today, we're breaking down the settle signs of undiagnosed ability signs. you may be able to spot on yourself, but why should you care? well, one in four american adults, the diets are completely unaware. they have i t, and if we catch it early, we can prevent all the issues were about to discuss by the end of this video. you'll know, know exactly what to look out for s o. you can take charge of your health. okay. so o what is diabetes? simply put, dietz is a condition where your body has trouble managing blood red levels, normally a hormone called in slan, moves sugar from your blood into your cells. where can be used for energy. but when you have died, is either your panera stopped making insinuations. we call type one diabetes or yourselves become resistance into insolent and stop responding properly, which we called type two diabetes. in both cases, sugar builds up in your blood over time, and this causes irreversible damage to your blood vessels, nervous and organs. since type two died is farm more common. that's what we're going to focus on this video, right, right? let's get into the symptoms s, o, one, the most common signs of diets is frequent. un nation, also known as polly yeri. a patients tell me this is most noticeable night when they're suddenly waking up multiple times the night to go to the bathroom. this happens because as blood sugar level rise, your kidneys have to work harder to filter and absorb that access glucose. at a certain point, they can keep up and access glue co spills out into your, your urn, drain water with i t. this not only leads to increase the your nation, but also a state of dehydration, increases the thoughts of vicious cycle, p, more, drink more. and as you can imagine, trying to hydrate with sugar, y drinks like juice or pop, just makes this worse. okay. now grab mirror. we're going to focus on some sense diabetes that you can see on your skin. first up, a cantos is nigher kcs. this is a skin condition, characterized dark vvd patches that you can usually find on the back of the neck, r pit, or growing most of the time when you see. this is a sign of insulin sist stance. basically, your cell stopped responding to normal incidence levels. your pankau response by producing even more installing and when installing levels rise, they activate installing like growth factor receptor, the skin. this stimulates the growth of skin cls, like characterized and fibro bleats, particularly in areas with high friction like the armpits. and that what causes the thickening and hyper per pigmentation of the skin. so if if you notice these changes, i t could be an early warning sign of diabetes. here's another sign to look out for skin tags, just like a canvas niggro, cs, these are little skin flumped can open areas of friction where skin foods together, like the neck, armpits and grown, while they're usually harmless, having multiple skin tags can be assigned of insane sions. all right now, let's talk about infections. divides can create the perfect environment for bacterial and fungi to thrive because high blood sugar levels literally feed. these little organizes, been them grow and spread, plus consistently high sugar levels, significantly weakens your mum system. this control on the skin as a session or east infections, but i t doesn't stop there. remember how access blue coast can spilled into the year. and well, that one reason that people with diets are farmer are likely to develop your erni tracked infection. and yes, that affect both men and women, did you, you know, that high blood glue cos can literally cause your tendance to become coated in sugar? s, o, what would that feel like that, s start with a quick test. put your hands together like you're about to pray. this is normal, but if your fingers can't fully straight or your pumps aren't touching, this is abnormal. i t called a positive prayn n, and this can be caused by dieted t. kerr throp, thy also known as dietetic diff hands in room. and it's directly related to high blood sugar, access sugar. actually, bds, to the proteins s in your skin intendance in a process called glia slave. remember this term because i'm going to talk about more later. the sugar code is soft tissues. your hand become thick and less flexible, which limits the range of movement. on a few occasions, i've actually seen this mistaken for our threat. let's take a look at this published case report, a fifty two year old woman came into the office with pain and stiffness in her hands. this is the exchange of her hands. her joints totally normal with no sign of our thais, although her joints were fine, the pain and stiff ness was coming from the sugar coating of attended in soft tissue of the hand. another common issue that can be triggered by diets is called trigger finger. it occurs when one of attendance that bds, your finger gets inflamed, patience will often come in with their fingers stuck in this position. and then when they try to extend i, t, t sort of snap in place, the condition got its named that unmistakable napping sensation. once again, this is caused by gorillaz of the tending this time in paring the tending from gliding smoothly. when i examined the patient with trigger finger, i can usually feel a lump at that level. the first case of the finger. that's the a one pull, and that's usually where the attendance getting caught. i'll typically treated with a stride injection to decrease the information around the tender. but in some cases, that doesn't work and i t requires surgery to get that tender moving smooth. again, something similar can happen to the shoulder called at heads of capital ats or frozen shoulder, and that can cause a tremendous amount of pain and stiff ness, which can last for years. but beyond joints, intendance dib ties can seriously impact your nervous high shirt labs are toxic to to the nerves themselves, and also to the tiny blood vessel supply, nutrient and oxygen to the nervous as the nerves become damaged. you might experience numbness, tingling or pain, particularly in the hands and feet. this is known as neuro pepy. you might be thinking, well, having num hands and feet sounds uncomfortable, but how bad could not really be? well, you don't realize how important the nerves are in your fees until they aren't properly. no rope, they actually change just the way you walk, leading to an abnormal wei distribution along on your foot when you can feel your feet to o not ware of the excess stress and injuries that occur. we call these microtron as tiny, little factors that develop in the bone because people with dietetic kerothi can't feel the injury. they continue to walk on i t, which prevented from healing. and to make matters worse, they also have decrease blood flow to the feet and slower woom healing because of the diets. this is a slippy slope. and over time, i t leads to dramatic structural al changes to the foot, and this is the end result called shark o foot. notice heavy arch. the fit is completely destroyed. and i t now has a rocker bottom appearance. this is the classic finding, and i t actually doesn't take that long for i t to happen. this first, x ray shows a fairly normal foot position. just ten months later, the shape of this persons foot has changed completely. and although this extra looks terrible and this can be a dilatation condition, many people who were struck kle foot, don't complain any pain, which really tells you house severe the nv damage in diets can be. and while on the topic of feet, did you know that diets is the number one cause of non traumatic amputation, people with neuropathy can easily cut foot without notice, and and high blood sugar. we can demand system and poor blood flow is the perfect environment for bacterial to grow. i remember one night when i was on call, i thought patient who came in with fever and alternative status. he was diagnosed with subs and admitted to hospital. when i examined him, i found an awful infection at the bottom of his foot and ride at the middle of the wood. there was a tiny stack, a regular office step. he had no idea. there was anything wrong with his foot, not only had he not felt the style go into his foot, but he wasn't even aware of the year infection. anyone else would have been screaming in pain and would have come to the hospital much sooner. and unfortunately, this is an a rare case. i see this kind of thing all the time in hospital and injury to the foot becomes an author, which gets infected, and then section get into the bone, and then, ultimately, in severe cases, that can lead to amputation. and that why i recommend that anybody with diabetes should be looking at their feet every day and inspecting for cuts, blisters or nail problems. and it's not just century nms in your feet that are affected. diabetes can also slow down your digestion, a condition called gusta prices damage to the nerves supplying your stomach. c causes i, t, t, m, t more slowly, which causes bloating. nazia informing ing, i can make meal planning difficult, and it can also cause blood blue coast level to be really erratic because of dead absorption of carbhoy rates. s, so how d, o, we ago diab dies in the past, doctors would actually taste a patients yn to check for switching. thankfully, we've come a long way since then. today, diets is a pretty straight ford diagnosis. the best tests is called him a global, a, e, c, c, and i t, tells you about your average blood sugar level over the past two to three months. here is. so i t works just like your tendence, the huggin bbb, albee es glycol laid over time. s, o. sugar literally attaches to your human global, the higher your blood sugar, the more glasslike tion occurs by measuring this, we get a sense your average blood sugar. over the past two of the three months, reflecting the typical lifespan of your red blood cells is really helpful because lugger levels flugge widely through the day, depending on what you eat in your activity level. s, o, just remember that huma ban a c test is far more useful than a random blood blue coast test because it's an average verses a moment in time. and the humor ban evn c, y, of six point five or higher quit in the dieter range s, o, who should get tested. certainly, anyone with the symptoms we discussed should be tested right away. but what are what everyone else? well, there are a lot of different opinions, but the american diety associate tion recommend that everyone has their human global a c, e. checked at least every three years, starting at the age of thirty five, and you should consider starting earlier or testing more frequently if you have any respectful or s o, that's a good place to start. now, how to prevent diese? now this could be an entire video, but here is an a natural diet can be complex, and you hear a lot of of different things. but remember, these four principles, high fiber, complex carbhoy. i rates less sugar and fewer process foods. exercise is really important, and you need to do o both cardio and strength training. doing this will help you. maintain a healthy weight, which is also important to reduce risk of the bees. and if you smoke, this is the time to stop die. bet is managed idea. ally, we want to prevent it, but it's going to happen. we want to catch it early. so so if you noticed any the sign that you talk about today on on yourself, or if you have over thirty five and you haven't been tested, then don't wait reach out to your doctor today. s, o, if you want to learn more about your body and other signs to look out for, then i recommend technical display list. we can learn about your town, skin, nails, all sorts of good things. stay curious, stay healthy, and i'll see the next video, s, o, by for now.