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2126806 2010 年 11 月 30 日 16:15 Reading (loading. ..) Comments (0) Category: Personal Diary
early diabetes
background information
Wang Zhi Li Diabetes Foundation of China Medical Foundation, chairman of the Beijing Chaoyang Diabetes Hospital, returned to academics, Royal College of Medicine, PhD, Fellow of the British Royal Society of Medicine, received a number of important scientific research, first discovered in the world and prove that the five endocrine regulation of endogenous peptides on the regulation of pancreatic islet cells, dozens of published papers . (Left)
soup Navy General Hospital of thousands of cadres, a former director of one ward, chief physician, chairman of People's Liberation Army Navy Geriatrics Society, specializes in diabetes,
pandora uk, hypertension, coronary heart disease, myocardial infarction, acute and chronic diseases such as nephritis and the diagnosis and treatment failure, so that health care in old age has a wealth of clinical experience, published 12 papers, won awards and military technological achievements and progress a number of medical achievement awards. (Right)
Q: What should patients with diabetes should mind?
A: 1, the strategic emphasis
2, action, active
3, confidence
first established in his correct understanding of diabetes, without the right knowledge and understanding, he can not tell you with active treatment, it must first have a correct understanding. Through long-term examination, understand their overall situation, in close coordination with the doctor to develop an effective treatment for him. The pursuit of diabetes six characters, one life, the second quality of life is not affected, so long as control is good, should be achievable.
Q: What are the evaluation indicators of diabetic condition?
A: 1, illness or confirmed time
2, etiology and classification
3, blood glucose values
4, islet cell function
5, if there are complications
Q: Why are you going to understand the causes of diabetes, meaning what?
A: Because understanding the cause, the next step there is a very important role in treatment, the cause can be divided into genetic causes, this is the disorders caused by autoimmune damage, the second relationship with environmental factors, external environmental factors can cause diabetes induced, our country is concerned, the reform and opening up, living standards improve, so relatively speaking, the incidence of diabetes increased, it shows the importance of environmental factors. In addition to obesity, coupled with other factors, such as infection, and so a number of external factors that can cause diabetes. There are tensions over the long term, will increase the body's raw sugar and hormones.
Q: how do blood glucose levels in the end is accurate, is conducive to treatment?
A: blood glucose levels seems very simple question, in fact, is very particular about the first here. Let countries now many grass-roots units, the degree of attention to this problem is not enough, the general routine medical examinations to make a fasting blood glucose, normal fasting blood glucose if the person, then, that this people do not have diabetes, this is a big misunderstanding, and now we find only from a simple fasting blood glucose testing, there will be 60% of people with diabetes will be missed because some people are postprandial hyperglycemia type, so the leak investigation. Should do a glucose tolerance test, and postprandial blood glucose testing.
Q: how to determine islet function, what is the meaning of this?
A: islet function in the past only as scientific research, carries it recently only a few units as an indicator of diabetes is very important examination, but in fact is concerned, because now, with the development of medicine, of islet cell function more and more attention, islet cell function test is to determine the patient's condition is an important basis for guiding treatment, such as the diabetes was in several categories, some patients are insulin resistance, as well as the patient is insulin function significantly reduced the secretion, if the patient's condition significantly reduced insulin secretion, you give him with a variety of oral medication, the first is invalid, the second delay timing of treatment, and the third will bring unnecessary liver and kidney complications of pancreatic islet function examination is very necessary.
Q: how to deal with the complications of diabetes?
A: The main complication is the early detection of patients to the future you want to conduct a comprehensive inspection, because diabetes is mainly macrovascular complications, microvascular complications for a large The most common complications of vascular, cardiovascular, cerebrovascular, such as eyes, heart, kidney, all microvascular complications, so that complications can affect the quality of life of patients and even life.
Q: early diabetes, you should take what kind of treatment is correct?
A: diabetes blood sugar changes, has exceeded normal standards, except to consider beyond the control diet, to the appropriate treatment, the other as I type, it must timely treatment, found that high blood sugar, and that your body is not the correct state, so this time there should not be one-sided idea. Based on the patient's specific circumstances, the time of onset, duration, body weight index also glucose tolerance, as well as inspection of islet function, complications of the inspection, on the basis of these indicators, targeted individual treatment programs, this is very important , we must put an end to thousands of party errors, targeted individualized treatment plan. Why do I have to make early treatment, because many people do not think that was on the complications can be cured, diabetes can not be cured, but it is possible to cure complications if treated early, it is possible to cure.
Q: There are many diabetic patients pin their hopes on the above diet and exercise, and even pinned on top of diet and exercise, do you?
A: Diet and exercise can serve as an integral part of the treatment of diabetes, but diabetes does not mean that the whole process, so there are some patients, through the campaign Ye Hao, Ye Hao through diet control , for the control of diabetes and help, but had to cope with the treatment of diabetes, can not simply rely on diet and exercise, to be with drugs, this treatment will be better. Here there is a new concept in the past, patients with diabetes to eat the sugar depends on the number of unit weight, and now changed, called glucose glycemic index, meaning that a certain amount of food you eat after a certain period of time, blood glucose formation rate, which is very important.
Q: how do so that the slow rise in blood sugar?
A: High-glycemic index foods: bread, sticky rice, white bread, brown rice, rice, pancakes, corn flakes, sweet potato, fried dough sticks.
low glycemic index food: polenta, pasta, rye porridge, black rice, oats.
high glycemic index fruit: watermelon, pineapple, mango, bananas, kiwi fruit, tangerines.
lower glycemic index fruit: green apples, peaches, pears, strawberries.
high glycemic index vegetables: potatoes, pumpkin, carrots, beets.
low glycemic index vegetables, soy products: spinach, celery, cucumber, eggplant, cabbage, radish, tomato, beans, tofu, green peppers.
Q: And what problems in sports should be noted that cause diabetes?
A: The movement there is a relatively common misunderstanding, many people like morning exercise, morning exercise for healthy people, not suitable for people with diabetes, as morning exercise is fasting, and fasting blood sugar is low when When low blood sugar when morning exercise, the first prone to hypoglycemia, low blood sugar after the second will produce a high glycemic response, make a relatively high blood sugar, as well as back compared fatigue, morning exercise, the first appetite back to eat better, eat more, and the second to rest, rest after a meal, just have low blood sugar when your morning exercise, rest, when blood sugar is high, resulting in a cycle even heavier burden of islet cells, so that the benefits of exercise not only failed, but increased islet cell burden.
Q: Recommended to people with diabetes should exercise what way?
A: It should be appropriate activities for half an hour after the meal, there is a definition of the so-called meal is to eat food that counting the first half an hour, just half an hour postprandial blood glucose rise, this time through the activities of fat cells with muscle cells increased insulin sensitivity, so that the glucose is beneficial.
for those patients with complications because of diabetes microvascular disease is the main body, and may also macrovascular disease, prone to blood vessel wall plaque, this comparison worse, it will fall off, if the carotid artery plaque, it will cause cerebral embolism, lower body enough to cause necrosis, diabetic patients must avoid strenuous exercise, especially in patients with plaque, but you'd better choose to stick with it exercise, walking is very good, both mild and can persist for a long time.
Q: How do people with diabetes use insulin?
A: The treatment of diabetes, insulin use from several stages, previously thought to insulin only in late, with serious complications, it can be used, and then to the patient to the complications can be acute phase can be used, now to the early stage of diabetes can be used, because the sooner the more there is the possibility of islet cell repair, let it be possible to repair resting islet cells, so insulin injections for patients with the islet cell repair opportunity.
Expert Tip:
diabetes \
1, early check
2, early diagnosis
3, early prevention
4, early treatment
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