How many misconceptions are there when it comes to diabetes?

  Since the number of people suffering from diabetes is increasing in China, various kinds of health care products and miracle doctors have emerged, under the banner of various cures and cures, swindling many diabetic patients. Some patients do not have a deep understanding of diabetes and believe in some rumors for the sake of some small bargains, which cause the deterioration of their health condition and are very harmful. There are also many misconceptions about diabetes in our society, so we need to shine our eyes on these rumors so that they do not break down, so that these miracle doctors have nowhere to hide, to protect our own health.  Diabetes is caused by eating too much sugar?  Not exactly. The risk factors for diabetes are complex, and in general are divided into two categories (congenital and acquired): biological/genetic and lifestyle/life environment. Lifestyle risk factors do include an unreasonable dietary structure, but one or two large intakes of sugar in healthy people are not enough to cause any of the currently known types of diabetes.  In fact, this question is similar to whether smoking causes lung cancer. Many people who have smoked all their lives do not get lung cancer, but some people who have not smoked a single cigarette get lung cancer. So, smoking just increases the probability of getting lung cancer, and eating more sugar, likewise, increases the probability of getting diabetes. For a healthy person with a normal functioning pancreas, the extra sugar eaten will be used, converted, stored and excreted by the body to keep the glucose level in the blood within the normal range. However, eating excessive sugar over a long period of time will increase the burden on the pancreas and, together with other unhealthy eating and living habits, will indeed increase the risk of developing diabetes. But it is not simply a crude assumption that eating too much sugar will necessarily lead to diabetes. Can diabetes be inherited? If my parents have diabetes, does that mean I will get it?
People often have this confusion. Diabetes is related to heredity, but there are type 1 and type 2. type 1 diabetes is due to congenital causes, which leads to insufficient insulin secretion, thus affecting glucose metabolism and resulting in high blood sugar. type 2 diabetes: insulin secretion is sufficient, but due to some acquired factors, such as diet, environment, and disease, insulin does not work, resulting in diabetes. Therefore, there is a relationship between diabetes and heredity, but it is not the same as, if the parents have diabetes, the child will definitely get it. Genetic factors play a large role in the development of diabetes, but there is no absolute inheritance. In other words, children of diabetics have a slightly greater chance of developing diabetes than the general population, but the more important determinant of whether or not the disease develops lies in the lifestyle of the person who develops it. For those whose parents have diabetes, more attention should be paid to the control of risk factors. Young people do not get diabetes Children do not get diabetes, only older people get the disease, which is a similar problem. Diabetes is currently divided into type 1 and type 2, with type 1 common in minors and type 2 in the past common in people over 60 years old. In fact, in recent years, type 2 diabetes mellitus (hereafter referred to as
T2DM) is increasingly occurring in children and adolescents. Nowadays, diabetes has been trending younger. The “Coca-Cola” lifestyle, “eat more”, “eat better”, “eat better”, and the sedentary generation have become the labels of modern “chubby kids”. These have become the labels of the modern “fatty”. Sitting more, moving less, body fat is a common feature of young patients. The global increase in childhood obesity and lack of physical activity are widely recognized as key triggers for the development of diabetes. On the whole, genetics is a basis for the development of diabetes, but people with a genetic “basis” do not necessarily develop diabetes, because diabetes also requires the presence of environmental factors, such as obesity, long-term high-carbohydrate diet, infection, etc. The complex interaction between genetic and environmental factors and their influence ultimately The interaction between genetic and environmental factors is complex and influential to induce diabetes. Diabetes can not eat fruit Diabetes diet control is a key aspect, so there are many rumors about the diet of diabetes. The logic chain of the rumor that you can’t eat fruit with diabetes actually seems to make sense: you can’t eat sweets with diabetes, and fruit is generally very sweet, so people with diabetes can’t eat fruit. The higher the glycemic index (GI) of a food, the worse it is for blood sugar control. Some measurements show that the GI value of most fruits is actually lower than that of daily staple foods.  Fruits contain many vitamins and trace elements that are essential for the human body. Diabetic patients can eat fruits as long as their blood sugar control is up to standard, but they should control the amount and not eat too much. For diabetics with unstable blood sugar, you can wait until your blood sugar is stable before eating fruit. There are a lot of stems that such food can lower sugar, the country is too easy to fall for such a trick. Similar rumors are: okra can effectively treat diabetes. Okra is rich in vitamins, free amino acid folic acid and phosphorus, iron and other 26 kinds of beneficial minerals and trace elements, but whether it can treat diabetes, there is a lack of clinical medical evidence. Okra has a certain hypoglycemic effect, and has auxiliary effects on diabetes and diabetic complications, but it is far from the effect of treating a certain disease, and cannot be used as a substitute for drugs. Similarly, eating bitter melon, pumpkin, okra and a range of other fruits and vegetables cannot be used as sugar-lowering medications. The first thing to say about this is that, according to the National Food Safety Law, health care products are not drugs and cannot be advertised as “curative”, which means that health care products that directly say they can lower sugar are either fake or illegal; secondly, the FDA has approved some health care products that can have the function of “auxiliary hypoglycemia”, and the word “auxiliary” means: don’t take health care products as medicine. Finally, the efficacy of health supplements in lowering sugar is also a pending one. If it really has significant effect, it is not a health product.  Health supplements can be used as an aid, and may have some sugar-lowering effect, separate from the real drugs, while a reasonable lifestyle should not be abandoned. Prescriptions can cure diabetes. I don’t dare to say that there are absolutely no such prescriptions in the world, but under the economic society and scientific research and medical system of modern society, the probability of there being an unknown one that can overcome diabetes and just happen to be encountered by you is extremely low, much lower than the standard of small probability events in medical research. Many people with diabetes think that if their blood glucose is normal, they are fine, and ignore the screening and prevention of chronic complications, which is very dangerous. Studies show that 40%-50% of blindness is caused by diabetic retinopathy; 30% of chronic kidney failure is caused by diabetic nephropathy; 50% of cardiovascular disease and 60% of amputations are caused by diabetes.  Only 10% of diabetic patients have only the solitary symptom of elevated blood glucose, 90% of them will be combined with other diseases. Therefore, it is important for diabetic patients to be screened for chronic complications of diabetes while controlling their blood glucose. For complications, again, early detection and early treatment are needed. Can insulin become addictive? The use of insulin can lead to addiction. Insulin is often used in diabetes treatment, and many people worry if their dependence on insulin is due to addiction to insulin use. Of course not, because insulin itself is a hormone normally secreted by the body and exists in the body itself. Diabetic patients use insulin because their own insulin is “not enough to work”, so they need to use “external forces” to help. It is not that insulin cannot be stopped once it is used, but that blood sugar may not be well controlled after it is stopped. Therefore, it is necessary to use it.  Another concern about insulin medication is that it is thought that all drugs can harm the liver and kidneys, and that insulin is dependent and cannot be stopped once it is administered. In fact, not all drugs hurt the liver and kidneys, more drugs are adjusted when the patient’s liver and kidney function is poor, and the risk of not treating the disease itself is much greater than the risk of drugs that may damage the liver and kidneys. Diabetes can be cured. There is no complete cure for diabetes in medicine, but type 2 diabetes can be controlled by a variety of treatments, and even achieve a clinical cure. For example, by adhering to effective medication and diet, blood sugar control can reduce the occurrence of complications. In recent years, the emergence of weight loss and metabolic surgery is also very effective in the treatment of type 2 diabetes, which can not only improve blood glucose and metabolic disorders, but also reduce the occurrence of diabetes complications in the long term. A large amount of clinical data proves that the current complete remission rate (clinical cure rate) of weight loss metabolic surgery for type 2 diabetes reaches more than 80%, and the overall effectiveness reaches more than 95%, and it becomes a reality for diabetic patients to get rid of internal medicine to keep their blood sugar stable. Although diabetes brings many inconveniences to patients’ lives, as long as it can be controlled scientifically and regularly, there is no problem to live for decades more without complications. On the contrary, if you do not control it and give up on yourself, it is possible that various complications will come in a few years and life will fall into the abyss from then on.