How did you get diabetes, is it suddenly hungry without meals Thank you

Diabetes is either genetic or environmental. Needless to say, genetics; External factors are mainly caused by the long-term irregular diet and daily life, resulting in the decline of pancreatic islet function.

Diabetes mellitus is caused by irregular meals for a long time, not by suddenly skipping meals and being hungry, but by accumulating over a long period of time.

Analysis:

High blood glucose, anorexia, and if accompanied by nausea, vomiting, and poor spirits, acute complications of diabetes mellitus should be highly noted: diabetic ketoacidosis, diabetic hyperosmolar coma.

Guidance: Manifestations of diabetic ketoacidosis: most patients have polyuria, polydipsia, and fatigue in the days leading up to the onset of consciousness, followed by loss of appetite, nausea, vomiting, often accompanied by headache, drowsiness, irritability, deep and rapid breathing, and the smell of rotten apples in the exhalation. As the disease progresses further, severe dehydration, decreased urine output, drowsiness and even coma occur.

Diabetic hyperosmolar coma is an acute complication that often occurs in elderly patients with type 2 diabetes, which is relatively rare in patients with type 1 diabetes, and the clinical manifestations are similar to ketoacidosis, except that there are no ketones in the urine and there is little acidosis. Because of the high blood glucose and blood osmolality, patients are prone to coma, and once they do the disease, the mortality rate is much higher than that of ketoacidosis coma.

In both cases, you should go to the hospital for treatment**.

Actually, the principle is very simple:

1. Cells need nutrients and glucose in the blood, but now the cell receptors are damaged and cannot inhale glucose, so glucose is only present in large quantities in the blood, and the cells do not get it.

2. There is a large amount of blood sugar in the blood, a large amount of sugar is excreted from the urine, the wound cannot be healed, and the infection is caused by high blood sugar.

3. After eating a large amount of food, glucose is decomposed, but because the cell receptors are damaged, they are not replenished at all, so the cells will send instructions to the central nervous system--- that is, the body is hungry and needs to eat.

Suggestion; Because diabetes requires strict control of diet, you can eat more vegetables or crude fiber foods before meals to cause a feeling of fullness, or divide a meal into several periods to eat, of course, this is only an expedient measure, the most important thing is how to restore the receptors of cells to distinguish and store glycogen normally. If that's the case, diabetes can be solved.

Blood sugar is usually higher than fasting blood sugar after eating, but it may occur in some cases that the fasting blood sugar is higher than the 2-hour postprandial blood glucose.

Fasting is defined as not eating calories for at least 8 hours. Normal fasting blood glucose. Blood glucose 2 hours after two meals.

The specific time of blood glucose 2 hours after a meal should be calculated from the first bite of food. Some people start to calculate the time from the middle of eating, and some start to calculate the time after eating, these timing methods are incorrect, and the measured blood sugar value is often low, which affects the measurement results.

Blood glucose 2 hours after a meal is affected by diet and exercise. If you eat too few carbohydrates or exercise too much, your blood sugar will be low after meals. If the fasting blood sugar and 2-hour postprandial blood sugar are in the normal range, diabetes is not considered, and the diet and amount of exercise can be adjusted.

Patients with diabetes or prediabetes who have high fasting blood sugar are diagnosed with fasting blood glucose and/or 2 hours after a meal according to the World Health Organization's standards. Fasting blood glucose, 2 hours after oral glucose load, is impaired fasting blood glucose. Fasting blood glucose is considered impaired in patients with blood glucose between 2 hours after glucose loading.

The two are collectively referred to as impaired glucose regulation, i.e., prediabetes.

Patients with type 2 diabetes mellitus may develop hyperinsulinemia, resulting in excessive insulin secretion and delayed peaks, and insulin is maintained at a high concentration without returning to baseline, resulting in low blood glucose or even hypoglycemia after meals.

Further testing of insulin release assay (IRT) and C-peptide release assay (CPRT) is recommended. This test measured the secretion level and curve characteristics of insulin and C-peptide at each time point of fasting and postprandial to understand the function of pancreatic islets in patients, and at the same time to determine the clinical classification of diabetes.

If the patient has hypoglycemia, he will feel unwell, and symptoms such as palpitations, sweating, and hunger may occur, and in severe cases, there is a certain danger. Blood sugar is hypoglycemic in non-diabetic patients, and hypoglycemia in diabetic patients as long as their blood sugar levels are in the hypoglycemic category. Prompt medical attention is required.

Make dietary modifications:

1.Staple food is the main calorie of the body, and you can't eat too little. The amount of staple food per day should be calculated according to the specific circumstances of the individual, such as the nature of the work, the intensity of labor and the weight of the individual.

Generally speaking, the daily staple food allowance for light manual workers is about 300 400 grams (6 8 taels), and the daily staple food for heavy manual workers should reach more than 500 grams.

2.Eat a small number of meals, divide the total daily diet into 4 5 meals, eat once every 3 4 hours during the day, and add a small amount of meals 1 2 hours before bedtime, which can not only avoid the problem of postprandial hyperglycemia, but also avoid the phenomenon of "hungry panic".

3.Don't just eat a vegetarian diet, but a combination of meat and vegetables. Pay attention to control animal fat, but vegetable oil is indispensable, lean meat, fish and shrimp can also be eaten appropriately, which can delay the rate of stomach emptying and avoid frequent hunger.

Problem analysis: Hello, the energy of human physiological activities is directly destroyed by blood sugar in the blood, and blood sugar is in the nutrients obtained from food by digestive organs such as the small intestine. The reason why people are hungry is that the concentration of blood sugar in the blood decreases, which in turn leads to a normal physiological response.

At this time, food should be supplemented, if the food is not supplemented immediately at this time, a little longer, the physiological reaction will promote the breakdown of liver glycogen. At this time, people will feel hungry and not hungry.

Suggestions: Hello, if you are not at ease, it is recommended that you go to the hospital laboratory or fibrillation to check your blood sugar, remember to check on an empty stomach.

Analysis: Hello, diabetes mellitus refers to a metabolic disease with elevated blood glucose, and long-term carbohydrate, fat, and protein metabolism disorders can lead to damage to the eyes, kidneys, nerves and blood vessels.

Opinions and suggestions: pay attention to rest, you can drink more water and urinate, there is currently loss of appetite, nausea, it is recommended to go to the hospital in time to check urine routine, blood sugar, observe whether there are ketones in the urine, consider whether it is caused by diabetic ketoacidosis, do not blindly use medicine, to avoid delaying the condition.