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    Home > Active Ingredient News > Endocrine System > Diabetes has a 30-year course of disease and almost no complications "look for the door". Behind the successful management of the disease are these "10 common features"

    Diabetes has a 30-year course of disease and almost no complications "look for the door". Behind the successful management of the disease are these "10 common features"

    • Last Update: 2021-03-23
    • Source: Internet
    • Author: User
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    Introduction: In the clinic, some patients with diabetes have a course of several decades, but there are few complications.
    Why are these patients so successful in diabetes management? After careful analysis, these patients have 10 common characteristics.

    The author introduces Dr.
    Zhang Meibiao, Department of Endocrinology and Metabolism, First People's Hospital of Huaihua City, Hunan Province, chief physician, professor, and postgraduate tutor; Huaihua Branch of National Metabolic Disease Clinical Medicine Research Center; Huaihua Branch of National Standardized Metabolic Disease Management Center (MMC); The Endocrinology Professional Committee of Huaihua Medical Association of Hunan Province; Huaihua Diabetes Rehabilitation Association of Hunan Province Recently, an old patient came to my outpatient clinic-Mr.
    Wang, 72 years old, a retired cadre, wanted to be hospitalized for a physical examination.

    Around 1990, Wang Lao discovered that his blood sugar was elevated, he felt good about himself, and he didn't care about it.
    In 1997, there was a phenomenon of "three more and one less".
    At that time, his blood sugar was more than 20 and he started regular treatment.

    I was his doctor in charge at the time.

    Wang Lao is now treated with one injection and two drugs (insulin detemir, metformin sustained-release tablets, linagliptin), with satisfactory blood sugar control and 6.
    4% glycosylated hemoglobin.

    At the same time, atorvastatin, aspirin and losartan are used for comprehensive treatment.

    Having been suffering from diabetes for 30 years, Wang and Lao do not have many complications and basically do not affect his life.

    Discharge diagnosis results: type 1.
    2 diabetes, diabetic nephropathy (stage III), diabetic peripheral vascular disease; 2.
    hypertension level 2; 3.
    dyslipidemia (mixed type).

    Patients with well-controlled complications generally have these 10 characteristics.
    In the past year, I have found that there are 20-30 patients with similar conditions to Wang Lao, accounting for about 1%, and they are all diabetes mellitus when I just graduated and went to work.
    The patients are currently in good physical condition and do not have too many diabetes-related complications.
    It is found that they have the following common characteristics in the fight against diabetes: 1.
    The initial age of onset is 40-50 years old, most of them are working people and have a certain cultural quality.
    , Economic conditions are acceptable, living in urban areas.2.
    Most patients have been hospitalized and used insulin therapy at the time of onset; long-term or intermittent use of insulin subcutaneous injection; combined with oral hypoglycemic drugs for treatment.

    3.
    After retiring at the age of 60, he will be hospitalized every 1-2 years, and the body will be systematically adjusted for about 10 days.

    4.
    Accept regular systemic treatment when you get sick, and receive health education lectures from diabetes specialists in regular hospitals; do not listen to false advertisements and use less health care products.

    5.
    Manage your figure and body shape by "controlling your mouth and opening your legs" to achieve a normal or slightly heavier weight without obvious obesity or weight loss.

    6.
    Able to perform regular (every 3-6 months) outpatient follow-up visits, usually self-monitoring blood glucose, with a blood glucose meter and sphygmomanometer at home; have the habit of recording blood glucose, blood pressure, blood lipids and other indicators; use after ten years of diabetes Aspirin or clopidogrel antiplatelet therapy.

    7.
    See an ophthalmologist once every 1-2 years for routine fundus examinations.

    8.
    Frequently learn the basics of diabetes, know the "glycated hemoglobin", the core indicator of blood sugar control; be familiar with the "five carriages" of diabetes management.

    9.
    Get acquainted with 1-2 diabetes specialists as friends, and regularly consult related physical conditions and health knowledge; never arbitrarily make any changes to the treatment plan.

    10.
    The patient’s family members or friends actively participate in and supervise the patient’s comprehensive diabetes management.

    The secrets of success in diabetes management-standardized diagnosis and treatment, self-discipline, persistence, and learning.
    From the above 10 characteristics, we can see the secrets of successful diabetes management: ➤Regular and standardized diagnosis and treatment of diabetes are particularly important.

    ➤Self-discipline, study, and persistence in accomplishing every career, and self-health management for diabetic patients is no exception.

    Source: Friends of Diabetes
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