Diabetes itself is not fatal, it’s the complications that kill!

  According to relevant surveys, Chinese diabetics have now reached 114 million, ranking first in the world! Among them, 11 million people suffer from stroke and coronary heart disease! 79.4% of people will get diabetes after the age of 45! Every 12 seconds a person with diabetes dies in China! Up to 3 million deaths per year due to diabetes! China has already surpassed India as the number one country with diabetes, and an unprecedented “sweet crisis” is upon us! It is urgent to solve the health crisis of diabetes.  I. What is diabetes?  Diabetes is a group of lifelong metabolic diseases characterized by chronic hyperglycemia caused by multiple etiologies. Diabetes itself does not necessarily cause harm, but the long-term increase in blood sugar, macrovascular and microvascular damage and endanger the heart, brain, kidneys, peripheral nerves, eyes, feet, etc. According to the World Health Organization, diabetes complications up to more than 100 kinds of complications, is currently the most known complications of a disease. More than half of the deaths due to diabetes are due to cardiovascular and cerebrovascular causes, and 10% are due to nephropathy. Amputation due to diabetes is 10 to 20 times more common than non-diabetes. For this reason prevention of complications of diabetes is a vital social issue. In addition to frequent blood glucose checks, diabetic patients should also have regular blood biochemistry checks, heart, brain and kidney function tests and eye fundus checks.  Diabetic nephropathy is one of the most important comorbidities of diabetic patients. The incidence in China is also on the rise, and has become the second cause of end-stage renal disease, second only to various glomerulonephritis. Because of its complex metabolic disorders, once it develops into end-stage renal disease, it is often more difficult to treat than other kidney diseases.  2, diabetic eye complications (1) diabetic retinopathy is the most important manifestation of diabetic microangiopathy, a kind of fundus lesion with specific changes, and is one of the serious complications of diabetes. Clinically, diabetic retinopathy without retinal neovascularization is called non-proliferative diabetic retinopathy (or simple or background type) according to whether retinal neovascularization is present as a marker, while diabetic retinopathy with retinal neovascularization is called proliferative diabetic retinopathy.  (2) There are roughly four types of uveitis associated with diabetes: (1) uveitis associated with diabetes itself; (2) infectious uveitis, in which the chance of endogenous infectious endophthalmitis is significantly higher in diabetic patients than in normal subjects; (3) accompanied by some specific type of uveitis, but whether the two are coincidental or intrinsically linked; and (4) infectious endophthalmitis or aseptic endophthalmitis after internal eye surgery. endophthalmitis. It occurs mostly in middle-aged and elderly diabetic patients.  (3) Diabetic cataracts occur in adolescent diabetic patients whose blood glucose is not well controlled. It develops rapidly in both eyes and can develop into complete clouding within days, weeks or months.  3. Diabetic foot The foot is a complex target organ for the multisystemic disease of diabetes. The combination of peripheral neuropathy and peripheral vascular disease with excessive mechanical stress in diabetic patients can cause destruction and deformity formation in the soft tissues and osteoarticular system of the foot, which in turn can lead to a range of foot problems, from mild neurological symptoms to severe ulcers, infections, vascular disease, Charcot arthropathy and neuropathic fractures.