FDA (Food and Drug Administration U.S. Food and Drug Administration) has officially announced that there is not any clinical studies confirm that oral antidiabetic drugs can reduce the risk of cardiovascular disease. Experts point out that type 2 diabetes can lead to multiple complications, long-term effective control of blood sugar in type 2 diabetes treatment goals. If you can completely normal blood glucose control in the context of, you can delay or prevent diabetes complications. The glycated hemoglobin (HbA1C) is an internationally recognized diabetes control "gold standard."
More than half of type 2
Diabetes complications
Surveys show the country of type 2 diabetes blood glucose control in patients with less than 30% compliance rate. The glycemic control of chronic non-compliance will cause complications. More than half of patients with type 2 diabetes at least one kind of complications.
According to reports, up to 4 percent of people with diabetes can cause cataracts complicated; and renal microvascular complications of diabetes can lead to uremia; diabetic retinal microvascular complications can lead to blind. More noteworthy is that, cerebrovascular and cardiovascular complications in diabetic patients is the main reason for premature death, while the lower limbs of diabetic patients with vascular disease is caused by the main physical disability.
Experts pointed out that the complications of diabetes is not only a serious threat to the health of patients, patients returned to an enormous financial burden. Survey, there are complications in patients with type 2 diabetes are hospital charges and times the per capita direct medical costs of up to 4 times in patients without complications. In addition, type 2 diabetes per capita direct medical cost of 9115.1 yuan, accounting for the proportion of disposable income in Shanghai was 77.8%, to 177.9 percent in Xi'an. National City type 2 diabetes and its complications in patients with the total cost of 23.38 billion yuan.
Medication on time
Still need regular monitoring of blood glucose
"Some patients with diabetic complications and urgent demand, it is easy to fall into the fog of medication in the treatment without realizing it, have all kinds of medication errors." According to experts, some diabetes symptoms used to determine blood sugar under control is good or bad, feeling symptoms too obvious, stop medication. In fact, to estimate the disease symptoms alone is not reliable. Clinical practice, diet and exercise alone can get good control of blood sugar found only in a small number of less severe cases of type 2 diabetic patients, most patients with type 2 diabetes in the initial diagnosis, the need for medication.
Others believe that treatment of diabetic patients taking hypoglycemic drugs on time as long as there is no problem, this is a misunderstanding. Doctors cited an example: Most patients with hypertension is clear, the use of antihypertensive drugs at the same time, the need for regular monitoring of blood pressure to adjust the medication dosage and time. Diabetes as well. Blood glucose control is a life-long, under normal circumstances, when the guidance of a doctor with diabetes, the blood glucose control to a satisfactory level of after, blood sugar that situations sometimes Hui Yin Chuxianbodong, especially in certain exceptional circumstances (such as a more serious infection, excessive mental pressure and exercise, eating less, etc.), blood glucose too high or too low may occur the phenomenon. Thus, while patients take medication, need regular monitoring of blood glucose changes. "Note lifestyle and drug laws, long-term stability and good blood glucose control in diabetic patients is vital." Expert stressed.
Glycated hemoglobin is a "gold standard"
Some patients think that some oral hypoglycemic drugs can reduce the risk of cardiovascular disease, blindness choice of treatment drugs. The FDA recently announced: Up to now, there is no any clinical study confirmed that oral diabetes drugs can reduce the risk of cardiovascular disease.
Experts also pointed out that with the extension of course, many of the effect of sulfonylureas decreased, medicine called "secondary failure of antidiabetic drugs." Some patients do not pay attention periodic review, that has not stopped their treatment, psychological feeling of safety, but the emergence of drug secondary failure, in fact, tantamount to no treatment. Some patients have been eating the medicine, the result was complications occurred, the reason why.
Experts strongly caution patients: the right to focus on prevention and treatment of diabetic complications. Type 2 diabetes treatment goals are long term control of blood sugar. Patients should insist on testing blood sugar, one can understand the disease control as well as clinical outcomes, as well as the drug of choice and an important basis for dosage adjustment. Such as type 2 diabetes, Avandia is a long-term glycemic control in patients with heart medication.
Many patients in the current treatment of the effect of glycemic control are not satisfied with the urgent need to understand how long-term effective control of blood glucose. In response, experts said, glycated hemoglobin (HbA1C) is a measure of the level of blood sugar control "gold standard." Currently doctors are still monitoring the blood glucose and postprandial blood glucose fasting blood glucose as the main basis for prescription, these two indicators are usually expressed only short-term blood sugar levels; and HbA1C, the average life of up to 120 days, can reflect the fasting and postprandial comprehensive level of blood sugar. Study, HbA1C decreased by 1% each, can decrease the risk of diabetes, 21% of deaths, heart attacks decreased by 14%, 37% reduction in microvascular complications, peripheral vascular disease, 43% reduction. Therefore, long-term control of blood glucose lowering HbA1C is a top priority.
Tuesday, July 13, 2010
Blood sugar control standard of the elderly should be relaxed
Blood glucose stress "5678", that fasting blood glucose below 5.6 mmol / L, postprandial blood glucose two hours, do not over 7.8 mole / liter.
Neural response than the old slow, prone to "not aware of low blood sugar", that have very low blood sugar, but no palpitations, cold sweats and other symptoms may be the direct result of low blood sugar coma. If an elderly diabetic patients with severe low blood sugar, may offset the benefits of glycemic control his life. Therefore, 60 elderly patients 70 years old, good physical condition if there is no risk of low blood sugar, and no apparent size of the vascular complications, as far as possible the indicators should be controlled to near normal, that is, less than equal to 6.5% glycated hemoglobin, fasting blood glucose less than equal to 6.2mmol / l, postprandial blood glucose two hours in 8mmol / l or less. More than 70 years of age in patients with new hair, even in good physical condition, without complications, should not be enhanced glucose. If accompanied by cardiovascular and cerebrovascular disease, or frequent low blood glucose, blood glucose can not afford to strengthen the risk of low blood sugar caused by these three indicators to achieve 7% to 7.5%, 7 ~ 9 mol / L and 8 to 11.1 mol / l or l be. If you have severe cardiovascular and renal damage, glycated hemoglobin, fasting plasma glucose and postprandial blood glucose two hours to reach 9%, 9 mol / L, 15 mol / l on the line.
High blood sugar may reduce their immunity, high blood sugar after a direct impact on wound healing, diabetic patients receiving non-emergency surgery to be in operation before the blood sugar down to normal. Less severe diseases through diet or oral hypoglycemic agents plus the people who can control the disease, preoperative fasting blood glucose limit to 7 mol / liter, postprandial blood glucose in 8.3 mol / liter. Serious condition required oral hypoglycemic therapy, or combined organ injury, 3 days before surgery should use short-acting insulin, preoperative fasting blood glucose should be 7.2 ~ 8.9 mol / liter.
Neural response than the old slow, prone to "not aware of low blood sugar", that have very low blood sugar, but no palpitations, cold sweats and other symptoms may be the direct result of low blood sugar coma. If an elderly diabetic patients with severe low blood sugar, may offset the benefits of glycemic control his life. Therefore, 60 elderly patients 70 years old, good physical condition if there is no risk of low blood sugar, and no apparent size of the vascular complications, as far as possible the indicators should be controlled to near normal, that is, less than equal to 6.5% glycated hemoglobin, fasting blood glucose less than equal to 6.2mmol / l, postprandial blood glucose two hours in 8mmol / l or less. More than 70 years of age in patients with new hair, even in good physical condition, without complications, should not be enhanced glucose. If accompanied by cardiovascular and cerebrovascular disease, or frequent low blood glucose, blood glucose can not afford to strengthen the risk of low blood sugar caused by these three indicators to achieve 7% to 7.5%, 7 ~ 9 mol / L and 8 to 11.1 mol / l or l be. If you have severe cardiovascular and renal damage, glycated hemoglobin, fasting plasma glucose and postprandial blood glucose two hours to reach 9%, 9 mol / L, 15 mol / l on the line.
High blood sugar may reduce their immunity, high blood sugar after a direct impact on wound healing, diabetic patients receiving non-emergency surgery to be in operation before the blood sugar down to normal. Less severe diseases through diet or oral hypoglycemic agents plus the people who can control the disease, preoperative fasting blood glucose limit to 7 mol / liter, postprandial blood glucose in 8.3 mol / liter. Serious condition required oral hypoglycemic therapy, or combined organ injury, 3 days before surgery should use short-acting insulin, preoperative fasting blood glucose should be 7.2 ~ 8.9 mol / liter.
Do affect the sex life of diabetic patients
One has plagued hundreds of thousands of problems with diabetes - diabetes affect you sex life, the recent concern. Diabetes affects you in this issue of life is more intimate, personal problems, people are generally unwilling to affect the sex life of diabetic you will be very embarrassing problem that figures on the table to ask, and now diabetes affect sex life you had been concerned about , demonstrate that diabetes affects you sex life has become an urgent need to answer, solve a problem. Now let us into the sex life of diabetic patients, in the end is in the end to see how to implement the third ring to avoid the impact of diabetes on sexual life.
Diabetes affect sex? A ring of ignorance
Understand the impact of diabetes on sex. As the saying goes, know ourselves to win every battle've only really understand in the end have diabetes on what aspects of the impact, we can discover, for better prevention and treatment is not it? Early manifestation of diabetes affect sex life as men, erectile dysfunction, or the time required for erection longer, everyone has their own different presenting symptoms, but these symptoms do not affect the sexual life of patients with daily, some patients also regard Zhexie symptoms attributed to age, physical and other factors, and will not be too concerned about; diabetes affect sex life will develop into a mid-term general decline in sexual desire in patients, firm erection is substantially decreased the development of diabetes affect the sexual life to the last patient might have completely lost capacity for sexual intercourse. So want to know you diabetes affect sexual life, first of all start to understand the impact of diabetes on sex start for early detection, early treatment.
Diabetes affect sex? Two ring anxiety
Diabetes affects sexual life to have a very bad fact "dead" cycle, the average diabetic people learned that he had sexual dysfunction occur, often exhibit irritability, anxiety, depression, depressed, in fact, this is understandable, only human Well but this is not a long-term control of negative emotions, if sustained, would further aggravate the condition, Flirt life is getting away, oh. So you, diabetes will affect the sex life, the key is to look at your heart.
Diabetes affect sex? Three ring negligence
Control of diabetes, can truly grasp the nature of happiness. Once diabetes is not well-controlled conditions, it would appear hypertension, coronary heart disease, cerebrovascular disease and a series of diabetes complications and to deal with these difficult diseases, into anti-hypertensive drugs, diuretics and antidepressants approach is inevitable, although these drugs can help to condition, but the negative reaction may cause impotence. Control diabetes, control of diabetes and vascular disease, but also for a vital sex life with diabetes a subject, once the effects of diabetic vascular disease to the small blood vessels in the penis, erectile dysfunction or erection is not very common.
Diabetes affect sex? In addition to the three ring need to implement diabetes among the best to go as far as possible into the social life, so is useful for the treatment of diabetes, and for sexual health is also very important.
Diabetes affect sex? A ring of ignorance
Understand the impact of diabetes on sex. As the saying goes, know ourselves to win every battle've only really understand in the end have diabetes on what aspects of the impact, we can discover, for better prevention and treatment is not it? Early manifestation of diabetes affect sex life as men, erectile dysfunction, or the time required for erection longer, everyone has their own different presenting symptoms, but these symptoms do not affect the sexual life of patients with daily, some patients also regard Zhexie symptoms attributed to age, physical and other factors, and will not be too concerned about; diabetes affect sex life will develop into a mid-term general decline in sexual desire in patients, firm erection is substantially decreased the development of diabetes affect the sexual life to the last patient might have completely lost capacity for sexual intercourse. So want to know you diabetes affect sexual life, first of all start to understand the impact of diabetes on sex start for early detection, early treatment.
Diabetes affect sex? Two ring anxiety
Diabetes affects sexual life to have a very bad fact "dead" cycle, the average diabetic people learned that he had sexual dysfunction occur, often exhibit irritability, anxiety, depression, depressed, in fact, this is understandable, only human Well but this is not a long-term control of negative emotions, if sustained, would further aggravate the condition, Flirt life is getting away, oh. So you, diabetes will affect the sex life, the key is to look at your heart.
Diabetes affect sex? Three ring negligence
Control of diabetes, can truly grasp the nature of happiness. Once diabetes is not well-controlled conditions, it would appear hypertension, coronary heart disease, cerebrovascular disease and a series of diabetes complications and to deal with these difficult diseases, into anti-hypertensive drugs, diuretics and antidepressants approach is inevitable, although these drugs can help to condition, but the negative reaction may cause impotence. Control diabetes, control of diabetes and vascular disease, but also for a vital sex life with diabetes a subject, once the effects of diabetic vascular disease to the small blood vessels in the penis, erectile dysfunction or erection is not very common.
Diabetes affect sex? In addition to the three ring need to implement diabetes among the best to go as far as possible into the social life, so is useful for the treatment of diabetes, and for sexual health is also very important.
Millet gruel to drink to help diabetics control blood sugar
Millet contains many vitamins, amino acids, fats and carbohydrates, have a higher nutritional value. Millet porridge take a "generation Ginseng" reputation. Every morning a small yellow rice with about 50 grams of high-quality cooking porridge, cooked a while after the deposition, write out the top layer of "oil" soup, about half an hour before breakfast drink, the rest of the meal to be eaten by small rice, diabetes have a good adjuvant therapy. Drink one every morning, even drinking 3 months must have markedly.
How to control blood sugar increase
Diabetes has become a hazard to human health is one of the three diseases, extremely harmful to human health. Diabetes is due to inadequate secretion of human insulin or insulin-producing cells caused defects in metabolism of glucose, protein and lipid metabolism in the quality of a syndrome, high blood sugar as the main clinical sign. In people's living standards are improving the occasion, all the food on the table certainly abundant than usual, unconsciously on the carbohydrates (sugars), protein, fat, carbohydrate intake will increase, resulting in blood sugar rise high.
How to avoid blood sugar too high? In addition to develop good habits, proper work and rest, eating sparingly, drink less, smoke less, the modern medical research also found that taking propolis can control blood sugar. Direct effect of propolis on diabetes is mainly:
1, the rich propolis flavonoids, terpenes and other active component (such as catalpol pterostilbene) alone or work together with significant decrease of blood sugar, but has no effect on normal blood sugar.
2 diabetes is most often associated with high blood lipids. Abundant flavonoids in propolis have a good role in regulating blood lipids, improve blood circulation, anti-oxidation, protection of vascular function, and could well prevent the emergence of diabetes syndrome.
3, propolis flavonoids can play a role in activation of cells for tissue regeneration, on the occurrence of pathological cells and tissues to treat and repair, could mutate to repair the insulin cells.
4, diabetics often have a variety of inflammation and complications. Terpenes Propolis ingredients have good antibacterial, anti-inflammatory effect, greatly reduce and avoid complications.
In addition, propolis also enhance immunity and significantly improve the efficacy and restore physical function, diabetes played a very good adjuvant effect. Therefore, propolis is ideal for controlling blood sugar.
How to avoid blood sugar too high? In addition to develop good habits, proper work and rest, eating sparingly, drink less, smoke less, the modern medical research also found that taking propolis can control blood sugar. Direct effect of propolis on diabetes is mainly:
1, the rich propolis flavonoids, terpenes and other active component (such as catalpol pterostilbene) alone or work together with significant decrease of blood sugar, but has no effect on normal blood sugar.
2 diabetes is most often associated with high blood lipids. Abundant flavonoids in propolis have a good role in regulating blood lipids, improve blood circulation, anti-oxidation, protection of vascular function, and could well prevent the emergence of diabetes syndrome.
3, propolis flavonoids can play a role in activation of cells for tissue regeneration, on the occurrence of pathological cells and tissues to treat and repair, could mutate to repair the insulin cells.
4, diabetics often have a variety of inflammation and complications. Terpenes Propolis ingredients have good antibacterial, anti-inflammatory effect, greatly reduce and avoid complications.
In addition, propolis also enhance immunity and significantly improve the efficacy and restore physical function, diabetes played a very good adjuvant effect. Therefore, propolis is ideal for controlling blood sugar.
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