Britain held in Beijing International Conference on Diabetes academic exchanges, the British scientist, Professor Bloom first found and proved that humans have something called PYY-3-36 of the endocrine regulatory peptides (Jimmy Shu Ling), often called the hunger gene could be used for human control of obesity and diabetes prevention.
Professor Bloom, he and his team found that the causes of obesity are closely related with human genes, there is a body called PYY-3-36 of the endocrine regulatory peptides (Jimmy Shu Ling), is a neuroendocrine regulation peptides, on the human body there is a strong regulation of appetite.
Professor Bloom synthesis "special Ling Mak," analogue research to prove that it can act on the feeding center, and stability to maintain the normal function of the body feeding center, to reduce hunger and enhance satiety, inhibit excessive for pathological food.
If the synthetic "wheat special Ling" into drugs, you can make a lot of appetite hyperthyroidism pathologically obese patients to reduce feeding the desire to achieve weight loss results.
Obese or overweight people with diabetes lose weight safe and effective if carried out, can significantly reduce the burden of pancreatic β cells, even for damage but not apoptosis by pancreatic β cells to produce different levels of repair in order to achieve a high level of treatment.
Friday, July 9, 2010
Diabetic blindness "big three" killers
Diabetic eye disease throughout the various stages of diabetes is the most important complication of diabetes. Among them, neovascular glaucoma, sudden blindness cataract, retinal detachment is the most serious threat of diabetes complications, it was named as diabetes, blindness, "the three killers."
Neovascular glaucoma
Blinding glaucoma accounted for 20% of the total number of blind people. Many different kinds of glaucoma, the most refractory to devaluation of neovascular glaucoma, its ferocious, pain often lose, and the cure rate is very low. Diabetes, glaucoma neovascular glaucoma is more often seen in advanced diabetic retinopathy, retinal ischemia and neovascularization of a change in the iris, and then induced neovascular glaucoma.
As the rapid development of neovascular glaucoma, visual acuity declined sharply, may be associated with eye pain, migraine headaches, nausea, vomiting, severe cases can result in heavy bleeding eye, drug treatment and more difficult to work. Surgical treatment is often a result of new filtration mouth again after adhesion, resulting in closure of surgical failure.
Sudden blindness cataract
Cataract caused by diabetes is called diabetic cataract or complicated cataract, diabetic eye disease complicated by the second largest, is an important factor for diabetic blindness; its occurrence and high blood sugar, aqueous osmotic pressure changes and metabolic disorders the toxicity of the product concerned. Cataract caused by high blood sugar, also known as True diabetic cataract. In the latter stage of diabetes as uveitis, diabetic retinopathy severe metabolic disorder caused by the lens of self-induced cataract, also known as complicated cataract.
True diabetic cataract occurs mainly in young patients with severe diabetes, may also occur in young children, while relatively rare in the elderly. Eyes more than the same time the disease progress faster, and often a few days to be harvested.
If the onset of diabetic cataract early control of blood glucose in time, become turbid and transparent lens can be partially restored. Once the cloudy lens just rely on surgery to restore their sight completely. If not treated quickly can be blinding, so called sudden blindness cataract. The disease can be prevented, control of blood glucose, regular inspection, early treatment, eye complications can be avoided to the "dark."
Retinal detachment
Diabetic retinopathy is the end of retinal detachment. Diabetic retinopathy can be divided into six phases, with duration of diabetes and the changing condition, diabetic retinopathy is gradually increased, blood glucose is a catalyst for the development of diabetic retinopathy.
When the localized retinal detachment, within the same area had a blind spot - visual field defect. Once the retina detachment will lead to blind.
Diabetic retinopathy caused by retinal detachment require surgery. Early surgical treatment is to restore visual function in the premise, the early small retinal detachment surgery can save part of the visual function, a wide range of retinal detachment with poor prognosis.
Neovascular glaucoma
Blinding glaucoma accounted for 20% of the total number of blind people. Many different kinds of glaucoma, the most refractory to devaluation of neovascular glaucoma, its ferocious, pain often lose, and the cure rate is very low. Diabetes, glaucoma neovascular glaucoma is more often seen in advanced diabetic retinopathy, retinal ischemia and neovascularization of a change in the iris, and then induced neovascular glaucoma.
As the rapid development of neovascular glaucoma, visual acuity declined sharply, may be associated with eye pain, migraine headaches, nausea, vomiting, severe cases can result in heavy bleeding eye, drug treatment and more difficult to work. Surgical treatment is often a result of new filtration mouth again after adhesion, resulting in closure of surgical failure.
Sudden blindness cataract
Cataract caused by diabetes is called diabetic cataract or complicated cataract, diabetic eye disease complicated by the second largest, is an important factor for diabetic blindness; its occurrence and high blood sugar, aqueous osmotic pressure changes and metabolic disorders the toxicity of the product concerned. Cataract caused by high blood sugar, also known as True diabetic cataract. In the latter stage of diabetes as uveitis, diabetic retinopathy severe metabolic disorder caused by the lens of self-induced cataract, also known as complicated cataract.
True diabetic cataract occurs mainly in young patients with severe diabetes, may also occur in young children, while relatively rare in the elderly. Eyes more than the same time the disease progress faster, and often a few days to be harvested.
If the onset of diabetic cataract early control of blood glucose in time, become turbid and transparent lens can be partially restored. Once the cloudy lens just rely on surgery to restore their sight completely. If not treated quickly can be blinding, so called sudden blindness cataract. The disease can be prevented, control of blood glucose, regular inspection, early treatment, eye complications can be avoided to the "dark."
Retinal detachment
Diabetic retinopathy is the end of retinal detachment. Diabetic retinopathy can be divided into six phases, with duration of diabetes and the changing condition, diabetic retinopathy is gradually increased, blood glucose is a catalyst for the development of diabetic retinopathy.
When the localized retinal detachment, within the same area had a blind spot - visual field defect. Once the retina detachment will lead to blind.
Diabetic retinopathy caused by retinal detachment require surgery. Early surgical treatment is to restore visual function in the premise, the early small retinal detachment surgery can save part of the visual function, a wide range of retinal detachment with poor prognosis.
Glycemic control do not fall into 4 major errors
Recently, in the hospital are held from time to time "to teach diabetic patients Figure Dialogue Project." This is a special instructor with the patient in a "Figure dialogue" is a technique used to help diabetic patients to enhance self-management of a new education model, to easily participate in diabetes Figure as long as the dialogue, we can learn
Understanding and knowledge of diabetes, and found in the full exchange of questions and draw conclusions, and ultimately implement the behavioral change, effective control of diabetes.
According to Professor Guo Xiaohui, director of the Hospital of Endocrinology introduction, previous diabetes education models are mostly one-way spoon-feeding methods, such as organizing health talks, pamphlets and other grant knowledge. Although the broad audience, but the results are unsatisfactory. The "Figure dialogue" tool appears and allows the staff interact with patients. Medical Association, diabetes care and diabetes education credits will be deputy director of Building green is "Figure dialogue" one counselor, she's Sir Run Run Shaw Hospital in Hangzhou, "Diabetes Figure words," found that there are so many " know the elements ", though that diet therapy is an important means of controlling blood sugar, insulin that need smaller meals to reduce the burden of control of the disease development, but lowering blood sugar in diabetic there are still a lot of misunderstanding.
Myth # 1 There are a lot of people that "can lower blood sugar pumpkin"
"In Figure spoke, I really did not think there are many diabetic patients to eat pumpkin as a good way to lower blood sugar." Building green "This is a great mistake." A few years ago, major media have reported: pumpkin glycemic index of 75, according to the amount of sugar, 55 if the generated index below basic diabetes can eat. If 55-75, should control the consumption, a high index of 75 or more food, more food should be minimal. In the clinical part of the patient, she found, as had fresh pumpkin, not only failed to lower blood sugar, but the face and the phenomenon of skin stained yellow, and even blood sugar.
Mistakes 2 sugar moon cake, sugar-free cookies is not afraid to eat more
Sugar-free foods will mean "help control blood sugar" or "low calorie" it? Not be more wrong. In fact, this sugar-free food moon cake is done, a moon cake may be arrived in a meal of sugar. A food can raise blood sugar quickly, and there is no absolute relationship between them is sugar, the key is its nutrient composition and dietary fiber characteristics. Sugar-free snacks, biscuits, like a starch and fat. These are high-calorie food, eat it still make people gain weight. Therefore, the concern over the health of consumers or not to rely on sugar-free products, should eat more beans, dairy products, grains, vegetables and their control of blood glucose and body weight best.
Myth # 3 Chi Guazi, peanuts, walnuts, sugar will not rise
The reason why love Chi Guazai diabetes, peanuts, walnuts, green floor to hear the answer is: Let them eat snacks, both to reduce hunger, but also to protect one of the means adequate nutrition. In fact, eating these foods have a lot of requests. Because walnuts contain more oil, it should be a corresponding reduction in the fat meal intake. However, eat peanuts, melon seeds is not allowed? These foods not only yangkeng, little sugar, little impact on blood sugar, contain fat is saturated fatty acids, should be able to easily eat, right?
Some truth in this view, it is still not fully and correctly. Peanuts and melon seeds does a lot of advantages, but they, after all, is rich in fatty acids of plant seeds, is a high calorie, high fat foods, such as peanuts, seeds and nuts contain more calories than the same weight even higher pork at times a large number of food is certainly not conducive to maintain body weight and blood lipid control, which indirectly affect blood glucose and blood pressure control. Therefore, the daily consumption of peanuts not more than 10 (8 grams), not more than 50 seeds (20 grams), or else, or will affect the treatment of diabetes.
Myth # 4 If a blood sugar test and found that high blood sugar, many patients first affirmative act to reduce appetite
In fact, this is very bad. "Because doctors Ye Hao, dieticians Ye Hao, you set an appetite, high blood sugar if you should not reduce the appetite, but the drug should be added, see a doctor." Building green said, "Some of the patients a to reduce high blood sugar rice, I encountered three patients clinical situation is such, eat more small meals, while increasing blood sugar, and finally got cancer, I can not say the cause of gastric cancer is to eat less, but eat less true Shang Wei. "
Understanding and knowledge of diabetes, and found in the full exchange of questions and draw conclusions, and ultimately implement the behavioral change, effective control of diabetes.
According to Professor Guo Xiaohui, director of the Hospital of Endocrinology introduction, previous diabetes education models are mostly one-way spoon-feeding methods, such as organizing health talks, pamphlets and other grant knowledge. Although the broad audience, but the results are unsatisfactory. The "Figure dialogue" tool appears and allows the staff interact with patients. Medical Association, diabetes care and diabetes education credits will be deputy director of Building green is "Figure dialogue" one counselor, she's Sir Run Run Shaw Hospital in Hangzhou, "Diabetes Figure words," found that there are so many " know the elements ", though that diet therapy is an important means of controlling blood sugar, insulin that need smaller meals to reduce the burden of control of the disease development, but lowering blood sugar in diabetic there are still a lot of misunderstanding.
Myth # 1 There are a lot of people that "can lower blood sugar pumpkin"
"In Figure spoke, I really did not think there are many diabetic patients to eat pumpkin as a good way to lower blood sugar." Building green "This is a great mistake." A few years ago, major media have reported: pumpkin glycemic index of 75, according to the amount of sugar, 55 if the generated index below basic diabetes can eat. If 55-75, should control the consumption, a high index of 75 or more food, more food should be minimal. In the clinical part of the patient, she found, as had fresh pumpkin, not only failed to lower blood sugar, but the face and the phenomenon of skin stained yellow, and even blood sugar.
Mistakes 2 sugar moon cake, sugar-free cookies is not afraid to eat more
Sugar-free foods will mean "help control blood sugar" or "low calorie" it? Not be more wrong. In fact, this sugar-free food moon cake is done, a moon cake may be arrived in a meal of sugar. A food can raise blood sugar quickly, and there is no absolute relationship between them is sugar, the key is its nutrient composition and dietary fiber characteristics. Sugar-free snacks, biscuits, like a starch and fat. These are high-calorie food, eat it still make people gain weight. Therefore, the concern over the health of consumers or not to rely on sugar-free products, should eat more beans, dairy products, grains, vegetables and their control of blood glucose and body weight best.
Myth # 3 Chi Guazi, peanuts, walnuts, sugar will not rise
The reason why love Chi Guazai diabetes, peanuts, walnuts, green floor to hear the answer is: Let them eat snacks, both to reduce hunger, but also to protect one of the means adequate nutrition. In fact, eating these foods have a lot of requests. Because walnuts contain more oil, it should be a corresponding reduction in the fat meal intake. However, eat peanuts, melon seeds is not allowed? These foods not only yangkeng, little sugar, little impact on blood sugar, contain fat is saturated fatty acids, should be able to easily eat, right?
Some truth in this view, it is still not fully and correctly. Peanuts and melon seeds does a lot of advantages, but they, after all, is rich in fatty acids of plant seeds, is a high calorie, high fat foods, such as peanuts, seeds and nuts contain more calories than the same weight even higher pork at times a large number of food is certainly not conducive to maintain body weight and blood lipid control, which indirectly affect blood glucose and blood pressure control. Therefore, the daily consumption of peanuts not more than 10 (8 grams), not more than 50 seeds (20 grams), or else, or will affect the treatment of diabetes.
Myth # 4 If a blood sugar test and found that high blood sugar, many patients first affirmative act to reduce appetite
In fact, this is very bad. "Because doctors Ye Hao, dieticians Ye Hao, you set an appetite, high blood sugar if you should not reduce the appetite, but the drug should be added, see a doctor." Building green said, "Some of the patients a to reduce high blood sugar rice, I encountered three patients clinical situation is such, eat more small meals, while increasing blood sugar, and finally got cancer, I can not say the cause of gastric cancer is to eat less, but eat less true Shang Wei. "
Thursday, July 8, 2010
Errors caused by poor blood sugar control sugar Friends
Although a considerable number of diabetic patients taking hypoglycemic drugs, but blood glucose control is not ideal, why not
(1) diet therapy is the basis of diabetes treatment, not for the initial issuance of high blood sugar (such as fasting blood glucose in 8mmol / L below) and type 2 diabetic patients without acute life-threatening complications, first of all be a diet about a month. Such as the control diet, no other special reason, decline or decrease blood sugar is still not satisfied, then considering the selection of antidiabetic drugs.
(2) Some patients do not control the food and service effects to drugs, or would like to serve and not hypoglycemic diet, this is very wrong, even dangerous. Because regardless of whether there is still some islet cell function, the onset of type 2 diabetes, high blood sugar reflects their insufficiency pancreatic islet cells secreting insulin, restricted diet aims to alleviate the burden of pancreatic islet B cells, so that these cells have a good rest to facilitate their functional recovery. This as suffering from acute hepatitis, gastroenteritis patients need rest and diet (including fasting) has done. Does not control the abuse of oral hypoglycemic diet, just as a sick horse is not moving car, was a set of weight gain (more consumption), and whipping (taking hypoglycemic agents), the result is not only not sick horse pull a cart, but to make a more serious illness or even completely buggered (pancreatic islet B cell dysfunction). Clinical practice has fully proved, not to good food that hurdle, oral hypoglycaemic agents often fail.
(3) not to regulate blood sugar levels according to dose. Medication to control high blood sugar. As the patient's blood sugar to rise to a certain extent, there will be more drinking, polyuria, polyphagia and weight loss and other so-called classic symptoms of diabetes, blood sugar is not too high. Such as fasting blood glucose below 13 mmol / L, most patients feel no discomfort (asymptomatic). However, in this state, the development of diabetic disease, can cause a variety of diabetic complications. Although many patients are not satisfied with blood sugar control, but no particular or obvious discomfort, and therefore not under the blood glucose level to regulate the dosage of hypoglycemic agents. From the psychological point of view, patients feel that they have to take drugs, have a sense of security, but in terms of the effect of medication, the patient's medication is void of effectiveness is the more unhappy. Some patients develop serious complications of diabetes due to hospitalization, but also wonder, why not serve a useful drug.
(4) neglect referral or check, do not value the effect of medication. Referral of patients to the hospital or check the few, very few indeed never observed the effect of his medication, does not regularly check your blood glucose, blood lipid and blood pressure, not pay attention to observe the factors that affect their blood glucose. Not pay attention to sum up their own medication rules, but others, and listen to a patient a drug that good and services a medicine, listen to B that B drug in patients with good and switched to drug B is not carefully observed, reviewed less frequently, irregular treatment, it is My diabetic patients with diabetes compared with some developed countries, patients with severe complications and a major cause serious.
(5) that all drugs are effective on their own. In fact, not all diabetic patients taking oral hypoglycemic agents are effective, easy to understand this in theory, but in practical work is often difficult for patients to accept. China even though a considerable number of diabetic patients taking oral hypoglycemic drugs ineffective or invalid, it is difficult to accept insulin therapy.
(6) frequent replacement drugs. Some sulfonylurea drugs in the body have gradually with time the process of enhancing drugs. Some patients do not understand this, often taking days or 10 days, see the blood sugar, urine sugar down satisfied, that is eager to change dressings, or that the medication ineffective. In fact, some hypoglycemic agents services to half a month or even a month when the maximum hypoglycemic effect. (7) on the combination. Each has a maximum effective dose of hypoglycemic agents. The most effective dose is not used (except with drug reaction), do not easily believe that some drugs ineffective.
Taking a more rational method: According to blood glucose gradually adjust the dose of hypoglycemic agent services, services to the maximum effective dose of the drug, blood glucose control are not satisfied to be combined with other drugs in a timely manner. But not by applying two similar drugs, such as gliclazide glipizide combined. Almost all drugs have the trade name and chemical name, such as glibenclamide, also known as glibenclamide, gliclazide also called Gliclazide. Many patients not clear, with the right. Proposed to adjust the treatment of patients to consult a doctor, not given a free hand.
(8) antidiabetic drugs more expensive the better. Drug prices is not proportional to its efficacy. Should not think that the price effects of hypoglycemic agents he sent a low, prices high is good medicine. We should not say that this drug must be better than what kind of drug is good, but should be scientific to say which is more suitable for what hypoglycemic agents in diabetic patients. A patient on effective drug is also effective in patients not on B, sometimes B were ineffective or even harmful. Specificity for each patient and choose the most suitable for his drugs, which is a basic principle of rational use of drugs.
(9) one-sided pursuit of specific drugs. Blind pursuit of a considerable number of patients to "go to the root cause of diabetes," the so-called cure for some even in the treatment of certain measures taken for good control of blood glucose has been the case, would rather stop at this stage and effective treatment measures, try to find the so-called energy package cure all diseases, or to the root cause of the "panacea." Some believe that western medicine can only be symptomatic, while the Chinese can go to the root. Some of the side letter qigong remedies. As everyone knows, is now used, including diet, exercise and drug combination therapy of diabetes and diabetic human beings to fight the practice of summary and wisdom, is the result proved the world is indeed effective.
(10) refuse drug treatment. Some were one-sided that all drugs have side effects, refused necessary medical treatment. Some believe that the medication over time, it will bring damage to the liver and kidney function. In fact, the clinical use of hypoglycemic agents, as required in the Pharmacopoeia of the dose range, safety, side effects found only in individual patients. In general, such side effects disappear after stopping the drug will not result in serious consequences to the human body. We can not because the percentage of patients may have side effects and suffer in silence. High blood sugar is not under control and possible side effects of taking drugs compared to the consequences of the former is much more serious. High blood sugar can cause certain complications, particularly high blood sugar can be directly deadly. Very low incidence of side effects, and can be avoided, disappeared after drug withdrawal.
(1) diet therapy is the basis of diabetes treatment, not for the initial issuance of high blood sugar (such as fasting blood glucose in 8mmol / L below) and type 2 diabetic patients without acute life-threatening complications, first of all be a diet about a month. Such as the control diet, no other special reason, decline or decrease blood sugar is still not satisfied, then considering the selection of antidiabetic drugs.
(2) Some patients do not control the food and service effects to drugs, or would like to serve and not hypoglycemic diet, this is very wrong, even dangerous. Because regardless of whether there is still some islet cell function, the onset of type 2 diabetes, high blood sugar reflects their insufficiency pancreatic islet cells secreting insulin, restricted diet aims to alleviate the burden of pancreatic islet B cells, so that these cells have a good rest to facilitate their functional recovery. This as suffering from acute hepatitis, gastroenteritis patients need rest and diet (including fasting) has done. Does not control the abuse of oral hypoglycemic diet, just as a sick horse is not moving car, was a set of weight gain (more consumption), and whipping (taking hypoglycemic agents), the result is not only not sick horse pull a cart, but to make a more serious illness or even completely buggered (pancreatic islet B cell dysfunction). Clinical practice has fully proved, not to good food that hurdle, oral hypoglycaemic agents often fail.
(3) not to regulate blood sugar levels according to dose. Medication to control high blood sugar. As the patient's blood sugar to rise to a certain extent, there will be more drinking, polyuria, polyphagia and weight loss and other so-called classic symptoms of diabetes, blood sugar is not too high. Such as fasting blood glucose below 13 mmol / L, most patients feel no discomfort (asymptomatic). However, in this state, the development of diabetic disease, can cause a variety of diabetic complications. Although many patients are not satisfied with blood sugar control, but no particular or obvious discomfort, and therefore not under the blood glucose level to regulate the dosage of hypoglycemic agents. From the psychological point of view, patients feel that they have to take drugs, have a sense of security, but in terms of the effect of medication, the patient's medication is void of effectiveness is the more unhappy. Some patients develop serious complications of diabetes due to hospitalization, but also wonder, why not serve a useful drug.
(4) neglect referral or check, do not value the effect of medication. Referral of patients to the hospital or check the few, very few indeed never observed the effect of his medication, does not regularly check your blood glucose, blood lipid and blood pressure, not pay attention to observe the factors that affect their blood glucose. Not pay attention to sum up their own medication rules, but others, and listen to a patient a drug that good and services a medicine, listen to B that B drug in patients with good and switched to drug B is not carefully observed, reviewed less frequently, irregular treatment, it is My diabetic patients with diabetes compared with some developed countries, patients with severe complications and a major cause serious.
(5) that all drugs are effective on their own. In fact, not all diabetic patients taking oral hypoglycemic agents are effective, easy to understand this in theory, but in practical work is often difficult for patients to accept. China even though a considerable number of diabetic patients taking oral hypoglycemic drugs ineffective or invalid, it is difficult to accept insulin therapy.
(6) frequent replacement drugs. Some sulfonylurea drugs in the body have gradually with time the process of enhancing drugs. Some patients do not understand this, often taking days or 10 days, see the blood sugar, urine sugar down satisfied, that is eager to change dressings, or that the medication ineffective. In fact, some hypoglycemic agents services to half a month or even a month when the maximum hypoglycemic effect. (7) on the combination. Each has a maximum effective dose of hypoglycemic agents. The most effective dose is not used (except with drug reaction), do not easily believe that some drugs ineffective.
Taking a more rational method: According to blood glucose gradually adjust the dose of hypoglycemic agent services, services to the maximum effective dose of the drug, blood glucose control are not satisfied to be combined with other drugs in a timely manner. But not by applying two similar drugs, such as gliclazide glipizide combined. Almost all drugs have the trade name and chemical name, such as glibenclamide, also known as glibenclamide, gliclazide also called Gliclazide. Many patients not clear, with the right. Proposed to adjust the treatment of patients to consult a doctor, not given a free hand.
(8) antidiabetic drugs more expensive the better. Drug prices is not proportional to its efficacy. Should not think that the price effects of hypoglycemic agents he sent a low, prices high is good medicine. We should not say that this drug must be better than what kind of drug is good, but should be scientific to say which is more suitable for what hypoglycemic agents in diabetic patients. A patient on effective drug is also effective in patients not on B, sometimes B were ineffective or even harmful. Specificity for each patient and choose the most suitable for his drugs, which is a basic principle of rational use of drugs.
(9) one-sided pursuit of specific drugs. Blind pursuit of a considerable number of patients to "go to the root cause of diabetes," the so-called cure for some even in the treatment of certain measures taken for good control of blood glucose has been the case, would rather stop at this stage and effective treatment measures, try to find the so-called energy package cure all diseases, or to the root cause of the "panacea." Some believe that western medicine can only be symptomatic, while the Chinese can go to the root. Some of the side letter qigong remedies. As everyone knows, is now used, including diet, exercise and drug combination therapy of diabetes and diabetic human beings to fight the practice of summary and wisdom, is the result proved the world is indeed effective.
(10) refuse drug treatment. Some were one-sided that all drugs have side effects, refused necessary medical treatment. Some believe that the medication over time, it will bring damage to the liver and kidney function. In fact, the clinical use of hypoglycemic agents, as required in the Pharmacopoeia of the dose range, safety, side effects found only in individual patients. In general, such side effects disappear after stopping the drug will not result in serious consequences to the human body. We can not because the percentage of patients may have side effects and suffer in silence. High blood sugar is not under control and possible side effects of taking drugs compared to the consequences of the former is much more serious. High blood sugar can cause certain complications, particularly high blood sugar can be directly deadly. Very low incidence of side effects, and can be avoided, disappeared after drug withdrawal.
Old blood glucose control standards should be relaxed
Blood glucose control is exquisite ", namely, fasting glucose 5678 "pekoe Moore/litre than 5.6 in two hours after the meal, blood glucose don't exceed 7.8 Moore/litre.
People respond to slow nerve, "unaware of hypoglycemia," which has been very low blood sugar, palpitation, but no sweat wait for a symptom, may directly cause hypoglycemic coma. If the elderly patients with diabetes, a seere hypoglycemia may be offset by his lifetime to control blood sugar. Therefore, at the age of 60-70 for elderly patients, if the body condition is good, no risk of hypoglycaemia, also do not have apparent size ascular complications, should try to be close to normal index, namely to control their hemoglobin a1c less or equal to 6.5 per cent, fasting glucose mmol/l less than or equal to 6.2, postprandial glucose in two hours 8mmol/l. At the age of 70 years old, even if new patients in good health, and no complications, nor should strengthen hypoglycemic. If accompanied by cerebrovascular disease, or frequently hypoglycemia, cannot bear the risk of hypoglycaemia strengthening hypoglycemic cause, the above three indexes 7% to 7.5%, 7 ~ 9 Moore/litre and 8-11 Moore/l. If appear serious cerebrovascular and kidney damage and glycated hemoglobin, fasting blood sugar and blood glucose after two hours, 9 Moore / 9% rise, 15 Moore/litre.
High blood glucose can reduce their own immunity, hyperglycemia directly affect the postoperative wound healing, diabetic patients to accept the emergency surgery in the preoperative blood, must to normal. Illness lighter, through diet or oral medication use that can control the illness, preoperative will limit in fasting glucose, 7 Moore/liter postprandial glucose in 8.3 Moore/litre. The heavier conditions to oral glucose-lowering treatment, or merge visceral injury, should use short-acting before 3 days before fasting glucose, insulin should be in 7.2 ~ 8.9 Moore/litre.
People respond to slow nerve, "unaware of hypoglycemia," which has been very low blood sugar, palpitation, but no sweat wait for a symptom, may directly cause hypoglycemic coma. If the elderly patients with diabetes, a seere hypoglycemia may be offset by his lifetime to control blood sugar. Therefore, at the age of 60-70 for elderly patients, if the body condition is good, no risk of hypoglycaemia, also do not have apparent size ascular complications, should try to be close to normal index, namely to control their hemoglobin a1c less or equal to 6.5 per cent, fasting glucose mmol/l less than or equal to 6.2, postprandial glucose in two hours 8mmol/l. At the age of 70 years old, even if new patients in good health, and no complications, nor should strengthen hypoglycemic. If accompanied by cerebrovascular disease, or frequently hypoglycemia, cannot bear the risk of hypoglycaemia strengthening hypoglycemic cause, the above three indexes 7% to 7.5%, 7 ~ 9 Moore/litre and 8-11 Moore/l. If appear serious cerebrovascular and kidney damage and glycated hemoglobin, fasting blood sugar and blood glucose after two hours, 9 Moore / 9% rise, 15 Moore/litre.
High blood glucose can reduce their own immunity, hyperglycemia directly affect the postoperative wound healing, diabetic patients to accept the emergency surgery in the preoperative blood, must to normal. Illness lighter, through diet or oral medication use that can control the illness, preoperative will limit in fasting glucose, 7 Moore/liter postprandial glucose in 8.3 Moore/litre. The heavier conditions to oral glucose-lowering treatment, or merge visceral injury, should use short-acting before 3 days before fasting glucose, insulin should be in 7.2 ~ 8.9 Moore/litre.
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