Saturday, January 10, 2009

The weather change controls influential to diabetes condition?

  The weather change is affects diabetes condition control a factor. The season transformation, the weather are burning hot, the summer fall rain muggy weather possibly affects patient's diet and the sleep, thus influence blood sugar control. The heavy weather like violent storm, continuously raining and so on possible to affect the patient sentiment will, will send the person anxious worry also to cause the blood sugar to elevate. The winter hiemal climate may cause the physique weak diabetic to catch cold has cold severely cold, the winter may also stimulate the adrenalin secretion, oppresses the anti-insulin, finally causes the blood sugar to elevate. In summary, the diabetic takes the weather change, the season change, completes the blood sugar monitor, according to conditioning therapeutic schedule.

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Anything is diabetes card
Diabetes card is the diabetic basic situation introduction card, including patient's name, the age, the address and the telephone number, in the unit and the telephone number, the contact person name and the telephone number, the seeing a doctor hosp...
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The honey may treat ulcer which diabetes cause
   The American scientists discovered that smudges the honey in diabetes initiation ulcerous spot, not only may kill the bacterium, moreover can prevent the bacterium regeneration effectively. The honey may treat ulcer which effectively diabetes caus...
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Why does the female contract diabetes' probability to be low
  First, the female is relatively high to the contour request, but society's esthetic trend is now take thinly as beautiful. Therefore, to pursues “the willow slender waist” the female, the excrescence does not allow absolutely. But the s...
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Diabetes medical service 81% use for to treat the complication
  It is reported that through and in 2004 "China Health statistics Yearbook" and the national health served during 11 years including Xu Zhangrong the many diabetes domain well-known expert to 1993 the cruising data analysis, discovered tha...
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Discontinuity glucose activating enzyme gene therapy II diabetes study make the
The whole world approximately has 250,000,000 II diabetics, increases year by year by 10% about speed, and trend youth oriented. At present various countries new fundamentally reduce the blood sugar in the exploration through organism physiological r...
Date:2009-01-10 Spot:1  More...
Chinese diabetes and metabolism syndrome epidemiology investigation
  The China Medical Association diabetes school grades meet Professor Yang Wenying recently announced “the Chinese diabetes and metabolism syndrome epidemiology investigation” the most recent data to demonstrate that 20 year-old above urb...
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Old diabetic's experience summary
Diabetes are one kind of common disease, occurs in the middle and old aged mental ability worker. The author year sixty year cycle, could not think that unexpectedly is also in which. My story also from this writes. Is unsatisfactory from the aware h...
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Diabetes in the future tendency
  In the recent 20 years, follow the global industrialization, the urbanization and the life modernization, diabetes prevalence rate are elevating suddenly. In China, at present diabetic patient quantity already close 40,000,000, the position row wor...
Date:2009-01-10 Spot:2  More...

How to understand Chinese medicine diabetic nephropathy?

Diabetic nephropathy with Chinese medicine as early as mid-term Diabetes described in the next elimination or renal elimination similar to the latter are edema,虚劳, Guan cell disease and other areas. This disease for a long time Xiaoke, lingering不愈, gas consumption injury blood,阴损and yang, viscera due虚损. Organs liver lesions are mainly spleen and kidney three dirty, and involves three blood water. Yin Deficiency early, liver and kidney deficiencies, the latter for阴损and yang, spleen and kidney deficiency, venae Stagnation.
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Pre-diabetes to actively intervene in

Food + Movement + drugs Known as "pre-diabetes" glucose tolerance to reduce the stage of the development of diabetes inevitable path. To the degree of high-risk groups, As in sub-fork on: If left unattended, will inevitably develop into a true diabetes; and if from the diet, exercise, and drug intervention playing the "shot", will be about 50 percent lower incidence of diabetes, there are likely to change Back to normal. Go left or right? To see if they have the perseverance to do scientific intervention in the treatment of pre-diabetes. Pre-diabetes: Medical examination in middle-aged and elderly are common 45-year-old Huang aunt, a year ago when a medical examination found that the morning fasting blood glucose was 5.9 mmol / L, 2 hours postprandial blood glucose was 10.2 mmol / L. The doctor said she belonged to pre-diabetes, need to avoid the further development of prevention and control. A year later, Huang Aunt testing again, the result has promoted the morning fasting blood glucose 7.2 mmol / L, 2 hours postprandial blood glucose was 15.7 mmol / L, has been diagnosed with diabetes. "Over the past year I have the attention of diet control, why or diabetes?" Aunt Huang was very puzzled. "First of all we have to understand what the concept of pre-diabetes, and then in order to enable patients to know how to do therapeutic intervention." Guangdong Provincial TCM Hospital, said Zhu Liqun, director of endocrinology, diabetes, including pre-meal glucose tolerance (IGI) and fasting blood glucose regulation impaired (IFG) are two indicators. Postprandial glucose tolerance means a two-hour postprandial blood glucose in the 7.8 ~ 11.1 mmol / L between the impaired fasting glucose regulation refers to the morning fasting blood glucose in the 5.6 ~ 7.0 mmol / L between the state of abnormal blood glucose. This state more than the normal level, indicating that there is a problem of glucose metabolism, but has not yet reached the diagnostic criteria for diabetes in middle-aged and elderly medical examinations are common. The pre-diabetes intervention in the treatment of diabetes is also a range of secondary prevention. Zhu Liqun emphasized that intervention from the behavioral intervention (including diet therapy and exercise therapy) and drug intervention both at the same time. Huang Aunt only dietotherapy efforts neglected exercise therapy and drug intervention role, did not achieve good control effect, there is no condition to prevent the continuation of progress. Dietotherapy: Quantitative regularly eat rice The role of diet, mainly to control calorie intake, reducing saturated fatty acid content, increase the proportion of sugar and vitamin content. Its principles are: Control of daily food intake to provide the total calories, goal is to achieve and control "standard body weight." With a few centimeters in height after minus 100 multiplied by 0.9, the answer is I come to the standard weight. If a person stands 180 centimeters, the standard weight is (180-100) × 0.9 = 72 kilograms, or less than 10 percent higher than the standard weight are normal. Some people worry that the high-sugar foods, this is not敢吃, that challenge, even the big rice also eat less, this kind of "hunger therapy" the body in a state of malnutrition, physical thin, reducing disease and can not control the results. But they can not open up big, there is no plan to eat at random. Daily consumption of three of the ideal ratio of nutrients are: carbohydrates accounted for 60 ~ 70%, fat accounted for 15 ~ 20%, protein accounted for 10 ~ 15%. In other words, low-fat, moderate protein and high-quality carbohydrates. The volume of specific activities in accordance with daily production rate to carbohydrates, the low volume of activities, such as the Office of the middle class and每顿eat 1 ~ 2 meters or 1.5 surface; Medium activity每顿who eat 1.5 ~ 2 2; heavy manual workers consumed in large quantities, we should eat 3 meals a staple food for more than two. "Some people worry that carbohydrates such as rice and noodle itself is a polysaccharide, not dare to eat, this is a misunderstanding. As long as the master volume, adhering to quantitative eat regularly, there would be no problem." Recommended daily diet of patients with pre-diabetes should choose lean meat, skin and fat of poultry, skim or low-fat milk, the other to avoid deep-fried food, Western-style fast food. Exercise therapy: 3 times per week for at least 30 minutes Exercise can lower blood sugar, the general movement of moderate hypoglycemic effect can last about 12 hours. Studies have shown that sport can improve insulin resistance and other metabolic markers, but also can make insulin receptor affinity and increased sensitivity to enhance and reduce blood fat, can help prevent diabetic vascular disease emergencies. Exercise therapy for most patients with pre-diabetes, it is best to ensure that at least 3 times a week, each at least 20 ~ 30 minutes of moderate-intensity sports, such as jogging, stair climbing, hiking, swimming, cycling and so on. But to avoid violent and confrontational activities, should be taken with mild to moderate physical exercise and physical activity. The amount of how to grasp it? To mind the brain are able to tolerate the situation to persist for some time, and maintain a certain degree of strength, specifically the amount of exercise each time to sweat a little far, and gradually increase. Physical pre-diabetes patients are generally weak to begin exercise therapy should be preceded by a short period of light physical activity, along with enhanced physique, and then a gradual increase in physical activity and exercise time. The early morning when the air can be a good morning exercises, but attention should be paid to avoid the cold, preventing the occurrence of hypoglycemia. Inappropriate exercise or too much tension or excitement of the sport not only fail to have effect, and sometimes anti-so hyperglycemia. Yet it must be noted, there is serious heart, liver, brain, kidney disease, not exercise. To be in stable condition before they can do moderate activities such as walking and so on. Drug how to intervene At home and abroad in recent years, many studies confirm that diet and exercise therapy, based on the use of drug intervention methods to deal more effectively with pre-diabetes. Especially for the part of impaired glucose tolerance, through lifestyle changes can not effectively reduce blood sugar, or hard to change the lifestyle for many years, not long-term healthy lifestyle, it is necessary to consider the drug intervention. Appropriate use of drugs双胍类drugs such as α-Glucosidase inhibitors, such as acarbose, each 50mg, 3 times a day. Acarbose can delay in the intestinal carbohydrate digestion and absorption, reducing postprandial blood glucose and fasting blood glucose, side effects, only a small number of people have the stomach after taking diarrhea, but does not affect the treatment. Yiqi Yangyin Huoxue some other traditional Chinese medicine, not only can delay pre-diabetes into diabetes, patients with pre-diabetes can also increase the conversion rate to normal. Zhu Liqun said that the above-mentioned three kinds of drugs can improve the patient's insulin resistance and reduce or alleviate the insulin β-cell load, it can reverse the condition or better. But he also stressed that even in patients with pre-diabetes has been temporarily lifted the "warning", but if we do not adhere to the original treatment measures, but also the possibility of recurrence, so impaired glucose tolerance must be "sound the alarm bell," insist on the treatment of non-intervention slack, Diabetes can say "no."
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How do diabetes are occur

Diabetes is a complex syndrome causes, all can lead to a lack of insulin or insulin resistance factors that can make the genetic susceptibility to diabetes mellitus ontogeny. Thus, since insulin B cells in the synthesis, secretion, blood circulation through the role of transit and target cells in the entire process, a part of any unusual occurrence of diabetes can be. Is divided into three aspects of the brief. (1) islet B-cell level: ① insulin gene mutations. At present, the application of RFLP and DNA recombinant technology, found that due to insulin gene mutation caused by particle password abnormal insulin There are two types: A insulin structural abnormalities. Section 11 of the short arm of chromosome mutation of insulin, B cells, synthesis of insulin mutation. Variability of insulin is still considered a normal immune activity, but very low biological activity. Normal insulin molecules and receptor-binding part of the biological activity of the insulin molecule area, so far have been reported abnormal structure of insulin are B25 phenylalanine was replaced by leucine. B24 phenylalanine replaced by serine, A3 leucine valine was replaced by three variations of insulin syndrome, are manifested in NIDDM. Clinical characterized by high blood glucose, hyperinsulinemia, external source of insulin response to normal insulin receptor to normal, there is no insulin in serum antibodies and insulin receptor antibodies. B Proinsulin excessive. Under normal circumstances, islet B cell secretion of insulin in the proinsulin containing about 5 percent. Insulin gene mutation, B cells, synthesis of proinsulin C-peptide and insulin in the connection point is arginine, histidine has been replaced. Proinsulin role as protease hydrolysis is not complete, a large number of proinsulin into insulin and failed to enter the blood circulation. Proinsulin Bioactive only five percent of insulin, but the immune response in the radiation cross-reaction with insulin, so the determination showed hyperinsulinemia. Clinical manifestations of impaired glucose tolerance or NIDDM. Synthesis and secretion of insulin ② abnormal. Islet B cells by auto-immune response or the destruction of chemical substances, the cells decrease in the number of synthetic insulin reduced or absent, while there is an absolute lack of insulin in IDDM. Another B cell membrane receptor abnormal glucose, the blood glucose concentration is not sensitive; or decreased synthesis of insulin, the cells stored in little insulin. After the intake of glucose, insulin secretion after the peak-shift, does not appear early rapid phase, thereby increasing blood sugar after a meal, often manifested in NIDDM patients. (2) blood circulation in the fight against insulin material increase: blood circulation, the fight against insulin hormones material can be divided into categories with non-hormone, two types of confrontation can be the role of insulin, so that elevated blood sugar. ① hormonal substances: such as glucagon, catecholamines, growth hormone, ACTH, adrenocorticotropic hormone, thyroid stimulating hormone, thyroxine, etc., in which certain hormones in the blood concentration of any unusual increase in the role of insulin-confrontation, by hyperglycemia. ② non-hormonal substances: such as insulin antibody and insulin receptor antibody. In patients with acanthosis nigricans can be found in serum insulin receptor antibody. Receptor and its corresponding antibody binding, the insulin receptor binding and can not, can not play a physiological role of insulin. Black acanthosis nigricans with insulin receptor antibodies in patients with familial, high blood sugar and insulin resistance, such as serious features, are autoimmune diseases.
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2 diabetic's erroneous zone

Relevant data show that the incidence of diabetes is rising year on year, so far, the total number of diabetes patients around the country 30 million. Relevant experts pointed out that diabetes itself is not terrible, terrible is its complications. Suffering from diabetes, if left untreated or treated properly, complications will come quietly, eventually died from complications of diabetes. Endocrinology, Beijing Union Medical College Hospital had 471 patients with diabetes on a survey conducted by the rate of chronic complications was 86.4%. It is regrettable that in diabetic patients, there are a considerable number of people as a result of the course of treatment prematurely reject the use of insulin and chronic complications have emerged. There are misunderstanding the use of insulin At present, in the pharmaceutical market, the treatment of type 2 diabetes drug is very large, this is indeed for patients with type 2 diabetes has brought the gospel, but also allow some patients into the fallacy that there are drugs that can eat, why to use insulin, insulin is to type 1 diabetes patients prepared, let alone every day to insulin injections,又疼also trouble; there are patients that once the use of insulin, the disease will increase, but will have to rely on, life can not be disabled. To this end, the use of insulin in patients with very afraid, when the doctor recommends that patients use, they would find all kinds of reasons to refuse. Mr. Zhang is one of them, he is suffering from diabetes has been 5 years, not long ago, the inspection results show that drug treatment result is not satisfactory, the doctor recommended drug treatment plus insulin, can not Mr. Zhang resolutely insulin, the doctor shook his head helplessly. According to the doctor a lot of Endocrinology reflected such as Mr. Zhang refused to insulin therapy of patients a day, can hit a few out-patient. Not to "whip cow" Diabetes Prevention and Control Office in Beijing, Beijing Tongren Hospital Professor Yuan Shenyuan believe that patients with type 2 diabetes as early as insulin may be playing too late complications, this is because oral drug to treat diabetes mostly try to β-cell secretion of insulin. We should know that diabetes is due to different causes lead to β-cell secretion of insulin shortage of capacity for the secretion of insulin has been the decline in β cells, the use of drugs which stimulate insulin secretion, and the result is leading to β-cell failure, making it the only remaining point secretion complete loss of function. Professor Yuan had used a very vivid metaphor, like a cattle whip it hard work, the result of the first diseased cow栽倒the ground, the起不来Forever. Professor Yuan to the two reporters to produce such records, the first medical records: Patients with diabetes have two decades, fourteen years ago, started to play insulin, has been in stable condition, there are no complications; other medical records: 10 patients with the disease years, five years ago, refused to use insulin therapy, there is now a variety of complications. However, the patients there is a reason for misunderstanding, and Professor Yuan went on to say that the existing medical colleges opened a textbook and you will find, in the treatment of diabetes requires insulin injections is only applicable to the treatment of type 1 diabetes. So many non-specialists are also still on the books in accordance with the principle of treatment of patients treated, and treatment has become obsolete with the idea to pass on to patients. Professor Yuan pointed out that many non-endocrine therapy practitioners owed norms, such as can not be accurately calculated for diabetic patients use insulin, so patients with low blood sugar fluctuated so that patients with diabetes on insulin therapy to lose their confidence. Again, as a result of diabetes is currently set up a small number of specialist out-patient hospitals, doctors less patients, doctors did not spare the time to convince patients to use insulin therapy Moreover, if the improper dosage adverse reactions will emerge, such as low blood sugar reactions, for , some doctors do not want to risk, are often willing to take medication. Correcting quite proper treatment So, whether patients with type 2 diabetes have to use the insulin it? Not. Professor Yuan said, for the early type 2 diabetes mellitus patients, attention should be paid to diet therapy and exercise therapy, it must be stressed, diet therapy and exercise therapy is the basis of diabetes treatment measures. When diabetes developed to a certain stage, the only diet control and exercise therapy have been unable to make blood sugar control within the normal range, they need to use hypoglycemic drugs to lower blood sugar levels to prevent and retard the development of diabetes. If the following problems when it should not hesitate to use the insulin the: 1, oral medication to control the poor. 2, complications of diabetes occur. 3, weight loss, weight ideal body weight in 90% or less. 4, when the co-infection.
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The diabetic must correct 3 big erroneous zones

According to Hill Hospital in Yantai Sui-liang, director of endocrinology, the Diabetes is a common chronic non-communicable disease, the human body from a lack of insulin or functional defect. Diabetes mellitus can be divided into type Ⅰ, Ⅱ diabetes mellitus and gestational diabetes, in which the most common type Ⅱ diabetes mellitus. Misunderstanding one: fear of the use of insulin According to隋主任introduced, many patients with insulin there is a fear that insulin is a hormone dependent addicts after use, there is a class of patients with low blood sugar compared to the fear, there is another part of the crowd that the injection is too much trouble, in fact, this are a lot of misunderstanding.隋主任of the view that patients with diabetes, early should use insulin to control blood sugar, thereby reducing the complications. For the initial issuance of the type Ⅱ diabetic patients with intensive insulin therapy can be clinical remission. The concept of clinical remission, adhere to diet and exercise after treatment, they do not need insulin and medication, be able to maintain normal blood sugar, and can be maintained for more than three years time. Misunderstanding two: a diabetic does not matter Many people are not concerned about diabetes, neglect of the disease.隋主任said, diabetes is a chronic disease, and it is very harmful and can cause long-term complications. Diabetic patients with coronary heart disease, cerebral thrombosis incidence of non-diabetic 2-4 times, and after more bad. Diabetic Nephropathy in the West is the main reason for renal dysfunction, and renal function in China is the third largest cause of non-performing (the top two is high blood pressure and chronic nephritis). In addition, patients with diabetes for more than a decade is the most important cause of blindness in adults. Amputation in patients with diabetes and non-diabetic patients 17 times. Misunderstanding three: diabetes can not eat fruit Diabetes resist fruit in a thousand miles away is a widespread phenomenon.隋主任suggested that patients with diabetes can eat fruit in the diet under the premise of reasonable, watermelons, peaches and other fruits can be eaten. It should be noted that diabetic patients to eat fruit in time to pay attention to restrictions on the total amount and variety of choice, the time to eat at the same time, it should also be noted that in whatever circumstances do diet adjustments. 隋主任reminded the public that the lifting of diabetes after three errors, but also in everyday life to raise awareness. At present, China's Western-style way of life of the existence of the phenomenon of first-degree relatives of patients with diabetes increases the risk of diabetes. To this end,隋主任suggested that, as the general public, should be in the diet and exercise to make adjustments. Reduce calorie intake and increasing physical activity, and adjust the mentality. Details in the diet, low fat eating fat as possible, proper control of a single sugar intake, eat more green vegetables, whole wheat flour and coarse grains are much better than powder.
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