The effects of high blood sugar happens over time, and when we talk about complications, we refer to macrovascular (heart attacks, strokes, and circulation problems) and microvascular (kidney problems, eye damage and nerve problems) complications. Patients with diabetes are not only more prone to these problems the longer they have had diabetes, but also the higher the glucose levels are. We know that by keeping glucose levels under control (generally means an HbA1c less than 7%), then patients are less likely to get complications. We also need to make sure that their blood pressure and cholesterol are kept under control, as well as improve their weight if they are overweight. If blood glucose levels are very high, then patients can get other symptoms like tiredness, increased thirst, passing large amounts of urine and blurred vision. These latter symptoms are temporary and can be improved by lowering the levels.
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