Clinical manifestations in Type 1 will present themselves over a shorter time frame. The clinical manifestations include:

1.Polyuria: increased frequency of urination

2.Polyphagia: Increased appetite

3.Polydipsia: Frequent thirst

Clinical manifestations in Type 2 will appear over a long period of time and may be mistaken for other health problems and not diabetes.

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1.Many people have diabetes an average of 5-7 years before diagnosis

2.Since many people with Type 2 are older, it is important to not just assume the symptoms are because someone is elderly. It is important to talk to your patients about the symptoms they are having and their risk factors.

3.Hyperglycemia causes you to be fatigued.

4.Dry skin: Skin provides an important defense mechanism against infection when it is intact and healthy. Hyperglycemia resulting in polyuria may be a cause of dehydration and subsequent dry skin. Anhidrosis, which is defined as an autonomic neuropathic condition of diabetes in which little or no perspiration is produced in the feet and legs, may lead to drying and cracking of the skin. People with poorly controlled diabetes complicated by vascular or neuropathic changes demonstrate an increased risk for skin infection caused by staphylococci beta hemolytic streptococci, and fungus.

5.Numbness and tingling not only in feet, but hands/fingers.

6.Diabetes is the number one cause of preventable blindness.

7.Increased blood sugar interferes with the healing process.

8.Increased sugars also cause yeast infections

9.Sexual dysfunction can occur in both men and women as a clinical manifestation.

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