Self-control in a broad sense implies the whole range of skills that a patient with diabetes mellitus must possess in order to prevent acute, chronic complications.

If you are going on a business trip or vacation

What needs to be done to prevent bad consequences:

• before leaving, be sure to consult your doctor for advice regarding the upcoming holiday or business trip;

• be sure to have with you a card of a patient with diabetes mellitus or a medical certificate replacing it;

• take everything you need with you on the trip: insulins, pens, syringes, disinfectants, antidiabetic medications and other medicines prescribed for you for a longer time (with a week's supply) than you plan to spend on holiday or on a business trip. It is necessary as unforeseen delays or some kind of surprise may occur;

• take extra food with you, which will be useful if you are not able to eat in time, and necessarily several pieces of sugar (in case of hypoglycemia);

• put some medicines and food in your hand luggage, in case the rest of the luggage is lost or delivered late.

If you are going to travel by plane, be sure to take them with you to the cabin, as there can be significant temperature changes in the luggage compartment of the aircraft that can affect the effectiveness of insulin.

Late complications of diabetes mellitus

If a patient with diabetes mellitus has a very high level of sugar for a long time, late complications occur. These complications consist in circulatory disorders in the smallest vessels (capillaries), in which typical changes appear. The degree of damage to small vessels (microangiopathic) can be determined by the doctor. It requires an examination of the fundus with an ophthalmoscope. In this case, you can directly look at small vessels.

Poor compensation for diabetes increases the development of atherosclerotic alterations of large vessels (arteries), which leads to the development and progression of ischemic heart disease and atherosclerosis of the lower extremities.

Nerves can also be affected in diabetes. It is due to the destruction of the shell of nerve fibers against the background of consistently elevated blood sugar.

Late complications do not occur in all people with diabetes, and it is impossible to predict who will develop them. However, studies have shown that careful control of blood glucose prevents or delays the development of late complications.

Moreover, today, there are no problems with finding the right drugs. Online pharmacies have become a great way to find the right medicines. Now you do not have to spend several hours or even days to go around pharmacies and find the right medicines. And what’s more pleasant is that drugs can be much cheaper in online pharmacies.