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Diabetic patients, the development of eye diseases, has a lot to do with blood sugar control.
The occurrence of diabetic eye disease is related to the age of onset of diabetes, and the longer the onset time, the more severe the eye damage caused. Stable blood sugar control can slow down the onset of eye diseases.
Poor blood sugar control can lead to the early onset of eye disease. It is also important to control blood pressure and blood viscosity. Ocular complications are more common and more severe in patients with type 1 diabetes.
Diabetes can also cause a variety of eye pathologies, such as cataracts, glaucoma, temporary refractive errors, extraocular muscle paralysis, etc.
7 Symptoms of Diabetic Eye Disease:
1. Vision loss, blurred vision, always feel a layer of fog in front of your eyes, and it will not be removed after rubbing your eyes, and you feel that the sunlight and lights are particularly dazzling.
2. Vision loss, especially the most obvious loss of night vision, or the degree of myopia is aggravated.
3. Refractive changes, sometimes seeing things clearly, sometimes blurry.
4. There are blackened objects floating in front of your eyes, such as balls, tadpoles or spider webs.
5. One eye can see things clearly, and the other eye can see things blurrily. Visual field defects, in which the eye can see significantly less than before.
6. There is a sense of flashing of vision, and there is a double vision when looking at things.
7. Ptosis of the upper eyelid and eye movement disorder.
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There are many complications of diabetes, and Chinese medicine can **diabetes, or find good Chinese medicine and conduct dialectic**.
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The pathological cause of fundus disease complicated by diabetes mellitus is the damage of high blood sugar to tiny blood vessels, which damages the endothelial cells and pericytes of retinal capillaries, resulting in the loss of normal barrier function of capillaries, leakage, and edema and hemorrhage of surrounding tissues.
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Diabetes is not scary, but complications are scary. Diabetes affects blood vessels, affects nerves, and affects the heart. High blood sugar has an effect on blood vessels and can cause damage to the retina.
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According to epidemiological data, more than 80% of people with type 2 diabetes have postprandial hyperglycemia. And postprandial hyperglycemia is the "behind-the-scenes**" of a variety of complications!
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There are many complications of diabetes, and it may be that high blood sugar does not necessarily mean that diabetes has to go to the hospital for examination.
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Food is digested and does not require insulin to lower blood sugar; l is the upper limit standard, because according to the relevant domestic disease prevention and control guidelines, do not use the test sheet, the body insulin secretion is relatively insufficient. 6mmol low fasting blood glucose before meals is the early clinical manifestation of some patients with type 2 diabetes, mainly due to the delay in insulin secretion, resulting in the peak of insulin in the blood when the blood sugar is low.
If you have fasting hypoglycemia, if you want to know if you have diabetes and your fasting blood sugar exceeds 5, you must go to the hospital to check your blood sugar, especially don't forget to check your blood sugar 2 hours after meals.
Blood sugar in middle-aged people, many doctors are also aware of the clues of diabetes in these patients from this point.
In patients with type 2 diabetes, insulin is secreted again.
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Fasting blood glucose of 7 mmol L, blood glucose at any time and the typical symptoms of diabetes mellitus (polydipsia, polyuria, polyphagia, weight loss) can be diagnosed as diabetes. Biguanides are indicated for patients with mild-to-moderate diabetes and diabetes mellitus with obesity who do not respond to diet and exercise regulation. Diabetes mellitus is not complete**, consider discontinuing the drug after two to three years after glycemic control.
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Vision loss and numbness in the legs and feet are two different diseases, the former if the vision loss is more obvious and accompanied by diabetes, it may be an eye disease caused by diabetes; The latter depends on whether there are other diseases, such as lumbar disc herniation, poor blood circulation in the lower limbs, etc., of course, if there are no of these symptoms and there are diabetic patients, it can be diagnosed as numbness in the legs and feet caused by peripheral neuropathy caused by diabetes; In this case, you'd better go to No. 11, the northern section of Shanda Road, Jinan City, Shandong Province, to see, where it is still more professional! Hope it helps!
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Diabetes can cause lesions of peripheral blood vessels, lesions of eye nerves, and complications are recommended that you use traditional Chinese medicine**, No. 11, North Section of Jinan Shanda Road** is generally 3 to 7 days to control blood sugar smoothly, 10 to 20 days** clinical complications.
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If you are diabetic, it is recommended as soon as possible**.
Diabetes complications are more terrible than diabetes.
Hunan Military Region Hospital** Diabetes is very effective.
Let's take a look.
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Almost all eye diseases can occur in people with diabetes, such as fundus hemangioma, fundus hemorrhage, dacryocystitis, glaucoma, cataracts, vitreous opacity, optic nerve atrophy, macular degeneration, retinal detachment, and diabetics are 25 times more likely to lose sight than non-diabetic patients. Diabetic eye disease can be divided into diabetic keratopathy, diabetic cataract, diabetic retinopathy, diabetic optic neuropathy, diabetic glaucoma, diabetic refractive changes, diabetic corneal ophthalmic muscle neuropathy, diabetic fundus hemorrhage, etc.
To control blood sugar with rational medication, most of them are currently controlled by Western medicines, such as biguanides, sulfonylureas, etc. Diabetic patients should go to the ophthalmologist for examination, it is recommended to have it every six months to a year, regular ophthalmic follow-up, early can be applied drugs to delay its development, if it develops to a certain stage, it needs laser**, if it develops to an advanced stage, it needs surgery**.
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Causes blindness, retinal detachment.
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The following are the hazards of common complications of type 2 diabetes in the Chongqing Armed Police Corps Hospital:
1. The harm of complications of eye disease: early retinopathy is one of the hazards of type 2 diabetes, patients can appear as hemorrhage, edema, microhemangioma, exudation and other background changes, and in the late stage, there are proliferative lesions of new blood vessels, which are often irreversible and are an important cause of blindness in diabetic patients.
Although good blood sugar control can delay and alleviate the development of diabetic retinopathy, it cannot prevent the development of diabetic retinopathy, so it is necessary to do regular eye examinations in the early stage of diabetes to prevent the occurrence of type 2 diabetes in time.
2. The harm of foot complications: due to the long duration of the disease, the resistance is reduced, resulting in the blood vessels and nerves are prone to lesions. In the early stage, it manifests as numbness and pain in the feet, and in the later stage, ulcers, gangrene, and even amputation occur.
Diabetic foot is one of the more serious complications of type 2 diabetes.
3. Harm of renal complications: due to hyperglycemia, hypertension and hyperlipidemia, the glomerular microcirculation filtration pressure is abnormally increased, which promotes the occurrence and development of diabetic nephropathy. Proteinuria and edema in the early stage and renal failure in the late stage are the leading causes of death in type 2 diabetes.
4. Hazards of cardiovascular and cerebrovascular complications: Cardiovascular and cerebrovascular complications are fatal complications of diabetes. It is mainly manifested in aorta, coronary artery, cerebral atherosclerosis, as well as microvascular diabetic lesions with extensive endothelial hyperplasia of small vessels and thickening of the capillary basal membrane. Adopt it.
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Diabetes brings us not only endless medications, injections, and blood sugar measurements, but also a Pandora's box, with more than 100 complications related to it!
Let's talk about it alone, a complication that will make diabetic patients blind - diabetic retinopathy, commonly known as "diabetic eye disease".
In diabetic patients, about 1 to 3 patients have diabetic retinopathy, and the longer the course of diabetes, the worse the control of blood glucose, blood pressure, and blood lipids, the higher the prevalence of diabetic retinopathy, and the greater the blindness rate.
According to the International Agency for the Prevention of Blindness, in 2020, 1 million people worldwide were blind due to diabetic retinopathy, and more than 3 million people had moderate to severe vision impairment.
Can diabetes control blood sugar give you peace of mind?
Not! Sugar reticulum is a rather "cunning" disease, often occurs quietly, a large number of patients do not have any symptoms in the early stage, but the retina has been quietly eroded by the high-sugar environment, resulting in a series of lesions.
At this time, the lesion has not yet invaded the macula, the most central area of our vision, so there is no significant decrease in the patient's vision.
Once the patient has obvious vision loss, it means that the lesion has been quite serious, and in the later stage of the disease, many patients will have a sudden sharp decline in vision or even loss of vision due to fundus hemorrhage and retinal detachment.
Let's take a look at how high the prevalence of sugar reticulum really is:
In patients with 10-year-old type 1 diabetes, about 80% of patients will develop glucose reticulum, and almost 100% of patients with more than 15 years of disease will develop sugar reticulum.
In patients with type 2 diabetes, about 15 patients develop glucose reticulum at the time of diagnosis, 55 percent of patients with 10 years of disease, and 70 percent of patients with more than 15 years of diabetes.
So, don't assume that you can rest easy with diabetes and blood sugar control.
For patients with type 1 diabetes: those diagnosed with type 1 diabetes before or during adolescence should begin to have their fundus examined after the age of 12 years, and those diagnosed with type 1 diabetes after puberty must have their first diabetic retinopathy screening within 5 years of their illness. Once screening is initiated, it is recommended to repeat it at least annually.
For people with type 2 diabetes: get your first comprehensive eye exam as soon as possible after diagnosis. If retinopathy is not detected at initial screening, it is recommended every 1 to 2 years, and if retinopathy is present, the interval between reviews should be shortened as recommended by an ophthalmologist.
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Which diabetic patients are more likely to have eye lesions?
1. Type I diabetes.
According to statistics, 90% of patients have ocular complications within 20 years of onset.
2. Occult diabetes.
Patients who do not have any typical manifestations of diabetes for a long time often think that they are healthy and have not had any **, so that the internal lesions of diabetes: such as microvascular damage will continue to develop, and the eyes rich in microvasculature are prone to various damages. This type of patient is often found to have diabetes due to eye disease and other complications.
3. Diabetic patients with poor blood sugar control.
After a clear diagnosis, some diabetic patients have not received a regular **, or have not been able to adhere to it for a long time**, or because of a normal blood sugar and negative urine glucose, they mistakenly believe that diabetes has been ** and terminated**, etc., so that the blood sugar concentration in the body remains high, and then the metabolism and dysfunction of multiple organs in the body occur, and various complications including eye diseases are prone to occur.
There are 6 stages of fundus disease caused by diabetes.
According to experts, in the process of clinical reception, there are often two kinds of fundus disease patients: one is to know that they have a history of diabetes, but because they usually do not pay attention to blood sugar control, or are busy with entertainment and forget to take medicine and drink, resulting in high blood sugar and retinopathy; The other is that I don't know that I have diabetes, but I just feel uncomfortable in my eyes and bleeding from the fundus, and after going to the hospital for outpatient examination, I find out that I have retinopathy caused by diabetes.
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Diabetes complications are very troublesome and serious, such as diabetes, diabetic nephropathy, diabetic fundus lesions will develop to fundus hemorrhage, long-term damage to the eyeball, poor vision, more serious until blindness, so blood sugar control is especially crucial! I wish you good health and a happy life!
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Diabetic retinopathy may be asymptomatic at first, followed by mild vision loss, and as the disease progresses, vision becomes blurred until complete blindness. Some patients may lose their sight suddenly, mainly because of vitreous hemorrhage: some patients may have eye pain, eye swelling and even nausea and vomiting at the same time as blindness, which may have developed secondary glaucoma.
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Diabetes and high blood pressure can bring chronic damage to organs such as the heart, brain, and eyes, and many people take it lightly because the early symptoms are not obvious, but as the damage accumulates over time, the damage gradually worsens. With the growth of the course of diabetes, the incidence of diabetic fundus lesions will gradually increase, especially for friends with poor blood sugar control, the condition of the fundus is often not optimistic.
The symptoms of fundus lesions caused by diabetes may not be obvious in the early stage of the disease, and if it is not delayed in time, it will not only damage the vision and be irreparable, but also more difficult. Therefore, while monitoring blood sugar and blood pressure, patients with diabetes and hypertension should also receive regular eye examinations, especially the fundus.
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Analysis: Retinopathy is the most common severe diabetic eye disease, often causing vision loss or blindness.
Cataracts caused by diabetes account for up to 60% of all cataract patients, and the chance of surgery is much higher than that of other cataract patients, and surgery is generally required**.
Suggestions: It is recommended that diabetic patients should dilate their pupils and check the fundus every year. Patients with type 1 diabetes should have regular fundus examinations after puberty, and patients with type 2 diabetes should have annual examinations or follow the doctor's advice for 5 years after the onset of the disease.
If you have any abnormal sensations in the eye, see an ophthalmologist for examination** and shorten the time of ophthalmologist follow-up.
Blood pressure, blood lipids, and blood sugar are all important for the prevention of diabetic eye disease.
Control the total calories eaten and avoid eating foods with high glycemic index such as porridge, fruits, sugars, etc.
1.**Pathological changes.
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