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Compression therapy

What is Compression Therapy?

Compression therapy literally means ‘pressure treatment’. It is the application of back pressure when there is a build-up of fluid in tissue that leads to swelling (an edema). This is the most important treatment for moisture control in the legs and / or arms.

Examples of compression therapy are:

bandaging (this is a washable or non-washable bandage that is applied with pressure)
wearing a velcro stocking (a wrap)
wearing a therapeutic elastic stocking (TEK)

What is Edema?

Edema is an abnormal build-up of fluid in the tissue. This moisture accumulation occurs as a result of an imbalance between the supply and discharge of moisture. This increases the blood pressure in the leg vessels. As a result, the vessels and vessels dilate and varicose veins develop.

Moisture in the legs makes the skin vulnerable, which can cause a wound to occur more quickly. To prevent wounds, it is important that the edema is controlled. This is done through compression therapy with compression materials .
Types of edema

There are different forms of edema:

Lymphedema (venous edema, also known as CVI)

Due to a disturbed discharge and supply of fluid, there is an abnormal accumulation of proteins and fluid in this species. This condition is caused by: heredity, surgery, trauma, after the use of certain drugs, radiation, varicose veins and cancer treatment. This condition can also be congenital.
With a lymphatic system you have complaints such as:
o Swelling,
o Tired feeling in the legs,
o Heavy feeling in the legs,
o Pain in the legs,
o Skin abnormalities.

Lipedema

A lipedema is a chronic condition that mainly occurs in women. This is especially visible with hormonal fluctuations, during puberty or after pregnancy. The subcutaneous fat is not evenly distributed over the hips, thighs and legs. These fat cells also attract moisture, causing edema.

After your legs have been treated with compression therapy and your edema has almost disappeared, you will be fitted with therapeutic elastic stockings (TEK) (depending on what your treating physician has agreed with you).
Range of compression equipment

Therapeutic Elastic Stockings, popularly also called support stockings, are prescribed when the blood drainage in your legs is not optimal (for example due to dilated veins or thrombosis or damage to the lymph vessels). This can cause fluid to remain in your arms and / or legs, this is called edema. Often an edema is reduced with bandages. To prevent new edema formation, your treating doctor can prescribe therapeutic stockings. This can include other compression aids such as Velcro bandages.
Measuring compression stockings

On the basis of the information provided by the attending physician, a bandaging specialist will discuss with you which remedy is best for you. Your wishes are taken into account as much as possible.

The bandage technician will measure your legs and determine which type of stocking or compression device is most suitable for your situation. On delivery, the bandagist will put on the stocking or the compression system and check that it is properly fitted. You will be instructed on how to put on and take off the stocking or compression system yourself and how to maintain it. You can also ask your questions to the bandagist.

Is it difficult to put on the stocking yourself? Then the bandagist and an occupational therapist will look at a donning and doffing aid with which you can put on or take off your stocking yourself.

Preventing diabetes / Tips diabetes

Unfortunately, you cannot prevent type 1 diabetes . Type 2 diabetes can often be prevented by improving your lifestyle. A healthy lifestyle can reduce (or slow) your risk of type 2 diabetes.
Reduce the consequences of diabetes through a healthy lifestyle

If you already have diabetes, it is important that your condition does not get worse. As a diabetic you have a higher risk of cardiovascular disease and other problems, such as less good healing of wounds. Your diabetes will be monitored through check-ups with your doctor and internist. But you can also work on it yourself: with a healthy lifestyle and good use of your medicines.
Woman is sitting with daughter on the grass
Our advice to reduce (the risk of) diabetes

A healthy lifestyle is important to prevent type 2 diabetes. These are the top five pieces of advice:

Exercise enough, at least half an hour a day Exercise is healthy. The advice is to exercise intensively for at least half an hour every day. For example, by walking, cycling, playing tennis, dancing or swimming. When you exercise every day, you are fitter and have more energy. This will also
reduce the risk of type 2 diabetes. If you already have diabetes, exercise reduces the risk of unpleasant consequences of diabetes. More exercise makes your body more sensitive to insulin, which makes it easier for you to absorb glucose. More about healthy exercise. 
Don't smoke or quit smoking
If you smoke, you run up to twice the risk of developing type 2 diabetes. You damage your lungs, your heart and your blood vessels. Read more about the consequences of smoking.
Maintain a healthy weight
Are you overweight? Your risk of type 2 diabetes decreases rapidly when you lose weight. A few kilos less already helps. Read more about healthy weight loss.
Eat a healthy
diet Healthy food improves health because your body gets all the nutrients it needs. If you eat healthily, you will also keep your weight (better) and you will feel (more) fit. That reduces your risk of diabetes. 
Read more about healthy eating.  Also read our 10 tips to eat less salt  or less sugar .  
Do not drink too much alcohol
Drinking alcohol is allowed, but preferably not every day. If you do drink alcohol, do not drink more than 1 glass per day. Not only the alcohol, but also the number of carbohydrates has an effect on your blood sugar levels. So pay close attention to your blood sugar levels when drinking alcohol.
Find out more about how alcohol affects your health.

Use a new lancet and a new test strip for each fingerstick

Otherwise, the needle will become dull and hurt more quickly.
First, warm your hands

Then blood will come out of your finger more easily.
Woman and daughter play outside
Prick the side of the top phalanx

Many patients prick the fingertip. That can be very painful. The middle finger and the ring finger lend themselves well to a finger prick, because – unlike the thumb and index finger – they are not used as much. You can also use the side of the finger.
Use a new pen needle for each insulin injection

A needle is for single use only. The needle is sterile only the first time. The risk of infections increases with each injection with the same needle. In addition, the needle can clog or break with repeated use. The silicone layer also wears out, making stinging more painful.
Have your blood glucose meter checked every year

This way you can be sure that the device is measuring accurately.

Traveling with diabetes

f you have diabetes mellitus (commonly referred to as ‘diabetes’), regularity is very important. During vacations or business trips, it can be difficult to maintain your regularity. When traveling, you probably have a different rhythm and eating pattern. There may also be a time difference, and the temperature and your activities are different from normal. All of this can affect your blood sugar (the level of glucose in your blood). That is why it is important that you are well prepared for your trip. This checklist for traveling with diabetes can help you with that.
Traveling With Diabetes: Preventing Health Risks

When traveling, the circumstances are different than at home. You will often eat, drink and exercise differently than at home. You may also feel different, for example more relaxed or more stressed. All of those things affect your blood sugar. That is why it is important to measure your glucose level more often when you are traveling. If necessary, take measures with food and / or medicines.

Counteract hypo (hypoglycaemia)
In a warm environment (warm country) insulin is better absorbed by your body. This can give you a hypo: a drop in your blood sugar (glucose value). You can also get a hypo if your eating rhythm is interrupted, for example due to delays on the road. Read here what you can do against a hypo. So take the necessary measures in advance for a holiday to avoid a hypo.

Counteract hyper (hyperglycaemia)
A hyper is an increase in your blood sugar (glucose value). Read here what you can do against a hyper.

Bridging the time difference
When traveling abroad you can have to deal with a large time difference. It is important that you still take your medicines on time. If you are using insulin, your doctor or diabetes nurse can set up an injection schedule for on the go. You usually need to take short-acting insulin before every meal. You can move long-acting insulin forward or backward, in line with local clock times.

Bring a diabetes passport
Always carry a diabetes passport with you. It contains your treatments, your medicines and the results of your examinations. If you become unwell, bystanders or caregivers can tell that you have diabetes. A diabetes passport is available via the DVN website .

Note: Some insurance policies do not reimburse medical costs abroad for existing conditions, such as diabetes. Make sure you are clearly informed in advance, so that you travel well insured!
Family goes on vacation by car
Traveling with diabetes: storing medicines responsibly

Always store your insulin or diabetes tablets according to the instructions in the package leaflet. Also when traveling! You can always ask your BENU Pharmacy for advice.

Protect your diabetes medicines from heat and cold.
Always store insulin between 2 and 8 degrees Celsius and out of sunlight. Otherwise, the efficacy will be lost.  
Protect your test strips and insulin pumps from heat and frost. 

To a warm destination?

Your BENU Pharmacy sells special cooling bags for insulin. You can also store insulin in a cool box (but not against the cooling elements!), In a thermos with a wide opening, or in a rolled up towel. 


To a cold destination, such as winter sports?

Then carry the insulin on your body for the day. This prevents the insulin from freezing.


Flight?

Keep your diabetes medications and accessories in your carry-on bag. It can freeze in the luggage compartment of the plane.

Car trip? Camping?

Do not leave your diabetes medicines and associated aids in a parked car, camper, tent or caravan. There it quickly becomes too hot or too cold for your medicines.

Tip: Keep your diabetes medicines and aids spread out over your (or those of your travel companions) luggage. Then you will not immediately lose all your medicines if a bag disappears.
Roll case at the airport
Traveling with diabetes: using additional medicines

You may need extra medicines in addition to your diabetes medicines during your trip. For example, medicines for motion sickness, air sickness, diarrhea or tropical diseases. Your BENU Pharmacy knows which medicines you can combine with your diabetes medicines and can inform you about possible interactions.

Tip: Do you get sick or sick while traveling? If you are not keeping food down, it is important that you still get enough carbohydrates. This can be done, for example, by drinking fruit juice.

First symptoms of type 1 diabetes

What is Type 1 Diabetes?

When you have type 1 diabetes, your immune system attacks your body. The immune system then destroys the cells that produce insulin. This makes your blood sugar too high. Therefore, you must have an insulin pump with you or you must inject insulin.

Type 1 diabetes is a form of diabetes that anyone can get. Type 1 often starts at a young age, but can also develop later. You may be predisposed to this type of diabetes. An unhealthy lifestyle has nothing to do with this. Type 1 is much less common than type 2 diabetes , but type 1 diabetes has much more impact on your life. That is why it is important to recognize the first symptoms in time.

Symptoms diabetes type 1

You lose weight and don't know why.
You feel miserable and sick.
You have tingling hands or feet.
You are often thirsty and have to urinate a lot.
You feel sick or vomit.
You are extra hungry or not at all hungry.
You cannot see clearly.
You are often tired and sleepy.
You suffer from infections such as a boil.

Consequences of type 1 diabetes

Your nerves can be damaged. This creates problems with blood pressure, heart, brain and stomach and bowel movement. You may then experience: pain, less feeling, less muscle strength and a poorer sense of balance.
You have problems with your feet. Your blood circulation works less well, so you have less feeling in your feet.
Your brain ages faster.
If you have a wound, it will heal less quickly.
Your vision may deteriorate.
You can suffer from various skin complaints.
Your kidneys start to work less well.

What is Type 2 Diabetes?

When you have type 2 diabetes, your body is deficient in insulin. The body also no longer absorbs insulin properly. Insulin is the hormone that regulates blood sugar. In the event of a deficiency, insulin cannot properly regulate your blood sugar level. This keeps too much sugar in your blood. The body first produces extra insulin, but after a longer period of time this becomes less and less. That is why it is important to recognize the symptoms quickly so that you can start treatment.

Unfortunately, this type is more difficult to recognize. Type 2 diabetes is more common than type 1 diabetes . Type 2 is caused by heredity, descent, but also overweight. The first step in treatment is therefore eating well, losing weight (if you are overweight) and exercising a lot. By doing this, your blood sugar often goes down.

What is Retirement Diabetes?

In the past, type 2 diabetes was called adult-onset diabetes or old-age sugar. This name was used because it was previously thought that this type of diabetes mainly occurs in the elderly. This is of course because the older you get, the more your body will suffer. The term adult-onset diabetes is now much less used. This is because type 2 diabetes is now much more common in younger people. It may be that more young people now have type 2 diabetes due to the changing lifestyle of the past 50 years.

Symptoms of type 2 diabetes

You can recognize type 2 diabetes by a number of characteristics:

  • You are often tired.
  • You need to urinate more.
  • You have a dry mouth with thirst.
  • You have trouble with your eyes. Think of: redness, burning, blurred or double vision.
  • You have shortness of breath or pain in your legs when walking.
  • You have infections that come back often, for example a bladder infection.
  • You have wounds that heal poorly.
  • You have little feeling, pain or tingling in your fingers or feet.
  • You feel pain in your chest.

Do you think you have type 2 diabetes? Then contact your doctor.

Causes of Type 2 Diabetes

There are a number of things that can make you more likely to get type 2 diabetes:

  • old age,
  • heredity,
  • little exercise,
  • overweight,
  • eating unhealthy,
  • smoking.

Sometimes the cause can also be unclear. Research is still being done on this.

Prevent old-age diabetes

To prevent type 2 diabetes, you need to keep a close eye on your blood sugar level. You can do this by:

  • pay close attention to what you eat
    When you eat well, you are at a healthy weight and often feel fitter.
  • taking medicines
    These medicines cause your blood sugar to drop.
  • inject insulin (if this is part of your treatment)
  • adjusting
    your lifestyle Making changes to your lifestyle can reduce your risk of type 2 diabetes and cardiovascular disease. Think of getting enough exercise, eating healthy and eating less salt and saturated fats.

What is Blood Sugar?

Blood sugar is also referred to as blood glucose. The body mainly obtains blood sugar from food. Carbohydrates that you eat enter the blood as glucose. This blood sugar travels throughout the body and provides your cells with energy.

The body keeps the blood sugar level exactly in balance, not too much and not too little. With diabetes  , this balance is disturbed and your blood sugar is too high. Treatment is then required to lower your blood sugar.
When is your blood sugar too high?
If your blood sugar is too high, this is also called a hyper  . Your blood sugar is too high if it is above 9 mmol / l. Too high blood sugar can be caused by:

  • eating or drinking more carbohydrates than usual,
  • tablets,
  • less movement than usual,
  • stress,
  • being sick, fever, vomiting or diarrhea,
  • medicines (that increase blood sugar).

  • When is your blood sugar too low?

Low blood sugar is also called a hypo  . Your blood sugar is too low when it is below 4 mmol / l. Low blood sugar can be caused by:

  • not eating enough, or eating too late,
  • more physical exertion than usual,
  • infections,
  • too many tablets or insulin,
  • too much alcohol,
  • not taking medicines at the right time,
  • a warm environment,
  • not injecting insulin properly.