These 5 small habits can stabilize your blood sugar for 30 years

The biggest headache for diabetics is blood sugar instability. For this reason, it is not only necessary to take various medications, but also to be cautious in the diet.
The doctors summed up many years of clinical experience and found that the following 5 seemingly ordinary habits could keep blood sugar stable for decades.

First: Adhere to medication
There must be a lot of sugar friends who have expressed disdain for this: Whoever insists on medication will not, as if anyone did not insist on medication!
In fact, there are indeed many diabetics who are somewhat casual on medications:
Once the blood sugar is controlled, he wants to reduce the drug or even stop the drug;
Once the blood sugar fluctuates, it will add its own medicine, even using the so-called remedies;
Occasionally I didn't take medicine for two meals. Should it be okay?
......
These behaviors seem innocuous, but the impact on blood glucose control is far beyond imagination.

 Second: ground blood glucose
Changes in blood sugar, the body itself is not much feeling, relying on instrument detection.
Many sugary friends can still measure several times a day at first, but as time goes on, they begin to feel impatient with this habit.
Especially when the test results are similar for a period of time, it is even more difficult to measure blood sugar every day.
Even some sugary friends believe that their medication, diet, daily routines, etc., maintain strict rules, and blood sugar certainly will not change, and it does not matter if it is not measured.
This kind of luck may not be allowed.

Third: manage mouth
Diabetic diets have stricter restrictions and need to quit smoking and drinking.
Fortunately, at the beginning, the sugar-mates have a relatively strong self-control ability and, together with the family's attention, they can keep their mouths shut.
But after a few years, smoking and drinking are already difficult to control. In particular, the simultaneous detection of blood sugar, found that normal sugar sugar friends, but also produced the "occasionally smoke a little drink will not happen," the illusion.
The same is true of the diet, and it is still possible to maintain a light diet at first, but soon it is difficult to resist the temptation of food.

Fourth: take a step
As one of the “five carriages” for the treatment of diabetes, the importance of proper exercise is beyond doubt.
Walking, Tai Chi and other soothing exercises are ideal for people with diabetes.
The significance of proper exercise is that it can greatly reduce various diabetic complications caused by blood viscosity, such as diabetic eye disease, diabetic foot disease and diabetic nephropathy.
Any one of these complications will bring a heavy burden on the patient and the entire family.

Fifth: Emotional Stability
Cheerful and optimistic mood is the best medicine to control diabetes.
Feelings of happiness, anger, worries, thoughts, sadness, terror, and panic all affect the normal operation of the cardiovascular system. Only stable emotions are conducive to health.

For more information, please follow the facebook homepage account: Life for Kidney patients, which allows you to learn more about the various news at home and abroad, but also allows you to learn more about kidney disease. (Dr.Leo)

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Alert! These seven factors dominate diabetes

from google

As we all know, the current high incidence of diabetes has caused a great impact on the lives of many people. So what is the cause of diabetes? Let's learn more about it.

What Causes Diabetes Mellitus Diabetes is how to prevent diabetes

What causes diabetes?

1, genetic and physical factors. Epidemiological studies have found that: the incidence of diabetes has a racial and family genetic predisposition. If both parents are diabetic, about 5% of their second-generation children suffer from diabetes; if only one of their parents is diabetic, they have fewer opportunities for diabetes and are often inter-generational. According to the survey, type 2 diabetes patients genetic factors accounted for more than 90%. Diabetes twin brother higher incidence of disease.

2, diet and obesity factors. Diabetics, especially those with type 2 diabetes, are associated with long-term high-sugar, high-fat diets, low levels of physical activity and body fat. If people are obese, fat accumulation in the cells, reducing the sensitivity of tissue cells to insulin, so that elevated blood sugar.

3, virus infection and autoimmune factors. Including enterovirus, Coxsackie B4 virus, mumps, encephalitis, myocarditis and so will damage human islet cells, so that human immune control, causing islet B cell function decreased, leading to diabetes.

4, emotional and spiritual factors. Modern medicine that: mental stress, emotional, psychological stress and sudden trauma suffered, will cause a series of insulin secretion of hormones, so that elevated blood sugar. Chinese medicine also believes that: the mood is not adjusted, five extremely ambitious, Yu and fire, consumption of fluid, resulting in yin deficiency hyperactivity, triggering diabetes.

5, drinking is a risk factor for the occurrence of diabetes. Long-term use of corticosteroids, diuretics, antihypertensive drugs, sodium phenytoin, stimulants and other chemicals, causing glucose intolerance, can also lead to diabetes.

6, pancreatic islet disease. Pancreatitis, pancreatic tumors, pancreatectomy or hemi-excision cause relatively insufficient insulin and lead to diabetes. In addition, adenohypophyseal hyperfunction, adrenocortical hyperthyroidism and other endocrine system disorders and dysfunction against insulin secretion, offset the role of insulin can also occur in diabetes.

7, pregnancy. Women during pregnancy, due to physical changes, the body's increased demand for insulin, resulting in a relative lack of insulin, can cause diabetes. If controlled, the prognosis is good.

How to avoid turning positive for "diabetics"?

1, early check, early prevention, early treatment. Early prevention and early treatment is very important, on the one hand can block the occurrence and development of diabetes and its complications, on the other hand can reduce the cost of treatment to achieve the goal of longevity and quality of life of diabetic patients. In the early stages of diabetes, especially over 80% of obese patients have hyperinsulinemia, ie, insulin resistance, which can be diagnosed as "metabolic syndrome." "Metabolic syndrome" may not necessarily be diabetes, but the risk of developing type 2 diabetes mellitus Increase 5-8 times.

2, as soon as possible to determine the cause of the disease. People with impaired glucose tolerance should further clarify the cause, at the same time do the system of pancreatic islet function test, that is, the islet A cells, B cells, D cells, pp cells, including 4 kinds of cells in the system testing, so as to determine impaired glucose tolerance The cause of the disease. At the same time to further systematic examination, in order to find early complications.

3, change habits. Take a scientific lifestyle, that is, scientific diet and reasonable exercise, which play an important role in the prevention and treatment of diabetes. To change eat more "three high" (high protein, high fat, high calorie) food habits, eat some foods low raw sugar index, high dietary fiber foods such as oats, whole grains, bread, beans, green apples , Kelp and so on. Exercise is also one of the important ways to prevent and treat diabetes.

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What are the performance of diabetes and how to diagnose

from google

A typical case of more than three syndromes suggest the disease. Slightly asymptomatic diagnosis depends entirely on laboratory tests, often in health checks or accidental discovery of other diseases. Many patients first discovered complications, and then traced back and the disease. But whether there is no symptoms or complications, the key lies in the first consideration of the possibility of the disease and urine, blood sugar check before diagnosis.

(A) urine glucose test results should pay attention to the following situations. Urine test results for diagnostic purposes only, and diagnosed diabetes depends on blood glucose measurement.

1. If there is a small amount or trace of diabetes, and occasionally appear after meal should be carried out blood glucose and glucose tolerance test, and noted that the spotted solution of copper sulfate was reduced to copper oxide and the like to react, a lot of drugs , Such as morphine, salicylates, chloral hydrate, aspirin, para-aminobenzoic acid, a large number of citric acid, uric acid, and many other carbohydrates can also be raw copper sulfate and false-positive results. It is now widely used glucose oxidase made of urine test strips, to avoid false-positive results.

2. clinically diabetic signs or suspects and urine negative repeatedly, should pay attention to the determination of fasting and 2 hours after a meal blood sugar, so that except for elevated renal glucose threshold.

(B) of the blood glucose determination of blood glucose methods commonly used in three: venous plasma glucose (VPG), capillary blood glucose (CBG) and intravenous whole blood glucose (VBG). Of the two most commonly used before. The results obtained by different methods are slightly different. The results of the VPG method are 10% higher than those of CBG and about 15% higher than that of VBG. In the analysis of blood glucose report should pay attention to the exclusion of other cases caused by increased glucose concentration, such as injection of sugar, a variety of endocrine disorders, brain lesions and stress conditions, which will be described later. Patients with mild or early, especially type Ⅱ disease may be normal fasting blood glucose, can not be easily excluded, must be 2 hours after a meal blood glucose or glucose tolerance test.

(C) glucose tolerance test for patients with normal or slightly higher fasting blood glucose and occasionally diabetic, or suspected patients with diabetes (such as a positive family history, or repeated miscarriage, premature birth, stillbirth, giant baby, dystocia, abortion After the maternal, or repeated sore boil, etc.), to be glucose tolerance test. But the fasting blood glucose significantly increased the diagnosis of dominant cases have been identified, a lot of glucose can burden, should be exempted.

Diagnosis of diabetic fashion to be excluded except for a variety of factors affecting glucose tolerance, including anterior pituitary, adrenal cortex, hyperthyroidism and other endocrine diseases, obesity, liver disease, a variety of drugs (such as thiazide diuretics, female contraceptives, glucocorticoids , Phenytoin, chlorobenzothiadiazine, etc.), stress conditions (such as fever, infection, acute myocardial infarction, surgery, etc.), loss of potassium and so on.

2. 2h after meals blood glucose measurement Equivalent to 100g glucose carbohydrate foods such as steamed 2 2 or rice 2h after the determination of blood glucose, such as more than 140mg / dl were reduced tolerance, ≥ 200mg / dl for diabetes.

Because of low sugar diet or hunger state can reduce impaired glucose tolerance, so should pay attention to adjust the diet 3d pre-test sugar intake of not less than 250g / d, in order to obtain reliable results.

For some patients to assess their β-cell function or glycemic control status, the following determination can be made:

1. Fasting plasma insulin measured in our hospital by radioimmunoassay fasting plasma insulin normal range of 5 ~ 20μu / ml, type I patients are often below 5μu / ml, sometimes as low as undetectable. Type II plasma insulin levels in patients with normal, a few also have low, obese patients often higher than normal, increased significantly hyperinsulinemia, suggesting that insulin resistance. The latter is a component of the metabolic syndrome can be considered as one of the risk factors for coronary heart disease, which has drawn much attention in recent years. Insulin and insulin original immune cross, and therefore can be measured for the general radio immunoassay, and cardiovascular adverse effects, proinsulin may be more than insulin. The study has been the determination of proinsulin used in clinical.

2. Insulin release test During oral glucose tolerance test, plasma insulin concentration can be measured simultaneously to reflect the islet β-cell reserve function. In addition to the low fasting level of type I patients, the level of insulin remained low after the stimulation of sugar, showing a low flat curve, especially the simultaneous calculation of the ratio of glucose to insulin (IRI) / G, suggesting that insulin secretion Low (normal 25μu / mg). Ⅱ type of patients fasting level may be normal or high, delayed release after stimulation. Glucose stimulation, such as insulin did not rise or flat water, suggesting that β-cell dysfunction.

3.C-peptide determination of insulin release from pancreatic β-cells by the liver and kidneys by insulin and other energy-extinction, the peripheral blood of each cycle will be 80% destroyed, and its half-life of only 4.8 minutes, so the blood concentration of only Represents a very small part of its total secretion. C peptide and insulin from the proinsulin split from the same molecular peptides, not by the liver enzyme excretion, only excretion by the role of the kidneys, and its half-life of 10 to 11 minutes, so the blood concentration can be more Good reflection of pancreatic β-cell reserve function. Determination of C-peptide is not affected by insulin antibodies interfere with the determination of insulin-free cross-immune reaction, and is not affected by insulin injection, it has been used in recent years measured C-peptide blood concentration or 24-hour urinary excretion to reflect the beta cell secretion Features.

(1) Serum C-peptide concentration determination: Normal human serum C-peptide was 1.0 ± 0.23 mg / dl when fasting was measured by radioimmunoassay. The concentration was 3.1 ng / ml when the peak value of oral glucose was seen for 60 minutes. Serum C-peptide increased from 1.3 ± 0.3 ng / ml to 4.4 ± 0.8 ng / ml after 60 minutes in normal subjects and only 2.3 ng / ml in type 2 diabetes after 2 hours. The other 5 cases of type Ⅰ patients who had been treated with insulin for more than 5 years, C peptide levels are low, both fasting and after stimulation failed to measure.

⑵ 24-hour urine C peptide determination: normal 24-hour urine C peptide 36 ± 4μg, type I only 1.1 ± 0.5μg, type Ⅱ patients was 24 ± 7μg, C peptide daily release equivalent to about the secretion of insulin 5% of the amount of insulin secretion and only 0.1%.

The above-mentioned C-peptide assay can identify β-cell function in type I patients with insulin treatment, which is not only used for scientific research but also clinically used at present.

4.HbA1c determination of fasting blood glucose and blood glucose fluctuations may reflect the recent 2 to 3 months in the blood glucose, normal HbA1c6%, HbA1 8%, often higher than normal in patients with diabetes.

Fructosamine determination of serum normal fructosamine 2.13 ± 0.24mmol / L (plasma low 0.3mmol / L), reflecting the last 1 to 4 weeks of blood glucose, parallel with HbA1c, regardless of type I diabetes, type Ⅱ Are higher, especially in type Ⅰ as high.

In short, the diagnosis of diabetes can root history, clinical manifestations, supplemented by the above urine sugar, blood glucose and OGTT determined. In addition, the need to identify whether there are various complications and complications, and to assess their severity, type, stage of development and major organ status, etc., is very important for the treatment and prognosis of the disease.

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Diabetic Nephropathy mostly occurs in those who have diabetes for more than 10 years

Diabetic Nephropathy mostly occurs in those who have diabetes for more than 10 years. When kidneys are damaged, patients may suffer from some symptoms. Here I introduce you some symptoms and treatment of Diabetic Nephropathy.

1. What are symptoms of diabetic nephropathy?

Swelling

In the early stage, patients usually have no swelling. A few patients may have mild swelling when they have decreased plasma protein. If there is massive proteinuria, decreased plasma protein and worsened edema, it indicates that your disease is in the late stage.

Anemia

Patients with obvious azotemia may suffer from mild anemia.

High blood pressure

High blood pressure is often to be seen in patients with kidney disease. Kidney disease aggravation is often caused by high blood pressure.

2. What is the treatment for diabetic nephropathy?

Control blood pressure

Since high blood pressure is an important factor to worsen diabetic nephropathy. Therefore, diabetic nephropathy patients should keep a light diet. At the same time, they should also take hypotensive medications to control their blood pressure.

Avoid urinary system infection

Recurrent urinary system infection can speed up the progression of diabetic nephropathy. Therefore, it is very important for patients to avoid urinary system infection.

Manage blood sugar

Studies have shown that patients with type 1 diabetes or type 2 diabetes should manage their blood sugar level, which plays an important role in stopping the development of diabetic nephropathy.

Consume protein

Patients in the early stage of diabetic nephropathy may leak lots of protein into urine, so they need to consume moderate protein especially some high quality animal protein. However, in the late stage of diabetic nephropathy, patients should limit protein intake properly particularly restricting low quality of animal protein intake.

Chinese medicine treatment

Clinical studies prove that Chinese medicines are effective for treating kidney disease. Diabetic Nephropathy patients can accept Chinese medicine treatment under the instruction of professional doctor.

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