In real life, we know a person, often starting from his or her appearance, gradually learning about his or her character by looking at his or her behaviour; similarly, we recognize diabetes, whose symptoms are first felt, and then gradually uncovering its high blood sugar。
Understanding the symptoms of diabetes is therefore important for early detection and proper assessment. Now, let's talk about diabetes。
I. Diabetes as a typical "look"
It is well known that the typical symptoms of diabetes are "three or less" — "three" — more eat, drink, pee and "one less" — weight loss. So why do people with diabetes suffer from "more than one" symptoms
1. Multiple urine
Diabetes, as a result of the rise in blood sugar and the corresponding increase in glucose in urine, once they exceed the capacity of the kidney tube to absorb sugar, may cause an increase in urine permeability pressure, resulting in permeability of the urine, resulting in a high rate of urine per day of 2-3 litres or more (note: normal human urine per day is between 1000 and 2000 ml, on average, at 1,500 ml, up to 10 litres)。
2. Multi-drinking
The greater the loss of water to the body, the resulting dehydration of the cell, the stimulation of the thirst centre and the increase in the intake of water, the greater the urination of the patient and the greater the thirst。
3. Overeating
Due to insulin insufficiency and/or insulin inaccessibility, glucose in blood cannot enter the cell, metabolism produces energy, and a large amount of urine is lost, a lack of energy information that can be attributed to dietary aspirations, as evidenced by an increase in diets, significantly more than those of the same age, gender or labour force。
4. Skinnyness
Despite the fact that patients are well fed and have high blood sugar, body improvement and energy through decomposition of fats and proteins, combined with loss of water, leads to loss of body weight and wasting。
Ii. Atypical "look" of diabetes
Why is it that many people have detected diabetes through medical examinations, but they have no obvious symptoms
This is because the diagnosis of diabetes is based on an empty abdominal sugar 7 mmo/l and/or 2 hours after the meal 11. 1 mmol/l。
However, when the blood sugar is above 10 mmol/l (which is the threshold for kidney defecation, known as the "renal sugar threshold") and exceeds the heavy absorption capacity of the kidney tube for urine, there will be a large amount of sugar in the urine, which will produce permeability, which will cause thirst and drink, and as a large amount of glucose is lost in the urine, the body will lose weight due to lack of nutrition。
It is not difficult to understand why many diabetes patients with mild increases in blood sugar have no or very low symptoms。
In fact, only half of the people with typical symptoms of `more than three' are diabetics, while half of the other diabetics are often less typical, either with no visible symptoms (mainly in early, light diabetes) or with only one or two of `more than three' symptoms (e. G., some older diabetics are not clearly thirsty, drink more than they drink, but are just wasting for unknown reasons)。
Some of them appear as "other faces". Now let's get a look at these atypical faces。
1. Low blood sugar before meals
In the early years of diabetes, patients tend not to have the obvious symptoms of “more than three” but often “low blood sugar before meals”。
This is due to the delayed peak of insulin for type 2 diabetes patients, which did not reach its peak when blood sugar peaked after the meal, and when sugar fell, insulin peaked, leading to low levels of insulin before the next meal, often leading to a clear sense of hunger among patients, often a precursor to the early onset of type 2 diabetes。
Weaknesses
Lack of insulin and/or insulin resistance prevent glucose in blood from being fully ingestion, metabolized and used by cells, and physical fatigue is due to insufficient capacity。
3. Skinnyness
Due to glucose use disorders, the decomposition of body fat and proteins accelerates, often resulting in a marked decrease in the weight of patients。
4. Local skin black
In some cases, obese obese persons are exposed to black skin in their necks, armpits, thigh roots, etc., and cannot be washed away。
Black thorns suggest severe insulin resistance and high insulin haemorrhage, an early manifestation of type 2 diabetes。
5. Women with high blood sugar during pregnancy or with large children
These women found high blood sugar during pregnancy and the fetus grew particularly rapidly in high sugar conditions, with a birth weight of over 4 kg。
Most of these women return to normality after giving birth, but the risk of type 2 diabetes in the future is high and high risk of diabetes, and regular monitoring of blood sugar is therefore required。
6. Fuzzy vision
Long-term high blood sugar can lead to diabetes mellitus, loss of vision, blurred reading, re-examination, etc. In clinical terms, some diabetics find diabetes because of eye problems。
7. Gastrointestinal disorders
High blood sugar can cause phytoneurological disorders and gastrointestinal disorders, often manifested in abdominal swelling, poor pay or stubborn constipation, and in a few cases in chronic diarrhoea, or in the alternation of diarrhoea and constipation。
Unlike infectious diarrhoea, diabetes-related diarrhoea is functional, usually not accompanied by fever, abdominal pain, acute stress and sepsis, and antibiotic treatment is ineffective。
8. Peeing difficulties and urine retention
High blood sugar can damage the vegetative nerves that dominate the bladder, affect bladder contraction and drain, and patients can manifest themselves in urination difficulties, urine retention and tension incontinence。
When men experience the symptoms described above, it cannot be assumed that the prostate must be fat, and care must be taken to exclude diabetes。
9. Sweat abnormality
Diabetes causes phyto-neurological disorders that can lead to anomalous sweating, which often occurs when people are not hot and often sweaty (especially when eating) and is characterized by a high body and a low or low body。
10. Direct low blood pressure
Diabetes-based plant neurosis can also cause vascular condensation abnormalities when the patient sits for a long time and suddenly rises after long sleeps, causing an excess cerebral hemorrhage, dizziness, eye floss and even convulsion due to the inability of the vessel to reflect the contraction。
11. Sexual functional impairment
Long-term high blood sugar can cause phytoneurological and surrounding vascular disorders, leading to male sexual dysfunction (i. E. " impotence " ). According to the survey, about 50% of the male diabetics combined impotence. Therefore, care should be taken in testing blood sugar to eliminate diabetes among middle-aged anemic patients。
12. Hand and foot numbness
Diabetes can cause neurological changes in the surrounding area, in the form of symmetrical hand and foot numbness, pain, heat, loss of feeling or disappearance, and there is also a feeling of walking like “tamp cotton”. Therefore, care should be taken to check for blood sugar for those who are insensitive for unknown reasons。
13. Shoulder ecstasy
Symptoms are a common osteoporosis among the elderly, manifested mainly in shoulder pain and limited mobility. Long-term high blood sugar can damage microvasculars, causing local microcycling disorders in shoulder-near tissues, causing joint swelling and eventually causing shoulder-nearitis。
Thus, diabetes-induced shoulder choreitis is subject to strict control of blood sugar in conjunction with partial treatment。
14. Skin and external itching
High blood sugar can irritate the neurological endings of the skin, cause itchings in the skin and external (especially among women) and make it difficult to sleep. Therefore, attention should be paid to the elimination of diabetes。
15. Repeated haemorrhoids in skin
The high sugar environment is conducive to the growth of bacteria and the reduction of white-cell eating capacity of diabetics, thus making patients vulnerable to infection in parts of the skin, urinary tract and respiratory tract。
As a result, patients with repeated haemorrhoids and frequent urinary infections in their skin must be checked for blood sugar to eliminate diabetes。
16. Long-lasting wounds
Due to the presence of exterior vascular disease among diabetics, the poor blood supply of the tissue around the wound and the severe loss of the patient's nutrients, the wounds are often not easily healed once they are injured or operated on. Clinically, don't forget to check the blood sugar for patients whose wounds have not healed。
17. Self-activated skin herring
“cultural metabolic disorders” can lead to skin microvascular damage and nutritional disorders, leading to “diabetes”. The acupuncture is good for the back of the finger, toe, foot and foot; it's thin, it's bright and transparent, it's like burning the acupuncture, but it's free from inflammation and pain; it happens suddenly, it heals itself, but repeatedly。
Care should therefore be taken to check for blood sugar in cases of repeated spontaneous burns on skin herring。
18. Diarrhea and loose teeth
High blood sugar can cause oral mucous infections and diarrhea. In addition, chronic high blood sugar can lead to osteoporosis of the osteoporosis of the tooth, resulting in loose or even loss of teeth。
19. Painless heart attack
Continuing frontal pain is a major feature of acute heart infarction. However, due to the presence of a psychosis, about one third of the diabetics experienced acute myocardial infarction without feeling pain. Therefore, attention should be paid to screening for diabetes in cases of painless myocardial infarction。
20. Increased or positive urine foams
Long-term high blood sugar can cause kidney damage, referred to as diabetes kidney disease, which can take the form of an increase in urine foams or an increase in urine proteins at an early stage, so care must also be taken to exclude diabetes for such patients。
At the end
Thus, it is clear that, in addition to the typical symptoms of diabetes, which is familiar to everyone, there are many atypical symptoms of various kinds, some early mildly ill patients do not even have any symptoms, but high blood sugar is already quietly damaging their organs。
Therefore, there is also a need for adequate knowledge and understanding of the diversity of the symptoms of diabetes, without losing sight of any suspicious clues, and for special attention to be paid to screening for diabetes among those at high risk of symptoms that are not typical or symptoms of diabetes, in order to reduce misdiagnosis and leakage of diabetes, with early detection and treatment。
This paper is intended for professionals such as health care
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Input |daidongjun@dxy. Cn
