Diabetes mellitus is a group of diseases of the endocrine system with severe complications. The occurrence of this pathology is associated with impaired glucose uptake or insulin hormone deficiency. To avoid the adverse effects of the disease, it is necessary to diagnose it in time and begin treatment, for which you should contact the appropriate specialist.
What kind of doctor to contact with high blood sugar
When the first signs of diabetes appear, you should consult an endocrinologist. The endocrinologist prescribes the necessary research and then on the basis of the obtained results makes the correct diagnosis and prescribes treatment.
When the first signs of diabetes appear, you should consult an endocrinologist.
Which specialist treats diabetic foot
Diabetic foot - a complication of diabetes, usually type 2. Due to the high content of glucose in the blood, microcirculation in the vessels is disturbed, the tissues do not receive adequate nutrition. Trophic ulcers appear on the feet, which, if left untreated, develop into gangrene. Since the main disease in this case is diabetes, the endocrinologist conducts drug therapy. The surgeon is engaged in the treatment of suppurative complications of the feet. He conducts surgical treatment: rehabilitation of necrotic foci of the foot, if necessary, amputation of the limb.
Who deals with the complications of diabetes on the eyes
With the progression of diabetes begins diabetic retinopathy - a gradual detachment of the retina, leading to loss of vision. In time to notice this complication and treatment should begin under the supervision of an ophthalmologist. He conducts eye examinations, prescribes drugs to maintain vision.
Which doctor will help cure neuropathy
Neuropathy is a nerve damage that occurs due to the progression of diabetes. It is manifested by changes in sensations: a decrease or, on the contrary, an increase. The emergence of pain, tingling. Neuropathy is treated by a neurologist: he examines the patient, prescribes painkillers, drugs that improve metabolic processes, and physiotherapy. Due to the fact that the cause of neuropathy is diabetes, endocrinologist and neurologist specialists interact with each other during treatment.
Who is a diabetologist, and when can his help be needed
A diabetologist is an endocrinologist who studies and treats diabetes. A separate specialist in this field appeared because of the diversity and complexity of the pathology. This doctor is studying the causes of diabetes, its forms. Conducts diagnosis, consultation, treatment of such patients. Engaged in the prevention of complications, rehabilitation of patients.
Consultation of a diabetologist is needed when the first signs indicating diabetes mellitus appear:
- constant thirst;
- increased water consumption throughout the day;
- frequent urination;
- dry mouth;
- constant hunger;
- visual impairment;
- drastic weight loss or weight gain;
- unexplained drop in blood sugar.
Another consultation of a diabetologist is recommended for people at risk:
- close relatives of patients with diabetes;
- persons with high blood pressure;
- people who are overweight;
- persons over 45;
- patients taking glucocorticosteroids, contraceptives, other drugs that cause the occurrence of diabetes;
- patients with chronic diseases of the liver, kidneys, pancreas.
A diabetologist is a narrow specialty. Such specialists are not available in all clinics, so more often the endocrinologist is engaged in the treatment of this endocrine system disorder.
Competence of the endocrinologist and the types of his specialization
An endocrinologist is a doctor engaged in the correction of the problems of the endocrine glands, hormonal disorders in adults and children. The endocrinologist’s work spectrum is wide, because hormonal disorders affect the functioning of all organs and systems. These disorders manifest themselves in different ways, so endocrinologists also consult patients with diseases whose symptoms at first glance are not the result of hormonal disruption.
- Pediatric endocrinologist. Corrects hormonal disorders in children.
- Endocrinologist-gynecologist. Treats pathologies of the hormonal system that affect the work of the female reproductive organs.
- Endocrinologist andrologist. Treats diseases of the male reproductive system caused by hormonal disruptions.
- Endocrinologist-oncologist. Leads patients with endocrine neoplastic diseases.
- Endocrinologist-surgeon. Conducts surgical treatment of tumors (more benign) of the endocrine system.
- Endocrinologist-geneticist. He studies inherited diseases of the endocrine system, conducts medical and genetic counseling for couples planning children.
- Thyroidologist. Engaged in pathologies of the thyroid gland and their manifestations.
- Diabetologist A doctor who treats diabetes and its complications.
- Endocrinologist-dermatologist. Treats skin manifestations of hormonal disruptions.
- Endocrinologist-nutritionist. He advises in terms of nutrition in endocrinological pathologies, studies the problems of overweight and obesity.
The role of the therapist in diabetes
The local therapist is the first specialist to whom patients turn to when they come to the clinic when the state of the body deteriorates. If the patient first applies, and his symptoms indicate the possibility of diabetes, a blood test for glucose is prescribed.
If the test results are satisfactory, then the doctor begins to look for other causes of the resulting malaise.
When an elevated blood glucose level is detected, the therapist refers the patient to an endocrinologist to order additional examinations and consultations. The endocrinologist (or diabetologist) prescribes treatment, recommends a work and rest routine, nutrition, and teaches the proper use of blood glucose meters and self-administered insulin injections if the diagnosis is confirmed.
If the patient has confirmed diabetes mellitus, and he turns to a general practitioner for another disease, the doctor begins treatment with this pathology. Ensures that the patient's condition does not worsen during the therapy.
Also, the general practitioner conducts educational work among healthy patients who are predisposed to the development of diabetes. He explains to them the specificity and seriousness of the disease, makes recommendations on how to eat better, what kind of lifestyle to lead in order not to get sick.
If there is no endocrinologist, diabetologist, and there is no opportunity to refer a patient with diabetes to a more specialized medical institution in the hospital where they asked for help, the general practitioner is also involved in the treatment and clinical examination.
What experts still need diabetics
Diabetes mellitus is a disease that affects all organs. Most patients do not die from the disease itself, but because of its complications. Therefore, the treatment of this disease and its manifestations should be comprehensive, only then it will benefit and reduce the number of complications.
With diabetes, metabolic processes are disturbed in the body. The distribution of proteins, fats and carbohydrates in the diet for people with this disease is different from the standard. A nutritionist determines a rational diet for a patient with diabetes, explains which foods should be limited and which ones should be consumed more. He tells about hyper- and hypoglycemic states, gives recommendations on how to combine nutrition and insulin intake, how to correct food intake if there is a sharp drop or increase in blood glucose.
The ophthalmologist observes the patient with diabetes in order to warn in time to identify diabetic retinopathy - a complication that causes retinal detachment and vision loss. Conducts preventive therapy and treatment of an already started process.
With diabetes, the blood supply to the kidneys is deteriorating, and glomerular filtration is impaired. Therefore, these patients are at risk of developing renal failure. In order to prevent the development of this complication, it is necessary to monitor a nephrologist.
The surgeon observes patients who have developed ulcerative-necrotic lesions of the legs - diabetic foot. He prescribes the appropriate treatment and decides on the possible surgical intervention and its volume.
With a long course of diabetes, the nervous system is also involved in the process. Most of the complications that worsen the quality of life and are fatal are associated with it. The most common: polyneuropathy, diabetic encephalopathy, stroke. Prevention of these complications and monitoring the state of the nervous system is carried out by a neurologist.