April 29, 2009

elderly diabetic patients should be careful of blood glucose excessive

Hypoglycemia in elderly diabetic patients is mainly the use of hypoglycemic drug overdose caused by, including excessive oral hypoglycemic agents, insulin use excessive, or other diseases due to the use of paracetamol, propranolol and other drugs to enhance the role of hypoglycemic drugs.

In addition, old age is often accompanied by diabetes have heart and kidney dysfunction, heart failure leading to an effective reduction of blood flow. Renal insufficiency of glomerular filtration rate so that lower hypoglycemic agents may lead to accumulation in the body. Regulating hormones and the function of the elderly poor, in the case of sugar, when sugar can not increase the secretion of hormones, and thus easy to hypoglycemia.

When the blood sugar to 2.5mmI / L or when the sympathetic nervous system can occur in response, expressed as a cold sweat, irritability, palpitations, tremor, pale, and so there is hunger, when patients drink a glass of water or eat some candy block, or a small amount of diet, these symptoms can be eased; If blood sugar continues to decline, it will have the symptoms of central nervous system, manifested as headache, drowsiness, coma, convulsions, etc.. If a further reduction in blood glucose can cause permanent damage to the central nervous system.

This shows that elderly people should pay attention to the prevention of diabetic hypoglycemia, patients learn to self-monitoring condition, their own urine sugar tests, conditional trace can be self-blood glucose monitoring device, to capture the fluctuations in blood sugar, especially in strict accordance with the doctor's advice to use and can not authorization to increase the drug dose, the volume of activities encountered temporary increase, or can not eat, or eat because of poor appetite decrease, the need for the timely adjustment of the dosage of hypoglycemic agents.

The initial patients taking hypoglycemic agents should be started from small doses, glibenclamide should be used with caution due to glibenclamide in the commonly used hypoglycemic agents is the role of the strongest, longest role of drugs in the course in the use of low - the highest incidence of blood glucose. Should also be noted that the elderly should not have to ask for their blood glucose to normal, the control standards in order to achieve an appropriate level of mitigation is appropriate, avoid overkill.

Diabetic patients with tuberculosis and the cause of clinical nursing

1. Cause

Diabetes is a common endocrine metabolic diseases, the cause has not yet fully understood. Drink for the clinical features, polyuria, and more food and weight loss syndrome. Poor control can cause many complications. At present, the incidence of diabetic patients with tuberculosis are relatively high. Sugar as a result of the lack of protein can not take full advantage of the lower body resistance and immunity. Human immunity to TB are: congenital and acquired immunity, two kinds of immunity. Which acquired a strong immunity to Mycobacterium tuberculosis after BCG vaccination or after infection with specificity. After being infected by Mycobacterium tuberculosis incidence, depending on the number of bacterial invasion and virulence, the body's immune system and body's allergic reactions and other factors. Over the past few years we in the treatment of tuberculosis among treated patients with diabetes on the number of cases of pulmonary tuberculosis. The treatment of pulmonary tuberculosis in the clinical course of disease is relatively slow. I am years from 1998 -2003 a total of 35 cases of complications in patients admitted to our nursing experience now described below.

2. Objects and care

2.1 Object

35 cases of this group, 18 cases of male and 17 females, aged 25-75 years old, diabetic patients with tuberculosis.

2.2 Nursing

2.2.1 Food care: diabetes diet is the most basic of measures, regardless of insulin or oral hypoglycemic medication patients need to control diet, in order to stabilize the patient's condition. Stressed the importance of diet therapy, to give the patient or family members repeatedly tell the control diet is the most basic method of treatment of diabetes, medication alone is not satisfactory efficacy. Diet to patients alone, the church and the preparation of the patient calculated calorie recipes, and strictly enforced. Caloric intake may exercise discretion to increase malnutrition, obesity reduce it to the amount of fat a day should be tightly controlled selection of the best no more than 40g of vegetable oil. Promote use of crude fiber content of food in order to increase gastric motility, slow digestion and absorption, add enough of the vitamin B vitamins in particular. Reasonable distribution of food,wish to avoid eating more than the burden of insulin.

2.2.2 to observe the reaction of nursing administration: insulin therapy should be closely monitored patients. Often the following symptoms: pale, palpitation, a cold sweat, dizziness, nausea and hunger, as were unclear, the above symptoms should be attention. Low blood sugar reactions generally occur in the injection of insulin for half an hour (when not eating), or 3-4 hours or caused by excessive insulin, or brittle diabetic patients, urine negative for several days, insulin reduction is not timely. To prevent low blood sugar reaction, generally half an hour in each meal fasting insulin injection. Observed after injection should also pay attention to. Timely treatment of low blood sugar reactions, first of all, the patients lying, oxygen, proper eating carbohydrates such as sugar, biscuits, etc., often can be eased. Low blood sugar coma if a timely notice of a doctor. 50% intravenous glucose 40-60ml. Timely collection of urine, blood and ready to actively cooperate with the inspection of doctors jointly controlled hypoglycemia caused by drug overdose.

2.2.3 diabetic patients with clinical TB care: After the merger of anti-tuberculosis drug-sensitive TB declining, relatively long treatment duration. The performance of patients after onset of symptoms: low-heat in the afternoon sweating, fatigue, poor appetite, weight loss. Women may have menstrual disorders or amenorrhea. Respiratory symptoms: cough, sputum, chest pain, breathing difficulties have varying degrees of hemoptysis. TB as quickly as possible in order to effectively control the situation in tuberculosis before chemotherapy in patients with sputum smear investigation. Second AFB, blood, urine, liver function of the time, a chest X-ray. Treatment of sputum smear during the second month, every three months to check blood, urine, liver function of the time. Chest X-ray taken at the end of a course of treatment.

TB patients to take anti-TB chemotherapy in TB control in the play a decisive role. Of active tuberculosis chemotherapy must adhere to the early days, the joint, regular, regular, full use of the principle of drug-sensitive. Standard chemotherapy: mild 12-18 months, 18-24 months of severe, short-course chemotherapy, treatment is started 2-3 months strengthening phase, the consolidation phase of the whole 2-3 months. Chemotherapy, we should be monitoring of management. Such as the use of rifampicin (RFP) and to observe the liver, any change in liver function, whether the yellow staining of skin, nausea, vomiting. Use of ammonia, oxygen acid (PAS) have stomach discomfort. Use of pyrazinamide (PZA) in deep joints feel any pain. Taking isoniazid (INH) whether symptoms of tinnitus. Star阿卡米sulfate (KM) intravenous administration of this drug have some renal toxicity, routine laboratory tests before treatment. Blood urea nitrogen medication review process once a month. Period in the clinical treatment of the disease should strictly monitor the changes in the integrated care initiative.

3. The results

Over the past few years we have a doctor of clinical nursing staff in patient treatment and care, 81% diabetes mellitus to achieve a cure rate of tuberculosis. 19% of patients with diabetes as a result of relatively heavy, drug-sensitive TB declining, stable disease treatment, has received satisfactory results.

4. Discussion

Diabetic patients with pulmonary tuberculosis care:

4.1 Treatment of diabetes mellitus with clinical tuberculosis more difficult. Diabetes as a result of disordered glucose metabolism, resulting in strengthening the role of gluconeogenesis, resulting in accelerated decomposition of antibody protein complement and reduce the generation of immune globulin. After the merger of anti-tuberculosis drug-sensitive TB decline, a longer course of treatment. The performance of patients after onset of symptoms: low-heat in the afternoon sweating, fatigue, poor appetite, weight loss. Women may have menstrual disorders or amenorrhea. Respiratory symptoms: cough sputum, chest pain, breathing difficulties and varying degrees of hemoptysis. In order to control the disease as soon as possible. Clinical timely application of anti-tuberculosis chemotherapy treatment, in the treatment of close observation, we monitor the care of chemotherapy drugs. More side-effects of anti-TB drugs, drugs in the treatment of sensitive observation, and symptomatic treatment if the drug is not sensitive to the dressing was changed in time in order to achieve therapeutic effect.

4.2 during treatment to guide our patients with the nursing staff to be patient and eliminate tension, to maintain a good attitude. Indoor ventilation to maintain indoor air fresh. Frequently in stable condition after the step-by-step outdoor static, not fatigue, strict compliance with the orders on time and on medication, to control blood sugar, keep the skin clean to prevent infection to prevent complications.

family members give diabetes patients decompression

Relatives suffering from diabetes, family members would be more sad, this is human nature, but face the reality and should control their own families, to eliminate fears and concerns as soon as possible, because the families of diabetic patients on the expression, attitudes, and behavior are very sensitive, regardless of their loved ones condition, the family members of patients to be calm before the calm, so that patients receive psychological and spiritual support for patients and create a favorable living environment.

Treatment of diabetic patients in good or bad, in a very large extent to the families of the co-ordination and can not be separated from family members in addition to support the spirit of the living to take care of patients and, more importantly, played a role of doctors and care, Therefore the families of the first diabetic to have a correct understanding of the basic. Such as

(1) Although no cure for diabetes, but it is not an incurable disease, family members should be persuaded to adopt a positive attitude with a good treatment of the patient;

(2) Diabetes is not infectious, do not find it too patient, to increase the patient's psychological stress;

(3) chronic complications of diabetes appear to be fully understood, can not add to the distress of patients and so on.

In addition, patients with long-term control because of the need to diet or (and) drug use, especially in patients insulin injection, or other various reasons, sometimes performance, such as depression, family members with medical and nursing staff to the greatest extent possible to persuade and encourage patients to and establish a long-term battle and disease confidence.

Family members in compliance with the dietary treatment of diabetes based on the principle of diverse varieties as possible, the patients who love to eat nutritious meals. To encourage patients to. Family members of patients should also make every effort to resolve the ideological or dispersed its energy, so that freed from the gloom out of the family members of patients should be urged by the amount of time on medication, trying not to ideas, so as not to delay the opportunity for medical treatment.

April 28, 2009

Experts in prevention and treatment of senile diabetes ideas

Living Well, life span is longer, the incidence of diabetes in the elderly has increased significantly. In diabetic patients, elderly patients with diabetes accounted for 30% of senile diabetes is a threat to the health of the elderly.

How to determine if they had diabetes? How the prevention and treatment of senile diabetes? With a number of issues of concern to the elderly, the reporter interviewed a provincial deputy director of the Chinese medicine doctor of internal medicine Dr. Zhao Quanlin.

Three types of diabetes in elderly

Basically, the elderly are type Ⅱ diabetes mellitus, there are three types: the elderly caused by obesity diabetes, lack of exercise-induced diabetes and the elderly family genetic history of diabetes caused by old age.

Most of asymptomatic diabetes in elderly

Hidden elderly onset diabetes, a relatively minor symptoms, no problem of "a little over 3" (polydipsia polyuria eat more weight loss) symptoms, and some will also appear in patients with mild fatigue, weakness, dry mouth, weight loss, etc. symptoms of diabetes in elderly general inspection body or in the diagnosis and treatment of other diseases when found. Wait until there are more obvious symptoms, the incidence of a long time already, and even has some asymptomatic patients.

How to determine whether the risk of diabetes

We determine whether the elderly suffer from diabetes, blood glucose mainly by check. When fasting blood glucose ≥ 7.0 mmol / L, or after a meal blood glucose ≥ 11.1mmol / L on the note had been suffering from diabetes. In early diabetes, the relatively short treatment time can be 23 days or a week or so check blood sugar, are relatively stable condition of the patients about half a month to check once a month, there are some patients once a day or two, or even a few day times, this is completely unnecessary.

Prone to complications of diabetes in elderly

Long course of disease in elderly diabetic, prone to complications, this is the inevitable old-age trend of development of diabetes, which led to the death of elderly patients with diabetes are basically the heart, brain and kidney complications of diabetes, diabetes complications in elderly diabetic heart disease, diabetic nephropathy, diabetes and so on dozens of cerebral complications. There have been a patient like playing mahjong, do not take medicine, and pay no attention to diet is often to drink, there have been kidney damage, leading to diabetic nephropathy, and later developed into a uremia, can only rely on life-sustaining hemodialysis.

The purpose of control in elderly diabetic complications is the control to ensure the health of the elderly. Better control of complications to control blood sugar, blood pressure and lipid control, control of high blood viscosity and so on.

How to care for the elderly with diabetes

With the continuous improvement of living standards, changes in diet, the incidence of diabetes was an upward trend year after year. To really prevent exacerbations and complications, in addition to early diagnosis, timely treatment, more importantly, to do a good job of diabetic elderly home care.

The event as a result of diabetes, with almost life-long and long-term medication to the patient a heavy financial burden and mental stress. In particular, fear of complications, most patients with the spirit of malaise, depression, loss of confidence in the fight against the disease. In view of this situation, the patient once the diagnosis, we should sympathize with comfort, while the incidence of diabetes awareness, prevention, treatment of the relevant knowledge, enhance their confidence in the fight against disease.

Diabetic patients the most important thing is diet control. Standards should be strictly controlled diet, diabetic diet master calculation. Total daily calories in the control of standards under the premise of increasing the high-cellulose, low-fat diet, each meal deprivation, the daily number of meals.

Daily life should be strengthened elderly diabetic oral and skin care to prevent infection; attention to warm, the prevention of upper respiratory tract infection and pulmonary complications, the prevention of urinary tract infection; accurate records of urine, measurement of body weight on time.

The family home to buy the best measurement of blood glucose and urine sugar measurements of the paper and on time to the elderly diabetic blood sugar, urine sugar, but this self-test can not be replaced regularly measuring hospital. If it is found that fluctuations in blood sugar have to be on time. Injection of insulin for diabetes should pay attention to the elderly dose and time, one should be accurate, in half an hour before injection; Second, we must pay attention to the regular replacement of the injection site to prevent scleroma organizations; three partial strictly disinfected to prevent infection; four to watch for excessive insulin or oral drugs for adverse reactions. But also to observe the elderly diabetes have low blood sugar phenomenon, once the symptoms of hypoglycemia should immediately oral carbohydrate food, on the heavier should immediately go to the hospital for medical treatment.

Suffering from diabetes to light the elderly should be encouraged to participate in appropriate physical and sports activities in order to avoid the body fat can also reduce the burden on the patient's spirit. Such as severe ketoacidosis and other complications, should be an absolute bed rest, to wait for his condition improved, depending on the patient, and gradually increase the volume of activities.

On the psychological elderly patients with diabetes care

Diabetes is a chronic disease with life, due to repeated changes in the disease, no cause of treatment, the emergence of such complications, patients will have varying degrees of psychological barriers. Therefore, psychological care is essential to diabetes care segments, which contribute to the stability of the disease, drugs to play, the consolidation effect. Elderly diabetes through psychological care, the following experience.

(1) despair and psychological care: Some people believe that senile diabetes, their suffering from diabetes, is "incurable" and life-long medication, quality of life, loss of confidence in life. On the psychological care of these patients, it is necessary to meet the doctor and his (her) to exchange, to establish a correct concept of the disease. At present, there is no cure for diabetes, but to control development, the emergence of delayed complications. Such as good control of the life of elderly diabetic patients have little effect. So as to enhance confidence in the fight against the disease, contribute to drug treatment. (2) neglect of mental illness care: Some people believe that senile diabetes, their blood sugar is high, no other symptoms, does not affect the diet, without treatment, even if the treatment, not law. On the psychological care of these patients, to his (her) to explain the dangers of diabetes and its complications, cited some examples, so that patients fully understand the importance of diabetes treatment, recognizing that the benefits of active treatment, active treatment did not harm to medical, nursing and improve compliance. (3) "diabetic personality" psychological care: Some immature personality in elderly diabetic patients with a passive-dependent, do indecision, lack of self-confidence and insecurity often, these personality characteristics known as "diabetic personality." On the psychological care of these patients, so that patients understand that bad mood of the metabolic control of diabetes and the vesting conditions will have a negative impact, when the emotional instability, the blood sugar can rise, and long-term depression patients reduced insulin secretion , decreased glucose utilization curve, so in order to maintain emotional stability.

Clinical care can not be done mechanically, in particular the elderly diabetic patients should be targeted at the specific circumstances of each person, such as: age, mental status, family status, educational level, economic status, such as depth to do a good job of psychological care, to maximize Let the patient acceptance, approval, in order to achieve the intended purpose. Through psychological care, so patients can take to establish confidence in the future, thereby enhancing the patient's compliance, so that optimistic sentiment, but also to resist, such as "can completely cured" of false advertising and the temptations of pseudo-science. Through psychological care, so that further medical treatment and overall care.

elderly diabetes home care

Diabetes is the body insulin secretion caused by absolute or relative shortage of metabolic disease. Can be divided into type 1 and type 2, which is also called non-insulin dependent diabetes mellitus. The symptoms are relatively light, and general diet therapy alone or with oral hypoglycemic drugs can control the disease, on the contrary diet control and medication improperly can be involved in all body systems. Once these systems are against the resumption of a slower, older patients with diabetes as a result of the aging of the system, poor immune function, concurrent diseases of the system more, so do the elderly home care patients with diabetes care workers, we have become a new topic Through many years of diabetes in elderly home care guidance, received a certain amount of effect, are presented below.

1 diet care

In strict accordance with the diabetic diet meal, because the family is the key to good care and diet, so the family members to explain the importance of diet to understand the causes and incidence of diabetes is closely related to the diet can not be taken lightly, according to hospital after doctor's request to be reasonable diet, and asked the family members of patients with diabetes do a good job of catering catering, and supervisors.

2 Skin Care

Skin tissue in diabetic patients with higher sugar content, suitable for bacterial growth, but also as a result of increased blood glucose, blood neutrophil activity slow, poor phagocytic ability, reduced bactericidal ability, coupled with reduced ability to block the formation of antibodies, so prone skin itching and infection, and not easily recovered after infection, for which must be ground bathing, changing clothes diligence and maintain the skin clean to prevent infections, skin infections, once found to timely treatment.

3 diarrhea constipation care

Elderly patients with diabetes because of autonomic dysfunction lead to constipation or diarrhea, for which family members should be kept under observation in patients with stool so that patients develop the habit of regular bowel movements to prevent constipation or diarrhea, constipation or diarrhea for patients after a certain use warm water to clean the skin around the anus to prevent infection, regulation of diet, reduce or increase the intake of crude fiber or drug treatment, review of blood glucose, urine sugar.

4 physical care

Elderly patients with diabetes lead to cerebral arteriosclerosis and peripheral neuritis, the performance of physical activities are not flexible, acromegaly, numb hands and feet, in home care in patients with more physical massage, heat blisters on hands and feet during the day and used to promote the physical and peripheral circulation in order to reduce physical not flexible and does not numb the pain and so on.

5 psychological care

Psychological care is an important aspect of home care, for families to learn and understand the psychology of knowledge, to help patients overcome negative psychological factors in the imbalance, so that patients maintain a good state of mind, have the confidence to overcome the disease to overcome the pessimism. To learn more about patients with diabetes mellitus is a common life-long disease, have a long-term thinking to overcome the disease, family members of patients to timely emotional guidance, to eliminate undesirable factors.

6 Notes

Nursing home care is the cause of the new development. Nurses to a week of elderly diabetic patients with home visits from time to time, the development of nursing and care to carefully fill out the responsibility system to record, summarize the experience of care, adequate supervision of patients taking hypoglycemic agents on schedule, regular review of blood sugar, urine sugar, adjusting the drug the amount of food, the timely detection of complications, prompt treatment.

Control of blood sugar, the three measures of diabetes control in elderly

A control diet, the promotion of light. Appropriate number of coarse grains to eat daily coarse grains (bean flour, cornmeal, noodles hazelnut, millet noodles, etc.) accounted for more than half of the staple food, with reasonable, non-staple food should eat some cucumber, tomatoes and celery and cabbage and other vegetables crude fiber, can also be appropriate to eat some fish, shrimp, meat, oils and fats to eat less food, less cooking should also put some oil. There are many elderly people eat pumpkin hypoglycemic, and even eat the pumpkin, pumpkin Dr. Zhao said that although there is a certain degree of hypoglycemic effect, but should not eat more in order to moderate to good. In addition high blood glucose not eating fruits, low blood sugar can be an empty stomach between meals eating some fruit, but can not eat after dinner. Eat less sugar and calorie intake to control the staple food in 300g / day-500g / day. Quit smoking and avoid alcohol. Reporters in an interview that there is an old lady in Qingdao to begin a relatively high blood sugar, then eat buckwheat and tomatoes a long time, blood glucose has been maintained at 5mmol / L or so. There is an old lady almost every day to eat bitter gourd, the original control high blood sugar better.

Second, adequate exercise. The elderly, such as heart and lung as a result of the carrying capacity of organs decline, should be appropriate according to its own situation quickly taken away, playing Taijiquan, the elderly, such as dancing to withstand physical activities, not to promote running, intense activities such as mountain climbing fast. Enough is enough movement, not reluctantly, but also on a regular basis, in order to feel relaxed the whole body, loss of appetite for a good reduction.

Third, changes in the way of life. Control through diet and activities to strengthen the control of the ideal body weight range (-105 height = weight kilograms), at the same time to control high blood pressure, high cholesterol, which are beneficial to the prevention and treatment of diabetes.

Hypoglycemic agents can not be arbitrary service

Mild diabetes can be controlled through exercise and good diet can achieve the effect of prevention or treatment. However, if the control diet and to strengthen the movement of blood glucose still increased significantly after the patients, drug therapy should consider taking some of the role of comparative ease, the prevention of neurovascular complications of oral medication to help, under normal circumstances does not require treatment with insulin.

Note that the drugs must be under the guidance of a doctor, can not serve chaos, Dr. Zhao has a woman being treated, people with diabetes has not been the treatment of doctors, but their condition according to their own repeatedly that exacerbations eat some medicine to alleviate the conditions that do not eat, plus a good diet does not control, and do not want to do exercise, blood sugar has been increased to 10.5mmol / L or more, unable to feel full. Later, under the guidance of Dr. Zhao, the old lady after the treatment, and now has decreased body weight, physical strength is also, and also do some regular exercise, blood sugar has dropped to 6mmol / L or so.

Elderly diabetes: do you lack of chromium?

With iron, copper, zinc and other elements compared to the people of chromium is relatively unfamiliar. In fact, chromium is also a trace element necessary for the body, one is closely related with human health.

Modern medical research found that trivalent chromium into the human and animal body, the adsorption and organization in the cell membrane, and through the formation of organic compounds or biological activity of chromium compounds play a role, to participate in carbohydrate, fat (especially cholesterol) and amino acid Synthesis of metabolism, insulin to help play a role, it said trivalent chromium compound such as a "glucose tolerance factor." Therefore, trivalent chromium has been identified as essential trace elements in the human body. Inadequate intake of chromium can lead to impaired glucose tolerance --- service after a certain amount of glucose can not be fully utilized and stored elevated glucose, and body; will lead to atherosclerosis --- arteries lose elasticity, luminal narrowing and even obstruction.

Food sources of chromium for the meat and grain, beans, brewer's yeast, liver, grains, dairy, vegetables, fruits, chromium low. Nutrition standards in accordance with the United States recommended the Committee recommends that the safety and suitability of chromium intake of 50 to 200 mg / person. The human body contains chromium lowered with age, the elderly vulnerable to lack of chromium, it should be noted added.

Refining the process of food containing a significant reduction in the amount of chromium, for example, 100 grams of whole grains of chromium 175 mg, 60 mg of flour level, only 23 mg of fine white powder. Brown sugar than white sugar high chromium 6 times, which may be civil that the role of brown sugar has a unique reason. Americans like eating refined white flour and refined sugar, it led to a general lack of chromium, to become diabetic, coronary heart disease incidence and the causes of the higher mortality rate. In cereals, brown rice, coarse grains to feed the country, the situation is just the opposite.

Older methods of diabetes prevention

(1) diet control: single-feeding should avoid sugar products, to encourage low-fat high-fiber foods, as well as feeding the right amount of salt for its basic principles. The food intake of protein, vitamin supplement should be further recommends that physicians planning of adequate food.

(2) moderate exercise: Sports can improve blood fat and the elderly impaired glucose tolerance, a general principle it is appropriate to pre-warm-up and after the exercise program to gradually slow down, never managed to carry out, for the movement of their limbs, and with appropriate protection . It should not do weightlifting, with a clear peripheral neuropathy were not running, so swimming and foot for the majority of patients than a bicycle.

(3) careful use: drug use and treatment, we must follow the doctor's advice! Avoid self-adjustment of dose or interruption of use.

(4) periodic assessment of diabetes control of the situation: including regular testing of blood glucose, glycosylated hemoglobin, blood fat, kidney function, as well as the fundus, electrocardiogram screening.

(5) psychological and support: It is necessary to rely on the cooperation of family members and medical staff to care for patients and assist patients in the face for treatment.

April 27, 2009

Osteoporosis occur when the anti-diabetic

Early symptoms of diabetes in elderly do not typically make more use of complications as the first symptom, diabetes, bone disease is one of them. From low blood sugar, urine sugar emergence of a large number of calcium from the urine discharge, thereby reducing serum calcium. When the kidneys lose too much calcium, reduced intestinal absorption of calcium, parathyroid hormone can occur secondary hyperparathyroidism functional, caused by subperiosteal bone, which osteoporosis, bone thinning, fibrous osteitis, pelvis and the abnormal pathological fracture. Such pathological changes of long bones especially the limbs, ribs, collarbone, pelvis is prominent. Secondly, osteoporosis (calcium) metabolism and phosphorus, magnesium is closely related to, when the calcium from the excessive discharge of urine, magnesium, phosphorus discharges also increased, resulting in abnormal calcium metabolism, leading to osteoporosis. Due to skin infections involving bone, bone disease also led to one of the reasons for diabetes.

Once middle-aged and elderly spinal acid leg pain, fingers twitch, gastrocnemius muscle cramps, especially in the pelvis or abnormal pathological fracture, in addition to calcium and bone to do X-ray examination should check blood sugar, urine sugar.

For the treatment of diabetic bone disease, the key lies in the active treatment of diabetes and, if necessary, choose the joint application of calcitonin and calcium to promote bone cells.

Diabetes can detract from the daily life of the capacity of the elderly

According to a new study that may detract from diabetes, such as the elderly to engage in his chair to stand up, as well as day-to-day activities such as stair climbing ability.

The number of older people with diabetes is increasing, and diabetes may affect the daily lives of the function is not surprising. As a result, however the decline in such capacity, whether the diabetes itself, or diabetes more common in patients with other chronic diseases, there is a dispute it.

In this study, such as coronary artery disease such as diabetes usually affects the disease, action is indeed difficult to explain some of the cases, but not all.

Bethesda, Maryland (Bethesda) U.S. National Institute of Aging (National Institute on Aging) Lenerl (Nathalie de Rekeneire) Dr. told Reuters: "The mobility may lead to several diseases in diabetic patients is more commonly found see. "

She led the study also pointed out that, including obesity, arthritis, coronary artery disease and depression, such as curable or preventable diseases, and diabetes ability to act on the early signs of recession.

However, Lenerl that affect the life of the function of many of the complications of diabetes may be attributed to poor blood sugar control.

Researchers of different ages, gender and ethnic comparison of patients found that diabetes dysfunction and life have a strong correlation between.

Diabetic children's lives seven proposals

Paediatrics specialists believe that the prevalence of diabetic children as early as, if not guarantee the quality of life of children, it is easy for a child's serious illness or psychological pressure. Experts seven recommendations.

Proposal:

Six months to check liver function once a year to conduct a general physical examination, which should include renal function, fundus, blood glucose, blood lipids of a comprehensive examination, is conducive to timely detection of diabetes and its complications.

Recommendation II:

Have diabetes, especially type I diabetes in children, 1 week at least 1 day blood sugar, blood glucose instability even when measured within two weeks for three days, each day is based on breakfast, lunch and dinner and before going to bed two hours before and after measurements were 7th approach.

Recommendation III:

I suffering from diabetes mellitus children, to strictly control the diet to control blood sugar.

a. daily calories (cards) = 1000 + age × (70-100), 3-year-old child is too fat for more than × 70,3 years of age on the child too skinny × 100;

b. carbohydrates (rice and other staple food) accounted for 50% of the daily diet -55%.

c. protein intake accounted for 15% of the daily diet -20%.

d. daily dietary fat intake accounted for 25% -30%, and for good plant fats, such as should eat less pure.

Recommendation IV:

To prescribed medication, can not disable or reduce the medication, especially I-type diabetes in children.

Recommendation V:

Children 3 times a week, half an hour each time.

a. choice of aerobic exercise movement, so as to achieve maximal exercise heart rate of 60% as the standard (maximum exercise heart rate = 220 - age).

b. too much strenuous exercise such as running is not suitable to see the bearing capacity of individuals to choose hiking, cycling, jogging, playing to the activities.

c. need to test blood glucose before and after exercise and was ready to sugar, biscuits and so on, when there are low blood sugar when eating, but bearing in mind the volume control.

Recommendation VI:

More understanding of his illness and the doctors treating the situation and ensure the normal development of puberty.

Recommendation VII:

Psychological counseling. Psychological counseling is to enable these children suffering from diabetes know that diabetes can be controlled, parents, medical personnel and teachers should work with this.

be careful of serving women with diabetes vitamin C

New research shows that older women with diabetes, if taking large doses of vitamin C, they may damage the heart.

Researchers with 2000 postmenopausal women with diabetes for as long as 15 years of follow-up study found that daily doses over 300 mg of vitamin C for women, died of a heart attack and stroke risk is that those who do not take vitamin C in women twice. The discovery was published in the latest issue of the United States, "Clinical Nutrition" magazine.

We know that diabetes blood contained vitamin C, often at a relatively low level. Many diabetic people taking vitamin C supplements to increase blood levels of vitamin C content. However, studies have shown that this is not a correct choice. Diabetic patients taking vitamin supplements should be more cautious than others.

The researchers pointed out that despite the diabetic patient's blood levels of vitamin C, often below the normal value, but the use of supplements to enhance the healthy level of vitamin C is still unknown.

In the study, researchers in the 2000 women with diabetes die of cardiovascular disease in the medical record to the record. From the beginning of the study, the women answered all the questions in the questionnaire, including: eating habits, exercise, high blood pressure and smoking habits. The results showed that in the next 15 years, those taking 300 mg per day of vitamin C more than the women, died of coronary heart disease or stroke risk is that those who do not take vitamin C twice as many women.

The researchers also pointed out the antioxidant defense system complexity. When antioxidants interact with free radicals, they must be turned into other antioxidant detoxification of pro-oxidants. This detoxification process occurs in diabetic patients who have very slow. In this case, the change in the molecule of vitamin C can damage human cells.

Researchers in favor of dietary intake of vitamin C and other nutrients, rather than intake from supplements. Although antioxidants in food can be biological and chemical balance, but a lack of vitamin pills could balance such a mechanism. The researchers speculate, therefore, taking a single high-dose antioxidants may interfere with the body and the former oxidant antioxidant balance.

Another study also shows that taking a daily high-dose antioxidants --- another vitamin E, not only can not prolong life, but may increase the risk of death.

Diabetes self-test blood glucose levels will help to improve the condition

HONG Beijing May 10 news central Japan National Health Insurance will be announced on the 9th, according to a survey the possibility of diabetes and diabetes testing themselves help to improve the symptoms of blood sugar level.

According to Xinhua Net reported that the survey does not require injections of insulin to diabetic patients and less likely to suffer from diabetes for the object, of which 85 patients with less serious, it is possible patients with 100 people, asking them three times a week at home self-test blood glucose levels . Two months later, with no self-test blood glucose levels of patients and less likely in patients with blood glucose levels compared with changes in body weight, results showed that self-test blood glucose in patients with a lesser value, the reaction of the hemoglobin A1C blood sugar level index, the average from 69.8% down to 66.5%, body weight decreased from 60.6 kilograms to 58.6 kilograms; there may be patients with hemoglobin A1C index, the average fell 0.17 percent, the average body weight decreased by 1. 2 kg. Without self-test blood glucose levels in patients with the index is basically unchanged.

Japanese National Health Insurance Central Council of the details of that measured his blood sugar level, through personal experience changes in blood sugar level, you can draw attention to diet, increasing exercise, adoption of a healthy lifestyle.

According to the Japanese Health, Labor and Welfare survey in 2002 showed that patients with diabetes in Japan and is likely for the 16.2 million patients, of whom hemoglobin A1C index by 6.1% in patients with diabetes for more than 7.4 million people, more than 5.6% and 6.1% of patients with the following may be 880 million people.

Patients with diabetes need regular eye check

According to the survey, duration of diabetes less than 5 years in the fundus changes in 38 ~ 39%; course of 5 to 10 years the incidence rate of 50 ~ 56.7%; 10 years the incidence increased to 69 ~ 90%. Now, diabetic retinopathy has risen the most important blinding one of the reasons, there are 1 / 4 blind So blind patients. However, because many people do not understand the damage of diabetes on the eye, when the vision is often reduced to a considerable extent, affect the normal work and life, only to the hospital for medical treatment, the result of delays in the condition, and ultimately no longer blind to the eyes of the world .

Diabetes is caused by insulin insufficiency of glucose metabolism disorders, and disorders associated with protein metabolism, it can produce in vivo changes in a variety of organ systems, but with the eyes more closely related, can cause cataracts, retinopathy, transient flexor optical errors, such as external ophthalmoplegia, in which the most common retinopathy. So, when people are diagnosed with diabetes after, even if visual acuity is 1.0, should be to carry out regular inspection of ophthalmic hospital to see if there is the occurrence of diabetic retinopathy. If everything will be all right, about every six months should be a detailed investigation. If the early symptoms of the disease occur, it is necessary to 1 or 2 months once, once the disease must be treated immediately. In addition, many patients with a decline in visual acuity often mistaken for the performance of early cataract, retinal disease is not thought of. Cataract can be cured through surgery, and once the development of diabetic retinopathy to the advanced, even if advanced medical technology is also difficult to have a significant effect. For prevention, we must check as soon as possible, as soon as possible treatment.

Diabetes Nutrition Can Improve Difficult Problems

Author: Korbin Newlyn

The research and study of diabetes nutrition has made crucial discoveries that can improve the health of numerous individuals who are afflicted from this serious health condition. Numerous individuals develop diabetes as kids or at a later point in their life. The individuals who have early warning signs that they may get diabetes should in careful way take a look at diabetes nutrition to stave off the onset of this difficult disease. There are blood tests that people can get that will help to identify people who are afflicted by this disease. and these people can also get blood tests which will give warning if any signs of pre-diabetes exists. For all individuals, good nutrition is important, yet for those with some chance of getting diabetes and also for those people with diabetes should be very careful when it comes to their regular diet. Diabetes nutrition has a few features that are special particularly for diabetics, yet numerous important steps to healthy nutrition work for diabetics. Nutritionists have worked with doctors and other medical field experts to research the effects of diabetes on the human system. After many years of research, the nutritionists have numerous beneficial strategies for diabetics nutrition that will assist diabetics leading a more comfortable life despite their affliction with this disease. The majority of doctors working with diabetics will press the point of the importance of nutrition. Diabetics Nutrition is Not Highly Complicated Diabetics nutrition is not particularly about special foods even though there are some specific foods created particularly for diabetics. Diabetics are better off planning their healthy habits and then follow them everyday. The majority of nutritionists teach diabetics to consume moderate amounts of food and make plans for timed meals as well as appropriate snacks. Diabetics are typically taught to eat plenty of fruits and vegetables which are crucial in everyday diets. Foods that are rich in whole grains are frequently recommended to diabetics as well as the population in general. Just like everyone else a diabetic should attempt to limit the fat as well as the calories that they consume. Obviously, everyone else would be well advised to do the same even if they do not have diabetes. Individuals are frequently creatures of habit and instituting habits that are healthy can form the basis for diabetes nutrition. Carbohydrates can have a crucial part to play in healthy blood sugar levels. Diabetics who are on insulin or any other kinds of diabetic medications should pay careful attention to carbohydrates in their day to day diet. Diabetics need to work closely with their physicians as well as their nutritionists to make certain that their carbohydrate consumption is right for their condition. Whole grains are highly significant to the diet of diabetics. These types of foods furnish the fiber that moves the digestive system effectively. There are numerous nutritious whole grains that diabetics should incorporate in their diets.

Article Source: http://www.articlesbase.com/diseases-and-conditions-articles/diabetes-nutrition-can-improve-difficult-problems-528133.html

About the Author:

Listen to Korbin Newlyn as he shares his insights as an expert author and an avid writer in the field of health. If you would like to learn more go to Diabetes Causes advice and at Diabetes Prevention tips.

Diabetes: Summer can not let down our guard

Patients with diabetes in the summer, the blood sugar at the lowest stage of the year, the most close to normal. But noted that the drug must not blindly cut must adhere to medication, so as to avoid accidents or illness. For more information on the drug dose to be adjusted or description must be carried out under the guidance of a doctor.

Hot days lead to lower blood sugar
In the year, the summer of blood sugar in diabetic patients at a low level. This is mainly because the human body against the cold summer of adrenal hormone secretion, reduced the role of insulin can be more fully; hot summer weather, it is generally loss of appetite, reduced carbohydrate intake; outdoor activities increase, the use of blood glucose. In addition, the longer summer days, hot days of insufficient sleep easily, causing the body heat dissipation, the body's metabolism high, relative consumption also increased blood sugar. Therefore, measurement of blood glucose in patients with diabetes are often found in summer than other seasons of low blood sugar.

Sweating more than make up water

Summer sweat more, the loss of body water volume of big, attention should be paid more than drinking water. Elderly diabetic patients a sense of loss was not obvious after the thirsty, care should be taken to add water initiative. Some worry that more patients with diabetes leads to more drinking urine. This is very wrong and dangerous, diabetes polyuria is due to high blood sugar, therefore, if the restrictions on drinking water, cause dehydration, diabetes mellitus in elderly patients with hemoconcentration easily result in thrombosis, hyperosmolar coma, such as renal dysfunction. Therefore, patients with diabetes should not limit the water, but not a one-time drinking water or drink a lot cooler than cold, avoid drinks with high sugar content drinks and sparkling drinks, we should drink plenty of water or herbal tea water cooler.

Food should not leave things to chance

Summer all kinds of sugary fruit drinks and more listed, but these are not suitable for diabetic patients to eat more. In particular, it is not yet under the control of high blood sugar in diabetic people to be used with caution. Stable condition of the diabetic patients should also be dieticians or doctors under the guidance of a reasonable selection of fruit, moderate consumption. Should be banned or to minimize the use of sugary drinks. Suitable for eating summer vegetables in diabetic patients are: eggplant, cucumber, beans, onions, bitter gourd, tomato and so on. In between meals or before going to bed to eat adequate fruits, should be noted that the sugar content of fruit, edible fruit sugar content should be greater attention to reducing the amount of staple food. Patients with diabetes should not eat watermelon. Watermelon contains about 5% of sugar, diabetic patients to eat too much watermelon will lead to elevated blood sugar. However, if a watermelon to eat 25-50 grams of diabetic patients has little effect on the amount of sugar intake can only be increased by 1-2 grams.

Attention to prevent infection of health

Patients with diabetes should pay attention to food hygiene to prevent the occurrence of gastroenteritis. Because of diarrhea or vomiting can lead to water and electrolyte metabolism disorders, hyperosmolar coma induced. Diarrhea or vomiting caused by the absorption of carbohydrates will reduce the induced hypoglycemia.

Summer diabetic patients must pay attention to personal hygiene, regular bathing, changing in time, should pay attention to dry after washing the skin to maintain skin between toes dry and prevent bacteria and fungal infection.

Proper preservation of blood glucose test strip

High summer temperatures, air humidity, drugs easily perish. Treatment of diabetes drugs should be placed on preservation of shade. Such as insulin, may be saved in the refrigerator freezer, in the use of their hands before the application of heat to prevent crystal formation. Travel, the insulin should carry bag Add insulation. After damp Test Strips easily lead to errors in the monitoring results should be greater attention to packaging the use of paper packaging. Removed from the test box in a timely manner after the paper lid tightly to prevent entry of water.

April 26, 2009

about the diabetes-induced gingivitis

Physical examination, Ms. Wong was found shortly before the high blood sugar, doctors said that her type of diabetes are critical. She repeatedly asked the doctor whether or not other medical history, she said there is no other, is often inflammation of the gums. The doctor said she may be related to the diabetes-related gingivitis. She does not understand how diabetes with gingivitis on this?
We know that gingivitis or gum inflammation, is one of the most common diseases, the incidence of adults and young people can be. Disease and local calculus of mechanical stimulation and body metabolism and Chinese medicine as "lit" is closely related to.

Because of high blood sugar to the subgingival bacteria provide a wealth of nutrition, so that the gingival tissue and microvascular obstruction, reduced utilization of oxygen gum; At the same time, the resistance of the lower body in patients with diabetes, decreased immune function and promote bacterial infection, especially anaerobic bacteria , which is exactly anaerobe gingivitis caused the "culprit."

Many patients with unexplained recurrent periodontal gingival inflammation, dental visit frequently can be annoying that "gingivitis", "periodontitis" has been unable to root. Stomatology doctor told them to Endocrinology for further examination, was diagnosed with diabetes. Endocrine practitioners diabetes control their condition, the gingivitis is also basically good.

Diabetic patients should normally mouthwash, ground brush, do not smoke, used to overcome bad habits such as mouth breathing, develop a good practice of the early morning defecation. Meal should be the law, it is necessary to slowly, and more fresh vegetables such as carrots, spinach, fungus, and adequate consumption of fruits, such as hawthorn, apple. Brush approach to the right, choose the best soft toothbrush toothbrush and replace every few months time. Once bleeding gums or toothache should be treated promptly. If the organization has been suffering from periodontal disease, early treatment should be.

A Look at Hair Loss and Diabetes

Author: Jack Stanley

Some people with diabetes experience hair loss. Because the same condition have been observed in several patients with diabetes, it is not surprising to question whether diabetes is linked with hair loss. Indeed, studies and researches have shown that it has. A look at the reason facts about diabetes and hair loss to help us understand how these two are connected. Hair Basics Before we look at diabetes and hair loss link, it is important to first understand both diabetes and loss of hair. Head hair May seem to have no use other than as a technical aspect Enhancer. Nevertheless, it is still very much a part of the human body. Your hair will be likely to benefit or suffer from what you put into your body and everything that happens in your body in general. A hair grows from a root and the hair follicle located under the scalp. Hair is nourished by the blood that carries nutrients nourish the hair on the scalp and follicles. When your body does not have sufficient nutrients or when there is poor blood circulation in the body, hair and its growth is also affected. Hair Loss base It is also possible that there is really no direct link between diabetes and hair loss in some cases. There are several reasons why people lose their hair and it is essential to be able to achieve its case throughout the process of eliminating other possible causes of the disease. Another factor hair loss is by heredity and genetics. It is estimated that 95% of people suffering from hair loss have androgenetic alopecia, a condition of hair loss caused by hormonal activity in the body and by the individual genetics. Given that both androgenic alopecia and diabetes are hereditary, May it be more difficult to identify who is causing your hair loss. A look at the baldness of parents who are also diabetic May point the direction that the diabetes that is the cause hair loss and not the condition androgenic alopecia. Diabetes and hair loss The relationship between diabetes and hair loss can be determined by taking more careful consideration to the nature of diabetes and how it affects the body. Diabetes is a condition in which the body does not produce insulin or respond adequately to it. When that happens, glucose can not always between the body's cells to provide energy that the body needs. Since glucose was rejected by the body's cells and, therefore, has no place else to do, it will begin collecting in the blood. If you have a high blood sugar, fat deposits May also begin to set on the walls of blood vessels, hence, the obstruction of blood passages resulting from poor blood circulation and poor blood circulation. As indicated above, the hair of the key for growth and nutrition found in the blood. Having bad blood may mean the poor health of hair. In addition, poor blood circulation can also cause irritation of the skin and infections in diabetics. And since the scalp is still part of our skin, it is also suffering from poor blood circulation, resulting from hair loss. Conditions Diet People with diabetes both hair loss and May have time to deal with severe hair loss. Usual cases of hair loss are treated with nutritional supplements and proper diet. Those who have diabetes and hair loss, however, have to take into consideration the serious situation of diabetes. Eating an amount of unregulated even the most nutritious foods in May drastic result glucose spikes. Consult your doctor before dealing with your hair loss.

Article Source: http://www.articlesbase.com/diseases-and-conditions-articles/a-look-at-hair-loss-and-diabetes-510840.html

About the Author:

For info on signs of diabetes and diabetes statistics, visit the Diagnosing Diabetes website.

Anti-diabetic kidney disease: more than fish and eggs

Diabetic nephropathy by renal failure caused by diabetes than non-high 17 times, in patients with diabetes, one of the leading cause of death. Early diabetic nephropathy and the prevention and treatment, in drug treatment at the same time, eating the same indispensable conditioning, we propose to choose more fish, eggs, poultry, lean meat, such as high-quality animal protein-rich food.

According to different sources of food protein, vegetable protein and can be divided into two major categories of animal protein. Vegetable protein comes mainly from cereals, tubers, and roots, dried fruits, nuts, etc., animal protein comes from fish, poultry, meat, eggs and milk.

It is worth mentioning that, plant protein, non-essential amino acid content of the high bioavailability of small, excessive intake may increase the burden on the kidneys, the prevention and treatment of adverse early diabetic nephropathy. Animal protein and high content of essential amino acids, the utilization of high nutritional value or, in particular in animal food or dairy, eggs, aquatic products, including better nutritional value of protein and is conducive to the protection of the kidney. Therefore, prevention and treatment of early diabetic nephropathy, in addition to control of glucose metabolism disorder, the selection of high quality protein diet is also essential.

In addition to a reasonable diet and food choices, control of blood sugar through the drug is still the prevention and reduction of the key early diabetic nephropathy. This is because once the clinical diagnosis of diabetic nephropathy has not reversible, even within the normal range of blood glucose can not stop the progress of renal failure, so early in the kidney blood glucose control in the framework of the ideal.

Where under the guidance of experienced physicians, according to the type of diabetes and the condition to select the insulin and oral hypoglycemic agents, as far as possible to near normal blood glucose, glycosylated hemoglobin standards. In early diabetic nephropathy, tight control of diabetes can often reduce urinary protein excretion. Patients with clinical diabetic nephropathy and renal failure have occurred in patients with insulin therapy should be selected. However, due to renal failure kidney's ability to reduce the degradation of insulin, as well as in patients with inadequate food intake, patients tend to reduce insulin requirements, easy to hypoglycemia, and some patients may be due to peripheral insulin receptor sensitivity to reduce the need for larger doses, so insulin dose adjustment must be based on individual circumstances.

9 types of pregnant women should be careful of diabetes

In fact, in recent years with a typical example of these rare patients with diabetes. Gestational diabetes is even more atypical clinical manifestations, and most of the normal fasting blood glucose, easily missed diagnosis. Therefore, obstetricians will be 24-28 weeks pregnant women in all 50 grams of glucose load test to whether screening of pregnant women with diabetes. If the outcome is unusual, so further 75 grams oral glucose tolerance test, according to the results of diagnosis.
As a result of minor symptoms, pregnant women not to identify themselves, so having any of the following risk factors for gestational diabetes in pregnant women should be alert to the possibility of illness:

1. Obese persons. If pre-pregnancy body mass index more than 24 (body mass index = weight kilograms / height in square centimeters), should be more alert.

2. Aged over 30 years of age, especially pregnant women over the age of 35.

3. Family in patients with diabetes, especially first-degree relatives (including parents and siblings) have diabetes, I suffer from diabetes during pregnancy significantly increased the risk.

4. Routine examination of the urine during pregnancy are often positive for fasting glucose.

5. Repeatedly during pregnancy suffer from vulvovaginal candidiasis (or fungal vaginitis).

6. Previous pregnancy had unexplained recurrent spontaneous abortion, fetal death, fetal malformation and so on.

7. Had birth weight more than 4 kg of fetus.

8. Who had suffered from gestational diabetes mellitus.

9. Identified during the course of the pregnancy the fetus than the actual gestational age or too much amniotic fluid there.

Pregnant women if the above does not necessarily indicate the occurrence of pregnancy Gestational diabetes, just to remind its risk factors, screening should be accepted in order to avoid delaying treatment.

Anti-diabetic hypoglycemia winter

Mr. Xu with diabetes, a few days ago suddenly 2:00 sweating, palpitation, weak symptoms, family members rushed him to the hospital, found out by checking this symptom is caused by low blood sugar.

Many diabetic patients are often concerned about the high blood sugar, but ignore the dangers of low blood sugar.

In fact, the dangers of low blood sugar far more than high blood sugar. Persistent low blood sugar can lead to brain dysfunction, increased cardiovascular and cerebrovascular risk of accidents, serious life-threatening. Patients with recurrent hypoglycemia will have irreversible brain damage, and abnormal heart function can.

From the clinical point of view, winter is the low night-time period of high blood sugar. Long winter nights as a short day, patients with diabetes under control in the diet, if not in time to add energy, easy to hypoglycemia reaction. Low blood sugar at night are usually in the morning at around 1-3, in addition to sweating, palpitation, the second day of early morning headaches, feeling weak is also a good night the night of the performance of low blood sugar, but diabetic patients tend to be ignored.

Diabetic patients with gastrointestinal problems caused by not eating a timely manner after the digestion and absorption, it will also respond to hypoglycemia. In order to prevent the occurrence of nocturnal hypoglycemia, in the choice of bedtime can slow the absorption of food, such as a cup of yogurt or low-fat milk, 3-5, such as biscuits. Diabetic patients with hypoglycemia at night may also be hypoglycemic drugs or excessive medication doses inappropriate time can be adjusted in the evening, under the guidance of a doctor of medicines and the quantity and time.

Hypoglycemia diabetes treatment is the most common and most important complications. At present, patients with diabetes a higher incidence of low blood sugar, but a lack of self-protection, which easily lead to a deterioration in their conditions. Therefore, diabetic patients to strengthen the awareness of low blood sugar, to master the knowledge necessary for prevention and treatment, diabetes treatment is essential. Once confirmed hypoglycemia attack should immediately eat biscuits or candy, and to monitor changes in blood sugar. Low blood sugar after eating, or has yet to correct a serious low blood sugar should be subject to the hospital for intravenous glucose. Low blood sugar after a timely adjustment to correct insulin or oral hypoglycemic drug dosage, eliminate the incentive to prevent the recurrence of low blood sugar.

Six "one" treatment of diabetes

Diabetes is a lifelong disease, it is proposed that patients to learn how to make friends,

The same as far as possible every time to find a doctor, so that your condition he will have a more comprehensive understanding of the system.

Diabetes, it means that a heap of trouble from this haunting thing: Measurement of blood glucose, hypoglycemic agents service, injection of insulin, the type and dose adjustment of medication, food from time to time quantitative, not what to eat, what to eat, watch out for low blood sugar at any time ... ... Remember this article six of the "one", diabetes treatment will be easier.

1. The election of a treatment program

American Diabetes Association suggested that by "a program of three-step" approach in the treatment of diabetes, relatively simple and easy. Past that, life can be used as a stand-alone intervention in the treatment, the treatment of early diabetes and impaired glucose tolerance. The practice has proved that the majority of patients failed to achieve the goal of blood glucose. Therefore proposed that "a program of three-step" approach, that is, with the intervention of life, the early drug use, as early as the joint, early use of insulin.

● The first step: to live intervention + metformin. 3 months blood sugar is not standard, the transition to the next step.

● Step two: There are three combinations - dual-dimethoxy GU + sulfonylurea drugs, metformin + insulin, metformin + rosiglitazone. Three months later, the blood sugar is still not ideal, the transition to the third step.

● The third step: in the above treatment based on insulin therapy to change the basis of intensive therapy.

2. To make a doctor friend

Diabetes is a lifelong disease, it is proposed and doctors to learn how to make friends, each with as much as possible to find a doctor, so that your condition he will have a more comprehensive understanding of the system, when your new symptoms occur, he can be made based on your medical history to determine a more correct and reasonable treatment. Can not solve the problems encountered, he would recommend that you visit the relevant sections, to save time, save costs, than by your own imagination better see a doctor Optional Section.

3. To bear in mind a target

Diabetes education has been going on for more than 20 years, but due to many factors, prevention and treatment of diabetic patients was still very little knowledge. We do not require diabetes can remember all the figures, but should bear in mind the most basic of fasting blood glucose and postprandial blood glucose control standards, or what used to monitor blood glucose? In order to facilitate memory, we made a jingle for: "56 However, seven, seven or ten pretty close." That is, fasting blood glucose in the 5 to 6 cents Mount / L, postprandial blood glucose two hours in the 7 to 8 cents Mount / upgraded to an ideal standard, non-fasting blood glucose more than 7 cents Mount / L, 2 hours postprandial blood glucose less than 10 cents Moreton / promoted to general standards.

4. Comparison of the same day, blood glucose

Monitoring the same day of fasting and postprandial blood glucose, changes can be understanding of his illness, in order to provide the basis for dose adjustment. Such as: (1) morning, both fasting and postprandial glucose targets, indicating that the appropriate dose; (2) the morning of fasting and postprandial blood glucose are high, indicating that night and the morning dose of the drug need to be adjusted; (3) only fasting high blood sugar, blood glucose after breakfast standards, indicating that dose less than the night before last, the day before the breakfast dose is appropriate; (4) only high blood glucose after breakfast, fasting blood glucose target, indicating that the pre-breakfast dose insufficient should be increased, the night before last dose is appropriate. Some patients do not know the same day, fasting and postprandial blood glucose determination of the benefits and wonders of today, tomorrow, fasting blood glucose measured postprandial blood glucose test, so that the disease agent to guide observation and measurement on the same day as the meaning of major blood sugar. Such as: patients in a high postprandial blood glucose, but fasting blood glucose test, so it is difficult to know that the high postprandial blood glucose is due to the continuation from high fasting blood glucose, or simply a high postprandial blood glucose, and fasting blood glucose is normal. If the former, the night before and morning of the drug dose and food intake should be adjusted; if the latter, only the morning to adjust the drug dose and food intake on it.

5. Use of an exercise prescription

Speed: 100 steps per minute, 30 minutes.

Jogging: 110 steps per minute, 20 minutes.

Trot: 120 steps per minute, 10 minutes.

The movement time and velocity to quantify the exercise therapy can be simplified to make and easy to remember, a good operation. Approach is the beginning of meal 1 hour campaign, you can choose three kinds of way to the left of any one.

This method can be three kinds of movement calorie consumption 80 ~ 100 cards (0.33 ~ 0.42 kJ), lowering blood glucose 1 to 2 cents Mount / L.

6. Simplify the calculation of the day staple

Calculation of diabetes complicated diet, a simple method is introduced. The first height (cm) 105 obtained by the standard body weight, and then to the standard body weight by 5, to arrive at the daily staple food volume (g) of the. Such as: a 170 centimeters tall patients, the staple food of the volume of his day = (170-105) × 5 = 325 grams. Vice food every day is fixed, so the majority of diabetic patients can eat: 1 egg, milk 250 grams, 100 grams of lean meat, tofu 100 grams, 500 grams of vegetables, vegetable oil 15 grams.

How to drink water is important for diabetes

All along, many people mistakenly believe that diabetes diabetes polyuria polydipsia is caused as a result of drinking too much, as long as the drink less, drink more than they can control symptoms of polyuria, so blind to control the water volume, even if the thirst do not want to drink water or as little as possible. Although this surface polyuria polydipsia symptoms, but the disease has increased (reduced blood volume, increased blood sugar level).

Patients with diabetes and more water, the actual loss of the added body, but also improve blood circulation, promote circulation, increase metabolism and elimination of ketones, such as the role is a kind of water loss on human protective response in diabetic patients will not be able to limit the drinking water, the water should also be appropriate. Diabetic patients because of absolute or relative lack of insulin, blood glucose at a high state of the hypothalamus stimulate the thirst center due to a sense of thirst after drinking can decrease or plasma osmolality returned to normal, played down the role of blood glucose, so that patients no longer thirsty. If the restrictions on drinking water, will increase the hypertonic state of very adverse conditions. Polyuria control from the start to control high blood sugar, and water control.

Experts point out that, at present, relatively dry weather, the human body a great amount of moisture loss. If you wait until thirsty to drink water, have been late. The human body because the water must reach a certain level, will have the feeling of thirst, mild water shortage does not necessarily cause obvious symptoms of thirst.

In that case, diabetes every day how much water to add?

Experts recommend that diabetics should also be the same as ordinary people, an average of 2500 milliliters per day of water, diet, some water, as well as 1600-2000 ml of water depends on the external supply of drinking water (200 ml cup 8-10 cup water). Diabetic patients have a choice of drinking water, weak tea, mineral water and other sugar-free drinks, sugary drinks and not suitable for drinking purposes.

In addition, the intake of protein foods, and exercise intensity, sweat, and bathed in such circumstances, should be the appropriate drink plenty of water. Milk, milk is added with diabetes a good drink of water. Daily drink of milk, milk calcium can improve the situation, milk also contains a certain amount of dietary fiber, and therefore more suitable for comparison obesity, high blood lipids, high blood pressure in patients with diabetes to drink.

Diabetic retinopathy will check before taking a plane

Diabetes in the air before the blood sugar in addition to reasonable adjustments, the best eye and look up in order to prevent pressure changes in the fundus bleeding.

In the many complications of diabetes, retinopathy deeply hidden and difficult to be detected in patients, and two retinopathy, retinal blood vessels within the immersion in the "sugar", the vessel wall is very fragile, a little there are external forces can easily cause vascular rupture. Sudden departure of the aircraft landing and air pressure caused by turbulence when the plane, the body will appear to some extent the role of gravity and acceleration of changes in such pressure likely to cause retinal hemorrhage. At the same time, the opportunity before the as a result of moving luggage, so that vessels may have suffered from the impact of a pressure vessel wall minor "cracks", the patient does not feel the pressure of opportunity in another blow, the emergence of the possibility of retinal hemorrhage larger.

In the preparation of diabetic patients the best opportunity to do before a fundus angiography, be aware that if the disease in more than two, that is, eye shadow appears, a small bug-like things such as, the best choice to go out by train. In addition, if the recent signs of complications such as ketoacidosis or coronary heart disease, do not go out of. Retinopathy early for Friends of the sugar, it is necessary to develop a portable instrument and hypoglycemic blood sugar drug habit, the trouble in the air before the other, it is best to test your own blood glucose levels, and timely use of hypoglycemic drugs to maintain normal blood sugar level, in order to prevent accidents. At the same time, try not to move such heavy baggage.

Of course, retinopathy of "source" is the blood glucose fluctuations, therefore, blood glucose control in the scope of reasonable opportunity to ensure the safety of the "pass" to go out in the preparation of the previous two months, sugar-you have to pay special attention to blood sugar control, increase in the number of blood glucose testing and timely dosage adjustments, careful not to make your eyes tired, you can eat some food for eye protection, such as liver, carrots and so on.

An Introduction to Pre Diabetes

Author: Tom Parker

Pre-diabetes, in simple terms, is a precursor to full type 2 diabetes. Type 2 diabetes develops when your blood glucose/sugar levels become extremely high due to a lack of insulin in your body. Pre-diabetes occurs when your blood sugar levels are higher than normal, but not high enough to be classified as type 2 diabetes. Unlike type 2 diabetes, pre-diabetes can be reversed by making positive lifestyle changes. Therefore, it is a critical stage because by making the right choices you can avoid type 2 diabetes completely.

The exact causes of pre-diabetes are not fully understood but it is linked to a number of risk factors. Some of these risk factors (such as age, family history and race) are beyond your control. However, a number of the risk factors (including inactivity and obesity) are within your control. By maintaining a healthy body weight and doing more exercise you can reduce your risk of reverse pre-diabetes and halt the development of type 2 diabetes.

The symptoms of pre-diabetes are similar to those of type 2 diabetes, although they may not be as noticeable. If you find yourself becoming increasingly hungry or thirsty, urinating more frequently or vomiting regularly you may have pre-diabetes and should go see your doctor. They will then be able to perform various tests (including the fasting plasma glucose test and the oral glucose tolerance test) which will confirm whether you have pre-diabetes or not.

If you are diagnosed with pre-diabetes then you should be thankful because you have been given a final chance to evade full type 2 diabetes. Your doctor will be able to give you further advice on the positive lifestyle changes you should make. One of these changes will be to improve your diet by eating smaller meals more regularly, consuming adequate levels of fibre and eating lots of fruits and vegetables. Another change will be to become more active by doing a little exercise each day with walking, cycling, swimming or participating in team sports all excellent choices.

By implementing the above lifestyle changes you can keep your weight under control, moderate your blood sugar levels, increase your body's sensitivity to insulin and most importantly prevent type 2 diabetes from developing. An increasing number of people around the world are contracting diabetes with the latest estimates suggesting that over 200 million people worldwide have diabetes. Acting on your pre-diabetes now will allow you to avoid becoming part of these constantly increasing numbers.

Whilst every intention has been made to make this article accurate and informative it is intended for general information only. Diabetes is a medical condition and this article is not intended as a substitute for the advice of your doctor or a qualified medical practitioner. If you have any concerns regarding pre-diabetes or diabetes you should seek the advice of your doctor immediately.

Article Source: http://www.articlesbase.com/diseases-and-conditions-articles/an-introduction-to-pre-diabetes-516294.html

About the Author:

Tom Parker owns and operates a number of useful fitness resources and websites. The Free Fitness Tips blog provides you with fantastic, free advice on all aspects of fitness. For more detailed information on pre diabetes please visit Tom's Free Fitness Tips blog

April 25, 2009

high cellulose diet is good for diabetes patients

Cellulose is a polysaccharide compounds. Crude fiber food, including cellulose, semi-crude fiber and lignin.

The role of cellulose:

① contribute to a variety of intestinal synthesis of vitamin E. coli.

② small proportion of cellulose, size large, in the gastrointestinal occupy a larger space, people have three square meals a sense, is conducive to weight loss.

③ bulky cellulose, after eating can stimulate the gastrointestinal tract, so that an increase in digestive juice secretion and gastrointestinal motility increased, constipation, diabetes can control.

④ high-fiber diet can slow down gastric emptying, intestinal transit time, the formation of soluble fiber in the gel, such as the role of intestinal sugar absorption by slowing down. Also by reducing intestinal hormones such as gastric inhibitory polypeptide or glucagon secretion, reduction of insulin to stimulate B cells to reduce insulin release and increased peripheral insulin receptor sensitivity, so that to enhance glucose metabolism.

⑤ In recent years, studies have proved to enable high-fiber diet in patients with type Ⅰ diabetes mellitus on mononuclear cells to increase insulin receptor binding, insulin requirements in order to save.

This shows that patients with diabetes to eat high-fiber diet, not only can improve high blood sugar, reduce insulin and oral hypoglycemic drugs, dose, and is conducive to weight loss, but also prevention and treatment of constipation.

Cellulose-free food: chickens, ducks, fish, meat, eggs, etc.; food containing a large number of cellulose include: coarse grains, vegetables, beans and so on. Therefore recommended that the appropriate number of diabetic patients to eat beans and fresh vegetables, such as cellulose-rich food. At present, the plant fiber food, more than is rice bran, wheat bran, wheat bad, beet chip, pumpkin, corn bran and seaweed made from plants, to reduce blood glucose, blood lipids have a role.

The vulnerability of children with type 1 diabetes eating disorders

Recently, Australia Flinders Medical Center, the two experts issued an official with type 1 diabetes on young people with eating disorders the relationship between the latest research. The results showed that people with type 1 diabetes of young people the same age, almost all young people most likely to suffer from various types of eating disorders among cases.

It is reported that two experts spent three months of treatment in 36 Flinders Medical Center, suffering from type 1 diabetes of the young people continue to study, in which the oldest was 19 years old and the youngest is 11 years old. In the follow-up study, about four of the study into a more serious overeating phenomenon, more than two young people into the half of the phenomenon of over-training, in addition to about a half percent of young people with type 1 diabetes patients are shown in order to reduce the weight of the body arising from the adverse health hazards of dietary behaviors. In other words, to participate in the study of young patients with type 1 diabetes, only less than one fifth showed no harmful symptoms of eating disorders.

For this discovery, the process involved in the study of medical experts, Dr. David Rupert said: "Most young people with diabetes is generally the shape of their intention to have more anxiety and worry about weight, so in order to to control it through the sudden change in eating habits to adjust, which is why a considerable number may be suffering from type 1 diabetes while young people have emerged the phenomenon of eating disorders, bulimia and anorexia but again the two most serious symptoms reasons. In fact, once the serious eating disorders of young people to a certain extent, it will cause more harm to the physical and mental health. For example, eating disorders affect the body's own blood sugar control, and if there are problems with blood sugar control, there may even be eye caused by diabetes and kidney disease and other diseases. "

Drinking coffee can reduce type 2 diabetes incidence

A study by Danish scholars show that there are plenty of coffee may reduce the incidence of type 2 diabetes rates.

Danish National Institute of public health and the environment of researchers in the 17,000 aged 30-60 years of age had a multi-year longitudinal study. They found that a daily cup of coffee Cup of not less than 7 people, than a day after a couple of drinks or fewer a low incidence of diabetes by 50%.

The researchers noted that while caffeine reduces insulin sensitivity, but the coffee in the other ingredients, such as magnesium and chlorogenic acid may have beneficial effects on the body. At the same time, the researchers cautioned that their study found that does not mean that people can drink coffee unrestrained, because the side effects of coffee can not be ignored, so whether or not to drink coffee, as well as the daily consumption should vary from person to person.

Coping With Diabetes

Author: Jack Stanley

Diabetes is a disease that affects many people, it can strike at any time of their lives. If you have diabetes you want to be active in managing your self-care. The more you control your self-care, the more you take control of your health. May you find information on diabetes from a variety of sources, including your doctor. When managing your care, your doctor will encourage you to take responsibility for the care of your diabetes and your will be responsible for you self-care. Be aware that self-care for diabetes does not occur only after the diagnosis of diabetes, If you are in the category of risk of developing diabetes that you should keep an eye on what happens to your body and monitor the symptoms of diabetes. Regular schedule appointments for exams with your doctor. Diabetics who received a diagnosis must be diligent with their care, so that they maintain their health and avoid complications that arise so often as a result of diabetes. Some of the things that a person with diabetes can do to practice self-care are (1) see their doctor regularly, (2) have an annual eye exam to check for any of the related conditions that the eye can occur if a person has diabetes, (3) have an annual dentist, (4) stop smoking, (5) eat a healthy and balanced diet, (6) take care of feet, because diabetes will affect the amount of blood that reaches the feet. Once a person with diabetes has taken the habit of self care and help manage their diabetes, they feel they have more say in their care. There are a variety of other sources, as a Diabetes Care Center, which can provide assistance to obtain medical information. A centre of care for diabetics is providing information to help you with many aspects of your health, including: planning and a balanced diet; administering medication, planning medical examinations are necessary and emotional support loan you and your family. Diabetes Care Centers are also actively involved in research to cure diabetes. Although diabetes is a genetic disease, it can strike at any moment, especially in the years to come. That is one reason why it is so important to maintain a healthy weight and do a sort of regular exercise. If you're at risk because of a predisposition within your family or because you do not take care of yourself, consult your doctor at least once a year to ensure early detection.

Article Source: http://www.articlesbase.com/diseases-and-conditions-articles/coping-with-diabetes-510847.html


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Read about signs of diabetes and diabetes statistics at the Diagnosing Diabetes website.

Eat more soy to combat the complications of diabetes

Modern studies have proved soy on health in many ways useful, if similar to the role of estrogen. Cite here the two most recent role.

United Kingdom, "Journal of Nutrition" Some people think that the benefit of soy and heart disease prevention and treatment of diabetic nephropathy. They studied 14 cases of 53 ~ 73-year-old diabetic nephropathy in type 2 diabetic male patients. A group to the purified soybean protein powder, another group of white powder to the meat of animals are seasoned with vanilla, mixed with the original beverage or food to eat.

The outcome of patients who eat soy protein protein in urine volume reduced by about 10%, indicating an improvement in diabetic nephropathy, and to eat animal protein in urine of patients with increased protein. Eating soy protein and blood in patients with high-density lipoprotein (HDL, also known as the "good cholesterol") increased by 4%. And HDL is easy to reduce complications of cardiovascular disease.

Diabetic nephropathy at an early stage of protein should be added. The researchers had anticipated that after the soy protein supplement protein in urine is not increased, but did not expect to reduce, and increase HDL blood also reduced the chance of cardiovascular disease complications. Therefore appears to be should eat less meat soybeans.

The United Kingdom "Urology" magazine in Australia, experts believe that soy can prevent prostate cancer. Because the incidence of prostate cancer with androgen-related, and generally that contain soy phytoestrogens (ie, the role of estrogen similar to the plant components), may be offset by the role of androgen. They diagnosed 29 cases of prostate cancer patients prepared for surgery were divided into 3 groups: Group soybeans, soybean plus flaxseed group (high phytoestrogen) and the wheat group (low phytoestrogen). The first two groups each with 50 grams of soybean meal or cooked together with linseed powder made of 20 grams of bread daily doses for patients. Determination of the beginning and the pre-surgery blood prostate-specific antigen (PSA), free PSA, testosterone, sex hormone-binding globulin, free androgen index and other indicators of dihydrotestosterone. The results showed that the total group of soybean meal and free PSA / total PSA ratio than those in the control group improved significantly.

Previous epidemiological studies that there are plenty of men Phytoestrogen the risk of prostate cancer less. In this study, PSA is an important diagnostic indicator of prostate cancer, it reduced the prostate cancer that has improved. Therefore, the work of epidemiological studies and the results were consistent.

Of course, these two studies is only preliminary, because the number of cases is not more research remains to be further expanded. However, moderate use of soy, no harm beneficial, can be as therapeutic.

April 24, 2009

diet of osteoporosis in diabetes patients

Osteoporosis is a phalanx unit volume in the organization to reduce the production of bone mass syndrome, the most commonly found in elderly or postmenopausal women with osteoporosis, and increased with age become more pronounced. The main performance of the Department for low back pain or even the whole body, spinal deformation, fracture easily and so on, to the lives of the elderly a lot of inconvenience.

What people tend to suffer from Osteoporosis?

• lack of estrogen secretion, such as postmenopausal women.

• obesity.

• Lack of physical activity.

• the lack of dietary calcium and protein are.

• 70-year-old or older men.

• diabetic patients more easily than normal risk of osteoporosis.

How to effectively prevent and treat diabetes in patients with osteoporosis?

• continue to adhere to the golden rule of diet therapy.

• an appropriate increase in calcium intake, the elderly daily 1000 ~ 1200mg / day of calcium-rich foods are dairy products, soy products and some seafood, vegetables, fruits, etc. (see the Food and calcium attached). The key to prevention and treatment of osteoporosis is adequate calcium intake and promote the absorption of calcium in food.

• the maintenance of normal calcium and phosphorus ratio of food. When the ratio is less than 1:2, the bones will dissolve and break away from the calcium increase, it is proposed to maintain the level of 1:1 or 2:1.

• Adequate intake of high quality protein and vitamin C help absorption of calcium. Lactalbumin in the milk, egg albumin, albumin bone in bone contain collagen and elastin, can promote the synthesis of bone, so dairy products, soy products are a good source of calcium; vitamin C on the plastic beneficial to the original synthesis.

• Vitamin D and vitamin A. Vitamin D to promote calcium absorption, and is conducive to the ossification of calcium, in addition to adequate vitamin D but also more than the sun; vitamin A bone organic matter involved in the synthesis of collagen and mucopolysaccharides, the elderly should be a daily intake of vitamin A 800 micrograms of vitamin A sources include egg yolk, liver, yellow red vegetables, and fruit.

• Science of cooking in order to promote the absorption of calcium. Cereals and certain vegetables such as rape, water spinach, also contain more calcium, but because of the phytic acid in cereals and vegetables contain oxalic acid with calcium into insoluble calcium salts affect the absorption of calcium. Therefore they should not be directly related to calcium with the food cooking. Attention to cooking methods can effectively remove the factors that impede the absorption of calcium.

• cheuk vegetables you use boiling water to dissolve in water and then oxalic acid first.

• rice soaked in water before washing to increase the activity of phytase.

• the flour, corn meal, soybean meal fermentation and extended fermentation time, will enable the phytic acid hydrolysis, so that increase in intracellular calcium.

• Avoid excessive alcohol consumption, so as not to affect the absorption of calcium.

With regard to the specificity of dairy products: milk proteins and diabetic patients is an important source of calcium, especially women, with dairy products must be to prevent the loss of calcium from the bones and the occurrence of osteoporosis, and adult males taken at least daily into 250 ml milk, 225 mg calcium; children, youth, women (including pregnancy, breast-feeding or post-menopausal), should be a day to ensure that the milk intake of 500 ml.

Calcium milk: 250 ml of milk = 200 ml yogurt = 40 grams cheese

Dietary treatment of diabetes

① control of daily intake of total calories to achieve or maintain ideal body weight;

② a balanced diet;

③ Select the diversification of food, cereal is the foundation;

④ limit fat intake;

⑤ appropriate choice of high quality protein;

⑥ reduce or taboo monosaccharide and disaccharide food;

⑦ high dietary fiber diet;

⑧ reduce salt intake;

⑨adhere to less food more times, from time to time, quantitative, set meals;

⑩ water, limiting alcohol consumption.

Diabetes and eating arrangements for constipation

Constipation, in general, more than 48 hours interval stool, dry stool, causing constipation defecation is called dry. Due to different causes of constipation can be divided into spastic, obstructive, inability of the three. Which is unable to constipation and intestinal wall can not cause muscle contraction, the most common in the elderly. Especially diabetes, high blood sugar lead to nerve dysfunction more easily lead to difficult defecation or abdominal distension, abdominal pain, very painful. There is no device on the lesion of constipation, and dietary regulation and control methods can be treated:

• to increase the intake of dietary fiber. 1 Dayton Daily eat coarse grains, eat more vegetables, seaweed, konjac food.

• encourage more drinking water. 1 cup light morning fasting saline, the prevention and treatment of constipation will be very effective.

• Vitamin B1 may protect neurons and promote gastrointestinal peristalsis, eat more foods rich in vitamin B1, such as coarse grains, wheat bran, beans, lean meat and so on.

• the appropriate consumption of lettuce, radish, beans, such as gas food, stimulate the intestinal peristalsis, in favor of defecation.

• Movement should be increased appropriately, in particular, abdominal strength training can increase the levator ani sports daily.

• If yes, do not have food or use of irritating condiments such as pepper, curry powder, strong tea and so on. Purge, when necessary, use drugs, but should choose the role of attention to the relative ease of substances such as Tongbianling, Runchang Cannabis pills, spleen Huizi Cannabis pills, Qing-ling new films, such as the use of strong laxatives senna, phenolphthalein and so on, at the same time not too large amount to prevent diarrhea. Long-term use of laxatives, intestinal muscle relaxation allows deformation, but will increase the constipation.

Note: the application of the drug just purge from time to time in order to help cultivate the good habit of defecation. Taking a day before going to bed at night, the following morning fasting stool from time to time ranked first, with the passage of time can develop bowel habits, no longer need the drugs.

Diabetic patients, it is not appropriate salt

For the understanding of diabetes, the doctor is usually restricted diet, in particular, is to limit the consumption of foods with high sugar content, as an important method to guide the prevention and treatment of patients. However, restricted salt intake is very little attention.

Modern medical research shows that too much salt, with enhanced amylase activity and the promotion of starch digestion, intestinal absorption and promote the role of free glucose, can cause increased blood glucose concentration and increase the disease. Therefore, diabetic patients, it is not appropriate salt.

Attention to elements of diet diabetic nephropathy

Diabetic nephropathy is not satisfied with the diabetes control after one of the serious complications. Once the occurrence of renal dysfunction, ranging from high blood pressure, whole body is weak; in the reproductive dysfunction, edema, men impotence, testicular atrophy, etc.; heavy loss of life is entirely self-care ability, and even may be killed.

Therefore, diabetic patients with diabetic nephropathy requires a high degree of vigilance, from the very beginning, should strengthen self-care and self-prevention, in particular, to proceed from the diet to reduce the pressure on the kidneys.

A, blood glucose control important to lose. Sustained increase in blood sugar, cholesterol can induce lipid metabolism, and promote glomerular. Intimal thickening of capillary sclerosis kidney degeneration and loss of normal function. First, the key to control blood sugar restricted calorie intake, and the other is adhering to taking hypoglycemic drugs, Wang is to avoid emotional infection can cause blood glucose fluctuations in a variety of factors.

B, salt intake should be restricted. In order to protect the kidney, reducing its work load, diabetes tasteless as far as possible a number of dishes, salt intake should be less than 7 grams per day, severe renal failure when the water intake should be restricted.

C, appropriate restrictions on the intake of potassium and protein. Because of diabetic nephropathy extremely acidosis and hyperkalemia occur, the event will be induced by cardiac rhythm disorders and hepatic coma, therefore, should be measured potassium content soft drinks, fruit potassium intake should be controlled c protein per kilogram of body weight per day 0.6-0.8 grams, and to digest the fish, lean meat is better because the plant protein is not easy to absorb, will increase the burden on the kidneys. In addition, high potassium content of protein in the control of protein intake and to some extent, limited in favor of potassium.

D, adequate intake of vitamins, trace elements. In particular vitamin B, vitamin C and zinc, calcium, iron, etc., may be protective to the kidneys. Kim vicon many kinds of trace elements, the proportion of appropriate, easy to take and one can a day. Vitamin E is available to 11 international units per day, 0.3 grams of vitamin C daily, the volume of their larger number of no harm.