Prediabetic precondition can preface how to diagnose pre-diabetes?

Source:Family doctor online Date:2017-07-22

Scientific statistics, 40% to 60% of diabetics lack of typical symptoms of "a little" sanduo (that is, the more drinks, food, diuresis and thin), they disguised as eye disease, skin disease of department of gynaecology of even, oral diseases, and so on, confused eyes of patients. So if you want to find diabetes, you need to look at the nature of the phenomenon, and then pull the cocoon and pull out the underlying culprit.


Diabetes can be disguised


1. Disguised as presbyopia


Case: the eye is not good recently, see thing is dimly, think is the age, get presbyopia. After a period of time more and more severe symptoms, is seeing double, also there are black objects floating in front of him, go to a hospital eye exam, check blood sugar, found to be suffering from diabetic retinopathy.


In fact, ophthalmology is the department that discovers the quantity of diabetes more. Many patients suddenly find that their eyes are not good, dazzled and blurred, they go to the eye. They eventually found high blood sugar levels and had different levels of diabetes. The patient has high blood glucose, and the changes of the lens osmotic pressure can cause blurred vision. It is not untracable to tell the difference between diabetic eye disease. The symptoms of diabetic eye disease are microvascular anomaly, microvascular tumor, bleeding, exudate, new blood vessels, etc.


2. Disguised as itching, gynecological inflammation


Case: the skin itch is very difficult, go to dermatology to check a half day is not eczema, is not allergy, also is not urticaria, doctor suggests to check blood sugar. This check, sure enough, blood sugar is high.


Some diabetics have high blood sugar and high levels of sugar, which is a breeding ground for bacteria. In addition, the diabetes caused by sweating reduces skin dryness and also causes itching to heal. This type of itch caused by high blood sugar may be more noticeable in the night, and people who have had a blisters like a scalded blister after one or two weeks. Go to the hospital to check the discovery may be diabetic big blister disease.


In addition, some females have severe itching, white belt increases, when inflammation of the department of gynaecology, or repeated attacks, whether the cleaning fluid or oral medicine, the effect is not good. It turned out to be high blood sugar. The common cause of this type of disease is middle-aged and elderly women, and the reason for itchy is that the skin and urine contain more sugar and bacteria. General inflammatory drugs can be alleviated, but the itching for diabetes may have little or no effect.


3. Disguised as periodontitis


Cases: gum inflammation, often eat a lot of anti-inflammatory drugs don't work, tortured by toothache eat down, don't sleep well, the last dental doctor advised check their blood sugar, fish is one of the patients with type 2 diabetes, fasting blood sugar blood sugar has reached 18 tendency/L. After a period of control of blood sugar treatment, gum disease has also been effectively alleviated.


The department of oral cavity is also a "disaster area" that has found diabetes, and many patients have been diagnosed with gum inflammation and finally diagnosed with diabetes. Blood sugar is high, gum inflammation is not good; Gingival inflammation may, in turn, raise blood sugar, which affects each other and is a vicious cycle. So now the oral cavity, the recurrent periodontal disease, the doctors make it a significant step to check blood sugar.


In fact, early treatment of diabetes is often not in the endocrine division, but in other departments. About 20 to 30 percent of the patients in our hospital are treated in other departments at the beginning of the year, and eventually the endocrine department is diagnosed with diabetes. Diabetes can be found in virtually every department in the hospital. In addition to the above departments, some patients with edema, proteinuria and even uremia in the nephrology department are found to be not chronic nephritis, but diabetic nephropathy. The patient of cardiovascular department also should notice, many people feel anxious, chest is frowsty, think is coronary heart disease. In fact, a very important complication of diabetes is the cause of heart disease, coronary heart disease, cardiomyopathy, heart arrhythmia is very likely. "Therefore, patients should pay extra attention to 'camouflage' diabetes in their lives, and check their blood sugar early, especially in the high-risk groups such as family history of diabetes or obesity.


How do you know if you're in pre-diabetes?


When fasting blood glucose is between 6.1 and 7.0 mmol/L, the blood glucose will be between 7.8 and 11.1 mmol/L 2 hours after the meal, and you will be in pre-diabetes. Insulin resistance is often present in this stage, and the amount of insulin in the blood after eating is not high, but the hypoglycemic action of insulin is decreased and the islet pressure is very high. At this stage, by lifestyle intervention, diet control and exercise, insulin resistance can be improved, and about a third of people can reverse the process without taking it. At this stage, complications of renal and large blood vessels have begun to appear.


Do not take medicine before diabetes


Studies have shown that high blood sugar levels can harm large blood vessels throughout the body, especially cardiovascular events. Pre-diabetes intervention is given priority to with lifestyle adjustment, the control diet, increasing exercise, weight loss, loss of weight 1 kg, pre-diabetes progression to diabetes risk can be reduced by 16%. If there are more risk factors, consider taking the medicine.


Be patient, follow the doctor's advice, improve the way of life, the likelihood that pre-diabetes may not develop to diabetes, all sorts of acute and chronic complication also can reduce greatly. Once you get to diabetes, you have to take medication. It is noted in the drug that the ddp-4 (dipeptide peptide enzyme) inhibitor, once a day, is very convenient for oral administration, which causes low blood glucose risk in elderly patients and does not increase weight. As the only drug that is not metabolized by liver and kidney, ligulitin has little effect on the liver and kidney function of the patient, and the damaged renal function can still be used. 

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Keywords for the information:diabetes