makes it harder to treat an ongoing infection. Severe cases may result in amputations.
Learn more about how to care for your feet and prevent diabetes foot problems.
Annual screening for diabetes complications is essential for people with diabetes. Through screening, early problems can be detected, and managed before they worsen. An annual screening typically includes:
If you have any questions or concerns about diabetes and its complications, please consult your healthcare team for personalised advice and support.