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Diabetes Complications

Living with diabetes is becoming easier thanks to better treatments and innovative tools. Even so, diabetes can still lead to health problems if blood sugar levels are not well managed. 

At Banner Health, we’re here to help you understand the possible complications of diabetes and take steps to prevent or delay them. Knowing what to watch for can help you protect your health and live well with diabetes. 

What is diabetes? 

Diabetes is a condition that affects how your body uses glucose, or sugar, in the blood. Glucose is an important source of energy, but it needs insulin to move from the bloodstream into the body’s cells. 

Diabetes occurs when the body: 

  • Does not make enough insulin, or 
  • Cannot use insulin effectively 

There are several types of diabetes. The most common are type 1 diabetes and type 2 diabetes. Gestational diabetes can occur during pregnancy. Prediabetes means blood sugar levels are higher than normal but not yet in the diabetes range. 

How diabetes affects the body 

When blood sugar stays too high for too long, it can damage blood vessels and nerves throughout the body. This damage may happen slowly over time or appear suddenly. 

Diabetes complications generally fall into two categories: 

  • Acute (sudden) complications, which can happen at any time 
  • Chronic (long-term) complications, which develop over years 

Regular blood sugar monitoring and ongoing care help reduce the risk of both. 

Acute complications of diabetes 

Acute diabetes complications can develop quickly and may require urgent medical attention. 

Low blood sugar (hypoglycemia) 

Hypoglycemia happens when blood sugar levels drop too low. It can occur if you take too much medication, delay meals or increase physical activity without adjusting treatment. 

Symptoms may include: 

  • Shakiness 
  • Sweating 
  • Confusion 
  • Dizziness 
  • Fainting or loss of consciousness 

High blood sugar (hyperglycemia) 

Hyperglycemia occurs when blood sugar levels become too high. It may happen if insulin or medication doses are missed, meals contain more carbohydrates than usual or during illness or stress. 

Symptoms may include: 

  • Extreme thirst 
  • Frequent urination 
  • Fatigue or weakness 
  • Blurry vision 

Diabetic ketoacidosis (DKA) 

DKA is a life-threatening emergency that occurs when the body does not have enough insulin and begins breaking down fat for energy, producing harmful acids called ketones. 

Symptoms may include: 

  • Extreme thirst 
  • Frequent urination 
  • Nausea or vomiting 
  • Unexplained weight loss 
  • Severe fatigue 

DKA is more common in people with type 1 diabetes but can occur in others. 

Hyperosmolar hyperglycemic state (HHS) 

HHS is a life-threatening condition that occurs when blood sugar levels become extremely high, leading to severe dehydration. It affects people with type 2 diabetes. 

Symptoms may include: 

  • Extreme thirst 
  • Frequent urination 
  • Dry mouth or skin 
  • Confusion or altered mental status 

Chronic complications of diabetes 

Over time, high blood sugar can damage organs and tissues throughout the body, leading to long-term complications. 

Heart disease and stroke 

Diabetes increases the risk of heart attack, stroke and other cardiovascular diseases. High blood sugar damages blood vessels and contributes to plaque buildup in arteries. 

Nerve damage (diabetic neuropathy) 

Diabetes can damage the nerves that carry signals throughout the body. 

Symptoms may include: 

  • Numbness or tingling in the hands and feet 
  • Burning or shooting pain 
  • Digestive problems 
  • Bladder or sexual dysfunction 

Kidney disease (diabetic nephropathy) 

Long-term high blood sugar can damage the blood vessels in the kidneys, making it harder to remove waste and excess fluid. This can lead to chronic kidney disease or kidney failure. 

Eye disease and vision problems 

High blood sugar can damage blood vessels in the eyes, increasing the risk of: 

Foot problems 

Nerve damage and poor circulation can lead to foot injuries, ulcers and infections. In severe cases, untreated infections may result in amputation. 

Gum and oral health problems 

High blood sugar can increase bacteria in the mouth, leading to plaque buildup, gum disease, cavities and tooth decay. 

Skin complications 

Diabetes can slow healing and reduce blood flow to the skin. This increases the risk of skin infections, wounds and other skin conditions. 

Why complications often occur together 

When one complication develops, others are more likely to follow. For example, damaged blood vessels in the feet may also signal damage in the heart or kidneys. 

Risk for complications increases when diabetes is combined with: 

  • High blood pressure 
  • High cholesterol 
  • Smoking 

Managing these factors is just as important as controlling blood sugar. 

Next steps: Preventing and delaying diabetes complications 

Understanding diabetes complications helps you and your health care provider take steps to prevent problems, detect issues early and adjust care when needed. 

Regular blood sugar monitoring, along with ongoing medical follow-up and healthy lifestyle habits, can help prevent or delay many diabetes-related complications. 

Learn more about the importance of regular blood sugar monitoring and ongoing diabetes care.