Thursday, June 18, 2009
Nothing too exciting to report this week. I continue to do a lot of screening, charting and some diet instruction. This week I talked with a few type 1 diabetics, but both of them had had the disease for a few decades and had very similar situations. There wasn't any diet instruction to be done in these instances. We have yet to have a new type 1 diabetic for me to instruct as of yet. Both of these cases were somewhat "typical" type 1 diabetics as far as complications go. Both had legal blindness in 1 eye and were admitted due to non-healing foot ulcers. Both already had toe amputations in the past and required the use of a cane. I was kind of surprised about the seriousness of their complications (and their young ages - <45 yoa) given how well it appears that they control their diabetes. Perhaps they don't control their blood sugars as well as it seems, or else these complications are more common than I realized?
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