”However, if these experiences are not analyzed, or if they are not supplemented by systematic medical knowledge and blindly guide themselves and others, they may also cause undesirable consequences. So, which aspects can be “medical” and which aspects cannot be “medical”? What are the principles and precautions to be taken when “treating”?
1.Diagnosis
Can be “treated” – whether you have diabetes
When high blood glucose is found in the physical examination, it is necessary to further check fasting blood glucose and postprandial blood glucose in the hospital, or to conduct a glucose tolerance test to confirm the diagnosis of diabetes. As long as you know the diagnostic criteria for diabetes, you can use the test results to determine whether someone has diabetes.
You can’t “doctor” – what type of diabetes you have
The type of diabetes needs to be considered and judged based on medical history, symptoms, test results and other circumstances, which requires a doctor to make a diagnosis. I have met many patients in the clinic who said they had type 2 diabetes, and I asked what the diagnosis was based on. Most of them reply, “I am an adult, my blood sugar is not very high, and type 2 is common”. In fact, these alone cannot be used to classify diabetes. The classification should be based on the onset of the disease, the occurrence of ketosis, the status of insulin function and some immune antibody indicators of the pancreas, etc. to make a comprehensive judgment.
2.Dietary treatment
Can be “medical” – sharing dietary experience
Diabetic diet is the most important and basic treatment for diabetes, which should be adhered to throughout life and should not be neglected for a single meal. In this regard, “veteran” diabetics can pass on their experience to others. For example, what can and cannot be eaten, what has a high sugar content, what has a high glycemic index, the distribution of food and the total amount, etc.
Not “medical” – diet when combined with other diseases or complications
However, if a patient has a combination of other diseases or complications, such as hyperuricemia, proteinuria, renal failure, etc., and requires special food requirements, he or she must have the guidance of a physician.
Diabetic patients know that in the process of controlling their diet because they can not eat too much starchy substances, they often start to be hungry, and at this time they can eat more soy products to prevent hunger. But if you do not know that he has hyperuricemia or a large amount of proteinuria, recommending him to eat soy products will aggravate the condition or even kidney failure.
3, exercise therapy
Can be “medical” – choose the right way to exercise
Exercise is one of the five horses of diabetes treatment, which can lower blood sugar, enhance insulin sensitivity, reduce weight, lower blood fat, relieve mild to moderate hypertension, promote blood circulation, improve heart and lung function, prevent osteoporosis, etc. Exercise can choose walking (walking), jogging, swimming, tai chi, climbing stairs, cycling, etc. The “old” sugar lovers can choose their own or guide others to choose the appropriate exercise according to their own experience, as well as when to exercise, how to grasp the intensity and time of exercise, and what precautions to take when exercising.
Not “medical” – combined with other diseases or complications
If a patient has a combination of other diseases or complications, exercise should be done at the discretion of the doctor according to the condition.
Diabetic patients often have a combination of hypertension, coronary heart disease and other conditions, when the blood pressure is well controlled, no myocardial ischemia can be moderate exercise. Once Lao Wang said to a diabetic patient that exercise is the best way to treat diabetes. I jog for 20 minutes every morning, and my blood sugar is well controlled after meals. As a result, he did not know that this patient had coronary artery disease, and angina developed after jogging and was rushed to the hospital.
4.Glucose monitoring
Self-measurement of finger blood sugar
Blood glucose monitoring can help patients better control their blood glucose, but also allows patients to become their own diabetes doctor. First of all, “old” diabetes patients should know the criteria for good blood sugar control, so that they can decide the frequency of blood sugar monitoring according to their own condition. Secondly, they should analyze whether there are factors affecting blood glucose such as diet, exercise, sleep, medication, and whether there are other diseases. Thirdly, it is necessary to understand the significance of blood glucose at each time point. Through detailed blood glucose monitoring and food records, “old” sugar lovers can help themselves or others understand the effect of a certain food on raising blood glucose and guide their diet plan.
Not “medical” – measuring glycated hemoglobin
It is not enough to monitor finger blood glucose in the life of diabetic patients, because it is instantaneous and cannot reflect the overall level of blood glucose over a period of time. Therefore, it is very necessary to measure glycated hemoglobin once every three months, because it can reflect the overall condition of blood glucose in three months, which needs to go to the hospital for examination.
5, early detection of complications – can be “medical”
Patients with longer duration of diabetes should pay attention to the occurrence of complications. What are the complications of diabetes? What symptoms indicate that complications may have occurred? “Older” diabetics can warn themselves and others to go to the hospital for appropriate tests based on their own or others’ symptoms, so that complications can be detected and diagnosed early and treated promptly.
6. Determine or change the treatment plan – do not “doctor”
The treatment plan for diabetes should be decided by a doctor. The treatment plan is determined by considering the patient’s condition, previous medication, blood sugar level, insulin function, comorbidities, liver and kidney function, side effects and characteristics of the medication. The doctor will develop a different treatment plan for each diabetic patient depending on his or her specific situation. This decision requires systematic medical knowledge and clinical experience, and even “veteran” diabetics cannot make decisions for themselves or other patients. In practice, many patients see that others have good results with a certain drug and ask to use it themselves, and many patients recommend others to use the drug they use.