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Because all the complications of diabetes stem from high blood sugar, strict control of blood sugar is the key to preventing various complications, rather than waiting for complications to come out.
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Diabetes is not scary, but complications are scary. By the time the complications come, it's hard to control. So it's all about prevention.
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Diabetes is a very common disease. In our cognition, diabetes can't eat sweets. It's not like that.
In medicine, there are two types of diabetes. One is that the patient's body cannot produce insulin. Insulin injections are needed to control blood sugar levels.
The other is that the patient's body is resistant to insulin, making it impossible for insulin to do its job. So diabetics can make blood sugar by eating sweets.
So what are the complications of diabetes?
1. **Infection.
Infection is the most common complication of diabetes, patients respond to it when their blood sugar is particularly high, and if they can't get it in time, lowering blood sugar levels, fungal and bacterial infections may occur, and in severe cases, itching, ulcers and blisters may occur.
2. Cardiovascular disease.
It's no secret that people with diabetes tend to have higher blood sugar levels. This may directly increase the risk of cardiovascular disease. Because too much sugar in the blood will increase the viscosity of the blood, it will cause long-term blood vessel blockage, slow blood circulation, blood vessel stenosis, and eventually arteriosclerosis, myocardial infarction and other diseases.
3. Eye disease. Diabetic patients who are at high blood sugar levels for a long time will affect the yellow hemispheres of the retina, resulting in ghosting, blurred vision, and decreased vision. The damage to the eye is irreversible, and vision loss or blindness can occur if blood sugar levels are not well controlled.
4. Kidney failure.
High blood sugar can affect many organs in the body. The kidneys are one of them. If blood sugar cannot be adjusted to normal levels, a series of kidney problems such as proteinuria, abnormal blood pressure, and edema may occur. Long-term hyperglycemia is likely to lead to kidney failure.
5. Oral infection.
Due to the dryness of the oral mucosa and the decline of self-determination, the oral cavity of diabetic patients is susceptible to microbial invasion, and oral mucosal disease changes, infectious stomatitis, periodontitis, gingivitis, etc. One of the more common changes in oral mucosal disease is infection with Candida albicans.
6. Respiratory tract infection.
Diabetic patients are susceptible to respiratory tract infections, especially pneumonia and fungal infections of the respiratory tract. It is reported that diabetic patients have a high risk of developing in-hospital bacteremia, with a fatality rate of 50%, and are high-risk soldiers infected with bacteremia of pneumococcus. In addition, fungal infections of the respiratory tract such as mycosis and mycosis are also often seen in diabetic patients.
Therefore, diabetic patients should be vaccinated with Streptococcus pneumoniae polysaccharide vaccine, and it is advisable to have a chest X-ray examination 1 or 2 times a year.
7. Acute metabolic disorders.
Acute metabolic disorder of diabetes mellitus is also known as acute diabetes complications, including acidosis, hypoglycemia and other types, which are more acute complications of diabetes, especially hypoglycemia, which may cause instantaneous coma and even threaten the life of diabetic patients if not treated in time.
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Diabetes complications are a common chronic complication, which is transformed from diabetic lesions, so the disease of diabetes itself is not terrible, but the complications are particularly terrible, which may lead to foot disease, kidney disease (kidney failure, uremia), eye disease (such as blindness), encephalopathy, heart disease, etc. are the most common complications of diabetes and the main factor leading to death in diabetic patients. If you control your blood sugar well, you will reduce the occurrence of complications.
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Chronic complications of diabetes, including diabetic nephropathy, diabetic retinopathy, diabetic macular edema, cataracts, etc.; In addition, diabetes can cause coronary heart disease, diabetic foot, etc. Hypoglycemia can cause a sudden increase in exercise and a sudden decrease in the amount of food you eat.
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There will be these infections: diabetic ketosis, ketoacidosis, poor kidney function. Increased physical activity improves the body's sensitivity to insulin, lowers body weight, reduces body fat mass, increases physical strength, improves work capacity and quality of life.
The intensity and duration of exercise should be determined according to the patient's general health, and the amount of exercise that suits the patient and the items that the patient is interested in should be found. Exercise can take various forms, such as walking, brisk walking, aerobics, dancing, tai chi, running, swimming, etc.
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It will be prone to diabetic foot, diabetic nephropathy, diabetic human body lesions, and will also cause itching, as well as some diseases such as hypertension, coronary heart disease, and diabetes.
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Diabetes mellitus is a group of lifelong metabolic diseases characterized by chronic hyperglycemia caused by a variety of **. Long-term blood sugar increases, large blood vessels, microvascular damage, and endanger the heart, brain, kidneys, peripheral nerves, eyes, feet, etc., in fact, diabetes complications up to more than 100 kinds, is currently known to have the most complications of a disease, clinical data confirm that about 10 years after the onset of diabetes will have 30% 40% of patients will have at least one complication. Complications of diabetes can be divided into two broad categories: acute and chronic.
Among the acute complications include diabetic ketoacidosis, hyperglycemic hyperosmolar state, lactic acidosis, etc. Chronic complications are the main cause of disability and mortality in diabetes, including macrovascular complications, such as cardiovascular and cerebrovascular and lower limb vascular lesions; microvascular complications such as renal and fundus lesions; Neuropathy, such as sensory, motor, and autonomic neuropathy. In addition, diabetic foot is a common manifestation of severe vascular and neuropathy, with a high amputation rate and a poor prognosis.
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The prognosis of diabetes depends on complications, the occurrence of which is closely related to the development and control of diabetes. Complications of diabetes mellitus are mainly divided into acute metabolic complications and chronic complications. Acute complications include diabetic ketoacidosis, nonketotic diabetes, and lactic acidosis.
Chronic complications mainly include diabetic cardiac complications and diabetic vascular complications. Diabetic neurological complications, diabetic nephropathy, diabetic foot, diabetic eye complications.
Prevention of diabetic complications.
The severity and severity of various chronic complications of diabetes are directly related to the course of diabetes, glycemic control, blood lipids and blood pressure. If patients are able to effectively control blood glucose, lipids, and blood pressure over the long term, the eyes, kidneys, neurologics, and cardiovascular should be evaluated regularly. Monitoring for various chronic complications of diabetic disease can prevent or slow the onset and progression of complications.
To prevent complications of diabetes, the following points should be emphasized. 1. Actively ** diabetes, so that blood sugar can be controlled at or near normal levels for a long time. Approaches to diabetes include diet, exercise, medications (oral hypoglycemic drugs, insulin), self-monitoring, education, and psychology.
The specific regimen depends on the condition, but it is important for the patient to work closely with the doctor. 2. Positive ** dyslipidemia. Adhere to the diet for a long time**, eat less animal fat, and limit animal offal, caviar, egg yolk and other cholesterol-rich foods.
Fat-modifying drugs are used if necessary. 3. Appropriate exercise has a good effect on reducing blood sugar and blood lipids, effectively controlling weight, and preventing diabetes complications. The exercise method should be aerobic exercise, such as fast walking, jogging, cycling, swimming, etc., and do not require short-term sexual exercise, such as running, weightlifting, etc.
Activity for severe, renal, and other cardiac complications should be determined on a case-by-case basis. 4. Adjusting weight is the enemy of longevity and the hotbed of various diseases, obesity is closely related to arteriosclerosis, and progress is insensitive to insulin. Therefore, obesity is not insensitive to insulin.
Taking antihypertensive drugs to effectively control blood pressure should be controlled below 130 80 mm Hg. 6.No smoking or drinking.
7.Establish a correct and regular diabetes diet. 8.
Regularly check the fundus, ECG, kidneys, nervous system, and feet for early detection of complications and early**. People with type 1 diabetes should have an annual physical examination starting 5 years after diagnosis. People with type 2 diabetes should have annual check-ups after diagnosis.
Diabetes mellitus is a hailstorm-proof disease of the extremities that requires long-term home** and care. Many patients lack understanding of the dangers of diabetes complications. Therefore, there is a heart that despises disease.
Must insist on regularly going to the hospital to check blood glucose, blood lipids, blood pressure, kidney function, cardiovascular and other clinical indicators; Keep exercising; scientific control of diet; Random medical treatment, random medication, random discontinuation; Keep your blood sugar within the normal range.
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Be physically active. Active physical activity helps maintain blood sugar levels, can reduce the risk of developing diabetes, and can also enhance the regenerative ability of the heart, muscles, bones, improve blood circulation, strengthen muscles and maintain joint flexibility. Eat a healthy diet.
Maintaining a healthy diet plays a very important role in preventing diabetes and can reduce the risk of type 2 diabetes and heart disease. Maintain a healthy weight. Being overweight or obese significantly increases the risk of type 2 diabetes, and losing weight can reduce the risk of diabetes.
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Usually try to eat less sugar in your diet, eat more fresh green vegetables and fruits, accelerate your body's metabolism, and exercise properly.
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Don't eat too greasy at every meal, and be sure to keep yourself in shape, and don't eat foods that are too high in sugar.
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You should pay attention to your diet, because some diabetics are caused by improper diet.
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Yes, the ophthalmoscopy of diabetic retinopathy can be seen as microhemangioma, retinal hemorrhagic spots, flocculent leukoplakia, and in the late stage, there may be preretinal hemorrhage, vitreous hemorrhage, proliferative retinopathy and macular degeneration. Repeated amputations:
The previous amputation was not ** and the amputation was started again from the distal end. New amputation: The affected area** of a previous amputation is followed by an amputation that begins distally.
Minor amputation: It is one of the leading causes of death in diabetic patients, and data show that the incidence of kidney disease in diabetic patients with a disease duration of more than 10 years can reach 10%-20%. If left unchecked, it can cause uremia and require haemodialysis or a kidney transplant to sustain life.
More people come to the clinic not because of high blood sugar but because of the pain caused by complications caused by diabetes, which affects the quality of life and even causes great harm to the body! Today, I'm going to talk to you about diabetes.
Chronic disease Diabetes chronic complications are mainly caused by high blood sugar damage to large blood vessels and microvessels, and the human body is distributed with large and small blood vessels, therefore, it can be said that diabetes complications can be all over the body, the more common chronic complications of diabetes include diabetes is such a disease, known as the source of all diseases, in fact, in the various complications it induces are caused by damage to blood vessels. Long-term hyperglycemia or blood sugar fluctuations cause damage to the endothelium of blood vessels, followed by various lipids in the blood.
The substance deposited in the blood vessels is a small gadget because of sufficient nutrition, and gradually grows and grows. For example, a grape seed (diabetes), because of nutrients such as sunlight and water, it has mutated and has become a chronic complication of grape diabetes from the ground1
Macrovascular disease (coronary heart disease, cerebral infarction, peripheral artery disease, etc.). 2.Microangiopathy (diabetic nephropathy, retinopathy, etc.).
3 Neuropathy (peripheral neuropathy and autonomic neuropathy, which is the most common chronic root of diabetes, vines and grapes grow from the ground, simply, this is 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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