It is well known that the clinical diagnosis of diabetes is based on intravenous plasma glucose. The Chinese Guidelines for the Prevention and Treatment of Type 2 Diabetes (2013 edition) pointed out that the rate of missed diagnosis of diabetes mellitus was high when only fasting blood glucose was checked. The ideal survey was to check fasting blood glucose and oral glucose tolerance test (OGTT) 2 hours after taking sugar at the same time. Many patients with diabetes do not have typical symptoms of diabetes at the initial stage (excessive drinking, polyuria, polyphagia, weight loss), a considerable part of them are due to other symptoms, such as blurred vision, itchy skin, wound healing and so on; if patients have typical symptoms of diabetes, they may have been ill for a long time. Director Li Xiaoxing, Department of Endocrinology, Third People's Hospital of Changsha, reminded us that diabetes mellitus is not only an elevated blood sugar, but also a progressive, occult and systemic disease. As long as we insist on paying equal attention to early prevention and late treatment, life style and drug treatment, self-management and professional treatment, we can scientifically and regularly carry out comprehensive prevention and treatment of diabetes.
Case 1: Frequent dizziness, blackening, or diabetes mellitus
Loudi's Mr. Chen was recently diagnosed with diabetes, which made him very unacceptable, and his colleagues and friends were very surprised. It is understood that his physical quality has been very good, he has very few colds, let alone serious illness. According to Mr. Chen recalls, more than a year ago, the phenomenon of hungry stomach began to appear just after eating for three or four hours. Sometimes, dizziness, tinnitus and blackening occurred. Because occasionally, I did not care too much about it. I thought it was a reaction of hypoglycemia. I just ate some biscuits to deal with it. However, in recent months, it happened frequently and only came to the hospital on the advice of my family. See a doctor.
Misconceptions:
Reactive hypoglycemia in the early stage of diabetes is easily misunderstood as a result of inadequate intake or excessive physical consumption. Director Li Xiaohang pointed out that hypoglycemia occurs when the amount of exercise is suddenly increased or the intake is obviously insufficient. Reactive hypoglycemia in the early stage of diabetes often occurs within 3 to 5 hours after meals, and its symptoms are also manifested as panic, dizziness, cold sweat and so on. Because it can be alleviated after eating, it is not easy to attract people's attention.
Reminder:
Director Li Xiaoxing introduced that diabetes is a metabolic disease characterized by hyperglycemia. However, the typical symptoms of "more than three and less" are not the only criteria for judging whether there is diabetes. For example, Mr. Chen's case is a late-meal hypoglycemia in the early stage of type 2 diabetes mellitus. The release of insulin after meals is slower than the rise of blood sugar level. Therefore, when the blood insulin concentration reaches its peak, blood sugar level begins to decline and hypoglycemic reaction occurs. It is suggested that people with family history of diabetes, obesity and other high-risk groups should pay more attention to the seemingly "no reason" of hypoglycemia and go to the hospital as soon as possible for examination in order to prevent the occurrence of the disease in the future.
Case 2: Superstition of "okra" nearly killed
Mr. Wu almost lost his life because of the "okra" which was spread wildly in Weixin's circle of friends some time ago. When he remembered this, Mr. Wu still had a lingering palpitation. Mr. Wu is a new sugar pal. He has always been suspicious of being diagnosed with type 2 diabetes at an early age and has been looking for a way to get rid of it. One day in the circle of Wechat friends, he saw the saying that "okra can eradicate diabetes completely". He was overjoyed that his left-to-right relationship brought a lot of okra. After stopping the medicine prescribed by the doctor without authorization, he changed his way to eat okra every day in an attempt to eradicate diabetes completely with this "magic drug". Who knows, in a few days, Mr. Wu appeared dry mouth, physical weakness and other symptoms. When we went to the hospital, the fasting blood sugar was 16.3 mmol/L. "Fortunately, it came in time, otherwise the consequences would be unthinkable. I advise you not to believe similar rumors in the future, which will do harm to you! ___________ Mr. Wu still regrets every time he talks about it.
Misconceptions:
Director Li Xiaoxing reminds us that diabetes is a chronic disease. At present, there is no complete cure for diabetes in medicine. That is to say, diabetes will accompany the whole life. The so-called "diabetes nemesis", "radical cure of diabetes" and other partial prescriptions or advertisements on the market suggest that "sugar pals" should not be blindly credulous.
Reminder:
Director Li Xiaohang introduced that okra is rich in mucin, can promote gastrointestinal peristalsis, inhibit the absorption of cholesterol and sugar, and has certain benefits for the human body, but there is no clinical information to prove that okra can cure diabetes. She emphasized that food should not be taken as medicine and medicine should not be taken as food.
Speaking of his 30-year medical experience, Director Li Xiaoxing has met many patients like Mr. Wu who believe in partial prescriptions and can cure diabetes. Especially for the first time diagnosed diabetes, many patients can not understand how they suffer from diabetes, seeking partial prescriptions and credulous advertisements. Suggest that "sugar pals" should go to regular hospitals and listen to the guidance of professional doctors, so as to achieve early detection, early diagnosis and early treatment, rather than blindly believe in partial prescriptions or health care products.
Case 3. Dinner without mouth, sudden burst of blood sugar table
Mr. Tang has been suffering from diabetes for five years in his early fifties. On weekdays, his blood sugar control is still good. However, during a class reunion on the 30th anniversary of graduation this summer, he did not "control his mouth" because of dinner. He drank a lot of alcohol and had an irregular meal. As a result, in the past three days, his fasting blood sugar was checked up to 12.6mm.
