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diabetes, a chronic progressive disease department, in addition to be more acute onset of type �� the general onset of type �� slow, difficult to estimate time. The latter often asymptomatic early mild, but severe and have symptoms and complications were more typical. Course of a long, asymptomatic difficult to estimate, to the onset of symptoms or clinical diagnosis is often lasted for several years to several ten years. Sometimes has no symptoms until the cerebral vascular or cardiac death and other serious complications in the diabetes foundation recently been discovered. The clinical manifestations herewith described below.
asymptomatic patients must
mostly middle-aged type �� diabetes, good appetite, body fat, and spiritual strength to normal, and often checked by physical examination or inspection of other diseases or pregnancy accidentally discovered after eating a small amount of diabetes. Often negative when the fasting urine, fasting blood glucose normal or slightly higher, but the peak blood glucose two hours after a meal than normal, diabetic glucose tolerance test is often displayed. Many patients can be found in both common disease or complications such as hypertension, atherosclerosis, obesity and cardiovascular disease, hyperlipidemia, or hyperlipoproteinemia, or repeatedly made purulent skin infections and urinary tract infection and so on. �� patients sometimes due to growth retardation, physical weakness, weight loss, or ketosis were found.
in the shape of type �� diabetes without or only in the IGT state, patients often have hyperinsulinemia, whereas in type �� diabetes often have symptoms prior to the increase of ICA and GAD.
asymptomatic period before the general test is actually there, including the stage of glucose tolerance test were negative, but the families of these objects may have a history of diabetes, history of giant baby, or associated with metabolic syndrome, such as insulin resistance, high hyperinsulinemia, hypertension, high LDL hyperlipidemia and obesity, so it is an object belonging to high risk of diabetes, WHO now the latent nature of impaired glucose tolerance. asymptomatic diabetes by diet
or (and) exercise and other treatment, the disease can be controlled more easily, prevent and reduce chronic complications.
symptoms of
the varying severity of symptoms in patients with frequent and often accompanied by some of the symptoms or complications associated with both diseases. Sometimes very mild symptoms of the disease, but both symptoms of disease or complications is very serious and can sometimes precede diabetes symptoms, or the emergence of the main symptoms masking the symptoms of diabetes itself. Such as elderly patients with coronary heart disease often first group (angina, myocardial infarction, arrhythmia, heart failure, etc.), or cerebrovascular accident syndrome group, but the diabetes mellitus group of very slight, so often ignored or missed in clinical . Middle-aged patients may first have urinary tract infection, tuberculosis, skin boils carbuncle limb or certain surgical conditions such as cholecystitis, pancreatitis and other symptoms appear. Young patients can sometimes ketoacidosis as the first symptoms. Such as fasting and postprandial blood glucose were significantly increased and generally have the following typical symptoms.
1. polyuria, polydipsia, polydipsia as diabetes, urinary osmotic pressure and renal absorption of water back to reduce the amount of urine often increased. The patient to urinate frequently, more than two dozen persons a day and night to night, get up several times, affect sleep. Not only to each urine and frequent urination, urinary total day 2 ~ 3L or more often, even up to ten liters. Water loss due polyuria, polydipsia pain patients, the amount and frequency of water is increased, with loss of blood glucose and urine volume and proportional to the amount of sugar; when insulin deficiency and ketoacidosis, sodium and potassium ions back to absorb even more difficult , polyuria increased; often makes the plasma concentration, affect the osmotic pressure, can lead to hyperosmolar coma and other serious consequences.
2. Bulimia eat the loss of sugar, sugar failed to make full use of, accompanied by high blood glucose stimulates insulin secretion, loss of appetite often hyperactivity, tend to have a hunger, the staple food and sometimes up to 1 to 2 kg, dishes than normal many people more than doubled, still not satisfied. But sometimes the patient suddenly decreased appetite, you should pay attention to whether the infection, fever, acidosis, or ketosis induced complications. Polyuria, polydipsia and polyphagia often clinically referred to as \
3. fatigue, weight loss, weakness due to metabolic disorders, to reduce energy use, nitrogen negative balance, dehydration and electrolyte, ketosis is more serious, the patient feeling tired, weak. Especially the young (�� type) and severe (��) in patients with significant weight loss, weight loss, up to several pounds, labor often weakened. Inhibition of growth and development of chronic illness care, short stature, his face sallow complexion, hair less shiny, more than physical weakness. But middle-aged patients with mild type �� often of diet and obesity.
4. pruritus more common in female genitals, caused by the urine to stimulate local. Sometimes white fungus Candida vaginitis and other, more severe itching, often accompanied by vaginal discharge and other secretions. Water loss can also occur after the body dry and itchy skin, but rare.
5. Other symptoms include limb pain, numbness, pain, loss of libido, impotence, infertility, menstrual disorders, constipation, visual disturbances and so on. Sometimes intractable diarrhea, stool 2 to 3 times per day to 5 to 6 times per was thin paste, generally non-inflammatory and functional diarrhea, which may be related to autonomic dysfunction. Sometimes orthostatic hypotension, sweating, incontinence and other serious nervous system is also the performance of many of the symptoms caused by the complications of both diseases.
early signs of mild, mostly without signs. Chronic illness who often can be found due to water loss, nutritional disorders, infection, cardiovascular, neurological, kidney, eye, muscle, joints and other signs of the emergence of various complications. The liver enlargement, especially prevalent in type �� patients, appropriate treatment after the resumption. Domestic cases, the skin was yellow and Carotenemia are rare tumors.
Type II diabetes is the relative lack of insulin secretion and insulin resistance seen in people aged 40 and over in the coming year (45-60 common), the clinical typical cases, there may be clinical polyuria, polydipsia, food, weight loss and other performance, that \To promote early use of insulin: the traditional method of treatment of type 2 diabetes is to diet, exercise therapy, null and void with oral hypoglycemic agents, no effect of insulin, has been going on for decades. This approach is the application of sulfonylurea drugs, stimulation of islet �� cells to secrete more insulin to lower blood sugar. However, ignoring the long-term stimulation of islet cells to work sick, to get enough rest, will lead to premature failure of islet function, complications occurred in advance. So the ideal treatment should be in lowering blood glucose at the same time, try to protect the islet cell function. and so it was the early use of the method of insulin replacement therapy. Its benefits are: lack of insulin can be corrected, reduce high blood glucose toxicity on �� cells, improving the endogenous insulin secretion, inhibit hepatic glucose output lowering the early morning high blood sugar, improve insulin sensitivity surrounding tissue, so that the islet cells have been damaged to rest, residual islet function was restored, so can delay disease progression. currently advocated insulin combined with oral hypoglycemic agents, combination therapy can avoid insulin overdose induced obesity, insulin resistance increase the typical symptoms of diabetes
how to drink, eat, polyuria and weight loss (weight loss), atypical symptoms have fatigue, weakness, easy to infection, paresthesias (eg formication, numbness, tingling, itching, especially female genital itching can be the first symptom), sexual dysfunction and so on. But not all patients will experience these symptoms, some patients with type II is there are some chronic complications of diabetes diagnosed before, like to see things blurred, legs and feet numbness, wound healing is not a long time. Regularly check your blood glucose is conducive to early detection of glucose to prevent complications.
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