When diabetes is a chronic, degenerative disease, the more time passes a person exposed to hyperglycemia increased the risk of developing chronic complications inherent in this change. These complications occur on average after 10 years of disease onset and are related to prior metabolic dyscontrol. The organs most often affected are: Eyes: where it develops, diabetic retinopathy (which when severe can reach the blindness) and the Falls. Kidneys: where is developed diabetic nephropathy which can progress to kidney failure. Legs: At this level, damage in nerve condition diabetic neuropathy, which is responsible for severe pain in the limbs and the risk of infections or gangrene amputations.
The Heart: People with diabetes are more prone to infarcts, which in turn are associated with high cholesterol, and hypertension, this is called ischemic heart disease. The Brain: In this national diabetes is responsible for the development of cerebral infarction (stroke) or bleeding. Effect on Pregnancy. Patients with this disease should have medical evaluation ideally preconception and pregnancy should be planned to avoid the risk of complications of first trimester secondary to hyperglycemia, such as: Threats to Abortion, Abortion or congenital malformations. This is achieved by maintaining good control of blood glucose mean fasting levels under 105 mg to 120 mg under fasting and 2 hrs. after meals (postprandial) and glycated hemoglobin levels (HbA1c) below 7%. In our hospital we found that the chronicness of the disease in these patients ranges from 4 to 20 years longer history and the presence of chronic complications is higher.