According to a new French study, people with type 2 diabetes who use commonly used medications called diuretic diuretics may be at significant risk of losing one leg or leg. The researchers found that taking diuretics increased the likelihood of missing or requiring angioplasty or bypass, 75 percent or more compared with those who did not use it.
According to the findings of this study, diuretics should be used with caution in patients with type 2 diabetes at risk for amputation.
But an American specialist said limiting diuretics to diabetic patients between stones and a hard place. As Dr. Gerald Bernstein explained, diuretics are used to help escape from salt and excess water in the blood, thus helping patients control blood sugar and blood pressure.
This, in turn, can help prevent a major killer, congestive heart failure. Bernstein, coordinator of the Friedman Diabetes Program at Lancers Hill Hospital in New York, said the challenge is to choose appropriate medications to prevent deterioration of heart failure to prevent an increased risk of amputation.
As Bernstein explains, Type 2 diabetes is a disease that is highly associated with cardiovascular complications, especially with large arteries from the heart to other parts of the body. When these arteries and heart are sick, abnormal blood flow is present to all parts of the body, but lower organs can be affected by the length of that artery.
Amputation in diabetic patients
When blood circulation issues become severe, leg amputation is often the only option. How likely is diabetes-specific drugs to affect amputation? To help find the answer, the Putire team tracked the results of nearly 1,500 people with type 2 diabetes. This study focuses specifically on amputations as well as methods such as angioplasty or biphasia of blocked or damaged blood vessels. These methods are used to improve blood circulation and prevent leg or foot amputation.
Approximately 700 participants in the study used diuretics. During the seven-year follow-up, 13% of people who received diuretics were cut off or had other procedures on their legs, compared with 7% of those who did not use diuretics. In other words, it meant that taking diuretics, compared with those who did not use it, increased the risk of amputation, angioplasty or bypass by 75% or more.
Most of this increase resulted in amputation, which was almost doubled for people who took diuretics. It is important to note that the study was based on observation in nature, which means that although it can show the relationship between diuretics and the rate of amputation, it can not prove its cause and effect, and other factors may also be involved in this process. To be In addition, the research presented in the medical sessions is typically considered until it is published in a magazine reviewed by the journal.
According to Bernstein, the message here is not to immediately stop using diuretics, but it should be noted that the patient and the physician should be very careful not to use too much for treatment and are highly selective in which drugs to fight diabetes used. Doctor Robert Coorey, a diabetes specialist, agreed, in reviewing her results, that although more studies are required to confirm the results: if the patient is at risk for amputation, then diuretics may be used to use other options with similar effective outcomes avoided.