Diabetes is a chronic metabolic disease, many patients can not feel the obvious symptoms, but if left alone, the complications are often quite difficult. Most of the complications of diabetes are caused by poor blood glucose control, so the most important thing for diabetic patients is to follow the doctor's instructions to take medicine or insulin, plus to maintain good living habits, exercise more and not smoke No alcohol, light and balanced diet, blood sugar can be effectively controlled.
When it comes to diabetes, what do you associate with it? Ten major causes of death in China, insulin, eating more, drinking more, urinating more...
All of these are true, but diabetes is far more complicated than you think. But don't worry, this article will let you know the causes, symptoms and risk groups of diabetes, and then learn about prevention methods!
This paper focuses on:
1. Causes of diabetes
2. Diabetic symptoms
3. High risk group of diabetes mellitus
4. Four types of diabetes
5. Diagnostic criteria for diabetes mellitus
6. Treatment of diabetes
7. Diabetic complications
8. Prevention of diabetes
One person dies of diabetes every hour
Taking Taiwan as an example, the prevalence rate of diabetes among Chinese over the age of 18 is 11.8%, and there are about 2.27 million diabetics in China. Diabetes ranked the fifth among the top ten causes of death in 2016, with 42.4 deaths per 100000 people, equivalent to one death per hour.
Why can you get diabetes?
Insulin can take glucose from the blood into cells, which is used as energy for cell operation.
We can imagine that litchi is glucose, the maiden is insulin, and the imperial concubine is a cell. It is impossible for the imperial concubine to go to the market to buy litchi by herself, so the maiden is responsible for taking the litchi to her.
Insulin brings glucose into the cell
There are two main factors that make glucose unable to enter the cell and remain in the blood, making blood sugar high.
Insufficient insulin supply in the body
When the body's insulin supply is insufficient, glucose can not be used through the insulin supply cells, and retained in the blood, blood sugar will continue to exceed the normal value. Type 1 diabetes is due to the immune system attacking pancreatic cells, resulting in insufficient insulin secretion.
Insulin resistance
Insulin resistance is the abnormal ability of cells to use insulin. Insulin can not effectively metabolize glucose, which leads to glucose retention in the blood, and the kidney can not be completely recovered and remains in the urine.
Because the cells can't get enough energy, the body thinks that it should make more insulin to transport glucose, so it makes insulin day and night. But the problem is that the cells have already low response to insulin, so they still can't get enough energy. Finally, the body will lose weight quickly.
90% of diabetes is caused by insulin resistance, which may be related to excessive fat, heredity and aging.
Insulin resistance leads to the decrease of cell response to insulin
It is said that the imperial concubine (tissue cells) has been fed with a large amount of Litchi (glucose) for a long time. She is not only tired of eating, but also gradually plump. She only feels nausea (insulin resistance) when she sees litchi sent to her again.
The emperor only saw lychees piled up in the whole Treasury. He thought it was because the palace maids (insulin) were not enough to carry the litchi. He was afraid that the imperial concubine would be hungry, so he recruited more maidens (insulin) to transport litchi to the palace. However, if the imperial concubine didn't want to eat, she would not have to swallow one or two of them. So even though there were many maids and many lychees in the palace, the imperial concubine did The body is losing weight
Diabetic symptoms
Diabetes symptoms:three more, less, more food, more drink, more urine, weight loss
Eat more
Drink more
Polyuria
Weight loss
In addition, the following symptoms may occur in diabetes:
Easy to feel tired, limb weakness, paralysis
Itching of skin and sexual organs
Visual deterioration
Lower resistance, skin lesions, poor wound healing ability
However, there are usually no symptoms in the early stage of diabetes. Nearly one-third of people do not know that they are ill. Therefore, regular health examination is necessary to detect diabetes as soon as possible.
Why do diabetic patients eat a lot, drink a lot or feel hungry and thirsty?
Even if patients with diabetes eat a lot of food, but because of the poor response of insulin to cells, glucose can not be used by cells, so patients will still feel hungry.
In addition, because of the sugar in the urine, resulting in osmotic diuresis. When the urine volume is not normal increase, the body's water will accelerate the loss, and cause thirst. Therefore, if the blood sugar does not drop down, there will be continued thirst phenomenon.
High risk group of diabetes mellitus
In addition to genetic factors, lifestyle also has a great influence on diabetes. Carefully examine the following high-risk groups, which can be avoided at ordinary times?
High risk groups for diabetes include hyperlipidemia or hypertension
Smoking and drinking
Nicotine in cigarettes can inhibit insulin secretion and increase blood sugar. Drinking on an empty stomach may cause hypoglycemia, but drinking after meals may have a high blood sugar risk.
Women with gestational diabetes mellitus
Between 15% and 50% of women with a history of the disease will develop type 2 diabetes in the future.
pressure
Long term high pressure will make hormone secretion abnormal, hinder insulin operation, and increase the risk of blood sugar rise.
Family history
If there is a family history of diabetes, the risk of diabetes will be higher than that of ordinary people.
Over 40 years old
This is the age of type 2 diabetes.
Hypertension, hyperlipidemia
If you prefer heavy taste and like big fish and meat, the concentration of good cholesterol "high density cholesterol (HDL-C)" in the blood will decrease, and the bad cholesterol "low density cholesterol (LDL-C)" will increase. It will not only bring about diseases such as hypertension and hyperlipidemia, but also cause diabetes.
Overweight, lack of exercise
Obesity reduces the ability of cells to use insulin (insulin resistance) and increases blood glucose concentration.
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