BRAIN, EYES, HEART, KIDNEYS, LEGS KIDNEYS BRAIN, HEART, KIDNEYS BRAIN, EYES, HEART, KIDNEYS, LEGS COLOR ONE PART OF THE KIDNEY DON T COLOR ANYTHING

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1 KIDNEYS Stan, a type 2 diabetic, has not kept his blood glucose under control. He noticed that his feet are gradually becoming swollen. The doctor orders a urine test, which reveals protein in his urine. This is the beginning of kidney disease (diabetic nephropathy). Stan has decided to exercise for one hour everyday. He really enjoys walking and riding his bike, so he walks for 30 minutes and he rides his bicycle for 30 minutes. The exercise helps keep his blood glucose under control. DIABETIC NEPHROPATHY DIABETES AND EXERCISE COLOR ONE PART OF THE KIDNEY BRAIN,, KIDNEYS Stan went for his follow-up visit with the doctor. Because he was not following the treatment plan for his type 2 diabetes, Stan s blood pressure was too high. The doctor prescribed medications to bring Stan s pressure under control. UNTREATED HYPERTENSION COLOR ONE PART OF THE BRAIN,, KIDNEYS Stan works 12 hours a day. When he gets off, he is tired so he eats out everyday. Stan has no control over the ingredients used to prepare his food and he eats portions that are too large. As a result of his eating pattern, Stan s blood glucose levels have been elevated for weeks now. COLOR ONE PART OF THE BRAIN,,, KIDNEYS, S

2 KIDNEYS Stan has noticed frothing and bubbling in his urine. His doctor was concerned that Stan s kidneys might not be functioning well because Stan s blood glucose has been out of control for some time. A urine test showed Stan is suffering from kidney disease. DIABETIC NEPHROPATHY COLOR ONE PART OF THE KIDNEY Stan is depressed because his body shows symptoms of kidney disease; there is protein in his urine and his blood pressure is elevated. He is angry with himself for not managing his diabetes properly. The doctor tells him it is better late than never to start taking care of himself. Stan agrees to start a strict diet and to exercise regularly. For one year, Stan chose to wear shoes that did not fit properly because he did not find his size in the style he wanted. He developed a bleeding sore and did not notice it because he has neuropathy (nerve damage that can cause numbness or loss of sensation). The sore is healing slowly and may become infected. ULCERS IN DIABETICS COLOR ONE PART OF THE Stan chose to walk barefoot at the beach because he was too lazy to put on his sandals. As a result his foot was cut by a small piece of rusted metal. Because of his neuropathy, Stan did not realize he was cut until a week later. Now the cut has become infected. PROPER CARE COLOR ONE PART OF THE

3 Stan has not been exercising regularly and his blood pressure has been too high for a long time. Now, when he walks, Stan feels pain, weakness, and cramping in his legs. For a long time, Stan has been eating fast food and not exercising. He has a cut on his foot that has not healed in 2 weeks. His legs hurt and are pale and cool compared to the rest of his body. He also has a sore on his foot that has not healed in 2 weeks. Stan has very poor circulation in his legs. COLOR ONE PART OF THE COLOR ONE PART OF THE Stan decides he needs a new pair of glasses because of his headaches and difficulty seeing. Stan s optometrist refers him to an ophthalmologist because he may have glaucoma. Stan says, Thanks for the advice Doc, but I think the new glasses will do the trick. Stan chooses to ignore his doctor s advice. DIABETIC EYE DISEASE COLOR ONE PART OF THE EYE Stan experiences fuzzy vision and sensitivy to light. He thinks the optometrist gave him the wrong prescription, but the prescription is correct. Stan is referred to an ophthalmologist because his symptoms may be early signs of cataracts. Stan says, If the glasses are okay then I need to get used to the new prescription. Stan chooses not to visit his ophthalmologist. High Blood Glucose Levels COLOR ONE PART OF THE EYE

4 Stan has frequent headaches and pain in his eyes. His ophthalmologist found elevated eye pressure. The doctor prescribed medicine to help Stan s eyes drain fluid and reduce the high pressure. He told Stan that elevated eye pressure is an early warning of glaucoma, a disease that can damage the optic nerve and cause blindness. Stan scheduled a follow-up appointment. Stan remembered his doctor telling him that the tingling sensations and numbness in his feet were the start of a complication called neuropathy. So Stan made sure to protect his feet by wearing his new sandals to the beach. He will examine his feet carefully after his day at the beach. PROPER CARE Stan has poor circulation in his legs and feet due to diabetes. His doctor told him that he also has neuropathy. Stan went to buy shoes and took his time to make sure that the shoes fit him comfortably. He can avoid further complications of neuropathy by making wise decisions when buying footwear. CAUSE OF PROBLEMS Stan noticed that his eyes have become more sensitive to light and that his vision seems blurred even with his glasses. He visited his optometrist who sent him to the ophthalmologist for a thorough check up to rule out retinopathy. He follows his doctor s advice. DIABETIC EYE DISEASE

5 BRAIN After suffering a stroke, Stan was anxious to follow his doctor s orders. Which included taking a baby aspirin daily. Over time his risk for a second stroke was reduced. ASPIRIN TABLET DAILY NOTE: Take aspirin daily only when advised to do so by a doctor. Stan has been able to lower his blood pressure and cholesterol with medication and exercise. He has reduced his A1C by 1%. By lowering his A1C, he has lowered his risk for a heart attack. A1C BLOOD GLUCOSE Stan read the Center for Disease Control statistic: 65% of diabetics die prematurely from heart disease. He has decided to begin taking the ACE inhibitor medication prescribed to lower his blood pressure. Since he has suffered many health problems, Stan is ready to follow his doctor s recommendations for regular exercise. He has even bought comfortable walking shoes and created a thirty-minute workout in order to lower his blood glucose. ACE INHIBITORS PREVENTIVE MEDICINE

6 Stan s typical eating habits include snacking three times a day on candy and cookies. Eating sugary snacks causes a sharp increase in blood glucose. HIGH BLOOD GLUCOSE COLOR ONE PART OF THE BRAIN,,, KIDNEYS, S, LUNGS Cheese, butter, whole milk, and fatty meats make up a large part of Stan s diet. Even after his doctor advised him to cut back on these foods, Stan continued eating them in large quantities. Eventually, eating saturated fats leads to blockage of his arteries. BLOOD VESSELS COLOR ONE PART OF THE Stan has stopped taking his prescribed ACE inhibitor, a medicine which lowers blood pressure. He says it makes him cough and feel drowsy. Over time this drug would have reduced the risk of developing cardiovascular disease. ACE INHIBITORS COLOR ONE PART OF THE Stan was overwhelmed with all the information on healthy eating. He knew he needed to change his diet, but he was confused. Finally, he visited the Texas Diabetes Institute (TDI) where he learned to make easy, balanced meals to lower his blood glucose and protect his vascular health.

7 Stan has exercised and kept his blood pressure and blood sugar within a healthy range. His doctor is pleased that circulation to his legs is good. Stan has not exercised and controlled his blood pressure and diet so he has a blocked artery going to his legs. He will have to have surgery to open the blocked artery. DO NOT COLOR ANYTHING COLOR ONE PART OF THE