How to treat diabetes as the title Thank you

Diabetes is not the best at the current level of medical treatment, and you can only rely on daily medication to control blood sugar. The best doctor is himself, that is, to grasp the diet; Another is exercise, insist on two hours of aerobic exercise every morning, such as tai chi, ballroom dancing, strides, etc. Diabetics can no longer eat like before, to list, and eat less, up to 60% full.

This statement is very incorrect, diabetes is a chronic disease that will stay with the patient for life. The pain of illness can only be relieved by the action of drugs.

In fact, I think this statement is correct, because as we are now developing faster and faster, and our medical technology is actually developing very grand, so it is very powerful.

I don't think there is a right or wrong distinction, diabetes can't be completely ** for the time being, but human science and technology and medicine have been in the process of continuous progress and development, and no one can say what will happen in the future, at least for the time being, human beings have imagined in the field of stem cells, and no one dares to guarantee the future yes or no.

According to the analysis of the current frontier situation of the development of domestic or international technical means, diabetes has not yet reached the stage of complete development. Whether it is type 1 diabetes or type 2 diabetes, the pathogenesis is quite complex, such as type 1 diabetes has viral infection, there are autoimmune factors involved in the complete damage of pancreatic islet cells, and it is difficult to take certain drugs to restore the function of pancreatic islets to normal levels.

For patients with type 2 diabetes, the core of the pathogenesis is insulin resistance or relatively insufficient insulin secretion, which is also closely related to diet, exercise, emotion, immunity, infection and other factors.

At present, oral hypoglycemic drugs or insulin can only control blood sugar to a certain extent, and cannot completely restore the function of pancreatic islets to normal. If there is a certain means in the future that can restore the function of pancreatic islets to a normal level, diabetes can be done.

At present, at the forefront of endocrinology, there is no mature good method in the world!

Diabetes is a chronic disease, and some people even say that it is a lifelong disease. Therefore, it is not advocated to be cured, but to be regulated. Manage three meals a day, eat more appetizing and spleen-strengthening foods in the morning, and eat more liver-clearing and gallbladder-relieving foods in the evening, which may be reversed.

Eat small and frequent meals, do not eat if the sugar is too high and the fat is too high, and take insulin appropriately.

1. If your weight has reached the target, you can consider reducing the dose of metformin. 2. Your postprandial blood sugar should be controlled below 8mmol L as much as possible, which can be controlled by diet, or combined with the treatment of glycoping.

Xue Yaoming, Guangzhou Southern Hospital.

1.Diet**:

According to the patient's condition and weight, age, gender, height, physiological conditions, labor intensity, etc., a reasonable diet plan should be formulated.

2.Sports**:

According to the condition and age, physical fitness, cardiopulmonary function status, etc., formulate a reasonable and consistent exercise plan.

3.Drugs**.

1) Type diabetes (autoimmune diabetes): regular or intensive insulin**, or an insulin pump**, depending on the situation.

2) Type A diabetes mellitus (mainly insulin resistance, accompanied by insufficient insulin secretion): use the biguanide hypoglycemic drug phenformin (hypoglycemin), metformin hydrochloride (Medicon, Dihua sugar lozenge, Gehuazhi) or the glycosidase inhibitor acarbose (baiglupine)**.

3) Type B diabetes mellitus (mainly insufficient insulin secretion, with or without insulin resistance): sulfonylurea hypoglycemic drugs glibenclamide (excellent hypoglycemic and safe therapy), tolbutamide (D-86), gliclazide (Damecan), glipizide (mepida, reyinin), gliquinone (glucoxipine), glibolide (gglucaride), etc.**, or sulfonylureas plus biguanides**.

4) For type diabetes, biguanides or sulfonylureas hypoglycemic drugs combined with insulin** (intermediate-acting insulin is usually injected subcutaneously once before bedtime), or -glycosidase inhibitors combined with insulin**, or several types of oral hypoglycemic drugs combined**.

5) Impaired glucose tolerance: intervention with -glycosidase inhibitors or biguanide hypoglycemic drugs**.

4.Blood glucose monitoring:

**During this period, blood glucose should be monitored regularly to understand the condition and adjust medication.

5.Diabetes education: focus on introducing the basic knowledge of diabetes to patients and their families, and learn the essentials of prevention and treatment.

1. Exercise and diet control for diabetes are very important, exercise can not only exercise the body, but also allow you to take less medicine, even if there is no diabetes, it is very beneficial to the body, and diet control can reduce the intake of glucose, can reduce medication, and at the same time reduce the intake of those high-calorie, high-fat foods, non-diabetes is also very beneficial.

2. If the above is done well and the blood sugar is still not well controlled, then oral hypoglycemic drugs (type 1 diabetes drugs injected with insulin) should be taken, and the medication should be taken according to the doctor's instructions, which can be combined with several drugs, or combined with insulin.

3. It is also very important to monitor blood sugar and know the medication when monitoring blood sugar.