Why is the complication rate of diabetes so high? How to reduce?

For example, diabetic retinopathy (diabetic eye disease), a complication that can blind people with diabetes

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.

The longer the course of diabetes mellitus, 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.

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. Once there is a significant loss of vision, it means that the lesion has been quite serious, 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, retinal detachment, if only accepted at this time, the vision is unlikely to return to the original level.

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.

First of all, diabetic retinopathy, like diabetes itself, cannot be completely ** at the moment.

But it can be postponed.

In addition to being sure to check the fundus regularly, control blood sugar, blood lipids and blood pressure, and delay the occurrence of sugar reticulation as much as possible. Once the diabetic reticulation is detected, as long as the eye is carried out in a timely manner according to the doctor's instructions, it may delay the progression of diabetic retinopathy (diabetic eye disease) and prevent vision loss to the greatest extent.

**This is done by intraocular injection of anti-VEGF"Drugs.

One of the major deficiencies in the process of stage diabetes** and management is out-of-hospital management. The time of non-hospitalized diabetic patients in the hospital is very short, and the management of regular follow-up and prescription renewal, and out-of-hospital management cannot be covered by the traditional medical model, and the compliance of patients is also difficult to guarantee. This is also the main reason for the high incidence of diabetes complications and the low rate of control compliance.

An Internet chronic disease management platform like the Medical Federation optimizes the patient's medical experience and improves the efficiency of diagnosis and treatment by providing patients with a series of out-of-hospital management services such as advice, effect evaluation, electronic prescription, medication guidance, psychological counseling, and lifestyle intervention, so as to control and alleviate the deterioration process of the disease, make up for the shortcomings of the traditional medical management model, and reduce the incidence of diabetes complications.

The main reason for the incidence of diabetes complications is that the blood sugar is not well controlled, the blood sugar can be controlled below seven before meals, and the blood sugar can not be controlled below ten after meals, and the blood sugar is not well controlled, which can easily lead to complications of diabetes.

Diabetes can easily cause complications, such as poor blood sugar control, easy amputation, shock, blurred vision, blindness, etc., which are caused by too severe diabetes.

The best way to control diabetes is to control your blood sugar levels very well. As long as the blood sugar is well controlled, then complications will not easily occur.

Because the use of Western medicine insulin to control glucose, it does not restore the function of pancreatic islets and the biological effect of insulin, and the symptoms are not cured.

lowered way.

Maintain a good lifestyle.

Scientific diet is not taboo, and food is not too diverse.

Eat and move balance. Rational use of medicines.

After suffering from diabetes, it can be said that it provides "favorable conditions" for the occurrence and progression of many diseases, once there is no good care and **, the incidence of complications of diabetes is very high, and many complications will directly bring pain and even life-threatening to patients, such as diabetic nephropathy, diabetic retinopathy and diabetic foot and so on.

Due to the continuous development of the economy, the improvement of people's living standards and the change of lifestyle, the incidence of diabetes has been high, in order to reduce the incidence of diabetes, first of all, the whole society should strengthen the publicity and education of diabetes, secondly, in the diet to control the high calorie, high cholesterol, high fat, high salt diet, at the same time, to strengthen exercise to control weight, to avoid excessive stay up late.

The incidence of diabetic complications is directly related to the control of diabetic blood sugar and disease, and if the blood sugar and disease status of diabetes can be well controlled, the occurrence of complications will be greatly reduced.

The first step is to control the patient's blood sugar. The quality of blood sugar determines the development of diabetes complications. If blood sugar is not controlled in time, it can lead to diabetic nephropathy, neuropathy and retinopathy.

Patients should control blood sugar from diet, exercise, and medication.

The complication rate of urine disease has been high, the reason is that blood sugar is not well controlled, so diabetic patients must control blood sugar below normal millimoles per liter, and can use diet control, medication**, exercise**.

The complications of diabetes remain high, and it should be that there is no scientific medication and overeating in the diet.

Diabetics must have heart disease;

Heart disease is caused by the deficiency of the central focus;

The correct method of traditional Chinese medicine is to warm up and replenish the middle focus!

Diabetes mellitus is caused by various reasons, with hyperglycemia as the main pathological manifestation, accompanied by a variety of metabolic abnormalities of lifelong diseases. High blood sugar can lead to disturbances in the internal environment, so acute complications such as diabetic ketoacidosis, diabetic hyperosmolality, and hyperglycemic state may occur. Some metabolic factors can damage blood vessels, causing damage to the organs and tissues that contain them, so various chronic complications can occur.

For example, macrovascular complications, hypertension, cerebrovascular disease, coronary heart disease, lower limb vascular occlusion, etc., microvascular complications such as diabetic nephropathy, diabetic eye disease, and diabetic neuropathy, these complications are extremely harmful and need to be actively prevented.

Because the blood sugar content of diabetic patients is high, the body's constitution will change, and it is an acidic constitution. Acidic constitution can cause damage to the body for a long time. There will be a variety of complications.

Because the human body is a system, any link problem will affect the operation of the entire system. As the saying goes, pull a hair and move the whole body.

The direct consequence of diabetes is complications if it is not timely. Here are a few common complications of diabetes. If diabetes is not detected early due to a lack of medical check-ups, or if you don't pay attention to your high blood sugar, you may develop the following diseases:

Cardiovascular disease: including cardiac and macrovascular microangiopathy, cardiomyopathy, cardiac autonomic neuropathy, leading to death in diabetic patients. Cerebrovascular disease:

It refers to intracranial macrovascular and microvascular diseases caused by diabetes, mainly manifested as cerebral arteriosclerosis, ischemic cerebrovascular disease, cerebral hemorrhage, cerebral atrophy, etc. Renovascular disease: the main manifestation is diabetic nephropathy, which is one of the most important complications of diabetic patients.

Arterial lesions of the lower extremities: mainly manifested as diabetic foot. Fundus microangiopathy:

The main manifestation is diabetic retinopathy, which is the most important manifestation of diabetic microangiopathy.

Worsening diabetes often leads to pain in the hands and feet. In the beginning, the hands and feet will only be numb. If you don't pay attention, there will be a burning sensation on the back of your hands and feet, and some sugar friends will even feel the pain of walking barefoot on charcoal.

The scary thing is that many people will think that the pain is a lumbar or spine problem, thus delaying the best time for diabetic neuralgia.

When blood sugar rises, many patients sweat more often, especially at night and during meals. Of course, not everyone sweats, and some sugar lovers don't sweat on hot days. If you sweat abnormally, check the soles of your feet.

If the soles of your feet are dry, it may be that your sweat glands are not normal. As diabetes progresses, blurred vision can be due to retinopathy, mild diabetic retinopathy, loss of vision. In severe cases, diabetic retinopathy can lead to blindness.

Every year, 5% to 10% of diabetic patients with normal fundus develop retinopathy, which gradually reduces vision until they become blind. It is also the most common cause of blindness in people aged 20-74 years. Long-term high blood sugar can easily damage the bladder nerve, and once the bladder nerve is damaged, it is difficult to recognize when to urinate, which will lead to frequent bladder clamping, which can cause bladder inflammation.

If the intestinal nerve is persistently damaged, it can easily lead to constipation and diarrhea. The stomach's ability to digest food is also greatly impaired, leading to vomiting and bloating. In fact, diet and activity are the most important for diabetic patients, and after discovering that they have diabetes, they must understand the dietary contraindications from the doctor to avoid the deterioration of the condition caused by improper diet!

It will cause blood sugar to rise, pancreatic islets will fluctuate very much, which will make the constitution very bad, and will cause dizziness, nausea, weakness, and blurred vision.

It can cause macrovascular disease, but also microvascular disease, cataracts, diabetes, coronary heart disease, numbness of the hands and feet, and also constipation.

There may be ** decay, which can lead to serious problems in the body, special hunger, special desire to sleep, and reluctance to exercise.

His biggest fear of diabetes is poor blood sugar control, leading to complications. In daily life, there are many patients who do not pay attention to the increase in blood sugar, and complications abound. When symptoms appear in these body parts, patients should be aware of the possibility of complications.

What are the red flags of diabetes complications? Eye. When the patient's eyes show symptoms such as blurred vision, fundus hemorrhage, sudden drooping of the upper eyelid, headache, dizziness, etc., it is necessary to be alert to ocular complications, which is to remind the patient of the damage caused by elevated blood sugar to the blood vessels and optic nerve.

Ear. When diabetes is more severe, the patient's earwax increases. If there is more and more earwax and some patients feel itchy ears, it is necessary to be alert to poor blood sugar control and whether there are complications.

Oral cavity. Burning of the mouth, dryness of the oral mucosa, red and swollen gums, and toothache and looseness are also complications of diabetes. Kidney.

Diabetic nephropathy is one of the more common complications of diabetes, especially proteinuria, which is suspected when there is foam in the urine and edema of the lower extremities.

**。If there is a **lesion, there will be **itching, folliculitis, **ulcer, **erythema and other ** diseases will reverse. Sweat.

If the patient feels that he or she sweats a lot, even when the weather is not hot or not working, he will sweat profusely, especially in the hands, neck, and back, which is also a sign of an increase in blood sugar, affecting the nerves and blood vessels. Constipation. As diabetes progresses, patients also experience constipation.

If you have constipation less than 3 times a week, or if you have a lot of constipation but it is very difficult to have a bowel movement, you need to be especially vigilant, which may be caused by a peripheral autonomic disorder. Or elevated blood sugar can lead to high blood pressure, which affects the movement of the digestive tract and leads to constipation. Many patients think this symptom is caused by dehydration and constipation, and is often confused with complications.

<> warm reminder that if the patient has these signals, do not think that it is simply physical discomfort, and sometimes it is to remind the patient to control blood sugar, and some complications will occur. At this time, the patient must not be sloppy and go to the hospital to test blood sugar in time. If the blood sugar is elevated, the patient should control the blood sugar in time with the help of a doctor to prevent complications caused by the increase in blood sugar and reduce the damage to the body.

If the patient does not control the diet for a long time, complications may occur. In addition, if you have an irregular diet or an unstable schedule, complications may occur.

When short-term blood glucose elevation is significant; long-term poor glycemic control in diabetic patients; Diabetic patients with hypoglycemia, who are receiving insulin or oral hypoglycemic drugs**.

What is the blood sugar level of diabetes that is prone to complications? How much is it better to control?

1.When blood glucose concentrations are higher, acute complications are predisposed. When the history is more than 8-10 years old, it is prone to chronic complications of diabetes.

If the blood sugar of diabetic patients is not up to standard, the time of complications, especially chronic complications, can be advanced, and chronic complications can occur in about five years, mainly including macrovascular complications, microvascular complications, and neurological complications of diabetes. Lesions of the central nervous system, peripheral nervous system, occur in the case of neurological lesions.

2.The standard for normal fasting blood glucose is < mmol, and the standard for normal blood glucose two hours after a meal should be < mmolL. The diagnostic criteria for diabetes mellitus are fasting blood glucose 7 mmol L and a two-hour postprandial blood glucose.

Beyond this level, the risk of diabetic retinopathy increases significantly. To avoid various complications, it is necessary not only to control blood sugar, but also to always pay attention to blood lipids, blood pressure and weight, and even blood viscosity, because only by controlling the risk factors comprehensively, can various complications be effectively avoided. If only normal blood glucose is controlled and other risk factors are ignored, the risk of cardiovascular and cerebrovascular disease is not significantly reduced.

3.If the diabetic is young and has no other underlying medical conditions, blood sugar requirements are generally tightly controlled. Fasting blood glucose should be controlled at 6-7mmol L, blood glucose should be controlled two hours after meals, and glycosylated hemoglobin should generally be around 6%.

If people with diabetes are older, there are many complications. Due to age, in order to prevent the occurrence of hypoglycemia, the range of blood sugar control can be appropriately relaxed. Generally, fasting blood glucose is 7-8mmol L, blood glucose two hours after meals, and glycosylated hemoglobin is controlled at about .