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You are working with a patient who has type 2 DM. She wants to know why...

You are working with a patient who has type 2 DM. She wants to know why you are so concerned about her heart, her eyes, and her kidney function. How do you address her question?

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Diabetes is a disease that affects the body’s ability to produce or use insulin effectively to control blood sugar levels.Excess of glucose in the blood for a long time can cause damage in many parts of the body. Diabetes can damage the heart, kidneys and blood vessels. It damages small blood vessels in the eye as well.

  • Eyes. Having high levels of sugar in blood for a long time can harm the tiny blood vessels in your eyes. This can result in vision problems or blindness.
  • Heart. High blood sugar may also harm larger blood vessels in body that supply oxygen to your heart and brain. Fat or plaque can build up in the blood vessels as well. This can lead to a heart attack or stroke.The most common cause of heart disease in a person with diabetes is hardening of thecoronary arteries or atherosclerosis, which is a buildup of cholesterol in the blood vessels that supply oxygen and nutrition to the heart.
  • Kidneys. The main function of the kidneys to filter waste and filter out extra water out of blood to make urine.kidneys also help control blood pressure and make hormones that body needs to stay healthy.kidneys are filled with tiny blood vessels.High blood sugar can cause these blood vessels to get narrow and clogged. As kidneys get less blood, less waste and fluid is taken out of your body. Kidney disease that is caused by diabetes is called “diabetic kidney disease.” It is the leading cause of kidney failure.
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