1, diabetic foot. At first, the disease can be manifested as abnormal sensation of feet (such as cold numbness), to skin darkening and deepening, ulcer, gangrene and odor (anaerobic bacteria reproduction), and finally amputation in severe cases. The root cause of the whole disease is poor blood sugar control, which makes the body in a state of hyperglycemia, and hyperglycemia further poisons nerves and blood vessels and weakens the role of phagocytes. In the end, the lower limbs feel abnormal, so patients can't seek advantages and avoid disadvantages, and they are easy to get hurt. The blood circulation of lower limbs is reduced, the repair function is weakened, and the wound is not easy to heal. Eventually, the infection became more and more serious until gangrene occurred.
2, diabetic nephropathy. Hyperglycemia will saccharify protein and deposit it on the renal basement membrane, which will lead to the enlargement of glomerular pore size and protein leakage. It further causes the burden of subsequent renal tubular reabsorption, and over time, it is easy to form diabetic nephropathy. If not actively treated, with the further damage of kidney, diabetic nephropathy will eventually move towards uremia.
3. atherosclerosis. Hyperglycemia makes protein glycate and deposit on the blood vessel wall, and at the same time promotes the deposition of lipoprotein on the blood vessel wall. Then lipid plaque is formed on the blood vessel wall, which affects the elasticity of the blood vessel wall, thickens the blood vessel wall and promotes the occurrence of atherosclerosis. Because atherosclerosis is a systemic vascular disease, coronary heart disease will occur when coronary artery is involved. When cerebrovascular disease is involved, it will promote the occurrence of cerebrovascular disease; When the ocular blood vessels are involved, it will promote the occurrence of diabetic ophthalmopathy. In addition, the occurrence of hypertension is also related to arteriosclerosis. Due to the decrease of vascular elasticity, blood pressure is not well buffered, vascular resistance increases, and eventually blood pressure increases.
To be clear, the most direct result of diabetes without treatment is the existence of hyperglycemia. Hyperglycemia is a systemic problem, which will bring the above-mentioned series of damages. If left untreated, it may be life-threatening. Therefore, if you have diabetes, you must actively treat it.
Answer: Feng Haiyan, Master of Medicine.
Welcome to pay attention to Xinghua Island to gain more useful health knowledge. If diabetes is not treated actively and formally, the consequences will be unimaginable, not to mention what will happen if it is not treated early, or if the treatment is not formal enough and the blood sugar is not well controlled, there will be many complications, sometimes disabling and even fatal.
We can always meet such patients in the hospital, paying little attention to diabetes, or not finding diabetes at all.
One, 50-year-old Lao Fan, diabetes can not be treated, leading to dialysis of renal failure and amputation and death.
Lao Fan, 50 years old, is a typical diabetic who died without treatment.
Diabetes was discovered 10 years ago, but Lao Fan is a practitioner with good skills. He didn't take diabetes seriously at all. He thinks that he is skilled in martial arts and has extraordinary skills. How can he be affected by his illness?
Results Six years ago, I suddenly found facial edema, whole body edema and scanty urine. When I went to the hospital, my blood sugar was 28, diabetic nephropathy and renal failure. Think about it, you haven't peed, no matter how hard you try. So I had to go to the hospital for dialysis twice a week for a long time. Since then, there has never been an old fan of kung fu on Houjiang Lake, and there is also a frequent visitor in the dialysis ward.
It's not over yet. Last year, Lao Fan's diabetic foot appeared and he went to the hospital many times. The infection of lower limbs just couldn't heal, and finally it had to be amputated. Lao Fan, who used to have high martial arts, was unable to walk in the fields because of his amputation due to diabetes.
Less than half a year later, Lao Fan still left. He finally left because of the serious infection. This is the result of not treating diabetes.
Second, 55-year-old Lao Zhao has poor diabetes control, cerebral infarction, myocardial infarction and heart failure.
Lao Zhao is only 55 years old. He suffered from cerebral infarction eight years ago and heart failure after myocardial infarction three years ago. It's the terminal stage of heart failure, so it's difficult to leave the hospital this time.
Lao Zhao discovered diabetes/kloc-0 0 years ago. His blood sugar was 15. At first, I was able to take medicine to control it. Later, I felt nothing uncomfortable and simply stopped taking hypoglycemic drugs. Even if his family advised him to listen to the doctor, take medicine and control his blood sugar, Lao Zhao wouldn't listen to anyone. Eight years ago, when I was drinking, I suddenly became paralyzed. Send to the hospital for CT to prompt a large area of cerebral infarction. After more than 20 days of treatment, I walked out of the hospital, but my physical strength was abnormal and I was a little limping. Take medicine for half a year, then fish for three days and dry the net for two days. Can't take medicine on time, and don't want to monitor blood sugar.
Three years ago, Lao Zhao had a sudden chest pain and was taken to the hospital. He was diagnosed with myocardial infarction and had a stent, so he saved his life. However, heart failure has occurred. Repeated hospitalization in recent years. After three months and five months, I came to the hospital once and began to pillow two pillows, otherwise I would hold my breath. Later, I could only sit and sleep every day and didn't dare to eat more. I gasp when I go to the toilet.
This hospitalization, the situation is even more serious, unconsciousness, decreased urine output, lower limb edema, waist edema, renal failure, heart failure, respiratory failure, is certainly not out of the hospital.
Third, other complications of diabetes.
Another acute complication of diabetes is diabetic coma, mainly because diabetes is not controlled, which leads to the continuous increase of blood sugar, thus causing disturbance of consciousness, namely diabetic ketoacidosis and diabetic non-ketotic coma. They are the most common and dangerous complications of diabetes, which often lead to death if not treated in time.
Long-term uncontrolled diabetes can also lead to diabetic blurred vision, diabetic retinopathy, and even nervous system diseases such as blindness, limb numbness and abnormal sensation.
Diabetes, the damage to the whole body blood vessels is diffuse, so we must prevent, find and control it early, and we must not be careless. Once diabetes leads to complications, it is almost irreversible and even leads to disability and death!
Suffering from diabetes, many people only realize its seriousness after the complications appear, which is very sad. I know an old man in his fifties who looks at bicycles. I was chatting with him a month ago, and I haven't seen anyone since. I asked the new car-sitter and learned that he died of kidney failure due to diabetes not long ago. If diabetes is not treated properly, it will cause all-round harm to the body, such as blindness, cardiovascular and cerebrovascular deformation, diabetic foot, microcirculation disorder, limited joint activity, numbness of limbs and so on. Some people's wounds can't heal for a long time after they appear. Although they have used a variety of red wound medicines, they just can't see the effect. I didn't know that I had diabetes for a long time until I went to the hospital for examination, and I already had complications. The car observer died of his ignorance.
Diabetes focuses on prevention. Health talks are usually held at the community level in Japan, but we don't. While everyone is busy making money, the country ignores the popularization of health knowledge and individuals ignore the necessary health examination. As a result, in the process of becoming rich from poverty, most people's bodies are genetically difficult to adapt to the new life, and a lot of energy cannot be released, leading to endocrine disorders. This is the main reason why the number of diabetic patients in China has doubled year by year in the past 20 years.
The treatment of diabetes, whether in traditional Chinese medicine or western medicine, is just a good wish. Some people say that Chinese medicine can cure diabetes, but so far no one can prove it with statistical examples. Although western medicine has achieved remarkable results in reducing and controlling sugar, such as using insulin injection in vitro, it can be the same as traditional Chinese medicine, and no one says that he has a precedent for curing diabetes. The conclusion is that if you have diabetes, you must control your blood sugar with drugs for life.
In fact, suffering from diabetes is not terrible. The terrible thing is that you can't get proper treatment. You can often see the so-called tricks of health experts on the Internet: what tea, what food and what acupoints are the nemesis and natural enemies of diabetes, otherwise diabetes will slip away quietly. Some people sell health care products under the banner of experts, saying that after eating his products, blood sugar will return to normal, and they swear that they will never send it again. I once participated in an activity to promote propolis products. The organizer is from Shanghai. According to experts, their propolis raw material comes from Brazil. After technical research, the finished product was lead-free and obtained the national patent. General patients need to take 1-2 courses of treatment, and the most serious patients need 4 courses of treatment, which can completely cure your diabetes. The ex-factory price of propolis used in each course of treatment is 7800 yuan, which is favorable during the activity, and the on-site appointment is only 4000 yuan. At that time, there were nearly 500 people present. I heard that the discount was almost halved, and dozens of people rushed to book, and prizes worth more than 300 yuan were distributed to the subscribers on the spot. Seeing that the new rich were so crazy, I had to quietly quit and go home, vowing never to take part in similar activities again. Recently, a doctor in a 3A hospital posted that the success rate of Betula platyphylla extract in treating diabetes was 93%. My comment is: false news, and remind sugar friends not to be fooled. When I deeply exposed its misleading effect the next day, the doctor had to delete what he sent. In fact, when I commented for the second time, I thought, let's see the doctor's reaction. If I stick to my opinion, I will report his misconduct to National Medical Products Administration and the hospital where I work.
Although Chinese medicine can't cure diabetes, sugar lovers should insist on diet control, proper exercise, good mentality, acupoint massage and other methods to regulate their body and mind for a long time. As long as you insist on self-regulation while taking hypoglycemic drugs, complications will be delayed or avoided.
Sugar friend: We hope that someone in the world can cure diabetes fundamentally, and it is not Chinese medicine or western medicine. This day will not be too far away from us. However, before this day comes, we should adjust our body and mind, face the disease with a positive attitude and make our life full of sunshine.
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What are the consequences of not controlling diabetes? This problem has been clarified, and I believe that all diabetic patients will adhere to regular treatment. Why do you say that? Because the complications of diabetes are terrible and chilling. So today, Dr. Zhang will tell you about the great harm of uncontrolled diabetes, mainly to raise everyone's attention to this terrible disease of diabetes.
The terrible consequences of uncontrolled diabetes can be divided into acute and chronic parts:
First, acute complications 1, diabetic ketoacidosis
This acute complication is still a common complication that many diabetic patients do not pay attention to. Clinically, it can be manifested as polyuria, excessive drinking water, fatigue, loss of appetite, nausea, vomiting, headache, lethargy, irritability, deep breathing, rotten apple smell and so on. Severe water loss, decreased urine output, poor skin elasticity, decreased blood pressure, lethargy and even coma may occur in the late stage of the disease.
2. Influence
Poor blood sugar control of diabetic patients often leads to infection, which is manifested as carbuncle and furuncle on the skin, urinary system infection, respiratory system infection, even tuberculosis, and even sepsis, sepsis and other infections. Fungal infections of the skin are also common, such as tinea pedis and tinea corporis. Female patients are also prone to diseases such as vaginitis.
Second, chronic complications Long-term blood sugar cannot be effectively managed, and blood vessels in important organs of the whole body are most vulnerable to damage. Among them, large blood vessels and microvessels are easily damaged, which is also an important reason why diabetes can basically be equated with cardiovascular and cerebrovascular diseases.
1, macroangiopathy
Long-term blood sugar can not be well controlled, and atherosclerosis may occur in large and middle arteries, such as aorta, coronary artery, cerebral artery, renal artery and peripheral arteries of limbs, which directly leads to coronary heart disease, cerebral infarction, renal artery stenosis and peripheral vascular diseases.
2. Microangiopathy
Microvessels refer to the capillary network between arterioles and venules. If the blood sugar is not well controlled for a long time, these microvessels will have microangiopathy, such as diabetic nephropathy and diabetic retinopathy.
3. mental derangement
Long-term poor blood sugar control will lead to limb sensory disorders and abnormalities, such as hyperalgesia, numbness, burning sensation and so on. This is because the blood sugar is not well controlled and the peripheral nerves are damaged.
4, diabetic foot
Diabetic foot refers to the abnormal pathological changes of distal nerves and peripheral blood vessels of lower limbs caused by poor blood sugar control, which eventually leads to foot infection, ulcer and deep tissue necrosis. Diabetic foot looks terrible, but it is not uncommon, so everyone must manage blood sugar well.
Well, after talking about so many complications of diabetes, in fact, the ultimate goal is to remind everyone to pay attention to diabetes and pay attention to the management of blood sugar at ordinary times, so that they can live a long and healthy life and get sick less. What did you say?/Sorry?
Although diabetes will not directly lead to the death of patients, many patients with diabetes are worse than death in clinic.
If diabetic patients do not take any treatment measures, their condition will develop very quickly, and various cardiovascular and cerebrovascular diseases and infections will follow, which will not only shorten the life span, but also affect the quality of life of patients.
The harm of diabetes to the body is chronic! Diabetic patients often don't have all kinds of abnormalities immediately, but will get worse with time.
From blurred vision to bleeding, this is caused by the blockage of subretinal capillaries. If you don't intervene all the time, it will continue to deteriorate and you may be blind.
Diabetic patients often have lower limb abnormalities, which are caused by blood vessel blockage in the circulation of lower limbs. In the early days, they may only feel cold and numb, but over time, necrosis occurs and amputation is needed.
Diabetic nephropathy is the most painful patient in clinic at present. They may be painless in the early stage, but with the blockage of capillaries around renal tubules, renal function is seriously failed, and they must be maintained by dialysis in the later stage. Patients not only suffer, but also have to bear high medical expenses.
It takes courage to "not treat"! In the early stage of diabetes, it may be very unwise not to take any treatment measures because of the inconspicuous symptoms and limited income.
For professional reasons, I have met many patients with advanced diabetes. They live in pain, and ordinary people may not be able to imagine this kind of pain at all: an old friend I knew before had diabetes, which seemed to be around 14. He amputated his leg and spent more than 65,438 yuan. Then 16 saw him and couldn't see his eyes. He lay in bed in despair every day.
Plans never change quickly. When you are really terminally ill, can you really face your fears? In fact, people are afraid of death, and their families will not give up easily. It is really difficult to get treatment at this time, and it may cost a lot of medical expenses, so you can only save your life and not recover.
Early active intervention is better than early indulging in laborious treatment. Although there is no guarantee of recovery, it can at least delay the deterioration of the disease and avoid complications.
Through active and correct intervention, diabetes will not affect the life span and quality of life of patients.
If diabetes is not treated, long-term hyperglycemia will gradually damage the ability of pancreatic cells to produce insulin until the pancreas is permanently damaged. Hyperglycemia can also lead to atherosclerosis, and then lead to kidney disease or renal failure, stroke, heart disease, decreased vision or blindness, low immune function, erectile dysfunction, neuropathy, lower limb blood circulation problems, slow wound healing and other problems.
These complications of diabetes develop gradually. The longer you have diabetes, the worse your blood sugar control, the higher the risk of complications, and eventually you will be disabled or die because of complications.
In addition to the above major complications, diabetic patients may also have skin injury, hearing loss, Alzheimer's disease, depression and other complications.
Therefore, diabetes must be found and treated early, and self-management should be done to control blood sugar.
Professional doctors will answer your questions.
Everyone who owns a car knows that the car should be maintained on time, the oil should be changed, and the air filter should be cleaned. In order to avoid excessive engine wear and prolong the service life of the car; In life, clothes should be changed every few days, and you should take a bath every three to five times, otherwise you will feel uncomfortable and smell. And so on, in fact, it is the same reason that high blood sugar should be treated in time.
Blood sugar refers to the glucose in the blood. The higher the glucose concentration, the higher the blood sugar, and the blood will flow in the blood vessels. Therefore, high concentration of glucose is like pickled sugar garlic to vascular endothelium, vascular endothelial cells will be eroded and damaged continuously, and "small wounds" will appear at the injured places, which will make the inner surface of blood vessels uneven.
On the one hand, the inner surface of blood vessels increases the resistance of blood flow, on the other hand, it also creates conditions for the deposition of macromolecules such as fat in blood. Just like there are obstacles in a river, debris in the river will also pile up around the obstacles. Vascular endothelium will accumulate more and more fat, which will cause a series of inflammatory reactions after a long time. Fat will continue to be lipidated and form atherosclerosis in the blood vessel wall. At this time, atherosclerosis will occur, and the lipidated fat in the severe part will form a mass, which is commonly called plaque.
Blood vessels with atherosclerosis are like aging rubber tubes, which become hard due to the decrease of elasticity, brittle due to the decrease of flexibility, and the buffering capacity of blood pressure decreases continuously, which makes blood pressure rise. More importantly, with the aggravation of sclerosis, the vascular lumen becomes narrower and narrower, and the blood flow becomes less and less, resulting in insufficient blood supply and oxygen supply to surrounding tissues and organs; If the diseased blood vessels can't bear the pressure of blood flow and rupture, blood will overflow the blood vessels and oppress the surrounding tissues and organs. If these things happen in the heart, brain and other important organs, the consequences can be imagined.
Therefore, the elevated blood sugar should not be taken lightly, and active intervention and treatment measures should be taken to effectively control blood sugar. Of course, this damage to blood vessels caused by hyperglycemia does not occur in a short time, and there is a gradual process. Clinical studies have confirmed that most people with elevated blood sugar and diabetic patients will have microvascular damage after 3-5 years of untreated treatment, and then the damage will gradually involve large and medium-sized blood vessels, and cardiovascular and cerebrovascular diseases will occur after about 8- 10 years. Cardiovascular and cerebrovascular diseases are the first cause of death in human beings at present.
This is by no means alarmist. There are not a few people who regret for a lifetime in real life. However, because diabetes often has no obvious symptoms at an early stage or even at a certain stage, some people are indifferent or lucky enough to let their blood sugar rise. You know, once the vascular disease progresses to a certain stage, it will turn irreversible. Even if you want to treat it at that time, the effect will be greatly reduced or even useless.
To sum up, it is wise to actively intervene and treat people with elevated blood sugar and diabetes. I believe no one will make fun of his own life!
"Diabetes is not high blood sugar? What's the point of life if you don't eat this or that? Wait until you are well! "
This is what I heard an uncle say to his son in the health management center, and it is also what many sugar friends who don't understand diabetes at first will complain.
They think that diabetes is a chronic disease, but the blood sugar is relatively high. It doesn't hurt, it's not even sick at all, so it's not taken seriously.
Just like the subject asked, "What will happen if diabetes is not treated?" Everyone thinks that if there are no symptoms at present, they can put it down, but they don't know that long-term hyperglycemia is extremely harmful to the body.
Hyperglycemia can cause the following acute complications: 1, ketoacidosis.
Generally, when the blood sugar is higher than 16.7mmol/L, ketoacidosis is easy to occur, and the mortality rate is as high as 20-50%, which is very dangerous.
2. Hypertonic syndrome
When the blood sugar is higher than 33.3mmol/L, the metabolism of protein and fat in the body will be disordered. Usually, when the blood sugar is higher than 33.3 mmol/L, hyperosmotic syndrome is easy to occur, and the mortality rate is as high as 365,438 0%.
3. Lactic acidosis
Long-term hyperglycemia may cause metabolic acidosis. If the plasma lactic acid concentration reaches 5mmol/L, the mortality rate is as high as 80%.
Hyperglycemia can also cause the following chronic complications: 1, cardiovascular and cerebrovascular diseases.
2, diabetic nephropathy
3. Diabetic retinopathy
4, diabetic foot
Finally, I want to correct one point. The treatment of diabetes requires not only drugs, but also the personal efforts of our sugar friends, such as life intervention, balanced diet, nutrition intervention, moderate exercise, and adjustment of work and rest.
Finally, I wish you good health!
If you have questions about health management or diabetes, you can write them directly or communicate in the comment area ~
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Editor in charge | Jin Xiaoxiao
At present, the etiology and pathogenesis of diabetes are not clear. Diabetes is not a single disease, but a syndrome caused by complex etiology, which is the result of the interaction of many factors, including genetic factors and environmental factors. Insulin is synthesized and secreted by islet β cells, and blood circulates into the body. In addition to good standardized drug treatment, cells in various tissues and organs combine with specific receptors to form intracellular substance metabolism effect, so any environmental abnormality suitable for the whole process may cause diabetes.
In fact, health education for diabetes is one of the most important basic treatments. Good health education can fully mobilize patients' subjective initiative and actively cooperate with treatment, which is conducive to reaching the standard of disease control, preventing the occurrence and development of various complications and reducing the burden of consumables. Patients will benefit from health education, including training of diabetes prevention professionals, continuing medical education for medical staff, and health education for patients and their families. Patience education for patients and their families is to realize that diabetes is a lifelong disease treatment. We should persistently let patients know the basic knowledge, treatment and control requirements of diabetes, learn to monitor urine sugar, monitor the correct use of blood glucose meters, master the specific measures of medical nutrition treatment and physical exercise, pay attention to the use of hypoglycemic drugs, and learn that insulin injection should adhere to reasonable quality and meet the standards for a long time under the guidance of medical personnel, and the treatment plan needs to be adjusted later.
In addition to controlling blood sugar, diabetes also needs to detect the abnormality of liver and kidney function and blood lipid, as well as the change of fundus renal function, so it is very important to adjust it at any time during the treatment. If obese patients do not lose weight under the premise of proper treatment measures, they should further reduce the total calories of food, restore their weight during treatment, and adjust their diet plans appropriately to avoid continuous weight gain.
Diabetes is not just what you think: blood is sweeter, urine is sweeter, and eating less sugar is enough. Diabetes must be treated in a standardized way. More intuitively, polyuria, excessive drinking, weight loss, skin irritation, skin itching, female vulva itching, limb pain, numbness, low back pain, loss of libido, impotence and infertility, menstrual disorder and constipation are the most common manifestations.
Of course, from a professional point of view, there may be acute diabetic ketoacidosis, hyperosmotic coma and serious urinary system infection. Chronic macroangiopathy and microangiopathy (retina, kidney) and neuropathy (limb pain), as well as blindness and diabetic foot.
It may be difficult for people who have not seen or felt it with their own eyes to understand how diabetes causes these serious problems. Today we will analyze how diabetes develops into these terrible problems step by step.
How does diabetes cause ketoacidosis? What is ketoacidosis? Before that, we must first understand what diabetes means.
According to different reasons, it can be divided into four types:
Type 1. ⅰ is related to autoimmunity, which is relatively complicated.
2. Type ⅱ accounts for 95% of this patient group, which is insulin resistance and/or accompanied by insufficient insulin secretion.
3. Other special types of diabetes secondary to diabetes, such as genetic immunodeficiency and genetic deficiency of insulin action. ...
4. Gestational diabetes is due to the abnormal glucose tolerance first discovered in this special period of pregnancy.
The above four types are the main types of diabetes at present. It is more in line with the definition of diabetes mentioned earlier, and it is indeed caused by many minutes. Although there are many reasons, controllable and uncontrollable, blood sugar must be controlled. As long as it can stabilize blood sugar, it will play a decisive role in the development of diabetes.
Next, let's get down to business and talk about diabetic ketoacidosis.
Diabetic ketoacidosis is an acute complication of diabetes. Acute means to appear quickly and suddenly. This is mostly the spontaneous tendency of 1 type diabetes. Of course, diabetic ketoacidosis can also occur under the action of some incentives of type 2 diabetes. For example: infection, insufficient insulin secretion or treatment interruption, improper diet, pregnancy and childbirth, trauma, surgery, anesthesia, acute myocardial infarction, etc. Of course, sometimes there is no reason. Well, there may be, but I can't detect it yet.
Having said that, you must be confused about what this diabetic ketoacidosis looks like. Simply understood as a kind of poisoning with conscious disorder. At first, I was weak, thirsty and wanted to drink water, but I couldn't drink enough. When poisoned, appetite begins to decline, and nausea, vomiting, lethargy and irritability appear. The most typical thing is that you take a deep breath and soon there will be rotten apples to feed you (in fact, it is the smell of acetone). Further development is the performance of entering a coma step by step.
Hypertonic coma Listen to the name, you may know nothing but coma. It's true that diabetes also causes coma, but it's a little different from before. He is an acute metabolic disorder caused by diabetes. The reason for this situation is more likely to be caused by gastrointestinal problems.
Infection with diabetes often leads to some skin purulent infections, such as furuncle and carbuncle. However, the wounds of people with high blood sugar are difficult to heal, so the probability of infection is relatively high, and many wounds can't even heal, which has a great impact on the quality of life.
These are some acute problems of diabetes. Even if it is actively controlled, it will suddenly break out for some special reasons, which is hard to prevent. But reasonable treatment management can greatly reduce the risk of sudden.
The chronic progress of diabetes will also involve all organs of the whole body and lead to cardiovascular and cerebrovascular problems.
Abnormal glucose and lipid metabolism in diabetic patients with macroangiopathy can easily lead to atherosclerosis of large and medium-sized blood vessels, leading to problems in their vegetative organs, such as insufficient blood supply to the main arteries of limbs, which can lead to intermittent claudication and gangrene of limbs in severe cases.
Because of glomerular sclerosis between capillaries, arteriopathy can lead to diabetic nephropathy. There is also diabetic retinopathy, which is an important cause of blindness in many people who have been ill for a long time. Proper blood sugar control can delay.
Summing up the problems caused by all kinds of diabetes mentioned above, even with active treatment, it is still possible to make a comeback. But if we don't actively treat them and make reasonable planning and control at an early stage, their arrival will be much faster than expected.
Therefore, in order to have a good quality of life, we must actively prevent and control it as soon as possible. If you haven't tested your blood sugar, or haven't tested it for more than half a year, and you are over 25 years old, I suggest you go to your community health center or the nearest measurable place to have an fasting blood sugar measurement on your fingertips.
Article reference: Chapter 7 Nursing of Diabetic Patients, Second Edition of Medical Nursing, People's Health Edition.