Type I sugar mother's full record of pregnancy 4

 (4)

I finally got through to the date of the operation. Because I was afraid that my blood sugar could not be controlled well, I talked to the doctor and asked for the first operation to be performed. So I waited until the operating room came to inform, and I checked my blood sugar in the ward. It was 4:4. What about the tendency to go down?

Can’t manage that much, unplug the pump, get on a wheelchair and set off for the operating room!

The family has all arrived. I said that it is a fake not to be nervous. The main reason is that the child has some unpredictable problems, but the arrow is already on the string. If you don't send it, you have to send it. Just bite the bullet!

When I arrived in the operating room, I was so scared to see doctors and nurses with full caps, masks and gloves!

The operating bed is so narrow. This is the first time in my life that I have entered the operating room. The sense of unfamiliarity has increased my nervousness. The nurses are all good. Seeing that I am nervous, they put me on instruments and instilled drips while comforting me. Don't be nervous, it doesn't hurt, it's okay! Still chatting with me. I only eased somewhat.

However, at this time, the anesthesiologist walked in with a syringe full of anesthetics and asked me to lie on my side. He turned out to be a man! Alas, it’s this time. I can’t take care of that much of a male doctor or a female doctor. I know that my turn over will be very slow, so I explained to him that I have a combined pubic coma and separation, and the anesthesiologist is quite taking care of it. Mine, didn’t make me tired, and ordered the nurse to help me, fearing that I would fall out of bed, but the speed of this anesthesia was really amazing. As the liquid was pushed into the body, I felt my toes I started to feel numb, and the nurse hurriedly helped me lay down on my back, and said that if I didn't move, my body would not be subject to my control.

At this time, I saw the surgeon, and I told her about my blood sugar situation. I was afraid that hypoglycemia would occur during the operation. The doctor said it would not affect the body because the body will have a stress response during the operation and the blood sugar will not continue to drop. Yes, and the child's blood sugar will be measured after the operation. This is how I put my heart in my stomach. During the whole operation, I felt that the doctors were pushing my stomach back and forth.

(It should not be like this, because it was caused by anesthesia, which created an illusion) Within a few minutes, I heard my baby crying. I thought I would shed tears of excitement, but my eyes just followed the baby. Moving, but did not cry, the baby's cry was very loud. The red little guy, waving his hands and feet non-stop, "Girl, five kilos, fifty-two centimeters", took a blood sugar measurement and said it was a baby 2:3. I was terribly scared, but the little guy was always there. Weeping loudly, the doctor also ordered the nurse to tell my family members to go downstairs to buy glucose for the child, rush the child to drink, and then take the child directly back to the ward, indicating that the baby is healthy, I think the child is okay and it is considered as completing the task.

I didn’t care about the anaesthetic reaction afterwards. I just went back to the ward one day and night. My heart was about to break. I took the child’s blood sugar every four hours. I felt so distressed. She cried. Tears couldn’t help streaming down here. My child, it’s all because of the bad mother. You have only been born for a few hours, so you will suffer this sin. I am sorry for you, and I will pay you twice as much in the future. From the results of several blood sugar monitoring, my baby is healthy! I am so happy!

(After writing this, my tears shed again, and I look back at my baby. She is asleep. She may not know this for the rest of my life, but this will be the most precious memory in my life.)

Oh, by the way, I put the pump on again about four hours after the operation. Although I can’t eat, my blood sugar has risen, so I don’t give the basal amount until 22:00 in the evening. I have gas and eat. Something was given, and some medicine was given. Slowly, the amount of medicine returned to before pregnancy, not bad! You know, it takes about 70 units a day at most during pregnancy, and only about 40 before pregnancy. You can eat anything!

Don't move anymore, wipe my tears while typing, I am a mother, and I must learn to be strong!

These are just a microcosm of my pregnancy experience, and there are so many details, there is no way to write them all out. I have time in the future, I will publish my pregnancy recipes to see if you have anything you need, just take it!

Here, thank you again for your attention!

I sincerely hope that through my experience, I can give those who are afraid of becoming pregnant, preparing for pregnancy, and pregnant sugar mothers a little confidence, so that they can realize their dream of being a mother as soon as possible and have their own healthy baby!

Type I sugar mother's full record of pregnancy 3

 (3)

Seven months ago, I had been doing the maternity check-ups in the district hospital. In addition to the sugar screen, I checked the fetal heart rate, high abdominal girth, weight, and hematuria once a month like other pregnant women.

After eight months, the card was transferred to a general hospital for more detailed and frequent fetal heart rate monitoring and color Doppler ultrasound. Until the thirty-eighth week, the doctor considered me as a DM, plus my advanced age, it is recommended that I be hospitalized for a cesarean section. , I was hospitalized.

More headaches followed one after another. The first was the separation of the pubic joint, which was getting worse day by day. The pain was so painful that I had to help my family when I turned over in bed, let alone walking, all of which was pushed by a wheelchair.

Therefore, I must have surgery as soon as possible. One night, when the fetal heart rate was measured, it was as slow as one hundred and one minute per minute, and I was asked to go to the delivery room for fetal heart rate monitoring. It took four hours to do it. Torture!

The doctor also scares people! Let me sign an agreement that I insist that I do not perform the cesarean section immediately, at my own risk. Although the doctor has verbally comforted me that there is no major problem, this must still be signed.

Alas, fortunately I am bold, otherwise I should not be scared anyhow? Besides, I don’t have my family to accompany me at night, (because I don’t have a private room, I can only arrange it after giving birth.) I can’t call home to mobilize the whole family!

Thankfully, there was no danger, and finally got through the day of surgery!

(During the hospitalization, because I live in the obstetrics department, my blood sugar is basically monitored by myself. The meals are prepared and delivered by my family. I did not eat the hospital meals for pregnant women. I was afraid that my blood sugar would not be well controlled.

Moreover, most of the pregnant women in the hospital, even if they have DM, are of type II. It seems that no one has ever encountered type I like me!

It's sad, but I have always had confidence in my baby and me, and I firmly believe that as long as the blood sugar is well controlled, there must be no problem! )

Type I sugar mother's full record of pregnancy 2

 [2]

To be honest, there are many sugar mothers who dare not leave their children if they have the same glycation as me.

It may be that I took the courage to "gamble" and persevered all the way.

In the first four months, I spent almost every day with nausea and no appetite. Fortunately, I didn't vomit much. I was thinking that as long as the baby is good, I will suffer as much as possible.

And I often have low blood sugar, and I cried in a hurry. I'm really afraid of something wrong with the baby. I know that a bad mood will affect the baby, but I can't control this anxiety.

It wasn't until the arrival of five months that the blood sugar level became a little stable, because the pump has been used all the time, and the basal volume has always been the basis for the first pump. I don't usually monitor blood sugar, so I don't know the direction of blood sugar.

In the second trimester, I found that it would go low at 15 o’clock every afternoon and go high again before dinner, and it would be easy to go low two hours after dinner, and go high before going to bed. In order to stabilize the blood sugar, I simply did it every hour during the day except before and after three meals and on an empty stomach. One test.

Because the food you eat is regular and quantitative, it is easy to find a pattern. The high blood sugar before dinner starts after 16:00 in the afternoon (only then knows what is called the "dusk phenomenon"), and the high blood sugar before going to bed is at 21. Click to start, so the basic amount of these two periods has been increased accordingly. That's it! It has stabilized!

In fact, it's easy to say, but it's quite hard to do. I measure it every hour and calculate it. I have to measure my blood sugar 15 times a day! It took nearly two months to add and subtract. I finally controlled my blood sugar between 4 and 7, sometimes I really admire myself.

In the second trimester of pregnancy, no matter what, my blood sugar is not so obedient. When there is always a high level, my self-confidence is overwhelmed again. I can't help it. Go to the hospital!

Who would have thought that when I was admitted to the hospital, the doctor put me on a dynamic blood glucose meter, this time my blood sugar was really messed up, because the doctor wouldn't let me adjust it by myself, and I wouldn't be allowed to move it. The purpose is to know where my blood sugar is going!

Oh my god, I can't stand it anymore. Sometimes my blood sugar can be as high as 16. This is a high blood sugar I have never experienced during pregnancy!

Fear, besides being afraid, there is also worry.

Fortunately, the dynamic was only taken for three days. After that, the attending doctor adjusted the basis and pre-meal based on my blood sugar situation, and then called a dietitian to re-formulate the diet, and also asked me not to control my blood sugar too strictly. An empty stomach is less than 6 or less than 8 after a meal.

The most important thing is not to always worry about blood sugar, that is not good for the fetus!

Just measure your blood sugar at night once a week. Don't always get up at night, it's not good to rest like that!

Think about how I tested 15 times a day before! The doctors all opened their eyes and mouths and expressed their surprise!

After I got home, I didn't feel so anxious anymore. This time I didn't live in the hospital in vain and adjusted my mentality. It was more effective than taking any medicine.

Moreover, if I have occasional high blood sugar or low blood sugar, I am not nervous anymore. My blood sugar is no longer good. If I am anxious to get angry, it is better to adjust it quickly.

(I have a little pride, let me reveal it here: the glycation test on the second day of my admission was 5:1, and the doctors all praised that I controlled well! He also said that such a good blood sugar, why can't I control it well?)

Type I sugar mother's full record of pregnancy 1

 After recuperating for a month, my little princess and I finally "full moon"!

Now I will share my pregnancy experience with you, I hope it can be helpful!

I have had type 1 for 14 years, the age of onset is 19 years old, and I have been treated with a pump for more than five years without complications.

I was pregnant with our baby without preparing for pregnancy. I was nervous when I first discovered it. It was only fifty days ago. I hurried to the hospital for a checkup. The result of glycosylation was 8.3, but the B-ultrasound showed that it was in line with the gestational age. Endocrinologists do not recommend leaving the baby. , But I don't give up! I went to the Medical University to register and show the results of the examination to the experts. To be honest, the experts also said that healthy children cannot be guaranteed to be foolproof, but if I control well in the later period, the children are very likely to be healthy. So I decided to quit my job and monitor my blood sugar at home.

I bought a scale in grams, followed the nutritional recipe to eat regularly, three meals a day, walked for 30 minutes half an hour after a meal, rain or shine, and measured blood sugar seven to eight times a day, before and after three meals and on an empty stomach, three in the morning. Point, adjust the amount of medicine according to blood sugar, just like this, it takes more than eight months to stick to it.

There were many emergencies during this period. Due to eye problems, I will share with you next time!

The "two degrees" of antihypertensive therapy

 Core tip: Studies have shown that blood pressure is not as low as possible. In some cases, blood pressure and cardiovascular disease have a "J" or U" curve relationship, which means that blood pressure is too low or too high to cause heart disease. An increase in vascular disease.

　　 There are many benefits of antihypertensive therapy, and the concept of "hypertension is the last word" has been widely known. However, both doctors and patients need to grasp two "degrees" for antihypertensive treatment. If these two "degrees" are not well grasped, counterproductive results may occur.

　　 The first degree is the range, which is the range of lowering blood pressure. There was a period of time when people's concept of blood pressure reduction was "the lower the better", but recent studies have shown that this concept is wrong. Studies have shown that blood pressure is not as low as possible. In some cases, blood pressure and cardiovascular disease have a "J" or U" curve relationship, which means that blood pressure is too low or too high to cause cardiovascular disease. Increase. Therefore, the blood pressure goal should be "moderate enough." The grasp of this "degree" should be determined based on the overall cardiovascular risk level and on the principle of individualization.

　　 The second degree is speed, which is how long it takes to lower the blood pressure to the target value. Some people want to lower their blood pressure quickly after their blood pressure rises. As everyone knows, too fast a depressurization speed will cause serious consequences. The most typical example is that short-acting nifedipine tablets induce cerebral infarction. Studies have shown that its relative risk is increased by 60%. In clinical practice, we have also found that in patients with atherosclerosis, sometimes the blood pressure is lowered slightly faster, and the patient will have ischemic symptoms such as dizziness, fatigue, and angina pectoris. The harmfulness of excessive blood pressure reduction is obvious. Therefore, remember not to drop blood pressure quickly, and try to achieve a "soft landing" of blood pressure drop.

　　 In short, antihypertensive therapy must carefully grasp two degrees, and keep in mind that "excessiveness is not enough" and "hasty is not enough".

High risk of hypoglycemia in elderly people with diabetes

 Hypoglycemia is one of the serious complications of diabetes, and the risk of hypoglycemia in elderly diabetic patients is higher than that of younger patients, and it is more harmful, so we should pay more attention to it.

　　 Hypoglycemia is related to the occurrence of adverse events such as macrovascular and microvascular complications, falls or fractures, and may even lead to death. In addition, some scholars believe that hypoglycemia is also related to the increased risk of cognitive dysfunction, which shows that the harm is huge. The function of body organs and tissues of elderly diabetic patients is weakened, and the metabolic decomposition and excretion of hypoglycemic drugs are reduced, which can lead to drug accumulation and increase the risk of hypoglycemia. In addition, as we age, the secretion of blood glucose-promoting hormones (such as glucagon, epinephrine, etc.) that are used to resist hypoglycemia in the body decreases, which is also one of the factors that cause hypoglycemia. Retrospective studies have confirmed that the incidence of hypoglycemia in diabetic patients increases with age, which means that compared with younger groups, elderly diabetic patients have a higher risk of hypoglycemia and should be paid more attention.

In addition, the symptoms of hypoglycemia in elderly diabetic patients are often atypical, usually manifested as sympathetic nervous system excitement or neurohypoglycemia. The former manifests as palpitations, pale complexion, weak hands and feet, trembling hands, and mental tension. The latter manifests itself as symptoms such as palpitations, pale complexion, weak hands and feet, trembling hands, and nervousness. Neurological disorders, mental disorders, abnormal behaviors, inattention, and confusion. In severe cases, dizziness, headaches, and hearing loss may occur, and in more severe cases, it may lead to coma. Special attention should be paid to patients with such manifestations. The prevention of hypoglycemia is the key point. To reduce the risk of hypoglycemia in elderly people with diabetes, you can start from the following five aspects.

　　1 Choose low-risk hypoglycemic drugs

　　 Elderly diabetic patients choose hypoglycemic drugs, which should give consideration to both efficacy and safety. The first application needs to start with a small dose, closely observe blood glucose changes and adverse reactions, and gradually increase the dose.

　　2 Some drugs will increase the risk of hypoglycemia, should be noted

Elderly diabetic patients are often accompanied by multiple diseases and may use multiple drugs. 

　　3 The setting of blood glucose goals needs to be individualized, do not blindly pursue low goals

　　 The goal of blood glucose management should follow the principle of individualization. Pursuing a low level that is inconsistent with one's own condition will inevitably lead to an increased risk of hypoglycemia, which is bad for health. The first thing to mention is the risk of hypoglycemia.

　　4 Eat a reasonable diet and eat on time

　　 Low dietary intake and failure to eat meals on time are important causes of hypoglycemia in elderly diabetic patients. Therefore, it is very necessary to develop good eating habits.

It is recommended to do the following three points: 1) Eat a regular diet to ensure the daily calorie supply; 2) Arrange a reasonable diet, appropriately limit carbohydrate foods, and its energy supply should account for 50%-60%, including 10% For fruits and vegetables, eat more foods with high energy density, high dietary fiber, and low glycemic index; 3) The recommended meal mode is to eat less and more meals, eat slowly, first with soup and then staple food.

　　 In addition, because alcohol stimulates insulin secretion, elderly patients who have a drinking habit should not drink excessively or on an empty stomach.

　　5 Exercise reasonably, not excessive

　　Excessive exercise and wrong choice of exercise time are also important factors leading to increased risk of hypoglycemia. The exercise management of elderly patients needs to be individualized. People with normal physical ability, the frail elderly, the physically handicapped, and the mentally handicapped respectively choose the whole body or limb exercises that can be carried out and are easy to adhere to.

　　 In order to relieve postprandial hyperglycemia and reduce the risk of hypoglycemia, it is recommended to exercise moderately within 1-2 hours after a meal, exercise duration should not exceed 30 minutes, and exercise 4-5 times a week. Elderly patients should routinely check their footwear and feet before and after exercise, and should avoid exercising in high temperature and high humidity environments. Special attention should be paid to avoid strenuous activities during the period after insulin injection to before meals.

Why is blood sugar easy to be low in summer?

 Core reminder: The lower human blood sugar level in summer is firstly due to the decrease in summer sugar intake and the increase in consumption. Secondly, the human body's sensitivity to insulin increases in summer, which promotes the secretion of insulin more than in other seasons, which is also an important reason for low blood sugar in summer.

　　 The hot summer is unbearable, but this is a good time for treatment for diabetics. Because, under normal circumstances during the year, human blood sugar levels are relatively higher in winter than in spring and autumn, and summer is the season with the lowest blood sugar of the year.

    Summer consumption is the main cause of hypoglycemia

　　 Human blood sugar levels are low in summer, firstly due to the decrease in summer sugar intake and the increase in consumption. Because of the sultry summer weather, people generally lose appetite and often turn to light foods, and light foods are generally low in sugar, as if taking a low-sugar diet therapy. In addition, in the hot summer weather, although people's activities have not increased, they often sweat continuously, and the energy consumption mainly due to heat dissipation is relatively large, and the energy consumption mainly comes from the blood sugar in the body.

　　 In addition, the daylight hours in summer are longer, and the hot weather is also prone to lack of sleep, which causes the body's calorie consumption, the body's metabolism is strong, and the relative consumption of blood sugar is also increased. Therefore, people's blood sugar check is always low in summer, especially for diabetic patients.

　　 An endocrinology expert said that from a pathophysiological analysis, diabetes occurs because the insulin dysfunction in the pancreas makes insulin secretion insufficient. The main role of insulin is to promote the synthesis of glycogen from glucose and accelerate the utilization of glucose to lower blood sugar levels. Once insulin secretion is insufficient, blood sugar will rise, especially in diabetic patients. Therefore, diabetes is mainly caused by insufficient insulin secretion in the body. Relevant medical experts have found that the human body’s sensitivity to insulin increases in summer, which promotes the secretion of insulin more than in other seasons, which is also an important reason for low blood sugar in summer.

    Pay attention to blood sugar fluctuations in summer to prevent complications

　　In addition, experts suggest that diabetic patients should attach great importance to the volatility of blood sugar in summer. Studies have found that the occurrence and development of chronic complications of diabetes is not only closely related to the increase in overall blood sugar levels, but also to the fluctuation of blood sugar. The greater the blood glucose volatility, the higher the incidence of chronic complications and the worse the prognosis. Because high blood sugar fluctuations will accelerate the damage of vascular endothelial cells and lead to apoptosis, causing damage to blood vessels and causing complications; large blood sugar fluctuations will also promote abnormal sympathetic nerve excitability, thereby increasing the incidence and death of cardiovascular and cerebrovascular diseases rate.

Diabetics are prone to hypoglycemia

 In life, some people do not eat breakfast after getting up in the morning, so the chance of functional hypoglycemia is very high, and this situation is more likely to occur in diabetic patients. Hypoglycemia sounds like a small problem, but in fact, if hypoglycemia occurs frequently or is not dealt with in time after the occurrence of hypoglycemia, the harm is considerable, so everyone must do a good job of prevention in normal times.

　　 So, how to prevent functional hypoglycemia?

　　 1. Reasonable use of insulin and oral hypoglycemic drugs:

Some diabetics have excessive doses in the process of using insulin and oral hypoglycemic drugs. Once there are too many hypoglycemic drugs, it is easy to have hypoglycemia. I hope that all diabetics must follow the doctor’s advice and follow their own conditions. Adjust the drug dosage in time.

　　 2. Develop good living habits:

Not only diabetic patients, in fact, everyone should develop good habits in their daily lives, such as quitting smoking and drinking, eating regularly and quantitatively every day, diabetic patients should follow the principle of eating small and frequent meals, and those who are prone to hypoglycemia should Eat 5-6 meals and bring snacks at any time for emergencies. Diabetics can add an extra meal between meals, which is the most effective measure to prevent hypoglycemia.

　　 3. Avoid strenuous exercise:

　　Most people with diabetes know that keeping on exercising helps us lower blood sugar. However, many people experience "excessive exertion" when exercising. Appropriate exercise is helpful for us to achieve the goal of lowering blood sugar, but when everyone exercises vigorously and the amount of exercise exceeds the standard, it is easy to consume too much and too much due to hot sales, resulting in low blood sugar. Therefore, before exercising, you should add meals appropriately, or reduce the amount of insulin as appropriate.

　　 4. Regularly monitor blood sugar:

Diabetes patients should monitor their blood sugar frequently so that they can get a good grasp of their blood sugar status. Because hypoglycemia often occurs at night, everyone should check blood sugar before going to bed. If you find that the blood sugar value is low, you need to eat something. Small snacks add "sugar".

Diabetic nephropathy should not be underestimated!

 Core tip: Today we will talk about the three symptoms of diabetic nephropathy, and strive to find out as soon as possible to slow down the development of the disease.

　　As for diabetes, everyone is probably not too unfamiliar. After all, no one has a relative or friend who suffers from diabetes. As we all know, diabetic patients are prone to various complications, among which diabetic nephropathy is a common diabetic complication.

　　 The early symptoms of diabetic nephropathy are relatively unobvious, and it is often difficult for patients to feel it. This also causes some diabetic nephropathy patients to be more severe when they are found, and treatment is difficult. Diabetic nephropathy is detected as soon as possible, and the early treatment effect is good.

　　 Today we will talk about the early symptoms of diabetic nephropathy, and strive to find out as soon as possible to slow down the development of the disease.

　　 proteinuria

　　 Proteinuria is one of the hallmark symptoms of patients with diabetic nephropathy, and most patients will have this symptom. Proteinuria usually represents high levels of protein in the urine, mostly due to impaired kidney function.

　　 Proteinuria is still relatively easy to judge. Patients can see foam in the urine. Small foamy substances float on the surface of the urine, which are not easy to dissipate after shaking. If symptoms similar to proteinuria are found, it is recommended to go to the hospital for diagnosis and treatment in time.

　　 Edema

　　Patients with diabetic nephropathy may have mild edema, mainly because the kidney function fails to remove excess water from the body in time. Diabetic nephropathy edema can generally be manifested as edema of the eyelids and lower limbs. If diabetic patients have long-term persistent swelling, they must go to the hospital for examination in time.

　　 Hypertension

　　 Patients with advanced diabetic nephropathy may have high blood pressure. Although diabetes and hypertension are two independent chronic diseases, diabetic nephropathy and renal failure caused by poor diabetes control can cause increased blood pressure. This kind of hypertension is not essential hypertension, but renal hypertension, and the harm should not be ignored.

　　 If diabetic patients find the above three symptoms, they must pay enough attention and go to the hospital for diagnosis and treatment as soon as possible. The scientific and standardized treatment of diabetic patients can alleviate disease progression to a certain extent and improve the quality of life of patients.

Diabetes can also cause blindness!

 If diabetes is not treated promptly and effectively after the onset, it is easy to cause a series of complications, disability and blindness!

　　 Why does diabetes hurt the eyes?

　　 The high blood sugar environment destroys some small blood vessels in the retina, causing retinal diseases, which in turn affects vision and even insomnia.

　　 In addition, diabetes can also promote the occurrence and development of cataracts, especially in a state of high blood sugar for a long time, the refraction of the eyes will also change, patients often feel blurry, this situation is generally temporary. If the blood sugar fluctuates greatly in the body, myopia will occur when the blood sugar is high, and hyperopia will occur when the blood sugar drops.

When the blood sugar of diabetic patients fluctuates greatly, if it is not controlled in time, it is very easy to cause the complications of diabetic eye disease, and the complication is the most critical factor in increasing the mortality of diabetic patients. Therefore, when the body has symptoms of diabetic eye disease, Pay attention.

　　 The following symptoms occur, you need to be alert for diabetic eye disease!

　　 1. Black eyes

　　 Diabetic patients often feel that there are black objects floating in front of their eyes, which look like small balls or tadpoles.

　　2. the visible range is reduced

　　 When I look at things, I feel that the visible range of my eyes is significantly reduced, and things in some places are invisible.

　　3. decreased vision

Loss of vision is also one of the early signs of diabetic eye disease. Because the optic nerve is damaged, or vascular disease occurs in the fundus, it will cause hypoxia in the retinal tissue, which will cause symptoms such as microangioma or retinal hemorrhage. Some more serious patients may even suffer Causes retinal detachment, leading to decreased vision.

　　4. ghost

　　 When looking at something, a diabetic person clearly feels that there is a double shadow in front of the eyes, and the upper eyelids will droop, and the movement of the eyeball will be restricted.

　　 For people with diabetes, all of the above symptoms should be vigilant to prevent the occurrence of diabetic eye disease, which will gradually worsen the disease and affect the control of the disease. In this regard, sugar friends don’t have to worry too much. The following aspects can prevent diabetic eye disease.

Three questions about diabetic eye disease

Core reminder: Given that many diabetics are not familiar with diabetic eye disease, let’s take a look at these three diabetic eye problems today, and you can answer a few of them.

Diabetes is a group of metabolic diseases characterized by high blood sugar. Because diabetic patients are in a state of high blood sugar for a long time, it is easy to cause chronic damage and dysfunction of various tissues of the body, such as eyes, kidneys, heart, blood vessels, and nerves. Diabetic eye disease Is one of them.

　　 Diabetic eye disease is a major blinding disease. Diabetic patients are prone to diseases such as glaucoma, cataracts, vitreous opacity, macular degeneration, and optic nerve atrophy. However, diabetic patients do not need to worry too much. Most patients can be cured by timely detection and scientific and standardized treatment. Given that many diabetics are not familiar with diabetic eye disease, let’s take a look at these three diabetic eye problems today. You can answer a few.

　　 Question 1: Do people with diabetes have no symptoms and need to see an ophthalmologist?

　　 need. It is recommended that patients with diabetes check their eyes regularly to see if there are problems with the eyes. Generally speaking, the fundus of the eye can be divided into a central area and a peripheral area. There is no bleeding or exudation in the central area. Most patients may not notice discomfort in the eye, but at this time there may be problems around the retina, so it is recommended Perform regular eye examinations to take precautions.

　　 Question 2: Why does diabetes cause glaucoma?

　　 Earlier we said that long-term high blood sugar can easily damage the organs of the whole body, and the eyes are not different. Diabetic glaucoma refers to neovascular glaucoma, which is mostly caused by diabetic retinopathy. In diabetic patients, fundus ischemia will compensate for the appearance of new blood vessels to provide nutrients to the fundus, but the large number of new blood vessels will easily bleed, which will eventually lead to increased intraocular pressure and evolve into neovascular glaucoma.

　　 Question 3: Is diabetic eye disease related to the age of diabetes?

　　 has a certain relationship. According to research, the longer the age of diabetes, the greater the chance of developing diabetic eyes, and the greater the damage to the eyes. Diabetic patients with good blood sugar control effect can delay the occurrence of diabetic eye disease. It is recommended that patients with diabetes undergo regular eye examinations.

Improper handling of diabetic foot can cause amputation

 Core reminder: Diabetic patients should pay attention to foot injuries. Once the wound is not treated in time, it is easy to be infected and difficult to heal. The skin and muscles become black, necrotic, and even amputation.

　　 There are many complications of diabetes, the most common of which is diabetic foot.

　　 Due to poor blood sugar control, nerves and blood vessels are diseased, and blood supply to the whole body is insufficient, especially in the feet. Blood circulation is poor. Once the blood vessels of the lower limbs are damaged, the feet will be more affected. Therefore, once a wound on the feet of a sugar friend is not treated in time, it is easy to be infected and difficult to heal, the skin and muscles become black, necrotic, and even have to be amputated.

　　1. choose the right shoes

　　 Due to uneven force on the foot, excessive local pressure can cause pressure ulcers. Pressure ulcers are prone to appear in the forefoot, heel, between the toes, and the outside of the little toe. Therefore, shoes that are too tight, too stiff, pointed, and high-heeled are not suitable for sugar lovers. It is best to choose cloth shoes with wide, soft and thick soles to reduce the chance of foot injuries.

　　2. pay attention to the water temperature

　　 Sugar friends have a reduced ability to feel water temperature. Avoid excessively high water temperature for foot bathing. Using too hot water can easily cause burns.

　　 3. Don't dig corns casually

　　 In addition, many patients have caused foot infections because of digging corns, injuring the dermis and making a wound. It is recommended that patients go to the hospital to ask a nurse specializing in diabetic foot for treatment.

　　 4. Check your feet often

　　 When taking a bath or washing your feet at night, carefully check your feet and between your toes to see if there is any broken skin.

　　 5. Treat the wound in time

　　 The course of diabetic foot develops rapidly, and it may change from a small wound to a large area ulcer within a few days. If there is a wound on the foot, you should go to the endocrinology specialist or the diabetic foot specialist for treatment in time.

　　The treatment of diabetic foot is not simply a dressing. When treating the wound, it is necessary to thoroughly debride the wound and remove the pus and necrotic tissue, otherwise the wound may not heal.

　　 Finally, it is recommended that sugar friends should be screened for high-risk feet of diabetes such as neurological and vascular disease every year in order to detect diabetic foot diseases as soon as possible.

Diabetes complications

 Core reminder: The three complications of diabetes involve multiple systems and multiple organs, so patients must actively prevent disease.

　　 If a diabetic patient cannot control his blood sugar well, the damage is systemic, involving multiple organs in multiple systems of the body. There are three common types of chronic complications of diabetes.

　　 The first category is complication caused by microvascular disease, manifested in eye diseases such as visual impairment and blindness caused by retinopathy, and kidney disease caused by glomerular filtration dysfunction. The patient develops intermittent proteinuria or microalbuminuria. With the prolongation of the course of the disease, persistent proteinuria, edema, hypertension, and decreased glomerular filtration rate appear, and then develop renal insufficiency or even uremia.

　　 The second category is macrovascular complications, manifested as atherosclerosis, including coronary heart disease, stroke (commonly known as "stroke"), and lower limb vascular disease (such as diabetic foot), etc., which are the main causes of disability and death in patients ( It accounts for 75% of diabetes deaths). In particular, acute coronary events such as unstable angina, myocardial infarction and stroke pose the most serious threats to life.

　　 The third category is the complications of the nervous system. The most common is peripheral neuropathy. Most of them appear after 2 to 3 years of diabetes, and the course of diabetes is more than 10 years. About 90% of people suffer from this disease. It is mainly manifested in the symmetry of the extremities, especially in the lower extremities. Symmetrical sensory disturbances, such as cold, heat and vibration, and decreased accurate tactility. Some patients will also have the sensation of ants crawling on the body, commonly known as "ant walking sensation".

　　Such complications also include diabetic autonomic neuropathy, in which sympathetic and parasympathetic nerves of various systems can be affected. Mainly manifested as cardiovascular system symptoms such as tachycardia, orthostatic hypotension, etc.; digestive system symptoms such as prolonged gastric emptying time, nausea, vomiting, etc.; diarrhea, alternating constipation or paroxysmal nocturnal diarrhea may occur when intestinal dysfunction ; Urogenital symptoms such as weak bladder muscle tension can cause urinary weakness, urinary retention, and long-term residual urine increase prone to urinary tract infections.

I don't know where to start insulin injection?

 Core tip: We all know that diabetic patients need to inject insulin every day to control their blood sugar. Only when the blood sugar is controlled will there be no so many complications. However, the insulin injection site is also particular, and the injection site is correct. In order to achieve a very good blood sugar control effect.

　　Insulin is a must for many diabetics to control blood sugar. Only when blood sugar is controlled well, can the emergence of various complications be prevented as much as possible. However, the insulin injection site is also very particular. Only when the injection site is correct can we achieve a very good blood sugar control effect. The following article will explain to you where is the insulin injection site better?

　　 There are three commonly used injection sites for insulin, namely the abdomen, arms, and buttocks. Details are as follows:

　　1. Abdomen: Under normal circumstances, most diabetic patients will choose to inject insulin into this part, which is also the most effective part, because the part of the abdomen is closest to the pancreas, which has a good effect on the absorption of drugs. At the same time, the subcutaneous fat in the abdomen is very thick, and the fat distribution is very uniform, and insulin is unlikely to reach the muscle layer, so it is better to lock this part to inject insulin.

　　2. Arm: Insulin can also be injected into the deltoid muscle of the arm, but its effect may be much worse than that of abdominal injection. Because the subcutaneous tissue around the arm is very weak, it is easy for insulin to enter the human body, and part of the insulin loses its function. Moreover, the blood vessels on the arms of some people are not very obvious. When they go for the piercing, they don’t know where to pierce.

     3. Buttocks: The last place to inject insulin is the buttocks. The effect of injection in this position is the worst, because the absorption of insulin in the buttocks is quite slow, especially for some people who are small and thin and do not have much fat in the buttocks, which is difficult to beat. , And it’s not easy to inject into your own buttocks, and the effect is not ideal.

　　 It can be seen from the above that the effect of insulin injection in the abdomen is the best, followed by the arm, and the effect of insulin injection in the buttocks is the worst. It is not recommended to inject insulin into the buttocks. Everyone must be trained by a doctor before administering insulin by themselves, so that the best results can be achieved.

What are your misunderstandings about diabetic insulin?

 People with diabetes must be no strangers to the "old friend" of insulin. However, we don't all know our friends very well, and insulin has been misunderstood by many people. Insulin needs to be injected, which sounds not only troublesome but also dangerous? it's not true!

　　 These common misunderstandings of insulin, have you also been "shot"?

　　 Need to take insulin, indicating that diabetes has reached a very serious degree?

　　Insulin is only one of the methods of diabetes treatment. According to the severity of diabetes, the level of blood sugar, the number of complications, etc., a variety of factors can be considered before deciding which treatment plan should be used. Insulin is often helpful for patients with damage to pancreatic islet function. In addition, patients with high blood sugar, severe illness, and more complications should be treated with insulin rationally.

    Once insulin is used, it can't be done without?

　　 Although diabetes theoretically requires life-long control, insulin does not necessarily have to be “used for life”.

　　Insulin can be flexibly adjusted according to the diabetic's own condition and various factors, and the types of insulin are also relatively diverse, so choose the best plan according to your own living habits and physical condition. And when the blood sugar control is stable and there are no other related serious diseases, insulin may not be used.

　　Some people think that insulin will inhibit the function of our body’s own islet cells, resulting in loss of insulin in the future and unable to work normally. This is not the case. On the contrary, most people with diabetes are caused by damage to the islet cells that secrete insulin. If insulin is not used for treatment, the "workload" of the islet cells is too large, and the damage may accelerate.

　　Insulin is a "good helper" for reducing blood sugar and controlling sugar in diabetes. Don't demonize insulin. As long as you use it rationally, insulin can benefit diabetics.

　　 Controlling sugar has been so difficult, don’t get stuck in a misunderstanding, which hinders the correct treatment!

How long after a meal is the best exercise for people with diabetes?

 We all know that proper exercise can improve the body’s immunity and also have some other benefits. It can also play an auxiliary treatment effect for some diseases. The same is true for patients with high blood sugar. Choose the correct and appropriate exercise. , Can play a role in lowering blood sugar, so how long after high blood sugar after a meal exercise is good for lowering blood sugar?

How long after a meal is high blood sugar?

It is normal for blood sugar to rise after a meal, and some people choose to exercise after a meal to slow down the increase in blood sugar.

However, exercising immediately after a meal is not conducive to blood sugar control. Because exercise immediately after a meal will cause the levels of adrenal hormones, cortisol hormones and norepinephrine hormones to rise significantly. These hormones all have the effect of antagonizing insulin, and blood sugar will rise significantly after eating. The body needs to secrete insulin to lower blood sugar. If you exercise immediately after eating a meal, the secretion of hormones that antagonize insulin will increase, causing the effect of insulin to decrease, leading to a more obvious increase in blood sugar after meals.

Therefore, it is best for patients with high blood sugar to start exercising one hour after eating. In the hour after a meal, the insulin in the body has a relatively sufficient effect on lowering blood sugar, and it is less affected by the fluctuation of hormone levels produced by exercise. Exercising at this time will further reduce the blood sugar level after eating, and the effect of sugar control is ideal.

How to control the amount of exercise for diabetic patients?

Diabetes patients should also have a good sense of measure during exercise, and exercise for a few days a day or a week. Each exercise should last about 20 to 40 minutes, so that the effect of exercise therapy can be achieved.

How long after a high blood sugar meal does exercise have a good effect on blood sugar reduction? Although there are many benefits of exercise, people with illnesses should be extra cautious about exercise. The content of how long after high blood sugar is high after a meal exercise has a good effect on blood sugar is introduced above, I hope it can help everyone.

Brushing teeth can reduce the risk of diabetes

 Core tip: Most people brush once in the morning and evening, but a recent study indicated that brushing twice a day is not enough in some respects!

　　 How many times do you brush your teeth a day?

　　 Most people brush once in the morning and evening, but a recent study showed that brushing twice a day is not enough in some respects!

　　 Brushing teeth 3 times a day can reduce the risk of diabetes

　　 Keeping the mouth clean, freshening the breath, and preventing tooth decay is the purpose of most of us brushing our teeth. However, the benefits of brushing your teeth go far beyond these. Recently, a study published in the journal Diabetes indicated that brushing teeth more than or equal to 3 times a day can reduce the risk of diabetes.

　　Research results show that brushing your teeth 3 or more times a day reduces the overall risk of diabetes by 8%. Among them, the impact on people under 51 and women is more obvious.

　　Perhaps the teeth also adhere to the principle of "doing important things three times". The study found that for people under 51, brushing their teeth twice a day compared to those who brushed their teeth once or did not brush their teeth, the risk of diabetes is relatively reduced by 10%. However, for men and people over the age of 52, there is no significant difference in the risk of diabetes between brushing their teeth twice a day and brushing their teeth once a day or even not brushing them.

　　 So, if conditions permit, brush your teeth 3 times a day without losing money!

　　 How is tooth brushing and diabetes related?

　　 Tooth brushing is the most basic measure to protect our oral health. It can remove food debris and some dental plaque in our oral cavity, preventing periodontal disease, tooth decay, tooth decay and other problems. Researchers said that a poor oral environment may cause oral bacteria to enter the bloodstream, causing transient infections and systemic inflammation, and inflammation itself is related to the occurrence and development of insulin resistance and diabetes.

　　 In fact, not only dental health problems can affect the risk of diabetes. Diabetes can also increase the risk of oral diseases. Relevant studies have shown that the risk of periodontitis in diabetic patients is three times that of non-diabetic patients. Controlling blood sugar can delay the progression of periodontal disease.

　　 Therefore, whether you have diabetes or not, brushing your teeth is a must!

Diabetes can't drink porridge?

 Core reminder: It is rumored that people with diabetes should not drink porridge. In fact, these 3 foods are best for diabetic patients to eat less.

　　According to the latest version (9th edition) of the latest global diabetes map released by the International Diabetes Federation (IDF), in 2019, about 463 million adults aged 20-79 in the world have diabetes (equivalent to 1 diabetic in 11 people). In 2030, diabetic patients are expected to reach 578.4 million.

　　 The top 10 countries/regions with the largest number of diabetic patients in 2019. The top three are China, India and the United States. China is among the top. The number of diabetic patients (20-79 years old) is 116.4 million, 77 million and 31 million, respectively. In 2030, the top three rankings are expected to remain unchanged.

　　 It is not uncommon for someone around to suffer from diabetes. He/she may be your family member, your friend, or your colleague. It is important to learn more about diabetes for the people around you. As we all know, people rely on food as their heaven. Due to diabetes, more attention needs to be paid to diet. Rumor has it that people with diabetes cannot drink porridge. In fact, these 3 foods are best for diabetic patients to eat less.

　　 These 3 kinds of food, diabetic patients should eat as little as possible

        Porridge

　　 Diabetes is not that you can't drink porridge, but it is recommended to drink porridge as little as possible. As the porridge is boiled for a long time, the long-chain electricity charges will produce a gelatinization reaction and become short-chain dextrin and oligosaccharides. The longer the cooking time, the higher the degree of gelatinization, the easier it is for the body to absorb, and the blood sugar will rise rapidly after ingestion, which is not conducive to controlling blood sugar levels.

　　 If you must drink porridge, it is recommended not to drink white porridge, add other things such as lean pork, green vegetables, etc., do not cook the porridge too badly. It is best to consult a doctor.

　　 some fruits

　　Fruit is rich in vitamin C, dietary fiber, minerals, etc. Diabetics also need appropriate intake of fruits to supplement nutrients.

　　 However, for some fruits with high glycemic index, people with diabetes should eat as little as possible or even not eat as much as possible. Fruits with high index are jujube, Longyan, coconut, pineapple, kiwi, ripe banana, etc. For diabetics, the glycemic index of apples, oranges, dragon fruit and other fruits is relatively low, so they can be eaten in moderation.

　　 too spicy food

　　 Diabetics inadvertently eat too spicy food. Too spicy food is easy to stimulate the human body to secrete a lot of adrenaline and norepinephrine, the patient will have a rapid heartbeat, sweat a lot, etc., to a certain extent, have an impact on sugar metabolism.

　　 In addition, too spicy food is more irritating to the human gastrointestinal tract, which may affect the absorption of oral hypoglycemic drugs by diabetic patients. It is recommended that diabetics eat less spicy foods.

　　 Finally, I would like to remind you that diabetes treatment is not only about taking medicine, but also a lot of effort in diet. If you have unclear diabetic diet problems, it is better to consult a doctor.

Diabetes is caused by eating sugar?

 We are no strangers to diabetes, and some people even have diabetics around them. It is often heard that "diabetes is caused by eating sugar". This sentence is too absolute and obviously not reliable. So, how does diabetes happen, and how to care for it?

　　 Is diabetes caused by too much sugar?

　　 There is a blood sugar control system in the human body. When food enters the human body, sugar will be broken down into glucose, which enters the blood and becomes blood sugar. Increased blood sugar will stimulate the pancreatic β-cells to secrete insulin and lower the blood sugar concentration. When there is a problem with this sugar control system, blood sugar cannot be effectively controlled, and it continues to be maintained at a high level, and it becomes diabetes.

　　 Diabetes patients have sugar in urine, not because they eat too much sugar, but because the body cannot use these sugars. At this time, there are more sugars in the blood. When a certain amount is exceeded, diabetes will form. But it is undeniable that long-term consumption of sweets does increase the risk of diabetes.

　　 Is it healthy without sugar?

　　 Some people say that in order to avoid diabetes, just don’t eat sugar!

　　 Although sugar is indeed lethal, it is also a type of nutrient essential to the human body, so we don’t need to shut out all sugar. It is important to limit its intake. The World Health Organization recommends that ordinary people should control their daily free sugar intake below 10% of their total energy, and eat about 25 grams of sugar per day.

　　 Diabetes can't eat sugar?

　　 Sugar is one of the three essential nutrients for the human body. It is an important energy source for the human body. Even sugar lovers need to absorb sugar to supplement energy.

　　 Sugar is divided into monosaccharides, disaccharides and polysaccharides. Monosaccharides mainly refer to glucose and fructose; disaccharides refer to sucrose and lactose; while starch and dietary fiber belong to polysaccharides.

　　 The sugar mentioned in our lives actually mainly refers to the simple sugars of white sugar and brown sugar. These foods have a fast rise in sugar, and diabetes should be avoided as much as possible;

　　 And polysaccharide food sugar friends can be eaten in moderation. For example, dietary fiber will not only not increase blood sugar after eating, but also increase satiety, which is very beneficial to diabetics.

The length of sleep has nothing to do with the incidence of diabetes

 Getting enough sleep is an important aspect of a healthy lifestyle. Recent studies have found a link between sleep time and the onset of diabetes. The study shows that the causal relationship between sleep and diabetes or sleep time may be the result of other factors that cause diabetes. There are currently no randomized controlled studies evaluating the effects of sleep on diabetes, and such studies are also difficult to carry out.

　　 In order to provide additional evidence, Professor Mary Schooling of CUNY SPH and his colleagues used genetics to predict sleep time to assess the risk of diabetes. Through a method called Mendelian randomization, the researchers focused on the genes related to sleep time in the genome of the study participants, and then compared this information with the participants’ diabetes prevalence. The relevant research results were published in "Preventative Medicine" on.

　　Researchers found that there is no obvious evidence that longer sleep time can reduce the risk of diabetes. But Schooling said they cannot rule out the different effects of sleep on diabetes in men and women. "Sleep is important in many aspects, but protecting the human body from diabetes may not be one of them."

Do you know the four misunderstandings of diabetes?

 Core reminder: Diabetes has brought a "sweet" burden to countless families. Diabetes and its complications seriously affect people's quality of life, but many people still have many misunderstandings about diabetes. Let's take a look together today.

  do you know?

　　 More than 100 million people in China suffer from diabetes, and 1 person dies of diabetes every 7 seconds in the world. The number of deaths caused by diabetes reached 4.6 million each year. At present, my country has become the hardest-hit area for diabetes, and the number of diabetic patients in China ranks first in the world.

　　 Diabetes has brought a "sweet" burden to countless families. Diabetes and its complications seriously affect people's quality of life, but many people still have many misunderstandings about diabetes. Let's take a look together today.

　　Misunderstanding 1: Diabetes can be cured

　　 Many sugar friends should have seen advertisements similar to this one posted on telephone poles. The old traditional Chinese medicine ancestral secret recipe, pure natural plant purification medicine, can help you cure diabetes and get rid of sweet troubles. And some sugar friends feel that the blood sugar is controlled within the normal range after treatment, which proves that diabetes is cured.

　　 Diabetes is a chronic disease that needs life-long control. The cause is not yet clear and there is currently no cure.

　　 Misunderstanding 2: If you eat too much sugar, you will get diabetes

　　 Many people think that just like a human being, a disease should be just like its name. Diabetes is caused by eating too much sugar. Diabetes is often mentioned as type 2 diabetes.

　　 So far, no studies have proved that there is a clear association between the amount of sugar intake and diabetes. High-sugar, high-heat eating habits and too little exercise can easily lead to obesity and lead to diabetes.

　　 Misunderstanding 3: Too much insulin can become addictive

　　 Some diabetics think that taking insulin is addictive and cannot stop using it at first. In fact, insulin is originally a hypoglycemic hormone that normally exists in the human body. The reason for developing diabetes is due to insufficient insulin secretion in the body or impaired biological effects, or both.

　　 At this stage, injecting insulin to treat diabetes in the treatment of diabetes medication is a physiological therapy with minimal side effects, and there is no Internet-borne addiction problem.

　　 Misunderstanding 4 Eat sugar-free food casually

　　 There are many specialty stores for diabetics on the market, and they often stock sugar-free foods. Many diabetics don't like these foods, and think it's okay to eat more sugar-free foods.

The state stipulates that the sugar content per 100 g or 100 ml of solid or liquid sugar-free food is not more than 0.5 g, which generally refers to sweet foods that do not contain sucrose, glucose, maltose, fructose, etc., but sugar-free foods should contain sugar alcohol ( Including xylitol, sorbitol, maltitol, mannitol) and other substitutes.

　　 Therefore, diabetic patients should be cautious when eating sugar-free food. Sugar-free food still has sugar. One more thing to note is that sugar-free food cannot replace drugs, and does not have the effect of lowering blood sugar by itself.