April 17, 2009

After diabetes Ⅱimproved, what's the next step?

Diabetes accounted for more than 90% of patients with type Ⅱ diabetes mellitus, if not on the volume of more than 20 grams sugar, then in general do not appear "a little more than three" symptoms. Because of the type Ⅱ diabetes mellitus, its pathological changes associated with insulin resistance as the relative lack of insulin, rather than an absolute lack of insulin.

Type Ⅱ diabetes treatment and cold, not the same as acute diarrhea. Acute cold heat back after treatment, diarrhea ceased, to receive immediate results. And Ⅱ in the diagnosis of diabetes at the time, you can no symptoms, no effect on the life and work. Why then do the treatment? The purpose is to prevent complications. If complications have occurred, not only with symptoms, and death can be disabled. To know the dangers of diabetes lies in its complications.

Complications of diabetes can be divided into two major categories of acute and chronic. Acute complications, it has mainly occurred in diabetes, but without treatment or improper treatment, and then by some kind of excessive stress or diet caused a sharp rise of blood glucose. For example: I do not know they have diabetes, but in fact have high blood sugar, when hot weather and eating chunks of watermelon, drinking beverages, and other fruits with high sugar content. Will most likely produce ketoacidosis or non-ketotic hyperglycemic hyperosmolar coma. These are all very serious acute complications requiring immediate emergency treatment.

Chronic complications often occur after a longer course of disease. But if not for the body to check blood sugar, is likely to actually have the time of diagnosis for many years the incidence, complications can be found at the same time. So I do not think that cutting the diagnosis of diabetes, there would be no chronic complications. Major chronic microvascular complications and macrovascular complications. In addition, gastrointestinal motility disorders and skin lesions such as, but not as good as an important vascular disease. Why should we separate microvascular and large vessel? For different reasons because of its prevalence, characteristics of microvascular disease of diabetes complications, and is directly related to hyperglycemia. And macrovascular disease in addition to glucose, but also blood pressure and dyslipidemia and relevant. Therefore, even in pre-diabetes (ie, impaired glucose regulation) may be on macrovascular disease.

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