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* HEALTHCARE


Physicians also perform foot exams in patients with diabetes at least once a year. Diabetes can impact the health of nerves, which results in an increased risk of the development of wounds and foot ulcers, since people with diabetes frequently will not feel wounds or cuts on the bottoms of their feet until they have progressed. Special attention must be given to the health of the feet to prevent the development of such dangerous ulcers.


PODIATRIST


In addition to causing nerve damage, diabetes can affect the blood supply to the lower extremities due to the im- pact of AGEs on blood vessels. A common complication is the development of foot ulcers, which can sometimes progress to a condition known as osteomyelitis, or infec- tion of bone. If this situation advances, an amputation can occasionally be necessary. It’s best to routinely see a podiatrist for a thorough evaluation in order to avoid such serious problems.


OPHTHALMOLOGIST


If you have diabetes, you should see an ophthalmologist at least once a year. With damage to red blood cells, elevated levels of blood sugar can also harm your eyes. Generally, your ophthalmologist can discover problems and intervene early on if you begin to have issues with your eyes. Early


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detection and intervention are extremely important since the impact of AGEs on the eyes is usually permanent.


ENDOCRINOLOGIST


When you have difficulty controlling your blood sugar, you may need to see an endocrinologist. Endocrinologists receive special training in the management of diabetes, and can design very specific regimens to assist you with blood sugar control. They can often develop extremely unique combinations of insulin and other medications that are tailored to your specific circumstances.


DIABETES EDUCATOR Diabetes educators play a crucial role in the treatment of patients with diabetes. Patients who are struggling to understand their insulin regimens, stick to a healthful diet, increase their activity level and avoid complications of the disease may be referred to a diabetes educator for more detailed discussions about the disease, along with ongoing support and planning.


These diabetes specialists generally spend more time consulting with patients to help them have a better understanding of diabetes. Physicians may see signifi- cant improvements in their patients with diabetes who have worked with diabetes educators and received more education on their illness.


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