Diabetes is no longer a patent for adults. In Taiwan's health insurance database research, it has also been found that the peak age of diabetes among adolescents and children under 20 years old is 12-15 years old. In addition to the incidence of type I diabetes, in fact, it is more of type II diabetes.
Diabetes is getting younger
Diabetes has always been the fifth leading cause of death in China, killing more than 9000 people every year. However, many people's impression of the disease may still be that "it will only occur after the disease is accumulated for many years". In fact, diabetes is gradually becoming an epidemic among children.
According to the "Taiwan type 2 diabetes Yearbook" published in 2019, the incidence of type 2 diabetes mellitus under the age of 20 has also increased significantly, from 9.65% in 2008 to 13.94%, almost doubling. The average age is close to the age of puberty (12-15 years old), because there is growth hormone in puberty, insulin resistance will be increased than before puberty.
Among them, about 10% of them belong to "type 1 diabetes", and the other 90% are "type 2 diabetes". Although they are all diabetes, their problems are quite different from their daily life.
Type 1 diabetes: islet cells responsible for insulin secretion are damaged by the immune system or other reasons, resulting in congenital lack of insulin. Insulin injection must be used to maintain the body's sugar metabolism and avoid ketoacidosis. Children are usually the majority, and the onset age can be from birth to about 10 years old, but it may also occur in adults.
Type 2 diabetes: the most common type of diabetes, with more than 2 million people in Taiwan, is usually due to certain physical conditions, such as obesity, which leads to "insulin resistance", that is, the body secretes insulin, but insulin fails to play a role, resulting in the body being in a hyperglycemic state.
Two different focuses on diabetes
Because the causes of two kinds of diabetes are different, so the subjects of patients are not the same. To sum up, the most important thing to pay attention to in type 1 diabetes is "diet", while type 2 diabetes is "weight".
Type 1 diabetes is congenital without insulin, so it must be treated with artificial insulin. However, it is still impossible to adjust the amount of insulin needed to be secreted according to the needs of the body and the level of blood glucose, like normal insulin secretion. Therefore, it is very important to eat regularly and quantitatively, as well as to calculate calories.
For example, if you want to eat a snack in the afternoon, your blood sugar may suddenly soar because it is an "uncalculated calorie"; if you miss your meal time because you are busy, you may also have serious hypoglycemia because you don't take the scheduled calories.
Whether it is sudden hyperglycemia or hypoglycemia, these two conditions will damage the cardiovascular system, causing damage, like a myocardial infarction. If it happens frequently, it is likely that one day the myocardial infarction will be gone. Therefore, it is necessary to discuss with the doctor how to mix up the insulin if you miss the meal time or want to eat snacks.
Type 2 diabetes has insulin, but insulin can't perform its normal function. Therefore, it can be treated by taking hypoglycemic drugs. The key is to remove all the factors that can lead to insulin resistance. The most direct factor is obesity. Lack of muscle, too much fat, will cause serious insulin resistance problems, so we must strictly control weight.
Of course, patients with type II still have regular and quantitative meals, but they will not be as strict or dangerous as type I. However, in addition to diet control, they also need to cooperate with exercise to better improve the resistance problem; otherwise, when the islets are too tired and no longer secreting insulin, they will enter the stage where they need insulin just like type I patients.
Destruction of two types of diabetes
Although diabetes can be "controlled", the body will still be affected by hyperglycemia, so there will be renal damage, poor peripheral nerve repair, retinal damage and other symptoms. Therefore, the longer the onset time, the more possible complications.
For example, a 10-year-old child has been suffering from the disease for 30 years at the age of 40, but the disease is just beginning for a person who is only 40 years old. Therefore, the earlier you get diabetes, the more likely it will be affected, especially if the blood sugar is not well controlled. It is likely that there will be renal failure and blindness in the prime of life.
If you really get diabetes, you can't take it lightly, because the harm of diabetes is slow onset, you must take good care of it, so that you can maintain your health in the future.
Comments
Post a Comment