Early diabetic foot with "intermittent claudication", walk more after the following leg, including foot pain, go away after resting, then walking again pain. These patients usually cold feet, numbness, cold and heat pain stimulation on the slow or no sense.
Diabetic patients with diabetic foot is the body size of the arteries, particularly lower limb artery thrombosis, the formation of blood vessels narrow, leading to insufficient blood supply to the foot, caused by diabetic neuropathy and foot sensory loss and damage of foot lesions, long common in diabetes mellitus long-term poor blood glucose control middle-aged. Early diabetic foot with "intermittent claudication", walk more after the following leg, including foot pain, go away after resting, then walking again pain. These patients usually cold feet, numbness, cold and heat pain stimulation on the slow or no sense. Once the foot of the skin lesions, wounds difficult to heal, the rapid expansion of infection can cause skin infections and pyogenic osteomyelitis, severe danger to human life. Therefore, the importance of diabetic foot care. Beijing Branch of Chinese Medical Association, vice chairman of the Diabetes Association, People's Liberation Army No. 304 Hospital, Division Director, Professor Ma Xueyi secretion description whether diabetes patients with diabetic foot must, in addition to the hospital for examination but also to carry out self-examination.
Self-examination "novels"
1, with a cotton tip twist into shape, gently across the instep and foot skin, to see whether they can feel, without feeling the light touch that disappear or diminish;
2, metal body with cold feet to touch the skin, check whether the skin feel cold feet, with 37,5 ℃ 37 ℃ warm water to soak your feet, it felt warm, without feeling that double foot has clearly diminished or absent sense of temperature;
3, with a pin (or needle) blunt end of the foot touching the skin, to see if there is feeling, such as tactile feel bad that decline;
4 feet with your fingers touch the skin near the ankle, instep to find whether the degree of arterial pulse and pulse, the back foot with normal arterial pulse were compared. Such as intangible or pulse is very thin, said instep arterial insufficiency, this situation often prompts the top of a main artery in the foot artery stenosis or obstruction.
Diabetic foot, the life of the four attention
1, each time before wearing shoes, be sure to pay attention to double-check whether the hard foreign body inside the shoe, so as not to wear the skin caused foot injury;
2, per night with 40 ℃ to 45 ℃ warm water foot bath 15-20 minutes after washing the feet with a dry cotton towel on the whole foot to keep feet clean and the blood circulation, avoid using electric blankets, hot-water bottle, Do not wash sauna, grill stove, hot bubble bath;
3, daily wear absorbent cotton socks and loose with good comfortable shoes, do not walk barefoot to avoid injury by accident, at the same time remember not to do mountain climbing, running and other strenuous exercise;
4, when cutting nails and not cut too deeply, so as not to damage the skin, causing infection in a ditch.
Do to help the campaign
1, dry legs.
Side with both hands, thigh, first hug, a little hard from the thigh down to ankle massage from top to bottom, then back massage from the ankle to thigh. Massage the other leg with the same method to promote blood flow.
2 voleos.
One hand on the wall or supporting the tree, before lashing the lower leg forward, toes up to move up, and then lashes back, the foot Bengzhi, legs straight, rotate the legs lashes, each rejection 80-100 times to improve muscle strength, promote blood circulation.
3, kneading calves.
Two-hand tight embrace calf rotation Roudong, 20-30 times on each side, legs exchange 6 times to clear the blood vessels to increase leg muscle strength.
4, twisted knee.
Feet parallel to the side, the knees to squat micro, hands on his knees, clockwise Roudong dozens of times, and then pulls the other direction Roudong, treat lower limb weakness, knee pain and clear the blood.
5, pull the toes.
Upright, legs straight, bend, bend the body forward, to pull the toes hands 20-30 times, can exercise waist and legs, increase the pace of efforts to prevent leg weakness.
6, rubbing feet.
Rub the two hands, two hands and then rub the soles of the feet 100 to prevent foot pain, weakness, numbness, and promote blood circulation foot.
7, kick.
Lying in bed before falling asleep, his hands hug back of the head, from slow to rapid movement to carry out kick, every 3 minutes, and then for the other leg, repeated eight times, make the leg blood flow.
8, crumpled paper ball.
In a large basin into two paper, one foot Cairu basin, with one foot to paper into a paper ball, then for paper, and then repeat with another foot rub. This method is applicable not only to patients with diabetes, poor exercise capacity is also very suitable for those who can increase the flexibility of the foot joints, and promote blood circulation foot.
Friday, June 4, 2010
Wednesday, June 2, 2010
Friends of blood sugar monitoring
Currently, diabetes or a life-long irreversible disease, which in itself fatal to the human body and there is no effect, but caused by the complications of diabetes might lead to stroke, myocardial infarction, blindness, amputation and even paralyzed serious consequences.
Survey, the number of people with diabetes in China continued to rise. Diabetes experts urge, only to people with diabetes to realize that the importance of monitoring blood glucose, blood sugar changes in accordance with reasonable and learn to diet, exercise, medication, diabetes is a big country to curb our top priority.
Beijing Diabetes Prevention Office Professor Yuan Shenyuan introduction, the proportion of type Ⅱ diabetes in China is much larger than Western countries, and younger age of onset tended to, from a clinical point of view, more than 30 years of age or teenage patients are not uncommon, with an estimated 30 % of Ⅱ type diabetes before the age of 40 get sick, so now have to type Ⅱ diabetes prevention start from the students. With genetic factors, changes in eating habits, obesity, physical activity and anxiety are too small causes diabetes.
Europe and the United States of 35-year-old began to measure blood sugar
Currently, diabetes or a life-long irreversible disease, which in itself fatal to the human body and there is no effect, but caused by the complications of diabetes might lead to stroke, myocardial infarction, blindness, amputation and even paralyzed serious consequences. According to the survey, diabetic retinopathy patients, uremia, and the risk of amputation is 25 times of ordinary people, 17 times and 7 times. Typical symptoms of diabetes is more than three a few, that is, polyuria, polydipsia, polyphagia and weight loss, but more often these symptoms of diabetes in the late fall. Europe and the United States and other countries are usually more than 35 years of age who are beginning to test blood sugar. Experts believe that in our age of over 45 years of age, family history of diabetes, hyperlipidemia, hypertension, overweight, obese, have a great history of child birth among women, early detection of blood glucose should be. High-risk groups not only to measure fasting blood glucose, postprandial blood glucose test also, because the abnormal postprandial glucose tolerance metabolic abnormalities were mostly people who, although not a diabetic, it is the reserve army of people with diabetes, of which 30% of to diabetes. Early detection, early prevention can save substantial costs of treatment, patients can also be much suffering.
When people feel good blood sugar diabetes are often substantially exceeded
Diabetes who have a very confusing situation, that is, patients often feel very good when the actual content of the body's blood sugar has already reached 500, exceeding lot. The reason may be because the body just at the elevated blood sugar occurs when the number of transient phenomena such as blurred vision, but did not make the patient seriously, his body slowly get used to the status of high blood sugar, naturally not any adverse reactions. No adverse reaction is not to say his blood sugar down, but the patient's body adapted, but with the blood glucose is maintained at a high level of disease in other organs will gradually appear, what we call complications. Therefore, patients need to use blood glucose meter at any time, rather than perception to control their blood sugar. But the present situation in China is whether ordinary people or the patients do not attach importance to blood glucose monitoring, only 8% of conscious patients to hospitals with symptoms of diabetes Endocrinology, blood glucose, and 20% of patients are looking eye (diabetic complications), the found that 10% of the people is a long boil of skin swelling, after inspection is suffering from diabetes. According to statistics, half of diabetic patients to the hospital in the first when the disease has been associated with macrovascular disease of the body.
About how blood glucose testing
International Diabetes Federation to psychology, diet, exercise, medication and monitoring of diabetes treatment as the five elements, and only really understand diabetes, and it really reasonable meal, really to workout, the real and true real-time monitoring of medication on time, could you live and a normal life, reduce complications, in which five of the most basic is the "true real-time monitoring", which is not only aware of their blood sugar in diabetic patients, the "eyes" and is a measure of glucose control other means of diet, exercise and medication is correct and right amount of foundation. According to a long-term diabetes research shows that if control of blood glucose near normal levels consistently, can reduce the incidence of complications of diabetes almost 60%.
Although the control of diabetes and need "immediate monitoring of blood glucose," well known, however, really need real-time monitoring, often ignore the issue, which the doctor for the patient to develop a scientific, individual blood glucose control provide an obstacle. In the past, patients must go to the hospital for blood to test blood sugar, is not convenient, long, complicated, expensive, and a doctor can not keep informed about the patient's blood sugar condition, the patient can not formulate a special diet, exercise and drug treatment programs . So doctors recommend patients to learn to use their own real-time monitoring of blood glucose meters. Diabetes in the day when usually the best time to be testing blood sugar, or if the play is in the dosing of insulin and other circumstances, it is best measured 4 times a day. U.S. average daily blood sugar testing diabetes is 1.4 times the number of times, but most of our patients can not do, and some even twice a month to ensure not measured, but experts believe that testing twice a month with no difference contingency have failed to exercise any monitoring role.
Survey, the number of people with diabetes in China continued to rise. Diabetes experts urge, only to people with diabetes to realize that the importance of monitoring blood glucose, blood sugar changes in accordance with reasonable and learn to diet, exercise, medication, diabetes is a big country to curb our top priority.
Beijing Diabetes Prevention Office Professor Yuan Shenyuan introduction, the proportion of type Ⅱ diabetes in China is much larger than Western countries, and younger age of onset tended to, from a clinical point of view, more than 30 years of age or teenage patients are not uncommon, with an estimated 30 % of Ⅱ type diabetes before the age of 40 get sick, so now have to type Ⅱ diabetes prevention start from the students. With genetic factors, changes in eating habits, obesity, physical activity and anxiety are too small causes diabetes.
Europe and the United States of 35-year-old began to measure blood sugar
Currently, diabetes or a life-long irreversible disease, which in itself fatal to the human body and there is no effect, but caused by the complications of diabetes might lead to stroke, myocardial infarction, blindness, amputation and even paralyzed serious consequences. According to the survey, diabetic retinopathy patients, uremia, and the risk of amputation is 25 times of ordinary people, 17 times and 7 times. Typical symptoms of diabetes is more than three a few, that is, polyuria, polydipsia, polyphagia and weight loss, but more often these symptoms of diabetes in the late fall. Europe and the United States and other countries are usually more than 35 years of age who are beginning to test blood sugar. Experts believe that in our age of over 45 years of age, family history of diabetes, hyperlipidemia, hypertension, overweight, obese, have a great history of child birth among women, early detection of blood glucose should be. High-risk groups not only to measure fasting blood glucose, postprandial blood glucose test also, because the abnormal postprandial glucose tolerance metabolic abnormalities were mostly people who, although not a diabetic, it is the reserve army of people with diabetes, of which 30% of to diabetes. Early detection, early prevention can save substantial costs of treatment, patients can also be much suffering.
When people feel good blood sugar diabetes are often substantially exceeded
Diabetes who have a very confusing situation, that is, patients often feel very good when the actual content of the body's blood sugar has already reached 500, exceeding lot. The reason may be because the body just at the elevated blood sugar occurs when the number of transient phenomena such as blurred vision, but did not make the patient seriously, his body slowly get used to the status of high blood sugar, naturally not any adverse reactions. No adverse reaction is not to say his blood sugar down, but the patient's body adapted, but with the blood glucose is maintained at a high level of disease in other organs will gradually appear, what we call complications. Therefore, patients need to use blood glucose meter at any time, rather than perception to control their blood sugar. But the present situation in China is whether ordinary people or the patients do not attach importance to blood glucose monitoring, only 8% of conscious patients to hospitals with symptoms of diabetes Endocrinology, blood glucose, and 20% of patients are looking eye (diabetic complications), the found that 10% of the people is a long boil of skin swelling, after inspection is suffering from diabetes. According to statistics, half of diabetic patients to the hospital in the first when the disease has been associated with macrovascular disease of the body.
About how blood glucose testing
International Diabetes Federation to psychology, diet, exercise, medication and monitoring of diabetes treatment as the five elements, and only really understand diabetes, and it really reasonable meal, really to workout, the real and true real-time monitoring of medication on time, could you live and a normal life, reduce complications, in which five of the most basic is the "true real-time monitoring", which is not only aware of their blood sugar in diabetic patients, the "eyes" and is a measure of glucose control other means of diet, exercise and medication is correct and right amount of foundation. According to a long-term diabetes research shows that if control of blood glucose near normal levels consistently, can reduce the incidence of complications of diabetes almost 60%.
Although the control of diabetes and need "immediate monitoring of blood glucose," well known, however, really need real-time monitoring, often ignore the issue, which the doctor for the patient to develop a scientific, individual blood glucose control provide an obstacle. In the past, patients must go to the hospital for blood to test blood sugar, is not convenient, long, complicated, expensive, and a doctor can not keep informed about the patient's blood sugar condition, the patient can not formulate a special diet, exercise and drug treatment programs . So doctors recommend patients to learn to use their own real-time monitoring of blood glucose meters. Diabetes in the day when usually the best time to be testing blood sugar, or if the play is in the dosing of insulin and other circumstances, it is best measured 4 times a day. U.S. average daily blood sugar testing diabetes is 1.4 times the number of times, but most of our patients can not do, and some even twice a month to ensure not measured, but experts believe that testing twice a month with no difference contingency have failed to exercise any monitoring role.
Found from the early diabetic eye
According to the U.S. Centre for Disease Control and Prevention's latest data, the United States currently has 24 million diabetes patients, while 5700 million people were naturalized subject to excessive blood sugar diabetes.
By the University of Michigan Kellogg Eye Center developed this instrument can capture the eye image, and thus to detect metabolic disorders and more obvious in the early symptoms of diabetes appear before the injury.
University of Michigan professor Weiketuoai Bernard and Howard Petty on this published in "Journal of the American Medical Association Ophthalmic" in July on the number of research reports explained. The instrument can be proactive in detail under the eyes photos, and eye tissue by detecting the fluorescence density of cells in the retina of the metabolism of tension. Scientists pointed out that the high level of fundus fluorescence itself is a sign of eye disease.
Elna and Petty on the retinal tissue of 21 patients with their own eyes on the fluorescence levels were detected, and test results with healthy people the same age were compared to the same target. Analysis of the test results, regardless of how serious the illness, diabetes self-fluorescence fundus level of activity is much higher than those of healthy people.
Petty noted that in early diabetes, clinical testing has not found the time their symptoms, high blood sugar had already begun to promote cell death within the organization, while the "patient's own fluorescence fundus raising the level of cell death and tissue damage of the first signs began to . " He explained that their fluorescent eyes like a "spectral biomarkers" that can explain whether metabolic disorder, so "use of the results obtained by the instrument can detect and discover diabetes."
According to the U.S. Centre for Disease Control and Prevention's latest data, the United States currently has 24 million diabetes patients, while 5700 million people were naturalized subject to excessive blood sugar diabetes.
In addition, there are 4.1 million Americans over the age of 40 suffer from diabetic retinopathy, a diabetes-related eye complications are caused by inflammation of working-age adults in the eye of the culprit.
By the University of Michigan Kellogg Eye Center developed this instrument can capture the eye image, and thus to detect metabolic disorders and more obvious in the early symptoms of diabetes appear before the injury.
University of Michigan professor Weiketuoai Bernard and Howard Petty on this published in "Journal of the American Medical Association Ophthalmic" in July on the number of research reports explained. The instrument can be proactive in detail under the eyes photos, and eye tissue by detecting the fluorescence density of cells in the retina of the metabolism of tension. Scientists pointed out that the high level of fundus fluorescence itself is a sign of eye disease.
Elna and Petty on the retinal tissue of 21 patients with their own eyes on the fluorescence levels were detected, and test results with healthy people the same age were compared to the same target. Analysis of the test results, regardless of how serious the illness, diabetes self-fluorescence fundus level of activity is much higher than those of healthy people.
Petty noted that in early diabetes, clinical testing has not found the time their symptoms, high blood sugar had already begun to promote cell death within the organization, while the "patient's own fluorescence fundus raising the level of cell death and tissue damage of the first signs began to . " He explained that their fluorescent eyes like a "spectral biomarkers" that can explain whether metabolic disorder, so "use of the results obtained by the instrument can detect and discover diabetes."
According to the U.S. Centre for Disease Control and Prevention's latest data, the United States currently has 24 million diabetes patients, while 5700 million people were naturalized subject to excessive blood sugar diabetes.
In addition, there are 4.1 million Americans over the age of 40 suffer from diabetic retinopathy, a diabetes-related eye complications are caused by inflammation of working-age adults in the eye of the culprit.
Friday, May 14, 2010
Diabetes, "strange"
What is Diabetes "Dawn Phenomenon" and "emotionally upset phenomenon?" How does it happen? Below for your answer it.
Diabetes "Dawn Phenomenon" Changbiaoxianwei patient self-test before breakfast hyperglycemia and elevated fasting blood glucose, especially in blood glucose after meals increased by any drug treatment are difficult to control, this unusual clinical phenomenon that the "Dawn phenomenon ", also known as" high to high. " Its causes, the main body is insufficient insulin secretion and insulin antagonistic hormone secretion and insulin resistance itself generate the. This type is a Chinese Qi and Yin deficiency type. Governing Law: The Yiqiyangyin based.
Diabetes "emotionally upset phenomenon" the performance of the evening or early morning multi-dizziness, palpitation, nausea and fatigue. Self-test blood glucose at night reduced, but before breakfast fasting blood glucose increased, after adjustment is still difficult to control after treatment. This strange phenomenon is clinically mean by "emotionally upset phenomenon", also known as "low to high." The reason it occurs, mainly due to oral hypoglycemic agents or insulin Yong excessive, causing night 低 blood sugar response, the body in order to protect themselves, through the feedback regulatory mechanism to make the hormone with elevated blood sugar Zuoyong (such as blood hormone pancreatic l , growth hormone, corticosterone, etc.) secretion, so that the morning increase in blood sugar reaction appears to occur "emotionally upset phenomenon." This type is Yin deficiency heat type. Governing Law: appropriate clearing away heat, moistening thirst rule.
In short, the "dawn phenomenon" and "emotionally upset phenomenon", there is a blood glucose of patients lost body steady-state performance. Speaking for the patient, have a greater harm, must be early detection, timely treatment.
Diabetes "Dawn Phenomenon" Changbiaoxianwei patient self-test before breakfast hyperglycemia and elevated fasting blood glucose, especially in blood glucose after meals increased by any drug treatment are difficult to control, this unusual clinical phenomenon that the "Dawn phenomenon ", also known as" high to high. " Its causes, the main body is insufficient insulin secretion and insulin antagonistic hormone secretion and insulin resistance itself generate the. This type is a Chinese Qi and Yin deficiency type. Governing Law: The Yiqiyangyin based.
Diabetes "emotionally upset phenomenon" the performance of the evening or early morning multi-dizziness, palpitation, nausea and fatigue. Self-test blood glucose at night reduced, but before breakfast fasting blood glucose increased, after adjustment is still difficult to control after treatment. This strange phenomenon is clinically mean by "emotionally upset phenomenon", also known as "low to high." The reason it occurs, mainly due to oral hypoglycemic agents or insulin Yong excessive, causing night 低 blood sugar response, the body in order to protect themselves, through the feedback regulatory mechanism to make the hormone with elevated blood sugar Zuoyong (such as blood hormone pancreatic l , growth hormone, corticosterone, etc.) secretion, so that the morning increase in blood sugar reaction appears to occur "emotionally upset phenomenon." This type is Yin deficiency heat type. Governing Law: appropriate clearing away heat, moistening thirst rule.
In short, the "dawn phenomenon" and "emotionally upset phenomenon", there is a blood glucose of patients lost body steady-state performance. Speaking for the patient, have a greater harm, must be early detection, timely treatment.
Postprandial blood glucose than fasting blood glucose why lower?
Diabetes blood sugar, especially after eating is often significant hyperglycemia. But in some cases found in the monitoring of blood glucose, sometimes 2-hour postprandial blood sugar lower than fasting blood glucose, which is Why? The basis of my clinical experience of many years, the reasons for this phenomenon may have the following three aspects:
Excessive insulin secretion and peak delay
Under normal circumstances, the people will rise after eating sugar, about 30 to 60 minutes to reach peak blood glucose decreased, plasma insulin level is increased to 30 to 60 minutes peak, based on the value of 5 to 10 times, then down, 3 ~ 4 hours and returned to basal levels. Thus, despite normal blood glucose rise after meals, but fluctuations in a certain range. Type 2 diabetes, there may be too much insulin (hyperinsulinemia) and peak latency, maintained at a high concentration of insulin and can not return to baseline levels, which occur in the postprandial blood sugar low, or low blood sugar.
Inadequate diet and excessive exercise intensity meal
Diabetes diet and exercise are two important basic measures, strict diet control and proper exercise will help reduce weight and improve high blood sugar and reduce hypoglycemic drugs. But diet programs should be strict and long-term implementation, movement should be the law. Such as inadequate diet or exercise intensity is too large meal, postprandial blood glucose may occur in patients with low or even low blood sugar reactions.
Drugs
Antidiabetic drugs overdose, and diet do not match, or by applying enhanced hypoglycemic hypoglycemic drugs and other drugs may also lead to significantly lower postprandial blood glucose.
Experts Return Weapon: in case of 2-hour postprandial blood glucose below fasting blood glucose, it can first increase the monitoring frequency, such as test meal plus 1 hour, 3 hour glucose, recorded good data, easy to find changes of blood glucose. Then consult a doctor, a common analysis and find out the reasons, if necessary, adjust diet, exercise and medication.
Excessive insulin secretion and peak delay
Under normal circumstances, the people will rise after eating sugar, about 30 to 60 minutes to reach peak blood glucose decreased, plasma insulin level is increased to 30 to 60 minutes peak, based on the value of 5 to 10 times, then down, 3 ~ 4 hours and returned to basal levels. Thus, despite normal blood glucose rise after meals, but fluctuations in a certain range. Type 2 diabetes, there may be too much insulin (hyperinsulinemia) and peak latency, maintained at a high concentration of insulin and can not return to baseline levels, which occur in the postprandial blood sugar low, or low blood sugar.
Inadequate diet and excessive exercise intensity meal
Diabetes diet and exercise are two important basic measures, strict diet control and proper exercise will help reduce weight and improve high blood sugar and reduce hypoglycemic drugs. But diet programs should be strict and long-term implementation, movement should be the law. Such as inadequate diet or exercise intensity is too large meal, postprandial blood glucose may occur in patients with low or even low blood sugar reactions.
Drugs
Antidiabetic drugs overdose, and diet do not match, or by applying enhanced hypoglycemic hypoglycemic drugs and other drugs may also lead to significantly lower postprandial blood glucose.
Experts Return Weapon: in case of 2-hour postprandial blood glucose below fasting blood glucose, it can first increase the monitoring frequency, such as test meal plus 1 hour, 3 hour glucose, recorded good data, easy to find changes of blood glucose. Then consult a doctor, a common analysis and find out the reasons, if necessary, adjust diet, exercise and medication.
Know of non-diabetic hypoglycemia
For most diabetic patients, is no stranger to low blood sugar. Distinguish between diabetic and non diabetic low blood sugar is important because the two processing methods, such as diabetes, hypoglycemia mistake when non-diabetic hypoglycemia treatment, the consequences would be disastrous, and vice versa. So, how should screening here? In general, the former first presence of diabetes, and have low blood sugar caused by causal relations; the latter's situation is different, different characteristics. Now non-diabetic causes and characteristics of low blood sugar are summarized below, for the treatment of diabetes, low blood sugar when the differential reference.
Islet B cell tumors can secrete large quantities of insulin, it can cause severe low blood sugar reactions. Its features are: eating or exercise, often cause low blood sugar attack; fasting blood glucose often 2.8mmol / L the following; in good health condition disease; no history of diabetes; surgical treatment that can cure; mostly occurs in children.
Pancreatic tumor (so far, no reports of this disease, only theoretically) of spontaneous hypoglycemia can be seen in pancreatic tumors, particularly in the chest and abdominal tumors, these tumors most significant volume. Low blood sugar may be due to insulin-like substances cause cancer; or these substances to endogenous insulin over-sensitive; or because of excessive glucose consumption of large tumors. Surgical excision, hypoglycemia may disappear.
Functional disorder mainly seen in the blood sugar is too low in patients with autonomic instability, such as the vagus nerve in patients with excessive excitability, resulting in excessive secretion of insulin islet B cells, which led to spontaneous hypoglycemia. Its characteristics are: eating high-carbohydrate diet are prone to cause low blood sugar attacks; often in water 2 to 4 hours after the attack, blood glucose value is not less than 2.2mmol / L; blood glucose levels and symptoms are inconsistent, sometimes asymptomatic low blood glucose levels, on the contrary, symptoms but normal blood glucose; use oral sedatives or anticholinergic drugs may be an excellent outcome.
Chronic adrenal hypofunction (Addison disease) is about half of the patients of this disease can be symptoms of hypoglycemia, mostly occurs in fasting in the morning, before eating or 1 to 2 hours after meals. Its characteristics are: blood glucose 3.3mmol / L or so symptoms can be significant; the pigmentation of skin and mucous membranes, fatigue, weight loss and low blood pressure; loss of appetite, nausea, vomiting; low blood pressure, sexual dysfunction (male impotence, female amenorrhea, etc.).
Litchi Litchi disease can be a lot of hypoglycemia, because litchi contains large amounts of acid, acid Xishouruxue via the gastrointestinal tract, will be required by the transformation of the liver enzyme (aldolase) to fructose into glucose, can be used by the body. If the excessive ingestion of lychee, there will be too much acid into the blood, "transform" the conversion of enzyme acid will short supply. In this case, large amounts of fructose in the blood is full of transforming the human body can not be used for glucose. At the same time, excessive consumption of lychees affect appetite, the body can not be a nutritional supplement, resulting in shortage of human blood glucose, so hypoglycemic reaction. Such low blood sugar and diabetes low blood sugar difference, primarily the former has a large number of fresh lychee history.
Suffering from serious liver disease liver disease low blood sugar such as liver cancer, cirrhosis of advanced, severe hepatitis, it can hypoglycemia, this is because the liver cells of glycogen synthesis, storage and decomposition by the barrier's sake; In addition, the liver enzyme system congenital defects, such as glycogen storage disease (von Gierke disease), because the liver releases glucose often difficult to hypoglycemia. Identification is the reaction time of hypoglycemia, patients with severe liver disease original.
Drug-induced hypoglycemia in long-term service willow salt, anti-tissue amine, propranolol, monoamine oxidase inhibitors, Phenylbutazone, sodium on ammonia Yang, isoniazid and acetaminophen (paracetamol) and other drugs, even to cause low blood sugar. Low blood sugar such identification is a service history of these drugs.
If too much glucose or loss of use of breast-feeding women, strenuous exercise or prolonged heavy physical labor, use of too much blood sugar can cause low blood sugar; when suffering from severe diarrhea, high fever, severe hyperthyroidism, because of excessive loss of blood sugar consumption , also can cause hypoglycemia. Above, after hypoglycemia, diabetes, low blood sugar should be differential.
Inadequate food intake, such as old and feeble, suffering from severe chronic disease, cancer chemotherapy-induced loss of appetite, reflux ulcer scar caused by inflammation caused by swallowing difficulties, mental illness, teenage weight loss caused by excessive mental anorexia and so on, can lack of long-term food intake, while the hypoglycemic response.
Islet B cell tumors can secrete large quantities of insulin, it can cause severe low blood sugar reactions. Its features are: eating or exercise, often cause low blood sugar attack; fasting blood glucose often 2.8mmol / L the following; in good health condition disease; no history of diabetes; surgical treatment that can cure; mostly occurs in children.
Pancreatic tumor (so far, no reports of this disease, only theoretically) of spontaneous hypoglycemia can be seen in pancreatic tumors, particularly in the chest and abdominal tumors, these tumors most significant volume. Low blood sugar may be due to insulin-like substances cause cancer; or these substances to endogenous insulin over-sensitive; or because of excessive glucose consumption of large tumors. Surgical excision, hypoglycemia may disappear.
Functional disorder mainly seen in the blood sugar is too low in patients with autonomic instability, such as the vagus nerve in patients with excessive excitability, resulting in excessive secretion of insulin islet B cells, which led to spontaneous hypoglycemia. Its characteristics are: eating high-carbohydrate diet are prone to cause low blood sugar attacks; often in water 2 to 4 hours after the attack, blood glucose value is not less than 2.2mmol / L; blood glucose levels and symptoms are inconsistent, sometimes asymptomatic low blood glucose levels, on the contrary, symptoms but normal blood glucose; use oral sedatives or anticholinergic drugs may be an excellent outcome.
Chronic adrenal hypofunction (Addison disease) is about half of the patients of this disease can be symptoms of hypoglycemia, mostly occurs in fasting in the morning, before eating or 1 to 2 hours after meals. Its characteristics are: blood glucose 3.3mmol / L or so symptoms can be significant; the pigmentation of skin and mucous membranes, fatigue, weight loss and low blood pressure; loss of appetite, nausea, vomiting; low blood pressure, sexual dysfunction (male impotence, female amenorrhea, etc.).
Litchi Litchi disease can be a lot of hypoglycemia, because litchi contains large amounts of acid, acid Xishouruxue via the gastrointestinal tract, will be required by the transformation of the liver enzyme (aldolase) to fructose into glucose, can be used by the body. If the excessive ingestion of lychee, there will be too much acid into the blood, "transform" the conversion of enzyme acid will short supply. In this case, large amounts of fructose in the blood is full of transforming the human body can not be used for glucose. At the same time, excessive consumption of lychees affect appetite, the body can not be a nutritional supplement, resulting in shortage of human blood glucose, so hypoglycemic reaction. Such low blood sugar and diabetes low blood sugar difference, primarily the former has a large number of fresh lychee history.
Suffering from serious liver disease liver disease low blood sugar such as liver cancer, cirrhosis of advanced, severe hepatitis, it can hypoglycemia, this is because the liver cells of glycogen synthesis, storage and decomposition by the barrier's sake; In addition, the liver enzyme system congenital defects, such as glycogen storage disease (von Gierke disease), because the liver releases glucose often difficult to hypoglycemia. Identification is the reaction time of hypoglycemia, patients with severe liver disease original.
Drug-induced hypoglycemia in long-term service willow salt, anti-tissue amine, propranolol, monoamine oxidase inhibitors, Phenylbutazone, sodium on ammonia Yang, isoniazid and acetaminophen (paracetamol) and other drugs, even to cause low blood sugar. Low blood sugar such identification is a service history of these drugs.
If too much glucose or loss of use of breast-feeding women, strenuous exercise or prolonged heavy physical labor, use of too much blood sugar can cause low blood sugar; when suffering from severe diarrhea, high fever, severe hyperthyroidism, because of excessive loss of blood sugar consumption , also can cause hypoglycemia. Above, after hypoglycemia, diabetes, low blood sugar should be differential.
Inadequate food intake, such as old and feeble, suffering from severe chronic disease, cancer chemotherapy-induced loss of appetite, reflux ulcer scar caused by inflammation caused by swallowing difficulties, mental illness, teenage weight loss caused by excessive mental anorexia and so on, can lack of long-term food intake, while the hypoglycemic response.
Factors beyond the control of blood sugar
We often encountered in clinical patients, although increasing the dose and type, but the blood sugar remained high. In addition to the common drug factors (such as secondary sulfonylurea failure, etc.), dietary factors (such as diet control is not strict or unreasonable structure, etc.), exercise factors (such as lack of exercise), it also can find some serious interference with glucose incentive for drug onset. We call these incentives, "difficult to control blood sugar factors." Once you find difficult to control blood sugar factors, given the right Differential Treatment, often rapid decline in blood glucose, hypoglycemic drug dosage and types are also reduced.
Difficult to control blood sugar the main incentives for the following:
Insomnia: Because of high blood sugar, thirst drinking more, urinating more often at night; or a history of long, older people with diabetes are often associated with renal tubular dysfunction; or prostatic hypertrophy in older men urination at night; some patients to drink before going to bed hi Coffee, tea and other beverages, leading to mental excitement; old itching skin lesions caused by disease or diabetes, a number of factors can cause itching, etc. insomnia diabetes. In addition, the heavy psychological burden, anxiety, upset Jieke lead to insomnia. In short, many factors leading to insomnia, to look carefully. These patients are often more severe insomnia, high blood sugar more.
Constipation: from the gastrointestinal motility of diabetic weakened, fiber intake is too small, to take effect on gastric motility drugs, exercise too little and so can cause constipation. Some patients with two or three days a will, a serious three to five days or a week or more it; also some non-elderly no less than enema. Constipation not only obstacle to the body metabolism, reduce toxic discharges, and often result in serious thought to the burden of the patient, making increasingly heavy constipation, blood sugar is also increasing.
Mood swings: Diabetes people were from the social, family, friends and so the impact can easily cause mood swings. Some fear for their own illness outcome, and some too large for worry about medical costs, some do not and for the families, relatives and friends of the cold and sad, anxious. Had encountered a patient, usually a good blood glucose control with insulin, and his wife quarreled that day, blood glucose will rise, even if the double dose of insulin, it is still "pressure" not down.
Infection: immune function in people with diabetes is low, chances of infection increase, they often become infected blood sugar incentives. The most common are respiratory infections, followed by urinary tract infections, and even his back carbuncle boil, gum abscess, acute tonsillitis, etc. can also cause blood sugar fluctuations. One patient had treatment, the skin throughout the body of small pus boil after another, the two-hour postprandial blood glucose had been 200-250 mg / dl between the fluctuations, using traditional medicines to eliminate pus boil, the blood sugar to normal quickly, and hypoglycemic drug also will decrement.
In addition, women irregular menstruation (dysmenorrhea in particular, can cause increased blood sugar), gynecological disease, diabetes, peripheral neuropathy caused by limb pain, diabetic frozen shoulder, too much alcohol (especially wine), snack too much, overwork are all incentives for high blood sugar. Find difficult to control blood sugar factors, therefore, do not overlook the details. One elderly woman with diabetes, blood sugar control is not satisfactory, a private prosecution with more yellow. We give bet by hot and humid heat and dampness, they unexpectedly found that blood sugar also will drop down. Since then we further trace the history of their blood sugar twice a year during periods of volatility are larger with more yellow. Yellow with the disappearance of blood sugar drop, is our windfall.
Difficult to control blood sugar the main incentives for the following:
Insomnia: Because of high blood sugar, thirst drinking more, urinating more often at night; or a history of long, older people with diabetes are often associated with renal tubular dysfunction; or prostatic hypertrophy in older men urination at night; some patients to drink before going to bed hi Coffee, tea and other beverages, leading to mental excitement; old itching skin lesions caused by disease or diabetes, a number of factors can cause itching, etc. insomnia diabetes. In addition, the heavy psychological burden, anxiety, upset Jieke lead to insomnia. In short, many factors leading to insomnia, to look carefully. These patients are often more severe insomnia, high blood sugar more.
Constipation: from the gastrointestinal motility of diabetic weakened, fiber intake is too small, to take effect on gastric motility drugs, exercise too little and so can cause constipation. Some patients with two or three days a will, a serious three to five days or a week or more it; also some non-elderly no less than enema. Constipation not only obstacle to the body metabolism, reduce toxic discharges, and often result in serious thought to the burden of the patient, making increasingly heavy constipation, blood sugar is also increasing.
Mood swings: Diabetes people were from the social, family, friends and so the impact can easily cause mood swings. Some fear for their own illness outcome, and some too large for worry about medical costs, some do not and for the families, relatives and friends of the cold and sad, anxious. Had encountered a patient, usually a good blood glucose control with insulin, and his wife quarreled that day, blood glucose will rise, even if the double dose of insulin, it is still "pressure" not down.
Infection: immune function in people with diabetes is low, chances of infection increase, they often become infected blood sugar incentives. The most common are respiratory infections, followed by urinary tract infections, and even his back carbuncle boil, gum abscess, acute tonsillitis, etc. can also cause blood sugar fluctuations. One patient had treatment, the skin throughout the body of small pus boil after another, the two-hour postprandial blood glucose had been 200-250 mg / dl between the fluctuations, using traditional medicines to eliminate pus boil, the blood sugar to normal quickly, and hypoglycemic drug also will decrement.
In addition, women irregular menstruation (dysmenorrhea in particular, can cause increased blood sugar), gynecological disease, diabetes, peripheral neuropathy caused by limb pain, diabetic frozen shoulder, too much alcohol (especially wine), snack too much, overwork are all incentives for high blood sugar. Find difficult to control blood sugar factors, therefore, do not overlook the details. One elderly woman with diabetes, blood sugar control is not satisfactory, a private prosecution with more yellow. We give bet by hot and humid heat and dampness, they unexpectedly found that blood sugar also will drop down. Since then we further trace the history of their blood sugar twice a year during periods of volatility are larger with more yellow. Yellow with the disappearance of blood sugar drop, is our windfall.
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