mayfly
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Aussie Pete said:It said in the article that he was diabetic, and the risk of having complications that may lead to leg amputation, is higher in diabetics than the average person.
Not to sure why, but you can bet if you see someone with an artificial leg or a leg amputated these days in the modern western world, it's probably a 50/50 chance they are diabetic.
Black Dog said:Aussie Pete said:It said in the article that he was diabetic, and the risk of having complications that may lead to leg amputation, is higher in diabetics than the average person.
Not to sure why, but you can bet if you see someone with an artificial leg or a leg amputated these days in the modern western world, it's probably a 50/50 chance they are diabetic.
The further away from the heart, the smaller the blood vessels are. Most diabetics have consistently high levels of glucose in the blood which causes damage to small vessels. Often the end result of this is neuropathy.
A patient with neuropathy has greatly reduced feeling in the limb that develops this symptom. Many times a diabetic patient will have a small wound on their foot, maybe just a small cut.
Since they have reduced feeling in their limb, they don't realize they have the wound and it ends up getting infected. Since the blood flow to these limbs is reduced due to the damaged vessels, the wound does not heal.
The infection moves up the leg and amputation is often required to avoid infection spreading to the rest of the body. You were pretty close on your 50/50 evaluation. Sixty percent of all amputations that are not related
to an accident are due to diabetic complications. If you are a diabetic, pay close attention and take good care of your body so you can :rock-on:
Max said:I know Diabetes is no joke. I got to see my grandfather get his legs amputated one at a time, and eventually die from it
Patrick from Davis said:I have had type 1 (Insulin dependent) diabetes for 34 years. Much of what has been said is right on. The high blood sugar causes osmotic stress on the body, causing water to migrate out of cells and into the blood. The kidneys try to filter this, without much luck. You normally are not supposed to lose fuel (glucose) in this manner. The osmotic pressure causes damage to the capillaries, generally further from the heart happens first, and once they are gone, they stay gone. This damage shows up in the hands, feet, and eyes. The eyes show up because the damage makes vision difficult, obviously, not because it they are major circulatory requirement in the body. This also explains the thirst problem with high blood sugar, your cells are being dehydrated by the osmotic pressure, the excess water in your blood is being excreted. Then the body says I am thirsty, really really thirsty. But no matter how much you drink, it doesn't help. You generally start to slosh around. Very annoying. Long term, this causes reduced circulation overall, and then the cells get infected or necrotic, and at this point there is only really one solution left.
From a treatment standpoint, it is frustrating. Shots, blood tests, and feeling crappy are all normal. So is a laundry list of test Doctors perform on you. Generally they all have to include blood draws, it wouldn't seem right otherwise. Honestly, that part in not that bad, anything that helps keep me feeling better in the long term is worth 10 seconds (if that) of wincing. From the personal perspective, it shapes a lot of what you do. Habits are formed and followed because they bail you out. Lots of habits. Like training for soldiers in a lot of respects. But, the real fun is being a detective and trying to figure out what went wrong and why. Frequently, there is no answer, which is not easy to deal with. Often you have to do this while you feel crappy. This is why my coworkers consider me to be kind of crabby. Truth be told, I am wired that way anyhow. And of course, there are no vacations. In fact, actual travel sucks because of all the stuff required in order for things to run smoothly, and the difficulty of obtaining it if you forget it, it gets broken, or if it is lost.
Why the long winded spiel? In a moment. For me I started very early. This is my life and it pretty much has always been this way. For some that get it later on in life, or god forbid as a teenager, it is a lot to reckon with. You know what it was like before, and now it is not. You are categorically different from the average person. At times you get frustrated. After getting frustrated a lot, and losing your better sense about things (I wanted to joke that you buy a Wenge Les Paul neck with a Brazilian finger board, but alas) some people say, "F it." This leads to a lot of the long term problems that are associated with diabetes. You can make me take pills, shots, and tests, but you are not taking my cupcake. It tends to all add up.
Patrick
PS, I didn't go into the fun and exciting world of low blood sugar. That is the other side of the, "Awe geez," coin with diabetes. But essentially you brain is starving for food so the less important things get get dropped. Like completing sentences.
Cagey said:On the lighter side concerning Leslie West...
One of the first arena-sized concerts I went to back in the early '70s was Black Sabbath, with Leslie West and Mountain as the warm-up act. We get there, get our seats, smoke about a pound of dope, and the first band takes the stage. Talk about suck! I don't even remember who they were, but it was probably Bob Seger or somebody like that. Ultra-bad, whoever it was. I was tremendously disappointed because I thought that was Leslie West and expected much better. But, we lived through it.
Next band comes on, which should be Black Sabbath. Absolutely blew me away. Excellent show. Couldn't believe Black Sabbath could sound so good, as most of what I'd heard from them at that point was their "Master of Reality" album. Kinda surprised they didn't do any of those tunes, but whaddaya gonna do?
Then a third band comes on! Finally figured out what was going on, as they played mostly Black Sabbath tunes <grin>
Incidentally, Sabbath sucked, too. Leslie West was the star of the evening.
Cagey said:It was at Cobo Hall, which has some pretty substantial space available. Depending how they open it up, it'll seat between 25K and 100K people. Seems like most acts go to Joe Louis Arena these days, but I don't pay that much attention. There's also Comerica Park and a few other places, but I don't know that too many bands do the huge act thing like they used to. At least, not in Detroit. It's kinda like going into space, where you have to bring everything you need with you because there's no place to get it otherwise and you don't dare stop even if there were. Plus, I think space flight would be safer. Hell, Bagdad's safer.