Diabetes is like an “invisible killer”, little by little, eroding our health. If you or your friends and relatives have encountered such problems, you can leave a message in the comments below to tell us! 1.On the prevention of diabetes “big belly, small legs” is a high-risk group of diabetes, so exercise abdominal muscles is beneficial to the prevention and treatment of diabetes? “Big belly, small legs” is the so-called “central obesity”, it is the high risk of metabolic syndrome, appropriate exercise, to achieve an ideal body weight, especially to reduce abdominal fat, the prevention of diabetes has certain benefits. 2. About diabetes medication Can I increase the dosage of medication on my own if I wear a dynamic monitor and find that my blood glucose is abnormally high? For patients who have a long history of diabetes and have some experience in adjusting their blood glucose, it is possible to adjust the dosage of medication if abnormal blood glucose is detected while wearing the ambulatory monitoring device. However, for newly diagnosed or inexperienced patients, it is recommended to record the blood glucose monitoring value and have the specialist clinic doctor follow up to evaluate and adjust the dosage according to the doctor’s advice. Can Metformin (Geritol) lower blood sugar and protect the heart at the same time? In recent years, some studies have found that metformin has some cardiovascular protective effects while lowering glucose, mainly including prevention of atherosclerosis, reduction of the risk of cardiovascular disease, and delaying the progression of heart failure. When diabetic patients also suffer from other diseases, which drugs have a glycemic effect? Common drugs that have the effect of elevating blood glucose mainly include the following categories: (1) hormone drugs: glucocorticoids, glucagon, thyroxine, growth hormone, etc.; (2) catecholamines: epinephrine, isoprenaline, levodopa, norepinephrine, etc.; (3) statin lipid-lowering drugs: atorvastatin calcium, resuvastatin calcium, etc.; (4) diuretics: hydrochlorothiazide, chlorthiazide, etc.; (5) antihypertensive drugs: hydrochlorothiazide, chlorothiazide, etc.; (6) diuretic drugs: atorvastatin, chlorothiazide, chlorothiazide, chlorothiazide, chlorothiazide, etc. (5) Antihypertensive drugs: calcium channel antagonists (such as nifedipine), propranolol, diazepam, colistin, etc.; (6) Antipsychotics and anxiolytics: chlorpromazine (larger doses), olanzapine, clozapine, etc.; (7) Anti-cancer drugs: tetracosan, levodopa montparagine enzyme, streptozotocin, cyclophosphamide and so on, immune inhibitors, cyclosporine A; (8) Other: anti-epileptic drugs, phenytoin sodium, anti-tuberculosis drug isoniazid. (8) Others: anti-epileptic drug phenytoin sodium, anti-tuberculosis drug isoniazid, etc. It is important to note that, with the exception of glucagon, other drugs have a relatively small effect on blood glucose. When suffering from anxiety, insomnia, gastrointestinal, cardiovascular, cold and fever, etc., does it have any effect on the blood glucose of diabetic patients, and is it necessary to adjust the medication? What should patients do? When suffering from anxiety, insomnia, gastrointestinal, cardiovascular, cold, fever and other diseases, blood glucose may be affected by fluctuations, anxiety, insomnia, cold, fever, cardiovascular emergencies, gastrointestinal tract, acute bleeding in most cases will cause an increase in blood glucose, diarrhea may cause a decrease or fluctuations in blood glucose, so in the presence of the above conditions, you need to strengthen the monitoring of blood glucose, according to the glucose adjustments in the medication, and if the disease improves, it should be again If the disease improves, the blood glucose value should be monitored again, and the drug dosage should be adjusted in time. 3. Regarding gestational diabetes mellitus If the first baby has type 1 diabetes mellitus, will the second baby also have type 1 diabetes mellitus? Is pre-pregnancy genetic testing helpful? The onset of type 1 diabetes is mainly affected by genes and environmental factors, and the hereditary probability of type 1 diabetes is relatively small compared with type 2 diabetes, therefore, if the first baby has type 1 diabetes, the second baby may not necessarily develop type 1 diabetes. Since type 1 diabetes is a polygenic disease, which is currently thought to be related to genes such as histocompatibility complex, and since the occurrence of type 1 diabetes may also be affected by external environmental factors such as viral infections, pre-pregnancy genetic testing may be of some help in prediction, but the predictive value is limited. What preparation is needed before pregnancy for women with diabetes? Is intensive glucose lowering required 1 to 3 months in advance? Before preparing for pregnancy, diabetic women are advised to develop good living and dietary habits, adjust oral hypoglycemic drugs to insulin injection therapy, and try to take intensive insulin therapy for 1 to 3 months under the guidance of a doctor to control blood glucose in the ideal range, which will help in the preparation for pregnancy, pregnancy and delivery. Are the glucose lowering goals for women with gestational diabetes the same as for the general population? Pregnant women are at a special time when glycemic management should be more stringent than in the general population. Ideal control goals are as follows: fasting blood glucose ≤90-95 mg/dL (5.0-5.3 mmol/L), 1-hour postprandial blood glucose ≤130-140 mg/dL (7.2-7.8 mmol/L), and 2-hour postprandial blood glucose ≤120 mg/dL (6.7 mmol/L). For patients with type 1 diabetes mellitus and those who have experienced severe hypoglycemia or unconscious hypoglycemia, achieving the blood glucose target is challenging, and therefore, these patients are more likely to need to be under the guidance of a clinician to control their blood glucose.