Do diabetics ever have a problem with heat? (type1)?!


Question: Do diabetics ever have a problem with heat!? (type1)!?
Do you ever get hypoglicemia attacks when u go outside for aWww@Answer-Health@Com


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The concept of damage to skin circulation and sweat glands in patients with diabetes is not new!.11 However, previous studies analyzed sweating in patients with diabetes by painting the patient with corn starch and looking for either large amounts of sweat production or no sweat production in patchy areas!.6 Previous researchers did not quantify the absolute amount of sweat or see how it compared with sweat in control subjects!. In the present investigation, rather than simply warming the patient under an electric blanket, patients were exposed to a neutral and hot environment lying horizontal on a tilt table, and sweat rates were measured in relation to skin and central body temperature!. Generally speaking, central body temperature is more accurate if tympanic or rectal temperature is used!. However, oral temperature is acceptable for patients resting!. With exercise, large amounts of ventilation can keep oral temperatures from producing the proper values when exercising in a cool environment!. However, because subjects in this study were resting, their metabolic rate was low and oral temperatures were acceptable for measuring trends for central core temperature!.

In our study, we were able to expand on these early experiments and isolate different areas of the body!. We show dysfunction in sweat rates in all the areas of the body we assessed!. On the calf during heating, for example (Figure 4C), although sweat rates were similar in control and subjects with diabetes, all eight subjects with diabetes had lower sweat rates!. In other areas, such as the forehead, there was a greater difference in sweat rates than in the calf or forearm!. Although earlier studies6 suggested that problems with sweat glands resulting in the lack of sweating are only found in only some areas of the body, our present data clearly show nonselective general damage to all areas of the body associated with diabetes!. Furthermore, the damage that occurred did not appear to correlate with the duration of diabetes or type of diabetes!. Thus it would appear that damage to the sweat glands with diabetes seems to be a great deal more widespread than originally thought and, similar to previous data, appears to occur early in the course of both type 1 and type 2 diabetes!.

The overall consequence of this damage to the sweat glands resulted in significant thermoregulatory dysfunction!. Earlier studies did not directly assess the effect that damage to the sweat glands can have on thermoregulation!. However, our present investigation showed a clear correlation between abnormal noncompensatory rises in skin temperatures resulting in inappropriate raising of core temperature in subjects with diabetes!. For example, in figure 6, as core temperature increased, control subject sweat rate increased proportionately to maintain core temperature constant!. However for subjects with diabetes, sweat seemed to plateau irrespective of an alarming rise in core temperature!. Thus, the diabetic subjects



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