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This year, 14 November marks the 16th United Nations Diabetes Day
.
As a metabolic disease characterized by chronic hyperglycemia, the terrible thing about diabetes is not in itself, but in the multiple complications it may bring, and even life-threatening
.
Diabetes causes retinopathy A 38-year-old man narrowly lost his sight
In the eye ward of the Affiliated Hospital of Yangzhou University, doctors examine Mr.
Zhu's eyes
after surgery.
Mr.
Zhu has been suffering from diabetes for five or six years, and he usually relies on drugs to control it, and he does not care too much
.
While working the night shift some time ago, Mr.
Zhu suddenly found that his left eye was invisible
.
Mr.
Zhu immediately rushed to the hospital, and as soon as he measured his blood sugar, it had exceeded 30 millimoles per liter
.
Soon, he also had problems
with his right eye.
After being transferred to the Affiliated Hospital of Yangzhou University, Mr.
Zhu was diagnosed with diabetic-induced retinopathy, which led to blindness
.
Subsequently, the hospital arranged surgery
for Mr.
Zhu.
According to the doctor, in the past, diabetic retinopathy was mainly in middle-aged and elderly patients
.
But in recent years, there has been an increase in the number of young patients
.
Just last month, the hospital operated on a 22-year-old woman
.
Zhu Xiaoyu, director of the ophthalmology department of the Affiliated Hospital of Yangzhou University: A 22-year-old girl, a secondary glaucoma vitreous hemorrhage in both eyes, retinal detachment, her condition is relatively more serious, and she underwent surgery
on both eyes.
Typical clinical manifestations of diabetes: "three more and one less"
Diabetes is a metabolic disease, and the typical clinical manifestations are "three more and one less" (polyuria, polydipsia, polyphagia, weight loss).
Diabetes mellitus
is diagnosed ≥ fasting blood glucose 7.
0 mmol/L (millimoles per liter) or 1≥1.
1 mmol/L (millimoles per liter) or glycosylated hemoglobin ≥ 6.
5% 2 hours after meals.
If not effectively controlled, complications
are prone to occur.
Gao Shan, Chairman of the Women's and Children's Obesity Control Professional Committee of the Maternal and Child Health Research Association: The most common of these complications, including retinopathy, is the number one cause of
blindness.
Diabetic nephropathy is currently the first cause
of renal failure and kidney dialysis.
Cardiovascular and cerebrovascular diseases, which are currently the top three causes of death in humans, as well as neuropathy including diabetes, diabetic foot, in fact, all organ systems in the body will be seriously damaged
due to the increase in blood sugar.
5%-10% of prediabetes turns "positive" per year
At present, the incidence of diabetes is on the rise worldwide
.
According to the latest epidemiological survey, the prevalence of diabetes among adults in China is 12.
8%.
Experts said that in prediabetes, which is only one step away from diabetes, as long as the defense line is guarded through diet, exercise or drugs, most of them can be controlled and improved
.
Typically, fasting blood glucose > 6.
1 mmol/L (millimoles per liter), or blood glucose > 7.
8 mmol/L (millimoles per liter) two hours after a meal, but does not meet the diagnostic criteria for diabetes, a condition known as "prediabetes" and is at very high risk of
diabetes.
Gao Shan, chairman of the Women's and Children's Obesity Control Professional Committee of the Maternal and Child Health Research Association: They are a high-risk group of diabetes with a high risk of developing it, and they will convert 5% to 10% of diabetes
every year.
Overweight High blood pressure is a risk factor for diabetes
Experts recommend that healthy people measure fasting blood glucose once a year from the age of 40, and high-risk groups recommend fasting blood glucose every six months or blood glucose
2 hours after meals.
In addition to genetic factors, age ≥ 40 years old, body mass index (BMI) ≥ 24 (weight divided by height squared), lack of physical activity, women with a history of gestational diabetes, hypertension, dyslipidemia, etc.
, are all risk factors
for diabetes.
Gao Shan, chairman of the Women's and Children's Obesity Control Professional Committee of the Maternal and Child Health Research Association: Especially obesity, overweight, and poor lifestyle, including drinking sweet drinks
regularly.
This sweet drink, in fact, not only contains sweet, but also contains not too sweet such as milk tea, these bad drinks will greatly increase our risk of
diabetes.
Sugar control tips: eat dry instead of thin, eat hard and not soft
Eat dry rather than thin, eat hard rather than soft
Long-term intake of high-calorie, high-energy foods may lead to overweight, which in turn increases the risk
of diabetes.
Patients who already have high blood sugar or diabetes should avoid foods
with a high glycemic index.
For example, take eating staple food, there is a small trick - "eat dry without thin, eat hard and not soft"
.
Gao Shan, Chairman of the Women's and Children's Obesity Control Professional Committee of the Maternal and Child Health Research Association: The most common is the porridge that everyone drinks, whether it is rice porridge or porridge with mixed grains, it is absorbed very quickly due to the long boiling time and the destruction of the plant cell wall
.
Yang Shuyu, chairman of the Diabetes Branch of the Chinese Association of Chinese Medicine: Dry rice and rice (glycemia) are relatively slow
.
The so-called soft and hard, is very thin, boiled for a long time soft rotten food, its glycemic index is also fast, such as broth, in fact, broth has a lot of fat melted and dissolved in it, then drinking soup will also make people fat
.
Sugar control does not mean that you can't eat anything sweet
However, sugar control does not mean that you can't eat anything sweet, just eat
it in moderation.
Gao Shan, Chairman of the Women's and Children's Obesity Control Professional Committee of the Maternal and Child Health Research Association: We hope that everyone can eat naturally sweet food, 80 to 100 grams of fruit, you can eat 1 to 2 times a day and eat with meals, then it will not have a big impact
on your blood sugar.
To limit the consumption of sugar substitutes, we have found more studies in recent years that it still has a great impact
on health, about insulin resistance, about inflammation, and about the risk of cardiovascular and cerebrovascular diseases.
Aerobic exercise and muscle resistance exercise are recommended
Proper exercise can consume the body's energy, improve the insulin resistance of muscles and internal organs, reduce fat content, lower blood sugar, reduce and delay complications
.
Yang Shuyu, chairman of the Diabetes Branch of the Chinese Association of Chinese Medicine: Exercise will speed up people's metabolism, make blood sugar and blood lipids, and all these indicators related to metabolism normal
.
We advocate aerobic exercise, and some muscle impedance exercise, heart rate increases, the body heats up, and even sweats slightly, which is the effect
of our exercise.
(CCTV News Client)
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