When we talk about diabetes today, people who don’t have diabetes have to prevent it from happening, and people who have diabetes have to prevent it from developing, it from progressing. When it comes to prevention, there is a lot to learn here.
Yesterday I read online that the state attaches special importance to prevention, the focus of prevention in the community, the community as a unit, the family as a unit, in the universal prevention of universal work, this work is certainly at least ten years of plans. Now no one wants to go to the hospital after getting sick (see a doctor), including when we worked in the hospital, when I was in the hospital nephrology department, at least 1/3 of the inpatients in the nephrology department is the development of diabetes, as we know, diabetes will develop into diabetic nephropathy, the development of nephropathy is very scary, because the trend of the development of diabetic nephropathy is kidney failure, kidney failure patients need dialysis or kidney replacement This is a great burden for individuals, families and the country. Moreover, there are many complications of diabetes, such as diabetic nephropathy and diabetic foot, and patients with diabetic foot admitted to surgery often need to have their limbs amputated, which is very painful. In addition, there is also tuberculosis caused by diabetes and cerebral thrombosis caused by diabetes. Diabetic patients also have itching of the skin and vulva, and some diseases such as skin ulceration, or trauma that does not heal the skin, all of which are complications of diabetes if they occur in diabetic patients. As you know, diabetes is related to heredity, but now we find that diabetes is more related to the environment, living habits, exercise habits, and diet habits, which have an impact on diabetes, and have an impact on the occurrence, development and aggravation of diabetes.
Today, we are talking to you about diabetes, so that you can understand some basic things, the Western medical point of view is this: diabetes is considered by Western medicine to be caused by insufficient insulin secretion, or the function of the cells in the body using insulin is wrong, after less insulin secretion, blood glucose will not come down after rising, because there is a problem with the function of insulin, but the secretion of insulin is more or less regulated (controlled) by other factors. For example, for example, ask Ms. Deng to help stand for a moment, Ms. Deng to stand here, she does not go, I want her to go, I will push Ms. Deng, after pushing, Ms. Deng will go forward, I push Ms. Deng force this is an external force, this external force on Ms. Deng walking is influential, if this external force is large, she walks faster, if this external force is large, if this external force is large, she walks faster.
If this external force is large, she will walk faster, if this external force is small, Ms. Deng will walk slowly. The cellular utilization of insulin (influence) is like this external force.
It causes disorders of sugar, protein, fat, water and electrolytes, some people will have a question: I also did not eat a lot of sugar, how did I get diabetes? This is a question that many people want to ask. The physiological chemistry of Western medicine is like this: sugar, protein and fat can be transformed into each other, for example, if I eat too many steamed buns, or if I eat too many eggs, the excess part of the carbohydrates contained in my body protein or steamed buns will start to be transformed into sugar, and if this sugar is not metabolized by the body, it will enter the blood, causing blood sugar to rise. The reason for this is that they do not have to eat more sugar, they eat more protein and more fat, which will also cause blood sugar to rise and will develop into diabetes in the future. By the way, I insert a sentence here: obese body type of diabetic patients are suitable to use metformin to cure, not suitable for use of sugar Siping, euglycemia this kind of (sulfonylurea) drugs. Then, there are people who love belly bloating, indigestion, suitable for the use of Bystolic, Acarbose; there are also people, his blood sugar always can not come down, he took oral hypoglycemic drugs did not work, you can use insulin, the biggest problem of insulin is: insulin is relatively troublesome injection. People with or without diabetes need to check their blood sugar regularly. Finger blood glucose is different from blood glucose drawn from a vein, but the difference is not significant. In addition, diabetic patients should check glycated hemoglobin once every three months, this is to see how much his blood sugar fluctuates in three months, if glycated hemoglobin exceeds 7.5%, it is poor blood sugar control, even if your fasting blood sugar is 6 or 7, glycated hemoglobin is 8% or 9%, it is still poor blood sugar control, do you know what to ask? Because, you usually measure blood sugar in the morning, right, in the morning, some people do not have high blood sugar, but they have high blood sugar at night, or high blood sugar after meals, especially after meals, high blood sugar is dangerous to the heart, the hospital cardiovascular ward admitted a lot of diabetic patients, the hospital found that these diabetic patients have heart problems, so, you know the key here it.
So, let’s learn about the typology of diabetes, there are several types of diabetes, type I diabetes is found when the child is very young, the child is thirsty, urinate, drink more, eat more, urinate more, the body is also very thin, type I diabetes patients are very few, among 100 diabetic patients may be only 5 is type I diabetes, the majority of people are II There is another type of diabetes, gestational diabetes, what does this mean? What does this mean? It means that when a woman is pregnant, she finds out that she has diabetes, and in the future, many of these people will develop diabetes.
Let me ask you, who remembers what I said last time: How much is diabetes when your fasting blood sugar exceeds?
”More than 7.”
”Okay, correct, now I’ll ask again, if the pre-meal blood sugar does not exceed 7, how much above the post-meal blood sugar is diabetes?”
”Eleven.”
”Yes, more than 11.1 after a meal is diabetes.”
So, what does impaired fasting blood sugar mean?
Your fasting blood sugar is over 5.6, but under 7, and that’s called impaired fasting blood sugar.
What does it mean to have impaired postprandial blood sugar?
Some people know that I suspect that I have diabetes, and then I went to the hospital, and when I went to the hospital for examination, the doctor said, “You eat sugar, drink sugar water, test your blood sugar after half an hour, test it after an hour, test it after two hours, test it after three hours, this is the glucose tolerance test, if the postprandial blood sugar exceeds 7.8, but the fasting blood sugar does not reach 7, this is called impaired postprandial blood sugar.
Therefore, we should pay attention to it. If fasting blood sugar exceeds 5.6 or postprandial blood sugar exceeds 7.8, you should pay attention to it and it may develop into diabetes, so you should pay attention to it: exercise more and eat less things with high sugar, protein and fat content.
Primary prevention refers to people who do not have diabetes, to prevent diabetes; secondary prevention refers to people who are likely to get diabetes, which is the high-risk group, we find these people, after finding them to prevent them from developing diabetes, tertiary prevention refers to have diabetes, do not let them develop into diabetic nephropathy, diabetic foot, diabetic tuberculosis, diabetic cerebral thrombosis, diabetic skin ulcers, etc..
High-risk groups, many of our aunts and uncles here are high-risk groups, age over 75 years old, first-degree relatives who have had diabetes, first-degree relatives means your parents have diabetes; obesity; blood pressure over 140/90 is also high-risk, the above conditions, not that you have all of the above conditions to be called high-risk, with one is also high-risk, such as blood pressure over 140/90 (that is, blood pressure greater than For example, blood pressure over 140/90 (that is, blood pressure greater than 140/90) and high blood cholesterol or high triglycerides are also high-risk.
A history of delivery of a large child, or a previous diagnosis of impaired postprandial glucose or impaired fasting glucose, by means of the glucose tolerance test we talked about earlier.
We screen, based on the information of residents who have established health records, based on blood glucose values and other information, people who are not sick we will mobilize them to check their blood glucose, and if they are on medication, we will come to assess (mull over), what does assessment mean? Assessment means that we look at what stage of development of diabetes you belong to, whether it is good or bad ah. Follow up means that we often call you sometimes, how are you doing? Some people don’t go to the hospital for checkups after they have diabetes, so our follow-up visits are to supervise that you should go to the hospital regularly for checkups. We, as doctors, have to supervise you, otherwise, the elderly will forget about it after a while.
People with cardiovascular disease can use aspirin in small doses. Aspirin has been available for more than 100 years and is a very good drug to prevent cerebrovascular disease.
Some people suggest that Chinese medicine to lower blood sugar, some western doctors think that Chinese medicine to lower blood sugar are mixed with western drugs (hypoglycemic drugs), this phenomenon, indeed, but the Chinese Pharmacopoeia has provisions, Chinese medicine is not allowed to be mixed with western drugs. If you find a western drug and no drug lot number, it is a fake drug, which is not allowed.
”Now some hypoglycemic drugs are food brand, how does this happen?”
”That is not called medicine, that is a health product, that thing (the effect of lowering blood sugar) is not credible, and our hospital has a treatment for diabetes called Yi Qi Shengjin San, that is completely Chinese medicine, absolutely no western medicine, it is the supplement, the supplement, the composition of the ginseng, hawthorn, poria, astragalus, such, the supplement and the liquid.”
”And then, for example, there is a drug in Chinese medicine called smallpox powder, smallpox powder after eating, blood sugar will rise, but it can cure diabetes, this reason Western medicine generally can not understand, ordinary people can not understand, then blood sugar rose, but also to cure diabetes, they think this is a very ridiculous thing, hey, this drug is able to cure diabetes, diabetes patients with smallpox powder after long-term The observation is that the diabetic condition is somewhat reduced and the blood sugar is temporarily elevated, not forever.
The Chinese medicine, health care products have the exact effect, can also be used.
Today, I will tell you about the five carriages of diabetes, how to keep diabetes from developing, and even to cure it, to the other side of happiness, to the end of the road, there are five carriages to drive, there are five carriages pulling this diabetic patients, from the side of diabetes to pull the normal population. What are these five carriages? The first is medication, the second is more exercise, the third is self-monitoring blood sugar, the fourth is health education, we know that health education, especially self-health education to pay attention to, and a (fifth) is diet control, that is, control the mouth. We all know that these five carriages are still very useful.
We are here to talk about a misconception (misunderstanding) of diabetic patients, thinking that eating less sugary things, eating less sweets will be able to (control blood sugar). I just gave you, you now understand, the amount of protein and fat should also be reduced, including the snacks you eat at home have energy, energy if not consumed, it will be converted into sugar, and then stored. So, if diabetic patients, I often mention that question: the elderly eat very important, why blood lipids are also high, blood sugar is also high, blood pressure is also high, children eat sweets, eat McDonald’s, KFC every day, hate, eat fried things every day, why they (children) are fine, will not get high blood pressure, high blood lipids, diabetes.
Do people know what is the reason for this? We all know from this fact, Western medicine research drugs can control blood sugar, but it can not really cure diabetes, it is fundamentally Western medicine is not able to solve the problem, which means what? There is a huge difference between the bodies of old people and children. Children eat and sleep every day, sleep and eat, then play around, eat high-calorie, high-fat things every day, he is fine, because his body consumption is fast, his growth and development is particularly vigorous, some people say: look children eat are fine, others eat are fine, I should eat still have to eat. This idea is wrong, people and people’s physique is different, it is like we do today’s body mass table, people to a certain age, the body function is declining, declining function, you must pay attention to it, such as eating food to eat more meals, after dinner to appropriate more exercise, do not eat after the meal does not exercise. What should I pay attention to when exercising? After the sun goes down, you should go out as little as possible, at home, you can put the light on, even if some people will walk at home also feel tired, you can exercise in bed, like we can rub the ears, this is all exercise.
There are several points of attention for people with diabetes: one is not to eat sweets, my personal understanding: if the diabetes is not too heavy people, breakfast is allowed to eat something sugary and sweet. I think there is no big problem, you see nutrition experts also recommend that you can eat some watermelon, just after you eat sweet things to exercise more, if you do not exercise, blood sugar will rise, exercise will be consumed after the blood sugar down.
Nuts to eat less, some people will say that nuts are good, note: there are two sides to everything, for example, drink cold water, eat steamed buns, someone can also be choked, choked, choked into the trachea, people suffocated, what does this mean? There are good and bad things about everything, it depends on how you eat? Suitable for eating? Nuts such as hazelnuts, ah, pine nuts, ah, chestnuts, ah, walnuts, these are nuts, these will cause a rise in blood sugar, but often tonic brain, which is also their benefit. Therefore, you have to eat these things, your main food must be reduced.
(A gram of fat can produce 9 kcal, a gram of protein or a gram of sugar can only produce 4 kcal, so fat produces more heat, after producing more heat, people are not easy to be afraid of cold, easy to be obese, can cause blood sugar to rise, because energy is not easily consumed is converted into sugar). As you know, protein and fat compared to the elderly, protein is more appropriate (more suitable for you), you must eat meat to control up. Some people know that when people are fat, they have some energy stored in their bodies, and when you are low on energy, the energy in your body can be mobilized after you move a little. For example, why does a camel have a hump? When it is thirsty and there is no water for it to walk in the desert, what can the camel do? He can mobilize the water in the hump to come out and moisten his throat. Cao Cao took his army to fight against Dong Wu, as if from the north to the south, there is a story of quenching thirst for plums, Cao Cao saw that the soldiers were already very thirsty, Cao Cao then said: “Hold on, try hard, the front is the plum forest, hey, once said the plum forest, the soldiers were already thirsty throat smoke, ah, once they think of the plum forest, their saliva secretion, they are not thirsty.