The common and early symptoms of diabetes result
from
the effect of the high blood sugar entering the urine and drawing
fluid from the body’s tissues
along with it. This leads
to excess urine production with fre- quent urination. The loss of body fluid leads to thirst, in order to replace
the fluid loss. As long as the person
with diabetes is able to keep pace with his or her thirst by regular fluid intake, he or she will remain relatively well. However, without free access to fluid,
which can occur for a variety of reasons, one will become dehy- drated, which leads to dizziness
upon standing
upright drowsiness,
confusion, and ultimately fainting and unconsciousness. Due to the wasting
of calories as glu- cose in the urine, patients will complain of hunger and will usually lose weight if high blood
sugar is very
marked. However, it is important
to note that only a minority of people with diabetes will experience these symptoms. Frequently, the degree of high blood sugar is more moderate, with little sugar entering the urine
and causing no immediate
symptoms.
However, dia- betes of even modest
severity can cause considerable
harm
and
lead to
serious
chronic
complications. Therefore, it
is important
to
detect diabetes
that is
asymptomatic (i.e., without symptoms), which is the reason that screening programs to detect
diabetes in those at highest risk have been developed. If asymptom- atic diabetes
is not discovered for a sufficiently long period (many months or years), patients
may actually present with long-term
complications of the previously unrecognized
diabetes, such
as
heart attack,
stroke, heart failure, neuropathy (nerve damage), nephropathy (kidney damage), or retinopathy (eye damage).
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