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Can Diabetes Cause Arthritis?

Rheumatoid Arthritis And Diabetes: Are They Linked?

Rheumatoid Arthritis And Diabetes: Are They Linked?

Rheumatoid arthritis (RA) and diabetes are very different diseases. But there's a connection between them. Having one may mean you're more likely to develop the other. In fact, research shows that RA raises your risk for diabetes by about 50%. And diabetes raises your risk of having arthritis, including RA and arthritis-related issues, by about 20%. Nearly half of American adults who have diabetes also have arthritis. Experts aren't sure why these two diseases are linked. They believe that a variety of things play a role, including: RA and type 1 diabetes are both autoimmune diseases. The immune system's job is to destroy germs and other sickness-causing invaders. Sometimes, the system goes haywire and turns against the body's own healthy cells. RA attacks the joints. Type 1 diabetes targets the cells in the pancreas that produce insulin, a hormone that helps your body process blood sugar. Type 1 diabetes is typically diagnosed in children and young adults and makes up less than 5% of all diabetes cases. Research suggests that some people tend to have more than one autoimmune disease. This may be partly due to genetics. And scientists have identified a gene that raises the risk for both type 1 diabetes and RA. RA causes chronic inflammation. In the short run, inflammation helps the body heal. But when it's ongoing, it causes the body to stop responding to insulin the way it should. This is called insulin resistance. Over time, the condition raises the risk for type 2 diabetes. This occurs when the body doesn't make enough insulin or resists its effects. Diabetes also triggers inflammation. On the flipside, chronic inflammation from diabetes may pave the way for RA. RA is caused by genetics and environmental factors. Research suggests that inflammation may cause people w Continue reading >>

Live Well With Diabetes And Arthritis

Live Well With Diabetes And Arthritis

If you have diabetes and arthritis, you may have wondered if they are related. The answers is,” It depends.” Whether diabetes and arthritis are related depends on your age, the type of diabetes you have, the kind of arthritis you have, your lifestyle and the medications or supplements you take. Both diabetes and arthritis are chronic diseases. As you age, your chances for having chronic diseases increases. Also as we get older, many of us tend to get heavier. This extra weight adds stress on your joints, which can lead to inflammation and eventually a form of arthritis. TYPES OF ARTHRITIS There is more than one type of diabetes and there is more than one type of arthritis. As you already know, the two main types of diabetes are type 1 and type 2. The two main types of arthritis are osteoarthritis (or degenerative) and rheumatoid arthritis. Type 1 diabetes and rheumatoid arthritis are both auto-immune diseases, meaning your body fights against another part of your body. In the case of type 1 diabetes, your body destroys the cells that make insulin. With rheumatoid arthritis, your body fights the linings of your joints. Both type 1 diabetes and rheumatoid arthritis are more common among younger people. Type 2 diabetes is related to aging, being overweight and being sedentary. Degenerative, or osteoarthritis, is also related to getting older and being overweight, which results in inflammation of the joints. Inflammation is the pain, redness and swelling that occurs when you have an injury or infection. Inflammation can raise blood glucose levels—leading to diabetes. MEDICATIONS The medicines you take for arthritis are used to reduce the inflammation, swelling and pain. Some of these medicines increase insulin resistance and can raise your blood glucose levels. Steroi Continue reading >>

What's Causing Your Joint And Nerve Pain?

What's Causing Your Joint And Nerve Pain?

It’s natural to feel a little discomfort in your hands, fingers, feet, and ankles from time to time. Joint pain is a part of getting older and can have a number of causes. But that ache in your foot or arm could also be a problem with a nerve caused by your diabetes. And that’s an issue that could be serious and require quick attention. So how do you tell the difference? It’s the leading cause of disability in the U.S. It affects more than 50 million adults. Often referred to as arthritis, it’s broadly defined as discomfort where two or more bones meet. Though often mild, sometimes sporadic, and rarely an emergency, the pain can be severe, making it hard to move the joint. If you have it, you’ll probably notice changes to your joint like: Stiffness Less range in motion Swelling Redness Tenderness or warmth A tougher time using it A difference in shape The causes of joint pain vary greatly. It could be: Muscle strains or sprains A broken or dislocated bone Gout Hypothyroidism Leukemia Lupus Osteoarthritis Rickets Lyme disease Rheumatoid arthritis Your doctor might call it diabetic neuropathy. It’s pain in your nerves, not in your bones. It happens when high blood sugar harms the nerve fibers. You can get it anywhere in your body, but it most often affects your legs and feet. Anywhere from 60%-70% of people with diabetes have some sort of neuropathy. Most get it after having the disease for 10 years or more. There are many types. But the two most likely to cause problems with your joints are peripheral and autonomic neuropathy. This is the most common form of diabetic joint pain. It affects your legs, arms, hands, feet, fingers, and toes. With ongoing diabetes, joints can no longer respond like they should to the strain and stress placed on them. As a result, Continue reading >>

Diabetes And Arthritis: Is There A Connection?

Diabetes And Arthritis: Is There A Connection?

Diabetes mellitus (also known as ‘sugar’ diabetes) interferes with the body’s ability to use sugar. It is a long-term condition requiring treatment by diet, pills and often injections of insulin. Generally doctors recognise two types of diabetes. Type I typically occurs in younger people and often requires treatment with insulin. Type 2 occurs in older overweight people and is treated with tablets but there can be a lot of overlap between the two types. There is often a family history of diabetes in both. Early symptoms of diabetes include thirst and passing a lot of urine, and some people lose a lot of weight. The problems with handling sugar, and specifically high blood sugar levels, can eventually lead to complications in the blood vessels, kidneys, eyes, and the nerves to the hands and feet. These complications can be delayed and minimised by controlling the blood sugar with treatment. People with diabetes are also prone to a number of musculoskeletal complications but the relationship between these complications and the diabetic control is not clear. Many of these problems are not unique to diabetes but occur more frequently in this condition. This short article describes the complications and offers advice on treatment and prevention. Shoulder problems Shoulder pain is probably the most common musculoskeletal disorder which I see associated with diabetes. Specifically the shoulder becomes stiff and painful due to inflammation and thickening of the tissue surrounding the shoulder joint – sometimes known as frozen shoulder. The pain may start following a minor injury or just come out of the blue. Typically the pain builds up to a constant nagging pain which limits the movement of the joint and causes sleep disturbance. The pain is worse in the first 3 months Continue reading >>

The Musculoskeletal Effects Of Diabetes Mellitus

The Musculoskeletal Effects Of Diabetes Mellitus

Go to: Abstract Diabetes mellitus (DM) is a multi-system disease characterized by persistent hyperglycemia that has both acute and chronic biochemical and anatomical sequelae, with Type-2 DM representing the most common form of the disease. Neuromusculoskeletal sequelae of DM are common and the practicing chiropractor should be alert to these conditions, as some are manageable in a chiropractic office, while others are life and/or limb threatening. This paper reviews the effects of DM on the musculoskeletal system so as assist the chiropractor in making appropriate clinical decisions regarding therapy, understanding contraindications to therapy, referring patients to medical physicians when appropriate and understanding the impact that DM may have on the prognosis for their patients suffering from the myriad musculoskeletal conditions associated with this disease. Keywords: diabetes, musculoskeletal, chiropractic Go to: Introduction Diabetes mellitus (DM) is a multi-system disease characterized by persistent hyperglycemia that has both acute and chronic biochemical and anatomical sequelae. It is thought to affect almost 17 million Americans, only 11 million of whom have been diagnosed according to the American Diabetes Association. In type 1 diabetes, a lack of insulin results in poor carbohydrate, fat, and protein metabolism. Insulin is functionally absent, typically due to immune-mediated destruction of the beta cells of the pancreas, though other etiologies of beta cell destruction have also been implicated, including drugs, chemicals, viruses, mitochondrial gene defects, pancreatectomy and ionizing radiation.1 Type 1 DM (DM1) occurs most commonly in juveniles. It can occur in adults, especially in those in their late 30s and early 40s. Unlike people with Type 2 DM ( Continue reading >>

Bone And Joint Problems Associated With Diabetes

Bone And Joint Problems Associated With Diabetes

If you have diabetes, you're at increased risk of various bone and joint disorders. Certain factors, such as nerve damage (diabetic neuropathy), arterial disease and obesity, may contribute to these problems — but often the cause isn't clear. Learn more about various bone and joint disorders, including symptoms and treatment options. Charcot joint What is it? Charcot (shahr-KOH) joint, also called neuropathic arthropathy, occurs when a joint deteriorates because of nerve damage — a common complication of diabetes. Charcot joint primarily affects the feet. What are the symptoms? You might have numbness and tingling or loss of sensation in the affected joints. They may become warm, red and swollen and become unstable or deformed. The involved joint may not be very painful despite its appearance. How is it treated? If detected early, progression of the disease can be slowed. Limiting weight-bearing activities and use of orthotic supports to the affected joint and surrounding structures can help. Diabetic hand syndrome What is it? Diabetic hand syndrome, also called diabetic cheiroarthropathy, is a disorder in which the skin on the hands becomes waxy and thickened. Eventually finger movement is limited. What causes diabetic hand syndrome isn't known. It's most common in people who've had diabetes for a long time. What are the symptoms? You may be unable to fully extend your fingers or press your palms together flat. How is it treated? Better management of blood glucose levels and physical therapy can slow the progress of this condition, but the limited mobility may not be reversible. Osteoporosis What is it? Osteoporosis is a disorder that causes bones to become weak and prone to fracture. People who have type 1 diabetes have an increased risk of osteoporosis. What are Continue reading >>

Arthritis And Diabetes

Arthritis And Diabetes

Tweet Arthritis is the term for conditions which cause inflammation of the joints. There are more than 100 different forms of arthritis, with a broad range of causes. Some of these forms of arthritis have close associations with certain types of diabetes. Arthritis can usually be treated to help reduce symptoms and slow progression of the condition. How common is arthritis? Arthritis is common, with an estimated 10 million people living with the condition in the UK alone. Osteoarthritis is the most common form of arthritis, affecting around 8 million in the UK. Whilst arthritis is most commonly associated with the elderly, a number of forms or arthritis can affect people of any age, including children. Types of arthritis Whilst there are many dozen forms or causes of arthritis, the following are some of the more common forms: Osteoarthritis - caused by damage to the cartilage in the joints Rheumatoid arthritis - an autoimmune form of arthritis Gout - caused by a build up of uric acid Ankylosing spondylitis - a form which usually causes stiffness in the spine Reactive arthritis - can result from certain infections causing red swollen joints Secondary arthritis - may occur following joint injury Juvenile arthritis - forms of arthritis that affect children Arthritis and diabetes Certain forms of arthritis may be more common in people with certain types of diabetes. People with type 2 diabetes have higher risks of developing osteoarthritis and gout, which is likely on account of the fact that obesity increases the risk of type 2 diabetes as well as these forms of arthritis. People with type 1 diabetes have significantly higher risks of also having rheumatoid arthritis. Both conditions are autoimmune diseases and research suggests that certain genes may increase the risk of Continue reading >>

Arthritis & Diabetes

Arthritis & Diabetes

What do diabetes and arthritis have in common? Plenty. People with diagnosed diabetes are nearly twice as likely to have arthritis, indicating a diabetes-arthritis connection. Diabetes occurs when the body does not produce or use the hormone insulin sufficiently. Insulin shuttles glucose from foods into cells so it can be converted into energy. Without insulin, glucose remains in your blood (raising blood glucose levels), your cells create less energy and you feel fatigued. What starts off as a hormonal problem can evolve into joint problems, in addition to the widely known cardiovascular problems. Diabetes causes musculoskeletal changes that lead to symptoms such as joint pain and stiffness; swelling; nodules under the skin, particularly in the fingers; tight, thickened skin; trigger finger; carpal tunnel syndrome; painful shoulders; and severely affected feet. After having had diabetes for several years, joint damage – called diabetic arthropathy – can occur. Continue reading >>

Diabetes And Your Joints

Diabetes And Your Joints

Diabetes can cause changes in your musculoskeletal system, which is the term for your muscles, bones, joints, ligaments, and tendons. These changes can cause numerous conditions that may affect your fingers, hands, wrists, shoulders, neck, spine, or feet. Symptoms of diabetes-related musculoskeletal problems include muscle pain, joint pain or stiffness, lessened ability to move your joints, joint swelling, deformities, and a “pins and needles” sensation in the arms or legs. Some musculoskeletal problems are unique to diabetes. Others also affect people without diabetes. For instance, diabetes can cause skin changes such as thickening, tightness, or nodules under the skin, particularly in the hands. Carpal tunnel syndrome is frequently seen in people with diabetes, as is trigger finger (a catching or locking of the fingers), although these conditions are commonly seen in people without diabetes, as well. The shoulder joint may also be affected in diabetes. And, of course, the feet are susceptible to problems caused by diabetes. Most of these conditions can be successfully treated with anti-inflammatory medications, steroid injections, or other therapies. It is important to mention any troubling symptoms to your doctor. Ask yourself the following questions, which address some of the more frequent symptoms people have when diabetes affects their muscles, ligaments, tendons, or joints. If you answer “yes” to any, consult your doctor. • Do you have stiffness in your hands that affects your ability to move or use them? • Do your fingers get “locked” in certain positions? • Do you have numbness or tingling in your hands, arms, or legs? • Do you have stiffness or decreased motion in your shoulders? • Do you have muscle pain or swelling? View Abstract Edito Continue reading >>

How Rheumatoid Arthritis Can Affect Your Blood Sugar

How Rheumatoid Arthritis Can Affect Your Blood Sugar

When you hear the word “arthritis,” you probably think of joint pain, swelling and stiffness. But rheumatoid arthritis (RA), a disease that causes inflammation in your joints, can affect the rest of your body, too—sometimes in surprising ways. For example, studies have shown that people with RA are more likely to also have diabetes, a condition characterized by high blood sugar levels. From Joint Pain to Blood Sugar Woes It turns out that inflammation, which is a key feature of RA, may cause a buildup of sugar in the blood. Luckily, there’s a silver lining to the relationship between RA and blood sugar: Certain things that help manage your RA, like some lifestyle choices and medications, may also help prevent or control diabetes. Inflammation and Insulin Resistance So, how can inflammation lead to high blood sugar? The answer has to do with insulin. Insulin is a hormone that helps a person’s cells absorb sugar from the blood so it can be used for energy. If the cells are unable to use insulin effectively, a condition known as insulin resistance, excess sugar can start to build up in the blood. Eventually, the person may develop type 2 diabetes. Remember that RA can cause widespread inflammation throughout the body. This inflammation, in turn, may increase the body’s risk of developing insulin resistance. Researchers are still studying exactly how inflammation contributes to insulin resistance. Two likely culprits are tumor necrosis factor (TNF) and interleukin-6 (IL-6), proteins that are involved in joint inflammation. There’s evidence that both TNF and IL-6 may interfere with insulin’s ability to work properly. Tips to Help Manage Both Conditions Having RA doesn’t automatically mean you’ll develop insulin resistance or diabetes. But your risk is inc Continue reading >>

Identifying And Treating Diabetes Joint Pain

Identifying And Treating Diabetes Joint Pain

Diabetes and joint pain are considered to be independent conditions. Joint pain may be a response to an illness, injury, or arthritis. It can be chronic (long-term) or acute (short-term). Diabetes is caused by the body not using the hormone insulin correctly, or insufficient production of it, which affects blood sugar levels. What would a hormone and blood sugar-related condition have to do with joint health? Diabetes is associated with widespread symptoms and complications. According to the Centers for Disease Control and Prevention, 47 percent of people with arthritis also have diabetes. There is an undeniably strong link between the two conditions. Diabetes can damage joints, a condition called diabetic arthropathy. Unlike pain caused by immediate trauma, the pain of arthropathy happens over time. Other symptoms include: thick skin changes in the feet painful shoulders carpal tunnel syndrome A joint is the place where two bones come together. Once a joint wears down, the protection it provides is lost. Joint pain from diabetic arthropathy comes in different forms. Charcot’s joint occurs when diabetic nerve damage causes a joint to break down. Also called neuropathic arthropathy, this condition is seen in the feet and ankles in people with diabetes. Nerve damage in the feet is common in diabetes, which may lead to Charcot’s joint. A loss of nerve function leads to numbness. People who walk on numb feet are more likely to twist and injure ligaments without knowing it. This places pressure on the joints, which can eventually cause them to wear down. Severe damage leads to deformities in the foot and other affected joints. Bone deformities in Charcot’s joint may be prevented through early intervention. Signs of the condition include: painful joints swelling or redn Continue reading >>

14 Ways To Reduce Joint Pain With Diabetes

14 Ways To Reduce Joint Pain With Diabetes

Diabetes can damage joints, making life and movement much harder. How does this happen, and what can we do about it? A lot. “Without properly functioning joints, our bodies would be unable to bend, flex, or even move,” says Sheri Colberg, PhD, author of The Diabetic Athlete, The 7 Step Diabetes Fitness Plan, and other books. Joint pain is often called “arthritis.” “A joint is wherever two bones come together,” Colberg writes. The bones are held in place by ligaments, which attach bones to each other, and by tendons, which attach bones to the muscles that move them. The ends of the bones are padded with cartilage, a whitish gel made from collagen, proteins, fiber, and water. Cartilage allows bones to move on each other without being damaged. Joint cartilage can be damaged by injuries or by wear and tear with hard use. “Aging alone can lead to some loss of [the] cartilage layer in knee, hip, and other joints,” says Colberg “but having diabetes potentially speeds up damage to joint surfaces.” Sometimes extra glucose sticks to the surfaces of joints, gumming up their movement. This stickiness interferes with movement and leads to wear-and-tear injury. High glucose levels also thicken and degrade the collagen itself. This is bad because tendons and ligaments are also largely made from collagen. Reduced flexibility of joints leads to stiffness, greater risk of physical injury, and falls. People with joint damage may reduce their physical activity due to discomfort and fear of falling. Reduced activity promotes heart disease and insulin resistance. Here are 14 things we can do to prevent and treat joint problems and to keep moving. • Stretching keeps muscles and tendons relaxed and aligned so they’ll move as needed. You might want to ask a physical ther Continue reading >>

Existing Arthritis Drug Might Help Fight Diabetes

Existing Arthritis Drug Might Help Fight Diabetes

Existing arthritis drug might help fight diabetes The growing concern of type 2 diabetes needs no introduction so, identifying a drug that is already in circulation that might help to fight the condition would be a welcome discovery. Finding improved treatments for diabetes is a pressing issue. Type 2 diabetes is rarely out of the headlines and for good reason. Approximately 30.3 million people in the United States have diabetes , the vast majority of whom have type 2 diabetes. This equates to about 1 in 10 U.S. citizens. Some states are hit harder than others. In Mississipi, for instance, almost 1 in 7 residents have a diabetes diagnosis. When you consider that about 1 in 4 people with diabetes do not yet know that they have it, the figures are nothing short of staggering. It's all the more worrying when you remember that, although type 2 diabetes can be successfully managed in many cases, it is a condition that many will have for life. As such, diabetes is a huge burden on a person physically, mentally, and financially. Because of the huge numbers involved and the significant suffering that it can bring, research into innovative treatments for type 2 diabetes is constantly rolling on. In brief, type 2 diabetes is caused by lifestyle factors such as inactivity, poor diet, and obesity . It is a metabolic disorder that causes cells to stop responding to insulin . This has the effect of raising the level of sugar in the blood, which, in turn, damages the organs and systems of the body. Alongside lifestyle interventions, many people with diabetes take medication to help keep their blood sugar levels in check. Although these can be useful, some have adverse side effects and others become less effective as they are used for longer periods of time. Researchers are keen, ther Continue reading >>

Psoriatic Arthritis Strongly Linked With Developing Diabetes Mellitus

Psoriatic Arthritis Strongly Linked With Developing Diabetes Mellitus

Psoriatic Arthritis Strongly Linked With Developing Diabetes Mellitus Psoriatic Arthritis Strongly Linked With Developing Diabetes Mellitus The prevalence of diabetes mellitus (DM) is higher in patients with psoriatic arthritis (PsA), with greater PsA activity correlating with a higher risk of developing the disease, according to recent research published in The Journal of Rheumatology. Psoriatic arthritis is strongly associated with obesity and its related comorbidities, including DM. In this study, we have found that patients with PsA have 43% higher risk of developing DM compared with the general population, Lihi Eder, MD, PhD, from the Women's College Research Institute at Women's College Hospital and the Department of Medicine at the University of Toronto, told Rheumatology Advisor in an interview. Dr Eder and colleagues performed a cohort analysis of 1305 patients in a large PsA specialty clinic in Ontario between January 1978 and November 2014 in which they measured the prevalence of DM and calculated the age-standardized prevalence ratio (SPR) of DM compared with the general population. To determine the relationship between DM risk factors and PsA disease activity, the researchers measured time-weighted arithmetic mean (AM) tender joint counts, swollen joint counts, dactylitis count, Psoriasis Area Severity Index, and erythrocyte sedimentation rates. Screening for diabetes mellitus (DM) in patients with psoriatic arthritis is needed, especially in those with more active joint disease and elevated inflammatory markers. The control of inflammation may reduce the risk of developing DM in these patients. This risk was especially high in the younger age groups, Dr Eder told Rheumatology Advisor. Moreover, we found that having higher levels of disease activity predic Continue reading >>

Bone And Joint Health In Type 1 Diabetes

Bone And Joint Health In Type 1 Diabetes

Scientist Shannon Wallet explores the wrecking crew that rips out the bodys old bone Immunologist, University of Florida College of Dentistry Bones seem like the one feature of our bodies that doesnt move or change. But unlikely as it may seem, the 206 bones in your body are actually a lifelong work in progress: Every seven years, give or take, you get a new skeleton. The work is done by two types of specialized cells, called osteoclasts and osteoblasts. Osteoclasts are responsible for removing bone, and osteoblasts are responsible for laying new bone down, says Shannon Wallet, PhD, an immunologist at the University of Floridas College of Dentistry. They work together to remodel the skeleton. To picture how it works, imagine renovating a house. Theres a demolition crew, the osteoclasts, that comes in, rips out the old, and takes it away. Only then can the osteoblasts arrive to install the new stuff. Thats just what its like with your bones. To get good-quality bone, you have to remove bad-quality bone. If you dont, over time quality and strength would be very poor, Wallet says. Wallet wants to know why diabetes makes the osteoclast wrecking crew go wild. In people with diabetes, osteoclasts [break down] much more bone, she says. Theyre overactive, and in addition they dont turn themselves off. Other studies have shown that diabetes can get in the building crews way, too. Osteoblasts in type 1 diabetes arent very good at laying down quality bone, Wallet says. In other words, osteoblasts dont work well enough, and osteoclasts work too well. Thats why you end up with fragile bones. Indeed, bone fragility and osteoporosis, a disease that reduces bone density, are both much higher in people with diabetes. It can also be harder for them to heal after breaking a bone. Arthrit Continue reading >>

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