Understanding diabetes: no symptoms ≠ no problem

No feeling doesn’t mean no harm

Many people with diabetes often think that they don’t need treatment because they don’t feel it, which delays the best time to treat it. The danger of diabetes is the complications. The development of diabetes complications is a chronic process, and early on there can be no symptoms or discomfort. However, the damage all proceeds silently and these damages are irreversible. As the disease progresses, the patient’s quality of life will be significantly reduced as multiple organs decline in function.

The early detection of diabetes, the kind of treatment taken, and how well blood glucose is controlled directly determine how well the disease progresses. Therefore, it is important to take active and effective treatment immediately after early detection to try to control blood glucose at a desirable and stable level in order to delay the onset of complications.

No feeling doesn’t mean good blood glucose control

Many people with diabetes think that just because they don’t “feel it” means they have good control of their blood glucose. The disease is highly individualized and constantly changing. As the disease lengthens, the patient’s body may adapt to the high blood glucose and not experience discomfort. If you think that your blood sugar is normal because you don’t feel it, and you relax your blood sugar monitoring and treatment, then when the discomfort reappears, it is often a serious condition.

So, once you are diagnosed with diabetes, you need to be determined to fight for the long term. The first thing you need to do is not only to treat it over time, but also to monitor your blood sugar over time. Fasting blood glucose, 2-hour postprandial blood glucose, and glycated hemoglobin are some of the most commonly used indicators of blood glucose monitoring in clinical practice. Patients with well-controlled, stable diabetes should have their fasting and 2-hour postprandial glucose reviewed at least once every 6 months and their glycated hemoglobin reviewed once every 3 months. Those with poorly controlled or unstable blood glucose should have at least one fasting and 2-hour postprandial glucose monitoring every day. It is advisable to do 7 times a day blood glucose monitoring once a week. The only way to achieve true blood glucose control is to have active blood glucose monitoring, not to “follow your feelings”.