By Dr. Arnold Bloom (auth.)
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Extra resources for Diabetes Explained
A young man may scarcely have the energy to get up in the mornings and may notice a falling off of strength in performing manual tasks. Associated with this tiredness is a general lack of zest and sex interest. Indeed, sexual impotence is not an uncommon cause for the patient to seek medical advice and for diabetes so to be discovered. In women, amenorrhoea, or cessation of the periods, frequently occurs in undiagnosed diabetes. Many other minor symptoms may be noted on questioning in newly diagnosed diabetics.
Take regular exercise suitable for your age: use your legs. 8. Do not smoke in any shape or form but above all avoid cigarettes. 9. Have a regular check of the urine and blood to make sure you are not making too much sugar. 10. Enjoy yourself. There is no reason why you should not keep healthy and enjoy a ripe old age if you look after yourself: diabetes in middle age is not a serious disorder if properly managed. 6 INSULIN HISTORICAL Diabetes is an ailment with ~uch striking and characteristic features, especially when developing in young people, that it is not surprising that it· was recognized as a disease entity even in ancient times.
COMBINED THERAPY Since it has been established that the sulphonylureas and the biguanides have different modes of action, it is not surprising that they have an additive effect in reducing elevated blood sugars when given together. Thus, in patients who fail to respond satisfactorily to a sulphonylurea such as chlorpropamide, the addition of phenformin or metformin can often restore a normal blood sugar. As has been mentioned, many patients who respond initially to the sul'phonylureas, tend to relapse after a variable length of time with a return of diabetic symptoms and the appearance of sugar in the 40 DIABETES EXPLAINED urine.
Diabetes Explained by Dr. Arnold Bloom (auth.)